Canadian Campus Smoking Policies: Investigating the Gap Between Intent and Outcome From a Student Perspective

Abstract

Background: Young adults remain the earliest legal target for the tobacco industry. Against this, the existence of smoking policies would appear to offer some protection to students on campus. However, little research has been conducted into the outcomes of such policies from a student perspective. Methods: The authors conducted 8 focus groups at 4 selected Canadian undergraduate campuses to investigate student perceptions and behaviors resulting from campus smoking policies. Results: Results indicated that student smoking behaviors are minimally impacted by campus smoking policies due to seriously compromised implementation and enforcement. Conclusions: These findings imply that the presence of campus smoking policies and claims of “smoke-free” campuses should not be misinterpreted as achievement and without renewed focus and adequate tobacco control infrastructure, it will remain possible for young adults to initiate and maintain tobacco smoking on campus.     

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.     

Gender,gambling settings and gambling behaviours among undergraduate poker players

A gender divide in gambling is commonly observed among college populations. This study examines whether settings where students gamble on poker mediate the relationship between gender and poker gambling behaviours. Undergraduate poker players, 126 females and 242 males, were randomly sampled from three universities in Montreal, Canada. Three outcomes measuring risky behaviours were considered: severity of gambling problems as measured by the Problem Gambling Severity Index (PGSI), past-year poker spending and past-year poker debt. Multiple mediation analyses were conducted. The effect of gender on outcomes was analysed through three putative mediators: gambling on poker in private residences, in public locations or on the Internet. Male gender positively relates to risky gambling behaviours and occurrence of gambling in various settings. Risky gambling behaviours are positively related to gambling in various settings. Overall, the occurrence of playing poker in public locations and on the Internet emerged as significant mediators in relation to PGSI score, past-year poker spending and past-year poker debt. Given the nature of the processes by which gender is related to risky gambling behaviours among undergraduate students, gambling needs to be understood through a perspective that focuses as much on contexts as it does on individuals.     

The Neurosequential Model of Therapeutics: An Interview with Bruce Perry

In this interview with Bruce Perry, MD, PhD, Senior Fellow of The Child Trauma Academy, Laurie MacKinnon discusses with Dr Perry developmental trauma and the Neurosequential Model of Therapeutics, an approach to clinical problem solving that utilises a developmental lens and incorporates advances in neurobiological development. Dr Perry gives his perspective on the causal connection between childhood abuse and later psychiatric diagnosis, the child's contact with a violent parent post‐separation, the importance of interventions that address the organisation and functioning of lower parts of the brain and his perspective on the use and limitations of psychotropic medications, cognitive behaviour therapy and family therapy.     

Climate Justice and Cultural Sustainability: The Case of Etëtung (Vanuatu Women’s Water Music)

This article investigates connections between climate justice and cultural sustainability through the case of Etëtung, or ‘Vanuatu Women’s Water Music’, as it is found in the ni-Vanuatu community of Leweton. Drawing on existing literature, interviews and field visit observations, I consider how and why Etëtung is proving increasingly important in local efforts toward cultural sustainability and climate justice (social justice as it relates to climate change). Specifically, I focus on three ways in which community members are employing the practice of Etëtung to progress both climate justice and cultural sustainability concerns: first, through the use of Etëtung to maintain and transmit cultural and environmental knowledge; second, through featuring Etëtung in cultural tourism; and third, through drawing on Etëtung to enable greater participation in the regional and international climate change discourse. As such, this article presents and reflects on one multifaceted approach to advancing dual cultural sustainability and climate justice interests, with potential relevance to other contexts in the Pacific and beyond.     

Developing Age-Friendly Cities: Case Studies From Brussels and Manchester and Implications for Policy and Practice

Developing environments responsive to the aspirations of older people has become a major concern for social and public policy. Policies and programs directed at achieving “age-friendly” communities are considered to require a wide range of interventions, including actions at the level of the social and physical environment. This article compares the age-friendly approaches of two European cities, Brussels and Manchester, with a particular focus on policies and initiatives that promote active aging in an urban context. The article examines, first, the demographic, social, and multicultural contexts of Brussels and Manchester; second, the way in which both cities became members of the World Health Organization Global Network of Age-Friendly Cities and Communities; third, similarities and differences in the age-friendly approaches and actions adopted by both cities; and fourth, opportunities and barriers to the implementation of age-friendly policies. The article concludes by discussing the key elements and resources needed to develop age-friendly cities.