The Relation of Court Appointed Special Advocate Education to Foster Care Outcomes

The Court Appointed Special Advocate (CASA) program is an organization that utilizes lay volunteers as advocates for children in foster care to improve outcomes for those children. The effectiveness of CASAs in achieving permanency outcomes for children in foster care has been established; however, the literature has significant methodological flaws and is outdated. The purpose of this study, guided by the theory of change and social cognitive theory, was to explore whether CASA self-efficacy, through a proxy measure of education level, is related to permanency outcomes such as reunification with parents and rate of reentry to the foster care system for children in foster care. Archived data from a CASA database in Southern Idaho were examined using non-parametric statistics. The data included 138 cases, who were served by 78 CASA volunteers. The education of the CASA volunteers was used as the independent variable: 10 had a high school diploma, 23 had some college, and 45 were college graduates. Chi-square analyses indicated that there was no significant relation between the education level of CASA volunteers and permanency outcomes in the individual cases, and also that there was no significant relation between the education level of CASA volunteers and reentry rates of child protection cases on which they have served. The research contributed to social change by increasing awareness of the role the CASA program plays in the lives of children and their families involved in the child welfare system and highlighting the need for current research, as well as establishing that educational level may not be an important factor in the outcomes of CASA cases. Suggested areas for future research include a direct examination of the relation of self-efficacy of CASA volunteers about permanency outcomes and reentry rates with a larger, more generalizable population

DU Undergraduate Showcase: Research, Scholarship, and Creative Works: Abstracts

Abstracts from the DU Undergraduate Showcase

Associations between jet lag and cortisol diurnal rhythms after domestic travel.

Objective: Millions of adults in the United States travel abruptly across time zones each year. Nevertheless, the impact of traveling over relatively short distances (across 3 or fewer time zones) on diurnal patterning of typical physiological response patterns has yet to be studied in a large, epidemiological sample. Design: The current research focuses on 764 middle-aged men comparing variations in diurnal cortisol regulation based on number of time zones traveled eastward or westward the day before. Main Outcome Measure: Participants provided samples of salivary cortisol at waking, 30-min postwaking, 10 a.m., 3 p.m., and bedtime. Results: Eastward travel was associated with a steeper salivary cortiso

Global burden of 369 diseases and injuries in 204 countries and territories, 1990–2019: a systematic analysis for the Global Burden of Disease Study 2019

Background: In an era of shifting global agendas and expanded emphasis on non-communicable diseases and injuries along with communicable diseases, sound evidence on trends by cause at the national level is essential. The Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) provides a systematic scientific assessment of published, publicly available, and contributed data on incidence, prevalence, and mortality for a mutually exclusive and collectively exhaustive list of diseases and injuries. Methods: GBD estimates incidence, prevalence, mortality, years of life lost (YLLs), years lived with disability (YLDs), and disability-adjusted life-years (DALYs) due to 369 diseases and injuries, for two sexes, and for 204 countries and territories. Input data were extracted from censuses, household surveys, civil registration and vital statistics, disease registries, health service use, air pollution monitors, satellite imaging, disease notifications, and other sources. Cause-specific death rates and cause fractions were calculated using the Cause of Death Ensemble model and spatiotemporal Gaussian process regression. Cause-specific deaths were adjusted to match the total all-cause deaths calculated as part of the GBD population, fertility, and mortality estimates. Deaths were multiplied by standard life expectancy at each age to calculate YLLs. A Bayesian meta-regression modelling tool, DisMod-MR 2.1, was used to ensure consistency between incidence, prevalence, remission, excess mortality, and cause-specific mortality for most causes. Prevalence estimates were multiplied by disability weights for mutually exclusive sequelae of diseases and injuries to calculate YLDs. We considered results in the context of the Socio-demographic Index (SDI), a composite indicator of income per capita, years of schooling, and fertility rate in females younger than 25 years. Uncertainty intervals (UIs) were generated for every metric using the 25th and 975th ordered 1000 draw values of the posterior distribution. Findings: Global health has steadily improved over the past 30 years as measured by age-standardised DALY rates. After taking into account population growth and ageing, the absolute number of DALYs has remained stable. Since 2010, the pace of decline in global age-standardised DALY rates has accelerated in age groups younger than 50 years compared with the 1990–2010 time period, with the greatest annualised rate of decline occurring in the 0–9-year age group. Six infectious diseases were among the top ten causes of DALYs in children younger than 10 years in 2019: lower respiratory infections (ranked second), diarrhoeal diseases (third), malaria (fifth), meningitis (sixth), whooping cough (ninth), and sexually transmitted infections (which, in this age group, is fully accounted for by congenital syphilis; ranked tenth). In adolescents aged 10–24 years, three injury causes were among the top causes of DALYs: road injuries (ranked first), self-harm (third), and interpersonal violence (fifth). Five of the causes that were in the top ten for ages 10–24 years were also in the top ten in the 25–49-year age group: road injuries (ranked first), HIV/AIDS (second), low back pain (fourth), headache disorders (fifth), and depressive disorders (sixth). In 2019, ischaemic heart disease and stroke were the top-ranked causes of DALYs in both the 50–74-year and 75-years-and-older age groups. Since 1990, there has been a marked shift towards a greater proportion of burden due to YLDs from non-communicable diseases and injuries. In 2019, there were 11 countries where non-communicable disease and injury YLDs constituted more than half of all disease burden. Decreases in age-standardised DALY rates have accelerated over the past decade in countries at the lower end of the SDI range, while improvements have started to stagnate or even reverse in countries with higher SDI. Interpretation: As disability becomes an increasingly large component of disease burden and a larger component of health expenditure, greater research and developm nt investment is needed to identify new, more effective intervention strategies. With a rapidly ageing global population, the demands on health services to deal with disabling outcomes, which increase with age, will require policy makers to anticipate these changes. The mix of universal and more geographically specific influences on health reinforces the need for regular reporting on population health in detail and by underlying cause to help decision makers to identify success stories of disease control to emulate, as well as opportunities to improve. Funding: Bill & Melinda Gates Foundation. © 2020 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY 4.0 licens

Lesbian, Gay, Bisexual, Transgender, and Questioning: Best Practices in Music Therapy

Given the increasing numbers of openly lesbian, gay, bisexual, transgendered, and questioning (LGBTQ) people, music therapists are more likely to be in contact with LGBTQ individuals in their daily routines. LGBTQ people are coming out at earlier ages, staying out into their senior years, participating in marriage, and raising children. Expanding media coverage has focused on civil rights, marriage equality, bullying in the schools, and respect and pride in the community. Even though the AMTA Code of Ethics and Standards of Clinical Practice define a non-biased approach to working with LGBTQ individuals, the profession is still in need of best practice guidelines that will assist music therapists with tools to ensure that they are informed and sensitized to the needs of the LGBTQ community. The purpose of this paper is to propose a set of best practice guidelines and make recommendations for its implementation

Conflict in common: Heritage-making in Cape York

The outstanding natural and cultural values of Cape York have been acknowledged for decades, but those decades have been characterised by deep conflict. Non-government organisation intervention in local politics has seen a forceful push for nominating some or all of the Cape York Peninsula as a World Heritage Site. We illuminate the authorised heritage discourse at work in heritage-making, and highlight contested issues of ownership, governance, authenticity, and value. These themes contribute to the possibility of marginalising the voices of local people who wish to contribute to heritage-making in Cape York. Politics infuses all aspects of heritage-making in Cape York, and the specific experiences on Cape York reflect larger political processes occurring in World Heritage discourse. The paper draws on interviews undertaken in May and June 2012