Although structured decision making and risk assessment protocols have successfully been used in human service programs, little research has been done on their applicability in the child support program. In this study, problems identified with child support case management were examined, along with positive and negative attributes of various risk assessment tools utilized in other arenas. The overall research problem asserted that there are no structured decision making protocols in the child support program to support case assignment by enforcement difficulty. The primary research question asked whether or not a process stratified by risk and level of enforcement difficulty could be developed to increase child support collections and improve program cost-effectiveness using custodial parent data obtained at time of intake. The theoretical foundation of the study revolved around descriptive decision theory and specifically, risk assessment as means to stratify child support caseloads. A nonparametric quantitative research methodology was utilized to examine 1501 cases from the program. The goal was to identify those variables that had the greatest impact on case payment so that they could be incorporated into a structured decision making protocol. The results of the data analysis, using a Cramer's V test for association, indicated that of the 11 independent variables chosen for the study, seven variables appeared to be very strongly associated with the dependent variable. Those variables were custodial parent age, gender, ethnicity, welfare status, number of children, relationship to each child and the ages of the children. Ultimately, the social change implication is to improve collection of child support payments for low income children and families. Enhancing the economic lifestyles of these individuals has the potential to reduce government dependency and to improve economic self sufficiency.

The population structure of the United States is changing; the older age group is increasing in size relative to the younger generation. The trend is expected to continue, especially starting in 2020, when the baby boomer population---estimated at 80 million---will be reaching their 65 th birthday, a time associated with increasing health complications, including depression and dementia. The study employed a holistic paradigm as the conceptual framework to examine the association between depression and dementia in older adults, and generated a grounded theory to illuminate the relationship between depression and dementia. This theory was then used to assess the efficacy of stimulation, a nurturing environment, and treatment provided by an adult day health care (ADHC) in ameliorating the symptoms and progression of both dementia and depression. The sample consisted of 60 clients from a California ADHC center who were diagnosed with depression and dementia and who had received at least 6 months of services at the center. Paired t tests tested the validity of the hypotheses on depression among older adults and its correlation with their cognitive abilities. The results of paired t tests indicated a significant reduction in the client's level of depression between the time of their admission and the time of their reassessment 6 months later. This study can provide data for the larger social change discussion as to what resources should be allocated to meet the quickly escalating health, economic, and humanitarian pressures of the baby boom cohort.

The purpose of this study was to investigate the roles internal locus of control and self-efficacy play in moderating how employees manage their perceived work stress and positively engage in the behaviors that facilitate autonomy, environmental mastery, personal growth, self-acceptance, positive relations with others, and purpose in life. Investigators have documented the relationship between perceived workplace stress and strain and showed that how employees cope with perceived stress influences their psychological and physical health. However, there is less information available about the relationship between how employees cope with perceived workplace stress and engage in behaviors that facilitate their psychological well-being. A quasi-experimental methodology was used; male and female tire manufacturing production workers working in a shift work manufacturing environment were surveyed using a secure online server. Data collection tools included the Perceived Stress Scale, the Multidimensional Health Locus of Control Form C 4 subscales, the Perceived Self-Efficacy Scale, and Ryff's 6 Scales of Psychological Well-Being. Hypotheses were analyzed using moderated multiple regression analyses. Employees who operate from an internal locus of control and who demonstrate high levels of self-efficacy reported lower levels of perceived stress and higher levels of self-acceptance. The implications for social change provide organizational leaders with insight into the potential benefits and saving of both financial and human capital by screening and training employees to better understand how to evaluate and develop their abilities to operate from an internal locus of control, as well as how to improve their self-efficacy skills.

Newly commissioned officers in the U.S. Army are taught to lead their soldiers from the front and to voluntarily make personal sacrifices in the service of the nation. Although this facet of military culture is seen as critical to the integrity of the force, there are few research studies describing the impact of leader self-sacrifice in the U.S. Army. Research evolving from the transformational leadership literature indicates that civilian leaders who engage in self-sacrificial behavior are viewed as more charismatic than their counterparts and that this perception is particularly pronounced in crisis situations. The current study extended this research to a military population utilizing a quantitative experimental research design. Respondents were randomly assigned to written vignettes that manipulated leader self-sacrifice and the combat environment and then provided assessments of the company grade officer's attributed charisma. Currently serving enlisted and commissioned officers in the California Army National Guard (n = 218) took part in the research, and ANOVA test results indicated that both self-sacrifice and the experience of combat significantly increase perceptions of a company grade officer's attributed charisma. No significant interaction was found between leader self-sacrifice and combat. This study indicated that the self-sacrificial leadership model may have broad applicability across organizations and provides strong support for the Army's emphasis on selfless service. This research can spur positive social change by fostering a more aspirational form of leadership within the Army that builds the psychological resilience of soldiers and results in stronger teams.

U.S. and world communities face the challenges of understanding how children grieve and of giving them sufficient social and educational support. Inner-city minority adolescents have not been represented well in the bereavement and attachment literature. The purpose of the quantitative study was to use the attachment theory to understand the impact of parental bereavement on these adolescents. Data were collected using the Adult Attachment Interview (AAI), the Piers-Harris Children's Self- Concept Scale (2nd ed.), and school records. MANOVAs were used to analyze the influence of attachment organization, bereavement status, and gender on self-concept and academic and behavioral functioning in school. Results indicated that securely attached adolescents functioned better across all 3 variables than did insecure and unresolved/disorganized adolescents. There were no differences in functioning in the bereaved group according to attachment organization. Results according to gender indicated that although the female participants experienced more academic success and had fewer behavioral difficulties in school, their self-concept was more negative than was that of their male counterparts. There were no differences in functioning in the bereaved group according to gender, but compared to the entire sample, the bereaved females no longer functioned better than males, academically or behaviorally, and there were no longer differences in self-concept. Possible positive social changes from these findings include improvements in school-related student support such as promoting the use of the AAI, linking educational and clinical environments, and assisting schools in developing safe-base classroom environments that could better meet students' needs according to their attachment organization and bereavement status.

Homelessness is a comprehensive social problem affecting approximately 744,000 people in the U.S. Despite consistent efforts from politicians, state and local leaders, and service providers, the number of homeless people continues to rise. Although there are some explanations in the literature to account for the increase of homelessness, the literature tends to not include the voices of the homeless themselves. The purpose of this phenomenological study, which used Maslow's hierarchy of needs as its conceptual framework, was to understand the life experiences of members of the homeless population, as perceived by four male residents of a mission in an eastern U.S. state. In depth interviews investigated the core research question of the participants' perceptions of what prevents them from living productive lives without the shelter. Follow up interviews were scheduled with each participant to verify the accuracy, context, and credibility of documented information. The process of horizonalization was used to analyze transcripts for meaning units that were then clustered into themes, sorted, and documented by alignment to the research question. After all transcribed interview protocols and the researcher's notes were analyzed, validity of the findings was improved through member checks and researcher bracketing to control bias. Data revealed that common themes of childhood abuse and mental health issues influenced shelter dependence, and that the desire for recovery kept the men from leaving. Results from this study can foster positive social change by informing therapeutic interventions that screen for and target specific underlying causes of chronic homelessness within the larger population of homeless adults. Such interventions can contribute to sustainable independence for those served as well as more efficient use of scarce program resources.

African American men have been incarcerated at unprecedented rates in the United States over the past 30 years. This study explored how African American females experience adverse psychosocial responses to separation from an incarcerated mate. The purpose of this qualitative grounded theory (GT) study was to construct a theory to explain their responses to separation and loss. Given the paucity of literature on this topic, helping professionals may not understand this problem or know how to support these women. Disenfranchised grief and the dual process model of bereavement were used as a theoretical lens for this study. Data were collected using semi-structured interviews conducted with 20 African American women over the age of 18, from the Washington D.C. metropolitan area, and who had incarcerated mates. Systematic data analysis revealed that women in the sample experienced grief similar to losing a loved one through death. They also were found to engage in prolonged states of social isolation, emulating their mate's state of incarceration. As a result of this study, a grounded theory of symbolic imprisonment, grief, and coping (SIG-C) was developed to answer this study's research questions and explain how loss occurs on psychological, social, symbolic, and physical levels. The findings from this study may promote positive social change by informing the human services research community of SIG-C and assisting helping professionals with a basis for context-specific support for affected women to contribute to their well-being during their mate's incarceration.

Despite research evidence that social context and personal characteristics are related to girls' violent behavior, little is known about the relative contribution of such antecedents. Therefore, the purpose of this study was to assess the relative strength of predictors of school violence among a sample of middle school girls. Of special interest were the intervening variables, because knowledge of their relative strength could enable schools to design targeted interventions to reduce school violence. Social learning theory formed the theoretical foundation for the study. A four-part survey consisting of sociodemographic items, the Rosenberg Self-Esteem Scale, an amended version of the Attitudes Toward Violence Scale, and the School Violence Inventory (used to assess engagement in offenses that could result in school suspension) was administered to 229 girls enrolled in a middle school in a southern U.S. state. Data were analyzed using hierarchical multiple regressions in which intervenable variables were entered first as a block, followed by nonintervenable variables. The results indicated that the predictors of school violence (from strongest to weakest) were observation of school violence, gang membership, favorable attitude toward violence, school suspension, grade level, and drug use. This finding suggests that female middle school students may be learning to behave violently by observing others engaged in such behavior at school and through the influence of gangs. Implications for positive social change are that the results could be used by educators and other school officials develop specific interventions that more effective target known predictors of school violence among middle school girls (for example, increased student monitoring, after-school programming, and guided classroom discussions on the nature of violence and its motivations).

The problem addressed in this study is that little action is taken to create the social aspects and social value of knowledge-sharing culture within organizations. There is a need for increased understanding of the behavioral side of knowledge management. The purpose of this study was to focus on knowledge sharing from a behavioral perspective. Knowledge management is defined as the accumulation, protection, and leverage of knowledge. This research study investigated the relationship between knowledge sharing and competitiveness and approached the field of knowledge management from the organizational, cultural, and behavioral perspectives. The research questions examined how knowledge workers described the parameters and conditions of knowledge sharing, as well as the relationship between knowledge sharing and competitiveness of professional service firms. The overall research design employed three focus groups and individual interviews of a selected professional service firm. Similarity and commonalities of data from interviews were color coded and labeled. Field notes, handouts, and a qualitative research computer program were used to triangulate data. Results of the study generated and established five specific categories. The categories of spiritual essence of business, believability and openness, and ethical responsibility present the mind and spiritual connection to enhance the value of knowledge sharing as a factor for competitiveness. In addition, the categories of whole brain learning and connectivity are context for creating a learning organization. The implications for social change include a clearer understanding of knowledge sharing which can increase organizational competitiveness. The effect of the added competitiveness of professional service firms can result in enhancing economic and social value of their key stakeholders.

Growing media attention and a high diagnosis rate of autism places significant demand on the service industry to provide qualified staff to work with individuals who have autism. Discrete trial instruction (DTI) is one of the most sought-after treatment approaches for those individuals. However, there is a gap in research regarding the efficacy of training methods for those who train direct staff to implement DTI. This quantitative study used an applied behavior analysis basis, deriving from foundations of behavior theory, to compare the abbreviated feedback form (AFF) to the lecture test model (LTM) to understand which will improve direct staff's ability to implement DTI more efficiently from baseline. The AFF provided for trainees a list of skills to implement tasks that have multiple steps. The LTM provided trainees a lecture of skills to understand basic applied behavior analysis, autism, and DTI. Four participating staff's baseline and training data were analyzed by comparing their scores to the set criterion from the AFF. The data were analyzed by both the program supervisor and the researcher, with inter-observer agreement reached. Using a single-subject, AB design, data demonstrated that staff who were trained using the AFF had significant improvement from baseline, compared to staff trained using the LTM. Supervisors who use the AFF to more efficiently and rapidly train staff may decrease the time gap between service recommendation and implementation, making needed treatment more readily available and efficacious to children diagnosed with autism. Improvements in staff skill set will likely have a direct correlation on the improvements and long term outcomes for those being treated.