Development of information technology has created new opportunities and challenges in suicide prevention, research, and clinical practice. This article presents an overview of the wide range of telecommunication-based suicide prevention approaches. Interventions using the Internet, telephone, and videoconferencing are discussed, including crisis intervention, referral, and support, suicide risk...

This paper examines four challenges that proponents of evidence-based medicine (EBM) must address to establish its claims to universality and legitimacy. It is argued that the failures to meet the evidence-of-effectiveness challenge, the authority challenge, the conflicting hierarchy challenge, and the definition-of-evidence challenge diminish arguments for the superiority of EBM. In the second...

This paper reviews four empirical investigations into the effectiveness of workplace-based crisis intervention programs designed to enhance psychological resiliency. As an extension of a previously published review of effect sizes of workplace-based crisis interventions (Everly et al., 2006), this paper extends the expression of intervention effectiveness by proposing, then utilizing, the odds ...

This paper evaluates the contribution to suicide prevention made by an innovative project, Maytree, a respite center for the suicidal. Maytree offers a distinctive brief period of sanctuary for four nights for suicidal people; within this limited time it aims to provide opportunities through talking, reflecting, and relaxing for reducing the intense feelings that lead to suicidal behavior. The ...

BACKGROUND Aboriginal Community Controlled Organisations (ACCOs) provide community-focussed and culturally safe services for First Peoples in Australia, including crisis intervention and health promotion activities, in a holistic manner. The ecological model of health promotion goes some way towards describing the complexity of such health programs. The aims of this project were to: 1) identify...

While the United States child protection system is widely recognized as probably the most sophisticated and wide-ranging in the world, it nevertheless has some inherent problems. This article addresses some of the negative effects of mandatory reporting and the lack of fit of a short-term crisis intervention treatment approach for a substantial proportion of the protective services population. ...

The suddenly bereaved are faced with not only a very difficult grief experience, but also a lack of access to supportive services to assist them in working through that grief. The social work-medical examiner model was developed in an effort to address the challenge of reaching this population. The model provides a connection between social work practice and families experiencing sudden death. ...

This article examines the complexity of street gang homicides and focuses on situational factors that lead to gang members' susceptibility to this violent behavior within the context of a disadvantaged minority community. This study is based on an analysis of 28 homicides involving Mexican American gang members. The absence of immigrant youth involvement in these types of violent crimes is disc...

Evidence-based practice (EBP) is a new, comprehensive model of health care that provides guidance for other human services as well. The concept of EBP is subject to considerable misinterpretations, as those invested in the status quo attempt to distort this new and growing movement into existing practices. By drawing on the original source handbook, Evidence-BasedMedicine: How to Practice andTe...

Homelessness, poverty, drug abuse and violent victimization faced by street-based women sex workers create needs for a variety of health and social services, yet simultaneously serve as barriers to accessing these very services. The present study utilized interview (n = 586) and focus group (n = 25) data to examine the service needs and associated barriers to access among women sex workers in M...