Meeting the Needs of the Mentally Ill Homeless in Massachusetts-Based Emergency Shelters

A statewide survey (response rate = 79.5%) of the emergency shelters designed for homeless individuals was conducted in Massachusetts to determine the prevalence of serious mental illness among residents and extent to which they received psychiatric services. An average prevalence rate of 22%, ranging from 1% to 70%, was reported despite the fact that 87% of the shelters restricted admission of those exhibiting severe behavioral problems. Nearly three-quarters of the shelters reported providing some mental health services as part of their program, and 80% had established ties with professional mental health agencies. Linkages with these mental health agencies greatly enhanced placement options for mentally ill persons. When queried on the most pressing community-based service needed for the homeless mentally ill, nearly two-thirds of the shelters reported a need for additional housing alternatives.     

Development and validation of the attitudes toward same-sex marriage scale

This research details the development of a new instrument designed to measure attitudes toward same-sex marriage. Participants were 615 heterosexual women and men, drawn from both student and nonstudent adult populations. Four studies were conducted for the purpose of developing the scale and to establish its psychometric properties. The resulting Attitudes Toward Same-Sex Marriage Scale (ATSM) consists of 17 items, has a one-dimensional factor structure, and exhibits a high degree of reliability. Additional analyses established the construct validity of the ATSM where ATSM scores were highly correlated with scores on the Attitudes Toward Lesbians and Gay Men Scale (Herek, 1988). ATSM scores followed predicted correlational patterns with select demographics, including educational attainment, religiosity, and political conservatism. The usefulness of this new measure in survey research is discussed.     

Service user and carer feedback: simply pass/fail or a genuine learning tool?

Social Work Students in Britain are required to submit feedback from Service Users and Carers as part of their Practice Learning portfolios. The purpose of this is twofold—to demonstrate evidence of the student’s ability and to provide information for the student to reflect on and learn from. Members of the Service User and Carer Advisory group attached to a Social Work degree course believe this represents an opportunity for users and carers to influence future social work practice. In reality however, does this feedback actually make a difference? Group members reviewed user and carer feedback contained within student portfolios submitted during one academic year. They found that whilst there were some excellent examples of constructive criticism, the feedback was overwhelmingly positive towards students. The findings raised questions about how gathering Service User and Carer feedback is viewed and undertaken. Is the feedback seen more as a pass/fail issue or as an opportunity to learn from? Could there be better ways to gain constructive feedback for students? What conditions enable students to learn from the feedback that is gathered? This paper starts to explore these questions and suggests ideas for further research and training.     

Isinangananga versus imbobo: negotiation of intimacy in South African female correctional centres

ABSTRACT

Isinangananga (same-sex relationships) an abomination to some but a source of pleasure to others, is a word I heard throughout my prison journeys. Imbobo refers to heterosexual relationships between males and female inmates in a correctional centre. This paper explores both the narratives of women's involvement in both forms of relationships.     

Diabetes, aging and physical activity

Diabetes mellitus (DM) is a metabolic disease affecting the regulation of insulin and glucose causing a disruption in the normal control of counterregulatory hormones and macronutrients, resulting in blood glucose accumulation. Metabolic deregulation leads to the production of noxious substances that have a particular propensity for damaging vascular and nervous structures. Physiological changes observed with aging are correlated with a concomitant increase in DM and its associated complications. Long-term complications, including peripheral and central neuropathies, micro- and macrovascular damage, retinopathy, and nephropathy are the major causes of mortality in diabetics [cardiovascular disease (CVD) being the primary complication causing death in this population]. All-cause mortality is three to four times greater in the DM population; hence, management of DM is of timely importance, particularly with a projected prevalence increase of 134% within the next 25 years among individuals over the age of 65 years. Exercise modalities, including endurance and resistance training, were employed to improve glycemic/metabolic control and to ameliorate the progression of DM-related complications. Several risk factors, including glucose levels, blood pressure, lipid/cholesterol profile, and BMI, are reportedly improved with these modes of exercise. However, not all studies demonstrate an improvement in risk factors, but consistently note improvement in complications and a reduction of DM incidence. There is convincing evidence that exercise, with or without specific improvements to traditional DM-related risk factors, is an effective therapy for the management of DM.The Canadian Centre for Activity and Aging is affiliated with St. Joseph’s Health Care and The University of Western Ontario, London, Ontario, Canada.     

Depressive Symptoms and Mental Health Treatment in an Ethnoracially Diverse College Student Sample

Abstract

Objectives: To study (a) the prevalence of depressive symptoms and (b) the utilization of mental health treatment in an ethnoracially diverse sample consisting primarily of Asian Americans, European Americans, Native Hawaiians, and Pacific Islanders. Participants: Five hundred eighty-nine college students. Method: A questionnaire packet that included the Center for Epidemiological Studies Depression Scale (CES-D) was administered to students in introductory psychology courses. Results: (a) There were no differences among ethnoracial groups in levels of depressive symptoms as measured by the CES-D; (b) 71% of participants with high levels of depressive symptoms had not received any mental health treatment in the previous 12 months; and (c) European Americans were 3.7 times more likely to have received mental health treatment in the previous 12 months than other students. Conclusion: Outreach efforts designed to improve utilization of mental health treatment services by depressed college students, especially by members of ethnoracial minority groups, should be increased.     

The Feminist Consciousness

Feminism is more than a philosophy or ideology. It is a "vocabulary of motives" maintained by strong group support. Becoming a feminist leads to a transformation of consciousness and an alteration in the perception and interpretation of everyday life. I focused on "consciousness" as the organization of perceptions of women that included an awareness or self-consciousness of this organization.
Seven expected findings were developed comparing feminists and nonfeminists on three dimensions of consciousness: perceptions of women, autonomy and self-control, and overt feminist interpretation. A projective measure consisting of 14 pictures was administered to college women. Respondents wrote stories about the pictures in response to standard TAT questions. A feminist consciousness emerged as a recognizeable and distinct process. Feminists are more likely to use a feminist vocabulary of motives, introduce the general theme of sexism or specific feminist themes such as job discrimination. The stories of the two groups differed significantly in their degree of observable feminism. Women are portrayed by feminists as struggling for autonomy in life situations but are not perceived as having control over their lives in traditional and ambiguous settings. Feminists do not appear to be ideologically oriented; and while the feminist consciousness is distinctive, it is not monolithic or unidimensional. Feminists interject feminism into their interpretation of everyday life and perceive situations differently from nonfeminists leading to the conclusion that their subjective experience is different from that of nonfeminists.     

Merger mania: physicians beware

Corporate consolidations, mergers, and acquisitions would seem to provide immense promise in furthering the development of health networking because they affect the governance of entire organizations, rather than simply establishing revised arrangements for specific services or patients. Yet, a limited number of empirical studies have been published to date that explore whether hospital mergers actually improve access, reduce cost, or improve quality of care; and, among the reports available, the conclusions are somewhat equivocal. Physicians should be cautious of these mergers, since they seem to focus either on eliminating a direct competitor or on forming a large horizontally and vertically diversified health network that then can become a major player in gaining exclusivity in managed care contracting. With either of these merger strategies, there are antitrust-type concerns that competition among physicians and other providers will be significantly curtailed, and that consumers will end up with fewer choices in obtaining cost effective, quality patient care.