An Assessment of Mental Health Services for Veterans in the State of Texas

This report describes the complex challenges faced by veterans and their families in seeking, navigating, and attaining adequate mental health care in Texas. There are 1.7 million veterans in Texas, comprising 8.6 percent of the adult population. According to the U.S. Department of Veteran Affairs (VA), the number of veterans requiring mental health services has grown dramatically and will continue to increase, making veterans’ mental health care an urgent issue in Texas. The federal agencies responsible for military and veterans mental health care, the U.S. Department of Defense (DoD) and the VA, have created new programs and invested significant financial and staff resources. Despite barriers to addressing veterans mental health needs. Texas state agencies have increased funding and instituted new mental health programs supporting returning veterans. Nonprofit agencies focused on veteran’s mental health have multiplied across Texas and the U.S. over the past decade to fill gaps in care. While these organizations provide a growing and increasingly diverse set of resources for veterans to extend the scope of support, volunteer efforts can suffer from fragmentation and overlap. The report identifies current practices, challenges, and opportunities within and across each group of service providers. The report draws on government reports, scholarly literature, and agency websites, as well as interviews with counselors, Veteran Service Officers, nonprofit providers, state officials, and veterans themselves. This report offers five recommendations toward the goal that veterans’ mental health care in Texas become comprehensive, inclusive, effective, and efficient. First, there is a need for greater inter-agency communication across organizations, improved outreach efforts, and increased services for hard-to-reach populations, such as homeless veterans. Second, federal agencies ought to address staff shortages, improve the transition from DoD to VA care, and increase feedback. Third, at the state level, specialized services are needed to address unique veterans’ needs concentrated in cities across Texas as well as those dispersed in rural areas. Fourth, providers can improve mental health care by integrating social services and law enforcement. Fifth, both veterans and providers can benefit if they recognize opportunities for cooperation and coordination and work towards long-term goals that emphasize outcomes that improve the lives of returning veterans. This research was funded in part by the Jack S. Blanton Research Fellowship and the George A. Roberts Research Fellowship of the IC² Institute.IC2 Institut

Exploring the role of messenger effects and feedback frames in promoting uptake of energy-efficient technologies

The persuasive potential for varying messenger types and feedback frames to increase pro-environmental choice was explored in a 2 (feedback frame: financial vs. environmental) × 5 (messenger type: neighbour, government, industry, utilities vs. control) factorial design experiment. Using the context of home heating choice, 493 non-student participants were given information on either the financial or environmental benefits of selecting an energy-efficient heat pump versus a standard boiler, as described by one of four messenger types (versus a no-messenger control). Likelihood of selecting the ‘green’ technology was assessed, as well as any carry-over effects on real-life behavioural intentions. Additionally, we assessed the messenger attributes that appeared to be most important in this context, in terms of whether sources that were perceived to be trustworthy, knowledgeable, or a combination of both dimensions, would hold greater sway over preference formation. Overall, no evidence was found for any impact of messenger type on either preference formation or behavioural intentions. However, message content (i.e. how information on the benefits of pro-environmental choice was framed), was found to have substantial impact on behaviour; with the financial versus environmental decision frame being significantly more likely to encourage uptake of the energy-efficient versus standard technology. We suggest that the level of processing required for the kinds of large-scale purchase decisions we consider here may explain the lack of any messenger effect on choice behaviour. Implications for the development of behaviour change interventions designed to promote consideration of energy-efficient technologies in this context are discussed

Promoting behavioural change to reduce thermal energy demand in households : a review

A reduction in thermal energy consumption in buildings is vital for achieving the reductions in carbon dioxide (CO2) emissions that are part of EU-2050 targets. A key challenge faced by behavioural scientists is to understand what encourages people to adopt more efficient ways of achieving a satisfactory thermal experience. We review the psychological barriers to reducing thermal energy demand in the context of energy-efficient technology adoption, and discuss ways these barriers may be overcome. The barriers include: demand on cognitive resources due to decision complexity; tendency to procrastinate and discount future consequences; deferral to simplifying strategies including repeating past experience and copying the behaviour of others; the desire to act in ways that maintain a positive self-image; and inertia due to fear of regret that one's decision might be ‘wrong’. We discuss behavioural approaches to overcome these barriers, such as emphasising public choice of “green” technology, reframing of benefits, simplifying and optimising the choice environment, focusing on symbolic attributes of new technologies, and changing the temporal structure of costs and benefits. We provide a framework of suggestions for future research which together constitute an important first step in informing behaviour change efforts designed to reduce thermal energy consumption in households

Exploring the role of alignability effects in promoting uptake of energy-efficient technologies

The current research applies decision-making theory to the problem of increasing uptake of energy-efficient technologies, where uptake is currently slower than one might predict following rational choice models. We explore the role of alignability effects on consumers’ preference for standard versus energy-efficient technologies. Previous research has found that attentional weight given to alignable or nonalignable features varies depending on the decision context, including between-alternative heterogeneity. In a hypothetical choice task, subjects were presented with a choice between similar (boiler vs. boiler) versus dissimilar (boiler vs. heat pump) home heating technologies, each described by a list of alignable and nonalignable attributes. We found a preference for alignability when options were similar; an effect mediated by an increased tendency to infer missing information is the same. No effects of alignability on preference were found when options differed. We draw theoretical and applied implications for (a) the role of alignability effects in contributing to the energy efficiency gap and (b) the type of information structure best suited for the promotion of energy-efficient technologies in future marketing campaigns

Time matters less when outcomes differ: uni-modal versus cross-modal comparisons in intertemporal choice

Uni-modal intertemporal decisions involve comparing options of the same type (e.g. apples now versus apples later), and cross-modal decisions involve comparing options of different types (e.g. a car now versus a vacation later). As we explain, existing models of intertemporal choice do not allow time preference to depend on whether the comparisons to be made are uni-modal or cross-modal. We test this restriction in an experiment using the delayed-compensation method, a new extension of the standard method of eliciting intertemporal preferences that allows for assessment of time preference for non-monetary and discrete outcomes, as well as for both cross-modal and uni-modal comparisons. Participants were much more averse to delay for uni-modal than cross-modal decisions. We provide two potential explanations for this effect: one drawing on multi-attribute choice, the other drawing on construal level theory

Concepts of mental disorders in the United Kingdom : Similarities and differences between the lay public and psychiatrists

BACKGROUND: The lay public often conceptualise mental disorders in a different way to mental health professionals, and this can negatively impact on outcomes when in treatment. AIMS: This study explored which disorders the lay public are familiar with, which theoretical models they understand, which they endorse and how they compared to a sample of psychiatrists. METHODS: The Maudsley Attitude Questionnaire (MAQ), typically used to assess mental health professional's concepts of mental disorders, was adapted for use by a lay community sample (N = 160). The results were compared with a sample of psychiatrists (N = 76). RESULTS: The MAQ appeared to be accessible to the lay public, providing some interesting preliminary findings: in order, the lay sample reported having the best understanding of depression followed by generalised anxiety, schizophrenia and finally antisocial personality disorder. They best understood spiritualist, nihilist and social realist theoretical models of these disorders, but were most likely to endorse biological, behavioural and cognitive models. The lay public were significantly more likely to endorse some models for certain disorders suggesting a nuanced understanding of the cause and likely cure, of various disorders. Ratings often differed significantly from the sample of psychiatrists who were relatively steadfast in their endorsement of the biological model. CONCLUSION: The adapted MAQ appeared accessible to the lay sample. Results suggest that the lay public are generally aligned with evidence-driven concepts of common disorders, but may not always understand or agree with how mental health professionals conceptualise them. The possible causes of these differences, future avenues for research and the implications for more collaborative, patient-clinician conceptualisations are discussed.Peer reviewedFinal Accepted Versio

Heavy electrons and the symplectic symmetry of spin

The recent discovery of two heavy fermion materials PuCoGa_{5} and NpPd_{5}Al_{2} which transform directly from Curie paramagnets into superconductors, reveals a new class of superconductor where local moments quench directly into a superconducting condensate. A powerful tool in the description of heavy fermion metals is the large N expansion, which expands the physics in powers of 1/N about a solvable limit where particles carry a large number (N) of spin components. As it stands, this method is unable to jointly describe the spin quenching and superconductivity which develop in PuCoGa_{5} and NpPd_{5}Al_{2}. Here, we solve this problem with a new class of large N expansion that employs the symplectic symmetry of spin to protect the odd time-reversal parity of spin and sustain Cooper pairs as well-defined singlets. With this method we show that when a lattice of magnetic ions exchange spin with their metallic environment in two distinct symmetry channels, they are able to simultaneously satisfy both channels by forming a condensate of composite pairs between between local moments and electrons. In the tetragonal crystalline environment relevant to PuCoGa_{5} and NpPd_{5}Al_{2} the lattice structure selects a natural pair of spin exchange channels, giving rise to the prediction of a unique anisotropic paired state with g-wave symmetry. This pairing mechanism predicts a large upturn in the NMR relaxation rate above T_{c}, a strong enhancement of Andreev reflection in tunneling measurements and an enhanced superconducting transition temperature T_{c} in Pu doped Np_{1-x}Pu_{x}Pd_{5}Al_{2}.Comment: This is a substantially revised version of the original paper, focussing on the high temperature heavy electron superconductors PuCoGa_5 and NpPd_5Al_2. A substantially revised supplementary online material to this paper can be found in arXiv 0710.1128v

The Highlanders of Colonial North Carolina: Loyalist Suppression 1776-1780

After the Jacobite Rising in 1745, shifts in the dynamics between lairds and clansmen made traditional Highland life impractical. Struggling economically, many Highlanders migrated to the colony of North Carolina, seeking land ownership as a path to independence and stability. However, those who arrived between 1732–1775 found themselves embroiled in the conflict between Patriots and British Loyalists in North Carolina. This conflict culminated in the Battle of Moore's Creek Bridge, a battle the Loyalists, most of them Highlanders, decisively lost. As a result, the Loyalist cause was severely diminished in North Carolina. Subsequent laws targeted Loyalists and their property, leading many to flee the state and lose their personal wealth. Loyalist Highlanders, facing persecution and displacement, bore the brunt of the conflict's aftermath. Previous historians’ notions about Highlander neutrality following the Battle of Moore’s Creek Bridge may inaccurately conflate outward behavior with privately held opinions, some of which were prohibited from free expression. It is more likely that Loyalist Highlanders resorted to feigning neutrality beginning in 1776. The suppression faced by Loyalist Highlanders in North Carolina reveals broader insights into the consequences of political allegiances and the hardships endured by Loyalists during the American Revolution.Histor

The Virgin of Guadalupe Comes to Mississippi: Social Stressors and Ways of Coping Among Hispanic Im/Migrants

This mixed-methods study uses ritual analysis, key informant interviews, and a semi-structured questionnaire to explore stressors and coping among Hispanic im/migrants to rural Mississippi. The study applies Turner’s model of ritual analysis to the procession of la Virgen de Guadalupe for insight into the values, concerns, actions, and motivations of the community. Results from ritual analysis suggest the precession of la Virgen de Guadalupe unites the multi-national community and empowers the participants through their faith in God and la Virgen de Guadalupe. Results from the semi-structured questionnaire identify stressors among the Hispanic community relating to separation from family and friends, job shortage, transportation barriers, and language barriers

Catullus the Conversationalist: A Study of the Relationship between Narrator and Reader

Catullus shows his prowess as a poet by the wide range of tone and central characters included in his poetry. Due to these frequent changes, it can often be difficult to make general statements about the style and narrative voice of the corpus. The goal of this thesis is to demonstrate that by considering Catullus’ methods in employing rhetorical strategies, such as direct address and rhetorical questions, it is possible to point out patterns in the ways that the poet creates a relationship between the narrator, the reader, and other characters in the poem. The first chapter will consider select poems from Catullus’ invective, primarily those which deal with the character Mentula, or Mamurra. In these poems, the direct addresses and rhetorical questions strengthen the accusatory nature of the narrator’s attacks. Chapter 2 explores how the speaker makes use of these strategies to create various comparisons between himself, his lover “Lesbia,” and potential rivals or jealous onlookers. Finally, the third chapter discusses the narrator’s use of these devices within the ekphrasis of the Ariadne coverlet of Poem 64 to make the reader “present” in the scenes and to draw attention to the speaker’s subjective response to the coverlet and its figures