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31.
Henry Chung MD Michael C. Klein PhD Daniel Silverman MD MPA Janet Corson-Rikert MD Eleanor Davidson MD Patricia Ellis NP 《Journal of American college health : J of ACH》2013,61(7):628-639
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. 相似文献
32.
Abstract Cardiac patients frequently experience anxiety and depression as major responses to a life-threatening event. Well-timed intervention by the social worker can assist in alleviating these responses and enhance psychological well-being by the use of counselling and other therapeutic techniques. Two case-studies are presented illustrating the range of work undertaken in a comprehensive approach to working with patients in both the acute and rehabilitation phases of cardiac crisis. 相似文献
33.
Abstract The aim of this study was to conduct a stress audit among construction industry site managers in the UK as a precursor to a stress management intervention programme. Qualitative data were obtained from in-dept interviews with a total of 36 male middle and senior construction site managers; and aquantitative data were obtained by questionnaire. Based on the analysis of 561 postal quenstionnaires, eight stressor factors were identified, most significantly, ambiguity (i.e. role and task). Job satisfaction levels were low compared to a normative population and influenced by grade level. Measures of mental health were similar to the norm for males, but both grade of management and type of contract affected mental health. Anxiety levels were signficantly high, independent of managerial grade. The stress of work overload and role insecurity (fear of failure) were associated with reduced mental health and high anxiety, and the stress of the organizational culture and climate was the strongest predictor of job dissatisfaction. There was some cause for concern for the vulnerable high-risk groups, i.e. the extreme type A and those working overtime. Medical data from a small subset of managers (n = 78) revealed that this group evidenced a better quality of psychological health than the group in total; but a high percentage of personnel had high levels of triglycerides and cholesterol. Recommendations for action focused on the needs of specific subgroups, and guided the organization on the acceptability of possible interventions at individual, interpersonal and organizational levels. 相似文献
34.
Encouraging students to self-regulate their learning in relationto race issues would appear to be pertinent toa profession that promotes life-long learning and holds valuesof self-determination and respect for the individual at itscore. This study examined the written feedback students receivedin relation to key assignments in years two and three of a socialwork degree programme. The findings suggest that feedback isseldom used in a way that might enhance students understandingof race issues. If students are developing anunderstanding of racism and anti-racist practice, then it doesnot appear to be a result of the written feedback from tutorsand practice teachers. Given the importance of feedback in helpingstudents to self-regulate and develop their learning, it maybe useful to adopt a more principled approach. 相似文献
35.
Cherilyn E. Davidson M.A. 《Child and Adolescent Social Work Journal》1991,8(4):269-284
Through the theoretical lens of attachment theory, the relationship between substance abusing parents and their children exposed prenatally to drugs is explored. Attachment theory, the quality of attachment, attachment classifications, internal working models of attachment, and correlates of attachment classifications are discussed. Case studies of two schoolaged children exposed prenatally to cocaine are presented and interpreted in light of attachment theory set within a social-ecological perspective. Implications for practice and the use of federal policy for this population are explored. 相似文献
36.
J. Davidson Mark Schuster 《Nonprofit management & leadership》1991,2(1):37-57
This article explores how nonprofit organizations respond to proposed changes in the relationship between the government and the nonprofit sector using a case study of the “formula funding” controversy at the National Endowment for the Arts (NEA). The article shows how powerful notions of who should get to decide permeate and continually transform the funding debate, making public interest reforms of the process extremely difficult. The author concludes by suggesting that the victories the arts field can claim in defending the current practice of peer panel review at the NEA will turn out to be Pyrrhic victories, ultimately weakening the claim of the nonprofit arts on public resources. 相似文献
37.
With large numbers of GPs due to retire by 2007, the recruitment and retention crisis in UK general practice is likely to get worse before it gets better. Urgent measures are now required. Policies such as offering doctors financial incentives to enter general practice or delay retirement, while increasing the number of medical school places, may, for a variety of reasons, be likely to enjoy only limited success. In this article, a more radical solution is proposed: the creation of an intermediate medical practitioner role, along the lines of the physician assistant in the USA. The establishment of such a role may go some way to resolving the workforce crisis that currently besets general practice and ensure that medical needs, especially in deprived areas, are adequately met. A number of specific occupational groups who may find the PA role attractive are identified. It is suggested that refugee doctors, unable to practise in the UK, may find PA training particularly attractive, especially if it could serve as a stepping-stone to GMC registration. 相似文献
38.
The current study aims to reveal the experiences of young malestreet prostitutes in Israel, providing a stage for the voiceof this marginal group to be heard, as we believe youth workersneed to know more about these young peoples lives beforewe can offer meaningful responses. The study was guided by twomain questions: (1) What accounts do young men who work as prostitutesprovide for their involvement in the sex industry? and (2) Whatare their experiences as young males engaged in prostitution?Using the life story interview and thematic analysis, four mainthemes were revealed: (a) a life-long path to prostitution;(b) entering prostitution; (c) interpersonal encounters whileengaging in prostitution; and (d) the consequences of workingin prostitution. The results highlight the lack of meaningfulinterpersonal relationships in the lives of these young men.Practical recommendations are made to better inform youth workersassisting this high-risk population. 相似文献
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