THE RELATIONSHIP AMONG SELECTED SUPERVISOR,THERAPSIT, AND CLIENT BEHAVIORS*

This study examined the extent to which supervisory phone-ins were related to change in both immediate therapist behaviors and subsequent change in resistant behaviors of client family members. Of specific interest was whether the congruence of supervisor and therapist behaviors (referred to as isomorphism by some family therapy authors) would be related to immediate change in client resistance. The quality of supervisor's Support and Teach behaviors was foundj to be significantly related to the change in the quality of the threrapists' Support and Teach behaviors. Moreover, in instances where both supervisors and their supervises demonstrated effective Support and Teach behaviors, clients generally tended to either remain cooperative or become cooperative more frequently than when both effective supervisor and supervisee behaviors where not present.     

A Laboratory Training Model for the Development of Effective Interpersonal Communications in Social Work

This laboratory training model developed out of the observed difficulties students were having in bridging the gap between classroom and field. Students were confused and scared in their initial contacts with clients. They needed a neutral setting in which to practice the necessary communications skills.

The paper describes specific methods, techniques, and structure of two laboratories developed to meet these needs along with evaluations and conclusions.     

Influence of a Community Health Worker Intervention on Mental Health Outcomes among Low-Income Latino and African American Adults with Type 2 Diabetes

This study investigated the influence of a community health worker (CHW) diabetes lifestyle intervention on mental health outcomes. Our study was guided by the principles of community-based participatory research. Data were collected from 164 African American (N = 94) and Hispanic adults (N = 70) participating in a randomized, 6-month delayed intervention group design for improving glycemic control. The intervention time periods were baseline to 6 months for the treatment group and 6–12 months for the delayed group. Linear mixed models were used to conduct longitudinal analyses of the Problem Areas in Diabetes (PAID) and Patient Health Questionnaire (PHQ) scales. In the model adjusted for demographics, the PAID dropped significantly from pre-intervention to post-intervention within both the treatment and delayed groups (p < 0.05) with an average intervention effect of ?6.4 (p < 0.01). The PAID dropped even further within the immediate group from 6 to 12 months. Although the PHQ did not change significantly, the PHQ-2 had an average intervention effect of ?0.3 (p < 0.05) in the model adjusted for demographics. This study contributes to an understanding of how a CHW-led diabetes intervention can result in positive mental health outcomes for Latinos and African Americans with Type 2 diabetes. It also highlights the importance of further exploring what factors may contribute to racial/ethnic variation in mental health outcomes for African Americans and Latinos with diabetes and the role CHWs can play.