A comparison of children with serious emotional disturbance served in residential and school settings

The National Adolescent and Child Treatment Study (NACTS) was designed to study children identified and served by the public mental health and special education systems as seriously emotionally disturbed. Children (N=812) and their parents (N=740) participated in the first wave of data collection in this longitudinal study. Subjects lived in six states, with approximately half in psychiatric residential treatment centers and the other half in public school special education programs. A multi-method, multi-source methodology was employed. The sample is characterized by externalizing problems, poor adaptive functioning, and substantial academic deficits. Residential children were more likely to have blended families, were more likely to have previously received residential treatment, and had higher rates of conduct disorder, anxiety, and attention deficit disorder, as measured by the Diagnostic Interview Schedule for Children. The two groups did not differ on intelligence, age of onset, or rates of schizophrenia or depression. The data suggest the presence of greater at-risk factors in the residential group and different paths of entry into special education and residential treatment programs.     

Broadcasting to an Enemy Country: What Appeals are Effective,and Why

Summary

This study examined inmate perceptions of the value of membership of penitentiary residential unit management committees for the rehabilitation of inmates. The degree of favorableness of inmate perceptions of the committees was treated as a function of their participation in a number of other penitentiary programs.

It was found that categorization of inmates in this way was useful for identifying and explaining differences in their perceptions of the utility of membership of the residential committees for rehabilitation. It was also found that in the case of three programs—group therapy, playing bridge, and individual counselling of inmates by classification officers —participants had significantly more favorable perceptions of residential committees than nonparticipants. A comparison of the perceptions of residential committees by these inmate samples and staff disclosed that only participation in counselling by classification officers and playing bridge resulted in inmates' perception of the committees becoming as favorable as those of the staff.

The conceptual framework of the study employed dissonance theory to account for the effect of participation on inmates' perceptions of the committees.     

Long-term Outcomes of Children and Youth accessing Residential or Intensive Home-based Treatment: Three year follow up

In this study the long-terms outcomes of children and youth with severe mental health problems receiving residential treatment (RT) or an intensive home-based treatment (IHT) were reported. RT is 24-hour mental health intervention in a highly supervised and structured group living setting where individualized and related therapies are provided. Youths attend a day school within the residential environment. IHT developed as an alternative to residential treatment for youth and comprises the same therapeutic interventions provided in the home as opposed to the residential setting. Youths attend their regular school which could be within a specialized setting, such as a day school. At discharge, there were statistically and clinically significant improvements in psychosocial functioning for children and youth in RT and IHT. There were also statistically significant improvements in scores on symptom severity from admission to 12 to 18 months post-discharge, and these improvements were maintained at 36 to 40 months post-discharge. Differences in demographic data between the two groups suggest that the programs may serve two different populations, and that both programs are important components of a comprehensive mental health plan for children and youth.     

Community Storytelling Network,Neighborhood Context,and Civic Engagement: A Multilevel Approach

From a communication infrastructure theory perspective, the current study examined individuals’ civic engagement (neighborhood belonging, collective efficacy, and civic participation) as influenced by 2 multilevel components of the communication infrastructure—an integrated connectedness to a storytelling network (ICSN) and the residential context—focusing on ethnic heterogeneity and residential stability. Our multilevel analyses show that ICSN is the most important individual‐level factor in civic engagement—neighborhood belonging, collective efficacy, and civic participation—after controlling for other individual‐level and neighborhood‐level factors. In both ethnically homogeneous and heterogeneous areas and in both stable and unstable areas, ICSN is an important factor in civic engagement. As contextual factors, residential stability positively affects neighborhood belonging and collective efficacy, and ethnic heterogeneity is negatively related to collective efficacy. Our data do not show any direct contextual effects of residential stability or ethnic heterogeneity on civic participation. However, our HLM analysis showed that the relative importance of ICSN for the likelihood of participation in civic activities is significantly higher in unstable or ethnically heterogeneous areas than in stable or ethnically homogeneous areas.     

Neighborhood Risk Factors for Recidivism: For Whom do they Matter?

Justice‐involved people vary substantially in their risk of reoffending. To date, recidivism prediction and prevention efforts have largely focused on individual‐level factors like antisocial traits. Although a growing body of research has examined the role of residential contexts in predicting reoffending, results have been equivocal. One reason for mixed results may be that an individual’s susceptibility to contextual influence depends upon his or her accumulated risk of reoffending. Based on a sample of 2218 people on probation in San Francisco, California, this study draws on observational and secondary data to test the hypothesis that individual risk moderates the effect of neighborhood factors on recidivism. Results from survival analyses indicate that individual risk interacts with neighborhood concentrated disadvantage and disorder—and these factors increase recidivism among people relatively low in individual risk, but not those at higher risk. This is consistent with the disadvantage saturation perspective, raising the possibility that some people classified as low risk might not recidivate but for placement in disadvantaged and disorderly neighborhoods. Ultimately, residential contexts “matter” for lower risk people and may be useful to consider in efforts to prevent recidivism.     

SDIS: A sequential data interchange standard

Few general-purpose computer programs are available that analyze sequential categorical data. If there were a sequential data interchange standard—a standard way of representing sequential data—then it would be more attractive to write general-purpose computer programs for such data Moreover, interlaboratory sharing would be facilitated. The present paper defines such a standard, called the sequential data interchange standard, or SDIS. Both the SDIS data language and a parsing program for data that follow SDIS conventions are described. The parsing program will be made available to researchers who wish to develop analysis programs for sequential data     

New assessment systems for residential treatment,management, research,and evaluation: A symposium

An introduction and overview are presented to new observational assessment systems for ongoing assessment and monitoring of both staff and resident (client or patient) functioning in residential treatment programs for emotionally disturbed and mentally retarded adults.Preparation of articles and the research and development on which the articles are based was supported, in part, by Public Health Service Grants MH-15553 and MH-25464 from the National Institute of Mental Health, and by grants from the Joyce Foundation and the Illinois Department of Mental Health and Developmental Disabilities.A symposium presented at the 87th Annual Meetings of the American Psychological Association, New York City, September 1979.     

Family Therapy Techniques in Residential Settings: Family Sculptures and Reflecting Teams

Outcome data has shown that family therapy is highly effective in the treatment of many disorders including addiction, mood, and other issues. In working to make treatment as effective as possible, many residential treatment and outdoor behavioral healthcare (OBH) programs have adopted family therapy techniques for use in individual and peer group therapy settings. Some have also incorporated family members by inviting them to visit the residential setting and participate in treatment exercises. An article by Faddis and Bettmann (J Ther Sch Program 1(1): 57–69, 2006) outlines an example of this integrated approach to family sculptures and reflecting teams in a wilderness therapy setting for adolescents. This integrated technique has since come to be known as the four phase Familial Sculpting and Reflecting intervention. Most recently these methods have been expanded for use with young men ages 18–30 in an adventure wilderness therapy program. This article will examine the theoretical basis for both of these approaches, discuss the application of these techniques to residential OBH programs and review how these methods have been most recently adapted for use in another program.     

Enhancing the Responsiveness of Family-Based CBT Through Culturally Informed Case Conceptualization and Treatment Planning

Family-based CBT has been shown to be effective in controlled settings for an array of youth mental health difficulties, yet disparities in treatment engagement and outcomes across culturally diverse groups remain. In practice, cultural minority families are less likely to reap the demonstrated benefits of supported programs. Although there have been tremendous advances in case conceptualization, leading models have largely ignored cultural factors, contributing to observed disparities. The present paper reviews recent advances in science-informed case conceptualization and highlights how such advances nonetheless have failed to provide guidance on systematically incorporating cultural formulation into assessment and treatment planning. We then build upon Christon et al. (2015) useful 5-stage model of science-based case conceptualization in an effort to move the field toward culturally informed case conceptualization. We highlight how leveraging cultural assessment—such as with the use of the Cultural Formulation Interview (CFI)—can facilitate the incorporation of cultural factors into each of the five stages of science-based case conceptualization. A case example is utilized to illustrate key opportunities for strategically incorporating relevant information gleaned from the CFI into culturally responsive care with youth and families.     

Diary reports on emotional experiences in the onset of a psychosocial transition: becoming drug‐free

The process of becoming drug free is viewed as a psychosocial transition in the life of drug addicts. A specific form of treatment of heroin addiction within residential communities is based on the importance of interpersonal relationships for change. Well‐being of 65 drug addicts during the first 2 weeks in a residential community is explored using a time‐sampling diary which was completed four times a day. The influence of subjects' history, situational context, and motive activation on well‐being and emotions is investigated. Results show that well‐being and emotions differ mainly according to subjects' history, but not — at least at the beginning of treatment within the community — according to situations. This is interpreted as a ‘state of shock’ in the new environment and highlights the necessity for special individual care for subjects with a long drug career. Copyright © 2001 John Wiley & Sons, Ltd.     

Computer-based methodology laboratories: 1. An undergraduate course in experimental psychology

At West Virginia University, microcomputers are used in the laboratory sections of a conventional undergraduate course on research methods in psychology. IBM-compatible computers and QuickBasic programs are used to duplicate the functions of equipment that is less reliable and, taken collectively, more expensive—equipment such as stimulus projectors, pursuit rotors, timers, and mirror tracing stands. The computer systems increase the speed and efficiency of data collection, reduce errors of procedure and measurement, and implement numerous steps to standardize procedures and limit extraneous influences. As a consequence, uncontrolled variability is minimized, and the opportunity for meaningful research outcomes is maximized. The laboratory can be expanded with software alone, without the expense of additional hardware.     

Development and evaluation of school-based violence prevention programs

Discusses key issues in developing and evaluating school-based violence prevention interventions. Schools provide a natural setting for implementing programs directed at teaching youth attitudes, knowledge, and skills to reduce their involvement in violence. Although multitudes of these programs exist, few have been rigorously evaluated. Developers of violence prevention programs need to pay particular attention to the type of violence being addressed, the target population, relevant risk and protective factors, and the target of the intervention. Conducting sound evaluations of such programs requires careful attention to the unit of randomization, treatment conditions, outcome measures, timing of data collection, and potential moderator variables. Efforts to develop effective prevention programs can be greatly facilitated by adopting an action-research strategy in which evaluation findings provide a basis for continual program refinement.     

A microprocessor-based psychopathology laboratory: IV. Software design

Software designed for the microprocessor-based psychopathology laboratory provides a powerful data collection and maintenance package. A library of prepackaged well-documented program modules has been developed to aid in developing and maintaining programs to administer experiments, to store, retrieve, and interpret data. A simple, but powerful, data base system allows new experiments to be incorporated easily, and obsolete experiments to be deleted. The data collection programs are independent of the general data base, permitting them to be moved to dedicated remote systems as necessary. The data are stored in raw form to permit the researcher to try novel approaches in interpreting existing data.     

EVALUATING PROGRESS IN BEHAVIORAL PROGRAMS FOR CHILDREN WITH AUTISM SPECTRUM DISORDERS VIA CONTINUOUS AND DISCONTINUOUS MEASUREMENT

We evaluated the influence of two different frequencies of data collection on skill acquisition and maintenance within behavioral treatment programs for children with autism spectrum disorders. Six children were taught multiple skills in up to four different behavioral programs. Half of the skills were measured continuously (i.e., trial by trial), and the other half were measured discontinuously (i.e., first trial only). When differences were detected, quicker acquisition was typically associated with discontinuous measurement, and stronger maintenance was typically associated with continuous measurement.     

On-line multidimensional scaling programs with interactive graphical display

The beginnings of a system of interactive multidimensional scaling programs with real-time display of the graphical output have been established on the Honeywell DDP-224 computer. Two programs have been completed: (1) MDPREF—a computer program for multidimensional analysis of preference data—has been converted from the GE-635 to run interactively on the DDP-224 computer. Its solution is printed from a typewriter, and the configuration of stimuli are displayed on a scope in two-dimensional view. (2) ROTATE—an on-line rotation program—enables the user to rotate the configuration in three dimensions within a higher dimensional space.     

BORES: Behavior observation recording and editing system

This paper describes the use of a Datamyte 900 solid state data collection system for observational research. Data editing and reformatting programs that organize the behavioral data into a consistent format for use with widely available statistical packages and edit the data for logical inconsistencies are discussed. Data collection using both the focal animal observation and group scanning, or scan-sample, techniques are amenable to this approach.     

The effects of instructions, incentive, and feedback on a community problem: dormitory noise

A reinforcement system utilizing instructions, modelling, feedback, and group reinforcement was employed in an attempt to reduce disruptive noise on three university residence halls. A fourth hall received the same treatment program without the reinforcement component. Noise scores were determined by recording the number of discrete noise occurrences over a criterion decibel level. On all four residential floors, noise scores during treatment conditions were lower than initial and final baseline levels. Additionally, periods of noise reduction corresponded to the changing criterion multiple-baseline and reversal designs utilized. Pre- and posttreatment questionnaire responses from the three reinforcement floors paralleled changes in objective noise data. At posttreatment, residents reported less noise disturbance of study and sleep and more control over the noise situation and floor problems in general. These results indicated that a comprehensive behavior-modification treatment package was effective in reducing disruptive noise in university residence halls. Difficulties in data collection and anomalies in the data are discussed. Future directions for field-based behavior-modification research are outlined.