Children with autism spectrum disorder (ASD) experience internalizing and externalizing problems at higher rates than typically developing children, which could worsen social impairment. The present study compared impairment scores (social responsiveness scale, 2nd edition; SRS-2 scores) in 57 children (3-17 years, 82.5% male) with ASD, either with or without heightened levels of anxiety or ADHD symptoms, all per parent report. Children with heightened anxiety problems showed higher scores on four SRS-2 subscales (Social Cognition, Social Communication, Social Motivation, and Restricted Interests and Repetitive Behavior). Children with heightened ADHD traits showed higher scores on two subscales (Social Communication and Social Awareness). These findings suggest similarities and differences in how social deficits in ASD may worsen with anxiety or ADHD symptoms.
BackgroundAround 25% of prisoners meet diagnostic criteria for attention-deficit/hyperactivity disorder (ADHD). Because ADHD is associated with increased recidivism and other functional and behavioural problems, appropriate diagnosis and treatment can be a critical intervention to improve outcomes. While ADHD is a treatable condition, best managed by a combination of medication and psychological treatments, among individuals in the criminal justice system ADHD remains both mis- and under-diagnosed and consequently inadequately treated. We aimed to identify barriers within the prison system that prevent appropriate intervention, and provide a practical approach to identify and treat incarcerated offenders with ADHD.MethodsThe United Kingdom ADHD Partnership hosted a consensus meeting to discuss practical interventions for youth (< 18 years) and adult (≥18 years) offenders with ADHD. Experts at the meeting addressed prisoners’ needs for effective identification, treatment, and multiagency liaison, and considered the requirement of different approaches based on age or gender.ResultsThe authors developed a consensus statement that offers practical advice to anyone working with prison populations. We identified specific barriers within the prison and criminal justice system such as the lack of adequate: staff and offender awareness of ADHD symptoms and treatments; trained mental health staff; use of appropriate screening and diagnostic tools; appropriate multimodal interventions; care management; supportive services; multiagency liaison; and preparation for prison release. Through discussion, a consensus was reached regarding prisoners’ needs, effective identification, treatment and multiagency liaison and considered how this may differ for age and gender.ConclusionsThis practical approach based upon expert consensus will inform effective identification and treatment of offenders with ADHD. Appropriate intervention is expected to have a positive impact on the offender and society and lead to increased productivity, decreased resource utilization, and most importantly reduced rates of re-offending. Research is still needed, however, to identify optimal clinical operating models and to monitor their implementation and measure their success. Furthermore, government support will likely be required to effect change in criminal justice and mental health service policies.Electronic supplementary materialThe online version of this article (10.1186/s12888-018-1858-9) contains supplementary material, which is available to authorized users.
Both child temperament and parenting have been extensively researched as predictors of child outcomes. However, theoretical models suggest that specific combinations of temperament styles and parenting behaviors are better predictors of certain child outcomes such as internalizing and externalizing symptoms than either temperament or parenting alone. The current qualitative review examines the interaction between one childhood temperamental characteristic (child behavioral inhibition) and parenting behaviors, and their subsequent impact on child psychopathology. Specifically, the moderating role of parenting on the relationship between child behavioral inhibition and both internalizing and externalizing psychopathology is examined, and the methodological variations which may contribute to inconsistent findings are explored. Additionally, support for the bidirectional relations between behavioral inhibition and parenting behaviors, as well as for the moderating role of temperament on the relationships between parenting and child outcomes, is briefly discussed. Finally, the clinical applicability of this overall conceptual model, specifically in regard to future research directions and potential clinical interventions, is considered.
Abstract:In recent years, most U.S. states have revised policy by providing schools at least some flexibility to move away from the Carnegie unit system, with its focus on credits and "seat time," toward competency-based policies that link student advancement to mastery of content. Yet, there is little systematically collected information about how competency-based education is implemented, making it difficult to evaluate the impact on student outcomes. Using data from 600 students in grades 9-12 and confirmatory factor analytic techniques, we report initial reliability and validity results from the pilot administration of a survey designed to capture student exposure to elements that have been described as essential to a competency-based, student-centered model for learning and instruction. These elements include mastery-based progression, personalization, flexible assessment, and the development of specific skills and dispositions. Results suggest that the survey offers a way to reliably measure and study variation in the implementation of competency-based education. Importantly, the survey provides a way to capture implementation from the student perspective, leveraging the fact that student reports about their classroom experiences may be a particularly reliable source of information about instructional practice. Keywords: competency-based education; secondary education; structural equation modeling; surveys Education Policy Analysis Archives Vol. 25 No. 24 2 La exposición de los estudiantes a la educación basada en competencias Resumen: Recientemente, la mayoría de los estados en los Estados Unidos han revisado la póliza educativa con métodos que han proveído flexibilidad para alejarse del sistema de unidades de Carnegie, que se centra en los créditos y el "tiempo en el asiento o escritorio", hacia políticas basadas en competencias que conectan el progreso del estudiante con la materia del contenido. Sin embargo, hay poca información recopilada sistemáticamente sobre cómo se implementa la educación basada en competencias, lo que dificulta evaluar el impacto en los resultados de los estudiantes. Utilizando datos de 600 estudiantes de los grados 9-12 con técnicas analíticas con factores confirmatorios, informamos los resultados iniciales de confiabilidad y validez de la administración inicial de una encuesta diseñada para capturar la exposición de los estudiantes a elementos que se han descritos como esenciales para un estudiante basado en competencias centradas para el aprendizaje y la instrucción. Estos elementos incluyen la progresión basada en el la maestría, la personalización, la evaluación flexible y el desarrollo de habilidades y disposiciones específicas. Los resultados sugieren que la encuesta ofrece una manera de medir y estudiar con fiabilidad la variación en la implementación de la educación basada en competencias. Es importante destacar que la encuesta proporciona una forma de captar la implementación desde la perspectiva del estudiante, aprovechando el hecho de que los informes de los estudi...
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