Evidence-based treatments for trauma among culturally diverse foster care youth: Treatment retention and outcomes

This study describes the implementation of three evidence-based treatments addressing traumatic stress symptoms within a wraparound foster care program in Illinois. Child–Parent Psychotherapy (CPP), Trauma-Focused Cognitive Behavioral Therapy (TF-CBT), and Structured Psychotherapy for Adolescents Responding to Chronic Stress (SPARCS) were implemented with a racially diverse sample of youth ages 3–18 at six agencies. Culturally sensitive adaptations were made to treatment approaches to improve client retention and outcomes. Data analyses revealed no racial differences in retention in the program and no differences in outcomes between minority youth exposed to the intervention and other participants. All three evidence-based treatments were effective in reducing symptoms and improving functioning among minority youth. Implementation issues, including challenges and culturally competent accommodations, are discussed.     

Can a Self-Regulation Skills and Cultural Arts Program Promote Positive Outcomes in Mental Health Symptoms and Academic Achievement for At-Risk Youth?

ABSTRACT

Self-regulation skills programs focusing on emotional regulation and executive functioning and arts programs have separately demonstrated reductions in internalizing and externalizing disorders and academic difficulties and have shown improvement in self-regulation skills. This study sought to evaluate participants in Prodigy (a program synthesizing arts and self-regulation skills) regarding changes in mental health symptoms and academic performance. A quasi-experimental pretest–posttest was conducted with 108 at-risk adolescents and their parents. Significant reductions in internalizing and externalizing mental health symptoms and increases in academic self-efficacy with positive trends in improved academic achievement were noted. Future research regarding the potential of these two modalities is discussed.     

Electile Dysfunction

This essay combines Burke's burlesque frame and Jamieson's double binds to create a hybrid gendered theory for rhetorically analyzing the aggressive sexualization of 2008 United States vice presidential candidate Sarah Palin. The essay develops our theory titled the “burlesque binds” and explicates a specific form of a burlesque bind: the “MILF frame.” Palin's aggressively sexualized representation was united under the crass acronym MILF, which stands for “Mom I'd Like to Fuck.” The MILF frame emphasized Palin's feminine qualities, positioning her as a “trophy vice” with no political acumen, and highlighted her masculine behaviors, but deflated them through sexual objectification. The unification of the binds and burlesque theories reveals how Palin's role as a social actor was not simply circumscribed but shut down: she was deemed unfit by both masculine and feminine standards, by both public and private sphere conventions. Although Sarah Palin has arguably been the most prevalent subject of the political MILF frame, our essay catalogues other instances of female political leaders experiencing this type of symbolic degradation, suggesting the MILF frame's vast influence.     

Winning the interviewing game

Those who don't "interview well" are not likely to receive the job offer, despite their qualifications. A job interview is actually a fierce competitive activity that offers only two grades: an A or F. By nature, physicians are competitive; they like to win. Infrequent interviewees are prone to making easily corrected mistakes, such as showing no enthusiasm or having poor eye contact. The key for interviewing success is preparation--doing research, developing a personal statement, and role-playing practice interviews. View the interview as a sales call whose bottom-line goal is to achieve an offer, or at least to let you leave with the option to return for future discussions.     

Real executives make career moves. Will you?

Not all physician executives have accepted the career move as a key part of executive life. They prefer to stay put and they often do just that. While clinicians may have the luxury of choosing a single geographic location and remaining there through retirement, physician executives often have to reorder their priorities to give the position greatest significance in career decision-making. Spouses and families need to be educated to the new reality of executive life--sometimes, to support an important career opportunity, a move is required. Physician executives unwilling to make career moves limit their career potential.     

Conflicts of interest in academic research: policies, processes, and attitudes

Few studies have examined academic researchers' understandings or attitudes toward conflict of interest policies even though these understandings and attitudes represent a crucial component of both compliance and educational efforts. This study reports the results of a large-scale, cross-sectional survey of research faculty at the nine campuses of the University of California regarding their understandings of and attitudes toward campus conflict of interest policies. We gathered information on their general assessments of investigators with financial ties to industry sponsors and reactions to the process of implementing conflict of interest policies at their respective campuses. We surveyed 1,971 faculty members from the nine-campus University of California system and had 779 responses (39% response rate). The sampled faculty were in the ten departments with the most number of financial disclosures at each campus. We utilized the WebSurveyor software to create a secure, online, 21-item survey. Our study reveals faculty with complex, sometimes contradictory, feelings about academic-industry relationships and highlights perceived gaps in policy and process. Most respondents were concerned about unlimited financial relationships, but a sizable number also viewed campus policies as irrelevant. Some expressed considerable anger over the process of policy implementation, rejecting the policies on the basis of professional and individual self-determination and moral integrity. Our study suggests the need for renewed efforts to encourage awareness of the relevance of conflict of interest policies for all faculty, new efforts to increase understanding of the situational nature of conflicts of interest, and reexamination of the processes of policy implementation at the campus level.     

Good 'traction' can help you achieve change

Examine the abstract idea of traction. Explore how traction in your job can help you motivate meaningful change.     

Winning the interviewing game. II

Try to gain as much knowledge as possible about the culture, tactics, psychology and sensitivity of a hiring organization before you go on the job interview. Even small slights or seemingly harmless missteps can cost you the job.     

Evaluating risk: global fees and episodic care

In 1999, two articles in The Physician Executive -- "Part I: Global Theory and the Nature of Risk (July-August)." and "Part II: Towards a Choice-Based Model of Managed Care (October-November)" -- outlined the flaws of orthodox managed care theory and highlighted the unique advantages of moving to a genuinely market-based model, which included the concept of direct contracting for integrated episodes of care. This follow-up focuses on comparing an episode contracting system to a traditional capitated program and outlines the features that make this approach much more attractive to physicians, payers, and most importantly patients.     

Stalking and other forms of intrusive contact after the dissolution of adolescent dating or romantic relationships

Social science research has recently begun to focus on stalking and other forms of intrusive contact occurring among adolescents and young adults. This article presents results from a survey of 681 undergraduates about their experiences with stalking or other forms of intrusive contact occurring after the end of a dating or romantic relationship. Twenty percent of the respondents had been the target of intrusive contact, 8% had initiated intrusive contact, and 1% had been the target of intrusive contact after one relationship and had initiated intrusive contact after another. More females than males were the target of intrusive contact; however, there were no sex differences associated with initiating intrusive contact. About 20% of the respondents had feared for their safety during the intrusive contact. Thirty-one percent of the respondents described the intrusive contact as having a decidedly negative influence on either their subsequent dating relationships or their lives in general.