The Living Room, a Community Crisis Respite Program: Offering People in Crisis an Alternative to Emergency Departments

Objective: To describe The Living Room, a community crisis respite center that offers individuals in crisis an alternative to obtaining services in an emergency department (ED).Methods: This article describes the problems individuals in a mental health crisis may encounter in traditional EDs and explains how The Living Room addresses these problems.  The Living Room’s development, setting, staffing and procedures are described in order to promote increased use of this type of program. Results: In its first year of operation, The Living Room hosted 228 visits by 87 distinct individuals (termed “guests”).  Guests were deflected from EDs on 213 of those visits – a 93% deflection rate.  These deflections represent a savings of approximately $550,000 to the State of Illinois since guests of The Living Room are overwhelmingly individuals with Medicaid or no insurance of any kind.  On 84% (n=192) of the occurrences in which guests were deflected from EDs, they alleviated their crises sufficiently to decide to leave The Living Room and return to the community.  These guests reported an average decrease of 2.13 points on the Subjective Units of Distress Scale. Conclusions: Community crisis respite centers such as The Living Room represent an important alternative to EDs by remedying many criticisms of traditional EDs made by individuals in crisis. Outcomes from The Living Room’s first year of operation suggest that community crisis respite centers are cost-effective, effective in helping many individuals alleviate crises, and have the potential to decrease the use of EDs for mental health crisis

The Living Room, a Community Crisis Respite Program: Offering People in Crisis an Alternative to Emergency Departments

Objective: To describe The Living Room, a community crisis respite center that offers individuals in crisis an alternative to obtaining services in an emergency department (ED).Methods: This article describes the problems individuals in a mental health crisis may encounter in traditional EDs and explains how The Living Room addresses these problems.  The Living Room’s development, setting, staffing and procedures are described in order to promote increased use of this type of program. Results: In its first year of operation, The Living Room hosted 228 visits by 87 distinct individuals (termed “guests”).  Guests were deflected from EDs on 213 of those visits – a 93% deflection rate.  These deflections represent a savings of approximately $550,000 to the State of Illinois since guests of The Living Room are overwhelmingly individuals with Medicaid or no insurance of any kind.  On 84% (n=192) of the occurrences in which guests were deflected from EDs, they alleviated their crises sufficiently to decide to leave The Living Room and return to the community.  These guests reported an average decrease of 2.13 points on the Subjective Units of Distress Scale. Conclusions: Community crisis respite centers such as The Living Room represent an important alternative to EDs by remedying many criticisms of traditional EDs made by individuals in crisis. Outcomes from The Living Room’s first year of operation suggest that community crisis respite centers are cost-effective, effective in helping many individuals alleviate crises, and have the potential to decrease the use of EDs for mental health crisis

Exploring Communal and Gendered Influences on Sexual Health Practices

In the U.S., 10% of female college students who have an unplanned pregnancy, drop out (UPFO, 2016). Additionally, young adults (15-24) account for half of the new STI’s (CDC, 2017). Previous research has established communal (other-oriented) motivation is positively associated with factors that predict safe sex practices (e.g., condom use intentions) (Phillips et al., 2019). Conversely, gender norms (societal expectations affiliated with gender) are negatively associated with factors that predict safe sex practices (e.g., partner communication and self-efficacy). For instance, although, women who report higher self-efficacy are more likely to engage in partner communication, women who rely on traditional gender norms report diminished self-efficacy and in turn, partner communication (Bertens et al., 2008; Impett et al., 2006). While gender norms seemingly diminish self-efficacy among women, women also feel that pregnancy prevention is primarily their responsibility, as compared to men. (Fantasia et al., 2014; Huber & Eresek, 2011). We hypothesized that communal motivation and gender norms would interact to predict perceptions of responsibility and self-efficacy, which in turn would predict partner communication, and ultimately safe sex practices. We also expected that these interactions would differ based on participant gender. We surveyed approximately 260 college-aged participants from a North Florida university. We anticipate that communal motivation will be positively associated with safe sex practices, while we anticipate that gender norms will be more negatively associated with safe sex practices. Our findings will illuminate critical factors associated with sexual health practices that will supplement how to approach sexual health education in the future

Effect of Calcium Supplementation on Gestation Length, Number Born Live, and Number of Stillborns

https://scholarworks.moreheadstate.edu/student_scholarship_posters/1016/thumbnail.jp

Effect of Gestation Length on Litter Size and Piglet Birth Weight

https://scholarworks.moreheadstate.edu/student_scholarship_posters/1019/thumbnail.jp

TrackMapper Rises

This project repaired and upgraded non-functional Department of Agriculture and Fisheries (DAF) TrackMapper software, to a faster, functional, user-friendly, web-based application that can be directly accessed by researchers, fishery managers and others. TrackMapper is database software that was developed by DAF researchers in 2007 as part of an externally funded Fisheries Research and Development Corporation project (FRDC project 2002/056 Innovative stock assessment and effort mapping using VMS and electronic logbooks). However, over the last 5-6 years, the program has become incompatible with contemporary Windows-based operating platforms, rendering it inoperable. TrackMapper was developed for the Queensland east coast otter trawl fishery, which is the state’s most valuable commercial fishery, harvesting 7000-8000 t of seafood annually valued at $80-90 million. The most useful feature of TrackMapper is that it can produce maps of fishing effort, catch and catch rates for the fishery at a spatial resolution that is 10-50 times that reported using logbook data alone. This information can be used for a range of fisheries management and research tasks, including the assessment of targeted stocks of prawns, scallops, bugs and stout whiting, as well as impacts on the bottom and other non-target bycatch species. This is noteworthy as much of the fishery occurs in waters of the Great Barrier Reef Marine Park (GBRMP), which has World Heritage status

Assessing site performance in the Altair study, a multinational clinical trial

Background: Reviewing clinical trial site performance identifies strategies to control outcomes. Performance across 5 geographical regions (36 sites across Asia, Australia, Europe, North America and Latin America) was investigated in a study that randomised 322 HIV-infected individuals. Methods: Regional performance was compared using descriptive analysis for time to site opening, recruitment, quality of data and laboratory samples. Follow-up consisted of 10 visits (96 weeks), electronic data collection (EDC) within 7 days of a visit and serious adverse events (SAEs) reported within 24 hours of site awareness. Results: Median days to site opening was 250 (188 to 266), ranging from 177 (158 to 200) (Australia) to 265 (205 to 270) (Europe). Median days to ethics and regulatory approval was 182 (120 to 241) and 218 (182 to 341) days, respectively. Within regions, time to approval ranged from 187 (91 to 205) days (Australia) to 276 (175 to 384) days (Europe). Time to first randomisation ranged from 282 (250 to 313) days (Australia) to 426 (420 to 433) days (North America). Conclusions: Population availability and time to ethics and regulatory approvals influence recruitment; therefore accurate feasibility assessments are critical to site selection. Time to ethics and regulatory approval may not limit site inclusion if compensated by rapid recruitment. Identifying potential delays and methods for reduction can decrease time and costs for sponsors. Trial registration: Clinical Trials.Gov identifier: NCT00335322. Date of registration: 8 June 2006

The Grizzly, March 30, 2006

Dr. Edwards Presents Baden Lecture • Student Activism at Ursinus College: Can You Hear Us Now? WeCAN! • Drag Show at Ursinus Anything but a Drag • Circumcision Decision • Stereotypes and Self-Interest: Part Two • Living Off Campus More Trouble Than its Worth? • Brief Conversation with Of Montreal\u27s Kevin Barnes • Opinions: Reimert, a Place to Call Home; The Revolution Will be Printed; Tuition to Increase by $8,492 Next Year • Bears Sweep Eastern in Double Headerhttps://digitalcommons.ursinus.edu/grizzlynews/1710/thumbnail.jp

The Science Case for an Extended Spitzer Mission

Although the final observations of the Spitzer Warm Mission are currently scheduled for March 2019, it can continue operations through the end of the decade with no loss of photometric precision. As we will show, there is a strong science case for extending the current Warm Mission to December 2020. Spitzer has already made major impacts in the fields of exoplanets (including microlensing events), characterizing near Earth objects, enhancing our knowledge of nearby stars and brown dwarfs, understanding the properties and structure of our Milky Way galaxy, and deep wide-field extragalactic surveys to study galaxy birth and evolution. By extending Spitzer through 2020, it can continue to make ground-breaking discoveries in those fields, and provide crucial support to the NASA flagship missions JWST and WFIRST, as well as the upcoming TESS mission, and it will complement ground-based observations by LSST and the new large telescopes of the next decade. This scientific program addresses NASA's Science Mission Directive's objectives in astrophysics, which include discovering how the universe works, exploring how it began and evolved, and searching for life on planets around other stars.Comment: 75 pages. See page 3 for Table of Contents and page 4 for Executive Summar

Colorectal cancer risk assessment and screening recommendation: a community survey of healthcare providers' practice from a patient perspective

<p>Abstract</p> <p>Background</p> <p>Family history is a common risk factor for colorectal cancer (CRC), yet it is often underused to guide risk assessment and the provision of risk-appropriate CRC screening recommendation. The aim of this study was to identify from a patient perspective health care providers' current practice relating to: (i) assessment of family history of CRC; (ii) notification of "increased risk" to patients at "moderately/potentially high" familial risk; and (iii) recommendation that patients undertake CRC screening.</p> <p>Methods</p> <p>1592 persons aged 56-88 years randomly selected from the Hunter Community Study (HCS), New South Wales, Australia were mailed a questionnaire. 1117 participants (70%) returned a questionnaire.</p> <p>Results</p> <p>Thirty eight percent of respondents reported ever being asked about their family history of CRC. Ever discussing family history of CRC with a health care provider was significantly more likely to occur for persons with a higher level of education, who had ever received screening advice and with a lower physical component summary score. Fifty one percent of persons at "moderately/potentially high risk" were notified of their "increased risk" of developing CRC. Thirty one percent of persons across each level of risk had ever received CRC screening advice from a health care provider. Screening advice provision was significantly more likely to occur for persons who had ever discussed their family history of CRC with a health care provider and who were at "moderately/potentially high risk".</p> <p>Conclusions</p> <p>Effective interventions that integrate both the assessment and notification of familial risk of CRC to the wider population are needed. Systematic and cost-effective mechanisms that facilitate family history collection, risk assessment and provision of screening advice within the primary health care setting are required.</p