Partnering for Mental Health Promotion: Implementing Evidence Based Mental Health Services Within a Maternal and Child Home Health Visiting Program

This article details the clinical foundations of a social work focused community-based participatory research project promoting women’s mental health during and around the time of pregnancy. Specifically, we discuss the theoretical, empirical and organizational implementation of an enhanced engagement model of mental health service delivery that integrates evidenced based practices into the structure and services of an existing non-profit maternal and child health home visiting agency. The model is grounded in literature addressing barriers to accessing mental health care among minority women living in low-income communities. We discuss informing the intervention through direct consumer involvement, as well the rationale supporting the inclusion of Interpersonal Psychotherapy and Cognitive Behavioral Therapy into the design and implementation of the model which emphasizes adequate training of staff with varying levels of mental health experience. Finally, we describe typical client situations and responses reflected by the Enhanced Engagement model and discuss future implications of this approach as a way to offer meaningful intervention to women and families who may not have access or eligibility to utilize specialty mental health services.     

Evidence-Based Practice in Social Work: Challenges and Opportunities for Clinicians and Organizations

Evidence-based practice (EBP) is increasingly emphasized in social work, yet effective approaches for translating research evidence into social work practice remain elusive. Despite a growing body of evidence describing effective interventions with a variety of populations, social workers continue to encounter substantial challenges with incorporating knowledge gained from these intervention studies into their routine practice with clients. This paper presents the current research outlining the known barriers and promoters to using EBP in social work clinical practice. Because social workers practice within the context of organizations, we consider the barriers that exist at both the individual and organizational levels that affect clinical social work practice. In addition to addressing the various challenges to incorporating research evidence into practice, we will also discuss a variety of emergent opportunities accompanying the move toward EBP that can be leveraged by clinicians in their social work practice with clients.     

Taste clusters of music and drugs: evidence from three analytic levels

This article examines taste clusters of musical preferences and substance use among adolescents and young adults. Three analytic levels are considered: fixed effects analyses of aggregate listening patterns and substance use in US radio markets, logistic regressions of individual genre preferences and drug use from a nationally representative survey of US youth, and arrest and seizure data from a large American concert venue. A consistent picture emerges from all three levels: rock music is positively associated with substance use, with some substance‐specific variability across rock sub‐genres. Hip hop music is also associated with higher use, while pop and religious music are associated with lower use. These results are robust to fixed effects models that account for changes over time in radio markets, a comprehensive battery of controls in the individual‐level survey, and concert data establishing the co‐occurrence of substance use and music listening in the same place and time. The results affirm a rich tradition of qualitative and experimental studies, demonstrating how symbolic boundaries are simultaneously drawn around music and drugs.     

The successes and challenges of implementing individualised funding and supports for disabled people: an Irish perspective

‘Individualised funding’, which is rooted in the Independent Living Movement, has formed part of a global paradigm shift in support services for disabled people. Against the backdrop of international experience, a political system aligned with the United Kingdom and emergent critics of individualised funding, this article presents findings from an evaluation of four pilot programmes in Ireland. Exemplified by independent-skills development and community integration, these initiatives have been welcomed as a progressive development beyond traditional service provision, with perceived improvements across a range of organisational, personal, health and social care domains. The article explores the importance of ‘natural supports’ and how overly protective behaviour may unintentionally act as a barrier to full implementation. The findings also indicate that unnecessarily complex systems can lead to individual burn-out. Furthermore, a national resource allocation system working in partnership with existing social care professionals and the wider community is recommended, as is learning from overly simplified, group-based ideologies.     

Time for Each Other: Work and Family Constraints Among Couples

Little is known about couples' shared time and how actual time spent together is associated with well‐being. In this study, the authors investigated how work and family demands are related to couples' shared time (total and exclusive) and individual well‐being (happiness, meaningfulness, and stress) when with one's spouse. They used individual‐level data from the 2003–2010 American Time Use Survey (N = 46,883), including the 2010 Well‐Being Module. The results indicated that individuals in full‐time working dual‐earner couples spend similar amounts of time together as individuals in traditional breadwinner–homemaker arrangements on weekdays after accounting for daily work demands. The findings also show that parents share significantly less total and exclusive spousal time together than nonparents, though there is considerable variation among parents by age of the youngest child. Of significance is that individuals experience greater happiness and meaning and less stress during time spent with a spouse opposed to time spent apart.     

The Gendered Division of Housework and Couples' Sexual Relationships: A Reexamination

Although contemporary couples increasingly express preferences for egalitarian unions, previous research has suggested that sexual intimacy decreases when routine housework is shared. Yet this research was conducted on data that are decades old. To update this work, the authors compared data from the 2006 Marital and Relationship Survey (MARS) and Wave 2 of the National Survey of Families and Households (NSFH2), collected in 1992–1994. The results indicated change in the association between housework arrangements and sexual intimacy across surveys. Although egalitarian arrangements were associated with lower sexual frequency compared to conventional arrangements in the NSFH2, no such difference was found in the MARS. In fact, reported sexual frequency increased across surveys among egalitarian couples only. In addition, how housework was arranged mattered more for sexual satisfaction among MARS couples than NSFH2 couples. These changes appear to result from the increasing role of perceived equity as a mechanism linking the division of housework to sex.     

Gender Inequality Across the Academic Life Course

Recent decades have witnessed increasing scholarly and public attention to the status of women in academia. Although women are now the majority of degree recipients and their share of initial academic appointments approximates their representation among degree recipients, substantial gender inequality persists. In this article, we review existing research on this topic, focusing on how gender inequality manifests and unfolds throughout the academic career life course, from graduate school experiences, through initial academic appointments, into the associate professor years, and, finally, to women's experiences as full professors and administrators. Throughout, we emphasize how institutionalized policies and subtle biases, rather than overt discrimination, perpetuate gender inequality. We conclude with suggested areas for future research.     

Adolescent fertility and religion in Rio de Janeiro, Brazil in the year 2000: the role of Protestantism

Social transformations in Brazil in recent years have included a substantial increase in adolescent fertility, a dramatic rise in membership of Protestant religious denominations, and an accompanying decline in the number of Catholics. We used the 2000 Brazil Census to examine differentials in fertility and family formation among adolescents living in Rio de Janeiro by the following religious denominations: Catholic; Baptist; other mainline Protestant; Assembly of God Church; Universal Church of the Kingdom of God; other Pentecostal Protestant; and no religion. Results from logistic regression models show that the majority of the Protestants are at a lower risk of adolescent fertility than Catholics, and that among adolescents who have had a child, most Protestants are more likely than Catholics to be in a committed union. Our findings offer some support for the hypothesis that Protestant churches are more effective than the Catholic Church in discouraging premarital sexual relations and childbearing among adolescents.     

A clinical comparison of lesbian and heterosexual women in a psychiatric outpatient clinic

Previous research has reported that when compared to heterosexual women, lesbians may use alcohol and illicit substances to a greater degree and may experience greater psychiatric symptomatology. This study sought to describe any differences in clinical diagnoses, familial histories, and substance usage between lesbian and heterosexual women in a psychiatric outpatient clinic. A chart review was conducted and a sample of 455 heterosexuals and 75 lesbians was obtained. Data, where available, included demographic information, clinical diagnoses, time in treatment, sexual orientation, past and present substance use, and familial substance abuse and psychiatric history. Lesbians were found to have greater past illicit substance use but less current use. No significant differences were found for alcohol use. Similarly, no significant differences in clinical diagnoses were found. Significant differences were found among families. Family members of lesbians had greater substance use and psychiatric histories. These findings both support and dispute some previous research and suggest areas for future researchers to explore.     

The contribution of hour constraints to working poverty in Britain

We explore the implications of hours demand constraints on the propensity to experience poverty. Our analysis of British data suggests that whilst the extent of poverty increased over the period 1985–2001, its intensity, under some measures, declined. In terms of hours constraints, we find that even the most generous elimination of underemployment vis allowing workers to supply as many hours as they prefer (but not as few) without encountering any negative employment and/or hourly wage implications, leaves the poverty rate and poverty gap virtually unchanged.