A Pilot Study of Mindfulness Skills to Reduce Stress among a Diverse Paraprofessional Workforce

Jacobs, Rachel H.; Guo, Sisi; Kaundinya, Prabha; Lakind, Davielle; Klein, Jesse; Rusch, Dana; Walden, Angela L.; Mehta, Tara; Atkins, Marc S.

doi:10.1007/s10826-017-0771-z

Cited by 16 publications

(23 citation statements)

References 47 publications

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“…It may even be valuable to train LHWs in relaxation strategies, such as mindfulness, to decrease stress. In a small study, 26 LHWs who worked in low-income, urban settings in the United States completed six weeks of mindfulness-based skills training and had significant improvements in their sleep quality, stress levels, and emotional exhaustion (Jacobs et al 2017). These findings suggest that LHWs may improve mental health and workplace functioning if they are specifically equipped with strategies to address stress.…”

Section: Training and Supervising Lay Health Workersmentioning

confidence: 99%

Lay Health Worker Involvement in Evidence-Based Treatment Delivery: A Conceptual Model to Address Disparities in Care

Barnett

Lau

Miranda

2018

Annu. Rev. Clin. Psychol.

122

125

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Mobilizing lay health workers (LHWs) to deliver evidence-based treatments (EBTs) is a workforce strategy to address mental health disparities in underserved communities. LHWs can be leveraged to support access to EBTs in a variety of ways, from conducting outreach for EBTs delivered by professional providers to serving as the primary treatment providers. This critical review provides an overview of how LHW-supported or -delivered EBTs have been leveraged in low-, middle-, and high-income countries (HICs). We propose a conceptual model for LHWs to address drivers of service disparities, which relate to the overall supply of the EBTs provided and the demand for these treatments. The review provides illustrative case examples that demonstrate how LHWs have been leveraged globally and domestically to increase access to mental health services. It also discusses challenges and recommendations regarding implementing LHW-supported or -delivered EBTs.

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Section: Training and Supervising Lay Health Workersmentioning

confidence: 99%

Lay Health Worker Involvement in Evidence-Based Treatment Delivery: A Conceptual Model to Address Disparities in Care

Barnett

Lau

Miranda

2018

Annu. Rev. Clin. Psychol.

122

125

View full text Add to dashboard Cite

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“…Likewise, educators working in schools serving urban high-poverty communities experience higher rates of stress and turnover (e.g., Boyd et al, 2012). Jacobs et al (2017) suggest that paraprofessionals working and living in urban high-poverty communities might be especially at risk of psychological stress and burnout given that they may be subjected to the same stressors as the student populations they serve. Moreover, paraprofessionals often experience a discrepancy between skills in behavior management and the demands of managing students who cope with numerous environmental stressors (direct and indirect forms of trauma), as well as substantial learning and behavioral difficulties (Reddy et al, 2020).…”

Section: Theoretical and Research Base For Treatmentmentioning

confidence: 99%

“…Scheduling coaching meetings and observations can be an obstacle to providing PD to educators working in high-poverty schools. Educators working in high-poverty school districts often encounter great need and limited resources, which causes stress and burnout (Jacobs et al, 2017; Reddy et al, 2019). This combined with assemblies throughout the year, student and staff absences, and weather-related closings create many complications for scheduling PD and intervention implementation.…”

Section: Access and Barriers To Carementioning

confidence: 99%

Behavior Support Coaching for a Paraprofessional Working With First-Grade Students Exhibiting Disruptive Behavior Problems in an Urban High-Poverty Elementary School

Alperin

Reddy

Glover

et al. 2020

Clinical Case Studies

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Despite receiving little to no training in behavior management, paraprofessionals often support young students with or at risk of disruptive behavior disorders in elementary schools. The Behavior Support Coaching for Paraprofessionals (BSC-P) is a new evidence-based data-driven approach for enhancing paraprofessionals’ skills in identifying behavior needs, setting goals, and selecting and implementing evidence-based interventions for improving student disruptive behaviors. The current case study presents the application of the BSC-P (eight sessions over 3 months) with a paraprofessional and teacher who support two first-grade students exhibiting disruptive behaviors in an urban high-poverty elementary school. Implemented evidence-based interventions include say, show, check, a token economy, and antecedent modification. Findings revealed increased paraprofessional intervention fidelity, improved student classroom engagement (effect sizes of 3.77 and 2.10), and decreased student inappropriate verbal and physical behavior (effect sizes of 1.34 and 1.88, respectively).

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“…Moreover, home visitors often share similar personal histories and traumas to their clients. Because challenges are ongoing, reflective supervision offers opportunities to manage this stress (Aarons, Fettes, Flores, & Sommerfeld, ; Jacobs et al., ). For example, particularly needy mothers sometimes ask for further support by making contact after hours and requesting assistance beyond the scope of the project.…”

Section: Challenges Facing Imh Practitioners In Developing Settings Amentioning

confidence: 99%

Lay counselors: Thoughts on the crossing of ecological frameworks and the use of lay counselors in the scale up of early infant mental health interventions

Bain

Landman²,

Frost³

et al. 2019

Infant Mental Health Journal

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The recent call for the scale-up of evidence-based early childhood development interventions, in lower and middle-income countries and for minority groups in highincome countries, has seen numerous suggestions to train greater numbers of lay mental health workers to fulfill these functions. While studies have found that concepts from developed country settings, such as attachment, parental sensitivity, and containment, find purchase and relevance within developing settings, the management of contextual and cultural factors and the tensions of cultural interfacing in the rollout of these programs in developing country settings require consideration. Drawing on the experiences of two successful South African mother-infant home-visiting programs as examples, this article discusses some of the challenges in provision of attachmentbased infant mental health programs and highlights the need for careful consideration of a number of factors pertaining to the recruitment, supervision, and management of lay mental health workers before large-scale rollout is conducted. K E Y W O R D S infant mental health policy, lay counselors, scale-up of early interventions, supervision RESUMENLa reciente llamada para aumentar proporcionalmente las intervenciones sobre el desarrollo en la niñez con base en la evidencia, en países de ingresos más bajos e ingresos medios, y en el caso de grupos minoritarios en países de ingresos altos, ha visto numerosas sugerencias para entrenar un mayor número de trabajadores laicos de la salud mental que puedan realizar estas funciones. Mientras que los estudios han concluido con que conceptos provenientes de ambientes de países desarrollados, tales como afectividad, sensibilidad de los padres y contención, venden y encuentran relevancia dentro de escenarios de países en desarrollo, el tratamiento de factores contextuales y culturales y las tensiones de interconexiones culturales en la introducción de estos programas en escenarios de países en desarrollo requiere consideración. Utilizando las experiencias de dos exitosos programas madre-infante de visitas a casa en Sudáfrica como ejemplos, este artículo discute algunos de los retos en cuanto a la provisión de programas de salud mental infantil basados en la afectividad y subraya la necesidad de la Infant Ment Health J. 2019;40:889-905. © 2019 Michigan Association for Infant Mental Health 889 wileyonlinelibrary.com/journal/imhj 890 BAIN ET AL.cuidadosa consideración de un número de factores referentes al reclutamiento, supervisión y dirección de trabajadores laicos de la salud mental antes de que se lleve a cabo la introducción a gran escala. PA L A B R A S C L AV E Saumento proporcional de intervenciones tempranas, consejeros laicos, supervisión, políticas de salud mental infantil RÉSUMÉ L'injonction récente à intensifier les programmes d'intervention de développement de la petite enfance fondés sur des données probantes, dans des pays en voie de développement, et pour des groupes minoritaires dans les pays riches, a déclenché de nombreuses suggestions...

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A Pilot Study of Mindfulness Skills to Reduce Stress among a Diverse Paraprofessional Workforce

Cited by 16 publications

References 47 publications

Lay Health Worker Involvement in Evidence-Based Treatment Delivery: A Conceptual Model to Address Disparities in Care

Lay Health Worker Involvement in Evidence-Based Treatment Delivery: A Conceptual Model to Address Disparities in Care

Behavior Support Coaching for a Paraprofessional Working With First-Grade Students Exhibiting Disruptive Behavior Problems in an Urban High-Poverty Elementary School

Lay counselors: Thoughts on the crossing of ecological frameworks and the use of lay counselors in the scale up of early infant mental health interventions

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