The experiences of “aging” among formerly homeless adults with chronic mental illness: A qualitative study

Little is known about the life course of older adults with serious mental illness who have also been homeless. Using 44 life history interviews with 25 study participants ages 40 to 62, this study used case study and thematic analysis to examine the lived experience of such individuals as they enter their mid- and later-life years. Participants, whose lives were marred by early-onset substance abuse, symptoms of mental illness and a descent into homelessness, spoke of an awareness of aging and premature mortality. Major themes that emerged were: (1) reflecting on losses, (2) growing older and wiser, (3) struggling with normality, (4) having space and time to reevaluate, and (5) awareness of the future and “time left.” Life histories which focus on the person-in-context and their subjective experiences provide a viable research method to further the understanding of one of the most underserved and hardest-to-reach populations.     

A modified kernel quantile estimator under censoring

Based on right-censored data from a lifetime distribution F₀, a modification of the kernel quantile estimator is proposed. The advantage of this estimator is that the data play a role in the degree of smoothing of the estimator while retaining the desirable features of the kernel estimator. Convergence in probability and almost sure convergence of the estimator are discussed. Also, asymptotic normality and confidence bands are presented and some examples are given.     

Qualitative Research for and in Practice: Findings from Studies with Homeless Adults Who Have Serious Mental Illness and Co-Occurring Substance Abuse

This article draws upon findings from the New York Services Study, a Federally-funded qualitative study conducted in practice settings representing two fundamentally different approaches to serving homeless adults with serious mental illness and co-occurring substance abuse. The findings yielded four themes??cumulative adversity, individual acts of kindness in a system designed to control, discordant case managers?? perspectives, and the benefits of permanent housing. Recommendations for practice include respecting individuality, being sensitive to previous traumas, and working to achieve housing security sooner rather than later. Future research is needed to study the micro-level contexts of service delivery and how they inhibit or encourage engagement in care.     

Inference for Reliability and Stress-Strength for a Scaled Burr Type X Distribution

Inferencefor R=P(Y is considered when Xand Y are independently distributed as scaled Burrtype X random variables. Under this model, exact inference proceduresfor R cannot be found. Hence, based on the expectedFisher information matrix which is derived here, asymptotic inferenceprocedures for R and other general functions ofthe parameters are developed. A bootstrap method to estimatevariance for the maximum likelihood estimators is also discussed.To illustrate these techniques, an example using carbon fiberstrength data is given. Simulations to assess the effectivenessof these techniques, as well as other concerns, are presented.     

Disjunctures for Women and Frontline Workers: Implementation of the Family Violence Option

This research uses analysis of qualitative interviews with 10 battered welfare clients and 15 frontline welfare workers to examine the implementation of the Family Violence Option (FVO) under welfare reform. States adopting the FVO agree to screen for domestic violence, refer identified victims to community resources, and waive program requirements that would endanger the women or with which they are unable to comply. The analyses find that none of the 10 clients in this study received these services. This lack of services reflects four critical disjunctures between the formal policy and the policy experienced by the clients. It also reveals several more basic structural factors that provide conflicting mandates to frontline workers. Frontline workers' discretionary behaviors enforce core rules related to welfare eligibility and reduce welfare caseloads but do not provide violencerelated services to victims.     

A state's approach to suicide prevention awareness: gatekeeper training in Kentucky

As part of Preventing Suicide: Kentucky's Plan, a gatekeeper training was implemented. The implementation of this brief educational intervention and changes in participants' suicide prevention attitudes were examined. Data were collected from 3,958 people in 213 sessions from May 2004 to August 2006. Participants reported high levels of satisfaction with the trainings. Immediately following the training, participants showed substantial increases in their perception of their suicide knowledge and their perceived efficacy to help someone who displays signs of suicide. QPR was widely disseminated across the state and shows promise to change immediate beliefs and feelings of efficacy.     

Financial Assistance Patterns from Midlife Parents to Adult Children: A Test of the Cumulative Advantage Hypothesis

Young adults may receive financial assistance from midlife parents as they experience life course transitions often associated with establishing independent status, such as schooling, marriage or gaining full-time work. We used longitudinal data from the Health and Retirement Study (1992–2002) and hypothesized that adult children in the United States who received repeated financial transfers from midlife parents experienced cumulative advantages across time. We also examined the data using parental household characteristics to reinforce the importance of previous transfer behaviors. We found that the receipt of prior transfers, family structure and parental household income were the strongest determinants of the odds that parents gave financial assistance to adult children as both generations aged. The findings also supported the cumulative advantage theory due to the larger likelihood of continued transfers.     

On the mean squared error of nonparametric quantile estimators under random right-censorship

For randomly right-censored data, new asymptotic expressions for the mean squared errors of the product-limit quantile estimator and a kernel-type quantile estimator are presented in this paper. From these results a comparison of the two quantile estimators with respect to their mean squared errors is given.     

Smooth nonparametric estimation of thedistribution and density functions from record-breaking data

In some experiments, such as destructive stress testing and industrial quality control experiments, only values smaller than all previous ones are observed. Here, for such record-breaking data, kernel estimation of the cumulative distribution function and smooth density estimation is considered. For a single record-breaking sample, consistent estimation is not possible, and replication is required for global results. For m independent record-breaking samples, the proposed distribution function and density estimators are shown to be strongly consistent and asymptotically normal as m → ∞. Also, for small m, the mean squared errors and biases of the estimators and their smoothing parameters are investigated through computer simulations.     

Hormone profiles,body mass index and aging male symptoms: results of the Androx Vienna Municipality study

Aging in the male is accompanied by steroid hormonal decline, and men may develop symptoms associated with hypogonadism. Increased awareness of ‘andropause’ in recent years has led to greater demand for hormonal assessments, resulting in a rising burden for health economics. We conducted a cross-sectional study to define men at risk for hypogonadism, in whom further hormonal investigation should be performed.

We examined 664 blue-collar workers aged 40–60 years at their workplace and determined hormonal status and body mass index (BMI). Men with an abnormal urogenital status and those on medication that might affect endocrine status were excluded from the study. All participants completed the validated Aging Male Symptom (AMS) questionnaire and obtained scores for psychological symptoms, somatovegetative symptoms, and sexual symptoms.

Multiple logistic regression analyses revealed a significantly increased risk (represented by the odds ratio) of psychological symptoms for men with low levels of testosterone and/or bioavailable testosterone (BAT). Increased BMI as well as low testosterone levels and/or low BAT levels raised the risk of somatovegetative symptoms. Each decrease of BAT by 1?ng/ml caused an approximately 1.8-fold increase of the risk (odds ratio?=?1.832, p?=?0.005). Additional independent risk factors were increased age and low luteinizing hormone (LH) level. Men aged 55 years with BMI >?28?kg/m² and with somatovegetative symptoms and moderate or severe psychological symptoms had a 7.2-fold increase in the risk of a BAT level <?1.5?ng/ml compared to men without these risk factors (p <?0.001). Sensitivity and specificity were 75% and 71%, respectively.

The AMS score combined with age and BMI provides an easy and convenient method to identify men with probable androgen deficiency who require hormonal assessment.