Veterans-by-proxy: A conceptual framework of ambiguous loss among children of combat veterans

There are tens of millions of children (youth and adult) of parents who are veterans. These individuals can experience traumatic injury alongside the parent who is a combat veteran. It is a parallel process called “veterans-by-proxy.” A proxy is an individual that acts on behalf of another individual. The proxy witnesses how combat traumatizes their parent and vicariously experience the trauma themselves. When a proxy suffers secondary trauma, ambiguous loss, and insecure attachment, one or more ego functions fail to adequately develop. This article proposes a conceptual framework of the proxy’s loss as it relates to the parent’s trauma and discusses research-based resiliency-focused interventions critical to healing the relationship between the proxy and the parent who is a combat veteran.     

Sociodemographic and Health-Related Risk Factors Among African-American,Caucasian and Hispanic Homeless Men: A Comparative Study

Data from a 1989-1990 cross-sectional survey of homeless adults in California were stratified by ethnicity to examine whether adverse childhood events and adult medical disorders preceding homelessness differed between 269 African-American, 599 Caucasian, 201 foreign-born Hispanic, and 136 native-born Hispanic men. Although African-Americans were overrepresented (21%) compared with their presence in local (3%) and state (7%) populations, within the homeless they were better educated and more likely to have held white collar jobs than Caucasians or Hispanics. In addition, despite being more likely to grow up in poverty, African-Americans reporled lower prevalences of alcohol and drug abuse, overnight psychiatric hospitalizations, placement in foster care, and physical or sexual abuse than Caucasians. Foreign-born Hispanics were the most likely to have low levels of education and job skills, but were least impaired by adult medical disorders. Native-born Hispanics reported lower rates of adverse childhood events, illegal drug use, and psychiatric hospitalizations than Caucasians, but were most likely among the three ethnic groups to suffer from alcohol abuse. The lower prevalences of adverse childhood events, addictive disorders, and psychiatric hospitalizations among homeless African-Americans, despite their higher representation in absolute numbers, suggests that factors such as childhood poverty may play a disproportionate role in homelessness among this ethnic minority group.     

Barriers to Utilization of Mental Health Services amongst Male Child Sexual Abuse Survivors: Service Providers’ Perspective

ABSTRACT

Most research on child sexual abuse has been on survivors to the exclusion of service providers. This paper focuses on one group of findings from a larger qualitative study. The aim of the paper is to identify existing services and highlight the gaps in the current programs available for male CSA survivors from the perspective of service providers. Semi-structured interviews were conducted with 11 mental health service providers, recruited from two Southern and Central Ontario cities. Findings presented here report service providers’ perspective of gaps in services for male CSA survivors. “Limited Male CSA Programs”, “Institutional Barriers”, “Attitudinal Barriers”, and “Systemic Gaps” emerged as four major themes from the data analysis. Findings demonstrate the need to re-evaluate currently available service and highlights gaps in mental health service available for male CSA survivors. Implications for policy, practice, and research are discussed.     

Paternal Incarceration and Father–Child Contact in Fragile Families

High rates of incarceration in the United States have motivated a broad examination of the effects of parental incarceration on child well‐being. Although a growing literature documents challenges facing the children of incarcerated men, most incarcerated fathers lived apart from their children before their arrest, raising questions of whether they were sufficiently involved with their families for their incarceration to affect their children. The author used the Fragile Families and Child Wellbeing Study (N = 4,071) to examine father–child contact among incarcerated fathers and found that most incarcerated fathers maintained a degree of contact with their children through either coresidence or visitation. Moreover, the results revealed robust reductions in both father–child coresidence and visitation when fathers are incarcerated—between 18% and 20% for coresidence and 30% to 50% for the probability of visitation. The findings suggest that these reductions are driven by both incapacitation while incarcerated and union dissolution upon release.     

Help Seeking and Treatment Use Among Suicidal College Students

Abstract

Objectives: Many suicidal college students do not receive mental health treatment, and the reasons for this are not fully understood. This study examines how attitudes, beliefs, and social network factors relate to help seeking among suicidal students. Participants: A random sample of 8,487 undergraduate and graduate students from 15 US universities participated. Methods: A Web-based survey administered in spring 2009 examined correlates of mental health service utilization among students reporting serious thoughts of suicide in the previous year (n = 543). Results: Correlates of treatment use included perceived need, beliefs that treatment is effective, contact with service users, lower personal stigma, higher perceived stigma, fewer positive relationships, and sexual minority or Caucasian identity. Conclusions: Help seeking among suicidal students is associated with a range of personal and social network factors. Campus strategies to enhance help seeking should be tailored to address identified facilitators and barriers to treatment use among target populations.     

Use of Nondeliberative Practice in Groups for Older Adults with Substance Use and Mental Health Disorder: Group in an Art Gallery

ABSTRACT

This article presents an application of Norma Lang’s nondeliberative theory in groupwork with clients of Community Outreach Programs in Addictions (COPA), a Toronto community-based organization that assists adults age 55 and older who struggle with addictions and mental health. The article illustrates how we challenged concepts of group work which are predominantly discussion-based problem solving or premeditated by hosting a group in a major art gallery with clients considered difficult to serve. What was done is juxtaposed with what might have been done with greater knowledge of nondeliberative theory.     

“Like My Grandparent,But Not”: A Qualitative Investigation of Skip‐Generation Stepgrandchild–Stepgrandparent Relationships

Families have become increasingly diverse and complex, which has made defining family membership more ambiguous. Issues surrounding family identity, belonging, and shared kinship are relevant in many types of complex families, but they are critically important for stepfamilies. In this study the authors examined stepgrandchild–stepgrandparent relationships; specifically, they explored how 27 stepgrandchildren (M age = 20.8) thought and felt about their relationships with 35 skip‐generation stepgrandparents (i.e., stepgrandparents who did not help raise stepgrandchildren's parents but who have been in the lives of stepgrandchildren from birth or early childhood). Most stepgrandchild–stepgrandparent relationships (n = 24/35) were described as emotionally close and supportive. Stepgrandchildren who perceived stepgrandparents as fulfilling traditional grandparent roles and whose parents modeled and facilitated warm, close relationships with stepgrandparents were most likely to perceive these intergenerational steprelationships as important. The findings have implications for kinship identification in diverse and complex families.