Project FIND has been providing innovative supportive housing, nutrition, and social support to homeless and low- and moderate-income seniors on New York City’s West Side since 1967. This article profiles this nonprofit, community-based agency, which was established to meet the needs of the frail and isolated elderly, and has continued to grow and evolve in response to changing demographics, neighborhood gentrification, and needs of both the homeless as well as the active “younger old.” The article describes creative programming that has distinguished Project FIND’s response to seniors’ needs beyond basic housing and nutrition. It also explores what it takes to successfully provide senior services using limited resources and examines challenges for the future both nationally and for the agency.
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- Go to article: Implementation and Functioning of Collaboration Agreement for Intrafamilial Homicide Risk Intervention
Implementation and Functioning of Collaboration Agreement for Intrafamilial Homicide Risk Intervention
In the worrisome context of increasing rates of intimate partner violence and a number of recent deaths reportedly occurring in domestic situations, the establishment and maintenance of effective intervention strategies is a critical public health concern. The present study aimed to evaluate the functioning of a regional intersectoral rapid intervention collaboration agreement (called A-GIR) initiated to respond preventatively to situations identified as high risk of domestic homicide, in Quebec, Canada. In order to better understand how such a collaboration may be successfully implemented, a qualitative analysis was conducted of the perceived functioning of A-GIR and the factors that favor its success as well as issues that should be addressed in this and other such initiatives to ensure efficient and effective practices that prevent the loss of life. Participants (N = 15) were active A-GIR members, who responded to semi-structured interviews which were thematically analyzed. Results are discussed in relation to established partnership action evaluation criteria. The study highlights the necessary conditions for the success of a collaborative agreement such as A-GIR.
- Go to article: Employer Practices in Improving Employment Outcomes for People With Disabilities: A Transdisciplinary and Employer-Inclusive Research Approach
Employer Practices in Improving Employment Outcomes for People With Disabilities: A Transdisciplinary and Employer-Inclusive Research Approach
Objective: Share new knowledge about workplace practices related to employer success in hiring, retaining, and promoting people with disabilities, and promote use of findings to employers and service providers.
Design: A transdisciplinary and multifaceted data gathering approach.
Results: Provides an overview of the research approach taken and the strengths regarding this approach.
Conclusions: The significance of findings for rehabilitation researchers and policy makers focused on improving employment outcomes for people with disabilities, for rehabilitation counselor educators preparing future service providers, and for practicing professionals providing services to individuals with disabilities and consultation to employers regarding disability issues, are presented.
- Go to article: A Strengths-Based Multidisciplinary Leadership Team: A Case Study in an Urban Middle School
For school leaders challenged with meeting the needs of students, staff, parents, and community members, strengths-based leadership approaches have proven beneficial in accomplishing goals of teacher/staff development, addressing school climate, improving relationships between parents and school, and planning interventions for student success. The purpose of the present study is: (a) to offer a description of a multidisciplinary leadership team that employs a school social worker as a school administrator in a sixth–eighth grade middle school; (b) to identify the social worker's view of the strenghs-based approach and how this influences her administrative role; and (c) to consider whether the social worker’s unique skills are valued by others in the school community, when the social worker is a member of the school’s leadership team.
A case study approach was used in this study.
The study identifies key areas in which school leadership can be informed and opportunities for further research on how multidisciplinary teams using strengths-based approaches in intervention could prove beneficial to K–12 educational reform.Source:
Regular exercise is a mainstay of preventive health care for individuals of all ages. Research with older adults has shown that exercise reduces risk of chronic illness, maintains mobility and function, enhances mood, and may even improve cognitive function. For individuals with dementia, exercise programs are particularly likely to improve health, mood, and quality of life; the challenge at this time is to make exercise accessible and enjoyable, demonstrate its benefits, and convince family caregivers of its worth for individuals with dementia. Home health providers are uniquely positioned to assist caregivers in developing and implementing a home exercise program for their care recipient with dementia. Results of a controlled critical trial conducted at the University of Washington have demonstrated the feasibility and efficacy of a home health exercise and problem solving intervention (Reducing Disability in Alzheimer’s Disease, or RDAD) for decreasing physical, psychological, and behavioral disabilities associated with dementia. This article describes the RDAD program, discusses the role of home health providers in its delivery, and provides an example of its implementation.Source:
- Go to article: Aching to be Understood: Vocational Rehabilitation Implications for Emerging Adults in Chronic Pain
Emerging adults, the developmental period ranging from the late teens through the 20s, experience chronic pain at an estimated rate of 7.6%–14.3% and report greater pain interference (i.e., pain that disrupts daily life activities) than middle-aged or older adults. Chronic pain can interfere with the completion of developmental tasks associated with biological, psychological, occupational, and social changes necessary to move from emerging adulthood into young adulthood. For these reasons, the impact of chronic pain may be more detrimental for emerging adults than for middle-aged and older adults.
To investigate the unique characteristics and vocational rehabilitation needs of emerging adults with chronic pain and to identify and implement policies, practices, and interventions that facilitate the achievement of vocational rehabilitation consumer’s self-determined goals.
The authors reviewed the literature on (a) common conditions that cause chronic pain in emerging adults, (b) the populations most at risk of experiencing chronic pain in emerging adulthood, (c) psychosocial aspects of chronic pain for this population, (d) vocational impact of chronic pain on emerging adults, and (e) the use of the disability centrality model to guide assessment and planning.
This literature review examines best practices related to vocational rehabilitation and emerging adults living with chronic pain. Comprehensive recommendations are provided that inform all phases of the vocational rehabilitation planning process, including services related to outreach and eligibility, counseling and guidance, physical and mental restoration, post-secondary education, job development and placement, and accommodation planning.
Whereas intimate partner violence (IPV) perpetrated by men against women has been studied at length, relatively little attention has been given to violence perpetrated by women against their male intimate partners. This study represents one of relatively few attempts to better understand the experiences of male IPV victims. Specifically, this study explored the characteristics of men who obtain and withdraw a protection order against a female intimate partner, in comparison to those men who obtain and do not withdraw the order. We also looked at the reasons men cite for obtaining and withdrawing a protection order and the types of relief granted by the court. Findings from this study revealed that men who requested protection from abuse (PFA) against female intimate partners experienced a pattern of victimization prior to their requests for protection, including physical, psychological, or emotional abuse. Although, each of these men sought and was granted a “no abuse, stalk, or threaten” order, few of them were able to obtain temporary custody of children they had in common with the defendant, nor were they successful in getting defendants evicted from the home or getting the court to order defendants to relinquish their firearms. A comparison of men who withdrew their PFAs to those who did not withdraw them suggested that men who did not withdraw their PFAs perceived their abusive situations as being more serious. Implications for future research are discussed.
Research on partner abuse has lagged in much of the world where attention has been on other problems (such as famine and war) and other crimes against women (e.g., honor killings, genital mutilation). We conducted a sweeping review of scholarly articles published in peer-reviewed journals and by government agencies outside of the United States and English-speaking developed nations that provided quantitative data on physical, psychological, and sexual abuse of intimate partners as well as consequences, risk factors, and attitudes. One hundred sixty-two articles reporting on more than 200 studies in Asia, the Middle East, Africa, Latin America, and Europe met the inclusion criteria from various types of samples. Most of the studies reported on female victimization only, but 73 reported on both male and female victimization.
We also conducted an analysis of data from our literature review, including 1 major cross-national study, to determine the relationship among prevalence of abuse, social factors, and women’s empowerment. Results indicate that partner abuse is a widespread problem around the world, with multiple causes. Overall prevalence of abuse is higher in Third World countries compared to the United States, and rates for physical and psychological abuse are comparable across gender in most countries when all types of samples are considered. No significant association was found between rates of partner violence (PV) and a nation’s level of human development. However, a significant relationship was found between a nation’s level of gender empowerment and rates of PV by both males and females but only for university dating samples from the International Dating Violence Study (IDVS). In addition, an analysis of the IDVS indicates that efforts by 1 partner to dominate the other are positively correlated with physical abuse perpetration for women, but not for men. Among the limitations of this review was the relatively few numbers of large population studies that ask about both male and female perpetration and victimization and the consequences and context of PV. Implications of the findings include the need for a broader conceptualization of PV as not merely a gender problem but also (and perhaps primarily) a human problem.
This study adds to the available literature on female-perpetrated intimate abuse by examining Dutton’s (2007) theory of the abusive personality (AP) in a sample of 914 women who had been involved in dating relationships. Consistent with the AP, recalled parental rejection, borderline personality organization (BPO), anger, and trauma symptoms all demonstrated moderate-to-strong relationships with women’s self-reported intimate psychological abuse perpetration. Fearful attachment style demonstrated a weak-to-moderate relationship with psychological abuse perpetration. A potential model for explaining the interrelationships between the elements of the AP was tested using structural equation modeling (SEM). Consistent with the proposed model, recalled parental rejection demonstrated relationships with BPO, trauma symptoms, and fearful attachment. Similarly consistent with the model, trauma symptoms demonstrated a relationship with anger; and BPO demonstrated strong relationships with trauma symptoms, fearful attachment, and anger. Additionally, anger itself had a strong relationship with women’s self-reported perpetration of intimate psychological and physical abuse. Contrary to the proposed model, fearful attachment had a nonsignificant relationship with anger when this relationship was examined using SEM.
- Go to article: Perceived Health and Functional Status and Work Environmental Factors as Determinants of Psychological Stress Among Employed People With Multiple Sclerosis
Perceived Health and Functional Status and Work Environmental Factors as Determinants of Psychological Stress Among Employed People With Multiple Sclerosis
This correlational study examined relationships among (a) health and function factors, (b) work environmental factors, and (c) perceived psychological stress among employed people with multiple sclerosis (MS).
Based on responses to a national survey by 523 employed people with MS, this study used a hierarchical multiple regression analysis.
The final model explained 30% of the variability in participants' perceived stress scores. Participants who perceived better overall health, who experienced less severe cognitive impairment, who expressed higher levels of job satisfaction, and who did not receive accommodations at work reported lower stress scores than did other participants.
The important role of stress in employment and career decision-making underscores the value of tailored psychosocial, medical, and vocational interventions for employed people with MS.