A family-focused psychosocial intervention for stroke survivors is described and illustrated with case studies. It is designed to improve functional recovery through four specific pathways: increased knowledge, efficacy, and control through stroke education; optimized social support; increased network cohesion; and improved problem-solving abilities. Rationales for these pathways are presented and methods of implementing them discussed.

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Continued involvement of parents in the lives of young adults is a topic of great interest to both scholars and the lay public. Although young adults' astounding use of cell phones, texting, video chat, and social media in negotiating their social relationships is well documented, few studies have examined the role of different types of communications technology in facilitating young adults' involvement with their parents. Researchers have begun to examine familial and psychological correlates of parental involvement for college students, but existing studies offer mixed results. The present study examined college students' reports of frequency of contact with parents using different types of communications technology and examined familial relationship and individual well-being factors associated with young adults' reports of frequent parental contact. College students (N = 326) completed measures of frequency of contact with mothers and fathers using seven types of communications technology, the quality of family relationships (felt obligation towards parents and family satisfaction) and individual well-being (self-esteem, depressed mood, and general psychological well-being). Phone calls and texting were the two most popular methods of parental contact reported by college students. Level of self-reported contact with parents was not significantly related to participants' reports of self-esteem, depressed mood, or general well-being. Results of multinomial logistic regression analyses indicated that higher levels of felt obligation and family satisfaction meaningfully distinguished between young adults who reported frequent and infrequent parental contact. Our results indicate the importance of understanding young adults' reports of parental contact within the context of ongoing family relationships.

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In-depth interviews with seven atomic veterans and their families indicated powerful psychological effects on all family members from exposure to low-level ionizing radiation. Four themes emerged: the invalidation of their experiences by government and other authority figures; family concerns about genetic effects on future generations; family members' desire to protect each other from fears of physical consequences; and desire to leave a record of their experiences to help prevent future suffering.

The unique stress for families of exposure to environmental toxins is discussed in terms of the physical characteristics of such contaminants and resultant adaptational dilemmas, the agent or cause of the injury, and institutional responses to the contamination. Recommendations for mental health professionals working with contaminated families are presented.

This qualitative study examined changes in community mental health care as described by adults diagnosed with schizophrenia with long-term involvement in the mental health system to situate their experiences within the context of mental health reform movements in the United States. A sample of 14 adults with schizophrenia who had been consumers of mental health services from 12 to 40 years completed interviews about their hospital and outpatient experiences over time and factors that contributed most to their mental health. Overall, adults noted gradual changes in mental health care over time that included higher quality of care, more humane treatment, increased partnership with providers, shorter hospital stays, and better conditions in inpatient settings. Regardless of the mental health reform era in which they were hospitalized, participants described negative hospitalization experiences resulting in considerable personal distress, powerlessness, and trauma. Adults with less than 27 years involvement in the system reported relationships with friends and family as most important to their mental health, while adults with more than 27 years involvement reported mental health services and relationships with professionals as the most important factors in their mental health. The sample did not differ in self-reported use of services during their initial and most recent hospitalization experiences, but differences were found in participants' reported use of outpatient services over time. Findings underscore the importance of the lived experience of adults with schizophrenia in grounding current discourse on mental health care reform.