Engaging African Americans in Therapy: Integrating a Public Policy and Family Therapy Perspective

The field of marriage and family therapy faces a growing imperative to reach historically underserved populations. African Americans are a prime example of a minority group in the United States that continues to be underserved by the current mental health system. We integrate Andersen’s (1995, Journal of Health and Social behavior, 36, 1–10) public policy model of health service use with Fox et al. (1995, Journal of Health Care for the Poor and Underserved, 6, 434–468) revision of the rural de facto mental health services model (Regier and Goldberg, 1978, Archives of General Psychiatry, 35, 685–693) to develop a more inclusive and culturally sensitive framework that captures salient factors influencing African Americans’ entry into and engagement in therapy. Recommendations for overcoming barriers and suggestions for future research are presented.     

行为社会政策：“助推”公共福利的实践与探索

行为社会政策是基于人的行为特点而设计, 使用“助推”作为政策工具来执行的社会政策。它是行为科学在社会政策范畴的应用, 其原理在于洞察人们做选择时的行为偏好, 以隐性且非明显经济刺激的方式谋求公众利益。从政策制定者的角度出发, 基于自愿性和信息性的统一, 可将行为社会政策中的助推策略分为增加策略、减少策略和转换策略; 三大策略被用于再住院率、儿童健康、社区养老、入学资助、就业问题、器官移植和精准扶贫等民生领域, 帮助人们做出更好的选择, 提高公共福利。作为一种新兴的方法和技术, 助推并非万能, 需要政策制定者对症下药、精确识别、权衡使用, 规避“行为官僚”, 才能真正实现国家治理现代化和社会利益最大化。     

Evidence‐Based Human Trafficking Policy: Opportunities to Invest in Trauma‐Informed Strategies

Human trafficking is a critical social issue characterized by chronic trauma among victims, and frequently preceded by traumatic experiences that contribute to risk of victimization. Therefore, the research‐based practice of trauma‐informed care is a highly appropriate lens for both prevention and intervention. This work examines federal legislation in the United States related to human trafficking for references to trauma, as well as how the use of research could implicitly direct public policy responses toward trauma‐informed approaches. Legislation on human trafficking has risen substantially since 1989, and the use of research and trauma language within these policies has also observed substantial increases. While the use of trauma language was associated with limited progression in the policy process, legislation using research language was more likely to pass out of Committee and become enacted. Moreover, legislation may leverage research in ways that have the potential to bolster trauma‐informed practice among human trafficking victims. Specifically, research can be used to describe the problem and causal mechanisms (e.g., impact of trauma), guide “best practice” for service delivery, and generate knowledge through studies and evaluations that guide future policy. Therefore, human trafficking legislation that implicitly guides trauma‐informed practice via the use of research may be particularly promising for the field.     

A New Social Contract: Substituting the Neoliberal Public Policy Paradigm with a Participatory Public Policy Paradigm

Peter Hall introduced the concept of paradigm shifts into the public policy discourse. His account explains the seismic transition the world experienced in the 1980s. With this neoliberal paradigm the former social contract between the public leadership and the people unraveled and the future of humanity has been put at risk. To steer humanity back in the direction of a sustainable future, the author argues for a participatory public policy paradigm instituted as a reinvention of Rousseau’s social contract theory with tree distinct features that respond to the complexity of life in modern times.     

关于耳蜗传出神经系统功能研究的启示

对卫生管理中具有战略地位的卫生政策的理论与实践领域的背景和文献进行分析,认为卫生政策基本理论与方法论研究、卫生政策分析方法及技术研究、卫生决策科学化研究、卫生决策体制与过程的研究,社会公众参与卫生决策的研究等,是当前我国卫生政策的理论与实践中值得研究的主要问题。     

The Role of Christian Belief in Public Policy

It seems intuitive to the believer that God intended throughinstruction in the Law to define morality, intended to leadhumankind to "the right and the good." Further, God's love forhumankind, exemplified by the incarnation, atonement and teachingsof Jesus, and empowered by the Holy Spirit, should lead to abetter world. Indeed, the Christian worldview is a coherentand valid way to look at bioethical issues in public policyand at the bedside. Yet, as this paper explores, in a pluralisticsociety such as the United States, it is neither possible nordesirable for Christians to try to force their views on others.Still, it is obligatory for Christians to stand up and articulatetheir views in the public square. We should try to persuadeothers using either prudential or moral arguments. While wemust be willing to live with "the will of the people," at thesame time, we must not be intimidated into accepting the positionthat our voice is not valid because it has a religious basis.     

Truth and consequences

In his 1987 paper “Truth or Consequences,” Dan Brock describes a deep conflict between the goals and virtues of philosophical scholarship and public policymaking: whereas the former is concerned with the search for truth, the latter must primarily be concerned with promoting good consequences. When philosophers are engaged in policymaking, he argues, they must shift their primary goal from truth to consequences—but this has both moral and methodological costs. Brock’s argument exemplifies a pessimistic, but not uncommon, view of the possible shape and nature of applied philosophy. The present paper paints a richer and more optimistic picture. It argues that the difference between theoretical philosophy and applied philosophy is not best understood as a choice between truth and consequences. On the contrary, applied philosophers engage in forms of truth-seeking that are properly concerned with consequences—including the consequences of philosophical practice itself.     

Schools as Vehicles to Assess Experiences,Improve Outcomes,and Effect Social Change

Schools are important settings that can be utilized to yield a positive impact on youth and the many issues our society faces. In this Presidential Address, I identify key issues and directions for the field, advocating that we need to expand our ecological focus, improve school climate, and collaborate with schools to effect change. To illustrate these key themes, findings from four projects with k‐12 youth and educators in the United States are described, and these projects have the following foci: protective factors for youth exposed to violence, teacher‐directed violence as part of an APA Task Force, school climate and neighborhood factors in relation to academic outcomes, and school transitions for students with disabilities. Challenges and future directions to build upon community psychology theory, research, practice, and policy are discussed.     

The Prevalence and Consequences of Intimate Partner Violence Intrusion in the Workplace

This study examines the prevalence and consequences of intimate partner violence (IPV) in the workplace. Surveys were completed by 1,390 employees in 32 different companies representing different organization types. Over half of the women and almost a quarter of the males reported that they had been an IPV victim at some point in their lives with 16% reporting victimization in the previous 12 months. Younger workers and workers who witnessed IPV frequently as a child were more likely to be current IPV victims. Further, 41% of lifetime victims reported significant workplace consequences, such as missed days of work, tardiness, and perpetrator intrusion. Younger workers, a history of IPV physical injury, more frequent IPV events over longer periods of time, and a history of stalking were associated with a greater number of IPV work consequences. The cumulative effects of IPV as well as active victimization contribute to negative workplace consequences. With significant numbers of employees experiencing IPV and reporting workplace consequences, the present research underscores the need for employers to develop a more precise means of understanding cost and response.