The focus of this paper is on the development and evaluation of an intervention model for Florida's Infant and Young Child Mental Health Pilot Program, designed to identify families with children at risk for abuse and neglect, and to provide clinical evaluation and treatment services. The evaluation model, intervention strategies, and results presented in this paper are all part of the Florida pilot project developed as a response to the recommendations of the state's Strategic Plan for Infant Mental Health. Funded by the Florida legislature, the 3-year, multisite pilot was designed to provide earlier identification, better evaluation, and more effective treatment services for high-risk children under the age of three. The target population was children either at risk for out-of-home placement due to abuse and neglect, or those already in the child welfare system or adjudicated dependent by the state. The goals of the pilot project were: 1͒ to reduce the occurrence and re-occurrence of abuse and neglect; 2͒ to enhance the child's developmental functioning; 3͒ to improve the parent-child relationship; 4͒ to increase expeditious permanency placements; 5͒ to develop a model for intervention and treatment that could potentially be replicated in different sites; and 6͒ to document the components of a quality infant mental health intervention model and evaluate its effectiveness.RESUMEN: Este estudio se enfoca en el desarrollo y evaluación de un modelo de intervención para el Programa Piloto de La Florida para la Salud Mental de Infantes y Niños Pequeños, el cual está diseñado para identificar a niños bajo riesgo de abuso y falta de atención, así como a sus familias, y proveerles evaluación clínica y servicios de tratamiento. El modelo de evaluación, las estrategias de intervención y
259los resultados presentados en este estudio son parte del projecto piloto de La Florida, establecido como respuesta a las recomendaciones del Plan Estratégico del Estado para la Salud Mental Infantil. Financiado por la Asamblea Legislativa de La Florida, el programa piloto de tres años que se lleva a cabo en varios lugares fue diseñado para proveer una pronta identificación, una mejor evaluación, así como servicios de tratamiento más efectivos para niños de alto riesgo menores de tres años. La población a la cual se dirige este programa es la de niños que están ya bajo riesgo, o ya colocados en casas que no son sus propios hogares debido al abuso y la falta de atención, o que ya están bajo el sistema de beneficencia social o como dependiente adjudicado por el Estado. Las metas del programa piloto son: 1͒ reducir la posibilidad de que ocurra o vuelva a ocurrir el abuso o la falta de atención; 2͒ expandir el funcionamiento del desarrollo del niño; 3͒ mejorar la relación entre el niño y su͑s͒ progenitor͑es͒; 4͒ aumentar las colocaciones de permanencia expeditas; 5͒ desarrollar un modelo para la intervención y el tratamiento que pueda replicarse potencialmente en diferentes lugares; y 6͒ documentar los componentes de un modelo de...
A desk sergeant at each of 48 Michigan police stations and 52 South Carolina police stations was surveyed about knowledge and experience of Tarasoff warnings. Respondents at 45 stations reported receiving warnings from mental health professionals, with a mean+/-SD of 3. 7+/-8.4 warnings a year. Only three respondents were familiar with the Tarasoff ruling. Twenty-four stations had a specific policy on such warnings. Twenty-seven stations would not warn a potential victim. Michigan stations were much more likely than South Carolina stations to have experience with or policies on Tarasoff warnings. Because police apparently have limited experience with Tarasoff warnings, calling them may not be the best way to protect potential victims from patients making threats.
Triiodothyronine, alendronate, and testosterone each influence participant response to simulated microgravity. Between group differences for significant findings were substantial and averaged 1.62 standard deviations. Although the observed neurocognitive effects likely pose no immediate danger for research participants, the significantly greater level of self-reported psychological symptoms by T3-Placebo and Placebo-Bedrest treated participants is of clinical importance.
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