Turner, E.A., Cheng, H., Llamas, J., Tran, A. T., Hill, K., Fretts, J.M., & Mercado, A. (2016). Factors impacting the current trends in the use of outpatient psychiatric treatment among diverse ethnic groups.

Published in Current Psychiatry Reviews, 12, 2, 199-220.

According to recent data from the Centers for Disease Control and Prevention, a large number of individuals suffer from psychiatric conditions, yet few receive the necessary treatment. Help-seeking for professional help has been linked to a variety of variables including education level, stigma towards services, ethnic background, and cultural variables. The purpose of this paper is to overview factors that contribute to and hinder ethnic minorities’ use of outpatient psychiatric treatment.

Turner, E.A. & Mills, C. (2016). Culturally relevant diagnosis and assessment of mental illness. In A., Breland-Noble, C., Al-Mateen, & N., Singh (Eds.)

Published in Handbook of Mental Health in African American Youth. Springer International Publishing.

Psychological assessment is an important aspect in the diagnosis and treatment of mental health conditions. To be ethical clinicians who conduct assessments with African American youth, culture must be considered as a factor in the diagnostic process. Clinicians should consider such factors as social environment, social stressors, and culturally relevant social supports in the assessment of African American youth. This book chapter presents an overview of evidence-based assessment (EBA) practices and the current status of EBA with African American youth. Finally, recommendations to enhance clinical practice are discussed.

Rudy Nydegger, PhD: Suicide and Mental Health

Book Summary

Nydegger_SuicideDelving into a topic of perennial interest and concern, particularly among teenagers, this important volume addresses the full range of issues relative to suicide and suggests ways to help those who struggle.

Suicide is one of the leading causes of death in high schools and colleges.

While the risk of suicide is increasing across age groups, the good news is that with timely intervention, most suicides are preventable. Written primarily for high school and college students as well as for their teachers and parents, this guide combines relevant research and theories about suicide with current clinical thinking and approaches to diagnosis and treatment. Going beyond the clinical, the volume also explores suicide in history and in popular culture and examines relevant cultural, religious, moral, and ethical viewpoints. It looks at suicide among various demographic groups, probes psychological motivations and methods used, and discusses the controversy surrounding a person's right to die. 

What differentiates this work from others is that it covers the breadth of the subject but also considers issues in enough depth to make their importance and complexity clear. Readers will better understand the problem of suicide, its impact, and the approaches that can be used to prevent suicide and deal more effectively with at-risk individuals.

Features

  • Examines the topic from a variety of perspectives and provides insights into current issues and controversies, such as doctor-assisted suicide
  • Discusses suicide among a variety of age groups and social classes, not just teenagers and college students
  • Draws on the author's 40 years of clinical and academic experience as well as on the most up-to-date scholarly and professional literature
  • Serves as a gateway to other resources and further study

Rudy Nydegger, PhD, is professor of management and psychology at the School of Management at Union Graduate College and in the Department of Psychology at Union College, Schenectady, NY. He is a board-certified clinical psychologist with a private practice and consulting firm. In addition, he is chief of psychology at Ellis Hospital in Schenectady, NY. Former positions include assistant professor of psychology at Rice University, clinical assistant professor at Baylor College of Medicine, and adjunct professor at Cornell University.

ABC-CLIO Online Link

Rudy Nydegger, PhD, is Professor of Management and Psychology at Union College and Union. Nydegger has won numerous awards, including the Distinguished Psychologist Award from the Psychological Association of Northeastern New York, the Distinguished Service Award from the New York State Psychological Association, and the David Mitchell Award for Contributions to Academic Psychology from the New York State Psychological Association. He is a fellow in the American Academy of Clinical Psychology and is certified as a clinical psychologist by the American Board of Professional Psychology. In addition, he is the immediate past-president of the National Register of Health Psychologists.

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Christopher B. Harte et al: Prospective Examination of Cigarette Smoking among Iraq-deployed and Nondeployed soldiers: Prevalence and Predictive Characteristics

The Society of Behavioral Medicine (outside the USA) 2014

Abstract

Background: Identifying characteristics that influence smoking behavior among military personnel is critical to protect health and operational functioning. Purpose This study prospectively examined rates of cigarette smoking and predictors of changes in smoking behavior as a function of Iraq deployment.

Methods: One thousand eighty-two US Army soldiers (n=773 Iraq-deployed; n=309 nondeployed) completed assessments at two sessions [time 1: April 2003–July 2004; time 2: May 2004–July 2004 (nondeployers); January 2005–September 2006 (deployers)].

Results: Approximately 48 % of participants smoked at both time points, with 6 % initiating smoking and 6 % quitting. Smoking initiation was associated with warzone stress exposure; female gender and high military unit support predicted cessation. Military rank and alcohol use were associated with both
smoking initiation and cessation.

Conclusion: Findings highlight the potential benefits of targeting risk factors for cigarette smoking in comprehensive military health programs aimed at smoking prevention and cessation.

Harte CB, Proctor SP, Vasterling JJ. Prospective examination of cigarette smoking among iraq-deployed and nondeployed soldiers: prevalence and predictive characteristics. Ann Behav Med. 2014 Aug; 48(1):38-49.

Erica H. Wise, PhD et al: Using the Ethical Context to Enhance Practicum Training

Published in Training and Education in Professional Psychology 2014

Abstract

Ethics is a foundational competency that is critical to education, training, and future professional practice. In this article we define the ethical context as the articulated enactment of ethics in the academic program preparing psychologists to become health service providers. More specifically, we provide a broad road map and strategies for explicating the ethical context designed to enhance practicum training. We initially focus on the academic program that supports practicum training and describe how the ethical context approach can enhance graduate student understanding and appreciation of key program ethical responsibilities. These include the obligation to provide sufficient knowledge and developmental training experiences to achieve program objectives (i.e., identified competencies) within a supportive context and adhering to clearly stated policies regarding student personal disclosures and evaluations. The ethical context of practicum training itself is discussed in depth with an emphasis on early training for professional practice in the training clinic and community settings. Examples are provided for how this approach can be used to enhance professional and ethical competence through a focus on key ethical principles including competence, informed consent, confidentiality, and multiple relationships. Finally, it is suggested that future work could focus on examining related aspects of professionalism such as multicultural competence, and advocacy for the profession and social justice. We believe that this approach to explicating the ethical context may also serve to inspire faculty via its intentional focus on aspirational ethical principles and practices.

Wise, E. H., & Cellucci, T. (2014, June 2). Using the Ethical Context to Enhance Practicum
Training. Training and Education in Professional Psychology. Advance online publication. 

http://dx.doi.org/10.1037/tep0000055

John C. Norcross, PhD et al: Systems of Psychotherapy: A Transtheoretical Analysis (8th ed.)

Book Summary

norcross_systemsComprehensive, systematic, and balanced, SYSTEMS OF PSYCHOTHERAPY uses a wealth of clinical case illustrations to help readers understand a wide variety of psychotherapies--including psychoanalytic, psychodynamic, existential, person-centered, experiential, interpersonal, exposure, behavioral, cognitive, systemic, multicultural, and integrative. The Eighth Edition thoroughly analyzes 17 leading systems of psychotherapy and briefly surveys another 31, thereby providing a broader scope than is available in most books. The authors explore each system's theory of personality, theory of psychopathology, and resulting therapeutic process and therapy relationship. By doing so, they demonstrate how much psychotherapy systems agree on the processes producing change, while showing how they disagree on the content that needs to be changed. To bring these similarities and differences to life, the authors also present the limitations, practicalities, and outcome research of each system of psychotherapy.

Prochaska, J. O., & Norcross, J. C. (2014). Systems of psychotherapy: A transtheoretical analysis (8th ed.). Pacific Grove, CA: Brooks/Cole

Amazon Link

 

Mary K. Alvord, PhD et al: Resilience Builder Program Therapy Addresses Core Social Deficits and Emotion Dysregulation in Youth with High-Functioning Autism Spectrum Disorder

Published in the Journal of Psychological Abnormalities in Children 2014, 3:2

Abstract

Background: Impaired social functioning has been shown to be the most persistent and permeating challenge for youth with High-Functioning Autism Spectrum Disorder (HFASD) throughout development; therefore various interventions have been developed to target these social deficits. Research examining the efficacy of manualized social skills intervention programs remains limited and treatment outcome has been predominantly studied in academic research settings. Moreover, conclusions regarding the efficacy of social skills training programs have been mixed; suggesting therapy must address more than just social skills. The present study aimed to address the above research limitations by exploring the effectiveness of the Resilience Builder Program® (RBP), a manualized, 12-week resilience-based group therapy program, for children with HFASD within a clinical service setting. RBP addresses social competence deficits by targeting skills such as emotion regulation, resilience and social problem solving.

 Methods: Data was collected from children ages 7-12 years who presented at a large private practice for treatment. Our sample was comprised of 17 children with HFASD (12 male; mean age = 11.04). Children were assessed on multiple domains of social, emotional, and behavioral functioning using measures given before beginning RBP and again after treatment ended.

Results: Findings revealed that parents endorsed significant improvement in their children’s general social skills and in specific social domains such as responsibility, communication and engagement after participating in RBP. Children reported an increased ability to communicate with adults and endorsed less negative emotion as well as increased emotion control.

Conclusion: Results suggest that after undergoing the 12-week RBP group therapy, children with HFASD showed improvement in social skills, mood and emotion regulation. Despite aiming to treat heterogeneous social deficits, RBP successfully addressed core ASD social impairments. Results have important implications for expanded access to empirically-based treatments for HFASD youth in the clinical service settings in which they most frequently receive treatment.

Aduen, P.A., Rich, B.A., Sanchez, L., O’Brien, K., Alvord, M.K. (2014). Resilience Builder Program Therapy Addresses Core Social Deficits and Emotion Dysregulation in Youth with High-Functioning Autism Spectrum Disorder. Journal of Psychological Abnormalities in Children, 3:2

http://dx.doi.org/10.4172/2329-9525.1000118

 

Eric S. Zhou, PhD et al: Insomnia in Adult Survivors of Childhood Cancer: A Report from Project REACH

Published in Support Care Cancer 2014, PMID: 24935649

Abstract

Purpose: Insomnia is a common problem affecting cancer survivors even years after completion of therapy. Childhood cancer survivors may be at particular risk due to vulnerability to the effects of treatment and medical late effects which impact normal sleep development. Using an indicator of clinically significant insomnia (sleep efficiency), we examined a group of adult survivors of childhood cancer to (1) describe clinical insomnia rates, (2) identify physical and psychological correlates of insomnia, and (3) investigate the frequency with which sleep issues were evaluated during a cancer survivorship medical visit.

Methods: A total of 122 adult survivors of childhood cancer completed standard measures of sleep, psychological distress, and health-related quality of life. Medical records of the 75 survivors with a survivorship medical visit on the day of self-report measure completion were reviewed for documentation of sleep-related issues.

Results: Twenty-eight percent of participants endorsed sleep efficiency below 85 %, indicating clinically significant insomnia. Insomnia was associated with poor physical health and anxiety but not with demographic or cancer treatment variables. Medical providers failed to document sleep in visit notes for 67 % of patients with self-reported insomnia.

Conclusions: A significant proportion of adult survivors of childhood cancer report insomnia, which is associated with physical and psychological health. Few survivors with insomnia discuss this issue with oncology providers during survivorship care. There is a clear need to screen for insomnia in this population. Patients and providers should take greater responsibility for discussing sleep issues and seeking out proper treatment referrals when it is identified.

Zhou, ES, & Recklitis CJ.  (2014).  Insomnia in adult survivors of childhood cancer: A report from Project REACH.  Support Care Cancer.  PMID: 24935649.

http://www.ncbi.nlm.nih.gov/pubmed/24935649

Glenace E. Edwall, PsyD et al: Nonsuicidal Self-Injury among Adolescents: A Training Priority for Primary Care Providers

Published in Suicide and Life-Threatening Behavior (In Press)

Abstract

Primary care providers were surveyed to determine how prepared they feel to address nonsuicidal self-injury (NSSI) among adolescents, their interest in training on NSSI, and factors associated with routinely asking about NSSI when providing health supervision. Participants included family medicine physicians (n = 260), pediatricians (n = 127), family nurse practitioners (n = 96), and pediatric nurse practitioners (n = 54). Almost 50% felt unprepared to address NSSI, and over 70% wanted training in this area. Overall, relative to other areas of mental health care, clinicians felt least prepared to address and wanted more training on NSSI. Just 27% reported they routinely inquired about NSSI during health supervision. Factors associated with routinely asking about NSSI were identifying as female (OR = 2.37; 95% CI = 1.25-4.49), feeling better prepared to address NSSI (OR = 1.51; 95% CI = 1.04-2.20), and more frequently using a psychosocial interview to identify adolescents in distress (OR = 1.23; 95% CI = 1.02-1.48). Teaching clinicians to assess NSSI within a psychosocial interview may increase screening for and identification of the behavior among adolescents in primary care.

http://onlinelibrary.wiley.com/doi/10.1111/sltb.12001/abstract

Taliaferro, L., Muehlenkamp, J., Hetler, J., Edwall, G., Wright, C., Edwards, A. and Borowsky, I. (in press). Non-suicidal self-injury among adolescents: A training priority for primary care providers. Suicide and Life-Threatening Behavior.

Andrea Corn PsyD et al: Raising your Game

Book Summary

AndreaCorn

 America’s children are joining- and quitting- youth sports in record numbers. If kids can’t find the fun in an activity, they may try to find the way out. If an adult can’t find the right tools, they may not know the right words to say or the right actions to take.

In Raising Your Game, authors Dr. Andrea Corn and Ethan J. Skolnick present a guide adults can use to ensure the most enjoyable and enriching youth sports experience for a child. Relying upon advice from more than 100 elite athletes as well as time tested sports psychology concepts, Raising Your Game prompts parents to consider what really matters when it comes to their kids and sports.  

Raising Your Game discusses the types of guidance that can ignite inspiration and foster participation, practice, and progress, and which methods can create frustration and dejection. It shows the difference a supportive parent can make by showing up, showing interest and, at times, showing restraint. 

 http://www.booksandbooks.com/event/ethan-j-skolnick-raising-your-game-gables

John C. Norcross, PhD et al: Psychologists' Desk Reference (3rd ed.)

Book Summary

Norcross_Desk ReferenceFully revised and expanded, this third edition of the Psychologists' Desk Reference includes several new chapters on emerging topics in psychology and incoporates updates from top clinicians and program directors in the field. This classic companion for mental health practioners presents an even larger variety of information required in daily practice in one easy-to-use resource. Covering the entire spectrum of practice issues-from diagnostic codes, practice guidelines, treatment principles, and report checklists, to insight and advice from today's most respected clinicians-this peerless reference gives fingertip access to the whole range of current knowledge. Intended for use by all mental health professionals, the Desk Reference covers assessment and diagnosis, testing and psychometrics, treatment and psychotherapy, biology and pharmacotherapy, self-help resources, ethical and legal issues, forensic practice, financial and insurance matters, and prevention and cosultation. Chapters have been clearly written by master clinicians and include easy-to-read checklists and tables as well as helpful advice. Filled with information psychologists use everyday, thePsychologists' Desk Reference, Third Edition, will be the most important and widely used volume in the library of psychologists, social workers, and counselors everywhere.

Koocher, G. P., Norcross, J. C., & Greene, B. A. (Eds.). (2013). Psychologists' desk reference (3rd ed.). New York: Oxford University Press.

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Erica H. Wise, PhD et al: Ethics, Self-Care and Well-Being for Psychologists: Reenvisioning the Stress-Distress Continuum

Published in Professional Psychology: Research and Practice 2012, Vol. 43, No. 5
 

Abstract

It is well-accepted that occupational hazards are endemic to the profession of psychology and that psychologists bring both strengths and vulnerabilities to their choice of career. Given the pressures faced by psychologists in contemporary society, how can we most effectively meet our ethical obligation to maintain competence throughout our professional life span in order to provide high quality care to those we serve? In this article, we propose to expand the current conceptualization of psychologist functioning as embodied in the widely promulgated stress-distress continuum. Through the incorporation of a positive dimension, we can envision the potential for psychologists to spiral up via their practice of enhanced self-care. Four foundational principles are interwoven throughout our consideration of effective self-care for psychologists: an emphasis on flourishing (rather than merely surviving), intentionality, an awareness of reciprocity in care of self and others and the benefits of integrating self-care into our daily practices and routines, rather than being added onto existing personal and professional obligations. A review of the literature on psychologist self-care strategies, healthy lifestyles, mindfulness, acceptance-based therapies, and positive psychology informs our endorsement of mindfulness-based positive principles and practice (MPPP's) for psychologists. These MPPP's are broadly conceptualized as the how of effective self-care that supports the what (as in what to do) in this realm. Finally, we envision a future in which effective self-care embedded in MPPP's is truly valued, supported and promoted by the profession in a manner that complements and sustains our ongoing well-being and professional competence.
 
Wise, Erica H.; Hersh, Matthew A.; Gibson, Clare M. (2012). Ethics, self-care and well-being for psychologists: Reenvisioning the stress-distress continuum. Professional Psychology: Research and Practice, Vol 43(5), Oct 2012, 487-494. doi: 10.1037/a0029446

Glenace E. Edwall, PsyD et al: Reframing Mental Health Practice for Children, Youth and Families: In Search of Developmental Competencies to Improve Functioning Across Life Domains

Published by the Substance Abuse and Mental Health Services Administration 2012, U.S. Department of Health and Human Services

Excerpt from the Issue Brief

The Outcomes Roundtable for Children and Families  (ORCF)—a consortium of researchers, youth, family members, providers, and policymakers—undertook an exercise to identify key factors impacting children’s mental health in the era of recently passed legislation, including the Mental Health Parity and Addiction Equity Act of 2008 and the Patient Protection and Affordable Care Act (PPACA).

Bellonci, C., Jordan. P., Massey, O., Lieberman, R., Zubritsky, C. and Edwall, G. (2012). Reframing mental health practice for children, youth and families: In search of developmental competencies to improve functioning across life domains (Issue Brief). Outcomes Roundtable for Children and Families, Substance Abuse and Mental Health Services Administration, U.S. Department of Health and Human Services. 

http://www.nasmhpd.org/images/Prevention_Rountable.pdf

 

 

Rudy Nydegger, PhD: Dealing with Anxiety and Related Disorders: Understanding, Coping, and Prevention

This thorough discussion and analysis of anxiety and related disorders looks at case studies, specific diagnostic categories, and treatments.

Book Summary

Nydegger_anxietyAnxiety disorders are the most common and frequently misdiagnosed and undertreated of all mental health conditions. Dealing with Anxiety and Related Disorders: Understanding, Coping, and Prevention explains in accessible language the myths, misunderstandings, and realities of anxiety disorders, including often misdiagnosed somatoform and dissociative disorders.

Psychologist Rudy Nydegger approaches anxiety and related disorders, including panic disorder, social phobia, obsessive-compulsive disorder, and PTSD, with the most up-to-date and professionally sound information available. The history of and theories about anxiety disorders are thoroughly discussed, as are the most recent ideas and findings. Readers are provided with comprehensive information on each disorder—its description, clinical symptoms, dynamics, and available treatments, including alternative and experimental approaches. Ways in which patients can get help and help themselves are discussed, as are steps family members and friends can take when they know a loved one is struggling with an anxiety disorder. Detailed case studies illustrate both the disorders and the options for treatment.

Features

  • In-depth case studies of individuals with anxiety, dissociative, and somatoform disorders to facilitate understanding
  • Quotations regarding anxiety, dissociative, and somatoform disorders
  • A chronology outlining the history of thinking about anxiety disorders
  • A list of helpful resources, including books, articles, and websites
  • A complete bibliography

Highlights

  • Covers common disorders that affect millions, including general anxiety, social phobia and OCD, and PTSD
  • Explains the various disorders and treatments, as well as how to choose a treatment and know whether it is working
  • Includes safe alternative treatments that can be helpful
  • Integrates clinical, experimental, and theoretical material in a fully professional and accurate fashion, but in language that will be easily understood by the general reader

Amazon Link

Rudy Nydegger, PhD, is Professor of Management and Psychology at Union College and Union. Nydegger has won numerous awards, including the Distinguished Psychologist Award from the Psychological Association of Northeastern New York, the Distinguished Service Award from the New York State Psychological Association, and the David Mitchell Award for Contributions to Academic Psychology from the New York State Psychological Association. He is a fellow in the American Academy of Clinical Psychology and is certified as a clinical psychologist by the American Board of Professional Psychology. In addition, he is the immediate past-president of the National Register of Health Psychologists.

Alicia H. Clark PsyD, PLLC: Trauma Exposure and Alcohol Use in Battered Women

Published in Violence Against Women 

Abstract

The purpose of the present study was to examine the relationship between battering severity and alcohol use among battered women. The study used multiple regression analyses to examine predictive relationships between three forms of trauma exposure—childhood physical and sexual abuse and domestic violence—and alcohol use. This study is among the first to investigate these relationships, using a sample of 78 battered women drawn from both shelter and nonresidential community agencies. Both battering severity and childhood sexual abuse were positively correlated with alcohol use. Multiple regression analysis showed that childhood sexual abuse was the stronger predictor when collinearity was controlled.

 http://aliciaclarkpsyd.com/media/publications/