Sleep and Aging: Challenges and Recommendations for Middle‐Aged and Older Adults

Understanding and alleviating sleep problems for middle‐aged and older adults is addressed through discussion of the following topics: age‐related sleep changes; gender considerations; interactions among sleep, mental health, and physical illness; lifestyle and sleep; and assessment and treatment recommendations.     

多决策方法多交流方式的群体决策比较

采用人员选拔的实验室模拟实验,以160名被试组成40个4人群体,对4种决策方法和2类交流方式的群体决策进行了比较。结果发现（1）决策方法和交流方式对于讨论过程的信息交流具有显著影响;（2）以计算机为中介进行决策的被试知觉到的任务难度要高于面对面决策条件;决策方法对于群体成员有关实验任务难度知觉具有主效应;交流方式和决策方法对于群体决策过程满意感和结果满意感没有显著影响;（3）在以投票轮次来表明群体达成一致意见所需时间上,决策方法对于投票轮次具有显著影响。恶魔式辩护、辨证式查询两种方法下所需的投票轮次多于专家意见法和自由讨论法的投票轮次。     

“Heartbreaking” Referrals,Professional “Disgrace”: The Impact of Medicare Ineligibility on the Counseling Profession

To better understand the impact of the Medicare mental health coverage gap, the authors analyzed survey data provided by 1,859 members of the American Counseling Association using a conventional qualitative content analysis. One overarching theme, direct impact of Medicare policy on the counseling profession, is presented, along with 3 thematic categories: emotional impact on providers, economic toll on providers, and negative influence on profession's credibility. Implications for the counseling profession are discussed.     

Reentry as Experienced by Women in Jail: Advocating for Change

We conducted a phenomenological study with 35 women in a substance abuse treatment jail program about their lived experiences in preparing for reentry. The women addressed their past, the needs of their families, and education of criminal justice personnel, providers, and the whole citizenry. The women advocated for effective reentry practices.     

Advocating for Atheist Clients in the Counseling Profession

Atheism is a controversial topic, with individuals who identify as atheist reporting high rates of discrimination. Despite increasing literature discussing religious/spiritual views and beliefs, few scholarly discussions of atheism in the counseling field can be found. Counselors need to be made aware of the issues facing atheist clients and educated on the best interventions to use in collaborative work with clients. Counselors should also be prepared to advocate for atheist clients in multiple domains. This article aims to explore the relevant literature around atheism, identify implications for counselors, and provide a path to advocacy for counselors in their work with atheist clients.     

Change schools through revolution,not evolution

The school's traditional practices are linked to current failures and to the limited prospects of future success. The major problems with current school practices are: adopting instructional programs that have never been fieldtested and revised on the basis of data; using diagnostic practices that blame the child as being the sole cause of poor performance; using testing techniques that do not imply curricular remedies; promoting children beyond their grade-level performance; failing to provide teachers with effective training and monitoring. Recommendations for changing the system to become accountable and databased include: bringing pressure from outside the system; lobbying for alternatives to public schools; promoting intervention by the board; involving parents in union negotiations; establishing committees of expert teachers to review administrative proposals and report to the board. The central feature of the plan is to fire administrators who fail to meet attainable student-achievement goals. This practice would ensure that administrators are reinforced when children succeed, a feature that is not part of current practices.     

Advancing access to Medicare-funded mental health treatment during the opioid epidemic: A counselor advocacy analysis

Although advocacy is a priority for counseling professionals, little is known about counseling advocates’ participation in the legislative advocacy process. Recent legislation to address the opioid crisis allowed counseling advocates to provide public comments to advance counselor inclusion in the Medicare program. A thematic analysis of 548 public comments provided on behalf of the counseling profession yielded four categories: advocacy on behalf of (1) the proposed rule change; (2) broader Medicare inclusion; (3) the proposed rule change with an additional request for broader Medicare reimbursement; and (4) no clear advocacy. Subthemes included increasing access to care, qualifications necessary to provide care, and the urgency of the opioid epidemic, among others. Implications for the counseling profession and counselor advocacy are discussed.     

Sequence and Timing of Three Community Interventions to Domestic Violence

Community responses to domestic violence typically involve the introduction of multiple interventions. Yet very little is known about the impact of the timing and sequencing of these interventions on community outcomes. A reason for this is the inherent limitations of traditional methods in social science. New methods are needed to understand the effect of varying the sequence and timing of interventions. This study responds to the issue by introducing system dynamics as a method for modeling community interventions. The paper presents a model of domestic violence cases moving through a criminal justice response, and uses the simulation model to evaluate the impact of implementing three interventions—mandatory arrest, victim advocacy, and changes in level of cooperation—on two system-level outcomes: improving offender accountability and increasing victim safety. Results illustrate the complex nature of these relationships. Implications for community practice and future research are also discussed.     

The influence of implicit theories and message frame on the persuasiveness of disease prevention and detection advocacies

This research investigates the effectiveness of health message framing (gain/loss) depending on the nature of advocacy (prevention/detection) and respondents’ implicit theories (entity/incremental). Three experiments demonstrate that for detection advocacies, incremental theorists are more persuaded by loss frames. For prevention advocacies, incremental theorists are more persuaded by gain frames. For both advocacies (detection and prevention), entity theorists are not differentially influenced by frame. However, entity theorists are message advocacy sensitive such that they are more persuaded by prevention than detection advocacies, regardless of the message frame. These results are robust for measured as well as manipulated implicit theories and for different health contexts.     

Evaluating Addictions Counseling Programs: Promoting Best Practices,Accountability, and Advocacy

Program evaluation offers several benefits to addictions counselors, including identifying best practices, providing accountability to stakeholders, and advocating for minority client populations. This article reviews the benefits of addictions counseling program evaluation and outlines main steps in the evaluation process.