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In the United States, some populations suffer from far greater disparities in health than others. Those disparities are caused not only by fundamental differences in health status across segments of the population, but also because of inequities in factors that impact health status, so-called determinants of health. Only part of an individual's health status depends on his or her behavior and choice; community-wide problems like poverty, unemployment, poor education, inadequate housing, poor public transportation, interpersonal violence, and decaying neighborhoods also contribute to health inequities, as well as the historic and ongoing interplay of structures, policies, and norms that shape lives. When these factors are not optimal in a community, it does not mean they are intractable: such inequities can be mitigated by social policies that can shape health in powerful ways. Communities in Action: Pathways to Health Equity seeks to delineate the causes of and the solutions to health inequities in the United States. This report focuses on what communities can do to promote health equity, what actions are needed by the many and varied stakeholders that are part of communities or support them, as well as the root causes and structural barriers that need to be overcome.
Student wellbeing is foundational to academic success. One recent survey of postsecondary educators found that nearly 80 percent believed emotional wellbeing is a "very" or "extremely" important factor in student success. Studies have found the dropout rates for students with a diagnosed mental health problem range from 43 percent to as high as 86 percent. While dealing with stress is a normal part of life, for some students, stress can adversely affect their physical, emotional, and psychological health, particularly given that adolescence and early adulthood are when most mental illnesses are first manifested. In addition to students who may develop mental health challenges during their time in postsecondary education, many students arrive on campus with a mental health problem or having experienced significant trauma in their lives, which can also negatively affect physical, emotional, and psychological wellbeing. The nation's institutions of higher education are seeing increasing levels of mental illness, substance use and other forms of emotional distress among their students. Some of the problematic trends have been ongoing for decades. Some have been exacerbated by the COVID-19 pandemic and resulting economic consequences. Some are the result of long-festering systemic racism in almost every sphere of American life that are becoming more widely acknowledged throughout society and must, at last, be addressed. Mental Health, Substance Use, and Wellbeing in Higher Education lays out a variety of possible strategies and approaches to meet increasing demand for mental health and substance use services, based on the available evidence on the nature of the issues and what works in various situations. The recommendations of this report will support the delivery of mental health and wellness services by the nation's institutions of higher education.
In the realm of higher education, the journey to academic success is often accompanied by an array of challenges, particularly in the form of stress and its profound impact on mental health. The multifaceted nature of these challenges, stemming from a variety of factors, has sparked significant interest among scholars and educators alike. Student Stress in Higher Education delves into the intricate interplay between stressors, coping mechanisms, and the psychological well-being of students within higher education institutions. This book addresses a conspicuous gap in existing literature, meticulously examining the dimensions of stress uniquely experienced in higher education settings. The chapters contained within illuminate various facets of this complex issue. From the barriers obstructing effective stress management to the gender disparities in mental health experiences, each chapter dissects a critical aspect of the overarching theme. The insights garnered from these chapters hold potential to reshape institutional approaches to mental health awareness and support. This book serves as a beacon of knowledge for a diverse readership. Scholars seeking to explore the nuanced landscape of student well-being will find this volume to be an indispensable resource. Administrators and counselors entrusted with the welfare of students will discover pragmatic approaches to aid students in acclimating to the challenges of higher education. From gender-specific stress manifestations to the intricacies of institutional mental health provision, this book delivers a holistic perspective.
Social Work Practice in Health Care by Karen M. Allen and William J. Spitzer is a pragmatic and comprehensive book that helps readers develop the knowledge, skills, and values necessary for effective health care social work practice, as well as an understanding of the technological, social, political, ethical, and financial factors affecting contemporary patient care. Packed with case studies and exercises, the book emphasizes the importance of being attentive to both patient and organizational needs, covers emerging trends in health care policy and delivery, provides extensive discussion of the Patient Protection and Affordable Care Act, and addresses social work practice across the continuum of care.
Mental health among African Americans historically has been kept secret, and often has been subject to intense denial from both the individuals with mental health concerns and their communities. Thus, African Americans have remained shielded from treatments that are currently available, which may allow them to become mentally healthier and find a sense of psychological homeostasis. Recognizing mental illness treatment as a strength and not a weakness is key to mitigating existing issues of mental health in the African American community today. Changing the Stigma of Mental Health Among African Americans: Moving From Denial to Acceptance provides the history of mental health in the African American community and how denial has hindered and hampered treatment within this community. Covering topics such as bipolar disorder, dementia, and disruptive behavior, this book is ideal for educators, researchers, practitioners, the African American spiritual community, and all individuals concerned about psychological care for African Americans.
This important book explores the intersection between mental health and Black college students, providing a crucial resource for higher education administrators and educators. Chapter authors provide invaluable insights into the experiences, joys, challenges, and the needs of Black male college students grappling with their mental health. Chapters cover the most timely topics such as understanding masculinity, providing meaningful career services, supporting Black male student athletes, confronting stigmas, and supporting Black trans men and transmasculine persons. Full of practical examples and strategies, this contributed volume discusses the ways faculty, administrators, and student affairs educators can support and help Black men to navigate problems stemming from mental health issues to help better facilitate and maximize their success in higher education.
Many Schools and programs in low-income neighborhoods lack access to the technological resources that those in middle- and upper-income neighborhoods have at their fingertips. This inequity creates a persistent divide in both formal and informal digital literacy that further marginalizes youths from minority and first-generation communities. Diversifying Digital Learning outlines the pervasive problems that exist with ensuring digital equity and identifies successful strategies to tackle the issue. Bringing together top scholars to discuss how digital equity in education might become a key goal in American education, this book is structured to provide a framework for understanding how historically underrepresented students most effectively engage with technology-and how institutions may help or hinder students' ability to develop and capitalize on digital literacies. Addressing the intersection of digital media, race/ethnicity, and socioeconomic class in a frank manner, the lessons within this compelling work will help educators enable students in grades K-12, as well as in postsecondary institutions, to participate in a rapidly changing world framed by shifting new media technologies.
The Cosby Cohort examines the childhood experiences of second generation middle class Blacks who grew up in mostly White spaces during the 1980s and 1990s. This probing book explores their journey to upward mobility, including the discrimination they faced in White neighborhoods and schools, the extraordinary pressures placed upon them to achieve, the racial lessons imparted to them by their parents, their tenuous relationships with Black children of other classes, and the impact that all of these experiences had on their adult racial identities. At young ages, this generation of middle class Blacks, whom Harris coins as the Cosby Cohort, was faced with racial displacement, frustration, and the ever-present pressure to emerge victorious against the pull of downward mobility. Even in adulthood, they continue to negotiate the tensions between upward mobility and maintaining ties to the larger Black community and culture. While these young Blacks may have grown up watching The Cosby Show, as the book reveals, their stories indicate a much more complex reality than portrayed by the show.