Evaluating children's mental health service systems: An analysis of critical behaviors and events

A lack of studies which evaluate system change by tracking client outcomes is noted in the children's mental health area. This deficit may be a result of the inability of researchers to define outcomes and to draw conclusions about which measures reflect the efficacy of services and service delivery systems. This paper reviews five social validation surveys which examined children's mental health outcome measures. Based on the results of the five surveys, a model of critical behaviors and events is presented. This model will assist evaluators and researchers in understanding which critical events and behaviors should be measured to assess the impact of community-based mental health services for children.     

USING REINFORCEMENT-BASED METHODS TO ENHANCE MEMBERSHIP RECRUITMENT IN A VOLUNTEER ORGANIZATION

The present study employed reinforcement-based methods to induce existing members to recruit new members to join a chamber of commerce. Three interventions took place during June and July of 3 successive years. The investigators trained chamber leaders to use reinforcement methods (e.g., contingent tokens) to reinforce recruitment and dues collections. All three interventions produced substantial increases in their targets.     

The quest for identity

This paper offers an analysis of the notion the quest for identity. The discussion emphasizes the importance of communal belonging, but rejects the view that one ought to belong to the community one was born to. It suggests that the quest for identity may lead individuals to follow many avenues: while some individuals might affirm their inherent affiliations and traditions, others may remain within their community of origin and strive to change its ways, or chose to leave their social group and opt for membership in a new one. This analysis suggests that choice, characteristic of the liberal conception of the person, and rootedness, characteristic of the communitarian conception of the person, both play an important role in the formation of personal identity.     

Is community necessary? Quasi-philosophical ruminations

In responding to and examining Mary Anne Raywid's (1989) adoption of community building as an aim for schools, I survey a number of types of communities, including recreational, intentional and language communities. In considering all these communities, I try to show both the power of communities in our personal lives and some idea of why we might be of two minds about promoting community as an ideal in the modern world and in schools in particular.     

Ecology, Community, and AIDS Prevention

I explore the role that may be played by an ecological view of AIDS prevention and AIDS-related social concerns. The study of AIDS risk behavior and interventions designed to prevent AIDS have challenged Health Psychology's typically individualistic perspective. Issues of empowerment, psychological sense of community, interpersonal ties, resources, and culture are central to an understanding of risky sexual behavior and helping people to guard themselves from the threat of AIDS. However, despite Community Psychology's historical expertise in these areas, the field has only recently become involved in AIDS prevention efforts. I outline how resource-based, ecological theories may prove more helpful in addressing the AIDS pandemic than the individual, cognitive theories that have typically been adopted. Sexual behavior and associated risk are tied not simply to people's personal behavior and thoughts but to the likelihood of disease exposure in their ethnic group, the power and choices associated with power in that group, and the alternative means available of meeting their overall sexual, romantic, economic, and social goals. As such, AIDS research and intervention must simultaneously address the individual, social, and cultural spheres if insights that can translate to meaningful change can be expected to occur.     

Macro- and microlevel factors related to sense of community: The case of temporary neighborhoods in Israel

This study examines macro and micro factors influencing the development of sense of community (Davidson & Cotter, 1980) in two different populations (immigrants and veterans) in new temporary neighborhoods in Israel. At the macrolevel, the major factors examined were population size, population density, number of dwelling units in the site, urbanity of the area, ethnic heterogeneity, and peripheriality of the region. Three kinds of variables were examined on the microlevel: (a) personal attitudes: evaluation of the dwelling unit and satisfaction with public services; (b) social networks; and (c) sociodemographic characteristics. Data were collected from 242 immigrants from the former USSR and from 60 Israeli veterans, residing in 5 different sites. Two different patterns of predictors of sense of community emerged in the two different samples. In the veteran sample, only one macrolevel variable entered the stepwise analysis equation: the number of dwelling units in the site. In the immigrant sample, three significant microlevel factors entered the equation: evaluation of the dwelling unit, external network, and age. The data thus suggest that the major determinant factors underlying sense of community vary for different groups of people. The paper is based on a study initiated and financed by the Ministry of Housing and Construction, the Unit of Social Policy, Israel.     

Parallel lives: Community psychology in Latin America and the United States

Comparing the history of community psychology as it developed in the U.S. during the 1960s with the community psychology that developed 10 years later in Latin America, one is reminded of the title of Plutarch’s masterpice,Parallel Lives. Although there was very little contact or communication between the first community psychologists in these regions, very similar principles and orientations evolved. These similarities are particularly striking given the many ways in which the U.S. and Latin American contexts and histories differ. Since most readers are expected to be familiar with the history of community psychology as it developed in the U.S., this paper focuses primarily on the development of community psychology in Latin America in order to highlight areas of convergence as well as divergence from the U.S. experience. This paper is based on an address presented at the Fourth Biennial Conference, Society for Community Research and Action, Division 27 of the American Psychological Association, William and Mary College, Williamsburg, Virginia, 1993. The author acknowledges the valuable help received from J. R. Newbrough and from the referees in the revision of this paper.     

Personal and community sustainability

Many community members reduce their community involvements as they more through midlife. This may be true for community psychologists as well. Yet research evidence suggests that-intellectually, at least-we can function at or near peak levels through our 80s and 90s. How then might we best sustain ourselves and our work through our entire lives? Answers may lie in full exercise of all capacities, in strong support networks, and in actions that meet one's deeper needs, “the needs of the soul”. These same principles may sustain community life as well, for some key principles of personal and community sustainability may be similar. Applications of these ideas to communities and to community psychology are discussed.     

Increasing senior citizen participation in a community-based nutritious meal program

Two experiments were conducted to compare the effects of several prompting and reinforcement procedures on the participation of elderly citizens in a nutritious meal program. Experiment I employed a variation of the multiple-baseline design across three groups of approximately 60 households each. Elderly persons not previously participating in the program were introduced to the following conditions: (1) public service radio announcements for four weeks to advertise the meal program and the availability of free transportation, (2) a home visit that served as a personal invitation and a second prompt for participation, (3) a followup telephone call, and (4) an incentive menu for participation, which was sent through the mail. Results indicated that the home visits and incentives were both effective as recruitment procedures and superior to other conditions; however, incentives proved to be the most cost-effective intervention. Experiment II used a variation of the multi-element design to compare the effects of scheduled activities and incentives in maintaining higher levels of participation by those persons who had attended the meal program at least once in the past, but whose current rate of participation was low. Results showed that activities improved attendance levels somewhat and that incentives substantially increased the number of meal program participants. Data from these experiments thus indicate that relatively inexpensive procedures may be used effectively to increase the extent to which elderly persons make use of potentially beneficial community-based services.     

Consequence analysis: Its effects on verbal statements about an environmental project

Typically, citizens lack relevant information concerning possible consequences of proposed environmental projects. Despite federal requirements for citizen participation in decisions about proposed roadway projects, no systematic procedures exist for educating citizens as to the possible consequences of such projects. The effects of a consequence analysis procedure on community residents' verbal statements about the favorability of a proposed roadway project were assessed. The consequence analysis procedure involved asking residents to rate the desirability and magnitude of each of 48 possible consequences of the proposed roadway project. Following the intervention, overall ratings of favorability of the project changed for nine of ten residents. Community residents' ratings of the quality of participants' justifications of their position on the roadway issue provided evidence of generalization to this collateral behavior.