ABSTRACT
The Michigan Association for Infant Mental Health identified a need for reflective supervision training for infant mental health (IMH) specialists providing home‐based services to highly ...vulnerable infants and their families. Findings indicate that this pilot of an IMH community mental health professional development model was successful, as measured by the participants’ increased capacity to apply reflective practice and supervisory knowledge and skills. Furthermore, IMH clinicians demonstrated an increase in the frequency of their use of reflective practice skills, and their supervisors demonstrated an increase in their sense of self‐efficacy regarding reflective supervisory tasks. Finally, the evaluation included a successful pilot of new measures designed to measure reflective practice, contributing to the growing body of research in the area of reflective supervision.
RESUMEN
La Asociación de Salud Mental Infantil de Michigan (MI‐AIMH) identificó una necesidad de entrenamiento para la supervisión para especialistas de la salud mental infantil (IMH) que proveen servicios basados en casa a infantes altamente vulnerables y sus familias. Los resultados indican que este modelo piloto de desarrollo profesional en salud mental de una comunidad IMH tuvo éxito, tal como fue medido por medio del aumento de la capacidad de los participantes para aplicar la práctica con reflexión y el conocimiento y habilidades de supervisión. Es más, los clínicos de IMH demostraron un aumento en la frecuencia de su uso de práctica con reflexión y sus supervisores demostraron un aumento en su sentido de auto‐efectividad con respecto a las tareas de supervisión reflexiva. Finalmente, la evaluación incluyó un programa piloto exitoso de nuevas medidas diseñadas para medir la práctica con reflexión, lo cual contribuye al crecimiento de la investigación disponible en el área de la supervisión reflexiva.
RÉSUMÉ
L'Association de Santé Mentale du Nourrisson de l’état du Michigan aux Etats‐Unis a identifié le besoin d'une formation de supervision de réflexion pour les spécialistes de la santé mentale du Nourrisson offrant des services à domicile à des nourrissons extrêmement vulnérables et à leurs familles. Ces résultats indiquent que cette tentative de modèle de développement communautaire professionnel de santé mentale a été une réussite, mesurée par la capacité croissante des participants à appliquer la pratique de réflexion et des connaissances et capacités de supervision. De plus les cliniciens de Santé Mentale du Nourrisson ont fait état d'une augmentation de la fréquence de leur utilisation de compétence de pratique de réflexion et leurs superviseurs ont fait état d'une augmentation de leur sens d'auto‐efficacité pour ce qui concerne les tâches de supervision de réflexion. Enfin, l’évaluation a inclu un test pilote réussi de nouvelles mesures destinées à mesure la pratique de réflexion, contribuant ainsi au corps de recherche grandissant dans ce domaine de la supervision de réflexion.
ZUSAMMENFASSUNG
Die Michigan Association for Infant Mental Health (MI‐AIMH) erkannte eine Notwendigkeit für Schulungen in reflexiver Supervision bei Fachpersonal aus dem Bereich der psychischen Gesundheit von Säuglingen (infant mental health, IMH), die im Rahmen von Hausbesuchen Dienstleistungen für sehr vulnerable Säuglinge und ihre Familien anbieten. Die Ergebnisse deuten darauf hin, dass die Pilotierung des “IMH community mental health professional development”‐Modells erfolgreich war, gemessen anhand der erhöhten Kapazität der Teilnehmer, die reflexive Praxis und Supervisionskenntnisse sowie ‐fähigkeiten anzuwenden. Darüber hinaus zeigte sich bei IMH Klinikern eine häufigere Verwendung der Fähigkeiten aus der reflexiven Praxis und bei ihren Supervisoren eine Zunahme ihres Selbstwirksamkeitsgefühls in Bezug auf reflexive Supervisionsaufgaben. Die Evaluation enthält außerdem eine erfolgreiche Pilotierung neuer Methoden, die entwickelt wurden, um die reflexive Praxis zu erfassen, und trägt somit zum wachsenden Forschungswissen im Bereich der reflexiven Supervision bei.
抄録
ミシガン乳幼児精神保健学会The Michigan Association for Infant Mental Health (MI‐AIMH)は、非常に脆弱な乳児と家族に、在宅サービスを提供する乳幼児精神保健infant mental health (IMH)専門家に内省的スーパービジョン訓練が必要であることを見出した。この乳幼児精神保健地域精神保健専門家開発モデルの試行が成功したことは、所見から示される。それは参加者が内省的臨床とスーパービジョンの知識と技術を適用する能力の増大によって、測定される。さらに、乳幼児精神保健の臨床家は、内省的臨床技術を使用する頻度が増加したことを示した。そしてそのスーパーバイザーは内省的スーパービジョンの課題に関して自己効力感が増加したことを示した。最後に、評価には、内省的臨床を測定するためにデザインされた新しい測定法の試行の成功も含まれていた。これは内省的スーパービジョンの分野での研究の増大に貢献していた。
摘要
密歇根幼兒心理健康協會(MI‐AIMH)確定, 需要對高度脆弱幼兒及其家庭提供家庭為基礎服務的幼兒心理健康(IMH)專家, 作反思監督培訓。研究結果表明, IMH社區精神健康專業發展模式試點是成功的, 參與者增加反思和監督知識及技能。此外, IMH臨床員工反思方法技能的頻率增加, 他們的主管反思監督任務的自我效能感亦增加。最後, 評估包括一項旨在測量反思方法的成功試點, 對越來越多的反思監督研究, 作出貢獻。
Purpose: This article reports findings from a nationwide study on factors associated with the perceived effectiveness of state Long Term Care Ombudsman Programs (LTCOPs). Design and Methods: ...Researchers conducted telephone interviews with ombudsmen from the 50 state programs as well as from Washington, DC, and Puerto Rico. Data from the National Ombudsman Reporting System were incorporated into the study, and statistical tests analyze associations between self-rated program effectiveness and adequacy of resources, organizational placement–autonomy, interorganizational relationships, and other variables. Results: Several factors limit the perceived effectiveness of state LTCOPs, including insufficient funding and insufficient LTCOP autonomy caused by organizational placement. Despite these problem areas, state ombudsmen report that their programs meet statutorily mandated requirements with varying degrees of effectiveness. Findings show significant positive associations between program funding and paid and volunteer staff levels and between the ratio of long-term care beds per ombudsman and the percentage of nursing facilities visited. Sufficient funding is positively associated with perceived effectiveness of work with nursing facilities.Implications: Sufficient resources, sufficient organizational autonomy, and a supportive political and social environment are key elements in achieving varying types of perceived effectiveness in the state LTCOPs. Research is needed to extend this work to local ombudsman programs and to compare self-rated effectiveness with other outcome measures.
The Centers for Disease Control and Prevention (CDC) is a trusted source for public health information, but people must be able to access and understand that information for it to be used. The CDC ...and the CDC Foundation recognized the need to ensure that its guidance documents related to COVID-19 were accessible to the full range of individuals with disabilities, including those with intellectual and developmental disabilities who read or listen with comprehension at or below the third-grade level. In response to this need, they contracted with the Center for Literacy and Disability Studies (CLDS), Department of Allied Health Sciences, University of North Carolina at Chapel Hill, and the Center for Inclusive Design and Innovation, Georgia Institute of Technology, to create easy to read versions of a collection of guidance documents related to COVID-19. The CLDS began the process by seeking existing guidelines or research to support the creation of these documents. When no such information was located, the CLDS conducted a systematic review of the literature and developed the Minimized Text Complexity Guidelines. The outcomes and benefit of this work include improved access to critical information regarding COVID-19 for individuals with intellectual and developmental disabilities, as well as other adults who read and listen with comprehension below a third-grade level.
Attachment theory and research suggest that early intervention services focused on the infant–parent relationship can improve outcomes for the child (D. Cicchetti, F.A. Rogosch, & C.L. Toth, 2006; D. ...Cicchetti, C.L. Toth, & F.A. Rogosch, 1999; N.J. Cohen et al., 1999; C.M. Heinicke et al., 1999; K.T. Hoffman, R.S. Marvin, G. Cooper, & B. Powell, 2006; A.F. Lieberman, D. Weston, & J.H. Pawl, 1991; A.F. Lieberman & C.H. Zeanah, 1999; K. Lyons‐Ruth, D.B. Connell, & H.U. Grunebaum, 1990; P. Zeanah, B. Stafford, & C. Zeanah, 2005). For that reason, experts in the field of infant mental health have focused on the competencies needed for providing services to infants, young children, and their families (H.C. Quay, A.E. Hogan, & K.F. Donohue, 2009). While the multidisciplinary field of infant mental health has thrived over the last three decades, credentialing practitioners from such a wide range of disciplines presents considerable challenges (J. Korfmacher & A. Hilado, 2008). This article discusses those challenges in summarizing the development of a comprehensive set of competency guidelines and an accessible, effective procedure for professional endorsement in the infant and family field (D. Weatherston, B.D. Moss, & D. Harris, 2006). Criteria for endorsement encourage professionals from many disciplines to integrate new knowledge about infancy and early childhood mental health with strategies that are culturally sensitive and skillful. Emphasis on reflective supervision or consultation encourages a framework for best practice promoting professional growth (L. Eggbeer, T.L. Mann, & N. Seibel, 2007; J. Pawl, 1995). The authors report individual outcomes that support the specialization of infant mental health, as well as notable changes in educational and training programs and state policies promoting infant mental health.
During 1993 and 1994, the United States debated but did not enact major health care reform. Although the reform efforts focused on providing health coverage for the uninsured and controlling acute ...care costs, many proposals included substantial long-term care initiatives. President Clinton proposed creating a large home-care program for severely disabled people of all ages and all income groups, among several other initiatives. By stressing non-means-tested public programs, the president's plan was a major departure from the Medicaid-dominated financing system for long-term care. In designing the long-term care component, the Clinton administration addressed many of the basic policy choices that must be decided in all reform efforts, including whether initiatives should be limited to older people or cover people of any age, how to balance institutional and noninstitutional care, whether to rely on government programs or on the private sector, and how to control costs. Analyzing the political and intellectual history of long-term care during the health reform debate provides lessons for future reform.
This project is based on the results of telephone surveys with 52 local, state, and national informed respondents including policymakers, county leaders, planners, and advocates in mental health and ...aging with a particular focus on the states of California and Florida. This article addresses challenges to access to mental health services for diverse older adults including barriers related to race and ethnicity, socioeconomic status, location, age, gender, immigrant status, language, sexual orientation, and diagnosis. The article also highlights broad themes that emerged including (1) the importance of outreach and transportation tailored to diverse elders, and (2) recruitment of diverse staff and training related to diversity. The article concludes with policy and practice recommendations to reduce these disparities in access to mental health services for diverse populations of older adults.
Although the number of children in need of adoptive homes is growing, the number of prospective adoptive parents is decreasing. On the basis of an extensive review of relevant literature, the present ...study explored a potentially viable although controversial and little-researched option for increasing the pool of prospective parents: adoptions by gay men and lesbians. Data for this study were collected from child welfare workers and gay and lesbian adoptive and foster parents. A content analysis of the data suggests that gay men and lesbians experience considerable and seemingly unjustified obstacles in their efforts to become adoptive and foster parents. Major implications for practice and policy are offered, as are future directions for research.
Objectives: Long-term care (LTC) ombudsmen advocate for the health, safety, welfare, and rights of residents in LTC facilities. This article examines factors associated with self-rated effectiveness ...of local LTC Ombudsman Programs (LTCOPs) in California and New York across the five statutorily mandated activities under the Older Americans Act: complaint investigation, resident/family education, community education, monitoring laws, and policy advocacy. Method: Data were collected from telephone interviews with coordinators of local LTCOPs in California and New York and from the National Ombudsman Reporting System. Analyses examined factors associated with effectiveness: program size, resource adequacy, organizational autonomy, interorganizational relationships, and program outputs. Results: Resource and autonomy measures are significantly associated with different effectiveness measures in each state. Staff full-time equivalencies and coordinator hours per week in New York and the quality of training in California are significantly associated with effectiveness in most mandated activities. Discussion: Findings highlight variability within and between the local LTCOPs in California and New York.
Lesbians over Sixty Goldberg, Sheryl; Sickler, Joanna; Dibble, Suzanne L.
Journal of lesbian studies,
01/2005, Letnik:
9, Številka:
1-2
Journal Article
Recenzirano
This article reports on a previously unpublished survey of a community of elder lesbians collected in 1984 by Dr. Monika Kehoe and colleagues, which described the social life, family relationships, ...relationships with women, sexuality, health, and health care services of elder lesbians. We report the findings of this study now not only because they have historical importance, but also because they remain relevant to the current life experiences and needs of elder lesbians. Specifically, this article describes the results of the original survey and discusses these findings in light of subsequent research findings. This comparison sheds light on the consistency of the attitudes, behaviors, and relationships of elder lesbians over the past 20 years. Recent and current research about elder lesbians largely confirms the observations of the Kehoe survey that older lesbians have: (1) often created a variety of social, sexual, and domestic experiences during their lives; (2) focused their social lives around a network of friends; (3) often not maintained close familial ties; and (4) avoided using conventional senior services often due to perceived discrimination.
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