Behavioral Health Integration in Health Care Settings: Lessons Learned from a Pediatric Hospital Primary Care System

Behavioral health integration within primary care has been evolving, but literature traditionally focuses on smaller scale efforts. We detail how behavioral health has been integrated across a large, urban pediatric hospital system’s six primary care clinics (serving over 35,000 children annually and insured predominately through Medicaid) and discuss strategies for success in sustaining and expanding efforts to achieve effective integration of behavioral health into primary care. In a time span of 3 years, the clinics have implemented routine, universal behavioral health screening at well child visits, participated in a 15-month behavioral health screening quality improvement learning collaborative, and integrated the work of psychologists and psychiatrists. Additional work remains to be done in improving family engagement, further expanding services, and ensuring sustainability.     

How Best to Prevent Future Persons From Suffering: A Reply to Benatar

Abstract

David Benatar claims that everyone was seriously harmed by coming into existence. To spare future persons from this suffering, we should cease having children, Benatar argues, with the result that humanity would gradually go extinct. Benatar’s claim of universal serious harm is baseless. Each year, an estimated 94% of children born throughout the world do not have a serious birth defect. Furthermore, studies show that most people do not experience chronic pain. Although nearly everyone experiences acute pain and discomforts, such as thirst, these experiences have instrumental value. For example, when a person picks up a hot object, in response to the pain, the person releases the object, thereby preventing serious harm. The standard that Benatar uses to evaluate the quality of our lives is arbitrary, as I will demonstrate. His proposal that we phase humanity out of existence by ceasing to have children is misguided and an overreaction to the problem of human suffering. The ‘threshold conception of harm’, which is a targeted approach for preventing future persons from suffering, is a more sensible approach.     

Perspective taking in conflict settings: Can perspective taking smooth tensions between Trump and Clinton supporters in the aftermath of 2016 U.S. presidential election?

Can perspective taking improve intergroup attitudes in conflict contexts? How does a context of conflict shape people's responses to perspective-taking tasks and their ultimate effectiveness? The present study addressed these questions by examining the effect of perspective taking (compared with a perspective giving and a control condition) on intergroup attitudes between Trump and Clinton supporters (N = 537) one month after the 2016 presidential election. Perspective taking had positive effects on some intergroup attitudes: It increased warmth toward the outgroup (thermometer ratings), outgroup tolerance, perceived similarities between groups, and marginally increased positive outgroup evaluation. This study also sheds light on the mechanisms that might reduce the effectiveness of perspective taking in conflict settings by assessing the content and the effects of the induced perspectives in response to perspective-taking task. About half of the induced perspective-taking narratives involved negative views of the other, which were associated with worse intergroup outcomes. In addition, higher perceived intensity of the conflict between Trump and Clinton supporters and more negative emotions about the election outcome predicted more induced negative perspectives as a response to the perspective-taking task. In turn, negative perspectives were associated with more negative intergroup attitudes. To sum up, while perspective taking had an overall positive impact on intergroup attitudes in this conflict setting, its impact seems to be contingent upon the content of induced perspective-taking narratives.     

Maternal Parenting and Toddler Temperament: Predictors of Early School Age Attention-Deficit/Hyperactivity Disorder-Related Behaviors

Research on Child and Adolescent Psychopathology - Detection of early risk for developing childhood attention-deficit/hyperactive disorder (ADHD) symptoms, inattention and hyperactivity, may be...     

Individual differences in musical training and executive functions: A latent variable approach

Learning and performing music draw on a host of cognitive abilities, and previous research has postulated that musicians might have advantages in related cognitive processes. One such aspect of cognition that may be related to musical training is executive functions (EFs), a set of top-down processes that regulate behavior and cognition according to task demands. Previous studies investigating the link between musical training and EFs have yielded mixed results and are difficult to compare. In part, this is because most studies have looked at only one specific cognitive process, and even studies looking at the same process have used different experimental tasks. Furthermore, most correlational studies have used different “musician” and “non-musician” categorizations for their comparisons, so generalizing the findings is difficult. The present study provides a more comprehensive assessment of how individual differences in musical training relate to latent measures of three separable aspects of EFs. We administered a well-validated EF battery containing multiple tasks tapping the EF components of inhibition, shifting, and working memory updating (Friedman et al. in Journal of Experimental Psychology: General, 137, 201–225, 2008), as well as a comprehensive, continuous measure of musical training and sophistication (Müllensiefen et al., in PLoS ONE, 9, e89642, 2014). Musical training correlated with some individual EF tasks involving inhibition and working memory updating, but not with individual tasks involving shifting. However, musical training only predicted the latent variable of working memory updating, but not the latent variables of inhibition or shifting after controlling for IQ, socioeconomic status, and handedness. Although these data are correlational, they nonetheless suggest that musical experience places particularly strong demands specifically on working memory updating processes.