Students Left Behind: The Limitations of University-Based Health Insurance for Students With Mental Illnesses

Abstract

A growing trend in college and university health care is the requirement that students demonstrate proof of health insurance prior to enrollment. An increasing number of schools are contracting with insurance companies to provide students with school-based options for health insurance. Although this is advantageous to students in some ways, tying health insurance coverage to school enrollment can leave students vulnerable when they are most in need of help. Students whose health insurance is contingent upon their enrollment face significant lapses in coverage when they are required to leave school. This is especially challenging for students with mental illnesses whose treatment needs often go unmet in the absence of that coverage. The limitations in this system must be addressed as an increasing number of universities and students opt for university-based health insurance plans.     

The Institute of Philosophy Is the Country's Central Philosophical Establishment

The author recollects the significant landmarks in the institute's development, which coincides with and reflects the history of the country over the past eighty years.     

Fight Club and the World Trade Center: On Metaphor,Scale, and the Spatio-temporal (Dis)location of Violence

In this essay we examine the metaphorical rendition of the terrorist attacks on New York and Washington, which took place on 11 September 2001, as attacks on “civilization.” Our principal aim is to understand how it has proven to be as affective as it seems to have been thus far. We do so by turning to film, a medium that is quintessentially metaphorical and whose own affective power rests on the reconfiguration of time and space. More specifically, we do so by turning to David Fincher's Fight Club (1999). In contrast to the textual approach offered by Slavoj [Zbreve]i[zbreve]ek (2002), we explore how the formal play of different temporal and spatial scales, which would articulate a trenchant critique of alienation, in fact reproduces an understanding of the subject that is deeply complicit with capital. The play of time and space, on which the affective power of the film rests, articulates a rejection of the fundamentally schizophrenic nature of the subject of capital. Our claim is that this exploration of time, space, and political critique illuminates how the elisions of the historical and geo-political that characterize the metaphorical rendition of the attacks on New York and Washington might easily be overlooked. This essay also advances our more general understanding of both the articulation of time and space within the dominant form of metaphorical representation and how this enacts and consolidates a particular politics.     

Development Guidelines from a Study of Suicide Prevention Mobile Applications (Apps)

Every day, Americans are inundated with advertisements and appeals to purchase the latest mobile technology in the form of smart phones, tablets, and their accompanying applications (apps). Human service organizations (HSOs) across the United States have begun to recognize that apps can provide a valuable resource for individuals and communities by addressing social issues. Additionally, forward-thinking HSOs are aware that apps are a fresh and important way of reaching a rapidly changing, tech-savvy population. But just like the marketplace at large yields a variety of apps that range from useful and engaging to poorly contrived and ineffective, HSOs' foray into app development has achieved mixed results. This report analyzes existing mobile applications available for one specific field of HSO service delivery—suicide prevention—in order to describe what is currently available and to generate beginning guidelines for the development, implementation, and evaluation of new suicide prevention apps for underserved populations. Twenty-seven apps were analyzed and recommendations for HSOs and future research are presented.     

Immigrant Settlement Work in Canada: Limits and Possibilities for Professionalization

Cet article dépeint l’émergence du travail d’établissement auprès des immigrants au Canada et explore les perspectives d'avenir de celui‐ci en tant que profession. À l'heure actuelle, le travail d'établissement comprend trois formes de pratique : (1) un travail aux contours flous; (2) une spécialité du travail social; et (3) une profession en émergence. Cet article soutient que le travail d'établissement aura probablement un avenir professionnel. Cependant, la question de savoir s'il devient une profession indépendante dépend en grande partie du régime de financement du secteur des services d'établissement. Si le régime de financement fédéral et à court terme continue d'exister, le travail d'établissement cherchera encore sa définition au sein du domaine général du travail de service social. S'il émerge un régime de financement provincial et à long terme, les perspectives d'un travail d'établissement professionnel et indépendant s'amélioreront. This paper portrays the emergence of Canadian settlement work with immigrants and explores its prospects as an occupation. Currently, settlement work includes three forms of practice: (1) a loose occupation; (2) a specialty of social work; and (3) an emerging profession. The paper argues that settlement work is likely to have a professional future. However, whether or not it will become an independent profession depends largely on the funding regime of the settlement service sector. If the existing federal and short‐term funding regime continues, settlement work will still be trying to define itself in the broader field of social service work. If a provincial and long‐term funding regime emerges, prospects for an independent professional settlement work will improve.     

Racial Discrimination, Post Traumatic Stress, and Gambling Problems among Urban Aboriginal Adults in Canada

Little is known about risk factors for problem gambling (PG) within the rapidly growing urban Aboriginal population in North America. Racial discrimination may be an important risk factor for PG given documented associations between racism and other forms of addictive behaviour. This study examined associations between racial discrimination and problem gambling among urban Aboriginal adults, and the extent to which this link was mediated by post traumatic stress. Data were collected via in-person surveys with a community-based sample of Aboriginal adults living in a mid-sized city in western Canada (N = 381) in 2010. Results indicate more than 80 % of respondents experienced discrimination due to Aboriginal race in the past year, with the majority reporting high levels of racism in that time period. Past year racial discrimination was a risk factor for 12-month problem gambling, gambling to escape, and post traumatic stress disorder (PTSD) symptoms in bootstrapped regression models adjusted for confounders and other forms of social trauma. Elevated PTSD symptoms among those experiencing high levels of racism partially explained the association between racism and the use of gambling to escape in statistical models. These findings are the first to suggest racial discrimination may be an important social determinant of problem gambling for Aboriginal peoples. Gambling may be a coping response that some Aboriginal adults use to escape the negative emotions associated with racist experiences. Results support the development of policies to reduce racism directed at Aboriginal peoples in urban areas, and enhanced services to help Aboriginal peoples cope with racist events.     

Generations Linked: A Case Example of Māori Grandparents

This article offers an analysis of the significance of intergenerational living patterns and relationships as the mechanisms by which Pacific grandparents preserve and transmit indigenous cultural values, beliefs, and practices. A case example from a study conducted among Māori grandparents in Aotearoa, New Zealand, serves as the core focus of discussion. Seventeen grandparents were interviewed about their lived experiences in their multiple generation homes. Findings indicate that intergenerational life is a means for linking generations and transmission of indigenous culture to the next generation. Participants discussed their intergenerational relationship with much affection and love for their grandchildren and family. Discussion and implications for future research and practice are provided.     

What’s a Parent to Do? How Parents Respond to Notification of a Child’s Police Detention

The current qualitative study involved in-depth semistructured interviews with parents whose children had been taken into custody. Their initial emotional reactions, cognitive processing, and behavioral responses to their child’s detention were examined. Five themes emerged from the data: (1) Parents try to defer immediate interactions with the child rather than react out of emotion; (2) Parents feel anger toward their child, but disappointment and shock are more strongly expressed emotional responses; (3) Parents do not accept the behavior but do not reject their child; (4) Police behaviors communicate the seriousness of the act; and (5) The entire family suffers consequences from the child’s act. Findings highlight the experiences of the parents as they interacted with the juvenile justice system.     

Urban Poverty,Ethnicity, and Personality Development

There are multiple factors which contribute to the development of the individual’s personality. Many of these factors have been amply discussed in traditional theories of personality Jonnation. An area that has been neglected in these discussions has been the role that poverty and ethnic and cultural factors may have in this regard. This paper offers a discussion of these issues with special emphasis on cultural, ethnic, and socioeconomic factors which tend to characterize the lives of Latino and Black individuals. Recommendations are made for a re-evaluation of the traditional theories of personality when applied to poor and minority individuals.     

Childhood Sexual Abuse Severity Reconsidered: A Factor Structure of CSA Characteristics

To address the lack of empirically grounded measures of childhood sexual abuse severity, a survey of self-report items was developed following a thorough review of the childhood sexual abuse literature. An exploratory factor analysis was conducted using data collected from a convenience sample of college students that included 275 females and males with a history of childhood sexual abuse. The solution produced seven factors interpreted as the following: (a) less intrusive forms of childhood sexual abuse (e.g., sexual invitations, kissing), (b) more intrusive forms of childhood sexual abuse (e.g., oral sex, intercourse), (c) humiliation/fear, (d) childhood sexual abuse involving photography, (e) familiarity with the perpetrator, (f) physical force/rape, and (g) active digital penetration. Correlations among these factors further suggested the existence of two relatively independent second-order factors, one based on the levels of physical intrusiveness and the other composed of the psychological/emotional factors. While arguably the most common measurement of severity, physical intrusiveness had little association with critical factors such as humiliation, fear, and association with the perpetrator. Consequently, physical intrusiveness appears to be an inadequate stand-alone measure of childhood sexual abuse severity. These results are proposed to lay the groundwork for an improved, more comprehensive measure of childhood sexual abuse severity.