Recommendations to the Social Security Administration on the Design of the Mental Health Treatment Study

Many beneficiaries with mental illness who have a strong desire to work nevertheless continue to seek the protection and security of disability benefits, not only because of the income such benefits provide but also for the health care coverage that comes with it. Further complicating matters is that few jobs available to people with mental illnesses have mental health care coverage, forcing individuals to choose between employment and access to care. These barriers, coupled with the limited treatment options and negative employer attitudes and even discrimination when it comes to employing people with serious metal illness, help "explain" the very rates of low labor force participation among people with psychiatric disabilities

History, Principles, Context, and Approach: The Special Homeless Initiative of the Massachusetts Department of Mental Health

Preventing homelessness or ending it quickly for Massachusetts residents with serious mental illness (SMI) has been a strong element of the Department of Mental Health’s agenda for approximately two decades. The Department of Mental Health (DMH, or the Department) estimates that the Commonwealth of Massachusetts is home to approximately 48,000 adults with SMI. Of these, the Department serves the most disabled and the poorest. Client incomes hover around 15 percent of the area median income. Most clients are not employed, and rely on SSI-SSDI benefits for their income. DMH efforts to prevent or end homelessness for its clients have been greatly strengthened since 1992, when the legislature passed the first Special Homeless Initiative (HI) legislation. HI provides resources to reduce the incidence of homelessness among people with SMI. Housing development, both specifically for homeless people and more generally for people with SMI, has been a strong component of the overall DMH effort and the major focus of HI investment specifically. Related aspects of DMH policies and practices include protocols for discharge planning, staff training to focus on housing issues, outreach to people with SMI living on the streets or in shelters, development of specialized shelters, and other aspects of homelessness prevention and intervention

Youth Development Approaches in Adolescent Family Life Demonstration Projects

Youth development (YD) strategies in conjunction with appropriate age-graded sexuality and family life education programs/curricula may have an important role to play in formulating convincing answers to these questions. Youth development approaches help youth enhance their assets rather than concentrating on their difficulties. They focus on where youth are going, helping them develop a belief in a viable future and in their ability to take actions that will bring that future about. The commitment to a future that would be disrupted by a pregnancy during adolescence is about the only thing that Zabin and her colleagues (1986) found to differentiate among Baltimore adolescents using teen clinics who did and did not get pregnant. Teens without a strong reason to avoid pregnancy got pregnant at the same rate as those who wanted to get pregnant; the only teens who were successful at avoiding pregnancy were those who had a future goal that a pregnancy would disrupt. Thus, incorporating youth development principles along with some specific techniques into the work of the Office of Adolescent Pregnancy Programs' (OAPP) abstinence-oriented programs would seem to be an important program enhancement with potentially valuable impacts

Housing Resources Leveraged by the Special Homeless Initiative of the Massachusetts Department of Mental Health, 1992–2006: Evaluation of the Special Homeless Initiative, Massachusetts Department of Mental Health

This and a companion report are the first products of an evaluation of the Special Homeless Initiative, a funding stream that began in 1992 and has grown to become an essential tool available to the Department of Mental Health for preventing and ending homelessness among vulnerable people with serious mental illness

Why Should We Invest in Adolescents?

Too often in the past, public policy has either ignored adolescents or focused on them only when they behave in ways that trouble their elders. Compared to very young children and to the elderly, adolescents suffer from few life - threatening conditions. The formation adolescence of certain health habits with long-term negative consequences (such as smoking tobacco products, use of other addictive substances, or sexual activity without protection from STD and AIDS) often does not produce morbidity or mortality in adolescence itself. Rather the effects, and the costs, develop over a lifetime. Thus, when societies face decisions about where to invest significant health and other supportive resources, attention to adolescents often receives short shrift, despite the fact that after early infancy, adolescence is the period of greatest vulnerability until one gets to the diseases of old age. This work focuses on youth in Caribbean and Latin American Countries. This work contains both English and Spanish versions

Pennsylvania Folklife Vol. 34, No. 2

• A Fiddler\u27s Life • An Interpretation of Some Ritual and Food Elements of the Brethren Love Feast • Pottery Making in Quakertown: 1800-1879 • Teddy Bears: An Enduring Folk Tradition • Lucia Day • Dippy, Son of Puddin\u27 • Persecution and Genocide: The General Problem as Illustrated by the Anabaptist Experiencehttps://digitalcommons.ursinus.edu/pafolklifemag/1106/thumbnail.jp

Alumnae Association Bulletin of the School of Nursing, 1972

Alumnae Calendar The President\u27s Message Officers and Chairmen of Committees Financial Report Address by President Herbut School of Nursing Report School of Practical Nursing Report Report by Dr. Mary Louise Soentgen, M.D., F.A.A.P. Report of Patient Services Department Report of Staff Nurses\u27 Association Progress Report of Hospital Activities Scholarship Committee Report - Clerk-Typist Annual Luncheon - Head Table Social Events for 1971-1972 Missing Alumnae Members Jefferson Today Ways and Means Committee Report Constitution and By-Laws Report Sick and Welfare Committee Women\u27s Board Report Baccalaureate Degree Program Luncheon Pictures Resume of Minutes of Alumnae Association Meeting Class News Poem by Rosa Diseroad - 1923 Marriages Births - Hello World In Memoriam Notice

Is “incidental finding” the best term?: a study of patients’ preferences

There is debate within the genetics community about the optimal term to describe genetic variants unrelated to the test indication, but potentially important for health. Given the lack of consensus and the importance of adopting terminology that promotes effective clinical communication, we sought the opinion of clinical genetics patients

Deep-learning-based synthesis of post-contrast T1-weighted MRI for tumour response assessment in neuro-oncology:a multicentre, retrospective cohort study

International audienceBackground Gadolinium-based contrast agents (GBCAs) are widely used to enhance tissue contrast during MRI scans and play a crucial role in the management of patients with cancer. However, studies have shown gadolinium deposition in the brain after repeated GBCA administration with yet unknown clinical significance. We aimed to assess the feasibility and diagnostic value of synthetic post-contrast T1-weighted MRI generated from pre-contrast MRI sequences through deep convolutional neural networks (dCNN) for tumour response assessment in neuro-oncology. Methods In this multicentre, retrospective cohort study, we used MRI examinations to train and validate a dCNN for synthesising post-contrast T1-weighted sequences from pre-contrast T1-weighted, T2-weighted, and fluid-attenuated inversion recovery sequences. We used MRI scans with availability of these sequences from 775 patients with glioblastoma treated at Heidelberg University Hospital, Heidelberg, Germany (775 MRI examinations); 260 patients who participated in the phase 2 CORE trial (1083 MRI examinations, 59 institutions); and 505 patients who participated in the phase 3 CENTRIC trial (3147 MRI examinations, 149 institutions). Separate training runs to rank the importance of individual sequences and (for a subset) diffusion-weighted imaging were conducted. Independent testing was performed on MRI data from the phase 2 and phase 3 EORTC-26101 trial (521 patients, 1924 MRI examinations, 32 institutions). The similarity between synthetic and true contrast enhancement on post-contrast T1-weighted MRI was quantified using the structural similarity index measure (SSIM). Automated tumour segmentation and volumetric tumour response assessment based on synthetic versus true post-contrast T1-weighted sequences was performed in the EORTC-26101 trial and agreement was assessed with Kaplan-Meier plots. Interpretation Generating synthetic post-contrast T1-weighted MRI from pre-contrast MRI using dCNN is feasible and quantification of the contrast-enhancing tumour burden from synthetic post-contrast T1-weighted MRI allows assessment of the patient's response to treatment with no significant difference by comparison with true post-contrast T1-weighted sequences with administration of GBCAs. This finding could guide the application of dCNN in radiology to potentially reduce the necessity of GBCA administration