It is estimated that autism spectrum disorders (ASD) affect 1 in 500 live births per year. However, due to varying techniques for diagnosis and treatment, the disability remains the subject of debate. African Americans tend to suffer disproportionate rates of disability and disease when compared to other racial and ethnic groups due to access to preventative and curative care. However, evidence demonstrates that although rates of diagnosis for autism occur at the same rates in all racial groups, diagnosis in African American children occurs later than in White children. As a result, African American children may require longer and more intensive intervention. This article examines the etiology of autism, diagnosis, and treatment strategies and its impact on African American families. A case method approach is utilized to describe the impact of autism on an African American family. Implications for future research and professional practice and policy are discussed. Understanding autism is important as it relates to the human genome.
This secondary study looked at the importance of ethnicity and gender in influencing the relationship between Family Group Conferencing and (FGC) recidivism. The FGC is a mediation procedure involving offenders, their families, and victims of their crimes in which outcomes of material and emotional restitution are sought. Offenders, randomly sampled to participate in a control or experimental group, were sampled via mail, telephone, and in-person interviews. Data from court records were utilized to obtain recidivism rates over an 18-month period. Multivariate analysis indicated a statistically significant difference between the re-arrest rates of FGC participants and non-participants. Female offenders were more likely to avoid arrest than their male counterparts. This study found that ethnicity was not a statistically significant indicator of re-arrest. The FGC has efficacy for juvenile offenders as (1) a cost-effective method to intervene with offenders in their own communities (2) provides alternatives to formal adjudication for vulnerable populations-females and people of color.
Disproportionate minority contact (DMC) in the United States represents a critical social challenge to promoting the ideals and values of social justice. The ecological nature of DMC, a phenomenon emerging from the intersection of micro- and macro-level factors, necessitates the application of systems theories in understanding the issue and designing solutions to address it. This article illustrates the application of socio-ecological systems theory in thematic analysis, drawing associations across multiple systems between contributing factors to DMC in the juvenile justice system in North Carolina, USA. Analysis examined data from 6 focus groups comprised of 55 statewide stakeholders involved in the juvenile justice continuum. Application of socio-ecological systems theory in thematic analysis revealed structural and individual conditions associated with DMC, to include institutional racism demonstrated by biases present in stakeholders across schools and the juvenile justice system. The article presents ways in which micro to macro factors influence social challenges. Findings present an analytic strategy for constructing a practical model in qualitative research of contributing mechanisms to DMC and addressing issues of social justice in the United States.
This study evaluates the impact of a Family Health Advocacy (FHA) intervention on 46 African American women ages 13 to 35 living in a rural southern community. FHA utilizes empowerment strategies to provide education and social support to reduce risk factors for poor pregnancy outcomes. Use of a paired t test demonstrated a statistically significant difference between pretest and posttest scores in the acquisition of knowledge of safer sex practices, alcohol consumption, early prenatal care, maternal infection, and nutrition. Behavioral change was not realized in the areas of nutrition or behaviors that cause risk of maternal infection. Social workers can influence behavioral change for at-risk populations by addressing microlevel barriers such as education and resources and macrolevel barriers such as advocacy for expanded health and social services.
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