Pathways to vocational services: factors affecting entry by veterans enrolled in Veterans Health Administration mental health services

The current study provides naturalistic data documenting the pathways-to-care to vocational services for 155 veterans who were receiving some form of mental health care from the Veterans Health Administration and had a vocational need but were not currently enrolled in vocational services. Of the participants, 94.2% had recognized their vocational need, 80.6% reported that they or someone else had sought help to alleviate the need, and 77.4% had previously received some form of vocational services. The median length of the participants' vocational need was more than 4.2 years. Delays associated with recognition, help-seeking, and treatment entry all contributed to the overall delay in entering appropriate care. Filtering factors associated with quicker recognition, seeking help, and receiving services included diagnosis, level of disability, type of vocational need, and support from primary providers, family, and friends. The results provide information for designing interventions to improve service entry by adults with mental health problems and vocational needs.     

People with intellectual disabilities on probation: an initial study

The two studies in this paper aim to investigate the prevalence and characteristics of people with intellectual disabilities in the probation service in England. Study one screened the abilities of a sample of 70 probationers in one single probation service. Study two compares a sub‐set of these to an equal number of control participants in order to further investigate the characteristics of those with intellectual disability on probation. Nearly 6% of service users appeared to have an intellectual disability, and 11% fell into the bottom 5% of the general population in terms of their intellectual and social functioning. We conclude that a significant minority of those in the probation service have an intellectual disability or similar needs. Copyright © 2002 John Wiley & Sons, Ltd.     

Screening for intellectual disability in Dutch police suspects

The screener for mild intellectual disability (SCIL) was developed to screen for mild intellectual disability (IQ below 85). The aims of this study were (a) to examine the predictive validity of the SCIL in screening for intellectual disability among police suspects and (b) to explore the prevalence of cognitive intellectual disability among suspects in police custody in the Netherlands. An unselected sample of police suspects (N = 178) charged with a variety of offences was assessed with the SCIL, a Wechsler Adult Intelligence Scale (WAIS)‐III‐NL short form, and a malingering measure. The SCIL screened 50.0% of the sample as having mild intellectual disabilities, whereas the short WAIS classified 84.3% of the sample with an IQ below 85. A principal component analysis of the SCIL showed ambiguous results. Furthermore, the short WAIS classified 55.6% of our sample with a borderline IQ (IQ = 70–84), 84.3% with an IQ below 85 and 28.7% with an IQ below 70. The prevalence of intellectual disability in this sample of Dutch (police) suspects appears to be higher than prevalence rates found in previous international studies. More exhaustive research is needed to examine the prevalence of intellectual disabilities in police suspects, and the utility of the SCIL to screen for these disabilities.     

Social validity assessment of behavior data recording among human services care providers

Care providers within human services organizations have many job responsibilities and performance expectations. In the present study, we conducted social validity assessment with 78 care providers concerning their attitudes and opinions about behavior data recording with adults who had intellectual disability and lived in community group homes. Specifically, the care providers responded to a written questionnaire that inquired about the practicality, training/supervision, and value of behavior data recording in the context of service delivery. Results indicated generally high approval of behavior data recording practices, purposes, and approaches to training. We discuss implications of these findings for implementing data recording by care providers and the contribution of social validity assessment to training and performance management within human services organizations.     

Domain specific effects of central traits in impression formation

In a procedure similar to that used in Asch's classic studies in 1946, 125 college students (54 men and 71 women, Mage=20.9 yr., SD=4.8) rated their impression of a hypothetical man or woman who was described by seven stimulus traits. This list included one of four central traits which appeared in the middle of the list: warm, cold, serious, or foolish. The dependent measures were factor scores derived from participants' ratings of 20 traits on social desirability and intellectual desirability. As hypothesized, warm and cold, prototypes of social desirability and undesirability, were associated with judgments of social but not intellectual desirability, and serious and foolish, prototypes of intellectual desirability and undesirability, were associated with judgments of intellectual but not social desirability. In addition, there was evidence of a subtle sex bias: ratings of "foolish" women were higher on social desirability than ratings of "foolish" men.     

An Ecological Approach to Reducing the Social Isolation of People With an Intellectual Disability

An ecological approach to understanding insecure attachments and social isolation among people with an intellectual disability is constructed using Gibson's (1979/1986) affordance-based theory. Although environmental affordances and individual limitations interact to limit the development of social competence, we believe that by focusing on the immediate environment, community-based approaches to helping people with an intellectual disability are often ignored, which increases the burden on individual caregivers. A more comprehensive strategy, which extends Gibson's theory of affordances, allows us to consider how higher level social systems influence the immediate environment and provides the context for understanding why successful change occurs when a multifaceted, holistic approach that works on several levels is adopted. Examining these systems within an ecological framework fundamentally redefines our thinking by shifting the focus from a person's disability to a more nuanced understanding of a person's abilities within the context of appropriate environmental supports in which the person's disability becomes less salient.     

Perception of homosexuality among Turkish university students: the roles of labels, gender, and prior contact

The author examined three questions: (a) What constitutes participants' causal attributions for the labels "gay," "lesbian," and "homosexual"?; (b) Do participants' attitudes vary by labels?; and (c) Do participants' attitudes vary with previous social contact with homosexuals? Participants were 334 university students (140 women, 194 men). Three labels--"gay," "lesbian," and "homosexual"--served as probes. The author investigated participants' attributions toward causes of homosexuality with Principal-Component Analysis (PCA) and obtained 4 components: disorder, problems, modeling or sensation seeking, and preference. The author found the most negative attitudes toward the label "gay." Finally, participants who had previous contact with homosexual people held more positive attitudes toward homosexuality than did the others. The author also obtained some gender differences. The author discussed the results in the light of the current literature.     

Effects of Seeking Accommodation and Disability on Preemployment Evaluations

Within the context of the Americans With Disabilities Act (ADA) of 1990, we examined the impact of requesting accommodation and having a disability on ratings of applicant suitability for employment. Psychology students and human resources (HR) professionals reviewed application materials from a hypothetical job candidate and then evaluated the candidate's qualifications for the job. Participants were randomly assigned to 1 of 5 conditions that consisted of a candidate seeking or not seeking accommodation partially crossed with disability type (none, physical, or psychiatric). Three potential covariates were considered: HR employment status, and knowledge of and attitude toward the ADA. Results showed that asking for reasonable accommodation lowered suitability ratings, even when controlling for HR employment status, the only significant covariate. Also, a candidate with a psychiatric disability was given significantly lower employment suitability ratings than was a candidate with no disability. Implications for applicants with disabilities and employers are discussed.     

Interpersonal consequences of social anxiety

The behavioral manifestations of social anxiety may have implications for social outcomes. Unfortunately, little is known about how anxiety shapes social interaction. The present study examined social interactions in dyads consisting of either 2 nonsocially anxious (NSA) individuals or 1 socially anxious (SA) and 1 NSA individual. Behavior, self-reported affect, and perceptions were examined. In comparison with the interactions of NSA pairs, high levels of fidgeting, poor reciprocity of smiling behavior, more self-talk, and more frequent reassurance seeking and giving characterized interactions between SA and NSA participants. Both SA participants and their NSA partners rated their interactions as being less smooth and coordinated than did participants in NSA-NSA dyads. In addition, SA participants' reassurance seeking and self-talk correlated negatively with partner positive affect and perceptions of interaction quality. The authors discuss self-focused attention and the interpersonal consequences of social anxiety.     

Authoritative Parenting of Chinese Mothers of Children with and without Intellectual Disability

The present study examined authoritative parenting and associations with parenting sense of competence and social support in Chinese mothers of children with intellectual disability and mothers of typically developing children. One hundred and sixty-seven mothers of children with intellectual disability with a mean age of 10.89 years (SD?=?1.74) and 119 mothers of typically developing children with a mean age of 10.55 years (SD?=?1.10) participated in a survey. Mothers of children with intellectual disability reported similar levels of parental warmth, and less use of reasoning and autonomy support compared with mothers of typically developing children. Parenting efficacy contributed uniquely to three dimensions of authoritative parenting for mothers of children with intellectual disability. By comparison, parenting efficacy did not contribute to use of reasoning and autonomy support for mothers of typically developing children. Social support made a unique but small contribution to parental warmth but not to parental reasoning and autonomy support for mothers of children with intellectual disability. For mothers of typically developing children, social support was associated with both parental warmth and autonomy support. This study suggests that child disability status is related to maternal authoritative parenting, and additionally, parenting efficacy plays a more critical role in predicting authoritative parenting of Chinese mothers of children with intellectual disability than mothers of typically developing children.     

The sounds of social life: a psychometric analysis of students' daily social environments and natural conversations

The natural conversations and social environments of 52 undergraduates were tracked across two 2-day periods separated by 4 weeks using a computerized tape recorder (the Electronically Activated Recorder [EAR]). The EAR was programmed to record 30-s snippets of ambient sounds approximately every 12 min during participants' waking hours. Students' social environments and use of language in their natural conversations were mapped in terms of base rates and temporal stability. The degree of cross-context consistency and between-speaker synchrony in language use was assessed. Students' social worlds as well as their everyday language were highly consistent across time and context. The study sheds light on a methodological blind spot--the sampling of naturalistic social information from an unobtrusive observer's perspective.     

Les travailleurs handicapés sont-ils perçus comme des travailleurs compétents ?

Building on recent research in the area of social judgment, this paper examines how persons with disability are evaluated in a professional context. In three studies, participants without disability had to rate persons with or without disability, with or without a job, on traits reflecting the fundamental dimensions of social judgment (social desirability and social utility). Our results showed that persons with disability were systematically judged more negatively on social utility, but more positively on social desirability than persons without disability. Focusing on social utility, persons with disability were perceived as less competent, but more courageous than persons without disability. These results are discussed with regard to chances of persons with disability to succeed in the workplace.     

Caring for children with an intellectual disability: An exploratory qualitative study

This study explored family caregiver experiences of children with an intellectual disability in a rural South African day-care centre. The family caregivers (N = 15; mothers = 60%; age range = 35 to 68 years) completed in-depth interviews regarding their experiences providing care to children with intellectual disability. Data collection and analysis was done using phenomenological methods. The following themes emerged to characterise the family caregiver experiences: deeper understanding of intellectual disability; disability disclosure conditions; and social and economic support needs. Family support emerged as an important factor in the relationship between caregivers’ psychological stress and well-being.     

Disciplinary sanctioning of students with intellectual disabilities: revisiting the status liability hypothesis

We examined the impact of disability status on disciplinary sanctioning of a student committing a minor versus severe behavioral infraction. We used the status liability hypothesis as a framework. This hypothesis suggests that individuals with a higher personal status receive sanctioning differentially based on the severity of offense. Specifically, individuals of high status are predicted to be sanctioned less severely than persons with lower status given a minor offense. The hypothesis also predicts that individuals accorded high status will receive more punitive sanctioning when the act of deviance from social norms is perceived as severe. Pre-service teachers were randomly assigned to judge the behavior of a student with or without an intellectual disability committing a behavioral offense. A student with an intellectual disability was seen as influenced by dispositional factors, regardless of the offense, while a student without a disability who committed a minor offense was seen as influenced by situational factors. The behavior of a student with an intellectual disability was judged as less severe, and the student was 50% less likely to incur an in-school suspension. When a student with an intellectual disability was sanctioned, the length of suspension was equal to that of a student without a disability.

The cognitive profile of Sotos syndrome

Sotos syndrome is a congenital overgrowth disorder, associated with intellectual disability. Previous research suggests that Sotos syndrome may be associated with relative strength in verbal ability and relative weakness in non-verbal reasoning ability but this has not been explicitly assessed. To date, the cognitive profile of Sotos syndrome is unknown. Cognitive abilities of a large and representative sample of individuals with Sotos syndrome (N = 52) were assessed using the British Ability Scales (BAS3). The majority of participants had intellectual disability or borderline intellectual functioning. The cluster score profile analysis revealed a consistent verbal ability > non-verbal reasoning ability profile. Four specific criteria were proposed as the Sotos syndrome cognitive profile (SSCP): verbal ability > non-verbal reasoning ability; quantitative reasoning T-score or matrices T-score <20th percentile; quantitative reasoning T-score < mean T-score; recognition of designs T-score or recognition of pictures T-score > mean T-score. Of the 35 participants included in the profile analysis, 28 met all four SSCP criteria, yielding a sensitivity of 0.8. The sensitivity of each of the SSCP criteria was >0.9. Individuals with Sotos syndrome display a clear and consistent cognitive profile, characterized by relative strength in verbal ability and visuospatial memory but relative weakness in non-verbal reasoning ability and quantitative reasoning. This has important implications for the education of individuals with Sotos syndrome.     

Substance use among Iranian psychiatric inpatients.

This study evaluated substance use among a sample of 205 psychiatric inpatients (70 women and 135 men) chosen randomly. The subjects (who had schizophrenia or mood disorders) were evaluated on a confidential questionnaire by interview. Their mean age was 35 yr. (SD= 10.4, range 16 to 69). Of these participants, 76% of the 135 men and 34% of the 70 women admitted use of substances: cigarettes (74% of men, 31.4% of women), opiates (31.9% of men, 4.3% of women), alcohol (23.7% of men, 4.3% of women), hashish (8.9% of men, no women), marijuana (3.7% of men, no women), and cocaine or LSD by none. Only 27% of the women and 63% of the men reported still using substances regularly; some reported using more than one substance. Of the current users, 61.8% of the schizophrenics, 20% of unipolar depressed, and 37.5% of bipolar patients reported current use. The reasons for substance use in order of frequencies of mention were release of tension, seeking pleasure, and need (to avoid withdrawal symptoms) by men and habit, seeking pleasure, and need by women.     

Spontaneous prejudice in context: variability in automatically activated attitudes.

The goal of the research reported in this article was to examine whether automatic group attitudes and stereotypes, commonly thought to be fixed responses to a social category cue, are sensitive to changes in the situational context. Two experiments demonstrated such variability of automatic responses due to changes in the stimulus context. In Study 1 White participants' implicit attitudes toward Blacks varied as a result of exposure to either a positive (a family barbecue) or a negative (a gang incident) stereotypic situation. Study 2 demonstrated similar context effects under clearly automatic processing conditions. Here, the use of different background pictures (church interior vs. street corner) for Black and White face primes affected participants' racial attitudes as measured by a sequential priming task. Implications for the concept of automaticity in social cognition are discussed.     

A Randomized Controlled Trial of Group Stepping Stones Triple P: A Mixed‐Disability Trial

Stepping Stones Triple P (SSTP) is a parenting program designed for families of a child with a disability. The current study involved a randomized controlled trial of Group Stepping Stones Triple P (GSSTP) for a mixed‐disability group. Participants were 52 families of children diagnosed with an Autism Spectrum Disorder, Down syndrome, Cerebral Palsy, or an intellectual disability. The results demonstrated significant improvements in parent‐reported child behavior, parenting styles, parental satisfaction, and conflict about parenting. Results among participants were similar despite children's differing impairments. The intervention effect was maintained at 6‐month follow‐up. The results indicate that GSSTP is a promising intervention for a mixed‐disability group. Limitations of the study, along with areas for future research, are also discussed.     

Body image and exercise: A study of relationships and comparisons between physically active men and women

A group of physically active women (n=112) and men (n=88) of a broad range of ages were compared on a number of variables related to body image, weight and diet concerns, and degree of exercise participation. Interrelationships between these measures were also examined. Results indicated that men and women were equally dissatisfied with their current weight. Although most women wanted to lose weight, the men were evenly divided between those who wanted to lose and those who wanted to gain. Women, however, were more dissatisfied with their bodies and placed greater importance on their appearance as an influence on their feelings of well-being. Although there were no sex differences in degree of physical activity, women were more likely than men to exercise to try and lose weight. Of interest was the finding that age was not related to body focus or body dissatisfaction for either sex. For women and older men, the degree to which they exercised was not associated with any of the body image variables. A very different pattern of relationships was found for young men. Greater body satisfaction was associated with increases in exercise participation and with increased body focus, a variable that was also associated with increased levels of exercise. The profile of results is considered in the context of social influences such as health promotion and sex roles — factors that have likely affected current attitudes to physical appearance and physical attractiveness among both sexes.     

Victimisation and Social Vulnerability of Adults with Intellectual Disability: Revisiting Wilson and Brewer (1992) and Responding to Updated Research

In the late 1980s police were concerned about the potential impacts of moves to close institutions housing people with mental health problems and intellectual disability. This concern resulted in a project designed to measure incidence of criminal victimisation among the latter group: face‐to‐face interviews were undertaken with 174 sheltered workshop attendees. This study highlighted the significantly heightened risk of the group for both personal and property crime and we undertook subsequent work in an attempt to identify variables that impacted upon vulnerability. The review of research extending beyond Wilson and Brewer indicated that the results were not isolated to this initial study. The paper reflects on the review to discuss research and other the activities in this area that have followed subsequently. Although advances have been made in the collection of data, and both criminal justice and social services have been encouraged to take note of this group's vulnerability, the challenge of decreasing criminal victimisation clearly remains. The nature and complexity of this challenge is described.