Psychotropic Medications for Youth in Child Welfare: Developing and Pilot-Testing A Field Guide for Team Decision-Making

High rates of children involved with the child welfare system are prescribed psychotropics. In response, federal legislation has mandated state child welfare agencies to develop policies to improve the coordination and oversight around the use of psychotropics. This project aimed to support such policies by developing and pilot-testing a field guide for team discussions and decision-making related to the use of psychotropics among youth in child welfare. We used a community-based participatory research (CBPR) framework to engage a team of local stakeholders, including former youth in foster care and parents, in the research. We developed a field guide to facilitate team discussions and decisions around the individual needs and preferences of youth and families, and we pilot-tested the field guide with child welfare staff, parents, and care team members in seven team meetings. Parents and care team members, in particular, highly valued the guide and found it useful to increase knowledge and improve practices such as side effect monitoring and information sharing. Child welfare responses were more mixed, and some reported feeling burdened by the additional tasks. More work is needed to integrate the guide into routine child welfare practice and reduce burden on staff.     

Why Missing Data Matter in the Longitudinal Study of Adolescent Development: Using the 4-H Study to Understand the Uses of Different Missing Data Methods

The study of adolescent development rests on methodologically appropriate collection and interpretation of longitudinal data. While all longitudinal studies of adolescent development involve missing data, the methods to treat missingness that have been recommended most often focus on missing data from cross-sectional studies. The problems of missing data in longitudinal studies are not described well, there are not many statistical software programs developed for researchers to use, and there are no longitudinal empirical examples involving adolescent development that show the extent to which different missing data procedures can yield different results. Data from the first three waves of the 4-H Study of Positive Youth Development were used to provide such an illustration. The sample contains 2,265 participants (56.7% females) who were in Grade 5 at Wave 1, in Grade 6 at Wave 2, and in Grade 7 at Wave 3, and varied in race, ethnicity, socioeconomic status, family structure, rural–urban location, and geographic region. The results showed that three missing data techniques, i.e., listwise deletion, direct maximum likelihood (DirML), and multiple imputation (MI), did not yield comparable results for research questions assessing different aspects of development (i.e., change over time or prediction effects). The results indicated also that listwise deletion should not be used. Instead, both DirML and MI methods should be used to determine if and how results change when these procedures are employed.     

Course and Severity of Maternal Depression: Associations with Family Functioning and Child Adjustment

Number of lifetime episodes, duration of current episode, and severity of maternal depression were investigated in relation to family functioning and child adjustment. Participants were the 151 mother–child pairs in the Sequenced Treatment Alternatives to Relieve Depression (STAR*D) child multi-site study. Mothers were diagnosed with Major Depressive Disorder; children (80 males and 71 females) ranged in age from 7 to 17 years. Measures of child adjustment included psychiatric diagnoses, internalizing and externalizing symptoms, and functional impairment. Measures of family functioning included family cohesion, expressiveness, conflict, organization, and household control; parenting measures assessed maternal acceptance and psychological control. Children of mothers with longer current depressive episodes were more likely to have internalizing and externalizing symptoms, with this association being moderated by child gender. Mothers with more lifetime depressive episodes were less likely to use appropriate control in their homes.

Truth Skepticism: An Inquiry into the Value of Truth in Times of Transition

Truth commissions have become so fashionable in times of transitionthat one can readily recognize what might be called a ‘truthcascade.’ The commissions, and the reports they produce,are reputed to promote many of the goals at the heart of thetransitional justice project: helping victims to heal, promotingaccountability, drawing a bright line between the past and thepresent, promoting reconciliation and so forth. And yet, a closerlook at the truth-seeking enterprise suggests that it may notbe able to deliver on these promises. This article exploresboth the intrinsic and instrumental reasons why truth commissionsmay not be effective in promoting the goals attributed to them.The article does not argue that transitional governments shouldnot pursue the truth, but it does urge governments to use cautionand careful planning when they do so.     

Shifting Priorities: Participatory Budgeting in New York City is Associated with Increased Investments in Schools,Street and Traffic Improvements,and Public Housing

ABSTRACT

In participatory budgeting (PB), residents instead of public officials decide how public money is spent. PB may reveal that residents prioritize different investments than public officials, which could lead to more socially just spending. However, little research has examined whether and how PB shifts spending priorities. This study leverages publicly available records on New York City council districts’ capital project allocations over ten years (2009 through 2018), comparing spending within and across PB and non-PB districts. Multi-level regression models show that, on average, when council districts adopted PB, greater proportions of their discretionary capital budgets were allocated to schools, streets and traffic improvements, and public housing. PB was associated with decreases in spending on parks and recreation projects and housing preservation and development projects. The article shows that priorities shift when residents are directly involved in budgeting. Implications for equity and community well-being, and directions for future research are discussed.     

Diversionary cheap talk: economic conditions and US foreign policy rhetoric, 1945-2010

ABSTRACT

This study explains how the economy affects the foreign policy rhetoric used by American presidents. When economic conditions deteriorate, presidents criticize foreign nations to boost their approval ratings. Presidents use this “diversionary cheap talk” in response to the misery index of unemployment plus inflation, which poses a unique threat to their popularity. They target historical rivals, which make intergroup distinctions most salient. Diversionary cheap talk is most influential for and most frequently used by Democratic presidents, whose non-core constituents prefer hawkish foreign policy but already expect it from Republican presidents. I test the observable implications of the theory with the American Diplomacy Dataset, an original record of 50,000 American foreign policy events between 1851 and 2010 drawn from a corpus of 1.3 million New York Times articles.     

Body Dissatisfaction,Living Away from Parents,and Poor Social Adjustment Predict Binge Eating Symptoms in Young Women Making the Transition to University

The current study explored how body dissatisfaction and challenges associated with the transition to university predicted symptoms of binge eating. Participants were 101 female full-time first-year university students (M=18.3 years of age; SD=.50) who completed a background questionnaire and a web-based daily checklist assessing binge eating. Hierarchical Generalized Linear Modeling results showed that participants who were more dissatisfied with their bodies were three times as likely to report symptoms of binge eating compared to participants who were less dissatisfied. Participants who lived away from home were three times as likely to report symptoms of binge eating compared to participants living with parents. Finally, poor perceived social adjustment to the university context was associated with an increased likelihood of binge eating. Discussion calls for more research exploring the role that university challenges and adjustment play in predicting eating problems.

Population data for a novel, highly discriminating tetra-local Y-chromosome short tandem repeat: DYS503

Population: Population samples for gene diversity studies were obtained from the Virginia Division of Forensic Science (bloodstains), Richmond, VA. Ninety-eight Caucasian and 100 African American samples were included in this study.     

Performance evaluation and optimization of multiplex PCRs for the highly discriminating OSU 10-locus set Y-STRs

In a previous study, a new set of Y-chromosome short tandem repeats, the OSU 10-locus set (MPM1 and MPM2), was shown to have a higher discrimination power when evaluated against the 10 SWGDAM loci on a common population panel. Here, we describe the optimization of the multiplex reactions using dye-labeled primers followed by performance evaluations. The loci exhibited high precision, human male specificity, reliability in different body fluids, high sensitivity, stability, and the ability to amplify nonprobative casework and mixture samples. Stutter for the all of the loci, with the exception of the highly polymorphic locus DYS688, was similar to that observed for autosomal loci. The results of the performance evaluations reinforced the utility of these loci.