Predicting Resource Utilization by Children with Serious Emotional Disturbance and Their Families

Our study represents a rural case management agency's use of its data to aid in its transition from being funded by federal grant funds to self-sustainment. We wanted to learn if some characteristics of those children served could predict the resources needed to serve them. We analyzed data on 90 children and adolescents living in a rural community. Using multiple regression analysis we found that CAFAS total and CBCL total problem scores predicted Medicaid reimbursements but not flexible funds spending or case management hours. History of psychiatric hospitalization, however, predicted flexible funds spending and case management hours. Using one-way ANOVA and post hoc analysis we found that the staff members' assessments of each child and family's level of service needs were reflected in differences in mean CAFAS total scores, Medicaid reimbursements and case management hours, but not CBCL total problem scores or flexible funds spending.     

Humor and Its Contributions to Mental Health

Self control assistance includes steady doses of humorous comment and reflection. Getting past the perfect person syndrome en route to an emotionally healthier existence can be done by the appreciation of use of humor. Distinguishing between commercialized and rational humor allows for more permanent long range happiness and survival. To be able to laugh and learn at the same time are two bull's-eyes that promote more optimal emotional well-being. Humor ignites thirty-seven listed provisions in the service of emotional health. Fifteen precise dimensions of mental health that humor can pave the way toward are reviewed. Twenty-nine irrational beliefs about humor are fleshed out followed by nine types of rational humor. Stories and stormy anecdotes from the wiles of the author's practice of psychotherapy and parenting misdemeanors further document the topic under consideration.     

Why Not Interfere With Nature?

Advocates of an environmental ethic frequently claim that what makes an ethical theory truly and uniquely environmental is its commitment to the principle that environmental wholes such as species, ecosystems, and biotic communities are morally considerable. The prevailing view is that our primary duty towards these wholes is to respect their integrity, stability, and beauty, and that the best way to do this is to leave them alone, not interfere with them, and let nature follow its own course. But is that correct? Why should be refrain from interfering with nature? There are two ways an environmentalist might try to justify an exceptionaless, prima facie principle of noninterference. First, she might claim that there is a contingent but universal connection between human interference and ecosystemic harm. There is also an epistemic variant of this view. When faced with a decision concerning whether to interfere with an ecosystem, there will always be overwhelming reasons for thinking that interference will be harmful, regardless of the specific circumstances. Send, there might be some conceptual connection between interference and harm to ecosystems. For example, if the well-being of an ecosystem is identified with its wildness, and wildness is understood as the absence of human intervention or manipulation, then any human interference necessarily detracts from an ecosystem's wildness and thereby has a detrimental effect on its well-being. In this paper I examine these justifications in detail and argue that none can support an exceptionaless principle of noninterference.     

政府与个人的责任——中国当代医疗改革的责任伦理学剖析

卫生改革的重点必须放在政府部门;公共卫生,预防与初级医疗保健是人类生存的需要,带有鲜明的公益性和福利性。应由政府投资为主筹集资源,以国家投资为主体负担费用,这个层次的卫生服务产品,属非商品经济部分,并不以赢利为目的,不能引进市场经济,个人对健康负有重要责任,包括：选择医疗保健,决定花费数额,生活方式和卫生习惯的养成,主动接受健康教育,抵抗压力,支持国家与地区的卫生保健政策;个人对自身健康负责是一种道德责任,健商（health quotient)这一重要概念,具有伦理价值和普遍的医学人类学意义;个人对健康负责是一种社会风尚。     

Personality Dysfunction and the Management of Chronic Medical Illness: A Community Health Sample

The purpose of this study was to determine the influence of personality disorders on perceived health status, self-efficacy for management of the chronic illness, and physician perception of patient health. A total of 607 patients with self-identified chronicillness(es) volunteered to participate in the study. Out of this sample, 147 had collaborative physician data indicating a chronic illness. The final sample was 143 due to incomplete data. Results suggested that maladaptive personality characteristics, as measured by the Short-Form of the Coolidge Axis II Inventory (SCATI), were related to a number of important factors that influence self-management of chronic illnesses. When the personality constellations were broken into 3 groups (normal, subclinical, and clinical) significant differences were found on the 3 groups of dependent variables (Subjective Health, Self-Efficacy, Physician Appraisal) for the different personality disorders. These data provide useful information on several factors that influence effective disease management. Clinical implications and directions for future research are provided.     

情绪调节理论：心理健康角度的考察

以情绪调节与心理健康的关系为切入口,对情绪调节理论进行了阐述：早期精神分析理论,把情绪调节看作被动防御机制,情绪调节困难导致心理问题;情境观把情绪调节看作为应对情绪情境即时的心理反应,策略使用情况与心理健康相关;过程观认为情绪调节在情绪发生过程中展开,不同阶段所采用的调节策略与心理健康相关,后又把调节过程扩展到情绪恢复到正常状态所持续时间,时间与心理健康相关;结构观认为情绪调节结构的差异影响心理健康     

Managing Job Stress in the Netherlands

Compared with other countries, in the Netherlands work pressure and sickness absenteeism and work incapacitation rates due to work-related mental health problems are quite high. About a decade ago a new Working Conditions Act (WCA) was introduced that had far-reaching consequences for the way job stress is dealt with in organizations. The WCA emphasizes the central role to be played by commercially operating Occupational Health and Safety Services (OHSSs), and it defines a new kind of professional—the Work & Organizational Expert—who is primarily responsible for the assessment and prevention of job stress. Recently, a number of instruments have been developed for psychosocial risk assessment that are now widely used on a regular basis in a way prescribed by the WCA. Preventive measures are increasingly taken by organizations in order to reduce job stress and sickness absenteeism. Based on the Dutch approach some lessons may be learned. Recommendations pertain to (1) the role of government, (2) legal recognition of psychosocial work factors, (3) the privatization of the occupational health and safety sector, and (4) evaluation of job stress prevention programs.     

试论卫生与法律的关系

卫生是人类重要的社会实践活动。卫生也是保护人体健康的重要社会事业,需要法律的保护和导向。卫生法为卫生发展提供了良好的社会环境,并控制医药卫生无序、失控及异化带来的社会危害性,造福人类,促进经济发展和社会进步。     

Birth cohort changes in Chinese adolescents' mental health

In China, rapid economic growth and increasing social problems constitute two basic characteristics of contemporary social change. During the process of dramatic social change, an emerging question is how adolescents' mental health has changed across birth cohorts. The present paper reviews four studies of crosstemporal meta-analysis conducted by us. By meta-analysis of previous literature, we examined changes in mean scores on mental health measures over time (from the early 1990s to the mid-2000s). It was found that since the early 1990s, Chinese adolescents' mental health deteriorated across birth cohorts, shown in increased scores on the negative indicators of mental health (e.g. mental problems, anxiety, and depression), whereas self-esteem as a positive trait decreased. The dropping trend in Chinese adolescents' mental health could be attributed to social change, especially increasing social problems. Therefore, adequate attention must be paid to potential influences of social change on individuals' psychological development.     

Supporting the Need for an Integrated System of Care for Youth with Co-occurring Traumatic Stress and Substance Abuse Problems

Adolescents are at high risk for violence exposure and initiation of drug use. Co-occurring substance use and trauma exposure are associated with increased risk of mental health disorders, school underachievement, and involvement with multiple systems of care. Coordination and integration of systems of care are of utmost importance for these vulnerable youth. This study delineates the negative sequelae and increased service utilization patterns of adolescents with a history of trauma, substance abuse, and co-occurring trauma and substance abuse to support the need for integrated mental health and substance abuse services for youth. Data from two national sources, the National Child Traumatic Stress Network and Center for Substance Abuse Treatment demonstrate the increased clinical severity (measured by reports of emotional and behavioral problems), dysfunction, and service utilization patterns for youth with co-occurring trauma exposure and substance abuse. We conclude with recommendations for an integrated system of care that includes trauma-informed mental health treatment and substance abuse services aimed at reducing the morbidity and relapse probability of this high-risk group.