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Therapeutic features of the family group conference model when applied for long-term social assistance recipients 家庭-小组会议模式应用于长期社会援助接受者时的治疗特征
IF 0.9 Q3 SOCIAL WORK Pub Date : 2020-01-21 DOI: 10.1080/10522158.2019.1709245
Sissel Johansen
ABSTRACT The purpose of this qualitative study was to explore long-term social assistance recipients´ experiences with family group conferences (FGC). Fifteen Norwegian long-term (> 6 months) social assistance recipients whom had arranged an FGC were interviewed. There were nine men and six women, age 24–64 years. The findings show that the FGC may have therapeutic features when applied in a social service context. Three features associated with family/network therapy were found: Self-disclosure, dialogic communication and improved family relationships. The possible therapeutic function of the FGC when applied for adults is potent in a social work context, as solving family conflicts and/or improving family interaction may be a prerequisite in order to achieve other desired changes among many long-term social assistance recipients.
摘要本定性研究的目的是探讨长期社会援助受助人参加家庭团体会议(FGC)的经历。采访了15名挪威长期(>6个月)安排FGC的社会援助受助人。共有9名男性和6名女性,年龄24-64岁。研究结果表明,当应用于社会服务环境时,FGC可能具有治疗特征。发现了与家庭/网络治疗相关的三个特征:自我揭露、对话交流和改善家庭关系。FGC在应用于成年人时可能具有的治疗功能在社会工作环境中是有效的,因为解决家庭冲突和/或改善家庭互动可能是在许多长期社会援助接受者中实现其他期望变化的先决条件。
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引用次数: 2
Maternal depression and family health context: tracking depression trajectories of rural, low-income mothers 母亲抑郁与家庭健康背景:追踪农村低收入母亲的抑郁轨迹
IF 0.9 Q3 SOCIAL WORK Pub Date : 2020-01-06 DOI: 10.1080/10522158.2019.1709244
Yoshie Sano, C. Bolkan, Sheila Mammen
ABSTRACT This study examined depression trajectories of rural, low-income mothers over 3 years in the co-occurring family health context. Specifically, within a Family Systems Theory framework, we compared 11 mothers who showed ongoing signs of major depression (“constantly depressed”) with 12 mothers who exhibited signs of major depression at baseline but whose condition improved over time (“continuously improved”). The constantly depressed mothers experienced more physical health problems, distrust toward health-care professionals, and a more negative outlook on their lives. While both groups of mothers reported similar struggles of dealing with children’s health, struggle to deal with children’s emotional and behavioral issues tended to be more profound issues among the constantly depressed mothers. These issues were accompanied by a set of challenges in the mothers’ lives, including limited childcare options, loss of employment, day-to-day behavioral management, and concerns for delinquent behaviors. The findings highlight the importance of family context in understanding maternal depression, particularly, among vulnerable rural populations.
摘要:本研究考察了农村低收入母亲在共发生家庭健康背景下3年以上的抑郁轨迹。具体来说,在家庭系统理论框架内,我们比较了11位表现出持续严重抑郁迹象(“持续抑郁”)的母亲和12位在基线时表现出严重抑郁迹象,但随着时间的推移病情有所改善(“持续改善”)的母亲。持续抑郁的母亲经历了更多的身体健康问题,对保健专业人员的不信任,以及对自己生活的更消极的看法。虽然两组母亲都报告了处理孩子健康问题的类似挣扎,但在经常抑郁的母亲中,处理孩子情感和行为问题的斗争往往是更深刻的问题。这些问题伴随着母亲生活中的一系列挑战,包括有限的儿童保育选择,失业,日常行为管理,以及对不良行为的担忧。研究结果强调了家庭背景在理解产妇抑郁症方面的重要性,特别是在农村弱势群体中。
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引用次数: 1
Predicting Program Retention in a Flexibly-Delivered Relationship Education Program for Low-Income, Unmarried Parents. 预测针对低收入未婚父母的灵活交付关系教育计划的计划保留率。
IF 0.9 Q3 SOCIAL WORK Pub Date : 2020-01-01 Epub Date: 2019-10-24 DOI: 10.1080/10522158.2019.1681337
Lisanne J Bulling, Katherine J W Baucom, Richard E Heyman, Amy M Smith Slep, Danielle M Mitnick, Michael F Lorber

Participation rates in couple relationship education (CRE) programs for low-income couples are typically low. We examined predictors of session attendance and early dropout (i.e., dropout after 1 session) among a sample of low-income, unmarried parents of a newborn (N = 467 couples) enrolled in an evidence-based CRE program. Predictors included demographics and socioeconomic status, as well as baseline indicators of relationship commitment, family and individual functioning, infant health, preventive health care utilization, and CRE coach perceptions of participant engagement and alliance in the first session of the program. Couples attended an average of 4.4 (SD = 2.5) of the 7 sessions, with nearly a quarter of couples dropping out after the first session. Attendance at fewer sessions was predicted by younger age. Early dropout was predicted by lower ratings of females' engagement and both partners' therapeutic alliance and, unexpectedly, by commitment. We discuss considerations for engaging low-income couples in CRE.

针对低收入夫妇的夫妻关系教育(CRE)项目的参与率通常很低。我们研究了参加循证夫妻关系教育项目的低收入未婚新生儿父母样本(N = 467 对夫妻)中参加课程和早期辍学(即参加一次课程后辍学)的预测因素。预测因素包括人口统计学和社会经济状况,以及关系承诺、家庭和个人功能、婴儿健康、预防性医疗保健利用率等基线指标,以及 CRE 教练对参与者参与度和计划第一阶段联盟的看法。在 7 节课中,夫妇平均参加了 4.4 节课(SD = 2.5),近四分之一的夫妇在第一节课后退出。年龄越小,参加课程的次数越少。女性的参与度和伴侣双方的治疗联盟度较低,也会导致过早退出,但出乎意料的是,承诺度也会导致过早退出。我们讨论了让低收入夫妇参与 CRE 的注意事项。
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引用次数: 0
Preface 前言
IF 0.9 Q3 SOCIAL WORK Pub Date : 2020-01-01 DOI: 10.1080/10522158.2020.1701857
J. Siegel
Although adjusting to changing circumstances is a part of life that effects almost everyone, there are some situations that call for coping strategies that test resilience. As social workers, we need to become aware of those circumstances and be prepared to assist family members cope before these challenges have led to family crisis. Research studies provide us with a sharper focus that allows us to better define problem areas and offer interventions in a timely way. This issue of the JFSW examines 5 areas of concern to many Americans. The need for support in facing a transition was thoughtfully examined in “Military Spouses transition, too! A call to action to address spouses’military to civilian transition.” In this conceptual paper, authors Mary Keeling, Elisa Borah, Sara Kintzle and colleagues explored the issues that military spouses encounter as they along with their partner transition to civilian life. Although their partners are offered support through various programs in key areas such as employment, health and community integration, similar support is seldom offered to them. This paper sheds light on an important challenge and calls for research to investigate the needs of the veteran spouse. There are also unique challenges for seniors who are managing cancer treatment. This is particularly so for seniors and their caregivers who live in rural areas. In “Barriers and Facilitators to Cancer Treatment Adherence for older Rural African Americans: Understanding the experience from the view of patients and their caregivers” authors. Schwartz, and C. Jenkins present their research on the challenges faced by seniors and caretakers in a rural area of North Carolina. In this qualitative study, subjects discussed transportation and financial barriers, as well as factors that facilitated treatment adherence. Successful treatment adherence is a factor that also effects families who are coping with emotional problems. The successful engagement of youth and their caregivers in systems of care is particularly important, given the efficacy of early intervention in preventing more serious problems. The experiences of youth ages 8 to 18 with severe emotional challenges who were enrolled in a schoolbased care system were studied along with their caregivers’ perspectives. In Comparing Youth and Caregiver Experiences in a School-Based System of Care, authors
尽管适应不断变化的环境是生活的一部分,几乎影响到每个人,但在某些情况下,需要测试应变能力的应对策略。作为社会工作者,我们需要意识到这些情况,并做好准备,在这些挑战导致家庭危机之前帮助家庭成员应对。研究为我们提供了更清晰的关注点,使我们能够更好地定义问题领域并及时提供干预措施。本期JFSW研究了许多美国人关注的5个领域。在《军人配偶的过渡!呼吁采取行动解决配偶从军队到平民的过渡》一书中,对面临过渡时需要支持的问题进行了深思熟虑的研究。在这篇概念性论文中,作者Mary Keeling、Elisa Borah、Sara Kintzle及其同事探讨了军人配偶及其伴侣向平民生活过渡时遇到的问题。尽管他们的伴侣通过就业、卫生和社区融合等关键领域的各种项目获得了支持,但很少向他们提供类似的支持。本文揭示了一个重要的挑战,并呼吁进行研究,以调查退伍军人配偶的需求。管理癌症治疗的老年人也面临着独特的挑战。对于生活在农村地区的老年人及其照顾者来说尤其如此。在《老年农村非裔美国人坚持癌症治疗的障碍和推动者:从患者及其护理人员的角度理解经验》中,作者。Schwartz和C.Jenkins介绍了他们对北卡罗来纳州农村地区老年人和看护人面临的挑战的研究。在这项定性研究中,受试者讨论了交通和经济障碍,以及促进治疗依从性的因素。成功的治疗依从性也是影响应对情绪问题的家庭的一个因素。鉴于早期干预在预防更严重问题方面的有效性,青年及其护理人员成功参与护理系统尤为重要。研究了8至18岁患有严重情绪挑战的青少年的经历,这些青少年被纳入了以学校为基础的护理系统,以及他们的照顾者的观点。在比较以学校为基础的护理系统中的年轻人和护理人员的经历时,作者
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引用次数: 0
Comparing youth and caregiver experiences in a school-based system of care 比较以学校为基础的照料系统中青少年和照料者的经验
IF 0.9 Q3 SOCIAL WORK Pub Date : 2020-01-01 DOI: 10.1080/10522158.2019.1681334
Robey B. Champine, A. Schreier, M. Whitson, Joy S. Kaufman
ABSTRACT Families’ positive health service-related views and experiences are associated with improvements in physical and psychological well-being. Research has elucidated key differences in the experiences of caregivers and their children. More work is needed to better understand how families experience enrollment in systems of care (SOCs), given their unique service delivery approach. We compared the service-related views and experiences of 77 youth (Mage = 13.5 years, SD = 2.09, Range = 8 to 18) with severe emotional challenges and their caregivers enrolled in a school-based SOC. Youth and their caregivers reported positive views of service characteristics and related youth outcomes. However, caregivers reported significantly higher levels of perceived cultural sensitivity of services, general satisfaction with services, and active participation in services. Qualitative findings indicated that youth primarily reported improvements in their own psychological and behavioral functioning as the most helpful aspect of services, whereas caregivers tended to emphasize specific youth and family services that they received, such as counseling and psychiatric treatment. We discuss limitations and implications for future research.
家庭对健康服务的积极看法和体验与身心健康的改善有关。研究已经阐明了照顾者和他们的孩子在经历上的关键差异。鉴于其独特的服务提供方式,需要做更多的工作来更好地了解家庭如何在护理系统(soc)注册。我们比较了77名患有严重情绪挑战的青少年(年龄= 13.5岁,SD = 2.09,范围= 8至18)和他们的照顾者参加了以学校为基础的SOC,他们对服务相关的看法和经历。青年和他们的照顾者报告了对服务特点和相关青年结果的积极看法。然而,照护者对服务的文化敏感度、对服务的总体满意度和对服务的积极参与程度都有显著提高。定性研究结果表明,青少年主要报告了他们自己的心理和行为功能的改善,这是服务中最有帮助的方面,而照顾者倾向于强调他们得到的具体的青年和家庭服务,如咨询和精神治疗。我们讨论了局限性和对未来研究的启示。
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引用次数: 2
“I worry about his future!” Challenges to future planning for adult children with ASD “我担心他的未来!”成年自闭症儿童未来规划面临的挑战
IF 0.9 Q3 SOCIAL WORK Pub Date : 2020-01-01 DOI: 10.1080/10522158.2019.1578714
C. Marsack-Topolewski, Jillian M. Graves
ABSTRACT The aging process for parental caregivers of adult children with autism spectrum disorder (ASD) can be complicated and filled with worry about the unknown. This qualitative phenomenological study examined concerns and barriers of these parents that could inhibit their future planning. One-on-one interviews were conducted with 51 parents of adult children with ASD. Parents were older than age 50 years and their children were older than age 18 years. During the interview process, parents discussed future-oriented concerns related to their adult child’s care. Based on results of the content analysis from interview responses, four themes emerged from interview responses related to parents’ fears for the future, including difficulty identifying caregiving support for the future, barriers to making plans/decisions, fear of the unknown, and feeling the need to make plans and decisions now. Although many parents understood that plans for the future were needed, they often experienced difficulty in initiating the process. Some of their concerns caused stress that further inhibited their planning. To assist parents in planning, social workers need to be educated regarding parents’ unique needs to help them work through the planning, separate planning into manageable pieces, and provide support at each step of the process.
自闭症谱系障碍(ASD)成年儿童的父母照顾者的衰老过程可能是复杂的,充满了对未知的担忧。本定性现象学研究考察了这些父母可能抑制其未来计划的担忧和障碍。对51名成年自闭症儿童的父母进行了一对一的访谈。父母年龄大于50岁,子女年龄大于18岁。在访谈过程中,父母讨论了与成年子女的照顾有关的面向未来的问题。根据访谈回复的内容分析结果,访谈回复中出现了四个与父母对未来的恐惧有关的主题,包括难以确定对未来的照顾支持,制定计划/决策的障碍,对未知的恐惧,以及感觉现在需要制定计划和决策。尽管许多家长明白,为未来做计划是必要的,但他们在启动这一过程时往往遇到困难。他们的一些担忧造成了压力,进一步阻碍了他们的计划。为了帮助父母制定计划,社会工作者需要了解父母的独特需求,帮助他们完成计划,将计划分成可管理的部分,并在过程的每一步提供支持。
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引用次数: 33
Parent-child interaction therapy: Tailoring treatment to meet the sociocultural needs of an adoptive foster child and family 亲子互动治疗:定制治疗,以满足社会文化的需要,收养寄养儿童和家庭
IF 0.9 Q3 SOCIAL WORK Pub Date : 2020-01-01 DOI: 10.1080/10522158.2019.1681336
Ayanda Chakawa, W. Frye, J. Travis, Elizabeth Brestan-Knight
ABSTRACT Mental health service providers (e.g., social workers, psychologists) working with children in the child welfare system are uniquely poised to evaluate and tailor treatments for maximum effectiveness for these populations. Interventions that focus on improving the parent-child relationship and decreasing behavior problems, such as Parent-Child Interaction Therapy (PCIT), are important in assisting adoptive foster families as they transition to new family additions. However, sociocultural considerations in the administration of PCIT with adoptive foster families have not been well explored. The current study uses a clinical case design to illustrate the successful implementation and tailoring of PCIT with a multi-racial family who adopted a 4-year old boy with behavior problems. PCIT contributed to a clinically significant decrease in parent-reported behavior problems and an increase in parental use of effective behavior management strategies. Three considerations common among adoptive foster families (family adjustment, unequal parent attachment, and trauma-related background) contributed to the need for socio-culturally oriented treatment tailoring. Parental engagement was maintained throughout treatment. Our findings highlight the importance of culturally responsible treatment delivery. Future recommendations for mental health providers working with adoptive foster children and families are discussed.
摘要:在儿童福利系统中从事儿童工作的心理健康服务提供者(如社会工作者、心理学家)具有独特的能力来评估和定制治疗方法,以最大限度地提高这些人群的治疗效果。专注于改善亲子关系和减少行为问题的干预措施,如亲子互动治疗(PCIT),对于帮助收养寄养家庭过渡到新的家庭成员非常重要。然而,在对收养寄养家庭进行PCIT管理时,社会文化因素尚未得到很好的探讨。本研究采用临床案例设计来说明PCIT在一个多种族家庭中的成功实施和定制,该家庭收养了一名有行为问题的4岁男孩。PCIT有助于临床上显著减少父母报告的行为问题,并增加父母对有效行为管理策略的使用。收养-寄养家庭中常见的三个考虑因素(家庭适应、父母不平等依恋和创伤相关背景)有助于调整社会文化导向的治疗。在整个治疗过程中保持父母的参与。我们的研究结果强调了提供文化上负责任的治疗的重要性。讨论了为收养寄养儿童和家庭工作的心理健康提供者提出的未来建议。
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引用次数: 3
Barriers and facilitators to cancer treatment adherence for older Rural African Americans: Understanding the experience from the view of patients and their caregivers 老年农村非洲裔美国人癌症治疗依从性的障碍和促进因素:从患者及其护理人员的角度理解经验
IF 0.9 Q3 SOCIAL WORK Pub Date : 2020-01-01 DOI: 10.1080/10522158.2019.1658250
A. Schwartz, C. Jenkins
ABSTRACT The purpose of the present study was to understand the barriers that a particularly vulnerable sub-population of older adults experience in adhering to cancer treatments in rural eastern North Carolina. Qualitative descriptive interviews were completed with 16 individuals (8 cancer patients and their caregivers) about the challenges they face in adhering to cancer treatments. Three themes emerged based on the analysis which included transportation and financial barriers, and assistance that facilitated patients to adhere to treatment protocols. Transportation barriers were those associated with both the formal and informal systems. Financial barriers were related to costs associated with treatment. Participants also reported on ways in which adherence was facilitated via both formal and informal means. Our findings support those of previous research on treatment adherence and add information on the actions patients take in response to barriers that can negatively impact their disease trajectory. The knowledge gained can inform service providers about the issues in treatment adherence and help identify interventions that could support caregivers and patients to circumvent such challenges.
摘要本研究的目的是了解在北卡罗来纳州东部农村地区,特别脆弱的老年亚人群在坚持癌症治疗方面遇到的障碍。对16名患者(8名癌症患者及其护理人员)进行了定性描述性访谈,了解他们在坚持癌症治疗方面面临的挑战。根据分析,出现了三个主题,其中包括交通和财务障碍,以及帮助患者遵守治疗方案。运输障碍是指与正式和非正式系统有关的障碍。财务障碍与治疗相关的费用有关。与会者还报告了通过正式和非正式手段促进遵守的方式。我们的发现支持了之前关于治疗依从性的研究,并增加了患者对可能对其疾病轨迹产生负面影响的障碍所采取的行动的信息。所获得的知识可以让服务提供者了解治疗依从性方面的问题,并有助于确定可以支持护理人员和患者规避此类挑战的干预措施。
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引用次数: 4
Preface 前言
IF 0.9 Q3 SOCIAL WORK Pub Date : 2019-10-20 DOI: 10.1080/10522158.2019.1681203
J. Siegel
The Journal of Family Social Work has a strong commitment to the wellbeing of children and families, and over the past few years has published papers and special issues that provided clinicians and administrators with emerging findings that challenge tradition and make way for new approaches. This combined issue continues in that vein, starting with an important paper on promoting black family resilience. In Leading with Racial Equity, author Tonya Bibbs highlights the importance of structural inequalities in the lives of Black families and the need for family centered policies that will counter marginalizing experiences. This includes the need for culturally competent services and organizations that are developed specifically to meet the needs of Black families. To highlight this important topic, this paper is followed by a commentary titled The Strength of Black Families, written by Ryana Anderson. In this commentary, Dr Anderson stresses the importance for researchers and clinicians to listen to the voices of Black urban parents and provide services that meet specific and wellarticulated needs. This final volume of 2019 also addresses other important areas of family well-being. In An Analysis of the Relationship between Parenting Selfefficacy, the Quality of Parenting and Parental and Child Emotional Health, authors Emily Hamovitzh, Mary Acri and Lindsay Bornheimer present the findings of a study of over 200 caregivers of children diagnosed with Oppositional Defiant Disorder (ODD). The study was conducted with ethnically diverse and impoverished families and examined the self-appraisal of parents along with their ability to provide consistent discipline. An enhanced understand how parents provide caretaking is also explored by author Philip Heslop. In Foster Father Performing Gender, Heslop examined the way that foster parents negotiate and reproduce parenting roles. Building on the theoretical framework of Judith Butler, Heslop examined multiple and diverse masculinities and the range of ways that men care for children. Taking care of children is also examined by authors Christina Marsack and Jillian Graves, who studied the concerns of parents over the age of 50 who were raising an adult child with Autism Spectrum Disorder (ASPD). In “I worry about his future!” Challenges to Future Planning for
《家庭社会工作杂志》对儿童和家庭的福祉有着坚定的承诺,在过去几年里,它发表了论文和特刊,为临床医生和管理人员提供了挑战传统并为新方法让路的新发现。这一综合问题仍在继续,首先是一篇关于促进黑人家庭复原力的重要论文。在《以种族公平为主导》一书中,作者Tonya Bibbs强调了黑人家庭生活中结构性不平等的重要性,以及制定以家庭为中心的政策以应对边缘化经历的必要性。这包括需要专门为满足黑人家庭需求而开发的具有文化能力的服务和组织。为了突出这一重要话题,本文随后由Ryana Anderson撰写了题为《黑人家庭的力量》的评论。在这篇评论中,Anderson博士强调了研究人员和临床医生倾听城市黑人父母声音并提供满足特定和明确需求的服务的重要性。2019年的最后一卷还涉及家庭幸福的其他重要领域。作者Emily Hamovitzh、Mary Acri和Lindsay Bornheimer在《育儿自我效能感、育儿质量与父母和儿童情绪健康之间的关系分析》中介绍了一项针对200多名被诊断为对立违抗症(ODD)儿童的照顾者的研究结果。这项研究是针对种族多样和贫困的家庭进行的,考察了父母的自我评价以及他们提供一致纪律的能力。作者菲利普·赫斯洛普(Philip Heslop)也探讨了如何更好地理解父母如何提供照顾。在《养父表现性别》一书中,赫斯洛普研究了养父母协商和再现育儿角色的方式。赫斯洛普以朱迪斯·巴特勒的理论框架为基础,研究了多种多样的男性气质以及男性照顾孩子的方式。作者克里斯蒂娜·马萨克(Christina Marsack)和吉莉安·格雷夫斯(Jillian Graves)也对照顾孩子进行了研究,他们研究了50岁以上养育患有自闭症谱系障碍(ASPD)成年儿童的父母的担忧。在“我担心他的未来!”对未来规划的挑战
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引用次数: 0
Military spouses transition too! A call to action to address spouses’ military to civilian transition 军人配偶也要过渡!呼吁采取行动解决配偶的军民过渡问题
IF 0.9 Q3 SOCIAL WORK Pub Date : 2019-08-12 DOI: 10.1080/10522158.2019.1652219
M. Keeling, Elisa V. Borah, Sara Kintzle, Meredith Kleykamp, H. Robertson
ABSTRACT Military to Civilian Transition (MCT) is the process experienced by military personnel as they leave service and return to civilian life. This MCT process is thought to be challenging across a range of key areas such as employment, health, and community integration. Transitioning military personnel are offered various supports, trainings, and programs to assist them through the process to achieve successful transition to civilian life. However, despite the fact that a vast majority of transitioning veterans are either married or in a long-term relationship, similar support is not provided to the veteran spouse who simultaneously transitions with the exiting veteran. Moreover, due to a dearth of research investigating veteran spouses, their experiences are not well understood. This conceptual paper is a call to action for research to be conducted to investigate veteran spouses’ experiences as they transition to civilian life alongside their veteran and for an increase in tailored and targeted services to be available for these often forgotten, yet crucial, partners in MCT.
军地过渡是指军人退役后重返平民生活的过程。这一MCT过程被认为在就业、健康和社区融合等一系列关键领域具有挑战性。向过渡军事人员提供各种支持、培训和计划,以帮助他们顺利过渡到平民生活。然而,尽管绝大多数过渡退伍军人要么已婚,要么有长期关系,但没有向与退役退伍军人同时过渡的退伍军人配偶提供类似的支持。此外,由于缺乏对退伍军人配偶的调查,他们的经历也没有得到很好的了解。这篇概念性论文呼吁采取行动,调查退伍军人配偶与退伍军人一起过渡到平民生活的经历,并为MCT中这些经常被遗忘但至关重要的合作伙伴提供更多有针对性的服务。
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引用次数: 14
期刊
Journal of Family Social Work
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