Clinical Social Work Practice with Former System Youth with Mental Health Needs: Perspective of Those in Need

The purpose of this study is to describe the types of programs and mental health services former system youth with mental health histories would be inclined to engage in to manage their mental health difficulties, along with the factors that might hinder them from engaging in these services. A series of closed and open-ended questions on potential programs and services were asked, as part of a larger study. Participants were former system youth; specifically 18?C30?year olds who were diagnosed with a mood disorder and were involved with public mental health and social services (e.g., public welfare, child welfare, juvenile justice) during childhood. Responses to the open-ended questions were categorized and percentages are reported from the yes/no items. Eighty-three percent and 76% reported that they would be enticed to come to a support group and panel discussion on mood disorders, respectively, while only 46% reported that they would attend a family support group. Talking with others who have had similar experiences, material possessions and creative expression were the most common responses regarding what would entice them to get involved. Further, peer disrespect, transportation, and daycare were common barriers to potential participation. As the field continues to build knowledge on system-wide strategies to improve agency-based mental health care for transitioning youth and young adults, new evidence-based approaches may benefit from listening to the specific needs, preferences, and suggestions of these youth themselves.     

CONSUMPTION,SENTIMENT, AND ECONOMIC NEWS

This paper investigates the influence of economic news on consumer sentiment, and examines whether “news shocks”—changes in coverage that would not be expected from incoming data on economic fundamentals—have aggregate effects. Using monthly U.S. data and a structural vector autoregression, I find that (1) sentiment is affected by news shocks; (2) after filtering out effects of news shocks, shocks to sentiment still have positive effects on consumer spending; and (3) news shocks influence both spending and unemployment in significant, though transitory ways. These results are consistent with other evidence of a role of nonfundamental factors in aggregate fluctuations. (JEL E21, E32, D12)     

Patronizing Speech to Older Adults

We measured the use of patronizing speech among young adults who were instructed to provide directions (via an internet connection) to a newcomer to campus described as 21 or 65?years old. As predicted, the acoustic properties used with older adults were moderated by the speakers?? history with older unrelated adults (no comparable effects were found for speakers?? history with grandparents). Participants with relatively low contact with unrelated older adults were more likely than those with high contact to be judged as sounding ??patronizing?? and to display acoustical properties associated with patronization (high vocal intensity, high pitch) with older newcomers. However, participants showed a shared tendency to speak more slowly to older than young adults. Findings inform our understanding of the circumstances under which ageist speech is amplified or attenuated.     

Couple and family interventions in health problems

Intervention research for couples and families managing chronic health problems is in an early developmental stage. We reviewed randomized clinical trials of family interventions for common neurological diseases, cardiovascular diseases, cancer, and diabetes, which is similar to the content of previous reviews discussed later. One overriding theme of these studies is that patients with chronic illnesses and their families face a variety of challenges to which researchers have responded with an array of treatment modalities. Very few of the interventions reviewed, with the exception of treatment for adolescents with diabetes, tested family psychotherapy models. Most interventions were time-limited therapeutic interventions that trained families to improve their communication and problem-solving skills, individual and family coping skills, and medical management. Researchers more clearly described mechanisms of change in intervention studies with cancer and diabetes than with other diseases, and not surprisingly, they found greater empirical support for their interventions. Family interventions show promise to help patients and family members manage chronic illnesses. To develop an empirical base for family approaches to managing chronic illnesses, interventions must be based on theories that delineate mechanisms of change in family processes and skills in medical management necessary to maintain patients' and family members' health.     

Intersectional Identities and Conceptions of the Self: The Experience of Transgender People

Transgender people in the United States change genders in relation to androcentric, heterocentric, and middle‐class whitenormative cultural narratives. Drawing on ethnographic data primarily with transgender people of color, I analyze the ways in which gender, race, social class, and sexuality all combine to create specific background identities – intersected identity frames – which others attribute in interaction. We can better understand these intersected identity frames through the experiences of transgender people, who actively engage in identity management. The meanings others attach to specific combinations are foregrounded in the context of transitioning; some audiences employ dominant, white cultural narratives, while others draw upon ethnic cultural narratives. In all cases, transitioning throws the multi‐dimensionality of intersected identity frames into sharp relief against the background of intersecting social and cultural structural arrangements.     

A critical review on current practices of the monitoring and evaluation in the preparation of strategic urban plans within the Egyptian context

Worldwide, strategic urban planning is found in very different contexts and planning schemes, where it is always a tool strongly linked to enhancing urban management. Under the umbrella of strategic urban planning different approaches can be perceived, in which within these broad shared characteristics there are significant variations. A key component in the strategic urban planning process is the monitoring and evaluation (M&E) element and these differences can be seen in the way that M&E is approached. Egypt is currently on the track to reform its planning system shifting from the conventional master plans towards strategic urban plans (SUPs). This paper reflects on the current practices of M&E the preparation of SUPs within the Egyptian context. It sheds light on the strengths and weaknesses of the employed techniques and concludes with some recommendations to improve the process of M&E, which builds upon the strengths in the employed techniques.     

Enclosed versus open nursing stations in adult acute care psychiatric settings: does the design affect the therapeutic milieu?

Specific efforts by hospital accreditation organizations encourage renovation of nursing stations, so nurses can better see, attend, and care for their patients. The purpose of this study was to examine the effect of nursing station design on the therapeutic milieu in an adult acute care psychiatric unit. A repeated cross-sectional, pretest-posttest design was used. Data were collected from a convenience sample of 81 patients and 25 nursing staff members who completed the Ward Atmosphere Scale. Pretest data were collected when the unit had an enclosed nursing station, and posttest data were collected after renovations to the unit created an open nursing station. No statistically significant differences were found in patient or staff perceptions of the therapeutic milieu. No increase in aggression toward staff was found, given patients' ease of access to the nursing station. More research is needed about the impact of unit design in acute care psychiatric settings.     

The incidence of metabolic risk factors in an inpatient psychiatric setting

Our study examines risk factors for metabolic syndrome on admission to an acute psychiatric facility and the incidence of medical referrals at discharge. Data on demographics, risk factors for metabolic syndrome, other health risk factors, medications, related diagnoses, and primary care providers and referrals were collected from 125 psychiatric patient charts. Comparison analysis was done for two groups: those with two or more risk factors for metabolic syndrome and those with less than two risk factors. Differences between groups were statistically significant for age, waist circumference, body mass index, high-density lipoprotein, triglycerides, and fasting glucose levels. Few patients were referred to their primary care provider for follow-up care. This study has clinical implications for improving assessment of psychiatric patients at risk for developing metabolic syndrome, for designing interventions to help patients adopt lifestyle changes to mitigate these risks, and for working toward fuller integration of psychiatric and primary care.