University efforts to address confidentiality issues for STI services

Abstract

Objective: This study assessed university policies for addressing confidentiality issues for students seeking STI services. Participants: Universities with sponsored health insurance plans (SHIP) and/or wellness centers were selected from a university health services survey in 2017. Methods: STI service coverage and polices for addressing confidentiality issues related to explanation of benefit (EOB) forms were stratified by institution type (4-year versus 2-year) and minority serving institution (MSI) status. Rao-Scott chi-square tests were used to assess for differences in STI service coverage and polices. Results: More non-MSIs (61.6%) had SHIPs compared to MSIs (40.0%, p?<?.001). Only 40.8% of health centers had a policy for addressing EOB-related confidently issues. Of those, the most reported policy was that students could pay out-of-pocket to avoid generating an EOB (36.2%). Conclusions: Reducing confidentiality barriers are important for STI prevention in students. Universities may consider establishing policies for addressing EOB-related confidentiality concerns.     

Self-Care Practices and the Professional Self

ABSTRACT

Consistently and actively engaging in self-care has been shown to improve the performance of mental health practitioners by reducing burnout, vicarious trauma, compassion fatigue, and other stress-related psychological problems. Not only is this important to the individual practitioner’s well-being, but ethical standards also mandate the recognition and remediation of any physical, mental, or emotional self-impairment to maintain high standards of care for clients. Professionals in small communities, like the Deaf community, however, confront unique challenges in attending to their self-care. This article investigates these challenges—as well as the rewards—experienced by Deaf and hearing counselors working in mental health care with deaf clients.     

Perceptions of African American College Applicants: The Roles of Race, Criminal History, and Qualifications

African Americans are under-represented in higher education and disproportionately represented among offender populations, with poor educational obtainment a risk factor for criminal behavior. While African American students report low acceptance from Caucasian peers that can influence their educational persistence, few studies have examined Caucasian students’ perceptions of African American students, while examining the influence of race and criminal history. This study endeavored to begin to fill this gap. Students evaluated 1 of 24 hypothetical college applicants, manipulated by race, arrest record, and academic qualifications. Results showed that hypothetical Caucasian applicants benefited from no criminal record when evaluated by Caucasian students, and received higher ratings than Caucasian applicants with a drug arrest record and African American applicants with any criminal record. When evaluated by Caucasian students, African American applicants with no criminal record were no more likely to be accepted than Caucasian or African American applicants with a criminal record. In addition, Caucasian students felt more comfortable around the Caucasian applicant with a DWI arrest over the African American applicant with the same arrest. Racial preference for Caucasian applicants by Caucasian participants also emerged when qualifications were mixed (e.g., low GPA/high ACT). These racial differences did not emerge when ethnic minority students rated these same applicants. Yet, when Caucasian students were asked why they chose their ratings, race was never mentioned. These results support research that African American students can experience race-based barriers in higher education by Caucasian peers, but in a form that is less overt and not readily acknowledged.