Implementing a college mental health program – an overview of the first twelve months

Objective: To evaluate the demographics and clinical utilization patterns among college students during the initial 12 months of a novel, multi-disciplinary, collaborative, college mental health program (CMHP). Participants: Undergraduate and graduate students receiving treatment at the CMHP from Jan-Dec 2015. Methods: De-identified data was obtained via electronic health records for all students receiving care through the CMHP. Results: 1.2 FTE clinical providers treated 278 undergraduate and graduate students during the year (65.1% < age 26, 53.6% female, 49.6% caucasian). There were 1822 CMHP outpatient visits, 318 other medical visits and 103 total emergency room (ER)/inpatient visits. Ten students were identified as high utilizers of ER/inpatient services, while charges to the CMHP totaled $470,157 and total charges to the Health System were $2,378,315. Conclusions: Students with complex psychiatric/medical co-morbidities received cost effective, convenient and integrative treatment. Over time, we hope to intervene earlier and decrease ER/inpatient visits.     

Community-based arts research for people with learning disabilities: challenging misconceptions about learning disabilities

This article presents some of the community-based artwork of a group of men with learning disabilities, who aimed to challenge some of the misconceptions associated with learning disabilities. People with learning disabilities regularly face many forms of direct and indirect stigma. The consequences of such negative perceptions may affect individuals’ social relationships and ensure that barriers are strengthened which prevent their full inclusion. The men in this project used a series of visual and creative methods to challenge some of these misconceptions by telling stories through art, demonstrating skill through photography, using poetry to talk about sexual identity and improvising drama and filmmaking to challenge stigma, and through sculpture expressed their voices. Thus, by doing so, they were able to challenge some of the stigma associated with learning disabilities, indicating that community-based arts research is a valuable way in which to promote the voices of people with learning disabilities.     

Through community eyes: the transition of international organizations from community aid to development in postconflict Sierra Leone

Sierra Leone experienced an 11-year civil war, brutalizing its people and destroying its communities. With the cessation of violence, international organizations helped to secure peace, deliver aid and supplies, and, after, assist with development projects. This grounded theory study, which aims to understand the role these organizations played from the viewpoint of community members in 2 communities, posits that community members’ regard of international organizations lessened as their efforts transitioned from securing the peace and relief efforts to aid for development. Highlighted are the successes and challenges of this work and a broad discussion of implications and recommendations.     

滕尼斯与齐美尔:社会伦理同文化伦理的分流

作为德国社会学的两位奠基人,滕尼斯和齐美尔奠定了截然相反的两种现代伦理生活格局。伦理世界观的分流源于他们各自对时代处境的体验以及对思想史的独特解释。从近代自然法的角度出发,滕尼斯的社会伦理的核心是重建政治社会的秩序与风尚,一切价值最终都要融入社会;与此相反,齐美尔的社会学思考从一开始就以对社会伦理的批评作为前提,他将超越社会的个体生命视作伦理的目的,对他来说,生命不仅意味着身处社会之中的个体具有饱满个性,而且从自身孕育出客观的、适用于他自己的伦理责任。从帝制时期到魏玛时期,德国社会伦理同文化伦理的分流、交织与合流为我们提供了一条理解德国社会学史的清晰主线。     

“Come for the period comics. Stay for the cultural awareness”: reclaiming the troll identity through feminist humor on Reddit’s /r/TrollXChromosomes

/r/TrollXChromosomes is a women-focused humor subreddit on the community site Reddit.com. This essay presents the findings of a thematic content analysis of TrollX’s top-ranked postings. Several themes emerge: that TrollX is a space for networked affective content, that postings often concern women’s embodiment and sexuality, and that they suggest feminist perspectives. These themes are all linked by the image of the troll: a remixed version of the negative, antisocial identity that disrupts and often harasses communities. The TrollX troll invokes a spirit of self-deprecation to revel in the absurdities of life and collectively celebrate women’s everyday experiences. However, this research also argues that the TrollX version of the feminist troll is only partially realized, as it tends to express ambivalence in regards to systemic, intersectional oppression.     

Building Virtual Age-Friendly Communities in Minecraft

A key theme of Age-Friendly Honolulu’s initiative is intergenerational exchange. The initiative believes that youth need to be aware of aging issues, demographic change, and think critically about the potential impact on their lives. The goal of the Age-Friendly Honolulu Youth Engagement Initiative is to teach youth about the role of the built environment and community features in promoting active aging and engagement among older adults. This article describes a new program in the field that teaches youth and older adults to assess the built environment and then use design thinking and Minecraft (a popular video game in which players use 3-D blocks to create virtual lands) to develop and envision ideas to improve the livability of their neighborhood.     

Quality of Life Enhancement Research Program: Lessons Learned

The attempted Quality of Life Enhancement program appeared to be a novel method for creating a symbiotic and sustainable relationship between a large Southeastern university and local nursing home and assisted living facilities (ALF), through which ALF residents would attend university arts and sporting events. During implementation, it was discovered that this project was unsustainable, undesired, unneeded by many care centers, difficult to implement, and required a dedicated and specialized staff. After attempting to enroll 14 local care facilities, only 2 were interested in becoming involved and produced 5 eligible participants. During the program itself, coordination with facilities and residents was difficult to maintain and unique transportation and accommodation needs were challenging to overcome. Finally, data collection was time consuming and generally unfruitful. Ultimately the project was discontinued after a year of attempted recruitment and implementation of inclusive changes to protocol. While creating an ongoing relationship with local care facilities and local universities may enhance opportunities for residents and research into important areas, such relationships take time, effort, and specialized staff to maintain.     

Why spouses depress each other: A cross‐national study to test the shared resource hypothesis in depressive symptom concordance within older adult couples

The shared resource hypothesis suggests that married couples share the same environmental resources, which shape their health concordance. This study tests its cross‐national applicability. Cross‐sectional 2012–2013 Health and Retirement Study data from China, England, Mexico, and the United States were analyzed. Heterosexual couples (age ≥60) who were married or partnered were studied (N = 20,565 pairs). Dyadic data were analyzed by multilevel models to examine the effect of self and spousal social and physical health statuses on depressive symptoms. Regression models were used to test the relationship between couples' shared resources and depressive symptom concordance. Results indicated both husbands and wives' depressive symptoms were associated with their own and spouses' social and health statuses. Most couple‐level resources were insignificant predictors for Chinese and Mexican couples' concordance, but having more social and financial resources was associated with higher concordance among British and American couples. Self‐reported health was the most consistent predictor in all countries. The shared resource hypothesis was more applicable to depressive symptom concordance within couples in the United States and England, but not in China and Mexico. Couple‐centered intervention is suggested for clinical practice, and the spousal effect should be considered in policymaking.     

Participatory shaping of community futures in e‐waste processing hubs: Complexity,conflict and stewarded convergence in a Palestinian context

This article describes an unconventional participatory development approach carried out in an informal e‐waste hub in South‐West Hebron, an area that has collected and processed the bulk of Israeli e‐waste for over a decade. Our approach contributes to the critique and recovery of community representation in participatory development and the search for ways to facilitate representative community engagement. Specifically, we describe our use of a novel Delphi‐like method that allowed us to facilitate a broadly endorsed development trajectory within a heterogeneous and conflicted community. We show how the results yielded by this approach diverged from those that were likely to emerge from more facile forms of participation in ways that are important for other similar e‐waste hubs internationally, which face a destructive status quo on the one hand, or the economically ruinous international policies that ban e‐waste trade from “developed” to “developing” countries on the other. Despite real tensions and cleavages within the affected communities, the process described facilitated a shift from deadlocked environmental versus livelihood positions towards building capacity and regulating existing informal e‐waste trades to preserve livelihoods dependent on these.     

论近代川边治理与国防安全：从赵尔丰到刘文辉

风云激荡的近代“川边”,历任主政者的川边治理成效殊异：赵尔丰籍“平康三策”,锐意进取,开拓出广阔的川边境域,成功践行“固川保藏”方略。尹昌衡藉个人英雄主义维持短暂的绚烂;其后走马灯式的镇守使无法掌控川边局势,失地溃败;颇具政治韬略的刘文辉,妥善处理民族关系,稳固川边,促使西康成功建省。34年的川边治理为现代西南边疆治理留下了鲜活的经验教训,川滇藏结合部需要新的边疆治理统筹。