An Exploration of Mothers' Successful Completion of Family-Centered Residential Substance Use Treatment

Behavioral health and substance use centers have started focusing efforts on creating, adopting, and implementing evidence-based practices and programs that effectively address the needs of women and, particularly, mothers entering treatment with children. However, women with substance use disorders (SUDs) remain an underserved and understudied population; even less studied are the complexities and unique SUD treatment needs of women who have children. Family therapists' systemic training is a valued approach in conceptualizing and implementing treatment for mothers with SUDs and their families. This study explored the construct of mothering children during family-centered substance use treatment using a transcendental phenomenological approach. Analysis revealed themes related to motherhood, parenting, and support for mothers and children. Two themes emerged from the data: (a) grappling with motherhood and addiction leading to the decision for treatment and (b) specific aspects of the treatment program conducive to motherhood. Results indicated the positive impact of mothers' experiences in family-centered substance use treatment, aligning with previous literature that suggests mothers are more engaged in treatment when their children remain in their care. The insights gleaned from the participants in this study provide suggestions for further improving programming that supports mothers and their children during the recovery process. Treatment considerations are offered for family therapists working with mothers with SUDs and their families.     

Resilience Factors and Suicide Risk for a Sample of Transgender Clients

This study explored how individual- and community-based resilience factors operated together in order to reduce risk of suicide for a sample of transgender therapy clients. We collected cross-sectional survey data from 106 transgender therapy clients at a local community center, including demographic information, experiences of relational support, participants' emotional stability, and risk for suicide. Results from our mediation analysis indicated that high levels of perceived relational support are related to reduced risk for suicide and that this happens by way of a person's emotional stability. Clinical implications for family therapists are discussed based on the significant indirect effect found in this study.     

A comparison of sources of baseline data for treatments of problem behavior following a functional analysis

It is common practice in research on the treatment of problem behavior to compare levels of targeted behaviors during treatment to levels when treatment is not in place. Some researchers use data collected as part of a multielement functional analysis as the initial baseline, whereas others collect new baseline data following completion of the functional analysis. We evaluated whether the source of baseline data influences the reliability and efficiency of decision-making. Results suggest that similar decisions are made in regard to treatment efficacy using the different sources of baseline data, but using data from a multielement functional analysis as baseline may save time. Interrater agreement was adequate, but lower for some graphs than has been observed in past studies. Several potential explanations for this discrepancy are discussed.     

A multiple species approach to sequential learning: Are you a man or a mouse?

We have developed a method for studying list learning in animals and humans, and we use variants of the task to examine list learning in rats, mice, and humans. This method holds several advantages over other methods. It has been found to be easily learned without lengthy pretraining. The data gathered with this procedure provide a measure of correct response rates, of incorrect responses and the locations of these responses, and of response latency on a trial-by-trialbasis. We have examined mouse, rat, and human list acquisition of patterns ranging from 12 to 48 items in length. This procedure has also been used to examine many aspects of list learning, such as the effects of the placement of phrasing cues that are either consistent or inconsistent with the structure of the list in rats and mice, the effects of phrasing cues of differing modalities in mice, the sensitivity of subjects to violations of list structure in rats, subjects’ abilities to “chunk” from nonadjacent serial positions in structured lists in rats, and subjects’ sensitivity to serial patterns with multiple levels of hierarchical organization. The procedure has also been used to examine the effects of drugs on sequential learning.     

Living the vision: health care, social justice and institutional identity.

This paper will examine the topic of identity in Roman Catholicism from the perspective of topics contained in or absent from mission statements of 25 Catholic health care institutions. In particular, I will look at these from the perspective of social justice as well as how this and other topics such as human dignity, sanctity of life, stewardship, pastoral care and the likelihood of mergers with other institutions will affect the healing ministry of Catholic health care providers. The article will conclude that there are three key dimensions to Catholic health care: leadership in advocating reform of the current health care system, care for the marginalized and under-insured, and the provision of pastoral care in all institutions.     

Professional service involvement of leadership faculty: An assessment of gender,role, and satisfaction

This study explored gender differences among educational administration faculty and their participation in and satisfaction with professional association activities. The study population would be characterized as overwhelmingly male and white, but with women and minority candidates beginning to enter the faculty ranks. Women faculty reported involvement in more professional service activities and a slightly higher satisfaction with their involvement than their male colleagues. However, women participated in different types of and more professional association activities than men.     

The role of reference in children's acquisition of a miniature artificial language

Nursery school children were presented with a simple miniature artificial language in one of three conditions. In the first, the stimuli to which the words referred contained an inherent lawful relationship and the language syntax reflected this relationship. In the second, the stimuli contained an inherent lawful relationship but the language syntax did not reflect this relationship. In the third, no lawful relationship existed among the stimuli to which the words referred so the language syntax imposed an arbitrary relationship among stimuli. Subjects in the first group were able to produce more correct utterances than those in the other two groups when the stimuli to which the words referred were not present, suggesting that some form of semantic mediation mechanism was being used. Evidence from novel constructions indicates that for both groups using stimuli containing an inherent lawful relation there were interactions between semantic learning mechanisms and syntax learning mechanisms.     

When Manipulation Backfires: The Effects of Time Delay and Requester on the Foot-in-the-Door Technique

We examined the effects of 2 variables on compliance rates within the foot-in-the-door procedure. Participants who agreed to a small request were presented with a larger request either immediately after the first request or 2 days later. The second request was presented either by the same person or by a different requester. Compared to a control group receiving only the large request, participants were more likely to agree to the second request in all experimental conditions except one. When the same requester presented the second request without delay, participants were less likely than the control group to agree to the target request. This latter condition represents a situation in which typical foot-in-the-door procedures can backfire on the requester.     

Duty to Re-Contact: A Study of Families at Risk for Fragile X

DNA testing for Fragile X syndrome is now routinely available through a large number of diagnostic laboratories. We have surveyed individuals from British Columbia Fragile X families identified prior to the availability of DNA testing for FMR1 to determine if they are subsequently receiving information about DNA testing. Of the 78 individuals first seen before the cloning of the FMR1 gene, 39 (50%) had not been seen in the clinic to discuss DNA testing. We initiated a contact program with these 39 patients to determine their interest in DNA testing. Contact was made with 28 individuals, 20 of whom stated interest in testing either for themselves or for a relative. Patient opinions about DNA testing were assessed through questionnaires. In those individuals who stated an interest in DNA testing, the most common reason for wishing testing was to provide information to children or grandchildren. The most common disadvantages of testing indicated by this group were that they had finished their families and that they felt the test would not have a direct impact. The most common reasons individuals were not interested in DNA testing were that there were no family members appropriate to test and that the respondent had completed his or her family. DNA testing has been performed for 13 of the 28 (46%) contacted individuals and/or at least one relative. In view of the high level of interest for testing in families who had not been seen since the cloning of the FMR1 gene, we feel that FMR1 screening programs should include actively contacting previously seen individuals.