Motivations for adolescents' first visit to a family planning clinic

Although family planning clinics routinely gather data on referral sources and primary reasons for visits, little is known about the "precipitating events" which motivate young women to make an appointment or show up at a clinic on a given day. In this study, 150 new patients at a large urban clinic were interviewed to determine what events or advice specifically led to their decision to approach a family planning clinic for the first time. The roles of pregnancy scares, advice from significant others, and situational factors in motivating service use are presented along with a discussion of the program implications of these findings.     

Attitudes toward consequences of pregnancy in young women attending a family planning clinic

This study examines the relationship between young women's knowledge and attitude concerning pregnancy and their sexual behavior. The study involved 78 young women (14-20 years of age) who had attended a midwestern family planning clinic. Primarily from a larger socioeconomic status, 70% of the participants said that they had never been pregnant. Adapting the testing methods of previous investigations, the study presented the participants with various exams intended to measure the following: 1) knowledge concerning "how babies are made"; 2) knowledge regarding intercourse and pregnancy; 3) anticipation of future consequences of adolescent childbirth; 4) anticipation of immediate consequences or fears of adolescent pregnancy. The study also examined the participants' contraceptive behavior and pregnancy history. The findings indicate that knowledge concerning understanding "how babies are made" does not influence sexual behavior, with no significant difference found between contraceptive users and non-contraceptive users. Also, the participants generally had accurate knowledge concerning intercourse and pregnancy. But the study did reveal significant differences in the evaluation of the consequences of pregnancy and childbirth. Those women who had previously been pregnant -- including those who had terminated their pregnancies -- showed a less negative attitude towards the consequences of pregnancy and childbirth than those who had never been pregnant. Furthermore, as the age of the women increased, the attitude became more positive. However, the study found that the attitude towards the consequences of pregnancy and childbirth had no impact on contraceptive behavior.     

A profile of young adolescents attending a teen family planning clinic.

The purpose of this study was to assess the client records of adolescents attending a teen family planning clinic to determine the reported episodes of sexually transmitted diseases, sexual abuse, alcohol and drug use, and other dysfunctional situations in the family. In addition, information about the initiation of sexual activity and sexual partners was assessed in the record review. Data were obtained from a county health department located in a metropolitan area of a southeastern state. A review of the records of 183 adolescents 15 years of age or younger provided information on ethnicity, grade in school, and assessment data from the clinic interviews and exams. Twenty-five clients said they were not sexually active when they came to the family planning clinic for the first time, and were brought to the clinic by a parent (usually the mother). Those clients who came without parents said they were sexually active. Forty-one percent had their first sexual experience between 12 and 13 years of age, 18% between the ages of 14 and 15, and the remainder before the age of 12. While over 7% specifically stated that they had been sexually abused or raped, an additional 19% described situations in the home or exhibited symptoms associated with a history of sexual abuse. Eleven percent had a history of two to three different sexually transmitted diseases, and 26% had three or more diseases. Seventy-two percent indicated that there was conflict in the home; several had left home because of abuse. Fourteen percent admitted using drugs, mostly cocaine or marijuana, and 17% reported that they used alcohol at least occasionally.     

Separation-individuation as a family transactional process in the transition to parenthood

This is a study of the impact of prebirth level of parental and marital individuation on the course of parent-infant and infant development during the first postnatal year. Support was found for the first hypothesis, namely, that a couple's composite individuation profile, taking into account the prebirth separation-individuation of the father and the mother, and their marriage, would be associated with positive infant development and parent-infant transactions related to separation-individuation and mutuality during the first postnatal year. A second hypothesis, that maternal individuation would most strongly predict infant and parent-infant development at 6 months, while paternal individuation would emerge at 1 year as a strong predictor, was not supported. It was found instead that prebirth maternal and paternal individuation were equally strong predictors at six months, while maternal individuation was the primary predictor at 12 months. Other findings on the direct and indirect associations between prebirth parental and marital individuation and postnatal parent-infant transactions suggest that early separation-individuation processes result from a complex configuration of triadic mother-father-infant transactions.     

Use of static and dynamic media to simulate environments: a meta-analysis

This article is a review of studies on how strongly responses from static media (such as color slides) and dynamic media (such as virtual reality models) compared to onsite evaluations or to each other. Eighty-four empirical findings were found. 6,323 participants and 967 environments were included in the review. The overall correlation of subjective responses obtained either onsite or by viewing static color simulations was r = .86. The overall correlation of subjective responses obtained either onsite or by viewing dynamic simulations was r = .83. The overall correlation of subjective responses obtained either from static or dynamic media was r = .82. It is suggested that both types of simulation generate statistically equivalent results and so a choice of simulation media should be based on efficacy rather than concerns about validity.     

The family therapy journals in 2002: a thematic review

This article reviews the principal English-language (including British) family therapy journals for the year 2002. A number of common themes and threads predominate within these journals. Articles relating to these themes are reported under distinct headings. These themes were: responding to 9/11; marital therapy and diversity practice. Significant research papers are incorporated into the relevant heading. This is the final thematic review undertaken by the current author.     

National Trends in Prayer Use as a Coping Mechanism for Depression: Changes from 2002 to 2007

To analyze national trends in the use of prayer among individuals with depression, we adopted a cross-sectional design with data from the adult Alternative Medicine supplement of the National Health Interview Survey 2002 and 2007. Prayer use and depression were combined into 4 categories: (a) prayed in the past 12 months and depressed; (b) prayed in the past 12 months and not depressed; (c) never prayed but depressed; and (d) never prayed and not depressed. Chi-square tests and multinomial logistic regressions were performed to analyze group differences. All analyses were adjusted for the complex sample design and conducted in SAS-callable SUDAAN. Use of prayer for depression was steady at 6.9 % across time; however, general prayer increased significantly between 2002 and 2007 (40.2 vs. 45.7). Women, aged 50–64, unmarried, with high school education were more likely to use prayer while depressed compared to those who were neither depressed nor prayed. Lifestyle behaviors (e.g. alcohol, smoking, exercise) were also associated with prayer use and depression. Prayer use for depression remained steady with unique relationships occurring among those who smoke, use alcohol, and have irregular exercise. Individuals’ use of prayer as a potential complementary treatment for depression suggests that it is critical for mental and physical health treatment providers to be aware of the use of prayer as a coping resource.     

Psychological services for children: using family therapy in the setting of a school psychological service

An attempt is made to evaluate the results of using family therapy in the setting of a school psychological service over a period of about two-and-a-half years. Seventy-two children were involved, referred by teachers, with a variety of behavioural difficulties and learning problems. The difficulties of involving parents in regular clinic sessions for problems which they either saw as school-based or did not see at all are discussed. It is suggested that the technique of family therapy has been insufficiently exploited to help children seen to have 'a special educational need'. This includes children who are developmentally immature, as well as those who show more overt signs of emotional disturbance.     

A two year audit of a family therapy clinic in adult psychiatry

This paper reports a 2 year audit of a family therapy clinic in a psychiatric department, focusing especially on the relationship between diagnosis and outcome. Patients with affective disorders–especially where anxiety predominated–and eating disorders had good outcome. Structural change occurred in families with psychotic members, even though psychotic symptoms were often unchanged. Difficulties with an acute onset were more responsive than long-term problems, but a substantial number of the latter did improve. Families receiving between four and 10 sessions had the best outcome, and improvement was generally maintained at 2 year follow-up.     

Work and family research in IO/OB: Content analysis and review of the literature (1980-2002)

This monograph reviews 190 work-family studies published in IO/OB journals from 1980 to 2002. The results of a content analysis are presented which catalog these articles with respect to the study focus, nature and direction of the proposed effects, and predictor, criterion, and mediator variables examined. Then a narrative review of the articles is presented, organized in terms of the following topical areas: (1) work-family conflict, (2) work role stress, (3) work-family assistance, (4) work schedules, (5) job-related relocation, (6) career and job-related outcomes, (7) gender and the relationship between work and family domains, (8) dual-earner couples, and (9) relationships among life domains. The review concludes with a discussion of recurring themes in the literature and the identification of blind spots in the IO/OB perspective on work and family. Specific suggestions for future research are also provided.     

The application and utility of a family assessment procedure in a child psychiatry clinic

The application of a method of assessing families from a total family systems viewpoint is explored. It was found that the method (the McMaster Model) was well-suited to routine practice in a British child psychiatry setting with routine clinic referrals. It constituted a good procedure both for assessing and for preparing families for family therapy. In this paper the practical procedure is described. Some of the issues arising from the approach and from the assessment of thirty-four clinic families are discussed. It was also found that the method provided a very good framework for teaching.     

Balance between volunteer work and family roles: Testing a theoretical model of work‐family conflict in the volunteer emergency services

Trends indicate overall declines in numbers of volunteer emergency service workers and suggest negative organisational factors impacting adversely on volunteers and organisations. Conflict between emergency service work and family is implicated in falling volunteer numbers, and there is thus a need for research on difficulties experienced in balancing volunteer work and family. The current study tested an adaptation of the work‐family conflict (WFC) model originally proposed by Frone, Russell, and Cooper, in a sample of 102 couples in which one partner was an Australian emergency service volunteer. Results supported a model in which volunteer work‐related antecedents, including time invested in on‐call emergency activities and post‐traumatic stress symptoms, had indirect links with outcomes, including volunteer burnout and their partners' support for the volunteer work role, through the effects of WFC. These results add to research using theoretical models of paid work processes to better understand the problems faced by volunteer workers, and identify specific antecedents and outcomes of WFC in the volunteer emergency services. Implications for future research and organisations reliant on volunteer workers are discussed.     

A comparative study of family therapy in the treatment of opiate users in a London drug clinic

This study presents the results of a randomized treatment trial of family therapy and two control treatments for 119 outpatient opiate users. All treatments were combined with a methadone reduction programme. The control treatments were: (1) a 'standard' treatment (supportive psychotherapy) and (2) a 'low contact' intervention. Treatment outcome was evaluated six and twelve months after the initial assessment. Both the family therapy and minimal intervention groups had a significantly higher number of drug–free days at six and twelve months, compared to the standard treatment, despite receiving fewer treatment sessions. Across all treatments there was evidence for a gender difference in response to therapy in users who were in a couple relationship. In couples where both partners were using drugs women did significantly better than men. Men living with a non–drug–abusing partner fared better than men living with a drug–using partner. Across the treatment groups diminution in drug use was accompanied by improvements in psychosocial functioning. Unemployment, sharing needles and injecting drugs were predictive of poor outcome.     

Establishing family inclusive acute inpatient mental health services: a staff training programme in Somerset

In spite of policies advocating the involvement of families in the care of mental health service users in the UK there are few examples of training initiatives to bring this about. This article describes the delivery of a whole-team training initiative to promote family inclusive working in all acute inpatient units in Somerset. The three-day staff-training programme is described and training outcomes are reported. Staff reported a significant increase in confidence in their skills for working with families, and a pre- and post-training case note audit showed an increased consideration of the needs of families. This was accompanied by a modest increase in the average number of family meetings. Obstacles to family inclusive ways of working on inpatient units are described, and strategies to overcome these are discussed.