Exploring coaching and follow-up supports in community-implemented caregiver-mediated JASPER intervention

Although a growing number of caregiver-mediated intervention models for families with children with autism are being examined in efficacy trials, few have been transferred to community implementation. Furthermore, little testing has explored implementation strategies to support caregivers’ strategy use with their children. In partnership with a publicly funded intervention agency in Canada, this pilot project explored intervention implementation strategies and follow-up supports. Dyads were randomized at entry to coaching or observe then add coaching and at intervention exit to individual or group follow-up booster. The caregiver-mediated Joint Attention, Symbolic Play, Engagement and Regulation intervention was provided by agency staff to a diverse community sample of families with young children awaiting or diagnosed with autism spectrum disorder. Independent agency staff delivered assessments and recorded a caregiver–child interaction. Blinded raters scored children’s initiations of joint attention, play actions, joint engagement, and caregivers’ strategy implementation. Practitioners implemented the intervention and coaching strategies well ( M = 83%). Overall, caregivers made significant gains in strategy use and children showed significant growth in joint engagement, play diversity, and joint attention across conditions through public caregiver-mediated intervention services. Caregivers’ strategy use supported gains in children’s joint engagement. Lay abstract The next step for communication interventions for young children with autism include coaching/teaching for caregivers that have been tested in university clinics and testing these interventions in real world systems with early intervention providers who serve children and families in their communities. However, there are few projects that have tested how well the intervention can be transferred to community providers and what types of progress children and caregivers make in these services. This project took place in partnership with a community early intervention agency in the province of Ontario, Canada. The agency provided government-funded public health services. The agency was funded to take part in a pilot program to try out one of four early intervention models that included coaching for caregivers and was designed to support children’s social engagement, play, and communication skills. The team decided to test two ways to start the intervention: (a) begin with observation of the practitioner for 4 weeks and then start coached practice with the child and (b) start coaching immediately. The team also tested two ways to support families for 3 months after intervention: (a) group booster sessions and (b) individual visits. The practitioners delivered the intervention well ( M = 83%), and overall, caregivers and children made significant gains by the end of intervention in both observation + coaching and coaching. Attendance for follow-up boosters was variable with fewer families attending groups. More research is needed to test different strategies and roles to individualize interventions for caregivers with a range of goals and learning styles.

Diagnosis and Treatment Rules of Chronic Kidney Disease and Nursing Intervention Models of Related Mental Diseases Using Electronic Medical Records and Data Mining

Objective. On the basis of electronic medical records, the data mining technology was adopted to explore the law of chronic kidney disease (CKD) and the intervention mode of mental health of patients. Methods. Based on the electronic medical records, the corresponding data extraction, database establishment, and data cleaning of CKD were performed. After that, the related data analysis, frequency analysis, cluster analysis, and nonparametric analysis were used to explore the laws of CKD diagnosis and treatment and nursing intervention mode of mental illness. The most common causes of CKD were chronic glomerulonephritis (43.76%), aristolochic acid nephritis (16.34%), diabetic nephritis (12.87%), and hypertensive nephritis (11.58%). The major treatment method for end-stage patients was alternative therapies, accounting for 46%. Compared with the depression score before intervention, that of the patients after the mindfulness therapy (50.99 ± 9.77 vs. 47.01 ± 9.33, P = 0.024 < 0.5 ) and target behaviour nursing intervention (52.21 ± 8.12 vs. 48.01 ± 9.33, P = 0.032 < 0.05 ) was obviously decreased. Conclusion. The data mining technology based on electronic records showed a good application prospect in the analysis of the diagnosis and treatment of CKD; and target behaviour nursing and mindfulness intervention were effective psychological intervention models.

Dealing with stress and intervention models in families with children with autism spectrum disorder

Many academics working in the field of education have written about children with autism spectrum disorder (ASD) and its variant, specifically Asperger’s Syndrome. This research aims to analyze and assess the studies and psycho-pedagogical actions developed to understand the actual experience of the families around the stress derived from the presence of a child with ASD. To this end, the strategies used by the families to deal with this situation should be assessed. This paper presents a systematic review based on an exhaustive search in key databases involving a total of 16 updated studies, published between 2010 and 2020, and a selection process that looked at results from five perspectives: causes of stress, strategies used by fathers, mothers, and siblings to manage the stress, more frequent intervention models, and the importance of the family–school relationship in coping with the reality and needs of these children.

Models of crisis intervention in the context of the COVID-19 pandemic

On the basis of the analysis of foreign theories the basic and extended theory of crisis is described. The crisis is perceived by man as unbearable difficulties that deplete the resources of endurance and disrupt the mechanisms of overcoming difficulties. The basic theory of crisis postulates emergency psychological assistance to help a person in crisis in terms of awareness and treatment of affective, behavioral and cognitive disorders. The extended theory of crisis emphasizes the occurrence of pathological symptoms in each person with the right combination of developmental factors, social, psychological, and situational factors. The following models of crisis intervention are given: he model of balance / imbalance; the cognitive model; the model of psychosocial transformation; the model of ecological development. There are revealed crisis intervention models, which combine the following tasks: focusing on stabilizing the symptoms of distress, alleviating symptoms, restoring the adaptive stage of functioning and facilitating access to further support for the victim. Keywords:crisis intervention, crisis interventions, crisis theory, short-term crisis therapy, crisis intervention models

Exploring the Use of Hip Hop-Based Music Therapy to Address Trauma in Asylum Seeker and Unaccompanied Minor Migrant Youth

There are numerous young asylum seekers and unaccompanied migrant minors around the globe. A comprehensive literature review revealed that post traumatic stress disorder (PTSD) is the most common disorder that affects the asylum seeker youth and migrant minor populations. Many of these individuals struggle with PTSD and show resilience in their daily lives while also learning, discovering, and surviving. Accordingly, therapeutic interventions directed to them must be trauma-informed, phased, engaging, empowering, and impactful to support the needs of these young people. A seven-month-long music therapy intervention experience that was applied to young asylum seekers in Spain, and found that the most effective intervention tools were Hip Hop Therapy-related interventions. This study resulted in a new intervention model, The Integral Hip Hop Methodology. This paper highlights the importance that intervention models be engaging and considerate to the necessities and preferences of the addressed population and presents The Integral Hip Hop Methodology as an example.

Counselor-Perceived Teacher Actions Needed to Carry out Educational and Vocational Guidance in Secondary Schools in Spain

After analyzing the scientific literature referring to guiding actions developed in secondary education, there is an appreciable lack of research on process efficiency performed by teachers. This study explores the practice of tutoring, which in Spain is coordinated by counselors but the responsibility of teachers. An ad hoc semistructured questionnaire was designed, validated and applied within the framework of a collaboration agreement between professional institutions of counselors and researchers. The questionnaire was answered by 102 counselors who are heads of guidance departments because the insight of counseling experts was desired. The quantitative and qualitative data analyses indicated correlations between the profile of the counselors and the performance of tutoring, described the content and predominant intervention models and identified needs for improvement. A much more intensive and direct intervention by counselors is necessary in a system in which teachers are not trained enough and time dedicated to tutorial action is deficient. Notably, counselors coordinate and supervise tutoring, but they feel overwhelmed by the lack of concrete norms and their workload.

The Development of an Early Intervention for Supporting Families of Persons With Acquired Brain Injuries: The SAFIR© Intervention

Families of persons with acquired brain injuries need to be supported from the early phase of hospitalization. To date, no known early family intervention is available for this population. Using the Medical Research Council Framework, we developed a new intervention based on the Calgary Assessment and Intervention Models that includes the family preferences, clinician’s expertise, and the contextual resources. This paper aims to describe the complete development process including a scoping review, an assessment of families and clinicians’ needs, an evaluation of the contextual resources, and an adaptation of the theoretical framework. Using a systemic perspective, we tailored the new intervention to involve the stakeholder’s preferences. The result is an early family intervention named SAFIR©, led by a clinical nurse specialist, including five core components and structured around three phases and a follow-up. The next steps will be focused on assessment of the clinical feasibility of this new intervention.

The Use of Digital Technologies to Support Vaccination Programmes in Europe: State of the Art and Best Practices from Experts’ Interviews

Digitalisation offers great potential to improve vaccine uptake, supporting the need for effective life-course immunisation services. We conducted semi-structured in-depth interviews with public health experts from 10 Western European countries (Germany, Greece, Italy, Luxembourg, Malta, the Netherlands, Norway, Poland, Portugal, and the United Kingdom) to assess the current level of digitalisation in immunisation programmes and retrieve data on interventions and best practices. Interviews were performed using an ad hoc questionnaire, piloted on a sample of national experts. We report a mixed level of digital technologies deployment within vaccination services across Europe: Some countries are currently developing eHealth strategies, while others have already put in place robust programmes. Institutional websites, educational videos, and electronic immunisation records are the most frequently adopted digital tools. Webinars and dashboards represent valuable resources to train and support healthcare professionals in immunisation services organisation. Text messages, email-based communication, and smartphone apps use is scattered across Europe. The main reported barrier to the implementation of digital-based programmes is the lack of resources and shared standards. Our study offers a comprehensive picture of the European context and shows the need for robust collaboration between states and international institutions to share best practices and inform the planning of digital intervention models with the aim of countering vaccine hesitancy and increasing vaccine uptake.

Tackling Drug-Lords in a Nascent Market: Raids and Drug Crime in Uruguay

This article analyzes the effects of police raids for different types of crime in the most conflictive neighborhoods of Montevideo, Uruguay. Interrupted time-series and intervention models are estimated using different specifications of geographical area where the crackdowns occurred and also different control strategies to produce robust results. The effect of crackdowns on crime reporting is mixed; evidence suggesting crackdowns may produce short- and long-term effects on crime depending on their ability to affect gangs’ competition for the territory and the market. It appears that the effects of raids are sensitive to the context of the criminal situation. Crackdowns are not consistently effective in influencing crime. Evidence shows it is hard to reach levels of critical enforcement through 1-day crackdowns and that crackdowns’ ability to alter drug-market conditions would depend not only on the ability to extract drug dealers from the territory but also in preventing a rapid return.