This study evaluated the mental health consequences of abuse among Jordanian women and tested the effectiveness of using cognitive behavioral interventions to change the level of depression and level of stress among Jordanian women experiencing intimate partner abuse (IPA). A mixed methods design using phenomenology and quasi-experimental research data collection and analysis was implemented. The most commonly reported form of abuse was psychological abuse. Prior to cognitive behavioral intervention, participants demonstrated moderate to severe levels of depression, low levels of perceived social support, moderate to high levels of self-efficacy, and used approach coping skills more frequently than avoidance coping. Cognitive behavioral interventions resulted in decreased depression (p = .003) and decreased stress levels, although this finding did not reach significance (p > .05). Cognitive behavioral interventions are effective interventions when working with women experiencing IPA.

BACKGROUND. This study was built on previous work (Farrell, 1992) that explored the sense of healing in women who encountered abuse. Relationship, one of the main themes of the study, was defined as the integration of all aspects of the self and a sense of connectedness between self and others. A sense of relationship was a central aspect in the healing of women who participated in the study. The relational model used as part of the conceptual framework for the study describes bow a woman's sense of self develops because of the relationships that occur within her life. OBJECTIVES: The purpose of the study was to explore the sense of relationship in women who encountered abuse. STUDY DESIGN: A phenomenologic approach was used. This method involves description, reduction, essences, and intentionality. Seventeen women who responded to notices in local newspapers agreed to complete the study. The data collection methods used in the study included in-depth interviewsfield notes, and demographic data sheets. RESULTS: The results of the study provided an understanding of the relational sense of self in women who encounter abuse. Four major themes evolvedfrom the study: lack of relational authenticity. immobility, emptiness, and disconnection. CONCLUSIONS: As a result of the study, more appropriate interventions directed to ward relational development can be actualized for women who encounter abuse.

The article reviews gestational diabetes mellitus, including etiology, diagnostic and screening criteria, risk factors, and care of the affected woman. Gestational diabetes mellitus affects approximately 7% of all pregnant women, resulting in more than 200,000 cases each year, and is defined as glucose intolerance that begins or is first recognized during pregnancy. Women are considered at high risk for gestational diabetes if they are markedly obese, have a personal history of gestational diabetes, have a strong family history of diabetes, or have glycosuria. Risk assessment is essential in determining whether a woman should be screened or tested for gestational diabetes. Women who have had gestational diabetes should have comprehensive preconception care prior to a subsequent pregnancy to ascertain appropriate weight, nutrition, exercise, and signs of gestational diabetes.

Topic: A crisis exists regarding the number of children and adolescents who require psychiatric/mental health treatment. According to the 2018−2019 National Survey of Children's Health, 24.4% of children, age 3−17 years, experienced one or more reported mental, emotional, developmental, or behavioral (MEDB) problems. Purpose: Transitioning from child/adolescent mental health services (CAMHS) to adult mental health services (AMHS) requires a model of care that includes flexible policies and treatment options to accommodate individual developmental needs. Comprehensive and integrated psychiatric/mental health services are needed to improve the well-being of children and adolescents. Conclusions: The Steps to Care Model (STCM) provides a transition plan for adolescents into adult psychiatric/mental health services. The STCM consists of six overlapping segments: development of social and human capital, strategies for the promotion of mental health awareness and care, a shared electronic information system, comprehensive mental health care services in community-based settings, implementing education for all providers, and planned transitional services for youth. K E Y W O R D S adolescents, mental health services, transitional care 1 | TOPIC A crisis exists regarding the number of children and adolescents who require psychiatric/mental health services (Center for Disease Control &

Parental bereavement is often considered one of the most harrowing life experiences. Yet, little is known about losing an adult child in older age. In this qualitative, descriptive study, nine interviews lasting 45 to 120 minutes were conducted with parents who were 65 years or older at the time of their adult child's death. All interviews were transcribed verbatim and analyzed by two researchers independently. Four main themes were identified: disbelief, injustice, uncertainty, and readjustment. The themes were then compared and contrasted with the extant literature to support validity of the findings. The results have implications for future research and practice.