Gaps and Barriers in Services for Children in State Mental Health Plans

Significant gaps exist in children’s mental healthcare, and barriers prevent access to existing services. Current federal initiatives call for state governmental agencies to recognize and resolve deficits in their systems of care. Previous work has acknowledged some of the problems in meeting the mental health needs of children within a system of care. This current project sought to discriminate between gaps (e.g., non-existent services) and barriers (e.g., problems that prevent access to existing services) within state mental health care plans. Because acknowledging barriers and gaps in mental health services is a step towards systems improvement, the present project describes how state governments recognize the limits of their children’s mental health care systems. We analyzed state mental health plans submitted to the federal government in applications for block grant funds. Results illustrate that a varied number of gaps and barriers are acknowledged in state plans. Overall, 90% of state plans discussed barriers and 84% of state plans discussed service gaps. The gap most frequently recognized was lack of providers (74%), while lack of funding (52%) was the most common barrier. This project points to some recognition of system limits in the states and reflects potential efforts to create policies for system improvement for children and families.     

Risk of crashing with a tram: Perceptions of pedestrians,cyclists, and motorists

IntroductionRoad users not abiding by the rule of tram priority has increased the number of crashes between trams and other road users. This study focuses on the perceptions of pedestrians, cyclists, and motorists regarding the risk of crashes with trams. The first aim was to examine how these road users assess the risk of tram crashes with themselves and with other road users of the same age and type. The second aim was to look into whether and to what extent road users’ comparative judgments about tram risk are realistic in terms of their self-reported behavior.MethodThe study sample included 973 road users (379 pedestrians, 146 cyclists, and 448 motorists). Three versions of a questionnaire were constructed to assess risk perceptions concerning interactions between these road users and trams, self-reported behavior, and knowledge of the tram-priority rules.ResultsThe results showed that all three types of road users perceived the risk of a crash between a tram and themselves to be very low (M = 1.53, SD = 0.88) and with other users to be higher (M = 2.28, SD = 1.06); they therefore expressed comparative optimism. The results also revealed realistic optimism among pedestrians and unrealistic optimism among young motorists.ConclusionThe present study shows that, as a whole, road users have little awareness of crash risks with trams. It may therefore be worthwhile to increase communication about the priority of trams, and to persuade road users not to violate this rule.     

Mother's attachment representations of their premature infant at 6 and 18 months after birth

The effects of premature birth on attachment have generally been examined from the infant's perspective. There is a lack of data concerning parental attachment representations toward a premature child. Because of the psychological stress engendered in parents confronted with a premature birth, we hypothesized that their attachment representations would be altered during the first months after the hospital discharge. Fifty families with a premature infant (25–33 gestation weeks) and a control group of 30 families with a full‐term infant participated to the study. Perinatal risks were evaluated during hospitalization. To assess mothers' representations of their infant, the Working Model of the Child Interview (WMCI, Zeanah & Benoit, 1995 & Benoit, Zeanah, Parker, Nicholson, & Coolbear, 1997) were administered when their children were 6 and 18 months old. The severity of the perinatal risks was found to have an impact on the mothers' attachment representations. At six months, only 20% of the mothers of a prematurely born infant (30% at 18 months) had secure attachment representations, vs. 53% for the control group (57% at 18 months). Furthermore, mothers of low‐risk premature infants more often had disengaged representations, whereas distorted representations were more frequent in the high‐risk group of premature children. These findings suggest that the parental response to a premature birth is linked to the severity of postnatal risks. The fact that secure attachment representations are affected in mothers of low‐risk infants just as much as they are in mothers of high‐risk infants points to the need to conduct further studies aimed at evaluating whether preventive intervention for both low‐risk and high‐risk premature will be helpful.     

No pain, no gain: Perceptions of calorie expenditures of exercise and daily activities

Reduction in physical activity is considered a major contributor to weight problems. Increasingly, people are expending less energy in household chores but joining fitness clubs. Do people perceive ordinary daily activities to expend less energy than exercise activities using similar amounts of calories? In the present study college students were asked to evaluate the calorie expenditure of 30 physical activities (i.e., exercises and household tasks). The household tasks were matched (in terms of caloric expenditure) to at least one exercise activity. When participants rated both exercise and daily activities, it appears that they focused on rate of caloric expenditure rather than type of activity (i.e., household task or exercise). In Study 2, college students evaluated the energy expenditure of light/leisure, moderate, and intense exercise. This emphasis concerning the benefit of intense physical activity was observed once again. College students appear to have assimilated the belief that intense physical activity expends more energy than longer sessions of lower intensity physical activity using similar amounts of calories. Perhaps one reason why people are not physically active is that they believe physical activities must be intense to be of benefit. At the same time they are automatizing household chores and, thus, become less active overall.     

《马克思的社会本体论——马克思社会实在理论中的个性和共同体·导言》

美国女哲学家古尔德于1978年出版的马克思主义研究专著《马克思的社会本体论》,以马克思的《大纲》(即《1857-1858年经济学手稿》)为文本基础,提出了一个对马克思的新的理解,她认为马克思启动了对传统哲学的根本变革,实现了系统哲学和社会理论的结合,她将马克思视为一个系统的哲学家,并将马克思的这一变革重建为社会本体论.作者围绕五个主要范畴即社会、劳动、因果性、自由和正义详尽地阐发了马克思的社会本体论思想.作为对马克思的解释或理论重建,作者对文本的解读新颖而富有个性,笔者以为本书对于推进国内马克思主义的研究尤其是对于马克思主义哲学的深入研究,有不可忽视的参考价值.     

What makes a good story

Three different ways have been selected for analyzing a story's structure, each focusing on different types of information. (a) Episodic or story grammar approaches stories as problem-solving episodes, emphasizing goals and activities to achieve them. (b) Labov's high point structure emphasizes affective information and sees stories as organized around emotional high points or crisis events. (c) Deese's dependency analysis emphasizes linguistic complexity and, in particular, the way propositions are related to each other through a relationship of either coordination or subordination. Stories were scored according to how well they realized good structure in each system, and the three scoring systems were relatively independent of each other. Adults were asked to rate 3-to 9-year old children's personal narratives in terms of how good a story each was, and their ratings were compared to how the stories were scored in terms of all three systems. None of the systems completely explained the subjective quality ratings; rather, all three seemed to contribute in different ways to subjects' ratings, with the best narratives generally deemed sophisticated and complex in at least two of the three systems.The authors wish to acknowledge their great debt to James Deese and Christine Glenn. This research was supported by the National Sciences and Engineering Research Council of Canada Grant A-7911 to Carole Peterson.