Screening for Alcohol Problems Among 4-Year Colleges and Universities

Abstract

Objective: To assess the use of alcohol screening tools across US colleges. Participants: Directors of health services at 333 four-year colleges. Methods: An online survey was conducted regarding the use of alcohol screening tools. Schools reporting use of formal tools were further described in terms of 4 tools (AUDIT, CUGE, CAPS, and RAPS) that the authors judged to be the most favorable based on prior empirical comparative studies. Results: Forty-four percent of colleges reported use of at least 1 formal alcohol screening tool and nearly all of these used a tool appropriate for college students. However, less than half of the 44% of colleges that used a screening tool used 1 of the 4 most favorable tools. Conclusions: Continued efforts are needed to encourage colleges to use the most effective available screening tools to identify alcohol-related problems that require intervention among students.     

The Infirmary as a Short-Term Psychiatric Facility

Abstract

The purpose of this study was to describe the role of the Oregon State University Infirmary (inpatient unit) in the provision of crisis intervention services for students with emotional problems. The focus was on the working assumptions of the infirmary program, the patient population which utilized the infirmary, the dimensions of treatment, and treatment outcomes.

Data were collected for a three year span on all patients who had contact with the infirmary for problems of an emotional nature. Records were reviewed for demographic variables, presenting symptomatology, diagnosis, treatment, disposition, and outcomes. Comparisons were made between these patients and those who received outpatient services through the Oregon State University Mental Health Clinic.

Demographic data indicated that patients who were treated in the infirmary differed only slightly from either the general student population of the university or from students receiving outpatient services. Presenting symptoms reflected a wide range of emotional problems. The severity of psychopathology was demonstrated by the finding that one-quarter of the patients manifested symptoms of acute psychosis, suicidal preoccupation, acute drug reaction, or toxic alcohol reaction. Consistent with the working assumptions of the program, the focus of treatment was short-term, intensive, and symptom directed. Treatment outcomes as determined by followup data were generally positive.

It was concluded that the infirmary provided an important treatment option which extended rather than duplicated outpatient services. The need for such an option was clearly demonstrated. The study was supportive of the concept that a university infirmary has the potential for utilization as a multipurpose facility.     

The Symptom of Insomnia in University Students

Abstract

The treatment of insomnia in a university health setting is discussed. Transient, stress-related insomnia is distinguished from chronic insomnia, and methods of treatment for each condition are presented. The causes of chronic insomnia include depression, conditioned-arousal insomnia, anxiety, chronic overwork or stress, the Delayed Sleep Phase Syndrome, and abuse of alcohol and drugs. The author reviews medications used for the treatment of insomnia, emphasizing the importance of communicating to the patient that medication use is to be short term and that the aim of treatment is to restore the ability to sleep without drugs. A list of suggestions designed to help patients encourage normal sleep is included.     

Developing a Research Agenda on Resident-to-Resident Aggression: Recommendations From a Consensus Conference

This article provides an overview of the development of a research agenda on resident-to-resident aggression (RRA) in long-term care facilities by an expert panel of researchers and practitioners. A 1-day consensus-building workshop using a modified Delphi approach was held to gain consensus on nomenclature and an operational definition for RRA, to identify RRA research priorities, and to develop a roadmap for future research on these priorities. Among the six identified terms in the literature, RRA was selected. The top five priorities were: (a) developing/assessing RRA environmental interventions; (b) identification of the environmental factors triggering RRA; (c) incidence/prevalence of RRA; (d) developing/assessing staff RRA education interventions; and (e) identification of RRA perpetrator and victim characteristics. Given the significant harm RRA poses for long-term care residents, this meeting is an important milestone, as it is the first organized effort to mobilize knowledge on this under-studied topic at the research, clinical, and policy levels.     

Response to Nazneen Mayadas

California has actively engaged in the Hartford Geriatric Social Work Initiative. Subsequently, the California Social Work Education Center Aging Initiative conducted a university survey of gerontology education in California graduate social work schools (N?=?17). In 2005, students taking aging courses were 12% in comparison to a national report of 7% by the Council on Social Work Education and an earlier 1993 national survey of 3%. Still, the number of gerontology students remains less than needed numbers. However, California social work schools are well-prepared with infused curricula for all social workers and exceed previous standards for gerontology faculty and aging field placements. The implications for California are discussed as well as recommendations for updating the earlier gerontology curricula criteria.     

Toddlers Activate Lexical Semantic Knowledge in the Absence of Visual Referents: Evidence from Auditory Priming

Language learners rapidly acquire extensive semantic knowledge, but the development of this knowledge is difficult to study, in part because it is difficult to assess young children's lexical semantic representations. In our studies, we solved this problem by investigating lexical semantic knowledge in 24‐month‐olds using the Head‐turn Preference Procedure. In Experiment 1, looking times to a repeating spoken word stimulus (e.g., kitty‐kitty‐kitty) were shorter for trials preceded by a semantically related word (e.g., dog‐dog‐dog) than trials preceded by an unrelated word (e.g., juice‐juice‐juice). Experiment 2 yielded similar results using a method in which pairs of words were presented on the same trial. The studies provide evidence that young children activate of lexical semantic knowledge, and critically, that they do so in the absence of visual referents or sentence contexts. Auditory lexical priming is a promising technique for studying the development and structure of semantic knowledge in young children.     

Stage-specific family structure models: implicit parameter restrictions and Bayesian model comparison with an application to prosocial behavior

The two most frequently used specifications in stage-specific family structure analyses of young adult outcomes-state × stage and event × stage-impose restrictions on the parameters of the underlying model of child development. The restrictions imposed by the state specification have substantive a priori disadvantages, implying that use of the state specification requires justification by a specification test. Because the state and event specifications are non-nested, a classical approach to specification testing runs into practical problems. We demonstrate the advantages of a Bayesian approach to the specification testing problem using two applications to young adult prosocial behavior-charitable giving and volunteering. Substantive results are that family structure transitions during adolescence are negatively associated with subsequent giving, and transitions during middle childhood are positively associated with subsequent volunteering. There are other substantive results that would have been missed had we not realized that the state and event specifications impose restrictions on the underlying model and had we not made specification testing a prerequisite for substantive analysis.     

Problem Gambling Among International and Domestic University Students in Australia: Who is at Risk?

Young people are a high risk group for gambling problems and university (college) students fall into that category. Given the high accessibility of gambling in Australia and its association with entertainment, students from overseas countries, particularly those where gambling is restricted or illegal, may be particularly vulnerable. This study examines problem gambling and its correlates among international and domestic university students using a sample of 836 domestic students (286 males; 546 females); and 764 international students (369 males; 396 females) at three Australian universities. Our findings indicate that although most students gamble infrequently, around 5 % of students are problem gamblers, a proportion higher than that in the general adult population. Popular gambling choices include games known to be associated with risk (cards, horse races, sports betting, casino games, and gaming machines) as well as lotto/scratch tickets. Males are more likely to be problem gamblers than females, and almost 10 % of male international students could be classified as problem gamblers. Hierarchical regression analysis showed that male gender, international student status, financial stress, negative affect and frequency of gambling on sports, horses/dogs, table games, casino gaming machines, internet casino games and bingo all significantly predicted problem gambling. Results from this study could inform gambling-education programs in universities as they indicate which groups are more vulnerable and specify which games pose more risk of problem gambling.     

Scholarship and Research in Social Work: Emerging Challenges

Abstract

One of the defining elements of a profession is its capacity to generate and transmit knowledge about practice. This paper reviews and assesses the state of scholarship and research in social work through diverse perspectives, among them research methods found in the core literature, the scholarly productivity of faculty and doctoral graduates, the research curricula in graduate programs, and the use of scholarship by practitioners. Finally it posits challenges for improving the profession's research training, scholarly production, and knowledge transmission.     

The Relationship Between Divorce and Children with AD/HD of Different Subtypes and Comorbidity: Results from a Clinically Referred Sample

This study investigated the relationship between divorce and the symptom profile of children with attention deficit/hyperactivity disorder (AD/HD). The files of 1,201 children from a pediatric practice in Sydney, Australia were used in this study. Children were aged 6 to 18 years, and were diagnosed with either the inattentive or combined type of AD/HD. Results show that 213 children had parents who were divorced. Children with the combined type, and especially boys with comorbid conduct disorder/oppositional defiant disorder (CD/ODD) were more common in the divorced group, and children of the inattentive type with comorbid learning disabilities were overrepresented in nondivorced families. Results suggest that divorce is associated with disruptive behavior patterns in children with AD/HD. The importance of including marital status as an important correlate in AD/HD treatment outcomes is discussed.