Peer Support, Self-efficacy, and Combat-related Trauma Symptoms among Returning OIF/OEF Veterans

The incidence of PTSD and other combat-related trauma symptoms among more than 2 million veterans returning from Operation Iraqi Freedom (OIF) and Operation Enduring Freedom (OEF) in Afghanistan suggests that many will experience psychological challenges in adjusting to civilian life. However, the literature is sparse about this new group of veterans. This study examined the relationships between peer support, self-efficacy, and PTSD symptoms among 216 OIF/OEF veterans who had attended 1 of 17 Vets4Vets peer support weekend retreats. Vets4Vets is a national grassroots program whose mission is to improve the psychological well-being of returning OIF/OEF veterans. Analysis of posttest changes indicate the generalizability of previous research findings, based on other groups of trauma-affected groups, to OIF/OEF veterans. As predicted, increased perceived peer support and self-efficacy reduced PTSD symptoms. From a theoretical perspective, we found that both models of self-efficacy, situation-specific (Bandura, 1997; Benight & Bandura, 2004) and general self-efficacy (Schwarzer & Fuchs, 1996), mediated or explained the relationship between peer support and PTSD symptoms. Implications for social work are discussed

Balancing permanency and stability for youth in foster care

Youth aging out of the foster care system are at risk for poor outcomes. Little is known about the etiology of these outcomes. However, placement instability may be one contributor. Permanency planning as a policy was well-intentioned. However, for adolescents likely to age out of care, the policy may actually contribute to placement instability. A review of the elements of permanency reveals a complex concept which emphasizes continuity of relationships. Federal permanency legislation and state policy may be in conflict with this goal, especially for youth who age out of care. We review the challenges faced by youth aging out of care, their placement histories, permanency planning as a policy and practice, and suggest modifications to permanency planning to facilitate the development and maintenance of the stable social networks essential for successful transitions to adulthood.Permanency planning Placement stability Foster care youth Aging out Relational permanence Foster care

Supervisor Preferences for the Design and Delivery of Training

Although the consensus is that training for child protective services (CPS) supervisors is essential, there is an apparent gap in the literature about how the training should be delivered. Using interviews, focus groups, and a statewide survey, supervisors in Arizona identified how, when, and where they wanted training delivered and their reasons why. The preferred methods balance training within the responsibilities and time demands of the supervisor role

Analysis of Outcomes in Ischemic vs Nonischemic Cardiomyopathy in Patients With Atrial Fibrillation A Report From the GARFIELD-AF Registry

IMPORTANCE Congestive heart failure (CHF) is commonly associated with nonvalvular atrial fibrillation (AF), and their combination may affect treatment strategies and outcomes