Chronic and Proximate Depression Among Mothers: Implications for Child Well‐Being

This article uses data from the Fragile Families and Child Well‐Being Survey (N = 2,427) to examine the association between the chronicity and timing of maternal depression and child well‐being. Maternal depression, particularly chronic depression, is linked to internalizing and externalizing problem behaviors in children, and children have worse behaviors when mothers report proximate depression. Children of depressed and nondepressed mothers have similar cognitive outcomes. Results also suggest that boys are more vulnerable to maternal depression than girls and that socioeconomic advantage does not buffer children from the consequences of maternal depression. Given that impairments in early childhood may place children on disadvantaged life‐course trajectories, early intervention and treatment of depressed mothers may help ameliorate social disparities.     

Health outcomes for adults in family foster care as children: An analysis by ethnicity

Studies have linked the experience of child abuse or adversity to health problems in adulthood, and researchers have long documented health problems affecting children in foster care. Yet, the adult health outcomes of maltreated children placed in foster care have not been sufficiently isolated. Although information on transitioning youth and young adults is now beginning to emerge, the impact of ethnicity on adult health outcomes has been largely ignored. Given the overrepresentation of ethnic minority children in foster care and the national disparities in the health of ethnic minorities, this study examined the relationship between ethnicity and physical health outcomes for African American, Hispanic, and White adults who experienced family foster care as children. Logistic regression models indicated that ethnicity was not a significant predictor of physical health (p > .05). However, gender and age were associated significantly with their physical health outcomes.     

A comparison of midwife-led care versus obstetrician-led care for low-risk women in Japan

BackgroundContinuity of midwife-led care is recommended in maternity care because of its various positive outcomes. In Japan, midwife-led care is receiving broad attention as well. In order to popularise midwifery care within the entire system of perinatal care in Japan, there is a need to show evidence that continuity of midwife care for women will bring about positive outcomes.AimThe objectives of this study were to compare the health outcomes of women and infants who received midwife-led care with obstetrician-led care in Japan.MethodsThis was an observational study using non-random purposive sampling with a survey questionnaire. Settings where midwife-led care and obstetrician-led care were chosen by purposive samples. Participants were low-risk women who received antenatal care and delivered a term-singleton-infant at the participating settings during the research period. Measurements were: Women-centred care pregnancy questionnaire, Stein's maternity blues questionnaire, and Edinburgh Postnatal Depression Scale.FindingsMidwife-led care was perceived by women to be beneficial and had no adverse outcomes compared to obstetrician-led care. Main findings are: (1) Perception of Women-centred care was higher; (2) Less premature rupture of membranes, and the Apgar scores of the infants were similar; (3) Exclusively breast-feeding during hospitalisation and at one-month postpartum; (4) Stein's maternity blues scale scores was lower in women who received midwife-led care than those who received obstetrician-led care.ConclusionsContinuity of midwife-led care was perceived by women to be beneficial and had no adverse outcomes. Therefore, midwife-led care in low-risk pregnancy could be applicable and recommended.     

Contact with Family Members and its Impact on Adolescents and Their Foster Placements

This paper discusses findings from a recently completed studyof adolescent foster care, which included a detailed assessmentof the fostering skills and supports of carers and of the contactthat adolescents had with parents, siblings and other familymembers during a long-term foster placement. Sixty-eight fostercarers, young people and their social workers were interviewedat two points in time, 3 months after the start of a new fosterplacement and again at 12 months or at the point of disruptionif this occurred earlier. Detailed questions about contact whichwere asked of foster carers, young people and their social workersenabled the researchers to make summary ratings about the quantityand the quality of contact and its effect on the young peopleand on their placements. This paper describes the contact theyoung people had with their families, its impact on them andon the foster families and how it changed over time. The findingsrevealed that contact for the majority of adolescents was problematicand had a significant impact on placement outcomes. Ways ofmanaging contact are highlighted, and the corresponding implicationsfor policy and practice discussed.     

Improving functional outcomes in college and university students with schizophrenia in the Western world

Retrospective research from patients with schizophrenia suggests that remission becomes increasingly less likely the longer psychosis goes untreated. Yet symptoms of schizophrenia are insidious and disease evolution varies between patients, requiring an ongoing diagnostic process. One way of justifying early treatment is by focusing on functionality rather than symptomatology. Most patients are diagnosed with schizophrenia between the ages of 17 and 25—when many young adults are undergraduates or pursuing post-graduate education. The extent to which schools partner with mental health services has implications for the short-term success of students' recovery and their future employability. Translating study findings on schizophrenia to the college setting remains an important area of investigation.     

Psychosocial Intervention and Clinical/Educational Outcomes for Students with Emotional and Behavioral Disorders: An Evaluation of the Astor Transitions Program

The Astor Transitions Program (ATP) was developed to assist youth with emotional and behavioral disorders moving into a new educational environment where the services would often be less integrated. A research/evaluation consultant was hired to conduct a program evaluation of the ATP. The study sample consists of the charts of 150 consecutive students admitted to ATP between April 2010 and March 2013. The following hypothesis was tested: the ATP service in terms of caseworkers’ contacts will be associated with better clinical and educational outcomes. The major findings were the impact of caseworker contacts on clinical outcomes was indirect and greatest on type of placement; caseworker contacts had no effect on school attendance, yet ATP students were present about 85% of the time; and casework activity increased for chronic cases in placement but decreased after hospitalization. Recommendations were made to program staff on how to improve ATP services.     

Evaluating unintended program outcomes through Ripple Effects Mapping (REM): Application of REM using grounded theory

Several evaluation models exist for investigating unintended outcomes, including goal-free and systems evaluation. Yet methods for collecting and analyzing data on unintended outcomes remain under-utilized. Ripple Effects Mapping (REM) is a promising qualitative evaluation method with a wide range of program planning and evaluation applications. In situations where program results are likely to occur over time within complex settings, this method is useful for uncovering both intended and unintended outcomes. REM applies an Appreciative Inquiry facilitation technique to engage stakeholders in visually mapping sequences of program outcomes. Although it has been used to evaluate community development and health promotion initiatives, further methodological guidance for applying REM is still needed. The purpose of this paper is to contribute to the methodological development of evaluating unintended outcomes and extend the foundations of REM by describing steps for integrating it with grounded theory.     

AN EXPLORATION OF THE THERAPEUTIC RELATIONSHIP AND COUNSELLING OUTCOMES IN A PROBLEM GAMBLING COUNSELLING SERVICE

This study examined the relationship between a number of counselling process variables thought to influence counselling outcomes in a sample of 150 clients undertaking short‐term counselling in the state‐wide government funded Gambler's Help problem gambling counselling services in Victoria, Australia. Factors measured included psychosocial well‐being of clients prior to and after counselling, client readiness to change, self‐reported gambling activity levels before and after counselling, self‐assessment of current gambling behaviour, strength of therapeutic alliance, self‐reported counselling outcomes achieved in the area of symptoms, life matters, and related problems and a measure of client satisfaction with the service. The therapeutic alliance was found to have the strongest predictive power with respect to the level of problem resolution achieved by clients across all but one of the problem areas. The implications of these findings for clinical social work practice and education of practitioners are noted.     

A cross-national comparison of public project benefits management practices – the effectiveness of benefits management frameworks in application

Abstract

Benefits are the principal reason why an organization may seek to enact change through programmes and projects. The discipline of identification, definition, planning, tracking and realization of benefits is recognized to be instrumental in achieving organizational strategy. In this study, we describe the results of a cross-national comparison of public sector benefits management (BM) practices in Australia, Canada, the UK and the USA. It explores ‘BM practices in action’, considering to what extent ‘espoused’ or ‘mandated’ frameworks are actually practised and perceived by their users. Employing qualitative analysis, semi-structured interview data were analysed from 46 participants with experience in sponsoring, managing and/or reviewing government projects. The results expose considerable variation in the adoption and standardization of BM frameworks from inter and intragovernmental perspectives. We evidence a strong focus on benefits identification across the data set, specifically at the outset (the business case stage seeking project approval) and observe deterioration in focus as the project or programme progresses through the authorization (or assurance) approval gates towards close-out and operations. The results further emphasize the prominence of political interest, leadership buy-in, a benefits-driven culture and a transparent benefits reporting mechanism in the implementation of ‘effective’ BM frameworks.