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.     

The role of encoding strategies in the verbal memory performance in patients with schizophrenia

Background. Verbal learning and memory is often compromised in patients with schizophrenia who prefer encoding words in order of their presentation (serial clustering) rather than using semantic categories (semantic clustering). Method. One hundred and four in‐patients with schizophrenia were assessed twice with the California Verbal Learning Test. Results. Patients showed significantly less semantic than serial clustering at both assessment times. Usage of encoding strategies were not stable over time. An increase in semantic clustering improved recall and recognition performance. Conclusions. Patients with schizophrenia should be taught to use the more effective encoding strategy of semantic clustering in order to improve their memory performance.     

The effect of tangible reinforcement on the learning and retention of programmed material in academically retarded children

The effect of three reinforcement conditions was determined with respect to the learning and retention of a commercially available program purporting to teach simple nouns. The addition of candy reward to a novel method of presenting knowledge of results produced no change in performance when given on a continuous schedule, but reduced rate of responding when given on a partial schedule, i.e., only terninal frames.     

Comparison of DSM-III-R chronic major depression and major depression superimposed on dysthymia (double depression): validity of the distinction

The nosology of chronic depression has become increasingly complex since the publication of the revised third edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-III-R; American Psychiatric Association, 1987), but there are few data available to evaluate the validity of the distinctions between the subtypes of chronic depression. The validity of the distinction between DSM-III-R chronic major depression (CMD) and major depression superimposed on dysthymia (double depression, DD) was examined. Participants were 635 patients with chronic depression in a 12-week trial of antidepressant medications. Patients with CMD, DD, and a 3rd group with a chronic major depressive episode superimposed on dysthymia (DD/CMD) were compared on demographic and clinical characteristics, family history, and response to treatment. Few differences were evident, although the depression of patients with DD/CMD tended to be more severe.     

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.     

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.     

In genes we trust: the biological component of psychological essentialism and its relationship to mechanisms of motivated social cognition

Three studies analyzed the biological component of psychological essentialism (laypeople's belief that social categories have an underlying nature/natural foundation) as it pertains to mechanisms of motivated social cognition. A new scale assessing the belief in genetic determinism is introduced as a measure of the biological component of essentialism. Results speak to the reliability and validity of the scale and show that essentialist beliefs are associated with basic social-cognitive motives and are also related to processes of stereotyping and prejudice. An experimental study found that rendering essentialist information salient elicits increased levels of prejudice and in-group bias, particularly in persons holding chronic essentialist beliefs.     

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.