Applying Primary Prevention Precepts to Campus Substance Abuse Programs

The authors identify five primary prevention programming precepts dealing with perspective, targets, methods, intentionality, and ethic. They describe how the United States Department of Education's Fund for the Improvement of Post Secondary Education (FIPSE) sponsored University of Cincinnati substance abuse prevention project was developed by following these precepts. They hope that this information will aid others in their development of primary prevention programs in college substance abuse (i.e., alcohol and other drug abuse) or in other areas.     

Changes in Rorschach Teaching

To investigate recent changes in Rorschach instruction, a double postcard questionnaire was distributed to all APA-approved doctoral programs in clinical psychology asking for information about the number and type of Rorschach courses. The data were compared with 1961 and 1966 surveys. A trend toward fewer Rorschach courses per university and a decrease in courses specifically on the Rorschach is evident. Changing views toward projective techniques may be a contributing factor, but the addition of areas such as behavior modification and community psychology into the training programs is also compressing the more traditional courses.     

Psychology and rural America. Current status and future directions

Rural people constitute about one fourth of the U.S. population, and their special mental health needs have been largely neglected. For a variety of reasons psychologists have focused little attention on this group. Recent economic developments affecting agriculture, farm families, and rural communities have increased awareness of problems facing rural areas. Psychologists can respond to the unique challenges created by rural mental health needs through research on stress, psychopathology, and community well-being. Training programs should be encouraged to recognize rural concerns. Psychologists are needed to practice in rural areas and to help develop effective rural service models. They can also support the development of state and federal policies that address rural needs.     

Self-organization of alcohol-related attitudes and beliefs in a campus housing complex: an initial investigation.

The self-organization of college students' alcohol-related attitudes and their beliefs about other students' attitudes were assessed within a campus housing complex. Pluralistic ignorance was widespread, in that, compared with their own self-ratings, students rated their friends and the "typical" student as being more in favor of alcohol and more lax in the number of drinks per hour that were acceptable and the number of drinks that were acceptable before driving. They also perceived typical students as more risky than their friends. Dynamic social impact theory was also supported, as students' dormitory building and floor of residence reliably predicted both their personal drinking attitudes and their beliefs about the drinking attitudes of other students.     

Adolescents'' alcohol use related to perceived norms

A questionnaire survey was carried out among 898 Norwegian adolescents age twelve to twenty. The study focused on the relation between adolescents' alcohol use on one side and estimated drinking norms (peers' drinking) together with attributed opinion norms (parents' and friends' acceptance of adolescents' alcohol use) on the other. On average, 5% of students in 7th, 8th, and 9th grade reported weekly alcohol use. They overestimated the number of fellow students using alcohol every week seven-fold. Students' estimates were significantly related to self-reported alcohol use. Even in high-school (10th, 11th and 12th grade) where 29% reported weekly alcohol use, students overestimated number of weekly drinkers among friends and fellow students by two-fold. Contrary to the results from a previous study conducted in Norway, in this study opinions attributed to both friends and parents about adolescents' alcohol use were significantly related to the students' own alcohol use. Estimated behavior norms and attributed opinion norms explained 46% of the observed variance in students' self-reported frequency of drinking. In a health promotion context, these results point to the importance of correcting student misconceptions about how often friends and fellow students drink alcohol.     

Impact of marketing work-place diversity on employee job involvement and organizational commitment

Much of the debate about managing work-force diversity concerns the rationale for the procedures used and the outcomes produced by programs perceived to be unfair. The authors explored the role of organizational justice in diversity initiatives; they examined which of 6 diversity arguments (T. H. Cox & S. Blake, 1991) were most often used by U.S. firms and accepted by employees. They also surveyed U.S. workers about diversity issues at work; the problem-solving diversity argument was related to higher employee job involvement and organizational commitment, even though the respondents ranked the resource-acquisition argument as the most acceptable. The authors also found that many organizational-justice issues still need to be resolved, even in those organizations with diversity-management programs.     

Church youth alcohol and drug education programs

This study indicates that pastors believe that their churches should have a role in influencing the alcohol and drug use of their members; that about half of the churches in this study actually had youth alcohol and drug education programs; and that the content of these education programs and church attitudes toward substance use are affected by the degree of fundamentalism-liberalism of the church.     

Impact of Marketing Work-Place Diversity on Employee Job Involvement and Organizational Commitment

Abstract

Much of the debate about managing work-force diversity concerns the rationale for the procedures used and the outcomes produced by programs perceived to be unfair. The authors explored the role of organizational justice in diversity initiatives; they examined which of 6 diversity arguments (T. H. Cox & S. Blake, 1991) were most often used by U.S. firms and accepted by employees. They also surveyed U.S. workers about diversity issues at work; the problem-solving diversity argument was related to higher employee job involvement and organizational commitment, even though the respondents ranked the resource-acquisition argument as the most acceptable. The authors also found that many organizational-justice issues still need to be resolved, even in those organizations with diversity-management programs.     

The clergy: a valuable resource for church members with alcohol problems

The role of the minister or pastor is pivotal in the development and operation of church-based services and programs and in the delivery of services. They can initiate changes and can equip the officers and members so that families troubled by substance abuse issues can find a climate of acceptance, understanding, and recovery in the local congregation. They can also serve as a referral source to members of the mental health professionals for assistance with alcohol and other substance abuse problems. For our purposes in this article, the term "clergy" refers to congregational and parish clergy. The focus of this discussion pertains to the role of clergy in providing assistance for members of their congregations with substance abuse problems. Implications and recommendations for collaborations and specific resources are also included that may increase the awareness of those issues and to increase effectiveness of service to those needing it.     

Youth and alcohol in television stories, with suggestions to the industry for alternative portrayals

The mass media have long been criticized, particularly on the issue of youth and morality. Attempts to intervene with media executives to change the messages are a familiar accompaniment of the criticism. A specific issue is the presentation on television of incidents involving youth and drinking. Numerous relevant scenes, taken from field notes on prime-time television programs starting in the 1976-77 season, are described. They are also evaluated as to their appropriateness with respect to youth and alcohol. Several, but not all incidents are found to be useful to alcohol education for young people, and for adults as well. A series of suggestions for alternative portrayals is presented; these will be disseminated to producers, writers, and directors in the industry.     

Training and credentialing in forensic psychiatry

The increase in legal regulation of psychiatric practice, malpractice litigation, number of mentally ill in correctional settings and concerns about the sometimes embarrassing quality of expert witness testimony has led to an heightened focus on training and credentialing of psychiatrists who work in these areas. The past 20 years has witnessed a growth of professional organizations, journals, accredited training programs and board certification. The paper outlines the nature of these programs and some of the dilemmas for the profession in establishing formal subspecialties.     

Implementing a Comprehensive Program for the Prevention of Conduct Problems in Rural Communities: The Fast Track Experience

Childhood conduct problems are predictive of a number of serious long-term difficulties (e.g., school failure, delinquent behavior, and mental health problems), making the design of effective prevention programs a priority. The Fast Track Program is a demonstration project currently underway in four demographically diverse areas of the United States, testing the feasibility and effectiveness of a comprehensive, multicomponent prevention program targeting children at risk for conduct disorders. This paper describes some lessons learned about the implementation of this program in a rural area. Although there are many areas of commonality in terms of program needs, program design, and implementation issues in rural and urban sites, rural areas differ from urban areas along the dimensions of geographical dispersion and regionalism, and community stability and insularity. Rural programs must cover a broad geographical area and must be sensitive to the multiple, small and regional communities that constitute their service area. Small schools, homogeneous populations, traditional values, limited recreational, educational and mental health services, and politically conservative climates are all more likely to emerge as characteristics of rural rather than urban sites (Sherman, 1992). These characteristics may both pose particular challenges to the implementation of prevention programs in rural areas, as well as offer particular benefits. Three aspects of program implementation are described in detail: (a) community entry and program initiation in rural areas, (b) the adaptation of program components and service delivery to meet the needs of rural families and schools, and (c) issues in administrative organization of a broadly dispersed tricounty rural prevention program.     

Associations between aspects of spiritual well-being, alcohol use, and related social-cognitions in female college students

This research explores relationships between aspects of spiritual well-being, alcohol use and related social-cognitions in college women. The sample included 151 female college students ranging in age from 18 to 25 years. Participants read a behavioral vignette depicting alcohol use by a student and completed a survey that included measures of alcohol use, counterfactual attributions and beliefs about drinking, as well as religious and existential aspects of spiritual well-being. Results suggested religious- and existential well-being to be inversely associated with indices of alcohol use and the likelihood of attending a social event where alcohol is present. Further, religious well-being was found to be negatively associated with beliefs concerning the social-effects of alcohol, while existential well-being was observed to be a significant predictor of a composite set of attributions related to alcohol prevention. Importantly, these data suggest religious and existential aspects of spiritual well-being as moderators of behavior as well as causal attributions and beliefs that represent a cognitive mechanism of alcohol prevention in college women. Use of counterfactual exercises as an educational technique, and potential barriers of religious and existential oriented prevention programs are briefly discussed.     

The Effect of Religion-Supported Programs on Health-Related Behaviors in Adolescence

Much research has found a relationship between religion and teens?? health related behaviors. The majority of this research focuses on personal religious beliefs and behaviors. But, many religious organizations also sponsor nonreligious activities. There is reason to think that nonreligious programs sponsored by religious organizations will be more likely than school and community-based extracurricular programs to be associated with healthier behaviors, even for youth who are not personally religious. The current study compares the influence of involvement in nonreligious activities that are supported by religious and other organizations for teen health outcomes. Using two waves of longitudinal data from the National Study of Youth and Religion the current study finds that involvement in religion-supported programs is associated with feelings of well-being, better physical health, less alcohol use, and delayed initiation into first sex. Conversely, involvement in activities sponsored by nonreligious organizations is associated with more alcohol use and initiation into sex.     

Adolescent pregnancy: implications for prevention strategies in educational settings

Over 1 million teenagers become pregnant each year in the U.S. The most alarming increases have occurred among adolescents who are younger than 15 years of age. Variables strongly associated with teen pregnancy include minority status, low socioeconomic status, low academic achievement and occupational aspirations, and growing up in a single- parent household. A majority of teenage pregnancies are unintended, and pregnancy is the largest contributor to school dropout rate for U.S. adolescent females. During pregnancy, adolescent mothers suffer higher rates of health complications, and after childbirth they receive less education, have more children, and are more likely to be dependent on welfare. Psychologists employed in educational settings are in a unique position to be involved in adolescent pregnancy prevention efforts, and schools are increasingly considered to be appropriate environments for this purpose. Progressive school-based family planning programs have been established by the St. Paul/Ramsey Medical Center in St. Paul, Minnesota, and by the Johns Hopkins University Medical Center in Baltimore, Maryland. Both programs emphasize the distribution of contraceptives. An increasing number of school programs focus their efforts on helping adolescents become more responsible in their approach to sexual relationships, though they do not distribute contraceptives. A number of innovative community-based programs have also been formed that utilize multiple strategies to provide positive alternatives to pregnancy. Before setting up teen pregnancy prevention programs, school psychologists should try to learn from the lessons offered by established programs. They should also consult with teachers, administrators, students, and parents, and they should decide what instructional approaches are appropriate for their own situations.     

A study of drug discipline policies in secondary schools

Little is known about how secondary schools respond to substance abuse in terms of policies, practices, or procedures. A comprehensive survey of St. Louis County public secondary schools conducted in Fall 1979 suggests that many school officials are more punitive than their juvenile court counterparts when handling incidents of drug use. A range of exclusionary discipline policies is the predominant sanction invoked against students who violate established substance-abuse policies. Questionnaire results indicate the existence of due process violations and the differential enforcement of alcohol and marijuana offenses. Furthermore, unlike the criminal justice system, many schools do not consider the amount or type of drug use or students' prior behavior as criteria for determining an appropriate disciplinary sanction. Several areas for the revision of substance-abuse policies in schools are suggested, including: acknowledging alcohol as a potentially dangerous drug, assuring that school sanctions are individually tailored to pupils' best interests and needs, developing in-school alternative programs to suspension, and providing for the total compliance of substance-abuse policies with students' legal rights.     

Organizational variables needed for effective execution of population planning programmes in Pakistan

Although the organizational and administrative aspects of family planning and population programs are basic to their ultimate success, they have been little studied. Some of the organizational variables necessary to effective implementation of population planning programs in Pakistan are outlined. These variables are of 2 types: 1) intraorganizational; and 2) interorganizational. Field workers must have an adequate idea of the role they should play and an adequacy for such a role. Care should be taken in the selection of field workers. They should be assigned to areas where their clients will have socioeconomic backgrounds similar to their own. Family planning field workers should have regular opportunities to communicate with other types of field workers in other programs. Both vertical and horizontal communication among family planning workers is important. The success of family planning programs will ultimately depend on the effecting of social changes and larger changes in social values. In other words, family planning programs should occur in the larger context of development programs. Interdepartmental communication among various agencies involved with family planning and population is necessary.     

Use of the NCA-modified assessment with a population of intoxicated drivers

Given the proliferation of state laws affecting drunk drivers, the recently passed Wisconsin provision which mandates alcohol assessment for all convicted offenders is of particular interest. When applied during a 2-yr. period in Racine County, WI (1 yr. prior to the enactment of the policy and 1 yr. after passage), most of the persons assessed for operating a vehicle while intoxicated were judged to be irresponsible users of alcohol (social drinkers). Those assessed as alcohol dependent were numerous and were sent to treatment rather than educationally oriented rehabilitation programs. Addressing the issue of predicting which factors would influence the referral to education versus treatment programs, the study showed that repeaters, users of the human services, and those persons having higher concentrations of blood alcohol tended to be sent to treatment. Use of the MOD-CRIT assessment instrument provides the state alcohol treatment system with a means by which drinking drivers can systematically be referred to appropriate rehabilitation programs. Although some margin of error may exist during the assessment process, mandatory assessment is deemed preferable to individualized reports that are open to bias and interpretation.     

Social anxiety and vulnerability for problematic drinking in college students: the moderating role of post-event processing

Socially anxious college students are at increased risk for engaging in problematic drinking (i.e. heavy or risky drinking) behaviors that are associated with the development of an alcohol use disorder. The present study examined whether post-event processing (PEP), repeatedly thinking about and evaluating one’s performance in a past social situation, strengthens the association between social anxiety and vulnerability to problematic drinking among college students. Eighty-three college drinkers with high or low social anxiety participated in a social interaction task and were exposed to a manipulation that either promoted or inhibited PEP about the social interaction. Among participants randomized to the PEP promotion condition, those with high social anxiety exhibited a greater urge to use alcohol after the social interaction and greater motivation to drink to cope with depressive symptoms over the week following the manipulation than did those with low social anxiety. These findings suggest that targeting PEP in college drinking intervention programs may improve the efficacy of such programs for socially anxious students.     

Father absence and adolescent "problem behaviors": alcohol consumption, drug use and sexual activity

Among the issues faced by adolescents are problems relating to alcohol consumption, drug use, and sexual behavior. A survey of 813 adolescents found that adolescents are most likely to discuss these problems with peers and least likely to discuss them with parents, especially fathers. However, father absence from the home resulted in greater use of and problems with alcohol, marijuana, and sexual activity. This was the case especially for boys. The results obtained underscore the significance of the father as a key figure in the transmission of values and as a deterrent to certain behaviors. The results point to adolescents from fatherless homes, especially boys, as being at risk for problems in the areas noted. This suggests that community agencies providing services to adolescents should make special efforts to incorporate into their programs specially designed services to meet the particular needs of this group. Aspects of such programs are discussed.