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Biomedical subjects

J B Mordock

Publications and source records attributed to J B Mordock.

18 recordsLinked to original sources

Some risk factors in the psychotherapy of children and families: well-established techniques that can put some clients at risk.

Based on the experience of a sample of professionals who completed a brief questionnaire, on the author's own clinical experience, and on a literature review cases are presented where selected therapeutic practices in child mental health produced negative outcomes and, therefore, place some clients at risk. These practices are: empathy, efforts to restructure the family, efforts to change disciplinary practices, and structuring for disclosure. In addition, while not a process variable, client perceptions of therapy can exacerbate problems. Clinicians can use these findings to enhance their consent to treat interactions with clients.

Adolescent↗

The Fort Bragg continuum of care Demonstration Project: the population served was unique and the outcomes are questionable.

Examination of the evaluation sample and the outcome data from the Fort Bragg Demonstration Project suggests that the children served were mildly disturbed, were atypical of those served in most public mental health clinics, spent less than optimal time in the new services developed, and were judged as making considerable progress with minimal treatment regardless of age or level of judged psychopathology. The use of normative outcome measures in a pre-post design was considered a major reason for failure to find any significant differences between differently treated children.

Child↗

Funding children's mental health services in an underfunded climate: collaborative efforts.

In New York State and elsewhere, the lack of outpatient services results in inappropriate psychiatric hospitalization of children. Funding for specialized mental health services for children is not federally or state-mandated and county-levied dollars often are required to generate a state match. In New York State, counties relying exclusively on traditional sources of mental hygiene funding are unlikely to develop a variety of quality programs for children. This article discusses in detail how interagency collaboration developed in Dutchess County, New York resulted in procurement of funds that financed an array of children's outpatient mental health services to county residents.

Child↗

Outcome assessment: suggestions for agency practice.

Managed care proponents emphasize outcome research to determine the cost-effectiveness of interventions, suggesting the use of multimeasurement procedures that will assess both specific and general effects of interventions. Although most agencies can perform outcome assessment and outcome management, they have difficulty conducting meaningful outcome research. This articles provides an introduction to outcome research; discusses the concepts of statistical significance, effect size, and the meaningfulness of effects; and emphasizes the need for client value-based judgments regarding the effectiveness of interventions. To encourage agencies to use client-completed outcome assessment procedures, the steps needs to effectively do so are outlined.

Child↗