scholarly journals Stuck in Stage 3: The Case of an Effective Depression Intervention for African American Older Adults

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 318-318
Author(s):  
Laura Gitlin
Keyword(s):  
Stress Reduction ◽  
Behavioral Activation ◽  
Senior Center ◽  
Community Based ◽  
Symptom Recognition ◽  
Community Based Programs ◽  
Stage 4 ◽  
Clinically Significant ◽  
Depression Education ◽  
Depression Intervention

Abstract Beat the Blues (BTB) is a culturally tailored depression program for older African Americans. Tested in an NIA Stage 3 efficacy trial, findings showed statistically and clinically significant benefits, including decreased depressive symptoms, improved depression knowledge and symptom recognition, and behavioral activation. The multi-component intervention was co-constructed in partnership with a large senior center. Drawn from previously tested depression programs and tailored to preferences/needs of the targeted population, its five components included care management, depression education and symptom recognition, resources/referrals, and stress reduction and behavioral activation techniques. Despite significant findings, strong effect sizes and high acceptability, moving BTB to NIA Stage 4 (effectiveness) or 5 (dissemination) has been challenging. Challenges that will be discussed include lack of senior center funding to support training and delivery and infrastructure to embed BTB in community-based programs, and reluctance of health systems to adopt BTB because of its focus on one racial group.

scholarly journals Does the Arc of Science Bend Towards Impact? Four Decades of Empirical Research Published in JADD Since the DSM-III

2021 ◽  
Author(s):  
Peter Doehring
Keyword(s):  
Empirical Research ◽  
Research Funding ◽  
Basic Research ◽  
Intervention Research ◽  
Community Based ◽  
Community Impact ◽  
Population Impact ◽  
Community Based Programs ◽  
Over 40 Years ◽  
Over Time

AbstractThe present study explored the shift from understanding to intervention to population impact in the empirical research published in this journal at five points of time over 40 years since the release of DSM-III. Two-thirds of the more than 600 original studies identified involved basic research, a pattern that is consistent with previous analyses of research funding allocations and that did not change over time. One of every eight studies involved intervention research, which occurred in community-based programs only about one-quarter of the time. These gaps in intervention research and community impact did not improve over time. The findings underscore the need to broaden the training and experience of researchers, and to re-consider priorities for research funding and publication.

Analysis of GLBTQ Youth Community-Based Programs in the United States

2012 ◽  
Vol 59 (9) ◽  
pp. 1289-1306 ◽  
Author(s):  
Kenneth D. Allen ◽  
Phillip L. Hammack ◽  
Heather L. Himes
Keyword(s):  
United States ◽  
The United States ◽  
Community Based ◽  
Community Based Programs ◽  
Youth Community ◽  
Glbtq Youth

Moving the Needle: Cultivating Systemic Change in Juvenile Services

2021 ◽  
pp. 89-100
Author(s):  
Kellie Rhodes ◽  
Aisland Rhodes ◽  
Wayne Bear ◽  
Larry Brendtro
Keyword(s):  
Best Practices ◽  
Direct Care ◽  
Clinical Services ◽  
Juvenile Courts ◽  
Community Based ◽  
Complex Needs ◽  
Entry Level ◽  
Community Based Programs ◽  
The Us ◽  
National Partnership

Approximately 1.7 million delinquency cases are disposed in juvenile courts annually (Puzzanchera, Adams, & Sickmund, 2011). Of these youth, tens of thousands experience confinement in the US (Sawyer, 2019), while hundreds of thousands experience probation or are sentenced to community based programs (Harp, Muhlhausen, & Hockenberry, 2019). These youth are placed in the care of programs overseen by directors and clinicians. A survey of facility directors and clinicians from member agencies of the National Partnership for Juvenile Services (NPJS) Behavioral Health Clinical Services (BHCS) committee identified three primary concerns practitioners face in caring for these youth; 1) low resources to recruit and retain quality staff, 2) training that is often not a match for, and does not equip staff to effectively manage the complex needs of acute youth, and 3) the perspective of direct care as an unskilled entry-level position with limited impact on youth’s rehabilitation. This article seeks to address these issues and seeks to highlight potential best practices to re-solve for those obstacles within juvenile services.

A System of Services for the Mentally Retarded Offender

1975 ◽  
Vol 21 (1) ◽  
pp. 57-64 ◽  
Author(s):  
Frank J. Menolascino
Keyword(s):  
United States ◽  
Mentally Retarded ◽  
The United States ◽  
Young Offender ◽  
Community Based ◽  
New Approaches ◽  
Correctional Programs ◽  
Community Based Programs ◽  
Correctional System

Throughout the United States and Canada, community-based programs for the retarded are being expanded, as are alternative correctional programs for the young offender. But for the men tally retarded offender no such new approaches have been de vised ; he is still relegated to, and unwanted by, both the tradition al correctional system and the institutions for the retarded.

Utility of a Computerised Cognitive Screen in MCI and Depression in an Older Population

2010 ◽  
Vol 16 (1) ◽  
pp. 14-26 ◽  
Author(s):  
Rachell Kingsbury ◽  
Nancy A. Pachana ◽  
Michael Humphreys ◽  
Gerry Tehan ◽  
Gerard J.A. Byrne
Keyword(s):  
Older Adults ◽  
Cognitive Impairment ◽  
Mild Cognitive Impairment ◽  
Operating Characteristic ◽  
Memory Loss ◽  
Partial Support ◽  
Community Based ◽  
Symptoms Of Depression ◽  
Clinically Significant ◽  
Cognitive Screen

AbstractThe current study investigated the ability of CogniScreen to differentiate older adults with mild cognitive impairment (MCI) from those reporting symptoms of depression. Participants included 140 community-based adults (30 MCI, 15 self-rated depressed, and 95 typical older adults) aged 50–89 years. Intergroup comparisons performed using receiver operating characteristic (ROC) analyses suggest tasks within CogniScreen are sensitive to clinically significant memory loss. Data provided partial support for some CogniScreen tasks to also differentiate individuals with MCI from those who are depressed. Results suggest CogniScreen may be potentially useful in screening older adults for early cognitive decline.

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