How Families Learn:

No abstract available for this article.     

Chapter 2 Environmental Support to Assist an Older Adult with Independent Living

Abstract

With aging, people experience decrements in the areas of sensory, neuromuscular, cognitive, and psychosocial function. In thispa-per, anoccupational therapistexplainsage-related decrementsin termsof their effect on wellness or function. Then, function is matched with suggestionsforenvironmentalmodificationsandaccommodationsthatfa-cilitate the occupational therapy objectives of safety and activity. The overall goal is to enable a senior's independent function with the help of hishome.     

Chapter 22: Perspectives on the Future of Integration

Abstract

Thomas Friedman's political analysis of The Lexus and the Olive Tree(2000) is used to frame the discussion of the future of integration in the EAP, Work-life and Wellness field. Many claim that for progress to occur, one needs to understand history. Friedman, however, pushes the reader further to focus on understanding the constant interplay and tension between present day advances and past traditions. This article briefly reviews one of the early attempts at comprehensive benefit services in the United States-Welfare Capitalism as a means to understand the beginnings of some of these endeavors. In addition early research conducted by Lawrence and Lorsch on organizational integration and differentiation are briefly reviewed as a conceptual framework to ground the discussion of future trends in the field of integration. Finally, some closing thoughts are offered that raise both questions on areas requiring further investigation on the topic of integration, as well as a challenge to professionals regarding what role they would like to take regarding the future of these services.     

Wellness in Adult Gay Males

Abstract

Adult gay males face significant social stigma, internalize negative societal messages related to their sexual orientation, and experience difficulties related to disclosing their sexual orientation to others, particularly to parents. Although the effects of these challenges in terms of pathology have been established, the relationship among internalized homophobia, self-disclosure, self-disclosure to parents, and wellness has not been examined. The results of a study of these variables among 217 gay males are presented and discussed.     

Cancer as a Life Transition: A Relational Approach to Cancer Wellness in Women

Receiving a diagnosis of cancer is a traumatic event and changes one's life forever. The period of initial diagnosis and treatment is indeed a life transition, regardless of the prognosis. It precipitates a change in self-perception, physically, emotionally, and interpersonally. It changes how a woman sees herself, her family, and her world. Simultaneously the woman is confronted with many decisions to make regarding treatment options and the management of personal, familial, and work related responsibilities. People have the opportunity to reflect on old decisions and to make new decisions. Inevitably one is confronted by mortality. The management of this illness is done in the context of a complex network of relationships with family, friends, coworkers, doctors, other medical personnel, and clergy. Often it is the clinical social worker who is in the position of facilitating access to and participation in resources for care. Many women join healing communities or wellness centers to find a model of care and achieve a state of well-being that utilizes and encourages the support of these relationships. Understanding the importance and impact of these relationships can help clinical social workers facilitate cancer wellness in their clients and advocate better on their behalf. The intent of this paper is to understand the concept of cancer wellness as a relational approach and to promote its place in integrative clinical social work practice.     

Integrated Behavioral Health and Counseling Gender and Sexual Minority Populations

abstract

Counselors are increasingly expected to operate within an integrated behavioral health framework across systems of care. This critical literature review provides an overview of the integrated behavioral health paradigm, including the practice of interprofessional collaboration, with specific application to lesbian, gay, bisexual, transgender, queer (LGBTQ), and other gender and sexual minority issues. Implications for practice and research are discussed, along with a focus on concrete recommendations for application practicing interprofessionally with and on behalf of LGBTQ clients.     

Interactive effects of work psychosocial factors on participation in workplace wellness programs

This study explored concurrent effects of six work psychosocial factors on current participation and the self-reported likelihood of future participation in workplace wellness programs using a cross-sectional survey, an ad hoc focus group, and structured interviews. Classification and regression tree analysis was used to analyze survey responses from 343 employees (194 nonparticipants, 95 participants, and 54 engaged participants). A thematic analysis of focus group (n?=?7) and interview (n?=?5) narratives was also undertaken. In combination with high work control, high superior support was associated with an engaged participant profile. Job demand was the third important variable with low and very high levels associated with participation. With regard to high likelihood of future participation, among respondents with age older than 50, high predictability of occupational activities and control were identified as a significant factor, and among others, high superior support and control. The analysis of narratives revealed peer relations and flexible working hours to be positively linked to participation and general job stress was identified as having a bidirectional relationship. Employees stated that stress led them to take advantage of these programs as a source of relief and that their availability/participation has contributed to lowering their stress. These findings inform practitioners about the importance of addressing poor psychosocial factors as a participation barrier and having a holistic approach to employee well-being.     

A socially responsible financial institution – The bumpy road to improving consumer well-being

There is a strong belief that in addition to making a profit, companies should act for the benefit of the society. This research has evaluated a novel cooperation model between a non-profit financial institution and a community service provider (a local YMCA) with the overarching aim of advancing customers’ well-being. By offering a financial incentive (a savings account with higher interest payouts, contingent on account holders’ increased participation in YMCA activities), the financial institution and the YMCA partnered to improve consumers’ financial standing, positive health behaviors, and overall well-being. The collaboration exemplified a business engagement in the community that goes beyond philanthropy.Participation in YMCA activities was found not to be influenced by the financial incentive. However, households participating in the program swiftly transferred their financial resources to the incentivized account and along with that increased their activity in YMCA to boost the interest rate. Sport-related YMCA visits had some positive effects on momentary well-being, but none were observed for non-sport-related activities. Furthermore, the incentivized activities did not translate into improved well-being outcomes but had a potential to positively contribute to emergency savings. The evidence from qualitative feedback from in-depth participant interviews pointed to a reverse effect of the incentive, where YMCA engagement was a trigger for setting up the savings account.The findings have corroborated the understanding that designing interventions that target customers’ well-being is not a straightforward task.