899 research outputs found

    Refining school mental health screening using mixture modeling : evaluation for use in applied settings

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    Universal socioemotional and behavior screening procedures continue to gain momentum and adoption in schools; however, a major research-to-practice gap remains in translating these data into meaningful interventions for identified students. Despite advances in methodology in school psychology research, parallel efforts have not been made to translate screening data into highly individualized, data-based interventions. The current study sought to apply person-centered analytic strategies to an existing youth mental health screening tool (EIS-Student; Reinke et al., 2020) to determine the extent to which empirically-derived latent subgroups could reveal clinically relevant conclusions in universal screening data. The sample was drawn from existing universal screening data from fall 2018 EIS-Student participants across nine high schools in a single Midwestern county (n = 5,860). Results revealed a stable 7-factor structure for the EIS-Student as well as a 5 latent profiles. Profiles corresponded with meaningfully different scores on subscales of mental health risk from the EIS-Student, and significant relationships were observed between profile membership and academic and behavioral outcomes. Characteristics of each profile are discussed for possible clinical conceptualization and applications within a socioemotional screening program. Implications for universal screening efforts are discussed, including the use of mixture modeling to identify subgroups of student need, the value of person-centered analyses in school intervention decision-making, and considerations for key stakeholders in applied contexts.Includes bibliographical reference

    Where do we go From Here? Reconsidering Crowd Management and Control in the Wake of the George Floyd Era of Protests.

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    This research evaluated police response to protests and considered crowd management and control in the wake of the George Floyd era of protests. The research reviewed the history of crowd management and control and evaluated new methods to increase police legitimacy. It proposed the adoption of the Elaborated Social Identity Model of crowd control and provided agencies with additional recommendations that may increase ethical decision-making. It proposed that forming multi-jurisdictional mobile field force teams for crowd management and control will increase the professionalism of the police and help ensure the rights and safety of those participating in First Amendment activities. The research provided constructive considerations for establishing a team and examples of real-world functioning multi-jurisdictional teams in Minnesota. The research acknowledged and evaluated the stress protests place on officers who respond to crowd events and the prevalence of post-traumatic stress disorder. It suggested that police could use cognitive behavioral therapy to prevent and treat officer stress and post-traumatic stress disorder of officers assigned to crowd management and control teams. Further, it recommended changes to police protocol during protests and additional training to reduce officer stress

    Washington University Record, September 21, 1995

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    https://digitalcommons.wustl.edu/record/1698/thumbnail.jp

    Symptoms of Maternal Depression: Results from the Alaska PRAMS 2012-2014 and its Three-year Follow-up Survey, CUBS 2015-2017, and Implications for Policy Design

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    This dissertation is an in-depth analysis of the prevalence and risk factors of maternal depression in Alaska. I study a cohort of women who gave birth in Alaska between 2012 and 2014, using statewide population-based survey data collected shortly after birth and three years after birth. Multiple regression analyses confirm previous studies’ findings that history of depression, stressful life events, and lack of social support are strong risk factors for symptoms of maternal depression (SMD). In addition, after controlling for sociodemographic, perinatal health, and psychosocial variables, first-time mothers had greater odds of reporting SMD. Age was also a significant predictor of SMD. In contrast to the U-shaped relationship between age and maternal depression shown in other studies, I observe an inverted U-shaped curve: the odds of reporting SMD are lowest for women 19 and under, increases for those 20–34, and decreases slightly for women age 35 and older. Surprisingly, teenage moms 19 years and under had the lowest odds of reporting SMD. Asian/Pacific Islander women have significantly higher odds of reporting SMD, including persistent and possibly overlooked and untreated depression three years after giving birth. Findings from this study can be used to design policy and create systems change to improve the health and well-being of mothers and families. Any strategy addressing maternal depression would require a two-pronged screening approach: (1) screening to identify women at risk of developing depression, and (2) screening for maternal depression symptoms. Further, expanding Medicaid coverage for mothers from 60 days postpartum to at least 1 year postpartum, preferably 2 years, is one strategy that may help increase opportunities for healthcare providers to treat women with maternal depression

    Creating the Organizational Capacity to Serve Families with Parental Mental Illness: The Implementation of Family Options

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    Summary: The purpose of this presentation is to present preliminary findings describing the organizational context of a traditionally adult-serving community mental health program, Employment Options, Inc., as they implement a family-centered, strengths-based intervention for families living with parental mental illness

    Risk Management for Persons with Serious Mental Illness: A Process Analysis of Washington State Department of Corrections\u27 Tools

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    Although many evidence-based techniques are outlined in the literature, systems often assess, plan, and mitigate risk for Persons with Serious Mental Illness (PSMI) in significantly divergent ways. For more than 20 years now, the Washington State Department of Corrections has relied on the Offender Reentry Community Safety Program (ORCSP) to appraise dangerousness and presence of mental disorder, utilizing a staged process that considers a wide-ranging set of criminogenic and non-criminogenic variables. A growing body of research suggests that the ORCSP is effectively decreasing recidivism through collaborative reentry planning and mitigation between mental health and criminal justice professionals; however, whether ORCSP participant screening methods are valid or reliable remains untested. Without a cohesive assessment theory or comprehensive exploration of recidivism trends, increased scrutiny must be given to findings. In an effort to clarify these issues, this dissertation evaluates current and historical ORCSP assessment processes, overviews national standards and best-practices for PSMI risk management, and provides a set of practical recommendations to improve selection efficiency

    N.C. Medicaid Reform: A Bipartisan Path Forward

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    The North Carolina Medicaid program currently constitutes 32% of the state budget and provides insurance coverage to 18% of the state’s population. At the same time, 13% of North Carolinians remain uninsured, and even among the insured, significant health disparities persist across income, geography, education, and race. The Duke University Bass Connections Medicaid Reform project gathered to consider how North Carolina could use its limited Medicaid dollars more effectively to reduce the incidence of poor health, improve access to healthcare, and reduce budgetary pressures on the state’s taxpayers. This report is submitted to North Carolina’s policymakers and citizens. It assesses the current Medicaid landscape in North Carolina, and it offers recommendations to North Carolina policymakers concerning: (1) the construction of Medicaid Managed Care markets, (2) the potential and dangers of instituting consumer-driven financial incentives in Medicaid benefits, (3) special hotspotting strategies to address the needs and escalating costs of Medicaid\u27s high-utilizers and dual-eligibles, (4) the emerging benefits of pursuing telemedicine and associated reforms to reimbursement, regulation, and Graduate Medical Education programs that could fuel telemedicine solutions to improve access and delivery. The NC Medicaid Reform Advisory Team includes: Deanna Befus, Duke School of Nursing, PhD ‘17Madhulika Vulimiri, Duke Sanford School of Public Policy, MPP ‘18Patrick O’Shea, UNC School of Medicine/Fuqua School of Business, MD/MBA \u2717Shanna Rifkin, Duke Law School, JD ‘17Trey Sinyard, Duke School of Medicine/Fuqua School of Business, MD/MBA \u2717Brandon Yan, Duke Public Policy, BA \u2718Brooke Bekoff, UNC Political Science, BA \u2719Graeme Peterson, Duke Public Policy, BA ‘17Haley Hedrick, Duke Psychology, BS ‘19Jackie Lin, Duke Biology, BS \u2718Kushal Kadakia, Duke Biology and Public Policy, BS ‘19Leah Yao, Duke Psychology, BS ‘19Shivani Shah, Duke Biology and Public Policy, BS ‘18Sonia Hernandez, Duke Economics, BS \u2719Riley Herrmann, Duke Public Policy, BA \u271

    COM Outlook Fall 2006

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    https://nsuworks.nova.edu/hpd_com_outlook/1031/thumbnail.jp
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