Use of Out-of-Home Care Among a Statewide Population of Children and Youth Enrolled in Medicaid

System-wide research on the use of out-of-home care among children and youth is needed to inform the development of policies and services. We used Medicaid claims from North Carolina to examine patterns of out-of-home care, identify demographic and diagnostic differences between those who received care in residential treatment, psychiatric hospitals, or general hospitals, and determine whether demographic or diagnostic characteristics were associated with having more than one out-of-home stay during the year. Among those who received out-of-home care during a 1 year period, 36% received care in residential treatment only, 32.4% in general hospitals only, and 17.6% in psychiatric hospitals only, while 14.0% used more than one sector of out-of-home care. Boys, teenagers, and youth in foster care or diagnosed with emotional disturbance or hyperkinetic syndrome had higher odds of receiving care in residential treatment only whereas girls, youth age 19–21, and those with depressive and stress and adjustment disorders had higher odds of receiving care from hospitals only. Teenagers and youth in foster care had higher odds of having more than one stay. Among those with more than one stay, there were 300 patterns of care and nearly half received care from more than one service sector. The implications for services and policy are discussed. Further research is needed to understand patterns of out-of-home care and the factors that influence placement decisions.     

Nuclear Brinkmanship: A Study in Non-Linguistic Communication

This article examines meaning making with nuclear bombs and military manoeuvres. The data is verbatim audio recordings from the White House during the Cuban Missile Crisis. The analysis uses concepts from impression management and dialogism. It is found that actions often speak louder than words and that even non-linguistic communication with nuclear weapons is often oriented to third-parties, in this case, world opinion. A novel process of ‘staging the other’ is identified, that is, when one side tries to create a situation which will force the other side to act in a way which will create a negative impression on world opinion. Staging the other is a subtle form of meaning making for it entails shaping how third parties will view a situation without those third parties being aware of the intentionality of the communication.     

Threat to Parental Role: A Possible Mechanism of Altered Self-Concept Related to Carrier Knowledge

Researchers and clinicians have suggested that learning one is a carrier for a genetic disorder has the potential to alter self-concept. Concerns about self-concept have influenced the development of policies regarding the availability of carrier testing for minors and the informed-consent process. A literature review identified three mechanisms through which self-concept has been proposed to be affected: altered perception of genetic identity, diminished social identity, and an altered perception of health. This paper presents a conceptual framework developed from identity theory and the self's response to threat to propose a fourth mechanism: threat to the parental role. Clarification of the role of self-concept, the threat to self-concept related to carrier knowledge, and coping behaviors activated in response to this threat would help to target appropriate genetic counseling interventions.     

Prejudice expectations moderate preconscious attention to cues that are threatening to social identity

Two studies examined whether chronic and situational expectations about being stigmatized predict attention toward cues that are threatening to social identity. In Study 1, women's chronic expectations about experiencing sexism were positively associated with their attention toward subliminal cues threatening to their social identity. In Study 2, women were vigilant toward subliminal cues threatening to their social identity when the experimental situation conveyed that their gender was devalued, but not when the experimental situation promoted value and respect for their gender. Women were vigilant toward consciously presented cues threatening to their social identity regardless of the attitudes the experimental context conveyed toward their group. These studies have important theoretical and practical implications for understanding the psychological experience of possessing a devalued social identity.     

Developing a biodata measure and situational judgment inventory as predictors of college student performance

This article describes the development and validation of a biographical data (biodata) measure and situational judgment inventory (SJI) as useful predictors of broadly defined college student performance outcomes. These measures provided incremental validity when considered in combination with standardized college-entrance tests (i.e., SAT/ACT) and a measure of Big Five personality constructs. Racial subgroup mean differences were much smaller on the biodata and SJI measures than on the standardized tests and college grade point average. Female students tended to outperform male students on most predictors and outcomes with the exception of the SAT/ACT. The biodata and SJI measures show promise for student development contexts and for selecting students on a wide range of outcomes with reduced adverse impact.     

Conceptual Locations and Pronominal Reference in American Sign Language

We report the results of an experiment investigating the ramifications of using space to express coreference in American Sign Language (ASL). Nominals in ASL can be associated with locations in signing space, and pronouns are directed toward those locations to convey coreference. A probe recognition technique was used to investigate the case of "locus doubling" in which a single referent is associated with two distinct spatial locations. The experiment explored whether an ASL pronoun activates both its antecedent referent and the location associated with that referent. An introductory discourse associated a referent (e.g, MOTHER) with two distinct locations (eg., STOREleft, KITCHENright), and a continuation sentence followed that either contained a pronoun referring to the referent in one location or contained no anaphora (the control sentence). Twenty-four deaf participants made lexical decisions to probe signs presented during the continuation sentences. The probe signs were either the referent of the pronoun, the referent-location determined by the pronoun, or the most recently mentioned location (not referenced by the pronoun). The results indicated that response times to referent nouns were faster in the pronoun than in the no-pronoun control condition and that response times to the location signs did not differ across conditions. Thus, the spatial nature of coreference in ASL does not alter the processing mechanism underlying the on-line interpretation of pronouns. Pronouns activate only referent nouns, not spatial location nouns associated with the referent.     

Psychological masculinity-femininity via the gender diagnosticity approach: heritability and consistency across ages and populations

Several aspects of the Gender Diagnosticity (GD) approach of Lippa (1995) to measuring the psychological trait of masculinity-femininity within sexes were explored in four samples ranging from 363 to 5,859 individuals, including Swedish and Australian adults, U.S. elderly, and Australian adolescents. Two ways of deriving GD scales yielded highly similar results. Moderate stability of individual differences was found across ages 12 to 16 among adolescents, but substantial shifts over age occurred in relationships with Eysenck scales. Considerable generality of GD scales was obtained across languages and populations. Substantial heritabilities (about 40%) and minimal effects of shared family environments suggest that within-sex masculinity-femininity behaves as a fairly typical personality trait. Cross-age continuity appeared mainly to reflect the influence of the genes.     

System-justifying beliefs and psychological well-being: the roles of group status and identity

This research examined the relationship between endorsing system-justifying beliefs and psychological well-being among individuals from ethnic groups that vary in social status. System-justifying beliefs are beliefs that imply that status in society is fair, deserved, and merited; examples of system-justifying beliefs in the United States include the beliefs that hard work pays off and that anyone can get ahead regardless of their group membership. We found that endorsing system-justifying beliefs was negatively related to psychological well-being among members of low-status groups who were highly identified with their group but positively related to well-being among members of low-status groups who were not highly identified with their ethnic group. In addition, we found that endorsing system-justifying beliefs was positively related to well-being among members of high-status groups, especially among members of high-status groups who were highly identified with the group.     

Parent and Child Anxiety Sensitivity: Relationship in a Nonclinical Sample

Little is known about the relationship between parent and child anxiety sensitivity (AS), particularly in nonclinical samples. The present study examined this association in 207 healthy parent-child pairs including 244 children (mean age = 12.3 years, 103 girls) and 226 parent figures (175 mothers). Sequential multiple linear regression revealed that parent AS was significantly associated with child AS in girls, but not in boys. Parent AS accounted for 9% of incremental variance in child AS, after controlling for child age, parent depression, and parent anxiety. Analyses of parent AS dimensions indicated that the social concerns dimension accounted for 14% of incremental variance in child AS in girls only. Parent anxiety and depression showed no association with child AS, once parent AS was taken into account. The findings indicate that parent AS, especially AS social concerns, demonstrates a significant relationship with child AS in this nonclinical sample of girls.