Parent Satisfaction with Case Managed Systems of Care for Children and Youth with Severe Emotional Disturbance

Case management has emerged as an integral component of current efforts to reform the delivery of mental health services to children and youth with Severe Emotional Disturbance (SED). We examined parental satisfaction with one program's case management system for SED children. In order to validly address parental satisfaction, the program first turned to a group of its parents to develop a satisfaction measure, the Family Satisfaction Survey (FSS). Of the 51 parents who returned an FSS, 74% of the parents were generally satisfied while 26% indicated that they were dissatisfied with their families' case management services. Multivariate regression analyses were employed to examine the role played by client, service, and outcome variables in predicting parental satisfaction. After controlling for child diagnoses, severity of impairment, and levels of psychosocial stress, parent satisfaction with case management services was best predicted by the frequency of monthly contact and fewer days is a psychiatric hospital proportional to length of service. Our results suggest that parent satisfaction is based not only on what case managers do but on how this service impacts SED children's ability to remain at home and in their communities.     

Moderately dysphoric mothers behave more positively with their infants after completing the BDI

To determine whether mildly and moderately dysphoric adolescent mothers display infantized facial and vocal behaviors, 21 nondysphoric mothers and 32 dysphoric (16 mildly and 16 moderately/severely dysphoric) mothers were videotaped during face-to-face interactions with their 4-month-old infants. Mildly dysphoric mothers showed less positive facial expressions and less animated/exaggerated vocal expressions. The moderately/severely dysphoric mothers, however, did not differ from nondysphoric mothers in their display of facial and vocal behaviors. These mothers with higher Beck Depression Inventory (BDI) scores may have become concerned about their many symptoms affecting their interactions and tried to compensate for this during their interactions. A second study was conducted to determine whether completing the BDI before interactions positively affected the moderately/severely dysphoric mothers' behavior. Moderately/severely dysphoric mothers (N=24) and mildly dysphoric mothers (N=24) were given the Beck Depression Inventory either before or after their face-to-face interactions with their 4-month-old infants. Moderately/severely dysphoric mothers who were given the BDI before their interactions showed more positive behavior than mothers given the BDI after their interactions. © 1997 Michigan Association for Infant Mental Health     

Translocation and activation of Rac in the hippocampus during associative contextual fear learning

Small G proteins including Rac are mediators of changes in neuronal morphology associated with synaptic plasticity. Previous studies in our laboratory showed that Rac is highly expressed in the adult mouse hippocampus, a brain area that exhibits robust synaptic plasticity and is crucial for the acquisition of memories. In this study, we investigated whether Rac was involved in NMDA receptor-dependent associative fear learning in the area CA1 of adult mouse hippocampus. We found that Rac translocation and activation was increased in the hippocampus following associative fear conditioning in mice, and that these increases are blocked by intraperitoneal injection of the NMDA receptor channel blocker MK801 at the acquisition stage. Our data indicate that NMDA receptor-dependent associative fear learning alters Rac localization and function in the mouse hippocampus.     

Activation of premotor vocal areas during musical discrimination

Two same/different discrimination tasks were performed by amateur-musician subjects in this functional magnetic resonance imaging study: Melody Discrimination and Harmony Discrimination. Both tasks led to activations not only in classic working memory areas--such as the cingulate gyrus and dorsolateral prefrontal cortex--but in a series of premotor areas involved in vocal-motor planning and production, namely the somatotopic mouth region of the primary and lateral premotor cortices, Broca's area, the supplementary motor area, and the anterior insula. A perceptual control task involving passive listening alone to monophonic melodies led to activations exclusively in temporal-lobe auditory areas. These results show that, compared to passive listening tasks, discrimination tasks elicit activation in vocal-motor planning areas.     

Testimonial Engagement: Undocumented Latina Mothers Navigating a Gendered Deportation Regime

This community-based qualitative study investigated the real or threatened impact of immigration enforcement on undocumented mothers as they navigate a “gendered deportation regime.” We analyzed seven interviews with undocumented mothers who have experienced the deportation of someone close to them and live under the constant threat of deportation. Based on an inductive, team-based analysis process, we present case examples of four themes that illustrate how undocumented mothers describe their experience negotiating the aftermath and threat of deportation: quality of life, material possibilities, balancing the social, and engaging with advocacy networks. Findings expand on previous research emphasizing the impact of “deportability” on the everyday lives of undocumented immigrants by attending to gendered aspects of immigration enforcement. As a collaborative research team composed of social work faculty, graduate students, and immigrant rights activists, we also critically engage with our attempts to meld research and community organizing in order to illustrate challenges that scholars and social service practitioners face when working with undocumented populations.     

Searching for interference effects in learning new face-name associations

In three experiments we attempted to increase interference using experimental manipulations in a face-name learning paradigm. All experiments included young and older adult participants because ageing is associated with increases in both susceptibility to interference and difficulty in learning face-name associations. None of the experiments produced interference for either age group: The inclusion of confusable (i.e., ambiguous) names and occupations, having to learn an additional piece of information in association with each face, and requiring participants to guess when uncertain all failed to negatively impact name learning. Interference does not appear to be the critical mechanism underlying the difficulty of learning proper names, and it cannot account for older adults' disproportionate decline in name-learning ability.     

An Investigation of Teachers’ Growing Understandings of the Picture Book Format

This study investigated the impact of a graduate course that focused on picture books on teachers’ understandings of the picture book format and the ways in which these understandings influenced their self-reports of picture book use in the classroom. Findings of this qualitative investigation revealed that immersion in and analysis of the picture book format resulted in important changes in teachers’ understandings of and literary stance toward picture books. In addition, teachers reported changes in their instructional practices which, in turn, led to reported changes in their students’ construction of meaning as they interacted with picture books.