Stress management training for low income women

Summary

Stress Management Training for Low Income Women, a time‐limited psychoeducational intervention directed at both cognitive and behavior change, was developed as a prevention model for the Michigan Department of Mental Health. It has been evaluated with 5 populations: white women in smaller communities in Michigan (3) and Connecticut, and inner‐city black women.

Across five projects and various measures, these evaluations show a significant decrease in depression, an increase in the sense of mastery and an increase in self‐esteem.     

Stress Management Training for Low-Income Women

Abstract

The stress management training model (SMT) was developed as a multi-dimensional program for low-income women. The program provided an introduction to life coping skills as well as a means of helping women feel better about themselves, take more control, accept responsibility, and learn about ways of handling stress. Two studies were conducted in Michigan: one as a prevention model and one as a treatment alternative. Findings from these two projects indicated that trained women were in better mood states and reported a greater perception of control than did women who did not receive such training. Services for SMT participants were also found to be nearly half as expensive as traditional one-on-one outpatient therapy.     

Exploring Work as an Arena for Prevention Research

Abstract

This article offers a rationale and reviews the research evidence for a focus on work transitions in prevention research. The organization and current research of the Michigan Prevention Research Center are then described. Current research and dissemination activities are presented in the context of a prevention research cycle that moves through four domains: problem analysis, intervention design, evaluation, and knowledge dissemination.     

An Examination of Strategies for the Prevention of Gender-Based Violence at Four-Year Institutions of Higher Education

ABSTRACT

Although gender-based violence prevention programs at institutions of higher education (IHEs) are mandated by federal legislation, research focusing on the prevalence or content of programming is limited. The present exploratory research examines campus websites for a nationally representative sample of Title IX eligible IHEs that offer at least a four-year degree (n = 389), assessing whether IHEs offer prevention programs and whether programs include information cited in federal legislation or adhere to best practices. Differences in programming are also examined across IHE types. Results demonstrate that most IHEs report offering prevention pro- grams (86%), but that differences do exist across IHE type: 97% of public nonprofit IHEs report programming compared to 46% of tribal institutions. Disparities also exist across IHE types regarding the content of programming. Results highlight the need to advance prevention programming to better align with “what works” in prevention science or what is expected by federal legislation.     

Opportunities for Prevention of Domestic Neglect and Abuse of the Elderly

Abstract

Recent research has demonstrated that domestic neglect and abuse of the elderly is not uncommon in the United States. It is a social problem that has not been extensively researched, however. One of the few studies, conducted in Michigan, found that the oldest and most frail elderly were a target group of elevated risk. Victims of neglect or abuse tend to be living with adult children or other informal caretakers who become neglectful or abusive when the burdens of providing care for a frail, elderly person interact with stress, little or no preparation for providing personal care over a long time span, medical problems of the caretaker, alcohol abuse, financial difficulties, and other situational factors. Family histories of neglect or abuse and other causal hypotheses have also been investigated. Recent studies are reviewed and found to be in general agreement regarding the nature and apparent dynamics of this emerging problem among the elderly. Opportunities for prevention are discussed in terms of current models of service to the aging and redirection of other public health and social services.     

Prevention of Child Abuse

Abstract

The application of the ecological paradigm to the potential prevention of child abuse is discussed, using two examples of consultation services designed to increase social support. The examples illustrate the principle of designing different interventions according to the ecologies of different communities. Principles of the ecological paradigm that guided the interventions are discussed. A follow-up assessment of the interventions, based on interview and questionnaire results obtained from participants in the projects, is presented.     

School-Based Social Competence Promotion as a Primary Prevention Strategy

Abstract

School-based promotion of social competence continues to be a promising strategy for the primary prevention of psy-chosocial difficulties in children. Drawing on more than a decade of experience using this strategy, the authors identify major challenges they have encountered in the process of developing, implementing, evaluating, and maintaining social competence promotion programs in the schools. They emphasize the importance of using a dynamic, social-ecological conceptualization of both social competence and the organizational change process. Particular attention is given to overcoming obstacles to implementation and to long-term adoption of programs. Throughout, examples are drawn from the author's specific experiences with two longitudinal, multi-site projects.     

An Assessment of the Relationship Between the Quality of School-Based Tobacco Prevention Programs and Youth Tobacco Use

SUMMARY

This study presents data from an assessment of substance use prevention programs in 23 elementary and middle schools in northern and central Illinois. The quality of prevention programming was assessed based on program intensity, focus on tobacco, staff resources designated for prevention programs, and implementation of the Centers for Disease Control and Prevention recommendations for tobacco prevention. Data from these four dimensions were used to calculate a Quality Index Score. Multilevel logistic regression analysis was used to assess the relationship between individual level variables, school level variables and the outcomes of reported current tobacco use, intent to use tobacco in the coming year, and perceived efficacy of substance use prevention programs. No significant effects were found, indicating that exclusive use of even high quality school-based prevention programs may not be sufficient in changing youth behavior. However, school-based prevention programs may be an important component of a broader ecological approach that uses multiple, community-wide strategies to promote normative change.     

Breaking Fresh Ground

ABSTRACT

In the present paper, the author introduces her roles and duties at her current job. The author then describes how she got into community psychology and primary prevention and how her graduate school and previous work experiences have influenced her current work. Focusing on primary prevention, the author delineates how the two community psychology concepts -primary prevention and action research -can be applied to the promotion of adolescent mental health in the Korean society. The author then adds advice for foreign students who are considering studying community psychology in the U.S.     

Identifying High-Risk Students During School Transition

Summary

A preventive, community-based program was designed to facilitate high school transition and reduce dropout. Participants in the study were ninth grade, predominantly Hispanic inner-city students. School absence was used as a variable to identify students who were at high risk for failure. Compared with low- and middle-absence groups, the high-absence groups' failures and class rankings deteriorated consistently across time points. In addition, over time, high-absence group students experienced more pronounced increases in school absence and decreases in academic achievement relative to low- and middle-absence counterparts. Findings are discussed in terms of their implications for dropout prevention programming.     

The mental health association and prevention

Summary

The history of the Mental Health Association's involvement in prevention is described. From its inception in 1909 the Association has played a key role in advocating for prevention. It contributed to the Child Guidance Center movement, the community mental health center movement, and helped focus the 1978 President's Commission on Mental Health on prevention. In recent years, it has served as the catalyst for the formation of a coalition of national organizations with an interest in prevention.     

Implementing and Evaluating School-Based Primary Prevention Programs and the Importance of Differential Effects on Outcomes

Abstract

In 2004, Second Step (Committee for Children, 2002), a violence prevention program, was implemented in the Cleveland Heights-University Heights school district for 1,416 K through second grade students. Both process and outcome measures were used to evaluate program impact and examine issues related to the implementation and evaluation of evidence-based practices. Process measures indicated a high level of implementation fidelity, while pre/post outcome testing on a 20% random sample of students demonstrated significant reductions in reactive aggression scores, t= 2.221, df= 238, p< 0.05, and evidence of declines in proactive aggression. Authors discuss challenges and opportunities related to implementing and evaluating evidence-based programming in Safe Schools/Health Students sites, particularly regarding strategies for the assessment of differential intervention effects to evaluate program outcomes.     

Evaluation of an Incentive System at a Summer Camp for Youth Experiencing Homelessness

SUMMARY

Children who are homeless often experience emotional and behavioral problems. They also may have difficulty interacting with peers. Programs designed to reward positive behaviors may be successful in improving behavioral functioning for children experiencing emotional distress due to homelessness and related risk factors. Families experiencing homelessness may have a difficult time accessing mental health services. School settings may be optimal environments for implementing programs to improve behavioral and social development for these children. In this paper, we describe the implementation and outcomes of an incentive system, developed to improve school behaviors and interactions for children experiencing homelessness. This system was implemented during a summer camp designed to enrich reading skills. Teachers and aides administered bracelets as secondary reinforcers for positive and prosocial behaviors. Children could purchase primary reinforcers, such as toys and art supplies, with the bracelets. Results were positive, supporting project activities. Future programs and evaluation projects should focus on delivering and evaluating prevention and therapy services for youth experiencing homelessness.     

How Fathers Respond When Their Youth Leave and Return Home

Abstract

Few social scientists have examined the impact that adult children's leaving and returning home have upon fathers and their family relationships. In a sample of 325 fathers in Indiana and Michigan, 41% reported some stress as negative/disturbed reactions about a child's leaving home. These reactions were much greater than some earlier studies have shown. Overall, (as explained by the A-B-C-X Model of Stress) the fathers' definition of their situation was the factor most related to the fathers' negative feelings about their child's leaving home, to their related psychosomatic complaints and their lower sense of well-being. It was not related, however, to fathers' satisfaction with their family life. Implications of these findings are discussed.     

The Status of Preventive Care for the Aged

Abstract

One response to the growing needs of the elderly is to expand the scope of preventive care from the younger and middle aged cohorts to include an emphasis on preventive care for older people. In the past it has been difficult to consider prevention and aging as concepts which could co-exist because we can neither cure nor prevent aging. The potential of preventive care to improve, maintain, or lessen decline in the quality of life of the elderly has not been included in the definition or mainstream of prevention activities. This study identifies and reviews research and programmatic activities which have been reported in the literature over the last ten years in the area of prevention and aging. Topical areas and methodological approaches are explored to define what has been considered appropriate preventive care for the elderly. An evaluation process, meta-analysis, is used to assess the therapeutic effect and overall effectiveness of techniques in prevention and aging. These findings can be used in formulating future initiatives related to aging and prevention.     

Safe Schools,Positive Behavior Supports,and Mental Health Supports

Abstract

This article profiles selected Safe Schools/Healthy Students (SS/HS) interventions in three Oregon communities that have completed Safe Schools/Healthy Students projects, representing a substantial investment in building school and community collaborations, expanding positive behavior supports in schools, and establishing school-based mental health services. The University of Oregon Institute on Violence and Destructive Behavior served as the local evaluator for these projects. Although the scope of each project encompassed the six intervention elements required by the federal funding agencies, we focus on lessons learned from select components of the projects: Positive Behavior Supports in Schools, Mental Health Service integration, and Sustainability. This article describes the methods and outcomes of each component, from project startup to summative analysis of the outcomes. We conclude with our observations and recommendations for research and evaluation methodology and implementing future SS/HS projects.     

Introduction

Summary

Rapid population growth in the Third World has been accompanied by the creation of national family planning programs, which attempt to slow growth rates through programs aimed at the prevention of births. These programs represent large scale, modern bureaucratic health delivery systems that are transplanted from the industrialized world. They raise the problem of whether such modern organizations can have an impact on reproductive behavior throughout the Third World. A large scale research program on Asian family planning programs provides some of the answers to these critical questions. First, pooled cross-national time series data indicate that as family planning programs grew and their inputs of staff and funds increased, both contraceptive and birth prevention increased. Further, multiple regression analyses indicate a positive impact of program inputs on both contraceptive use rates and birth prevention, even when levels of social and economic development are controlled. There is also, however, much variance among countries in their patterns of both program performance and birth prevention. Four country cases are examined-the Philippines, Malaysia, South Korea, and Indonesia-to show that the character of political organization has an impact on the performance of these modern bureaucratic birth prevention organizations.     

The Implications of Female Risk Factors for Substance Abuse Prevention in Adolescent Girls

SUMMARY

Trends in substance abuse prevention have not adequately addressed the needs of girls and female adolescents. The precursors to substance use and abuse in adolescence are analyzed specifically from a gender-specific perspective. Female drug use as both a maladaptive and adaptive pattern of coping behavior is examined within a socio-cultural context. This new understanding points to the need for alternative models of prevention with particular attention to risk, resiliency and protective factors. The expanded role of the family therapist as “Family Life Cycle Specialist” within a prevention model will be highlighted.