Treatment Foster Care in a System of Care: Sequences and Correlates of Residential Placements

We examined Treatment Foster Care (TFC) in residential trajectories for youth with psychiatric disorders and aggressive behavior. We analyzed residential placements of a statewide sample of youth during the 12 months preceding and following admission to TFC. Prior to TFC, the majority of youth were residing in more restrictive settings (group homes or residential treatment). Two-thirds of youth remained in TFC throughout the follow-up year. Of those who left, nearly half returned home, and slightly fewer were discharged to group homes. By the end of the 12-month follow-up period, rates of group home use were similar to those seen in the pre-TFC period. Movement out of TFC during the year was associated with being older at placement and with increased problem behavior (particularly externalizing behaviors). TFC serves as a step-down placement for a substantial number of youth. However, this is not the only way it is used, and models based on short-term transitioning or reunification with families may not be widely implemented or relevant in practice. Additional research is needed to understand current functions of TFC in residential trajectories and to maximize its utility in systems of care.     

Similarities and Differences Between African Americans’ and European Americans’ Attitudes,Knowledge, and Willingness to Communicate About Organ Donation1

While little is known about African Americans’ attitudes and knowledge about organ donation, even less is known about how African Americans’ attitudes, values, and beliefs affect their behavior and behavioral intentions regarding organ donation; or how African Americans’ views are similar to or different from those of European Americans. Adults working 2 sites of a national corporation were randomly selected to complete a survey about organ donation willingness, intention to sign an organ donor card, knowledge and attitudes toward organ donation, and level of altruism. Results indicate that African Americans differ significantly from Whites on several individual attitude and knowledge items. However, the basic relationship between knowledge, attitudes, values, and behaviors regarding organ donation between the 2 groups appears the same. Furthermore, these results indicate that future organ donation promotion campaigns must focus on increasing basic knowledge and countering myths about organ donation for both populations.     

Putting order in the impossible

The class of visual illusions called 'impossible figures' (illusory spatial interpretations of pictures) is analyzed in order to introduce an ordering into the great variety of such figures. Such an ordering facilitates reference, unifies terminology, and establishes a conceptual framework for further investigations of the subject, making easier the choice and systematic generation of various types of figures (for example, in systematic psychological experiments). First, the notion of 'impossible figure' is defined and certain other related classes of figures (so-called 'likely' and 'unlikely' figures) are distinguished. Second, the fundamental 'impossibility sources' are identified as elementary 'building blocks' of all impossible figures. Finally, two broad classes of impossible figures, multibars (or 'impossible polygons') and striped figures, are briefly described.     

The relationship between space and time in the perception of stimuli moving behind a slit

When a shape defined by a set of dots plotted along its contour is presented in a sequence of frames within the boundaries of a slit, and in each frame only one dot (featureless frame) or two dots (feature frame) are displayed, a whole moving dotted shape is perceived. Masking techniques and psychophysical measures have been used to show that a dynamic random-dot mask interferes with shape identification, provided the interframe interval is greater than about 15 ms, and there are no stimulus features for recognition in individual frames. A similar pattern of results was obtained when the observer had only to detect the movement of a single dot or a pair of dots against a dynamic-noise background. It is concluded that the visual system can resolve the correspondence problem in both apparent movement (one moving dot) and aperture viewing (featureless-frame condition) by extracting motion before the extraction of features in each frame. However, the results also show that where feature identification in each frame is possible, it can also be used to identify the moving targets.     

Economic Envy

Envy of others' material possessions is a potent motivator of consumerism. This makes it a prudentially and morally hazardous emotional response. After outlining these hazards, I present an analysis of the emotion of envy. Envy, I argue, presents things in the following way: the envier lacks some good that her rival possesses; this difference between them is bad for the envier; this difference reflects poorly on the envier's worth; and this difference is undeserved. I then discuss the conditions under which these presentations can be satisfied by differences in material possessions. My conclusion is that no difference in material possessions can simultaneously be all the ways envy presents it as being. Consequently, economic envy is systematically irrational: it is never a warranted response to the distribution of material wealth. Recognising this bolsters the prudential and moral case for reducing the degree to which we feel it and for resisting the inclinations it gives rise to when we do.     

Auditing the quality of care of a crisis center

The purpose of this paper is twofold: First, it defines and describes different types of audits and areas of patient care which lend themselves to a quality of performance review. Second, it describes an audit application at a hospital-based crisis intervention center and the corrective action taken on the basis of the findings. The major emphasis of the audit was to determine the quality of medical-psychiatric consultation and to develop criteria for its initiation.