Michael Wolf-Branigin

Improving Quality of Life and Career Attitudes of Youth with Disabilities: Experiences from the Adolescent Employment Readiness Center.

Improving quality of life is the primary focus as adolescents with disabilities enter adulthood. They increasingly, however, encounter difficulties transitioning into domains such as employment as these services occur near the end of their high school experience. Using an ecosystems model within a developmental approach, the program sought to improve the likelihood that adolescents will find and maintain meaningful employment as adults. The authors measured physical health, psychosocial functioning, and attitude toward employment of adolescents participating in the program during a 2-year period. Physical health, school functioning, and total functioning improved during the 2 years. Career attitudes were above the norms in earlier grades but fell in later grades. This suggests the need for early and continued intervention.

Applying Complexity and Emergence in Social Work Education

Complexity theory provides social work educators, researchers, and evaluators with a promising approach for examining the concepts of interconnectedness, non‐linearity and emergence. This paper introduces complexity theory, provides an example in which a large international non‐governmental organization developed the capacity to address the issue of human trafficking, and discusses implications for applying this approach to social work education coursework. Social work applications of complexity range from understanding emerging social movements, to encouraging human rights and resiliency in target populations, to understanding the interdependencies of communities.

Spiritual Involvement as a Predictor to Completing a Salvation Army Substance Abuse Treatment Program

This study investigates successful completion at a faith-based organization providing residential substance abuse treatment services. Method: The authors apply a complex systems paradigm using a single moderator variable. The participants are primarily African Americans and most have current criminal justice involvement. Probabilities of treatment program completion for participants active in spiritual activities versus similar participants not involved in these activities are calculated. Results: Participation in the spirituality component appears to provide a valuable attractor to treatment completion. Conclusions: In the past decade, evaluation methods have included the greater use of probabilistic approaches, most notably Bayesian inference. Findings suggest that this model, as applied to the complexities of a faith-based organization, is useful for understanding treatment completion.

Self-Organization in Housing Choices of Persons with Disabilities

ABSTRACT Complexity theory provides a promising exploratory framework for demonstrating quantifiable improvements of disability interventions. This paper introduces concepts of complex systems theory and applies one particular underlying concept, self-organizing, to a program providing housing and other support services to persons with disabilities. Using this specific component of complexity theory provides a beginning point to explore how consumers and their allies made choices on where their homes would be located.ABSTRACT Complexity theory provides a promising exploratory framework for demonstrating quantifiable improvements of disability interventions. This paper introduces concepts of complex systems theory and applies one particular underlying concept, self-organizing, to a program providing housing and other support services to persons with disabilities. Using this specific component of complexity theory provides a beginning point to explore how consumers and their allies made choices on where their homes would be located.

The Emerging Field of Travel Training Services: A Systems Perspective

Travel training provides a promising approach for moving persons from paratransit to fixed-route transportation services. This study identifies current funding trends and discusses the volume and diversity of services within the travel training instruction field. Measuring the emergence of this field focused on 4 properties of systems: intention, boundary, resources, and exchange. The authors used these properties to facilitate sharing of information and learning among the participating organizations. Initial findings indicated that older, established programs tended to be larger and moved more persons to fixed routes, while programs that employed their own staff rather than contracting out staff produced more outputs per staff person. It was concluded that the diversity of the field’s innovators strengthened problem-solving capacity. Based on these findings, a preliminary research and evaluation agenda is proposed.

Mental Health Indicator Interaction in Predicting Substance Abuse Treatment Outcomes in Nevada

Background: Indicators of co-occurring mental health and substance abuse problems routinely collected at treatment admission in 19 State substance abuse treatment systems include a dual diagnosis and a State mental health (cognitive impairment) agency referral. These indicators have yet to be compared as predictors of treatment outcomes. Objectives: 1. Compare both indices as outcomes predictors individually and interactively. 2. Assess relationship of both indices to other client risk factors, e.g., physical/sexual abuse. Methods: Client admission and discharge records from the Nevada substance abuse treatment program, spanning 1995–2001 were reviewed (n = 17,591). Logistic regression analyses predicted treatment completion with significant improvement (33%) and treatment readmission following discharge (21%). Using Cox regression, the number of days from discharge to treatment readmission was predicted. Examined as predictors were two mental health indicators and their interaction with other admission and treatment variables controlled. Results: Neither mental health indicator alone significantly predicted any of the three outcomes; however, the interaction between the two indicators significantly predicted each outcome (p < .05). Having both indices was highly associated with physical/sexual abuse, domestic violence, homelessness, out of labor force and prior treatment. Conclusions and Scientific Significance: Indicator interactions may help improve substance abuse treatment outcomes prediction.

Disability and Abuse in Relation to Substance Abuse: A Descriptive Analysis

Abstract This analysis reviewed five years of a states substance abuse treatment admissions and discharges in order to identify specific patterns among persons who had a disability. Using a series of group comparisons, Chi-squares, and logistic regressions, specific patterns of violence and abuse to this population were identified. Results indicate that persons who had a disability and abused substances were more likely to be victimized by physical abuse and domestic violence when compared with their peers without a disability. A person with a disability had about one-half to one-third the odds of receiving long-term residential, short-term residential and intensive outpatient care when compared with persons without a disability.

Comparing Travel Training Innovations in Hong Kong and the United States

Transportation services involving travel training provide 1 means of improving the community inclusion of persons with disabilities. Looking at 2 distinct situations, Hong Kong and the United States, this study made inquiries about the properties of the differing systems in place to improve this inclusiveness. Patterns can be identified concerning their approaches for increasing the use of fixed route transportation systems, but each had differences concerning enabling legislation, scope, and funding mechanisms. We provide generalizable suggestions for increasing the use of fixed route transportation.

Quality of life and life skill baseline measures of urban adolescents with disabilities.

Many gaps exist in the understanding of how adolescents with disabilities successfully transition to adulthood and the services contributing to this success. This study attempts to fill one gap by establishing quality of life baseline measures for low-income urban adolescents. We compared baseline data for a representative sample of adolescents with disabilities in the District of Columbia to national norms using three instruments—the Pediatric Quality of Life Inventory 4.0, the Ansell-Casey Life Skills Assessment, and the Career Maturity Inventory-Attitude Scale. The sample for this study was primarily African American and had a higher level of disability as measured by receipt of Supplemental Security Income (SSI). The baseline scores of the adolescents in DC may be lower than the normed scores of their peers with disabilities in the U.S. because of socioeconomic and racial inequities and because the population has to contend with greater levels of disabilities.

Fetal Alcohol Spectrum Disorder Information Dissemination by Health Care Professions

Fetal alcohol spectrum disorder (FASD) is the leading preventable intellectual and developmental disability. There is no safe level of alcohol consumption at any point during pregnancy. Findings of this study indicate that the information disseminated by health care professionals is not always in keeping with this understanding. Physicians and midwives appeared to be the least consistent in advocating to women that they abstain from alcohol consumption while pregnant. We explore ways in which social workers can support the medical profession to provide more consistent messaging of alcohol abstinence during pregnancy to lower the incidence of FASD.