Integrated Care: Providing Behavioral Health Services in a Community Primary Health Care Setting

IMPACT. 1: Through our training program, our students and supervisors have served thousands of patients through the community health center who otherwise would have compromised access to mental health services. -- 2. Our work with staff members across the PrimaryOne Health system has helped to increase their awareness and identification of patient behavioral health needs. This collaboration has contributed to overall better health care.OSU PARTNERS: College of Social WorkCOMMUNITY PARTNERS: PrimaryOne Health; Mental Health America of Franklin County (initiating partner)PRIMARY CONTACT: Tamara S. Davis (davis. [email protected]); Adriane Peck ([email protected])Our MEDTAPP Program is a collaboration between the OSU College of Social Work and the PrimaryOne Health system. We train our students using an integrated and culturally relevant care curriculum model, which prepares them to work in a setting in which they are providing patients with behavioral health services within a community-based primary health care center. Our students graduate from our program prepared to contribute significantly to the behavioral health workforce in Ohio

Social Worker Integrated Care Competencies Scale (SICCS): Assessing Social Worker Clinical Competencies for Health Care Settings

Integrating physical and behavioral health services has the potential to reduce health disparities and service inequities among persons most at risk. However, clinical social workers in integrated health settings must possess relevant knowledge and skills to provide quality care to diverse populations. The Social Worker Integrated Care Competency Scale (SWICCS), developed to complement the Integrated and Culturally Relevant Care (ICRC) field education curriculum, measures students’ self-perceptions of knowledge and skills associated with providing behavioral health care. Three student cohorts (n = 38) completed the SWICCS three times during an integrated care field practicum. Results indicated a statistically significant increase in student knowledge and skills at each time point, with a large effect size (r = −.87). The SWICCS demonstrated utility in measuring and tracking social work student acquisition of knowledge and skills required for practice in integrated care environments

Integrated Care: Providing Behavioral Health Services in Community Primary Health Care Settings

IMPACT. 1: Our students and clinical supervisors placed in community health centers serve thousands of patients annually who otherwise would experience compromised access to behavioral health services. -- 2. Our interdisciplinary team-based care at PrimaryOne Health increases provider awareness and identification of patient behavioral health needs, contributing to overall better patient health care. -- 3. Over 60 students have completed the unique field education program and overall demonstrate significant gains in developing integrated behavioral health service competencies.OSU PARTNERS: College of Social WorkCOMMUNITY PARTNERS: PrimaryOne Health; Our program is made possible by funding from the MEDTAPP Healthcare Access Initiative workforce development grant.PRIMARY CONTACT: Adriane Peck ([email protected]); Tamara S. Davis ([email protected])Our Field Education Program is a workforce development collaboration between the OSU College of Social Work and the PrimaryOne Health system. We train graduate social work students in an integrated and culturally relevant care curriculum model preparing them to provide behavioral health services to patients receiving care in community-based primary health care settings. Our program addresses noted health disparities and service inequities among racially and culturally diverse populations living at or near poverty levels

Can the fluctuations of the quantum vacuum solve the cosmological constant problem?

The cosmological constant problem arises because the magnitude of vacuum energy density predicted by quantum mechanics is about 120 orders of magnitude larger than the value implied by cosmological observations of accelerating cosmic expansion. Recently, some of the current authors proposed that the stochastic nature of the quantum vacuum can resolve this tension [Q, Wang, Z. Zhu, and W. G. Unruh, Phys. Rev. D 95, 103504, 2017]. By treating the fluctuations in the vacuum seriously and allowing fluctuations up to some high-energy cutoff at which Quantum Field Theory is believed to break down, a parametric resonance effect arises that leads to a slow expansion and acceleration. In this work, we thoroughly examine the implications of this proposal by investigating the resulting dynamics. First, we improve upon numerical calculations in the original work and show that convergence issues had overshadowed some important effects. Correct calculations reverse some of the conclusions in [Q. Wang, Z. Zhu, and W. G. Unruh, Phys. Rev. D 95, 103504, 2017], however the premise that parametric resonance can explain a very slowly accelerating expansion appears to remain sound. After improving the resolution and efficiency of the numerical tests, we explore a wider range of cutoff energies, and examine the effects of multiple particle fields. We introduce a simple model using the Mathieu equation (a prototypical example of parametric resonance), and find that it closely matches numerical results in regimes where its assumptions are valid. Using this model, we extrapolate to find that in a universe with 28 bosonic fields and a high-energy cutoff 40 times higher than the Planck energy, the acceleration would be comparable to what is observed.Comment: 19 pages, 12 figure

Simulations of the OzDES AGN Reverberation Mapping Project

As part of the OzDES spectroscopic survey we are carrying out a large scale reverberation mapping study of $\sim$500 quasars over five years in the 30 deg$^2$ area of the Dark Energy Survey (DES) supernova fields. These quasars have redshifts ranging up to 4 and have apparent AB magnitudes between $16.8<r<22.5$ mag. The aim of the survey is to measure time lags between fluctuations in the quasar continuum and broad emission line fluxes of individual objects in order to measure black hole masses for a broad range of AGN and constrain the radius-luminosity ($R-L$) relationship. Here we investigate the expected efficiency of the OzDES reverberation mapping campaign and its possible extensions. We expect to recover lags for $\sim$35-45\% of the quasars. AGN with shorter lags and greater variability are more likely to yield a lag, and objects with lags $\lesssim$6 months or $\sim$1 year are expected be recovered the most accurately. The baseline OzDES reverberation mapping campaign is predicted to produce an unbiased measurement of the $R-L$ relationship parameters for H$\beta$, Mg II $\lambda$2798, and C IV $\lambda$1549. However, extending the baseline survey by either increasing the spectroscopic cadence, extending the survey season, or improving the emission line flux measurement accuracy will significantly improve the $R-L$ parameter constraints for all broad emission lines.Comment: Published online in MNRAS. 28 page

Telebehavioral practice basics for social worker educators and clinicians responding to COVID-19

Social Work’s Grand Challenge to Harness Technology for Social Good calls for educators to reevaluate their role and its significance for the future of social work. Information and communication technology (ICT)-mediated practice methods like artificial intelligence, virtual reality, gamification, and big data, among others, represent a new arena for social work practice. However, educators have been mostly inactive in developing curricula that support student knowledge, training, and decision-making on the adoption of technology for practice. In the United States, the Council on Social Work Education Futures Task Force highlighted this inaction as a matter of critical uncertainty for the field’s future. In contrast, this paper describes how a school of social work rapidly deployed a free, CE training program on the basics of telebehavioral health practice to the social work community to aid their response to COVID-19. The rapid deployment of that training has been distilled as ‘lessons learned’ for those wanting to join in efforts to address the field’s critical uncertainty regarding the adoption of technology. Information is presented about the reach of this training and includes feedback from participants. Additionally, the authors discuss whether COVID-19 can influence social work’s future rate of technology adoption

Black hole versus cosmological horizon entropy

The generalized second law of thermodynamics states that entropy always increases when all event horizons are attributed with an entropy proportional to their area. We test the generalized second law by investigating the change in entropy when dust, radiation and black holes cross a cosmological event horizon. We generalize for flat, open and closed Friedmann-Robertson-Walker universes by using numerical calculations to determine the cosmological horizon evolution. In most cases the loss of entropy from within the cosmological horizon is more than balanced by an increase in cosmological event horizon entropy, maintaining the validity of the generalized second law of thermodynamics. However, an intriguing set of open universe models show an apparent entropy decrease when black holes disappear over the cosmological event horizon. We anticipate that this apparent violation of the generalized second law will disappear when solutions are available for black holes embedded in arbitrary backgrounds.Comment: 14 pages, including 6 figures, to appear in Classical and Quantum Gravity, reference adde

Using Line Profiles to Test the Fraternity of Type Ia Supernovae at High and Low Redshifts

Using archival data of low-redshift (z < 0.01) Type Ia supernovae (SN Ia) and recent observations of high-redshift (0.16 < z <0.64; Matheson et al. 2005) SN Ia, we study the "uniformity'' of the spectroscopic properties of nearby and distant SN Ia. We find no difference in the measures we describe here. In this paper, we base our analysis solely on line-profile morphology, focusing on measurements of the velocity location of maximum absorption (vabs) and peak emission (vpeak). We find that the evolution of vabs and vpeak for our sample lines (Ca II 3945, Si II 6355, and S II 5454, 5640) is similar for both the low- and high-redshift samples. We find that vabs for the weak S II 5454, 5640 lines, and vpeak for S II 5454, can be used to identify fast-declining [dm15 > 1.7] SN Ia, which are also subluminous. In addition, we give the first direct evidence in two high-z SN Ia spectra of a double-absorption feature in Ca II 3945, an event also observed, though infrequently, in low-redshift SN Ia spectra (6/22 SN Ia in our local sample). We report for the first time the unambiguous and systematic intrinsic blueshift of peak emission of optical P-Cygni line profiles in Type Ia spectra, by as much as 8000 km/s. All the high-z SN Ia analyzed in this paper were discovered and followed up by the ESSENCE collaboration, and are now publicly available.Comment: 28 pages (emulateapj), 15 figures; accepted for publication in A

Drug-gene interactions of antihypertensive medications and risk of incident cardiovascular disease: a pharmacogenomics study from the CHARGE consortium

Background Hypertension is a major risk factor for a spectrum of cardiovascular diseases (CVD), including myocardial infarction, sudden death, and stroke. In the US, over 65 million people have high blood pressure and a large proportion of these individuals are prescribed antihypertensive medications. Although large long-term clinical trials conducted in the last several decades have identified a number of effective antihypertensive treatments that reduce the risk of future clinical complications, responses to therapy and protection from cardiovascular events vary among individuals. Methods Using a genome-wide association study among 21,267 participants with pharmaceutically treated hypertension, we explored the hypothesis that genetic variants might influence or modify the effectiveness of common antihypertensive therapies on the risk of major cardiovascular outcomes. The classes of drug treatments included angiotensin-converting enzyme inhibitors, beta-blockers, calcium channel blockers, and diuretics. In the setting of the Cohorts for Heart and Aging Research in Genomic Epidemiology (CHARGE) consortium, each study performed array-based genome-wide genotyping, imputed to HapMap Phase II reference panels, and used additive genetic models in proportional hazards or logistic regression models to evaluate drug-gene interactions for each of four therapeutic drug classes. We used meta-analysis to combine study-specific interaction estimates for approximately 2 million single nucleotide polymorphisms (SNPs) in a discovery analysis among 15,375 European Ancestry participants (3,527 CVD cases) with targeted follow-up in a case-only study of 1,751 European Ancestry GenHAT participants as well as among 4,141 African-Americans (1,267 CVD cases). Results Although drug-SNP interactions were biologically plausible, exposures and outcomes were well measured, and power was sufficient to detect modest interactions, we did not identify any statistically significant interactions from the four antihypertensive therapy meta-analyses (Pinteraction &gt; 5.0×10−8). Similarly, findings were null for meta-analyses restricted to 66 SNPs with significant main effects on coronary artery disease or blood pressure from large published genome-wide association studies (Pinteraction ≥ 0.01). Our results suggest that there are no major pharmacogenetic influences of common SNPs on the relationship between blood pressure medications and the risk of incident CVD