Self-employment and attitudes towards risk: Timing and unobserved heterogeneity

We explore the relationship between self-employment and attitudes towards financial risk using individual level data drawn from the US Panel Study of Income Dynamics (PSID), which includes measures of individuals’ attitudes towards hypothetical gambles allowing us to explore the implications of interpersonal differences in risk attitudes for the probability of self-employment. Our empirical findings suggest that willingness to take financial risk is positively associated with self-employment. By exploiting the panel aspect of the PSID, we find evidence, whilst controlling for unobserved individual heterogeneity, consistent with a causal relationship between attitudes towards risk and self-employment with attitudes towards risk measured prior to becoming self-employed having a statistically significant positive influence on the probability of future self-employment.     

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.     

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.     

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.     

Using Community-Based Participatory Research Strategies in Age-Friendly Communities to Solve Mobility Challenges

ABSTRACT

The number of older adults is steadily increasing in the United States and across the globe. Aging is linked to an increased risk of disability. Disabilities that limit one or more major life activities such as seeing, hearing, walking, and motor skills impact a person’s ability to drive a car. Low utilization of alternative transportation by older adults and people with disabilities may put them at risk for social isolation. Social isolation is associated with a variety of negative health outcomes. While communities are challenged to create available, acceptable, accessible, adaptable and affordable mobility options, there are widely held, inaccurate biases around older adults’ abilities to contribute to the development and improvement of alternative transportation options. Gerontological social workers are well-positioned to address this bias. This paper presents a case study of a large metropolitan county in the Midwest where community-based participatory research (CBPR) strategies were used to engage older residents to support the development of alternative transportation options supporting the tenets of environmental justice.     

Strengthening field education in aging through university-community agency partnership: the Practicum Partnership Program

The Practicum Partnership Program (PPP), an innovative field education model developed and implemented by six demonstration sites over four years (2000-2004), uses a structured university-community partnership, or consortium, as the foundation for designing, implementing, and evaluating internships for graduate social work students specializing in aging. This paper describes the site consortia and PPP programs, presents evaluation findings, and identifies future directions for the PPP. Student learning outcomes were positive and both students and consortia agencies reported positive PPP experiences. The PPP model underscores the value of the community agencies as equal partners in educating future geriatric social workers.