The Mental Health Needs of Youth with Emotional and Behavioral Disabilities Placed in Special Education Programs in Urban Schools

We describe the psychosocial characteristics of youth with an average age of 11.8 years served in special education due to emotional disturbances in urban communities (N = 158). Data were also collected describing service utilization, academic functioning, and family characteristics. Ten schools in three mid-size urban cities participated. Results from the administration of standardized assessments revealed that the majority of students scored in the clinical range on the parent version of the Child Behavior Checklist and the Columbia Impairment Scale, indicating significant levels of emotional and behavioral impairment. Further, behavior problems began at an early age with 80% of the youth using outpatient services beginning at the average age of 7.5 years and 29% of the youth using inpatient services beginning at an average age of 8.4 years of age. Most of the youths' school careers (67%) have been in a special education setting. The most common services currently being supplied by school personnel was individual counseling and this was provided for 63% of the students while child-serving agency personnel were providing individual counseling for 17% of the youth. Implications for the development of multi-agency collaborative services are presented.     

Does decision making transfer across similar and dissimilar sports?

ObjectivesThe ability to make decisions under time pressure is crucial to performance in sport. However, there remains a paucity of research that examines whether the skills underpinning decision-making transfer across similar or dissimilar sports. We examine whether decision making transfers from soccer to other sports that may be deemed to be either similar (basketball) or dissimilar (tennis) based on sports taxonomy.MethodsSkilled soccer players (N = 20) completed a video-based temporal occlusion test designed to measure decision-making involving offensive sequences of play from soccer, basketball, and tennis. Participants were required to decide on an appropriate action to execute for each situation presented.ResultsResponse accuracy was higher in the soccer decision-making task compared to the basketball and tennis tasks. Furthermore, accuracy scores were higher on the basketball compared to the tennis task.ConclusionsThere appears to be some positive transfer of decision-making between sports that share similar elements, supporting the importance both of specificity and generality in expert performance.     

Training programme designs in professional team sport: An ecological dynamics exemplar

Ecological dynamics is a contemporary theory of skill acquisition, advocating the mutuality of the performer-environment system, with clear implications for the design of innovative training environments in elite sport. It contends that performance behaviours emerge, and are adapted, by athletes satisfying a confluence of constraints impacting on their structural and functional capacities, the physics of a performance environment and the intended task goals. This framework implicates contemporary models of coaching, training design and sport science support, to stimulate continuous interactions between an individual and performance environment, predicated on representative learning designs (RLD). While theoretical principles of RLD in ecological dynamics are tangible, their practical application in elite and high level (team) sports need verification. Here, we exemplify how data sampled from a high-performance team sport setting could underpin innovative methodologies to support practitioners in designing representative training activities. We highlight how the use of principles grounded within ecological dynamics, along with data from performance analytics, could suggest contemporary models of coaching and preparation for performance in elite sport.     

Prevalence of interactions and influence of performance constraints on kick outcomes across Australian Football tiers: Implications for representative practice designs

Representative learning design is a key feature of the theory of ecological dynamics, conceptualising how task constraints can be manipulated in training designs to help athletes self-regulate during their interactions with information-rich performance environments. Implementation of analytical methodologies can support representative designs of practice environments by practitioners recording how interacting constraints influence events, that emerge under performance conditions. To determine key task constraints on kicking skill performance, the extent to which interactions of constraints differ in prevalence and influence on kicking skills was investigated across competition tiers in Australian Football (AF).A data sample of kicks (n = 29,153) was collected during junior, state-level and national league matches. Key task constraints were recorded for each kick, with performance outcome recorded as effective or ineffective. Rules were based on frequency and strength of associations between constraints and kick outcomes, generated using the Apriori algorithm.Univariate analysis revealed that low kicking effectiveness was associated with physical pressure (37%), whereas high efficiency emerged when kicking to an open target (70%). Between-competition comparisons showed differences in constraint interactions through seven unique rules and differences in confidence levels in shared rules.Results showed how understanding of key constraints interactions, and prevalence during competitive performance, can be used to inform representative learning designs in athlete training programmes. Findings can be used to specify how the competitive performance environment differs between competition tiers, supporting the specification of information in training designs, representative of different performance levels.     

Long-term adverse health outcomes of physical workplace violence: a 7-year population-based follow-up study

The aim of the present study was to analyse whether physical workplace violence increases the risk of long-term adverse health outcomes (i.e., high number of visits to the general practitioner, outpatient treatment, hospital admittance, antidepressant use, and/or having a mental disorder). The study was based on representative survey data from 2006 and 2010 (entitled “How are you?”) merged with register data for a 7-year follow-up period (N = 30,812). To examine if physical workplace violence was a predictor of adverse health outcomes, logistic regression models were conducted for the total follow-up period and for each follow-up year with the different outcome measures as the dependent variables. In the follow-up period, individuals who were exposed to physical workplace violence had a higher number of visits to the general practitioner, had more often received outpatient treatment, and had more often been admitted to hospital than their non-exposed counterparts. Moreover, exposed individuals had higher odds of using antidepressants in the last three follow-up years than did non-exposed individuals. The findings call for heightened attention to securing preventive as well as rehabilitative strategies to help victims of physical workplace violence with the aim of avoiding adverse long-term health consequences.     

The impact of internalized homophobia on HIV preventive interventions

A growing body of research implicates internalized homophobia—the internalization of society's antihomosexual sentiments by gay and lesbian people—as a factor contributing to HIV-related sexual risk behavior in gay and bisexual men. Although accumulating evidence links internalized homophobia and sexual risk behavior, no study has explored the impact of internalized homophobia on efforts to prevent these behaviors. This paper examines the effect of internalized homophobia on gay and bisexual men's awareness of, participation in, and perceptions of programs offered by a community-based HIV prevention organization. In Study 1, 595 gay and bisexual men reported their levels of awareness of and participation in HIV prevention programming offered by one community organization. Internalized homophobia was negatively related to men's awareness of the services offered by the organization. However, among the men who were aware of at least one service, internalized homophobia did not further predict service utilization. Study 2 examined 89 gay and bisexual men who participated for a single session in a group-structured, community-based HIV preventive intervention. Pre- to immediate postintervention change in perceptions of condom use self-efficacy was inversely related to internalized homophobia. Internalized homophobia was also a significant negative predictor of the extent to which participants felt similar to and related well with other members of the group. Together, these findings suggest that internalized homophobia may pose multiple barriers to community-based HIV prevention efforts.     

Let's Ask the Homeless People Themselves: A Needs Assessment Based on a Probability Sample of Adults

A probability sample of 301 homeless adults from Buffalo, NY, was followed over 6 months to document the utilization of a variety of community services, examine services desired, and identify factors associated with service utilization, preference, and satisfaction. The following needs were all rated as at least equally important as the need for affordable housing: safety, education, transportation, medical/dental treatment, and job training/placement (most of these needs were also rated as difficult to obtain). Needs for formal mental health and substance abuse services were rated as relatively unimportant and easy to obtain, and for those who actually used them, respondents were often dissatisfied with them. Of 16 predictor variables examined in multivariate analyses, several showed consistent relationships with subsequent service use, preference, and satisfaction. Younger adults, persons of color, those with dependent children, and persons having fewer social supports reported less service utilization, less satisfaction with services received, different perceived needs for particular services, and/or greater difficulty obtaining services.     

Joystick acquisition in tufted capuchins (<Emphasis Type="Italic">Cebus apella</Emphasis>)

A number of nonhuman primate species have demonstrated the ability to use a joystick to control a cursor on a computer screen, yet the acquisition of this skill has not been the focus of systematic inquiry. Here, we examined joystick acquisition in four tufted capuchins under two directional relationships of joystick movement and resultant cursor displacement, isomorphic and inverted. To document the natural history of the acquisition of this skill, we recorded the development of visual tracking of the cursor and body tilting. Rates of acquisition were comparable between the two conditions. After mastering the task in one condition, subjects remastered the task at an accelerated rate in the opposing condition. All subjects significantly increased or maintained high proportions of cursor tracking throughout acquisition. All subjects demonstrated a postural tilt while moving the cursor from the mid-phase of acquisition through task mastery. In the isomorphic condition, all subjects tilted significantly more often in the direction of goal location than in the opposite direction. In three of the four series of tilting that were scored for subjects in the inverted condition, tilting occurred significantly more often toward the direction of goal location than the direction of required hand movement. Together these findings suggest that body tilting participates in the organization of directional movement of the cursor rather than reflecting merely the motoric requirements of the task (to manipulate a joystick).     

Increasing Utilization of Cancer Genetic Counseling Services Using a Patient Navigator Model

Rarely has utilization of genetic counseling for Hereditary Breast and Ovarian Cancer (HBOC) been studied separately from utilization of testing. At Kaiser Permanente Colorado, consistently only 30% of all members referred for HBOC attend genetic counseling. To increase the volume of genetic counseling appointments, a patient navigator approach was pilot tested in a randomized-controlled trial over 3 months. A total of 125 members were referred for HBOC genetic counseling (55 randomized to PN, 70 randomized to usual care). Utilization of referrals for Navigator-assisted members was 44%, compared to 31% in the usual care arm (p=0.16). The patient navigator significantly decreased time to appointment, with over 80% of Navigator-assisted members seen for genetic counseling less than three months from referral date, compared to 32% in usual care (p=0.002). patient navigator assistance shortens time from referral to appointment for HBOC genetic counseling, and may increase utilization of such services.     

Exploration and exploitation during sequential search

When we learn how to throw darts we adjust how we throw based on where the darts stick. Much of skill learning is computationally similar in that we learn using feedback obtained after the completion of individual actions. We can formalize such tasks as a search problem; among the set of all possible actions, find the action that leads to the highest reward. In such cases our actions have two objectives: we want to best utilize what we already know (exploitation), but we also want to learn to be more successful in the future (exploration). Here we tested how participants learn movement trajectories where feedback is provided as a monetary reward that depends on the chosen trajectory. We mathematically derived the optimal search policy for our experiment using decision theory. The search behavior of participants is well predicted by an ideal searcher model that optimally combines exploration and exploitation.