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Linking Kids with Trauma to Evidence-Based Treatment: Implementation of a Centralized Referral System at the Child Trauma Training Center at the University of Massachusetts Medical SchoolAt a time when the general standard of child welfare and mental health provision has been improving, some important groups in Massachusetts remain under-served. One such is children suffering from trauma. Despite various state-wide efforts to educate professionals about the evidence-based treatments available, trauma sufferers have typically faced long waits to receive these treatments, with average waiting times at some larger mental health agencies stretching to four or even six months. In this brief, we are presenting the implementation of a highly innovative Centralized Referral System – LINK-KID – developed at the Child Trauma Training Center (CTTC) at the University of Massachusetts Medical School. LINK-KID referral system connects children in need of evidence-based trauma treatment with mental health providers who have been trained in these treatments.
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Mental Health Screening and Assessment in Juvenile JusticeSummary: A complete, authoritative guide for professionals charged with identifying the mental health needs of juveniles in the justice system, this volume offers a practical primer on screening and assessment together with in-depth reviews of over 20 widely used instruments. The book describes how to put screening and assessment programs into place in juvenile justice settings in order to determine whether youth require specialized mental health treatment services, evaluate violence risks, develop more effective rehabilitation plans, and address specific forensic questions. Chapters on specific instruments--many of which are written by the test developers themselves--follow a consistent format for ease of reference and comparison. Coverage encompasses the psychometric properties of each measure, its recommended applications, and administration and scoring procedures, including an illustrative case example.
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Diminished autonomy over tobacco can appear with the first cigarettesIndividuals have lost full autonomy over their smoking when quitting becomes unpleasant or difficult. We examined autonomy in relation to smoking frequency and lifetime cigarette use. A self-administered questionnaire was completed by three convenience samples of Year 10 students (ages 14-15) in New Zealand between 2002 and 2004 (n=96,156). The Hooked On Nicotine Checklist was used to measure diminished autonomy. Diminished autonomy was reported by 46% of subjects who smoked less often than monthly and by 25%-30% of current smokers who had smoked only one cigarette in total. The prevalence of diminished autonomy increased with increasing frequency of current use and with increasing lifetime use. Symptoms developed earlier among girls than boys. The data confirm previous reports that diminished autonomy appears soon after the onset of intermittent tobacco use and extends this literature by providing the first description of how diminished autonomy develops in relation to the total number of cigarettes smoked. These data suggest that smoking one cigarette in total can prompt a loss of autonomy.
