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Joint pain is a common experience among adults aged 65 and over. Although pain management is multifaceted, medication is essential in it. The paper examines the use of medication among older adults with joint pain in Israel and asks whether socioeconomic factors are associated with this usage. The data, harvested, from the Survey of Health, Aging and Retirement in Europe (SHARE), include 1,294 randomly selected community‐dwelling individuals aged 65 and over in Israel. Bivariate analysis and logistic regression are used to identify factors associated with the presence of joint pain medication use. About 38% of respondents report experiencing joint pain and 45% of those who so report are not taking prescription medication. Back pain is the most common location, reported by 64% of individuals who report joint pain. Taking medication is independently associated with younger age (OR = 0.965, 95% CI = 0.939–0.991), more education (OR = 1.044, 95% CI = 0.998–1.091), and better ability to cope economically (OR = 1.964, 95% CI = 1.314–2.936). However, older age and ability to cope economically are independently associated with women (OR = 0.964, 95% CI = 0.932–0.998 and OR = 2.438, 95% CI = 1.474–4.032, respectively) but not with men. It is suggested that socioeconomic inequality exists in healthcare access among adults aged 65 and over. Since income and gender are strongly associated with taking pain medication, physicians should follow‐up on women and less affluent people to ensure that medication prescribed has been obtained. Policymakers should consider programs that would facilitate better access to pain medication among vulnerable older individuals. [ABSTRACT FROM AUTHOR]

The present study investigates the effects of group appraisal and acculturation orientations on burnout of social workers working with immigrants. The study is based on the Threat‐Benefit and the Acculturation Theories. The proposed theoretical model was tested in a sample of social workers working with immigrants from the Former Soviet Union (FSU) in Israel (n = 313). Amongst the study participants, 254 were Israeli born, and 59 were immigrants from the FSU. The results demonstrated that social workers' acculturation orientations mediate the connection between the appraisal of the immigrant group and the social workers' burnout when working with immigrants from this group. Specifically, appraisal of immigrants as beneficial for the receiving society was associated with a stronger orientation towards preserving the immigrant culture (β = 0.22). On the other hand, appraisal of immigrants as threatening the receiving society was associated with a weaker orientation towards preserving the immigrant culture (β = −0.21) and with a stronger orientation towards acquiring the majority culture by immigrants (β = 0.12). A stronger acculturation orientation related to preserving the immigrant culture was associated with a lower level of burnout (β = −0.13) and a higher sense of personal accomplishments of social workers working with immigrants (β = 0.20). Immigrant social workers, compared to their native colleagues, reported a higher level of personal accomplishment (M[SD]IM = 5.08[1.24] vs. M[SD]IS = 4.21[1.39]) but also a higher level of burnout working with immigrant clients (M[SD]IM = 1.88[0.83] vs. M[SD]IS = 1.60[0.63]). The main conclusion following the present study relates to the importance of developing a positive appraisal of immigrants and accepting the immigrant culture for successful work with immigrants. [ABSTRACT FROM AUTHOR]

This study investigated how physicians, nurses, and social workers in community health care services make judgements about possible child maltreatment in ambiguous situations. We examined the influences of social biases (i.e., perceptions linking ethnicity, gender, and family socioeconomic status to child maltreatment) and belonging to distinctive occupational groups (i.e., physicians, nurses, and social workers) on professionals' assessment of suspected child maltreatment, intention to consult with others, and reporting. We used an experimental survey design including vignettes presenting a child's history inspired by real‐life clinical cases. Data were collected from 397 health care professionals—170 physicians, 179 nurses, and 48 social workers—employed at community health care clinics in northern Israel. Findings show that the child's gender and family socioeconomic status had significant effects on assessment of possible child maltreatment. Also, professionals' occupational group had significant effects on assessment of child maltreatment and intention to pursue consultation. Another key finding was the significant effects of judgements about child maltreatment assessment, consultation, and reporting on one another. The study reinforces efforts to improve health care professionals' management of suspected child maltreatment that include the development of clinical decision support systems that use routinely collected electronic medical record data. [ABSTRACT FROM AUTHOR]

Service‐users' inclusion (SUI) in decision‐making regarding services provided by public social services has numerous benefits for both users and providers. However, studies show a gap between the evolution of inclusive discourse and policy, and the implementation of SUI in social services' daily practice. Focusing on the organisational context, the present study is the first to empirically test the relationship between social workers' perception of the services' participative organisational culture (POC), their actual participation in organisational decision‐making (SWAP) and their inclusive praxes with service‐users (SUI). Data were collected between January and March of 2019 via an online survey of 317 Israeli social workers from 173 public departments of social services. Findings show that social workers who find the organisational culture at their workplace to be more participative, do in fact take a significantly greater part in decision‐making at the organisational level, and include service‐users more in decision‐making throughout the intervention. Furthermore, SWAP mediates the connection between services' POC and SUI. Findings suggest that establishing a POC is not enough to increase users' inclusion, as social workers' active participation in decision‐making is vital for their ability to include their marginalised users. [ABSTRACT FROM AUTHOR]

Immigrants and second‐generation immigrants from Ethiopia in Israel are assumed to be more vulnerable to problematic risk behaviours than host culture population. The aim of this study was to assess risk and protective factors associated with multiproblem behaviours such as committing driving violations, alcohol use, drugs use and violence among Ethiopian young adult immigrants and second‐generation immigrants in Israel. This is a cross‐sectional study, based on a self‐reported anonymous structured questionnaire distributed to 383 Ethiopian emerging adults (mean age 25.3; SD = 3.27, 59.3% female). Multiple Problem Behavior Index (MPBI) was created from their responses to 21 risk behaviour variables including driving violations, alcohol use, Marijuana use and violence. Logistic regression to predict multiproblem behaviours was used. We found that unplanned leisure activity hours during weekends (adjusted odds ratio – AOR = 2.594, p <.01, 95% CI 1.332–5.052), excitement seeking (AOR = 2.122, p<.01, 95% CI 1.257–3.582), depression symptoms (AOR = 2.521, p <.01, 95% CI 1.491–4.261) and gender (AOR = 0.277, p <.001, 95% CI 0.164–0.469) were associated with MPBI. In contrast, racism, perceived discrimination, Israeli and Ethiopian identities were not significantly associated with MPBI after adjusting for gender and family status. These results suggest that in a minority of Ethiopian emerging adult immigrants similar to host culture populations, risk factors such as unplanned leisure activities, excitement seeking and depression symptoms are stronger and significant factors associated with multiproblem behaviours rather than racism, perceived discrimination or Israeli and Ethiopian identities. Resources should be allocated to produce appropriate intervention programs with planned content for leisure time, especially on weekends. [ABSTRACT FROM AUTHOR]

In recent years, many western welfare states have undergone reforms in their social services. These reforms are intended to influence the work of social workers in the public sector, and depend largely upon workers' ability and willingness to implement them. The research presented in this article addresses the reform in Israeli Departments of Social Services through the perspective of the social workers tasked with its implementation. Drawing on recent developments of the Knowledge‐Power‐Politics Triad model, the relationship between aspects of social workers' support for the reform and their perceived and actual involvement in reform policy making, general attitude towards change, and professional inclinations was examined. Our sample consisted of 180 social workers employed in departments currently implementing the reform. The study's results emphasise the vital role employee participation plays in forming support for reforms' goals, and at the same time expose the complex interplay between developing a 'sense' of participation and participation's actual realisation. They offer several insights into the way social workers' support for reform is constructed, and not less so, regarding aspects of examining such support. [ABSTRACT FROM AUTHOR]

The two components of hope (i.e., hope‐agency defined as the ability to envision and believe in one's ability to achieve goals; hope‐pathway defined as belief in one's ability to devise strategies to achieve one's goals) propel adolescents toward well‐being, academic achievement and personal fulfillment. This study compares levels of hope and its components, for different groups of immigrant and ethnic non‐immigrant youths, while adjusting for and measuring the impact of racism, school and family characteristics, and the youth's unique individual attributes. Using a community‐based participatory research approach and a cross‐sectional study design, data were collected from immigrant and non‐immigrant youth (n = 567) between May 2015 and December 2015 at three Israeli public high schools. The study included five groups of youth based on their self‐descriptions: Ethiopian immigrant (n = 48), Russian immigrant (n = 145), Israeli‐born Mizrachi/Sephardi (n = 59), Israeli‐born Ashkenazi (n = 49), or Israeli‐born Unspecified (n = 266). Linear regression models showed that Ethiopian immigrant youth, compared to Russian immigrant youth and all Israeli‐born groups of youth, had significantly lower hope‐agency, hope‐pathway and overall hope. However, an interaction effect between racism and ethnicity indicated that adolescents who perceived racism and self‐identified as Ethiopian had higher hope‐agency, hope‐pathway and overall hope. This effect was not found with Russian immigrant or Israeli‐born youth. Immigrants of color compared to other immigrants and ethnicities have less overall hope; but those who acknowledge racism feel more control over their future (hope‐agency), able to devise strategies to surmount barriers blocking goals (hope‐pathway), and have greater overall hope. [ABSTRACT FROM AUTHOR]

Recent studies have noted that disproportionately adults with histories of childhood out-of-home placements, compared to adults without, suffer adulthood psychological and physical problems; however, these findings were based mostly on research investigating adults who were in the US foster care system. Building on this foundation, this study examined adults with histories of living in another type of childhood out-of-home placement, called youth villages, a situation in Israeli society reserved for youths who come from impoverished families with the added challenge of being immigrants, from single-parent families, or having parents who struggle with mental health problems or substance abuse. This study's aim was to examine the longer term adulthood impact of having lived in youth villages on health status, by making comparisons to the general population using a sample matched by age and gender. Youth villages provided lists of alumni, ages 21-55, and telephone questionnaires were administered from November 2014 to December 2015. The adult youth village alumni ( n = 152) were compared to a matched sample of the general population ( n = 304) drawn from an existing Israeli nationwide data set. Conditional logistic regression was used to compare the health status of the two groups. Youth village alumni were found to have experienced many of the same adverse childhood events as did graduates from the US foster care system; however, after adjusting for confounders, the health status between the two groups did not differ. This dramatically different finding compared to studies on US foster care graduates suggests that the precursors of out-of-home placement and out-of-home placement itself may not always be devastating experiences with adulthood health repercussions. Future studies are needed to examine the context and process of out-of-home placement including: events preceding placement, context of assigning placement, placement itself, stability of placement, placement's fit for the youth's temperament and preparation for exit from the placement. [ABSTRACT FROM AUTHOR]