Training direct service staff in congregate settings to interact with people with severe disabilities: A quick,effective and acceptable program

An area of traditional as well as recent concern in congregate settings for people with severe disabilities is ensuring frequent social interactions between direct service staff and individuals who live in the residences. This study evaluated a program for training staff to interact frequently and positively across clients while in group situations in living units. The program involved a short classroom instructional session encompassing less than 1 h, followed by a maximum of 4 brief on-the-job observations and feedback sessions. Results indicated interaction rates of all 9 participating direct service staff increased above a normative criterion rate while participating in the training program. All staff also increased the proportion of their social interactions with clients that were positive in nature, and 6 of the 9 staff increased their distribution of interactions across clients. The improved interaction performances occurred when staff were provided with immediate on-the-job feedback regarding their performances as well as when provided with delayed feedback. Acceptability measures indicated the training program was well received by staff, although program components also were noted that may have affected staff acceptance differentially. Directions for future research are suggested in regard to further evaluating and increasing staff acceptance of effective training procedures.     

The Effect of Nonverbal Skills Training on Counselor Trainee Nonverbal Sensitivity and Responsiveness and on Session Impact and Working Alliance Ratings

Counselor trainees (N = 18) were randomly assigned to treatment (nonverbal sensitivity) or control (empathy training) conditions. Trainees saw a recruited client before (first 2 weeks) and after (last 2 weeks) a 15-week counseling methods class. Trainees rated their sensitivity to nonverbal behaviors, counseling self-efficacy, and the extent to which they focused on client nonverbal behavior. Clients filled out the Session Evaluation Questionnaire and Working Alliance Inventory at pre- and posttesting. Trained raters viewed videotapes of the counseling sessions and rated the extent that counselors focused on client nonverbal behavior. As hypothesized, trainees in the treatment condition, when compared with those in the control condition, increased their focus on client nonverbal behaviors. In addition, clients of treatment condition counselors showed significant differences in working alliance ratings. Trainees in both conditions increased their rating of nonverbal sensitivity and self-efficacy from pre- to posttesting. Implications are discussed.     

Career Counseling Specialty: History,Development, and Prospect

This article contains an overview of the historical development of the specialized practice, preparation standards, and credentialing of career counseling. Discussion also focuses on commonalities of career counseling, general counseling, and other specialized forms of counseling, with attention to questions and implications for the future of career counseling practice and standards.     

The 1994 ACA Model Legislation For Licensed Professional Counselors

Model legislation seeks to facilitate uniformity of counselor licensure laws and promote accepted professional standards. The text of the model bill as endorsed by the 1994 American Counseling Association Governing Council is provided with commentary accompanying those sections in which significant changes have occurred. The article concludes with 15 specific suggestions based on experiences gained in the development and implementation of previous legislation for licensed professional counselors.     

SITUATION-SPECIFIC ASSERTIVENESS IN THE EPIDEMIOLOGY OF SEXUAL VICTIMIZATION AMONG UNIVERSITY WOMEN

Protective and risk factors for sexual victimization were examined in a sample of 274 undergraduate women. Assertiveness specific to situations with the opposite gender was protective at all three assessment times. Prior victimization, alcohol use, poor adjustment (as indicated by depression and anxiety), multiple sexual partners, and insecurity about relationships with the opposite gender were significant risk factors. Prevention efforts might be more effective if (a) behavioral practice of assertiveness was added to informational and attitudinal interventions; (b) assertiveness training focused specifically on relationships with the opposite gender; (c) medical and counseling services routinely assessed for prior victimization and other risk factors, and made appropriate referrals for women with victimization histories; and (d) alcohol education-programs were integrated with acquaintance-rape programs.     

IDENTIFYING WORK PREFERENCES AMONG INDIVIDUALS WITH SEVERE MULTIPLE DISABILITIES PRIOR TO BEGINNING SUPPORTED WORK

We evaluated a prework assessment for predicting work-task preferences among workers with severe multiple disabilities prior to beginning supported work. The assessment involved comparing worker selections from pairs of work tasks drawn from their future job duties. Results of workers' choices once they began their jobs in a publishing company indicated that the assessment predicted tasks that the workers preferred to work on during their job routines. Results are discussed regarding other possible means of determining preferred types of supported work.     

REDUCTION OF SELF-INJURIOUS HAND MOUTHING USING RESPONSE BLOCKING

We evaluated a response-blocking procedure for reducing the self-injurious hand mouthing of 2 adults with profound disabilities. The procedure reduced mouthing in both cases. The results suggest research is warranted to delineate the behavioral process responsible for the effect of response blocking and to determine the procedure's long-term utility.     

Brief report: Psychometric properties of the adaptive behavior scale with psychiatric inpatients

This study investigated the psychometric properties of the Adaptive Behavior Scale (ABS) with a sample of chronic psychiatric inpatients. Patients (N = 117) on extended care wards of a state hospital were assessed with the ABS. An orthogonal principal-components analysis revealed three underlying factors (independent functioning, general maladaptation, and inappropriate social behavior). Evidence for construct validity was demonstrated by analyses demonstrating that the ABS could discriminate among patients according to age, diagnosis, and length of hospitalization. The results are consistent with previous data which suggest that the ABS can be appropriately used with psychiatric patients. Implications of the results for suggestions regarding possible revision of the ABS are discussed.     

Naming cAsE aLtErNaTeD words

A dual-route approach was used as an initial framework to examine the relation between presentation format and lexical processing in a naming task. In Experiments 1 and 3, words were presented in lowercase versus case-alternated format. Presentation format interacted with word frequency and regularity: For irregular words (e.g., pint), case alternation was additive with frequency, whereas for regular words (e.g., mint), case alternation and frequency interacted. Experiment 2 dissociated the locus of case-alternation effects from those of stimulus intensity. Stimulus intensity was additive with frequency and regularity, suggesting that whereas stimulus intensity affects encoding, case alternation affects lexical processing at a postencoding stage in the word recognition system. It was concluded that a dual-route approach provides a suggestive but incomplete account of how case alternation influences lexical processing. As an alternative to a dual-route approach, we show that the present results can be addressed and successfully simulated using an implemented version of Norris's (1994) multilevel model.