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The Classroom Sensory Environment Assessment (CSEA) is a tool that provides a format for examining the sensory environment of a classroom and considering its impact on student behavior and performance. The purpose of the CSEA is to promote awareness of classroom sensory experiences for general elementary education teachers and to aide collaboration between occupational therapists and teachers. This qualitative study investigated the perceived usefulness of the CSEA for general educators and preservice teachers. The resultant themes included “the process led to greater awareness,” “driven to distraction,” and “the sights and sounds of a classroom.” The results support the potential use of the CSEA as a method of generating greater understanding for teachers regarding sensory processing and the sensory experiences present in their classrooms.
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A wheelchair basketball showcase was hosted at a state university in New England. Student surveys revealed that the event had a positive effect on students’ views of both individuals with disabilities and adapted sports. Using Allport’s (1954) contact theory as a lens, the author demonstrates how the event met the four positive features that Allport believed should be present in order to reduce negative feelings toward another group: (a) equal status between the groups, (b) common goals, (c) intergroup cooperation and (d) the support of authorities. This exploratory study argues that adapted sports can be an effective method to positively impact stereotypical views of people with disabilities.Subscribe to PALAESTRA
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The Affordable Care Act aims to increase affordable coverage, reduce overall costs, and improve health outcomes. To achieve these aims, new knowledge and skills must be built within the existing workforce. The purpose of this article is to examine the behavioral and organizational changes brought about by an educational program that aimed to retool the healthcare workforce for the implementation of integrated primary and behavioral healthcare models, with an added emphasis on prevention. Sixty-three participants of an Advanced Certificate Program completed 1 or more evidence-informed learning modules centered on integrated primary and behavioral health care. The vast majority of students who completed each of the 5 modules of the program reported acquiring new knowledge and skills. Student satisfaction of the program met or exceeded overall expectations. In addition, program participation has resulted in not only students’ intentions to change workplace practices but also actual implementation of workplace changes related to integrated care models. The Advanced Certificate Program appears to be a promising platform for service providers to align their knowledge and skills with the premises of current healthcare reform. © 2018, © 2018 Taylor & Francis.
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The purpose of this commentary was to describe the barriers and facilitators to mental health screening efforts for children between age 5 and 18 years within three primary care clinics in poverty-impacted communities as part of an integrated care model. Three screeners, two women and one male, participated in a screening effort between September and December 2015. Screeners were interviewed about their perceptions of barriers and facilitators to screening. Organizational, family, and screener-level factors were found to influence delivery of screenings to children. Given the benefits of screening in primary care settings, identifying barriers to these initiatives and ways to address them pre-emptively could potentially alter the developmental trajectory and outcomes of children at risk for serious mental health conditions. © 2018, © 2018 Taylor & Francis.
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Disproportionately high rates of caregiver stress and depression are found among poverty-impacted communities, with high levels of caregiver stress and depression putting youth at heightened risk for the onset and perpetuation of disruptive behavior disorders. The purpose of this study was to examine the effects of a behavioral parent training program called the 4Rs and 2Ss for Strengthening Families Program (4R2S) on caregiver stress and depressive symptoms among 320 youth aged 7 to 11 and their families assigned to either the 4R2S or services as usual (SAU) condition. Among caregivers with clinically significant (CS) scores at baseline, 4R2S participants manifested significantly reduced scores on the stress and depressive symptom scores to SAU participants at 6-month follow-up. Findings suggest that 4R2S may reduce caregiver stress and depressive symptoms among those caregivers initially manifesting CS levels of stress or depressive symptoms.
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