Women–Focused Treatment Agencies and Process Improvement: Strategies to Increase Client Engagement

Behavioral health treatment agencies often struggle to keep clients engaged in treatment. Women clients often have additional factors such as family responsibilities, financial difficulties, or abuse histories that provide extra challenges to remaining in care. As part of a national initiative, four women-focused drug treatment agencies used process improvement to address treatment engagement. Interviews and focus groups with staff assessed the nature and extent of interventions. Women-focused drug treatment agencies selected relational-based interventions to engage clients in treatment and improved four-week treatment retention from 66% to 76%. Process improvement interventions in women-focused treatment may be useful to improve engagement.     

Evaluation of Peer Training for Teaching Abduction Prevention Skills

Child abduction is a serious problem, with approximately 100 children killed each year by nonfamily abductors. Training programs to teach children the correct skills to use if they ever come into contact with a stranger can be effective when they incorporate behavioral skills training (BST) and in-situ training (IST) into their protocol. However, these methods can be rather time and energy consuming. The current study evaluated the effectiveness and efficiency of a peer tutoring approach to teaching abduction prevention skills. Peer trainers implemented BST sessions and IST sessions with their younger peers. Children successfully acquired the target safety behaviors taught by the peer trainers, and use of the skills generalized to their natural environment.     

Measuring Clarity of and Attention to Emotions

To clarify what is actually measured by the trait version of the State-Trait Anxiety Inventory (STAI; Spielberger, Gorsuch, &; Lushene, 1970), we conducted a confirmatory factor analysis of various models and evaluated convergent and discriminant validity. The best fit was obtained with both a bifactor model, comprising 2 specific factors plus a general factor, and a 1-construct, 2-method model. The total score and the 2 method subscales of the STAI trait version were more strongly correlated with depression than with anxiety. In the bifactor model with 2 specific factors, the depression subscale showed stronger correlations with measures of depression than with measures of anxiety. The correlation of the hypothetical anxiety subscale with measures of depression was equivalent to or higher than its correlation with measures of anxiety. These results suggest that the questionnaire does not strictly evaluate anxiety but, rather, negative affect.     

victims and offenders: accounts of paybacks,invulnerability, and financial gain among homeless youth

In recent years, club-drug use among a segment of urban gay men has gained in popularity, contributing to a range of effects, including heightened sexual stimulation, increased sexual performance and endurance, but also, unsafe sexual practices, drug overdose, drug addiction and death. This article draws from a larger study of urban sexual careers and identifies two prominent forms of club-drug use: the first, to facilitate sexual performance; and the second, to facilitate community. The author argues that the basis of both patterns of drug use lie in adaptations to the institutional organization of urban gay sexual sociality.     

Difficulties in emotion regulation are associated with panic symptom severity following a quit attempt among cannabis dependent veterans

Background and Objectives: Prior research suggests that difficulties in emotion regulation are associated with elevations in panic symptoms. The present study aimed to extend this work by prospectively examining the relation between difficulties in emotion regulation and panic symptoms over the course of a self-guided cannabis cessation attempt. Design and Method: One hundred and four cannabis-dependent military veterans participated in the study. Difficulties in emotion regulation and panic symptoms were assessed at baseline and at each week during a four-week cessation attempt for a total of five time-points. Results: Fewer difficulties in emotion regulation were associated with a greater reduction in panic symptoms during the self-guided cannabis cessation period. Results remained significant after statistically adjusting for mean substance use (i.e., cannabis, alcohol, and tobacco) during the study period. Conclusions: Results are discussed in terms of integrating adaptive emotion regulation skills training into existing evidence-based treatments for cannabis dependence.     

Victim-Defendants in Mandated Treatment: An Ethical Quandary

Battered women are being arrested and convicted of domestic violence-related crimes in higher numbers than ever before. In addition, battered women are being sentenced to treatment as primary perpetrators even though their aggression was in response to the violence perpetrated against them. Many service providers are presently ill-equipped to offer treatment and/or other services that will effectively serve these women in a manner that will truly reduce violence and is not re-victimizing. This article will present key issues surrounding the problem, and provide suggestions for effective advocacy and intervention approaches.     

The Territories of Science and Religion

Journal of Religion and Health -