Preventing violence in disadvantaged communities: Strategies for building collective efficacy and improving community health

ABSTRACT

Violence is a critical health issue that compromises the strength of communities and permanently damages the lives of individuals and families. The impact of violence on health and well-being is particularly devastating in disadvantaged and minority communities, leading to negative health outcomes, including premature death. However, research suggests that communities can prevent violence and negative health outcomes by developing collective efficacy, which happens when neighbors share norms and values, trust one another, and are willing to intervene to address problems. Despite the importance of collective efficacy in preventing violence and improving health, almost no research has investigated actionable strategies to build collective efficacy in disadvantaged neighborhoods. This article describes a theoretical and conceptual model that illustrates how collective efficacy impacts community violence and related health outcomes. We begin by reviewing other approaches to community violence prevention, including criminal justice and developmental approaches. We then discuss how collective efficacy works and why it matters, including theoretical and empirical research explaining collective efficacy and its impact on community violence and health. We then discuss a research-based intervention that social workers can use to facilitate collective efficacy, including our conceptual model and the key components of the intervention. Finally, we discuss implications for social workers who are working with communities to address violence and related health issues.     

Foster Parents as a Critical Link and Resource in International Adoptions From Guatemala

Before the recent implementation of the Hague Convention requirements on intercountry adoption in Guatemala, most children in the process of being adopted by foreign nationals were cared for by foster parents. In the present study, 16 Guatemalan foster parents were interviewed regarding their experiences with and attitudes toward international and domestic adoption and fostering. Although adoption was generally described in positive terms as a means to improve the child's future, respondents also emphasized the economic dimension of international adoption. Foster parents’ views implied actions that are important for implementation of the Hague Convention requirements, including addressing poverty as the root cause of child relinquishment, reducing structural and attitudinal barriers to domestic adoption, and enlisting the aid of extended families in caring for children. With training and licensing, foster parents themselves might play a role in post-Hague procedures for providing families for children.     

POST-PANOPTIC SURVEILLANCE THROUGH HEALTHCARE RATING SITES

This article examines websites where patients rate and evaluate healthcare services as mechanisms for transforming citizens into surveillers of public services in order to generate knowledge about the everyday performance of professionals and institutions. Using post-panoptic theories about the use of information and communication technologies in daily life, it questions how such sites, and the knowledge they generate, relate to existing surveillance structures. It begins with a review of current surveillance literature before turning to the empirical case of the Dutch website Zoekdokter. It situates the site in its specific national health and policy context, which enables not only an analysis of the site, but also the existing rules, norms and structures for monitoring performance and the dynamic between multiple types of surveillance that occur simultaneously in practice. Zoekdokter.nl is one of six cases in this research project and is the only case where patients are encouraged to evaluate individual professionals identified by name and location. I analyze website texts and 15 stakeholder interviews using the post-panoptic concepts of sousveillance, coveillance and infoveillance. In the discussion, I use the case to reflect on several assumptions made in current post-panoptic theory and, more specifically, on the transferability of these ideas to specific sectors, such as healthcare.     

Influence of a Statewide Marriage Initiative on Clergy Involvement in Marriage Preparation

Although government-funded community healthy marriage initiatives (CHMIs) often focus on clergy-provided premarital education, little is known about the influence of a statewide initiative on clergy attitudes, perceptions, and behaviors. The purpose of this study was to compare Oklahoma clergy over time and Oklahoma clergy with clergy from other states. The findings suggest that the Oklahoma Marriage Initiative (OMI), one of the earliest and largest CHMIs, has influenced clergy attitudes and perceived effectiveness but has had a limited effect on clergy behaviors. In addition, the findings suggest that Oklahoma clergy did not significantly differ from other clergy in the United States regarding premarital education attitudes and behaviors despite the efforts of the OMI. Based on these findings, policymakers should reevaluate approaches to clergy involvement in CHMIs.     

Housing Cost Burden and Marital Satisfaction

This study assessed the relationship between housing burden ratios and marital satisfaction. We also examined whether economic pressure might mediate this association and whether housing satisfaction would moderate it. Using existing data from the National Survey of Families and Households (n = 5,109 participants), results suggested that participants' housing burden ratio was negatively associated with marital satisfaction. Among homeowners, having a paid-off home mortgage was positively associated with marital satisfaction. These relationships were fully mediated by feelings of economic pressure. Although housing satisfaction was positively associated with marital satisfaction, it did not mediate the association between participants' housing burden ratio and their reported marital satisfaction.     

The Baby Elmo Program: Improving teen father-child interactions within juvenile justice facilities

The aim of the Baby Elmo Program is to establish a low-cost, sustainable parenting and structured visitation program for non-custodial incarcerated teen parents. The program is taught and supervised by probation staff in juvenile detention facilities and unlike traditional programs, this intervention is not based on increasing the teen's abstract parenting knowledge, but rather in building a relationship between the teen and his child. The sessions target the interactional quality of the relationship by introducing relationship, communication, and socio-emotional enhancing techniques. Because the intervention is conducted in the context of parent-child visits, it fosters hands-on learning and increases the opportunity for contact between these young parents and their children, a benefit in itself. Twenty father-infant dyads, with infants ranging in age from 6 to 36 months, participated in the present preliminary evaluation of the program. Individual growth curve analyses showed significant gains in five of six measures of emotional responsiveness with the age of infant as a significant covariate. These results indicate improvements in positive high quality interactions and communication during sessions between infants and their incarcerated parents and this increase in the interactional quality of the relationship increases the likelihood that the incarcerated teen and child will form and maintain a positive relationship with one another.     

The private journey: An interpretative phenomenological analysis of exclusive breastfeeding

Background

Exclusive breast milk provides complete nutrition for a baby’s first six months of life. In Australia, breastfeeding initiation rates are high, however duration rates are low. Although numerous studies have explored the reasons behind low levels of breastfeeding, few have examined the experiences of women who maintain exclusive breastfeeding for the recommended six-month duration.

The Use of Instructive Feedback to Promote Emergent Tact and Intraverbal Control: A Replication

Instructive feedback (IF) involves incorporating additional acquisition targets into skill-acquisition programs. A recent study by Frampton and Shillingsburg (2020) found that IF led to emergent verbal operants with two elementary-aged children diagnosed with autism spectrum disorder (ASD). The current study replicated Frampton and Shillingsburg with two children with ASD. Therapists conducted sessions of mastered listener-by-name trials (e.g., “Show me otter,” with pictures of otter, dog, and elephant) with IF statements for features of the target stimuli (e.g., “It lives in rivers.”) embedded during the consequence portion of the trial. We evaluated the acquisition of secondary targets and emergent responses using a concurrent multiple baseline across sets design. We observed increased correct responding for secondary targets and emergent responses for all three sets of stimuli with one participant. The other participant emitted correct responses for secondary targets and emergent operants with the first set but not with the other two sets of stimuli. Results suggested that IF can lead to emergent verbal operants, but the extent of emergence may be idiosyncratic.Supplementary InformationThe online version contains supplementary material available at 10.1007/s40616-022-00171-y.     

How do you measure trust in social institutions and health professionals? A systematic review of the literature (2012–2021)

The importance of measuring trust in health systems has been accentuated due to its correlation with important health outcomes aimed at reducing COVID-19 transmission. A systematic review published almost a decade ago identified gaps in measures including the lack of focus on trust in systems, inconsistency regarding the dimensionality of trust and need for research to strengthen the validity of measures. Given developments in our understandings of trust since its publication, we sought to identify new scales developed, existing ones adapted in response to identified gaps, and agendas for future research. Using the PRISMA approach for systematic reviews, we conducted a search in four databases. A total of 26 articles were assessed. Twelve new scales were identified, while 14 were adapted for different settings and populations. Literature continues to focus on measuring trust in health professionals rather than systems. Various shortcomings were identified, including some articles not mentioning the dimensions included in the scale and suboptimal use of validity and reliability testing and/or reporting. Moreover, a variety of terms were used for dimensions. Future research is needed to address these gaps and consequently, to understand their correlation with health behaviors and outcomes more accurately.