Understanding and influencing the stigma of mental illness

Life goals and the opportunities that define them are impaired by the stigma of mental illness. Three kinds of stigma may act as barriers to personal aspirations: public stigma, self-stigma, and label avoidance. Challenging mental illness stigm is essential in helping individuals accomplish recovery-related goals. Public stigma may be changed through protest, education, and contact. Self-stigma can be addressed by fostering group identity, changing the perceived legitimacy of stigma through cognitive rehabilitation, and making strategic decisions about disclosing one's mental health history. Stigma change for label avoidance is not as well understood but may include the education and contact approaches used for public stigma. Evidence-based approaches to stigma change need to be substantiated by rigorous investigations.     

A qualitative study of attitudes, beliefs, and practices among 40 undergraduate smokers

OBJECTIVE: Because little is known about college-age smokers, the authors conducted a qualitative study to better understand this population. PARTICIPANTS: Forty college student smokers from 12 Pacific Northwest colleges participated in the study. METHODS: The authors identified themes and built models to ascertain important factors related to smoking and smoking cessation. Four models emerged: smoking facilitators, smoking barriers, cessation facilitators, and cessation barriers. RESULTS: The authors observed physical, psychological, and social influences across models, and social influences were strongly associated with both smoking and cessation. Many smokers were unlikely to define themselves as regular smokers. Most smokers had made prior quit attempts. CONCLUSIONS: College students are a unique category of smoker and colleges can play a role in helping them achieve cessation.     

Study Abroad Ghana: An International Experiential Learning

The global nature of social problems indicates how important it is for social workers to be involved in international issues. For example, overseas experience in social work programs is in consonance with the Council on Social Work Education's emphasis on global context of social work practice. In view of this, some schools of social work are facilitating international experience for their students and faculty. This article discusses the experiences of U.S. students who studied abroad in Ghana in summer 2010, under the University Studies Abroad Consortium (USAC). It specifically examines the impact the USAC Ghana program, the people and culture of the host country, intracountry trips/tours, and the social work courses had on the student participants.     

Predictors of Fatigue among Patients with Chronic Fatigue Syndrome

Activity logs involve patients writing down their activities over 1 or more days. Several studies have found these data collection instruments to accurately describe activities of patients with chronic fatigue syndrome (CFS). The purpose of this study was to utilize the repeated measures available on the National Institutes of Health Activity Record to evaluate predictors of fatigue at a given time point. A random intercept model was tested with the following variables predicting current fatigue: past fatigue (30 mins. prior), current category of activity (e.g., resting, work, recreation), past category of activity (30 mins. prior), the interaction of past fatigue and past activity, and TH2/TH1 immune shift. These findings and others suggest that activity logs can provide investigators and clinicians with valuable sources of data for understanding patterns of behavior and activity among patients with CFS.     

Folate/folic acid knowledge,intake, and self-efficacy of college-aged women: impact of text messaging and availability of a folic acid–containing supplement

ABSTRACT

Objective: To evaluate the impact of educational text messages (TMs) on folate/folic acid knowledge and consumption among college-aged women, and to evaluate the impact of providing folic acid supplements on folate/folic acid intake among college-aged women. Participants: A total of 162 women (18–24 years) recruited from a university. Methods: The protocol included 3 study visits and a 6-week intervention for 4 groups: control; TM only; supplement only; and TM+supplement. Supplement groups received folic acid–containing supplements. TM groups received 18 folate-related TMs. Participants completed knowledge quizzes, supplement intake questions, a self-efficacy scale, and dietary recalls. Results: Despite receiving the same folic acid education, intake of folic acid and total folate was greater in the supplement groups compared with the non-supplement groups at mid- and post-study. TMs had no impact on any study measure. Conclusion: Provision of a folic acid–containing supplement enhanced short-term folic acid intake, supporting the provision of supplements to this population group.     

Understanding stress as an impediment to academic performance

Abstract

Objectives: Stress is the most commonly reported impediment to academic performance among college students. The objectives of this study were to examine the accuracy of these perceptions, identify demographic and psychosocial factors that distinguished among students who differed in perceptions of how stress affected their performance, and assess the relations between these factors and grade point average (GPA). Participants: Undergraduate students (N?=?8,997) from 20 Midwestern schools. Methods: Participants completed online surveys during February–March 2015 that assessed perceived impediments to academic performance, cumulative GPA, demographic information, and psychosocial factors. Results: Students who reported that stress affected their performance had lower GPAs, and reported more stress and lower coping self-efficacy, resilience, and social support. Male, heterosexual, and ethnic-minority students were less likely to report having stress (but did not have higher GPAs). Conclusion: Stress reduction interventions should target psychosocial factors related to perceiving stress as an impediment and to poorer performance.     

Planning Playgrounds to Facilitate Children’s Pretend Play: A Case Study of New Suburbs in Perth Western Australia

Playgrounds are important features of residential areas. Their design influences child play behaviour, particularly ‘pretend play’. With a growing number of young families moving into new suburbs, investigation into the extent to which pretend play is considered in playground design is an important planning issue. This is the focus of this research. Three playgrounds in Perth, Western Australia, were chosen as case studies, and intercept surveys of parents supervising children at these playgrounds and observation of the children behaviour were carried out. Park managers, landscape architects and community facilities managers from outer metropolitan councils were also interviewed. A key finding was that multi-purpose play equipment, particularly sand and themed playgrounds, best fostered pretend play. Further, while local government officers were supportive of pretend play, several factors limit the inclusion of pretend play features into playground designs, primarily risk management. Officers acknowledged that high-risk play was conducive to pretend play, but the need to reduce risk was the main consideration for playground design. The overall conclusion was that pretend play is neglected in playground designs, therefore greater education is needed of the value of pretend play in playground design needed, including the role of risk.     

Disseminating Effective Community Prevention Practices: Opportunities for Social Work Education

In the United States about 17% of adolescents meet diagnostic criteria for mental, emotional, and behavioral disorders. Six million young people receive treatment services annually for mental, emotional, or behavioral problems. These problems affect 1 in 5 families and cost $247 million annually (O'Connell, Boat, & Warner, 2009). Some strategies for preventing mental, emotional, and behavioral disorders in young people have been developed, tested, and found to be effective in preventing the onset, persistence, and severity of psychological disorders, drug abuse, and delinquency. Unfortunately, tested and effective prevention policies, programs, and practices are not widely used (O'Connell, Boat, & Warner, 2009). This paper highlights recent advances in prevention science and describes some opportunities and challenges in advancing the use of science-based prevention in communities. The chapter concludes by exploring the potential role of social work education in developing a workforce ready to increase community access to effective prevention strategies.