Psychotropic Medications for Youth in Child Welfare: Developing and Pilot-Testing A Field Guide for Team Decision-Making

High rates of children involved with the child welfare system are prescribed psychotropics. In response, federal legislation has mandated state child welfare agencies to develop policies to improve the coordination and oversight around the use of psychotropics. This project aimed to support such policies by developing and pilot-testing a field guide for team discussions and decision-making related to the use of psychotropics among youth in child welfare. We used a community-based participatory research (CBPR) framework to engage a team of local stakeholders, including former youth in foster care and parents, in the research. We developed a field guide to facilitate team discussions and decisions around the individual needs and preferences of youth and families, and we pilot-tested the field guide with child welfare staff, parents, and care team members in seven team meetings. Parents and care team members, in particular, highly valued the guide and found it useful to increase knowledge and improve practices such as side effect monitoring and information sharing. Child welfare responses were more mixed, and some reported feeling burdened by the additional tasks. More work is needed to integrate the guide into routine child welfare practice and reduce burden on staff.     

ATTITUDES TO COMMUNITY RELATIONS IN NORTHERN IRELAND: SIGNS OF OPTIMISM IN THE POST CEASE-FIRE PERIOD?

This article uses attitudinal data to explore Catholic and Protestant perspectives on community relations and equality since the paramilitary cease fires in 1994. Although attitudes tend to fluctuate with the ‘headline grabbing’ events of the day, the article argues that there are signs that some fundamental changes have taken place in the post cease fire period. Of particular importance in this regard is the positive response recorded by the Catholic community towards government measures to tackle disadvantage and inequality. Equally significant is the protestant response to many of these measures which is often one of ambivalence rather than derision. In so far as the data appear to challenge the ‘zero-sum’ game that traditionally underpins relations between the two communities in Northern Ireland, they provide some grounds for optimism. Yet such optimism is tempered somewhat by the seeds of discontent which are manifest within the protestant community, particularly around issues of equality in employment and cultural traditions. Despite the more positive assessment of community relations and equality in 2002, it is argued that further monitoring will be required to determine the long-term effects of policy reform on relationships between the two communities.     

Effective use of a Strategic Issue Management System (SIMS): combining tools and approach

• Ideally, issue management can prevent an issue from becoming an actual threat. But in reality, a company or group should be prepared to face issues that threaten a change in their status quo. This paper discusses the authors' experiences with blending the right tools with the right approach to successfully address issues that are imminent.
• If the proper balance between process, interpretation and creativity is maintained, Strategic Issue Management Systems (SIMS) with their component tools can be used effectively to provide a more objective understanding of the issue and to shape a more effective strategic objective and tactical plan.
• Key components of the SIMS presented include: issue characterization, strategic objectives, force field analysis, stakeholder assessment, scenario mapping, key player assessment and SWOT Analysis. Each can be used independently, but this paper focuses on how, when used in combination, each can build upon the other and produce an obtainable strategic objective and targeted tactical plan.
• Although each component of the SIMS represents a stage in a process, the emphasis of the issue team should not be on completion of the process, but instead on what is learned from each stage and how the stages can then lead to a successful resolution of the issue.

Copyright © 2007 John Wiley & Sons, Ltd.     

Examining gender as moderating the association between psychopathy and substance abuse

Previous research has shown a significant association between psychopathy and substance abuse. To date, these associations have not been compared between men and women in forensic or correctional samples, an important topic in light of some empirical findings indicating that psychopathy manifests differently across gender in other contexts. The current study was designed to address this gap in the literature using archival data sets consisting of four large samples derived from forensic, correctional, and university settings, with different measures for psychopathy, alcohol, and substance use. As expected, psychopathy (particularly traits reflective of disinhibition/social deviance) was significantly and moderately correlated with alcohol and substance abuse in all four samples; however, with one minor exception, hierarchical regression analyses revealed no significant moderating effects of gender on these associations. These findings indicate that, although psychopathy may be manifested differently across gender in some ways, substance abuse is likely not one of them.     

Cross-Informant Ratings of the Emotional and Behavioral Functioning of College Students

One hundred seventy-four college students and a subset of their mothers and fathers provided ratings of college students’ emotional and behavioral functioning. College students and their mothers and fathers demonstrated variable levels of correspondence in their ratings of college students’ internalizing and externalizing behavior problems. Similar findings were noted with t-test comparisons, with college students rating themselves as experiencing significantly higher levels of behavior problems than did their mothers and fathers. Further, college students’ ratings of their mothers’ and fathers’ parenting and their perceptions of their parents predicted significantly their ratings of their own behavior problems. Although mothers’ communication reciprocity and perceptions of their college students served as significant predictors of mothers’ ratings, a different pattern of results occurred with paternal variables. Overall, these findings further the understanding of correspondence and predictors of cross-informant ratings of college students’ emotional and behavioral functioning. Kimberly Renk is currently an Associate Professor at the University of Central Florida (UCF) in Orlando, Florida, serving the Department of Psychology’s Clinical Psychology Ph.D. program. She earned her Bachelor’s degree in Psychology at the University of Illinois, her Master’s degree in Clinical Psychology at Illinois State University, and her Doctoral degree in Clinical Psychology at the University of South Florida after completing a predoctoral internship in Clinical Psychology at the Louisiana State University Health Sciences Center. Her current interests include parents’ perceptions of their children’s emotional and behavioral functioning and parent-child interactions. She and her graduate students pursue the study of these topics and provide clinical services to the community surrounding UCF through the Understanding Children and Families laboratory. Reesa Donnelly is a Doctoral student at the University of Central Florida. She received her B.A. in Psychology from the University of Virginia and her M.S. in Clinical Psychology from the University of Central Florida. Her major research interests include parent-child relationships in the context of cognitive development and health psychology. Jenny Klein is a Doctoral student at the University of Central Florida. She received her B.S. in Psychology from the University of Florida and her M.S. in Clinical Psychology from the University of Central Florida. Her main research interests are in the area of family interactions, parenting, and child emotional and behavioral problems in minority populations. Arazais Oliveros is a Doctoral student at the University of Central Florida. She received her B.A. in psychology from Florida International University and her M.S. in Clinical Psychology from the University of Central Florida. Her major research interests involve the area of children and parenting, especially in families with risk factors for child maltreatment (e.g., marital abuse, medical concerns). Elizabeth Baksh is a Graduate student at the University of Central Florida. She received her B.S. in psychology and religious studies from the University of Miami and her M.S.W. from the University of South Florida. Her major research interests include parent-child relationships in the context of pediatric psychology.