Using an Embedding Strategy to Teach Preschoolers with Significant Disabilities

The purpose of this study was two-fold. First, this study analyzed the effects of using response prompting procedures within an embedded skill approach on skill acquisition by 4 preschoolers with significant disabilities. Two target skills were identified from each student's IEP and taught during three preschool activities. A multiple probe across subjects design assessed the effects of the intervention. All students made progress above baseline performance. More importantly, there was consistency in performance of the target skills across at least two of the three activities for all children. Second, the reliability with which paraprofessionals in the preschool setting implemented response prompting procedures was evaluated. Data indicated that the paraprofessionals implemented the procedures with a high degree of accuracy. The impact of embedded skill instruction is addressed, as well as the impact of using non-degreed personnel to teach students with significant disabilities within inclusive preschool programs.     

From the Couch to the Street: Applications of Psychoanalysis to Work with Individuals Who Are Homeless and Mentally Ill

Current-day psychiatric treatment of severely disturbed populations tends to focus on the biological, behavioral, and social dimensions of rehabilitation. This paper addresses the relative neglect of the complex psychodynamic and interpersonal aspects of treatment of individuals who are homeless and mentally ill by presenting two clinical cases that are discussed from various psychoanalytic frames of reference. Based on their clinical experiences, the authors conclude that psychoanalysis offers valuable frameworks to guide the treatment process and the structure of the treatment setting for individuals who are homeless and suffering from severe psychiatric illness.     

The Effects of Partner Learning During Spelling for Students with Severe Disabilities and Their Peers

A multiple baseline across subjects design was used to examine the effects of partner learning on the spelling performance, academic responding, and competing behavior of three students with severe disabilities and three of their classmates without disabilities. The students were enrolled in different general elementary classes. All students in these classes were assigned to partner learning triads by the general education teacher. One triad in each class included the student with severe disabilities and two classmates without disabilities. All students in the class received two, 20 min partner learning sessions each week. During partner learning, each member of the triad was asked to spell words, present words to be spelled, provide feedback to the speller, and check the spelling accuracy. These roles were rotated among the members of the triad after each trial. These roles were adapted as necessary to accommodate the academic and communication skills of the students with severe disabilities. The effects of partner learning on spelling accuracy were assessed through weekly spelling tests. The effects of partner learning on academic responding and competing behavior were assessed using the MS-CISSAR (Carta, Greenwood, Schulte, Arreaga-Mayer, Terry, 1988). Results of weekly spelling indicated that partner learning led to improved spelling accuracy for students with severe disabilities and did not negatively affect the spelling accuracy of their peers. Partner learning also led to improved rates of academic responding and reduced rates of competing behavior for 5 of 6 students. The results are discussed in terms of their implications for practice and future research.     

Characteristics of Traumatic Experience and Survivor Perceptions of Mental Health Services: The 2004–2005 Erie County Community Trauma Survey

Trauma is associated with severe mental illness and substance abuse problems, yet it typically is not addressed sufficiently in treatment. This article reports on an assessment of mental health service recipients and their experience of traumatic events and perceptions of service providers' sensitivity, helpfulness, and knowledge regarding their trauma and service needs using a community-based participatory research model. Demographic characteristics and status of co-occurring disorders were measured. Participants perceived that individual therapists and peer service providers were sensitive to and knowledgeable about their trauma. Group treatment and peer programs were seen as being most helpful. Psychiatric services were seen as being the least sensitive to trauma issues. Implications for practice and research are discussed.     

Functional reading for students with developmental disabilities who are linguistically diverse

Students with moderate and severe disabilities often have language deficits that make the acquisition of reading challenging. Sight word instruction of daily living skills is one method of intervention that benefits students with severe disabilities who have not achieved literacy. When students with developmental disabilities are also linguistically diverse, acquisition of reading skills becomes more complex. Sight words must be chosen that are relevant to the students own community. A critical decision in planning sight word instruction is whether to provide instruction in the student's primary language or in English. These issues are discussed and an illustration is given of the heterogeneity among students with developmental disabilities who are linguistically diverse.     

IDENTIFYING WORK PREFERENCES AMONG INDIVIDUALS WITH SEVERE MULTIPLE DISABILITIES PRIOR TO BEGINNING SUPPORTED WORK

We evaluated a prework assessment for predicting work-task preferences among workers with severe multiple disabilities prior to beginning supported work. The assessment involved comparing worker selections from pairs of work tasks drawn from their future job duties. Results of workers' choices once they began their jobs in a publishing company indicated that the assessment predicted tasks that the workers preferred to work on during their job routines. Results are discussed regarding other possible means of determining preferred types of supported work.     

EFFECTS OF SETTING EVENTS ON THE PROBLEM BEHAVIOR OF STUDENTS WITH SEVERE DISABILITIES

Two studies analyzed the effects of preceding setting events on the problem behavior of students with severe disabilities. Using ABAB withdrawal designs, the occurrence versus nonoccurrence of preceding setting events was analyzed in relation to the frequency of problem behavior. Data were collected throughout a student's school day, with interventions focusing upon the elimination of setting events that occurred before school. The results indicate that (a) the occurrence of preceding setting events was related to higher frequencies of problem behavior and (b) interventions designed to eliminate preceding setting events were consistently associated with low frequencies of problem behavior.     

The Identification of Early Risk Factors for Severe Emotional Disturbances and Emotional Handicaps: An Epidemiological Approach

Epidemiological methodology is used to examine the relationship between early childhood risk factors and future identification as having a Severe Emotional Disturbance or as having an Emotional Handicap (SED/EH) at age 13. Data were obtained from 1979/1980 Florida birth records that were electronically linked with 1992/1993 Florida school records. An epidemiological perspective was chosen due to its ability to model both individual and community-level risk. In regards to increasing an individual's risk of SED/EH, two factors, gender (being male) and low maternal education (mother not completing high school at the time of the child's birth), were found to have particularly strong effects. When examining effects of these risk factors upon overall rates of SED/EH in the community, maternal education and marital status (being unmarried at the time of the child's birth) were associated with a large proportion of the cases. Health/biological markers were moderately associated with SED/EH on the individual level, but were related to a relatively small percentage of cases in the population. In addition, effects varied based upon ethnic/cultural heritage. Researchers are encouraged to consider using an epidemiological perspective and its potential utility in the field of community psychology and public policy is discussed.     

心理咨询热线在突发性公共卫生事件中的应用分析

2003年SARS在中国一些地区的流行给社会公众在心理上带来了一定程度的影响,在SARS流行期间期间及时开通了面向公众的心理咨询热线,成为了广大公众寻求心理支持的有效途径,为缓解社会压力、促进社会正常秩序恢复起到了积极作用。该文结合中国科学院心理研究所“非典心理咨询热线”的统计数据,进一步探讨了心理咨询热线在应对突发性公共卫生事件中的作用和工作特点。     

乙肝防治决策的基本点

我国现有乙肝现症感染者1亿多人,乙肝防治决策需要整个社会的参与,决策是否可以取得成效取决于以下几个基本点:决策的权威性;决策的科学性;决策的可行性。决策的前提是:预防为主,治疗为辅。