Modeling as an infant mental health intervention

Within the context of family therapy focused on the behavioral problems of a six year old, several observations of inappropriate interactions between the parents and their infant concerned the therapist. In consultation with an infant specialist it was decided that the therapist would avoid identifying parent-infant interactions as a further problem and would, instead, begin to model appropriate interactions during the on-going therapy sessions. The infant, initially passive, began to respond to the therapist and gradually the parents became more appropriate in their interactions with their infant. It was concluded that the modeling process minimized the stress and eliminated the need to process feelings of anger and guilt often associated with professional identification of family problems.     

The development and evaluation of a community mental health education program for seminarians

American Journal of Community Psychology -     

The effects of an interdisciplinary infant stimulation—parent education intervention program upon infant development

An eight month infant-stimulation/parent-education program was presented to mother-child dyads participating in one of three types of classes: a structured twenty-two session group, an unstructured twenty-two session group, or a structured eleven session group. Infants (2–15 months) in all intervention groups as well as those from a control group were tested three times (pre-test, mid-test, post-test) during the course of the program using the Bayley Mental Test of Infant Development and the Uzgiris-Hunt Ordinal Scales of Psychological Development. Results tend to indicate that the intervention strategy was an effective method of parent education in enhancing infant gains on developmental indices. The results are discussed in relation to a preventative psychotherapeutic model.     

The role of the infant mental health therapist in the framework of preventive mental health

The role of the infant mental health therapist is differentiated from that of other infant interventionists as being a secondary prevention treatment approach employing the techniques of long-term, insight-oriented psychotherapy. Such an approach encourages the caregiver to recall his or her own childhood experiences and conflicts to gain an understanding of feelings directed at his or her own baby. The prevention models of Caplan are considered as is the development of the work of Fraiberg and her colleagues.     

Perceptions of infant boys' behavior and mental health: Relation to infant attachment

Two studies were conducted to determine the impact of infants' attachment classifications and behaviors on naive adults' impressions of their behavior and mental health. In Study 1, three groups of 44 adults viewed a videotape of episode 8 of the Strange Situation for either an avoidant, a resistant, or a secure male infant. After viewing the videotape, they made judgments about aspects of the infant's mental health. Adults viewed the resistant baby as less socially competent and more negative in affect than the other two babies and the secure baby as the least independent of the three babies. Parents rated babies as more intelligent than did nonparents. In Study 2, 15 parents were matched on race and gender with 15 nonparents. All adults viewed a videotape of the reunions of two secure, two avoidant, and two resistant male infants. Avoidant babies were viewed as more socially competent and independent than secure babies and the C2 baby was viewed as the least intelligent, least independent, least socially competent, and most affectively negative of the infants. Results are interpreted as underscoring the need to educate parents and paraprofessionals about the importance of infant distress and physical contact with parents.     

The Papago Psychology Service: A community mental health program on an American Indian reservation

A community psychology service run by the Papago Indian tribe and staffed largely by Papago Indians who have been trained as mental health workers is described. This service is unique among mental health services for Indians in that the tribe has complete control of the funds for the service and sets its own policies. It was developed for a rather traditional Indian group, and the culture, the traditions, and the wishes of the Papago community were respected. Consultation with medicine men was built into the program from the start, and adaptation of mental health techniques to fit the culture is stressed. Before this clinic was established, few mental health resources were directly available to the reservation. Similar to other Indian tribes, the Papagos are economically disadvantaged, with an unemployment rate of over 50%, low educational attainment, and very high rates of alcoholism, suicide, and vehicular accidents. The topics covered are the tribe's view of health programs for its people, the present Papago community and traditional means of treatment, traditional psychotherapy adapted to Papago culture, the indigenous Papago mental health worker, and the non-Indian professional consultant.     

The mental health of pilots: An overview

The impact and long-term psychological consequences of the 11th September 2001 terrorist attacks in the USA involving commercial aircraft are likely to be far-reaching. Pilots were directly affected by these events though it is too early to comprehend the specific psychological and occupational repercussions. While psychologists have written much on the selection of commercial and military aircrew, surprisingly little has been published on the mental health of pilots. They are a unique occupational group in terms of their selection, training, lifestyle, frequent competency and medical checks, as well as the nature and changing demands placed on them. Their 'office' is normally a cramped flight deck on board an aircraft at altitudes of thousands of feet. While some aspects of their job and lifestyle appear attractive to some, their working conditions are, at worst, inhospitable and unpleasant. This paper provides an overview of current research on the mental health of pilots, gathered from a number of different fields and specialities within commercial and military aviation. The review covers their lifestyle, psychological requirements for medical certification, psychological problems amongst air crew, personality factors, disruption to personal relationships, reactions to incidents and accidents, alcohol and drug misuse, suicide by aircraft and environmental challenges. Flight crew should have easy access to psychological support; however, many pilots are distrusting of mental health professionals. Further research is needed to improve an understanding of mental health issues among pilots, especially in order to better understand the psychological impact of the terrorist attacks upon them.     

Effects of the community mental health centers program on the growth of mental health facilities in nonmetropolitan areas

Using a quasi-experimental design, changes in the numbers of mental health facilities between 1964 and 1974 were examined for a sample of 50 nonmetropolitan catchment areas that established a Community Mental Health Center (CMHC) before January 1973 and a sample that did not. Compared to non-CMHC areas, CMHC areas had a slightly greater number of general hospital psychiatric units in 1974. Nevertheless, the rate of increase in such units over the 10-year period was not significantly different between the two types of areas. Other findings supported the conclusion that the number of outpatient and day/night facilities continued to increase in areas not participating in the CMHC program, but that the program produced even greater numbers of such facilities in areas that did participate. This growth, though, occurred both through introducing additional facilities and supplanting existing ones.     

The importance of cooperation among child health professionals and agencies in an inner city infant mental health service

The clientele of our Infant Mental Health Service mainly consists of unwed teenage mothers and babies beset by medical, social, and psychological complications. Efforts to help these families usually extend beyond the caregiver-infant dyad and may include working with grandmothers, pediatricians, and high-risk neonatology nurses, as well as outside social agencies and foster homes. Thus, cooperation among various disciplines, departments, and agencies'is indispensible in infant mental health practice. Problems and successes in building and maintaining such cooperation, its impact on clinical practice, staff work, administrative functioning, and therapeutic strategies are discussed. Clinical examples illustrate the nature of the cooperation.     

The training of community mental health clinicians as infant specialists

This article describes the training program and collaborative effort between the Department of Mental Health, the Child Development Project at the University of Michigan, and community mental health agencies. The in-service training is described with special attention to content and process, including the role of case supervision. The effect of the training program as a catalyst to service development is noted.     

The father's role in the facilitation of infant mental health

Many recent studies have focused on the nature and significance of father-infant relationships. These studies show that men are as capable of behaving sensitively as women are, although cultural sex-stereotypes usually prevent them from assuming a prominent role in child care. Nevertheless, most infants become attached to both their parents during the first year of life although they tend to establish primary relationships with their primary caretakers. During the second year of life, fathers encourage boys to focus attention on their fathers. This may facilitate the development of gender identity. In addition, the security of the father-infant attachment relationship may affect the infant's orientation to novel social situations. Fathers also affect infants indirectly via their influence on the children's mothers.     

The development of a mental health coalition: A case study

Described the development of a local-level mental health coalition to advocate for housing and community support programs for psychiatric consumer/survivors. Resource mobilization theory was used as a framework from which to view and understand the origins, goals, tactics, and outcomes of the coalition. Data were presented indicating that the coalition played a role in obtaining increased funding for housing and community support programs. Also, there was an emphasis on consumer/survivor and family participation in the change process. Benefits and limitations of the coalition after 6 years of operation were reviewed and compared with other advocacy coalitions in mental health. Thanks to Wendy Czarny, Peter Dunn, Mary Earls, John Lord, Ken Parsons, Isaac Prilleltensky, Harvey Simmons, and the reviewers for their helpful suggestions on earlier drafts of this paper.     

Social psychology of mental health: the social structure and personality perspective

Previous research has revealed a persistent association between social structure and mental health. However, most researchers have focused only on the psychological and psychosocial aspects of that relationship. The present paper indicates the need to include the social and structural bases of distress in our theoretical models. Starting from a general social and psychological model, our research considered the role of several social, environmental, and structural variables (social position, social stressors, and social integration), psychological factors (self-esteem), and psychosocial variables (perceived social support). The theoretical model was tested working with a group of Spanish participants (N = 401) that covered a range of social positions. The results obtained using structural equation modeling support our model, showing the relevant role played by psychosocial, psychological and social, and structural factors. Implications for theory and intervention are discussed.     

Informed consent in mental health treatment: A sociological perspective

The rise in the mental health movement coincides with a decline in prestige and importance of criminal law. While this may, in part, reflect the greater effectiveness of mental health treatment in dealing with overlapping problems, it also reflects certain problems that criminal law has with the individualistic values of modern society and the value-attractiveness of the mental health professions' commitment to helping the individual. However, many of the same value problems inherent in criminal punishment also apply to some aspects of mental health treatment, especially the paternalism of the doctor-patient relationship and involuntary treatment. Informed consent can be seen as a response to these value conflicts as well as part of the general extension of citizenship rights to the less privileged members of the society. This paper analyzes some of the conflicts inherent in the application of informed consent to mental health treatment from the above perspective.     

The Woodlawn school mental health training program: A community-based university graduate course

The observance of traditional jurisdictional boundaries in the training of human service professionals has contributed heavily to the general failure of these professions to provide adequate and effective services. This article describes the rationale, design, and development of a community-based school mental health training program that seeks to establish constructive collaboration between those principals most influential in the mental health of young school children-educators, mental health professionals, parents, and the children themselves. A single curriculum for both professionals and parents and the diversity of professional disciplines involved are two of the unique aspects of this training program.