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Community Mental Health Midterm One Study Sheet.docx

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University of Guelph
PSYC 3690
Benjamin Gottlieb

Title of Article: Drug Abuse Prevention: What Works Target population/sample: None (informative) Goals: Describe classification system of disease: prevention, treatment and maintenance, risk/protective factors, and intervention strategies. Classification: None Risk/Protective Factors for Problem: None Intervention Strategies: None Mediators (if identified): None Outcome Measures: None Significant Results: None Limitations: None Other Notes: None Title of Article: Prevention of Behavioral and Social Problems Target population/sample: Children and Adolescents Goals: Discuss Primary Prevention Programs Classification: None Risk/Protective Factors for Problem: None Intervention Strategies: None Mediators (if identified): None Outcome Measures: None Significant Results: None Limitations: None Other Notes: None Title of Article: Cumulative Adversity and Posttraumatic Stress Disorder: Evidence From a Diverse Sample of Young Adults Target population/sample: Young Adults Goals: Test whether prior stressful events increase the risk that a subsequent traumatic experience will result in PTSD Classification: No real prevention was staged (more basic research), convenience sample of young adults (no explicit mention of risk) Risk/Protective Factors for Problem: Social stress, life adversities, traumas, witnessed violence Intervention Strategies: None Mediators (if identified): Previous life stressors Outcome Measures: Self reported onset of PTSD symptoms/DSM diagnosis Significant Results: 7 out of 9 significant life events significantly predicted PTSD Limitations: None Other Notes: None Title of Article: Hurricane-Related Exposure Experiences and Stressors, Other Life Event, and Social Support: Impacts on Children’s PTS Symptoms Target population/sample: Children Goals: Investigate the influence of hurricane exposure, stressors during/after the hurricane, and social support on children’s persistent post traumatic stress Classification: No real intervention staged, but definitely selective (children are at risk for PTS symptoms following hurricane) Risk/Protective Factors for Problem: Perceived/actual life threat, initial loss/disruption, ongoing loss, social support Intervention Strategies: None (basic research) Mediators (if identified): Possible Time 1 ongoing loss, social support Outcome Measures: Posttraumatic stress symptoms time two Significant Results: Social support is a huge buffer, otherwise PTS symptoms stayed fairly stable over time Limitations: None Other Notes: None Title of Article: Mental health of displaced and refugee children resettled in low income and middle income countries: risk and protective factors Target population/sample: Forcibly displaced children and adolescents Goals: Review individual, family, community, and societal risk and protective factors for the mental health outcomes of displaced children and adolescents Classification: No real intervention staged, but definitely selective (displaced children constitute a know risk group for mental health problems Risk/Protective Factors for Problem: Exposure to violence, existing disorders, time since displacement, age and sex, family composition and bereavement, functioning/parental health, social support Intervention Strategies: None Mediators (if identified): None Outcome Measures: None (it was a review paper) Significant Results: None Limitations: None Other Notes: None Title of Article: Youth Violence Perpetration: What protects? What Predicts? Findings from the National Longitudinal Study of Adolescent Health Target population/sample: Adolescents Goals: Identify individual, family and community level risk and protective factors for violence perpetration in a National Study of Adolescent Health Classification: No real intervention staged (Universal: given to a national sample of adolescents) Risk/Protective Factors for Problem: School connectedness, student prejudice, friend suicide, safety in neighborhood, problems with parents, parental school expectations, activities with parents, self-esteem, GPA Intervention Strategies: No intervention was staged Mediators (if identified): Not identified Outcome Measures: Time 2: violence involvement Significant Results: Support the duel strategy of reducing risk factors while enhancing protective factors Limitations: None Other Notes: Support for the duel strategy is a good point to remember Title of Article: Testing Mediators of Intervention Effects in Randomized Controlled Trials: An Evaluation of Two Eating Disorder Prevention Programs Target population/sample: Adolescent girls with body image concerns Goals: Investigate mediators hypothesized to account for the effects of 2 eating disorder prevention programs Classification: Primary Prevention (decrease eating disorder risk factors and reduce the incidence of new cases), Indicated (students had to endorse body image concerns during a phone screen: determining them as personally “at risk” on a one by one basis) Risk/Protective Factors for Problem: body image concerns, internalized thin ideal, body dissatisfaction, negative affect and bulimic symptoms Intervention Strategies: 1. (Dissonance intervention) Girls engage in written, verbal and behavioral exercises in which they critique the thin ideal. 2. (Healthy weight management) Healthy weight management program – promotes lasting healthy changes to dietary intake and physical activity Mediators (if identified): Thin ideal internalization, Healthy eating, physical activity Outcome Measures: Body dissatisfaction, dieting, negative affect, bulimic symptoms Significant Results: Dissonance – partially affected outcomes by reducing the thin ideal, Healthy weight management – mixed support Limitations: Dissonance program was still significant even after controlling for the mediator. Healthy weight management showed the same trend. Other Notes: None Title of Article: Are Two Interventions Worse than None? Joint Primary and Secondary Prevention of Eating Disorders in College Females Target population/sample: University aged females Goals: Prevent eating disorders and eating disorder symptoms through information sharing, and stories from survivors Classification: Primary (reduce incidence of new cases), Secondary (early intervention in established illness; “they discussed where on campus to get help”), Selective (“College females are at high risk for developing eating disorders”) Risk/Protective Factors for Problem: Current weight/dieting information, binge eating, purging, dieting, eating concern, shape concern, overeating, coping style and social support Intervention Strategies: 90 minute discussions led by a panel of two students with a history of disordered eating. Two parts: information providing, and personal experiences sharing by the panelists. Mediators (if identified): Not identified Outcome Measures: Prevalence of symptoms Significant Results: Intervention was unsuccessful because by reducing the stigma of the disorders the programs may have inadvertently normalized them. Limitations: None Other Notes: None Title of Article: Early Intervention for Parents at Risk of Child Abuse and Neglect: A Preliminary Investigation Target population/sample: Young parents and children that have been identified as being at risk for maltreatment Goals: Improve child rearing environments, improve children’s adaptive behaviors, and reduce risk of maltreatment/Improve parent’s abilities to cope with stress Classification: Secondary prevention (parents and children already under supervision from a child protective service agency), Indicated (subject selection involved a three stage screening process through which parent/child groups were determined to be personally at risk for maltreatment Risk/Protective Factors for Problem: periods of stressful role transition, postnatal attachment issues, family instability and disruption Intervention Strategies: 1) an information group offered by child protection agency 2) special program of behavioral parent training (child management skills, instruction, modeling, and rehearsal procedures) Mediators (if identified): Not identified Outcome Measures: Risk in parenting
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