Developing Principles for Best Practice in Expanded School Mental Health

On the basis of activities of a federally funded national center for school mental health, review of literature on principles for best practice in child and adolescent mental health and school health, and consultation with national experts and family members, a set of 10 principles for best practice in school mental health was developed. A survey was developed enabling 1–6 point Likert ratings (clearly unimportant to clearly important) for each of the 10 principles. With an original sample of 426 people involved in education, school health or mental health, all 10 principles were strongly endorsed, receiving mean ratings ranging between 5.10 and 5.75. On the basis of qualitative feedback from this survey and interactive forums, language for 9 of the 10 principles was revised and a survey reflecting these changes was developed and administered to a validation sample of 86 respondents. As with the original sample, endorsements of the principles were strong, with mean ratings ranging between 5.45 and 5.79. Findings are discussed in relation to advancing interconnected agendas related to quality assessment and improvement and empirically supported practice in school mental health.     

The Role of Sense of School Belonging and Gender in the Academic Adjustment of Latino Adolescents

The aim of this study was to examine the roles of sense of belonging and gender in the academic outcomes of urban, Latino adolescents. It was expected that sense of belonging would play a different role in males' and females' academic adjustment. Participants (N = 143) included mostly Mexican and Puerto Rican seniors from a large, urban high school. The academic outcomes assessed were grade point average, absenteeism, motivation, effort, and educational aspirations and expectations. As hypothesized, females consistently had more positive academic outcomes than males. Sense of school belonging significantly predicted academic outcomes, including academic motivation, effort, and absenteeism. Regression analyses did not show that gender explained differences in the relationship between sense of belonging and academic outcomes. Implications and future directions for research on urban Latino males and females are discussed.     

Initial Development of a New Measure of Minor Stress for Adolescents: The Adolescent Minor Stress Inventory

The primary aim of this study was to develop, standardize, and establish initial reliability and validity for the Adolescent Minor Stress Inventory (AMSI), a new measure of minor stress for adolescents. The AMSI improves upon existing adolescent stress measures in a number of important ways in that it does not emphasize school or classroom-based stressors, and includes a method of adjusting for the over- and underreporting of stress. In this investigation, the AMSI was mailed to 1865 adolescents aged 13–17 from which we obtained 720 (39%) usable surveys. Standardized scoring was developed and the results provide initial data supporting the factor structure, reliability, and validity of the AMSI. The AMSI has potential application both in clinical and research settings, particularly during times when school is not in session or with adolescents who do not regularly attend school.Assistant Professor, Division of Hematology and Oncology, Mayo Clinic, Jacksonville, Florida. Received PhD in Clinical Psychology from Louisiana State University in 1999. Research interests include psychological stress and nicotine dependence treatment in adolescents and young adults.Professor Emeritus, Division of Biostatistics, Mayo Clinic, Rochester MN. Received MS in Statistics from Iowa State University in 1971. Research interests include survey research, nicotine dependence treatment, and biostatistics.Data Analyst, Division of Biostatistics, Mayo Clinic, Rochester, Minnesota. Received BS in Applied Statistics from Rochester Institute of Technology in 2000. Research interests include nicotine dependence and survey methods.Associate Professor, Nicotine Dependence Program, Mayo Clinic, Rochester, Minnesota. Received PhD in Clinical Psychology from University of California, San Diego in 1996. Research interests include nicotine dependence in adolescents.Professor, Department of Psychiatry and Psychology, Mayo Clinic, Rochester, Minnesota. Received PhD in Clinical Psychology from University of North Dakota in 1980. Research interests include impact of trauma.Statistician, Division of Biostatistics, Mayo Clinic, Rochester, Minnesota. Received MS in Applied Mathmatics from University of Minnesota, Duluth in 1999. Research interests include nicotine dependence.Professor, Nicotine Dependence Center, Mayo Clinic, Rochester, Minnesota. Received MD from University of Louisville in 1970. Research interest in area of tobacco dependence.     

A Problem with Double-Blind Photospread Procedures: Photospread Administrators Use One Eyewitness's Confidence to Influence the Identification of Another Eyewitness

In Experiment 1, photospread administrators (PAs, N = 50) showed a target-absent photospread to a confederate eyewitness (CW), who was randomly assigned to identify one photo with either high or low confidence. PAs subsequently administered the same target-absent photospread to participant eyewitnesses (PWs, N = 50), all of whom had viewed a live staged crime 1 week earlier. CWs were rated by the PAs as significantly more confident in the high-confidence condition versus low-confidence condition. More importantly, the confidence of the CW affected the identification decision of the PW. In the low-confidence condition, the photo identified by the CW was identified by the PW significantly more than the other photos; there was no significant difference in photo choice in the high-confidence condition. In spite of the obvious influence exerted in the low-confidence condition, observers were not able to detect bias in the photospread procedures. A second experiment was conducted to test a post-hoc explanation for the results of Experiment 1: PAs exerted influence in the low-confidence condition because they perceived the task as more difficult for the eyewitness than in the high-confidence condition. Independent observers (N = 84) rated the difficulty of the confederate's task as higher in the low-confidence condition compared with the high-confidence condition, suggesting that expectations of task difficulty might be driving the effect observed in Experiment 1. Results support recommendations for double-blind photospreads and emphasize that the same investigator should not administer photo lineups to multiple eyewitnesses in an investigation.     

Examining the Science and Practice of Violence Risk Assessment with Female Adolescents

While the field of violence risk assessment among adult males has progressed rapidly, several questions remain with respect to the application of forensic risk assessment tools within other populations. In this article, we consider the empirical evidence for the assessment, prediction, and management of violence in adolescent girls. We discuss limitations of generalizing violence risk assessment findings from other populations to adolescent girls and point out areas where there is little or no empirical foundation. Critical issues that must be addressed in research prior to the adoption or rejection of such instruments are delineated. Finally, we provide practice guidelines for clinicians currently involved with adolescent females within risk assessment contexts.     

Improving Decision Making in Forensic Child Sexual Abuse Evaluations

Mental health professionals can assist legal decision makers in cases of allegations of child sexual abuse by collecting data using forensic interviews, psychological testing, and record reviews, and by summarizing relevant findings from social science research. Significant controversy surrounds another key task performed by mental health professionals in most child sexual abuse evaluations, i.e., deciding whether or not to substantiate unconfirmed abuse allegations. The available evidence indicates that, on the whole, these substantiation decisions currently lack adequate psychometric reliability and validity: an analysis of empirical research findings leads to the conclusion that at least 24% of all of these decisions are either false positive or false negative errors. Surprisingly, a reanalysis of existing research also indicates that it may be possible to develop reliable, objective procedures to improve the consistency and quality of decision making in this domain. A preliminary, empirically-grounded procedure for making substantiation decisions is proposed.     

The Ethics of Plea Bargaining in International Criminal Trials

The paper argues that contemporary theoretical and philosophical concerns relating to the practice of plea bargaining in international trials for crimes such as genocide should be seen in the broader context of the perceived legitimacy of international trial justice. The paper questions the capacity of international trial structures to deliver a form of truth which contributes to justice suggesting that the legitimacy of the truth available is conditioned by ideology and normative practice. The paper suggests that the key to transforming international trial justice lies in promoting the link between trial ideology and the perceived moral legitimacy of its outcomes through the exercise of judicial discretionary power. Ralph Henham is Professor of Criminal Justice, Nottingham Law School, Nottingham Trent University.