No abstract

This article critically examines and integrates previous research in cross‐cultural and cross‐linguistic assessment. Issues that apply to the assessment of Latinos who speak both Spanish and English are examined. For ease of presentation, testing concerns with this population are divided into 3 broad areas: client issues, test issues, and clinician/assessor issues. Recommendations are made to assist in the provision of cross‐culturally and cross‐linguistically valid testing of Spanish‐English bilingual Latinos.

Empirically supported treatments (EST) hold much promise in relieving psychological distress and dysfunction. However, various obstacles to effective training and clinical practice have truncated dissemination efforts. One such obstacle is the perceived applicability of EST procedures to raw world clinical practice. This article proposes a rubric for supervision that emphasizes case conceptualization, the use of immediacy in session, tolerating negative affect, harvesting open attitudes, cultural responsiveness, and technical proficiency. Several specific training strategies and supervisory processes are recommended.

Mothers rated the frequency of suicide ideation and attempts in 925 children and adolescents with ADHD (3-16 years). Ideation and attempts were more than twice as common in ADHD-Combined type than in ADHDInattentive type. Ideation occurred in 19 % with ADHD-C and in 7 % with ADHD-I. Percentages for attempts were 7 % and 3 %. For children and adolescents with co-occurring sadness and oppositional defiant disorder (ODD), 46 % had ideation and 21 % had attempts (vs. 6 and 2 % for ADHD alone). For those with ideation, 78 % had ODD or sadness. For those with attempts, 84 % had ODD or sadness. Maternal ratings of aggressive, explosive, sad, and moody were significant independent predictors of suicide behavior for ADHD-C, and sad and moody were predictors for ADHD-I. All children and adolescents with ADHD should be screened for suicide ideation and attempts, and co-occurring ODD and sadness should be treated to prevent suicide behavior.