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.     

“That's So Gay!”: Examining the Covariates of Hearing This Expression Among Gay,Lesbian, and Bisexual College Students

Abstract

Objective: The investigators examined the health and well-being correlates of hearing the popular phrase “that's so gay” among gay, lesbian, and bisexual (GLB) emerging adults. Participants: Participants were 114 self-identified GLB students aged 18 to 25 years. Methods: An online survey was distributed to students at a large public university in the Midwest during winter 2009. Results: Participants’ social and physical well-being was negatively associated with hearing this phrase, specifically feeling isolated and experiencing physical health symptoms (ie, headaches, poor appetite, or eating problems). Conclusions: College professionals and student leaders must acknowledge that the phrase is a form of heterosexist harassment. As such, policies addressing diversity and harassment should address students’ use of this phrase, aiming to reduce its use. Additionally, colleges and universities should develop practices that counteract poorer well-being associated with hearing the phrase.     

Initial Validation of the Open Adoption Scale: Measuring the Influence of Adoption Myths on Attitudes Toward Open Adoption

All adoptions, including those facilitated by public agencies, should be evaluated for openness. Although there are no national figures related to openness in public welfare, there are indications that it is not considered in all cases. Adoption myths may be one of the reasons that adoption workers do not always assess a family's ability to maintain a more open adoption arrangement. The following study is the initial validation of a multidimensional psychometric instrument developed to measure myths as they relate to open adoption. Based on a sample of 547 university students, the results indicate very good reliability and acceptable factorial and construct validity. The instrument was designed as a training and research tool to inform child welfare personnel and policy makers of the influence of adoption-related myths on child welfare adoption practice.     

Linkages between Children's Beliefs about the Legitimacy of Aggression and Their Behavior

The purposes of this study were to learn whether children's beliefs about the legitimacy of aggression can be reliably assessed and whether these beliefs relate to children's everyday social behavior with peers, as well as their responses to hypothetical ambiguous provocation situations. Fourth- and fifth-grade students ( n = 781) responded to a 16-item questionnaire designed to measure children's beliefs about the legitimacy of aggression. Children's behavioral orientation was assessed using two methods: (1) children's responses to ten hypothetical situations involving ambiguous provocation, and (2) peer evaluations of children's aggressive, withdrawn, and prosocial behavior. Results indicated that children's beliefs about the legitimacy of aggression were reliably measured. Furthermore, results from both measures of behavioral style showed that children who believed strongly in the legitimacy of aggression were more aggressive, less withdrawn, and less prosocial. The findings suggest that one focus of efforts to decrease children's aggression should be the modification of their beliefs about the legitimacy of aggressive actions.     

An Evaluation of Behavioral Health Compliance and Microbial Risk Factors on Student Populations Within a High-Density Campus

Abstract

Objective: The aim of this Canadian study was to assess student behavioral response to disease transmission risk, while identifying high microbial deposition/transmission sites. Participants: A student survey was conducted during October 2009. Methods: The methods included a survey of students to assess use of health services, vaccination compliance, and hygiene along with a microbial analysis of potential transmission sites targeting specific residence buildings on campus. Results: Results indicated that most students maintained that they were worried about H1N1 and reported making changes in hygienic behavior, with the majority not planning to be vaccinated. The microbial analysis indicated contamination of fomites in co-ed residences to be higher than either male or female student residences. Conclusions: A consideration of physical space along with behavioral factors is required in order to properly assess risk pathways in the establishment of an evidence-based infection control plan for universities and their contiguous communities.     

Economic and environmental concerns as influences on growth attitudes: A research note

Two sets of items from Albrecht et al. (1986) are used to examine small town residents’ attitudes about the environment and the economy. One scale measures a general growth ethic while the other measures attitudes concerning urban growth. Concern over the environment and the economy are assessed with items drawn from Blocker and Eckberg (1989). Results indicate that environmental concerns are a stronger influence on growth attitudes than are economic considerations and that certain sociodemographic variables are weakly associated with this tendency. In the small town population studied, which is in the process of making decisions about growth, environmental concerns play a stronger role in influencing attitudes about growth than do concerns over the economy.