Generality of the practical functional assessment and skill‐based treatment among individuals with autism and mental health disorders

A practical functional assessment format was recently developed that informed a skill‐based treatment for the problem behavior of children diagnosed with autism spectrum disorder. Since its inception there have been multiple replications of the procedures; however, the comprehensive model has rarely been applied to populations with more complex comorbid disorders and severe problem behavior such as those diagnosed with anxiety or depression. We conducted the current study to systematically replicate the entire practical functional assessment and skill‐based treatment model with two participants diagnosed with multiple mental health disorders admitted to a severe behavior outpatient unit. The practical functional assessment identified reinforcers that were provided contingent on increasingly complex forms of communication. Problem behavior remained low for both participants after reinforcement was thinned by increasing a response requirement of completing difficult tasks. Furthermore, the results were socially validated by the parents and teachers and the treatment was extended to the home setting.     

Rebooting Mental Health Care Delivery for the COVID-19 Pandemic (and Beyond): Guiding Cautions as Telehealth Enters the Clinical Mainstream

Across the COVID-19 pandemic, we have witnessed perhaps the field’s largest and most abrupt transformation in scope of practice. In the context of surging mental health needs and historically limited feasibility of traditional office-based services during the pandemic, telehealth has launched into the clinical mainstream and has become a dominant mode of outpatient mental health care delivery. The articles in this terrific Special Issue outline some of the field’s most exciting innovations from the past 18 months. The present commentary discusses how these unprecedented times have prompted unprecedented resourcefulness and innovation in the field. Issues related to evolving and uncertain telehealth regulation and reimbursement policies are discussed, and cautions for the road ahead are offered as we prepare for post-pandemic practices. The commentary concludes with a call to redouble efforts to move beyond the use of telehealth to largely treat only those populations who already enjoyed access to traditional office-based services. Understanding and overcoming barriers to telehealth care and ensuring equitable access to telehealth options are critical steps for actualizing the great potential of telehealth strategies for increasing the reach of supported care to underserved populations.     

A Public Health Framework for Preventing Mental Disorders in the Context of Pandemics

The COVID-19 pandemic has universally threatened the building blocks of mental health, well-being, and quality of life, namely, expectations of safety, connectedness, hope, and individual and societal efficacy. Consequently, unprecedently large numbers of individuals are significantly stressed and many are at risk for relapse of mental health problems, exacerbations of existing mental and behavioral health problems, and new onset clinical problems. Because of the scope of the problem, a population-based public health perspective is needed, which in the context of disasters has well-established theories and prevention approaches. Public health approaches to disasters and pandemics focus on preventing subclinical problems from becoming clinical disorders, in comparison to clinical care approaches that focus on treating established disorders. Fortunately, specialty care clinicians who typically think about assessing and treating established disorders have the training and clinical competencies to deliver prevention-focused interventions. This paper is designed to help specialty care clinicians who use cognitive-behavioral strategies to understand the biopsychosocial impacts and resource deficits associated with COVID-19-related stressors and the public health perspective to address them. We also provide ways clinicians can help people who are suffering from significant stress and resource deficits bounce back and regain functioning. We describe psychological first aid, stress management, repeated ecological assessment, writing about stressors, problem-solving, and behavioral activation approaches to assist individuals at risk for enduring stress-linked problems.     

Relationships,health, and stress: Validation of a relationship sense of coherence measure

Although all romantic relationships experience stress, some thrive when faced with adversity while others are unable to manage the inevitable relationship ups and downs. Rather than seeing stress as a risk factor, this study applied a Salutogenic framework, which posits that stress is a naturally occurring and potentially beneficial part of relationships, to develop a new measure of relationship health and well‐being. In Study 1, we created and tested a self‐report Relationship Sense of Coherence (RSOC) scale. Study 2 demonstrated evidence of convergent reliability for the RSOC. In Study 3, we tested the RSOC in a two‐wave sample of romantically‐involved individuals with a chronic health condition. Guidelines for use and implications for future research are discussed.     

Le processus d’intervention en santé au travail : éclairer les enjeux de l’action par un exercice de formalisation de l’activité

IntroductionThe quality of action in occupational health requires attention to its dynamic, for example analysing the activity of the intervenant consultant: what he manages to do in his activity and the obstacles he encounters.ObjectiveThis article proposes to feed the knowledge on the intervention from a qualitative approach and centered on the intervention process.MethodUsing the case study, the article shows the real of the intervention, its obstacles and the adjustments it imposes. The case studied is in a journal.ResultsThis intervention process shows the effects of variation caused by lack of accession and support from management and the trade unions, the difficulty of passing from knowledge to action.ConclusionThe difficulties have a function of revelation which the evaluation of the effects of an intervention can take into account.     

Bio-inspired cognitive model of motor learning by imitation

Learning, and even more so by imitation, is an essential Cognitive Functions because it is carried out throughout life and allows us to adapt our behaviors from other beings through observation. In this work, we propose a model, and implementation of the cognitive function of imitation motor learning (IML), based on psychological and neuroscientific evidence. According to the evidence, learning by imitation includes imitation of action and imitation of action over an object sub-processes. The imitation of action consists of the movement of the limbs. The imitation of action over an object consists of the interaction with an object within the environment. We achieve an implementation of the proposed model for IML and endow a virtual entity with it. In order to validate the proposal, we use a case study to analyze the sub-processes performance. From results, we conclude that both imitation of action and imitation of action over an object sub-processes play an essential role in getting the agent to interact with stimuli within the environment.     

When the final whistle blows: Social identity pathways support mental health and life satisfaction after retirement from competitive sport

For many athletes, retirement from higher levels of competitive sport poses significant challenges. Research has shown that athletic identity is a key predictor of adjustment trajectories, but the mechanisms through which this affects outcomes are less clear. Added to this, there has been limited research on the role that wider social identities, and the resources they enable, play in adjustment. Addressing both these issues, we examined theoretically derived social identity pathways to retirement adjustment in athletes who had played sport at higher competitive levels and two potential mechanisms, or psychological resources, through which adjustment might be enabled. This was examined in two samples: retired athletes from countries in Western (n = 215) and Eastern (n = 183) regions. Loss of athletic identity, social group memberships (multiple, maintained and new), psychological resources (perceived meaning in life and control), and adjustment (life satisfaction, depression, and perceived physical health) were assessed. In both samples, the loss of athletic identity undermined adjustment by reducing meaning in life and perceived control. Path analysis showed that both maintained and gained social group memberships counteracted the negative effects of athletic identity loss on adjustment. Evidence that these pathways enabled access to psychological resources was found primarily in Chinese athletes, with maintained groups influencing personal control and new groups influencing meaning in life. These findings highlight the importance of social identity processes to retirement from higher levels of competitive sport and the mechanisms through which they can either support or undermine adjustment.     

中国国民心理健康素养的现状与特点

本研究以系统的全国抽样调查方式, 了解我国国民心理健康素养现状。结果显示, 我国成年公众的心理健康素养总体处于中偏低水平; 其发展水平在地域、人口学分布上比较均衡; 在结构上, 公众心理健康素养的发展表现出心理健康维护和促进的素养高于心理疾病应对的素养, 自助的素养高于助人的素养两个特点。调查还发现, 个体心理健康素养中, 知识观念部分个体差异较大, 态度和习惯部分个体差异较小; 在心理健康素养的社会性影响因素方面, 社会经济地位是所考察变量中效应最大的因素, 且其对素养的知识观念方面影响较大, 对素养的态度习惯方面影响较小。调查结果提示, 要充分认识心理健康素养提升任务的艰巨性; 在实践策略上, 宜以提升心理疾病应对的素养作为当前的工作重点和突破口。     

Evidence for Relationships Between Hope,Resilience, and Mental Health Among Youth

Predictive modeling was used to evaluate the associations between hope, resilience, happiness, and mental health in 449 middle and high school students. Model results indicated large effect sizes for middle school (R² = .28) and high school (R² = .36) participants, with hope and resilience tending to predict self‐reported mental health symptoms. These findings and their application to counseling practice are explained.