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Expanded school mental health (ESMH) programs offer a comprehensive range of mental health services (evaluation, therapy, case management) to youth in special and regular education. Research is needed to document that these programs are in fact providing quality care to youth and leading to enhanced outcomes. In this exploratory study, focus groups were conducted with high school students receiving mental health services and students not receiving services, therapists, parents, administrators, and health care staff to gauge the quality and effectiveness of an ESMH program. It was difficult to schedule parents for group sessions; thus, interviews also were conducted with this group. Focus groups and interviews were effective methods for understanding strengths, areas for improvement, and outcomes for our ESMH program. Participants reported that therapy served as a protective factor, enhancing physical and mental health and reducing risk for teenagers. Ideas for improving clinical practice were developed from study results.  相似文献   
273.
Psychosocial stress is consistently found to promote initiation, intensification, and relapse in drug abuse. It would, therefore, be desirable to identify characteristics of offenders who are at heightened risk for stress-induced exacerbations of addictive behavior. In this cross-sectional, correlational, interview study, 500 clients of two Kentucky drug courts averaged 30 years of age and were predominantly male, White, employed, high school educated, single, and adjudicated in small- and medium-size cities. Five independent correlates of greater subjective stress emerged in stepwise multiple regression analysis (R2 = .395): use of escape-avoidance coping, positive reappraisal coping (inversely associated), more negative life events, better self-rated health (inversely associated), and access to social support related to work problems (inversely associated). Treatment interventions emphasizing effective coping styles and building of social support as well as managing of negative life events and perceptions of health may serve to lessen subjective stress and its consequences in drug-abusing criminal populations.  相似文献   
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Forty male prisoners at a medium-security Canadian penitentiary completed the I Questionnaire, a measure of impulsivity, and two measures of schemas for a hostile world. Both hypervigilance for hostile words during a dichotic shadowing task and hostile attributions made about actors in social vignettes correlated greater than .30 with a criminal history of persistent violence. Impulsivity did not significantly correlate with the schema measures but correlated .30 with persistent violence. The results provide support for the Serin and Kuriychuk model of aggression that links impulsivity and hostile attributions with persistent male violence.  相似文献   
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This article provides a comprehensive guide through the Americans with Disabilities Act. It discusses highlights of the statutory scheme, and surveys many of the cases decided under the Act, by subject matter.  相似文献   
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This paper examines changing conceptions of honour and masculinity during the Colombian Wars of Independence in the early 19th century. It explores the position of the foreign women who accompanied British and Irish expeditions to join the war against Spanish rule, and shows how colonial, imperial and republican conceptions of masculinity were affected by the role that women played in these volunteer expeditions and in the wars in general. The paper considers women's experiences during war and peace, and examines their experiences in the light of changing conceptions of masculinity at home, in the British empire and in Hispanic America in the early nineteenth century. The social mobility of the Wars of Independence shifted the ground on which these concepts rested for all groups involved. The participation of foreign women alongside male adventurers was a further ingredient in this disorientating period.  相似文献   
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