Hospital-to-community transitions. A bridge program for adolescent mental health patients

Making the transition from the hospital to a community setting can be extremely challenging for patients with acute mental health conditions. Transitional services have been created to help patients overcome difficulties associated with this transition. Nurses frequently play an integral role in the success of these services. By providing patients with individualized support during such transitions, nurses act as clinical liaisons and directly contribute to an increase in positive patient and system-level outcomes. This article describes a transitional service called the Bridge Program, designed to help adolescents make a successful transition from the hospital to the community. An overview of the Bridge Program is provided, and the results of an evaluation of this program are presented. Results suggest that the Bridge Program contributes to a decrease in the length of hospital stays and improves continuity of care for patients and their families.     

Effectiveness of a Web-based alcohol-misuse and harm-prevention course among high- and low-risk students

OBJECTIVE: In the current study, the authors assessed whether a new online alcohol-misuse prevention course (College Alc) is more effective at reducing alcohol use and related consequences among drinkers and nondrinkers. PARTICIPANTS: The authors compared incoming college freshmen who reported any past 30-day alcohol use before the beginning of the semester with those who did not. METHOD SUMMARY: The authors randomly assigned students who completed a precollege baseline survey to either complete a 3-hour noncredit version of College Alc or serve as members of a control group. The authors conducted a follow-up survey 3 months later. RESULTS: Findings indicated that among freshmen who were regular drinkers before college, College Alc appeared to reduce the frequency of heavy drinking, drunkenness, and negative alcohol-related consequences. Among freshmen who did not report any past-30-day alcohol use before college, College Alc did not appear to have any beneficial effects. CONCLUSIONS: Results suggest that College Alc may be an effective program for students with a history of alcohol use.     

Gender and social conformity: Do men and women respond differently to social pressure to vote?

In this paper, we re-analyze data from a large-scale field experiment (N = 344,084) on voter turnout in order to determine whether men and women respond differently to social pressure aimed at voter mobilization. To date, there have been mixed results regarding the interaction between a person’s gender and receptivity to social influence. On the whole, our analyses confirm prior findings that social pressure increases voter turnout but uncover little to no evidence of gender differences in receptivity to social pressure cues in the context of political participation.     

Risky Business: Is There an Association between Casual Sex and Mental Health among Emerging Adults?

A multiethnic sample of single, heterosexual, emerging-adult college students (N = 3,907) ages 18 to 25, from 30 institutions across the United States, participated in a study about identity, culture, psychological well-being, and risky behaviors. Given ongoing debates about the connection between casual sex and psychological adjustment, in the current study we assessed the cross-sectional association of participation in casual sex with psychological well-being and distress. A greater proportion of men (18.6%) compared to women (7.4%) reported having had casual sex in the month prior to assessment. Structural equation modeling indicated that casual sex was negatively associated with well-being (ß = .20, p < .001) and positively associated with psychological distress (ß = .16, p < .001). Gender did not moderate these associations. For emerging-adult college students, engaging in casual sex may elevate risk for negative psychological outcomes.     

Implicit and Explicit Sexual Attitudes: How Are They Related to Sexual Desire and Sexual Satisfaction in Men and Women?

This article examines individual variability in sexual desire and sexual satisfaction by exploring the relation between these sexual aspects and sexual attitudes (implicit and explicit) and by taking gender into account, as this has been shown to be an influential factor. A total of 28 men and 33 women living in heterosexual relationships completed questionnaires assessing sexual desire (dyadic, solitary), sexual satisfaction, and explicit sexual attitudes. An adapted version of the Affect Misattribution Procedure was used to assess implicit sexual attitudes. Results showed higher levels of dyadic and solitary sexual desire in men than in women. No gender differences were found regarding sexual satisfaction or sexual attitudes. High dyadic sexual desire was associated with positive implicit and explicit sexual attitudes, regardless of gender. However, solitary sexual desire was significantly higher in men than women and was associated, in women only, with positive implicit sexual attitudes, suggesting that solitary sexual desire may fulfill different functions in men and women. Finally, sexual satisfaction depended on the combination of explicit and implicit sexual attitudes in both men and women. This study highlights the importance of considering both implicit and explicit sexual attitudes to better understand the mechanisms underlying individual variability in sexual desire and satisfaction.     

LEANING AGAINST WINDY BANK LENDING

Using an estimated dynamic stochastic general equilibrium model with banking, this paper first provides evidence that monetary policy reacted to bank loan growth in the United States during the Great Moderation. It then shows that the optimized simple interest‐rate rule features no response to the growth of bank credit. However, the welfare loss associated to the empirical responsiveness is small. The sources of business cycle fluctuations are crucial in determining whether a “leaning‐against‐the‐wind” policy is optimal or not. In fact, the predominant role of supply shocks in the model gives rise to a trade‐off between inflation and financial stabilization. (JEL E32, E44, E52)     

Flexicurity in Belgium: A reform proposal based on economic principles

Belgium's systems of unemployment insurance and employment protection legislation were set up in the context of typically enduring and stable relationships between workers and firms. Economic globalization and rapid technological and organizational change, however, are now demanding more flexibility of both workers and firms. As a result, current labour market institutions are in urgent need of reform to reconcile such increased flexibility with adequate security for workers. Though the call for a “flexicurity” approach is not new, there is no single view of what institutional model the latter implies. This paper proposes a reform explicitly guided by economic principles.     

A scientist's viewpoint on promoting effective use of experimental design: Ten things a scientist wants to know about experimental design

This paper tackles the practical application of statistical tools. Chemical development is a rich area for collaboration between statisticians and chemists, but most statisticians encounter difficulties in promoting the tools to this client group. This paper, presented from a chemist's perspective, is intended to help bridge the gap between the two professions. The paper explores differences in uptake and attitudes towards adopting these techniques and suggests what has hindered or helped the process of effective application of experimental design. Copyright © 2003 John Wiley & Sons, Ltd.     

Mutual workers'insurance: A historical outline

This article focuses on the historical development of small workers'mutual insurance societies whose members manage the fund themselves. The article begins by describing the remarkable similarities in terms of characteristics and development of these societies in different places and periods. It then discusses various non-directly democratic competitors in the field of social insurance and forms of State intervention. Finally, the article attempts to explain why competition from the private sector and State interventions forced directly democratic societies to choose between bureaucratization, marginalization and disbandment.