Validity of Treatment Target Progress Ratings as Indicators of Youth Improvement

We examined whether clinical progress ratings on the Monthly Treatment and Progress Summary form (MTPS), an idiographic treatment progress measure, were meaningfully related to changes measured by two separate standardized instruments; the Child and Adolescent Functional Assessment Scale (CAFAS) and the Child and Adolescent Level of Care Utilization System (CALOCUS). Validity coefficients were examined at intake and three-, six-, and nine-month follow-up periods. Samples were selected for each measure and follow-up period from the population of youth receiving services through the Hawaii Child and Adolescent Mental Health Division’s (CAMHD) system of care. Significant youth improvement was evident on all three measures across all follow-up intervals. The type of changes measured by the MTPS and CAFAS were more alike over longer follow-up intervals than changes measured by the CALOCUS. The MTPS captures distinct aspects of client change that overlaps somewhat with CAFAS and CALOCUS measures. The MTPS is a brief client-tailored measure that seems to provide valid, sensitive, and nonredundant client specific treatment outcome information that can be collected on a frequent basis within a complex system of care.     

Reduction of interindividual-intergroup discontinuity: the role of leader accountability and proneness to guilt

Two experiments contrasted interactions between group leaders with interactions between individuals in a mixed-motive setting. Consistent with the idea that being accountable to the in-group implies normative pressure to benefit the in-group, Experiment 1 found that accountable leaders were more competitive than individuals. Consistent with the idea that being unaccountable to the in-group implies normative pressure to be cooperative and that high guilt proneness provides motivation to be moral, Experiment 2 found that when guilt proneness was high, unaccountable leaders were less competitive than accountable leaders and did not differ significantly from individuals. In other words, the robust interindividual-intergroup discontinuity effect was eliminated when groups had unaccountable leaders who were high in guilt proneness.     

Utah youth suicide study: barriers to mental health treatment for adolescents

Forty-nine suicide cases were drawn from an original sample of 151 consecutive youth suicide deaths. We used information from 270 interviews with parents and other survivors to evaluate mental health treatment sought for and by the decedent and barriers to mental health treatment. Participants reported the same primary barriers for the decedent: belief that nothing could help, seeking help is a sign of weakness or failure, reluctance to admit to having mental health problems, denial of problems, and too embarrassed to seek help. It is suggested that the stigma of mental illness is a considerable barrier to mental health treatment.