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This article applies whole language techniques to children with cultural and linguistic differences and provides guidelines for enabling speech-language pathologists to assume a role of active involvement. Whole language can provide a context for involvement in the areas of bilingual education and other language and dialect learning and for conducting assessments and interventions. (Author/JDD)

Background: We investigated the acceptability and feasibility of a new brief intervention for maternal prenatal anxiety within maternity services in London and Exeter, UK. Methods: One hundred fourteen pregnant individuals attending their 12-week scan at a prenatal clinic with elevated symptoms of anxiety (GAD-7 score of ≥7) were randomly assigned to either the ACORN intervention + Treatment as usual (TAU) (n = 57) or to usual care only (n = 57). The ACORN intervention consisted of 3 2-h group sessions, led by a midwife and psychological therapist, for pregnant individuals and their partners. The intervention included psychoeducation about anxiety, strategies for problem-sovling and tolerating uncertainty during pregnancy, including communicating about these with others, and mindfulness exercises. Results: Engagement rates with ACORN met or exceeded those in primary care services in England. In the intervention arm, 77% (n = 44) of participants attended at least one session, 51% (n = 29) were adherent, defined as attending two or more sessions. Feedback was positive, and participants in the ACORN treatment group demonstrated evidence of a larger drop in their levels of anxiety than the participants in the TAU-only group (Cohen's d = 0.42). Conclusion: The ACORN intervention was acceptable to pregnant individuals and their partners and resulted in reductions in anxiety. With further evaluation in a larger-scale trial with child outcomes, there is significant potential for large scale public health benefit. [ABSTRACT FROM AUTHOR]

ABSTRACT: Objective To determine intergroup and intragroup consensus for interdisciplinary perceptions of dietitians' legal responsibility for lethal dietary prescription errors. Design Survey research was conducted by a mail questionnaire containing [...]

Role delineation is an ongoing process and must be evaluated within the health care team framework. The specific interactions between dietians and physicians in the nutrition care of patients is one aspect that needs to be more clearly defined. This study examined selected practice issues by surveying physicians and dietitians to identify perceptions of ideal and actual performance. Role disparity was found between the responses of the dietitians and those of the physicians. Dietitian respondents identified themselves as the primary decision makers more than 50% of the time in all circumstances queried. In contrast, 10% or less of the MDs saw the dietitians as the primary decision makers in any area except selection of caloric supplements. In the ideal setting, the dietitian desired a greater degree of autonomy than the physician was willing to grant. Our findings were not explained by demographic differences. Perhaps faulty communication between the physician and the dietitian or unclear medical-legal issues may explain our findings of perceived role disparity., Perceptions of clinical decision making by dietitians and physicians What are the appropriate responsibilities of the clinical dietitian in the formulation and validation of diet prescriptions? This question has generated [...]

There are high rates of post-traumatic stress disorder (PTSD) in unaccompanied asylum-seeking minors (UAM) and there is a requirement for feasible, acceptable and evidence-based treatments. Narrative Exposure Therapy (NET) is a short-term treatment for PTSD following multiple traumatic events. This article aims to examine the applicability of NET for UAM in routine clinical practice and to provide preliminary feasibility, acceptability and effectiveness data. The participants were four UAM receiving NET within a dedicated child and adolescent mental health service for refugee children. Semi-structured interviews were conducted to understand the acceptability of this approach and standardised measures of PTSD were used to provide preliminary data regarding the effectiveness of NET for these clients. The clients attended NET consistently with few missed appointments. At post-treatment, two clients' symptom scores were below the clinical cut-off for PTSD and all three clients who completed NET met reliable improvement criteria. The clients reported improvements in functional outcomes and mentioned that they would encourage other young people with similar difficulties to engage in NET. This study was limited by the small sample size and naturalistic time limitations in clinicians' contracts. This article highlights that it is possible to implement NET within routine clinical practice and observed improvements in PTSD symptoms and functional outcomes for UAM. [ABSTRACT FROM AUTHOR]

Results of a survey of supervising teachers regarding their perceptions of problems encountered in supervision are presented. The most common problems between cooperating teachers and student teachers were found to be personal rather than methodological and were related specifically to communication. (JMF)