Toward an Evidence-Based System for Innovation Support for Implementing Innovations with Quality: Tools,Training, Technical Assistance,and Quality Assurance/Quality Improvement

An individual or organization that sets out to implement an innovation (e.g., a new technology, program, or policy) generally requires support. In the Interactive Systems Framework for Dissemination and Implementation, a Support System should work with Delivery Systems (national, state and/or local entities such as health and human service organizations, community-based organizations, schools) to enhance their capacity for quality implementation of innovations. The literature on the Support ystem has been under-researched and under-developed. This article begins to conceptualize theory, research, and action for an evidence-based system for innovation support (EBSIS). EBSIS describes key priorities for strengthening the science and practice of support. The major goal of EBSIS is to enhance the research and practice of support in order to build capacity in the Delivery System for implementing innovations with quality, and thereby, help the Delivery System achieve outcomes. EBSIS is guided by a logic model that includes four key support components: tools, training, technical assistance, and quality assurance/quality improvement. EBSIS uses the Getting To Outcomes approach to accountability to aid the identification and synthesis of concepts, tools, and evidence for support. We conclude with some discussion of the current status of EBSIS and possible next steps, including the development of collaborative researcher-practitioner-funder-consumer partnerships to accelerate accumulation of knowledge on the Support System.     

Development and dissemination of collaborative family-oriented services: the case of community/day residential care in Israel

The initiation, development, and dissemination of family-oriented programs are a unifying thread that highlights family therapy's contribution to the fields of mental/physical health and social services. These demanding tasks require an ecosystemic vision, a supportive larger context, and a range of skills. This article delineates the evolution of community and day residential care in Israel by examining processes at different ecological levels: the formulation and implementation of national social policy, the follow-up of two family-oriented facilities, one of which thrived while the other eventually closed, and the residential care provided to 1 family with 3 children. The analysis of this multilevel data highlights 4 facilitating/obstructing factors that have had major impact on family-oriented programs: support by both national and local sociopolitical-professional administration, program's management autonomy, staff training, support and development, and effective facility leadership that establishes and nurtures family-oriented organizational structure and culture.     

Using the Tenets of the Problem‐Centered Systems Therapy of the Family (PCSTF) to Teach the McMaster Approach to Family Therapists

This article describes the videoconferencing training of a group of family therapists in the McMaster Approach to evaluating and treating families. A discussion of the key tenets of the McMaster Approach lays the groundwork for how these tenets were applied to training in a residential treatment agency for adolescents. The article serves as an example of how videoconference technology can facilitate extended training, even from a distance.     

A Brief Group Intervention Using Video Games to Teach Sportsmanship Skills to Children With Autism Spectrum Disorders

Impaired social skills represent a fundamental deficit for children with Autism Spectrum Disorders (ASD). Despite the potential importance of “good sportsmanship,” this social skill has received relatively little attention in the literature. The current study utilized a Behavioral Skills Training (BST) approach to teach three sportsmanship skills (i.e., complimenting, turn taking, and being a good sport) during video game play (Wii Sports). Six children with ASD completed this study. Findings suggest BST can be used effectively to teach sportsmanship skills to children with ASD. The use of video-game technology as part of social skills intervention programs is also discussed.     

Psychoanalysis in the Netherlands during World War II

To understand what happened in the psychoanalytic world in Holland during the German occupation (1940-1945) we must have knowledge of the conflicts within the Dutch Society of Psychoanalysis in the nineteen-thirties. Those conflicts mainly deal with the subject of lay analysis, the compulsory training analysis and in general if compliance with foreign, with IPA rules was advisable. These differences of opinion reached their peak when four Jewish psychoanalysts arrived from Germany in 1933. The Dutch Society broke up in two parts, but was reunited in 1938. During the German occupation the training was finally regulated according to the IPA rules. This lead to a new splitting in the world of Dutch psychoanalysis that has not been healed to date.     

Studies of a Child. I

The authors examined the relationship between newborn neurobehavioral profiles and the characteristics of early mother-infant interaction in Nagasaki, Japan. The authors administered the Brazelton Neonatal Behavioral Assessment Scale (NBAS; T. B. Brazelton &; J. K. Nugent, 1995) in the newborn period and the Nursing Child Assessment Teaching Scale at 1 month (NCATS; G. Sumner &; A. Spietz, 1994). They administered the Perceived Stress Scale (S. Cohen, T. Kamarck, &; R. Mermelstein, 1983) as an index of maternal stress experienced over the past month. Lower irritability, higher stability in skin coloration, and lower tremulousness in the neonatal period were correlated with higher levels of maternal nurturing behaviors at 1 month. Birth weight and 2 NBAS range-of-state items (peak of excitement, irritability) predicted 31% of the variance in NCATS caregiver subscale score. The NBAS autonomic stability items (tremulousness, startles, lability of skin color) predicted 31% of the variance in the NCATS child subscale score. Perceived stress and maternal sociodemographic variables (education, income, age, parity) were not associated with child, caregiver, and total scores on the NCATS. The results suggested that lack of autonomic stability in Japanese neonates might serve as an early indicator of infant frailty, negative behavioral cues, and decreased maternal responsiveness.     

Getting Everybody Involved

Abstract

This paper describes a creative approach for training counselor and counselor educators that provides collaborative interactions among students and faculty in several university training programs. Structured around a problem-solving activity and self-reflection questionnaires, undergraduate teachers-in-training were given an opportunity to receive one-to-one consultative counseling from the master's level counselors-in-training, who in turn received structured problem-solving supervision from the doctoral level students. Finally, the doctoral level students received faculty support to facilitate the development of their supervisory skills. The goal of this training approach is to provide students at all three levels with experiences similar to those they will encounter as professionals following graduation from the university, but within the context of scaffolding from faculty and more advanced students.     

An Evaluation of Pharmacological Treatment Combined with Stress Inoculation Training in the Management of oral Lichen Planus

The aim of this pilot study was to examine the effects of the inclusion of a cognitive-behavioral intervention to the pharmacological treatment of oral lichen planus (OLP). Using a randomized controlled clinical trial, 16 patients affected by OLP were treated either with a potent corticosteroid in addition with stress inoculation training or with the drug alone. There were significant differences between the groups regarding the severity of the pathology both at the end of the treatment as well as at one-month follow-up. It is concluded that a cognitive-behavioral intervention might be usefully combined with pharmacological treatment for OLP.     

Editorial: Psychosocial Aspects of AIDS

This article comprises two parts.

In the first part, some general issues related to research training are discussed, including the “Scientist-Practitioner Model,” training for basic and applied research, differences between the USA and Europe at various levels of training, and types or areas of research students should be trained for.

In the second part, seven specific objectives of research training are discussed. These objective are (a) learning to write a review of the research literature, (b) learning to critically evaluate a journal article, (c) learning to plan and carry out a specific health psychology research study, (d) learning to communicate, (e) learning to enhance co-operation of professionals in the field, (f) learning to raise funds, (g) learning to respect ethical issues.     

Heterogeneity in memory training improvement among older adults: A latent class analysis

This study investigated the extent to which older adults' associative memory functioning can be modified through instruction and practice based on individuals' memory status. Here 42 younger adults and 42 older adults performed four tasks that measured strategic and binding aspects of memory. With latent class analysis, two classes of older adults were identified. The first class showed higher memory functioning similar to younger adults, while the second class was characterised by lower memory functioning. A subsequent analysis examined whether the high- and low-performing older adults differ in patterns of gain from receiving instruction and practice on a mnemonic strategy. The results revealed that high-performing older adults, similar to younger adults, showed higher associative memory performance under explicit intentional encoding instruction and after extensive practice of the strategy. In contrast, low-performing older adults benefited more from directed instruction of the strategy. The results are discussed in relation to individual differences in the functional status of mechanisms underlying memory functioning, and how these differences may lead to compensation or magnification of training gain. The present findings highlight the importance of considering differential memory processes to develop specific training paradigms that target the processes that show the most prominent decline.