The Strengths and Limitations of Case Record Reviews in Examining Family Preservation Outcome Formulation and Treatment Planning

Much debate has centered on what are reasonable outcomes of the short-term intensive family preservation services (IFPS). However, little attention has been given to how therapists actually formulate outcomes in their practices. The files of 98 families who used IFPS were reviewed to determine how therapists formulated outcomes and whether formulated outcomes varied by service sector (child welfare or mental health) and child age. It was found that formulated outcomes in mental health were more likely than those in child welfare to have a child focus and an interpersonal locus. Variation in outcome formulation in child welfare by child age was found, with outcomes of younger children more likely to be parent-focused than were outcomes of older children. The issues pointed out by these findings are discussed. Since case records are a potential data source for researchers, the paper concludes with a discussion of the strengths and limitations of case record reviews for research purposes.     

Helping Children Access and Use Services: A Review

High rates of dropping out from mental health services are documented for children and their families. These high rates exist at different treatment stages, in different service settings, and for different populations of children and families. Some researchers have developed and tested engagement interventions to address barriers to service access and use and increase participation in services by children and their families. Studies of engagement interventions for children and their families are critically reviewed in this paper. Overall, the engagement interventions were effective in increasing attendance at first appointments. Only those with an ecological and total service delivery approach reduced the drop-out rate. However, even then, the drop-out rate was 26% to 29%. Suggestions for future research are made, including ascertaining from children and families their reasons for quitting or staying in treatment, comparing the outcomes of drop-outs with the outcomes of those who remain in treatment, developing and testing conceptual models of engagement for subgroups of at-risk children and their families, and examining the cost-effectiveness of engagement interventions.     

Outcome effects: The impact of decision process and outcome controllability

An ‘outcome effect’ refers to the phenomenon whereby performance evaluations of decision makers are affected by the outcomes of those decisions. Although some consider such an effect to be a judgmental error, judgment by outcomes may not be dysfunctional when the evaluator does not know how the decision maker chose his or her action. In such situations, outcomes may provide some noisy information about decision quality. We test whether an outcome effect will still occur when the decision methodology and quality are more explicitly identified. Further, we test whether outcome controllability, a previously unexplored moderator variable, will have an impact on the outcome effect. Our first experiment, using undergraduates as subjects, shows that decision quality and controllability have an impact on performance evaluations but that the ubiquitous outcome effect still obtains. These results were replicated with experienced business people, except that controllability only affected their judgments in the case of negative outcomes. Implications of these results are discussed. © 1997 John Wiley & Sons, Ltd.     

Treatment Engagement with Caregivers of At-risk Children: Gaps in Research and Conceptualization

The high rates of dropping out and other engagement problems are significant concerns in the delivery of mental health and adjunct services to the families of at-risk children. Consequently, researchers have examined the correlates of attrition and have developed interventions to increase engagement and retention. However, the lack of a clear definition of engagement and gaps in theory about the relationship of engagement to other treatment processes hinder knowledge development. In this paper the behavioral and attitudinal aspects of engagement are disentangled. Current knowledge about treatment barriers and interventions to increase appointment keeping is summarized. A preliminary conceptualization of the engagement process is presented and research needs and practice implications are discussed.     

Asymmetries in the acquisition of polar adjectives: Linguistic or conceptual?

This study was designed to determine whether the asymmetry in children's acquisition of polar adjective pairs is based on linguistic factors related to differences in adult usage and frequency or on an underlying conceptual difference. 24 children, aged 3;7–4;11, took part in a concept-learning task in which nonsense syllables replaced English words for the positive and negative ends of four dimensions: size, height, length, and thickness. The data indicate that the syllables for the negative end of each dimension have a longer learning period and a greater prelearning error rate. These results support the hypothesis that the asymmetry observed in the acquisition of polar adjectives is based on an underlying conceptual asymmetry.     

Field independence and performance on ball-handling tasks

Subjects were administered the Children's Embedded Figures Test and four ball-handling tests. Pearson product-moment correlations were low between the measures. Girls scored significantly higher than boys on the embedded figures test while boys scored significantly higher than girls on the striking and throwing tests.     

Facebook rituals: Identifying rituals of social networking sites using structural ritualization theory

This article applies structural ritualization theory (SRT) to identify different rituals and determine their importance in the daily lives of social networking sites (SNS) users, especially Facebook users. A mixed‐methods approach of in‐depth interviews and netnography viewed through the lens of SRT allowed us to identify and analyze the types of rituals users engaged in, and how these rituals impacted users and evolved over time. During customer journeys on the SNS of Facebook, users shared daily ritual practices in distinct behavioral stages. Production and consumption of these daily rituals are important to marketers in SNS platform design for building and maintaining connectivity between users and the SNS platform.     

USING LAG SCHEDULES TO INCREASE TOY PLAY VARIABILITY FOR CHILDREN WITH INTELLECTUAL DISABILITIES

Relatively few studies have evaluated procedures for increasing play skills in children with intellectual disabilities. To address this limitation, this study evaluated the extent to which lag schedules increased novel toy play responses for three children who exhibited little or no appropriate toy play. Results show that the lag 1 schedule increased toy play variability for all three participants and the lag 2 schedule produced very little additional variability for the two participants exposed to this condition. The results of a social validity assessment suggest that classroom paraprofessionals (i) perceived the participants' toy play as typical and (ii) were satisfied with the outcomes produced by the lag schedules. We discuss the clinical implications and the potential limitations of the findings. Copyright © 2014 John Wiley & Sons, Ltd.     

Observations with self-embedded sentences using written aids

Self-embedded sentences of any degree beyond one are permitted by the syntactic rules of English, yet previous studies report that Ss typically reject these sentences as being ungrammatical and, in addition, often cannot recover the meaning of these sentences. The present paper investigated the possibility of introducing specially structured self-embedded sentences as “aids” to the discovery of the structure of more complex self-embedded sentences. The group of Ss who received these aids performed significantly better in discovering the subject-verb and subject-object assignments in the complex sentences (many achieved perfect scores) in contrast to Ss who did not initially receive these aids (these latter Ss obtained close to the minimum possible scores).     

Use of Services Prior to and Following Intensive Family Preservation Services

A goal of short-term intensive family preservation services (IFPS) is to facilitate access to other services. However, service use following IFPS has rarely been studied. I describe the types of aftercare services that IFPS therapists recommended and use of these services in the two months following IFPS termination. Since families were using services that were not on the recommended aftercare plans, use of these services is also described. Primary caregivers of families who received family preservation through either child welfare or mental health were interviewed at two months after family preservation for the purpose of ascertaining service use. Different types of services were recommended and used based on whether families received IFPS through child welfare or mental health. However, there were also differences in the presenting problems and demographics between families in child welfare and mental health. Future research should include an independent assessment of need in order to determine the relationship between need and the types of services recommended and used. Even though families used services prior to IFPS, the findings indicated that IFPS facilitated use of new services. More research is needed on the process of how therapists decide what services to recommend and what they do to help families access services. It is also important to examine whether use of less restrictive services helps prevent out-of-home placements and the relationship between informal support and use of formal services.