Employment Counselors' Perceptions of Client Needs

This study measures the differences in types of client needs perceived by various categories of counselors, the types of needs they attempted to help their clients gratify, and the needs that were viewed as gratified. Eighteen counselors and 697 clients (or their records) were used in the study. A five-category need classification guideline was used by three outside judges to categorize the list of needs compiled by the counselors; agreement among the judges was such that the classification system was deemed appropriate for this study. Differences in need categories were compared using a chi-square formula and Yates' correction for small frequencies. Significant findings and conclusions are noted and suggestions for further studies are given.     

Addressing Urgent Community Mental Health Needs in Rwanda: Culturally Sensitive Training Interventions

Rwandan leaders in the health and educational sectors have begun to discuss the necessity for establishing culturally appropriate community-based mental health counselling services in Rwanda, especially trauma counselling. The need for a community psychology approach is anchored in the lingering effects of the genocide and the continuing post-traumatic stress symptoms suffered by many in the population. Capacity building in an effort like this would require the design of multi-level counselling curricula that are sensitive to the social structures within Rwandan culture. These curricular endeavours call for the development of a National Counselling Centre to serve as a structural mechanism for organizing community-based counselling initiatives. We consider the community health services needs in Rwanda here, along with associated challenges and strategies for effective mental health services in a country with a recent history of genocide. A community psychology approach to mental health would benefit Rwandan society by making trauma counselling and recovery services available and accessible to citizens throughout the country.     

Addressing Relationship Health Needs in Primary Care: Adapting the Marriage Checkup for Use in Medical Settings with Military Couples

The overall objective of this study was to pilot the Marriage Checkup (MC), a brief intervention for enhancing marital resiliency tailored to a military population, for use by internal behavioral health consultants (IBHCs) working in an integrated primary care clinic. The MC was revised to fit into the fast-paced environment of primary care (e.g., streamlined to fit within three 30-min appointments), and military-relevant material was added to the content. IBHCs working in primary care were then trained to offer the intervention. Thirty participants were enrolled in the study and completed a relationship checkup and one-month follow-up questionnaires. Analysis of post-test and one-month follow-up data showed statistically significant improvements in participants’ marital health compared to pre-treatment. The MC intervention appeared to be well received by both couples and IBHCs.     

Suicide Risk Protocols: Addressing the Needs of High Risk Youths Identified through Suicide Prevention Efforts and in Clinical Settings

Several agencies have emphasized the importance of establishing clear protocols or procedures to address the needs of youths who are identified as suicidal through suicide prevention programs or in emergency department settings. What constitutes optimal guidelines for developing and implementing such protocols, however, is unclear. At the request of the Substance Abuse and Mental Health Services Administration, we provide an overview of recommendations, as well as steps taken in conjunction with selected prevention programs and in emergency department settings to address the needs and improve the care of these youths.     

Helping behavior in children: Addressing the interaction of a person-situation model

A critical review of major trends and developments in the study of children's helping behavior is presented, with specific emphasis on demand characteristics of different situations (rescue, donation, assistance) and methodological difficulties inherent in such a study. In general, researchers have been able to isolate certain here-and-now situational influences which have led to mean increases in children's sharing behavior. As yet, however, relatively few studies have attempted to isolate personal characteristics of individual children as a means of examining baseline differences of individuals across different helping behaviors. As a start, this paper calls for a person-situation interactional approach to the study of children's helping behavior, examining such key factors as the child's family style, status in the peer group, and personality style as interactive with the characteristics of the particular helping situation.     

Helping the Environment Help the Client: A Sequenced Change Process

Counselors, often restricting themselves to individual, in-the-office help, are here encouraged to increase their repertoire of skills to include the effective use of environmental change processes. The complexities of a client's existing environment make its analysis an awesome task. One effective way to assist clients is through the Systems Analysis and Organizational Change model that is presented. This procedure describes the principal environmental factors to be considered and alternative actions that might be taken. The mode can be used by counselors in schools, agencies, and institutions.     

Client Gender and Sex Role: Predictors of Counselors' Impressions and Expectations

Researchers of this study questioned: Are clients (male or female) with self-reported “masculine” versus “feminine” role orientations viewed more favorably by counselors? Which is more predictive of the counselor's impressions: the client's gender or his or her sex role orientation? Results suggested that highly masculine and highly feminine clients (regardless of gender) are perceived as more socially skilled and likely to experience a positive therapeutic outcome. Gender did not uniquely predict counselors' impressions. Highly feminine women clients, however, were viewed as more socially skilled than were highly feminine men. On average, clients were viewed as friendly and submissive.     

Parameters for Creating Culturally Sensitive CBT: Implementing CBT in Global Settings

The current article is a commentary on the article, “A Common Elements Approach for Adult Mental Health Problems in Low- and Middle-Income Countries,” which describes a form of transdiagnostic CBT and its implementation among a highly traumatized Burmese and Iraqi group. Murray et al.’s (this issue) article is one of several new studies indicating the efficacy of CBT in global contexts. In this commentary, we suggest a set of parameters to create culturally sensitive CBT in global settings in a way to maximize efficacy and effectiveness. When applicable, we will discuss ways in which these parameters are illustrated by Murray et al. in this pilot study. These parameters can be used more generally to design culturally sensitive CBT studies in global contexts and to evaluate such studies. Some examples of these parameters are culturally appropriate framing of CBT techniques, assessing and addressing key local complaints (e.g., somatic symptoms) and local catastrophic cognitions, and incorporating key local sources of recovery and resilience.     

Exploring the Relationship between Psychopathy and Helping Behaviors in Naturalistic Settings: Preliminary Findings

This study examined the helping behavior of participants with high (High-P; 15 males, 13 females) and low (Low-P; 14 males, 16 females) psychopathic traits without their awareness. In the first of three tests, we found Low-P participants offered more help to an apparently lost female confederate than High-P participants. In the second test, High-P compared to Low-P males offered more help to an “injured” female experimenter, the reverse was true for females. In the third test, High-P compared to Low-P females offered more help to a female confederate who had apparently dropped papers they were carrying; whereas the reverse was true for males. Our preliminary findings indicate that context, gender and psychopathic traits interact and impact helping behavior.     

Addressing the Developmental Needs of Urban,African-American Youth: A Preventive Intervention

This article describes the design and implementation of a multiservice, community-based intervention aimed at promoting the personal and career development of urban, African-American youth.     

A Participatory Residential Model Addressing the Needs of Retired Priests

Diocesan clergy bring several impediments to successful retirement that arise from the celibate, pyramidal, and task focused structure of their lifestyle. This is also the first generation of priests to retire from their parishes because of age. To assist them, many diocese are providing group residences. Involvement of the retirees in designing and carrying out a participatory model for management of the residence can minimize the impediments to life satisfaction. Involvement promotes experiences in community building, advocacy on behalf of group needs, and candid exchanges about meaning and purpose that the residents want their retirement to provide.     

Rehabilitation of the Culturally Different: A Model of the Individual in Cultural Change

Services of rehabilitation agencies and facilities tend to be structured to the needs of the larger American culture. It is important, however, to reconsider our social service programs in view of the needs of different cultural groups when providing services that will aid these individuals to move across cultural boundaries. An attempt is made in this paper to develop a model of the individual who undergoes such cultural transition. Such a model should help define problems in service programs, assess the value of current service activities, and identify areas for developing new services that will aid the overall process of cultural transition. A model of behavior development is outlined, followed by a formulation of a model of the individual in cultural change.     

Addressing the Needs of Adolescents and Adults with Autism: A Crisis on the Horizon

The cohort of individuals with autism spectrum disorder (ASD) diagnosed as part of the first wave of what is often referred to as the autism epidemic is rapidly approaching adulthood. This cohort represents only the proverbial tip of the iceberg with some reports noting that 70% of the currently identified individuals with ASD are less than 14-years old. These numbers represent a looming crisis of unprecedented magnitude for adults with autism, their families, and the ill-prepared and underfunded adult service system charged with meeting their needs. A review of the current literature on outcomes for adults with ASD indicates that, independent of current ability levels, the vast majority of adults on the spectrum are either unemployed or underemployed and, further, that large numbers of adults with autism remain without any appropriate services. Many have had inadequate transition programming including little attention to service coordination, minimal direct family involvement and/or absence of treatment based on evidence-based practices. Lastly, issues related to staff and provider recruitment and retention present significant, systemic challenges to the provision of effective services. As such there is a significant and growing need for greater attention to individual needs of adults with ASD if we are provide the opportunity for a positive quality-of-life.