Examining Correctional Staff Members’ Engagement in Rehabilitation as Part of Their Everyday Practices in Short‐term Juvenile Detention

Research on the rehabilitation of juvenile justice‐involved youth is often focused on specific evidence‐based interventions. Less attention has been paid to everyday interactions that correctional staff members have with detained youth and, further, how these may align with trauma‐informed care principles and thus encourage a more supportive setting. Using an ethnographic case study approach, this study addressed this gap in knowledge by documenting the nature of rehabilitative practices as they naturally occurred in the context of short‐term detention staff members’ daily routine and interactions with detained youth. This study found evidence for three primary forms of routine rehabilitative practices: (a) promotion of youths’ emotional safety and well‐being, (b) provision of rights‐based information and explanations, and (c) encouraging youths’ success in and beyond detention. These practices were observed across several key setting contexts: (a) staff‐led group activities, (b) routine contact between individual youth and staff (e.g., formal procedures, informal conversations), and (c) staff‐only spaces. Our findings highlight the need for ongoing research to effectively translate promising intervention approaches, such as trauma‐informed care, into juvenile detainment settings.     

A Case Study Demonstrating Reduction of Aggressive Client Behaviors Using the Neuro-Occupation Model: Addressing Professional Burnout through Nonlinear Thinking

This single case study suggests that mental health practitioners adopt nonlinear modes of thinking within the neuro-occupation model to avoid professional burnout. Accordingly, the elimination of severely aggressive behavior of an institutionalized client was reviewed following an intervention using the model. Provided with new opportunities, the client self-extinguished aggressive interactions, reinstated social behaviors, and expanded occupations. Accepting clients as their own change agents limits our role to facilitators and reframes service delivery in mental health, which argues for comparison studies that measure reduced burnout in occupational therapists using the model.     

Nature,extent, and causes of bullying among personality‐disordered patients in a high‐secure hospital

The present study explored the perceptions and experiences of the nature, extent and causes of bullying among personality‐disordered patients, with a subsidiary aim of exploring differences in perceptions between staff and patients. The sample was selected from the Personality Disorder Unit of a high secure hospital. The total sample consisted of 60 participants, 30 patients and 30 staff. Participants engaged in a semi‐structured interview based on that developed by Brookes [1993] and modified by Ireland and Archer [1996] and Ireland [2002a]. The interview assessed their perceptions and experiences of patient‐to‐patient bullying. One fifth of patients and staff reported that they had seen a patient being bullied in the previous week. One‐fifth of patients reported that they had been bullied in the previous week and less than one tenth reported that they had bullied others. The most frequent types of bullying reported were theft‐related, verbal abuse, being made to do chores, physical assaults and intimidation. One fifth of the sample reported that sexual abuse took place. Victims were generally perceived to be ‘easy targets’ that were vulnerable, either physically or emotionally. Staff identified a wider range of victim types than patients. The results highlight how patient‐to‐patient bullying does occur and is an important issue worthy of further research. A number of similarities were found between the current findings and those of prison‐based research suggesting that both hospitals and prisons share a number of environmental similarities that help to explain why bullying takes placed in secure forensic settings. Aggr. Behav. 30:229–242, 2004. © 2004 Wiley‐Liss, Inc.     

Evaluation of an efficient method for training staff to implement stimulus preference assessments

We used a brief training procedure that incorporated feedback and role-play practice to train staff members to conduct stimulus preference assessments, and we used group-comparison methods to evaluate the effects of training. Staff members were trained to implement the multiple-stimulus-without-replacement assessment in a single session and the paired-stimulus method in another single session. In all 16 cases (2 assessments for 8 trainees), correct responding increased to over 80% accuracy; in 14 of those 16 cases, it increased to over 90% accuracy. Thus, training produced mastery-level performance in a single training session in almost all cases.     

目前我国ICU患者入住的标准是否过于宽泛

ICU是一个由特定人员与先进医疗设备组成的独立科室或病房,是现代化医院的重要标志。ICU的建立挽救了大量危重患者的生命,降低了死亡率。目前国内ICU还处于建设、完善、发展阶段,由于发展的不平衡,缺乏统一ICU规范和收治标准,以及对ICU在认识上存在着误区,因此,造成了不同等级医院、不同层次ICU收治的不平衡。如何使ICU的建设和运作更加程序化、专业化、规范化,真正发挥ICU的作用与功能,既要加强对患者与老百姓的宣传力度,也要加强业内人员的认识,同时还应加强医疗行政管理的监察力度。     

第五讲灵敏度分析在临床决策中的应用

通常情况下,在临床上由于病人病情的复杂性,医生在处理病人时要承受一定的风险,此时医生所做出的决策就是风险性型决策.风险型决策之所以有风险,是因为决策所依据的主要参数中,存在不确定性(即概率性)的参数,如果这些参数发生一点变化,或估计时不够准确,有一点出入又会产生怎样的结果呢?这时决策方案还如以前一样稳定吗?因此,应该对决策方案的稳定性进行分析和估计.这时所作的分析和估计就是灵敏度分析.     

Treatment for Youth in Short-Term Care Facilities: The Impact of a Comprehensive Behavior Management Intervention

We describe a comprehensive program to train emergency shelter staff in effective methods for dealing with youth who have behavioral and emotional problems; assess the degree to which staff implemented the treatment approach; measure the impact of the intervention on shelter-wide incidents such as out-of-control behavior, runaways, and violence against other youth; and examine pre-post changes in staff experiences at the shelter via anonymous surveys. Overall, the short-term shelter staff indicated adequate implementation of the intervention. The rate of youth incidents at the shelter significantly declined from pre to post assessment. Direct-care staff ratings of their satisfaction with their proficiency in behavior management and teaching youth skills increased significantly from pre to post implementation. These findings suggest that it is feasible to deliver an effective staff-training program to improve the behavior management and social skills of youth residing in short-term care facilities within the child welfare system.     

The Importance of Interpersonal Similarities in the Teacher Mentor/Protégé Relationship

The present study assessed the effect of interpersonal similarities between mentors and protégés in a large formal teacher mentoring program. The dependent variables included protégés’ satisfaction with the services provided by the program and perception of the program as influencing the decision to continue as a New York City Public School teacher. Two years of responses to surveys indicated that mentor-protégés similarities, most notably in the relatively intangible areas of outside interests, teaching styles, or personality types, fostered stronger relationships between mentors and protégés.     

吉林省医务人员吸烟现况及知识态度分析

为了更好地了解吉林省医务人员的吸烟状况,为进一步开展控烟工作提供科学依据,对吉林省50家医疗机构的3787名医务人员进行问卷调查,调查结果显示,男性医务人员吸烟率较高；医务人员对烟草危害认识不全面,控烟意识较为薄弱.应加强对医务人员烟害知识等方面的培训,以改变其吸烟行为、提高控烟责任意识.     

Comparing choice and questionnaire measures of the acceptability of a staff training procedure

We compared questionnaire and choice measures of acceptability while evaluating effects of staff familiarity versus unfamiliarity with the system used to monitor performance during a training program. Staff members rated both monitoring formats equally favorably on the questionnaire, whereas when given a choice, they frequently chose the familiar format and never chose the unfamiliar format. These results suggest that traditional questionnaire evaluations may not be sufficiently sensitive measures of acceptability relative to choice measures.