A Pilot for Improving Depression Care on College Campuses: Results of the College Breakthrough Series–Depression (CBS-D) Project

Abstract

Objective: To implement a pilot quality improvement project for depression identification and treatment in college health. Participants: Eight college health center teams composed primarily of primary care and counseling service directors and clinicians. Methods: Chronic (Collaborative) Care Model (CCM) used with standardized screening to identify, treat, and track depressed students for 12 weeks to monitor predetermined process and clinical outcomes. Results: Of all students receiving primary medical care services between January 2007 and May 2008, 69% (n = 71,908) were screened for depression. A total of 801 depressed students were treated and tracked; most predetermined treatment process and clinical outcome targets were achieved. Conclusion: The CCM for depression shows promise for improving depression identification and care for college students.     

Randall Collins,Ideas and Ritual Solidarity

Sociological Forum -     

EMERGING TRENDS IN THE PROVISION AND CONSUMPTION OF HEALTH SERVICES

Health services are examined in terms of emerging trends for the new millennium. On the one hand, centralization is increasing as payers tighten control over disbursements through managed care and more restrictive health insurance. On the other hand, health services are decentralizing as patients acquire more information and take more control of some aspects of treatment. Health services markets now also show signs of becoming global in nature, possibly benefiting both bulk purchasers of care and individual consumers. Any tendencies toward increased patient control are likely to be ephemeral, however: In the absence of reforms sparked by yet-to-be-experienced crises, advances in technology, particularly in medical informatics, will likely be used to strengthen the profit positions of insurance providers, not to provide more comprehensive health care services for patients.     

Factors Affecting Juvenile Court Decisions in Israel: A Multivariate Approach*

This paper investigates the factors influencing the disposition of cases in juvenile courts. The factors considered are the prior record of the offender, the nature of the offense, the recommendation of the probation officer, and the age of the offender. These four factors are essential components of the juvenile justice system and as such are perceived to be crucial for the understanding of the court's decision. A multivariate analysis of the data is undertaken using the method of log-linear analysis for hierarchical models. In contrast to other studies that have utilized the same method but with fewer variables, the model arrived at in the paper seems to be more accurate and suggests that while the offense and the prior criminal record are quite important factors, their influence on the disposition of cases is greatly bound by the age of the offender and the recommendation of the probation officer.     

Quantum mechanics and the postmodern in one country

Abstract

The orthodox interpretation of Quantum Mechanics was banned in the Soviet Union in 1947, an episode usually glossed as another illustration of repressive Soviet science. This paper argues that the roots of this ban should be located at a much deeper level, in a tension existing between the ‘postmodern’ form of orthodox Quantum Mechanics and an ideology of modernization. In the West a similar ideological tension had a different result: when the occasion demanded, the orthodox interpretation was covertly exchanged for an agnosticism about metaphysical matters, and potential areas of conflict with the principles of modernization were thus defused. The latter strategy benefited the orthodox interpretation, which enjoyed a virtual monopoly in the West from the 1940s through to the 1960s. Using the Freudian notions of ‘transference’ and ‘disavowal’, I explain why the ideological tension with modernization was resolved differently in the West and in the Soviet Union.     

Mothers' and Fathers' Use of Internal State Talk with their Young Children

The present study extends previous results demonstrating a relation between maternal discourse and child social understanding to include paternal discourse. Emotion understanding (EU) and theory of mind (ToM) were considered as two distinctive aspects of social understanding. Participants were 106 children (54 boys and 52 girls) studied at 3.5 and 5 years. Discourse measures came from separate parent–child conversations during a picture‐book task; measures of EU and ToM came from children's performance on social cognition tasks. Differences in parental talk translated into important differences in the influence of each parent on children's social‐cognitive understanding. Mothers' references to emotion and emotion causal explanatory language predicted children's concurrent EU. Fathers' use of causal explanatory language referring to desires and emotions predicted children's concurrent and later ToM. These results highlight important differences between mothers and fathers in their use of internal state language and its impact on children's social‐cognitive understanding.