This conceptual article synthesizes the empirical research on punitive environmental norms of schools and the disproportionate effects on certain child and adolescent groups, particularly within urban schools. This involvement has come to be known as the school-to-prison pipeline. The young people affected by harsh school discipline protocols and…

Discusses the benefit of creating access for impaired or immobile persons to ritualistic experiences. The practice of bringing the ritual experience to the individual unable to physically attend significant events is described. Case studies are included. (NRB)

Tens of thousands of the nation's young people are placed in psychiatric and criminal justice programs annually. Within those settings, many confront an assortment of restraint and seclusionary measures. This paper discusses the population of young people exposed to such procedures and examines the implications within these settings and elsewhere.…

Correlational analysis is used to examine associations between the 50 states' rates of juvenile and adult institutionalization and levels of four crime categories (total index, violent, property, and burglary). No associations are found between states' crime and juvenile institutionalization rates. Associations are found between states' crime and…

Notes that national information is seriously lacking concerning the number and types of board and care homes, their residents, and the quality of services provided. Examines shortcomings in current living arrangement classification procedures used in federal surveys. Proposes definition and classification system that transcends state and local…

Discusses clinical trends with respect to the inpatient treatment of individuals with dual diagnosis of mental retardation and mental disorders. Identifies operant trends, including increased attention on functionally derived treatments and treatments designed for infrequent behaviors. Also considers pharmacotherapy trends. (Author/NB)

Discusses the Protection and Advocacy for Mentally Ill Individuals Act of 1986. Describes recent mental health reform history. Defines patient advocates' role and responsibilities. Presents illustrations of types of cases encountered by patient advocate. Explores implications of this role for the mental health counselor. (Author/CM)

Notes that professionals from all over the world have been assisting Romania since the fall of the Ceausescu dictatorship in December 1989. Describes some of the difficulties faced by children and families in Romania. Contends that problems faced by Romanian families are massive, and professionals planning to help these families must learn about…

Reviews the application of social learning approaches to helping delinquents change in institutions. Incarceration is not effective in changing delinquent behavior, and may even foster it through exposure and influence of delinquent peer models. (Author/LHW)

Considers impoverishment as a consequence of continuous institutionalization in a nursing home to be a public policy problem and the plight for any older Americans. Discusses one form of long-term care (LTC) insurance, the continuing care retirement community or life care community, and contrasts this small LTC self-insurance group with two other…

Presents some sociohistorical concepts about suicide as framework for considering contemporary attitudes among elderly. Includes verbatim report of group therapy session in long-term care facility in which residents openly discuss their feelings about suicide of fellow resident a day earlier. Illustrates importance of emotional outlet, such as…

Discusses the Swedish experience in which the official old-age care policy has been to substitute home care for institutional care. Found some substitution of the two forms of long-term care which took place from 1965-75, but thereafter the use of long-term care institutions and home care remained stable or contracted. (Author/ABL)

Notes that there often is no formally established bereavement service designed to assist surviving family members, patients, or staff members when patient dies while receiving care in acute care setting. Presents exemplar bereavement service using data from few existing or proposed efforts to formalize bereavement services in acute care settings…

Examines the debates between civil libertarian attorneys and psychiatric professionals. Focuses on the issues of deinstitutionalization, patients' rights, and institutional conditions. Discusses how coalitions can be formed and cites the deinstitutionalization of New York State's Willowbrook Hospital patients as an example of cooperation between…

Describes assessment technique used by interdisciplinary staff on coed Alzheimer's disease unit to help determine patients' competencies to participate in intimate relationships. Two case studies are presented to highlight how assessment led to treatment decisions. (Author/NB)