Bicultural self-efficacy among college students: Initial scale development and mental health correlates.

Theory and empirical research suggest that perceived self-efficacy, or one's perceived ability to perform personally significant tasks, is related to individuals' psychological well-being and mental health. Thus, the authors hypothesized that bicultural individuals' perceived ability to function competently in 2 cultures, or perceived bicultural self-efficacy, would be related positively to their psychological well-being and mental health. Three studies were conducted to develop and validate a measure of perceived bicultural self-efficacy and to explore its relationships with indices of psychological well-being and mental health. Exploratory (n = 268) and confirmatory (n = 164) factor analyses on the theoretically derived Bicultural Self-Efficacy Scale (BSES) items support a measurement model that taps into the 6 dimensions of bicultural competence proposed by T. LaFromboise, H. L. K. Coleman, and J. Gerton (1993). Furthermore, initial evidence for internal consistency (Studies 1, 2, and 3) and test–retest reliability (n = 51 Asian Americans) for each of the 6 subscales were found. Finally, perceived bicultural self-efficacy was found to be related to bicultural college students' psychological well-being and mental health. Research implications of the perceived bicultural self-efficacy construct and the potential utility of the BSES as a multidimensional measure of the construct are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Economics and mental health services.

J. A. Buck and R. Hirschman (see record 1980-26240-001) may have applied the tools of supply and demand analysis somewhat casually. The existence of sizable externalities, poor consumer information, and a maldistribution of services across the nation must be incorporated into the economic models that are applied to the mental health services system. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Social psychological correlates of mental illness and mental health.

If there is ever to be a single comprehensive theory and/or research program concerned with the etiology of mental illness, the widely diversified empirical and theoretical findings will have to be meaningfully integrated. The present paper critically reviews theories and research from the environmental-demographic level and the interpersonal level. The large number of phenotypical relationships reported have led only to vaguely formulated and speculative interpretations suggesting the need for a reformulation which will suggest genotypes. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Interviewing victims and witnesses of crime.

Despite the importance of eyewitness information in criminal investigation, police receive inadequate training to interview cooperative witnesses. They make avoidable mistakes that minimize the amount of eyewitness information elicited and contribute to inaccurate recollections. Interviewing techniques derived from laboratory research are provided to facilitate eyewitness recall. The effectiveness of these techniques is examined in laboratory and field research on a novel interviewing procedure (Cognitive Interview). Recommendations are made to improve the quality of interview training, to assign police personnel to the role of investigative interviewer, and to make psychological research more relevant for the legal system. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Use of inpatient mental health services by members of ethnic minority groups.

National data on psychiatric hospitalization point to marked ethnic-related differences. Blacks and Native Americans are considerably more likely than Whites to be hospitalized; Blacks are more likely than Whites to be admitted as schizophrenic and less likely to be diagnosed as having an affective disorder; Asian Americans/Pacific Islanders are less likely than Whites to be admitted, but remain for a lengthier stay, at least in state and county mental hospitals. Differences are clearcut, but they ignore a major source of care: psychiatric hospitalization in placements other than psychiatric units and hospitals. Explanations for observed minority-White differences in hospitalization can be evaluated only partially or not at all: Such explanations included ethnic-related differences in socioeconomic standing and in the prevalence of major psychopathology; differential stigma, or capacity to tolerate or support a dysfunctional significant other; access and use of alternative services; and bias in the behavior of gatekeepers, especially practitioners assigning diagnostic labels and making involuntary commitment decisions. More research is needed to help explain these striking differences in utilization. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Cohort differences in attitudes toward mental health services among older persons.

In order to investigate historical shifts in attitudes toward mental health and mental health services, two independent samples of older adults separated by a 14-year time interval were administered questionnaires. There were 91 in the 1977 sample (mean age 69.91 yrs) and 116 in the 1991 sample (mean age 71.94 yrs). Four newly created, internally consistent scales assessed multiple dimensions of their mental health attitudes (breadth of conceptions, bias, openness to help, range of problems). Analyses suggested that the younger cohorts of older adults held more positive attitudes toward mental health and mental health services than the older cohorts. These cohort differences remained when controlled for age, level of education, self-reported health, and income. These data indicate a positive cohort shift in attitudes toward mental health, a finding with numerous implications for the design and implementation of mental health services for future cohorts of older persons. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Use of specialty mental health services by Asian Americans with psychiatric disorders.

Research suggests that Asian Americans underutilize mental health services but an understanding of the multiple factors involved in utilization has not been examined in a nationally representative sample. The current study analyzed data from the National Latino and Asian American Study (NLAAS) and examined 368 individuals with disorders to understand utilization and what factors were related to the utilization of specialty mental health services. Significant underutilization was found for Asian Americans; moreover, underutilization was especially acute among Asian American immigrants. For U.S.-born Asian Americans, use of primary care services was significantly associated with use of mental health services, but for foreign-born Asian Americans, use of primary care services was unrelated to mental health services use. For both U.S.-born and foreign-born Asian Americans, use of alternative services appeared to significantly affect whether Asian Americans with disorders utilize mental health services, but the nature of the influence varied depending on the individual’s level of English-language proficiency. These findings revealed that a major mental health disparity, the underutilization of mental health services by Asian Americans, was nuanced by use of other health-related services and immigration-related factors. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Impact of psychological and physical health, stressful events, and social support on subsequent mental health help seeking among older adults.

Factors that influence mental health help seeking among adults 55+ yrs were examined prospectively. A discriminant analysis significantly differentiated between 120 older adults needing and seeking services and a comparison group of 120 older adults not needing services. Prior to having sought help, help seekers demonstrated poorer psychological well-being, reported more physical health problems, reported a higher level of unpleasant stressful events, and perceived greater deficits in the amount of social support available to them in time of need. The vast majority of these older help seekers sought help for their mental health problems from a medical doctor rather than from a mental health center or clinic or from a minister. Significantly more help seekers than nonseekers experienced stressful events involving bereavement, social and economic loss, and new physical illness. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

School-based disaster mental health services: Clinical, policy, and community challenges.

The consequences of Hurricane Katrina have far-reaching implications for the mental health system in the Gulf Coast region, with some of the most vulnerable survivors being children and adolescents. School-based services have been proposed as an ideal way to provide care; however, significant challenges remain in providing trauma-informed services in schools postdisaster. The authors discuss the consultation and training activities of the Los Angeles Unified School District Trauma Services Adaptation Center for Schools and Communities following Hurricane Katrina. Issues related to the dissemination of evidence-based treatment in schools following a disaster are discussed, as are the particular needs of providers and school staff and the importance of community collaboration in identifying ways to adapt implementation strategies for specific communities. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Countertransference issues in the assessment and treatment of trauma recovery with victims of violent crime.

This article examines countertransference in the assessment and treatment of recovery from traumatic incidents of adulthood, with specific focus on victims of violent crime. It reviews Freud's impediment theory, with particular attention to implications concerning empathic strain and vicarious traumatization. It introduces Wilson and Lindy's Type I Countertransference (avoidance), Type II Countertransference (overidentification), and their respective manifestations. It then proposes a Type III Countertransference (communicative) that applies a more totalistic perspective that utilizes concepts of splitting, projection, projective identification, and intersubjectivity. It differentiates between countertransference orientations to trauma that are content-based or processed-based as well as those that may be figure or ground. Finally, it presents some common countertransference reactions and roles that become enacted and therefore have treatment implications, examines the interaction between therapeutic and real relationships as contributors to those scenarios, and presents case examples. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Psychological help for victims of crime.

In interventions to help victims, service providers should be guided by theory and research and anticipate that multiple actors will influence the way in which victims cope with their experience. Careful and deliberate intervention initiated early by persons first in contact with a victim, followed in some cases by later professional corrective intervention, are parts of an overall system of potential interventions. As service providers, educators, and researchers, psychologists can demonstrate leadership in developing theory, creating new knowledge, and designing and evaluating interventions. To be effective, psychologists must collaborate with practitioners in the health, mental health, and criminal justice systems to demonstrate the value of research and evaluation for improving services to victims. Theory-based field trials of victim services should supplement other forms of research to develop better ways of helping victims of crime. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Ecological constraints on mental health services.

Proposes 4 principles for community mental health programing that are consistent with an ecological thesis: (1) Assessment methods are focused on the total population rather than on those persons who presently receive a mental health service. (2) Mental health services are designed to reduce a high risk for community service. (3) Professional and research services are created as local community resources. "By initiating the informal coordination of current services, the community mental health program helps to create specific new community services as needed." (4) The program plans for change; this involves mobilizing anticipatory problem-solving resources not only for clients but for professionals as well. A "conception of community mental health work based upon the ecological thesis that adaptive programs change" is presented. (39 ref.) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Prevalence of depressive symptoms among rural elderly: Examining the need for mental health services.

Reexamined the prevalence of depressive symptoms among 1,724 rural, noninstitutionalized older adults (aged 59–99 yrs) and documented the need for mental health services as they relate to depression and potential barriers to receiving needed services. A telephone survey was conducted in North Dakota, with a random sample drawn from each of 8 human service districts. Instruments included the Geriatric Depression Scale and the CAGE. Results indicate that the prevalence of depression was relatively low. Controlling for potential alcohol abuse, cognitive impairment, and medical problems, the study found that 5% of older adults reported current depressive symptomatology. When using a cutoff score that is likely to correspond to a diagnosis of major depression, the study found a prevalence rate of 1.6%. Of those reporting significant levels of depression, only 27.6% were currently being treated for an emotional problem. The survey data suggested that cost, transportation, and concern about stigma are not major barriers to receiving needed mental health services. Rather, lack of awareness of available services and a lack of routine contact with mental health service providers are important factors that limit service utilization. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

DRGs and the administration of mental health services.

Contends that if diagnosis-related groups (DRGs) were applied to cover mental health services, there is considerable doubt that they would adequately reimburse for costs. They also may undermine the quality of services and encourage managing for profitability rather than results. It is recommended that other funding patterns be sought and that the organization of mental health services and the treatment technology in use be improved. (44 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Screening for posttraumatic stress disorder: An evaluation of two self-report scales among crime victims.

The validity of the Impact of Events Scale (IES) and the Posttraumatic Stress Disorder (PTSD) Symptom Scale, Self-Report version (PSS-SR) was examined among crime victims. Both instruments performed well as screeners for PTSD. For the IES, sensitivity ranged between .93 and 1.00; for the PSS-SR, sensitivity ranged between .80 and .90. Specificity for the IES ranged between .78 and .84 and for the PSS-SR ranged between .84 and .88. Some individual items from the 2 scales performed just as well as the total scales. The authors conclude that either of these short self-report instruments or their individual items are suitable as screeners for PTSD, specifically in settings where mental health professionals are unavailable. Cross-validation of these results is necessary because of the small sample size in this study. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Pathways to mental health services among inhabitants of a Mexican village

Critical Incident Monitoring (CIM) as an instrument of quality assurance (QA) has received increasing attention in recent years. The present study was developed to explore a potential role for CIM in QA for clinical psychiatry. A questionnaire was sent to psychiatrists and requested retrospective reporting of clinical incidents, and a pilot study of an inpatient-based incident reporting system was performed. All Fellows of the Royal Australian and New Zealand College of Psychiatry (RANZCP) were sent a questionnaire. Eight psychiatric inpatient services were invited to participate in the pilot study. The returns of the questionnaires were aggregated and analysed to reveal a relatively small number of separate incident types, with little difference between the 'adverse outcome' and 'near-miss' categories. Similar results were found with the pilot study. It was concluded that the development of a unified incident reporting system for use by psychiatric clinicians and psychiatric services may add usefully to existing quality improvement processes.     

Providers' views of HMO mental health services.

112 health maintenance organization (HMO) mental health providers from 19 HMOs were asked to describe the services provided by their mental health department, give demographic data about providers themselves, and rate the services provided as well as their satisfaction with providers' benefits and compensation. More than half of the Ss reported having a private practice in addition to their position at an HMO. The average full-time person doing direct clinical practice reported seeing about 23 clients per week. Other results suggest differences in satisfaction level varying with salary and patient load. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Externalities, market power, and fee setting in mental health services.

Responds to R. G. Frank's (1981) comment on an article by the present authors (see record 1980-26240-001) by noting that Frank is misleading when he contends that the existence of externalities and stigma in the consumption of mental health services constitutes a type of latent demand. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Patterns and correlates of initial and subsequent drug use among adolescents.

Studied survey data collected in 1978–1981 examining prior and current drug use in 8th, 10th, and 12th graders in Maryland public schools. A 6-variable model (legal drugs, cannabis, pills, psychedelics, cocaine, and heroin) was used to examine the sequential and cumulative nature of drug use in a sample of 2,036 students drawn from a total sample of 34,479 males and females. Guttman scaling, using current use data for both the original and a cross-validational sample, found a stable, sequential, and cumulative hierarchy of drug use in all grades. Regression analysis of psychosocial variables found that age at first use; frequency of use of marihuana, alcohol, and cigarettes; and amount of available spending money emerged as significant predictors of use, but with little difference in predictors between the 6 drug categories. For individuals who go on to hard drug use, the data indicate that initiation into the sequence begins with a legal substance such as alcohol or tobacco and proceeds through use of marihuana. The relationship between prevalence, as well as intensity of drug use, and several psychosocial variables (e.g., academic goals, grades, spending money) emphasizes the need for further causal modeling. (21 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Public and private responsibility for mental health services.

Relative to public services, private sector corporate mental health care has significantly increased since the late 1960s. The many tensions encountered in assigning public and private responsibility for mental health services give rise to significant value-laden questions for psychologists. These questions go to the heart of community mental health, deinstitutionalization, mental health policy development and evaluation, and many other areas in which psychologists are playing major roles. The public–private issue should be understood historically, from the twin vantage points of developments in general medicine and in mental health. Among the many public interest and public policy matters psychologists and others concerned with mental health should address are the emergence of corporate chains; the nature, cost, and quality of private sector services; the compatibility of profit motivation and the motivation to provide care; and patient selection issues (e.g., cream-skimming). Public and private cooperation and planning are certainly in order if the public interest is to be served in addressing the nation's mental health problems. (PsycINFO Database Record (c) 2010 APA, all rights reserved)