Assessment of home-based behavior modification programs for autistic children: reliability and validity of the behavioral summarized evaluation

Since the publication of Lovaas' (1987) impressive findings, there has been a proliferation of home-based behavior modification programs for autistic children. Parents and other paraprofessionals often play key roles in the implementation and monitoring of these programs. The Behavioral Summarized Evaluation (BSE) was developed for professionals and paraprofessionals to use in assessing the severity of autistic symptoms over the course of treatment. This paper examined the psychometric properties of the BSE (inter-item consistency, factorial composition, convergent validity, and sensitivity to parents' perceptions of symptom change over time) when used by parents of autistic youngsters undergoing home-based intervention. Recommendations for future research are presented.     

First report from the Swedish National Forensic Psychiatric Register (SNFPR)

To the best of our knowledge, the present register is the only nationwide forensic psychiatric patient register in the world. The aim of this article is to describe the content of the Swedish National Forensic Psychiatric Register (SNFPR) for Swedish forensic patients for the year 2010. The subjects are individuals who, in connection with prosecution due to criminal acts, have been sentenced to compulsory forensic psychiatric treatment in Sweden. The results show that in 2010, 1476 Swedish forensic patients were assessed in the SNFPR; 1251 (85%) were males and 225 (15%) were females. Almost 60% of the patients had a diagnosis of schizophrenia, with a significantly higher frequency among males than females. As many as 70% of the patients had a previous history of outpatient psychiatric treatment before becoming a forensic psychiatric patient, with a mean age at first contact with psychiatric care of about 20 years old for both sexes. More than 63% of the patients had a history of addiction, with a higher proportion of males than females. Furthermore, as many as 38% of all patients committed crimes while under the influence of alcohol and/or illicit drugs. This was more often the case for men than for women. Both male and female patients were primarily sentenced for crimes related to life and death (e.g., murder, assault). However, there were more females than males in treatment for general dangerous crimes (e.g., arson), whereas men were more often prosecuted for crimes related to sex. In 2010, as many as 70% of all forensic patients in Sweden had a prior sentence for a criminal act, and males were prosecuted significantly more often than females. The most commonly prescribed pharmaceuticals for both genders were antipsychotics, although more women than men were prescribed other pharmaceuticals, such as antidepressants, antiepileptics, and anxiolytics. The result from the present study might give clinicians an opportunity to reflect upon and challenge their traditional treatment methods.     

Comparing the Recognition Memory Test and the Word Choice Test in a Mixed Clinical Sample: Are They Equivalent?

The Recognition Memory Test (RMT) was compared to the Word Choice Test (WCT) within the same fixed neuropsychological battery administered to a mixed clinical sample of 237 adults to empirically evaluate the psychometric equivalence of these two instruments. On average, there was a 3-point difference in raw scores between the two instruments (M _RMT?=?44.3, SD _RMT?=?6.8; M _WCT?=?47.1, SD _WCT?=?4.6; p?d?=?.48). The probability density functions differ substantially at the two ends of the scale but are similarly ≤42. Cross-validation analyses suggest that the RMT cutoff of ≤42 is functionally equivalent to a WCT score of ≤45.     

Morality analysis: Reducing moral backlash to public policy

Widely used policy development processes rarely systematically consider differing moral values, which can lead to overlooked risks, ineffective communications and suboptimal policy design. This article introduces morality analysis, a policy tool that draws on moral foundations theory to optimize policy and program design, build public support for policies and present key advice to decision-makers. Morality analysis is used to examine the case of a controversial vaccination incentive program introduced by the Government of Alberta in late 2021 and identify policy options that would likely have prompted less public backlash. This article suggests that morality analysis should supplement the policy analysis toolkit.     

Final position arbitration

Abstract. The tremendous upsurge in public-sector collective bargaining in the last decade has prompted a search for new types of dispute settlement, particularly in so-called essential services. The right to strike for public employees has not been accepted in many jurisdictions, particularly in the United States. Compulsory arbitration is rejected widely by both union and management representatives hecausc it fails to take into account the dynamics of the negotiating process, stultifying rather than encouraging bargaining. Final offer Selection is presented as a possible alternative to strikes and arbitration. The process has been utilized effectively in the United States, particularly in Michigan and Wisconsin. It has not received popular acceptance thus far in Canada, although the committee established to propose new labour legislation in hlanitoba has recommended it. The University of Alberta has used it for determination of faculty disputes and the Ontario Hydro Engineers have also used it. The Finkelinan Report on suggested changes in the federal public service legislatioii refers to it as a possible dispute-settling device. There are many variations of final offer arbitration but, in general, it requires that after negotiations have reached an impasse, an arbitrator, upon hearing the final positions of the parties, would select the ‘most reasonable’ offer. The arbitrator would not be free to compromise hut would be required to accept one pusition or the other in toto. The attractiveness of the process stems from the impetus given to reach agreement on as many issues as possible so that the gamble of convincing the arbitrator is lessened and he has fewer items to consider when making his choice. Thus, the theory stresses the importance of the parties being ‘reasonable’ in their demands. Critics of the system believe that it turns the adjudication process into a poker game and have referred to it as ‘industrial relations roulette.’ With all its disadvantages, to an organization like Michigan Firefighters Union, which cannot countenance a strike, or to the public, which must endure the inconvenience and expenses of strikes in the public service, final position arbitration has much to be said in its favour. Sommaire. L'énorme multiplication des négociations collectives dans le secteur public au cours de la dernière déennie a suscité des recherches pour trouver de nouveaux moyens de resoudre les différends, surtout en ce qui concerned les services dits ‘essentiels.’ De nombreuses juridictions, en particulier aux Etats- Unis, ont refusé le droit de grève aux employés du secteur public. L'arbitrage obligatoire est trés souvent rejeté par les syndicats comme par les employeurs, parce qu'il ne tient pas compte de la dynamique du processus de négociation et tend à restreindre les échanges plutôt qu'à les encourager. Le choix entre des offres définitives est considéré comme une possibilité par rapport à la gré ou à l'arbitrage. Ce processus a été utilisé efficacement aux Etats-Unis et plus particuliérement dans le Michigan et le Wisconsin. II n'a pas eu jusqu'à présent beaucoup de succès au Canada, bien qu'il ait été recom-niandé au Manitoba par la Commission chargée de proposer une nouvelle législation du travail. L'Université de I'Alberta s'en est servie pour résoudre des dif-férends avec le corps enseignant, mmme dailleurs les ingénieurs de l'Ontario Hydro. Le rapport Finkelman qui a proposé des modifications àA lég législation fédérale répissant la fonction publique le mentionne également comme un inoven possible de résoudre des différends II v a toutes sortes de variantes de l'arbitrage des offres définitives mais en général, cette méthode exige que l'arbitre, lorsque les parties àB la négociation se trouvent dans une impasse, et que leurs offres sont définitives, choisisse la ‘plus raisonnable.’ L'arbitre n'est pas libre de faire un compromis entre les deux, il doit accepter I'une ou l'autre des offres in toto. L'intérét de ce processus est qu'il incite les parties à faire tous les efforts pour arriver à un accord sur le plus de questions possibles de façon à réduire la discrétion de l'arbitre. Les parties ont ainsi intérêt àêtre ‘raisonnables’ dans leurs demands. Les critiques du système ont peur que ce genre d'arbitrage transforme le processus d'adjudication en une partie de poker et certains ont appelé l'arbitrage des positions définitives ‘la roulette des relations industrielles.’ Malgé tous ces inconvénients, l'arbitrage des offres définitives demeure attrayant pour le svndicat des pompiers du Michigan qui ne peut pas envisager la grève et pour le public qui doit supporter les désagréments et !es coûts des gréves dans le service public.     

The Recurring Victimization of Individuals with Mental Illness: A Comparison of Trajectories for Two Racial Groups

Objective

This study explores whether the trajectories of recurring victimization of Black persons diagnosed with major mental illnesses vary from the trajectories of their White counterparts. Further, the study examines whether the risk factors for recurring victimization among persons with major mental illness vary by race.

Methods

Using data from the MacArthur Violence Risk Assessment Study (MacRisk), two separate hierarchical binomial regression models were estimated to compare the recurring victimization trajectories of Black and White MacRisk participants. Cross-level interaction terms were also estimated to determine if the coefficients for each of the time-varying covariates included in the analyses were significantly different across race.

Results

The findings indicate that the trajectories of recurring victimization for Black persons with serious mental illness are significantly different from those of White persons with serious mental illness. Specifically, Black persons’ trajectories remain relatively stable over time, while the risk of recurring victimization declines for Whites as time since release from the hospital increases. Further, the effects of alcohol abuse on revictimization risk vary by race.

Conclusion

The findings suggest that the life experiences of Black persons with mental illness may be different from their White counterparts, which is likely to contribute to distinct patterns of recurring victimization over time. Future research should continue to explore recurring victimization among diverse samples to identify potential sources of the variation in revictimization trajectories across race.