COD services in community correctional settings: an examination of organizational factors that affect service delivery

Little is known about service delivery for those in the correctional system with co-occurring mental health and substance abuse disorders (COD). Using data from the National Criminal Justice Treatment Practices survey (NCJTP) on community corrections and jail agencies, this study found that correctional organizations that offer COD services differ from agencies that do not. Organizations that respond to the needs of COD offenders tend to be more "service friendly," rank higher on measures of various dimensions of organizational climate that embrace learning and goal achievement, and tend to adopt more innovations, particularly those classified as evidence-based practices. These survey findings indicate that correctional agencies who serve COD offenders are in a better position to be responsive to the changing service needs of the populations, and are more likely to be able to balance public safety and treatment goals. Future steps to develop support environments for COD assessment and treatment services are discussed in light of these findings.     

Evaluation of “staying on track”: An early identification,tracking, and referral system

The “Staying on Track” project tracked infants, preschoolers, and their families in Brockville, Ontario, Canada for a period of 3 years. Public health nurses at preassigned intervals provided information and counseling for families and made referrals to other agencies if problems were judged to be beyond the expertise of the “Staying on Track” staff. To assess the effectiveness of the program in improving child development, a cohort design was selected to allow development to be assessed over 5½ years in 3 years. Three cohorts and a comparison group were included in the study. Each cohort received different procedures for identification and tracking. Cohort 1 received at least four home visits, cohort 2 received three clinic visits, and cohort 3 received one clinic visit. Intervention and follow-up from these visits included home visits, phone calls, and referrals for all three cohorts. Comparing cohort 1 to cohort 2 at 18 months, highly significant effects were found; few significant differences were found at 3½ years between cohort 2 and 3 and very few positive effects were found for 5½-year-old children who had been in the tracking system since they were 3½ years of age. The results are discussed and recommendations are made about the implications of the study for service provision. © 1998 Michigan Association for Infant Mental Health     

Consolidation of vocabulary is associated with sleep in typically developing children,but not in children with dyslexia

Sleep is known to play an active role in consolidating new vocabulary in adults; however, the mechanisms by which sleep promotes vocabulary consolidation in childhood are less well understood. Furthermore, there has been no investigation into whether previously reported differences in sleep architecture might account for variability in vocabulary consolidation in children with dyslexia. Twenty‐three children with dyslexia and 29 age‐matched typically developing peers were exposed to 16 novel spoken words. Typically developing children showed overnight improvements in novel word recall; the size of the improvement correlated positively with slow wave activity, similar to previous findings with adults. Children with dyslexia showed poorer recall of the novel words overall, but nevertheless showed overnight improvements similar to age‐matched peers. However, comparisons with younger children matched on initial levels of novel word recall pointed to reduced consolidation in dyslexics after 1 week. Crucially, there were no significant correlations between overnight consolidation and sleep parameters in the dyslexic group. This suggests a reduced role of sleep in vocabulary consolidation in dyslexia, possibly as a consequence of lower levels of learning prior to sleep, and highlights how models of sleep‐associated memory consolidation can be usefully informed by data from typical and atypical development.     

Gender Roles,Power Strategies,and Precautionary Sexual Self-Efficacy: Implications for Black and Latina Women's HIV/AIDS Protective Behaviors

This cross-sectional study tested a conceptual model of women's HIV/AIDS protective behaviors using gender roles, relationship power strategies, and precautionary sexual self-efficacy as predictors in a predominantly Black and Latina community sample of heterosexual women (N = 125). Results revealed no support for the full model, but partial confirmation for several components of the model. Education significantly predicted gender roles, and gender roles and use of direct power strategies were significant predictors of sexual self-efficacy. Most of the participants were married or partnered and were unconcerned about contracting HIV, suggesting that if women perceive that they are at low or no risk, their gender roles, power strategies, and precautionary sexual self-efficacy will be inconsequential to their HIV/AIDS risk reduction practices.     

The Effectiveness of Strategies for Increasing Social Interaction with a Physically Disabled Person1

The effectiveness of strategies a physically disabled person can use to increase a nondisabled person's willingness to engage in social interaction were investigated. In the strategies, the disabled person engages in behavior demonstrating that he/she is not preoccupied with the disability. Female college students chose the amount of time to be spent listening to music versus social interaction before and after learning that the other was a disabled male. The subject witnessed via “closed circuit” TV (actually a videotape) a brief interaction between the male and another female in the waiting room from which the subject had just come. In the Interest in others condition, the male encouraged the female to talk about herself. In the Typical activities condition, the male mentioned he had to pick up tickets, organize a party, and study for an exam. In the Athletic activities condition, the male mentioned he went swimming and bowling. In the Request condition, the male asked the female to pick up a paper he had dropped. In the Control condition, there was limited interaction. In the Inappropriate communication condition, the male mentioned the same activities as in the Typical activities condition but talked continuously without waiting for polite interest from the female. Changes in preference for social interaction were significantly more positive in the Attentive to others, Typical activities and Athletic activities conditions than in the Control conditions. It was concluded that demonstrating interest in others, typical activities and athletic activities are effective strategies.     

ORGANIZATION OF INFORMATION AND THE DETECTION OF GENDER DISCRIMINATION

Abstract— This report examines several factors that influence the detection of gender discrimination in organizations We presented subjects with information about the qualifications and salaries of women and men in 10 departments of a hypothetical company The information was created so that one or the other gender was undercompensated relative to its qualifications Subjects rated the fairness of salaries and recalled the average qualifications of the women and men Ordinal inequity, which occurred when the gender with the better qualifications received a lower salary within a department, was easily detected Discrimination that did not violate ordinal equity within a department was more difficult to detect The results indicate that the way information is presented to subjects influences the processing of the information and the ease with which unfairness is perceived In addition, subjects judged the discrimination to be more unfair when women, rather than men, were disadvantaged     

Molecular carrier testing for the fragile X syndrome: Issues for genetic counselors

Molecular analysis of the fragile X (FMR-1) gene identifies female fragile X carriers, but appropriate genetic counseling can only be provided if the limitations of the testing methods are understood. Molecular analysis of this gene is achieved with both the polymerase chain reaction (PCR) and Southern blot techniques. PCR is faster and can determine the actual number of CGG repeats, which modifies genetic counseling substantially. However, for a sizeable percentage of women, PCR alone is not conclusive, and Southern analysis is necessary to complete the study. While this procedure takes longer, it is usually conclusive. Women who present for genetic counseling and carrier testing in the second trimester of pregnancy need this information quickly, and for them the turn-around time is paramount. It is critical that genetic counselors understand these methods so that they can educate their clients and facilitate appropriate follow-up.     

Community-based co-occurring disorder (COD) intermediate and advanced treatment for offenders

Against a backdrop of increasing concern about the adequacy of treatment for co-occurring substance use and mental disorders (typically known as "co-occurring disorders," or COD) in the criminal justice system, this article attempts to provide empirical evidence for a typology of levels of COD treatment for offenders in both prison and community settings. The paper investigates two levels of treatment programs for COD; "intermediate" programs, in which treatment programming has been designed primarily for offenders with a single disorder, and "advanced" programs, in which programming has been designed to provide integrated substance abuse treatment and mental health services. Findings from a national survey of program directors indicated that both intermediate and advanced COD treatment programs were similar in their general approach to substance abuse treatment, but differed considerably in their treatment of mental disorders, where the advanced programs employed significantly more evidence- and consensus-based practices. Results provide support for the distinction between intermediate- and advanced-level services for offenders with COD and support a typology that defines advanced programs as integrating a range of evidence- and consensus-based practices so as to modify treatment sufficiently to address both diseases.