Transporting a school-based intervention for social anxiety in Canadian adolescents.

Prevention/intervention programs for anxiety disorders, the most common form of psychological distress reported by children and adolescents, are critical, as unaddressed anxiety has been associated with a host of negative life-outcomes. This study examines the transportability and dissemination of the Skills for Academic and Social Success (SASS), an early intervention program that can be delivered in high school settings and is aimed at reducing symptoms of anxiety among adolescents. A total of 27 adolescent high school students participated. Teachers and adolescent peer counselors were trained to deliver a modified version of SASS, involving ten 60-minute sessions. The results reveal that at-risk adolescents participating in the SASS program showed a reduction in anxiety, behavioural avoidance, and depression symptoms from pre- to posttesting, which provides further support for the transportability and dissemination of the SASS program in secondary schools. Limitations of the study and future directions are discussed. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

Continuing dissemination of a school-based mental health program.

Reports survey findings based on the dissemination activities (1977–1981) of the Primary Mental Health Project, an innovative program model for early detection and prevention of school adjustment problems. Programs varied in professional and nonprofessional staffing patterns, screening procedures used, funding mechanisms, and day-to-day operating practices in ways that reflected districts' needs, populations served, and resources. The programs, however, shared 4 structural emphases: a focus on very young children, active early identification and screening, use of nonprofessional helpers to expand the reach of services, and development of new professional roles that catalyzed service delivery. (17 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Secrecy, anonymity, and deception in donor insemination: a genetic, psycho-social and ethical critique

The State Children's Health Insurance Program (CHIP) is the product of a series of policy and political compromises and generates numerous structural and policy issues for states. CHIP entitles states to federal financial aid to provide health assistance to targeted children, through Medicaid expansions, new program implementation, or a product of the two. States that elect to operate CHIP programs apart from Medicaid have enormous discretion under the law to determine how they will structure their programs, the services they will cover, the form that benefits will take, and the conditions of participation and consumer protections that will apply. Determining what approach to take, as well as how to respond to the choices posed by the statute, represents a major test of how states address the needs of children and families.     

Do haphazard reviews provide sound directions for dissemination efforts?

Comments on The dissemination and implementation of evidence-based psychological treatments: A review of current efforts (see record 2010-02208-010) by Kathryn R. McHugh and David H. Barlow. The lead article in the February–March issue by McHugh and Barlow (2010) emphasized the need for “dissemination and implementation of evidence-based psychological treatments.” The authors identified a number of intervention programs as evidence based and in need of dissemination. One is multisystemic therapy (MST). They claimed that this program is among “the most successful dissemination efforts . . . pursued by treatment developers” (p. 79). McHugh and Barlow’s (2010) discussion of the implementation of MST in Hawaii is troubling, because it neglected to mention concerns about the perceived lack of cultural sensitivity of the MST program in that state. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The fickle fates of push and pull in the dissemination of mental health programs for children.

As the demand for evidence-based programs has increased, considerable research has concentrated on the development and testing of innovative and promising prevention and treatment programs. However, a knowledge gap remains between research in children's mental health and the educational and health services providers who could use the programs produced. In contrast to the elaborate national system set up for monitoring and disseminating medications, the infrastructures to support the evaluation and dissemination of prevention and treatment programs targeting children's mental health have only begun to be developed. Based on my experiences in a community-based research project that has worked for the last decade to develop and evaluate the WITS (Walk away, Ignore, Talk it out, and Seek help) programs for the prevention of peer victimization, I illuminate obstacles to the dissemination of evidence-based prevention programs for children and solutions that are beginning to address these obstacles. In particular, I argue that enduring, integrated community, provincial and federal infrastructures are needed to improve program dissemination and to monitor their effects on children's well-being. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Program dissemination and the modification of delivery practices in school mental health.

Examines dissemination practices and findings for the Primary Mental Health Project, an innovation program for early detection and prevention of school adjustment problems. Main features of the dissemination effort included intensive workshops, on-site visits by Project staff, and short-term internships. Also reported is information from a survey sent to 38 school districts that had either started or were considering a Projectlike program. (26 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Utilization of psychologists in positions of responsibility in public mental health programs: A national survey.

Describes a 1969 survey of mental health programs in all 50 states. To document current status and provide precedence data, the survey sought information concerning positions including these at a divisional level within state programs and as program director of community mental health centers. 1/2 the states had psychologists as divisional chiefs, while in 75% of the states, the principle of competence in the appointment of local community mental health program directors was formally recognized. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Integrating intervention theory and strategy in culture-sensitive health promotion programs.

One of the tasks of psychology is to promote positive changes in individual health behavior. Interventions to bring about these changes should be directed at skills, knowledge, and beliefs pertinent to specific situations. Maintenance of change is facilitated by a conducive context. A conceptual framework is presented that reflects these concerns. A systematic strategy is also outlined that includes needs analysis, development and piloting of programs, as well as advocacy and dissemination for large-scale implementation. A program aimed at enhancing the role of pharmacy sales staff in HIV/AIDS prevention in Mexico is presented to illustrate how the framework and strategy are used. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Acute respiratory response to prolonged, moderate levels of sidestream tobacco smoke

Carefully controlled, clinical research has shown psychiatric rehabilitation to significantly help persons with severe mental illness address their disabilities and obtain a higher quality of life. For psychiatric rehabilitation to yield its greatest effect, discrete principles and skills that are part of the rehabilitation paradigm must be disseminated to staff working in real-world settings. Staff training strategies that help the rehabilitation team develop effective programs are especially important. This paper reviews Interactive Staff Training (IST), an approach to team building and program development that combines educational and organizational strategies. IST comprises four stages--introduction to the system, program development, program implementation, and program maintenance--with each stage defined by behavioral tasks that engage the team and corresponding products that serve as markers of progress. Testing treatment dissemination strategies poses interesting problems for the researcher, some which are reviewed here. Outcome studies completed on IST are summarized in light of these problems. The paper ends with a consideration of some future directions for research in this area.     

Formal mentoring: Lessons learned from past practice.

Formal mentoring programs are often implemented to help early career professionals; however, research on these programs has found mixed support. The general literature on formal mentoring programs has shifted from early studies comparing informal and formal mentoring to studies of the program characteristics related to success. A pilot program for formal mentoring of early career psychologists is presented for case study. Although the program was small and matching mentors and mentees proved difficult, reactions from some participants indicated successful mentoring. Drawing on lessons learned from the program and the general literature on formal mentoring, the author focuses on the matching process, training and program resources, and program administration. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

A social marketing model for disseminating research-based treatments to addictions treatment providers

AIMS: Researchers must develop effective strategies for disseminating research-based treatments. This study evaluates the application of a dissemination model based on principles of social marketing and diffusion theory. DESIGN: A case study describes how the model was implemented. A qualitative design was employed to examine rates of adoption and adaptation of an early intervention program by a targeted system of addictions agencies. SETTING: The interventions were developed at the Addiction Research Foundation in Toronto and disseminated to Assessment and Referral (A/R) Centres in Ontario, Canada. PARTICIPANTS: Study participants included the managers and a designated therapist for 33 participating A/R centres. MEASUREMENTS: Managers were asked mainly open-ended questions concerning whether their agency had made a formal decision to adopt the intervention and whether therapists in their agency were using the early intervention program. "Adoption" was operationalized as offering the complete four-session intervention to at least one client. FINDINGS: At 12 months after the completion of training workshops, 68% of 34 agencies in the target system had adopted the program while 85% of the agencies were using some components of the intervention with clients. CONCLUSIONS: The dissemination model appeared to be effective although its application proved to be time-consuming and labour-intensive. The "market analysis", systems focus and field-test components of the model appeared to contribute to its success.     

Sexuality and life skills education: A multistrategy intervention in Mexico.

This contribution presents a set of intervention programs in the area of reproductive health, sexuality, and life-skills education that are now widely used in Mexico and with Latin American populations elsewhere. First, the authors briefly indicate how a research-informed approach has been central to the development and implementation of these interventions. Thereafter they describe how the programs were initially designed, taking into consideration the Mexican cultural context and its implications for Mexican adolescents. They also mention subsequent evaluation-based extensions of the programs to reach other target populations, to broaden the range of issues addressed, to promote their dissemination, and to advocate society-wide sexuality and life-skills education. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Effects of four maintenance programs on the long-term management of obesity.

This study evaluated the effectiveness of four posttreatment programs designed to enhance the long-term maintenance of weight loss. Mildly and moderately obese adults (N?=?123) were randomly assigned to one of the following five conditions: (a) behavior therapy only; (b) behavior therapy plus a posttreatment therapist-contact maintenance program; (c) behavior therapy plus posttreatment therapist contact plus a social influence maintenance program; (d) behavior therapy plus posttreatment therapist contact plus an aerobic exercise maintenance program; or (e) behavior therapy plus posttreatment therapist contact plus both the aerobic exercise and social influence maintenance programs. All posttreatment programs were conducted in 26 biweekly sessions during the year following behavioral treatment for obesity. At an 18-month follow-up evaluation, all four conditions that combined behavior therapy with a posttreatment maintenance program yielded significantly greater long-term weight losses than behavior therapy alone. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Prevention of marital distress: Results of a German prospective longitudinal study.

This article reports on the development and long-term evaluation of a marital distress prevention program for German couples, the Ein Partnerschaftliches Lernprogramm (EPL, A Couple's Learning Program). The EPL is a 6-session program designed to teach couples effective communication and problem-solving skills. In the current article, the EPL is evaluated in a prospective, quasi-experimental, controlled trial. The results of the 3-year follow-up are reported, contrasting 55 EPL couples with a control group of 17 couples. Significant differences emerged with regard to the couples' dissolution rates, relationship satisfaction, and positive and negative communication behavior favoring the EPL couples. These results demonstrate the utility of the EPL program in assisting happy couples who are preparing for marriage. The implications of the findings for prevention research and for the dissemination of prevention programs are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Gene recognition by combination of several gene-finding programs

MOTIVATION: A number of programs have been developed to predict the eukaryotic gene structures in DNA sequences. However, gene finding is still a challenging problem. RESULTS: We have explored the effectiveness when the results of several gene-finding programs were re-analyzed and combined. We studied several methods with four programs (FEXH, GeneParser3, GEN-SCAN and GRAIL2). By HIGHEST-policy combination method or BOUNDARY method, approximate correlation (AC) improved by 3-5% in comparison with the best single gene-finding program. From another viewpoint, OR-based combination of the four programs is the most reliable to know whether a candidate exon overlaps with the real exon or not, although it is less sensitive than GENSCAN for exon-intron boundaries. Our methods can easily be extended to combine other programs. AVAILABILITY: We have developed a server program (Shirokane System) and a client program (GeneScope) to use the methods. GeneScope is available through a WWW site (http://gf.genome.ad.jp/). CONTACT: (katsu,takagi)@ims.u-tokyo.ac.jp     

Paclitaxel plus ifosfamide in advanced ovarian cancer: a multicenter phase II study

The Canadian Cancer Society requested that the Centre for Behavioural Research and Program Evaluation of the National Cancer Institute of Canada evaluate Reach to Recovery and CanSurmount, 1-on-1 peer-support programs that provide information and support to individuals with cancer and their families. Key informant interviews (with program participants and volunteer visitors) were conducted to gather qualitative data and to help us develop a framework and tools to evaluate these programs. We found that 1) there are program objectives from the perspective of volunteers and participants in addition to those outlined in the program materials; 2) there are variations in how the programs are delivered and how patients or family members are recruited into the program; and 3) there is evidence that Reach to Recovery and CanSurmount volunteers are in a unique position to deliver the programs, either because they have personally experienced cancer or have family members who have had cancer. We describe the key informant exercise developed for this evaluation project and present the results of preliminary data-gathering activities.     

A day treatment programme for children of school age.

A review of the literature on day treatment of children indicates that in spite of an array of program philosophies and clinical techniques, integration is a common major concern. However, the question of how to foster integration in children's day treatment programs is not formally discussed. The present paper outlines how a day program's philosophy and values can be implemented through administrative and program processes that comprise the program's infrastructure. The necessity for an infrastructure that can facilitate integration is highlighted by the growing trend to locate children's day treatment programs within community schools. (French abstract) (11 ref) (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

Partial care as a vehicle for rehabilitation of individuals with severe psychiatric disability.

Assessed the degree to which 55 partial care programs in New Jersey had implemented psychiatric rehabilitation principles and practices. The study included assessments of the facilities' policy, procedure, and program documentation and psychiatric rehabilitation approach and interviews with clients. Results indicate that the programs tended to provide extended care to persons with severe psychiatric disability. Most clients were aware of their reason for coming to the program and how the program was trying to help them. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The social climate of alcoholism treatment programs

The social climate of four residential alcoholism treatment programs was assessed with the Community-Oriented Programs Environment Scale (COPES). The programs differed in terms of their treatment orientations (aversion-conditioning, milieu therapy) and the sociodemographic characteristics of the patients admitted. Results showed that (1) COPES profiles distinguished between the four alcoholism programs in ways that were consistent with their respective treatment orientations; (2) the type of patient admitted to these programs did not systematically affect their treatment environment; and (3) changes occurring within an alcoholism program resulted in corresponding changes in relevant dimensions of the treatment environment. We also discuss the practical utility of the COPES for assessing alcoholism programs.