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1.
The purpose of this study was to examine the experiences of mental health clinicians in providing services in the preschool setting. Clinicians provided services for 3 years in urban, northern New Jersey preschools, in order to expand access to mental health services for vulnerable children. At the conclusion of the three-year period, focus groups were conducted with clinicians and teachers, and interviews were conducted with parents to gain their perspectives on the approaches used. Data were coded for emergent themes and a number of themes developed around aspects of engagement, including engaging the community, teachers, other professionals, and parents in order to effectively provide the service to the target population. The data provide insight into techniques that may increase comfort levels for seeking and accepting treatment.  相似文献   

2.
Clinicians affiliated with expanded school mental health (ESMH) programs provide a range of mental health services for youth in schools. ESMH services offer unique opportunities for collaboration between school psychologists and mental health clinicians from the community to increase the quality of care for youth receiving mental health services. The number of ESMH programs is increasing; therefore, developing quality assurance (QA) activities for these programs is important to document accountability and provide evidence for effectiveness. In this paper, suggestions for phases and objectives for QA programs in ESMH programs and examples of suggested activities are presented. Assessment of the program structure as well as treatment process and outcome are critical phases. Important QA activities include examining staff training activities, assessment of stakeholder perceptions of services, conducting satisfaction surveys, examining therapy process, and investigating treatment outcomes. Results of QA evaluations should inform policy.QA programs need to be developed and the impact of QA activities in enhancing the quality of care provided by clinicians in schools should be evaluated. © 1999 John Wiley & Sons, Inc.  相似文献   

3.
The assessment and treatment of students with borderline personality traits or disorders poses specific challenges for clinicians at college and university mental health centers complicated, frequently, by a model of brief treatment frameworks and high patient volumes. Students with borderline pathology will be well represented in student health centers and will likely generate unusually complex and concerning situations for clinicians and administrators. Accurate diagnosis of borderline pathology, avoidance of iatrogenic complications related to misdiagnosis, and referral to informed and evidence-based interventions can guide clinicians’ management. Risk management concerns are best addressed by a clear and realistic understanding of the borderline pathology. The author proposes a variety of interventions for college and university mental health clinicians with the goal of accurate diagnosis of borderline personality, management focusing on safety for both students and clinicians, and targeted referrals for both borderline symptomatology and co-occurring conditions.  相似文献   

4.
调查研究湖北省高职大学生心理健康状况及特点,为全省高职院校心理健康教育指导工作提供可参考的实践依据。采用校园网络版心理测验软件,选择症状自评量表(SCL-90),对湖北省10所职业技术学院2 084名学生进行了心理健康测验。心理症状表现为中度到非常严重(3~5分)的大学生,人均在90个因子项目中占17.29%项。其中人际敏感、抑郁和强迫三因子项目中存在的心理健康问题最严重,分别占61.768%、52.887%和51.53%。高职院校要高度重视大学生的心理健康问题,利用多种形式开展心理健康教育及咨询工作,对高职生中度以上的心理问题做好危机干预工作。  相似文献   

5.
In recent decades, increasing attention has been paid to the number of adolescents experiencing extended absences from school due to mental health crises. Upon returning to school, these students often face difficulties in functioning, risk of relapse, and vulnerability to academic failure and social isolation. This paper presents results of a study examining a school‐based support program model designed to provide short‐term academic, social, and emotional support to help students successfully reacclimatize to school after an extended absence. The paper describes demographic, academic, and clinical characteristics of 189 program participants across eight high schools. Improvements were observed in participants’ day‐to‐day functioning based on the results of pre/postassessments completed by program clinicians. Preliminary data showed positive trends in participants’ school attendance and high school graduation rates. Finally, the paper considers implications for school‐based mental health practice and next steps in related research.  相似文献   

6.
Greater understanding of the clinical judgment and problem-solving processes used by counselors and psychologists could add significantly to a working knowledge of how competent practitioners function. This investigation used a standardized treatment planning simulation and a process tracing strategy to qualitatively examine how 15 mental health clinicians solved a typical client management problem. Purposes of the study included (a) demonstration of an empirical methodology for conducting research into clinical problem solving; (b) preliminary observation about the relationship between cognitive processes of inquiry and subsequent treatment planning; and (c) identification of hypotheses about critical factors involved in mental health problem solving that warrant further research. This report describes how those objectives were met and reviews their implications for training and assessment of mental health professionals.  相似文献   

7.
加强高职院校教师的心理健康教育,不仅是时代的要求,更是高职院校自身发展的需要。从高职院校教师心理健康教育的必要性和紧迫性出发,探讨心理健康教育的策略。社会、国家、高职院校应形成心理健康教育的合力,转变高职院校教师的思想观念,构建合理有效的社会支持系统,建立鲜明特色的高职院校教师激励机制,把心理健康教育列入高职教师继续教育的内容之中,建立相应的心理干预机制,增强个人的自我调适能力。  相似文献   

8.
为研究班级心理委员工作的质量与效果,采用自编问卷对广西大学515名班级心理委员进行了调查,分析班级心理委员的工作满意度及其存在的问题,提出如何进一步完善心理委员的选拔、培训、考核和激励等问题,以调动心理委员的积极性,充分发挥心理委员在高校心理健康教育工作中的重要作用。  相似文献   

9.
Severely physically handicapped children in deinstitutionalized and institutionalized programs were assessed on measures of locus of control and incentive orientation. Children in institutionalized programs were found to be significantly more internally controlled and more intrinsically motivated than their counterparts in mainstreamed settings. The results suggest that the decision to deinstitutionalize a child involves more than possible academic gains; growth in personality, positive mental health, and family acceptance are also important concerns.  相似文献   

10.
To meet the complex mental health needs of students, some university counseling centers (UCCs) have implemented walk-in triage intake systems, which have not yet been empirically investigated. This study compared client and clinician differences (N = 5564) between a traditional scheduled intake system (Year 1) and a walk-in triage system (Year 2) at a large, southeastern UCC. Results showed a significant increase in clients’ attendance rates and clinicians’ caseloads, a significant decrease in no-show rates, and no change in students’ symptom severity at intake between Years 1 and 2. Clinicians’ number of scheduled appointments were unchanged, indicating that clinicians were already at maximum capacity for appointments in Year 1. Results are discussed in terms of the benefits and challenges that walk-in triage systems present to students, universities, and UCCs.  相似文献   

11.
高校"三困生"是一类特殊群体。通过对典型案例分析,提出辅导员帮助"三困生"脱困的四点建议:开展精细化管理与服务工作、加强心理困难生的引导和教育、完善贫困生资助管理和求助体系、建立科学有效学业困难生的激励措施。  相似文献   

12.
There is limited literature on emerging young adult (EYA) care partners, despite a recent rise in interest in this group. The purpose of this study is to compare EYA care partners and their non-care partner peers in the domains of academic achievement and engagement, employment, health-related behaviors and self-care, and mental health and respite, as well as to assess EYA care partners’ burden and potential for positive psychosocial sequelae and life changes as a result of their role. Further, within EYA care partners, we examine the relationship between mental health variables and care partner-relevant variables. Two hundred undergraduates (100 care partners and 100 non-care partners) completed measures of academic achievement and engagement (grade point average and credit load), employment (number of paid positions held and number of hours worked per week), health-related behavior/self-care (visits to the dentist, primary care physician, optometrist, diet healthfulness, exercise, cigarette smoking, and drinks per week) and mental health/respite (depression, anxiety, loneliness, drinking, social support, peer pressure, vacation recency, and frequency). Care partners completed measures of spiritual well-being, burden, meaning, and benefit-finding, as well as provided qualitative feedback on how caregiving changed their lives. EYA care partners and non-care partners did not differ on any variables examined except for the number of jobs held, as EYA care partners held more paid jobs than EYA non-care partners. EYA care partners showed moderate burden and high levels of finding meaning/benefit, the latter of which was supported by the themes that emerged from their qualitative data. Within EYA care partners, we found that depression and anxiety (mental health variables) were significantly related to spiritual well-being, burden, benefit finding, and finding meaning through caregiving (care partner-relevant variables). It is encouraging that the care partner and non-care partner groups were similar in domains critical for this age group, such as academic achievement and engagement.  相似文献   

13.
OBJECTIVE: The purpose of this study was to provide systematic data on the experiences of mental health professionals (e.g., psychiatrists, psychologists, and social workers) who reported cases of suspected child abuse and maltreatment concerning their clients. METHOD: Mail surveys were completed by 258 mental health professionals known to have reported a case of suspected child abuse and maltreatment to the New York State Central Register (NYSCR) in 1993. Subjects were asked to complete a survey describing their experience with making reports, referring to a specific case they reported. RESULTS: About 40% did not inform the client about the limits of confidentiality until reportable material came up. Most clinicians reported that informing clients about the limits of confidentiality did not deter them from entering treatment. Many clinicians learned about abuse/maltreatment after approximately 3 months into therapy. Even very experienced clinicians usually consulted with others before making the report. Clinicians most typically informed the client about the report directly and before it was made, but did not call the NYSCR in the presence of the client. Following the report, most clinicians performed additional activities such as calling clients and scheduling additional sessions. When clients evidenced resistance to continuing therapy, it usually dissipated after a brief period of time. In over 72% of the cases, making the report did not disrupt the relationship and in many instances it was helpful in the therapeutic process; about 27% were continuously resistant or terminated therapy shortly after the report was made. CONCLUSIONS: Implications for practice, training, program development, and research are discussed.  相似文献   

14.
为了解近3年青岛市民办高校新生的心理特点,以青岛滨海学院为例,采用大学生人格问卷和时间延迟设计对16459名新生进行调查,结果显示近3年青岛市民办高校新生入学动机排在前3位的是"掌握专业知识和技能""提高修养水平""就职方便",且具有"为振兴中华""社会发展人类进步""提高修养水平"入学动机的新生心理健康水平显著高于没有以上动机的新生;新生入校"比较满意"情绪居于首位,"非常满意"居于第2位,近3年总体满意情绪比例呈上升趋势,且不同入学情绪新生的心理健康水平存在显著差异,"非常满意"情绪新生的心理健康水平显著高于其他情绪水平的新生。需要积极开展新生入学动机教育、适应教育,提高其入校满意度和心理健康水平。  相似文献   

15.
Asian Americans are commonly perceived as the diligent and high‐achieving “model minority.” This positive stereotype has negative consequences for this ethnic minority group because it trivializes their social and mental health problems. This image of success has made many overlook the true nature of the struggles many Asian American families have to face in the United States. Scientific literature suggests that Asian American children experience major adjustment problems in school including loneliness, isolation, withdrawal, rejection, anxiety, low self‐esteem, and interpersonal distress. Cultural barriers exist between the Asian and the dominant society and influence Asian Americans' cognitive appraisal and coping choices when personal and emotional problems arise. These barriers also prevent clinicians from identifying and subsequently providing effective mental health services for Asian American children and their families. In this article, the authors examine the Asian cultural conceptions of mental health and various cultural barriers in an attempt to promote cultural understanding and competence among clinicians working with Asian American children and their families. Recommendations for clinical practice and future research directions are provided. © 2009 Wiley Periodicals, Inc.  相似文献   

16.
现代社会对人的心理素质提出了很高的要求,心理健康教育也成为素质教育的焦点。语文新《课标》提出,要重视情感、态度、价值观的正确导向,这种以人为本,追求学生可持续发展的语文教学,正是学校进行心理健康教育的重要途径。我认为,一名优秀的语文教师应当自觉适应时代需要,在教学实践中不断更新自己的教学观念,使之符合教学要求。以下从三个方面论述语文教学中渗透心理健康教育的方法。一、加强自身的心理修养,引起学生的共鸣。二、抓住语文学科特点,塑造学生健康人格。三、给予适当的激励赏识,提高学生的自我欣赏意识。  相似文献   

17.
Youth in foster care with maltreatment experiences often demonstrate higher rates of mental and behavioral health problems compared to youth in the general population as well as maltreated youth who remain at home. Previous research has demonstrated that dimensions of maltreatment (type, frequency, and severity) and placement instability are two prominent factors that account for high rates of psychopathology (e.g., depression, anxiety, and disruptive behavior disorders). The present study sought to clarify the relation between maltreatment and mental health among youth in foster care by studying both the isolated dimensions of maltreatment and cumulative maltreatment, and to determine whether the effects of maltreatment on mental health operated indirectly through placement instability. Information on youth in foster care’s (N = 496, Mage = 13.14) mental and behavioral health, maltreatment history, and placement changes were obtained from state records and primary caregivers. Using a SEM framework, the results suggest that maltreatment and placement instability each independently relate to mental and behavioral health problems. Further, none of the maltreatment types predicted greater placement instability in the current models. These findings suggest that placement stability is critical for mental health for youth in foster care, regardless of the type, severity, or frequency of their maltreatment experiences. Results also indicated that, although cumulative maltreatment predicted both internalizing and externalizing symptoms, maltreatment frequency and severity had direct relations to externalizing symptoms only. These findings underscore the utility of comprehensive maltreatment assessment, encouraging researchers and clinicians to assess and carefully consider the relation between maltreatment dimensions and outcomes.  相似文献   

18.
OBJECTIVE: To examine whether and to what extent specific chronic health conditions place young children at risk of maltreatment. METHODS: The study used a sample of Illinois children (born between January 1990 and March 1996) who were through age 3 continuously enrolled in Medicaid, a public health insurance program for low-income families. The study used "paid claims" data and ICD-9-CM health codes to identify children with one or more of three chronic conditions: chronic physical illness, developmental delay/mental retardation (dd/mr), and behavior/mental health conditions (b/mh). The analysis used Cox proportional hazard models to estimate the risk of substantiated child maltreatment that each of these health conditions confer on children under age 6. RESULTS: Among children under age 6, 24.1% had chronic physical health conditions, 6.1% had b/mh conditions, and 4.2% had dd/mr. Among the children, 11.7% were maltreated (abused or neglected). Children with b/mh conditions were 1.95 times more likely than children without such conditions to be victims of child abuse or neglect. Children with chronic physical health conditions were 1.1 time more likely to be maltreated (p相似文献   

19.
This article presents a model of a practice-research network that offers benefits for clinicians working at college and university counseling centers. We briefly describe the basic components of this practice-research network, challenges in developing it, and some of the empirical studies that have resulted from this initiative. We also describe possibilities for future research that not only will foster further collaborations between clinicians and researchers, but also will enhance our ability to understand and improve mental health services for college students.  相似文献   

20.
中国传统文化中积淀、传承着中华民族的大量心理习俗,当中孕育、发展的心理健康思想是中国人人格结构的有机组成部分。中国传统文化中的心理健康思想主要沿着四个途径延伸发展:一是以思维方式传承的心理健康思想;二是以行为规范传承的心理健康思想;三是以健身养生方式传承的身心健康思想;四是民间传承的维护心理健康的朴素知识、技巧和实用策略。不同途径传承的心理健康思想在形式上相互交叉重叠,在内容和本质上交互作用,呈现出以和谐为核心,以变化为基态,以中和为手段,以平衡为基点的特征。这一辩证发展的和谐健康观,一直对中国人的健康认知和健康行为产生着潜移默化的影响,是构建中国特色心理健康服务体系的重要理论基础。  相似文献   

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