Paraprofessionals as group psychotherapists

This paper defines and describes the characteristics, education and training of paraprofessionals who work in the fields of mental health and substance abuse. There are wide variations in the amount of education and training which paraprofessionals possess but many are drawn from the same cultural background as their clients or have experienced the same problems. The types of group psychotherapy which paraprofessionals are qualified to lead are discussed. Most groups fall into the categories of activity or short-term problem-oriented groups. The literature is reviewed and some major training demonstrations are described.     

Using Student Paraprofessionals in the Treatment of Eating Disorders

A rationale for adjunctive treatment in responding to eating disorder clients at a university counseling center is presented. The program described provides a highly structured internship experience for paraprofessional psychology trainees who serve as therapeutic aides and peer counselors to eating disorder clients. This collaborative Counseling Center and Psychology Department model emphasizes intern training, close supervision, and professional-paraprofessional cotreatment of anorexic and bulimic clients. Program evaluation methods and therapy outcome data are presented. Advantages of this treatment-training program for all participants are discussed.     

Use of Student Paraprofessionals in Divisions of College Student Affairs

A stratified random sample of college student affairs divisions was surveyed to assess the depth and breadth of student paraprofessional use. More than 72% of the responding institutions reported having one or more student paraprofessional programs.     

Family Therapy Training for Paraprofessionals in a Community Mental Health Center

An ecologically oriented family therapy training program is advocated for teaching paraprofessionals to work with high-risk clients in a community mental health setting. The context of training as well as the particular abilities and needs of beginning paraprofessional family therapists are explored in order to design a flexible and effective program in the face of limited resources. This paper describes a variety of educational and supervisory formats such as group supervision, peer supervision, and live supervision. The usefulness of these different models in facilitating skill development and growth in paraprofessionals is evaluated. Recommendations are made to trainers concerning problems encountered in teaching paraprofessionals and in implementing family systems training in community mental health centers.     

Coaching Paraprofessionals to Promote Engagement and Social Interactions During Small Group Activities

Paraprofessionals need adequate training and supports to assist young children with autism spectrum disorders to engage in appropriate social interactions during small group activities with their peers. In this study, we used in situ coaching and brief post-session feedback to improve the use of environmental arrangement, prompting, and praise by three paraprofessionals working in inclusive classrooms. Results suggested the brief coaching intervention was effective for improving target behaviors. In addition, generalized use of behaviors and child outcomes were positive. In situ feedback is a promising practice for improving use of evidence-based practices by non-certified personnel in early childhood settings.     

The Turkish minority in Bulgaria

The article presents the events which led to the emigration of over 300,000 Bulgarian Muslims to Turkey between May and September, 1989. It traces the development of the Turkish Muslim community in Bulgaria from its origins in the 14th century, its growth during the Ottoman period, and the policies of the various Bulgarian governments towards the Turkish minority during this century, with particular emphasis on the assimilation programme of the Zhivkov regime, up to the change of government in January 1990.     

Evaluation of Interactive Computerized Training to Teach Paraprofessionals to Implement Errorless Discrete Trial Instruction

Efficient and effective training strategies for paraprofessionals in special education settings face many challenges. Interactive computerized training (ICT)—a self-paced program that incorporates audio narration, video models, interactive activities, and competency checks—is one potential solution. ICT has been successful in training college students and special education teachers to implement discrete trial instruction (DTI), but its effectiveness to train paraprofessionals is unknown. Using a multiple-baseline design, we evaluated the feasibility of ICT, to train six paraprofessionals to implement DTI with an errorless learning procedure. Following ICT, the fidelity of implementation of DTI increased for all participants when implemented with a student in their classroom; however, competency varied. We added additional training components that progressed from low to more intensive feedback delivered remotely in attempt to increase fidelity to 90% or higher implementation. We also evaluated generalization to novel instructional programs and maintenance of instruction in the absence of feedback.     

Training Community Members to Serve as Paraprofessionals in an Evidence-Based,Prevention Program for Parents of Preschoolers

Widespread dissemination of evidence-based programs for underserved populations may require non-traditional means of service provision. Collaboration with paraprofessionals from communities that are targeted for intervention holds promise as a delivery strategy that may make programs more accessible and acceptable, especially to parents living in low-income, urban neighborhoods. We describe a paraprofessional training program for individuals living in a community targeted for preventive intervention based on high levels of poverty and community violence. The design and implementation of the training program are described in the context of issues related to the use of paraprofessionals in community-based, preventive interventions with parents of young children. We also provide insight into lessons learned from a feasibility study as well as general guidelines for the development of paraprofessional training programs for delivery of evidence-based programs.     

On predicting minority influence

Paralleling closely an experiment on group polarization by Vinokur and Burnstein (1978), subjects discussed one of three risky, cautious, or neutral choice dilemmas. For each of the value items, one half of the six-person groups consisted of a cautious minority and a risky majority; the other half consisted of a risky minority and a cautious majority. The minorities always consisted of trained confederates. The results indicated that on risky items minorities that argued for risk had more influence than minorities advocating caution; on neutral and cautious items the majority was not influenced by the minority whether it advocated the risky or cautious alternative.     

Testing a model of minority identity achievement, identity affirmation, and psychological well-being among ethnic minority and sexual minority individuals

How is social identity related to psychological well-being among minority individuals? Drawing on developmental models of identity formation (e.g., Erikson, 1968) and on Social Identity Theory (Tajfel & Turner, 1979), we tested a conceptual model examining links between two key aspects of social identity and psychological well-being. We proposed that the association between identity achievement (exploring and understanding the meaning of one's identity) and psychological well-being is mediated by identity affirmation (developing positive feelings and a sense of belonging to one's social group). Across three studies, including ethnic minority high school students (Study 1), ethnic minority college students (Study 2) and lesbian and gay male adults (Study 3), we found strong support for the model. Results suggest that the process of exploring and understanding one's minority identity can serve as an important basis for developing positive feelings toward and an enhanced sense of attachment to the group, which can in turn confer psychological benefits for minority individuals. Implications and directions for future research are discussed.