Residents' Attitudes About On-Site Religious Activities: A Comparison of Continuing Care Retirement Communities in Two States

ABSTRACT

Twelve older adults were interviewed in two continuing care retirement communities (CCRCs), one in Florida and the other in Wisconsin. Only the residents in Wisconsin maintained contact with local congregations, probably because most had always lived in communities not far from the CCRC. On-site religious activities such as worship and study groups were important because of the ways they ordered the week and the opportunities they offered for social interaction. In both locations, Protestant residents appreciated the opportunity to worship in ecumenical services conducted by clergy of different Protestant faith traditions. Catholic services were also available in both locations. Suggestions are offered about ways that faith communities can nourish the spiritual lives of persons living in CCRCs by working with chaplains and by conducting small prayer and study groups.     

Integrating Mental Health and Primary Care Services in the Department of Veterans Affairs Health Care System

Integrating mental health care in the primary care setting has been identified in the literature as a model for increasing access to mental health services and has been associated with enhanced clinical and functional patient outcomes and higher patient satisfaction. The Department of Veterans Affairs (VA), which operates the nation’s largest integrated health care system, has taken a leadership role in creating a health care system in which mental health care is provided in the primary care setting. This article examines VA’s efforts and progress to date in implementing evidence-based models of integrated mental health services nationally in community based outpatient clinics, home based primary care, and outpatient primary clinics at medical facilities. Psychology plays an important role in this progress, as part of an overall interdisciplinary effort, in which all professions are crucially important and work together to promote the overall well-being of patients. This article is based in part on a presentation by the first author at the 3rd National Conference of the Association of Psychologists in Academic Health Centers (APAHC) in May of 2007 in Minneapolis, Minnesota.     

The Nature of Generalized Anxiety in Older Primary Care Patients: Preliminary Findings

Clinical features of older primary care patients with GAD (PC-GAD; n = 22) were examined relative to older patients with GAD recruited for two academic clinical trials (M. A. Stanley, J. G. Beck, et al., 2003; J. L. Wetherell, M. Gatz, & M. G, Craske, 2003) and to a sample of older primary care patients without psychiatric diagnoses (No Dx; n = 10). Comparisons revealed similar levels of worry, anxiety, depressive symptoms, quality of life, and functional status between the PC-GAD subsample and patients recruited for academic trials, although primary care patients were older, less well educated, and more ethnically diverse. The PC-GAD subgroup, however, reported greater symptom severity, reduced quality of life, and poorer perceived general health, mental health, and vitality than the No Dx subgroup (² = .23–.43). Service utilization was not different between PC-GAD and No Dx subgroups, with the exception of psychotropic medication use. The Penn State Worry Questionnaire (PSWQ) and an abbreviated version of this measure may be useful for identifying late-life GAD in primary care. Cutoff scores of 50 and 22 on the full and abbreviated versions of the PSWQ, respectively, demonstrated excellent specificity, sensitivity, and positive predictive value. Negative predictive value was less impressive, probably as a result of high base rates for GAD in this sample.     

终末期癌症病人诊治中的心理特征与人文关怀

在诊治终末期癌症病人过程中不仅要关心他们的躯体方面,更要关心他们的心理方面,在诊治过程中要根据他们的独特的心理特征来进行人文心理关怀,维持生命质量和保证他们应有的人格尊严.     

Cosmic Justice and Sanctioned Violence: The Huangdi Yinfujing and the Legitimacy of War in Religious Daoism

《黄帝阴符经》或《阴符经》是道教传统中一部极为主要的文本。虽然文本作者不详,而且篇幅短小、语义晦涩,但自唐代以来一直被当作奇书,引发多种注释与解读:内丹修炼抑或兵家谋略。本文以(唐)李荃注释本为主,阐述《阴符经》有关阴阳、生杀、机时、五贼、三盗等所涵盖的道家/道教的本体-宇宙观,并以此论述就有关暴力与战争议题所展示的道教伦理观。笔者认为,《阴符经》在重玄思辨中,强调道教"治身治国"的理念,其暗含的"义战"思想亦带有一定的黄老印记。     

Micro Practice and Faith-Based Initiatives: The Role of Religious Congregations in the Social Service System

SUMMARY

Religious organizations have provided services for older adults for thousands of years. For the sons and daughters of Abraham, this is Biblically mandated. Charitable Choice and the President's Office of Faith-Based Initiatives is only the most recent effort to bring this informal caregiving system into dialogue with the remainder of the formal social service system in the United States. At this time, religious congregations play a gap-filling role in the community service system. Their services range from informal volunteer-driven approaches to a local need, to large formal service systems. From the first draft of the Older American's Act, nutrition sites have specifically named religious congregations in partners with the service system. Today this system continues to be ready to support at least the seniors in their own congregations.     

竹溪县降低孕产妇死亡率和消除新生儿破伤风项目分析

为实施"降低孕产妇死亡率和消除新生儿破伤风项目",通过培训乡村产儿科技术服务人员,以改善乡镇卫生院产儿科服务条件,提高育龄妇女住院分娩安全意识,降低孕产妇死亡率和消除新生儿破伤风.开展了人员培训、健康教育、设备配置、贫困救助、监督指导等活动.孕产妇死亡率、新生儿破伤风等重点指标达到终期目标.提出贫困地区妇幼卫生事业建设与发展必需有可行性项目支持.     

The Rhetoric of Religious Dissent: Anti-Calvinism,Satire and the Arminian Controversy in the Dutch Republic

Abstract

This study investigates the influence of the Arminian controversy (1609-1619) on the literary culture of the Dutch Republic. Focusing on the work of pivotal figures like Dirck Coornhert, Reinier Telle, Samuel Coster and Joost van den Vondel, it is argued that political and religious controversy gave rise to a culture of religious satire that directly shaped the outcome of the conflict. Analyzing the similarities between satire and the practice of religious parrhesia, it aims to examine the paradoxes inherent in the early modern debate on toleration.     

The Effect of Racial and Ethnic Diversity on the Delivery of Mental Health Services in Pediatric Primary Care

The effects of racial and ethnic diversity on the detection and management of behavioral and emotional problems in pediatric primary care are addressed. Service access and utilization as a function of race and culture are initially examined. Important barriers within pediatric training including minimal emphases on behavioral training and the limited supply of minority physicians are underscored. The impact of ethnicity on the development and maintenance of the clinical relationship that is critical to accurately and sensitively identifying and managing behavioral and developmental problems is briefly addressed. Recommendations for further integration of racial/ethnic issues into mental health service provision within the pediatric primary care arena are presented.     

The Impact of Brief Interventions on Functioning Among those Demonstrating Anxiety,Depressive, and Adjustment Disorder Symptoms in Primary Care: The Effectiveness of the Primary Care Behavioral Health (PCBH) Model

Journal of Clinical Psychology in Medical Settings - Limited scalability combined with limited opportunities for patients to receive evidence-based interventions in traditional behavioral health...