These results, in combination with previous studies, add support to the effectiveness of CBT intervention in reducing the sensory aspects of RAP. Results are discussed with respect to the cost-benefit of integrated medical and short-term psychological services.

Recommendations for the use of, and the further refinement of, these suggested competencies are discussed.

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The attentional and behavioral functioning of children diagnosed as hyperactive (ADHD), learning-disabled (LD), and hyperactive/learning-disabled were compared, using standardized behavior rating scales across raters and settings, and results from a battery of standardized neuropsychological tests. The ADHD and LD groups were "pure" samples with respect to comorbidity. Multiple discriminant-function analyses on the behavioral and neuropsychological data showed that one variate made clear-cut discriminations among and between each of the three groups. The constructs self-regulation, task accuracy/planning/speed, and aggression differentiated the three groups, while sustained attention did not. The results lend strong support to the validity of ADHD as a diagnostic entity apart from LD, and suggest that poor self-regulation and inhibition of behavior may be the hallmark of ADHD.

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With the advent of electronic medical records (EMR), pediatric psychologists working in medical centers must address how confidentiality of behavioral health records will be defined and integrated into the larger EMR. Pediatric psychologists at four children's hospitals share their decision-making and outcomes as their home institutions transitioned to an EMR. All four formed committees of relevant stakeholders and legal advisors to define the legal and ethical issues and all four had mechanisms to communicate provider concerns to and share committee opinions with providers. Two of the four required patients to give consent for behavioral health records to be integrated into the larger EMR, one integrated behavioral health records completely without required specific consent, and the fourth differentiated integration based on the type of service provided, with those focused primarily on physical health concerns fully integrated and those focused on behavioral health limited access to only behavioral health providers. The EMR at each institution allowed psychologists discretion to keep individual notes or portions of notes at a heightened level of confidentiality even when integrated. At all four institutions, medical colleagues valued having the behavioral health records fully integrated within the EMR, both the psychologists and their medical colleagues appreciate the improved communication with an integrated EMR (whether by consent or default), and the broader confidentiality protections of each institution has ensured that records are not accessed by those not involved in a patient's care. Most important, families appear to appreciate the benefits of an integrated EMR.

This review tests the conventional wisdom that U.S. marketing orders act as profit‐maximizing cartels. It analyzes the marketing order for U.S. almonds in both the domestic and export markets. Such a case study is relevant to all U.S. marketing orders because the size and scope of the U.S. almond industry and the authority granted to a board of producers by the almond marketing order would seem to be conducive to profit‐maximizing cartel behavior. Nevertheless, the authors find that the market power exerted by the Almond Board of California is significantly less than would be expected from a profit‐maximizing cartel. [EconLit citations: L120, L430]. © 2004 Wiley Periodicals, Inc. Agribusiness 20: 1–15, 2004.

No abstract