Group CBT for Externalizing Disorders in Urban Schools: Effect of Training Strategy on Treatment Fidelity and Child Outcomes

Public schools are an ideal setting for the delivery of mental health services to children. Unfortunately, services provided in schools, and more so in urban schools, have been found to lead to little or no significant clinical improvements. Studies with urban school children seldom report on the effects of clinician training on treatment fidelity and child outcomes. This study examines the differential effects of two levels of school-based counselor training: training workshop with basic consultation (C) vs. training workshop plus enhanced consultation (C +) on treatment fidelity and child outcomes. Fourteen school staff members (counselors) were randomly assigned to C or C +. Counselors implemented a group cognitive behavioral therapy protocol (Coping Power Program, CPP) for children with or at risk for externalizing behavior disorders. Independent coders coded each CPP session for content and process fidelity. Changes in outcomes from pre to post were assessed via a parent psychiatric interview and interviewer-rated severity of illness and global impairment. Counselors in C + delivered CPP with significantly higher levels of content and process fidelity compared to counselors in C. Both C and C + resulted in significant improvement in interviewer-rated impairment; the conditions did not differ from each other with regard to impairment. Groups did not differ with regard to pre- to- posttreatment changes in diagnostic severity level. School-based behavioral health staff in urban schools are able to implement interventions with fidelity and clinical effectiveness when provided with ongoing consultation. Enhanced consultation resulted in higher fidelity. Enhanced consultation did not result in better student outcomes compared to basic consultation. Implications for resource allocation decisions with staff training in EBP are discussed.     

Homework Completion,Patient Characteristics,and Symptom Change in Cognitive Processing Therapy for PTSD

We evaluated the impact of homework completion on change in PTSD symptoms in the context of two randomized controlled trials of Cognitive Processing Therapy for PTSD (CPT). Female participants (n = 140) diagnosed with PTSD attended at least one CPT session and were assigned homework at each session. The frequency of homework completion was assessed at the beginning of each session and PTSD symptoms were assessed every other session. Piecewise growth models were used to examine the relationship between homework completion and symptom change. CPT version (with vs without the written trauma account) did not moderate associations between homework engagement and outcomes. Greater pretreatment PTSD symptoms predicted more Session 1 homework completion, but PTSD symptoms did not predict homework completion at other timepoints. More homework completion after Sessions 2 and 3 was associated with less change in PTSD from Session 2 to Session 4, but larger pre-to-post treatment changes in PTSD. Homework completion after Sessions 2 and 3 was associated with greater symptom change among patients who had fewer years of education. More homework completion after Sessions 8 and 9 was associated with larger subsequent decreases in PTSD. Average homework completion was not associated with client characteristics. In the second half of treatment, homework engagement was associated with less dropout. The results suggest that efforts to increase engagement in homework may facilitate symptom change.     

Mothers' Ideal Positive Affect Predicts their Socialization of Children's Positive Affect

Parents generally want their children to be happy, but little is known about particular types of positive affect (PA) that parents want their children to experience. Tsai's (2007) affect valuation theory offers a useful framework to understand how parents' emotional goals may shape the socialization of particular types of PA (e.g., excitement vs. relaxation). Participants were 96 mothers and their 7- to 12-year-old children. Results indicated that mothers endorsed similar levels of ideal PA (IPA) for low-, moderate-, and high-arousal PA for both themselves and for their child, suggesting that mothers desire the same type of PA for their children as they want for themselves. In support of the study's main hypothesis, mothers' IPA for their children predicted specific socialization responses that would encourage that type of PA (e.g., mothers' high-arousal IPA predicted greater encouragement of their child to celebrate, whereas mothers' low-arousal IPA predicted encouragement of affection). The findings extend affect valuation theory and emotion socialization research by indicating that parents' emotional goals (i.e., IPA) for their children may contribute to their socialization of children's PA.     

Memory for Textbook Covers: When and Why We Remember a Book by Its Cover

There is an important distinction between seeing something and paying attention to it, and this can influence memory. The current study examined incidental memory for the covers and authors of textbooks used in undergraduate psychology courses. Students in several courses were asked to recall the textbook cover design (Studies 1 and 2) and the name of the author of their textbook (Study 2). When the cover design was explicitly connected to a course concept, memory accuracy was positively related to performance in the course. While people may judge a book by its cover, remembering that cover may depend on how well it reflects a key concept of the book. The findings provide novel insight regarding how students attend to book covers and author information and when and why some students remember information that is not anticipated to appear on real‐world course assessments. Copyright © 2017 John Wiley & Sons, Ltd.     

Transdisciplinary Child and Youth Studies: Critical Praxis,Global Perspectives

Drawing on empirical and theoretical literature from across six continents, this Introduction to a special issue of World Futures serves as a prelude to seven articles focused on transdisciplinary child and youth studies. The resulting gestalt builds on the assumption that those engaged in transdisciplinary research and pedagogy are also deeply engaged in the global reform movement currently underway in higher education. As a contribution to this process, we make two key arguments. First, Indigenous epistemologies (defined as traditional integrated knowledge systems drawing on connectedness to the Earth and ontologies of respect for past and future generations) must be fully included within the transdisciplinary canon. Second, we introduce child and youth studies as an inherently transdisciplinary field, one that embraces complex systems analysis along with young people’s participation in research that concerns their well-being.     

Radical Listening: Transdisciplinarity,Restorative Justice and Change

This article explores transdisciplinarity within childhood studies at the intersection of restorative justice and counseling psychology. It is argued that at this juncture the nexus of radical listening may be uncovered. Radical listening, a term first coined by the critical pedagogue J.L. Kincheloe, is used here to aid in the project of both decolonizing restorative justice practices and deconstructing the hegemonic positioning of psychology in childhood studies through an intersectional understanding of childhood. This is a move toward complexity thinking and a valuing of Indigenous ways of knowing in response to the epistemicide of minoritized voices and the domination of White Western scholarship in childhood studies over the past century. Linkages established among transdisciplinarity, restorative justice, and counseling reorients the scholar/practitioner toward a nuanced understanding of a rights-based perspective and an appreciation of the intersections of social, political, and cultural worlds.     

Braiding Two Evidence-Based Programs for Families At-Risk: Results of a Cluster Randomized Trial

Child maltreatment is a significant public health problem best addressed through evidence-based parent-support programs. There is a wide range of programs with different strengths offering a variety of options for families. Choosing one single evidence-based program often limits the range of services available to meet the unique needs of families. This paper presents findings from a study to examine the systematic braiding of two evidence-based programs, Parents as Teachers and SafeCare at Home (PATSCH), with the goal to provide a more robust intervention for higher risk families. A cluster randomized effectiveness trial was conducted to examine if PATSCH improved parenting behaviors known to decrease the risk for child maltreatment compared to Parents as Teachers (PAT) Alone. Parents (N?=?159; 92 PAT Alone; 67 PATSCH) were enrolled to complete a baseline, 6-month and 12-month assessment. Results indicate the groups did not differ on number of environmental hazards in the home, parents’ health care decision-making abilities, child abuse potential, and physical assault over time. However, with regard to the potential for child abuse, the PATSCH group showed a decrease in nonviolence discipline and increase in psychological aggression compared to the PAT group. Further research is needed to better examine this concept and its implications for the field.     

Age-related differences on a new test of temporal order memory for everyday events

We developed a new test to examine incidental temporal order memory for a self-generated sequence of tasks one might complete in everyday life. Young and older adults were given 10 cards, each listing a task one might accomplish in a typical day. Participants were asked to self-generate a “to do” list by placing the 10 cards in a sequence representing the order in which they would accomplish the tasks, but were not informed of a subsequent memory test. We assessed immediate free recall, delayed free recall, and delayed cued recall for the order of the tasks in the sequence. Older adults were significantly impaired relative to young adults on immediate free recall, delayed free recall, and delayed cued recall. Correlation analyses with standardized neuropsychological tests provide preliminary evidence for construct validity for our test, which is portable and can be rapidly administered in clinical or laboratory settings.