Wendy Haight, Teresa Ostler, James Black, and Linda Kingery
- Published in print:
- 2008
- Published Online:
- January 2009
- ISBN:
- 9780195326055
- eISBN:
- 9780199864461
- Item type:
- book
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780195326055.001.0001
- Subject:
- Social Work, Children and Families, Communities and Organizations
In the late 20th and early 21st century United States, the production and misuse of methamphetamine was a growing and urgent public health, criminal justice, and child welfare problem affecting whole ...
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In the late 20th and early 21st century United States, the production and misuse of methamphetamine was a growing and urgent public health, criminal justice, and child welfare problem affecting whole families and communities, particularly in rural areas. Yet, child welfare professionals, social workers, educators, and others working within rural areas had little systematic, descriptive data on which to build effective interventions for the growing numbers of children affected by methamphetamine misuse. This book describes a program of mixed methods research combining strategies from developmental and child clinical psychology, psychiatry, and ethnography to examine the psychological functioning of rural children from methamphetamine-involved families. Participants were twenty-nine children in foster care because of parental methamphetamine misuse, four mothers recovering from methamphetamine addiction, seven foster parents of children from methamphetamine-involved families, and twenty-eight knowledgeable rural professionals (child welfare and law enforcement professionals, substance abuse and mental health providers and educators). Children whose parents abuse methamphetamine are often exposed to toxic chemicals, violence, criminal behavior, and neglect as well as physical, sexual, and emotional abuse. Many school-aged children in foster care because of parental methamphetamine misuse have high levels of trauma symptoms and behavior problems. Descriptive information on the contexts in which children are reared, participant observation, psychological testing, and in-depth interviews with children, in conjunction with existing research were used to develop and pilot test an intervention — Life Story Intervention — for rural children in foster care because of parent substance misuse.Less
In the late 20th and early 21st century United States, the production and misuse of methamphetamine was a growing and urgent public health, criminal justice, and child welfare problem affecting whole families and communities, particularly in rural areas. Yet, child welfare professionals, social workers, educators, and others working within rural areas had little systematic, descriptive data on which to build effective interventions for the growing numbers of children affected by methamphetamine misuse. This book describes a program of mixed methods research combining strategies from developmental and child clinical psychology, psychiatry, and ethnography to examine the psychological functioning of rural children from methamphetamine-involved families. Participants were twenty-nine children in foster care because of parental methamphetamine misuse, four mothers recovering from methamphetamine addiction, seven foster parents of children from methamphetamine-involved families, and twenty-eight knowledgeable rural professionals (child welfare and law enforcement professionals, substance abuse and mental health providers and educators). Children whose parents abuse methamphetamine are often exposed to toxic chemicals, violence, criminal behavior, and neglect as well as physical, sexual, and emotional abuse. Many school-aged children in foster care because of parental methamphetamine misuse have high levels of trauma symptoms and behavior problems. Descriptive information on the contexts in which children are reared, participant observation, psychological testing, and in-depth interviews with children, in conjunction with existing research were used to develop and pilot test an intervention — Life Story Intervention — for rural children in foster care because of parent substance misuse.
Wendy Haight, Teresa Ostler, James Black, and Linda Kingery
- Published in print:
- 2008
- Published Online:
- January 2009
- ISBN:
- 9780195326055
- eISBN:
- 9780199864461
- Item type:
- chapter
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780195326055.003.0001
- Subject:
- Social Work, Children and Families, Communities and Organizations
This chapter introduces the problem of methamphetamine misuse focusing on rural children, and the psychological as well as physical hazards posed to children due to parental impairment and exposure ...
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This chapter introduces the problem of methamphetamine misuse focusing on rural children, and the psychological as well as physical hazards posed to children due to parental impairment and exposure to adult criminality. The research presented in this book is undergirded by a sociocultural model of human development. Understanding the contexts in which children are reared, as well as participants' (children's, parents', professionals') experiences and perceptions of those contexts, provides models for the design of culturally and developmentally sensitive mental health interventions for children exposed to trauma.Less
This chapter introduces the problem of methamphetamine misuse focusing on rural children, and the psychological as well as physical hazards posed to children due to parental impairment and exposure to adult criminality. The research presented in this book is undergirded by a sociocultural model of human development. Understanding the contexts in which children are reared, as well as participants' (children's, parents', professionals') experiences and perceptions of those contexts, provides models for the design of culturally and developmentally sensitive mental health interventions for children exposed to trauma.
Wendy Haight, Teresa Ostler, James Black, and Linda Kingery
- Published in print:
- 2008
- Published Online:
- January 2009
- ISBN:
- 9780195326055
- eISBN:
- 9780199864461
- Item type:
- chapter
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780195326055.003.0005
- Subject:
- Social Work, Children and Families, Communities and Organizations
This chapter focuses on the perspectives and experiences of four mothers in recovery from addiction to methamphetamine. Mothers vividly described the rapid loss of control that can occur with ...
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This chapter focuses on the perspectives and experiences of four mothers in recovery from addiction to methamphetamine. Mothers vividly described the rapid loss of control that can occur with methamphetamine misuse, as well as the power of the addiction. They described their illness as impacting their children's physical and psychological well-being including through exposure to domestic violence, adult substance misuse, and other anti-social behavior, and loss of important relationships. They expressed concern that their children would misuse drugs. Women described recovery as possible only with significant external support, and they reported lasting physical, psychological, and social side effects of their illness. Understanding mothers' experience of methamphetamine addiction can increase our awareness of this illness suggesting strategies for engaging them in intervention.Less
This chapter focuses on the perspectives and experiences of four mothers in recovery from addiction to methamphetamine. Mothers vividly described the rapid loss of control that can occur with methamphetamine misuse, as well as the power of the addiction. They described their illness as impacting their children's physical and psychological well-being including through exposure to domestic violence, adult substance misuse, and other anti-social behavior, and loss of important relationships. They expressed concern that their children would misuse drugs. Women described recovery as possible only with significant external support, and they reported lasting physical, psychological, and social side effects of their illness. Understanding mothers' experience of methamphetamine addiction can increase our awareness of this illness suggesting strategies for engaging them in intervention.
Wendy Haight, Teresa Ostler, James Black, and Linda Kingery
- Published in print:
- 2008
- Published Online:
- January 2009
- ISBN:
- 9780195326055
- eISBN:
- 9780199864461
- Item type:
- chapter
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780195326055.003.0003
- Subject:
- Social Work, Children and Families, Communities and Organizations
This chapter provides an overview of the mixed methods research strategy. The site of the research is predominantly white, working-class, rural Illinois in the early 21st century. Participants were ...
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This chapter provides an overview of the mixed methods research strategy. The site of the research is predominantly white, working-class, rural Illinois in the early 21st century. Participants were twenty-nine children in foster care because of parent methamphetamine misuse, four mothers recovering from methamphetamine addiction, seven foster parents of children from methamphetamine-involved families, and twenty-eight knowledgeable rural professionals (child welfare and law enforcement professionals, substance abuse and mental health providers and educators). Methods included extensive participant observation primarily shadowing child welfare investigators; in-depth, audiotaped individual interviews with adults and children; and standardized psychological testing of children.Less
This chapter provides an overview of the mixed methods research strategy. The site of the research is predominantly white, working-class, rural Illinois in the early 21st century. Participants were twenty-nine children in foster care because of parent methamphetamine misuse, four mothers recovering from methamphetamine addiction, seven foster parents of children from methamphetamine-involved families, and twenty-eight knowledgeable rural professionals (child welfare and law enforcement professionals, substance abuse and mental health providers and educators). Methods included extensive participant observation primarily shadowing child welfare investigators; in-depth, audiotaped individual interviews with adults and children; and standardized psychological testing of children.
Kathryn Farrow, Gill Kelly, and Bernadette Wilkinson
- Published in print:
- 2007
- Published Online:
- March 2012
- ISBN:
- 9781861347879
- eISBN:
- 9781447302865
- Item type:
- chapter
- Publisher:
- Policy Press
- DOI:
- 10.1332/policypress/9781861347879.003.0008
- Subject:
- Social Work, Crime and Justice
This chapter explores the extent to which the misuse of drugs and/or alcohol is associated with offending behaviour and the nature of that association. The answers to those questions are more complex ...
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This chapter explores the extent to which the misuse of drugs and/or alcohol is associated with offending behaviour and the nature of that association. The answers to those questions are more complex than might at first appear and are used to suggest some practice implications for those working with substance misuse in a criminal justice context. Both alcohol and drug misuse are dynamic risk factors for offending behaviour, included as part of a holistic assessment of risk. For those offenders where substance misuse is indicated, this risk assessment may be supplemented by specialist assessments focusing on the substance misuse in more detail. This chapter also considers the social context of alcohol and drug use and their complex relationships with crime. It discusses what is known about effective interventions, with a particular focus on responsivity and the motivation to change. The chapter seeks to help practitioners clarify the complex relationship between substance use and offending behaviour and the implications for responsivity.Less
This chapter explores the extent to which the misuse of drugs and/or alcohol is associated with offending behaviour and the nature of that association. The answers to those questions are more complex than might at first appear and are used to suggest some practice implications for those working with substance misuse in a criminal justice context. Both alcohol and drug misuse are dynamic risk factors for offending behaviour, included as part of a holistic assessment of risk. For those offenders where substance misuse is indicated, this risk assessment may be supplemented by specialist assessments focusing on the substance misuse in more detail. This chapter also considers the social context of alcohol and drug use and their complex relationships with crime. It discusses what is known about effective interventions, with a particular focus on responsivity and the motivation to change. The chapter seeks to help practitioners clarify the complex relationship between substance use and offending behaviour and the implications for responsivity.
Wendy Haight, Teresa Ostler, James Black, and Linda Kingery
- Published in print:
- 2008
- Published Online:
- January 2009
- ISBN:
- 9780195326055
- eISBN:
- 9780199864461
- Item type:
- chapter
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780195326055.003.0008
- Subject:
- Social Work, Children and Families, Communities and Organizations
This chapter describes the psychological functioning of school-aged children in foster care because of parental methamphetamine misuse. In semi-structured interviews, children described emotional ...
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This chapter describes the psychological functioning of school-aged children in foster care because of parental methamphetamine misuse. In semi-structured interviews, children described emotional pain, few social resources for coping with emotions, problem-solving, or talking about their experiences; and avoidant or passive coping skills. Results from the Child Behavior Checklist (CBCL, Achenbach & Rescorla, 2001) and Trauma Symptom Checklist for Children (TSCC, Briere, 1996) revealed individual variation in psychological functioning, but most children displayed significant dissociative or post-traumatic symptoms, as well as other significant emotional and behavioral problems. The high rate of mental health problems suggests the need for non-traditional strategies for service delivery in rural areas targeted toward these vulnerable children. Early identification and treatment of mental health problems should be a priority.Less
This chapter describes the psychological functioning of school-aged children in foster care because of parental methamphetamine misuse. In semi-structured interviews, children described emotional pain, few social resources for coping with emotions, problem-solving, or talking about their experiences; and avoidant or passive coping skills. Results from the Child Behavior Checklist (CBCL, Achenbach & Rescorla, 2001) and Trauma Symptom Checklist for Children (TSCC, Briere, 1996) revealed individual variation in psychological functioning, but most children displayed significant dissociative or post-traumatic symptoms, as well as other significant emotional and behavioral problems. The high rate of mental health problems suggests the need for non-traditional strategies for service delivery in rural areas targeted toward these vulnerable children. Early identification and treatment of mental health problems should be a priority.
Wendy Haight, Teresa Ostler, James Black, and Linda Kingery
- Published in print:
- 2008
- Published Online:
- January 2009
- ISBN:
- 9780195326055
- eISBN:
- 9780199864461
- Item type:
- chapter
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780195326055.003.0004
- Subject:
- Social Work, Children and Families, Communities and Organizations
This chapter provides a portrait of the impact of parental methamphetamine misuse, as seen through the eyes of a child welfare professional with over twenty-five years experience working with ...
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This chapter provides a portrait of the impact of parental methamphetamine misuse, as seen through the eyes of a child welfare professional with over twenty-five years experience working with children and families in rural Illinois. Her account of the strain on rural communities and the devastation of individuals and families make concrete the human experiences of methamphetamine misuse: the endangered child welfare professionals, devastated parents and traumatized children, and also their resilience and resourcefulness.Less
This chapter provides a portrait of the impact of parental methamphetamine misuse, as seen through the eyes of a child welfare professional with over twenty-five years experience working with children and families in rural Illinois. Her account of the strain on rural communities and the devastation of individuals and families make concrete the human experiences of methamphetamine misuse: the endangered child welfare professionals, devastated parents and traumatized children, and also their resilience and resourcefulness.
Ann Hagell, Judith Aldridge, Petra Meier, Tim Millar, Jennifer Symonds, and Michael Donmall
- Published in print:
- 2012
- Published Online:
- September 2012
- ISBN:
- 9781447301042
- eISBN:
- 9781447307242
- Item type:
- chapter
- Publisher:
- Policy Press
- DOI:
- 10.1332/policypress/9781447301042.003.0007
- Subject:
- Social Work, Children and Families
One of the most obvious social changes over the second half of the 20th century was the increase in the proportion of young people using alcohol and different kinds of drugs. Recreational use of ...
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One of the most obvious social changes over the second half of the 20th century was the increase in the proportion of young people using alcohol and different kinds of drugs. Recreational use of illegal substances has increased and is now a conspicuous part of the social landscape. We know that using substances is associated with a range of poor outcomes. The UK has a high level of adolescent alcohol consumption and problem use. What are the implications? The literature is rarely focused on the more specifically developmental aspects of use in adolescence, and preliminary evidence suggests that indeed there may be links between the rising trends in both substance use and mental health outcomes.Less
One of the most obvious social changes over the second half of the 20th century was the increase in the proportion of young people using alcohol and different kinds of drugs. Recreational use of illegal substances has increased and is now a conspicuous part of the social landscape. We know that using substances is associated with a range of poor outcomes. The UK has a high level of adolescent alcohol consumption and problem use. What are the implications? The literature is rarely focused on the more specifically developmental aspects of use in adolescence, and preliminary evidence suggests that indeed there may be links between the rising trends in both substance use and mental health outcomes.
Peter A. Bamberger and Samuel B. Bacharach
- Published in print:
- 2014
- Published Online:
- June 2014
- ISBN:
- 9780199374120
- eISBN:
- 9780190216894
- Item type:
- book
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780199374120.001.0001
- Subject:
- Psychology, Health Psychology
Substance misuse among older adults in the United States is a major hidden health threat, with broad implications for the welfare and quality of life of those misusing alcohol and drugs, as well as ...
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Substance misuse among older adults in the United States is a major hidden health threat, with broad implications for the welfare and quality of life of those misusing alcohol and drugs, as well as their families. Although retirement is often viewed as playing a key role in the onset and exacerbation of older adult substance misuse, research findings are inconclusive. The book begins by conducting a critical review of that research, paying particular attention to the difficulty of capturing the etiological role of retirement in older adult substance misuse when the very nature of retirement is in flux. The book then presents findings from a 10-year, longitudinal study designed to address both this issue as well as some of the more methodological shortcomings of prior studies. In addition to examining the direct impact of retirement on older adult substance misuse and disentangling the confounding effects of aging, it examines how individual differences, shifting social networks, preretirement work factors, conditions in retirement, and the interactions among each of these may affect subsequent misuse. On the basis of these etiological insights, the book examines the efficacy of contemporary individual- and policy-level interventions and proposes several alternative approaches to prevention and treatment.Less
Substance misuse among older adults in the United States is a major hidden health threat, with broad implications for the welfare and quality of life of those misusing alcohol and drugs, as well as their families. Although retirement is often viewed as playing a key role in the onset and exacerbation of older adult substance misuse, research findings are inconclusive. The book begins by conducting a critical review of that research, paying particular attention to the difficulty of capturing the etiological role of retirement in older adult substance misuse when the very nature of retirement is in flux. The book then presents findings from a 10-year, longitudinal study designed to address both this issue as well as some of the more methodological shortcomings of prior studies. In addition to examining the direct impact of retirement on older adult substance misuse and disentangling the confounding effects of aging, it examines how individual differences, shifting social networks, preretirement work factors, conditions in retirement, and the interactions among each of these may affect subsequent misuse. On the basis of these etiological insights, the book examines the efficacy of contemporary individual- and policy-level interventions and proposes several alternative approaches to prevention and treatment.
Kate Moss and Paramjit Singh
- Published in print:
- 2015
- Published Online:
- May 2016
- ISBN:
- 9781447317098
- eISBN:
- 9781447317104
- Item type:
- chapter
- Publisher:
- Policy Press
- DOI:
- 10.1332/policypress/9781447317098.003.0003
- Subject:
- Sociology, Gender and Sexuality
This chapter details the current situations in relation to the extent, nature and characteristics of women rough sleepers in each of the countries in the study. It will discuss the context of the ...
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This chapter details the current situations in relation to the extent, nature and characteristics of women rough sleepers in each of the countries in the study. It will discuss the context of the problem of women rough sleepers in each country with regard to how much is currently known about women who sleep rough, previous research that has been carried out and also the current situation in each country with regard to legislation, policy and practice. It includes discussion of the relevant European literature on the subject of homelessness, the different social contexts of the organisations and women rough sleepers themselves who took part in the study and will highlight salient similarities and differences in responses from those interviewed and will contextualise this against the background of the current social, political and cultural climates within each country in the study. It includes literature reviews that were carried out by each partner country at the start of the project.Less
This chapter details the current situations in relation to the extent, nature and characteristics of women rough sleepers in each of the countries in the study. It will discuss the context of the problem of women rough sleepers in each country with regard to how much is currently known about women who sleep rough, previous research that has been carried out and also the current situation in each country with regard to legislation, policy and practice. It includes discussion of the relevant European literature on the subject of homelessness, the different social contexts of the organisations and women rough sleepers themselves who took part in the study and will highlight salient similarities and differences in responses from those interviewed and will contextualise this against the background of the current social, political and cultural climates within each country in the study. It includes literature reviews that were carried out by each partner country at the start of the project.
Sarah Wilson
- Published in print:
- 2013
- Published Online:
- September 2013
- ISBN:
- 9781447304432
- eISBN:
- 9781447307884
- Item type:
- chapter
- Publisher:
- Policy Press
- DOI:
- 10.1332/policypress/9781447304432.003.0013
- Subject:
- Sociology, Marriage and the Family
This chapter draws on interviews with young people affected by parental substance misuse (among other family troubles), arguing for greater attention to difficult family relationships in contemporary ...
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This chapter draws on interviews with young people affected by parental substance misuse (among other family troubles), arguing for greater attention to difficult family relationships in contemporary sociological thinking on personal and family lives. The analysis highlights the challenges such young people face in constructing a morally acceptable self in the absence of expected parenting practices and the family narrative they support in a cultural context where the primacy of family relationships to children and young people is so taken for granted as to obscure and devalue alternative sources of self-worth and identity.Less
This chapter draws on interviews with young people affected by parental substance misuse (among other family troubles), arguing for greater attention to difficult family relationships in contemporary sociological thinking on personal and family lives. The analysis highlights the challenges such young people face in constructing a morally acceptable self in the absence of expected parenting practices and the family narrative they support in a cultural context where the primacy of family relationships to children and young people is so taken for granted as to obscure and devalue alternative sources of self-worth and identity.
Kathryn Farrow, Gill Kelly, and Bernadette Wilkinson
- Published in print:
- 2007
- Published Online:
- March 2012
- ISBN:
- 9781861347879
- eISBN:
- 9781447302865
- Item type:
- chapter
- Publisher:
- Policy Press
- DOI:
- 10.1332/policypress/9781861347879.003.0013
- Subject:
- Social Work, Crime and Justice
This final chapter sums up the key ideas about risk, responsivity and diversity, spelling out the messages for practice along the way. In Part One, the book introduced the concepts of risk, ...
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This final chapter sums up the key ideas about risk, responsivity and diversity, spelling out the messages for practice along the way. In Part One, the book introduced the concepts of risk, responsivity and diversity, having briefly charted the changing nature of face-to-face work with offenders. In Part Two, the text explored the issue of working with offender groups who fall outside the majority, adult, white, male offenders. The chapters, which focused on offenders from certain groups (women, young people, and minority ethnic offenders), suggested that their diversity should be appreciated and stated that this will have implications in terms of how they are worked with. Part Three examined the issues of mental disorder, substance misuse and poor basic skills, because of their prevalence in offender populations. Part Four tackled the issue of responding to offenders who illustrate different aspects of risk, in terms of the risk of reoffending and the degree of harm they may pose to others.Less
This final chapter sums up the key ideas about risk, responsivity and diversity, spelling out the messages for practice along the way. In Part One, the book introduced the concepts of risk, responsivity and diversity, having briefly charted the changing nature of face-to-face work with offenders. In Part Two, the text explored the issue of working with offender groups who fall outside the majority, adult, white, male offenders. The chapters, which focused on offenders from certain groups (women, young people, and minority ethnic offenders), suggested that their diversity should be appreciated and stated that this will have implications in terms of how they are worked with. Part Three examined the issues of mental disorder, substance misuse and poor basic skills, because of their prevalence in offender populations. Part Four tackled the issue of responding to offenders who illustrate different aspects of risk, in terms of the risk of reoffending and the degree of harm they may pose to others.
Peter Squires (ed.)
- Published in print:
- 2006
- Published Online:
- March 2012
- ISBN:
- 9781861347305
- eISBN:
- 9781447301950
- Item type:
- book
- Publisher:
- Policy Press
- DOI:
- 10.1332/policypress/9781861347305.001.0001
- Subject:
- Sociology, Urban and Rural Studies
Community safety emerged as a new approach to tackling and preventing local crime and disorder in the late 1980s and was adopted into mainstream policy by New Labour in the late '90s. Twenty years ...
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Community safety emerged as a new approach to tackling and preventing local crime and disorder in the late 1980s and was adopted into mainstream policy by New Labour in the late '90s. Twenty years on, it is important to ask how the community safety agenda has evolved and developed within local crime and disorder prevention strategies. This book provides the first sustained critical and theoretically informed analysis by leading authorities in the field. It explores the strengths and weaknesses of the community safety legacy, posing challenging questions, such as how and why has community safety policy making become such a contested terrain? What are the different issues at stake for ‘provider’ versus ‘consumer’ interests in community safety policy? Who are the winners and losers and where are the gaps in community safety policy making? Do new priorities mean that we have seen the rise and now the fall of community safety? The book provides answers to these questions by exploring a wide range of topics relating to community safety policy and practice, including: anti-social behaviour strategies; victims' perspectives on community safety; race, racism, and policing; safety and social exclusion; domestic violence; substance misuse; community policing; and organised crime.Less
Community safety emerged as a new approach to tackling and preventing local crime and disorder in the late 1980s and was adopted into mainstream policy by New Labour in the late '90s. Twenty years on, it is important to ask how the community safety agenda has evolved and developed within local crime and disorder prevention strategies. This book provides the first sustained critical and theoretically informed analysis by leading authorities in the field. It explores the strengths and weaknesses of the community safety legacy, posing challenging questions, such as how and why has community safety policy making become such a contested terrain? What are the different issues at stake for ‘provider’ versus ‘consumer’ interests in community safety policy? Who are the winners and losers and where are the gaps in community safety policy making? Do new priorities mean that we have seen the rise and now the fall of community safety? The book provides answers to these questions by exploring a wide range of topics relating to community safety policy and practice, including: anti-social behaviour strategies; victims' perspectives on community safety; race, racism, and policing; safety and social exclusion; domestic violence; substance misuse; community policing; and organised crime.
Nancy P. Kropf and Sherry M. Cummings
- Published in print:
- 2017
- Published Online:
- May 2017
- ISBN:
- 9780190214623
- eISBN:
- 9780190682248
- Item type:
- chapter
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780190214623.003.0007
- Subject:
- Social Work, Research and Evaluation
Chapter 7, “Motivational Interviewing: Theory and Practice,” provides the theoretical and practice foundation for motivational interviewing (MI). MI employs a client-centered counseling style for ...
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Chapter 7, “Motivational Interviewing: Theory and Practice,” provides the theoretical and practice foundation for motivational interviewing (MI). MI employs a client-centered counseling style for achieving behavior change by facilitating exploration and resolution of ambivalence. The trans-theoretical model of change is discussed, as is the “spirit of motivational interviewing,” which highlights the practitioner’s way of being with clients. The chapter presents skills and techniques to enhance older adults’ ability to work through ambivalence and develop a sustainable plan for action. In addition, later-life problems in functioning that benefit from the use of motivational interviewing are summarized, including substance abuse/misuse, chronic disease management, smoking cessation and diet, exercise and weight control. Contextual issues related to clinical practice, and special considerations for use of MI with older clients, are discussed. The chapter includes a case example of motivational interviewing with an older woman with alcohol misuse issues.Less
Chapter 7, “Motivational Interviewing: Theory and Practice,” provides the theoretical and practice foundation for motivational interviewing (MI). MI employs a client-centered counseling style for achieving behavior change by facilitating exploration and resolution of ambivalence. The trans-theoretical model of change is discussed, as is the “spirit of motivational interviewing,” which highlights the practitioner’s way of being with clients. The chapter presents skills and techniques to enhance older adults’ ability to work through ambivalence and develop a sustainable plan for action. In addition, later-life problems in functioning that benefit from the use of motivational interviewing are summarized, including substance abuse/misuse, chronic disease management, smoking cessation and diet, exercise and weight control. Contextual issues related to clinical practice, and special considerations for use of MI with older clients, are discussed. The chapter includes a case example of motivational interviewing with an older woman with alcohol misuse issues.
Peter A. Bamberger, Samuel B. Bacharach, Kathleen A. Briggs, and Meira Ben-Gad
- Published in print:
- 2014
- Published Online:
- June 2014
- ISBN:
- 9780199374120
- eISBN:
- 9780190216894
- Item type:
- chapter
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780199374120.003.0004
- Subject:
- Psychology, Health Psychology
This chapter focuses on the results of our 10-year study of retirement and its alcohol-related consequences in order to describe how conditions and relationships (social networks) at work during the ...
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This chapter focuses on the results of our 10-year study of retirement and its alcohol-related consequences in order to describe how conditions and relationships (social networks) at work during the retirement process influence drinking in retirement. The chapter focuses on identifying those factors that explain when retirement is likely to be stressful or dysphoric and the role they play in explaining the onset or exacerbation of alcohol-related problems over time among older adults. In addition to examining factors related to the retirement experience itself (e.g., forced on the individual as opposed to something the individual plans for and does of his or her own volition), it examines the role potentially played by conditions (e.g., unit-level drinking norms, stress climates) and relationships experienced by older adults at work prior to retirement and how individual differences (e.g., gender, alcohol expectancies) may interact with these factors to influence subsequent substance misuse.Less
This chapter focuses on the results of our 10-year study of retirement and its alcohol-related consequences in order to describe how conditions and relationships (social networks) at work during the retirement process influence drinking in retirement. The chapter focuses on identifying those factors that explain when retirement is likely to be stressful or dysphoric and the role they play in explaining the onset or exacerbation of alcohol-related problems over time among older adults. In addition to examining factors related to the retirement experience itself (e.g., forced on the individual as opposed to something the individual plans for and does of his or her own volition), it examines the role potentially played by conditions (e.g., unit-level drinking norms, stress climates) and relationships experienced by older adults at work prior to retirement and how individual differences (e.g., gender, alcohol expectancies) may interact with these factors to influence subsequent substance misuse.
Simonetta Agnello Hornby
- Published in print:
- 2014
- Published Online:
- November 2020
- ISBN:
- 9780199676859
- eISBN:
- 9780191918346
- Item type:
- chapter
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/oso/9780199676859.003.0029
- Subject:
- Clinical Medicine and Allied Health, Psychiatry
Heralded as the most progressive legislation of the world, the Children Act of 1989 revolutionized children’s law in England and Wales. It is underpinned ...
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Heralded as the most progressive legislation of the world, the Children Act of 1989 revolutionized children’s law in England and Wales. It is underpinned by six principles: the supremacy of the child’s interest in all decisions concerning their upbringing and education; the recognition that it is best for any chid to be brought up by their blood family, that his religious and ethnic background must be respected, and that siblings should not be separated; the abolition of the stigma of illegitimacy and its replacement with the attribution at birth of paternal responsibility to the child’s father; the unification of public and private law, and the creation of the ‘menu’ of Residence, Contact, Prohibition, and Specific Issue orders available to the court; the establisment of the new principle that time is of the essence in all cases relating to children; and the creation of the presumption that ‘no order is better than an order’ thus the ingerence of the court must be minimal. I believed in those principles and in the benefits that the Children Act would bring to my clients—children and parents alike. I had some reservations: the system was expensive to implement on two counts: first, it gave the child a ‘guardian’ (a qualified social worker appointed by the court through CAFCASS, a governmental agency), as well as their own solicitor paid for by Legal Aid, as was the representative of the parents, who had the right to instruct independent experts; second, because its requirements of social services and other agencies involved further training and increased resources, as well as further involvement of the judiciary, and increased court time. Hornby and Levy were at the forefront of its implementation: our entire staff received in-house training that was open to other disciplines, within the spirit of cooperation between agencies that permeated the Act and its implementation. I also lectured in Britain and abroad and was proud to tell others that social services were under a duty to keep families united, rather than removing children from parents, and make efforts to return to the family the child removed from it, or if this failed, to place the child within the extended family, or with adoptive parents, within a year.
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Heralded as the most progressive legislation of the world, the Children Act of 1989 revolutionized children’s law in England and Wales. It is underpinned by six principles: the supremacy of the child’s interest in all decisions concerning their upbringing and education; the recognition that it is best for any chid to be brought up by their blood family, that his religious and ethnic background must be respected, and that siblings should not be separated; the abolition of the stigma of illegitimacy and its replacement with the attribution at birth of paternal responsibility to the child’s father; the unification of public and private law, and the creation of the ‘menu’ of Residence, Contact, Prohibition, and Specific Issue orders available to the court; the establisment of the new principle that time is of the essence in all cases relating to children; and the creation of the presumption that ‘no order is better than an order’ thus the ingerence of the court must be minimal. I believed in those principles and in the benefits that the Children Act would bring to my clients—children and parents alike. I had some reservations: the system was expensive to implement on two counts: first, it gave the child a ‘guardian’ (a qualified social worker appointed by the court through CAFCASS, a governmental agency), as well as their own solicitor paid for by Legal Aid, as was the representative of the parents, who had the right to instruct independent experts; second, because its requirements of social services and other agencies involved further training and increased resources, as well as further involvement of the judiciary, and increased court time. Hornby and Levy were at the forefront of its implementation: our entire staff received in-house training that was open to other disciplines, within the spirit of cooperation between agencies that permeated the Act and its implementation. I also lectured in Britain and abroad and was proud to tell others that social services were under a duty to keep families united, rather than removing children from parents, and make efforts to return to the family the child removed from it, or if this failed, to place the child within the extended family, or with adoptive parents, within a year.