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BACKGROUND: Employment has been recognized as an important goal for improving the quality of life of adults with intellectual disabilities (ID). Governments at both the federal and state level have invested billions of dollars to encourage better outcomes for adults with ID as they transition out of high school and into the labor force. OBJECTIVE: Given these important efforts, this study documented the employment situation of working-aged adults with intellectual disabilities across the country. METHODS: Respondents included a nationally representative random sample of 1,017 parents/guardians of adult children (21 years of age or older) with an intellectual disability surveyed by Gallup. These parents/guardians were selected from approximately 341,000 households screened by Gallup. This methodology allowed for the inclusion of a sample of adults with ID who had never been in the labor force or even sought employment. RESULTS: The results indicate a troublingly low employment rate for adults with ID and a puzzlingly low number who are even in the labor force. CONCLUSIONS: The employment outlook for adults with ID will continue to be bleak until new ways are found to meaningfully incorporate this population into the labor force. [ABSTRACT FROM AUTHOR]

The article presents the author's insights on the experiences that he has encountered on race diversity training sessions among black men and white women in the U.S. According to the author, he had negative experiences that are repetitive but infrequent about white women who feel that they became victims of racial discrimination. He also says that discussion, concepts if ideology, and cultural software among other racial privileges are ways to understand racism.

Objectives: Health care providers that experience harm after adverse events have been termed "second victims." Our objective was to characterize the range and context of interventions to support second victims in acute care settings., Methods: We performed a scoping study using Arksey and O'Malley's process. A library scientist searched PubMed, Cumulative Index of Nursing and Allied Health, EMBASE, and Cochrane Central Register of Controlled Trials in September 2017, and updated the search in November 2018. We sought gray literature (Canadian Electronic Library, Proquest and Scopus) and searched reference lists of included studies. Stakeholder organizations and authors of included studies were contacted. Two reviewers independently reviewed titles and abstracts and extracted data. A qualitative approach was used to categorize the context and characteristics of the 22 identified interventions., Results: After screening 5634 titles and abstracts, 173 articles underwent full-text screening. Twenty-two interventions met the criteria and were categorized as providing peer support (n = 8), proactive education (n = 6), or both (n = 8). Programs came from Canada (n = 2), Spain (n = 2), and the United States (n = 18). A specific traumatic event triggered the development of 5 programs. Some programs used a standard definition of second victims, (n = 6), whereas other programs had a broader scope (n = 12). Confidentiality was explicitly assured in 9 peer support programs. Outcome measures were often not reported., Conclusions: This is a new area of study with little qualitative data from which to determine whether these programs are effective. Many programs had a similar design, based on the structure proposed by the same small group of experts in this new field. Concerns about potential legal proceedings hinder documentation and study of program effectiveness., Competing Interests: The authors disclose no conflict of interest., (Copyright © 2020 The Author(s). Published by Wolters Kluwer Health, Inc.)