When to offer cognitive behavioural or psychoanalytic psychotherapy in an integrated psychotherapy service: Are everyday allocation decisions theoretically congruent?

Different modes of psychotherapy can be an effective form of treatment for a range of mental health problems. Psychotherapy provision in the NHS is organised in a variety of ways, with patient entry to various modes of therapy determined by a range of factors including evidence‐based guidelines and patient or referrer preference. The methods by which patients arrive at a particular mode of psychotherapy are largely unreported. This paper aims to describe this process in one UK NHS psychotherapy service offering cognitive behavioural and psychoanalytic psychotherapy, and provides data to inform a discussion on the theoretical congruence of these allocation decisions.     

How effective are minimally trained/experienced volunteer mental health counsellors? Evaluation of CORE outcome data

Background: Existing research findings indicate that minimally trained/experienced paraprofessional counsellors can be as effective as professionally trained and experienced counsellors. More research into the effectiveness of paraprofessionals with specific client populations is required to determine the conditions under which they can be most effective. Aims: To evaluate the effectiveness of a group of 12 minimally trained/experienced volunteer mental health counsellors. Method: Data were collected over a one year period on 118 clients referred to a voluntary sector counselling agency. The CORE-OM was used to measure clients' levels of distress on a session-by-session basis. Clients and counsellors also completed a range of additional self-report measures. A benchmarking strategy was used to evaluate the outcomes achieved by participants in this study against three benchmark studies selected from published literature. Results: Paraprofessionals in this study were less effective than their professional counterparts. Results showed that participants in this study achieved an effect size of .70 compared to effect sizes of 1.36, 1.39 and 1.42 in the selected benchmark studies. Implications: Findings suggest that minimally trained/experienced paraprofessional counsellors working in mental health settings may benefit from longer and more targeted training programmes before engaging in practice. Conclusions: The benchmarking strategy provided a valuable and practical means of evaluating the comparative effectiveness of paraprofessional and professional counsellors. Findings should be interpreted cautiously as the selected benchmarks are not precise measurements and may not reflect the organisational factors operating within voluntary sector counselling agencies.     

Government E‐Recruiting Web Sites: The influence of e‐recruitment content and usability on recruiting and hiring outcomes in US state governments

This research examines both the content and usability of e‐recruiting web sites on a government's ability to attract individuals to apply for government positions and on government's ability to retain new hires. Building on previous studies evaluating corporate recruiting web pages, this study evaluates the e‐recruiting efforts of state governments in the United States. Our study shows that governments with more usable hiring web site receive significantly more applications per job opening; whereas states with higher quality content on their recruiting web pages have significantly less voluntary turnover of new hires.     

Incorporating Demographic Embeddings Into Language Understanding

Meaning depends on context. This applies in obvious cases like deictics or sarcasm as well as more subtle situations like framing or persuasion. One key aspect of this is the identity of the participants in an interaction. Our interpretation of an utterance shifts based on a variety of factors, including personal history, background knowledge, and our relationship to the source. While obviously an incomplete model of individual differences, demographic factors provide a useful starting point and allow us to capture some of this variance. However, the relevance of specific demographic factors varies between situations—where age might be the key factor in one context, ideology might dominate in another. To address this challenge, we introduce a method for combining demographics and context into situated demographic embeddings—mapping representations into a continuous geometric space appropriate for the given domain, showing the resulting representations to be functional and interpretable. We further demonstrate how to make use of related external data so as to apply this approach in low‐resource situations. Finally, we show how these representations can be incorporated into improve modeling of real‐world natural language understanding tasks, improving model performance and helping with issues of data sparsity.     

Psychometric properties of the Purdue Pharmacist Directive Guidance (PPDG) Scale in a sample of diabetes patients in the Southwestern United States

Despite the fairly widespread adoption of the 10-item Purdue Pharmacist Directive Guidance Scale (PPDG) over the last decade, only one study has assessed its psychometric properties. The present study examined the validity and reliability of the scale in a sample of 99 diabetic patients in the Southwestern United States. Principal axis factor analysis with Varimax rotation yielded two factors, "Instruction" and "Feedback and Goal Setting," similar to those found when the scale was originally developed. Cronbach's alphas for the total scale and the two factors were 0.95, 0.95, and 0.92, respectively. The scale and the two factors correlated significantly and positively with number of visits by patients to the pharmacist in the past 3 mo. These results provide further evidence for the internal consistency, and construct and criterion-related validities of the scale.     

Profiles of Identity Exploration and Commitment Across Domains

We examined the relationships between family structure, gender and age and profiles of identity exploration and commitment in the ideological (occupation, values, politics, religion, gender roles) and interpersonal identity (dating, friendships, and family) domains among 388 young adults. The general profile revealed low exploration in both domains, with ideological exploration being the lower, compared to high and comparable levels of commitment in the two domains. Older participants explored more than younger ones, and females gave more attention to the interpersonal domain than did males. Participants from original families explored more in the interpersonal domain than in the ideological domain, but their commitment was the same for the two domains. Participants from non-original families explored in equal amounts in the two domains, but were more committed in the interpersonal domain compared to participants from original families. Participants from non-original families explored more in the ideological domain than did participants from original families. Our findings indicate that individuals from non-original families exhibit positive outcomes and strengths that are often overlooked in the literature.