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.     

The dimensions of poverty

The nature of ‘poverty’ is examined in relation to a model of causes affecting the welfare of a community. It is suggested that one can operationally distinguish four major dimensions of poverty, namely economic, social, political and legal poverty; and that one might in addition be able to characterise three further aspects, namely psychological, ideological and conceptual poverty. It is proposed that at least the first four aspects should be distinguished and explicitly named, thereby specifically characterising these different dimensions of ‘poverty’; and that this would serve a useful purpose in clarifying the nature of the problems faced by the community considered.     

The Treatment of Sexual Disturbance

The thesis of this paper is that the highly competent marriage and family therapist had better have good understanding of both general disturbance and sexual disturbance. A case illustration of an individual with a sexual disturbance is given. Editor.     

Household organization and the interregional variation of out-migration rates

Regional out-migration rates may depend on localized conditions, but the range of possibilities for migration decision making in multi person households includes processes in which the response to variations in localized conditions depends on household size. Analyses of migration rates for households indicate that larger households exhibit more extreme responses to variations in localized conditions and that this is an important source of variation in regional out-migration rates.     

A framework of managerial promotion in a lifetime employment organization: The D bank

From existing formal personnel policies in a Korean bank, a set of internally consistent career system properties are logically inferred for an organization with the strategic human resource objective of lifetime employment. It is argued that the policy emphasis accorded particular functional personnel activities is inherent in the choice of human resource utilization strategy. It is recognized, however, that certain contextual features (e.g., the legal environment, cultural norms) may either constrain or facilitate the choice.     

Family Therapy: A Phenomenological and Active Directive Approach

Because the most popular forms of family therapy, psychodynamic and systems-oriented therapy, appreciably fail to consider family members as individuals in their own right, a phenomenological-humanistic view of families who come for therapy would serve to correct this oversight. The particular phenomenological view espoused by those who do client-centered family therapy, however, is too passive and neglects some of the realities of human disturbance. A "third force" in family therapy is therefore outlined in this paper, which combines a phenomenological-humanistic approach with a highly active-directive attempt to help family members surrender their misperceptions of themselves and others and to make profound philosophic changes in their intrapersonal and interpersonal attitudes and behaviors. As an example of this kind of phenomenological and active-directive approach, some of the principles and practices of rational-emotive therapy (RET) are outlined and applied to family counseling.