Leading Equine-Assisted Mental Health Groups: An Exploratory Survey of Practitioner Characteristics,Practices, and Professional Development

This exploratory survey was an investigation of practitioner and practice characteristics of clinicians (N = 24) involved in the provision of equine-assisted mental health (EAMH) groups. We focused on practitioner education, credentialing, clinical experience, approach, and perceived self-efficacy, as well as specific group characteristics concerning type, duration, and clinical populations served. Results, limitations, and future directions are provided, with an overall aim of contributing to the development and progression of this increasingly used group approach.     

Evidence-Based Treatments in Community Mental Health Settings: Use and Congruence With Children’s Primary Diagnosis and Comorbidity

Research on Child and Adolescent Psychopathology - Many evidence-based treatments (EBTs) have been identified for specific child mental health disorders, but there is limited research on the use of...     

Influence of Levels of Abstractness on Reasoning Ability

Judgment by students of faculty effectiveness have relied, for the most part, on subjectively expressed responses to a series of “effectiveness traits” (cues). Simple averaging schemes have summarized the aggregate judgments, often resulting in (a) treating all cues as if they were of equal importance, and (b) inattention to the effects or measurement of individual differences of judges.

Multiple regression was used in this study to derive (empirically) individual cue utilization patterns (i.e., weights) for 10 effectiveness traits. Ss were compared to their subjectively expressed judgment scheme. Results indicate that Ss were moderately successful in expressing their actual cue utilization patterns; however, different judgment schemes were clearly observed.     

Effect of the Healthy MOMs Lifestyle Intervention on Reducing Depressive Symptoms Among Pregnant Latinas

Depression during the prenatal and postpartum periods is associated with poor maternal, perinatal and child outcomes. This study examines the effectiveness of a culturally and linguistically tailored, social support-based, healthy lifestyle intervention led by trained community health workers in reducing depressive symptoms among pregnant and early postpartum Latinas. A sample of 275 pregnant Latinas was randomized to the Healthy MOMs Healthy Lifestyle Intervention (MOMs) or the Healthy Pregnancy Education (control) group. More than one-third of participants were at risk for depression at baseline. MOMs participants were less likely than control group participants to be at risk for depression at follow-up. Between baseline and 6 weeks postpartum, MOMs participants experienced a significant decline in depressive symptoms; control participants experienced a marginally significant decline. For MOMs participants, most of this decline occurred during the pregnancy intervention period, a time when no change occurred for control participants. The change in depressive symptoms during this period was greater among MOMs than control participants (“intervention effect”). From baseline to postpartum, there was a significant intervention effect among non-English-speaking women only. These findings provide evidence that a community-planned, culturally tailored healthy lifestyle intervention led by community health workers can reduce depressive symptoms among pregnant, Spanish-speaking Latinas.     

Trauma Exposure in Anxious Primary Care Patients

The present study examined rates of trauma exposure, clinical characteristics associated with trauma exposure, and the effect of trauma exposure on treatment outcome in a large sample of primary care patients without posttraumatic stress disorder (PTSD). Individuals without PTSD (N?=?1,263) treated as part of the CALM program (Roy-Byrne et al., Journal of the American Medical Association 303(19)1921–1928, 2010) were assessed for presence of trauma exposure. Those with and without trauma exposure were compared on baseline demographic and diagnostic information, symptom severity, and responder status six months after beginning treatment. Trauma-exposed individuals (N?=?662, 53 %) were more likely to meet diagnostic criteria for Obsessive Compulsive Disorder and had higher levels of somatic symptoms at baseline. Individuals with and without trauma exposure did not differ significantly on severity of anxiety, depression, or mental health functioning at baseline. Trauma exposure did not significantly impact treatment response. Findings suggest that adverse effects of trauma exposure in those without PTSD may include OCD and somatic anxiety symptoms. Treatment did not appear to be adversely impacted by trauma exposure. Thus, although trauma exposure is prevalent in primary care samples, results suggest that treatment of the presenting anxiety disorder is effective irrespective of trauma history.     

Abusive interactions and burnout: Examining occupation,gender, and the mediating role of community

Abstract

Two studies examined the association of gender and occupational group (nursing versus non-nursing) with perceived risk of abuse (sexual harassment and verbal and physical abuse) as well as the relationship of perceived abuse risk with burnout and sense of community. Study 1, comprising of two settings (tertiary care hospital, N = 3,062; psychiatric hospital, N = 383), found gender and occupational group associated with perceived risk of abuse (women felt greater risk than men; nurses felt greater risk than non-nurses). It also found a gender/occupational group interaction. Study 2, conducted at an Irish tertiary care hospital (N = 892), found nurses felt at greater risk for all three types of abuse than did non-nurses. Further, women perceived themselves at greater risk for sexual harassment and verbal abuse than did men; the study found no gender difference regarding physical abuse. The analysis identified a gender/occupational group interaction for sexual harassment. The study considers methods of reducing perceived risk in regard to the research literature on abuse at work.     

The experience of chronic illness: Issues of loss and adjustment

Abstract

The impact of a long-term illness creates a pervasive dilemma for individuals in regard to maintaining both emotional and social well-being. Dealing with the medical ramifications of illness may be only one small part of the challenge. Too often, a number of personal losses are encountered in addition to functional limitations. Chronic illness may affect an individual's sense of self-worth, relationships with family and friends, and future goals and plans. The acceptance of these losses and adaptation to the illness are shaped in part by the meaning the individual ascribes to the event. It is further influenced by societal reactions and interactions with others. Unfortunately, persons with chronic illness often find themselves alone in their struggle to adapt. The purpose of this article is to discuss the issues relevant to such persons and to identify ways in which counseling can facilitate this difficult process.