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Implicit alcohol associations, especially drinking identity, predict drinking over time
No full textThere is considerable excitement about implicit alcohol associations (IAAs) as predictors of college-student hazardous drinking; however, few studies have investigated IAAs prospectively, included multiple assessments, or controlled for previous drinking. Doing so is essential for showing the utility of these associations as predictors, and ultimately, targets for screening or intervention. Therefore, 3 IAAs (i.e., drinking identity, alcohol approach, and alcohol excitement) were evaluated as prospective predictors of drinking in 1st- and 2nd-year undergraduates in the United States.A sample of 506 undergraduates completed 8 online assessments of IAAs, explicit measures of the IAA constructs, and hazardous drinking (i.e., consumption, problems, and risk of alcohol-use disorders) every 3 months over a 21-month period. Retention rates, ordered by follow-up time points, were 90%, 76%, 76%, 77%, 72%, 67%, and 66%, respectively. Half of the participants were nondrinkers at baseline; 21% were above clinical cutoffs for hazardous drinking.Drinking-identity and alcohol-excitement associations predicted future alcohol consumption and problems after controlling for previous drinking and explicit measures; drinking identity also predicted future risk of alcohol-use disorder. Relative to the other IAAs, drinking identity predicted alcohol consumption for the longest duration (i.e., 21 months). Alcohol-approach associations rarely predicted variance in drinking.IAAs vary in their utility as prospective predictors of college-student hazardous drinking. Drinking identity and, to a lesser extent, alcohol excitement, emerged as robust prospective predictors of hazardous drinking. Intervention and screening efforts could likely benefit from targeting those associations
Pioneering the Psychiatric Nurse Role in Foster Care
No full textOlder youth served in the foster care system have elevated rates of mental health disorders and are high users of mental health services, yet concerns have been raised about the quality of this care. This paper describes the details of a psychiatric nurse’s work within a multidisciplinary team to address gaps in care for older youth with psychiatric disorders. We describe the process, outcomes, and lessons learned in developing and piloting a psychiatric nurse intervention for older youth in the foster care system as part of a multidimensional treatment foster care program. Our experiences support further work to develop a role for nursing to improve the quality of mental health treatment in foster care
Racial Disproportionality in the Foster Care System in Texas
No full textThis study analyzes the demographic characteristics of foster care children under the conservatorship of the Department of Family and Protective Services (DFPS) in Texas from 2002 to 2013. Using one state as an example, the progress charting data in 12 years demonstrates the need to set up a national agenda on closing the gap in racial disproportionality. While the data reveal an increase of Hispanic children in foster care from 33.6% in 2002 to 41.3% in 2013, in terms of disproportionality, the ratio index for Hispanic children has been much lower (0.83) than that for African American children (2.33) over all of these years. The engagement of 13 state-appointed disproportionality specialists in 2007 has shown some positive outcomes after five years. This is evidenced by examining the disproportionality index for African-American children’s representation in Texas (dropping to 1.98 in both years of 2012 and 2013). Data also show that it took over six years for the state to lower the disproportionality index of the African-American children represented in the public child welfare system by only 0.02. Continuous efforts must be planned so that this reducing trend will continue and its committed workforce will expand. These demographic data analyses support the need for Texas to further examine the state’s service development to ensure that foster children and their families of all ethnicities receive services that are gender sensitive, age and development specific, and efficient
Comorbidity of alcohol and gambling problems in emerging adults: A bifactor model conceptualization
No full textAddictive disorders, such as pathological gambling and alcohol use disorders, frequently co-occur at greater than chance levels. Substantive questions stem from this comorbidity regarding the extent to which shared variance between gambling and alcohol use reflects a psychological core of addictive tendencies, and whether this differs as a function of gender. The aims of this study were to differentiate both common and unique variance in alcohol and gambling problems in a bifactor model, examine measurement invariance of this model by gender, and identify substantive correlates of the final bifactor model. Undergraduates (N = 4475) from a large northwestern university completed an online screening questionnaire which included demographics, quantity of money lost and won when gambling, the South Oaks Gambling Screen, the AUDIT, gambling motives, drinking motives, personality, and the Brief Symptom Inventory. Results suggest that the bifactor model fit the data well in the full sample. Although the data suggest configural invariance across gender, factor loadings could not be constrained to be equal between men and women. As such, general and specific factors were examined separately by gender with a more intensive subsample of females and males (n = 264). Correlations with motivational tendencies, personality traits, and mental health symptoms indicated support for the validity of the bifactor model, as well as gender-specific patterns of association. Results suggest informative distinctions between shared and unique attributes related to problematic drinking and gambling