School-Based Mental Health Services: Definitions and Models of Effective Practice

ABSTRACT

School-based mental health services are those delivered by school-employed and community-employed providers in school buildings. With the implementation of provisions of the Patient Protection and Affordable Care Act (2010) that funds school-based health centers, school-based mental health services could become more broadly available in communities throughout the United States. Playing a pivotal role in promoting models for school-based services that maximize benefits to children and adolescents while making efficient use of communities' mental health resources are school psychologists. School psychologists, who recognize and respect the separated development of school and community mental health professions, can foster school–agency partnerships to coordinate children's mental health services that are comprehensive, child centered, family focused, and culturally competent. In this article, we provide three case examples using the Participatory Culture-Specific Intervention Model (B. K. Nastasi, R. B. Moore, & K. M. Varjas, 2004 Nastasi, B. K., Moore, R. B., & Varjas, K. M. (2004). School-based mental health services: Creating comprehensive and culturally specific programs. Washington, DC: American Psychological Association. [Google Scholar]) as exemplars for the implementation of community partnerships providing comprehensive culturally and contextually relevant school-based mental health services.     

The Longitudinal Effects of Oppositional Defiant Disorder Symptoms on Academic and Occupational Functioning in the Transition to Young Adulthood

The young adult years are particularly important for accruing the education and work experience needed for long-term economic stability. We examine the effects of symptoms of ODD at baseline (i.e., T1 ages 12 to 18 years; N = 662; 48 % male) and of increases in these symptoms on academic and occupational functioning in young adulthood (i.e., T6 ages 22 to 29 years; N = 478; 45 % male) using multiple measures; including achievement levels (i.e., educational attainment, occupational prestige, and income) and financial and work stress (i.e., debt, financial strain, and perceived workplace stress). Our findings show that both adolescent levels of and increases in symptoms of ODD influence academic and occupational functioning in young adulthood. We discuss the implications of ODD symptoms for accruing economic capital in young adulthood, as well as approaches to detecting and intervening that are needed to halt the potentially cascading effects of ODD symptoms.     

Responding to the embodiment of distress in individuals defined as obese: Implications for research

This article examines the evidence for a relationship between body image distress (BID) and obesity, and between emotional eating and obesity. The need is highlighted for treatment programmes that are responsive to these complex issues and combine this with diet and physical activity. Weight loss programmes so far have had a poor success rate. They have often sought to capitalise on BID as a motivation to lose weight, but there is some evidence that such an emphasis may be self‐defeating, as seriously overweight individuals may eat either to self‐punish or self‐comfort and may also avoid social situations that could support healthy lifestyles. The case is made for new research that addresses the highlighted psychological aspects of obesity. There is a need for both a randomised controlled trial (RCT) that will enable a statistical inference of causality relating to new treatments and qualitative, interview‐based research to elicit information regarding individual responses to treatment. Dance Movement Therapy (DMT) is proposed as one new treatment option for those individuals whose obesity is linked to emotional eating. Theoretical support and empirical research evidence for DMT are explored. However, since this treatment has not so far been applied with obese individuals, a pilot study is proposed prior to a RCT.     

Counterfactuals and Causal Explanation

This article defends the use of interventionist counterfactuals to elucidate causal and explanatory claims against criticisms advanced by James Bogen and Peter Machamer. Against Bogen, I argue that counterfactual claims concerning what would happen under interventions are meaningful and have determinate truth values, even in a deterministic world. I also argue, against both Machamer and Bogen, that we need to appeal to counterfactuals to capture the notions like causal relevance and causal mechanism. Contrary to what both authors suppose, counterfactuals are not “unscientific”—a substantial tradition within statistics and the causal modelling literature makes heavy use of them.     

The effect of message framing on self-management of chronic pain: a new perspective on intervention?

This study examines framed messages as a novel approach to promote self-management of chronic pain. Primary care patients reporting chronic pain (pain rated ≥?4 on 0-10 NRS-I for ≥3 months) were randomly assigned to receive a gain- or loss-framed message promoting self-management of pain. Impact of the framed message on behavioural self-management (including communicating with providers, relaxation, activity pacing, pleasant activities and healthy lifestyle) was assessed. Post-message, individuals in the loss-frame condition reported significantly greater interest in and more knowledge gained from the information presented in the message (p≤0.03). Loss-frame participants were significantly more likely to express confidence that they would practice relaxation (p≤0.03). Pain readiness to change, pain self-efficacy and message frame independently influenced motivation to engage in relaxation as a self-management strategy. Across all behaviours assessed, there were no observed interactions between message frame and either pain self-efficacy or pain readiness to change (p>0.05). Framing may be useful to promote pain self-management; larger trials are needed to fully evaluate its potential and to further assess the applicability of framed communication to impact a broader range of chronic conditions.     

The accidental transgressor: morally-relevant theory of mind

To test young children’s false belief theory of mind in a morally relevant context, two experiments were conducted. In Experiment 1, children (N = 162) at 3.5, 5.5, and 7.5 years of age were administered three tasks: prototypic moral transgression task, false belief theory of mind task (ToM), and an “accidental transgressor” task, which measured a morally-relevant false belief theory of mind (MoToM). Children who did not pass false belief ToM were more likely to attribute negative intentions to an accidental transgressor than children who passed false belief ToM, and to use moral reasons when blaming the accidental transgressor. In Experiment 2, children (N = 46) who did not pass false belief ToM viewed it as more acceptable to punish the accidental transgressor than did participants who passed false belief ToM. Findings are discussed in light of research on the emergence of moral judgment and theory of mind.     

Group Art Therapy With Incarcerated Women

Art therapy in groups with incarcerated individuals may be effective when participants are defensive and possess limited education. The authors provide procedures, techniques, and case examples from the New Beginnings program for working with women in a detention facility.