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sample2.xml
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<title>Jacob Campbell's Website</title>
<link>http://jacobrcampbell.com</link>
<pubDate>Wed, 10 Jul 2013 04:09:56 +0000</pubDate>
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<wp:author_display_name><![CDATA[Jacob Campbell]]></wp:author_display_name>
<wp:author_first_name><![CDATA[Jacob]]></wp:author_first_name>
<wp:author_last_name><![CDATA[Campbell]]></wp:author_last_name>
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<link>/page-not-found</link>
<title>Page not Found</title>
<pubDate>Sat, 25 Jan 2014 08:11:43 +0000</pubDate>
<content:encoded><![CDATA[<h1>Oops, This Page Doesn't Work</h1><p>I tend to always be changing things around, and messing things up... sorry for that. You can go to <a href="/home">my home page</a> or <a href="/contact">contact me</a> if you so desire. If you think what you are looking for should be hear, just search for it below:</p><div class="sqs-search-ui-text-input sqs-search-ui-button-wrapper color-dark" data-source="block" data-preview="false" data-collection="">
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[caption id="" align="alignnone" width="2500.0"]<img src="https://static1.squarespace.com/static/51dcde94e4b09506a9c98fbc/t/52e37584e4b0b4b042ea811f/1432258941419/Bolivair+Venezuela+%26+Traveling+Through+Brazil+119.JPG?format=original" alt=" A photo of me, Jacob Campbell, from my Jaunt Down South in 2010 in Venezuela. "/> A photo of me, Jacob Campbell, from my Jaunt Down South in 2010 in Venezuela. [/caption]]]></content:encoded>
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<link>/play</link>
<title>Play</title>
<pubDate>Wed, 26 Nov 2014 05:53:01 +0000</pubDate>
<content:encoded><![CDATA[<iframe src="https://docs.google.com/forms/d/1kBIzsHmM2gu1g1vKDdCu1OzlwWZC4g0VStGD4EwnD-g/viewform?embedded=true" width="760" height="500" frameborder="0" marginheight="0" marginwidth="0">Loading...</iframe>]]></content:encoded>
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<link>/professional-connections</link>
<title>Professional Connections</title>
<pubDate>Mon, 16 Sep 2013 06:06:34 +0000</pubDate>
<content:encoded><![CDATA[<h1>Professional Connections</h1>
<img src="https://static1.squarespace.com/static/51dcde94e4b09506a9c98fbc/t/52e0ca1ce4b072c194096bcc/1390463519159/header-image-professional-connections-coffee-ipad.jpg?format=original" alt=""/>
<h2><span>Engage</span></h2><p><span>I'm passionate about developing relationships and building community. I also tend to be a pretty open person. I tend to be all over the internet, and you can engage with me at many social media sites.</span></p><div class="sqs-svg-icon--outer social-icon-alignment-left social-icons-color-black social-icons-size-large social-icons-shape-rounded social-icons-style-knockout">
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</div><h2>Read</h2><p>Probably the most up to date information regarding employment history, professional skills and activities, and other such information on my <a target="_blank" href="http://www.linkedin.com/pub/jacob-campbell/22/6b1/79">LinkedIn profile</a>. You can also see the <a href="/resume">Résumé</a> I have posted.</p><h2>Follow</h2><p>I semi frequently post to <a style="line-height: 1.68em;" href="/blog">my blog</a><span style="line-height:1.68em"> looking into my personal, professional, and travel life. More over from working in mental health, I sometimes do design work. Feel free to </span><a style="line-height: 1.68em;" href="/contact">contact me</a><span style="line-height:1.68em">.</span></p>]]></content:encoded>
<wp:post_name>professional-connections</wp:post_name>
<wp:post_type>page</wp:post_type>
<wp:post_id>2</wp:post_id>
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<link>/testimony</link>
<title>Testimony</title>
<pubDate>Thu, 17 Oct 2013 02:58:56 +0000</pubDate>
<content:encoded><![CDATA[[caption id="" align="alignnone" width="646.0"]<img src="https://static1.squarespace.com/static/51dcde94e4b09506a9c98fbc/t/522d5fe7e4b0e1a3bc890809/1378705385258/waterpaint-portrate-jacob-campbell-testemony.png?format=original" alt=" A photo of Jacob Campbell (me) manipulated with Photoshop to make it look as if it was made with watercolor. The photo is from my trip to South America, and was taken on a hillside in Puno Peru "/> A photo of Jacob Campbell (me) manipulated with Photoshop to make it look as if it was made with watercolor. The photo is from my trip to South America, and was taken on a hillside in Puno Peru [/caption]
<p>I am nobody special and the things that I have gone through (in feeling) are not uncommon. Most everybody has felt the pain of abandonment, the hurts that only somebody close can give, or the loss of somebody close. This generation coming up, is a fatherless one. This is partly the cause of so many angry kids and too many young people who live seemingly purposeless lives. I will tell you the truth though God is big enough to fill the void for all those kids, and the voids in all of our lives. My name is Jacob Campbell, and I was born October 18, 1982. Some of my earliest years were spent in a courtroom with my father. He was on trial for three accounts of murder. This was going on in Snohomish County, and his name was like a household item, for those living in the area. Charles Rodman Campbell was and sentenced to death row. During the same era that "Death Row Records" with Tu Pac, Dr. Dre, and others was created, I was visiting my dad on Death Row at Walla Walla State Penn. Even though he was in prison we had a good relationship, sometimes, because my mom and I would visit him weekly. My dad would also write me letters all the time, I wouldn't write him back very often though (I was young). In 1994, when I was in the 6th grade there was a decision that my fathers time was up. I went and petitioned the Governor, I didn't want my dad to die. He was executed, only the second man to be executed in the state of Washington recently.</p>
<iframe width="854" height="480" src="http://www.youtube.com/embed/tc2IPWXy4Wk?feature=oembed&wmode=opaque&enablejsapi=1" frameborder="0" allowfullscreen=""></iframe>
<p>This caused a lot of hurt in my life, and I started wanting to run away from it all. In middle school I did not really have any friends. When I got into High School I got involved heavily in the party scene. I look back now it seems like I was trying to dull my senses. I abused almost any drug that you might name, and had my life completely caught up in the whole scene. The really scary thing was my drinking, I would also go and nightly drink until I was stupid drunk past the point of control and feeling. I should have died a number of times driving recklessly drunk. I was in jail, when some people came and told me about this program called Jubilee. I listened to them, but it didn't seem like the kind of thing that I wanted to do. I was satisfied with the way my life was. It wasn't until weeks after I was out of Benton County Corrections, and Jose Hernandez (then the Director at Jubilee) called my at my school, the local alternative high school, and told me about the scholarship that I would receive if I graduated from Jubilee. I took a huge leap and put myself into the program. I had decided to go for completely opposite reasons, then those that I would later leave the program with. I was only going to receive the scholarship, not thinking about changing my life. Luckily, God had a different plan. Talking with some of the Residential Councilors and being surrounded by the Word started to tug on my heart. One day I herd God speaking to me about being my comforter. I asked Him to come into my heart, and my life, and I haven't been the same since. The Tri-City Harold wrote an <a href= "http://www.tri-cityherald.com/tch/local/story/8701344p-8602437c.html">article</a> (it is no longer a valid link, I will post a graphic / text of it at a later time) about me, and somebody even wrote an <a href= "http://www.tri-cityherald.com/tch/opinions/letters/story/8733004p-8634702c.html">opinion</a> (it is no longer a valid link, I will post a graphic / text of it at a later time)peice about my life.</p> <p>I've come a long way's in my life, and have overcome some obstacles, but I am still growing. That is the desire of my heart that I can identify with Jesus in my life. I'm learning more about who God has created me to be, and finding out how to follow him. I went and lived in Spokane for two years, doing this discipleship program call the Master's Commission. During this time I was able to deal with a lot of the issues in my life. I have found God to be my forgiver, breaking off the shame that has tried to pull me down so many times. I've also heard Him call me His son. It's the greatest revelation that we are children of God. That he calls us by His name, and we are created in His image. I have so much further to go, but the foundation has been set, and I've tasted and know that God is Good.</p>]]></content:encoded>
<wp:post_name>testimony</wp:post_name>
<wp:post_type>page</wp:post_type>
<wp:post_id>3</wp:post_id>
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<item>
<link>/contact</link>
<title>Contact</title>
<pubDate>Mon, 23 Dec 2013 00:49:29 +0000</pubDate>
<content:encoded><![CDATA[
[caption id="" align="alignnone" width="1024.0"]<img src="https://static1.squarespace.com/static/51dcde94e4b09506a9c98fbc/t/523879cfe4b0453e4223013d/1379432921397/?format=original" alt=" A photo of me grading papers for my students from UNSAAC in Cusco . "/> A photo of me grading papers for my students from UNSAAC in Cusco . [/caption]
<p>Hi, My name is Jacob Rodman Campbell V.S.P. (the V.S.P. is on my birth certificate and stands for "Very Special Person"). I'm a lot of things, the least of which is a web / graphic designer (it's really just a hobby for me). I'm a Mental Health Counselor and an advocate for people in need (especially at risk youth, you can check out <a href="/testimony">my story because I was one</a>). I'm a friend to a lot of people and the main social media I use is <a href="https://www.facebook.com/jacobshouse">Facebook</a>, below is a more comprehensive list of my life on the internet. I'm involved in a lot of different things, and open so feel free to ask me anything... I will try to respond as quickly as possible.</p> <p>I live in Pasco Washington. My website has a number of differnt things. There are pages that are about, there is my <a href="/blog">blog</a> (which is also about me), and then there are resources (which I have written, mostly not about me). I'm a MSW graduate of <a target="_blank" href="http://www.ewu.edu/">Eastern Washington University</a>. I have several years experience working with at-risk youth, performing family counseling, international social work, and mental health case management. You can view my <a href="/professional-connections">professional qualifications</a> including my <a href="/resume">resume</a>. On my website, there are a number of <a href="/resources">resources</a> that I have posted. This includes various <a href="/resources?category=Article">articles</a> that I wrote, information regarding <a href="/resources?tag=Evidence%20Based%20Practice">evidence based practice and research methods</a>, and <a href="/resources?tag=Research">research</a> that I've done.</p>
[caption id="" align="alignnone" width="1024.0"]<img src="https://static1.squarespace.com/static/51dcde94e4b09506a9c98fbc/t/52387af5e4b08248bcbca83e/1379433209379/social-media-word-cloud.jpg?format=original" alt=" Word Cloud I created describing Social Media. "/> Word Cloud I created describing Social Media. [/caption]
<p>I love social media, mainly facebook, but I'm all over the place and frequently connected to the internet. The following is a list of the various social media I participate in. It might not be complete... but it's most of them.</p><div class="sqs-svg-icon--outer social-icon-alignment-left social-icons-color-standard social-icons-size-large social-icons-shape-rounded social-icons-style-knockout">
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</a><a href="http://pinterest.com/campjacob" target="_blank" class="sqs-svg-icon--wrapper pinterest">
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<p>You can also send me mail the old fashioned way:</p>
<p>PO Box 185 <br />
Pasco, WA 99301</p>]]></content:encoded>
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<wp:post_id>4</wp:post_id>
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<item>
<title>Cultural Competence: Awareness</title>
<link>/resources/cultural-competency-awareness</link>
<content:encoded><![CDATA[<p>*based on notes taken during my MSW on 07/29/2008</p>
<blockquote>
<p>The culturally competent practitioner is one who has moved from being culturally unaware to being aware and sensitive to his or her own cultural heritage and to valuing and respecting difference</p>
</blockquote>
<p>Quite likely, the simplest definition of culture is any shared beliefs and values. This definition lets culture be identified from the micro family level to the larger macro national level.</p>
<h2 id="culturallycompetentpractitionersawarenessknowledge">Culturally Competent Practitioners: Awareness & Knowledge</h2>
<p>Self-awareness is an important factor for any clinician to evaluation in regards to having a culturally competent practice. I would say that this is the foundation of any real and positive cultural awareness. The practitioner must know about their own values, biases, and any areas that they might have transference with their clients. They must also strive to be comfortable with the differences that exist between themselves and their clients. This can be in regards to race, gender, sexual orientation, and other socio-demographic variables. This means a continuous reassurance that differences do not necessarily mean deviance, but that they are just different. A clear and explicit knowledge and understanding of the generic characteristics of counseling and therapy is required to be able to apply those techniques in a culturally informed manner.</p>
<p>Practitioners have a call to be culturally informed and to be flexible (this means being sensitive to our client’s circumstances). Being culturally informed means possessing specific knowledge and information about the particular group with which he or she is working. Regardless of the client’s culture, the clinician also must have an understanding of the sociopolitical system’s operation in the United States with respect to its treatment of marginalized groups in our society. Part of understanding our sociopolitical system is having an awareness of institutional barriers that prevent some diverse client populations from using mental health service. Often times, we gain much of this insight from participating in minority mental health consultations.</p>
<h2 id="culturalcompetenceskills">Cultural Competence Skills</h2>
<blockquote>
<p>Silence is OK … <br />
… our pauses <br />
can be pregnant.</p>
</blockquote>
<p>The following are some skills that can help a clinician in being more culturally competent:</p>
<ul>
<li>Generate a wide variety of both verbal and nonverbal responses</li>
<li>Send and receive both verbal and nonverbal messages accurately and appropriately</li>
<li>Exercise institutional intervention skills on behalf of your client when appropriate</li>
<li>Be aware of his or her helping style, recognizes the limitations that he or she possesses, and anticipate the impact on the culturally different client</li>
<li>Assume a number of different helping roles</li>
</ul>
[caption id="" align="alignnone" width="800.0"]<img src="http://static1.squarespace.com/static/51dcde94e4b09506a9c98fbc/525af6cbe4b077ec7f4a4a44/52a2d524e4b0f6168e5103e5/1386403110276/cultural-competency-micro-mezzo-macro-systems.jpg" alt=" I created this graphic using Adobe Illustrator based on information discussed in one of my MSW classes at Eastern State University. The roles of Micro, Mezzo, Macro Interaction in regards to cultural competency. "/> I created this graphic using Adobe Illustrator based on information discussed in one of my MSW classes at Eastern State University. The roles of Micro, Mezzo, Macro Interaction in regards to cultural competency. [/caption]
[caption id="" align="alignnone" width="800.0"]<img src="http://static1.squarespace.com/static/51dcde94e4b09506a9c98fbc/525af6cbe4b077ec7f4a4a44/52a2d58ee4b0a635bc426dbc/1386403215806/cultural-competency-culturagram.jpg" alt=" I created this graphic using Adobe Illustrator based on information discussed in one of my MSW classes at Eastern State University. It is a culturagram. A culturagram is a graphical representation of culture on an individual family member. These interactions, made up similar to an eco-map. The various elements that influence the individual are as follows; * Time in County * Legal Status * Age of family members at time of immigration * Language spoken at home & in community * Health Belief * Holidays and special events * Impact of crisis events * Family, education, and work values * Contract with cultural institutions * Reasons for immigration "/> I created this graphic using Adobe Illustrator based on information discussed in one of my MSW classes at Eastern State University. It is a culturagram. A culturagram is a graphical representation of culture on an individual family member. These interactions, made up similar to an eco-map. The various elements that influence the individual are as follows; * Time in County * Legal Status * Age of family members at time of immigration * Language spoken at home & in community * Health Belief * Holidays and special events * Impact of crisis events * Family, education, and work values * Contract with cultural institutions * Reasons for immigration [/caption]]]></content:encoded>
<excerpt:encoded><![CDATA[<p>A look into cultural competency and awareness in social work practice.</p>]]></excerpt:encoded>
<wp:post_name>cultural-competency-awareness</wp:post_name>
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<wp:post_id>5</wp:post_id>
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<pubDate>Wed, 07 Mar 2012 06:18:00 +0000</pubDate>
<wp:post_date>2012-03-07 06:18:00</wp:post_date>
<wp:post_date_gmt>2012-03-07 06:18:00</wp:post_date_gmt>
<category domain="post_tag" nicename="resources"><![CDATA[Resources]]></category>
<category domain="post_tag" nicename="culture"><![CDATA[Culture]]></category>
<category domain="post_tag" nicename="social-work"><![CDATA[Social Work]]></category>
<category domain="post_tag" nicename="clinical"><![CDATA[Clinical]]></category>
<category domain="category" nicename="cultural-competency"><![CDATA[Cultural Competency]]></category>
<category domain="category" nicename="informational"><![CDATA[Informational]]></category>
<dc:creator>jacob.r.campbell@gmail.com</dc:creator>
<wp:comment_status>open</wp:comment_status>
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<wp:post_date>2013-12-07 08:00:14</wp:post_date>
<wp:post_date_gmt>2013-12-07 08:00:14</wp:post_date_gmt>
<dc:creator>jacob.r.campbell@gmail.com</dc:creator>
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<dc:creator>jacob.r.campbell@gmail.com</dc:creator>
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<item>
<title>Single System Design Studies</title>
<link>/resources/single-system-design-studies</link>
<content:encoded><![CDATA[<h3 id="basicdesign">Basic Design</h3>
[caption id="" align="alignnone" width="800.0"]<img src="http://static1.squarespace.com/static/51dcde94e4b09506a9c98fbc/525af6cbe4b077ec7f4a4a44/52a3aaf5e4b0e77c563d5eac/1386457846783/line-graph-single-system-design-smoking-example.jpg" alt=" This line graph is to depict the line graphs that are frequently used in single system design studies (i.e. individual design studies). It was created in Adobe Illustrator. The graphic uses a smoking example with the number of cigarettes smoked on the Y axis and the days on the X axis. After 10 days, it shows that there was an intervention (the intervention could be something like the patch). The pretest phase is often labeled "A: Baseline" and the treatment phase is often labeled "B: Intervention." "/> This line graph is to depict the line graphs that are frequently used in single system design studies (i.e. individual design studies). It was created in Adobe Illustrator. The graphic uses a smoking example with the number of cigarettes smoked on the Y axis and the days on the X axis. After 10 days, it shows that there was an intervention (the intervention could be something like the patch). The pretest phase is often labeled "A: Baseline" and the treatment phase is often labeled "B: Intervention." [/caption]
<p>Single system design, sometimes referred to as Single subject design is a longitudinal study of one person, family, or group. It is a study of repeated measures with data collected over time. It is often utilized as for analyzing change between measurements. They have the following components:</p>
<ul>
<li>One participant</li>
<li>The baseline is the measurement at pretest</li>
<li>Intervention with measurement repeated</li>
<li>Introduce treatment + measure / assess for improvement change in behavior</li>
</ul>
<p>For example, if someone was to study the smoking habits of one person. In the graph below, the baseline is the amount of cigarette that the participate smoked a day before the intervention is implemented. After a period of time an intervention is implemented (i.e. utilizing the patch, nicorette gum... etc). Part B is known as the treatment phase. It shows the amount of cigarette smoked by the participate after the intervention.</p>
<p>For further information regarding single system design studies you can view the study I completed on myself, <a href="/resources/articles/turn-your-life-upside-down-an-individual-design-study">Turn Your Life Upside Down: An Individual Design Study</a>.</p>]]></content:encoded>
<excerpt:encoded><![CDATA[<p>Information regarding single system design studies, with an example about a smoking intervention.</p>]]></excerpt:encoded>
<wp:post_name>single-system-design-studies</wp:post_name>
<wp:post_type>post</wp:post_type>
<wp:post_id>8</wp:post_id>
<wp:status>publish</wp:status>
<pubDate>Thu, 22 Dec 2011 21:37:00 +0000</pubDate>
<wp:post_date>2011-12-22 21:37:00</wp:post_date>
<wp:post_date_gmt>2011-12-22 21:37:00</wp:post_date_gmt>
<category domain="post_tag" nicename="resources"><![CDATA[Resources]]></category>
<category domain="post_tag" nicename="research"><![CDATA[Research]]></category>
<category domain="post_tag" nicename="research-methods"><![CDATA[Research Methods]]></category>
<category domain="post_tag" nicename="single-system-design"><![CDATA[Single System Design]]></category>
<category domain="category" nicename="research-methods"><![CDATA[Research Methods]]></category>
<category domain="category" nicename="informational"><![CDATA[Informational]]></category>
<dc:creator>jacob.r.campbell@gmail.com</dc:creator>
<wp:comment_status>open</wp:comment_status>
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<pubDate>Sat, 07 Dec 2013 23:10:45 +0000</pubDate>
<wp:post_date>2013-12-07 23:10:45</wp:post_date>
<wp:post_date_gmt>2013-12-07 23:10:45</wp:post_date_gmt>
<dc:creator>jacob.r.campbell@gmail.com</dc:creator>
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<item>
<title>The Economy and Social Work</title>
<link>/resources/articles/the-economy-and-social-work</link>
<content:encoded><![CDATA[<h2 id="theeconomyandsocialworkhowtheeconomicdownturneffectssocialserviceagencies">The Economy and Social Work: How the Economic Downturn Effects Social Service Agencies</h2>
<p>You can read a downloadable version of this article: <a href="/s/economy-social-work-how-economic-downturn-effects-social-service-agencies.pdf">The Economy and Social Work: How the Economic Downturn Effects Social Service Agencies</a></p>
<h2 id="abstract">Abstract</h2>
<p>With the worldwide, national, state, and local economies facing an economic downturn, it is important to examine its effects on social service agencies and social work. The active policy of how economic downturns effect social service agencies is examined though a number of modalities. When looking at these types of policies the affected populations must be described. The historical, worldwide, national, and statewide perspectives provide context and understanding of the problem. A policy analysis matrix is also utilized to give a more concrete description of the crisis.</p>
<p>People's views on money vary. One thing that does not vary around the world and throughout history is peoples need for some form of money to survive and pay for or trade for goods or services. With an economic downturn happening both around the world and around the nation, it would appear the topic of money is on the forefront of people's minds. This is displayed though what people are searching for on the internet. Exploring the news reference volume on Google (2009), using the words "economy" or "stimulus" shows the percentage of traffic significantly increasing starting at the beginning 2008.</p>
<p>In a study examining sleep and the economic downturn, Hendrick, B. (2009) found people are losing sleep over the economy. Forty-one percent describe losing sleep a few nights a week in the past month due to personal financial concerns, worries over the employment, or concerns over the economy. The National Council for Community and Behavioral Healthcare (2009) describes a 66 percent rise in peoples described stress being related to the economy since April. Harris (2009) describes the possibility of loss of social service agencies during the economic downturn. All in all the economic downturn may prove to be a major problem both in America and around the world. While there is a crisis around the world and in America it is not the first time.</p>
<h2 id="ahistoricalperspective">A Historical Perspective</h2>
<p>Throughout the modern history of economics, economic downturns and recessions have occurred. The first took place between 1797 and 1800. This first recession caused a huge disruption in the real estate and commercial markets. Since the panic of 1787 there have been twenty-three different periods of recession in the United states. These have included closures of banks, stock market crashes, high unemployment rates, difficulties with the real estate and commercial markets. They have also had impacts both nationally and international, and include a host of other problems (Cush, n.d.).</p>
<p>Probably the best known time of economic downturn is the Great Depression. Capital gains going up, rising unemployment characterized the Great Depression (Keating, 2008). The Great Depression was precluded with an era of prosperity, the rolling twenties. This gave way to economic depression, bank panic and closures, and the crash of the stock market (Timeerlake, 1974; Gay, 1932).</p>
<h2 id="variouseffectsofeconomicdownturnsonsocialserviceagenciesthroughhistory">Various Effects of Economic Downturns on Social Service Agencies Through History</h2>
<p>Economic downturns have also affected social service agencies. McCormick (2002) describes a decrease in charitable contributions after the early 21st century dot com bust. He describes both individual and governmental giving decreasing, while the needs of non-profit services increasing. These needs regarding more people that are vulnerable requiring the services these organizations provide. This required many agencies in the Chicago area being required to trim their budget and request more donations or gifts. Although these hard times for non-profit agencies often mean difficulty, it is not always that case. McCormick describes the Chicago-based America's Second Harvest (a distributor of food pantries nationwide) both had a increase in demand for services and contributions of foods and finances. America's Second Harvest actually exceeded their budget by more than 10 percent during the same time that these other agencies were struggling.</p>
<p>With various charities facing losses in income, there are many examples of them being forced to band together to help offset costs. Fields-White (2008) examines how nine of Chicago's largest charities banding together to help offset costs. These organizations believe they can save up to $20 million annually though creating an entity, which handles all the various administrative functions. Many states during recessions cut funding to social service programs in attempts to balance their budget. A Report: States Cutting Human-service Programs (2002) described at the time nineteen states were looking at specific cuts to low income and human service programs.</p>
<p>Along with various social service agencies banding together to attempt to offset costs, some are forced to let some of their employees go. Poltenson (2006) examines the changes regarding public sector jobs verses the number of non-profit sector jobs. Poltenson shows after the 2000 recession in New York, the number of people employed in the non-profit sector payrolls as "decapitated." The non-profit sector lost six percent of their employment. The public sector appeared to replace those jobs, rising 6.7 percent in the same period. Statewide the public sector saw an increase of 8.7. The inverse of this trend of economic difficulty and private sector jobs going down and public sector jobs going up is also true. Fredrickson (2003) looks at the non-profit sector after the 2001-2003 recession. In New York, the non-profit sector grew 1.9 percent. The recession also accelerated a trend of workers being willing to take lower-paying jobs in non-profit services.</p>
<h2 id="aglobalperspective">A Global Perspective</h2>
<p>Macleod (2009) when looking at the global economy explains if the global economy does indeed decline during the 2009 year, it would be the first time since the 1930's. He cites the United Nations as forecasting this event to occur. Worldwide nations are feeling the pinch, and many are even putting together their own stimulus packages (Thredgold 2008; Scherer 2009). The Democratic Leadership Council and Progressive Policy Institute (2009) describe fifteen nations who are currently implementing stimulus packages. These packages total at almost two trillion dollars USD. The nations looking at putting together and the amounts of the stimulus packages around the world are consistently changing due to the current nature of this paper.</p>
<p>During the Great Depression, few nations internationally were buffered from the economic crisis. The world's economic pictures were worsened from bleak to bleaker (Adas 1992). Raum and Wagner (2009) describe that while we are not necessarily in a depression currently, nobody disputes the current downturn of the economy is a recession. They explain last year's the stock market was the worst since 1931. Regardless of the extent of how low the stock market currently is, to approach the levels of the Great Depression, the Dow Jones industrials would have to fall 5,000 more points.</p>
<h2 id="anationalperspective">A National Perspective</h2>
<p>While there are many problems all around the world, there are also problems in America. Mid February President Obama signed the $787 billion national stimulus plan into effect. This package focuses on a number of different areas and approaches. The stimulus package offers a couple of approaches. The first is in spending; $111 billion towards infrastructure and science, $81 billion in protecting the vulnerable populations, $59 billion towards health care, $53 billion in education and training, $43 billion towards energy, and eight billion dollars towards other funds. The second is though $288 billion in tax relief, and $144 billion in state and local fiscal relief (Yourish & Stanton 2009; Neighborhood Link 2009).</p>
<p>The economic stimulus plan is not the only concern for Americans. There is the global and national economic crisis. A part of the economic downturn also includes other factors. With nonfarm payroll employment continuing to fall sharply (-651,000) in February and the unemployment rate rising from 7.6 to 8.1 percent. Job losses are large and widespread across nearly all major industry sectors (Bureau of Labor Statistics 2009). Employment is also a major concern for many Americans. The bailout of the banks using the Troubled Asset Relief Program (TARP) and the loss of many financial institution is another topic that is on the mind of many Americans (Somerville 2008). Americans also have to worry about the housing and mortgage crisis (Armour 2009; Bohan & Zengerle 2009; Arnold 2009).</p>
<p>Along with all of these concerns nationally, many of the states are facing their own problem. Forty-seven states in America are facing shortfalls on their budget. Combined this shortfall is $51 billion. Forty-three states are already projecting budget shortfalls for their 2010 budgets. The state's budget downfalls are already larger than the closest previous recession. These budget shortfalls make up an average of ten percent of the forty-seven states general budgets. This percentage of states general budget ranges from Arizona with almost 16 percent and Michigan with a little under one percent (McNichol & Lav 2009).</p>
<h2 id="washingtonstateexamined">Washington State Examined</h2>
<p>One of the states that is facing economic woes is Washington State. Washington State is currently facing a six billion dollar budget shortfall (Office of the Governor, n.d. a).</p>
<blockquote>
<p>"A budget crisis tests our basic values. We can't let tough times become an excuse for sacrificing what matters most to our families—access to high-quality health care and a world-class education for our children. The steps we take today determine our future and that of Washington's families."</p>
</blockquote>
<p>With this economic downturn in Washington State, it is very likely to see many of the same sorts of results as of previous recessions from other parts of the nation.</p>
<p>Washington State is looking at loosing 12 percent of their social and health service agency funding. Just looking at the access to health care, it is estimated that 40 thousand people might lose their health care (Seattle-PI Editorial Board, 2008). The Governor signed a hiring freeze to reduce the number of people on the state payroll. This freeze lasted for five months and reduced the number of state employees by almost 1.5 thousand or about two percent. Along with this, in the Governors budget proposal is looking at cutting another almost 2.5 thousand positions (The Associated Press, 2009).</p>
<p>The budget cuts in Washington State appear as if they are going to affect funding for detoxification beds, inpatient beds and outpatient treatment services. The Governors budget calls for a 50 percent cut in funding to these agencies. The intended consequence of this appears to be to help close the budget gap. Bermant (2009) describes some unintended impacts of this policy. He quotes the Central Kitsap Commissioner as describing the population who would generally be in chemical dependency agencies ending up in hospital emergency rooms and county jails. The Drug Court is another program that that will be effected by the budget cut. They are expecting to not accept new admissions due to the financial changes, even though they have been credited with saving money and decreasing stress on other agencies the funding will not be available to continue expanding these benefits. These economical costs can be argued. Farley (2009) describes the differences in cost. It costs $80 per day to house an inmate in county jail. It costs $90 to have a patient in a recovery center. This leaves out the possible prevention / future crime costs. The price of victimization is another hidden cost. Farley describes transformation as a difficult item to put a price on.</p>
<p>With the budget deficit in Washington State, agencies are attempting to save money any way that they can. One possible budget saving topic brought up to the state legislature was breaking up the Department of Social and Health Services. The latest proposal put into the house legislature was to break up the agency within two years into four separate agencies: the Department of Economic Services, Department of Medical Assistance, Department of Health and Rehabilitative Services and the Department of Children's Services. The Governor chose to take this possibility off the discussion table while the major budget shortfall is still in effect. The merits of such an idea were a hotly debated topic (Seattle Times Editorial, 2009; Wilson, 2009).</p>
<p>While some agencies might be exploring breaking up as a method for economic support, others are exploring consolidation. One example of this is the Council for Children and Families and the Family Policy Council. They feel these agencies would be able to synergistically improve results and possibly attract additional federal and private dollars if combinded. These two organizations would merge into a new organization, the Family Investment Partnership. They anticipate a reduction in the number of boards, councils, and commissions along with the number of meetings. They also expect more efficiency in technical assistance, administration, and policy guidance. All of this would be expected to enhance the capacity to produce positive outcomes for children, families, and communities. Due to the timing of this paper, it is not possible to discuss whether this action has taken place (J. Schenk, personal communication, March 04, 2009)</p>
<h2 id="policyanalysis">Policy Analysis</h2>
<p>There are a number of different methods for directly analyzing various policies. Policies often are thought of very specifically. For example, when somebody discusses a specific policy they might look at a specific bill in the legislature or a specific policy and procedure of an agency. Policy can also be more general, as the various policies have been described in this paper (Policy, n.d.). The very least any analysis looks at the three P's of policy analysis: problem, policy, provision. This method encompasses the major components of a standard policy analysis (R. Harrington, personal communication, January 8).</p>
<p>Often policy analysis requires more direction then the three P's of policy analysis. A more in-depth view of policy analysis includes two major categories. The first is actual components of the analysis. These components of analysis include the following; problem, goals, policy and or legislation, implementation, affected population, and impact (both intended and unintended). The second deals with the various paradigms that are involved with each of those components. The paradigms of policy analysis include; values, history, economics and fiscal understanding, organizational and structural relationships, and consequences (again both intended and unintended). Examining each of the components and the underlying paradigms allows one to gain an in-depth understanding of a specific policy or general policies. Thus far, this paper has gone from the very broad concepts of the policy of economic downturns effect on social service agencies (R. Harrington, personal communication, January 8).</p>
<p>This two pronged approach to policy analysis can be transformed into a working matrix to understand a specific policy. For example, the components of the policy analysis would be in the rows. The paradigms of policy analysis would make up the columns. Where each of the sections intersect, a component of the policy would be described or the underlying paradigm. Some of the components and paradigms are redundant, such as the implications and consequences. Furthermore, some of the paradigms could also be placed as components, such as history or economic. Regardless of these small discrepancies, applying this matrix to various policies gives a rounded view of the policy in question. </p>
[caption id="" align="alignnone" width="951.0"]<img src="http://static1.squarespace.com/static/51dcde94e4b09506a9c98fbc/525af6cbe4b077ec7f4a4a44/5297df40e4b00e96518d1562/1385684802687/policy-analysis-matrix-large-graphic.jpg" alt=" A table demonstrating an example of a policy analysis matrix "/> A table demonstrating an example of a policy analysis matrix [/caption]
<p>See the <a href="https://spreadsheets.google.com/ccc?key=0AiGaQ1UEh8l2dGtBM2NEbjhOUUdRVVVTOVRQWG5heFE&hl=en&authkey=COjBsoEB">Google Documents version of the spreadsheet</a> or download the <a href="/s/policy-analysis-matrix-economic-downturn.xlsx">Excel 2007 version</a>.</p>
<p>I gave <a href="/resources/economy-and-social-work-presentation">a presentation</a> of this article to my class. You can see the PowerPoint presentation or <a href="/s/economic-downturn-effects-social-service-agencies-presentation.pptx">download the PowerPoint file</a>.</p>
<h2 id="references">References</h2>
<p><div style= "margin: 0 0 0 2em; text-indent: -2em;">
<p>Adas, M. (1992) One-half century of crisis, 1914-1945. From <a href="http://history-world.org/great_depression.htm">http://history-world.org/great<em>depression.htm</a></p>
<p>Armour, S. (2009, February 3). More families move in together during housing crisis. USA TODAY. From <a href="http://www.usatoday.com/money/economy/housing/2009-02-02-housing-crisis-families-living-together_N.htm">http://www.usatoday.com/money/economy/housing/2009-02-02-housing-crisis-families-living-together</em>N.htm</a></p>
<p>Arnold, C. (2009, March 5) Administration works on root of housing crisis. NPR. From <a href="http://www.npr.org/templates/story/story.php?storyId=101465344&ft=1&f=3">http://www.npr.org/templates/story/story.php?storyId=101465344&ft=1&f=3 </a></p>
<p>Bermant, C. (2009, February 26) Recovery center closure could cause chain reaction. Port Orchard Independent. From <a href="http://www.pnwlocalnews.com/kitsap/poi/news/40363068.html">http://www.pnwlocalnews.com/kitsap/poi/news/40363068.html</a></p>
<p>Bohan, C., Zengerle, P. (2009 February 13) Obama: Crucial to confront U.S. housing crisis. Reuters. From <a href="http://www.reuters.com/article/topNews/idUSTRE51C4BK20090213">http://www.reuters.com/article/topNews/idUSTRE51C4BK20090213</a></p>
<p>Bureau of Labor Statistics (2009, February) The employment situation summary. From <a href="http://www.bls.gov/news.release/empsit.nr0.htm">http://www.bls.gov/news.release/empsit.nr0.htm</a></p>
<p>Cush, R. (n.d.) History of us economic recessions. Retrieved 2009 February 21. From <a href="http://recession.org/history">http://recession.org/history</a></p>
<p>Democratic Leadership Council & Progressive Policy Institute (2009, February 4) IMF goal for global 'stimulus': Two percent of world GDP. From <a href="http://www.ppionline.org/ppi_ci.cfm?knlgAreaID=108&subsecID=900003&contentID=254895">http://www.ppionline.org/ppi<em>ci.cfm?knlgAreaID=108&subsecID=900003&contentID=254895 </a></p>
<p>Farley, J. (2009, February 28). Cuts to kitsap recovery center will incur deeper costs, counselors say. Kitsap Sun. From <a href="http://www.kitsapsun.com/news/2009/feb/28/cuts-to-kitsap-recovery-center-will-cost-down/">http://www.kitsapsun.com/news/2009/feb/28/cuts-to-kitsap-recovery-center-will-cost-down/</a></p>
<p>Fields-White, M. (2008, February 11). Charities join forces. Crain's Chicago Business, 31(6), 2-2. Retrieved March 12, 2009, from Regional Business News database.</p>
<p>Fredrickson, T. (2003, December 8). Nonprofit jobs soaring; recession boosts need. Crain's New York Business, 19(49), 1-32. Retrieved March 12, 2009, from Regional Business News database.</p>
<p>Gay, E. (1932, July). THE GREAT DEPRESSION. Foreign Affairs, 10(4), 529-540. Retrieved March 12, 2009, from Academic Search Complete database.</p>
<p>Google (2009) Google trends. Retrieved February 22, 2009, from <a href="http://www.google.com/trends?q=economy%2C+stimulus&ctab=0&geo=all&date=all&sort=0">http://www.google.com/trends?q=economy%2C+stimulus&ctab=0&geo=all&date=all&sort=0 </a></p>
<p>Harris, D. (2009, March 2) How will the recession affect social services? From <a href="http://www.communitycare.co.uk/Articles/2009/03/02/110864/how-will-the-recession-affect-social-services.html">http://www.communitycare.co.uk/Articles/2009/03/02/110864/how-will-the-recession-affect-social-services.html</a></p>
<p>Hendrick, B. (2009, March 2) Losing sleep over the state of the economy? Recession has millions of americans tossing and turning, poll shows. From <a href="http://www.webmd.com/sleep-disorders/news/20090302/losing-sleep-over-the-state-of-the-economy">http://www.webmd.com/sleep-disorders/news/20090302/losing-sleep-over-the-state-of-the-economy</a></p>
<p>Keating, R. (2008, October 10). What we must learn from The Great Depression. Long Island Business News, pp. 17A,17A. Retrieved March 11, 2009, from Regional Business News database.</p>
<p>Macleod, C. (2009, February). Global economy and adspend prospects. International Journal of Advertising, 28(1), 187-189. Retrieved February 22, 2009, from Communication & Mass Media Complete database.</p>
<p>McCormick, B. (2002, April 22). Charities facing a donor drop-off. Crain's Chicago Business, 25(16), 3. Retrieved March 12, 2009, from Regional Business News database.</p>
<p>McNichol, E., Lav, I. J. (2009, February 10) State budget troubles worsen. From <a href="http://www.cbpp.org/9-8-08sfp.htm">http://www.cbpp.org/9-8-08sfp.htm</a></p>
<p>National Council for Community and Behavioral Healthcare (2009, February 17) Economic woes add to winter blues, mental health concerns. From <a href="http://www.prweb.com/releases/2009/02/prweb1967384.htm">http://www.prweb.com/releases/2009/02/prweb1967384.htm</a></p>
<p>Neighborhood Link (2009) The 2009 stimulus package explained. From <a href="http://www.neighborhoodlink.com/article/Thrifty/The_2009_Stimulus_Package_Explained">http://www.neighborhoodlink.com/article/Thrifty/The</em>2009<em>Stimulus</em>Package<em>Explained</a></p>
<p>Office of the Governor. Washington State (n.d. a). Frequently asked budget questions. Retrieved 2009 March 11. From <a href="http://www.governor.wa.gov/priorities/budget/faq.asp">http://www.governor.wa.gov/priorities/budget/faq.asp</a></p>
<p>Office of the Governor. Washington State (n.d. b). Washington's budget. Retrieved 2009 March 11. From <a href="http://www.governor.wa.gov/priorities/budget/default.asp">http://www.governor.wa.gov/priorities/budget/default.asp</a></p>
<p>Policy. (n.d.) In Princeton Word Net Web. Retrieved March 12, 2009, from http://wordnetweb.princeton.edu/perl/webwn?s=policyPoltenson, N. (2006, September 15). A Tale of Two Sectors: One Public, One Private. Business Journal (Central New York), pp. 36,36. Retrieved March 12, 2009, from Regional Business News database.</p>
<p>Raum, T., Wagner, D. (2009, March 10) Has our deep recession turned into a not-so-great depression? From <a href="http://www.katu.com/news/business/40654492.html">http://www.katu.com/news/business/40654492.html</a></p>
<p>Report: States cutting human-service programs. (2002, January 28). Alcoholism & Drug Abuse Weekly, Retrieved March 12, 2009, from Academic Search Complete database.</p>
<p>Scherer, R. (2009, February). Economic stimulus plans now global phenomenon. Christian Science monitor… <a href="http://features.csmonitor.com/economyrebuild/2009/02/04/economic-stimulus-plans-now-global-phenomenon/">http://features.csmonitor.com/economyrebuild/2009/02/04/economic-stimulus-plans-now-global-phenomenon/</a></p>
<p>Seattle Times Editorial (2009, March 11). Splitting up state DSHS will waste money, not save it. Seattle Times. From <a href="http://seattletimes.nwsource.com/html/editorialsopinion/2008843231_edita12dshs.html">http://seattletimes.nwsource.com/html/editorialsopinion/2008843231</em>edita12dshs.html</a></p>
<p>Seattle-PI Editorial Board (2008, December 18) State budget: Pain and suffering. Seattle Post-Intelligencer. From <a href="http://seattlepi.nwsource.com/opinion/392840_budgeted.html">http://seattlepi.nwsource.com/opinion/392840<em>budgeted.html</a></p>
<p>Somerville, G. (2008, December 12) Treasury sees TARP funds for financial sector. Reuters. From <a href="http://www.reuters.com/article/topNews/idUSTRE4BB1B020081212?feedType=RSS&feedName=topNews">http://www.reuters.com/article/topNews/idUSTRE4BB1B020081212?feedType=RSS&feedName=topNews </a></p>
<p>The Associated Press (2009, January 6) Washington state employee hiring freeze lifted. The Seattle Times. From <a href="http://seattletimes.nwsource.com/html/localnews/2008595313_webhiringfreeze06m.html">http://seattletimes.nwsource.com/html/localnews/2008595313</em>webhiringfreeze06m.html</a></p>
<p>Thredgold, J. (2008, November 24). Global ABCs. Enterprise/Salt Lake City, 38(22), 9-9. Retrieved February 22, 2009, from Regional Business News database.</p>
<p>Timeerlake, R. (1974, December). The Banking Crisis of 1933. Journal of Finance, 29(5), 1603-1604. Retrieved March 12, 2009, from Business Source Complete database.</p>
<p>Wilson, A. (2009, February 27) Reorganization bill "cover" for DSHS leaders. The Olympian. From <a href="http://www.theolympian.com/adamwilson/story/771801.html">http://www.theolympian.com/adamwilson/story/771801.html</a></p>
<p>Yourish, K., Stanton, L. (2009) A breakdown of the final bill. The Washington Post. From <a href="http://www.washingtonpost.com/wp-srv/politics/pdf/breakdown_final_bill_021409.pdf">http://www.washingtonpost.com/wp-srv/politics/pdf/breakdown<em>final</em>bill_021409.pdf</a></p></p>
<p>Original document ~ 03-12-09</p>]]></content:encoded>
<excerpt:encoded><![CDATA[<p>With the worldwide, national, state, and local economies facing an economic downturn, it is important to examine its effects on social service agencies and social work. The active policy of how economic downturns effect social service agencies is examined though a number of modalities. When looking at these types of policies the affected populations must be described. The historical, worldwide, national, and statewide perspectives provide context and understanding of the problem. A policy analysis matrix is also utilized to give a more concrete description of the crisis.</p>]]></excerpt:encoded>
<wp:post_name>articles/the-economy-and-social-work</wp:post_name>
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<category domain="post_tag" nicename="social-work"><![CDATA[Social Work]]></category>
<category domain="post_tag" nicename="economy"><![CDATA[Economy]]></category>
<category domain="post_tag" nicename="social-services"><![CDATA[Social Services]]></category>
<category domain="category" nicename="article"><![CDATA[Article]]></category>
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<title>No Matter How Loud I Shout Book Review</title>
<link>/resources/articles/no-matter-how-loud-i-shout-book-review</link>
<content:encoded><![CDATA[[caption id="" align="alignnone" width="314.0"]<img src="http://static1.squarespace.com/static/51dcde94e4b09506a9c98fbc/525af6cbe4b077ec7f4a4a44/52a2cde7e4b0f6168e510049/1386401256862/book-edward-humes-juvenile-no-matter-how-loud-shout.jpg" alt=" No Matter How Loud I Shout by Edward Humes is a powerful book about Juveniles in the Juvenile Justice System. You can find a copy of No Matter How Loud I Shout on Amazon or on No Matter How Loud I shout on Google Books "/> No Matter How Loud I Shout by Edward Humes is a powerful book about Juveniles in the Juvenile Justice System. You can find a copy of No Matter How Loud I Shout on Amazon or on No Matter How Loud I shout on Google Books [/caption]
<h1 id="nomatterhowloudishoutbookreview">No Matter How Loud I Shout Book Review</h1>
<p>You can read a downloadable version of this article: <a href="/s/edward-humes-book-review-juveniles-involved-justice-system.pdf">No Matter How Loud I Shout Book Review</a></p>
<h1 id="workingwithdiversepopulationsjuvenilesinvolvedinthejusticesystem">Working with Diverse Populations: Juvenile's Involved in the Justice System</h1>
<h2 id="nomatterhowloudishoutbookdescription">No Matter How Loud I Shout: Book Description</h2>
<p>Humes (1999) was granted unprecedented access to the juvenile courts in California. The juvenile court system is closed to outsiders and often seems secretive. The juvenile court system encompasses a large number of youth. In California there are 30,000 juvenile delinquency cases brought to court each year, 26 juvenile detention camps with some 4,400 youth, and 8,700 juvenile prison wards. The courts only have four basic sentences they can give to juveniles; (1) HOP (home of parent); (2) suitable placement (a network of public and private foster homes); (3) juvenile detention camps; (4) juvenile prison. This gives only limited options to how a judge can sentence a delinquent youth.</p>
<p>Humes book describes the various aspects of the Californian juvenile justice system. It moves around the stories of seven different teenagers involved in the court system. He also has in-depth look some different judges, their views and court rooms. Along with the judges he provides stories that involve attorneys, probation officers, youth, delinquents, families, social workers, teachers, and many others that come and go though the lives of the teenagers. It is all set up in story lines that intertwine together to give the reader a picture of court system.</p>
<h2 id="workingwithjuvenileoffenders">Working with Juvenile Offenders</h2>
<p>Working with a diverse population requires the social worker examine aspects that make up the population. To fully examine a population, a few of the aspects that should be researched are as follows; best practices for working with the population, cultural background, tradition, norms and values, history of oppression, types of support, family dynamics, spirituality, and body language. The stories that fill Humes book come and address each of these aspects at different points.</p>
<p>Working with a diverse population requires the social worker examine aspects that make up the population. To fully examine a population, a few of the aspects that should be researched are as follows; best practices for working with the population, cultural background, tradition, norms and values, history of oppression, types of support, family dynamics, spirituality, and body language. The stories that fill Humes book come and address each of these aspects at different points.</p>
<p>The culture that these juveniles participate, the street / gang culture, is one that has a lot of facets to it. Each of the delinquents live their life based on this culture. The street / gang culture is portrayed to have very strict unwritten rules and is enforced by other juveniles. For example, the juveniles couldn't let others disrespect them in any way and let them get away with it. One of the juveniles mothers questions how her son could believe that "the lesser of two evils was to participate in a murder rather then risk being jeered by his friends" (p. 212).</p>
<p>This street / gang culture has specific traditions, norms and values. The process for a juvenile to become involved in a gang often has a tradition the youth must participate. Often this is some sort of jumping in and some sort of crime. For example, one of the youths had to commit a robbery with some of the older members. If a juvenile is a narc (slang for narcotics officer, but often used to describe somebody who tells the authorities about some illegal action) there are often stringent penalties enforced by their peers. They have a strict not talking to the authorities lifestyle. Humes describes that in some of the juvenile prisons the youth were victims of beatings, gang fights, stabbings, assaults, and even rapes, but because of this norm they were not reported. The street / gang culture values respect above everything else. This is why the aforementioned youth would rather be involved in a murder then be disrespected.</p>
<p>In re Gault (1967) was a changing point possible recourses for juvenile judges. Gerald Francis Gault, who was fifteen years old, was arrested for allegedly making an obscene phone call. Gault was on probation and the police did not leave notice with Gault's parents, who were at work, when the youth was arrested. Gault was committed to the State Industrial School until he reached the age of 21 for the offence. The Supreme Court decided that the courts were not complying with the 14th amendment. This action limited the courts but also shows an example of how juvenile delinquents have been oppressed in the past.</p>
<p>The juveniles are shown to have an expansive support system. The quality of the support offered seemed to almost always fail them though. Many of the juveniles portrayed in the book come from families that are less then supportive. Once the juvenile is in the system there are a number of supports that are meant to help them. These are described as having too high of caseloads and responsibilities to be effective at anything.</p>
<p>One support that is not external, but that is internal is spirituality. Although spirituality is not important to all of the incarcerated juveniles, Humes describes many that come to religious convictions while incarcerated. Spirituality is also important for some of the portrayed workers, for example Sister Janet Harris who works at the juvenile detention out of her religious convictions.</p>
<p>The incarcerated adolescents have a few body language characteristics that seem to be fairly common. Many of the youth are portrayed as being stone faced while they are in court, or dealing with authority figures, giving a "I don't give a f<em>*</em>" facial expression. They are also often described with aggressive body language. There are also times that the opposite is true and they are shown very broken and hurting.</p>
<h3 id="puttingitintopractice">Putting it into Practice</h3>
<p>Any study in social work should contain some sort of application, and looking at Humes' book should be no different. In looking at all of the various criteria for working with diverse populations, it seems to dictate some different ways of working with juveniles. First, it seems that one of the largest needs is to work with juveniles is their environment. Continually Humes goes back to the concept that these gang bangers all come from and go back to the same sort of environment. Second, it seems that the worker needs to find ways to gain the adolescents respect. Finally is also a need for firmness and structure because this is what they often grew up without.</p>
<p>Further then looking into what needs to be done, an analysis must also look into the validity of the information. Humes book is, although from many different aspects, very subjective and case studies of individuals. Within these individual stories, there is a large amount of statistical backing showing it to be true for major parts of the population. The book is lacking in descent of opinion for what are the best practices for working with juveniles, so the reader questions if Judge Dorn's ideas are the most effective and no true evidence is given to support them. It seems to give a good picture of what the juvenile justice system looks like, a broken system in need of substantial change.</p>
<div style="margin: 0 0 0 2em; text-indent: -2em;">
<p>Humes, E. (1999) No matter how loud I shout: A year in the life of juvenile court (School & library binding). New York: Tandem Library.</p>
<p>In re Gault, 387 U.S. 1 (1967).</p>
</div>]]></content:encoded>
<excerpt:encoded><![CDATA[<p>Humes (1999) was granted unprecedented access to the juvenile courts in California. The juvenile court system is closed to outsiders and often seems secretive. The juvenile court system encompasses a large number of youth. In California there are 30,000 juvenile delinquency cases brought to court each year, 26 juvenile detention camps with some 4,400 youth, and 8,700 juvenile prison wards. The courts only have four basic sentences they can give to juveniles; (1) HOP (home of parent); (2) suitable placement (a network of public and private foster homes); (3) juvenile detention camps; (4) juvenile prison. This gives only limited options to how a judge can sentence a delinquent youth.</p>]]></excerpt:encoded>
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<category domain="post_tag" nicename="juveniles"><![CDATA[Juveniles]]></category>
<category domain="category" nicename="article"><![CDATA[Article]]></category>
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<pubDate>Sat, 07 Dec 2013 07:27:35 +0000</pubDate>
<wp:post_date>2013-12-07 07:27:35</wp:post_date>
<wp:post_date_gmt>2013-12-07 07:27:35</wp:post_date_gmt>
<dc:creator>jacob.r.campbell@gmail.com</dc:creator>
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<item>
<title>The Crisis Residential Center's Directions Program Evaluation</title>
<link>/resources/articles/the-crisis-residential-centers-directions-program-evaluation</link>
<content:encoded><![CDATA[<h1 id="thecrisisresidentialcentersdirectionsprogramevaluationforthe20062008financialgrantyears">The Crisis Residential Center's Directions Program Evaluation: For the 2006-2008 Financial Grant Years</h1>
<p>You can read the downloadable version of the the article: <a href="/s/crc-executive-summary.pdf">The Crisis Residential Center's Directions Program Evaluation: For the 2006-2008 Financial Grant Years</a></p>
<h2 id="abstract">Abstract</h2>
<p>Nationally over 1.5 million youth runaway and put themselves in dangerous situations such as substance abuse. Research shows that this is in a large part due to problems within the family unit. Many interventions assist in reunifying the family and improving dangerous or maladaptive behaviors including family and group therapies. Spokane's Crisis Residential Center attempts to assist this population by encouraging family reunification. One way in which they do this is through the Directions Program. This study evaluates the Directions Program to determine its effectiveness in serving at-risk youth and their families. Surveys were sent out to 128 former clients and their families.</p>
<h2 id="introduction">Introduction</h2>
<p>The U.S. Department of Justice's Office of Juvenile Justice and Delinquency Prevention found there were about 1,682,900 youth who ran away or were forced out of their homes (Hammer, Finkelhor & Sedlak, 2002; National Coalition for the Homeless, 2008). Over 1.5 million of these youth have been in danger while they were away from home due to physical or substance abuse.</p>
<p>Youth runaway for several reasons. Many come from homes where they are not feeling supported or nurtured. According to a study, which looked at more than 600 homeless or runaway adolescents, their families were often abusive or neglectful toward the youth. In addition, there could be parental substance abuse and issues with the law (Whitbeck & Hoyt, 1999).</p>
<p>Homeless adolescents face developing mental health issues such as depression and conduct disorder (Robertson, 1989, as cited in Coalition on Homelessness and Housing, 2002). Additionally, these youth face barriers that keep them homeless. A study by Miller et. al. (2004), which interviewed 19 youth, found most dropped out of school before they were able to graduate. Thus, street youth typically lack education. This may limit their ability to get a job or at least earn enough money to support themselves.</p>
<p>Programs that work with at-risk youth have a number of practices they implement. Group therapy is one such practice. Zimet and Farley (1985) state groups provide the client with interpersonal experiences to help foster social skills (as cited in Silvan, Matzner, & Silva, 1999, p. 469). In residential treatment programs, groups are led by trained facilitators who teach youth and their families skills to cultivate independence, communication, and family reunification. They also provide opportunities for clients to help each other in learning the skills (Miley, O'Melia, & DuBois, 2004).</p>
<p>Apart from group therapy, perhaps the most important factor in intervening with this population is efforts to encourage family reunification. Family issues have been identified as being a main precipitating problem that leads to youth running away (Safyer, Thompson, Macio, Zittel-Palamara, & Forehand, 2004). Thus, it is interesting to note studies have found that family therapy and successful family reunification has led to improvements on various aspects such as school, runaway behaviors, and family stability (Thompson, Kost, & Pollio, 2003; Thompson, Pollio, & Bitner, 2000; Teare, Furst, Peterson, & Authier, 1992). In addition to these behaviors, family therapy, which may lead to family reunification, has been shown to have a positive impact on drug use. These interventions improved such behaviors (Schmidt, Liddle, and Dakof, 1996; Huey, Henggeler, Brondino, & Pickrel, 2000). Thus, it is agreed among many researchers family therapy is key to achieving positive outcomes.</p>
<p>The successes made in treatment, individually and as a family, must be maintained. Many agencies offer referrals and/or aftercare services to clients where they may receive continued treatment. Nebbitt, et al. (2007) found participation in referrals after discharge facilitated the successful reunification of the family. This highlights the need for continued intervention.</p>
<p>These services, along with individual counseling, provide at-risk youth the help they need to get off the streets and to change their course. Many residential programs offer these interventions to at-risk youth and their families with that goal in mind. Youth Family Adult (YFA) Connections is one such agency. YFA Connections is a nonprofit agency that serves the greater Spokane area with counseling and substance abuse treatment programs. One program offered through YFA Connections is Spokane's Regional Crisis Residential Center (CRC). The CRC assists youth are 13-17 and who come from a of variety situations (YFA Connections, n.d.; Christensen, 2008). The CRC runs three different programs: Directions, State CRC, and Hope. This study focuses on the Directions Program.</p>
<p>The Federal Basic Center Grant funds the Directions Program. The grant's stated purpose is strengthening community-based programs addressing the immediate needs of runaway and homeless youth and their families. Centers funded by the grant provide youth with emergency shelter, basic needs, counseling, and referrals. The Directions program has specific service requirements to be able to receive the Basic Center Grant. These include providing temporary shelter, employing individual, group and family counseling, offering recreational activities, and linking clients to services in the community (Basic center grant program 2006).</p>
<p>This research begins to explore how effective the CRC is in meeting the needs of its clients. It intended to add to the existing research by including the perceptions of the clients themselves. Despite the limitations to meeting this goal, this study still adds to the existing research regarding working with at-risk youth and it attempted to provide a multifaceted view of the CRC through the various methods implemented in the research. It examined the critical issues that many at-risk youth face and the services that were provided to them. This helps the CRC know what can be improved to be better able to reach the diverse needs of their clients in the upcoming 2009 year and beyond.</p>
<h2 id="methodology">Methodology</h2>
<p>This study seeks to determine the effectiveness of the CRC's Directions Program in facilitating lasting change and meeting the needs of its clients during the current financial grant years. The objective of this research project is to begin to determine the impact the Directions Program has on its clients and their families. This will help to identify specific procedures and interventions which need improvement at all levels. Furthermore, it is to give a voice to former clients and their families about their experiences at the CRC.</p>
<p>The research question guiding this project seeks to determine the effectiveness of the CRC's Directions Program in facilitating lasting change and meeting the needs of its clients during the financial grant years of 2006-2008. Four hypotheses are used to explore this research question: (1) the Directions Program had a positive impact on the clients who completed and participated in the program, (2) completing the Directions Program has a positive impact on client's relationship with their families, (3) the use of one or more referrals is positively correlated to lasting improvement in the client's family relationships, and (4) the use of one or more referrals is positively correlated to lasting improvement in the client's lives. These hypotheses are not testable due to the low response rate received on the surveys.</p>
<p>The participants were former clients of the CRC's Directions Program as well as their legal guardians. There were approximately 135 participants, 128 of which are former clients with ages ranging from 13-17 while in the program. The participants were all the former clients who went through the CRC's Directions Program between October 1, 2006 and September 30, 2008. In addition, seven legal guardians participated in the study. All participants were asked to participate in both quantitative and qualitative parts of this research including a survey and an in-depth interview. Furthermore, demographic, programmatic, and historical information was gathered from the files of these 128 clients.</p>
<p>The surveys were developed by the research team. They elicited information on the participants' perceptions of the services received by the Directions Program. These included their perceptions on group, family, and individual therapies in addition to participation in referrals and relationships with staff. After approval by the Eastern Washington Universities Institutional Review Board, the surveys were mailed out to the homes of former clients and their legal guardians. A cover letter, information sheet, and permission slip to contact clients regarding the in-depth interview were included with the surveys. Two follow-up mailings were sent-out.</p>
<p>Descriptive statistics were run on the data received from the files of the former clients. These included demographic, programmatic, and data regarding presenting issues and history. Frequencies and means were taken on the various data. This analysis was run on SPSS 17.0 and Microsoft Excel 2007.</p>
<p>Though the hypotheses were not testable, biviariate analysis was conducted on data received from client files. This analysis was utilized to determine if the Directions Program fulfilled its purpose to meet the needs of clients in an effective way. Pearson Chi-Square tests and cross tabulations were conducted on information presented by the client and services provided by the Directions Program using SPSS 17.0.</p>
<h2 id="findings">Findings</h2>
<p>The clients were between the ages 13 and 17 and the majority (24.2%) of them were 14. There were 21.88 percent who were 16. Both ages 15 and 17 made up 19.53 percent each. The least frequent client age was 13 (14.8%). Sixty-seven clients were female while 57 were male. One client identified as transgender. Most (63%) of the clients reported being Caucasian. Other race/ethnicities made up a relatively small percentage of clients serviced by the Directions Program (see Figure 1).</p>
<p>The clients spent an average of 190.30 hours (see Table 1) in the program. Within the various modalities, there is a disparity between the different treatments. The average time spent in family sessions was 2.65 hours (see Table 2). Clients spent on average 4.98 hours (see Table 3) in group. Additionally clients spent an average of 5.03 hours in individual sessions (see Table 4).</p>
<p>Clients came into the program with varying backgrounds and social histories (see Table 5). For example, 56 of the clients had problems with school and 22 had been abused or neglected by their parents. In addition, the clients indicated they were dealing with various critical issues (see Table 6). The majority of the clients (120) indicated that they were dealing with issues at home concerning family dynamics. Also 60 participants indicated that they were dealing with school issues. Thirty-one had issues with alcohol and drug abuse.</p>
<p>The CRC often serves homeless youth. During the researched years about 16.4 percent of their population had issues regarding housing and shelter as a critical issue. Of the homeless youth the CRC served during the researched years 33.4 percent had issues with school (either attending school irregularly, having dropped out, or been suspended or expelled from school). While the correlation between these two variables are not significant in this research project, displaying a Pearson Chi-Square score of 0.351, it has shown a significant link in previous research as discussed earlier. Furthermore, of the homeless youth the CRC served during the researched years, 23.8 percent had issues related to the mental health status of youth or family members. Of the youth who had mental health issues, 14.3 percent of them were homeless.</p>
<p>Household dynamics issues was a common critical issue for the participants (see Table 7). A little over a quarter of the youth with household dynamics as an issue did not participate in any family session hours (see Table 8). Similar to family sessions, a little over a quarter of youth with household dynamics as an issue only participated in one hour or less of group sessions. The independent variable of family dynamics appears to be spread evenly between both hours of family and group sessions.</p>
<p>Research has also shown family sessions to be correlated to positive outcomes with youth who have issues with substance use/abuse (see Figure 2). The Pearson Chi-Square test showed a score of 0.537 and 0.636 respectively for the youth having a social history of alcohol use/abuse and drug use/abuse. For the critical issue of alcohol and other drug abuse the score was much higher: 0.907. The number of family sessions based on substance abuse is spread evenly between the various times of both family and group sessions</p>
<p>Clients report on possible alcohol and/or drug use/abuse issues through reporting on social history and critical issues. The CRC provides two different services to address substance use/abuse issues, either in-house or through referrals. These two treatments are substance abuse assessment and/or treatment (SAAT) through an assessment and treatment to stop substance abuse. Substance abuse prevention (SAP) includes skill building and educational activities (see Table 9).</p>
<h2 id="recommendations">Recommendations</h2>
<p>The Crisis Residential Center in Spokane is a social safety net for the community and communities regionally. In the CRC's three different programs, they facilitate tens of thousands of hours of services for youth being involved in their program. Clients spent a total of a little over 11,500 hours in the Directions Program during 2007 alone. These numbers grow exponentially when the other two programs included. The CRC provided hundreds of hours of individual, group, and family sessions. During 2007, these numbers were respectively about 450, 320, and 175 hours for the Directions Program.</p>
<p>Due to the fact these hours provide services for such a vulnerable population, it is imperative they provide the most respectful and effective services. To provide effective services an agency's program model ought to be based on research. Based on the findings of this research project, there are a number of recommendations for both further exploration and program development. These recommendations fall under five basic sections.</p>
<p>First, the researchers recommend the CRC Directions Program examine avenues to better involve their participants in aftercare services. They advocate for the CRC to enhance their capability to refer individuals to services they find useful or are more satisfied with. This may include a need for future researchers to examine various referrals utilized and their effectiveness. As described in the review of literature, aftercare and referrals are found to provide positive outcomes for clients. Only 12 percent of the youth sampled participated in aftercare services. For the limited number of clients who participated in the two surveys, not all of them followed through with provided referrals. Regarding the former client survey, three of the four participants described themselves as having partaken in the referrals provided by the CRC. The legal guardian surveys showed five of the seven participants described themselves as following though with the referrals made by the CRC Directions Program. Only two of these five were very satisfied with the referrals that were made or the services provided.</p>
<p>Second, the researchers would promote the CRC to utilize the status of the homelessness as indicators for youth possibly needing either academic support and/or help with mental health issues. Specifically the researchers recommend the CRC explore ways of improving the academic capacity and school status of the youth and provide a way of tracking youth's improvement or devolution. It is also recommended that the CRC's Directions Program refer clients with mental health issues to agencies with staff able to properly treat the presenting issues. As discussed previously, these recommendations are backed up by the findings.</p>
<p>Third, the researchers recommend examining the techniques staff uses to involve youth and families in group and family sessions. Research associates group and family counseling with positive outcomes in regards to issues related to household dynamics. Despite the link between group and family counseling and positive outcomes, people who had household dynamics as a critical issue did not receive more hours of service.</p>
<p>The numbers of clients who had household dynamics is spread evenly though the hours of group and family sessions (see Figure 2 for family sessions). This almost equal distribution places over a quarter of the youth who did not participate in any hours of family sessions. Similarly over a quarter of the youth participated in one hour or less of group. Some of the youth who start the program, go on the run before completing the program. Some of these youth leave relatively early in the placement, 17 percent having left within the first 48 hours. This percentage may account for some of the youth who did not receive group or family sessions, but does account for the quarter of them that did not receive these basic services. Including these numbers, more than 50 percent participated in two or less hours of family sessions or four or less hours of group.</p>
<p>Similar to household dynamic issues connection to group and family counseling in research, positive outcomes linked group and family sessions and changing negative substance issues. Substance use and/or abuse has been found to be strongly correlated to the hours of group and family sessions. The data presented similar problems to household dynamics and its relationship to group and family session hours.</p>
<p>Fourth, the researchers would recommend the CRC evaluate how they work with people who have substance use and/or abuse either as the participant's social history or as their critical issue. Specifically it may benefit the CRC to offer SAAT services to a larger percentage of the youth with substance abuse and or use issues. It may also benefit the CRC to be more directive in who they offer SAP services to (see Table 9).</p>
<p>Substance abuse assessment and or treatment had only five clients (16.1 percent of those with substance abuse as a critical issue) participated in the SAAT services. The percentage of youth who had a critical issue of drug and alcohol abuse and did not receive SAAT was 83.9. The Directions Program, in accordance with federal law, develops individualized service plans for each of the youth who participate in their program. While this is true, it appears they have trouble with youth who have substance use and/or abuse issues. A larger number of participants in the Directions Program participated in SAP, a total of 27. For youth without a social history of alcohol and or drug use and/or abuse, almost 30 percent participated in SAP. Only seven and 13 percent had a social history respectively of alcohol and/or drug use and/or abuse who received SAP.</p>
<p>Fifth, the researchers recommend a few improvements apart from the service delivery systems. A) Improve completeness and clearness of files. Many files were missing various pieces of data that were in other files. There were also often mistakes or inconsistencies in the data provided. B) Develop a method of tracking successful work with youth, and incorporate it into paper work to improve future studies. C) Incorporate more evidence based practices into the individual, group, and family sessions. In preparing for this research, the researchers were unable to describe a single theory base for any of the various interventions used. Using specific evidence based programs which are shown to be effective with this population can improve the overall effectiveness of the CRC. D) The researchers would also recommended that the CRC perform routine follow up on the services provided and have a way of documenting the follow-up for future analysis. Finally E) the CRC's Direction Program might benefit from producing more research and follow up regarding both the Directions Program and the other two programs.</p>
<h2 id="implicationsforsocialwork">Implications for Social Work</h2>
<p>This study provided the basis for future research that would more clearly determine the effectiveness of programs that focus on at-risk youth. The study gathered a variety of information on the former clients to get an accurate picture of their needs and programmatic involvement. It demonstrates the need for agencies to know their clients in order to provide effective service. Furthermore, it demonstrates the possible interrelatedness of various elements in the lives of at-risk youth.</p>
<p>Also, this project indicates the importance of collaboration between agencies. As demonstrated earlier, referrals play an important role in family reunification. Furthermore, clients may present with multiple issues. No agency is equipped to deal with every issue presented. Collaboration among agencies in a community is an excellent way to create wrap-around services.</p>
<p>Finally, this study reveals the importance of staff competency. For example, a participant indicated on the surveys that he/she wished that the family session facilitator was more knowledgeable and effective. Particularly important for social workers is to follow the NASW Code of Ethics (2009) which stresses competency in practice.</p>
<h2 id="limitations">Limitations</h2>
<p>Though this study can be applied to the profession in a general, there are some limitations to consider. The researchers received a low response rate to the surveys which limited their ability to correlate participants' perceptions of the Directions Program to the information gathered from their files. This made it impossible to determine the validity of the hypotheses. Time was another limitation. With more time, the researchers would have attempted other avenues to increase the response rate for the surveys. In addition, many of the surveys were returned due to outdated contact information. Social bias seems to be an additional limitation. It is unclear how much the responses of the participants' were influenced by their desire to leave a favorable impression of them or their child. Furthermore, the surveys were created by the researchers and were not pilot tested. Their validity is unclear and there was no control group to improve the overall internal validity of the study.</p>
<h2 id="conclusion">Conclusion</h2>
<p>The limitations of this study weigh into the conclusions that can be drawn from the data. The number of surveys that were returned affects the ability to correlate the variables and fully utilize the robust data set. Regardless of this fact there are still quantifiable implications for social work. The CRC's Directions Program, the entire CRC, and other social service agencies that serve similar populations, can implement the recommendations. If the CRC was to implement some of these, they may become more effective. While there is a need for further research, there is also a need to appreciate the services provided by the CRC. The legal guardian survey had some of the following comments.</p>
<blockquote>
<p>"Having CRC there in a time that my child was running out of control provided a time for her to stop in her path, give her some things to think about & became the turning point for my daughter to move towards the right path again which she is thankfully on again. CRC is a facility that I feel was a very, very important component in getting everyone to stop what was happening, take a breath, & make a plan on how things were going to be handled."</p>
<p>"I feel CRC saved us on a couple of occasions giving our daughter a place to be when she just didn't feel she could be at home. It gave us all a break during a very long & hard time with our issues. We are very thankful CRC exists!"</p>
</blockquote>
<h2 id="figurestables">Figures & Tables</h2><h3 id="figure1">Figure 1:</h3>
[caption id="" align="alignnone" width="1143.0"]<img src="http://static1.squarespace.com/static/51dcde94e4b09506a9c98fbc/525af6cbe4b077ec7f4a4a44/5297d962e4b0d642edd719d4/1385683300802/crc-effectiveness-bar-chart-counsiling-social-history.jpg" alt=" Figure 1: Pie Chart Regarding Race and Ethnicity "/> Figure 1: Pie Chart Regarding Race and Ethnicity [/caption]
<h3 id="figure2">Figure 2:</h3>
[caption id="" align="alignnone" width="902.0"]<img src="http://static1.squarespace.com/static/51dcde94e4b09506a9c98fbc/525af6cbe4b077ec7f4a4a44/5297d9f0e4b06bb4b8f34fee/1385683442467/crc-effectiveness-pie-chart-regarding-race-ethnicity.jpg" alt=" Figure 2: Bar Chart Regarding Correlation Between Family Counseling and Social History "/> Figure 2: Bar Chart Regarding Correlation Between Family Counseling and Social History [/caption]
<h3 id="table1">Table 1:</h3>
<p><em>Length of Stay in the Program: (n=128)</em></p>
<table style="table-layout:fixed;">
<tr>
<th style="width:100px;"><p>Mean</p></th>
<th style="width:100px;"><p>Median</p></th>
<th style="width:100px;"><p>Mode</p></th>
<th style="width:100px;"><p>(n)</p></th>
</tr>
<tr>
<td><p>190.30</p></td>
<td><p>187</p></td>
<td><p>1.5</p></td>
<td><p>126</p></td>
</tr>
</table>
<h3 id="table2">Table 2</h3>
<p><em>The Number of Family Hours: (n=128)</em></p>
<table style="table-layout:fixed;">
<tr>
<th style="width:100px;"><p>Mean</p></th>
<th style="width:100px;"><p>Median</p></th>
<th style="width:100px;"><p>Mode</p></th>
<th style="width:100px;"><p>(n)</p></th>
</tr>
<tr>
<td><p>2.65</p></td>
<td><p>2</p></td>
<td><p>0</p></td>
<td><p>128</p></td>
</tr>
</table>
<h3 id="table3">Table 3</h3>
<p><em>The Number of Group Hours: (n=128)</em></p>
<table style="table-layout:fixed;">
<tr>
<th style="width:100px;"><p>Mean</p></th>
<th style="width:100px;"><p>Median</p></th>
<th style="width:100px;"><p>Mode</p></th>
<th style="width:100px;"><p>(n)</p></th>
</tr>
<tr>
<td><p>4.98</p></td>
<td><p>4</p></td>
<td><p>1</p></td>
<td><p>127</p></td>
</tr>
</table>
<h3 id="table4">Table 4</h3>
<p><em>The Number of Individual Hours: (n=128)</em></p>
<table style="table-layout:fixed;">
<tr>
<th style="width:100px;"><p>Mean</p></th>
<th style="width:100px;"><p>Median</p></th>
<th style="width:100px;"><p>Mode</p></th>
<th style="width:100px;"><p>(n)</p></th>
</tr>
<tr>
<td><p>5.03</p></td>
<td><p>2.5</p></td>
<td><p>1.5</p></td>
<td><p>127</p></td>
</tr>
</table>
<h3 id="table5">Table 5</h3>
<p><em>Social History of the Client: (n=128)</em></p>
<table style="table-layout:fixed;">
<tr>
<th style="width:300px;"><p>History</p></th>
<th style="width:75px;"><p>Yes</p></th>
<th style="width:75px;"><p>No</p></th>
<th style="width:75px;"><p>Missing</p></th>
</tr>
<tr>
<td><p>Runaway</p></td>
<td><p>54</p></td>
<td><p>64</p></td>
<td><p>10</p></td>
</tr>
<tr>
<td><p>Alcohol Abuse</p></td>
<td><p>43</p></td>
<td><p>75</p></td>
<td><p>10</p></td>
</tr>
<tr>
<td><p>Drug Abuse</p></td>
<td><p>46</p></td>
<td><p>72</p></td>
<td><p>10</p></td>
</tr>
<tr>
<td><p>Violent/Aggressive Behavior</p></td>
<td><p>55</p></td>
<td><p>63</p></td>
<td><p>10</p></td>
</tr>
<tr>
<td><p>Juvenile Offender</p></td>
<td><p>30</p></td>
<td><p>88</p></td>
<td><p>10</p></td>
</tr>
<tr>
<td><p>Truancy/school problems</p></td>
<td><p>56</p></td>
<td><p>62</p></td>
<td><p>10</p></td>
</tr>
<tr>
<td><p>Gang involvement/affiliation</p></td>
<td><p>5</p></td>
<td><p>113</p></td>
<td><p>10</p></td>
</tr>
<tr>
<td><p>Previous out of home placements</p></td>
<td><p>28</p></td>
<td><p>90</p></td>
<td><p>10</p></td>
</tr>
<tr>
<td><p>Sexually aggressive/perpetuator</p></td>
<td><p>0</p></td>
<td><p>118</p></td>
<td><p>10</p></td>
</tr>