EMOTIONALLY FOCUSED COUPLES THERAPY: AN OUTCOME STUDY*

In a within-subjects design in which couples acted as their own controls, assessment was completed at four times: at the time of intial contact, after an eight-week waiting period, after eight sessions of Emotionally Focused Marital Therapy, and at an eight-week follow-up. Couples reported no significant changes on measures of dyadic adjustment, intimacy, target complaint reduction and goal attainment after the waiting period, but significant changes were found after treatment.     

Improving School Achievement and Inter‐group Relations for Children Placed at Risk: the Roots and Wings program

Roots and Wings is a comprehensive elementary‐school program designed to ensure that all children achieve world class standards in reading, writing and language arts, mathematics, science, history and geography; and can apply their knowledge to solve real‐world problems. Critical to these goals is increasing the achievement of students placed at‐risk as a consequence of poverty, disabilities, language problems, or other factors. Roots and Wings extensively employs cooperative learning to promote student motivation, socialization, appreciation of diversity, and academic achievement. Although cooperative learning offers a variety of potential benefits, it can be challenging to use for teachers and students more accustomed to traditional methods. This paper presents research in inner‐city elementary schools using the Roots and Wings design and identifies several factors that facilitate the change process and quality of cooperative classroom activities.     

Quality of life

What is sought is a definition of Quality of Life (QOL). Other authors have defined QOL in terms of actual happiness or perceived satisfaction/dissatisfaction. The present paper defines it not as a summation of the individual happiness-states of all members of a society, but as the obtaining of the necessary conditions for happiness throughout a society. These conditions being necessary not sufficient, high QOL is compatible with actual unhappiness. The necessary conditions in question are identified with the availability of means for the satisfaction of human needs rather than human desires, and a Maslowian analysis of the former is proposed in default of ay more satisfactory analysis. The paper concludes with a discussion of how maximizing needsatisfaction (as opposed to want-satisfaction) automatically guarantees fair distribution of needed goods. This ensures that in at least some respects high-QOL societies are societies characterized by justice.     

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.     

Osteoporosis: implications for risk reduction in the college setting.

Osteoporosis is often considered a chronic disease of older adulthood. As with many chronic diseases, lifestyle behaviors adopted during young adulthood are important risk factors for future development of osteoporosis. The college student population represents the age group in which optimal bone development is likely to occur and certain lifestyle behaviors are reinforced. Therefore, risk factors for osteoporosis, including nutritional insufficiency of calcium and vitamin D, smoking, alcohol abuse, excessive exercise, use of steroids, and high-protein diets, have special relevance for this target population. The authors examine risk factors for osteoporosis that are especially relevant to the college health setting and offer intervention strategies for college health professionals.     

The role of manager in children's homes: the process of managing and leading a well-functioning staff team

This paper is based on qualitative findings from a mixed methods project which investigated the roles of managers of children's homes and the relationship of these to their use of resources and the outcomes for young people in their care. The research formed part of the Costs and Effectiveness of Services to Children in Need research initiative, originally funded by the Department of Health. Main findings from the project overall and in particular from the multi-level modelling analysis indicated that the influence which the process of providing care has on the kind of outcomes experienced by young people is of paramount importance. This paper provides a brief overview of the project and its aims. Drawing on the qualitative strand of the project and overall project findings, the paper investigates three aspects of managing children's homes: establishing working relationships with staff teams, the role of managers and bringing about working with the young people in their care. It situates the role of manager within the wider context of literature on leadership and investigates what leadership in children's homes entails. Finally, the paper highlights the importance of the role of manager in relationship to the development of good practice in children's homes.