Chris Flaherty

Truancy Interventions: A Review of the Research Literature:

Objectives: This article presents a systematic review of the literature on evaluative studies of truancy interventions. Method: Included studies evaluating truancy interventions appearing in peer-reviewed academic journals from 1990 to 2007. Findings: In total, 16 studies were assessed. Eight studies used group comparison designs and eight studies used one-group pretest/posttest designs. Studies varied on sample sizes, definitions of truant behavior, focus of interventions, and dependent measures. Conclusions: Six studies produced useful and promising interventions including contingency management, school reorganization, punitive measures, community partnerships, and family-oriented activities. The substantial methodological shortcomings, inconsistent definitions, and lack of replication demonstrate a need for more and better evaluation studies to provide a more definitive knowledge base to guide effective truancy interventions for practitioners.

Exposure to Suicide in the Community: Prevalence and Correlates in One U.S. State.

Objective. Suicide has been identified as a major public health issue. Exposure to suicide (i.e., knowing someone who died by suicide) is far more pervasive than previously considered and might be associated with significant adverse outcomes. As suicide becomes more commonly discussed in the public arena, a compelling need exists to determine who is exposed to suicide and how this exposure affects those left behind. This study estimated the proportion of the population exposed to suicide and delineated factors that predict significant psychiatric and psychosocial morbidity following that exposure. Methods. A dual-frame random-digit-dial survey was conducted on a sample of 1,736 U.S. adults in the Commonwealth of Kentucky. Depression and anxiety were compared in suicide-exposed and suicide-unexposed individuals. Relationships were examined between psychiatric outcomes and perceptions of closeness to the decedent. Results. Forty-eight percent of weighted participants (n=816/1,687) reported lifetime exposure to suicide. Current depression and anxiety symptoms were higher in suicide-exposed than in suicide-unexposed individuals. Suicide-exposed individuals were twice as likely as suicide-unexposed individuals to have diagnosable depression and almost twice as likely to have diagnosable anxiety. Suicide-exposed individuals were more likely than suicide-unexposed individuals to report suicide ideation (9% vs. 5%). Closeness to the decedent increased the odds of depression and anxiety and almost quadrupled the odds of posttraumatic stress disorder. Conclusion. Exposure to suicide is pervasive and occurs beyond family; as such, it is imperative to identify those with perceived closeness to the decedent. This hidden cohort of suicide-exposed people is at elevated risk for psychopathology and suicidal ideation.

Throwaway Moms: Maternal Incarceration and the Criminalization of Female Poverty

Using a feminist standpoint epistemological framework, this article reports the findings from 26 interviews with drug-offending incarcerated mothers in Kentucky regarding the effects of incarceration on their relationships with their children. The participants related personal histories characterized by poverty, victimization, chronic substance addiction, and repeated failed attempts at sobriety. Many felt betrayed by the courts and child protective services, and those who had lost custody of their children felt they had no remaining reason to rehabilitate themselves. The mothers expressed profound feelings of guilt and remorse for the impact that their behaviors had on their children and expressed hope that their children would experience better lives than they have.

Veteran exposure to suicide: Prevalence and correlates.

BACKGROUND The aim of this study was to determine rates and consequences of suicide exposure in a veteran population and variables related to psychiatric morbidity. METHODS 931 veterans from a random digit dial survey conducted July 2012-June 2013 in the Commonwealth of Kentucky was utilized to examine associations between suicide exposure and depression and anxiety. For those with lifetime suicide exposure, perceptions of closeness to the decedent and additional traumatic death exposure were also examined. RESULTS Almost half of veterans (47.1%, n=434) reported lifetime exposure to suicide. Suicide-exposed individuals were almost twice as likely to have diagnosable depression (OR=1.92, CI=1.31-2.8) and more than twice as likely to have diagnosable anxiety (OR=2.37, CI=1.55-3.61). Suicide-exposed were also more likely than non-exposed to report suicide ideation (9.9% vs. 4.3%). Perceived closeness to decedent increased the odds of depression (OR=1.38, CI=1.12-1.69), anxiety (OR=1.51, CI=1.21-1.89) and PTSD (OR=1.65, CI=1.27-2.16) and more than doubled the odds of Prolonged Grief (OR=2.47, CI=1.60-3.83). A model examined time sequence of suicide and traumatic death exposure. Experiencing a suicide exposure first and subsequent traumatic death exposure in their military career almost quadrupled the odds of suicide ideation (OR=3.56, p=.01, CI=1.34-9.46). LIMITATIONS Major study limitations include use of only one US state and random digit dial response rate. CONCLUSIONS Suicide exposure confers psychiatric risks in veterans. Perceptions of closeness to decedents, which may extend beyond familial lines, may heighten these risks in the suicide exposed. Multiple exposures to suicide and traumatic death may lead to significant suicide risk.

Suicide Exposure in the Population: Perceptions of Impact and Closeness

Recent studies of people exposed to suicide point to a continuum of effects moderated by a perception of closeness to the deceased. We investigated the importance of perception of impact of the death on mental health outcomes of those exposed to suicide. Female sex, younger age, and multiple exposures to suicide were associated with greater risk for poorer outcomes. Suicide exposed with high impact was more likely to have depression, anxiety, posttraumatic stress disorder, prolonged grief, and suicide ideation. Findings can help focus postvention resources for suicide-exposed individuals.

Supporting Adoptive Families: Participant Perceptions of a Statewide Peer Mentoring and Support Program

Recently, state child welfare systems have begun to acknowledge the challenges faced by adoptive families, and have responded with specialized programs to support and stabilize these families and prevent placement disruption and adoption dissolution. Adoption Support for Kentucky (ASK) is a consortium of parent-led adoption support groups, operating in 32 locations. To date, few published evaluation studies of such programs exist. This article reports results from six focus groups (n = 42) and a statewide survey (n = 251) of ASK participants. Study findings indicated that participants attended meetings primarily for emotional support and information exchange. They reported high levels of satisfaction with ASK, and many believed the program had stabilized their families and prevented an adoption disruption.

The relationship between dating violence and psychosocial problems in a sample of adolescent pregnancy termination patients

The relationship between dating violence and 13 psychosocial problems, conceptually organized into three symptom clusters—depressive, family problem, and posttraumatic stress—was investigated in a sample of adolescent pregnancy termination patients, ages 14 to 21. Results of a multivariate multiple-regression analysis indicated that, after controlling for age, ethnicity, general aggression problems, and problems with peers, dating violence was significantly related with the symptoms clusters. At the univariate level, the results suggested that dating violence was significantly related with self-esteem problems, guilt, and suicidal thinking from the depressive symptoms cluster and with guilt and stress from the posttraumatic stress cluster. The implications of these findings are discussed.

Seeking health advice from social networks in low-income urban neighborhoods.

OBJECTIVES To examine how individuals residing in low-income neighborhoods use their social networks for health advice. METHODS Secondary data analysis of 363 individuals living in low-income neighborhoods was conducted using social network analysis and logistic regression techniques. RESULTS Findings suggest that residents typically seek health advice from one or 2 friends and family members rather than a health professional. Age and family history of illness increased the likelihood that one would seek support whereas the combination of anxiety and depression decreased advice seeking. CONCLUSIONS Findings support the need for multidisciplinary strategies for disseminating health information through informal social networks.

“Social Work Is a Profession, Not an Ideology”: A Qualitative Analysis of Student Perceptions of Social Justice Discussions in the Classroom

ABSTRACT The purpose of this article is to describe student perceptions of their experiences around social justice discussions in the social work classroom through a qualitative, grounded theory framework. Student responses from a qualitative section of a survey were analyzed and sorted into three categories: perceived discrimination, heightened self-awareness/self-assessment, and future social work practice. Each of these categories was derived from comparable multiple themes stemming from the student responses. A conceptual model resulting from the analysis suggests that students who shared experiences of perceived discrimination during classroom discussions could develop an enhanced self-awareness, which would result in an added empathy for clients in their future social work practice. Suggestions for teaching strategies and directions for future research are also discussed.