Covariate-defined latent space random effects model

Latent factor models are a useful and intuitive class of models; one limitation is their inability to predict links in a dynamic network. We propose a latent space random effects model with a covariate-defined social space, where the social space is a linear combination of the covariates as estimated by an MCMC algorithm. The model allows for the prediction of links in a network; it also provides an interpretable framework to explain why people connect. We fit the model using the Adolescent Health Network dataset and three simulated networks to illustrate its effectiveness in recognizing patterns in the data.     

Self-Reported Incidence of Physical Violence in College Students

Abstract

A survey of a college student population indicates that physical abuse is prevalent in our society. The self-reported data were found to be similar to that occurring in the literature on parent-reported child abuse, documenting that approximately one-third of college students had a history of moderate abuse and 5 to 10% had a history of a severe abuse during their developmental years. Through an awareness of its high prevalence, the health care provider will question a history of physical violence when evaluating a student with a medical or psychosocial complaint and appropriately plan a management program including therapeutic counseling to decrease the effect of the prior or current physical abuse.     

Self-reported Barriers to Professional Help Seeking Among College Students at Elevated Risk for Suicide

Abstract

Objectives: This study sought to describe self-reported barriers to professional help seeking among college students who are at elevated suicide risk and determine if these barriers vary by demographic and clinical characteristics. Participants: Participants were 165 non–treatment seekers recruited as part of a Web-based treatment linkage intervention for college students at elevated suicide risk (from September 2010 through December 2011). Methods: Data were collected using Web-based questionnaires. Two coders coded students’ responses to an open-ended question about reasons for not seeking professional help. Results: The most commonly reported barriers included perception that treatment is not needed (66%), lack of time (26.8%), and preference for self-management (18%). Stigma was mentioned by only 12% of students. There were notable differences based on gender, race, and severity of depression and alcohol abuse. Conclusions: Efforts aimed at reaching students at elevated risk for suicidal behavior should be particularly sensitive to these commonly described barriers.     

RURALIZING THE CITY: THE GREAT MIGRATION AND ENVIRONMENTAL REHABILITATION IN BALTIMORE,MARYLAND

This article examines the discursive and material presence of the “rural” in the “urban,” relating it to the historical and contemporary production of African American culture and identity. By using the case of the Great Migration, it discusses how African Americans negotiated and shaped their urban surroundings and formed individual and collective identities by drawing on their rural, southern histories. It then suggests the relevance of these broad historical processes to contemporary analyses and interventions in the urban environment of Baltimore, Maryland. This article challenges assumptions that obscure the agency of urban residents in the formation of identity and the establishment of community. It demonstrates ways in which the historical movement from rural South to urban North was accompanied by a range of cultural resources that have been adapted, discarded, or reconstructed.     

Trauma-informed care training in a child welfare system: Moving it to the front line

The use of trauma-informed practices in the child welfare system is critically important to prevent system-induced trauma and encourage timely assessment, triage and referral for care when indicated. Ultimately, such measures have the potential over time to decrease the risk for mental health problems in children exposed to a trauma. This study evaluates an initiative in Arkansas to train child welfare front-line staff members in trauma-informed care practices. We evaluated the impact of the training on knowledge and use of trauma-informed care practices among three types of child welfare staff (Caseworkers, Program Assistants and Other front-line staff). Results suggest that this training process was highly successful in improving knowledge of trauma-informed care practices, especially among staff with the least formal education and training. We also found a significant increase in staff use of trauma-informed care practices at the three-month follow-up with little difference observed across staff groups. Barriers that may prevent staff from full implementation of training concepts are described and strategies to address barriers are proposed.     

Maternal mental health in Australia and New Zealand: A review of longitudinal studies

AimThe aim of this paper is to describe the factors that impact on the mental health of Australian and New Zealand (NZ) women in the perinatal period (pregnancy and the year following birth), and to determine the impact of perinatal mental health on women's subsequent health by summarising findings from prospective longitudinal studies conducted in Australia and NZ.MethodsA systematic search was conducted using the databases, Scopus, Medline, PsychInfo and Health Source to identify prospective longitudinal studies focused on women's social and emotional health in the perinatal period. Forty-eight papers from eight longitudinal studies were included.ResultsThe proportion of women reporting depressive symptoms in the first year after birth was between 10 and 20% and this has remained stable over 25 years. The two strongest predictors for depression and anxiety were previous history of depression and poor partner relationship. Importantly, women's mood appears to be better in the first year after birth, when compared to pregnancy and five years later. Becoming a mother at a young age is by itself not a risk factor unless coupled with social disadvantage. Women report a high number of stressors in pregnancy and following birth and the rate of intimate partner violence reported is worryingly high.ConclusionMidwives have an important role in the identification, support and referral of women experiencing mental health problems. As many women do not seek help from mental health services, the potential for a known midwife to impact on women's mental health warrants further examination.     

Identifying and controlling for program-level differences in comparative cost analysis: lessons from the economic evaluation of the National Breast and Cervical Cancer Early Detection Program

Performing economic evaluations of established health care programs is essential to identify and control for underlying program-level variations and to make valid comparisons. At a time when the need for such evaluations is growing, health care professionals have limited information on the methodological challenges of performing these evaluations. In this study, we used the National Breast and Cervical Cancer Early Detection Program to illustrate these potential underlying variations. We performed site visits to four grantees and collected activity-based cost data from nine additional representative programs. We identified five specific types of cost factors that should be considered when evaluating and comparing health care programs: clinical services, service mix, in-kind contributions, indirect costs, and year-to-year expenditures of specific activities. A key lesson is that case studies and pilot testing should be performed before initiating cost analysis to identify underlying variation and to test appropriate methods to adequately control for these differences.