The clubhouse model: An outcome study on attendance,work attainment and status,and hospitalization recidivism

The purpose of this outcome study is to assess the effectiveness of one clubhouse program model, Connections Clubhouse. The study was conducted on 117 randomly selected members attending Connections Clubhouse from January 1998 to June 1999. The study examines the effect of attendance rates on members' employment attainment and status, and on rate of hospitalization recidivism. Rate of hospitalization recidivism was conceptualized as the difference between number of hospitalizations after enrollment and before enrollment in the program. It is hypothesized that adult psychiatric patients, with a high rate of attendance at Connections Clubhouse, will demonstrate (a) a high rate of employment attainment and more advanced employment status; and (b) a low rate of hospitalization recidivism as compared to those with a low attendance rate. As hypothesized, the proportion of members with a high rate of attendance with no employment of any kind was significantly lower than the proportion of members with a low rate of attendance. Though less pronounced, the proportion of members with a high rate of attendance holding a more advanced employment status was significantly higher than the proportion of members with a low rate of attendance. As expected, the recidivism rate of members with a high rate of attendance was significantly lower than for members with a low rate of attendance.     

Provision of Auricular Acupuncture and Acupressure in a University Setting

Abstract

Auricular acupuncture using the National Acupuncture Detoxification Association (NADA) protocol ¹ National Acupuncture Detoxification Association. “About NADA”. Available at: http://acudetox.net/about-nada/12-faqs. Accessed May 2, 2013 [Google Scholar] stimulates 5 points in each ear—the Shen Men, sympathetic nervous system, liver, kidney, and lung. This protocol is also known as Acu Detox, and has been used for recovery in community-based settings and drug use treatment programs. It has also been proven to be effective in alleviating stress and enhancing a general sense of well-being. This article describes the auricular acupuncture and acupressure program developed for a university setting and its use as a tool to enhance harm reduction and mental health services.     

Pathological Dissociation as Measured by the Child Dissociative Checklist

The component structure of the Child Dissociative Checklist was examined among abused children. A factor described as pathological dissociation emerged that was predicted by participants being male. There also were differences in pathological dissociation between groups of sexually abused and physically abused children. Replication of this factor and the establishment of base rates for various groups of children are recommended so that the Child Dissociative Checklist might be used to more effectively eliminate false positives and increase true positives in the screening and ultimate treatment of dissociative children.     

Assessing Community Needs of Sexual Minority Youths: Modeling Concept Mapping for Service Planning

Research devoted to interventions and other attempts to buffer the negative experiences of gay, lesbian, bisexual, transgender, or questioning (GLBTQ) youths is lacking. This study used Concept Mapping to explore the psychosocial support needs of diverse sexual minority youths served in a GLBTQ youth-focused center and brings youth voice to currently limited literature on GLBTQ service planning. Conceptual maps generated represent the types of supports youths believe are needed to meet their needs. Three primary areas for service planning—developing protective supports, mental health-related supports, and culturally relevant services—were identified from the 58 statements and 5 clusters generated.     

Lifetime exposure to abuse,current stressors,and health in federally qualified health center patients

ABSTRACT

Purpose: The purpose of this study was to examine the impacts of lifetime exposure to abuse and current stressors on health, an integrative concept of physical, mental and social health, among patients of a Federally Qualified Health Center.

Method: The sample included 1,055 patients (male: N = 346; female: N = 709) who were at least 18 years of age and completed an assessment on their first visit between January 2015 and March 2017 at a Federally Qualified Health Center. The assessment contained subscales of the DUKE Health Profile measuring physical, mental, and social health; four questions assessing lifetime exposure to abuse; and a relational and socioeconomic stressor checklist.

Results: Results from structural equation modeling analyses showed that for both male and female groups, lifetime exposure to abuse, relational stressors and socioeconomic-related stressors were strongly associated with health. In the male group, socioeconomic-related stressors were the strongest predictor of health, while in the female group, lifetime exposure to abuse was the strongest predictor of health.

Conclusions: Understanding the relationships between health and the combined factors of a lifetime exposure to abuse, relational stressors, and socioeconomic stressors can provide insight to patient care professionals who treat patients in lower income, underserved communities. Ecological Systems Theory provides a framework to plan interventions or to prevent potential negative outcomes associated with these stressors.     

‘He outfitted his family in notable decency’: Slavery,Honour and Dress in Eighteenth-Century Lima,Peru

For elite Spaniards in eighteenth-century Lima, elegant clothing provided a language for expressing their wealth, status and honour. They frequently made their way around town in the company of elegantly dressed slave attendants, whose presence underscored their owners' privilege. Yet many slaves found opportunities to function as more than mere canvasses for the expression of their owners' identities. Indeed, for a surprising number of slaves, elegant clothing was a key tool with which they negotiated their status and laid claim to their own definitions of honour. By mapping the study of material culture onto the study of slavery, this paper brings into relief the social meanings that clothing contained for slaves, and highlights the possibilities that urban life contained for the creation of social identities that fell outside the social and colour lines drawn by the colonial state.¹     

Concept Mapping to Measure Outcomes in Study Abroad Programs1

Faculty efforts to measure outcomes in study abroad programs typically fall short of current expectations for measurable results and increased competencies. Part of the problem stems from the dual challenge of conducting rigorous, objective assessment of these programs without losing the rich, subjective meaning of the cultural experience for student growth and development. The concept mapping method developed by Trochim is a potentially powerful tool for overcoming this challenge, allowing evaluators to utilize qualitative and quantitative research designs simultaneously. This paper illustrates the use of the method in an American social work study abroad program based in Mexico.     

Collectivistic leadership and George C. Marshall: A historiometric analysis of career events

Many of the prevailing approaches to understanding leadership assume that leadership operates as an individual-level phenomenon, in which one person takes on the role of a leader. However, a number of recently developed leadership models now describe leadership as a shared process. These collectivistic theories present leadership as a dynamic process in which a leader may selectively utilize the skills of followers and distribute elements of the leadership role among these followers as the situation demands. In this study, we conduct an investigation into the viability of core elements of the collectivistic theories through a historiometric analysis of events from the career of a notable leader, George C. Marshall. One hundred and two events from Marshall's career were identified from historical biographies and were then content coded and analyzed with regard to the components of a collectivistic leadership model. The results of this historiometric analysis indicated that there are key antecedents to collectivistic leadership and that the use of this form of leadership can result in positive team outcomes.     

Child outcome measures in the study of child care quality

This article assesses whether there are methodological problems with child outcome measures that may contribute to the small associations between child care quality and child outcomes found in the literature. Outcome measures used in 65 studies of child care quality published between 1979 and December 2005 were examined, taking the previous review by Vandell and Wolfe (2000) as the starting point. Serious methodological problems were not pervasive for child outcome measures. However, methodological concerns were most prevalent among measures of socioemotional development. Furthermore, psychometric information on outcome measures was often missing from published reports, and health outcomes and approaches to learning were infrequently studied. Future research should address alignment issues between aspects of quality and the specific child outcomes chosen for study.