Counseling and Mental Health Care in Palestine

The authors provide a brief overview of counseling and mental health care in Palestine, including their history and a summary of their current status. Finally, a discussion is presented of future trends in the development of the profession with regard to recent changes in the region.     

Graduate trends for one marriage and family therapy program in an interdisciplinary setting

This research compared trends from 1981 to 1993 in several mental health professional training programs at the University of Houston Clear Lake, surveying graduates from three professional mental health master's programs—clinical psychology, school psychology, and family therapy—with the goal of identifying trends in the status of their professional credentialing and current employment. Four mental health groups have attained licensure since a 1981 survey, resulting in graduates now seeking professional licenses and perform psychotherapy more exclusively than other mental health activities. Interdisciplinary training has become increasingly important due to the introduction of managed care and other insurance regulating entities.     

The Future of Education and Training in Academic Health Centers

National reports have recommended additions to the core competencies that should be required of all health disciplines, including psychology. The recommendations will affect the education and training of health professionals at academic health centers (AHCs). There will be more focus on training for competence in patient-centered care, evidence-based care, interdisciplinary teamwork, informatics, and continuous quality improvement. Other trends that will affect training of psychologists and other health disciplines in AHC settings include emphasis on better ways to assess the quality of clinical skills, support for improvement of teaching and training, and an increase in educators' status.     

Smoking,depression, & stress: predictors of fibromyalgia health status

The purpose of the present study was to examine the effects of smoking, stress, and depression on fibromyalgia health status. Fibromyalgia syndrome (FMS) is a chronic musculoskeletal pain condition that negatively affects health status. Health status is not only affected by the constellation of physical symptoms, but also by mood symptoms, stress levels, and patient behaviors (e.g. smoking). Participants were 491 individuals with a physician’s diagnosis of FMS. They completed self-report measures of their current levels of depression, stress, the number of cigarettes smoked per day, and health status. A linear regression analysis was conducted to determine whether these measures predicted FMS health status. All three measures predicted worse health status, predicting 51.5% of the variance in health status. However, it is important to evaluate and treat more than just the physical symptoms of FMS. Attention should also be paid to mental health status and to engagement in unhealthy behaviors in order to reduce their effects on FMS health status. Future researchers should design and evaluate interventions that target these modifiable risk factors to determine the extent to which they could improve health outcomes.     

Counseling in Zimbabwe: History,Current Status,and Future Trends

Counseling in Zimbabwe has a long tradition, dating back to pre‐Colonial times. In the modern context, counseling has evolved through the educational and health care sectors. Since the 1990s, Zimbabwean counselors have advocated for professional recognition, a struggle similar to that of counselors in the United States. In this article, the authors provide a historical view of counseling in Zimbabwe, discuss the current status of and future trends in counseling, and make recommendations for the advancement of the profession.     

Perceptions of pain and perceptions of health

Perceptions of pain and perceptions of overall health status are complex phenomena. While logically and empirically linked, the direction of influence between the two is uncertain. Is pain one among the many indicators people take into account as they evaluate their general health status? Or are global health perceptions stable aspects of experience which underlie and color more transient experiences such as pain? These are especially interesting questions given recent evidence regarding the power of subjective health assessments in mortality prediction. The relationship between pain and perceptions of health was examined in a sample of 200 randomly selected clients of an outpatient rehabilitation center. Respondents were given a complete musculoskeletal examination by their physician followed by an extensive arthritis pain assessment administered by the staff nurse; instruments used were from the U.S. Public Health Service National Health and Nutrition Examination (NHANES-I). Other data collected by self-report included symptoms elicited by a body systems review, diagnosed chronic disease, functional disability, self-ratings of global health, evaluations of past and future health, and demographic factors. Regression analysis showed that (1) pain had an independent effect on self-perceptions of health net of other health status covariates, (2) self-perceptions of health had an independent effect on pain net of other health status covariates, (3) individuals who evaluated both their past and future health as poor reported more present pain, and (4) individuals who felt their health would be worse in the future reported poorer present health. Findings show that reports of present pain and present global health status were linked to each other and that the sense of an overall health trajectory influenced the interpretation, evaluation, and reporting of current states, both specific and general.     

Attributes of Suicide in Females

Long-term trends in suicides among females were investigated using data from Sacramento County, California. Of the 3,741 cases, 3,398 were Caucasian and 952 (25.4 percent) were females. These analyses focus on 837 Caucasian and Hispanic females. Female suicide rates in Sacramento County have increased gradually since 1925 with a corresponding decline in the male/female sex ratio. The suicide data suggest that a minimum of three types of female suicides can be identified and that the incidence of each type varies with the age of the women. Indicators that help in identifying cases and in tentatively describing an etiology include marital status, employment status and occupation, physical ill health, familial loss or disruption, and psychiatric symptoms.     

Responding to the Crisis in Children's Mental Health: Potential Roles for the Counseling Profession

Mental health concerns pose a substantial threat to the immediate and future health of children and their functioning at home, at school, and in the community. Research indicates that 1 in 5 children has a diagnosable mental or addictive disorder and 1 in 10 has a serious emotional disturbance. This review considers emerging trends, national initiatives, and the roles of related professions in responding to the crisis in children's mental health. Recommendations are offered for counseling practice, training, leadership, and research.     

We used to say “Zei gezunt!” (Be well!): Do American Jews still exhibit distinctive health behaviors?

ABSTRACT

A survey that includes a representative sample (n = 3,219) of older persons (age 60+) living in the Philadelphia area was used to determine if health status and health behaviors of older Jews differ from that of non-Jews. The survey includes questions about health status and health behaviors as well as sociodemographic characteristics. Responses of self-identified Jews, Catholics, and Protestants were compared. With only two exceptions there were no differences between Jews and non-Jews on questions about health status. In regard to health behaviors, Jews were more likely to follow standard recommendations such as seeing their physician on a regular basis or yearly screenings for certain cancers. We completed stepwise regressions with measures of socioeconomic status entered first and then Jewish status, as socioeconomic status is closely associated with health outcomes. Being Jewish continued to explain differences in health behaviors even when controlling for socioeconomic status. We also looked at the relation between attending religious services and health behaviors. Self-rated health was correlated with attendance for Protestants and for Catholics; it was not correlated with self-rated health for the Jews. All findings suggest the need for further study of the reason for the relation of health behavior to being Jewish.     

Mixed-Design Training Outcomes for Fellows Serving At-Risk Youth Within Integrated Care Settings

We used an exploratory mixed-methods design with single-case comparative analysis and analysis of covariance to evaluate the potential effectiveness of an interprofessional clinical training in a mental health counseling program. Initial findings indicate those engaging in specialized learning experiences that attended to critical aspects of youth behavioral health care experienced benefits with regard to their professional development, interprofessional socialization and valuing, and counseling self-efficacy. Implications for the usefulness of trainings focused on interprofessional experiences are framed in relation to professional trends concerning integrated health care.     

Health psychology: what will the future bring?

This commentary highlights several important themes and trends in this series of articles focusing on the future of health psychology. First, the challenges posed by changes in populations will only be met if health psychologists can develop a contextual competency. Second, with increasing evidence for the efficacy of health psychology interventions comes heightened interest in testing the effectiveness of these interventions. Third, issues of cost-effectiveness of health psychology will become increasingly important. Fourth, the growing integration of technological advances (e.g., telehealth, the Internet) into health psychology has major implications. Finally, the numerous changes outlined in this series of articles will demand that health psychologists extend and refine their theoretical models including the biopsychosocial model.     

International Counseling Introduction

The growth of counseling around the world is one of the major and most exciting emerging trends in the counseling profession. Although it was once thought to be primarily a U.S. phenomenon, other countries located on virtually every continent are developing counseling services to meet their unique mental health needs. The globalization of communication technology, transportation systems, and business has stimulated the initiation and growth of governmentally and privately sponsored mental health programs. Many nations throughout the world recognize that positive mental health is a valuable social/economic asset regardless of a country's political orientation.     

Women and Aging: A Futurist Perspective

Many of the inequities characteristic of the female position tend to crystallize in older age. Under the assumed continuation of trends involving family life, reproductive freedom, sexuality and labor force participation, aging women of the future may find improvement with respect to personal status and socioemotional rewards. However, incipient counter trends, made strong by religious conservatism, must be noted. Should such counter trends gain in strength, the lot of aging women of the future may be but a version of the status quo ante .     

Subjective perception of health in elderly inpatients

There is evidence that subjective health is an important variable in general health outcomes. It can be an indicator of the individual's overall health status, creating a reliable and valid estimate about health. Quality of life (QoL) assessment can be associated with the individuals' subjective assessment of their own health status. The aim of the present study was to investigate variables associated with subjective perception of health in older inpatients. Ninety elderly inpatients over 60 years old were interviewed. The perception of health assessment (healthy/unhealthy) allocated elders in either of two groups. All the elders answered sociodemographic questions, the WHOQOL-100 and the Beck Depression Inventory (BDI). Comparing the group that considered themselves unhealthy to the other group, the former showed a tendency of worse QoL assessments in five out of six domains investigated. Significant differences were found for the physical and level of independence domains, as well as overall QoL. There was a significant association between health perception and lower intensity of depressive symptoms, as well as better QoL perception in the level of independence domain. This study shows the existence of an association between depressive symptoms and health assessment. It also suggests that the independence dimension is important in the elders' perception of their health status. These findings can help identify cause-effect relations between variables in aging studies involving health indicators and bring new intervention proposals for the elderly.     

Does Life Satisfaction Determine Subjective Health?

The majority of previous studies on life satisfaction and health status were conducted in the advanced developed countries, while less attention has been focused on transitional countries, especially those in Central Asia, the Caucasus, and the Balkans. This study is among a very few studies that focused on the regions which faced on the prolonged economic and political crisis during the transition. Drawing on comparable data from 28 transitional countries in Eastern and Central Europe, the Caucasus, the Central Asia, and Turkey, we quantify the effect of self-reported life satisfaction on the self-reported health status of the population. To rule out reverse causality and to reduce estimation biases, we employed simultaneous equation models with instrumental variables. Two models used standard simultaneous equation regression (2SLS) and bivariate ordered probit regression (bioprobit) for categorical ordered variables. Our main finding is that, regardless of the model used, higher levels of life satisfaction determine higher health status. The mechanisms regarding the effects of life satisfaction on health are discussed. Future researchers are encouraged to include life satisfaction in their analyses of health status. From a methodological standpoint, we demonstrate that a strong endogeneity exists between life satisfaction and health status, regardless of the models used. Ignoring endogeneity and estimating a single stage regression model with life satisfaction and health status will likely lead to biased results.     

Relationships between locus of control,health value,and preventive health behaviors among women

This study examines the relationships between locus of control expectancies, rated health value, and reported participation in preventive health behaviors among a healthy sample of undergraduate women. The prediction that participation in preventive health behaviors would be a joint function of an internal health-related locus of control belief and holding health in high value was not supported. Instead, individuals who valued their health reported participating in a greater number of health-enhancing behaviors compared to those who valued their health less. Respondents' scores on a health value scale in combination with their rated health status proved to be better predictors of health behaviors than their locus of control beliefs. Limitations of locus of control research with young, healthy individuals are discussed and further investigation into the utility and validity of health value scales is recommended.     

Emotional Reactions to Health Status Changes and Emotional Well-Being Among HIV-Positive Persons with Limited Reading Literacy

People living with HIV-AIDS experience emotional distress in response to negative changes in their health status. The current study hypothesized that individuals with poorer health literacy skills would evidence greater emotional distress in response to negative changes in health status compared to persons with higher health literacy skills. HIV positive persons (N = 294) completed anonymous surveys that included measures of depression and social support and a subset of 98 participants completed two experimental vignettes depicting a person receiving test results showing an increase in HIV viral load (negative health changes) followed by a vignette suggesting decreased viral load (improved health changes). Responses to affective reactions and coping strategies indicated that persons with lower health literacy skills more strongly endorsed negative affective states and maladaptive coping strategies compared to persons with higher health literacy skills. In addition, lower health literacy was associated with greater symptoms of affective depression and poorer social support, whereas higher literacy was associated with greater negativistic thinking. Findings suggest the need for patient education and counseling regarding changes in health status among people living with HIV-AIDS, particularly persons with limited health literacy skills.     

Long Term Outcomes to Family Caregiver Empowerment

The Vanderbilt Caregiver Empowerment Project evaluated a training program designed to enhance empowerment of caregiver and their subsequent involvement in the mental health treatment of their children. The intervention utilized a multi-component parent training curriculum that was designed to enhance: (a) knowledge of the service system; (b) skills needed to interact with the mental health system; and (c) the caregiver' s mental health services self-efficacy designed to improve caregivers beliefs in their ability to collaborate with service providers. The resulting increased empowerment was hypothesized to increase caretaker involvement, which should affect service use and ultimately the mental health status of the child. A randomized design was used to test the effectiveness of this model with caregivers of children receiving mental health services. The results one-year after the training replicated the intermediate outcomes of the project conducted 3-months after the training. The initial training continued to significantly influence the parent's knowledge and mental health services self-efficacy. However, the intervention had no effect on caregiver involvement in treatment, service use or the mental health status of the children.