The Practice of Suicide Assessment and Management by Marriage and Family Therapists

Abstract

Over 90% of mental health providers encounter suicidal clients. However, the majority of marriage and family therapists (MFTs) are not exposed to suicide-specific trainings within their clinical coursework. Due to the lack of consistent training protocols for suicide assessment and management among MFTs, this qualitative study identified common MFT responses to suicidal clients, including assessment of risk severity and intervention modalities. Responses were then compared to best practices for suicidal clients. Participants inconsistently adhered to best practices identified in the larger field of mental health, revealing the need for increased MFT training on suicide to ensure appropriate and effective care.     

自杀“守门人”培训研究述评

在西方国家,自杀“守门人”培训被认为是最有效的自杀预防策略之一.自杀“守门人”培训的具体内容包括传授基础知识、识别自杀征兆、初步评估自杀风险和转介自杀高危个体等4个方面;研究发现自杀“守门人”培训对受训者的知识、态度和干预技能有显著的积极影响,但其对自杀率的影响仍需今后的研究详细探讨;目前的研究存在以下不足:1)随机对照研究少;2)难以评估培训对自杀率的真实影响;3)评价指标单一,缺乏统一的评估工具.未来的研究应弥补现有研究的不足,并重视自杀“守门人”培训的跨文化研究.     

大学生德性自我意象演练的教育干预实验

以149名大学生为对象、运用三种方法进行了为期八周每周三学时的道德教育现场实验,考察了自我意象演练、榜样示范、移情训练三种方法对德性自我意象、对道德行为自我管理的影响,结果表明三种方法均能产生积极作用,但自我意象演练的效果尤为显著,进而对自我意象演练方法的有效性及其机制进行了探讨,可以认为该方法是一种能够有效提高大学生的德性自我意象之水平和道德行为自我管理之能力的道德教育方法。     

From trainee to trainer: crossing over to the other side of the fence

This article discusses the authors' experiences of the transition from trainee to trainer on a psychotherapeutic training programme, and some of the challenges involved. Using the framework offered by Rizq (2009), the article examines the many parallel processes implicit in the roles of trainee, trainer and therapist. We explore these using examples from personal experience and psychodynamic theory and concepts. We believe our experience illustrates one of the transitions that are inevitable throughout the process of training, qualifying and practising as therapeutic practitioners. These transitions, whilst often fraught with difficulty, are invariably paramount to the process of reflection and development as a practitioner and teacher. Therefore, this article hopes to formulate a deeper understanding of this edifying, yet challenging transition.     

Training attentional control and working memory – Is younger,better?

Authors have argued that various forms of interventions may be more effective in younger children. Is cognitive training also more effective, the earlier the training is applied? We review evidence suggesting that functional neural networks, including those subserving attentional control, may be more unspecialised and undifferentiated earlier in development. We also discuss evidence suggesting that certain skills such as attentional control may be important as ‘hub’ cognitive domains, gating the subsequent acquisition of skills in other areas. Both of these factors suggest that attentional training administered to younger individuals ought to be relatively more effective in improving cognitive functioning across domains. We evaluate studies that have administered forms of cognitive training targeting various subcomponents of attention and the closely related domain of working memory, and we contrast their reported transfer to distal cognitive domains as a function of the age of the participants. Although negative findings continue to be common in this literature we find that cognitive training applied to younger individuals tends to lead to significantly more widespread transfer of training effects. We conclude that future work in this area should concentrate on understanding early intensive training, and discuss a number of practical steps that might help to achieve this aim.     

Counseling in Ireland

Counseling in Ireland has experienced rapid growth in the past 30 years. Public attitudes toward counseling have become more positive, especially with the increasing secularization of a once strongly religious Catholic society. Licensure is nonexistent but there are certification bodies that attempt to ensure qualified practice. There is no third‐party payment, so access to counseling for impoverished individuals is a problem. Training programs are quite varied. Efforts are being made to standardize training and to develop licensure requirements.     

两种训练方法对幼儿在园欺负行为的影响

该研究为了减少幼儿在园欺负行为,采用情境讨论法、角色扮演法对36名中班幼儿和39名大班幼儿的欺负行为进行为期一个月的训练.结果发现:角色扮演法和情境讨论法对减少幼儿的在园欺负行为都产生了一定的影响,但角色扮演法对幼儿在园欺负行为的影响效果显著,而情境讨论法的影响效果不显著,同时这两种训练方法的影响效果之间无显著性差异;训练对中班和大班幼儿的欺负行为都起到了一定的矫正作用,中班幼儿的在园欺负行为下降水平略高于大班幼儿,但并没有达到显著性差异;训练对减少中班男生和大班女生的在园欺负行为更有效果.     

Reliability coefficients for multiple group item response theory models

Reliability of scores from psychological or educational assessments provides important information regarding the precision of measurement. The reliability of scores is however population dependent and may vary across groups. In item response theory, this population dependence can be attributed to differential item functioning or to differences in the latent distributions between groups and needs to be accounted for when estimating the reliability of scores for different groups. Here, we introduce group-specific and overall reliability coefficients for sum scores and maximum likelihood ability estimates defined by a multiple group item response theory model. We derive confidence intervals using asymptotic theory and evaluate the empirical properties of estimators and the confidence intervals in a simulation study. The results show that the estimators are largely unbiased and that the confidence intervals are accurate with moderately large sample sizes. We exemplify the approach with the Montreal Cognitive Assessment (MoCA) in two groups defined by education level and give recommendations for applied work.     

An Introduction to Core Competencies for the Use of Mobile Apps in Cognitive and Behavioral Practice

Mobile technologies have become increasingly pervasive and integral in our daily lives. A growing number of mobile applications are focused on health applications with many specifically focused on helping the prevention, treatment, and management of mental health issues. These apps are slowly being introduced into clinical settings, either being brought in by clients who themselves are using these tools or by health systems or providers. Unfortunately, most practicing providers obtained their clinical training before the advent of mobile health tools and methods. Thus, a critical need exists to develop and disseminate resources to develop the essential skills needed to adopt mobile health techniques. We discuss the five core competencies in mobile health care: evidence, integration, security and privacy, ethics, and cultural considerations. Although this paper will not fully prepare a provider to use mobile apps in their practice, it provides an introduction that will helpfully guide a provider to additional resources and additional ways to develop these competencies. Finally, we discuss the future directions of the field, including a growing differentiation of the impact of mobile apps on clinical care and the need for training models and experiences to match this differentiation.     

Using Technology to Train and Sustain Delivery of Evidence-Based Practices

Practitioners face three challenges in delivering evidence-based practice: limitations in the evidence available to guide routine clinical decisions; limitations in clinical judgment that are hard to remedy with typical work routines; and the practical difficulties of training and sustaining the breadth of skills relevant to meet diverse patient needs in a generalist practice. We recommend designing practice environments that support development of excellent clinical judgment with use of standardized work routines that help detect relationships between clinical decisions, interventions, and patient outcomes. We describe examples illustrating how technology can support training and supervision within this framework.