A Counselor Education Program for Intern Physicians

In recent years it has been estimated that from 30 percent to 50 percent of the medical complaints brought to the family or general practice physician are functional in nature and may be psychosocial in origin (Harmon, Masuda & Holmes 1970). While chemotherapy may be appropriate for the patient with acute situational anxiety and psychiatric consultation may be appropriate for the severely neurotic or psychotic patient, the family practice physician has few remedies for the patient with chronic aches and pains, housewife syndrome, middle-age depression, businessman's fatigue, and a host of other quasimedical complaints.     

给我的朋友

You have such a positive lutlook on life Your words are always encouraging Your face is lit up with excitement     

An investigation on industry-sponsored design projects' effectiveness at the first-year level: potential issues and preliminary results

This paper presents the preliminary work for developing guidelines to ensure that industry-sponsored projects in first-year courses aid, not hamper, retention of students. Specifically, the overall research plan includes the following steps: (1) investigating the appropriateness of industry projects in a required introduction to engineering design course (approximately 1000 students per year), (2) assessing the impact of industry-sponsored projects on first-year students' learning and retention, and (3) promoting an awareness of issues involved in successfully introducing industry projects in the first year. It is expected that the outcomes of this work will result in guidelines widely applicable by other institutions looking into or currently using industry projects in the first year, thereby addressing the recognized national need of increasing retention rates, especially amongst women and minorities.

This paper covers a review of potential factors affecting industry-sponsored projects' appropriateness at the first year, and related preliminary data.     

Child protection and justice systems processing of serious child abuse and neglect cases

OBJECTIVE: The aim of this study was to examine the trajectory of cases through four systems: child protection, law enforcement, the dependency courts, and the criminal courts. METHOD: This study focused on a county selected from a 41-county telephone survey conducted for the National Incidence Study of Child Abuse and Neglect (NIS-3). For this analysis prospective samples were drawn from law enforcement (n=225) and the county child protection (CPS) agency (n=225) and followed through in-depth case tracking across all agencies and through both the dependency and criminal court systems. RESULTS: The percentage of CPS cases opened in dependency court was similar to prior studies (29%), but the acceptance and prosecution rates were much higher--92% of the cases referred from CPS, including many cases of physical abuse. Compared to referrals from CPS to law enforcement (93%), few cases were referred from law enforcement to CPS (17%). Anecdotally, case referral patterns appeared to be influenced by communication patterns and mutual positive regard, regardless of the collaborative protocols in place. One of the most instructive findings was the degree of difficulty in tracking cases across organizations and the types of obstacles that impeded success. Disorganization was not an issue, rather internal structures set up to facilitate intra-organizational processing were the same structures that actually impeded cross-organizational case finding. CONCLUSIONS: It is not sufficient to rely on the existence of multi-disciplinary teams or Child Advocacy Centers to ensure collaboration. More attention to daily tasks and activities as well as the nature and quality of communication is warranted. On the technical side, use of common case identifiers on cases that are cross-referred is strongly recommended. Future studies should broaden the scope of inquiry to include the consequences of all case trajectories, rather than solely focusing on the justice system.