Although past research has emphasized considerable strain and institutional biases for female academics balancing work and family, research on male academics with young children is limited. This qualitative study addressed this void by examining how junior male tenure-track faculty with children negotiated work and family responsibilities. Analysis of in-depth interviews (n ϭ 12) revealed three broad, nonoverlapping themes regarding men's negotiation of their various roles. These themes included (a) tenure and family balance/conflict; (b) coping responses; and (c) attitudes toward policy and work culture. Prototypical quotes are used as illustrations of subthemes found within each of the three general categories. Respondents negotiated their multiple responsibilities by using compartmentalization strategies, significant time management, communicating with spouses and peers at work, and overextending themselves in work and family responsibilities, though with little knowledge or utilization of university policies that could ease their considerable workload and conflicts. The results are discussed within the context of research on men's work and family lives as well as departmental culture and institutional policies.

There was a quantifiable increase in the prescription of antidepressant drugs following Cyclone Yasi that may indicate an increase in psychosocial distress in the community.

Background Treatment recommendations suggest that suicidal ideation will decrease following successful psychotherapy for depression. However, findings from the empirical research are equivocal in this regard. It is possible suicidal ideation does not respond to empirically supported treatment (EST) for depression or that suicidal ideation limits the efficacy of ESTs for depression. Methods Data from 793 patients who sought EST for depression was analyzed using t-tests and multiple linear regression. Results Both patients with (n = 233) or without suicidal ideation (n = 560) were significantly less depressed following treatment. A significant reduction in suicidal ideation was also observed. At baseline, 233 (29.4%) patients reported suicidal ideation, whereas only 90 (11.3%) patients reported suicidal ideation at follow-up. The relationship between suicidal ideation at baseline and depression scores at follow-up was not significant. Conclusions Patients with suicidal ideation who receive short-term EST can experience significant reductions in both depressive symptoms and suicidal ideation. Findings suggest that suicidal ideation at baseline does not impact treatment efficacy, but additional research that directly tests moderation is needed.

Background Mounting concern about the risks and limited effectiveness of opioid therapy for chronic pain has spurred the implementation of novel integrated biopsychosocial pain care models in health-care systems like the Department of Veterans Affairs (VA). However, little is known about patient experiences with these new care models. Objective We conducted a qualitative study to examine patient experiences with a pain care model currently being disseminated at the VA: interdisciplinary, integrated pain teams (IPTs) embedded in primary care. Method We interviewed 41 veterans who received care from VA’s first IPT to learn how working with the team impacted their pain care and quality of life. We asked about their overall experience with IPT, what worked and did not work for them, and what changes they would recommend to improve IPT care. Results The interviews revealed a wide spectrum of patient experiences and varying perspectives on the extent to which the new model improved their pain and quality of life. Thematic analysis shed light on factors impacting patients’ experiences, including pretreatment goals and expectations as well as attitudes toward opioids and nonpharmacological treatments. Conclusion We discuss the implications of our findings for national efforts to implement biopsychosocial pain care, and we offer recommendations to promote patient-centered implementation.

Laboratory studies of empirically supported treatments (ESTs) for mental health problems achieve much higher rates of clinical improvement than has been observed following treatment in the community. This discrepancy is likely to due to limited reliance on ESTs by therapists outside of academia. Concerns about the generalizability of ESTs to patients in the community, who may have comorbid problems, likely limit rates of adoption. The present study examined the impact of ESTs delivered in the real-world for 1,256 adults who received services through an employee assistance program specializing in the delivery of ESTs. Rates of anxiety and depression decreased significantly, following treatment with an EST, and 898 (71.5%) patients demonstrated reliable improvement. Even among patients comorbid for depression and anxiety at baseline, over half reported reliable improvement in both disorders. Findings suggest ESTs can be effectively delivered outside of academic RCTs. However, additional research is needed to understand and overcome barriers to disseminating ESTs to the broader community.

This study underscored the importance of addressing the well‐being of college students of Asian descent, because these students had higher rates of depression and lower positive feelings about their ethnic group compared with students of European descent, as measured by the Affirmation subscale of the Ethnic Identity Scale. Affirmation mediated the depression difference between these groups. Within the Asian group, affirmation and depression were inversely correlated, and this relationship was mediated by acculturative stress.

Mental health providers are not typically trained to practice in the primary care environment. To achieve the potential of integrated care services, providers must be trained in the unique competencies to practice in integrated primary care. This paper describes one training model for mental health providers in primary care settings and its impact on providers' self-reported skills, clinical skill demonstrations, and ability to practice in clinic with fidelity to integrated primary care competencies.

Mexico borderlands milieu has been described as interdependent. Recent changes resulting from drug trafficking, immigration, and border security have been viewed as a threat to that cooperative milieu. This 10-year intergenerational longitudinal study in 5 nonmetropolitan U.S.-Mexico border communities in South Texas investigated the relation between (a) drug trafficking and related violence, recent immigration from Mexico, and increased border security measures, and (b) frequency of cross-border travel among native Mexican Americans. Phase I (1998 -2000) was part of a larger study (56 families) on the relation of acculturation to health. Interviews and demographic questionnaires were administered to participants from 10 families (consisting of at least 1 adolescent and grandparent and 2 parents). Perceptions of negative changes to the borderlands milieu were assessed. Drug violence was viewed as most important in reducing cross-border travel and in contributing to distrust of recent immigrants from Mexico. Phase II, completed 10 years after Phase I in 2011-2012, included an additional 20 families, along with the 10 from Phase I, and confirmed a continuing reduction in frequency of cross-border travel and alienation between native Mexican Americans and new immigrants. The findings provide insight into the transformation of the U.S.-Mexico borderlands of South Texas from cultural interdependence to alienation.