Implementing a college mental health program – an overview of the first twelve months

Objective: To evaluate the demographics and clinical utilization patterns among college students during the initial 12 months of a novel, multi-disciplinary, collaborative, college mental health program (CMHP). Participants: Undergraduate and graduate students receiving treatment at the CMHP from Jan-Dec 2015. Methods: De-identified data was obtained via electronic health records for all students receiving care through the CMHP. Results: 1.2 FTE clinical providers treated 278 undergraduate and graduate students during the year (65.1% < age 26, 53.6% female, 49.6% caucasian). There were 1822 CMHP outpatient visits, 318 other medical visits and 103 total emergency room (ER)/inpatient visits. Ten students were identified as high utilizers of ER/inpatient services, while charges to the CMHP totaled $470,157 and total charges to the Health System were $2,378,315. Conclusions: Students with complex psychiatric/medical co-morbidities received cost effective, convenient and integrative treatment. Over time, we hope to intervene earlier and decrease ER/inpatient visits.     

Wanting To Be Remembered: Intrinsically Rewarding Work and Generativity in Early Midlife

Previous research on generativity, the desire to leave a legacy through establishing and guiding the next generation, has focused primarily on family life and civic engagement as pathways to midlife generativity. This paper proposes that intrinsically rewarding work can also be associated with a heightened sense of generativity in midlife. We test this hypothesis with data (n = 369 employed individuals, approximately 43 years old) from the 2010 wave of the Edmonton Transitions Study. Civic engagement was positively associated with midlife generativity, as predicted, but the hypothesized positive relationship between generativity and perceived parenting success was not found. Taking into account civic engagement and perceived parenting success, and controlling on a range of other variables, intrinsically rewarding work was positively associated with midlife feelings of generativity.     

Hypothesis Testing of CNA Perceptions of Organizational Culture in Long Term Care

This commentary for the special issue on research that went wrong describes a study that explored factors that contribute to variability within Certified Nursing Assistants (CNAs) on organizational safety culture. We know from previous research that CNAs provide most direct care in nursing homes and that direct care workers often experience agency culture differently from agency management (Wolf et al., 2014). We were looking for factors that nursing homes could alter to improve the culture for CNAs, and thus, residents. We conducted a secondary analysis of data collected via a multi-component paper survey of CNAs employed in long term care. We used results from the Nursing Home Survey on Patient Safety Culture and primary shift, type of unit, and years as a CNA to identify modifiable characteristics that would explain variability in the perceptions of patient safety culture. The final sample included n = 106 from three nursing homes. Dimension scores were compared using bivariate tests appropriate to the scale and ordinal logistic regression. Despite support in the literature for the hypothesis, we found few significant differences on the total scale within groups. Differences in perceptions have implications for quality of care and the experiences of residents within nursing homes.     

论马克思主义文明和谐观的理论方法

研究马克思主义的文明和谐观,有必要去伪存真,还理论以本来面目,坚持马克思主义对历史的本质的考察所做的双向维度,从源头上把握马克思主义文明理论的最高和谐境界,从而建构起科学的文明和谐观念。马克思主义唯物史观站在以科学实践观为核心的辩证唯物主义,或实践唯物主义的哲学高度上,才真正实现跨越传统决定论和非决定论的藩篱,并将两者辩证地统一起来,为其文明和谐观奠定了深厚的基础。唯物史观在考察文明演进的过程中,综合了社会历史观和主体价值观的双向视角,从而科学论证了人类文明的和谐走向不仅是纯粹的道德理想,还是历史现实自身的运动。唯物史观以文明的和谐程度为文明进步的重要标志,并且首先表现为生产力与人的双重评价尺度的和谐统一。     

论虚拟性货币的性质与发行

虚拟性货币是现代社会普遍使用的货币,经济学的研究不能再以实体性货币的特性要求或匡正虚拟性货币的运行。虚拟性货币的发行量只能取决于流通的商品世界的价格总额,现代经济学的研究还必须从理论上理清价格与价值的关系。到底是价格围绕价值上下波动,还是价值围绕价格上下波动,抑或是既有价格围绕价值上下波动,又有价值围绕价格上下波动。这是考虑虚拟性货币的发行过大还是不过大,必须自觉准确认识清楚的重要理论问题。现代的电子化货币属于现代虚拟性货币的新的表现形式。电子计算机的微型化和网络化为现代的电子化货币的产生奠定了物质技术基础,人类进入了高消费时代为现代的电子化货币的使用创造了广阔的市场条件。     

大众化的马克思主义与马克思主义大众化

马克思主义的价值取向、现实关怀、实践来源与人民大众有着密切的联系,使其真正意义上具有"大众性"的特点,具备大众化的理论品质;马克思主义的实践性、科学性、人民性决定了马克思主义必须走向人民大众,实现理论自身与人民大众的结合."大众化的马克思主义"是前提,"马克思主义大众化"是目的,马克思主义既是大众化的产物,又须走向大众.马克思主义大众化的实质就是使马克思主义面向大众的价值取向从理论变为现实,因此,必须以大众为中心,立足于大众的现实推进马克思主义大众化.     

室内空间装饰设计的文化因素——以岳阳室内空间装饰艺术为例

室内空间装饰设计的文化因素会自觉不自觉地制约和影响着人们室内空间装饰的审美意绪。其执业者只有很好地把传统文化、地域及习俗文化兼一统筹思考并引入到室内空间装饰设计中去,才能更好地满足社会及客户的审美欲求和生活需要。岳阳室内空间装饰艺术不乏这样的典范案例。     

契约型政府信任关系的形成与意义

近代社会,人类的信任关系从习俗型的信任关系转为契约型的信任关系.在这个过程中,政府信任关系也是工具理性的体现.契约型信任关系是历史发展的必然,同时契约型信任关系也在人类信任模式上实现了变革.但是,在本质上,契约型信任关系是人与人疏离和不信任的结果,是形式化和工具化的信任,揭示近代以来人类信任关系的这一性质,其目的是要扬弃这种信任形式,恢复人类信任关系中的实质性内容.     

外商直接投资对我国技术溢出效应的分析

改革开放以来中国在利用FDI方面发展迅速,2002年中国以527亿美元的引资数额超过美国列世界首位,中国已经成为世界最大的引进FDI国家之一。目前,世界500强企业中,已经有超过450家进入中国市场进行投资。FDI是否给东道国带来技术溢出效应,到底能够带来多大的技术溢出效应等一直是各界争论颇多的问题。本文主要从外商对我国直接投资的现实情况出发,分析FDI产生技术溢出的传递途径,通过实证检验,得出了FDI确实给我国带来了一定的技术溢出效应的结论。