A case study of Missouri's deferred retirement incentive for state employees.

Delayed retirement incentives can promote employee retention. Survey data results (N = 261) were used to explore factors associated with retirement and participation in Missouri's Deferred Retirement Option Provision (BackDROP), using a social stratification framework. Logistic regression analyses found that older age for full-retirement benefit eligibility increased the odds of delayed retirement, as did working more years for the state of Missouri. Longer length of work for Missouri increased the likelihood of being aware of one's eligibility for BackDROP and of taking the BackDROP option, while working for pay in a non-state position decreased the odds of awareness and selection. Those who retired to do other things (rather than for health reasons or disliking the work) were also more likely to be knowledgeable of their BackDROP eligibility status. Race, sex, education, and marital status were not significant predictors. These findings inform design and implementation of delayed retirement policies in other states.

The health care experiences of adult survivors of child sexual abuse: a systematic review of evidence on sensitive practice.

This systematic review analyzes empirically based medical literature relevant to the experiences of adult survivors of sexual abuse in the health care setting and what is known about providing sensitive care to this population. Effects of this trauma may impact the adult survivor's experience of care, health behaviors, and outcomes. The 10 articles reviewed in this study provide patient-based information on the experience of child sexual abuse and its impact on health and health care for patients. Suggestions are made for health care providers in two main areas: facilitation of communication and disclosure issues, and improving the experience of the health care encounter for survivors. Specific strategies are offered to assist in providing nonthreatening care encounters for adults who have been affected by childhood sexual trauma. Implications for research, practice, and policy for patients, health care providers, and social workers in the health care setting are discussed.