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.     

Speaking Out: Youth Led Research as a Methodology Used with Homeless Youth

Participatory action research is well documented with marginalized groups, but less is known about participatory action research with homeless youth. The use of youth led research as a methodology was examined among a population of homeless youth. Peer researchers (n = 10) reported on their experience utilizing youth led research methodology. Results indicate that youth led research is a promising methodology for use among homeless youth. Participants reported that the approach positively impacted the quality and quantity of data that could be collected from participants. Further, peer researchers reported individual benefits of feeling that participating in the project mattered, that people listened to them and that they had a voice.     

Gerontological Social Work Student-Delivered Respite: A Community-University Partnership Pilot Program

ABSTRACT

This study describes a community-university partnership to support a gerontological social work student-delivered respite program, the Houseguest Program (Houseguest). Houseguest was designed using a community-engaged scholarship model of integrating research, teaching, and service. Houseguest was piloted with a small group of community-dwelling, coresiding dementia caregivers and care recipients. We examined caregivers’ experiences with student-delivered respite using qualitative data analysis. Thematic analysis produced 8 themes: (a) respite from full time caregiving role, (b) information on caregiving strategies, (c) no-cost supportive services, (d) opportunity for care recipients to socialize, (e) tailored activities for care recipients, (f) rapport-building between students and family dyad, (g) reciprocity between students and family dyad, and (h) program continuation. We conclude with a proposed community-engaged scholarship model for dementia caregiving. Through a community-university partnership, Houseguest reduced the impact of caregiver burden and created an opportunity for students to serve families affected by dementia through respite and tailored activities.     

Global Governance in the Making: Prospects for a New World Order in Tackling Economic Injustice

One of the proposed solutions to economic justice is the concept of global governance, a world order wherein nations, formerly self-seeking and sovereign, would unselfishly cooperate towards solving problems with worldwide repercussions. Is this a utopian ideal or is this an immediate reality? To what extent is this possible, much less achievable?     

Identifying meaning and perceived level of satisfaction within the context of work

OBJECTIVE: The primary objectives of this study were to identify sources of meaning for individuals within the context of a work environment, and to compare varied sources of meaning for individuals with high and low work satisfaction levels. METHOD: Participants were chosen based on satisfaction levels in employment, full-time employment status within an organization for at least one year, and diversity in the work setting. Data were gathered through a series of interviews and observations of the participants' workplaces. A comparative analysis of transcribed interviews was conducted by the researchers and with an expert occupational therapy faculty panel. From these analyses, the researchers developed work narratives for a mechanical engineer, a high school teacher, an employee of mechanical services, and a career service counselor. RESULTS: Emerging themes from the work narratives indicated that the various meanings employees found in work had an effect on their perceived levels of job satisfaction. Participants conveyed that organization identification, financial benefits, independent decision-making, reciprocal respect, opportunities for creativity, and maintaining significant relationships outside of work enhanced meaning and satisfaction. CONCLUSIONS: The worker role is a significant source of an individual's identity, meaning, and satisfaction in life. Professionals in various fields can work with employers to develop meaningful work environments for increased job satisfaction, greater motivation for work, increased productivity, and decreased employee turnover.     

Development of an Attitudes Measure for Prenatal Screening in Diverse Populations

Background: Prenatal screening for chromosomalabnormalities is routinely offered to allpregnant women who present for care by their20th gestational week. Not all women,however, choose to undergo one of these tests,and choice of which test(s) to undergo alsovary. The reasons for variation in screeningtest behavior have not been fully explored.Methods: We examined the psychometricproperties of scales developed to measurefactors related to prenatal screening usingdata collected as part of a survey of 448racial/ethnically diverse pregnant women. These women were consecutively recruited fromprenatal care clinics when they were betweentheir 12th and 20th week ofpregnancy. The Theory of Reasoned Action wasused to develop to measures of attitudes towardand beliefs about prenatal screening. All itemswere subjected to factor analysis. Scalesidentified in the factor analysis were thensubjected to reliability analysis. Allanalysis was conducted for the entire studygroup as well as separately for eachracial/ethnic group.Results: Six scales emerged: who makes medicaldecisions, fatalism, health care trust, valueof screening, fear of screening and value ofpregnancy. All scales had adequate reliabilitywhen the analysis was conducted for the entirestudy group; however there were differences inreliability across racial/ethnic group.Conclusions: Because of these between groupdifferences comparisons of racial/ethnic groupmay be difficult to interpret and potentiallylead to erroneous conclusions.     

Mapping Right-Wing Women’s Policy Priorities in Latin America

ABSTRACT

Do right-wing women hold unique policy priorities from that of left-wing women and right-wing men? And do right-wing women legislators represent the priorities of right-wing citizens? Right-wing women share unique gendered socialization experiences with left-wing women, but their ideology informs values and attitudes critical to policy preference formation. Political representation theories suggest that women legislators should hold distinct incentives to represent female constituents. However, institutional theories suggest right-wing women legislators may face different incentives that limit the extent to which they represent right-wing female constituents. To evaluate our expectations, we leverage survey data from the Latin American Public Opinion Project and the Parliamentary Elites of Latin America. We demonstrate how right-wing women citizens differ from left-wing women citizens across a range of policy priorities. Then, we evaluate elite priorities for these same policy issues. We find little evidence for policy priority congruency between women citizens and women legislators on the right.