Changing roles for the school mental health professional

Draws on the experience of an innovative school mental health project, emphasizing early detection and prevention of school adjustment problems, to describe emergent, needed roles for school psychologists. The later include: systematic screening of primary graders and parent interviewing to further early detection; consultation with teachers and other school personnel; and recruitment, training, and supervision of nonprofessional help-agents. Such roles bring early effective services to many children, in ways that optimize their educational and personal development.     

Managed mental health care and professional compensation

Managed care and organized systems of care are restructuring the delivery of care in the United States. As care is reorganized, physician practice styles, autonomy, and compensation are undergoing profound changes. To successfully integrate physicians into the new managed systems of care, their organizational relationship to and their compensation within these systems must be carefully considered. This paper first explores physician motivation as it is related to compensation. The paper then describes a variety of emerging organizational designs aimed at aligning the interests of physicians and hospitals. The author considers fully integrated, physician-hospital organizations with target income compensation arrangements to be most suitable to the collective success of professionals and organized systems of care. The paper concludes with a discussion of the many dilemmas and challenges posed by the intertwining of managed care, organized networks of care, and professional compensation.     

Modeling as an infant mental health intervention

Within the context of family therapy focused on the behavioral problems of a six year old, several observations of inappropriate interactions between the parents and their infant concerned the therapist. In consultation with an infant specialist it was decided that the therapist would avoid identifying parent-infant interactions as a further problem and would, instead, begin to model appropriate interactions during the on-going therapy sessions. The infant, initially passive, began to respond to the therapist and gradually the parents became more appropriate in their interactions with their infant. It was concluded that the modeling process minimized the stress and eliminated the need to process feelings of anger and guilt often associated with professional identification of family problems.     

Mental health matters: a multi-family framework for mental health intervention

This paper reports a collaborative project, developed jointly by a group of community mental health workers in association with a specialist team commissioned to initiate family work throughout a central London mental health provider. The result of this project – The 'Mental Health Matters Workshops'– was a series of day workshops for patients who had experienced a major mental illness, and their families, carers and mental health workers. The positive impact of the workshops on attenders is reported, as well as the development of a 'multi-family' and social network culture.     

The Sabbath and mental health intervention: Some parallels

This paper attempts to draw analogies between the Sabbath and certain mental health interventions. These interventions are derived from a family centered education program developed by the author for teachers and student and related to social group work. Five interventions characterizing this program were extracted and compared with Abraham Joshua Heschel's philosophy of the Sabbath: simulation, here-and-now emphasis, private reflection, emphasis on process, and positive feedback. The author concludes that both the Sabbath and family centered education oriented interventions should reinforce a deeper understanding and appreciation of one another.Joseph H. Golner, Ed. D., is in the private practice of clinical social work at 15 Elwell Road, Jamaica Plain, Massachusetts.     

中国人心理健康素养干预效果的元分析

本研究遵循PRISMA-Protocol, 运用元分析的技术, 以心理健康素养的知识、污名态度和求助为结果变量, 考察干预效果及影响因素, 以期为更高效地提升心理健康素养提供参考。元分析共纳入38项研究。结果发现：干预对知识、污名态度和求助的即时效果量达到显著的中到大的效果(知识：g = 0.70, 污名态度：g = -0.52, 求助：g = 1.18)。亚组分析结果表明：心理健康素养的干预效果受地域、被干预者类型、干预中的互动与接触以及试验类型等多个变量的影响。后续研究应进一步探索心理健康素养的调节变量, 并结合中国文化, 制定针对不同干预对象的个性化干预方案, 以提升干预效益。     

The use of mental health professional consultants to police hostage negotiation teams

Three hundred law enforcement agencies in the United States that employ a negotiator in hostage incidents responded to a survey regarding the use of mental health professionals as consultants to the negotiation team. Thirty-nine percent of the agencies with a negotiator use a mental health professional consultant to the negotiation team. Police agencies that use a mental health professional as a consultant on negotiation techniques reported more hostage incidents ending by negotiated surrender and fewer hostage incidents ending by tactical team assault and arrest of the perpetrator. Also, police agencies that use a mental health professional as a consultant on the assessment of the perpetrator reported fewer hostage incidents resulting in the serious injury or death of a hostage. Although these results are only correlational, they raise the possibility that the use of mental health professionals as consultants to police hostage negotiation teams may decrease the risk of hostage injury and death.     

Interaction with the United States Secret Service: Views of a mental health professional

Following a 1981 conference on Behavioral Science and the Secret Service, the author and his colleagues worked with the Service in a number of capacities. This paper summarizes their experience, with particular reference to the mentally ill threateners that come to the attention of the Secret Service. This experience offers one model for interaction between the Secret Service and a mental health agency, keeping clear the different roles of each.     

Crisis for community mental health: The use of groups in the struggle for survival

The task of community mental health is to provide quality services to clients despite funding cutbacks. This paper describes the recent evolution in conceptualization and service delivery in one center. The outcomes are a philosophy that is customer oriented, and treatment that draws upon brief techniques, in group and long term contexts.     

Crisis intervention techniques for the minister

Pastoral Psychology -     

Dynamic orientation cues decrease the viewpoint cost of mental rotation

Mental rotation, as a covert simulation of motor rotation, could benefit from spatial updating of object representations. We are interested in what kind of visual cue could trigger spatial updating. Three experiments were conducted to examine the effect of dynamic and static orientation cues on mental rotation, using a sequential matching task with three-dimensional novel objects presented in different views. Experiment 1 showed that a rotating orientation cue with constant speed reduced viewpoint costs in mental rotation. Experiment 2 extended this effect with a varied-speed rotating orientation cue. However, no such benefit was observed with a static orientation cue in Experiment 3. These findings indicated that a visually continuous orientation cue is sufficient to elicit spatial updating in mental rotation. Furthermore, there may be differences in the underlying mechanisms of spatial updating on the basis of constant-speed rotating cues and varied-speed rotating cues.