Developing and validating measures for child welfare agencies to self-monitor fidelity to a child safety intervention

Building evidence of effective practice in child welfare requires practitioners and researchers to know the extent to which programs are implemented in order to understand evaluation results. Fidelity monitoring is a critical strategy for ensuring that evidence-based and promising practices are implemented as intended and can be studied in real-world contexts. This paper addresses challenges to measuring fidelity in child welfare systems and presents an approach taken with one state to define fidelity criteria and measure fidelity to a child safety intervention. Measurement challenges were addressed by using existing documents and case review mechanisms to assess fidelity, and measuring the quality of practitioner judgment using expert reviewers. Validity of fidelity criteria and fidelity review instruments was established through consensus with model developers and local purveyors. Twelve cases were reviewed by a panel of raters to assess inter-rater reliability and discrepancy between local purveyors and model developers. This participatory and capacity-building method can be replicated and used to develop and embed valid and reliable fidelity monitoring systems in public child welfare to continue to build evidence about what works in child welfare services.     

Title V of the Older Americans Act, the Senior Community Service Employment Program: participant demographics and service to racially/ethnically diverse populations

Title V of the Older Americans Act, the Senior Community Service Employment Program (SCSEP), is a 40+-year-old federal program providing subsidized community service and employment training to low-income, unemployed individuals aged 55 and older. It is the only nationally mandated workforce training program for seniors. Because of SCSEP's dual mission, participants added 48 million hours of community service (valued at almost $1 billion) to the U.S. economy in 2008. Almost half (48.9%) of the participants are racial or ethnic minorities, which makes it crucial to understand the program experience of these individuals. Participation, program duration, and employment placement of minorities are examined. Findings show successful enrollment rates, an interactive effect of age and education on program duration, and no indication of a minority disadvantage in employment placement. Recommendations include funding for innovative grants, leveraging of federal partnerships, and targeted technical assistance.     

Victimization in young urban adults and depressed mood: understanding the interplay of coping and gender

Violence exposure has a significant impact on victims' psychological well-being. This study examined the relationship between two types of violence exposures (threats and physical assaults), coping styles (emotion focused, avoidant, and problem focused), gender, and depression among 211 (147 females and 64 males) young urban adults (ages 18-24). Most participants (60%) endorsed being physically assaulted, whereas many (40%) endorsed being threatened. Hierarchical multiple regressions were conducted. As hypothesized, women reported using more emotion-focused coping and reported greater depression than men. Avoidant coping was a predictor for increased depression for both men and women. However, women who employed problem-focused coping after their first physical assault reported lower rates of depression. These findings have implications for designing early interventions.     

Voluntary Midlife Career Change: Integrating the Transtheoretical Model and the Life‐Span,Life‐Space Approach

Frequent career change is the predicted experience of workers in the global economy. Self‐initiating career changers are a substantial subset of the total population of career changers. There is currently a dearth of theory and research to help career counselors conceptualize the career change process for the application of appropriate interventions. The authors present an integration of a well‐researched behavior change theory, the transtheoretical model of change, with Super's (1990) life‐span, life‐space approach. The corresponding stages of the 2 models are discussed along with theoretically appropriate interventions. The integrated model provides the basis for future research on the change process for voluntary midlife career changers.     

A model of destination-language acquisition: Application to male immigrants in Canada

We develop a model using human capital theory and an immigrant adjustment process to generate hypotheses on the acquisition of destination-language skills among immigrants. The model is tested for adult male immigrants in the 1991 Census of Canada. Use of English or French is greater, the younger the age at migration, the longer the duration of residence, the higher the educational attainment, the farther the country of origin from Canada, and the linguistically closer the mother tongue to English or French, and among those who are not refugees, those from a former British, French, or American colony, and those who live in an area where fewer people speak the respondent’s mother tongue. The explanatory variables based on birthplace have behavioral interpretations and possess almost as much explanatory power as the birthplace dummy variables     

Increased hospitalization risk for recently widowed older women and protective effects of social contacts

This study examines effects of recent widowhood on health for a nationally representative sample of older women in the United States. Mediating effects of social connectedness on the health of recently widowed women are also explored. Using data from the 1984-1990 Longitudinal Study of Aging and Medicare claims, discrete-time hazard models estimate the risk of hospitalization for any 30-day period for women who were married at the time of the baseline survey (n = 1,138). Compared to women who are not recently widowed, those recently widowed have a 40% higher risk of hospitalization. Social connectedness, measured by having phoned a friend/neighbor or family member in the period prior to the baseline survey, significantly decreases hospitalization risk for the recently widowed. The findings indicate that recent widowhood has a large adverse effect on the health of older women. Results highlight the need to provide additional support to recently widowed older women.     

Comfort and confidence levels of health care professionals providing pediatric palliative care in the intensive care unit

Most childhood deaths that occur in the hospital happen in the pediatric intensive care unit. Providing pediatric palliative care in the intensive care unit comes with unique challenges due to the acute care, curative and often medically aggressive focus of these settings. In this study, 190 PICU health care professionals reported on their comfort and confidence in providing palliative care. Findings indicate that professionals report only a moderate level of comfort and confidence in this type of care in the pediatric ICU. For physicians and nurses, comfort and confidence was significantly higher for those who had practiced 8 years or more. Practitioners reported less comfort in providing psychosocial care. Implications for the social work role on the interdisciplinary team and suggestions for future research are discussed.