Observations and interviews over six months at seven adult mental health day programs in Canada showed how organizational context shapes occupational therapy practice. The social organization of knowledge forms an invisible controlling apparatus that constrains the empowerment of adult clients. (96 references) (JOW)

Articles in this special issue consider different aspects of community-level evaluation research and demonstrate the emerging sophistication and promise of this field. Process evaluation, qualitative research, and meta-analysis are promising new directions for ensuring more appropriate levels of analysis and more appropriate outcomes. (SLD)

Describes an intensive habilitation program in Sicily for young adults with severe and profound retardation. Participants in the program showed significant improvement in functional skills and an accompanying reduction in maladaptive and stereotypic behaviors, without complex behavior plans; punishing contingencies; or high dose neuroleptic,…

The articles in this special issue from the Centers for Disease Control and Prevention (CDC) study of nearly lethal suicide attempts represents an important contribution to research on suicidal behavior. This commentary highlights certain aspects of this line of research as well as comments on the findings of the CDC study and their relationship…

Describes a pilot mediation program that offers an empowering alternative to problem resolution used by mental health consumers receiving treatment at an inpatient psychiatric center. The training program uses mental health clinicians and consumers (peer advocates) to act as assistants in mediating disputes between consumers and between consumers…

Describes conceptual framework for mini-series on mental health programming. Model includes five components considered to be critical for comprehensive and effective programming. Components include: action research, ecological perspective of program development, collaborative/participatory approach, prevention to treatment via mental health…

With the purpose of contributing to the research and discussion about youth work as a contextual, interpersonal process of human interaction, it is suggested that youth work is like a modern dance that works best when youth workers are present, in sync with youth development rhythms for trusting and growing and making meaning in an atmosphere that…

Unfortunately, for many mental health professionals classroom teachers and other educators are, at best, viewed primarily or solely as useful sources of information about a child, and their broader, invaluable roles as members of the "mental health team" are diminished or dismissed. This article examines the conceptual rationale and empirical…

The authors measured factors associated with undertreatment of medical students' depression. They administered a cross-sectional Beck Depression Inventory and sociodemographic questionnaire to students at 1 medical school, defining their outcome measure as the use of counseling services or antidepressant medication. Of an estimated 450 available…

Although there is an increased risk of schizophrenia-spectrum psychoses (SSP) in people with intellectual disability (ID), there is a paucity of research evidence into clinical presentation of the disorder in comparison with research into SSP in people without ID. Aims The aims of the study were to compare clinical, functional, and social factors…

The authors were asked to respond to the shortage of school psychologists from the perspective of the Division of School Psychology of the American Psychological Association and the American Psychological Association (APA), and also chose to address the larger issue of the shortage and lack of accessibility of mental health services for children…

This article presents an ethical analysis of the important issues surrounding the involuntary institutionalization of people who are homeless and mentally ill (HMI) in the United States. The legal, economic, and moral implications of state-sponsored involuntary institutionalization of people who are HMI are considered. An ethical decision-making…

There is a federal law passed recently by U.S. President Bush and Congress that requires school districts to develop wellness policies and have them in place by July 2006. The wellness mandate, which was included in the Child Nutrition Act of 2004, requires all school districts which are participating in federal school meal programs to develop a…

Tobacco smoking is responsible for approximately 434,000 deaths per year in the United States (Fact Sheet, 1993). College students represent a large portion of the smoking public. Roughly 70% of college students have tried smoking (Everett & Husten, 1999). There are various methods available to assist in smoking cessation, some being, nicotine…

The use of legal coercion to compel individuals to participate in mental health treatment is expanding despite a lack of empirical support for many of its forms. Policies supporting mandated treatment are made by legislators and judges, often based on perceptions of public concern. Using data from the MacArthur Mental Health Module contained in…