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

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

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

Early Initiation of Colorectal Cancer Screening in Individuals with Affected First-degree Relatives

BACKGROUND: Several guidelines recommend initiating colorectal cancer screening at age 40 for individuals with affected first-degree relatives, yet little evidence exists describing how often these individuals receive screening procedures. OBJECTIVES: To determine the proportion of individuals in whom early initiation of colorectal cancer screening might be indicated and whether screening disparities exist. DESIGN: Population-based Supplemental Cancer Control Module to the 2000 National Health Interview Survey. PARTICIPANTS: Respondents, 5,564, aged 40 to 49 years were included within the analysis. MEASUREMENTS: Patient self-report of sigmoidoscopy, colonoscopy, or fecal occult blood test. RESULTS: Overall, 279 respondents (5.4%: 95% C.I., 4.7, 6.2) reported having a first-degree relative affected with colorectal cancer. For individuals with a positive family history, 67 whites (27.9%: 95% C.I., 21.1, 34.5) and 3 African American (9.3%: 95% C.I., 1.7, 37.9) had undergone an endoscopic procedure within the previous 10 years (P-value = .03). After adjusting for age, family history, gender, educational level, insurance status, and usual source of care, whites were more likely to be current with early initiation endoscopic screening recommendations than African Americans (OR = 1.38: 95% C.I., 1.01, 1.87). Having an affected first-degree relative with colorectal cancer appeared to have a stronger impact on endoscopic screening for whites (OR = 3.21: 95% C.I., 2.31, 4.46) than for African Americans (OR = 1.05: 95% C.I., 0.15, 7.21). CONCLUSIONS: White participants with a family history are more likely to have endoscopic procedures beginning before age 50 than African Americans

Clinical Sequencing Exploratory Research Consortium: Accelerating Evidence-Based Practice of Genomic Medicine

Despite rapid technical progress and demonstrable effectiveness for some types of diagnosis and therapy, much remains to be learned about clinical genome and exome sequencing (CGES) and its role within the practice of medicine. The Clinical Sequencing Exploratory Research (CSER) consortium includes 18 extramural research projects, one National Human Genome Research Institute (NHGRI) intramural project, and a coordinating center funded by the NHGRI and National Cancer Institute. The consortium is exploring analytic and clinical validity and utility, as well as the ethical, legal, and social implications of sequencing via multidisciplinary approaches; it has thus far recruited 5,577 participants across a spectrum of symptomatic and healthy children and adults by utilizing both germline and cancer sequencing. The CSER consortium is analyzing data and creating publically available procedures and tools related to participant preferences and consent, variant classification, disclosure and management of primary and secondary findings, health outcomes, and integration with electronic health records. Future research directions will refine measures of clinical utility of CGES in both germline and somatic testing, evaluate the use of CGES for screening in healthy individuals, explore the penetrance of pathogenic variants through extensive phenotyping, reduce discordances in public databases of genes and variants, examine social and ethnic disparities in the provision of genomics services, explore regulatory issues, and estimate the value and downstream costs of sequencing. The CSER consortium has established a shared community of research sites by using diverse approaches to pursue the evidence-based development of best practices in genomic medicine

The James Webb Space Telescope Mission

Twenty-six years ago a small committee report, building on earlier studies, expounded a compelling and poetic vision for the future of astronomy, calling for an infrared-optimized space telescope with an aperture of at least $4m$. With the support of their governments in the US, Europe, and Canada, 20,000 people realized that vision as the $6.5m$ James Webb Space Telescope. A generation of astronomers will celebrate their accomplishments for the life of the mission, potentially as long as 20 years, and beyond. This report and the scientific discoveries that follow are extended thank-you notes to the 20,000 team members. The telescope is working perfectly, with much better image quality than expected. In this and accompanying papers, we give a brief history, describe the observatory, outline its objectives and current observing program, and discuss the inventions and people who made it possible. We cite detailed reports on the design and the measured performance on orbit.Comment: Accepted by PASP for the special issue on The James Webb Space Telescope Overview, 29 pages, 4 figure