This cross-sectional study of 129 grandparents raising their grandchildren examined the extent to which social supports are related to the grandparents' stress (psychological anxiety). A hierarchical regression analysis, with variables entered in blocks, revealed that contextual factors, stressors related to caregiving, and lack of supports accounted for 35% of the variance. Younger grandparents, grandchildren with psychological and physical problems, and low family cohesion were associated with stress. Implications for clinical and educational intervention are discussed.

Qualitative researchers use the term triangulation to describe the use of multiple strategies to study the same phenomenon. Although it is endorsed in social work research textbooks and contested in the literature, qualitative social work researchers are left on their own to determine how to 'do' triangulation. This article discusses triangulation, including recent debates around the concept. It describes two methods of data triangulation and illustrates them with examples from the study of mothers and daughters coping with a daughter's religious intensification. From the first method, a comparative analysis of mother-daughter dyads, the authors identify and provide examples of five types of triangulated data: (1) same story, same meaning; (2) same story, different interpretations; (3) missing pieces; (4) unique information; and (5) illuminating. The second method, triangulation within groups and between groups, makes visible perspectives that are common and distinct to mothers and KEY WORDS: dyad families group qualitative research triangulation ARTICLE

This paper examines mental health service use among publicly insured white and African-American pregnant and postpartum women who live in a metropolitan area. The study examines the extent to which ethnicity, physical health problems, and behavioral health risk factors are associated with the probability of service use during the prenatal-postpartum period. It also analyzes the patterns of service utilization for those women who used mental health services.Medicaid claims and eligibility data, County Reporting System claims and admissions data, and Pennsylvania State Vital Birth Records were integrated using a unique algorithm. Logistic regression was employed to estimate the probability of mental health service use among 3,841 low-income women residing in Philadelphia who were continuously enrolled in Medicaid for 9 months preceding delivery and 6 months postpartum. Analyses were also conducted on the intensity and location of service use, as well as psychiatric diagnosis, during pregnancy and the postpartum period.About 10% of the women used mental health services during the study period. Women were more likely to use services if they were Caucasian, had a number of chronic diseases, had a number of pregnancy complications, and smoked. Among users, the same proportion (ca. 6%) used services during pregnancy and postpartum, with the average number of outpatient visits slightly higher during pregnancy than during the postpartum period. Most outpatient services (86%) were delivered in the specialty sector. Most women who used mental health services (84%) were diagnosed with minor psychiatric disorders including minor depression and anxiety disorders. Women who used services during the postpartum only were more likely to be diagnosed with major depression, whereas women who used services throughout the perinatal period were more likely to be diagnosed with severe mental disorders. Health providers can use information generated in this study to identify women who are likely to have a need for mental health services. ABSTRACT. This paper examines mental health service use among publicly insured white and African-American pregnant and postpartum women who live in a metropolitan area. The study examines the extent to which ethnicity, physical health problems, and behavioral health risk factors are associated with the probability of service use during the prenatal-postpartum period. It also analyzes the patterns of service utilization for those women who used mental health services. Comments Reprinted fromMedicaid claims and eligibility data, County Reporting System claims and admissions data, and Pennsylvania State Vital Birth Records were integrated using a unique algorithm. Logistic regression was employed to estimate the probability of mental health service use among 3,841 low-income women residing in Philadelphia who were continuously enrolled in Medicaid for 9 months preceding delivery and 6 months postpartum. Analyses were also conducted on the intensity and location of service use, as well as psychiatri...

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The author describes an exploratory, qualitative research study focusing on 10 single, low-income mothers with chronic mental illness who lived with their children in a supportive residential program. The mothers were interviewed and observed at the child-care center associated with the program. In addition, a comparison group of eight low-income, single mothers whose children attended a community day-care center were interviewed. The two groups of mothers viewed their children as central to their lives. Both groups of spoke of struggles. The mentally ill mothers’ struggles pertained to maintaining custody, whereas the non-mentally ill mothers focused on economic survival. Overwhelmingly, the mothers with mental illness wanted to live normal lives as mothers, wives, and workers.

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In this article we describe a focus group study of the perspectives of diverse groups of mental health consumers on the concept of community. We identify the core domains that constitute the notion of community, and commonalities and differences in the perception of community along the lines of ethnicity and sexual orientation/gender identity. Seven focus groups were conducted with a total of 62 participants. Transcripts were analyzed using the grounded theory approach.Two domains-togetherness and community acceptance-emerged as common to four types of communities that were most frequently mentioned in the focus group discussion. Our findings show that identities other than those associated with mental illness and the role of service user are critical to the understanding of the psychological sense of community among persons with psychiatric disabilities. We suggest that mental health providers empower consumers to expand their "personal communities" beyond that of mental health clients using their diverse identities, and design interventions for addressing the stigma emanating from identities that are discriminated against by the wider society.

Prior research on grandparent caregivers has focused on stress, depression, and other negative outcomes. This paper describes research on factors that are associated with grandparents' positive well-being. In particular, it investigated the extent to which the perception of grandparental stress and grandparents' resources are associated with grandparents' well-being, after controlling for sociodemographic and health factors. A sample of 129 grandparents had individual interviews. Using a hierarchical block multiple regression analysis, the authors found that a low perception of stress related to caring for grandchildren and resources were responsible for a high level of wellbeing. The findings of this study suggest that social workers can best help grandparent caregivers by lowering their perception of stress and enhancing their informal supports and community resources. This can be incorporated into supportive, strengths-based individual or family counseling.