Contextualizing negative sense of community and disconnection among urban youth of color: "Community We ain't got that".

We explore the experiences of urban youth of color, as well as perceptions, of feeling disconnected and having an overall negative sense of community (SOC). Drawing on data from 11 focus groups, youth (N = 59) describe their communities and lived experiences. We document several themes put forward through the lens of SOC and community connection that highlight perceived lack of membership, needs fulfillment, influence, and overall emotional connection to their community. Unpacking youth's perceptions of their community, we suggest that-in the face of such realities-community-based organizations, such as those the youth find themselves in, aid in creating connectedness and help heal youth from the effects of social conditions experienced daily.

Communitarianism and youth empowerment: Motivation for participation in a community-based substance abuse prevention coalition.

In recent years, collaborative efforts between universities and community-based coalitions have helped develop prevention-intervention efforts to decrease the prevalence of drug and alcohol use among youth in low-income, majority-minority urban areas.  One theory often employed to understand the efficacy of community member involvement is McMillian and Chavis's (1986) sense of community (SOC) model. This model posits how 4 main tenants (i.e., sense of belonging, emotional connection, needs fulfillment, and influence) lead to increased empowerment. The present study examines how individual SOC affected substance abuse coalition members' (N = 17) motivations for serving on a coalition. Findings explore how all four tenants of McMillian and Chavis's (1986) model influenced community members' involvement in the coalition, which have implications for prevention, policy, and further research.

Community coalitions as spaces for collective voice, action, and the sharing of resources.

This study examined how a community coalition, focused on prevention efforts, can aid in bridging resources between community organizations in a resource-deprived area. We also explored how it may serve as a venue to support significant changes to the community, adults, and youth who live there. Drawing on 18 individual interviews with adult coalition members from various community organizations, in a large, underserved city in the northeastern United States, we examined these data for narrations of the coalition's place within the broader prevention community and how the coalition may be an organizational venue for collective voice. We were specifically interested in hearing if these adult community members saw the coalition as filling a gap within their community. Our data revealed that while organizations within the community have been decimated due to reduced funding, the present coalition aided in meeting a variety of needs. These needs included the facilitation of community voice while helping to bridge resources between organizations, which would otherwise work alone.

Social Worker Identity: A Profession in Context.

Social work is a broad field encompassing micro, mezzo, and macro areas of practice. Consequently, the field lacks a unifying professional identity due to the expansiveness of the profession. Professional identity is conceptualized as an extension of social identity, vis-à-vis the embodiment of three qualities: connectedness, expansiveness, and effectiveness. This study used 12 in-depth, individual interviews with practicing social workers to explore these qualities. Findings from interviews reveal six primary themes and 21 subthemes pertaining to social worker identity. Themes and subthemes are organized according to three broad families (social work in context, professional trajectories, and external influences). Implications for policy, practice, and future research are presented.

An Exploratory Analysis of Unhealthy and Abusive Relationships for Adults with Serious Mental Illnesses Living in Supportive Housing.

Individuals living with serious mental illness are at high risk of chronic homelessness, victimization, and intimate partner violence. In recent years, supportive housing programs have emerged as one way to prevent homelessness and victimization for this population, while also expanding social interactions and social networks. In concert with a focal supportive housing program, this research conducted two focus groups with 18 individuals who have a serious mental illness diagnosis. The authors sought to answer the research question, "What are perceptions of healthy and unhealthy relationships among formerly homeless people with serious mental illness?" To this end, the eight-item questionnaire was created around dimensions of power and control, as well as relationship equality. Findings from an inductive thematic analysis reveal three broad families of themes (relationship ideals, lived experiences, and risk/resources in supportive housing), around which smaller themes and subthemes are organized. Implications for policy, practice, and future research are also discussed.

Exploring Service Provider Perceptions of Treatment Barriers Facing Black, Non-Gay-Identified MSMW.

Non-gay-identified men who have sex with men and women and who use alcohol and other drugs are a vulnerable population. Little is known about health and medical service provider interaction with these underserved clients. This article presents a thematic analysis of two focus groups undertaken with social and medical service providers regarding the needs of non-gay-identified men who have sex with men and women. Four emergent themes (labeling, constructions of masculinity, HIV/AIDS awareness, and treatment success) illustrate perceived barriers to HIV/AIDS prevention and treatment, as well as treatment success. Implications for policy, practice, and future research are discussed.

Let our voices be heard: Urban minority adolescents share their perspectives regarding substance abuse and HIV/AIDS prevention messages.

PURPOSE: This study explored the substance abuse and human immunodeficiency virus prevention needs of urban minority adolescents. DESIGN: Six 1-hour focus groups. SETTING: Two high schools and two community-based organizations located in the city of Paterson, New Jersey. PARTICIPANTS: The sample included 41 African-American and Latino youth, ranging in ages from 13 to 18 years. METHOD: Data were collected through six focus group interviews. Each group discussion was audio-recorded and transcribed. Qualitative software was then used to facilitate the processes of thematic analysis, until emergent themes transcended the data. To bolster the rigor and confirmability of analysis, additional researchers coded stratified selections of transcript. RESULTS: Study participants were able to identify the environmental threats and structural deficits impacting their city. Few of the youth were able to recognize substance abuse and HIV/AIDS prevention messages in their immediate surroundings. Additionally, most participants indicated that prevention messages must be delivered in authentic ways from relatable sources in order to resonate with their audience. CONCLUSION: Our findings emphasize the importance of infusing the adolescents' voices into the design and implementation of health promotion messages, which could serve to increase their receptivity and responsiveness, and the overall resonance of the interventions.

The provider perception inventory: psychometrics of a scale designed to measure provider stigma about HIV, substance abuse, and MSM behavior.

Nongay identified men who have sex with men and women (NGI MSMW) and who use alcohol and other drugs are a vulnerable, understudied, and undertreated population. Little is known about the stigma faced by this population or about the way that health service providers view and serve these stigmatized clients. The provider perception inventory (PPI) is a 39-item scale that measures health services providers' stigma about HIV/AIDS, substance use, and MSM behavior. The PPI is unique in that it was developed to include service provider stigma targeted at NGI MSMW individuals. PPI was developed through a mixed methods approach. Items were developed based on existing measures and findings from focus groups with 18 HIV and substance abuse treatment providers. Exploratory factor analysis using data from 212 health service providers yielded a two dimensional scale: (1) individual attitudes (19 items) and (2) agency environment (11 items). Structural equation modeling analysis supported the scale's predictive validity (N=190 sufficiently complete cases). Overall findings indicate initial support for the psychometrics of the PPI as a measure of service provider stigma pertaining to the intersection of HIV/AIDS, substance use, and MSM behavior. Limitations and implications to future research are discussed.