Caregiver perceptions of Parent Peer Support Services within the Wraparound Service Delivery Model

This qualitative study examined caregivers’ perceptions of Parent Peer Support (PPS) services, embedded in the Wraparound service delivery model for youth with severe emotional and behavioral disturbances (SEBD), to identify potential engagement facilitators and barriers. Wraparound is a holistic process involving multiple formal and informal providers to collectively implement an individualized, family-centered plan of care focused on maintaining youth with SEBD within the community. PPS are frequently referred to caregivers involved in Wraparound to provide additional support. Caregivers (n?=?35) previously involved in an evaluation of one state’s Wraparound model participated in a single 30–60-min interview. Interview questions examined caregivers’ expectations about PPS, reasons for accepting or refusing PPS, and caregivers’ perceived impact of PPS. Transcribed interviews were analyzed using strategies from grounded theory methodology. Perceived need, as well as desire for shared experiences, knowledge, and assistance in accessing resources, facilitated accepting the PPS service. Barriers included inaccurate expectations of PPS, time limitations on Wraparound services, escalating youth behavior requiring more restrictive placements, scheduling difficulties, perceived unresponsiveness, and caregivers feeling overwhelmed by the number of providers. Caregivers indicated that PPS provided several benefits for themselves, youth in the care, and their families. However, potential barriers to ongoing engagement included perceived intrusiveness, as well as misalignment between services offered and caregivers’ needs.     

Academic Performance of Students with Emotional and Behavioral Disorders Served in a Self-Contained Setting

This study describes the academic, social, and behavioral performance of elementary and secondary students with emotional and behavioral disorders (EBD) receiving services in a self-contained school for students with serious behavior problems, with an emphasis on how school adjustment and problem behavior patterns predict academic performance. Results revealed that elementary and secondary group scores were well below the 25th percentile on reading, math, and written expression measures. Further, a seven variable model representing academic, social, and behavioral domains was able to differentiate between age groups explaining 54% of the variance and correctly classifying 78.26% (n = 18) of the elementary students and 84.21% (n = 16) of the secondary students. Findings also suggested that behavioral variables (e.g., school adjustment, externalizing, and internalizing) were predictive of broad reading and broad written expression scores, with school adjustment (a protective factor) accounting for the most variance in the three-variable model. Limitations and recommendations for future research are addressed.     

Father Absence and the Attitude of Entitlement

Father absence in American families is a recent, widespread phenomenon. Empirical research comparing single-parent, usually mother-headed families, with two-parent families has demonstrated various negative outcomes for children in single-parent homes. Many of these symptoms, such as deficits in cognitive and social competence, as well as internalizing and externalizing behavioral problems, have underlying psychodynamic bases in disturbances in object relations, separation-individuation, aggression, and sexual identity, all of which influence personal identity and self cohesion. These disturbances stem from the lack of certain functions performed by a dependable, nurturing father-figure, as well as the reaction of the mother to this absence. If the mother's reacts to this loss with over-investment and over-valuation of the child for her own narcissistic needs, the child may feel special, but also, paradoxically, deprived. These experiences result in shame and suffering for the child, prompting resentment and anger, in having been deprived of father support. In some individuals this may lead to a sense of entitlement, that is, the attitude of having unjustly endured special suffering and thus deserving special consideration.     

Suicide Signs on the Rorschach

This paper reviews the literature concerning the assessment of suicide using the Rorschach and updates the important developments since Goldfried, Stricker, and Weiner's comprehensive review of the literature in 1971. Special attention is given to those indicators which show the most support in the literature and are most efficient to use. The presence or absence of any of these signs in a patient's record should not be taken to signify the presence or absence of suicidal ideation. However, the presence of even one of these indicators does provide a warning to the clinician, indicating that further exploration in this area may be warranted. Knowledge of the many suicidal indicators on projective tests places the clinician in a better position to predict such destructive behavior and intervene appropriately.     

The Economic Benefits of Increased Treatment Duration and Intensity in Residential and Outpatient Substance Abuse Treatment Settings

This study presents estimates of the economic benefits to society from community-based substance abuse treatment. The analysis focused on the impact of length of stay and frequency of counseling on clients' crime-related and health care costs, welfare receipts, and income taxes. The results indicate that the benefits from an additional day of treatment were on average $21 for short-term residential treatment (or 29% the cost of a day of care), $13 for outpatient drug-free treatment (or 94% the cost of a day of care), and $5 for long-term residential treatment (or 9% the cost of a day of care). No benefits were found from additional counseling provided by a client's primary therapist. Withthe exception of short-term residential care, estimated increases in client earnings from longer lengths of stayexceeded the benefits to society. Our estimates do not include benefits realized during treatment or beyond the year after treatment.     

Context-dependent memory for meaningful material: information for students

Context-dependency effects on memory for lists of unrelated words have been shown more often with recall than with recognition. Context dependency for meaningful text material was examined using two standard academic testing techniques: short answer (recall) and multiple choice (recognition). Forty participants read an article in either silent or noisy conditions; their reading comprehension was assessed with both types of test under silent or noisy conditions. Both tests showed context-dependency effects in which performance was better in the matching conditions (silent study/silent test and noisy study/noisy test) than in the mismatching conditions (silent study/noisy test and noisy study/silent test). Context cues appear to be important in the retrieval of newly learned meaningful information. An academic application is that students may perform better on exams by studying in silence. Copyright © 1998 John Wiley & Sons, Ltd.     

Color-Conscious Multicultural Mindfulness Training in the Counseling Field

The Color-Conscious Multicultural Mindfulness (CCMM) training focuses on addressing intercultural relationship ruptures, individual inequity, and systemic disparities. In this randomized control study, the authors examined the CCMM training effectiveness with 39 prelicensed counselors and counseling students using repeated measures analyses of covariance. Participants reported statistically significant changes in multicultural competence; mindfulness; and color-blind racial attitudes related to privilege, institutional discrimination, and blatant racism. Implications for counselor training practices and future research are provided.     

Laboratory and questionnaire measures of aggression among female parolees with violent or nonviolent histories

Female parolees were recruited into a laboratory study to determine the relationship between their previous aggression history, questionnaire measures of aggression, and behavioral measures of aggressive responding using a laboratory methodology: the Point Subtraction Aggression Paradigm (PSAP). Subjects were assigned to a violent or nonviolent group based on their criminal history. Subjects participated in sessions in which they were given three response options: (1) nonaggressive responding that earned money, (2) aggressive responding that ostensibly subtracted money from another fictitious person and was defined as aggressive since it resulted in the ostensible delivery of an aversive stimulus (subtraction of money) to another person, and (3) escape responding that protected the subject's earnings from periodic subtractions initiated by the fictitious other person. Results indicated that the violent female parolees emitted significantly more aggressive responses than subjects in the nonviolent group. This study provides additional external validity as well as evidence for convergent and discriminant validity for PSAP laboratory measurement of human aggressive responding and extends these findings to female parolees. Comparisons to previously published data with male parolees showed that gender differences were found among violent but not nonviolent parolees. Aggr. Behav. 26:291–307, 2000. © 2000 Wiley‐Liss, Inc.