Using technology in social work practice: The mDad (Mobile Device Assisted Dad) case study

Mobile technology presents an exciting opportunity for social workers to reach populations that are typically underserved by interventions and services. We present one application of technology that is particularly relevant to social work practice. The mDad (Mobile Device Assisted Dad) app was developed to augment existing social work practices by providing a father-friendly tool to help new fathers learn about and engage with their infants and toddlers. We discuss the process of developing the app content and conducting usability testing of the mDad app. We conclude with a discussion of the lessons learned from the mDad project, and the challenges of implementation and dissemination of technology-based interventions in community contexts.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/115875/1/2015_Lee_and_Walsh_Using_Technology_in_Social_Work.pdfDescription of 2015_Lee_and_Walsh_Using_Technology_in_Social_Work.pdf : Main Articl

Engaging Men in IPV Prevention

Overview of the Presentation Rationale and framework for engaging boys and men in IPV prevention State of the research Key issues and challenges Priority settings and developmental periods for engaging boys and men Engaging men as fathers Engaging men in couples Global efforts to engage men in primary prevention Men as allies to end gender-based violence Future directions for researc

Locating infant and early childhood mental health at the heart of social work

Infant and early childhood mental health (IECMH)—an interdisciplinary field dedicated to advancing understanding of early relationships, socioemotional development, and cultural and contextual influences on caregiving—offers essential tools for social workers to support the well-being of infants, toddlers, preschoolers, and their families. Even though social worker Selma Fraiberg was a founder of the field, and social workers are central to the work of assessment and intervention with young children and their caregivers in many settings, few schools of social work offer training in IECMH, and few social workers are familiar with its core principles, scholarship, and intervention approaches. In this article, faculty members from four U.S. social work programs address the vital role of IECMH in social work training, research, and practice as well as issue a call to the field to recover and renew commitment to a practice perspective and knowledge base with roots in social work. Twenty-five years ago, Social Work published a similar call, but the request has gone largely unheeded. The authors examine the changing landscape and argue that it is more important and timelier than ever for social workers to learn and integrate the relationship-based approach to promotion, prevention, intervention, and treatment offered by IECMH.Accepted manuscrip

Strong, Safe, And Secure: Negotiating Early Fathering And Military Service Across The Deployment Cycle

Military fathers of young children often endure repeated separations from their children, and these may disrupt the early parent–child relationship. Postdeployment reunification also poses challenges; disruptions that have occurred must often be repaired in the context of heightened emotions on the part of each family member at a time when fathers are themselves readjusting to the routines and responsibilities of family life. The current study employed qualitative research with the central aim of informing a richer understanding of these experiences. Interviews were conducted with 14 military fathers of young children who had experienced separation from their families during deployment. Narratives were coded using principles of grounded theory, and common parenting themes were extracted. Fathers shared their hopes that their young children would develop qualities of strength, confidence, and self‐sufficiency. They also discussed difficulty in supporting the development of these qualities in their young children due to problems dealing with the negative emotions and difficult behaviors that their children exhibited. Reliance on their parenting partner was commonly cited as an effective strategy as fathers transitioned back to family life. Implications for intervention programs include the provision of parenting and self‐care skills and inclusion of the father's parenting partner in the intervention. RESUMEN Padres militares de niños pequeños a menudo enfrentan repetidas separaciones de sus hijos, las cuales pueden alterar las tempranas relaciones padre‐hijo. La reunificación posterior a la asignación militar también presenta retos; las interrupciones que han ocurrido muy a menudo se arreglan en el contexto de fuertes emociones por parte de cada miembro de la familia en un momento en que los papás están ellos mismos reajustándose a rutinas y responsabilidades de la vida familiar. La investigación cualitativa puede resultar en una mejor comprensión de estas experiencias. Para el presente estudio, se entrevistó a 14 militares, padres de niños pequeños, quienes habían experimentado la separación familiar durante sus asignaciones militares. Se codificaron las narrativas usando principios de teoría básica, y se extrajeron temas de crianza comunes. Los papás compartieron sus esperanzas de que sus pequeños niños desarrollaran su fortaleza, confianza y autosuficiencia. También discutieron la dificultad de apoyar el desarrollo de estas características en sus pequeños niños después de la separación por servicio militar debido a problemas relacionados con emociones negativas y conductas difíciles que sus hijos mostraban. Se citó reiteradamente el depender de la pareja en la crianza como estrategia efectiva en la transición de vuelta a la vida familiar. Las implicaciones para programas de intervención incluyen la incorporación de la pareja de quien dependen los papás para la crianza como parte de la intervención, así como la provisión de habilidades de crianza y autocuidado. RÉSUMÉ Les pères de jeunes enfants qui servent dans l’armée endurent souvent des séparations répétées d’avec leurs enfants, séparations qui peuvent perturber la relation précoce père‐enfant. La réunification après le déploiement peut également poser certains défis: les perturbations qui se sont passées doivent aussi être réparées dans le contexte d’émotions intensifiées de la part de chaque membre de la famille à un moment où les pères eux‐mêmes se réadaptent aux routines et aux responsabilités de la vie de famille. Des recherches qualitatives peuvent mener à une compréhension plus riche de ces expériences. Cette étude a interviewé 14 pères engagés dans l’armée, pères de jeunes enfants qui avaient tous fait l’expérience de la séparation de leurs familles durant le déploiement. Les récits ont été codés en utilisant les principes de la théorie ancrée et les thèmes de parentage commun ont été extraits. Les pères ont partagé leurs espoirs que leurs jeunes enfants feraient preuve de qualités de force, de confiance et d’auto‐suffisance en grandissant. Ils ont aussi discuté la difficulté qui existe à soutenir le développement de ces qualités chez leurs jeunes enfants après le déploiement à cause de problèmes liés aux émotions et aux comportements difficiles dont faisaient preuve leurs enfants. La dépendance envers le partenaire de parentage s’est trouvé fréquemment citée comme étant une stratégie efficace alors qu’ils transitionnaient dans le retour à la vie familiale. Les implications pour des programmes d’intervention comprennent l’inclusion du partenaire de parentage du père dans l’intervention et dans l’accumulation des précautions de parentage et des capacités à prendre soin de soi. ZUSAMMENFASSUNG Väter von Kleinkindern, die im Militär dienen, erfahren oft wiederholte Trennungen von ihren Kindern, welche die frühe Eltern‐Kind‐Beziehung stören können. Auch die Wiedervereinigung nach einem Einsatz beim Militär stellt eine Herausforderung dar: Brüche, die aufgetreten sind, müssen oft im Zusammenhang mit verstärkten Emotionen auf Seiten jedes Familienmitglieds wiedergutgemacht werden. Dies geschieht zu einer Zeit, in der sich die Väter wieder den Routinen und Aufgaben des Familienlebens anpassen. Qualitative Forschung kann zu einem umfangreicheren Verständnis dieser Erfahrungen beitragen. Die aktuelle Studie befragte 14 Väter von Kleinkindern, die beim Militär waren und Trennung von ihren Familien während eines Einsatzes erlebt hatten. Narrative wurden nach den Prinzipien der „Grounded Theory“ kodiert und allgemeine Themen zur Elternschaft wurden extrahiert. Die Väter teilten ihre Hoffnung mit, dass ihre Kinder Eigenschaften wie Stärke, Selbstvertrauen und Selbstständigkeit entwickeln. Sie diskutierten auch Schwierigkeiten bei der Unterstützung der Entwicklung dieser Eigenschaften bei ihren Kleinkindern nach einem Einsatz, aufgrund von Problemen im Umgang mit negativen Emotionen und schwierigen Verhaltensweisen, die ihre Kinder zeigten. Das Vertrauen in das andere Elternteil wurde allgemein als wirksame Strategie zitiert, wenn sie zurück ins Familienleben übergegangen sind. Implikationen für Interventionsprogramme umfassen die Einbeziehung des anderen Elternteils in die Intervention und die Bereitstellung von Erziehungs‐ und Selbstfürsorge‐Fähigkeiten. ABSTRACT 抄録：幼い子どものいる軍人の父親は、子どもとの別れを繰り返すことにしばしば耐えている。そして、これは、早期の親－子関係を中断するだろう。帰還後の家族の再統合もまた問題をはらんでいる。父親自身が家族生活のルーチンと責任に再適応している時に、家族メンバーそれぞれが高揚した感情というコンテクストの中で、生じていた中断がしばしば修復されなければならない。質的研究によりこれらの経験をより豊かに理解する情報をえることができる。この研究では、配備の間に家族との別れを体験した、14人の幼い子どものいる軍人の父親にインタビューした。談話はグランデット・セオリーの原則を用いてコード化され、共通の育児のテーマが抽出された。父親達は、幼い子どもが、強さ、自信、そして自給自足という素質を発達させるだろうという希望を共有していた。彼らはまた、子ども達が示す否定的な感情や難しい行動を扱う問題のために、帰還後に幼い子どものこれらの素質を発達させるように支援するのが難しいと議論した。養育パートナーへの信頼は、彼らが家族との生活に戻る移行における効果的な戦略として、共通して言及された。介入プログラムに対して持つ意味には、父親の養育パートナーを介入に含めること、そして養育スキルとセルフケアのスキルを提供することが、含まれるPeer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/108646/1/imhj21465.pd

Prevalence of intimate partner violence and beliefs about partner violence screening among young men

PURPOSE Few clinical guidelines focus on how physicians can identify intimate partner violence (IPV) perpetration or victimization among male patients, and lit- tle is known of men’s experiences and beliefs regarding screening in health care settings. Our objective was to determine prevalence of men’s experiences with IPV screening in health care settings and associations with men’s beliefs regard- ing health care clinician identification of IPV. METHODS Using a cross-sectional online survey of a nationally representative sample of 916 men aged 18-35 years, we conducted survey-weighted descrip- tive analyses to determine IPV prevalence, screening experiences and beliefs, and multivariate logistic regression to examine associations of demographics, IPV perpetration, and IPV victimization with men’s screening experiences and beliefs. RESULTS Of 916 men surveyed, 19% reported perpetration and 27% reported victimization in relationship with current or previous spouse/partner, 90% believed health care clinicians should ask about perpetration, 92% believed health care clinicians should ask about victimization, but only 11% had been asked about perpetration and 13% about victimization. Beliefs regarding IPV were associated with African American non-Hispanic race, IPV perpetration, and IPV victimization. Experiences being asked about IPV were associated with educa- tional attainment and IPV perpetration. CONCLUSIONS Among young US men, 9 in 10 support IPV identification by health care clinicians, nearly 1 in 5 report using IPV, but only about 1 in 10 report health care clinicians asking about IPV. These represent missed opportuni- ties for health care IPV identification. Beliefs and experiences regarding health care IPV identification vary by race, education, and men’s IPV perpetration and victimization. These disparities can inform tailored health care identification approaches.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/163751/1/2020-Walsh-Prevalenceofintimatepartner.pdfDescription of 2020-Walsh-Prevalenceofintimatepartner.pdf : Main articl

Prescription opioid misuse and intimate partner violence perpetration among a nationally representative sample of young men

Background: Drug use is associated with intimate partner violence (IPV) perpetration among men, but few studies have examined the relation between prescription opioid misuse and IPV perpetra- tion. Objectives: The purpose of this study is to examine the relation between prescription opioid misuse and IPV perpetration while controlling for demographic, depression, alcohol, and illicit drug use risk factors among a non-clinical, nationally representative sample of young men aged 18–35. Methods: Cross-sectional survey in August 2014 of 1,053 partnered men aged 18–35 in a nationally representative sample of the adult U.S. population. The survey assessed physical IPV perpetration, depressive symptoms, alcohol misuse, marijuana use, illegal drug use, prescription opioid misuse, and demographic characteristics. We calculated descriptive statistics and conducted weighted bivariate and multivariate logistic regression to assess associations of IPV perpetration with prescription opioid misuse and other known IPV risk factors. Results: Weighted analyses show 19.4% of men reported IPV perpetration in the current or most recent relationship, and 7.3% reported prescription opioid misuse in the past year. After controlling for marijuana use, illegal drug use, depressive symptoms, and demographic characteristics, prescription opioid misuse in the past year (A.O.R. 1⁄4 1.94, 95% CI 1⁄4 1.33–2.84) was associated with increased odds of young men’s physical IPV perpetration in the current or most recent relationship. Conclusions/importance: Prescription opioid misuse is associated with IPV perpetration at a population-level among young men and is not unique to clinical samples. Prevention and intervention strategies should be devel- oped to simultaneously target prescription opioid misuse and IPV perpetration.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/163756/1/2020-Seabrook-Prescriptionopiodmisuse.pdfDescription of 2020-Seabrook-Prescriptionopiodmisuse.pdf : Main articl

Men's Knowledge of Anticipatory Guidance Topics: Results From a Nationally Representative Survey

OBJECTIVE: 1) To describe young men's knowledge of infant routines, discipline, development, safety, sleep, and nutrition, using items assessing the American Academy of Pediatrics Bright Futures: Guidelines for Health Supervision of Infants, Children, and Adolescents. 2) To report differences in knowledge between fathers and non-fathers. 3) To examine factors associated with men's greater knowledge. METHODS: Participants were men (N = 1303) aged 18 to 35 years responding to a cross-sectional survey that was administered to a national panel established through probability sampling of the civilian, non-institutionalized US population. Survey weights allow reporting of nationally representative analyses. RESULTS: Participants (mean age = 27; 58% white, 36% fathers) correctly answered 52% of the infant knowledge questions. Fathers and non-fathers answered 64% and 46% of the items correctly, respectively. The difference in knowledge between fathers and non-fathers was statistically significant (B = 0.16, P< .001). The subscale with the highest number of correct responses was routines (80% accuracy), followed by discipline (59% accuracy), safety (52% accuracy), sleep (51% accuracy), development (50% accuracy), and nutrition (40% accuracy). Multivariate analyses showed that depressive symptoms (B = 0.07, P < .05) were associated with lower infant knowledge, while higher education (B = 0.06, P < .05) and current employment (B = 0.06, P < .01) were associated with higher infant knowledge. CONCLUSIONS: Significant gaps exist in men's knowledge of infant development. Pediatric health care providers can address gaps in parenting knowledge by providing anticipatory guidance to fathers.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/167725/1/2021 Lee Men's knowledge Academic Pediatrics.pd

Antimicrobial resistance among migrants in Europe: a systematic review and meta-analysis

BACKGROUND: Rates of antimicrobial resistance (AMR) are rising globally and there is concern that increased migration is contributing to the burden of antibiotic resistance in Europe. However, the effect of migration on the burden of AMR in Europe has not yet been comprehensively examined. Therefore, we did a systematic review and meta-analysis to identify and synthesise data for AMR carriage or infection in migrants to Europe to examine differences in patterns of AMR across migrant groups and in different settings. METHODS: For this systematic review and meta-analysis, we searched MEDLINE, Embase, PubMed, and Scopus with no language restrictions from Jan 1, 2000, to Jan 18, 2017, for primary data from observational studies reporting antibacterial resistance in common bacterial pathogens among migrants to 21 European Union-15 and European Economic Area countries. To be eligible for inclusion, studies had to report data on carriage or infection with laboratory-confirmed antibiotic-resistant organisms in migrant populations. We extracted data from eligible studies and assessed quality using piloted, standardised forms. We did not examine drug resistance in tuberculosis and excluded articles solely reporting on this parameter. We also excluded articles in which migrant status was determined by ethnicity, country of birth of participants' parents, or was not defined, and articles in which data were not disaggregated by migrant status. Outcomes were carriage of or infection with antibiotic-resistant organisms. We used random-effects models to calculate the pooled prevalence of each outcome. The study protocol is registered with PROSPERO, number CRD42016043681. FINDINGS: We identified 2274 articles, of which 23 observational studies reporting on antibiotic resistance in 2319 migrants were included. The pooled prevalence of any AMR carriage or AMR infection in migrants was 25·4% (95% CI 19·1-31·8; I2 =98%), including meticillin-resistant Staphylococcus aureus (7·8%, 4·8-10·7; I2 =92%) and antibiotic-resistant Gram-negative bacteria (27·2%, 17·6-36·8; I2 =94%). The pooled prevalence of any AMR carriage or infection was higher in refugees and asylum seekers (33·0%, 18·3-47·6; I2 =98%) than in other migrant groups (6·6%, 1·8-11·3; I2 =92%). The pooled prevalence of antibiotic-resistant organisms was slightly higher in high-migrant community settings (33·1%, 11·1-55·1; I2 =96%) than in migrants in hospitals (24·3%, 16·1-32·6; I2 =98%). We did not find evidence of high rates of transmission of AMR from migrant to host populations. INTERPRETATION: Migrants are exposed to conditions favouring the emergence of drug resistance during transit and in host countries in Europe. Increased antibiotic resistance among refugees and asylum seekers and in high-migrant community settings (such as refugee camps and detention facilities) highlights the need for improved living conditions, access to health care, and initiatives to facilitate detection of and appropriate high-quality treatment for antibiotic-resistant infections during transit and in host countries. Protocols for the prevention and control of infection and for antibiotic surveillance need to be integrated in all aspects of health care, which should be accessible for all migrant groups, and should target determinants of AMR before, during, and after migration. FUNDING: UK National Institute for Health Research Imperial Biomedical Research Centre, Imperial College Healthcare Charity, the Wellcome Trust, and UK National Institute for Health Research Health Protection Research Unit in Healthcare-associated Infections and Antimictobial Resistance at Imperial College London

Surgical site infection after gastrointestinal surgery in high-income, middle-income, and low-income countries: a prospective, international, multicentre cohort study

Background: Surgical site infection (SSI) is one of the most common infections associated with health care, but its importance as a global health priority is not fully understood. We quantified the burden of SSI after gastrointestinal surgery in countries in all parts of the world. Methods: This international, prospective, multicentre cohort study included consecutive patients undergoing elective or emergency gastrointestinal resection within 2-week time periods at any health-care facility in any country. Countries with participating centres were stratified into high-income, middle-income, and low-income groups according to the UN's Human Development Index (HDI). Data variables from the GlobalSurg 1 study and other studies that have been found to affect the likelihood of SSI were entered into risk adjustment models. The primary outcome measure was the 30-day SSI incidence (defined by US Centers for Disease Control and Prevention criteria for superficial and deep incisional SSI). Relationships with explanatory variables were examined using Bayesian multilevel logistic regression models. This trial is registered with ClinicalTrials.gov, number NCT02662231. Findings: Between Jan 4, 2016, and July 31, 2016, 13 265 records were submitted for analysis. 12 539 patients from 343 hospitals in 66 countries were included. 7339 (58·5%) patient were from high-HDI countries (193 hospitals in 30 countries), 3918 (31·2%) patients were from middle-HDI countries (82 hospitals in 18 countries), and 1282 (10·2%) patients were from low-HDI countries (68 hospitals in 18 countries). In total, 1538 (12·3%) patients had SSI within 30 days of surgery. The incidence of SSI varied between countries with high (691 [9·4%] of 7339 patients), middle (549 [14·0%] of 3918 patients), and low (298 [23·2%] of 1282) HDI (p < 0·001). The highest SSI incidence in each HDI group was after dirty surgery (102 [17·8%] of 574 patients in high-HDI countries; 74 [31·4%] of 236 patients in middle-HDI countries; 72 [39·8%] of 181 patients in low-HDI countries). Following risk factor adjustment, patients in low-HDI countries were at greatest risk of SSI (adjusted odds ratio 1·60, 95% credible interval 1·05–2·37; p=0·030). 132 (21·6%) of 610 patients with an SSI and a microbiology culture result had an infection that was resistant to the prophylactic antibiotic used. Resistant infections were detected in 49 (16·6%) of 295 patients in high-HDI countries, in 37 (19·8%) of 187 patients in middle-HDI countries, and in 46 (35·9%) of 128 patients in low-HDI countries (p < 0·001). Interpretation: Countries with a low HDI carry a disproportionately greater burden of SSI than countries with a middle or high HDI and might have higher rates of antibiotic resistance. In view of WHO recommendations on SSI prevention that highlight the absence of high-quality interventional research, urgent, pragmatic, randomised trials based in LMICs are needed to assess measures aiming to reduce this preventable complication

Search for electroweak production of charginos in final states with two tau leptons in pp collisions at root s=8 TeV

Results are presented from a search for the electroweak production of supersymmetric particles in pp collisions in final states with two T leptons. The data sample corresponds to an integrated luminosity between 18.1 fb(-1) and 19.6 fb(-1) depending on the final state of T lepton decays, at root s = 8 TeV, collected by the CMS experiment at the LHC. The observed event yields in the signal regions are consistent with the expected standard model backgrounds. The results are interpreted using simplified models describing the pair production and decays of charginos or T sleptons. For models describing the pair production of the lightest chargino, exclusion regions are obtained in the plane of chargino mass vs. neutralino mass under the following assumptions: the chargino decays into third-generation sleptons, which are taken to be the lightest sleptons, and the sleptons masses lie midway between those of the chargino and the neutralino. Chargino masses below 420 GeV are excluded at a 95% confidence level in the limit of a massless neutralino, and for neutralino masses up to 100 GeV, chargino masses up to 325 GeV are excluded at 95% confidence level. Constraints are also placed on the cross section for pair production of T sleptons as a function of mass, assuming a massless neutralino.Peer reviewe