Urban youth as witnesses to violence: Beginning assessment and treatment efforts

This article reviews literature on witnessing violence (covictimization) in children and adolescents. As violent incidents have increased dramatically in urban areas, so has exposure by inner-city youth to violence in the home, school, and community. In reaction to witnessing violence, youth may present symptoms of Post-Traumatic Stress Disorder, Separation Anxiety and Depression, evince disturbed grieving and bereavement, show a number of externalizing behaviors including aggressiveness, have impaired interpersonal and family relations, and show declines in academic performance. A number of factors may mediate the impact of violence exposure including age, gender, and history of prior trauma. Mental health assessment and treatment efforts for youth who have witnessed violence have been limited. Directions for future investigation are highlighted.Received Ph.D. in clinical/community psychology from the University of Maryland, College Park, in 1994. Research interests include group therapy with adolescents, teenage parenting, social skills assessment and training, and development of programs to assess, prevent, and treat violence exposure in urban youth.Received Ph.D. in Clinical Psychology from Virginia Polytechnic Institute and State University in 1991. Research interests include evaluation and development of school-based mental health services, empirical selection of treatment targets for children and adolescents, development of interventions to assist youth who are exposed to violence, and identification of resilience factors for urban youth.     

Maternal Acceptance as a Moderator of the Relation Between Threat to Self Appraisals and Mental Health Problems in Adolescents from Divorced Families

Appraisals about the implications of stressful events that are evaluated as involving a threat to self (negative self-evaluation, negative evaluation from others, rejection by others) have been shown to place youth at risk for the development of mental health problems. This longitudinal study tested a protective-stabilizing interactive model, in which high maternal acceptance was predicted to mitigate the prospective relation between threat to self appraisals and change in adolescents’ mental health problems six months later. Participants were 89 adolescents from divorced families ages 10–12 and residential mothers. Adolescents reported on threat to self appraisals from the most stressful event experienced in the past month. Mothers and youth reported on maternal acceptance and mental health problems. Multiple regression analyses provided support for the protective effects of maternal acceptance on adolescents’ mental health problems. Intervention implications are discussed. Ana Brown is a pre-doctoral fellow in prevention research (NIMH 2 T32 MH18387–19) and doctoral student in the Department of Psychology at Arizona State University, Tempe, AZ. Research interests include the study of children’s appraisals and responses to stressful events in the prevention of mental health problems. Sharlene Wolchik is a clinical psychologist and professor in the Department of Psychology at Arizona State University, Tempe, AZ. Her research focuses on identifying risk and protective factors for children whose parents have divorced. She also has designed and evaluated the efficacy of preventive interventions for children from divorced families and children who have experienced parental bereavement. Jenn-Yun Tein is a research associate professor and Co-Director of the Research Methodology Core of the Prevention Research Center at Arizona State University, Tempe, AZ. Her research interests include analyses of mediation and moderation of preventive interventions as well as applications of methodology and statistics in prevention research. Irwin Sandler is a Regents’ Professor in the Department of Psychology and Director of the Prevention Research Center at Arizona State University, Tempe, AZ. His research interests focus on understanding resilience for children exposed to stress and on the development, evaluation and dissemination of programs to promote resilience and prevent mental health problems for children in stress.     

Patterns of Middle School Adjustment and Ninth Grade Adaptation of Rural African American Youth: Grades and Substance Use

The transition to high school has been identified as a potentially difficult time in adolescents’ lives. Reductions in both academic and social functioning often accompany this transition. While these effects have been documented in urban youth, the move to high school has not been extensively studied in rural minority youth. Toward that end, the academic grades and substance use in ninth grade of 447 (184 male and 263 female) African-American adolescents from two rural counties in a state in the deep South were examined in relation to configurations of adaptation from sixth through eighth grade. Results indicate that individual with consistently positive patterns across middle school had higher grades and lower rates of substance use compared to individuals with persistent difficulties or those that transitioned to problem behavior. Many individuals who improved in their patterns of adaptation had relatively high grades, but also rather high rates of substance use in the ninth grade. David B. Estell is an assistant professor of educational psychology at Indiana University Bloomington. He received his PhD in Developmental Psychology from the University of North Carolina at Chapel Hill. His major research interests include peer relations and the development of aggression. Thomas W. Farmer is an associate professor of education at Pennsylvania State University and director of the National Research Center on Rural Education Support. He received his PhD in Special Education from University of North Carolina at Chapel Hill. His major research interests include peer relations and the development of aggression in students with and without special needs. Matthew J. Irvin is a research scientist at the Center for Developmental Science at the University of North Carolina at Chapel Hill. He received his PhD in Educational Psychology from the University of North Carolina at Chapel Hill. His major research interests include resilience and student engagement. Jana H. Thompson is a research associate at the Center for Developmental Science at the University of North Carolina at Chapel Hill. Her research interests include peer social relations and developmental transitions into early adolescence. Bryan C. Hutchins is a research assistant at the Center for Developmental Science at the University of North Carolina at Chapel Hill. He is also a graduate student in the Educational Psychology, Measurement, and Evaluation Program at UNC. His research interests include child and adolescent social development and school based emotional and behavioral interventions and prevention programs. Erin M. McDonough is currently a doctoral candidate in School Psychology at the University of North Carolina at Chapel Hill. She received her Bachelor of Arts degree in Psychology from Emory University. As a research assistant at the Center for Developmental Science, she has been able to explore her interests in student achievement as well as rural education. Another major research interest of hers is school-based mental health.     

Impulsivity in Juvenile Delinquency: Differences Among Early-Onset, Late-Onset, and Non-Offenders

The present research investigated differences in levels of impulsivity among early-onset, late-onset, and non-offending adolescents. 129 adolescents (114 males, 15 females), of whom 86 were institutionalised (M age=15.52 years) and 43 were regular school students (M age=15.40 years) participated. Each participant completed the Adapted Self-Report Delinquency Scale, Stroop Colour and Word Test, Time Perception task, Accuracy Game, Risk-Taking Game, and the Eysenck Impulsiveness Questionnaire. Results suggest that adolescents who display rapid cognitive tempo, poor mental inhibitory control, and high impulsivity are more likely to be early-onset offenders. Offender and non-offender groups showed significant differences on several measures of impulsivity, which may suggest that late-onset offenders acquire or exacerbate impulse-related problems through social mimicry of early-onset offender peers. Potentially important implications for our understanding of delinquency and the design and provision of prevention programs are highlighted.Senior Lecturer in Educational Psychology at the School of Education, The University of Queensland, Brisbane, Australia. She received her PhD in educational psychology from The University of Western Australia. Her major research interests include at-risk behaviours of children and adolescents, self-regulation and goal setting, and developmental trajectories of antisocial and aggressive behaviours School of Education, The University of Queensland, Brisbane Q 4072 AustraliaDoctor of Clinical Psychology student within the School of Psychology at The University of Queensland, Brisbane, Australia. Her research interests include at-risk children and adolescents, mental health in adolescents and adults, cognitive-behavioural interventions, and self-regulationMaster of Philosophy student within the School of Education, The University of Queensland, Brisbane, Australia. Her research interests include self-regulation, youth at-risk, Indigenous youth issues, and prevention and intervention approachesProfessor of Education and Head of the School of Education, The University of Queensland, Brisbane, Australia. He received his PhD in educational psychology from the University of Alberta, Canada. His research interests include cognitive educational psychology, classroom-based instruction, strategy training, problem solving, and at-risk youthProfessor of Education and Director, Centre for Attention and Related Disorders at the Graduate School of Education, The University of Western Australia. He received his PhD in educational psychology from the University of Birmingham, UK. His research interests include attentional disorders, severe antisociality in children and adolescents, emotion regulation, complex information processing and cognitive processes of at-risk adolescents Graduate School of Education, The University of Western, AustraliaProfessor of Psychology in the Department of Psychology, University of Strathclyde, United Kingdom. He received his PhD in developmental psychology, specialising in cognitive and communicative development in childhood and adolescence from Cambridge University, UK. His research interests include developmental psychology, at-risk children and adolescents, and the impact of media on children’s behaviour     

Mother-Adolescent Language Proficiency and Adolescent Academic and Emotional Adjustment Among Chinese American Families

This study examined the role of adolescents’ and mothers’ self-reports of English and heritage language proficiency in youth’s academic and emotional adjustment among 444 Chinese American families. Adolescents who were proficient in English tended to exhibit higher reading achievement scores, math achievement scores, and overall GPA. Mothers who were English proficient tended to have children with higher academic achievement and fewer depressive symptoms. Results also indicated that adolescents’ heritage language maintenance was associated with positive adjustment, particularly amongst foreign-born youth and for youth whose parents were highly proficient in the heritage language. Mother-adolescent match in heritage language proficiency was related to higher math achievement scores and overall GPA. Additionally, higher heritage language proficiency was associated with fewer depressive symptoms for foreign-born but not U.S.-born youth. Overall, the findings suggest that proficiency in both the English and heritage language may confer advantages to Chinese American youth.

Cross-National Adolescent Multidimensional Life Satisfaction Reports: Analyses of Mean Scores and Response Style Differences

Although numerous cross-national studies have assessed life satisfaction among adults, similar studies using adolescent samples have been rare. To address this shortage of research, a total of 1338 youth adolescents from two individualistic nations (Ireland, USA) and two collectivistic nations (China, South Korea) were administered the Multidimensional Students’ Life Satisfaction Scale (MSLSS: Huebner, 1994) to assesses general life satisfaction and satisfaction with family, friends, school, self, and living environment. Responses were analyzed to assess potential cross-national differences in (a) mean levels of life satisfaction, and (b) response styles, specifically acquiescence and extreme responding. Mean scores revealed positive ratings by adolescents from all four nations across all domains, with the exceptions of satisfaction with school experiences (Ireland, South Korean, USA), living environment (China, South Korea), self (South Korea), and general life satisfaction (South Korea). Results also revealed significant response style differences across all MSLSS domains. Significant gender and gender-by-nation effects were observed for both mean score and response style differences, although the effect sizes were small. The implications of these findings were discussed, particularly with respect to “individualistic” vs. “collectivistic” cultural differences. Rich Gilman is Associate Professor in the Department of Educational and Counseling Psychology at the University of Kentucky. His research interests include positive well-being among youth, perfectionism, and socially ostracized adolescents. Scott Huebner is Professor in the Department of Psychology at the University of South Carolina. His research interests involve the conceptualization, measurement, and implications of positive psychological well-being constructs among youth. He is a fellow of Division 16 of the APA and the International Society for Quality of Life Studies. Lili Tian is Associate Professor at South China Normal University. She received her Ph.D. in psychology from Beijing Normal University. Her major research interests include adolescent's school well-being, acculturation of immigrant children and personality assessment. Nansook Park is Associate Professor at the University of Rhode Island. She received her Ph.D. from University of South Carolina. Her major research interests among youth include character strengths and virtues, positive experience and life satisfaction and how they are related to well-being, family functioning, health and education. Jenny O’Byrne received her BA in the Department of Counselling & Psychotherapy from the Dublin Business School. Recent research interests focus on child and adolescent development, and she recently completed her pre-clinical training in psychoanalytic psychotherapy with the Lincoln Centre in London. Dina Sverko is a research assistant at the University of Zagreb (Croatia). She received her Ph.D. in psychology from the University of Triest (Italy). Her major research interests include personality assessment and health psychology. Miriam Schiff is lecturer (equivalent to Assistant Professor) at the Hebrew University School of Social Work and Social Welfare in Jerusalem. Her major research interests include trauma and substance use, and general mental health among adolescents in clinic settings. Heather Langknecht received her Ed.S. from the University of Kentucky in 2004. She currently works as a school psychologist at Virginia Beach Public Schools (Virginia). Her primary research interests are cross-national quality of life issues among children and youth.     

The Relative Importance of Mothers’ and Youths’ Neighborhood Perceptions for Youth Alcohol Use and Delinquency

Prior studies have examined the influence of neighborhood perceptions on youth outcomes, but few studies have examined whose report of neighborhoods, parents’ or youths,’ are most important in predicting youth outcomes. This study addresses the relative associations of youths’ and mothers’ neighborhood perceptions with youth alcohol use and delinquency. The sample includes 499 mother-child dyads (youth age: 10 to 16 [mean=13.3; SD=2]). Structural equation modeling showed that youths’ perceived neighborhood problems were significantly associated with their delinquency but not their alcohol use. However, mothers’ perceived neighborhood problems were not related to either youth alcohol use or delinquency, suggesting that youths’ perceptions are better indicators of youth behavior. Youth reports may reflect their activities in the neighborhood and their exposure to different forms of deviance, so youths’ reports would be better indicators of exposure to neighborhood risk. Challenges for prevention are discussed. NIAAA Postdoctoral Fellow and Associate Research Scientist at the School of Public Health, University of California, Berkeley, and the Prevention Research Center, Pacific Institute for Research and Evaluation, Berkeley, CA. Her research interests include psychosocial and environmental factors influencing youth problem behaviors. Interests are interventions for children with substance use or externalizing problems and their families. She is currently conducting alcohol, drug and other risky behavior prevention studies that include a focus on young adults in club settings as well as a variety of different family-based studies in different geographic regions (San Francisco Bay Area, Alaska, Thailand). Her work integrates both quantitative and qualitative research methods and centers on alcohol and other drug use, and related health issues among adolescents and young adults. She is especially interested in applying theoretical models of socially learned behaviors to populations with different cultural and social backgrounds     

School-based health services for urban adolescents: Psychosocial characteristics of clinic users vs nonusers

Evaluated psychosocial differences between adolescent users and nonusers of an urban school-based health clinic, considering the influence of gender. As expected, a number of gender differences were found (e.g., girls reported more fear, were rated as more likeable by peers than boys). Examination of differences based purely on clinic use indicated that nonusers were rated as more socially withdrawn by their peers than clinic users; otherwise, these two groups did not differ on psychosocial measures. Gender by clinic-status interaction effects were found for academic measures (e.g., nonusing boys had more absences and lower grades than boys who used the clinic). A group of intensive clinic users (n=14) reported higher levels of emotional distress than other students, and surprisingly, most of these students were not receiving mental health services.Received Ph.D. from Virginia Polytechnic Institute and State University in 1991. Research interests include evaluation of school mental health services, empirical development of interventions for children, and the impact of violence on urban youth.Received B.A. from Loyola College. Interested in applied work with adolescents and adults.Received B.A. from Cornell University. Interests include stress and coping in children, identification of resilience factors, and evaluation of child mental health systems of care.Received Ph.D. from the University of Oklahoma in 1967. Research interests in psychophysiology, sleep disorders, and biofeedback and instrumentation.Received M.D. from Duke University in 1968. Research interests include training in child and adolescent psychiatry, adolescent psychopathology, and the development of school mental health programs.     

Cultural Orientation as a Protective Factor Against Tobacco and Marijuana Smoking for African American Young Women

The present study examined cultural orientation as a protective factor against tobacco and marijuana smoking for African American young women (ages 18 to 25). African American college students (N=145) from a predominantly White university were administered subscales from the African American Acculturation Scale-Revised (AAAS-R); the shortened Individualism/Collectivism (INDCOL) Scale; a Tobacco and Drug Use Survey; and a background survey. Multiple logistic regression was conducted using cultural orientation variables as predictors and smoking status (i.e., tobacco and marijuana) as the criterion. It was expected that young women who endorsed traditional African American cultural characteristics (i.e., religious beliefs, health, family values, and socialization) and were collectivistic in their community (i.e., cultural interdependency) and familial (i.e., familial interdependency) interactions would be less likely to smoke. Results show that traditional religious beliefs and practice was protective against tobacco smoking for this sample of young women. Familial interdependency (e.g., supportive exchanges between friends, and consultation and sharing with parents), and traditional religious beliefs and practices surfaced as protective factors against marijuana smoking. Traditional health beliefs and practices was a risk factor for both tobacco and marijuana smoking. The implications signal the need for smoking prevention and cessation programs to focus on interpersonal factors which may strengthen African American young women’s religious and familial bonding. Associate Professor in the Department of Psychology, James Madison University, Harrisonburg, VA. Dr. Nasim also serves as affiliate research professor in the Center for Cultural Experiences in Prevention (CCEP), Department of Psychology, Virginia Commonwealth University, Richmond, VA. He received his Ph.D. in Developmental Psychology from Howard University, Washington, DC. His primary research interests focus on the etiology of substance use behaviors among African Americans Professor of Psychology at Virginia Commonwealth University, and Director of the Center for Cultural Experiences in Prevention (CCEP). She received her Ph.D. from the University of Maryland. Her research and programmatic efforts focus on the role of culture, community, and context in psychological, physical, and social outcomes among African Americans Assistant Professor at Virginia Commonwealth University. She received her Ph.D. in Clinical Psychology from the University of California, Los Angeles. Her major research interests focus on minority youth adjustment, adolescent sexual health, and families affected by HIV/AIDS. Associate Professor at Virginia Commonwealth University in the Department of Psychology. He received his Ph.D. in Counseling Psychology from Fordham University. His research interest is in the area of African American culture and mental health. Institute for Innovative Health & Human Services at James Madison University. She received her B.S. in Psychology from James Madison University. Her research focuses on school-based interventions for adolescents.     

Examining Multiracial Youth in Context: Ethnic Identity Development and Mental Health Outcomes

Although multiracial individuals are the fastest growing population in the United States, research on the identity development of multiracial adolescents remains scant. This study explores the relationship between ethnic identity, its components (affirmation, exploration), and mental health outcomes (anxiety, depressive symptoms) within the contexts of schools for multiracial adolescents. The participants were multiracial and monoracial minority and majority high school students (n = 4,766; 54.6 % female). Among the participants, 88.1 % were Caucasian, 7.4 % were African American, and 4.5 % were multiracial. The research questions examined the relationship between ethnic identity exploration and affirmation on mental health outcomes and explored the role school context plays in this relationship. The findings suggested that multiracial youth experience more exploration and less affirmation than African Americans, but more than Caucasians. In addition, multiracial youth were found to have higher levels of mental health issues than their monoracial minority and majority peers. Specifically, multiracial youth had higher levels of depressive symptoms than their African American and Caucasian counterparts. Multiracial and Caucasian youth had similar levels of anxiety but these levels were significantly higher than African Americans. School diversity did not influence mental health outcomes for multiracial youth. These findings provide insight into the experiences of multiracial youth and underscore the importance of further investigating factors that contribute to their mental health outcomes.     

Factors that Influence Mental Health Stigma Among 8th Grade Adolescents

Unmet mental health need is a significant problem for adolescents. Although stigma is identified as a major barrier to the use of mental health services among youth, there is limited research on this topic. In-depth interviews (n=57) among a sample of 8th grade students in a suburban, mid-Atlantic community portray adolescent mental health attitudes and how these views are shaped. Satisfactory personal experiences with mental health services as well as accurate mental health knowledge contribute to positive mental health attitudes among teens. The anticipation of negative responses towards mental health care-seeking from family members, peers, and school staff are key factors in teens’ comfort and willingness to address mental health concerns. The research provides critical information on the factors that contribute to the development of stigma and emphasizes the need to address stigma in youth mental health education, programs, and treatment plans. Authors are affiliated with the Johns Hopkins Bloomberg School of Public Health, Department of Population and Family Health Sciences. Dr. Chandra has a background in adolescent health, and is particularly interested in improving the accessibility and appropriateness of youth mental health services and involving young people in the translation of research into practice. Dr. Minkovitz is interested in improving preventive service delivery, enhancing quality of care, and understanding maternal factors that influence children’s receipt of health care     

Impact of higher alcohol prices on alcohol-related attitudes and perceptions of suburban,middle-class youth

This study investigated the potential effects of alcohol price increases on alcohol-related attitudes and perceptions of youth. Data were collected through a survey of high school students conducted after the federal excise taxes on alcohol beverages were increased in January 1991. Survey data lend support to previous research showing that higher alcohol prices contribute to lower alcohol consumption by youth, as well as to a decrease in related problems such as driving while intoxicated. Survey data also suggest that a price of around $7.50 for a six-pack of beer or a four-pack of wine coolers would discourage purchases by youth. Further studies are called for to substantiate and to expand on these findings with more diverse adolescent populations.Received M.P.H. in health education from University of North Carolina at Chapel Hill. Research interests are alcohol-impaired driving, alcohol taxation, and other alcohol policy issues. To whom correspondence should be addressed.Received Ph.D. in social psychology from Syracuse University. Research interests are impaired driving, adolescent risk taking, substance abuse, and health threat perception.Received M.S. in counseling from Bowie State University. Research interests are alcohol and drug abuse prevention, history of alcohol and drug abuse, and alcohol-impaired driving.The opinions expressed in this paper are those of the authors and not necessarily those of the organizations with which they are affiliated. Computer time for this research was supported through funds from the Computer Science Center at the University of Maryland at College Park.     

Juvenile Offenders’ Alcohol and Marijuana Trajectories: Risk and Protective Factor Effects in the Context of Time in a Supervised Facility

The current study modeled trajectories of substance use from ages 15 to 20 among 1,095 male serious juvenile offenders (M age = 16.54; 42% African-American, 34% Latino, 20% European-American, and 4% other ethnic/racial backgrounds) and prospectively predicted trajectories from risk and protective factors before and after controlling for time spent in a supervised setting. Results indicated that supervised time suppressed age-related growth in substance use. Trajectories of offenders with no supervised time and low levels of supervised time increased in substance use across age, whereas offenders with high levels of supervised time showed no growth. Almost all risk and protective factors had effects on initial substance use but only adolescent history of substance use, impulse control, and psychosocial maturity had an effect on change in substance use over time. Findings highlight the importance of formal sanctions and interventions superimposed on normal developmental processes in understanding trajectories of substance use among serious juvenile offenders.

Sexual problems found in users of a student mental health clinic

The authors were interested in discovering the spectrum and prevalence of sexual problems among young adults. With this goal in mind, they devised a Sexual Problems Check List as a comprehensive instrument utilizable by both clinicians and researchers. The Sexual Problems Check List was derived by reviewing therapists' treatment summaries and 146 recent answers to applications written by patients themselves as the first step in applying for treatment at a university mental health clinic. Data were then obtained from 52 subsequent student mental health clinic patients; such patients were selected as the sample because they were late adolescents and young adults thought likely to exhibit a broad range of clinically significant probelms. General patterns of concerns were noted which indicated that the sexual revolution has not been as liberating as the respondents were led to believe.Received his M. D. from Yale University School of Medicine in 1963. Psychiatric Residency at Yale, 1964–1967. Main interests include psychiatry residency training, psychoanalytic study of peotry, student mental health.Receved his M.D. from the University of Pennsylvania in Philadelphia in 1971. Psychiatric Residency at University of Chicago, 1972–1975. Main interests include hospital psychiatry and group treatment for rheumatoid arthritis.Received his Ph.D. in sociology from the University of Chicago in 1968. Main interests include urban problems, socialization, and deviance.     

Rationale and Strategies for Central Involvement of Educators in Effective School-Based Mental Health Programs

Unfortunately, for many mental health professionals classroom teachers and other educators are, at best, viewed primarily or solely as useful sources of information about a child, and their broader, invaluable roles as members of the mental health team are diminished or dismissed. This article examines the conceptual rationale and empirical support for central involvement of educators (especially classroom teachers) in effective mental health services, and in effective expanded school-based mental health programs. The importance of partnerships with educators for school-wide mental health promotion efforts, as well as for the success of primary and secondary prevention initiatives, are highlighted. Effective strategies and recommendations for enhancement of educator-mental health professional collaboration are included.     

Comparison of HIV Risks among Gay,Lesbian, Bisexual and Heterosexual Homeless Youth

Youth who are homeless and gay, lesbian or bisexual (GLB) are one of the most disenfranchised and marginalized groups in our society. The purpose of this study is to examine and compare HIV in GLB homeless youth with their heterosexual counterparts. Participants for this study included 268 youth involved in treatment outcome studies with substance abusing homeless youth. Results suggest that GLB youth have greater HIV risks and that these risks are greater among bisexual females. In examining the predictors of sexual health risks, survival sex emerged as the most significant. Survival sex was high among females regardless of their sexual orientation and also among gay males. Implications of these findings suggest that a greater emphasis needs to be paid to preventive interventions among this population. Rashmi Gangamma is a Ph.D student in the Department of Human Development and Family Science at The Ohio State University. She completed her Masters in Social Work at Mangalore University, India, and M.Phil in Psychiatric Social Work from the National Institute of Mental Health and NeuroSciences (NIMHANS), Bangalore, India. Her research interests include qualitative research methodology, family therapy process and GLBT issues. Natasha Slesnick, Ph.D. is an Associate Professor of Human Development and Family Science at the Ohio State University. She received her Ph.D. in 1996 from the University of New Mexico. Her research and clinical focus is on families and adolescents with issues pertaining to homelessness, substance use, childhood abuse, depression and high risk behaviors. Her current research projects concentrate on the development and evaluation of effective interventions for runaway and homeless youth and their families. Paula Toviessi is a Ph.D candidate in the Department of Human Development and Family Science at The Ohio State University. She completed her B.S. in Psychology at Norfolk State University and her M.S. in Marriage and Family Therapy at Purdue University, Calumet. She is currently conducting research on family health and the health decision-making process. Julianne Serovich, Ph.D., is Professor and Chair in the Department of Human Development and Family Science, The Ohio State University. She received her Ph.D. in 1991 from the University of Georgia. Her primary program of research centers on investigating the role of HIV disclosure to family and friends in reducing sexual risk related behaviors in men and mental health outcomes in women. To this end she has conducted 3 major studies investigating HIV disclosure behaviors in gay males, and heterosexual males and females.     

The Impact of School Mental Health Services on Out-of-School Suspension Rates

The current study investigated whether the presence of school-based mental health clinicians in an urban school district was associated with reduced out-of-school suspension rates. Forty one elementary schools with expanded school mental health (ESMH) programs were compared to 41 schools without ESMH programs. Correlational analyses revealed associations between suspension outcomes and several school-level demographic variables including school attendance rate, percent of students in poverty, and percent of nonwhite students in the school. After controlling for these variables, however, results of stepwise linear regressions demonstrated no significant differences between ESMH and non-ESMH schools on suspension outcomes. Results of the current study suggest that the presence of ESMH clinicians will not necessarily impact suspension rates in an elementary school. Targeted and well-implemented approaches to address behaviors that lead to suspension, or school- and system-level policies to provide alternatives to suspensions, will likely be a better route to achieving this outcome.     

Urban youth under stress: Empirical identification of protective factors

Explored the influence of life stress as mediated or moderated by locus of control, family environment, social support, and coping style on psychological adjustment and school performance in 164 ninth graders from Baltimore. Gender differences in findings were shown. For boys, family cohesion was the only variable found to protect against the effects of stress. Family cohesion did not serve protective functions for girls, and along with overall social support, was associated with increased vulnerability to school problems. The report of problem-focused coping strategies exerted a number of protective functions for girls only. External locus of control was found to increase boys' and girls' vulnerability to the effects of life stress. Empirical development of interventions to improve the psychosocial adjustment of inner-city adolescents is discussed.Received Ph.D. from Virginia Polytechnic Institute and State University in 1991. Research interests include evaluation of school mental health services, empirical development of interventions for children, and the impact of violence on urban youth.Received B.A. from Cornell University. Interests include stress and coping in children, identification of resilience factors, and evaluation of child mental health systems of care.Received Ph.D. from the University of Oklahoma in 1967. Research interests include psychophysiology, sleep disorders, and biofeedback and instrumentation.Received B.A. from Loyola College. Interested in applied work with adolescents and adults.Received M.D. from Duke University in 1968. Research interests include training in child and adolescent psychiatry, adolescent psychopathology, and the development of school mental health programs.     

The Mental Health of 13–17 Year-Olds in Australia: Findings from the National Survey of Mental Health and Well-Being

The prevalence of 3 mental disorders (Depressive Disorder, Conduct Disorder and Attention-Deficit/Hyperactivity Disorder), the prevalence of mental health problems, and rates of health-risk behaviours among those with problems, along with patterns of service utilisation, are reported for 1490 adolescents aged 13–17 years in Australia. Mental disorders were assessed using the Diagnostic Interview Schedule for Children Version IV completed by parents. Parents and adolescents also completed standard questionnaires designed to assess mental health problems, health-risk behaviours and service use. On the basis of parent reports, 13% of adolescents were identified as having mental health problems, while 19% were identified as having problems on the basis of adolescent reports. Many of the adolescents with mental health problems also had problems in other areas of their lives. Only 31% of those identified by parents as having mental health problems and 20% of adolescents who identified themselves as having problems, had attended a professional service during the 6 months prior to the survey. School counselling was the service most frequently attended. Clinical and population health interventions must take into account the presence of co-morbid problems and low rates of health service usage reported amongst adolescents with mental health problems.

Drug culture expertise and substance use

This study concerns the relationship between knowledge of drug culture and substance use. Results from a sample of 2,635 middle and high school students indicate that (1) knowledge of drug culture is positively correlated with substance use; (2) drug knowledge is more reliable and coherent in older youth; (3) drug knowledge is unrelated to other kinds of knowledge acquired in school; (4) youth exposed to peers' substance use in school have more drug knowledge; and (5) the earlier young people begin using drugs and alcohol, the more they know about the drug culture. Results suggest that knowledge of the drug culture may be an unobtrusive indicator of substance use problems.This project was made possible by a grant from the Tulsa Psychiatric Center, Tulsa, Oklahoma.Received Ph.D. from University of California at Berkeley in personality psychology. Research interests include school dropouts, substance use, delinquency, identity, narcissism, and health. To whom correspondence should be addressed.Received Ph.D. from University of California at Berkeley in personality psychology. Research interests include school dropouts, substance use, delinquency, personal commitments, identity, narcissism, and health.Received Ph.D. from University of California at Berkeley in personality psychology. Research interests include moral development and personality.