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School-Based Interventions for Children Exposed to Violence—Reply
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In Reply: We agree with Dr Rappaport that involvement of teachers and school administrators is an important component of the entire program. As we have discussed in greater detail elsewhere,1-2 we involved teachers and school administrators from the early stages of program development and evaluation design. We paid extensive attention to ensuring the program's cultural competency, including the use of bilingual, bicultural therapists, and the pretesting of program and evaluation materials in this population. We believe that these efforts have been an important part of both the program's effectiveness and its acceptability to schools, parents, and students. Because the school-level interventions (increased teacher support and education) happened for all students, they cannot be responsible for the differences between the early intervention and delayed intervention groups. However, these interventions could have contributed to the improvement in the delayed intervention group in the period prior to receiving our intervention.
The efficient use . . . [Full Text of this Article]
Bradley D. Stein, MD, PhD;
Marc N. Elliot;
Wenli Tu, MS
RAND
Santa Monica, Calif
Lisa H. Jaycox, PhD
RAND
Arlington, Va
Sheryl H. Kataoka, MD, MSHS
Department of Psychiatry and Biobehavioral Sciences
University of California, Los Angeles
Arlene Fink, PhD
Schools of Medicine and Public Health
University of California, Los Angeles
Marleen Wong, MSW
Los Angeles Unified School District
Los Angeles, Calif
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