Children in foster care: factors influencing outpatient mental health service use

OBJECTIVE: To determine factors influencing outpatient mental health service use by children in foster care. METHOD: Detailed survey and administrative data were collected on 480 children who entered long-term foster care in San Diego County from May 1990 through October 1991. These data were linked with claims data from Medicaid and San Diego County Mental Health Services information systems. A Poisson regression model was used to determine whether the following factors influenced outpatient mental health service use: age, race/ethnicity, gender, maltreatment history, placement pattern, and behavioral problems as measured by the Achenbach Child Behavior Checklist (CBCL). RESULTS: Except for maltreatment history, all independent variables included in the multivariate regression model were statistically significant. The total number of outpatient mental health visits increased with age, male gender, and non-relative foster placements. Relative to Caucasians, visits were lower for Latinos, and Asian/Others, but comparable for African-Americans. Concerning maltreatment history, differences were only found in one category; children experiencing caretaker absence received fewer visits compared to children who did not experience caretaker absence. Children with CBCL Total Problem Scale T-scores of 60 or greater had significantly more visits than those with a score less than 60. CONCLUSIONS: Both clinical and non-clinical factors influence outpatient mental health service use by foster children. Limitations imposed by gender, race/ethnicity, and placement setting need to be addressed by child welfare policies. These finding suggest that guidelines are needed to systematically link children in foster care with behavioral problems to appropriate services.     

The Relationship Between Church Schools and Local Church Life: Distinguishing between aided and controlled status

This study compares the impact of Anglican voluntary aided and voluntary controlled schools on a range of indices of local church life throughout the diocese of Chelmsford. After controlling for the influence of population size, the church electoral roll, the age of the priest in charge of the benefice, the number of churches in the benefice, and the number of stipendiary clergy employed in the benefice, the data lead to two conclusions. Voluntary controlled primary schools have no significant impact on any of the indices of local church life included in the study. Voluntary aided primary schools are associated with a significantly higher level of pre-teenage confirmands, but they have no influence on the number of older confirmands, the number of baptisms, the usual Sunday church attendance, or the number of festival communicants.     

The impact of individual forms of childhood maltreatment on health behavior

OBJECTIVE: This study examines the unique contribution of five types of maltreatment (sexual abuse, physical abuse, emotional abuse, physical neglect, emotional neglect) to adult health behaviors as well as the additive impact of exposure to different types of childhood maltreatment. METHOD: Two hundred and twenty-one women recruited from a VA primary care clinic completed questionnaires assessing exposure to childhood trauma and adult health behaviors. Regression models were used to test the relationship between childhood maltreatment and adult health behaviors. RESULTS: Sexual and physical abuse appear to predict a number of adverse outcomes; when other types of maltreatment are controlled, however, sexual abuse and physical abuse do not predict as many poor outcomes. In addition, sexual, physical, and emotional abuse and emotional neglect in childhood were all related to different adult health behaviors. The more types of childhood maltreatment participants were exposed to the more likely they were to have problems with substance use and risky sexual behaviors in adulthood. IMPLICATIONS: The results indicate that it is important to assess a broad maltreatment history rather than trying to relate specific types of abuse to particular adverse health behaviors or health outcomes.     

Ratings by Counselors Without Teaching Experience And Their Principals Regarding Performance of Guidance Functions

This study compared principal and self ratings of performance of guidance functions for practicing counselors who did not have teaching experience. The sample consisted of 43 counselors and their principals from throughout the United States. The ratings indicate better-than-average initial counselor acceptance by administrators, teachers, students, and parents with the degree of acceptance being greater after they had counseled for a while. Principal and self ratings differed significantly on initial acceptance by students and present acceptance by other counselors. Ratings of acceptance by both school psychologists and social workers were below average. There was no significant difference in counselor and principal ratings of counselor understanding of various school procedures and policies or of their ability to perform basic guidance activities. A majority of the principals who had worked with the counselors with non-teaching backgrounds indicated they would recommend the hiring of such a person to their school board.     

DEVELOPING PARENT‐PROFESSIONAL PARTNERSHIPS IN A POSTSECONDARY EDUCATION PROGRAM FOR STUDENTS WITH DISABILITIES

Opportunities are increasing for students with intellectual and/or developmental disabilities to attend postsecondary education programs located at college campuses around the nation. Students who attend postsecondary education programs experience numerous positive outcomes, including independent living skills and expanded social networks. However, although parent‐professional partnerships could significantly enhance long‐term outcomes such as competitive employment and independent living, there is a paucity of information about the nature of these partnerships in postsecondary settings. The purpose of this expository article is to describe how staff from a midwestern postsecondary education program facilitate parent‐professional partnerships through parent involvement and support.     

Measuring the relationship between two questionnaires: appropriate definitions of intuitive understandings

A number of recent articles have claimed strong relationships—i.e., very high ‘proportions of shared variance’—between pairs of teaching and learning questionnaires. These claims have been the subject of debate and it has emerged that the proportion of shared variance is defined as the complement of Wilks’ lambda. The present article argues that this is not an appropriate measure for the data being analyzed. First some intuitive understandings of the situation are developed. A case study finds that the (Wilks‐based) proportion of shared variance between two questionnaires is 79%, but that the first questionnaire explains only 27% of the variance in the second and the second explains only 40% of the variance in the first. The technical literature is then considered and alternatives to the complement of Wilks’ lambda are recommended as measures of the relationship between two sets of variables.     

A View on the Current Situation in Russian Education

This paper reflects the current state in Russian education which has a strong correlation with the socio-economic crisis. The responsibilities for education are held partially by the state and partly by other social institutions and as a whole, all of them form the system of education. There is a rather wide set of laws, decree statements, and rules about education in Russia, but they currently are far removed from practical realization. The situation with financing educators, schools, and universities is very critical at present in Russia. The idea of differentiation and democratization in School Reform has had both positive and negative effects. To rescue the Russian system of education from a crisis, a strong state policy in education and a strong system of implementation are required. This revised version was published online in July 2006 with corrections to the Cover Date.