Despite high rates of comorbidity between problem gambling and mental health disorders, few studies have examined barriers or facilitators to the implementation of screening for problem gambling in mental health services. This exploratory qualitative study identified key themes associated with screening in mental health services. Semi-structured interviews were undertaken with 30 clinicians and managers from 11 mental health services in Victoria, Australia. Major themes and subthemes were identified using qualitative content analysis. Six themes emerged including competing priorities, importance of routine screening, access to appropriate screening tools, resources, patient responsiveness and workforce development. Barriers to screening included a focus on immediate risk as well as gambling being often considered as a longer-term concern. Clinicians perceived problem gambling as a relatively rare condition, but did acknowledge the need for brief screening. Facilitators to screening were changes to system processes, such as identification of an appropriate brief screening instrument, mandating its use as part of routine screening, as well as funded workforce development activities in the identification and management of problem gambling. 相似文献
Elementary students survey buildings in an extracurricular community service project to learn social studies and historic preservation. From these experiences students formed values and dispositions by engaging in a constructivist process of creating knowledge by examining their community. They gathered data, transformed it into information, and shared it with the larger community. Because students learned what community means in reality, not just reading about it, they had a different understanding of how they related to the place they called home. Examining these types of questions helped elementary students have significant experiences that helped them to connect community members with the importance of place. The built environment is the context for historic structures. Student engagement with the social studies curriculum allowed them to create investigations with architecture to broaden their understanding of their world. 相似文献
We examine how race affects the employment status of subordinates following a job change by their immediate supervisors. We test whether racial homophily between a subordinate and a supervisor affects the odds of being let go. We also consider whether a racial match between an incoming head coach and assistant affects whether assistants retain their assistant coaching position. Data for these analyses come from a unique data set that explores what happens to 704 NCAA Division I college basketball assistant coaches after the head coach leaves the school. Logistic regression analyses confirm the benefit of working for a white head coach as this decreases the likelihood of being let go, compared to more positive outcomes such as following the coach to a new school, being internally promoted or retained after the head coach's departure. Furthermore, racial homophily with incoming head coaches insulates subordinates from having to search for new employment by increasing the likelihood of assistants being retained. 相似文献
Studies regarding the effectiveness of homework assignments in cognitive‐behavioral treatments have demonstrated mixed results. This study investigated predictors of compliance with homework recommendations and the time‐varying relationship of recommendation completion with treatment response in a brief couples' intervention (N = 108). More satisfied couples and couples with more motivation to change completed more recommendations, whereas couples with children completed fewer. The association between recommendation completion and treatment response varied with the passage of time, with the strongest effect observed 6 months after the intervention, but no discernible differences at 1 year postintervention. Couples that completed more recommendations experienced more rapid treatment gains, but even those couples doing substantially fewer recommendations ultimately realized equivalent treatment effects, although they progressed more slowly. Implications are discussed. 相似文献
The current study explored two possible comparison groups for the double Face‐to‐Face Still‐Face (FFSF) paradigm to evaluate their effects on infant behavior and different hypotheses about the nature of the Still‐Face (SF) effect, an effect not fully understood. Mothers and their 4‐month‐old infants were randomly assigned to one of three groups, a double FFSF group (GroupFFSF, n = 44), a control, semi‐structured play group (GroupStory, n = 46), or a control, unstructured play group (GroupPlay, n = 28). As hypothesized, GroupFFSF infants exhibited the classic SF response (decreased positive affect and gaze to mother; increased negative affect) and GroupPlay infants showed an increase in negative affect over episodes. Contrary to expectations, GroupStory infants displayed a similar, but less intense, pattern of behavior as GroupFFSF. Taken together, the findings indicate that multiple episodes of face‐to‐face play exceeded 4‐month‐olds' regulatory capacities and that infants are sensitive to shared communicative intentions and violations of social expectations, whether these violations are negative or positive in nature. 相似文献
This study investigates the impact of worker learning, worker flexibility, and labor attrition on the system performance of a dual resource constrained (DRC) job-shop. The effects of learning and labor attrition have not been previously addressed in DRC literature. Results from the study, consistent with previous literature, show that the greatest benefits are achieved when inter-departmental worker flexibility is incrementally introduced into the system. In addition, the learning environment, which depends on the initial processing time of jobs and the learning rates of workers, is shown to impact the acquisition of flexibility. The study also shows that the impact of labor attrition on system performance under certain shop conditions may be significant. 相似文献
As China’s economy is rapidly changing from a planned to a capitalist economy, many families find themselves financially struggling. In some cases, conflicting values and attitudes may contribute to mental health challenges such as depression that would lead to further feelings of helplessness and immobilization. Using a random sample of 1006 low-income households from Pudong District of Shanghai, China, this study aims to examine the relationships between household assets, beliefs about government as the primary way to improve economic circumstances and self-reported depressive symptoms. In addition, this study investigates the mediation effects of beliefs that government is the best change agent for improved life circumstances on the relationship between household assets and depression. We found those who indicated that government was the main means for attaining a better life had significantly higher depression levels whereas higher numbers of household assets were associated with lower depression levels. We also found that viewing government as the most important change agent only partially mediated the relationship between household assets and depression (p?<?.001). Findings from this study support anti-poverty policies and social work related practice initiatives aimed at assisting low income families in China, in particular the need to address psychological as well as economic needs.