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Schools of social work are tasked with preparing students to support the field's ethical challenge of eliminating racism. Given that color-blind racial attitudes constitute a form of continued racism, identifying the factors associated with color-blind racial ideology (CBRI) in social work students represents a first step toward meeting this challenge. Drawing from critical race theory, this cross-sectional study surveyed a convenience sample of 305 master of social work (MSW) students across five schools of social work to explore which individual characteristics are significantly associated with CBRI at the bivariate and multivariate levels. A multiple linear regression assessed CBRI's multivariate associations with demographic characteristics (i.e., age, gender, ethnicity, race, sexual orientation) and professional characteristics (i.e., prior work experience with marginalized communities, bachelor of social work [BSW] attainment, MSW concentration). Results showed that increased age, gender identification as men, and BSW attainment had statistically significant, positive associations with CBRI, compared to their respective reference groups. Compared to straight sexual orientation, identification as gay or lesbian, bisexual, and other sexual orientation was significantly associated with lower CBRI. Macro-focused MSW concentration was the strongest statistically significant independent variable and was associated with decreased CBRI. Fostering critical self-awareness of MSW students' racial blind spots may support meeting social work's ethical challenge.

Objectives: This study sought to (1) identify the percentage of high-risk substance use or substance use disorder (SUD) and (2) examine the factors associated with high-risk substance use or SUD in adults aged 50 years and older receiving mental health treatment with a primary delirium or dementia diagnosis. Method: This study used 7 years (2013–2019) of national administrative data on community mental health center patients aged 50 years and older with a primary delirium or dementia diagnosis receiving treatment in the United States (U.S.). To examine factors associated with the dependent variable (high-risk substance use or SUD), a multivariable binary logistic regression model was utilized. Results: The sample included 77,509 individuals who were mostly aged 65 years and older (69.7%), and did not have co-occurring high-risk substance use or SUD (90.1%). Receiving treatment in a U.S. region other than the Northeast, being younger, male, not non-Hispanic White, and having multiple mental health diagnoses had greater odds of co-occurring high-risk substance use or SUD. Conclusion: One in ten persons in this sample having high-risk substance use or SUD highlights the clinical necessity for screening and subsequent treatment for co-occurring high-risk substance use among persons receiving treatment for a neurocognitive disorder. [ABSTRACT FROM AUTHOR]

Like other forms of problem-solving justice, prostitution diversion programs (PDPs) are designed to (re)shape thinking and behaviors. The authority to surveil and punish stems from criminalization of sex work, itself an act of control over women and their bodies. The court cues normative behaviors through rewards and punishments based on information gleaned through ongoing surveillance in and out of court. Using a critical feminist lens, we draw on ethnographic and interview data from studies of two court-affiliated PDPs to examine the regulation of women's bodies and intimate relationships. We found that criminal justice professionals explicitly viewed constant discussion and surveillance of all facets of PDP participants' lives as a tool to cause participants to internalize particular understandings of normative relationships. Such normative understandings involve assumptions about which men are "creepy" that do not always reflect women's lived experiences and decontextualize relationships in ways that are incompatible with women's own assessments of these relationships. This analysis contributes to feminist social work by revealing the social control functions of such programs, which employ "creepy" intrusion to police the boundaries between unacceptable and normative behavior while simultaneously disregarding the systemic forces that shape women's choices and constructions of normativity. [ABSTRACT FROM AUTHOR]

Medical aid in dying refers to policies that allow terminally ill patients to seek assistance from their medical providers to obtain medications to hasten death. In this paper, we used a 7-point policy analysis model to examine the diversity of medical aid in dying policies that exist in jurisdictions (states and territories) in the U.S. and the implications of these policies for suffering at end of life. As of this writing, these practices are available in 12 jurisdictions, including 11 states and the District of Columbia. Legalization has occurred via statutory approaches in 10 jurisdictions and permissive approaches in two jurisdictions. We discuss the structures of these laws, the requirements for participation, and the limitations created by having jurisdiction-specific policies on such broad, bioethical issues. Existing laws appear to relieve suffering in patients at end of life. Jurisdictional differences create barriers to comprehensive expansion but provide insights into practice in different contexts. [ABSTRACT FROM AUTHOR]

Despite emerging as a core concern for street-based sex workers participating in prostitution diversion programmes (PDPs), housing has received limited empirical attention. In this article, we explore the meanings of housing in the context of court-affiliated PDPs in the US cities of Baltimore and Philadelphia based on interviews and focus groups with 31 PDP participants and 32 criminal legal system professionals. Three themes emerged: (a) housing precarity and crisis mode, (b) housing as a foundation, and (c) housing as an idea(l). PDPs prioritise therapeutic interventions targeting individual behaviours and attitudes over meeting basic needs, often placing programme participants in substandard housing and removing them from existing networks of support. Such prioritisation, which often conflicts with participants’ expressed preferences, does not always leave them better off in the short or long term. PDPs’ neglect of the quality, type, and meaning of housing reveals and reinforces a fundamental disregard for people in street-based sex trade as multifaceted, agentic human beings. We conclude that programmes must prioritise home as a ‘comfort zone’ that must be afforded to all people. [ABSTRACT FROM AUTHOR]

Although the Medicare Hospice Benefit mandates that hospices offer bereavement support services to families for at least 1 year following the death of a patient, it does not stipulate which services they should offer. As a result, little is known about what bereavement support services hospices provide, especially on a national scale. The current study recruited a national sample of hospice representatives who responded to an open-ended question that asked, "What types of bereavement support services does your hospice provide to families?" Seventy-six viable responses were recorded and content analyzed. Four overarching domains emerged: (a) timing of support, (b) providers of support, (c) targets of support, and (d) formats of support. Other notable findings included the underutilization of bereavement support services and the utility of informal support formats. These findings present implications for future study regarding which specific aspects of hospice bereavement support services are most beneficial to bereaved families. [ABSTRACT FROM AUTHOR]

The relationship between health care utilization and death anxiety in older adults is underexplored. This secondary analysis of the 2012 Health and Retirement Study examined health care utilization as a predictor of death anxiety in a nationally representative sample of American older adults (N = 3,960). Hierarchical binary logistic regression results revealed that overnight hospitalization, overnight nursing home placement, and outpatient visit were all statistically significant predictors of death anxiety. Outpatient visit was the strongest health care utilization predictor in the model. Increased end-of-life training for providers may improve patient–provider communication and alleviate patients' death anxiety. Future research should explore the directionality between study variables. [ABSTRACT FROM AUTHOR]

Introduction: The number of people with dementia has been increasing. Evidence shows that over 16 million family caregivers provide unpaid care for people with dementia. However, family caregivers experience several challenges throughout their caregiving role, including that of social isolation. Although social isolation in people with dementia has been well documented, social isolation in their family caregivers has not received as much scholarly attention. This scoping review sought to address this dearth of research through the following research question: "What are themes, concepts, or constructs that describe social isolation of family caregivers for people living with dementia?". Method: An electronic search was conducted in PubMed, PsycInfo, and Scopus, using the following Boolean search phrase: dementia AND "social isolation" AND (caregiver OR carers). Content analysis was conducted to identify relevant themes. Findings: The initial search yielded 301 studies. Through screening processes, 13 studies were eligible for review. Based on a synthesis of evidence, five themes emerged from the data: disease progression, psychological state, social networks, social supports, and technology. Discussion: This review demonstrates that caregiving is related to social isolation in family caregivers of people living with dementia. The experience of social isolation was related to the progression of dementia, psychological states, and lack of supports. In contrast, social supports, social networks, and using technology may reduce social isolation. Identifying themes provides policy and practice implications, such as using information and communication technology to create and redefine social networks. [ABSTRACT FROM AUTHOR]

This study examined the psychometric properties of the eight-item Hospice Philosophy Scale (HPS-8) through confirmatory factor analysis; differential item functioning by age, gender, race, and professional discipline; and internal consistency reliability. We administered the HPS-8 to a national convenience sample of 471 interdisciplinary hospice clinicians. Confirmatory factor analysis results supported a one-factor model with an error correlation between two similarly worded items, χ 2 (19) = 48.38, p < .001 (RMSEA = .06, SRMR = .03, CFI = .98, TLI = .97). "Multiple indicators, multiple causes" model results indicated differential item functioning by age, race, and/or professional discipline on five items. However, subsequent uncorrected and differential item functioning-corrected models detected no statistically significant HPS-8 mean differences by grouping variables. Composite reliability results (CR = .82) demonstrated acceptable internal consistency reliability. Our results support the HPS-8 as a valid and reliable measure of attitudes toward the hospice philosophy of care in hospice clinicians., Competing Interests: Declaration of Conflicting InterestsThe author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

Background: Nearly half of more than 1.7 million older Americans who receive hospice care each year have a primary or comorbid diagnosis of dementia. Pain is often undertreated in this patient population owing to myriad factors, including unmet informational needs among family caregivers., Objective: We sought to inform the adaptation of a pain education intervention for hospice family caregivers to the context of dementia by eliciting feedback on the educational content covered in adapted intervention materials., Design: We conducted a multimethod, formative research study to inform the adaptation of an existing, evidence-based intervention., Setting/subjects: The study included a purposively recruited sample ( n = 33) of hospice professionals ( n = 18) and family caregivers ( n = 15) from across the United States., Measurements: Participants quantitatively rated the importance of each of the eight pain concerns presented in the adapted intervention materials (1 = not important to 3 = very important) and provided qualitative feedback via Zoom interview on the acceptability, clinical accuracy, and potential benefits of the adapted content. We analyzed quantitative data via descriptive statistics and qualitative data via content analysis., Results: Participants rated the adapted educational content as highly important (range mean = 2.56-3.00), particularly regarding concerns about caregivers' pain assessment, communicating with the hospice team about pain, and addressing misinformation regarding pain medication outcomes. Participants also provided suggestions to strengthen specific educational messages to improve comprehension and uptake., Conclusions: Findings support the continued development and testing of the adapted intervention., (© Karla T. Washington et al., 2024; Published by Mary Ann Liebert, Inc.)