Student loan debt and mental health: a comprehensive review of scholarly literature from 1900 to 2019.

Purpose: The review had two purposes. The first was to examine the nature and extent of published literature on student loan and the second was to systematically review the literature on student loans and mental health.

Materials And Methods: Data from academic databases (1900-2019) were analyzed using two methods.

Path Analysis of Effects of First-Generation Status on Physical Activity and 4-Year College Degree Completion.

Purpose: First-generation college students (FGCS) face a myriad of sociocultural, financial, and emotional challenges that impact their educational journey. With less academic capital and lower odds of obtaining a bachelor's degree than their non-FGCS peers, understanding the factors affecting their academic success is pivotal for social work professionals aiming to provide tailored interventions and support systems. This study delved into the potential differences between these groups concerning physical activities, which are linked to learning, cognition, and overall well-being, and evaluated their influence on degree completion.

Comparing Naturalistic Mental Health Expressions on Student Loan Debts Using Reddit and Twitter.

Purpose: The primary objective of this study was to identify patterns in users' naturalistic expressions on student loans on two social media platforms. The secondary objective was to examine how these patterns, sentiments, and emotions associated with student loans differ in user posts indicating mental illness.

Material And Method: Data for this study were collected from Reddit and Twitter (2009-2020,  = 85,664) using certain key terms of student loans along with first-person pronouns as a triangulating measure of posts by individuals.

Assessment of general practitioners' needs and barriers in primary health care delivery in Asia Pacific region.

Background: Primary health care is the key to achieve universal health coverage and health for all. The role of general practitioner is now more important than ever. Gaps exist between primary care doctors' needs and available resources.

Disparities in Health Services Use Among Multiracial American Young Adults.

Addressing disparities in health services utilization remains critical for improving minority health; however, most studies do not report on the health service use of multiracial young adults (age 22-34). This study compares past year health service use of self-identified multiracial (two or more races) young adults with monoracial White young adults. Weighted survey data from Add Health (N = 7296) and multivariate logistic regression analyses were used.

Trends in Health Care Utilization Among Adults With Serious Psychological Distress: 2003-2014.

Objective: The purpose of this study was to assess trends in health care utilization among adults with serious psychological distress (SPD) from 2003 to 2014 and compare utilization patterns between adults with and without SPD.

Methods: The study sample came from the 2003-2014 National Health Interview Survey series. SPD was measured by the six-item Kessler Psychological Distress Scale.

Provider advice on exercise and diet among adults with comorbid serious psychological distress and diabetes or diabetes risk factors.

Purpose: To examine the lifetime prevalence and correlates of provider advice to increase exercise and reduce dietary fat intake among adults with comorbid serious psychological distress (SPD) and diabetes or diabetes risk factors.

Methods: Study sample (n = 5942) was selected from the Medical Expenditure Panel Survey Household Component (MEPS-HC) series of 2007-2011. SPD was defined as a score of ≥13 on the Kessler Psychological Distress Scale (K6).

Smoking cessation: a community-based approach to continuing medical education.

Continuing medical education can help close the gaps between current and desired tobacco cessation practices. This paper reports a case of an innovative community-based continuing education approach implemented by a multi-organizational initiative aimed at increasing smoking cessation rates among adults in the USA. The approach involved collaborative partnerships with healthcare professionals and other stakeholders in 14 communities where smoking cessation was an established priority.

American Indian identity in mental health services utilization data from a rural midwestern sample.

The governing bodies for psychiatry, psychology, and social work all publicly support culturally competent mental health care and have called for increased awareness of the importance of racial, ethnic, and cultural identity in mental health treatment and outcomes. However, since 1960 the population of people identifying as American Indian in the United States has grown faster than can be explained by birth rates, raising questions about the personal meaning of identity for newly self-designated American Indians. For this research, interviews were conducted with 14 self-identified American Indian clients receiving rural mental health care services in the Midwest.

Therapist Effects on Disparities Experienced by Minorities Receiving Services for Mental Illness.

OBJECTIVES: The authors examine if some of the reason clients from racial and ethnic minority groups experience outcome disparities is explained by their therapists. METHOD: Data from 98 clients (19% minority) and 14 therapists at two community mental health agencies where clients from racial and ethnic minority groups were experiencing outcome disparities were analyzed using hierarchical linear modeling with treatment outcomes at Level 1, client factors at Level 2, and therapists at Level 3. RESULTS: There were substantial therapist effects that moderated the relationship between clients' race and treatment outcomes (outcome disparities).

Evaluation of a collaborative program on smoking cessation: translating outcomes framework into practice.

Introduction: Although evaluating at multiple outcome levels has been proposed for continuing education activities and programs, it is a complex undertaking and is not done routinely, especially in collaborative, multicomponent programs. This article reports on strategies used and results obtained in an evaluation project that examined multiple outcomes of a US-based collaborative, multicomponent smoking cessation educational program for clinicians.

Methods: Evaluation was organized conceptually around the 6 levels of an outcomes-based evaluation model and was conducted using registration data, postactivity evaluations, clinical vignettes with questions assessing knowledge and competence in participants and in a comparison group, a commitment to change approach, data from patient charts to assess clinician compliance on 8 performance measures, and tobacco cessation rates.

State budget cuts, health care reform, and a crisis in rural community mental health agencies.

Between 2009 and 2011, states implemented significant budget cuts to community mental health agencies (CMHAs), which are frequently the sole provider of specialized behavioral health services in rural communities. Starting in 2010, federal policy changes created by health care reform and mental health parity are likely to increase the number of individuals who can afford to seek services for a mental illness. CMHAs under financial stress have begun to eliminate services and reduce staff.

Clinician factors related to outcome differences between black and white patients at CMHCs.

Objectives: Data are limited on how clinicians contribute to outcome differences between black patients and white patients. Because the clinician-patient relationship is the foundation of mental health services, understanding clinicians' role in outcome differences may help identify evidence-based interventions that decrease disparities and capitalize on positive differences. Symptoms and functioning in a sample of black and white adults receiving outpatient services were examined to determine the effects of their primary clinician on those patterns.

Brokering language and culture: can ad hoc interpreters fill the language service gap at community health centers?

The purpose of the research was to explore the ability of ad hoc interpreters to integrate into the organizational climate at a federally qualified community health clinic (CHC) and create satisfactory services for limited-English-proficiency clients. Survey and interview data were gathered from staff (n = 17) and Latino clients (n = 30). The data indicate that clients felt satisfied with interpreters.

Recovery coaches and substance exposed births: an experiment in child welfare.

Objectives: Substance exposed infants present a major challenge to child welfare and public health systems. Prenatal substance exposure and continued substance abuse in the home are associated with a wide range of adverse social, emotional, and developmental outcomes. The objective of the current study is to evaluate the use of recovery coaches in child welfare.

Income barriers faced by individuals in receipt of Temporary Assistance for Needy Families (TANF).

Research surrounding welfare to work programs suggests a number of potential factors that mediate welfare dependency ranging from a person's degree of employment barriers to their psychological well-being. This study explores how employment barriers, health barriers, background barriers, human capital barriers, and psychological well-being of individuals in receipt of TANF are related to earned income. Findings indicate that employment barriers, background barriers, human capital, and perceived locus of control are significant factors in determining welfare recipients' future earned income.