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 labor supply of military wives in the US

Despite a slight increase in the labor force participation rate of women age 18–55 in the U.S. between 1990 and 2010, the labor force participation rate of military wives in this age cohort fell from 63 to 57?%. The goal of this paper is twofold: to document and analyze the labor force participation of military wives between 1990 and 2010, using the U.S. Census and American Community Survey data, and to compare the relationship between migration and labor force participation for military and non-military wives. We find that the primary suspects to explain the widening gap are the repeated migration for military wives, and the deepening of the recession.     

Problem Gambling and Comorbid Psychiatric and Substance Use Disorders Among Drug Users Recruited from Drug Treatment and Community Settings

Little is known about gambling rates of drug users recruited from drug treatment compared with those recruited from the community. We use the Diagnostic Interview Schedule (DIS) to provide lifetime prevalence estimates of problem gambling (i.e., at least one gambling problem) and DSM-III-R pathological gambling (i.e., at least four gambling problems) and describe the association between gambling and psychiatric disorders for drug users recruited from drug treatment settings (n = 512) and from the community (n = 478). We also report the relative risk of being a recreational and problem gambler in this sample. The sample was first interviewed in 1989–90 as a partof two NIDA-funded St. Louis-based studies. The prevalence of problem gambling in the overall sample was 22% and the prevalence of pathological gambling was 11%. There were no statistically significant differences in problem and pathological gambling rates for subjects recruited from drug treatment and those recruited from the community. The conditional prevalence rates, that is, the rate of problem and pathological gambling only among gamblers were 27% and 13.5%, respectively. Major findings indicate that problem gambling was associated with Antisocial Personality Disorder (ASPD), even after controlling for recruitment source and socio-demographic characteristics. In fact, when examining the temporal order of these disorders, we found that pathological gambling was always secondary to ASPD, occurring on average 11.4 years after the onset of ASPD. Problem gamblers, compared with everyone else, were more likely to be male, African-American, recruited from drug treatment, have ASPD and be dependent on illicit drugs. Multinomial logistic regression analysis predicted the relative risk of being a recreational and problem gambler (compared with a nongambler) in this sample according to socio-demographics, ASPD, and dependence on illicit drugs. Results imply that screening for gambling problems will need to be broad-based among drug users.     

Arby's image repair tactics as a public relations strategy

Arby's, a fast food restaurant, made a marketing appeal based on geography in its “Journey” television campaign, arguing that its meats sliced in its restaurants were fresher than Subway's meats sliced in Iowa. Although the target of the advertisement was Subway, some Iowans felt attacked. Iowans’ reactions and Arby's responses offer an instructive case of image attack and image defense in public relations.     

An accidental outcome: Social capital and its implications for Landcare and the “status quo”

For 25 years the Australian Landcare program has encouraged rural land managers to work cooperatively to resolve natural resource management issues across the nation. Landcare has spread and the model is used internationally. Despite its successes, Landcare has come under criticism for not sufficiently directing land management practices towards environmental sustainability. This criticism sees it as having maintained the “status quo”.     

Individual interventions to prevent drunk driving: types, efficacy, and a theoretical perspective

College students (n = 100) who had tried to stop someone from driving drunk, or who someone else had tried to stop, provided information about their interaction, including what was said and whether the intervention worked. Results suggest that the manner in which people intervene can affect the likelihood that the impaired person will not drive, with forceful statements, clear demands, and concrete action being more effective than requests, pleas, or suggestions. The hypothesis that intervention represents a threat to the person's image received limited support, possibly for methodological reasons. The concept of threat to competence is discussed, as are implications of the results for prevention and education activities.     

Multimethod measurement of high-risk drinking locations: extending the portal survey method with follow-up telephone interviews

Portal survey techniques involve multimodal assessments (e.g., self-report, biologic, and observational) in high-risk drinking and drug-use settings. Our investigation expanded the portal survey methodology to include follow-up assessments of emerging adult women recruited at the border as they cross to and from Mexico south of San Diego, California. The feasibility of the follow-up procedure was established, and the limitations of the technique clarified. Follow-up participants and nonparticipants did not differ by age or reported victimization. Data indicated that 8% of women experience negative events on their return to the United States after a night of binge drinking. These experiences could only be captured in a follow-up survey, as they happened after participants left the border area.