RESUMO
Individuals reentering the community following incarceration are at high risk for experiencing mental health and substance use problems. This longitudinal study explores patterns and barriers for engaging treatment services during early reentry. Seventy-five men and 62 women in jail, prison, or community based correctional facilities (CBCFs) participated in pre- and post-release interviews. Findings indicate that services were engaged at a lower-than-needed rate and barriers were greater for individuals leaving jails compared to prison or CBCF. Exploratory factor analysis of the barriers instrument is presented. Implications for extending service access to this population are discussed, as are future directions for research.
Assuntos
Serviços de Saúde Mental/estatística & dados numéricos , Prisioneiros , Transtornos Relacionados ao Uso de Substâncias/reabilitação , Adulto , Análise Fatorial , Feminino , Humanos , Estudos Longitudinais , Masculino , Transtornos Mentais/reabilitação , Prisões , Adulto JovemRESUMO
The Empowering Mothers to Establish Smoke-free Homes (EMESH) project developed in response to an interdisciplinary health team seeking effective interventions for reducing/eliminating the environmental tobacco smoke exposure of infants with compromised respiratory status. Two study phases that informed the EMESH intervention design are described. Phase I involved semi-structured interviews with 20 caretakers of infants diagnosed with Bronchopulmonary Dysplasia (BPD). In Phase II, 75 randomly selected medical records of infants with BPD were reviewed to explore the family demographics and staff behavior regarding environmental tobacco smoke (ETS) interventions. Interview results suggest that families are open to partnering with social workers and interdisciplinary team members in addressing infants' ETS exposure, families' unique circumstances indicate a need for tailored interventions, and the use of self-efficacy and decisional balance tools are feasible options. Results from the medical records review indicate that many families are economically vulnerable and reside in regions where smoking is common. There is a paucity of staff documentation regarding ETS conversations and interventions, indicating that these conversations may not take place. Together these results suggest a two-pronged approach in the next phases of EMESH: staff training in hosting and documenting ETS conversations and a tailored, parent-driven set of intervention options.
Assuntos
Displasia Broncopulmonar/etiologia , Mães/psicologia , Poder Psicológico , Poluição por Fumaça de Tabaco/efeitos adversos , Poluição por Fumaça de Tabaco/prevenção & controle , Pré-Escolar , Família/psicologia , Feminino , Educação em Saúde/organização & administração , Conhecimentos, Atitudes e Prática em Saúde , Humanos , Lactente , Masculino , Mentores , Autoeficácia , Serviço Social , Fatores SocioeconômicosRESUMO
In many instances, departments of social work in universities and community-based social services agencies have common interests in improving professional practice and advancing knowledge in the profession. Effective university-community research collaborations can help partners achieve these goals jointly, but to be effective these collaborative partnerships require considerable effort and understanding by all partners involved. This article provides to novice investigators and social work agencies new to research partnerships an integrated discussion of important issues to develop the groundwork necessary for building and maintaining effective university-community social work collaborations. Through experience gained from a series of social work research partnerships, as well as an overview of relevant literature, the authors offer a set of strategies for building and sustaining research collaborations between university and community-based social work professionals. The general topics discussed are technology exchange, adopting a longitudinal perspective, knowing your partners, and practical contracting/budgetary issues. The article has relevance to beginning social work researchers, social work educators, and social work practitioners seeking to engage in collaborative partnerships that improve social work practice through research and advance the knowledge base of the profession.
Assuntos
Relações Comunidade-Instituição , Pesquisa/organização & administração , Escolas para Profissionais de Saúde , Serviço Social , Transferência de Tecnologia , Humanos , Motivação , Cultura Organizacional , Serviço Social/educação , Estados UnidosRESUMO
This article describes the development and factor structure of the Revised Safe At Home instrument, a 35-item self-report measure designed to assess individuals' readiness to change their intimate partner violence behaviors. Seven new items have been added, representing content specific to the Maintenance stage, and other items have been revised to strengthen the assessment of earlier stages and address gender concerns. Confirmatory factor analysis using multisite data (two sites, a total of 281 men at intake) supported the conclusion that a four-factor model (Precontemplation, Contemplation, Preparation/Action, and Maintenance stages) was consistent with the observed covariances. A high degree of correlation between the Preparation/Action and Maintenance scales was observed, but subsequent testing indicated a need to treat the two as distinct factors in the model. It is recommended that scoring include only 31 items that perform well.