The expanding population of older women relative to older men or the "feminization of aging" is a significant demographic trend with important implications for the future. Older women are at risk for extended years of widowhood, living alone, institutionalization, poverty, and mental health problems. Although the dementias of late life appear to…

This paper reviews and comments on the ways that thought and feeling, cognition and affect, have been balanced in early childhood education at various periods in the last half century. The relationship between educators and psychologists is discussed, and a closer collaboration of the two encouraged. The cognitive-affective interaction view is…

The 1908 publication of "A Mind That Found Itself" by Clifford Beers initiated the mental hygiene movement and a concern for the prevention of mental disorders. Primary prevention movements of the early 1900's recognized the need to deinstitutionalize mental health by bringing services and intervention to the community, recognized the influences…

This paper outlines a family systems model for treating incestuous families and discusses strategies for working effectively with families who remain intact after disclosure or who attempt to reunite after a separation. This systems model suggests that incest results not from intrapsychic problems of the victim or the offender, but from a pattern…

This paper discusses the extent, distribution, and consequences of socially isolated mothers. First, the author considers what are likely to be the negative effects of isolation on both the emotional and physical health of mothers, and the resulting implications of these effects for the primary prevention of a wide range of emotional and physical…

The historical evolution of NIMH manpower and training policy is set forth as the framework for examining recent changes in the psychology education programs of the Institute. The new and exclusive emphasis on priority-focused training as a basic condition for NIMH support in the future is described with special reference to training in the child…

This paper provides counselors and social service case workers serving Indochinese refugees in northern California with guidelines for identifying, treating and making referrals of clients with emotional problems. Freud's theory of trauma neurosis and its effect on refugees' language acquisition, learning ability and job readiness are described.…

This paper presents the Realizing Opportunities for Self Exploration (ROSE) program for noninstitutionalized older adults and older adults in nursing home settings. The ROSE program is described in detail, including: (1) use of creative excercise and body movements; (2) stress reduction practices such as meditation; (3) self-awareness, social…

The paper reviews problems encountered by communities serving urban Blacks with serious emotional and behavioral disorders and discusses approaches used in Southside Chicago. Demographic factors affecting provision of service for Black students are detailed. The Illinois Department of Mental Health and Developmental Disabilities has provided funds…

This report of a panel discussion focuses on the design, rationale, and evaluation of the Adolescent Crisis Unit for Treatment and Evaluation (ACUTE), a program of crisis intervention for young adolescents. An overview of the structure of ACUTE's clinical program describes the efficiency of the program in seeing referrals at the time of crisis,…

Accountability has become a concern for public mental health programs, including the Hawaii State Mental Health Division which relies on the Multi-State Information System (MSIS) for program planning and evaluation. Accuracy in reporting and agreement in clinical judgment on the MSIS has been assumed but never tested until an analogue study was…

Current modes of implementing evaluation and accountability procedures can be examined with respect to their implications for the three aspects of the community psychology approach and the delivery of community mental health services: indirect services (consultation, community education, and prevention), supervision and training of caregivers, and…

One of the major problems in measuring community mental health status is the lack of consensus among mental health workers in psychiatry, psychology, sociology, and epidemiology as to what constitutes mental illness. Additionally, changing social mores preclude a definition of mental illness in behavioral terms. An operational definition of mental…

This paper concerns the potential uses of management information systems (MIS) for clinical, administrative, research, and program evaluation applications in mental health settings. The process of developing and implementing a computer-assisted medical record in a community mental health center (CMHC) is described. Principles which facilitated…

The optional functioning of the family unit is dependent on the health and happiness of each family member. When the wife is professionally trained and yet feels "trapped" by the presence of children in the home with no available transportation, baby-sitting, or part-time employment options, the family unit can suffer or the wife suffers. The…