Involuntary Mental Health Treatment: The Mental Health Consumer as Expert

Involuntary treatment in mental health has existed since society first began trying to tackle the issue of mental illness (Dennis & Monahan, 1996 Dennis, D. L. and Monahan, J. 1996. Coercion and aggressive community treatment: A new frontier in mental health law, New York, NY: Plenum Press. [Crossref] , [Google Scholar]). Despite controversy on both sides of the issue, involuntary treatment continues to be used in current mental health service delivery. Practitioners and policy makers have engaged in lively debates about the merits of involuntary treatment, but few studies have engaged affected consumers in this discussion. This article reports on a small qualitative study in North Carolina that attempted to collect the stories of mental health consumers who had been involuntarily hospitalized due to symptoms of mental illness at some point in their lives. Study participants were also asked to critique the elements of the contemporary involuntary treatment and offer their ideas about improving it.     

A Virtual Field Practicum: Building Core Competencies Prior to Agency Placement

ABSTRACT

Providing effective services to clients with increasingly severe challenges in an era of fiscal constraints calls for schools of social work to assume greater responsibility for preparing interns for clinical practice. This article describes a virtual field practicum (VFP), an online skill-building experience designed to meet this need and reports preliminary findings. The VFP employs client simulation and other experiential activities; its intent is to foster student acquisition of core competencies prior to agency placement. Longitudinal data were collected on VFP students and their traditional counterparts across 4 semesters. Results show that VFP students performed as well, if not slightly better, on competency measures than traditional students, suggesting that this model is a viable option for educators to consider.     

A Campus–Community Partnership to Disseminate Health Internet Technology Resources Among African Americans

The Internet is increasingly used to disseminate health information about diseases and prevention and to help in obtaining health services. Although technology can empower African Americans to adopt healthy lifestyles, the gap in usage between African Americans and Whites undermines the potential power of health Internet technology (IT) to ameliorate health disparities. This study describes the development, implementation, and outcome of a health informatics intervention by a university–community partnership to increase awareness and use of health IT resources among African Americans to address the problem of their underuse of online health resources.     

Helping Low-Conflict Divorced Parents Establish Appropriate Boundaries Using a Variation of the Miracle Question: An Integration of Solution-Focused Therapy and Structural Family Therapy

The authors discuss the implications of divorce and the effect that divorce has on the relationships between family members. Parents are encouraged to develop appropriate co-parental boundaries that direct and influence subsequent interactions between family members. Using an integration of solution-focused therapy and structural family therapy, a variation of the miracle question is suggested as a means to help parents gain confidence in making changes in behavior. The miracle question also is intended to help parents set new goals for themselves and increase the ability to cooperate and communicate as co-parents. A case study provides an example of this idea.     

Adolescent Substance Use and Marital Status in Adulthood

Researchers have noted that substance use in the adolescent years is associated with a variety of consequences. The majority of studies have focused on relatively short-term consequences of substance use. Using data from the 2007 National Survey on Drug Use and Health, this study examines how early substance use and current substance use affect individuals’ eventual marital status. Higher levels of substance use in the adult years are shown to be relatively deleterious to both women’s and men’s chances of marriage. However, initial cigarette use in the adolescent years is shown to enhance adults’ likelihood of marriage, whereas adolescent marijuana use substantially reduces the chances of marriage. Interestingly, early alcohol use decreases women’s chances of becoming married yet increases the chances for men. Similarly, early alcohol use was associated with a greater risk of divorce. Overall, the results point to the intricate nature of early substance use and the long-term consequences thereof. The results are discussed within a framework of precocious development theory.     

A Framework for Engaging Parents in Prevention

The literature on engaging families in prevention programs is informed by the Health Beliefs Model (HBM), Theory of Reasoned Action (TRA), and Family Systems theory. Although useful, these frameworks have not facilitated the development of prevention-based practice strategies that recognize different levels of prevention (i.e., universal, selective, and indicated). This article contributes to the literature on parent engagement by (a) summarizing the research on factors that affect parent engagement, (b) proposing an integrated model for engaging parents that incorporates the various levels of prevention, and (c) suggesting engagement strategies for universal, selective, and indicated prevention programs within this integrated model.     

Cognitions and Distress in Caregivers after Their Child's Sexual Abuse Disclosure

The impact of child sexual abuse on children is well documented, but few studies have examined the impact of a child's sexual abuse disclosure on maternal caregivers. The studies that have been conducted suggest that parental response postdisclosure is variable. The present study examined the association between maternal attributions and abuse-specific cognitions with depression and trauma symptoms postdisclosure. Participants included 68 nonoffending maternal caregivers of children between the ages of 3 and 17 years who experienced child sexual abuse. Findings indicated that caregivers' abuse-specific cognitions were the best predictor of self-reported symptoms of depression after controlling for general negative attributions. These findings suggest that in order to reduce caregivers' distress and to enhance their support of their children, it is important to assess and treat caregivers' abuse-specific cognitions.

     

Relationships between Early Life Victimization,Antisocial Traits,and Sexual Violence: Executive Functioning as a Mediator

ABSTRACT

Few research studies examine how the relationship between trauma and executive functioning can influence sexual violence among youth. Knight and Sims-Knight (2004) proposed a Developmental Etiological Theory (DET) connecting early life physical and sexual victimization to sexual violence via antisocial traits. Drawing from research that identifies a link between early life victimization and executive functioning, this study tests an adaptation to the DET by including executive functioning as an intervening factor. Using data on adolescents adjudicated of sexual and non-sexual crimes in a western state (N = 200), multiple structural equation models tested direct and indirect relationships between early life sexual, physical victimization, and other adversity, four differential forms of executive functioning, callousness, and sexual violence. Results revealed statistically significant direct pathways between variables of interest and a multi-meditational effect of certain forms of executive functioning and callousness in the relationship between victimization and sexual violence. Treatment and research implications are discussed.     

Parental Involvement with Children at School, Home, and Community

Previous research has focused on examining the effects of parental involvement on children’s academic achievement. Less attention has been placed on exploring types of parental involvement from parental reports. This study combines in a single analytic framework predictors from earlier studies with parent-based reports of involvement in three venues: home, school, and community. We examine two categories of predictors: social and economic resources, and parent perceptions and experiences with child’s school. Using data from the Parent and Family Involvement Survey, analyses were performed for White, Black, and Latino parents. Consistent with previous findings, our research finds that minority parents are less involved at their child’s school than White parents. No ethnic differences in home or community involvement were found.