Balancing Household Needs: The Non-food Needs of Food Pantry Clients and Their Implications for Program Planning

In 2009, over 33 million different people used food pantries to supplement their basic food needs. Food pantries are increasingly called upon to provide non-food items. What is unknown is how going without basic household products affects families. This exploratory study aimed to identify personal household products food pantry clients are most likely to find essential for basic living, the consequences for going without, and strategies to procure basic products. Twenty-five food pantry clients were interviewed. Three classes of products were identified: survival, keep the household together, and “make do” products. Consequences of going without basic products include stress, personal degradation, and engaging in illegal activities. Program recommendations include distribution planning and incorporating an awareness of different family coping strategies.     

Retaining clients in an outcome monitoring evaluation study: HIV prevention efforts in community settings

The Centers for Disease Control and Prevention (CDC), Division of HIV/AIDS Prevention (DHAP) conducted outcome monitoring studies on evidence-based interventions (EBIs) provided by CDC-funded community-based organizations (CBOs). Critical to the success of outcome monitoring was the ability of CBOs to recruit and retain clients in evaluation studies. Two EBIs, Video Opportunities for Innovative Condom Education and Safer Sex (VOICES/VOCES) and Healthy Relationships, were evaluated using repeated measure studies, which require robust follow-up retention rates to increase the validity and usefulness of the findings. The retention rates were high for both VOICES/VOCES CBOs (95.8% at 30 days and 91.1% at 120 days), and Healthy Relationships CBOs (89.5% at 90 days and 83.5% at 180 days). This paper presents an overview of the retention of clients, challenges to follow-up, and strategies developed by CBOs to achieve high retention rates. These strategies and rates are discussed within the context of the CBOs’ target populations and communities.     

Lived employment experiences of college students and graduates with physical disabilities in the United States

This phenomenological study aims at understanding lived experiences of college seniors and recent college graduates with physical disabilities seeking employment opportunities after graduation in the USA The extensive interviews revealed that participants’ attitudes about and experiences with disability are diverse (pain to pride, denied accommodation to support); their major areas of concern are their own marketable skills and credentials as well as accessibility and accommodation in workplaces; continued education beyond the baccalaureate is a priority for many participants rather than an immediate transition to work; and the Office of Disability and professors were considered important advising agencies. Even among participants with similar physical disabilities, the symptoms, needs, and experiences varied.     

Prominent factors influencing environmental activities: Application of the Environmental Leadership Model (ELM)

The Environmental Leadership Model (ELM) is presented which specifies four prominent antecedents to the organization's environmental strategic formulation process. These factors include: (1) moral norms and values for environmental responsibility, (2) the environmental attitudes of the CEO and top management, (3) stakeholder influences, and (4) perceived behavioral control of the firm by technological, financial, and regulatory constraints. It is proposed that the environmental strategy of an organization directs its pro-environmental behaviors. Finally, the model is initially investigated in an organization in the hazardous waste management industry using the case methodology advocated by Eisenhardt (1989). Future research directions for model development are discussed.     

Occupational stress, rescue workers and English law

This paper shows how two strands of English case law, one establishing liability to compensate for shock suffered by those at the scene of disaster, and the other concerned with physical injury suffered by rescuers, were brought together in the 1960s to provide a remedy for a rescuer suffering from what the law describes as 'nervous shock'. It further traces the development of employers' liability in this context, but finds that the law provides few examples of the contractual duty of employers to protect employees generally against stress that may cause psychological injury. It points out that there is no case law on the liability of employers for stress suffered by rescue workers, whether professional or otherwise. It notes that law reports give little guidance as to the medical evidence judges require to persuade them that nervous shock has been suffered. Finally, it spells out that EC-inspired regulations could now be used to require employers to assess, and take steps to control, stress to which their employees, including rescue workers, are exposed.     

ADOPTION:

In this article, we focus on how understandings of the past influence the process of integrating older special needs children into family life. We present the stories of two families who adopted older special needs children as they reconstructed the past, experinced the present, and projected the future. We draw upon social, pragmatic, and postmodern theories of the past to guide our interpretations and understandings of these families' adoption experiences. The dominant ideology of family influenced their story construction, and it was against this conception that their stories were evaluated. We followed the Litners and the Becks as they used the past to create stories that enabled and disabled their family life in the present and in the future. From the Litners' and the Becks' stories, we learned that when families are too limited by a cultural conception of an ideal adoptive family, their ability to use the past to create stories to help them live in the present and to project a shared future becomes restricted.
Our adoption failed because we understimated the past and overstimated our ability to create stories with happy endings. (Mrs. Beck)     

The impact of function on work status for community dwelling disabled persons with arthritis: an analysis of the National Health Interview Survey Disability Supplement

Arthritis is one of the most common diseases and a leading cause of disability in adults. Returning injured workers to work and preventing work disability is the primary mission of occupational health professionals. The purpose of this study was to identify risk factors associated with work disability and intervention strategies. This study is a retrospective cohort analysis of secondary individual level data. The data for the study were collected by the National Health Interview Survey, Disability Supplement (NHIS-D) 1995. Community dwelling disabled persons with functional limitations due to arthritic conditions were included in this analysis. A total of 286 records were available for logistic regression analysis. The outcome variable was work status, either working or not working. The significant predictors of working status were ability to lift 10 pounds (OR = 1.64), college education (OR = 0.21), age (OR = 1.03), and less than high school education (OR = 2.48). Thirty-four percent of the variance in working status was explained by the model that also included health status, difficulty standing, difficulty walking up steps, difficulty walking 1/4 mile, ethnicity, and gender. Younger disabled persons with arthritis, who have little difficulty lifting 10 pounds, and have some college education have better odds of working. Occupational health professionals need to look for ways to improve the educational status and functional lifting ability of disabled individuals with arthritis.     

Gender-related differences in physical performance among seniors

This study examined gender differences in balance, gait, and muscle performance in seniors and identified gender-specific factors contributing to physical performance. Forty (20 men, 20 women) healthy, community-dwelling seniors (74.5 +/- 5.3 years) participated. Limits of stability, gait speed, lower limb flexor and extensor isokinetic concentric peak torques, self-reported activity level, and balance confidence were measured. No gender differences were detected in gait speed, limits of stability when normalized to height, activity level, or balance confidence (p = .188). Women were weaker than men (p = .007), even after controlling for weight and body-mass index, suggesting that other gender-related factors contribute to strength. Gender accounted for 18-46% of the variance in strength and served as a modifier of the relationship between activity level and strength in some muscle groups. The primary factors relating to gender-specific strength was activity level in men and body weight in women.