Follow-up rates for babies identified for hearing loss from early hearing detection and intervention programs (EHDIPs) and newborn hearing screening programs (NHSPs) in the United States do not meet the goals posited by the Centers for Disease Control. Pediatric otolaryngologists (PED-ENTs) play a vital role in EHDIPs and can positively influence parents' compliance with professionals' recommendations for their babies. This national study used a 19-item questionnaire and postal survey to assess PED-ENTs' knowledge about, experience with, and attitudes toward NHSPs. Of 565 surveys mailed (36 were undeliverable), 233 were returned for a 44% response rate. Most of these PED-ENTs had adequate knowledge about, participated in, and expressed positive attitudes toward NHSPs; however, some could benefit from additional information about national EHDI benchmarks and poor follow-up rates. Audiologists should ally with PED-ENTs locally and nationally to strengthen EHDIPs and prevent loss of children with hearing impairment to follow-up.

The survey method was effective in identifying participating physicians' informational needs and attitudes toward UNHSPs, and in designing outreach programs for them.

Dialectical behavior therapy (DBT) has been shown effective for the treatment of borderline personality disorder (BPD) and other high-risk, suicidal, and diagnostically complex populations. However, little has been written about how to train therapists in DBT's highly structured framework of target hierarchies, behavioral chain analyses, and stylistic strategies. This case study illustrates the utility of a live supervision method known as "bug-in-the-eye" (BITE) in training a novice DBT therapist. "Willow," a 35-year-old Hispanic female with BPD, engaged in 6 months of comprehensive DBT that included 25 individual therapy sessions. BITE supervision was implemented in Sessions 12 through 17. Therapist adherence to DBT was assessed from Sessions 8 to 21. Client and therapist satisfaction with BITE was assessed after Session 21. Results indicate that therapist adherence to DBT increased following the implementation of BITE supervision. In addition, both therapist and client found BITE supervision to be acceptable and minimally intrusive, with the therapist reporting increased confidence in delivering DBT. Furthermore, results indicate that DBT was effective in reducing Willow's suicidal ideation and self-harm urges, decreasing her feelings and displays of intense fear and jealousy, and increasing her independence. Recommendations for implementing live supervision into DBT training settings are provided.Keywords dialectical behavior therapy (DBT), borderline personality disorder (BPD), supervision, training Theoretical and Research Basis for Treatment Dialectical Behavior Therapy (DBT)DBT has gained significant empirical support in randomized controlled trials in the treatment of severe and complex patient populations. DBT was originally developed by Marsha Linehan to treat women with suicidal behaviors and borderline personality disorder (BPD). Since then, DBT has been found to be effective in reducing suicidal and self-harming behaviors, decreasing

Despite the growing interest in performance measurement and evaluation of international NGOs (INGOs), little is known about actual INGO evaluation practices. The present article, based on a survey of 38 US INGOs, examines the process of evaluation practice, as well as the purposes and dissemination of the results. The findings on evaluation purpose, dissemination of results, and formal feedback mechanisms suggest that INGOs typically develop stronger formal accountability measures for donors and staff-members than for beneficiaries. The findings also indicate that many INGOs consider evaluation as an opportunity for organisational learning and for improving their performance. Many of the difficulties identified by respondents in conducting evaluations are consistent with previous literature. Les pratiques d'évaluation des ONG internationales des É tats-UnisMalgré l'intérêt croissant que suscitent la mesure et l'évaluation des performances des ONG internationales (ONGI), on ne sait pas grand-chose sur les pratiques d'évaluation véritable-ment employées par les ONGI. Le présent article, fondé sur une enquête menée parmi 38 ONGI des É tats-Unis, examine le processus de l'évaluation en pratique, ainsi que les finalités et la diffusion des résultats. Les observations concernant la finalité de l'évaluation, la diffusion des résultats et les mécanismes formels de retour d'information suggèrent que les ONGI mettent généralement au point des mesures formelles de redevabilité plus robustes pour les bailleurs de fonds et les membres du personnel que pour les bénéficiaires. Les résultats indiquent par ailleurs que de nombreuses ONGI estiment que l'évaluation est une occasion d'apprentissage organisationnel et d'amélioration de leurs performances. Nombre des difficultés identifiées par les personnes interrogées au moment de mener les évaluations sont conformes aux documents précédents sur ce thème. As práticas de avaliação das ONGs internacionais dos EUAApesar do interesse cada vez maior na mensuração de desempenho e avaliação de ONGs internacionais (ONGIs), pouco se sabe sobre as práticas efetivas de avaliação das ONGIs. O presente artigo, baseado em uma pesquisa com 38 ONGIs dos EUA, examina as práticas de avaliação e também os propósitos e disseminação dos resultados. Os resultados referentes aos objetivos da avaliação, disseminação dos resultados e mecanismos formais de feedback sugerem que tipicamente as ONGIs desenvolvem medidas formais de prestação de contas mais efetivas para os doadores e funcionários do que para os beneficiários. Os resultados da pesquisa também indicam que muitas ONGIs consideram a avaliação uma oportunidade de aprendizado organizacional e de melhoria de seu desempenho. Muitas das dificuldades identificadas pelas pessoas consultadas na condução das avaliações são consistentes com a literatura existente. Los métodos de evaluación de las ONG internacionales de EEUUA pesar del creciente interés en la medición del rendimiento y en la evaluación de las ONG internacionales (ONGI), poco se sabe sobre las ...

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