Implementing a Primary Mental Health Service for Children: Administrator and Provider Perspectives

The Child Mental Health Service (CMHS) is an Australian primary care program introduced in July 2010 to provide mental healthcare to children who have, or are at risk of, developing psychological disorders. The Australian Government provided supports (e.g., training for mental health professionals), resources (e.g., funding for positions devoted to fostering inter-agency linkages or partnerships) and various flexibilities in service delivery. This study aimed to explore the processes used in the implementation of the CMHS in order to achieve its objectives of delivering a high quality standard of service, and forging linkages and support networks with other relevant health and non-health agencies. Structured interviews were conducted with 20 program administrators, six referring professionals and eight mental health professionals. Interviews were recorded, transcribed and analysed for themes using NVivo. The CMHS appears to have made good progress towards achieving its objectives by implementing processes that facilitated the delivery of a high quality service (e.g., engaging appropriately qualified, and encouraging additional training and clinical support for, mental health professionals; employing quality assurance mechanisms and clinical governance arrangements) and establishment of inter-agency linkages (e.g., devoting a professional role—Coordination and Liaison—to this purpose). Provider perspectives suggest that the CMHS has had a positive impact on children and their families. Comparable countries implementing primary mental health programs for children may benefit from considering similar additional supports (e.g., training for mental health professionals), resources (e.g., funding positions devoted to fostering service inter-agency linkages) and service delivery flexibilities as those available in the CMHS.     

Achieving Population-Level Change Through a System-Contextual Approach to Supporting Competent Parenting

The quality of parenting children receive affects a diverse range of child and youth outcomes. Addressing the quality of parenting on a broad scale is a critical part of producing a more nurturing society. To achieve a meaningful population-level reduction in the prevalence rates of child maltreatment and social and emotional problems that are directly or indirectly influenced by parenting practices requires the adoption of a broad ecological perspective in supporting families to raise children. We make the case for adopting a multilevel, whole of population approach to enhance competent parenting and describe the essential tasks that must be accomplished for the approach to be successful and its effects measurable. We describe how a theoretically integrated system of parenting support based on social learning and cognitive behavioral principles can be further strengthened when the broader community supports parental participation. Implications for policy and practice are discussed.     

Give them what they want: The benefits of explicitness in gift exchange

Five studies show that gift recipients are more appreciative of gifts they explicitly request than those they do not. In contrast, gift givers assume that both solicited and unsolicited gifts will be equally appreciated. At the root of this dilemma is a difference of opinion about what purchasing an unsolicited gift signals: gift givers expect unsolicited gifts will be considered more thoughtful and considerate by their intended recipients than is actually the case (,  and ). In our final two studies, we highlight two boundary conditions for this effect: identifying a specific gift and using money as a gift. When gift recipients request one specific gift, rather than providing a list of possible gifts, givers become more willing to purchase the requested gift (Study 4). Further, although givers believe that recipients do not appreciate receiving money as much as receiving a solicited gift, recipients feel the opposite about these two gift options (Study 5).     

Social status, masculinity, and testosterone in young men

Among other things, sexual selection theory posits that in species with limited male parental investment, males should evolve biological mechanisms to competitively dominate or otherwise compete with one another. It is unclear whether such proposed mechanisms would influence status hierarchies in small human groups. We report the results of a study investigating possible effects of prenatal (index-to-ring finger length ratio or 2D:4D) and salivary testosterone, and masculine identification, on status among 71 male college students living in nine residential groups. The results indicate no role of either prenatal or salivary testosterone in maintaining status hierarchies in these groups. A possible explanation is that peer-assessed status in these groups was arrived at cooperatively rather than through dominance contests.     

Meta-analysis of the effects of third-wave behavioural interventions on disordered eating and body image concerns: implications for eating disorder prevention

Third-wave behavioural interventions are increasingly popular for treating and preventing mental health conditions. Recently, researchers have begun testing whether these interventions can effectively targeting eating disorder risk factors (disordered eating, body image concerns). This meta-analysis examined whether third-wave behavioural interventions (acceptance and commitment therapy; dialectical behaviour therapy; mindfulness-based interventions; compassion-focused therapy) show potential for being effective eating disorder prevention programs, by testing their effects on eating disorder risk factors in samples without an eating disorder. Twenty-four studies (13 randomized trials) were included. Most studies delivered selective prevention programs (i.e. participants who reported elevated risk factor). Third-wave interventions led to significant pre–post (g = 0.59; 95% CI = 0.43, 0.75) and follow-up (g = 0.83; 95% CI = 0.38, 1.28) improvements in disordered eating, and significant pre–post improvements in body image (g = 0.35; 95% CI = 0.13, 0.56). DBT-based interventions were associated with the largest effects. Third-wave interventions were also significantly more efficacious than wait-lists (g = 0.39; 95% CI = 0.09, 0.69) in reducing disordered eating, but did not differ to other interventions (g = 0.25; 95% CI = –0.06, 0.57). Preliminary evidence suggests that third-wave interventions may have a beneficial effect in ameliorating eating disorder risk.     

Passive tactile feedback facilitates mental rotation of handheld objects

Mental rotation of objects improves when passive tactile information for the rotating object accompanies the imagined rotation (Wraga, Creem, & Proffitt, 2000). We examined this phenomenon further using a within-subjects paradigm involving handheld objects. In Experiment 1, participants imagined rotating an unseen object placed on their upturned palms. The participants were faster at mental rotation when the object was rotated on their palm than when the object remained stationary. Experiment 2 tested whether the performance advantage would endure when the participants received tactile information for only the start- and endpoints of the rotation event. This manipulation did not improve performance, relative to a stationary control. Experiment 3 revealed that ambiguous tactile information, continuous with the rotation event but independent of object shape, actually degraded performance, relative to a stationary control. In Experiment 4, we found that continuous tactile rotation discrepant from imagined object movement also hindered performance, as compared with continuous tactile information aligned with imagined object movement. The findings suggest a tight coupling between tactile information specifying continuous object rotation and the corresponding internal representation of the rotating object.     

movies about intelligence: the limitations of g

There is a strong tendency for the same people to do better or worse on a wide variety of IQ tests. On this basis, some psychologists posit the concept of g , or a general intelligence factor. Does g show that performance on a wide range of cognitive tasks is influenced by individual differences in brain quality? It may, but if so, g lacks a sociological dimension and cannot explain cognitive trends over time or assess their significance. It also encourages a paradox about nature versus nurture and oversimplifies the causes of the Black-White IQ gap.     

Colored-Speech Synaesthesia Is Triggered by Multisensory, Not Unisensory, Perception

ABSTRACT— Although it is estimated that as many as 4% of people experience some form of enhanced cross talk between (or within) the senses, known as synaesthesia, very little is understood about the level of information processing required to induce a synaesthetic experience. In work presented here, we used a well-known multisensory illusion called the McGurk effect to show that synaesthesia is driven by late, perceptual processing, rather than early, unisensory processing. Specifically, we tested 9 linguistic-color synaesthetes and found that the colors induced by spoken words are related to what is perceived (i.e., the illusory combination of audio and visual inputs) and not to the auditory component alone. Our findings indicate that color-speech synaesthesia is triggered only when a significant amount of information processing has occurred and that early sensory activation is not directly linked to the synaesthetic experience.