Facilitators and barriers to family engagement and retention of young children in mental health care: A qualitative study of caregivers’ perspectives

This study examines facilitators and barriers that influence family engagement and retention of children in mental healthcare from the parent and caregiver perspective. Researchers recruited and interviewed parents and caregivers (n=18) from urban community health and early childcare centers. The study team analyzed the data and identified barriers to retention in care, including stigma, lack of integrated health care services,and a shortage of providers with the expertise in early childhood mental health care. Social workers, case managers, parent peers, and community support groups helped facilitate parent and caregiver engagement and retention of children in care. Education,community support programs, and integrated healthcare systems would improve access to quality early childhood mental health care.     

Perceived Community Cohesion and the Stress Process in Youth

Using survey data from two youth samples, one rural and one urban, we examine the role and significance of perceived community cohesion in the stress process. In particular, we assess the extent to which community attachment and detachment are related to depressed mood, problem substance use, and delinquency net of social statuses, stress exposure, and personal attributes. In addition, we explore the degree to which those dimensions of community cohesion explain or condition the links between the above stress‐process components (e.g., social statuses, stress exposure, and personal attributes) and well‐being. We find remarkably similar results across samples: community attachment is related to lower odds of problem substance use and delinquency; community detachment is related to higher levels of depressed mood, problem substance use, and delinquency; and community attachment buffers the link between stress and problem substance use. With respect to depressed mood, however, the rural youth show greater vulnerability to stress than the urban youth and unique benefits from community attachment compared to the latter. Our findings highlight the roles of community attachment and detachment in the stress process and underscore the importance of each for youth well‐being in rural and urban settings.     

Vulnerability to individual and aggregate poverty

We propose families of measures for vulnerability to both individual and aggregate poverty. We view vulnerability as the burden caused by the threat of poverty. Exposure to states of the world where hardship may strike causes distress ex-ante, even if ex-post the dice are benign and poverty (consumption below a critical norm) does not materialise. We ensure our measures meet a set of desirable axioms—in the case of aggregate vulnerability, this set includes sensitivity to the degree of correlation of outcomes across individuals. We argue that individual vulnerability levels are not enough to compose the aggregate picture, e.g. because society may be wary of the threat of simultaneous, widespread poverty. We illustrate with data from Ethiopia, where rainfall risks are found to raise vulnerability to poverty despite sustained increases in consumption.     

Comparison: Israeli families anxiety from SCUD missiles versus Palestinian families anxiety since the Intifada

This is a study of 309 Palestinian families comparing their current trauma with the trauma experienced by Israeli families during the Gulf War during the SCUD missile attacks. Both populations have experienced adaptations of trauma but the Palestinian fathers have generally been more effected than their counterpart Israeli fathers. There are less reported symptoms of trauma when the victims have an active role to resist trauma.     

Telling stories,reflecting, learning: hannah arendt and organization

This article is written in recognition of the need for dialogue between organization theory and other disciplines and languages. It uses some concepts coined by Hannah Arendt to develop reflection concerning organizational dynamics. Arendt's category of action, as different from both labour and work, makes possible to define, in an original way, the political dimension of organizational action. The category of thought, again, as defined by Arendt, allows us to highlight the production of meaning which takes place in organizations. With the help of those two concepts, the author develops a notion of organizational learning as a process where the political and cognitive dimensions of organizational action are strongly interrelated.     

Global and local tests to assess stationarity of Markov transition models

We present global and local likelihood-based tests to evaluate stationarity in transition models. Three motivational studies are considered. A simulation study was carried out to assess the performance of the proposed tests. The results showed that they present good performance with the control of the type-I error, especially for ordinal responses, and control of the type-II error, especially for the nominal case. Asymptotically they are close to the classical test performance. They can be executed in a single framework without the need to estimate the transition probabilities, incorporating both categorical and continuous covariates, and used to identify sources of non-stationarity.     

An alternative method for evaluating stationarity in transition models

Transition models are an important framework that can be used to model longitudinal categorical data. A relevant issue in applying these models is the condition of stationarity, or homogeneity of transition probabilities over time. We propose two tests to assess stationarity in transition models: Wald and likelihood-ratio tests, which do not make use of transition probabilities, using only the estimated parameters of the models in contrast to the classical test available in the literature. In this paper, we present two motivating studies, with ordinal longitudinal data, to which proportional odds transition models are fitted and the two proposed tests are applied as well as the classical test. Additionally, their performances are assessed through simulation studies. The results show that the proposed tests have good performance, being better for control of type-I error and they present equivalent power functions asymptotically. Also, the correlations between the Wald, likelihood-ratio and the classical test statistics are positive and large, an indicator of general concordance. Additionally, both of the proposed tests are more flexible and can be applied in studies with qualitative and quantitative covariates.     

Evaluation and control of ergonomics actions in federal public service: the case of FIOCRUZ-RJ

This article presents information about the development of the dissertation. Deals with the production of ergonomic diagnosis in the environments and work processes of an important center of research and development in Public Health, FIOCRUZ. Critically evaluates the performance of a team promoting and facilitating the process of implementing ergonomic changes suggested. Through analysis of documents and statements by some managers and representatives of Human Resources was possible to identify the factors that facilitate and hinder the implementation process, linking them to the organization of the institution and conduct of the agents involved. Finally, it makes a reflection on practice, results and developments involved in the processes of change initiated by the ergonomic actions, proposing its replication along with other institutes of the Civilian Personnel of Federal Public Administration.     

Daily rhythm of salivary IL-1ß, cortisol and melatonin in day and night workers

Shiftwork-induced sleep deprivation and circadian disruption probably leads to an increase in the production of cytokines and dysregulation of innate immune system, respectively. This project aims evaluating changes in salivary IL-1 beta, cortisol, and melatonin in night workers. Method. Two day and three night healthy workers participated in this study. Sleep was evaluated by actimetry and activity protocols. Saliva was collected at waking and bedtime the last workday and the following two days-off and was analyzed by ELISA. Results. Neither sleep duration nor efficiency showed any association with salivary IL-1beta. IL-1beta levels were higher at waking than at bedtime during working days for all workers, but only one day and one night-worker maintained this pattern and hormone rhythms during days off. For this night worker, melatonin levels were shifted to daytime. A second one presented clear alterations in IL-1beta and hormone rhythms on days-off. Conclusions. Our preliminary results suggest that night work can disturb the variation pattern of salivary IL-1beta. No association of this variation with sleep was observed. It seems that disruption in hormone rhythms interfere with salivary IL-1beta production. IL- 1beta production pattern seems to be maintained when rhythms are present, in spite of a shift in melatonin secretion.