Structured Assessment of Correctional Adaptation (SACA): a measure of the impact of incarceration on the mentally ill in a therapeutic setting

Clinicians have observed that psychiatric patients with correctional histories evidence attitudes and behaviors that seem adaptive in penal environments but are maladaptive in mental health settings. This study sought to assess the reliability and concurrent validity of a rating scale designed to measure correctional adaptation using a sample of 64 patients from a state psychiatric hospital. Scale ratings were obtained through structured interviews, whereas predictor variables were gleaned from chart review and self-report. The scale demonstrated good interrater reliability (ICC = .83) and acceptable internal consistency (alpha= .67). Of the variables evaluated, two were significantly correlated with Structured Assessment of Correctional Adaptation (SACA) total scores, total months sentenced to prison or jail (r = .26), and frequency of disciplinary tickets while in prison or jail (r = .31). Stepwise regression analyses revealed only the latter variable significantly predicted SACA score (R = .31), F(1, 58) = 6.27, p < .05. Clinical implications of these findings, the scale, and the construct of correctional adaptation are discussed.     

Family life education for young adolescents: A quasi-experiment

The impact of a family life education program for inner-city, minority elementary-school students was investigated. Two randomly assigned groups of seventh and eighth graders (balanced for gender) completed a self-administered survey, both before and after program implementation. In comparison to the control group, program participants displayed (a) improved knowledge about contraception, reproductive physiology, and adolescent pregnancy outcomes; (b) increased awareness of the existence of specific birth control methods; (c) among seventh graders, more conservative attitudes toward circumstances under which sexual intercourse was viewed as personally acceptable, and among eighth graders, a shift toward more liberal attitudes; and (d) a greater tendency to acknowledge mutual responsibility for contraception. The impact of this intervention and school-based sex education programs in general is discussed within the broader context of the young adolescent's social environment.This research was supported by grants from the Illinois Department of Children and Family Services and the Pittway Charitable Trust, and administered by the Ounce of Prevention Fund.Received Ph.D. from Loyola University Chicago.Received Ph.D. from the University of Michigan.Received Ph.D. from the State University of New York at Buffalo.     

Invited Commentary: Broadening the Evidence for Adolescent Sexual and Reproductive Health and Education in the United States

Scientific research has made major contributions to adolescent health by providing insights into factors that influence it and by defining ways to improve it. However, US adolescent sexual and reproductive health policies—particularly sexuality health education policies and programs—have not benefited from the full scope of scientific understanding. From 1998 to 2009, federal funding for sexuality education focused almost exclusively on ineffective and scientifically inaccurate abstinence-only-until-marriage (AOUM) programs. Since 2010, the largest source of federal funding for sexual health education has been the “tier 1” funding of the Office of Adolescent Health’s Teen Pregnancy Prevention Initiative. To be eligible for such funds, public and private entities must choose from a list of 35 programs that have been designated as “evidence-based” interventions (EBIs), determined based on their effectiveness at preventing teen pregnancies, reducing sexually transmitted infections, or reducing rates of sexual risk behaviors (i.e., sexual activity, contraceptive use, or number of partners). Although the transition from primarily AOUM to EBI is important progress, this definition of evidence is narrow and ignores factors known to play key roles in adolescent sexual and reproductive health. Important bodies of evidence are not treated as part of the essential evidence base, including research on lesbian, gay, bisexual, transgender, queer, and questioning (LGBTQ) youth; gender; and economic inequalities and health. These bodies of evidence underscore the need for sexual health education to approach adolescent sexuality holistically, to be inclusive of all youth, and to address and mitigate the impact of structural inequities. We provide recommendations to improve US sexual health education and to strengthen the translation of science into programs and policy.     

Differences in Effects of Domestic Violence Between Latina and Non-Latina Women

There has been much research on the effects of domestic violence on women; however, little research has focused on possible differences in reactions to domestic violence between Latina and non-Latina women. Comparable samples of Latina and non-Latina women were obtained and analyses revealed that there were no significant differences between the two samples with regard to the nature and severity of the domestic violence to which they were exposed. However, results indicated that Latina women who had been victims of domestic violence had significantly greater trauma-related symptoms, depression, lower social and personal self-esteem, and were less likely to make global attributions for positive events than were non-Latina women. They also reported more parenting stress due to their child's behaviors than did non-Latina women. The implications of these results in light of cultural differences between Latina and non-Latina women are discussed.