abstract: ABSTRACT Psychological assessments contain important diagnostic information and are central to therapeutic service delivery. Therapists' personal biases, invalid cognitive schemas, and emotional reactions can be expressed in the language of the assessments they compose, causing clients to be cast in an unfavorable light. Logically, the opinions of subsequent therapists may then be influenced by reading these assessments, resulting in negative attitudes toward clients, inaccurate diagnoses, adverse experiences for clients, and poor therapeutic outcomes. However, little current research exists that addresses this issue. This study analyzed the degree to which strength-based, deficit-based, and neutral language used in psychological assessments influenced the opinions of counselor trainees (N= 116). It was hypothesized that participants assigned to each type of assessment would describe the client using adjectives that closely conformed to the language used in the assessment they received. The hypothesis was confirmed (p = .000), indicating significant mean differences between all three groups. Limitations and implications of the study were identified and suggestions for further research were discussed. / Dissertation/Thesis / Masters Thesis Counseling 2015

Anxiety, depression, and substance use disorders are some of the frequently occurring mental illnesses among Canadian children and adolescents that can result in debilitating short and long terms outcomes. The rise in readmission rates for recipients of mental illness in Saskatchewan, coupled with the high incidences of suicide-related deaths, necessitates a patient outcome evaluation for predictors of readmission to youth counseling services among adolescents. The purpose of this secondary data analysis study was to explore the associations between anxiety, depression, substance use disorder, individual counseling, family counseling, group counseling, and the outcome of readmission within 1 year following discharge from youth counseling programs. Age, gender, and socioeconomic status were tested for interactions between the independent and dependent variables. The social ecological model of health behavior was used in understanding the study findings. Data from the Saskatoon Health Region Addiction and Mental Health Information System database were used for chi-square and multiple binary logistic regression analyses. Findings showed a statistically significant association between anxiety and readmission (p = 0.046, odds ratio =. 707). The association for anxiety was modified by age (p = 0.038). Depression showed a strong association with readmission (p = 0.001, odds ratio = 1.722) even after examining for effect modification. Additional prospective cohort studies over a long period of time are needed for at risk youth. The potential positive social change impact of this study is better outcome and overall quality of life of program participants; both of which can be achieved through investments in resources to reduce readmission to youth community counseling program.

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