The future of genetics in public health

During the 1980s, we have witnessed an erosion in federal and state funding for the coordination of genetic services in state health departments. As this decade begins, the federal budget for the support of the national genetics program is less than half of the total available in 1980. In addition, priorities in state maternal and child health programs have changed, and genetic services have often received lower rankings aside of programs to improve prenatal care and to address problems such as teenage pregnancy. Clearly we are at a critical point for the future of genetics programs in the public health arena. Fortunately, despite the problems with funding and priority setting, important coalitions have been built during the past decade and continued advances in medical genetics have made it difficult for public health officials to ignore the potential impact of genetic services. Council of Regional Networks for Genetic Services (CORN) and the regional genetic services networks have provided opportunities for interaction and coordination between genetic services providers and public health officials that had not been available to any significant extent. The full potential of these coalitions has yet to be realized, but efforts in data collection, development of national guidelines and standards, and information sharing and networking have already had an influence on state genetic services programs. Continuing research on the genetics of chronic diseases and the influence of discoveries in molecular genetics will undoubtedly broaden the current scope of state public health programs in genetics, which all too often have been limited to newborn screening and administration of grants for genetic services. The regional and national genetic services programs should be strengthened and appropriate training programs should be developed in Schools of Public Health to provide the expertise and leadership that will be needed to guide the future of genetics in public health.     

Shyness, sociability, and the use of computer-mediated communication in relationship development.

Computer-mediated communication (CMC) offers its users a reduced-cues environment, a chosen degree of identifiability to others, and a forum to express facets of one's self. Previous research suggests CMC is more appealing than traditional forms of communication to certain individuals whose desires to be sociable with others are prohibited by social inhibitions. The present study predicted that individuals who indicated higher levels of both shyness and sociability would be able to express their true-selves to a greater extent online. Their relationships online would grow more quickly and be more satisfying relative to others. The pattern of results supports our hypotheses, except for the predicted relationship between true-self expression and CMC use. Suggestions for future research as well as implications for the application of CMC use in therapy for certain populations are addressed.     

Training of interns and practicum students at community mental health centers

The training of interns and practicum students has become a significant part of the overall program of CMHCs over the last decade. Although many centers provide innovative training in areas consistent with the philosophies of community mental health/community psychology, CMHCs consider the outstanding training which they provide to be in the traditional clinical areas. The fact that the revolution envisaged by the early proponents of the CMH/CP ideology has become transformed into an evolution is not cause for dismay but rather constitutes a study in social change. The planned incorporation of additional CMH/CP components into training programs augurs well for the future. However, the future of training programs is dependent on the extent to which the profession as a whole marshals its resources to not only maintain but increase the financial resources required for maintaining our network of training facilities—CMHCs along with other facilities.     

Prevention opportunities in health care settings

Psychologists have an opportunity to offer their expertise at a time when health care settings are beginning to recognize the importance of behaviorally based interventions for improving health and health care. The authors review the changing patterns of health and illness that have led to an increased interest in the role of patient and provider behavior and discuss the many advantages of using health care settings as prevention sites. Examples of successful behaviorally based prevention programs are presented, along with the evidence supporting the cost-effectiveness of such programs. Challenges presented by working in health care settings are described. Throughout, the authors emphasize the multiple opportunities for psychologists' involvement across a wide variety of health care delivery sites.     

Information‐Seeking Strategies,Uncertainty, and Computer‐Mediated Communication

This article argues that existing theory and research on computer‐mediated communication (CMC) provide a limited view of information‐seeking behavior and proposes a conceptual model for its examination via CMC and new media. Although most CMC environments eliminate or severely reduce nonverbal and contextual information available to address uncertainty, form impressions, and develop relationships, such environments offer alternative mechanisms for acquiring social information about others. The article discusses strategies for seeking social information and identifies factors influencing their selection from alternatives, incorporating them into a conceptual model. Finally, 2 promising approaches for examining the effects and effectiveness of social information seeking in CMC are described, with an emphasis on how the proposed conceptual model can aid in the development of each.     

Adolescent health care in Brazil

The period of youth and adolescence has been shown to have continuous demographic growth in the developing world. Young nations thus have to contend with the specific health needs of teenagers and young adults. This is illustrated by an analysis of the health-care needs of Brazilian adolescents. The issues highlighted here are adolescent morbidity and mortality, current delivery of adolescent health care, and future directions of adolescent programs in Brazil.     

Health locus of control and self-esteem as related to adolescent health behavior and intentions

A health behavior and attitudes questionnaire was administered to 246 fifth-grade and 265 sixth-grade students during class time. The questions included 20 children's health locus of control (CHLC) items reported by Parcel and Meyer (1978), 17 children's self-esteem (CSE) items modified from those reported by Coopersmith (1967), and questions concerning past and current behavior and future intentions with respect to cigarette smoking, alcohol use, and marijuana use. The results indicate that the relationships between dimensions of children's health locus of control and self-esteem and their behaviors and intentions are not large enough to suggest that intervention programs directed at the prevention of detrimental health behaviors focus on the enhancement of self-esteem or the internal locus of control. An appropriate test of the efficacy of such an approach requires a longitudinal rather than a cross-sectional study, monitoring changes in the levels of self-esteem and health locus of control and associated changes in health behavior.     

The School-Based Prevention of Childhood Crises

This paper sets forth the research on the school-based prevention of crises reactions to chlidhood stress. Four types of crises are considered: life transitions, traumatic events, developmental crises, and pscyhopathological crises. Each may be prevented by specific programs such as orientation programs for school entrance, informational programs to prevent child abuse, conflict resolution programs, and suicide prevention programs. General programs termed competence enhancement programs may address and ameliorate a variety of stressors. Prevention programs aimed at the entire school system are also discussed, including such activities as creating and supporting crises response teams. Additionally, a number of issues for future study and research are identified.     

Online mentoring and computer-mediated communication: New directions in research

While there has been a veritable explosion of online mentoring websites and opportunities within a wide variety of professions, very few academic articles to date have addressed this phenomenon. The purpose of this article is to remedy this gap in our knowledge by: (a) suggesting that the Internet can provide a viable context for mentoring within defined roles, (b) presenting a new typology of mentoring based on the computer-mediated-communication (CMC) literature, and in doing so suggest new opportunities and challenges, and (c) providing recommendations for researchers and practitioners to explore online mentoring. Past research has found that within the three functions of mentoring (psychosocial, vocational, and role modeling), a mentor can play a number of roles such as business coach, friend, counselor, and/or teacher to a protégé. We extend past research by assessing the major issues applicable to these mentor roles through an examination of CMC literature. We provide specific research propositions to inspire future research into online mentoring and its related contexts, roles, opportunities, and challenges.     

Postdoctoral education and training for clinical service providers in health psychology

It was recommended by the 1983 National Working Conference on Education and Training in Health Psychology (Stone, 1983) that 2 years of postdoctoral education and training be mandated for future licensed health service providers in health psychology. The background for requiring this postdoctoral training, a model for education, criteria for developing programs, issues of funding, and a rationale for accepting this mandate are presented. Highlighted are the stable and consistent growth of health psychology, the need to expand the period of clinical training to meet the many advances in the field, and the challenges that exist for the fully trained clinical health service provider.     

University training of school psychologists and certification standards

We are standing on the edge of a new era in the development of school psychology programs and training. It is expected that if such training is related to high level certification standards, there will be a smoother course for both training programs, state certifying agencies, and those certified. This cannot be left merely to chance, or to the whims of state governing bodies. Universities polled have generally played an important part in setting high standards in the past, although some have merely imitated lower existing state standards. Universities, assisted by the suggested certification standards of Division 16, should be active in presenting their point of view at the local level regarding future standards.     

Training in health psychology: An international look

With the progression of health psychology as a new field in psychology specific training programs are more and more needed. A survey of the training situation of health psychology in Northern America, Europe, Australia, and New Zealand highlighted a lack of formalized training programs in most countries except the United States and Canada, as well as an enormous variety between countries on standards of training, and on the differentiation of health psychologists from clinical psychologists.

For the qualification of health psychology as an independent psychological discipline a plea is made for international standardization of quality control and suggestions for the content of formalized training programs in health psychology are given.     

Obstacles and advocacy in children's mental health services: managing the Medicaid maze

Of federal programs available, Medicaid offers the greatest potential for serving children's mental health needs. Obstacles to children receiving services through Medicaid are largely determined by a state's policy of regulating services. State policies affect the delivery of mental health services for children in two ways: first, by determining which services to make available, and second, by specifying the conditions of access to those services. Accordingly, this article focuses on obstacles within states' policies that prevent effective utilization of services by children. Specifically, states' choices of eligibility criteria, services, and the procedural obstacles present within payment options are examined. Suggestions for future research are made.     

Age and sex differences in health habits and beliefs of schoolchildren

All children in Grades 3 through 12 of one school system completed a survey about health habits and beliefs including smoking and eating habits, perceptions of exercise, weight, and parental involvement in health. The surveys were factor-analyzed within grade and sex, and the overall factors that emerged were Smoking Habits, Family Discussion of Health, Family Thinking About Health, Nutritional Habits, and Health Locus of Control. Analysis of variance of each factor revealed that girls generally reported healthier food habits than did boys. However, girls reported more smoking and less exercise. There are also changes in habits and belief with age; junior high school is a particularly important time for the development of several habits. The findings are discussed in relation to theories of child development and the implications for the content and timing of future health education intervention programs with children.     

Psychological underpinnings of intrafamilial computer-mediated communication: a preliminary exploration of CMC uptake with parents and siblings

This preliminary study investigates the uptake of computer-mediated communication (CMC) with parents and siblings, an area on which no research appears to have been conducted. Given the lack of relevant literature, grounded theory methodology was used and online focus group discussions were conducted in an attempt to generate suitable hypotheses for further empirical studies. Codification of the discussion data revealed various categories of meaning, namely: a perceived inappropriateness of CMC with members of family of origin; issues relating to the family generational gap; the nature of the offline sibling/parent relationship; the non-viability of online affordances such as planned self-disclosure, deception, identity construction; and disinhibition in interactions with family-of-origin members. These themes could be molded into hypotheses to assess the psychosocial limitations of CMC and to determine if it can indeed become a ubiquitous alternative to traditional communication modes as some scholars have claimed.     

Racial–Ethnic Protective Factors and Mechanisms in Psychosocial Prevention and Intervention Programs for Black Youth

Extending previous reviews related to cultural responsiveness in the treatment of ethnic minority youth, the current review provides a critical assessment and synthesis of both basic and applied research on the integration of three racial–ethnic protective factors (racial identity, racial socialization, Africentric worldview) in psychosocial prevention and intervention programs for Black children and adolescents. Seventeen programs meeting inclusion and exclusion criteria were evaluated for the extent to which racial–ethnic protective factors and related mechanisms were integrated, applied, and tested in such programs. A systematic assessment of these programs revealed that several prevention and intervention programs drew upon the three factors, particularly Africentric worldview. In addition, a number of studies hypothesized and assessed mechanisms, both those previously identified in conceptual literature and those that emerged from the interventions themselves. A set of recommendations encouraging the implementation of these factors into future prevention and intervention programs, examples of how clinicians can infuse these factors into psychotherapy, and areas for future research are discussed.     

After School Care for Children on the Autism Spectrum

Few programs exist for after school care designed to support children with Autism Spectrum Disorder (ASD). Not only do parents often depend on after school care, but also children with ASD are likely to benefit from opportunities to generalize skills in an authentic setting and interact with typically developing peers. This lack of support occurs at a time during which there is increasing research and community awareness regarding the need for high quality after school programs to support typically developing children. This study investigates reported experiences with and needs for after school care by parents of children with ASD. Survey results (N = 54) revealed that the majority of parents surveyed desired after school programs within their child’s school but are often denied access to such services or received low quality care for their child in after school programs. Recommendations are provided for future research and program development.     

Law-related training in school psychology: A national survey of doctoral programs

This article deals with the nature of law-related training in doctoral programs in school psychology. The characteristics of such training efforts are described, and implications for future training activities are discussed.     

A Meta-Analysis of Ethics Instruction Effectiveness in the Sciences

Scholars have proposed a number of courses and programs intended to improve the ethical behavior of scientists in an attempt to maintain the integrity of the scientific enterprise. In the present study, we conducted a quantitative meta-analysis based on 26 previous ethics program evaluation efforts, and the results showed that the overall effectiveness of ethics instruction was modest. The effects of ethics instruction, however, were related to a number of instructional program factors, such as course content and delivery methods, in addition to factors of the evaluation study itself, such as the field of investigator and criterion measure utilized. An examination of the characteristics contributing to the relative effectiveness of instructional programs revealed that more successful programs were conducted as seminars separate from the standard curricula rather than being embedded in existing courses. Furthermore, more successful programs were case based and interactive, and they allowed participants to learn and practice the application of real-world ethical decision-making skills. The implications of these findings for future course development and evaluation are discussed.