A Retrospective Examination of Child Protection Involvement Among Young Adults Accessing Homelessness Services

Childhood maltreatment is associated with a variety of young adult adversities including homelessness. This study used linked administrative records to develop a population‐level, epidemiological characterization of the child protection histories of young adults accessing homelessness services. The records of all 17‐ to 24‐year‐olds receiving homeless services between 2011 and 2014 in San Francisco County, California (n = 2241) were probabilistically linked to statewide child protective service (CPS) records. Findings document that 50.0% of young adults had been reported for maltreatment at least once during childhood, yet the prevalence of past CPS involvement varied across demographic and child welfare characteristics. Homeless female youth were significantly more likely to have a CPS history than male youth (58.1% vs. 41.5%). Nearly twice as many Black clients accessing homelessness services had a CPS history as did White clients (59.8% vs. 31.8%). Roughly half (47.3%) of those with a childhood history of reported maltreatment had been last reported for maltreatment in another California county. Targeting services that address past trauma and instability among homeless young adults may be justified given the prevalence of CPS history in this population.     

The experience of receiving a kidney transplant from a deceased donor: Implications for renal services

Objective: The study aimed to explore the psychological experiences of receiving a kidney transplant from a deceased donor and to examine resulting implications for renal services.

Design: A qualitative design was utilised within an interpretative phenomenological analysis (IPA) framework.

Main outcome measures: Semi-structured interviews were conducted with six adults (male = 5, mean age = 45 yrs) on their experiences of receiving a kidney transplant from a deceased donor. All participants had their transplant within the preceding 21 months. Data were analysed using IPA.

Results: The four elicited themes incorporate recipients’ positive feelings about receiving a transplant, mainly arising from the newfound freedom that this entails, in addition to strong feelings of gratitude towards their donors. They also capture challenges, such as the uncertainty of living with a transplanted kidney, and highlight the increased dependence on others throughout the transplant process.

Conclusion: The findings indicate a range of psychological, social and occupational experiences for participants. It is concluded that optimal care in renal services would incorporate a holistic approach to pre and post-transplant care; identifying and supporting the needs of transplant recipients. A biopsychosocial model of care may enhance service user well-being. Potential areas of future research are explored.     

The Impact of Protective Factors on Posttraumatic Growth for College Student Survivors of Childhood Maltreatment

Many college students experience traumatic life events in childhood, yet demonstrate personal growth following these experiences. Deriving benefit in the face of adversity has been termed “posttraumatic growth.” The relationship between posttraumatic growth and childhood experiences of abuse and neglect was investigated in a sample of 501 college students. The primary focus was on what protective factors moderated the relationship between childhood experiences of abuse and neglect and later posttraumatic growth. It was found that although the protective factors of acceptance, positive reframing, and emotional support all significantly predicted scores on the Posttraumatic Growth Inventory, only the factor of prosocial adults and the overall number of social and emotional resources experienced moderated the relationship between childhood maltreatment and posttraumatic growth. These findings have implications for designing effective interventions that foster growth in college students who report a history of childhood maltreatment.     

Religiosity and attitudes towards professional mental health services: analysing religious coping as a mediator among Mexican origin Latinas/os in the southwest United States

In this study, we examined the relationship between religiosity and attitudes towards professional mental health services. We further examined whether internal religious coping and external religious coping mediated both relationships. Results indicated a significant association with religiosity and negative attitudes towards mental health services, as well as external religious coping and internal religious coping. Results also showed a nonsignificant association with both religious coping and negative attitudes towards mental health services. Finally, external religious coping mediated the relationship between religiosity and negative attitudes towards mental health services for men but not for women.     

Religious Change and Stability: Seasonality in Church Attendance from the 1940s to the 2000s

Using attendance data from a declining Episcopal church and a growing Lutheran church in a medium‐sized midwestern city, we explore the issue of seasonality in church attendance from the 1940s to the late 2000s. Our central concern is whether month‐to‐month variation in church attendance has remained the same or changed over the period of time under consideration. We find remarkable consistency in the overall month‐to‐month attendance pattern over the course of the past seven decades but less variation in attendance from month to month in more recent decades in both churches. We argue that the findings demonstrate the presence of a “committed core” of church members who attend regularly and the departure of nominal members who have swelled the ranks of the “nones” in recent decades.     

Predictors of successful discharge from out-of-home care among children with complex needs

We examined the predictors for successful discharge from out-of-home care of children with complex needs placed in a novel comprehensive service intervention (Manatee Model) and compared their discharge experiences to their out-of-home counterparts from the same county. The study design consisted of a longitudinal two-year comparison of these two groups. A total of 147 cases were included in the analysis, and the propensity scoring technique was used to equate the groups. Among children admitted to the Manatee Model, boys, White children, younger children, those who came from a single-parent family, those who were abused, and those who had a disability (physical or emotional disability or medical condition) were found less likely to successfully exit within the two years when these predictors were examined separately. Multivariate analyses indicated that only age at the time of removal and health status were significantly associated with successful discharge. Implications of the findings are discussed.     

Reliability and Validity of the Vicarious Trauma Organizational Readiness Guide (VT‐ORG)

The Vicarious Trauma Organizational Readiness Guide (VT‐ORG) is an assessment of an organization's readiness to address vicarious trauma (VT), which is exposure to the traumatic experiences of people served. This study reports on the psychometric properties of the VT‐ORG. Employees of first responder agencies (e.g., law enforcement, fire, emergency services) and victim assistance agencies are at a high risk for vicarious traumatization, which can lead to PTSD, substance use, and suicidal ideation, among other negative impacts. Organizations that do not address VT may see such effects as employee turnover, reduced efficiency, and negative work environments. The VT‐ORG is an assessment tool designed to help organizations complete the first step of organizational change—conducting a needs assessment. Study participants were 3,018 employees across 13 first responder and victim assistance agencies who completed the 67‐item VT‐ORG and additional measures for evaluation of its validity and reliability. The VT‐ORG was found to have excellent internal consistency (Cronbach's α = .98). A structural equation model demonstrated that the subscales of the VT‐ORG predicted criterion measures of turnover intention, compassion satisfaction, and organizational resilience, with an overall model fit of CFI = .99, RMSEA = .053. This study found the VT‐ORG to be a reliable and valid assessment of organizational responses to vicarious trauma.     

Trauma-Informed Knowledge and Practices in School Psychology: A Pilot Study and Review

Growing acknowledgement that adverse childhood experiences are widespread and can threaten healthy development has led to advocacy for schools to systematically incorporate trauma-sensitive practices and policies. While the background and training of school psychologists would seem to make them the ideal professionals to lead such work, little is known regarding their preparedness to engage in these school-based practices. The current pilot study examines the experiences, education and training, confidence and competence, current and desired roles, and perceived barriers and supports of school psychology trainers, trainees, and practitioners to engage in trauma-informed practices within schools. Results indicated that high majorities reported scant knowledge or competencies across domains of professional practice considered essential to trauma-informed care delivery. Findings and implications are discussed.     

移动健康的理论基础与效果评估

移动健康(mHealth)本质上是基于移动信息技术而开发的移动健康技术。在对电子健康(eHealth)和移动健康做出区分的基础上, 通过一系列实证研究的回顾, 总结出了移动健康技术的五大理论基础, 即认知行为理论、社会支持理论、行为转变理论、行为学习理论和扎根理论。进一步分析发现, 移动健康技术在心理问题解决、生理疾病管理、健康行为促进方面具有一定效果, 但仍需要更加坚实的证据。未来研究要着重探讨移动健康干预的有效性影响因素, 进一步找出影响干预有效性的作用机制, 为实现人性化的以及良好的干预效果提供证据支撑。