Rachel Brown

• University of Missouri

Children with autism spectrum disorder (ASD) have complex medical problems, yet they are at high risk for unmet health care needs. Primary care providers are perfectly positioned to meet these needs; however, they often lack training in ASD. This pilot project developed and tested a new model for training primary care providers in best-practice car...

The graduation of physicians who have the ability to provide patient-centered care is the central educational goal of the University of Missouri School of Medicine. Its definition of patient-centered care emphasizes delivery of care that respects individual’s perspective [1, 2], shares information, engages the patient in the process of care, and pa...

Group therapists encounter organizations in a variety of ways; in this article, I focus on the interaction between the organization as employer and the group therapist, in a nontherapeutic role, as manager, administrator, or executive. From a long list of frustrating incidents, I have selected three and have used one of three different group theori...

Youths with autism spectrum disorders (ASD) often engage in serious disruptive behaviors that interfere with their ability to successfully manage day-to-day responsibilities and contribute to relationship problems with caregivers, peers, and teachers. Effective treatments are needed to address the factors linked with disruptive behavior problems in...

From the cancer patient to the surgeon By Rachel Brown > There was a young lady who said > > As she lay—quite exposed—in a bed > > “When poking around > > I think that I've found > > A lump that has filled me with dread” > So they kneaded and massaged and …

Background: At the University of Missouri-Columbia School of Medicine (USA) "commitment to improving quality and safety in healthcare" is one of eight key characteristics set as goals for our graduates. As educators, commitment to continuous improvement in the educational experience has been modelled through improvement of the Medical Student Perf...

Medical schools are charged with the challenge of teaching effective communication skills, a core competency for residents and medical students. Especially challenging is the task of developing effective methods for training residents and students to communicate with children with mental health issues. The authors describe a pilot program at Mercer...

Mandated reporting of child abuse by Family Therapists (FTs) has been examined by the authors in two previous studies. The first study found that mandated reporting issues negatively affected FTs abilities to maintain a systemic focus. The second study surveyed types and frequencies of negative experiences of FTs with mandated reporting. A 46-item...

Mandated reporting of child abuse has rarely been examined in terms of its impact on Family Therapy (FT) systemic processes. This study is designed to assess negative experiences FTs have with mandated reporting. A survey instrument was devised to assess negative experiences of FTs with mandated reporting. The instrument was administered to 101 FTs...

Child abuse reporting is mandatory for family therapists. Little is written regarding the impact of mandated reporting and its impact on the family therapy systemic processes. This paper reviews literature on the impact on therapy of mandated reporting, and shares the results of a study designed to assess the impact of mandated reporting on family...

The professional literature on Munchausen by Proxy (MBP) abuse consists of more than 400 articles, chapters, and books. Most have come from a handful of English-speaking industrialized countries. Our aims were to establish the extent to which published work about MBP has emerged from outside these countries, and to determine the characteristics of...

Objective: The professional literature on Munchausen by Proxy (MBP) abuse consists of more than 400 articles, chapters, and books. Most have come from a handful of English-speaking industrialized countries. Our aims were to establish the extent to which published work about MBP has emerged from outside these countries, and to determine the characte...

The parents/guardians of 50 individuals were surveyed using a semistructured interview to determine the feasibility of this method and to establish ages of symptom onset. Thirty-eight informants were able to recall sufficient detail to allow categorization of the age of symptom onset. Chi-square analysis confirmed a significant association between...

The nature of autism in congenitally blind children has long been a source of interest and perplexity. A group of nine congenitally blind children with an autism-like syndrome were closely matched on chronological age and verbal mental age with nine sighted autistic children, and were compared on the Childhood Autism Rating Scale (Schopler, Reichle...

Twenty-four congenitally blind children between 3 and 9 years of age were studied for the prevalence of "autistic-like" features, as assessed by teacher reports and by systematic observations of the children's behaviour. A comparison between the 15 blind children who had IQs over 70 and 10 sighted children group-matched for age and verbal ability r...