Impact of a prevention program on aggressive children's friendships and social adjustment

A group of 46 aggressive boys aged 8 to 9 years participated in a prevention program aimed at reducing their externalizing problems in the short term and at preventing delinquency in the long term. Outcome measures were collected during the 3-year period following the prevention program. At that time, the boys were 10, 11, and 12 years old. Outcome measures included teacher ratings of aggressiveness and self-reports of delinquent behaviors. The boys' friends were rated on disruptive behaviors by their classmates. The experimental boys' outcome measures were compared to the measures obtained from 58 aggressive boys in a control group. The disruptive ratings of the experimental and control subjects' best friends were also compared. Differences in teacher-rated aggressiveness between the two groups increased from one year to the next for the 3-year followup period. Similarly, the friends' disruptive scores differed increasingly between the two groups over the 3-year period. The effect of the prevention program on the subjects' friendships and the mediating impact of friends with regard to social adjustment were stressed.This study was funded by the following agencies: National Welfare Grants Program of the Canadian Ministry of Health and Welfare, Conseil Québécois de la Recherche Sociale, Conseil de la Santé et des Services Sociaux Régional du Montréal Métropolitain, Fondation Cité des Prairies, Fonds FCAR-Centre et Equipes, Institut de la Recherche en Psycho-Education de Montréal, Centre d'Accueil le Mainbourg. Lucie Bertrand, Rita Béland, Michel Bouillon, Raymond Labelle, Hélène O'Reilly, and Daniel Reclus-Prince supervised or administered the intervention.     

Expected performance at the human/computer interface as a function of user proficiency and system power

How do managers expect the proficiency of users and the power of the computers to determine overall performance? Five different models are proposed: (a) a matching model in which optimal performance is achieved when the power of the system is judged to be compatible with the proficiency of the user, (b) an averaging model in which expected performance is the average of the values of user proficiency and system power, (c) a multiplying model in which performance is the product of the values of user proficiency and system power, (d) a human/computer ratio model in which performance is determined by the ratio of system power over total effort, and (e) a computer/human ratio model in which performance is determined by the ratio of user proficiency over total effort. The applicability of these models was assessed by having managers and students of management predict performance in human/computer systems from information about the user's proficiency with computers and the power of the system. Participants rated 16 combinations of user proficiency and system power from a 4 × 4 factorial design. The pattern of ratings indicated that 51 per cent used a multiplying model and 25 percent used an averaging model; whereas, only 6 percent used the matching model and 4 percent used a ratio model. The remaining 14 percent did not follow any model clearly. Implications of these results were discussed for the design of the human/ computer interface, training and selection of users, and the cost-benefit tradeoffs for investment in user training versus equipment acquisition.     

EXPANDING THE IMPACT OF BEHAVIORAL STAFF MANAGEMENT: A LARGE-SCALE,LONG-TERM APPLICATION IN SCHOOLS SERVING SEVERELY HANDICAPPED STUDENTS

Experimental evaluations of behavioral staff management procedures usually have been limited to relatively small-scale demonstration studies. We evaluated a large-scale, long-term application of a staff management program designed to improve the functional utility of educational services for severely handicapped persons. The intervention, involving a brief in-service program followed by supervisory prompts and feedback, was implemented by three principals in four schools involving 21 classrooms. Implementation of the management procedures was consistently accompanied by increases in student involvement in functional educational tasks in each classroom. Further, the improved services continued throughout a 2-year follow-up period. Staff responses to a questionnaire indicated a high degree of staff acceptance of the management program. Results are discussed in terms of expanding the use of behavioral supervisory procedures from experimental demonstrations to actual adoption by existing human service agencies.     

Television public service announcements as outreach for potential clients

Public service announcements (PSAs) aired by local radio or television stations may be useful to human service agencies as a mechanism to reach potential clients during periods of low service demand. To examine the usefulness of PSAs for this purpose, a series of PSAs were videotaped for three aging-service agencies and aired by a television station during a 6-week period. The three agencies recorded the incoming demand for services received each day before and during the intervention period. The data were tested by a multiple-group interrupted time-series analysis. The results of the analysis indicated that for all three agencies the PSAs were effective for increasing the number of service inquiries received from nonclients over the telephone numbers publicized in the PSAs. At one of the agencies, the number of new clients increased significantly when the PSAs were broadcasted. This article is based on a doctoral dissertation submitted by the first author to the University of South Carolina. The first author acknowledges with appreciation the contributions to the research project and the preparation of the public service announcements that were made by the following: Robert V. Heckel, Gary L. Griepentrog, Lawrence F. McClure, and A. Porter McLaurin, members of the dissertation committee; Melinda Hotinger, research assistant; Ruth Harden and Bobby Dicks, Jr., WIS-TV; Winston Thomas, Rosalyn Dublin, Mary Fraser, Bessie Lee Harris, and Ruthie Saunders, Columbia Urban League Aging Program; Emily Canine, Kate Forbis, Lillie G. Earl, Beverly W. Williams, Annie Baxter, and Marjorie Mills, Newberry County Council on Aging; Fletcher Spigner, Sam Waldrep, Mae Inman, King Wingate, and June Yarborough, Richland-Lexington Council on Aging; George M. Dick, Nancy Rampey, and Betty Jackson, Central Midlands Regional Planning Council; Courtenay Carson, South Carolina Commission on Aging; the late Don Gillis, Mark Spagnolo, and Sally Battle, University of South Carolina Department of Media Arts. The authors acknowledge the substantial contributions to this paper that were made by Gary L. Griepentrog, who donated his time to guide the multiple-group interrupted time-series analysis. The authors express appreciation to Thomas D. Cook, Northwestern University, for his review and comments on the dissertation.     

Ecological Factors Impacting Provider Attitudes Towards Human Service Delivery Reform

Although reform efforts are substantially altering the structural operations and guiding ideological framework of the human service delivery system, little empirical work has been done to systematically examine these transformations. This study examines providers' attitudes regarding two reform elements that are being widely implemented: an increased emphasis on inter-agency collaboration and a shift from a medical model service delivery philosophy, that focuses on client deficits, to one that emphasizes consumer strengths. Through survey data collected from 186 providers from 32 human service agencies in one county, the relationship between providers' perceptions of contextual support for human service delivery reform and providers' attitudes towards these initiatives is explored. The findings from this study support the importance of attending to the ecology in which we initiate system reform efforts. For both reform elements, working within contexts that are perceived as providing ideological and functional support for change was associated with positive provider attitudes towards those changes. Staffs' perceptions of the external environment played the most critical role in shaping staff attitudes. Interestingly, unique aspects of providers' work environments were related to positive attitudes towards the two different reforms. The implications of these findings for the success of human service delivery reform are discussed.     

Body Image Testing System: A microcomputer program for assessing body image

An interactive computer program, the Body Image Testing System (BITS), was developed to assess different components of the body image construct. The BITS program displays a frontal and side view of a human body. Subjects can change the size of each of nine body parts independently (face, neck, shoulders, arms, chest, breasts, stomach, hips, and thighs). Subjects interact with the program until satisfied that the image created matches the instructions. Subjects also provide satisfaction ratings for the nine body segments. To validate BITS, a variety of body image and eating disturbance measures was obtained from over 500 subjects. A factor analysis of actual-ideal differences and a perceptual distortion measure, derived using multiple regression, resulted in five orthogonal factors. Factor 1 measured actual-ideal discrepancy for weight-sensitive body parts. Factor 2 measured the perceptual distortion of weight-sensitive body parts. Additional factors measured perception of face and neck, shoulders, and breasts. The five factor scores plus the satisfaction ratings were strongly associated with actual body size, body fat percentage, and circumference of specific body parts. In addition, there were strong associations between the BITS and other measures of body image. Finally, BITS scores accounted for between 15 and 60% of the variance in measures of eating disturbance.     

Outcome Trajectories for Adolescents in Residential Treatment: A Statewide Evaluation

Although residential treatment represents one of the largest and most expensive components of the mental health service system for children and adolescents, little is known about the anticipated outcomes of this service. Still less is known about the trajectory through which change occurs within these settings. We examined the clinical status of 285 adolescents over a 2-year period after placement in residential treatment by the Department of Mental Health in a western state. Using a growth modeling technique, the rate of change was determined over a set of symptoms measured by the Acuity of Psychiatric Illness—Child and Adolescent Version (CAPI). Results suggest that while adolescents tended to improve overall during the course of their stays, there was considerable variation in which symptoms improved and which did not. Two symptoms actually became reliably worse with treatment. In addition, significant variation in outcomes was demonstrated across sites, with adolescents in one site getting reliably worse during the course of residential treatment. Our findings demonstrate the utility of outcomes management and have significant implications for how residential services for children and adolescents should be managed.     

Blending qualitative and behavior analytic research methods to evaluate outcomes in inclusive schools

Following Haring's (1992) recommendation, we have utilized qualitative research techniques to assist us in designing a program of research on inclusive education which is responsive to the outcome values and priorities identified by teachers and parents. Using interviews, observations, and document analysis to follow 35 children in full inclusion classrooms over a period of two years, we have described outcomes for these children in three major domains. These outcome domains, and subthemes within them, have been evaluated and revised based on interviews and social validation ratings by parents and teachers. Dependent measures based on our qualitative research findings are currently being used in a series of behavior analytic studies designed to evaluate the effects of specific interventions on outcomes of inclusion for children with and without disabilities.     

Employee and customer perceptions of service quality: A look at India

Customers (n = 128) and employees (n = 93) from a large service organization in India responded to a survey regarding their satisfaction with the organization and their satisfaction with key processes regarding their specific service area. As in the United States, there was agreement between Indian customer and employee ratings. However, there were also some major differences. The impact of these differences on strategic organizational initiatives is discussed.     

Employee and customer perceptions of service quality: A look at India

Customers (n = 128) and employees (n = 93) from a large service organization in India responded to a survey regarding their satisfaction with the organization and their satisfaction with key processes regarding their specific service area. As in the United States, there was agreement between Indian customer and employee ratings. However, there were also some major differences. The impact of these differences on strategic organizational initiatives is discussed.     

Family therapy for continuing professional education

This is a report on a program of family therapy instruction intended as a continuing professional education service to mental health personnel. The rapid expansion of the program since its inception in late 1971 is due to increasing demand from human service agencies in and around the Greater Philadelphia area. By the end of 1978 more than 550 had participated. Approximately 15% went on to higher levels of family therapy training available at the Department of Family Psychiatry of Eastern Pennsylvania Psychiatric Institute. Some characteristics of participants are described: most are master's level personnel representing a wide variety of human service agencies within a 100-mile radius of Philadelphia; most had a positive response to the training; most did not intend to become family therapists but wanted an exposure to theory and methods. Comments are included by selected category of how participants use what they learn.     

Teachers' and mothers' assessment of children's behaviors from kindergarten to grade two: Stability and change within and across informants

Consistency between teachers' and parents' ratings of 229 children's prosocial and problem behaviors was investigated from kindergarten through grade two. Intrarater stability was also analyzed. Results indicated moderate but decreasing interrater agreement from kindergarten to grade two for boys on externalizing behaviors. Interrater agreement for the same behavior dimension for girls was moderate and stable, whereas it was low on internalizing behavior problems and prosocial behaviors, for both genders throughout the 3-year period. Moreover, difference between teachers' and parents' ratings of externalizing behaviors increased from kindergarten to grade two. Decreasing level of agreement through time appeared to be related to a reduction of teacher-rated externalizing behaviors not paralleled by a reduction in parent ratings. Analyses were also performed at the item level of the externalization scale to identify which specific behaviors were responsible for the increasing divergence in interrater agreement from kindergarten through grade two. Alternative interpretations were considered in order to account for present and past results. Implications for screening and assessment purposes were discussed.This research was supported by grants from the Social Sciences and Humanities Research Council of Canada and from Québec's Health Research Fund (FRSQ). We wish to thank the authorities and directors of the schools from the Val d'Or School Board as well as the kindergarten, first and second grade teachers, children, and parents for their collaboration. We also thank Lyse Desmarais-Gervais, Daniel Corriveau, Jean Desrosiers and Hélène Boileau for their participation in the data collection or analysis.     

Continuities in maternal reports and child behaviors over time in hyperactive and comparison groups

Maternal reports, observations of nursery and elementary school behavior, and teacher ratings of problems were available for hyperactive and control children who had participated in a longitudinal study. This paper examines consistencies in maternal reports and child behaviors over time, and their relationship to teacher ratings in elementary school. Maternal reports of infant sleep difficulties were related to maternal ratings of hyperactivity at 41/2 and 61/2 years. Maternal ratings of activity at 41/2 were predictive of 61/2-year ratings of hyperactivity and conduct problems. In addition, behavior in a research nursery at 41/2 predicted teacher ratings of problems and classroom behavior in grade two. Hyperactive preschoolers who left the table most during structured activities were more often out-of-seat and off-task in school. Controls who were more aggressive in the nursery were more disruptive in the classroom. These data indicate continuities in both maternal reports and child behaviors.Collection of follow-up data were supported by Grant No. MA-4505 from the Medical Research Council of Canada to Dr. Campbell and were collected when she was at McGill University and the Montreal Children's Hospital. Portions of these data were presented at the American Psychological Association, Washington, D.C., September 1976.     

Trends in school psychology research: 1974–1980

Research articles appearing in five major journals from 1974 to 1980 were categorized in 1 of 16 categories as determined by the major theme of the paper. A chi-square analysis was used to determine whether years differed in relative distribution of observations across the categories. Spearman's rho correlation coefficients were calculated for the rank order of categories between each pair of years, allowing for comparison of the current data with O'Callaghan's (1974) data. Results indicate a significant change in content of articles published over the 7-year period. Articles concerning instrument development and validation account for the relatively largest percentage of total articles published in the 1974–1980 period and have continued to increase since the 1967–1973 period examined by O'Callaghan. Schools and agencies primarily contributing to this research are identified across the 7-year time span. Results are discussed in terms of the professional literature's potential reflection of the role of the school psychologist.     

Perceived competence and impression management: Testing the mediating and moderating mechanisms

Using a diverse and unique sample of triads (N = 191 self, peer, and supervisor reports) from a field survey of two service sector organisations, this study examined the effects of perceived competence (self‐reported) and supervisor‐rated performance ratings on peer‐rated impression management. The study also tested the mediating role of performance in competence–impression management relationships and the moderating role of job satisfaction (self‐reported) in performance–impression management relationships using bootstrapping techniques. The study further examined the conditional indirect effects (i.e., moderated mediation) of perceived competence on impression management. The sample consisted of white collar employees from a government organisation and a leading cellular company in a developing country (i.e., Pakistan). Employees with low perceived competence were more likely to use impression management tactics than were those with high perceived competence. Similarly, poor performance ratings produced high impression management. Moreover, performance mediated the relationship between competence and impression management. The findings also suggest that perceived competence has a negative indirect effect on impression management for those with high levels of job satisfaction. Finally, impression management was highest when performance and satisfaction were low.     

The Relation of Cognitive Ability and Personality Traits to Assessment Center Performance

The aim of the current study was to examine cognitive ability and personality correlates of assessment center exercise ratings. The sample included 429 individuals who participated in a 2-day management development assessment center during a 5-year period. The assessment center yielded scores on 8 exercises. Assessees also completed a measure of cognitive ability (Watson-Glaser Critical Thinking Appraisal) and the California Psychological Inventory (CPI). The CPI scales were incorporated into 4 of the Big Five personality factors for easier interpretation. Our hypotheses were partially supported since ratings of exercises that were largely interpersonal in nature tended to correlate with interpersonal personality constructs (emotional stability, extraversion, and openness to experience), and ratings of cognitive problem-solving exercises correlated with cognitive ability and conscientiousness.     

Breaking ground,hitting ground: A Sure Start rapid response service for parents and their under fours

This paper describes a project aimed at taking an under fours' counselling and parent support service into a neighbourhood characterized by particularly high levels of deprivation and ethnic diversity. Referrals to the local CAMHS showed a high level of disturbance in school aged children and adolescents in this area. However, children under 4 years were strikingly under-represented in referral statistics, suggesting the need to make our service more accessible to this group. The project took the form of a once-weekly clinic run in a community centre. Differences in ways of engaging and working with the families in order to make the service accessible and ‘user friendly’ are described. So, too, is a protocol developed in order to support the worker in thinking through the many anxiety raising situations to be responded to in dealing with severely deprived families living in extremely stressful situations. Three clinical examples illustrate that a major value of this initiative was in increasing the worker's understanding of ethnic and cultural differences and of how to work with them. The service also helped to promote good liaison between statutory and voluntary agencies. The project was established initially under the auspices of Sure Start, a government sponsored scheme for enriching developmental opportunities of under fours and their parents in deprived areas. After running for 18 months, it will be funded through mainstream resources, as an example of the kind of innovative work with hard to reach populations encouraged by the guidelines given in the new National Service Framework for Children in England.     

An Investigation of Treatment Integrity and Outcomes in Wraparound Services

Research on wraparound services has been generally positive, but has failed to include data regarding treatment integrity. Without such data, conclusions drawn from such studies are weakened. This study followed 28 children and adolescents receiving wraparound services in rural central Pennsylvania. Treatment integrity was defined as the percentage of service hours prescribed vs. received, and behavioral outcomes were defined as Total Problem Behavior T Scores on the Child Behavior Checklist. Preliminary analyses failed to reveal significant differences in sample means between included subjects and those excluded due to missing data. Outcome behavior ratings were significantly improved over baseline ratings. Regression analyses, however, failed to find a significant effect for treatment integrity when used in an outcome prediction equation for Therapeutic Support Staff, Mobile Therapy services, or Behavioral Specialist wraparound services. These results suggest that adherence to prescribed treatment hours may not be related to behavioral outcomes in a wraparound service setting.     

Outcomes from Multisystemic Therapy in a Statewide System of Care

We examined client outcomes from the implementation of Multisystemic Therapy (MST) in a statewide child and adolescent mental health system. Specifically, we examined (1) the validity of therapist-rated MST outcome measures by comparing them to ratings of functional impairment and level of service needs by CAMHD care coordinators, who provide case management and care coordination services, (2) potential client and service predictors of therapist-rated outcomes, and (3) improvement in youth functioning around the time of entry to and exit from MST compared with rates of improvement reported in randomized controlled trials (RCTs) by the developers of MST. Results suggested that therapist-rated MST outcomes were valid indicators of treatment success. Similar to other findings in the MST literature, few client or service characteristics predicted these outcomes. Finally, although MST entry–exit effect sizes were lower than the mean derived from RCTs published by the developers, they were within the 95% confidence interval. Together, these findings support the implementation of MST in complex systems of care with continued attention to quality assurance and ongoing use of data for evaluation.