Urban planning and mental health

Abstract

Both the product and the process of city planning have been shown to have an influence on mental health. This paper presents a model of the process through which community design characteristics influence mental health. The model emphasizes the importance of local social interaction and physical stimulation, as well as adjustment mechanisms used to dampen stress resulting from undesirable levels of interaction and stimulation. The research on the relationship between four community design characteristics and social interaction, stimulation and mental health is then reviewed. An argument for the importance of citizen participation is also presented, stressing the influence of participation on both sense of control and the development of social support. Commonly employed participation techniques, however, differ in their ability to affect support and control. Neighborhood council programs are identified as having the greatest potential for influencing sense of control and social support. Finally the obstacles to improving community design and specific recommendations for the prevention of environmentally induced mental health problems are presented.     

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.     

Overview of Michigan Prevention Programming

Abstract

The Michigan Department of Mental Health's prevention programming has centered around the development of community service models through pilot demonstration projects. A systems approach has resulted in the formulation of departmental guidelines and policies. Pilot demonstration projects have been directed primarily at enhancing coping skills of high risk populations. Collaborative interagency efforts have provided an additional dimension to Michigan prevention programming.     

Community Service Providers' Conceptualizations of the Needs and Services of Depressed Rural Women

Abstract

Representatives from community and volunteer organizations (N = 37) in a rural region of Nova Scotia were interviewed on their views of the causes, prevention and treatment of depression in rural women. Utilizing a qualitative analysis, five themes were identified in their responses: the needs and stresses of women with depression; the problems of women in rural areas; obstacles and barriers to accessing services; the inadequacy of treatment services; and recommendations for improving prevention and treatment. The findings suggested that community service providers were consistent in their views of the needs and stresses of depressed women in rural areas and the kinds of services that would remedy them. Making community service providers aware of the consistencies in their views may promote more interagency cooperation and the development of community-centered approaches to the treatment of depression in rural women.     

The Illusion of Empowerment

Abstract

This paper presents a community development experience in Puerto Rico which was guided by the goal of empowerment. It describes the socio-historical context in which the effort is embedded. its values, and its theoretical background. The intervention was carried out in a poor rural community of approximately 1,400 families. Specific strategies and tactics used to facilitate ideological and skill development among the residents are presented. The article concludes with an analysis of the achievements and limitations of the effort. Guidelines toward future conceptual and practical developments are suggested.     

A Community Model for Prevention Services

Abstract

Experience in Ionia county and Newaygo county in developing prevention services is described. These efforts, starting with needs assessment, illuminate principles underlying a community model for prevention services.     

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.     

Parents as teachers project

SUMMARY

Individuals with interests in children and families, as well as in critically examining interventions and service systems may consider opportunities for evaluation research in Child Welfare. As the field increasingly adopts multi-level preventative interventions, positions may offer opportunities for motivated individuals with skills in articulating and examining phenomena at individual, family, community and organizational levels. The paper follows one pathway from graduate school to a position within an organizational context manifesting many of the major themes in contemporary community psychology, including capacity building and empowerment, community development and multi-level prevention interventions, consumer involvement and the stimulating role of program evaluation. The purposeful collection of practical experience is suggested as an important balance to rigorous academic preparation and creative exploration of different professional roles.     

Individual differences in safe behavior: A safety practitioner's viewpoint

SUMMARY

This paper focuses on the school as a setting for community-based prevention of factors that place learners at risk such as poverty, violence, substance abuse, learning difficulties and HIV/AIDS. It examines the development of school-based structures aimed at addressing these issues. The health promoting and inclusive schools approaches are explored as strategies to address these and other barriers to learning.

Reference is made to innovative practice at a school in a disadvantaged community outside of Cape Town. The case study reveals how school-based teams could be utilized to mobilize school communities in generating solutions to the difficulties that they encounter.     

The Primary Prevention of Adolescent Substance Abuse Through the Promotion of Personal and Social Competence

Summary

The Life Skills Training (LST) program is a broad-based substance abuse prevention program which emphasizes self-improvement and the development of important personal and social skills. This chapter describes the LST program, its theoretical rationale, and the results of evaluation studies conducted over the last eight years; in addition, this chapter reports the process by which the original school-based program format was revised for use in a community setting-specifically for use with urban minority adolescents living in a shelter for the homeless. The revised version of the LST     

Characteristics of Homeless Women with Dependent Children

Abstract

Large community initiatives are a growing phenomenon both in the U.S. and worldwide. These initiatives address a wide variety of issues, including early childhood development, by integrating institutions such as schools, health agencies, and faith-based institutions that focus on separate but related aspects of community concern. A major challenge facing these initiatives is the competing demands of developing organizational capacity to promote effective programming while simultaneously delivering demonstrable results and accountability. Empowerment evaluation (Fetterman, Kaftarian, &; Wandersman, 1996) is an approach to evaluation and organizational capacity building that equips participants at all levels of an organization to pursue programming quality and results. This article describes and presents lessons learned from the development and implementation of a system of tools and processes, grounded in the principles of empowerment evaluation, designed to promote quality in the planning, implementation, and evaluation of a statewide school readiness initiative. While these lessons are specifically applicable to community-based early childhood development initiatives, they are broadly applicable to initiatives fostering systems change through community development.     

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.     

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.     

References

Summary

The development and present status of the field of prevention is described. Concrete, representative examples are provided to show that global and specific sociocultural factors determine the process that is connecting two fields in Poland—prevention and health psychology. Special attention is provided to barriers and facilitators to the development of prevention activities.     

Rapid Assessment Procedures

SUMMARY

Given the racialization of subjective, material and historical realities in South Africa, psychological training and practice in community raise crucial and often thorny ethical, epistemological and methodological questions. This article appraises the strengths and limitations of using Rapid Assessment Procedures (RAP) (Afonja, 1992) in the field training of postgraduate students in community-counseling psychology. Rooted in an activist participatory action research framework (Lykes, 1997), RAP provide a framework for the collective exploration of locally constructed representations of a community's needs and resources; joining the ‘community’ (negotiating a dialogical form of communication and a respect for the insider-outsider dialectic); working through one's ‘situated otherness’; and deracializing psychological training and practice.     

The Prevention of Antisocial Behavior Through Moral Motivation Training(or Why Isn't There More Street Crime?)

Abstract

The paper argues that instead of focusing on why we have so much street crime, we need to understand why most children, even in our poorest ghettos, don't commit crimes. It criticizes psychological and sociological “deviance? explanations of violence (e.g., “acting out? poverty) and presents an explanation in terms of moral motivation deficits. A comprehensive theory of moral motivation is described, encompassing the internalization of adult standards, the development of empathy, and the acquisition of personal moral standards. Included are procedures for fostering each of these. Reinforcement-based approaches in residential treatment settings are criticized and alternative procedures based on moral motivation training principles are suggested. The implications of a moral motivation framework for the prevention of antisocial behavior is also presented.     

School Violence Interventions in the Safe Schools/Healthy Students Initiative

Abstract

The Safe Schools/Healthy Students Initiative was designed to encourage collaboration among school districts and local community service providers in the provision of behavioral health prevention and early intervention efforts. These efforts would address the physical safety of students as well as provide mental health, violence prevention, and social skills services. One local SS/HS Initiative brought together community and school collaborators in an ambitious agenda that included 14 distinct programs that addressed the needs of over 110,000 students in a large school district. The purpose of the current paper is to report the results of the evaluation of two of the programs designed to reduce violent and disruptive behavior in schools. The programs include a school-based anger management program and a community-based, alternative-to-suspension program. Working in cooperation with program staff and the school district, quasi-experimental designs were used to measure change over time for students. The two studies demonstrate the application of multiple methodologies in evaluating the effectiveness of prevention and early intervention efforts with the aim of providing data to support program improvement and sustainability.     

The Role of Community in Facilitating Service Utilization

SUMMARY

Guided by an integrated theory of parent participation, this study examines the role community characteristics play in influencing a parent's decision to use voluntary child abuse prevention programs. Multiple regression techniques were used to determine if different community characteristics, such as neighborhood distress and the community's ratio of caregivers to those in need of care, predict service utilization levels in a widely available home visiting program. Our findings suggest that certain community characteristics are significant predictors of the extent to which families utilize voluntary family supports over and above the proportion of variance explained by personal characteristics and program experiences. Contrary to our initial assumptions, however, new parents living in the most disorganized communities received more home visits than program participants living in more organized communities. The article concludes with recommendations on how community capacity building might be used to improve participant retention.     

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.