Does a Perinatal Infant Mental Health Team Hold the Family in Mind? Opportunities and Challenges for Working Systemically in this Specialised Field

This paper considers whether systemic family therapy frameworks are used in current Perinatal Infant Mental Health (PIMH) practice. PIMH is a field that is, by nature, relational, focusing on enhancing the development of early parent–infant relationships. It is well accepted that the early years of an infant's life are crucial for brain development, and disturbances in early parent–infant relationships can impact negatively upon the child's development. Five clinicians from a PIMH service in a metropolitan area participated in a focus group related to key systemic concepts: genograms, family of origin, transitions, and morphogenesis. Findings suggest that the PIMH team does hold the family in mind, utilising systemic frameworks predominately in the engagement and assessment phase of intervention. They also highlight that PIMH clinicians focus on roles and boundaries occurring within the immediate and extended family unit and support families with the transition to family expansion phase. The application of working systemically differed significantly among participants, suggesting that the use of systemic frameworks in the PIMH field requires further exploration.     

The dynamics of immigrant welfare and labor market behavior

This paper analyzes transitions into and out of social assistance, unemployment, and employment. We estimate a dynamic multinomial logit model, controlling for endogenous initial condition and unobserved heterogeneity, using a large representative Swedish panel data set. The empirical results suggest that particularly refugee immigrants display a greater degree of “structural” state dependence than natives. The high welfare participation rates among refugee immigrants may be due to the existence of a “welfare trap”, while participation among natives and non-refugee immigrants is largely due to permanent unobserved characteristics. These results suggest that welfare reforms may have differential effects on refugee immigrants and natives.

Bayesian estimation of a proportional hazards model for double-censored durations

Double-censored data consist of uncensored, left- and right-censored observations and occur in survival time analysis. In this paper, parametric Bayes estimation is investigated for a proportional hazards model with durations subject to double-censoring. We prove consistency and asymptotic normality of the posterior mean with the Bernstein–von Mises theorem. In addition, we estimate asymptotic standard errors. A simulation study shows that the finite-sample performance is similar to that of the maximum likelihood estimator. Finally, the proposed model is applied to rating transition data. The analysis suggests that an upgrade of a rating increases the duration in that class by about 10 days on average.     

The adolescent family environment and cohabitation across the transition to adulthood

This study draws upon a sample of men and women from Waves I and IV of Add Health to examine the linkages between the adolescent family environment and cohabitation behavior across the transition to adulthood. Using event history modeling the current paper considers the association between a variety of family factors and both the timing of first cohabiting unions and their outcomes (marriage, break up, still cohabiting). This paper also considers whether the impact of predictors for cohabitation timing and outcomes varies depending on the age of individuals. Results indicate that exposure during adolescence to family instability, parental cohabitation, lower parental SES, and low family belonging were associated with an elevated likelihood of entering into cohabiting unions, but primarily during adolescence and early adulthood. Family factors, including family belonging and parental relationship history, were also associated with the outcomes of first cohabitations.     

A place to heal: a qualitative focus group study of respite care preferences among individuals experiencing homelessness*

Homeless patients have longer hospital stays than housed persons due, in part, to a lack of safe discharge locations. Respite care for homeless individuals decreases hospital length of stay and readmissions rates. This study aimed to develop client-centered recommendations for medical respite care. We conducted four focus group interviews (n?=?25 participants) between August 2010 and February 2013 of homeless adult residents in Minnesota. Four domains of respite care were identified from content analysis of interviews: physical, relational, facilitation, and amenities. Novel recommendations include (a) a facility equipped to address mental health and substance dependence needs, (b) a standardized training protocol for respite staff, (c) the creation of a patient advocate, and (d) the creation of a respite case manager to facilitate post-discharge instructions and connection to primary care and social services. These new and actionable recommendations could help inform policies and the development of future medical respite care facilities.     

“Wish you were here”? Geographies of exclusion: young people,coastal towns and marginality

ABSTRACT

Within youth studies there is a growing body of research that pays attention to the importance of place in shaping young people’s identities, life opportunities and intergenerational relationships [Cuervo, H., and J. Wyn. 2014. “Reflections on the Use of Spatial and Relational Metaphors in Youth Studies.” Journal of Youth Studies 17 (7): 901–915; Farrugia, D. 2014. “Towards a Spatialised Youth Sociology: the Rural and the Urban in Times of Change.” Journal of Youth Studies 17 (3): 293–307; Woodman, D., and J. Wyn. 2015. Youth and Generation: Rethinking Change and Inequality in the Lives of Young People. Sage Publications]. Of critical importance to these discussions is the need to explore notions of ‘belonging’ and social citizenship, interrogating the extent to which differing perceptions and experiences contribute towards variations in the outcomes and life chances of disadvantaged young people. This article draws upon ethnography, participatory arts-based research, and semi-structured interviews (n31) with young people (15–25) who live in a deprived coastal town in the North of England. The research investigated processes of marginalisation and disconnection from the perspectives of young people who were deemed as disengaged, or ‘at risk’ of disengagement, from education, employment or training. The research took place during a time of rapid change and uncertainty as Britain voted to leave the EU. The findings of this study will ‘throw light’ on the how contemporary classed subjectivities are formed, how experiences of inequality and austerity are made sense of, and how, within a turbulent political context, young people negotiate complex transitions to adulthood.     

Dropping Out of High School: The Effects of Family Structure and Family Transitions

We use the 1988, 1990, and 1992 waves of data from the National Education Longitudinal Study to examine the effects of family structure and family transitions on adolescent high school dropout. Our study differs from previous studies by using a large longitudinal sample (N?=?21,420) and applying event history analysis with standard errors corrected for clustered sampling. Our study has two major contributions. First, we examine single-mother, single-father, stepmother, and stepfather families separately. Controlling for socioeconomic status, children from single-mother families are doing better than children from single-father and stepparent families. Second, using event history we can determine the causal order between family transitions and high school dropout rates. We find high school students are not hurt by their parents marrying, remarrying, or starting a cohabiting relationship, but are negatively affected by a parental divorce or separation during the high school years.     

Transition in practice and action in research. A French case study in piloting eco-innovations

Transition in practice means that diverse organizations – from private foundations to citizen-led movements for “cities in transition” – are experiencing ways to bring about sustainable transitions at the system level. While academic thinking on sustainability transitions can efficiently inform transition in practice, these organizations' initiatives can enrich the analytic understanding of transitions. It is this mutually beneficial trade-off that became the purpose of the action research project with the French private foundation Fondaterra, and which led to the drafting of Fondaterra's own model in piloting eco-innovations towards transition. This paper outlines the main features of the Fondaterra model: the territorial perspective, the idea of piloting change, espousing prospective visions, creating new chains of value, implementing demonstrators and monitoring. The comparison of this model with the transition management model suggests that the latter may resonate with other intervention methodologies that have been developed with strong concern for governance strategies, and that many configurations of transition in practice led by intermediary organizations could achieve tangible results in triggering transitions.