Fathers as Intervention Agents for Their Children with Developmental Disabilities

ABSTRACT

Parent training aimed at aiding children to overcome social and behavioral problems is an area that has continued to gain attention and support. Very little of the current research has been with developmentally disabled children, the focus of this study. Additionally, for most parent training programs, “parents” actually refers to mothers. In this study three fathers and their developmentally disabled children, who ranged in age from 2 years 10 months to 4 years 5 months, were studied. A multiple baseline across fathers' behaviors was utilized for participants to evaluate effects of parent training on fathers' target behaviors. Child compliance and inappropriate behaviors were also addressed. Parent training resulted in desirable changes on a range of target behaviors. The implications of these findings are discussed.     

Social skill assessment and training for children: an evaluative review

Techniques employed in the behavioral assessment and treatment of socially deficient children are reviewed. General definitions and components of assertion and social skill in children are presented. While considerable data attest to the potential efficiency of behavioral approaches with this population, several methodological problems prevent any definitive conclusions from being drawn at this time. Some of these include: (1) lack of an accurate classification system of socially isolated children, (2) need for an empirical determination of skill components, and (3) the paucity of data concerning generalization and maintenance of treatment effects. The utility of incorporating developmental and social psychological methods into behavioral programs also is discussed. Suggestions for future directions of research are offered.     

Intertransference: Transference Relationships between Members of the Psychotherapy Team

Abstract

There has been limited published research on the effectiveness of manualized psychoeducational approaches for the mental health and behavioral problems of child sexual abuse (CSA) survivors. The present study aims to add to the evidence base for the effectiveness and acceptability of such interventions. A total of 37 enrolled into a brief psychoeducation program (i.e., 10 sessions) aiming to help stabilize mental health and behavioral outcomes (e.g., self-harm), while on the waiting list for mental health services. Participants completed a set of self-rated measures at baseline, pre-intervention, post-intervention and 3-month follow-up. Although there was no change over time with regard to general distress, traumatic symptomatology, depression, anxiety, self-esteem, and life satisfaction, completers were less likely to report self-harm and presented with decreased rates of smoking, alcohol and substance misuse, and involvement in illegal and antisocial behaviors at post-treatment and follow-up. Qualitative data also suggested that overall the program is well tolerated by participants, despite the high attrition rate (43%). Although further research is required to establish the efficacy of this intervention, preliminary results indicate that the new intervention may be useful for stabilizing behavioral problems at post-treatment and follow-up. Strategies to improve attrition rates in future research and clinical practice are discussed.     

Focus,Scope, and Practice of Behavioral Consultation to Public Schools

SUMMARY

Public school districts frequently seek professional consultation to improve educational services. This article is an overview of the focus, scope, and practice of behavioral consultation to public schools. A four-stage process of consultation is described, followed by a discussion on the expanding role of behavior support intervention. Next, the involvement of consultants in the design of individual-student, classroom-wide, and whole-school programs is considered. Contemporary approaches to consultation are presented such as positive behavior support, functional behavioral assessment, and efficacy evaluation that targets natural data sources. A concluding section sets forth recommendations for the successful practice of public school behavioral consultation.     

Implementing a behavioral medicine program in an internal medicine residency: A description of curriculum content,resources and barriers encountered

Abstract

Many internal medicine training programs are currently developing curricula designed to teach the psychosocial aspects of patient care and doctor-patient communication skills. However, faculty may lack expertise regarding how to accomplish new educational goals in these areas. This article is designed to assist programs by describing in detail how a comprehensive behavioral medicine program was integrated into a general internal medicine program at a university-affiliated community hospital. It describes the program goals, resources needed, content included, obstacles to implementation and potential solutions to the problems encountered.     

Systems design in the development of counseling and guidance programs

This article discusses problems in developing counseling and guidance programs. The systems approach is presented as an approach founded on scientifically based principles which counselors might consider in planning effective and efficient programs. The systems concept, analysis and synthesis, systems design, behavioral objectives, feedback, and flowcharting are briefly explained, followed by the application of the systems technique for a generalized model for the establishment, operation, and maintenance of a counseling and guidance program.     

Easing the adaptation to parenthood

Abstract

Despite the proliferation of marital adjustment studies, basic methodological problems remain unresolved. Not the least of these is the lack of a clearly defined and uniformly understood concept of what is being studied. The purpose of the present paper is to illuminate methodological problems which are specific to research in marital adjustment. Therefore, problems which would be true for all research in the behavioral studies and are not specific to marital adjustment are either not included or are discussed minimally. More detailed research is available elsewhere that relates to but is not the same as marital adjustment. Research in marital therapy would be an example of related data (Gurman, 1975).     

A Biopsychosocial Model for Understanding Relationship Aggression

SUMMARY

Aggression in adult, intimate relationships is a significant problem with far reaching effects on victims, perpetrators, their families, and society. Recognizing the import of the problem, the U.S. Department of Justice has established a Violence Against Women office, and many states have enacted legislation to protect victims and deal with perpetrators. It is urgent that we understand the dynamics of relationship aggression so that effective interventions and preventive programs can be developed. This article reviews the current status of research on relationship aggression and identifies several omissions, most notably, ignorance of the potential contributions of biological factors. Recent research regarding the relevance of biological factors is reviewed and a Biopsychosocial model is presented. Finally, some suggestions are made for future research.     

Competitive Employment and Service Management for Adolescents and Young Adults with Emotional and Behavioral Disorders

Summary

Adolescents with emotional and behavioral disorders (EBD) pose difficult service delivery problems as they display the types of behaviors that are least tolerated inschool, work, and community settings. This population has (a) the highest drop-out rate (over 50%) and (b) the highest unemployment rate (52%) four years after leaving high school of all disability groups served by special education. Further, there are few transition programs and interventions with documented long-term benefit for this population and age group. Given the variety and severity of the complex problems associated with EBD (e.g., poverty, substance abuse, family planning, counseling, criminal activities, etc.), and the poor transition experiences of this population, it is imperative that a coordinated systern of vocational training and social support be afforded adolescents and young adults with EBD to have maximum effect. This article describes such a service model and summarizes preliminary data on the effect of the program.     

Children and Violence: The Role of Children’s Regulation in the Marital Aggression–Child Adjustment Link

Exposure to marital psychological and physical abuse has been established as a risk factor for children’s socio-emotional, behavioral, and cognitive problems. Understanding the processes by which children develop symptoms of psychopathology and deficits in cognitive functioning in the context of marital aggression is imperative for developing efficient and effective treatment programs for children and families, and has far-reaching mental health implications. The present paper outlines our research program, Child Regulation and Exposure to Marital Aggression, which focuses on children’s emotional and physiological reactivity and regulation as pathways in the marital aggression–child development link. Findings from our research program, which highlight the importance of children’s regulatory processes for understanding children’s adjustment in contexts of intimate partner violence, are presented, and future directions in this line of inquiry are outlined.     

Cognitive-behavioural Anger Management Training for Adults with Mild Intellectual Disability

Although people with intellectual disabilities often display anger control problems, little research has been conducted on the development and evaluation of cost-effective anger management training programs for this special population. This study evaluated the efficacy of cognitive-behavioural anger management for 11 adults with mild intellectual disabilities in a group therapy format. Improvements were evident on self-report measures of anger and self-esteem. Additionally, caregiver reports indicated general improvements in emotional and behavioural adjustment. Limitations of the study are acknowledged, including the absence of a control condition.     

Traduction et adaptation du TEI-SF afin de documenter l’acceptabilité sociale de l’intervention comportementale intensive

Early intensive behavioral intervention is more widely used in large-scale community-based services in Autism Spectrum Disorder. There is an increased need to evaluate the social acceptability of these programs. The present study used a measure of social acceptability as part of a social validation procedure to evaluate a community-based EIBI offered in inclusive childcare, as well as two focused interventions associated with this program. To do so, the Treatment Evaluation Inventory Short-form (TEI-SF) questionnaire was adapted and translated to French. The validation results for the TEI-SF, as well as for the social acceptability of the EIBI programs and procedures, are presented. The results are the first evidence of the validity of the TEI-SF (adapted and translated to French), presenting scores of validity of intervention and a favourable perspective related to the early intensive behavioral intervention and opening the door to further research.     

Toward a psychoeducational curriculum for training sport-injury rehabilitation personnel

Abstract

This paper addresses significant gaps in the wining programs of sport-injury rehabilitation personnel (SIRPs) in the psychology ma. The main aim of the article is to offer for consideration a psychoeducational curriculum that is specifically designed for the training of professionals who work with injured athletes. In addition to describing the applied implications of research on the psychological aspects of sport injuries for professional practitioners. reviews of what SIRPs consider is missing-but-desirable in their professional wining. and the effectiveness of certain psychological strategies, are presented. Finally. an overview of a prototypical three-year curriculum for professional training programs is outlined.     

Evaluation of Indicated Preventive Intervention (Secondary Prevention) Mental Health Programs for Children and Adolescents

Evaluated the outcomes of 130 indicated preventive interventions (secondary prevention) mental health programs for children and adolescents that seek to identify early signs of maladjustment and to intervene before full-blown disorders develop. Results indicate such programs significantly reduce problems and significantly increase competencies. In particular, behavioral and cognitive-behavior programs for children with subclinical disorders (mean ESs in the 0.50s) appear as effective as psychotherapy for children with established problems and more effective than attempts to prevent adolescent smoking, alcohol use, and delinquency. In practical terms, the average participant receiving behavioral or cognitive-behavior intervention surpasses the performance of approximately 70% of those in a control group. Of particular interest was the high mean effect (0.72) achieved by programs targeting incipient externalizing problems which are customarily the least amenable to change via traditional psychotherapeutic efforts when they reach clinical levels. Priorities for future research include greater specification of intervention procedures, assessment of treatment implementation, more follow-up studies, and identifying how different participants respond to early intervention.     

Psychological MaltreatmentL

SUMMARY

Current issues regarding the definition of psychological maltreatment and its impact on children are discussed. The argument is made that psychological maltreatment can be understood as parenting and socialization practices that leave a child's basic psychological needs unmet, and that children exposed to interparental violence should be viewed as victims of psychological maltreatment. A needs analysis based on developmental theory and research is presented as a context within which to view psychological maltreatment. Using that conceptualization, research findings concerning the behavioral, cognitive, and social-emotional difficulties of children exposed to marital violence are examined. Based on this developmental analysis, recommendations are made regarding research that is needed in the areas of these children and psychological maltreatment.     

Fathers' and Mothers' Emotional Accessibility and Youth's Developmental Outcomes

ABSTRACT

This study examined the association between parents' emotional accessibility and youth's functioning. Participants included 154 parents who completed measures of parental emotional accessibility and their children's emotional and behavioral problems. Results showed that mothers are more emotionally accessible to their children. Mothers' emotional accessibility was associated negatively with youth's emotional and behavioral problems; whereas, fathers' emotional accessibility was associated with only youth's behavioral problems. This study highlights the importance of examining parental emotional accessibility when studying youth's development, utilizing parental perceptions to learn about youth and family functioning, and actively including fathers in family research studies.     

Reprint of “Co-occurring motor,language and emotional–behavioral problems in children 3–6 years of age”

PurposeDevelopmental Coordination Disorder (DCD) has been shown to co-occur with behavioral and language problems in school-aged children, but little is known as to when these problems begin to emerge, or if they are inherent in children with DCD. The purpose of this study was to determine if deficits in language and emotional–behavioral problems are apparent in preschool-aged children with movement difficulties.MethodTwo hundred and fourteen children (mean age 4 years 11 months, SD 9.8 months, 103 male) performed the Movement Assessment Battery for Children 2nd Edition (MABC-2). Children falling at or below the 16th percentile were classified as being at risk for movement difficulties (MD risk). Auditory comprehension and expressive communication were examined using the Preschool Language Scales 4th Edition (PLS-4). Parent-reported emotional and behavioral problems were assessed using the Child Behavior Checklist (CBCL).ResultsPreschool children with diminished motor coordination (n = 37) were found to have lower language scores, higher externalizing behaviors in the form of increased aggression, as well as increased withdrawn and other behavior symptoms compared with their typically developing peers.ConclusionsMotor coordination, language and emotional–behavioral difficulties tend to co-occur in young children aged 3–6 years. These results highlight the need for early intervention.     

Co-occurring motor,language and emotional–behavioral problems in children 3–6 years of age

PurposeDevelopmental Coordination Disorder (DCD) has been shown to co-occur with behavioral and language problems in school-aged children, but little is known as to when these problems begin to emerge, or if they are inherent in children with DCD. The purpose of this study was to determine if deficits in language and emotional–behavioral problems are apparent in preschool-aged children with movement difficulties.MethodTwo hundred and fourteen children (mean age 4 years 11 months, SD 9.8 months, 103 male) performed the Movement Assessment Battery for Children 2nd Edition (MABC-2). Children falling at or below the 16th percentile were classified as being at risk for movement difficulties (MD risk). Auditory comprehension and expressive communication were examined using the Preschool Language Scales 4th Edition (PLS-4). Parent-reported emotional and behavioral problems were assessed using the Child Behavior Checklist (CBCL).ResultsPreschool children with diminished motor coordination (n = 37) were found to have lower language scores, higher externalizing behaviors in the form of increased aggression, as well as increased withdrawn and other behavior symptoms compared with their typically developing peers.ConclusionsMotor coordination, language and emotional–behavioral difficulties tend to co-occur in young children aged 3–6 years. These results highlight the need for early intervention.     

Planning and Evaluating Integrated School-Based Services

Summary

This paper reviews some of the challenges to evaluation presented by integrated school-based services, and describes field-based evaluation approaches designed to yield valid and useful information about such programs. In place of the positivistic research paradigm, a multistage evaluation approach is called for that includes qualitative and quantitative and process and outcome evaluations. This approach is characterized by close collaboration between evaluators and program personnel that makes evaluation an integral part of program planning and operation.