Sickle cell disease is associated with an elevated risk for neurologic complications beginning in early childhood. Detecting higher-risk cases with developmental screening instruments may be a cost-effective method for identifying young children in need of more frequent or intensive assessment. We evaluated the validity of the Denver II test as a tool to detect lower levels of developmental attainment and their association with neurologic risk in 50 young children with sickle cell disease. Children with suspect Denver II outcomes showed lower scores for functional communication skills, had lower hematocrit percentage, higher mean velocities on transcranial Doppler ultrasound imaging, and were more likely to have had preterm birth. Validity of age equivalencies from specific Denver II areas was demonstrated for Language and Fine Motor scores, suggesting the instrument could be used to index children's developmental levels in these domains. The Denver II may be a useful behavioral screening tool for neurodevelopmental risk in sickle cell disease.

Adolescent depression is a major public health concern. Depression and depressive symptoms are more prevalent in adolescent females and are associated with high-risk sexual behavior. Only one third of adolescents receive professional help for their depression, although about 90% visit their primary care providers on average 2-3 times per year. It is imperative that health professionals seek additional methods in the identification and treatment of depressive symptoms. This paper presents findings of the presence of clinically significant depressive symptoms in African American female adolescents receiving routine health care services within an adolescent primary care reproductive health clinic. Results revealed higher rates of depressive symptoms in this subsample of African American adolescent females when compared to the national sample, suggesting that primary care reproductive health clinics are a viable setting for the identification of depressive symptoms among low income, African American female adolescents. Psychosocial interventions and recommendations for the integration of primary care reproductive health, and behavioral health consultation services are presented.

Results of this study may serve to facilitate improved screening, identify points of access for intervention, and enhance treatment for maltreated youths.

Cultural training can be a difficult topic to address during the internship year and can be defined or approached in many different ways. This article describes a program designed to provide cultural training focused on increasing cultural awareness for psychology interns. The training program outlined is based in part on anthropological research methods and teaches interns a method for learning about different cultures. Interns focus on one cultural group, and go through a flexible sequence of several steps from gathering general information, meeting with community representatives, meeting specific groups of community members, to finally developing a project using the information learned to serve the group studied. An overview of the program is provided, with a recent project example to highlight the process. Reactions from interns have generally been positive. Examples are discussed of how the project has evolved to reflect intern and staff experiences.

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