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Traditionally evaluators of offending behaviour programmes have examined group-level mean change in treatment targets without acknowledging the potential variability of change at an individual level. Clinically significant change, although used widely in the therapy literature generally, has only recently been examined within forensic therapeutic contexts. This chapter provides an overview of key concepts, and the published literature in which clinically significant change has been examined within forensic samples is reviewed. It is concluded that although this technique has the potential to validate programme theory, it is yet to be used to its full potential within a forensic context.

Questions regarding the effectiveness of criminal justice efforts to reduce crime have dominated social and political thinking in this area for more than a century (Bowen, 2011). During this time a number of philosophical shifts regarding the aims of correctional systems have occurred, fuelled typically by the prevailing political standpoint (McGuire, 2005). At the start of the twentieth century, policymakers in the United States and United Kingdom placed faith in the rehabilitative ideal and offender ‘treatment’-dominated corrections policies (Cullen & Gendreau, 2000). In this context ‘treatment’ refers to a range of interventions designed to alter the individual, contextual and social factors that sustain offending behaviour (Hollin, 1999). This remained the prevailing perspective for the subsequent seven decades until questions arose regarding the quality of ‘state run’ corrections facilities in the United States in the early 1970s. At this point, evaluation science was one of many influences on a change of policy (Hollin, 1999). Martinson's (1974) now infamous research synthesis, described by Glaes (1998, p. 713) as ‘a watershed moment’, provided politicians and policymakers with greater justification for changing the focus of corrections policy. Although arguably it was observers misreporting of Martinson's claims about the evidence which were most influential, rather than the review itself. According to Martinson (1974):It is just possible that some of our treatment programs are working to some extent, but that our research is so bad that it is incapable of telling. Having entered this very serious caveat, I am bound to say that these data … give us very little reason to hope that we have in fact found a sure way of reducing recidivism through rehabilitation. This is not to say that we found no instances of success or partial success; it is only to say that these instances have been isolated, producing no clear pattern to indicate the efficacy of any particular method of treatment. (p. 49)

The purpose of this chapter is to review how well walking interventions have increased and sustained walking, and to provide suggestions for improving future walking interventions. A scoping review was conducted of walking interventions for adults that emphasised walking as a primary intervention strategy and/or included a walking outcome measure. Interventions conducted at the individual, community, and policy levels between 1990 and 2015 were included, with greater emphasis on recent interventions. Walking tends to increase early in interventions and then gradually declines. Results suggest that increased walking, and environmental-change activities to support walking are more likely to be sustained when they are immediately followed by greater economic benefits/time-savings, social approval, and/or physical/emotional well-being. Adaptive interventions that adjust intervention procedures to match dynamically changing environmental circumstances also hold promise for sustaining increased walking. Interventions that incorporate automated technology, durable built environment changes, and civic engagement, may increase cost-efficiency. Variations in outcome measures, study duration, seasons, participant characteristics, and possible measurement reactivity preclude causal inferences about the differential effectiveness of specific intervention procedures for increasing and sustaining walking. This review synthesises the effects of diverse walking interventions on increasing and sustaining walking over a 25-year period. Suggestions are provided to guide future development of more effective, sustainable walking interventions at the population level.

The Ural Mountain region is a remarkably beautiful landscape of forests and lakes. Here is the continental divide between Europe and Asia. One of the rivers originating here to eventually feed feeding the Artic Sea is the Techa river. But the verdant greenery that characterizes the region does not disclose the hidden dangers of plutonium and other radioactive materials either downstream or downwind of the Mayak Nuclear Complex. Major areas of the Techa river corridor and downwind areas were permanently evacuated after radioactive releases from the Mayak Nuclear Complex from the 1950s through the 1970s. Although acute and chronic water releases encompass this period, the so-called Kyshtim 57 accident, an air release from Mayak in 1957, was the word's worst nuclear accident until surpassed by Chernobyl (see Mironova et al. and Kutepova and Tsepilova, this volume). But what of the inhabitants who remain? In this chapter, we explore some of the psycho-social impacts of living in contaminated areas, drawing primarily upon interviews with residents of the region. In doing this, we give voice to their perspective and views on each other and life in this contaminated region.¹

In the previous chapter, I introduced the reader to the ideas and research of the common factors. The common factors are varied and have demonstrated to have small to large effect sizes depending on what variable is being examined. In this chapter, I categorise four more evidence based relationship variables which tend to be more task orientated and aligned to the therapeutic alliance. Indeed, the therapeutic alliance, goals and collaboration, alliance rupture–repair, and feedback-informed care are four trans-theoretical factors that can contribute greatly to outcomes. At the same time, when poorly established they can and do impact negatively on client outcomes. This is not an exhaustive overview of the literature, rather each variable is briefly discussed, the evidence supporting the effectiveness is highlighted, and Top Tips are provided to assist the development of the practitioner.

The demographics of rural America are rapidly changing and concerns about mental health are growing. This study examined relationships between individual, family, and community factors and depressive symptomology among rural low-income Latina and non-Latina White mothers.

The sample for this study was drawn from the study, Rural Families Speak about Health. Data from interviews with 371 rural low-income mothers (36% Latina; 64% non-Latina White) were analyzed and descriptive and multivariate analyses were performed.

One-third of mothers experienced clinically significant depressive symptomology; non-Latinas experienced twice the rate as Latinas. Limitation in daily activities due to poor physical health predicted clinically significant depressive symptomology among both groups. Among non-Latinas, high levels of financial distress and lack of healthcare insurance predicted clinically significant depressive symptomology, and use of WIC and high levels of healthful eating and physical activity routines were protective factors. Age, single marital status, unemployment, transportation barriers, food insecurity, and inadequate health insurance predicted clinically significant depressive symptomology among Latinas.

Program administrators should consider factors associated with depression among specific populations as they design programs and services.

Factors not accounted (e.g., nativity of mothers) should be explored to more fully understand predictors of depressive symptomology among rural Latina and non-Latina mothers.

This original research considers how the relationships between individual, family, and community factors and depressive symptomology differ between rural low-income Latina and non-Latina White mothers. The authors discuss potential factors and outcomes related to depressive symptomology and provide suggestions for research, programs and services.

Behavior problems are common in toddlers and preschoolers. Richman, Stevenson, and Graham (1975) identified difficulties with eating, sleeping, toileting, temper, fears, peer relations, and activity as typical in this young population. While all young children should be expected to experience behavior problems as part of their normal development, an ongoing challenge in the field has been to determine when these “normal” developmental problems rise to the level of being considered “clinical” behavior problems (Keenan & Wakschlag, 2000). For example, when does a two-year-old child's tantrum behavior, a three-year-old's urinary accidents, and a four-year-old's defiance become clinically significant? To answer these questions, clinicians must examine the frequency, intensity, and durability of these difficulties, their potential to cause injury to the child or others, the extent to which they interfere with the child development, and the degree to which they disrupt the lives of their siblings, caregivers, peers, teachers, and others.

Purpose: The death of a child can elicit enduring and intense parental grief. Additionally, as parents are both confronted with the loss of their child, interpersonal processes come into play. This study aimed to examine the change in reported levels of grief among bereaved parents individually and at a couple-level. The authors examined the differences in grief trajectories between mothers and fathers and whether the reported level of grief of one partner predicts the other partner’s reported level of grief.

Design/methodology/approach: Our longitudinal study included 229 bereaved couples who completed the Inventory of Complicated Grief at 6, 13, and 20 months post-loss.

Findings: A latent growth curve analysis showed that parents reported consistently high average grief levels, mothers reported higher grief levels than fathers, and all parents reported a similar small decline in grief. A cross-lagged panel analysis showed that the grief of one parent affected the grief of the other parent with similar strength. Our results held regardless of the child’s gender and age, but an expected loss was associated with a lower grief level 6 months post-loss and a smaller decline in reported levels of grief.

Originality/value: These findings highlight bereaved parents as a particularly vulnerable population, increase our understanding of change in parental grief over time and of the interdependence of grieving in bereaved couples.

Evidence-based practice (EBP) can have a powerful impact on school-aged children. Yet this impact may not be realized if classroom teachers do not use empirically supported interventions and/or fail to include the best research available when they make important educational decisions about children. Whether classroom teachers use EBP may be influenced, in part, by what they learned or failed to learn in their preservice preparation programs. This chapter describes recent efforts to assess preservice teachers’ understanding and use of empirically supported interventions and provides four examples of how such practices were taught to preservice general educators in a small, regional teacher preparation program. We discuss four contemporary educational reform movements (i.e., federal policies mandating EBP, state-level policies linking growth in pupil learning to teacher evaluation, clinically rich teacher preparation, and the emergence of a practice-based evidence approach) that should increase interest and use of EBP in teacher education and offer recommendations for how teacher educators might infuse EBP into their traditional teaching, research, and service functions in higher education.