Goal setting in recovery: families where a parent has a mental illness or a dual diagnosis

Goal setting is an important element within mental health recovery models; however, parenting and children are rarely recognized in such approaches. This study outlines a family recovery planning model where a parent has a mental health or dual substance and mental health problem. The differences between family types (parent with a mental illness or parent with dual diagnosis) and family members (parent and children) are illustrated in terms of goals across 11 domains. There were a total of 33 parents and 50 children from 10 mental illness and 10 dual diagnosis families. Education and specifically mental health knowledge are important goals across all families and appear especially important for children whose parent has a dual diagnosis. Specific goals and achievement levels for each type of family and parents and children are also outlined. Clear areas for action by clinicians and family members are indicated by this study.     

Working with Parental Substance Misuse: Dilemmas for Practice

Correspondence to Dr Brynna Kroll, Department of Social Work, University of Exeter, Richards Building, St. Luke’s Campus, Heavitree Road, Exeter EX1 2LU, UK. E-mail: brynna.kroll{at}plymouth.ac.uk Summary The impact of parental substance misuse on child welfare isnow being increasingly recognized. Drug and alcohol problemsfeature in a substantial proportion of families where thereare child-care concerns and raise issues about engagement, confidentiality,assessment and inter-agency practice. This article exploressome of the dilemmas faced by social welfare professionals whowork with substance misusing parents. Based on a qualitativeanalysis of 40 semi-structured interviews with a wide rangeof practitioners from both adult focused and child and familysettings, in both the voluntary and statutory sector, a varietyof emerging themes will be discussed and linked to those fromother studies. The problems of working with denial, the tensionscreated by different agency objectives and protocols and theway in which children can often fall through gaps in serviceswill be highlighted, as will the way in which some professionalshave sought to resolve the dilemmas they encounter. This willthen be used as a basis for beginning to look at constructiveways forward in relation to training, interprofessional andinter-agency communication and service delivery.     

诱惑侦查研究

虽然诱惑侦查对一些特殊案件的侦破有很大价值,但是侦查机关在哪些情况下可以进行诱惑侦查行为,哪些情况下不能进行,在哪些情况下侦查人员违反法律规定进行诱惑侦查行为可能构成滥用职权罪等问题,都还有必要深入探讨。对于被诱惑者的刑事责任问题,应该区别情况,分别对待只有在被诱惑者被诱惑之前已经进行了部分犯罪行为,并且侦查人员的诱惑行为没有突破社会道德底线的情况下,被诱惑者才负犯罪预备或者犯罪未遂的刑事责任。     

中国英语学习者词汇误用分析--一项基于中国学习者英语语料库的调查研究

基于中国学习者英语语料库的研究结果,对中国英语学习者词汇误用现象进行了分析。中国学习者词汇误用可分为:词形失误、词义失误和词法失误。导致失误的原因有:非语言因素干扰、语内负迁移及语际负迁移。同时提出了解决词汇误用问题的教学策略:加强语音教学,重视发音规则的传授;加强构词法教学,注意符合规则词汇的归纳积累;增加地道英文输入,降低语际负迁移的影响;传授搭配知识,引导学生自主学习词汇搭配;通过语言对比进行词汇教学。     

The Grand Challenge of Reducing Gender and Racial/Ethnic Disparities in Service Access and Needs Among Adults with Alcohol Misuse

This study examined the impact of the Affordable Care Act (ACA) on gender and racial and ethnic disparities in accessing and using behavioral health services among a national sample of adults who reported heavy or binge alcohol use (n = 52,496) and those with alcohol use disorder (AUD; n = 22,966). Difference-in-differences models estimated service-related disparities before (2008–2009) and after (2011–2014) health care reform. A subanalysis was conducted before (2011–2013) and after (2014) full implementation of the ACA. Asian subgroups among respondents with heavy or binge drinking were excluded from substance use disorder (SUD) treatment and unmet need outcome models due to insufficient cell size. Among heavy or binge drinkers, unmet SUD treatment need decreased among Black women and increased among Black men. Mental health (MH) treatment decreased among Asian men, whereas unmet MH treatment need decreased among Hispanic men. MH treatment increased among Hispanic women with AUD. Although there were improvements in service use and access among Black and Hispanic women and Hispanic men, there were setbacks among Black and Asian men. Implications for social workers are discussed.     

Brief Report: Child Sexual Abuse Inquiries in Hong Kong, 2000–2017

Community advocates in Hong Kong found no formal curriculum on child sexual abuse (CSA) prevention and started a newspaper column in 1999 to disseminate public education. This study analyzed the inquiries sent to this prevention column from 2000 to 2017. Content analysis found that, in 515 inquiries, 170 (33%) reported CSA incidents. Based on age information in 147 incidents, female abusers (n?=?28) targeted victims averaging 6.48 years of age, which is 3.08 years significantly younger than those abused by male abusers (n?=?119). In 82 inquiries with abusers’ age information, 42 minor “abusers” were reported. Early sex education is highly recommended.     

The Strengthening Families Programme (SFP) 10‐14 and substance misuse in Barnsley: the perspectives of facilitators and families

The aim of this study was to evaluate the Strengthening Families Programme for young people aged ten to 14 and their parents (SFP 10‐14) in Barnsley, a northern English city, based on the experience of facilitators and families who had participated in the programme. A mixed methods design blending both quantitative and qualitative data was used in the study carried out in two phases over a nine‐month period in 2005. Quantitative data were collected through: the SFP 10‐14 Parent/Caregiver Survey Questionnaire, the SFP 10‐14 Young Persons' Survey Questionnaire and the Strengths and Difficulties Questionnaire. Questionnaire data were compared at the beginning of the SFP 10‐14 programmes (weeks 1–2) and at the end of the programmes (week 7). In addition, two focus group meetings were held with families who had undertaken the SFP 10‐14 programme; and three focus group meetings were conducted with facilitators of SFP 10‐14 programmes. Once quantitative and qualitative data had been analysed separately, a synthesis of the main findings from both approaches was then completed. Following the programmes, parents reported significant changes in communication limit setting, emotional management, prosocial behaviour and drugs/alcohol use. Total difficulties scores were also significantly different pre‐ and post SFP 10‐14 programmes. For the young people, communication, and emotional management were improved and their drugs/alcohol use was less. Their total difficulties scores were also significantly different. Qualitative evidence indicated that families who participated in the study found the SFP 10‐14 useful in preventing young people's alcohol and drug use in terms of: learning more about alcohol and drugs, using knowledge and skills to reduce behaviours that might lead to alcohol and drug use and, for young people, dealing with peer pressure that might lead to drug and alcohol use. Parents/caregivers and young people reported that the SFP 10‐14 had played a part in improving family functioning through strengthening the family unit. The findings from this exploratory study suggest that the SFP 10‐14 may be a useful primary prevention intervention in helping to prevent drug and alcohol misuse in young people. Copyright © 2009 John Wiley & Sons, Ltd.     

The consequences of love: young people and family practices in difficult circumstances

In recent years, there has been a resurgence of sociological work exploring the importance and meaning of kinship. Much of this work has criticized the ‘individualization’ thesis according to which changes in family structures over time have been interpreted as reflecting a fundamental decline in family values. Highlighting continuities as well as change in family life, this work has also suggested ways to move beyond the individualization debate and to develop alternative frameworks for the study of contemporary families and personal life, notably through the analysis of related practices. For various reasons, this recent work has focused primarily on the experience and practices of adults in ‘ordinary’ rather than more difficult family circumstances. This article aims to complement this work by focusing on the difficult family experiences of young people affected by parental substance use. It is argued that it is important not to lose sight of such experiences in order that sociological thinking reflect the diversity of family practices and the resources available to support them, including at younger ages. In addition, the importance of developing concepts or a language facilitating the exploration and communication of the emotional and symbolic significance of these practices is emphasized.     

Military-civilian differences in a driving under the influence (DUI) program sample

ABSTRACT

It is unknown how military-connected participants in DUI programs differ from civilians on sociodemographic, health, and alcohol severity factors. This study analyzed data from 19,639 DUI program participants from 2009 to 2014. Compared to civilians, active duty participants were younger, more likely male and married/partnered or separated, less likely disabled, more likely to be Black, less likely to report anxiety or involvement in domestic violence, more likely to report prior alcohol treatment and having a first-time conviction, and less likely to score in the problematic drinking category. Veterans showed patterns similar to those of active duty with some notable exceptions. Results may be helpful in tailoring culturally competent DUI program content, particularly among social workers who often serve this population.