The Case for the Case Study in the Twenty-First Century: A Rupture in the Order of Discourse

This commentary discusses the consequences the shift from a paper-based world to a screen-centric world has for writers, teachers, and therapists. Whereas the case study was once composed for and stored on paper and its circulation thus restricted, now digital composing transforms the potential for the case study to circulate widely and freely via the World Wide Web. Moving the case study from paper to screen is not a question of reformatting; rather, it requires becoming literate in a new medium, one that offers the potential for ongoing collaborative revision and the development of participatory forms of knowledge production.     

Using the Eco-Map and Ecosystems Perspective to Guide Skilled Nursing Facility Discharge Planning

Growing numbers of seniors across the United States require skilled nursing facility care after an inpatient hospital stay. Previous studies indicate that roughly 20 percent of all hospitalized Medicare beneficiaries are admitted to a skilled nursing facility following a qualifying hospital stay. Social workers address psychosocial problems, social support, networks, and healthcare needs during transitions in care, particularly discharge planning. Ecosystems perspective and the eco-map as a discharge planning tool is presented. Social workers can use these tools to examine the patient with respect to their transactional relationships with systems. This will further will facilitate provision of wrap-around services upon discharge.     

Verbal Communication about Sex in Marriage: Patterns of Language Use and Its Connection with Relational Outcomes

This study examined the vocabulary husbands and wives use for talking to each other about sex, and connections between language use and relational qualities. Married people (n?=?293) responded to a questionnaire about their use of common sex-related terms and about several characteristics of their marriage: sexual communication satisfaction, relational satisfaction, and relational closeness. Cluster analysis based on reported use revealed that sexual terms fell into clusters characterized as clinical terms, slang, or standard English. Results showed an association between use of sexual terms, particularly slang terms, and both satisfaction and closeness. This connection was stronger for women than for men. The findings offer insight into sexual talk and marital relationships.     

The affordable care act and long-term care: comprehensive reform or just tinkering around the edges?

The Patient Protection and Affordable Care Act (ACA) includes several provisions that aim to improve prevailing deficiencies in the nation's long-term care system. But just how effective is the ACA likely to be in addressing these challenges? Will it result in meaningful or marginal reform? This special issue of Journal of Aging & Social Policy seeks to answer these questions. The most prominent long-term care provision is the now-suspended Community Living Assistance Services and Supports Act. Others include incentives and options for expanding home- and community-based care, a number of research and demonstration projects in the areas of chronic care coordination and the dually eligible, and nursing home quality reforms. There are also elements that seek to improve workforce recruitment and retention, in addition to benefit improvements and spending reductions under Medicare. This article reviews the basic problems plaguing the long-term care sector and the provisions within the ACA meant to address them. It also includes a brief overview of issue content.     

Safe patient handling curriculum in occupational therapy and occupational therapy assistant programs: A descriptive study of school curriculum within the United States of America

The purpose of this study was to identify safe patient handling (SPH) curricular content in accredited occupational therapy and occupational therapy assistant programs in the United States of America. A survey was emailed to 155 accredited occupational therapy and 137 accredited occupational therapy assistant programs. With a 39% response rate, most programs addressed SPH curricula by including lectures and lab-based experiences with gait belts, slide boards, and manual transfers while stressing ‘safe’ body mechanics. There were limited responses regarding curricular-based hands-on experience, evaluation of sit-to-stand lifts, how to safely transfer bariatric persons, and information on “no-lift” policies. While occupational therapists have a central role in teaching SPH to caregivers, it is important to enhance SPH curricula to reduce exposure to musculoskeletal risk, thereby, increasing the health and safety of the occupational therapy workforce as well those whom the profession serves.     

Mixed marriage among immigrants and their descendants in the United Kingdom: Analysis of longitudinal data with missing information

This study investigates the formation of endogamous and exogamous marriages among immigrants and their descendants in the United Kingdom. We apply event history analysis to data from the Understanding Society study and use multiple imputation to determine the type of marriage for individuals with missing information on the origin of their spouse. The analysis shows, first, significant differences among immigrants and their descendants in the likelihood of marrying within and outside their ethnic groups. While immigrants from European countries have relatively high exogamous marriage rates, South Asians exhibit a high likelihood of marrying a partner from their own ethnic group; Caribbean people hold an intermediate position. Second, the descendants of immigrants have lower endogamous and higher exogamous marriage rates than their parents; however, for some ethnic groups, particularly South Asians, the differences across generations are small, suggesting that changes in marriage patterns have been slower than expected.     

Police and Lethal Force: A Response to Hirschfield

This essay serves as a response to Hirschfield's (2015) article, “Lethal Policing: Making Sense of American Exceptionalism,” published in the December 2015 issue of this journal.     

Social Work Education's Role in Addressing People and a Planet at Risk

As the nature of the earth's ecological crisis becomes increasingly dire and impossible to ignore and as global concern continues to increase, social work, with its investment in issues of justice and its commitment to a person-in-environment perspective, needs to more aggressively evaluate its place in this crisis. This paper presents a study designed to explore US social work students' attitudes, interests in, and practices related to the environment, as well as their perceptions of the place for environmental issues in the social work curriculum. This study's findings suggest that social work students' attitudes toward the environment are generally consonant with those of the US population, and that there is strong interest in enhancing the amount and scope of exposure to environmental issues in the social work curriculum. A sizable majority of all social work students surveyed view environmental justice as an important aspect of social justice and a viable area of concern for social workers, and they expressed an interest in seeing more content on environmental justice in social work education. Suggestions for integrating this content into the curriculum via inter- and trans-disciplinary, and service-learning approaches are discussed.     

Access to Networks in Genderized Contexts: The Construction of Hierarchical Networks and Inequalities in Feminized,Caring and Masculinized,Technical Occupations

This article aims to contribute knowledge on how access to hierarchical networks of communication is constructed through organizational contexts associated with the gendered nature of feminized, caring work and masculinized, technical work, respectively. The article is based on interviews with 43 middle managers. Both men and women in male‐dominated technical occupations and female‐dominated caring occupations were interviewed. Eight interviews with politicians and strategic managers were also carried out. The results show that middle managers' access to hierarchical networks differs between feminized and masculinized contexts; hierarchical networks between organizational levels are common in male‐dominated technical jobs, while such networks are almost non‐existent in female‐dominated caring occupations. The results illustrate how organizational conditions follow the gender segregation in organizations and the labour market and, further, how these contexts shape men's and women's access to hierarchical networks. The results also illustrate how the patterns of networks create and reproduce inequalities in sex‐segregated organizations.     

The development of a reliable change index and cutoff score for the SCORE-15

The Systemic Clinical Outcome and Routine Evaluation version 15 (SCORE-15) is a measure used to assess family-level change in family therapy. The SCORE-15 has been demonstrated to be a reliable and valid measure, with high clinical utility; however, the SCORE-15 lacks the ability to determine whether the change in family functioning during the course of therapy is clinically significant. This study aimed to establish a reliable change index (RCI) and clinical cutoff score so that researchers and clinicians can determine clinically significant change in family therapy. US samples of 71 clinical participants and 244 community participants completed the SCORE-15. Results indicated a cutoff score of 40.37 and an RCI of 9.52. Consequently, family members who improve their SCORE-15 score during the course of therapy by at least 9 points and who cross the threshold of 40 during the course of therapy are considered to have experienced clinically significant change.