Implementing a Trauma Recovery Framework for Youths in Residential Treatment

This paper describes an intervention designed to address the special needs of youths with histories of maltreatment and exposure to family and community violence. The primary components of the model include an enhanced therapeutic community environment and a psychoeducation program that is aimed at changing non-adaptive cognitive and behavioral patterns which developed as means of coping with traumatic experiences. The implementation of the model and proximal effects on the therapeutic communities and youths are being examined in comparison to standard residential services. Initial perceptions of staff illustrate the challenges in applying an intervention that calls for changing the organizational culture.     

Power to People with Disabilities: empowerment issues in employment programming

A view of empowerment that focuses exclusively or primarily on increasing the personal or individual power of people with disabilities violates the spirit of the disability rights movement which is a political movement organizing for social change. A view of empowerment more in keeping with the political organizing and protest that generated interest in empowerment focuses on the acquisition of social forms of power, especially power with which is an egalitarian social power based in individuals acting together as equal partners. An understanding of the importance of power with as a basis for empowerment is useful in developing empowering and effective employment programs for people with severe disabilities. Examples of employment programs based in power with are described including self-managed work crews, and businesses owned and operated co-operatively by people with disabilities.     

It takes a village to raise a child: A model of training for prevention of youth abuse of alcohol and other drugs

Regional Prevention Centers in Massachusetts established a training of trainers model to help communities prevent youth from the early use of alcohol and other drugs. The curriculum, called It Takes a Village to Raise a Child, teaches interested adults about prevention, empowers them to be positive role models, and helps them teach children skills that will strengthen resistance to alcohol and other drugs. The success of the program lies in its egalitarian climate for learning, its adaptability to different problems and populations, and its enhancement of communities' sense of responsibility for all children.Assistant Professor, Simmons College, School of Social Work.     

Growing up fast: stress exposure and subjective "weathering" in emerging adulthood

We examine "subjective weathering" among females entering adulthood, using three waves of a national study. Subjective weathering is a social psychological component of aging that is associated with "physical weathering" previously observed in research on physical health. We examine the influence of stressors from childhood and adolescence on subjective weathering and depressive symptoms in emerging adulthood. Childhood abuse is associated with early menarche, as anticipated in research on physical weathering. Early menarche and child abuse are in turn associated with intimate partner violence exposure in adolescence. Both early menarche and intimate partner violence are associated with early parenthood and diminish the likelihood of high school graduation. These experiences culminate in subjective weathering associated with depressive symptoms in emerging adulthood. Our findings connect physical and subjective weathering within the stress process paradigm.     

Approaching ADHD as a chronic condition: implications for long-term adherence

Attention-deficit/hyperactivity disorder (ADHD) is one of the most common chronic conditions of childhood. Although evidence-based treatments for ADHD, including stimulant medication and behavior modification, have long been established, and guidelines for care of ADHD in primary care settings have been developed, adherence to long-term therapy is poor among youth with ADHD. This article proposes use of the Chronic Care Model for Child Health, the purpose of which is to develop informed, activated patients who will interact with a prepared, proactive health care team. Six "pillars" make up the model: decision support, delivery system design, clinical information systems, family and self-management support, community resources and policies, and health care organizations. Each of these is discussed, and an individual example is described. Adopting the Chronic Care Model for Child Health has the potential to improve the quality of care for ADHD.     

Mindfulness moderates the relation between trauma and anxiety symptoms in college students

Objective: To explore the relations between trauma exposure and anxiety and depression among college students, and to determine whether trait mindfulness may moderate these relations. Participants: Self-report survey data from 2,336 college sophomores were drawn from a larger university-wide study (“Spit for Science”). Methods: We constructed multiple linear regression models using past-year trauma exposure, trait mindfulness, and their multiplicative interaction to predict current anxiety and depressive symptom severity, while controlling for covariates. Results: Mindfulness was associated with lower levels of depression and anxiety symptom severity. Trauma was a significant predictor of anxiety, but not depression, and high levels of mindfulness attenuated the association between trauma exposure and higher anxiety symptom severity. Conclusions: These results have implications for the treatment and prevention of anxiety among trauma-exposed college students and provide a basis for further research into the mechanisms through which mindfulness may facilitate positive mental health.     

Assessment of financial decision making: an informant scale

Older adults with cognitive impairment are a population at great risk for financial exploitation. At-risk older adults often have difficulty reporting on their own financial abilities. Collecting information from trusted others is vital for professionals investigating the financial exploitation older adults. There are few reliable, valid, and standardized informant-report measures of financial capacity, and none that assess decisional abilities for an ongoing, real-world financial transaction. The present study sought to examine the psychometric properties of a new informant-report scale of financial decisional abilities in older adults. One hundred fifty participants were recruited to complete the Family and Friends and Interview regarding a known older adult’s financial decisional abilities. A factor analysis identified two subscales. The full scale had adequate sensitivity and specificity to detect an informant’s current concerns regarding financial exploitation. The Family and Friends Scale is a useful tool for collecting informant-report regarding an older adult’s ability to make financial transactions.