Depression is increasingly recognized as a problem affecting adolescents as well as adults. Adolescents are underserved with regard to treatment facilities. One solution is the comprehensive health care clinic providing a holistic approach to assessment and intervention. Policy recommendations, which include a role for the school system, are made.…

Of the 2.5 million reported cases of child abuse and neglect reported in 1990, 9 percent involved emotional abuse. However, unclear guidelines on what constitutes emotional abuse make it difficult for school nurses to intervene over suspected abuse. This paper describes the development of an instrument that defines emotional maltreatment in…

Fourteen wilderness and adventure therapy programs in England, Scotland, the United States, and New Zealand were studied to explore critical issues of practice. In view of differences in terminology among countries, various terms and assumptions are defined at length: adventure therapy; wilderness therapy; wilderness-adventure therapy; the…

Internalizing symptoms, which include anxiety and depression, may be the most common pattern of psychopathology found in children. However, the knowledge base targeting internalizing symptomology in Native American children of the Southwest is surprisingly limited. This paper reports on a study of prevalence rates of internalizing disorders among…

This paper reports a comparative investigation identifying salient sociological variables associated with the perception of well-being by the U.S. metropolitan and nonmetropolitan populations. Subjective well-being in general and life satisfaction in particular were examined. Data used in this study were derived from the 1978 and 1988 General…

Under Oklahoma's new "in need of treatment" (INT) procedure, juvenile commitments have increased 10 times since 1983. About 8% of commitments are American Indian children. Generally, the mental health dilemma of Indian communities is characterized by multiple and interacting problems, acute symptoms masked by related problems such as…

Efforts to foster mental health care in society have always been hampered by the stigma attached to mental illness. To identify differential patterns of attitude hierarchies among people who live in or provide mental health services in a typical urban area, 54 adults participated in a Q methodology study of their attitudes toward mental illness.…

Six college health textbooks published between 1980 and 1987 were analyzed to determine the extent of coverage of 10 selected content areas from "Healthy People: The Surgeon General's Report on Health Promotion and Disease Prevention." Content areas assessed included: motor vehicle accidents, alcohol and drug misuse, teenage pregnancy,…

The Type A disease association may be obscured by the failure of epidemiological studies to take into account the person by situation nature of the Type A construct. Past research suggests that it is not coping with demand that is stressful for Type As, but rather the perception that the job or life event is less than completely controllable that…

This paper focuses on the mental health consequences of the disaster in Armero, Colombia which resulted from a volcanic eruption and mudslide, and highlights the role of the primary care worker in delivering mental health care to disaster victims. Eight characteristics of disasters that are closely related to their psychopathogenetic potential…

This paper presents an overview of the evolution of the Yale University Child Study Center's School Development Program (SDP) since its implementation in New Haven, Connecticut in 1968. The needs of inner city school children are discussed, and results of parent and staff surveys are presented. A critique of alternative school improvement…

Most studies investigating the decision to seek mental health care have focused on socio-demographic differences in health utilization behavior rather than psychological variables. To evaluate three psychological explanations of help-seeking behavior, i.e., the health belief model, the socio-cultural perspective, and an ego psychological approach,…

These symposium papers describe various aspects of the Camp Logan, South Carolina, program, a therapeutic summer residential program for children, ages 8-14, who have significant behavior problems. The philosophy and advantages of the therapeutic camping model are discussed, e.g., structure during the summer, controlled though informal…

Research relevant to planning and practice in the area of infant mental health is discussed in this paper. First, three examples of research approaches that reflect current attitudes are given. The first example represents those studies in which there is an effort to closely coordinate physiological and behavioral studies. The second example…

This Technical Committee Report provides an overview and historical sketch of research in aging and proposes a need for new knowledge. An examination of key issues notes the difficulty in assigning priority to research topics, and identifies emerging issues of public concern including: (1) physical health (alcohol and drugs, falls and accidents,…