农民工市民化进程之理性分析

农民工市民化问题是当今经济和社会生活中的重点问题,它引起了政府部门和学界的极大关注。这个问题对中国的工业化进程和社会进步有着深远影响,是一个必然的发展趋势。但是,就目前情况来看,这个问题的解决在制度性层面和认知层面等方面存在着诸多障碍。因此,现阶段我国尚不具备大规模的农民工市民化的基础。总体来看,农民工市民化的过程必将是一个长期的过程,不可能是急风暴雨式的改革,而应该走渐进式发展道路。     

Homelessness and Children's Use of Mental Health Services: A Population-Based Study

This study examined whether children who become homeless differ from other low-income children in their mental health service use before and after their first homeless episode, and to what extent homelessness is associated with an increased likelihood of mental health service use. Differences between children with and without new onset of sheltered homelessness in the use of mental health services emerged following homelessness and widened over time. Sheltered homelessness and foster care placement history were associated with increased odds of receiving inpatient and ambulatory mental health services. Findings underscore the importance of collaborations between homeless assistance, foster care, and mental healthcare in efforts to mitigate family homelessness and collateral needs among homeless children.     

What sexual minority youths want in a program to assist with disclosure to their family

Disclosing one's sexual orientation to family members can be a difficult process for sexual minority youths (SMY). There are many decisions to make and factors to consider, such as whom to tell first and how family members may react. SMY are in need of resources to help them through this process, including programs that help them to make decisions about safe disclosure. Through interviews and open-ended surveys with 48 participants, the authors found that overall, SMY want a program that helps them connect with others. There were no strong preferences for facilitators' gender, and participants differed in opinions on facilitators' sexual orientation. However, most agreed that they would like a program that provides education and the opportunity to hear from and share stories with others.     

Actor non-response in valued social networks: The impact of different non-response treatments on the stability of blockmodels

Social network data usually contain different types of errors. One of them is missing data due to actor non-response. This can seriously jeopardize the results of analyses if not appropriately treated. The impact of missing data may be more severe in valued networks where not only the presence of a tie is recorded, but also its magnitude or strength. Blockmodeling is a technique for delineating network structure. We focus on an indirect approach suitable for valued networks. Little is known about the sensitivity of valued networks to different types of measurement errors. As it is reasonable to expect that blockmodeling, with its positional outcomes, could be vulnerable to the presence of non-respondents, such errors require treatment. We examine the impacts of seven actor non-response treatments on the positions obtained when indirect blockmodeling is used. The start point for our simulation are networks whose structure is known. Three structures were considered: cohesive subgroups, core-periphery, and hierarchy. The results show that the number of non-respondents, the type of underlying blockmodel structure, and the employed treatment all have an impact on the determined partitions of actors in complex ways. Recommendations for best practices are provided.     

Could EGM player-tracking systems help link gamblers to treatment services in Australia: a thematic analysis of counsellor and community educators’ perspectives

There are a number of different pathways to care that people experiencing problems with gambling may pursue. The current research examined the potential of player-tracking systems, such as pre-commitment technology or loyalty cards, to improve the delivery of links to treatment. Thirty-three key informants from gambling treatment and community education in Australia were interviewed about the potential contributions of these technologies to helping link gamblers with problems to treatment services. Thematic analysis revealed three broad considerations for effective links to treatment using these technologies. First, links need to be appropriate in terms of the multitude of problems (other than gambling) that people might face with customized links appropriate to a gambler’s circumstances. Second, the presentation of the links should make them easy to notice and appropriately timed. Third, links should be provided as part of a broader strategy of harm minimization; by recognizing where people are in terms of behavioural change; providing positively framed guidance; and maintaining consistency with public health approaches. This research provides guidance based on informed expert opinion on what features of technology-driven links-to-treatment are likely to meet with greatest success.     

Complementing SBIRT for Alcohol Misuse with SBIRT for Trauma: A Feasibility Study

Reducing alcohol misuse is a priority for U.S. health officials considering that misuse of alcohol is a leading preventable cause of morbidity and mortality. Consequently, health centers are integrating Screening, Brief Intervention, and Referral to Treatment (SBIRT) for alcohol misuse within usual care. Although SBIRT is well validated among general patient samples, results have not generalized to drinkers with probable alcohol use disorder; moreover, little is known about the efficacy of SBIRT with patients who are of low-income or ethnic or racial minority status. Members of these groups are of particular concern because they are at risk to experience trauma, potentially in concert with alcohol misuse. Therefore, translational approaches to delivering SBIRT particularly with these groups of interest might be needed to meet the Grand Challenge of reducing alcohol misuse. Accordingly, this study combined SBIRT with a model designed to address psychological trauma: T-SBIRT. With a sample of 112 adults, most of whom were African American or Latino/a, authors analyzed multiple indicators of feasibility. Results indicated that T-SBIRT is suitable for and acceptable to patients accessing community-based health services, and T-SBIRT can promote high referral acceptance rates to specialty treatment, particularly among patients with probable alcohol use disorder.     

Gay Men's Perspectives on HIV Prevention and Treatment in Berlin,Germany: Lessons for Policy and Prevention

Qualitative data from interviews with gay men in Berlin, Germany were used to identify challenges facing HIV prevention and treatment as well as opportunities to improve them. In 2015, 20 self-identified gay men in Berlin—who had all received HIV prevention services and/or treatment (broadly defined)—participated in 1-on-1 qualitative interviews (30–75 min long). Ages ranged from 24 to 54, 35% self-identified as HIV-positive, and the remainder as HIV-negative. With regard to challenges to HIV prevention, participants highlighted (a) an already high HIV burden among gay men in Berlin and thus a need for doing prevention with positives (test-and-treat, and treatment as prevention); (b) the lack of a universal free condom distribution program; and (c) relaxed attitudes around the seriousness of HIV as a result of HIV treatment optimism. Participants highlighted that although condoms are an effective HIV prevention strategy (and thus certainly an area for focus), HIV prevention campaigns would benefit from updates with regard to embracing a diverse range of biological and behavioral prevention strategies, as well as expanded methods for making access to postexposure prophylaxis and free rapid HIV-antibody testing. This study informs HIV prevention approaches in Berlin, Germany as well as other urban centers where MSM are disproportionally affected by the HIV epidemic.     

“Sense” and sensitivity: Informal apprenticeship among youth care workers in a residential treatment center for children

This article reports findings from a 13‐month ethnographic study of knowledge use and expertise among 78 workers in a U.S. residential treatment center for children. It investigates the question of how youth care workers developed expertise in an organization that did not require graduate professional education and provided little didactic training. It demonstrates how processes of informal apprenticeship allowed some workers to develop locally recognized expertise through working alongside more experienced peers. It analyzes the puzzling initial finding that workers simultaneously attributed expertise to innate “common sense” and reported that they developed this form of expertise through informal on‐the‐job apprenticeship. Taking a cultural perspective on learning, this article conceptualizes youth‐serving organizations as communities of practice in which informal apprenticeship contributes to the development of locally valued forms of expertise and addresses the question of why youth care workers appeared to differ in their ability to make use of opportunities for such learning. It explores implications of these findings for workforce development in youth residential treatment and for social work education in general, suggesting simple methods for maximizing opportunities for situated learning.     

Appalachian Women’s Use of Substance Abuse Treatment: Examining the Behavioral Model for Vulnerable Populations

The Gelberg–Andersen Behavioral Model for Vulnerable Populations was applied to understand vulnerable Appalachian women’s (N = 400) utilization of addiction treatment. A secondary data analysis included multiple multivariate analyses. The strongest correlates of treatment utilization included ever injecting drugs (OR = 2.77), limited availability of substance abuse treatment facilities (OR = 2.03), and invalidated violence abuse claims (OR = 2.12). This study contributes theory-driven research to the greater social work addiction literature by confirming that vulnerable domains related to substance abuse treatment utilization warrant unique considerations compared to nonvulnerable domains. Findings also highlight the importance of understanding the unique role that cultural factors play in treatment utilization among Appalachian women. Inferences relevant to clinicians and policymakers are discussed.     

Focus Group Study to Examine Content of Family Meetings in Short-Term Substance Use Disorder Treatment

This study explores the content family members find helpful in family meetings that occur while patients are in short-term treatment for substance use disorders. Four focus groups were conducted: 3 with 23 family members and 1 with 10 patients who were asked to identify those topics that are helpful or unhelpful for families with and without prior treatment experiences. Families identified education about substance use disorders and an overview of treatment options as useful for family members new to treatment, and an emphasis on response to relapse and family supports as important for those with prior treatment experiences.