5,449 research outputs found

    Tupac’s Quest for Black Jesus: God as Deadbeat Dad and Afeni, the Migdala

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    Although Tupac Shakur, American rapper, maintained in a late interview that he had gotten past his abandonment by his father, the absence of that father no doubt left him to fend for himself, scarred and confused. This sense of abandonment extended to the theological realm. For Shakur, God the Father “can’t come where I’m at.” He is, in a sense, a “deadbeat dad.” Like the absentee father, He has placed him here, abandoned, the product of a broken home and broken world, with few resources by which to find his way. Understanding a father-less Tupac Shakur and his syncretic quest for a Black Jesus begins with recognizing how much his life and character are enframed in his mother’s own story. The enframing starts when she is in prison and he is in her womb, life nurtured within life imprisoned. It continues with her renaming of her son: how that renaming links him historically (and tragically) to a number of syncretic, revolutionary movements. Indeed, this enframing still plays a role when Tupac’s misguided quest for Black Jesus dead ends in the figure of the Godfather

    The Location and Theory of Looking

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    Patterns of Treatment for Psychiatric Disorders Among Children and Adolesecents in Mississippi Medicaid

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    The nature of services for psychiatric disorders in public health systems has been understudied, particularly with regard to frequency, duration, and costs. The current study examines patterns of service reception and costs among Medicaid-covered youth newly diagnosed with anxiety, depression, or behavioral disturbance in a large data set of provider billing claims submitted between 2015–2016. Eligibility criteria included: 1) identification of an initial diagnosis of a single anxiety, unipolar mood, or specific behavioral disorder; 2) continuous Medicaid eligibility over the duration of the time period studied; and 3) under 18 years of age on the date of initial psychiatric diagnosis. The final cohort included 7,627 cases with a mean age of 10.65 (±4.36), of which 58.04% were male, 57.09% were Black, 38.97% were White, and 3.95% were of other ethnicities. Data indicated that 65.94% of the cohort received at least some follow-up services within a median 18 days of diagnosis. Of those, 54.27% received a combination of medical and psychosocial services, 32.01% received medical services only, and 13.72% received psychosocial services only. Overall median costs for direct treatment were 576.69,withwidediscrepanciesbetweenthelowest(anxiety=576.69, with wide discrepancies between the lowest (anxiety = 308.41) and highest (behavioral disturbance = $653.59) diagnostic categories. Across all categories the frequency and duration of psychosocial services were much lower than would be expected in comparison to data from a well-known effectiveness trial. Overall, follow-up to psychiatric diagnosis could be characterized as highly variable, underutilized, and emphasizing biomedical treatment. Understanding more about these patterns may facilitate systematic improvements and greater cost efficiency in the future