Concordance Between Parent Reports of Children's Mental Health Services and Service Records: The Services Assessment for Children and Adolescents (SACA)

The concordance between parent reports of children's mental health services and medical and administrative service records were assessed in a field test of the Services Assessment for Children and Adolescents (SACA) interview instrument. Service use reports from primary caregivers, usually mothers, for their child's emotional or behavioral problems were compared against inpatient, outpatient, and school records in St. Louis, one of the pilot sites for the Multi-Site Study of Service Use, Need, Outcomes and Costs in Child and Adolescent Populations (UNOCCAP). A global any use service variable, comprised of inpatient, outpatient, and school reports, yielded an overall service use concordance kappa of .76 between parent reports and records. Parent reports of inpatient hospitalization services using the SACA yielded the highest agreement with medical records, with kappa statistics of 1.00 for use of any inpatient hospital care and for medication use. Parent reports of specific inpatient services concurred with medical records more moderately, yielding kappas from .50 to .66. Reports of any outpatient mental health services yielded variable rates of agreement, with kappas ranging from .67 for any use of outpatient care, to .66 for medication use, to negligible kappas for specific treatments. Parent reports of school services were weakly related to records for most services, except for moderate agreement (.48) on placement in special classrooms for emotional or behavioral problems. Family burden or impact discriminated more powerfully than other variables between respondents who concurred with records and those who did not.     

The Iowa Infant Feeding Attitude Scale: Analysis of Reliability and Validity1

Development of the Iowa Infant Feeding Attitude Scale (IIFAS) is described. In Study 1, a set of 17 items was selected on the basis of responses by 125 postpartum women. Analyses of the reliability and validity were then conducted. In Study 2, these analyses were replicated using data from an independent sample of 130 postpartum women. Study 3 involved an analysis of the ability of scores on the IIFAS to predict duration of breast-feeding among a sample of 725 women who had initiated that method of feeding their babies while in the hospital. Limitations of this research and possible future uses of the IIFAS in studies addressing the determinants and consequences of infant-feeding attitudes are discussed.     

Intergroup contact between professional groups: Two evaluation studies

We report two studies which evaluate practically-oriented programmes of interprofessional contact involving doctors and social workers. The evaluation is based on the ‘contact hypothesis’ in intergroup relations, and highlights four sets of dependent measures: background perceptions, ingroup and outgroup ratings, knowledge, and judgements about work with outgroup partners and experienced contact. Consistent with the contact hypothesis, both studies revealed an improvement in outgroup attitudes, evidence of mutual intergroup differentiation (acknowledged superiority of ingroup and outgroup on independent dimensions), and increased outgroup knowledge. Greater change in Study 2 is interpreted in terms of its longer duration, and the opportunity it provided for contact with multiple outgroup members, compared with a single outgroup partner in Study 1. These findings from field studies are consistent with results from published laboratory experiments.     

The logical and empirical bases of conservation judgements

It is argued that conservation judgements are based on a particular combination of logical necessity and empirical belief. The empirical belief is that a given transformation will not alter a particular quantity (Elkind's conservation of identity). The logical aspect is a transitive deductive argument containing an initial equivalence of two quantities and the conservation of identity belief as premises which lead to the conclusion of maintained equivalence (Elkind's conservation of equivalence). In two experiments, it is shown that conservation of identity beliefs can be manipulated in subjects who have long since developed the capacity for transitive deductive inference. Untrained 10 year olds were unaware of how sublimation acts to alter certain quantities over particular transformations of shape. And untrained adults incorrectly believed that both the area and perimeter of a closed figure would be conserved over transformations which elongated the figure. Both groups of subjects could be trained in the correct conservation of identity beliefs and this affected their conservation of equivalence judgements in predicted ways. It is suggested that the locical aspect of conservation is developmentally stable and that the empirical aspect varies widely across problems and individuals because of its dependence on relevant experience.     

BEHAVIOR ANALYSIS OF MOTION CONTROL FOR PEDIATRIC NEUROIMAGING

Magnetic resonance imaging is a promising technological advance used for research and diagnosis of disease. The procedure has no risks, except when uncooperative patients require sedation. Four normal children participated in simulated scans to study the effects of (a) antecedent changes in the imaging environment and (b) operant conditioning of movement inhibition. Changing the environment can decrease movement, but operant contingencies were necessary to decrease movement to a level that, in most cases, would allow the procedure to occur without sedation.     

The Effects of a Learning Station on the Completion and Accuracy of Math Homework for Middle School Students

We studied the effects of a Learning Station on the completion and accuracy of math homework of middle school students who had chronic homework problems. The Learning Station was a three sided free-standing panel with theoretically and empirically-based components involving (a) stimulation (color, music, activity breaks, and choice) and (b) self-attention (mirror and self-monitoring). Two students who used the Station tripled their accuracy and the amount of homework completed as assessed in a multiple baseline across participants design. One student with high academic abilities elected not to use the intervention, because he worked quickly (albeit carelessly) at school to complete his homework during baseline and during intervention. The practical and research implications of the findings are discussed.     

Accessing semantic knowledge in dementia: evidence from a word definition task

We examine production of word definitions by people with probable Alzheimer's disease (pAD). In the first experiment, healthy young adults defined concrete, imageable nouns to provide a baseline of definitional ability. Analysis of these definitions identified the key defining features of each target item. In the second experiment, pAD participants and elderly controls produced definitions of the same items. In the third experiment, healthy young participants rated the adequacies of these definitions. Although as expected the pAD participants produced fewer good definitions than the other two groups, most of their responses still contained some relevant information. pAD definitions contained fewer pieces of information and the information they produced was more tangential to the primary concept than that provided by the young or elderly participants. We identify two possible explanations in semantic loss and metalinguistic impairment. We consider metalinguistic impairment to provide the more plausible explanation of pAD patients' definitional performance.     

Working systemically with family violence: risk, responsibility and collaboration

In this article we describe a project which aims to ensure prevention and continued protection from violence for family members. We outline our theoretical approach to assessment and working with violence in family relationships and the associated ethical problems. We identify three recurrent themes: risk, collaboration, and responsibility. We focus on our work with couples, where the man is violent towards the woman. Within this discussion we identify other important clinical issues.