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121.
Belinda J. McIntosh MD Michael T. Compton MD MPH Benjamin G. Druss MD MPH 《Journal of American college health : J of ACH》2013,61(8):596-598
Abstract A growing trend in college and university health care is the requirement that students demonstrate proof of health insurance prior to enrollment. An increasing number of schools are contracting with insurance companies to provide students with school-based options for health insurance. Although this is advantageous to students in some ways, tying health insurance coverage to school enrollment can leave students vulnerable when they are most in need of help. Students whose health insurance is contingent upon their enrollment face significant lapses in coverage when they are required to leave school. This is especially challenging for students with mental illnesses whose treatment needs often go unmet in the absence of that coverage. The limitations in this system must be addressed as an increasing number of universities and students opt for university-based health insurance plans. 相似文献
122.
Winston C. Liao Ph.D. Benjamin F. Banahan III M.S. P. Anthony McDaniel M.H.C.A. Alan B. Mckay M.S. 《Journal of American college health : J of ACH》2013,61(3):146-152
Abstract Utilization of health services by graduate students has been a neglected area of college health research. This paper describes the access problems and utilization patterns of a systematic random sample of the graduate student population at the University of Mississippi. Survey methodology was used to assess sociodemographic, health status, and attitudinal characteristics of the study sample. In addition to type and number of visits for various health services, other utilization-related items included access to and satisfaction with care, and information received about these health services. The results indicated that graduate students and their dependents were reliant to a large degree on local health care. Inadequacy of information was viewed as a major problem relating to access. Satisfaction with care appeared to be a function of the quality of care received. 相似文献
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This paper is a response to a discussion of my work by Stephen Mitchell and Judith Butler. I treat number of issues raised by those writers. Chief among the issues raised by Mitchell are the status of drive theory and the interrelation of the intersubjective and the intrapsychic. I clarify that, although I do value the paradoxical tension between opposites in relation to many binaries, I do not aim to preserve Freud's instinct theory alongside current views of Object relations. However, I do believe that intersubjectivity theory should posit an inherent conflict in the mind that is not simply a reflection of Object relations, that is, experiences with outside others. Rather, the inherent difficulty in recognizing the other, and the attendant problems of splitting and destructiveness, are crucial aspects of intersubjective theory. Precisely for this reason I reject Butler's claim that my theory does not see destruction and breakdown as essential to the movement of recognition. I see my own intentions as closer to those expressed by Butler's own statements about the relation of destruction and recognition. However, the faith that the clinical endeavor can overcome destructiveness may be the real point of contention. Another important difference relates to the question of the triad and the third. I accept Butler's view that I emphasize the dyad over the triad and attempt to take up some of her questions about triadic relations and the nature of thirdness. 相似文献
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Benjamin D. Garber 《Journal of divorce & remarriage》2013,54(7):552-565
ABSTRACTTransitional objects are those idiosyncratically determined, beloved blankies and stuffed animals that communicate an absent parent’s affection. As such, transitional objects serve the short-term need to cope with separation, and the long-term need to move toward autonomy. This article discusses the value, use, and misuse of transitional objects in the context of coparental conflict. The concept of alienation-by-proxy is introduced. Specific recommendations are provided, including the therapeutic creation and empowerment of transitional objects to assist children experiencing separation anxiety, consideration of the role of transitional objects in child custody evaluations, and the court’s responsibility to encourage litigating parents to respect the child’s needs for transitional objects. 相似文献
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Nicola A. Conners-Burrow Teresa L. Kramer Benjamin A. Sigel Kathy Helpenstill Chad Sievers Lorraine McKelvey 《Children and youth services review》2013
The use of trauma-informed practices in the child welfare system is critically important to prevent system-induced trauma and encourage timely assessment, triage and referral for care when indicated. Ultimately, such measures have the potential over time to decrease the risk for mental health problems in children exposed to a trauma. This study evaluates an initiative in Arkansas to train child welfare front-line staff members in trauma-informed care practices. We evaluated the impact of the training on knowledge and use of trauma-informed care practices among three types of child welfare staff (Caseworkers, Program Assistants and Other front-line staff). Results suggest that this training process was highly successful in improving knowledge of trauma-informed care practices, especially among staff with the least formal education and training. We also found a significant increase in staff use of trauma-informed care practices at the three-month follow-up with little difference observed across staff groups. Barriers that may prevent staff from full implementation of training concepts are described and strategies to address barriers are proposed. 相似文献
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