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Caregiving And Sleep Poverty
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Book Synopsis Caregiving and Sleep Poverty by : Emanuela Bianchera
Download or read book Caregiving and Sleep Poverty written by Emanuela Bianchera and published by . This book was released on 2011 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:
Author :National Academies of Sciences, Engineering, and Medicine Publisher :National Academies Press ISBN 13 :0309448093 Total Pages :367 pages Book Rating :4.3/5 (94 download)
Book Synopsis Families Caring for an Aging America by : National Academies of Sciences, Engineering, and Medicine
Download or read book Families Caring for an Aging America written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2016-11-08 with total page 367 pages. Available in PDF, EPUB and Kindle. Book excerpt: Family caregiving affects millions of Americans every day, in all walks of life. At least 17.7 million individuals in the United States are caregivers of an older adult with a health or functional limitation. The nation's family caregivers provide the lion's share of long-term care for our older adult population. They are also central to older adults' access to and receipt of health care and community-based social services. Yet the need to recognize and support caregivers is among the least appreciated challenges facing the aging U.S. population. Families Caring for an Aging America examines the prevalence and nature of family caregiving of older adults and the available evidence on the effectiveness of programs, supports, and other interventions designed to support family caregivers. This report also assesses and recommends policies to address the needs of family caregivers and to minimize the barriers that they encounter in trying to meet the needs of older adults.
Book Synopsis Sleep Disturbances in Alzheimer's Disease and Caregiver Mood by : Anna M. K. Åkerstedt
Download or read book Sleep Disturbances in Alzheimer's Disease and Caregiver Mood written by Anna M. K. Åkerstedt and published by . This book was released on 2012 with total page 103 pages. Available in PDF, EPUB and Kindle. Book excerpt: Sleep disturbances are common in persons with Alzheimer's disease (AD) (Hart et al., 2003) and pose a great strain on their family caregivers (Hope, Keene, Gedling, Fairburn, & Jacoby, 1998) including their emotional functioning (Schulz & Martire, 2004). The current study is the first to examine the impact of daily sleep and mood in persons with AD on their caregiver's sleep and emotional functioning. The study examined sleep and mood across eight days in 40 family caregivers of persons with AD. It was hypothesized that poor sleep in the person with AD person would have a negative impact on caregiver emotional functioning the next day. Furthermore, it was hypothesized that sleep disruption or the mood in the person with AD would mediate the association between AD person sleep and caregiver mood. The results demonstrated a direct link between poor sleep in persons with AD and caregiver negative affect (NA), but not positive affect (PA). The results also indicated that poor caregiver sleep and NA in the person with AD partially mediated the relationship between AD person sleep and caregiver NA. The results suggest that addressing AD person and caregiver sleep and AD person affect may improve caregiver emotional functioning. Improving AD person sleep and mood, and caregiver emotional functioning has important implications that may prolong the time until institutionalization.
Book Synopsis Assessment and Treatment of Infant Sleep: Medical and Behavioral Sleep Disorders from Birth to 24 Months - INK by : Ignacio E. Tapia
Download or read book Assessment and Treatment of Infant Sleep: Medical and Behavioral Sleep Disorders from Birth to 24 Months - INK written by Ignacio E. Tapia and published by Elsevier Health Sciences. This book was released on 2024-04-16 with total page 527 pages. Available in PDF, EPUB and Kindle. Book excerpt: Ideal for sleep specialists, pediatricians, or family medicine practitioners, Assessment and Treatment of Infant Sleep provides in-depth information about normal aspects of sleep in infancy, as well as both medical and behavioral sleep problem assessment and management. This unique resource offers concise, consolidated guidance when preparing for a clinic or rotation with patients in infancy or when engaging in treatment planning for young children with sleep problems. Covers normal and abnormal aspects of infant sleep and provides evidence-based tools to direct assessment and treatment of medical and behavioral sleep concerns. Discusses new protocols and treatments specific to children under 24 months of age. Highlights the unique evaluation and management of medical sleep disorders specific to infants, with a focus on special populations. Contains full-color illustrations throughout, including diagrams, photographs, and sleep studies (polysomnography). Distills a growing body of research related to the spectrum of medical and behavioral disorders in infant sleep in a single reference ideal for clinicians or researchers. An eBook version is included with purchase. The eBook allows you to access all of the text, figures and references, with the ability to search, customize your content, make notes and highlights, and have content read aloud. Additional digital ancillary content may publish up to 6 weeks following the publication date.
Book Synopsis Sleep Disturbance and Worry in Parental Caregivers of Children in the Maintenance Phase of Acute Lymphoblastic Leukemia (ALL) by : Colleen Marie Walsh
Download or read book Sleep Disturbance and Worry in Parental Caregivers of Children in the Maintenance Phase of Acute Lymphoblastic Leukemia (ALL) written by Colleen Marie Walsh and published by . This book was released on 2013 with total page 136 pages. Available in PDF, EPUB and Kindle. Book excerpt: Background: Research indicates that parental caregivers of children with chronic illnesses have reported sleep disturbance and poor sleep quality, possibly due to nighttime caregiving, frequent monitoring, disturbance of the child's sleep, and emotional distress. Among chronic illnesses, Acute Lymphoblastic Leukemia (ALL) is the most common pediatric cancer and the maintenance phase is the third and longest phase of treatment, often requiring caregivers to be vigilant advocates and care providers. However, despite the high prevalence of ALL and the attending demands of caregiving, knowledge of the impact of worry and child sleep disturbance on sleep quality among this specific population of caregivers is limited. Therefore, the aim of this informative pilot study was to describe overall subjective sleep quality and disturbance among caregivers of children in the maintenance phase of ALL, as well as to examine the relationship between subjective sleep quality, child sleep disturbance, and worry of caregivers in order to inform the literature and the development of future quantitative studies. The current study was part of a larger study which aimed to prospectively describe the impact of corticosteroids on sleep patterns and health-related quality of life of 128 children with ALL over a 28-day period in maintenance treatment. Method: At a single time point, 32 caregivers of children with ALL ages 3 to 12 receiving care at The Children's Hospital of Philadelphia (CHOP) and St. Christopher's Hospital for Children completed measures of demographic information, caregiver worry, and subjective sleep quality of the past month, as well as measures regarding the child's developmental history and sleep habits and disturbance of the past week. Results: Participants were 28 mothers and 4 fathers (75% married, 81.3% Caucasian, 12.5% Hispanic) ranging in age from 21 to 67 years old. No significant relationship was found between higher levels of caregiver subjective sleep quality, child sleep disturbance and caregiver worry. However, caregivers were nearly evenly divided between good and poor sleepers, as 43.8% were found to be poor sleepers and scored >5 on the PSQI. Conclusions: Though limited, the findings provide a description of the subjective sleep quality and disturbance of this distinct caregiver population and highlight the need for further research and support of caregivers of children with pediatric illnesses, particularly sleep patterns, quality, and sources of sleep disturbance over time.
Book Synopsis Patient Safety and Quality by : Ronda Hughes
Download or read book Patient Safety and Quality written by Ronda Hughes and published by Department of Health and Human Services. This book was released on 2008 with total page 592 pages. Available in PDF, EPUB and Kindle. Book excerpt: "Nurses play a vital role in improving the safety and quality of patient car -- not only in the hospital or ambulatory treatment facility, but also of community-based care and the care performed by family members. Nurses need know what proven techniques and interventions they can use to enhance patient outcomes. To address this need, the Agency for Healthcare Research and Quality (AHRQ), with additional funding from the Robert Wood Johnson Foundation, has prepared this comprehensive, 1,400-page, handbook for nurses on patient safety and quality -- Patient Safety and Quality: An Evidence-Based Handbook for Nurses. (AHRQ Publication No. 08-0043)." - online AHRQ blurb, http://www.ahrq.gov/qual/nurseshdbk/
Book Synopsis Women who Combine Paid and Unpaid Caregiving Roles by : Nicole Depasquale
Download or read book Women who Combine Paid and Unpaid Caregiving Roles written by Nicole Depasquale and published by . This book was released on 2017 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Womens dominance in both paid and unpaid care work has contributed to the growing number of healthcare employees who simultaneously serve as family caregivers, or double-and-triple-duty caregivers. Double-and-triple-duty caregivers often struggle to engage in healthy behavior and rate their overall physical health more poorly than their non-family caregiving counterparts, or workplace-only caregivers. Although the convergence of paid and unpaid care work is expected to become more common as the demand for paid and unpaid care increases, the physical health implications of healthcare employees transitions to family caregiving roles and day-to-day experiences in such roles are not readily understood. This dissertation includes two studies that examine how healthcare employees transitions to and daily experiences in double-and-triple-duty caregiving roles relate to changes in sleep and physical health symptoms. Each dissertation study uses different sources of data from women who participated in the Work, Family and Health Study. All participants worked in U.S.-based nursing home facilities for pay, with the majority also occupying unpaid caregiving roles for children (double-duty-child caregivers), adults (double-duty-elder caregivers), or both (triple-duty caregivers), at the same time. Study 1 draws on longitudinal survey and wrist actigraphic data to assess how baseline family caregiving role quantity (i.e., number of family caregiving roles) and status (i.e., care for children, adults, or both) as well as changes in these quantities and statuses over an 18-month period are associated with subjective and objective sleep indices. Analyses also track the frequency of family caregiving role transitions over time and test whether baseline family caregiving role quantity moderates longitudinal associations between family caregiving role quantity changes and sleep characteristics. Study 2 draws on daily diary data to assess how everyday experiences of work-to-family conflict, sleep duration, and sleep quality relate to physical health symptom occurrences and severity among double-duty-child and triple-duty caregivers. Analyses also examine the moderating role of family caregiver status (i.e., double-duty-child versus triple-duty caregiver) in associations between daily experiences and physical health symptom outcomes. Findings from this dissertation suggest that double-and-triple-duty caregiving roles and daily experiences in these roles adversely affect sleep and physical health symptoms, respectively. Further, women transitioning to double-duty-elder caregiving roles are particularly at risk of poor subjective sleep characteristics and those holding a triple-duty caregiver status are at risk of poorer physical health. Future research should continue to acquire a better understanding of double-and-triple-duty caregivers sleep and physical health with the goal of informing targeted, effective workplace intervention practices. The health behavior and physical health implications of double-and-triple-duty caregiving will only become a greater concern for the long-term care industry as it seeks to hire or retain adults with an increased likelihood of occupying unpaid caregiving roles.
Book Synopsis Sleep Quality, Stress, Caregiver Burden, and Quality of Life in Maternal Caregivers of Young Children with Bronchopulmonary Dysplasia by : Christine A. Feeley
Download or read book Sleep Quality, Stress, Caregiver Burden, and Quality of Life in Maternal Caregivers of Young Children with Bronchopulmonary Dysplasia written by Christine A. Feeley and published by . This book was released on 2012 with total page 219 pages. Available in PDF, EPUB and Kindle. Book excerpt: Mothers are usually the primary caregivers of young children with a chronic illness such as bronchopulmonary dysplasia (BPD), and may have no formal caregiver training. Children with BPD often require complex healthcare at home (complex medication regimens, oxygen via nasal cannula, Gastrostomy feedings, etc.), thus many maternal caregivers experience difficulty balancing the needs of their child with their own needs and other responsibilities. As such, maternal caregivers may report increased levels of stress and caregiver burden, as well as decreased quality of life (QOL). Additionally, a great number of maternal caregivers report poor sleep quality due to nighttime caregiving duties. The primary purpose of this study is to examine relationships between sleep quality, stress, caregiver burden, and QOL, as well as influences of these variables on QOL. The sample consisted of 61 maternal caregivers, who were predominantly minority (67.2% African American) and had an average age of 29.59 years. The majority of maternal caregivers were single (62.3%), and 88.5% had a high school education or greater. The average age of the child with BPD was 13.93 months, and had been living at home for, on average, 8.79 months. Maternal caregivers reported sleeping less than 6 hours per night (average 5.8), and the majority (78.7%) reported disturbed sleep (as determined by a score of 5 or greater on the Pittsburgh Sleep Quality Index). Significant Pearson's correlations were found between sleep quality and depressive symptoms (r=.529, p=.000), stress (r=.284, p=.027), and inversely QOL (r= -.292, p=.022). Caregiver burden was significantly correlated with stress (r=.326, p=.010). Sleep quality (p=.000, t=-3.757) and depressive symptoms (p=.011, t=2.635) were found to be the most significant predictors of QOL using forced entry multiple linear regression in a model that explained 30% of the variance in QOL. Stress was not found to mediate the relationship between sleep quality and caregiver burden and QOL. Improving sleep quality and depressive symptoms in maternal caregivers may help to improve QOL. Clinicians should assess caregiver's sleep and provide education on the importance of sleep for overall health.
Book Synopsis Multidisciplinary Coordinated Caregiving by : Ronda C. Talley
Download or read book Multidisciplinary Coordinated Caregiving written by Ronda C. Talley and published by Springer Science & Business Media. This book was released on 2013-11-19 with total page 279 pages. Available in PDF, EPUB and Kindle. Book excerpt: Effective, meaningful caregiving requires a well-coordinated and informed effort guided by various highly skilled specialists across several interrelated professions, including psychologists, social workers, and occupational therapists. Multidisciplinary Coordinated Caregiving addresses the information needs of these interrelated professionals, contributing to the direct care of individuals and serving as an essential resource for those who ultimately create collaborative approaches to contemporary caregiving plans. In addition, the volume provides a wealth of evidence-based research findings to facilitate ongoing dialogue about multidisciplinary and interdisciplinary perspectives on and interventions for the complex challenge of caregiving in America. Key areas of coverage include: The status of professional caregiving in the United States. Nursing perspectives on the state of family caregiving. Psychological aspects of caregiving. A human development, lifespan perspective on caregiving during late life. Public health contributions to caregiving. Multidisciplinary Coordinated Caregiving offers a wealth of insights for those researchers, practitioners, and graduate students who seek to optimize the care of individuals across such fields as psychology, social work, public health, geriatrics and gerontology, and medicine as well as public and educational policy making.
Download or read book Sleep written by Cherie Elizabeth Simpson and published by . This book was released on 2010 with total page 436 pages. Available in PDF, EPUB and Kindle. Book excerpt: Caregiving for a dementia patient is a stressful experience and can last for years. The exposure to stress over time can lead to negative health outcomes in caregivers (e.g. depression) and can decrease their ability to provide care. Caregivers need resources such as good sleep quality and mastery to have the physical, emotional, and mental energy to perform the caregiving role. The purpose of this study was to explore the relationships between the resources of sleep quality, mastery, and the outcomes of perceived stress, and depression in informal caregivers of community-dwelling persons with dementia (PWD). The data presented were from a cross-sectional non-experimental study with interviews conducted with 80 informal caregivers of PWD utilizing a demographic questionnaire for the caregiver, an assessment of the frequency of behavior and psychiatric symptoms (BPSD) of dementia, the Dementia Severity Rating Scale to assess the caregiver's perception of the PWD's cognitive and functional abilities, the Pittsburgh Sleep Questionnaire to asses the caregiver's sleep, a combined global and domain-specific mastery instrument, the Perceived Stress Scale and the Center for Epidemiologic Depression Scale to measure outcomes. The results of this study found that male and female caregivers shared a similar caregiving experience, similar levels of mastery, depression, and stress but, female caregivers had poorer sleep than male caregivers. Caregivers experienced a higher rate of sleep disruptions by the PWD than previous studies and these disruptions were related to poorer perceived sleep quality and poor global sleep. There was a direct relationship between mastery and perceived stress, mastery and depression, sleep quality and stress, sleep quality and depression, but not a statistically significant relationship between mastery and sleep quality in this sample. Sleep quality was not found to have an indirect effect on stress or depression through mastery. The contribution of these findings to nursing knowledge is the establishment of the direct relationship between sleep quality and stress, and mastery and stress to be considered in future intervention research. Further exploration is needed to understand the relationship of mastery and sleep quality.
Book Synopsis Pediatric Sleep Clinics, An Issue of Sleep Medicine Clinics, E-Book by : Haviva Veler
Download or read book Pediatric Sleep Clinics, An Issue of Sleep Medicine Clinics, E-Book written by Haviva Veler and published by Elsevier Health Sciences. This book was released on 2023-05-02 with total page 145 pages. Available in PDF, EPUB and Kindle. Book excerpt: In this issue of Sleep Medicine Clinics, guest editor Dr. Haviva Veler brings her considerable expertise to the topic of Pediatric Sleep Clinics. Sleep disorders in children span the gamut from behavioral issues to medical disorders. In this issue, top experts cover a wide variety of topics in the field, including measuring pediatric sleep health, circadian rhythm disorders, narcolepsy and idiopathy hypersomnia, and much more. Contains 17 practice-oriented topics including what’s new in pediatric OSA; sleep and inflammation; pediatric sleep pharmacology; sleep during the pandemic; sleep technology, sleep and mental health, the PHAT study update; and more. Provides in-depth clinical reviews on pediatric sleep, offering actionable insights for clinical practice. Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field. Authors synthesize and distill the latest research and practice guidelines to create clinically significant, topic-based reviews.
Book Synopsis Infants, Toddlers, and Families in Poverty by : Samuel L. Odom
Download or read book Infants, Toddlers, and Families in Poverty written by Samuel L. Odom and published by Guilford Press. This book was released on 2012-08-21 with total page 402 pages. Available in PDF, EPUB and Kindle. Book excerpt: Identifying factors related to poverty that affect infants, toddlers, and their families, this book describes promising early child care and intervention practices specifically tailored to these children and families' needs. Leading authorities from multiple disciplines present cutting-edge research and discuss the implications for practice and policy. Contributors review salient findings on attention, memory, language, self-regulation, attachment, physical health, family processes, and culture. The book considers the strengths and limitations of existing early intervention services for diverse populations and explores workable ways to improve them.
Book Synopsis Caregiving with Love and Joy by : Patricia A. Boswell, LPN, MBA
Download or read book Caregiving with Love and Joy written by Patricia A. Boswell, LPN, MBA and published by Penguin. This book was released on 2022-04-26 with total page 305 pages. Available in PDF, EPUB and Kindle. Book excerpt: A revolutionary, practical, uplifting guide for the caregivers of people with Alzheimer’s disease and dementia. When it comes to caring for a loved one with Alzheimer’s disease or dementia, the right caregiving can make all the difference. Here, Patricia Boswell shares structured routines, life hacks, and best practices that are evidence-based and focused on maintaining the highest possible quality of life for the entire family. As a nurse and dementia expert, Boswell knows that the best caregivers think like a problem-solver, addressing physical and emotional issues as they come up. Whether readers are providing the care themselves, managing a caregiver, or sharing the responsibilities, this book presents the most effective tips, tricks, and small changes that can reduce stress and make life easier. This comprehensive guidebook will redefine the caregiving experience as one that can be life-affirming and enjoyable. It offers a singular resource for anyone who is looking to provide or manage outstanding daily care while maintaining—and even enhancing—their own health and mental well-being.
Book Synopsis Sleep and Quality of Life Among Family Caregivers with Children who Have Autism Spectrum Disorders by : Maureen Russell
Download or read book Sleep and Quality of Life Among Family Caregivers with Children who Have Autism Spectrum Disorders written by Maureen Russell and published by . This book was released on 2014 with total page 162 pages. Available in PDF, EPUB and Kindle. Book excerpt: Autism spectrum disorder (ASD) holds potential for significantly impacting the primary caregiver and family, as well as the child with ASD. In particular, sleep problems occur frequently among children with ASD, and their poor sleep may negatively affect that of their caregivers. Health-related quality of life (HRQoL) and Family Quality of Life (FQoL) are salient indices of caregiver and family well-being. This pilot study explored associations between family caregiver sleep problems and caregiver sense of coherence (SOC) or coping on HRQoL and FQoL. Additionally, this study examined relationships between child sleep and behavior problems on caregiver sleep and well-being. Sixty-two family caregivers of children with ASD (M =7.61, range: 6-11 years old) participated in this survey study. Participants provided demographic information and completed measures of HRQoL, FQoL, caregiver sleep, SOC, parental stress, child sleep, and child behavior. Caregivers with longer sleep duration reported better mental health and better FQol. Caregivers who reported insomnia symptoms, non-restorative sleep, and insufficient sleep were more likely to report poorer mental health than caregivers who did not report these sleep disorder symptoms. A stronger caregiver SOC was associated with lower caregiver stress, better mental health, and better FQoL. Significant relationships were found between shorter caregiver sleep duration or sleep disorder symptoms (i.e., difficulty staying asleep, early morning awakening, insufficient sleep) and greater child sleep problems. Moreover, short sleep duration or insufficient sleep among caregivers was significantly associated with greater parenting stress. Notably, biological parents with Restless Legs Syndrome (RLS) had children with more restless sleep and higher rates of some behavior problems. There are a number of potential connections between sleep problems of children with ASD and sleep problems of their caregivers that are likely rooted in genetic, environmental, socio-economic, and behavioral factors. Interventions for sleep problems must address the context of the family and consider that sleep problems may be common to the caregiver and the child. The results of this study support findings from many prior studies and point to salient variables for future research and interventions to promote healthy caregiver sleep.
Book Synopsis Quality of Life Improvement: Smart Approaches for the Working and Aging Populations by : Sabina Baraković
Download or read book Quality of Life Improvement: Smart Approaches for the Working and Aging Populations written by Sabina Baraković and published by Frontiers Media SA. This book was released on 2024-03-19 with total page 249 pages. Available in PDF, EPUB and Kindle. Book excerpt: Quality of life (QoL) is a broad concept that has many definitions and meanings depending on the context under consideration. It can be perceived as the overall enjoyment of life, and a multidimensional concept which emphasizes the self-perceptions of an individual’s current state of mind, which is affected in a complex way by the person’s physical health, psychological state, personal beliefs, social relationships, and their relationship to salient features of their environment. On the other hand, demographic data suggests an increased need for workers worldwide and a rapid aging trend in the active workforce as well as in general. This trend of workforce deficit and population aging will be even more prominent in the future. Therefore, in order to have and sustain a healthy, motivated, and productive workforce, but also healthy, independent, and active elderly adults, one must improve their QoL, and vice versa. Improving QoL will improve general public health, and in turn create communities who can contribute in diverse and positive ways to both promote and sustain health for future generations.
Book Synopsis Coping With Poverty by : Sheldon Danziger
Download or read book Coping With Poverty written by Sheldon Danziger and published by University of Michigan Press. This book was released on 2009-10-27 with total page 301 pages. Available in PDF, EPUB and Kindle. Book excerpt: Conservatives often condemn the poor, particularly African-Americans, for having children out of wedlock, joblessness, dropping out of school, or tolerating crime. Liberals counter that, with more economic opportunity, the poor differ little from the nonpoor in these areas. In answer to both, Coping with Poverty points to the survival strategies of the poor and their multiple roles as parents, neighbors, relatives, and workers. Their attempts to balance multiple obligations occur within a context of limited information, social support, and resources. Their decisions may not always be the wisest, but they "make sense" in context. Contributors use qualitative research methods to explore the influence of community, workplace, and family upon strategies for dealing with poverty. Promising young scholars delve into poor black inner-city neighborhoods and suburbs and middle-income black urban communities, exploring experiences at all stages of life, including high-school students, young parents, employed older men, and unemployed mothers. Two chapters discuss the role of qualitative research in poverty studies, specifically examining how this research can be used to improve policymaking. The volume's contribution is in the diversity of experiences it highlights and in how the general themes it illustrates are similar across different age/gender groups. The book also suggests an approach to policymaking that seeks to incorporate the experiences and the needs of the poor themselves, in the hope of creating more successful and more relevant poverty policy. It is especially useful for undergraduate and graduate courses in sociology, public policy, urban studies, and African-American Studies, as its scope makes it THE basic reader of qualitative studies of poverty. Sheldon Danziger is Director of the Poverty Research and Tranining Center and Professor of Social Work and Public Policy, University of Michigan. Ann Chih Lin is Assistant Professor of Political Science and Public Policy, University of Michigan.
Book Synopsis Criminal of Poverty by : Tiny, aka Lisa Gray-Garcia
Download or read book Criminal of Poverty written by Tiny, aka Lisa Gray-Garcia and published by City Lights Books. This book was released on 2020-10-19 with total page 316 pages. Available in PDF, EPUB and Kindle. Book excerpt: Eleven-year-old Lisa becomes her mother’s primary support when they face the prospect of homelessness. As Dee, a single mother, struggles with the demons of her own childhood of neglect and abuse, Lisa has to quickly assume the role of an adult in an attempt to keep some stability in their lives. “Dee and Tiny” ultimately become underground celebrities in San Francisco, squatting in storefronts and performing the “art of homelessness.” Their story, filled with black humor and incisive analysis, illuminates the roots of poverty, the criminalization of poor families, and their struggle for survival.