Understanding Respite Care Use by Families of Children Receiving Short-Term, In-Home Psychiatric Emergency Services

Respite care is widely believed to be an important support service for families raising a child with a disability. We report the findings of a respite care utilization study conducted within the context of a larger research and demonstration project examining three models of intensive, in-home services for children experiencing psychiatric crises. Respite care, both in-home and out-of-home, was a support service available to families in two of the three study conditions. Overall, 34% of 146 eligible families used in-home and or out-of-home respite care. Utilization was lower than the estimates developed prior to implementation, prompting an inquiry at the end of the first project year designed to maximize use and to gather more information on caregiver and service provider attitudes toward respite care. The inquiry included caregiver and provider focus groups, surveys, and enhanced data collection and analysis. Caregiver interviews indicated that many families did not fully understand what it meant to receive respite care or even that it was available to them. A comparative analysis of respite care users and non-users revealed that respite care users were more likely to have younger children, children who had a greater number of assessed functional impairments, and fewer social supports. Respite care users also reported greater difficulty managing their children's difficult behaviors.     

Relating a Social Influence Model to the Role of Acculturation in Substance Use Among Latino Adolescents1

This study examined determinants of substance use derived from the theory of planned behavior as influenced by acculturation. Latino adolescents (n= 448) completed measures of attitudes, subjective norms, perceived behavioral control, intentions toward substance use, and 2 acculturation components. The degree to which Latino adolescents were exposed to as well as use Spanish was unrelated to determinants of future substance use, whereas the degree to which they interact with non-Latino peers exerted a protective effect regarding future substance use. However, both acculturation components influenced the extent social influence determinants predicted future substance use. Intervention strategies may need to consider acculturation in order to effectively direct resources toward those psychosocial determinants of substance use of greatest relevance to Latino populations.     

A two-score composite program for combining standard scores

It is often desirable for mental health practitioners to combine standard scores from different tests, raters, or times into a single composite standard score. Most often the result is a more reliable and accurate standard score. This paper describes a computer program that uses two standard scores, score reliability and correlation with a third variable, to yield a composite standard score, reliability and correlation. Trends, limitations, optimum benefits, and examples are discussed. References are provided for calculating composites based on more than two scores.     

Computer generation of bivariate normal-curve values

As psychological assessment broadens and becomes increasingly based on multiple sources of data, univariate normal-curve tables become less and less useful in determining the prevalence and severity of clinical disorders. Multivariate normal-curve data are required. The Visual Basic based Bivariate Agreement Program allows users to obtain percentages of the bivariate normal distribution at various correlations and univariatez-score values. This computer program simulates a bivariate distribution of up to 75,000 cases, and reports the percentage of cases above, below, and outside thez-scores. Program function and simulation integrity are discussed, and an application illustrates program use.     

Development of a reaction inventory to measure guilt.

The Reaction Inventory-Guilt was developed to isolate, in individuals, the specific stimulus situations which result in guilt. The 50-item inventory was administered to 96 subjects. The estimate of the internal consistency coefficient was .94. The inter-item correlations were factor analyzed by the principle axis method, and rotation to oblique simple structure was accomplished by the Promax method. Four oblique factors were obtained: intentional behavior disrupting interpersonal relations; self-destructive behavior; behavior contrary to moral or ethical principles; and unintentional behavior disrupting interpersonal relationships.     

Decision processes in children's recognition memory

Kindergarteners and third graders were given a continuous recognition memory task involving two-digit numbers. In addition, a rating scale consisting of photographs of various facial expressions was used to obtain confidence judgments from the Ss. Conventional analyses as well as signal detection analyses of the data revealed the following results: (a) the overall performance of the third graders was superior to that of the kindergarteners; (b) memory strength decreased as the number of intervening items increased; (c) there was no difference in the forgetting rates of the two grade levels; (d) the third graders exhibited a more liberal response bias than the kindergarteners; (e) both the hit rate (probability of correctly labeling an old stimulus as old) and the false-alarm rate (probability of incorrectly labeling a new stimulus as old) increased across blocks of items; (f) the increases in the hit rate and the false-alarm rate over blocks were due to a change in criterion from a relatively conservative level to a more lenient one; (g) the lower the S's level of confidence in judging an item as old, the lower was the probability of that item actually being old; (h) the third graders were better than the kindergarteners at gauging the accuracy of their recognition responses. It was concluded that with respect to recognition memory, chidren as young as $\text{5}\text{1}\text{2}$ years old are capable, to some extent, of monitoring their own memory states.