Monitoring and Fostering Elementary School Students' Life Satisfaction: A Case Study

Research on the importance of complete mental health has led to increased focus on students' subjective well-being (i.e., happiness and life satisfaction) coupled with the traditional attention to psychopathology. Although screeners for psychopathology abound, the present project is novel in applying best practices in universal screening to grade level-wide assessment of children's life satisfaction, followed by implementation of a positive psychology intervention for students identified through the screener. In this case study of 375 third- to fifth-grade students in one elementary school, 93.6% participated in the screening, 11.2% qualified for supplemental services based on screening cutoff scores, and 4.8% took part in the targeted intervention to improve subjective well-being. Repeated measures analysis of mean scores revealed the intervention increased children's life satisfaction, lending support for the value of universal screeners in the process of service delivery. Implications for practice regarding universal screening and intervention for life satisfaction are discussed.     

Addressing the Mental Health Needs of the Rural Underserved: Findings from a Multiple Case Study of a Behavioral Telehealth Project

Behavioral telehealth is a reasonable solution to the accessibility to mental health care problem that exists in many rural communities. This paper reports the results of a multiple case study of a behavioral telehealth program administered through a marriage and family therapy training program. The results suggest that mental health services can be effectively delivered using existing distance education technology to underserved rural populations. Rural communities have unique barriers to accessing mental health care, some of which can be overcome through the distance delivery of services and some of which cannot. In order to effectively deliver treatment, accommodations to the technology must be made by both therapist and client.     

The Intensive Mental Health Program: Development and Structure of the Model of Intervention for Children with Serious Emotional Disturbances

In order to meet the challenging needs and behaviors of children with Serious Emotional Disorders (SED), a school and community based Intensive Mental Health Program (IMHP) was developed and evaluated. We describe the conceptual framework, treatment principles, and model for service delivery for psychological and educational interventions under the umbrella of the IMHP. The program illustrates a model of comprehensive services for children with SED.     

临床护理人员的护理伦理知信行素养调查研究——以某三甲医院为例

为了解临床护理人员的护理伦理知识、信念、行为等素养的现状、存在的主要问题及其主要影响因素,问卷调查了某三级甲等医院的1147名护理人员,同时对16名资深护理人员和护理工作管理者进行深入访谈。调查结果显示,尽管多数护理人员在工作实践中能正确践行护理伦理行为,但护理人员的护理伦理知识欠缺,护理伦理教育有待加强;部分护理人员的基本护理（医学）伦理理念尚未建立;“重技术轻人文”的护理理念仍然是影响护理伦理践行的主要因素。临床护理人员普遍有接受有关护理伦理知识和技能培训的需求和愿望。

     

作为治疗的艺术：绘画艺术治疗的兴起与作用机制的探究

通过文献梳理的方式探索绘画艺术治疗兴起及其疗愈机制,揭示绘画艺术治疗的兴起具有特定的历史基础和实践发展过程。其疗愈功效是多种因素综合发挥作用的过程:人们在绘画过程中能够呈现完整的主体;通过美和创造获取积极的体验;以正念的方式沉浸在当下;非言语和象征化的形式有助于自由地进行表达和重构;其中,高质量的治疗关系是所有因素发挥效用的基础。身心关系理论和大脑可塑性为绘画艺术治疗提供了神经生物学的理论支持。绘画艺术治疗的广泛应用证明了其普适性和有效性,为人文在医疗环境中的复归提供了新的启示。     

Contextual Adaptation of the Unified Protocol for the Transdiagnostic Treatment of Emotional Disorders in Victims of the Armed Conflict in Colombia: A Case Study

The delivery of a contextually adapted version of the Unified Protocol for transdiagnostic treatment of emotional disorders is illustrated through a case study of an internally displaced female victim of armed conflict in Colombia. A detailed account of how her history of continuous traumatic events and her forced displacement resulted in multiple emotional disorders and behaviors which hindered her ability to react to daily stressors illustrates the particular conditions of individuals exposed to extreme violence. Emphasis is placed on how her culture and context required adaptations of evidence-based interventions. The contextually adapted UP (CXA-UP) is described in “slow-motion,” through a session-by-session account of the procedure along with the specific changes in each module. Outcome measures showed four positive diagnoses at pretreatment, but none at posttreatment, 3-month, or 2-year follow-up. Implications for global applications with individuals in similar contexts and for widening access to such interventions are discussed.     

A Seat at the Table: Using Social Media as a Platform to Resolve Microaggressions Against Transgender Persons

Transgender, gender variant, and/or gender nonconforming persons are marginalized and pathologized in society and communities. The advent and widespread use of social media introduce an entirely new avenue of expression where cyber bullying and verbal assaults are common. Yet, social media also has the capacity to reach more people in more places, thus presenting a potentially powerful platform for advocacy. Grounded in digital critical participatory action research, the authors present a multimedia advocacy project that highlights advocacy strategies in which counselors can utilize social media to raise awareness, promote inclusion, and resolve microaggressions toward transgender persons.     

Impact of Workplace Bullying on Emotional and Physical Well-Being: A Longitudinal Collective Case Study

Bullying and mobbing are occupational safety hazards pervasive in developed and developing countries. Our study aim was to determine whether bullying and mobbing caused poor health for a victim and a witness from the same workplace in western Canada. Longitudinal semistructured interviews were conducted in 2007 and 2008 with both parties. The interviews were transcribed, analyzed, and arranged into arrays using chronological ordering and time sequencing. The victim felt targeted because she represented a threat to the bully, with victim and witness experiencing negative health outcomes. The authors suggest that wellness programs should place greater emphasis on mental health promotion to discourage workplace bullying.     

Stress in Doctors: A Pilot Study of the University Teaching Hospital,Lusaka, Zambia

This study had the objective of explored the stressful aspects of a doctor's job at the University Teaching Hospital (UTH) in Lusaka, Zambia. Stress can have a serious effect on the work output of a doctor and on their physical and mental health. The data were collected from 41 doctors at UTH using the Perceived Stress Scale and a stress check list. The results revealed that out of the list of 14 possible stressors, Zambian doctors in this sample identified an average of 7.3 aspects of their job (SD=2.7) as being stressful. Lack of resources to carry out their job, the workload, the low level of reward and the long working hours were most frequently identified as stressors.     

Defining Location in the Mental Health System: A Case Study of a Consumer-Run Agency

In this ethnographic study of a mental health service agency staffed by “consumers,” or fellow “recipients” of services for serious mental illness, the concept of community narrative provides the framework for examining how such an agency preserves its consumer identity while providing services dictated by the established service system. Locating the agency's narrative in its “origins tale,” analysis revealed five principles comprising the agency's identity: a normalizing view of mental illness, a commitment to helping, a dual-valued understanding of the mental health system, and beliefs in recovery and in the significance of employment as a criterion for recovery. Predicted consequences of narrative functioning emerged in social climate and staff expressions of cohesion and commitment. The local meaning of these narrative themes reveals the agency's view of the consumer element in its work and its solution to the dilemma of being both inside and outside of the mental health system.     

A Case Study of the Implementation of Outcomes-Based Funding Within a Local United Way System: Some Implications for Practicing Community Psychology

This case study provides an overview of significant organizational change within the United Way system in Franklin County/Columbus, Ohio. Franklin County is a major urban center with a population approaching 1 million. The implementation of outcomes-based funding proved to be a critical factor that served to promote change within the local United Way system. Adoption of outcomes-based funding principles resulted in significant shifts in United Way funding and major policy changes. A chronology of events and stakeholder reactions over a multiyear period are reviewed. The implications of this effort to initiate major, system-level change for the practice of community psychology are discussed.     

Religious Service Attendance Aids Coping by Providing a Sense of Continuity: A Test of the Stress‐Support Matching Hypothesis Using Mental Health Outcome Measures

We propose that religious service attendance (RSA) serves as a coping resource by providing a sense of continuity. As a source of continuity, and per the stress‐support matching hypothesis, RSA should consistently buffer the negative mental well‐being impacts of stressors related to discontinuity—the disruption of regular routines and relationships. Most, but not all, of the relevant previous studies we reviewed found that RSA served as an effective buffer for the negative mental health impacts of discontinuity stressors (such as unemployment, terminated relationships, etc.). This variability in previous findings warranted a formal exploration of the relationship between RSA and specific stressors. To that end, we conducted a series of OLS regression path analyses on a sample of Americans age 40 and older (N = 2,579). RSA was found to consistently buffer the negative impact of discontinuity stressors on mental well‐being but failed to do so for other stressors. Overall, our observations are (a) consistent with the stress‐support matching hypothesis, (b) suggest that RSA is particularly effective for reducing the negative impacts of discontinuity stressors, and (c) found no instance in which RSA exacerbated (i.e., made more severe) the effects of life event stressors on mental well‐being.     

Global Collaborative Team Performance for the Revision of the International Classification of Diseases: A Case Study of the World Health Organization Field Studies Coordination Group

Background/Objective: Collaborative teamwork in global mental health presents unique challenges, including the formation and management of international teams composed of multicultural and multilingual professionals with different backgrounds in terms of their training, scientific expertise, and life experience. The purpose of the study was to analyze the performance of the World Health Organization (WHO) Field Studies Coordination Group (FSCG) using an input-processes-output (IPO) team science model to better understand the team's challenges, limitations, and successes in developing the eleventh revision of the International Classification of Diseases (ICD). Method: We thematically analyzed a collection of written texts, including FSCG documents and open-ended qualitative questionnaires, according to the conceptualization of the input-processes-output model of team performance. Results: The FSCG leadership and its members experienced and overcame numerous barriers to become an effective international team and to successfully achieve the goals set forth by WHO. Conclusions: Research is necessary regarding global mental health collaboration to understand and facilitate international collaborations with the goal of contributing to a deeper understanding of mental health and to reduce the global burden of mental disorders around the world.     

Thinking About the Future as a Way to Succeed in the Present: A Longitudinal Study of Future Orientation and Violent Behaviors Among African American Youth

Previous research has linked higher levels of hopelessness about one's future to violent behavior during adolescence; however, little is known about this relationship over time for adolescents. Using growth curve modeling, we tested the association between future orientation and violent behavior across the high school years of adolescence in a sample of African American youth (n = 681). Variation based on demographic characteristics (i.e., sex, SES, previous violence) was explored. At baseline, differences in violent behavior varied by demographic characteristics. Overall, violent behavior decreased with age. Higher levels of future orientation were associated with greater decreases in violent behavior over time. Demographic characteristics were not associated with change in violent behavior overtime. Our findings suggest that future orientation can act as a promotive factor for at risk African American youth. Interventions that help support the development of future goals and aspirations could play a vital role in violence prevention efforts.     

幼儿看图叙述中心理状态术语的使用与错误信念理解关系的短期跟踪研究

摘 要：为探明汉语儿童看图叙述中心理状态术语的应用及与错误信念理解能力的关系,并追踪二者相互作用的方向,本研究以101名3-5岁儿童为研究对象,纵向探查了前后相隔3个月的儿童看图叙述中心理状态术语使用情况和错误信念能力的发展状况,并从横向和纵向两个时间点分别探讨了心理状态术语的运用与错误信念理解的关系。结果表明：3-5岁儿童错误信念理解能力快速发展;儿童看图叙述中使用较多的愿望术语和情绪术语,信念术语应用相对较少,且认知词汇类型较少。控制了一般语言能力和年龄之后,仅在第一次测验上,情绪术语、信念术语仍然与同期及后期错误信念理解能力存在显著相关。