Termination or Sonnet LXXV or Lass meine Schmerzen nicht verloren mein or Ambivalence

This is a short play based on one of Shakespeare's sonnets, and the termination of my analysis. The play has no message to deliver nor has it any themes. Readers should therefore approach it with caution. It turns out that, though the analysis was successful, I still have problems and am seeing my analyst again, inspired in part by the outcome of the November 2004 election.     

Complexities of discretion in social services in the third sector

Policy analysts have devoted considerable time to examining the problem of the policy implementation gap, with one important strand in the literature following Michael Lipsky's work on street-level bureaucracy and discretion. In this paper, we aim to contribute to the literature concerning shifts in government/third sector organisation contractual arrangements and whether they constitute a significant (post-neoliberal) development in policy implementation. Using a case study of contracted government services in Australia, we revisit the conception of discretion to reflect on the impact of these changes and document their implications for the use of discretion in management and front-line worker practices.     

The Prevalence and Course of Pathological Gambling in the Mood Disorders

The objective of the current investigation was to examine the prevalence of pathological gambling (PG) in a psychiatric sample with a history of mood disorder, and the concurrent and longitudinal association of PG and mood disorder symptoms according to retrospective report. A total of 275 (100 male, 175 female) psychiatric outpatients in Ontario, Canada, with a lifetime diagnosis of a depressive (n = 138) or bipolar disorder (n = 137), completed the Canadian Problem Gambling Index, South Oaks Gambling Screen and Longitudinal Interval Follow-up Evaluation. Correlational and cross-lagged panel analyses evaluated the relation between PG and mood disorder symptom course. The prevalence of PG was elevated within patients with a mood disorder; there was no difference across diagnosis. Concurrent PG and mood disorder symptoms were positively correlated; however, longitudinal analyses revealed no evidence for an association between PG and mood disorder symptoms when symptom stability was taken into account. Despite the elevated prevalence of PG within mood disorders, and the concurrent association between PG and mood disorder symptoms, no direct association was found between these types of pathology. Prospective designs and intervening variables are required to advance understanding of the etiological associations between these disorders.     

Mental health service utilization in children adopted from US foster care,US private agencies and foreign countries: Data from the 2007 National Survey of Adoption Parents (NSAP)

Aims

In this analysis, we (1) described the rate of mental health service utilization for children from domestic foster care adoption, domestic private adoption, and international adoption and (2) analyzed the effect of common risk factors on mental health service utilization.

Data

As part of the 2007 National Survey on Adoptive Parents (NSAP), parents with children 5–17 years old (N = 1722) were asked if their children had received mental health services and how helpful these services were. Parents also provided data on the children's demographics and likelihood of pre-adoption adversity (e.g., abuse).

Results

For boys, mental health services were utilized by 52.4% of domestic foster care adoptees, 41.0% domestic private adoptees, and 40.0% of international adoptees. For girls, the corresponding rates were 36.3%, 24.8%, and 30.9% respectively. Parents reported that the services were very helpful for about half of the children. Logistic regression analyses showed that adoptees from domestic foster care were more likely than international adoptees to have received mental health services, but there was no difference between domestic private adoptees and international adoptees. Older age at placement, older age at assessment, having special health care needs, and being male all increased the odds for having received mental health services.     

Survival and Abuse: What We Can Learn From It

This article is about a journey involving survival, abuse and learning. It is written by two people who have considerable experience of being involved with mental health services; both are currently making an active contribution to social work education. It describes the way in which, in situations of survival and abuse, service users can use their experience and knowledge to learn how to support and advocate for each other. It suggests that the relationships that are built between service users as a result of these experiences can be used to address some of the gaps in service provision. At the same time these relationships can provide mutual learning which can be used to improve the education and training of social workers and other professionals.     

Predicting geographic transience in homeless young adults across three U.S. cities: Who are these frequent flyers and distance travelers?

ABSTRACT

Prior research reveals high rates of geographic mobility (i.e., transience) among homeless young adults (HYAs). Yet to date, little is known about predictors of different aspects of their transience as well as characteristics of the most highly transient HYAs. This study thus used the risk/resilience framework to identify predictors of three measures of HYAs’ transience (i.e., number of intercity moves, total distance traveled, and average distance traveled) as well as to identify the characteristics of the most highly transient HYAs: frequent flyers (i.e., HYAs with seven or more intercity moves), distance travelers (i.e., HYAs who have traveled average distances greater than 1,092 kilometers), and combined frequent flyers and distance travelers (i.e., HYAs with seven or more intercity moves and average travel distances greater than 1,092 kilometers). Purposive sampling was used to recruit 601 HYAs (ages 18–24) from Los Angeles, Austin, and Denver. Three Ordinary Least Squares regression models identified predictors of each facet of transience. Chi-square tests and independent t-tests were then used to identify profiles of frequent flyers and distance travelers by using the upper quartiles on the variables number of intercity moves and average distance traveled, respectively. Findings reveal similarities in the risk predictors and profiles. The resilience characteristic of self-reliance was a consistent predictor of all three measures of transience. Understanding that transience among HYAs serves both adaptive and maladaptive purposes can inform service providers in customizing interventions aimed at supporting adaptive travel to make it safer as well as preventing and reducing maladaptive travel.