Low Number of Owner-Reported Suspected Transmission of Foodborne Pathogens From Raw Meat-Based Diets Fed to Dogs and/or Cats.

The aim of this worldwide survey was to determine owner-reported frequency of pathogen transmission to humans living in or in contact with households feeding their pets raw, minimally processed (MP) diets. A total of 5,611 responses were gathered from 62 countries with 77.1% of households feeding only MP diets to dog and/or cat(s) with no confirmed cases of pathogen transmission or infection by laboratory testing. Eleven households (0.20%; 95% CI, 0.10-0.36) were classified as having experienced "probable" transmission, and 20 households (0.36%; 95% CI, 0.22-0.56) were classified as having experienced "possible" transmission to result in a total of 31 households (0.55%; 95% CI, 0.38-0.79) being identified as potential cases of transmission. The remainder of households (n = 5,580 = 99.45%; 95% CI, 99.21-99.62) were not considered to have experienced potential transmission of foodborne pathogens based on their responses to the survey. The most frequently reported pathogens were Salmonella (n = 11, 0.2%), Campylobacter (n = 6, 0.1%), and Escherichia coli (n = 4, 0.1%), with the most common age group being adults age 18-65 (n = 29, 78.4% of cases). Beef and chicken were the most common proteins reported as being fed in case households, although this was not associated with pathogen transmission. Households feeding a greater number of different protein sources, including pork, turkey, duck, rabbit, and salmon, were associated with decreased risk of pathogen transmission. Additional risk factors associated with pathogen transmission included preparing either MP diets in a separate location, with different utensils than human food, mixing MP diets with dry (kibble) diets and feeding a limited variety of protein sources. Based on the results of this survey, confirmed pathogen transmission from MP diets to humans appears to be rare. We conclude that potential or probable cases of pathogen transmission is likely dependent upon hygiene and food safety measures, and more education surrounding food safety should reduce risk.

Program and practice elements for placement prevention: a review of interventions and their effectiveness in promoting home-based care.

Preventing unnecessary out-of-home placement for youth with behavioral and emotional needs is a goal of several public child-serving services, including child welfare, juvenile justice, and child mental health. Although a small number of manualized interventions have been created to promote family driven and community-based services and have empirical support, other less established programs have been initiated by local jurisdictions to prevent out-of-home placement. To synthesize what is known about efforts to prevent placement, this article describes the common program and practice elements of interventions described in 37 studies (published in 51 articles) that measured placement prevention outcomes for youth at risk for out-of-home care because of behavioral or mental health needs. The most common program elements across published interventions were program monitoring, case management, and accessibility promotion. The most common clinical practice elements for working with youth were assessment and individual therapy; for caregivers, problem solving skills were most frequently included; and family therapy was most common for the family unit. Effect size estimates for placement-related outcomes (decreased out-of-home placement, decreased hospitalization, decreased incarceration, and decreased costs) were calculated to estimate the treatment effectiveness of the interventions in which the program components and clinical practices are embedded.

Relationship proximity to victims of witnessed community violence: associations with adolescent internalizing and externalizing behaviors.

Witnessing community violence has been linked with several adverse outcomes for adolescents, including emotional and behavioral problems. Among youth who have witnessed community violence, proximity to the victim of community violence is one factor that may determine, in part, the nature of adolescents' responses to community violence exposure. The present study examines whether relationship proximity to the victim of community violence is associated with internalizing and externalizing behaviors among a sample of urban and predominantly African American adolescents (N = 501) who have witnessed community violence. In 10th grade, participants reported whether they had witnessed 10 community violence events during the past year, and, if so, whether the victim of the violence was a family member, close friend, acquaintance, or stranger. Witnessed community violence against a family member or close friend was associated with depressive symptoms, and witnessed community violence against known individuals was associated with anxiety symptoms. Witnessing community violence against familiar persons and strangers was linked with aggressive behavior. Gender differences in these associations and implications for assessment and intervention with community violence-exposed youth are discussed.

Examining the developmental process of risk for exposure to community violence among urban youth.

Considerable research has documented the effects of community violence exposure on adolescents' behavior and mental health functioning, yet there has been less research on the process by which early risks increase the likelihood that youth will be exposed to community violence. The current study used data from a community epidemiologically defined sample of 623 urban youth followed from 1st grade through adolescence to examine the process by which early-onset aggressive behavior and poor academic readiness influenced risk for community violence exposure. Consistent with transactional developmental theories, early-onset aggressive and disruptive behavior was associated with poor academic readiness; these early risks contributed to later peer rejection, and subsequent conduct problems and greater affiliation with deviant peers, which in turn increased youths' exposure to community violence. Having an enhanced understanding of the risk process directs attention to potential targets for preventive interventions for youth at risk for subsequent exposure to violence.

DISCREPANCIES BETWEEN COMMUNITY VIOLENCE EXPOSURE AND PERCEIVED NEIGHBORHOOD VIOLENCE.

Community violence exposure (CVE) has been identified as a significant public health concern given its association with numerous mental health problems. Perceptions of neighborhood violence (PNV) also may adversely affect youth adjustment. In recognition that PNV may differ from individuals own experience of CVE, the current study utilized latent class analysis to examine the degree and consequences of consistency and discrepancy in adolescents community violence exposure and PNV. Participants included an epidemiologically-defined community sample of 456 African American adolescents (52% male; mean age=11.77). Results revealed three groups of youth: high CVE/high PNV, low CVE/low PNV, and low CVE/high PNV. Longitudinal analyses suggest that a discrepancy between CVE and PNV is important for understanding depressive and anxious symptoms among urban African American youth. Implications for intervention are discussed.

Qualitative study of suicidality and help-seeking behaviors in African American adolescents.

This qualitative study explores adolescents' perceptions of help-seeking behaviors in the context of a hypothetical suicide crisis. Cauce and colleague's (2002, Journal of Consulting and Clinical Psychology, 70, 44-55) model was used to examine help-seeking behaviors in 3 domains: problem recognition, decision to seek help, and selection of helpers. Forty-two church-going African American adolescents participated in 1 of 6 focus groups that discussed ways to help a hypothetically suicidal student in a vignette. Findings suggest that although the majority of youth had been exposed to a suicidal peer (76%), they were unsure of the seriousness of suicide as a problem in the African American community. The findings suggest that youth were less comfortable with formal interventions in school, religious institutions or traditional mental health settings. However, youth were open to community-based programs that could be located in school, church or community settings if helpers were: young adults, empathic listeners, non-judgmental, maintained confidentiality, and viewed as "natural helpers". Implications for developing church-based suicide interventions are discussed.