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.     

Passenger Rail Security,Planning, and Resilience: Application of Network,Plume, and Economic Simulation Models as Decision Support Tools

We built three simulation models that can assist rail transit planners and operators to evaluate high and low probability rail‐centered hazard events that could lead to serious consequences for rail‐centered networks and their surrounding regions. Our key objective is to provide these models to users who, through planning with these models, can prevent events or more effectively react to them. The first of the three models is an industrial systems simulation tool that closely replicates rail passenger traffic flows between New York Penn Station and Trenton, New Jersey. Second, we built and used a line source plume model to trace chemical plumes released by a slow‐moving freight train that could impact rail passengers, as well as people in surrounding areas. Third, we crafted an economic simulation model that estimates the regional economic consequences of a variety of rail‐related hazard events through the year 2020. Each model can work independently of the others. However, used together they help provide a coherent story about what could happen and set the stage for planning that should make rail‐centered transport systems more resistant and resilient to hazard events. We highlight the limitations and opportunities presented by using these models individually or in sequence.     

紧缩时代的新极端主义和干扰政治

美国主流媒体有关财政悬崖危机等孤立议题的辩论,是一种转移公众注意力的干扰性话语政治学,它旨在强化去政治化和威权主义的新模式,割裂人们对个体困境与公共利益考虑之间的联系。在民主共和两党尤其是共和党极端主义对福利国家、公共利益和责任政府的大肆攻击之下,美国已经变成精神上的威权国家,市场极端主义和极端个人主义甚嚣尘上,想象力、能动性和希望被窒息。在此情况下,批判教育学成为正义、社会责任和民主意义的核心,帮助人们争取集体夺回民主斗争的胜利。     

The Sustainability of Technology Markets

Journal of Management and Governance -     

Mothers' and Fathers' Use of Internal State Talk with their Young Children

The present study extends previous results demonstrating a relation between maternal discourse and child social understanding to include paternal discourse. Emotion understanding (EU) and theory of mind (ToM) were considered as two distinctive aspects of social understanding. Participants were 106 children (54 boys and 52 girls) studied at 3.5 and 5 years. Discourse measures came from separate parent–child conversations during a picture‐book task; measures of EU and ToM came from children's performance on social cognition tasks. Differences in parental talk translated into important differences in the influence of each parent on children's social‐cognitive understanding. Mothers' references to emotion and emotion causal explanatory language predicted children's concurrent EU. Fathers' use of causal explanatory language referring to desires and emotions predicted children's concurrent and later ToM. These results highlight important differences between mothers and fathers in their use of internal state language and its impact on children's social‐cognitive understanding.     

Pathological gambling: A review of the literature (prepared for the American Psychiatric Association task force on DSM-IV committee on disorders of impulse control not elsewhere classified)

This is a review of the literature on pathological gambling prepared for the work group on disorders of impulse control, not elsewhere classified of the American Psychiatric Association. It introduces the new DSM-IV criteria as well as outlines the phases of the career of the pathological gambler. Research discussed includes that on pathological gambling and psychiatric disorders, substance abuse, family issues, children, finances, and crime. Psychoanalytic, personality, behavioral, sociological, psychologically based addiction theories, and physiological research are also summarized. Finally, treatment outcome studies are outlined.This article is dedicated to the memory of Robert L. Custer, MD whose inspiration and encouragement stimulated much of the research discussed herein.     

Epidemiological surveys of pathological gambling: Critique and suggestions for modification

Epidemiological studies of problem and pathological gambling were examined for their accuracy. Fundamental flaws and biases were found in these surveys. These include problems with survey instruments; nonresponses and refusal bias; the exclusion of institutionalized populations; exclusion of other groups; and failure to protect against denial on the part of the respondent when others are present near the telephone. Based on the issues discussed, one can reasonably be expected to assume that most epidemiological surveys seriously underestimate the extent of problem and pathological gambling. Alternative strategies for addressing these issues are discussed. These strategies include the use of field interviews, surveys of institutionalized populations, frequent player surveys and significant other surveys. The value and potential problems of these approaches are also discussed.This is a revision of a paper presented at the 9th International Conference on Risk and Gambling, Las Vegas, Nevada.The author would like to thank Rachel Volberg and Mark Dickerson as well as conference participants for their valuable suggestions on an earlier draft of this paper.     

Inequality at work: Race,sex and underemployment

New indicators of underemployment are presented for whites, blacks, Mexican Americans and Puerto Ricans by sex. The indicators are based on hours worked, education, skill utilization, and pay. Data from the 1980 Current Population Survey are supplemented with Dictionary of Occupational Titles information to construct the indicators. Whites consistently have the lowest underemployment, and comparison across groups reveals the different types of employment problems faced by minorities and women. These indicators of underemployment are compared with those from a different conceptual approach (the Labor Utilization Framework) using the same survey data. The advantages of the new indicators are discussed.