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Full-Text Articles in Entire DC Network
Predicting Condom Use From Adolescence To Emergent Adulthood: A Comprehensive Health Behavior Model, Leanna Fortunato
Predicting Condom Use From Adolescence To Emergent Adulthood: A Comprehensive Health Behavior Model, Leanna Fortunato
Master's Theses and Doctoral Dissertations
The study utilized a comprehensive health behavior model to predict condom use longitudinally from adolescence into emergent adulthood. The comprehensive model was created by combining and extending widely used models of health behavior. Participant data for this secondary analysis were drawn from The National Longitudinal Study of Adolescent Health. The aims of the study were to document the prevalence of condom use, to investigate the relationship between the factors of the model and condom use, and to predict condom use from adolescence into emergent adulthood. Results revealed that condom use decreased with time. Gender and racial differences emerged. The correlational …
Communication Management And Trust: Their Role In Building Resilience To “Surprises” Such As Natural Disasters, Pandemic Flu, And Terrorism, P. H. Longstaff, Sung-Un Yang
Communication Management And Trust: Their Role In Building Resilience To “Surprises” Such As Natural Disasters, Pandemic Flu, And Terrorism, P. H. Longstaff, Sung-Un Yang
All UNF Research
In times of public danger such as natural disasters and health emergencies, a country’s communication systems will be some of its most important assets because access to information will make individuals and groups more resilient. Communication by those charged with dealing with the situation is often critical. We analyzed reports from a wide variety of crisis incidents and found a direct correlation between trust and an organization’s preparedness and internal coordination of crisis communication and the effectiveness of its leadership. Thus, trust is one of the most important variables in effective communication management in times of “surprise.”
Improving Hospital-Based Quality Of Care In Vietnam By Reducing Hiv-Related Stigma And Discrimination, Khuat Thi Hai Oanh, Kim Ashburn, Julie Pulerwitz, Jessica Ogden, Laura Nyblade
Improving Hospital-Based Quality Of Care In Vietnam By Reducing Hiv-Related Stigma And Discrimination, Khuat Thi Hai Oanh, Kim Ashburn, Julie Pulerwitz, Jessica Ogden, Laura Nyblade
HIV and AIDS
To address HIV-related stigma and discrimination, and improve the quality of care in the healthcare setting in Vietnam, the Institute for Social and Development Studies, the International Center for Research on Women, and the Horizons Program conducted intervention research in four hospitals. The study team conceptualized two fundamental causes of HIV-related stigma: 1) fear of casual transmission; and 2) negative values/social judgments and associations between HIV and certain behaviors and groups, such as sex workers and injecting drug users. Both intervention strategies successfully reduced stigma and discrimination toward HIV-positive patients in these healthcare settings. The findings show that addressing stigma …
'Dare To Be Different': Enhancing Life Skills Education For Hiv Prevention In South African Schools, Tobey Nelson Sapiano, Nathi Sohaba, Eka Esu-Williams
'Dare To Be Different': Enhancing Life Skills Education For Hiv Prevention In South African Schools, Tobey Nelson Sapiano, Nathi Sohaba, Eka Esu-Williams
HIV and AIDS
In South Africa, approximately 5.5 million people are living with HIV. One of the main strategies the South African Government has used to build HIV prevention awareness and promote behavior change among young people is school-based life skills education. Since 2000, the Horizons Program has conducted research exploring the impact of life skills education and other school-based HIV prevention activities on young South Africans. In contrast to the high HIV prevalence among youth ages 15–24, estimated to be over 10 percent, prevalence for youth ages 10–14 is estimated at just over 1 percent. People aged 10–14 are particularly receptive to …
Bent Bones: The Pathological Assessment Of Two Fetal Skeletons From The Dakhleh Oasis, Egypt, Darcy Cope
Bent Bones: The Pathological Assessment Of Two Fetal Skeletons From The Dakhleh Oasis, Egypt, Darcy Cope
Electronic Theses and Dissertations
The present study evaluates two fetal individuals (B532 and B625) from the Kellis 2 cemetery (Roman period circa A.D. 50 A.D. 450), Dakhleh Oasis, Egypt, that display skeletal anomalies that may explain their death. Both individuals exhibit bowing of the long bones in addition to other skeletal deformities unique to each individual. To assess these pathologies a differential diagnosis based on the congenital occurrence of long bone bowing is developed. Long bone bowing is selected because it is the more prevalent abnormality in the paleopathological literature and the other abnormalities are not as easily identifiable in the literature. For the …
Literature Review Of Mule Deer And White-Tailed Deer Movements In Western And Midwestern Landscapes, Scott E. Hygnstrom, Scott R. Groepper, Kurt C. Vercauteren, Chuck J. Frost, Justin R. Boner, Travis C. Kinsell, Gregory M. Clements
Literature Review Of Mule Deer And White-Tailed Deer Movements In Western And Midwestern Landscapes, Scott E. Hygnstrom, Scott R. Groepper, Kurt C. Vercauteren, Chuck J. Frost, Justin R. Boner, Travis C. Kinsell, Gregory M. Clements
Great Plains Research: A Journal of Natural and Social Sciences (through 2013)
The relationships among seasonal change, population dynamics, social pressures, landscape dynamics, anthropologic disturbances, and behavioral ecology are complex. Therefore, migration and seasonal movements are poorly understood and dispersal continues to be one of the least understood aspects of animal ecology in North America. We reviewed scientific literature on movements of mule deer (Odocoileus hemionus) and white-tailed deer (O. virginianus) in western and midwestern landscapes to identify gaps in our knowledge and direct future research. We used electronic databases, library catalogs, Internet search engines, and peer-reviewed journals to conduct key word searches for pertinent articles. We found …
Population Aging, Human Capital Accumulation, And Productivity Growth, Alexia Prskawetz, David E. Bloom, Wolfgang Lutz
Population Aging, Human Capital Accumulation, And Productivity Growth, Alexia Prskawetz, David E. Bloom, Wolfgang Lutz
Population Policy and Demographic Analysis
This supplement to Population and Development Review covers the broad economic significance of global population aging, with chapters on the historical evidence of the effects of human capital accumulation; age variation in production and consumption; methods of population projection by educational attainment; and country case studies of age-productivity relationships (Austria, Japan, Sweden).
Archaeoparasitology, Karl J. Reinhard, Adauto Araújo
Archaeoparasitology, Karl J. Reinhard, Adauto Araújo
Department of Anthropology: Faculty Publications
Parasites are the major cause of ill health and early death in the world today. Malaria, sleeping sickness, amoebic dysentery, and hookworm infection are examples of commonplace parasitic diseases that are endemic in most parts of the world (see Health, Healing, and Disease). They were significant threats in prehistory, especially in cultures whose social complexity outstripped the development of effective sanitation, hygiene, and germ theory awareness.
Has The Hiv Epidemic Peaked?, John Bongaarts, Thomas Buettner, Gerhard Heilig, Francois Pelletier
Has The Hiv Epidemic Peaked?, John Bongaarts, Thomas Buettner, Gerhard Heilig, Francois Pelletier
Poverty, Gender, and Youth
This working paper reviews the highly diverse regional and country patterns of HIV epidemics and discusses possible causes of the geographic variation in epidemic sizes. The main finding of this analysis is that the HIV epidemic reached a major turning point over the past decade. The peak years of HIV incidence rates are past for all regions, and the peaks of prevalence rates are mostly in the past except in Eastern Europe, where it is expected to peak in 2008. But owing in part to the life-prolonging effect of antiretroviral therapy and to sustained population growth, the absolute number of …
An Overlap Analysis Of Occupational Therapy Electronic Journals Available In Full-Text Databases And Subscription Services, Judy Schroeder
An Overlap Analysis Of Occupational Therapy Electronic Journals Available In Full-Text Databases And Subscription Services, Judy Schroeder
Scholarly Papers and Articles
In order to convert occupational therapy journal subscriptions from print to electronic, a university library, in collaboration with its Occupational Therapy Program, compared full-text databases and journal subscription services. This comparison was designed to identify the best combination of databases and individual subscriptions for the highest number of electronic titles and the best years of coverage.
Originally published in: Journal of Electronic Resource in Medical Libraries, 5(4), 346-361.
Relationship Between Physical Activity Level, Telomere Length, And Telomerase Activity, Andrew T. Ludlow, Jo B. Zimmerman, Sarah Witkowski, Joe W. Hearn, Bradley D. Hatfield, Stephen M. Roth
Relationship Between Physical Activity Level, Telomere Length, And Telomerase Activity, Andrew T. Ludlow, Jo B. Zimmerman, Sarah Witkowski, Joe W. Hearn, Bradley D. Hatfield, Stephen M. Roth
Exercise and Sport Studies: Faculty Publications
The purpose of this study was to examine the relationship of exercise energy expenditure (EEE) with both telomere length and telomerase activity in addition to accounting for hTERT C-1327T promoter genotype.
The Influence Of Veterinary Schools On The Veterinary Labor Market, Kyle Bosh
The Influence Of Veterinary Schools On The Veterinary Labor Market, Kyle Bosh
MPA/MPP/MPFM Capstone Projects
Problem Statement:
Does the presence of a veterinary school in a state influence the supply of veterinarians practicing in that state? Citizens and animals in states without a veterinary school are at a disadvantage if the presence of a veterinary school significantly improves public health and access to medical services in those states that have a veterinary school.
Research Strategy:
The unit of analysis in this study is 50 states and the District of Columbia. The study is designed as a cross-sectional analysis of 2006 pet, 2002 livestock, 2006 human, labor, and economic data. The study uses simultaneous equations to …
Sexual And Reproductive Health Needs Of Adolescents Perinatally Infected With Hiv In Uganda, Harriet Birungi, John Frank Mugisha, Juliana K. Nyombi, Francis Obare, Humphres Evelia, Hannington Nyinkavu
Sexual And Reproductive Health Needs Of Adolescents Perinatally Infected With Hiv In Uganda, Harriet Birungi, John Frank Mugisha, Juliana K. Nyombi, Francis Obare, Humphres Evelia, Hannington Nyinkavu
Reproductive Health
In Uganda, HIV/AIDS treatment, care and support programs are still organized around either adult or pediatric care and fail to adequately address the needs of adolescents, specifically perinatally-infected adolescents. This study, implemented jointly by the Population Council's Frontiers in Reproductive Health (FRONTIERS) program and the AIDS Support Organization (TASO), aimed to better understand the reproductive health and sexuality of this population group, and to identify anxieties or fears they have around entering social stages of adulthood. This study confirms that wide programmatic gaps exist in addressing the sexual and reproductive health needs of young people perinatally infected with HIV who …
Financial Capacity Building For Ngo Sustainability, John H. Bratt, Rick Homan, Barbara Janowitz, James R. Foreit
Financial Capacity Building For Ngo Sustainability, John H. Bratt, Rick Homan, Barbara Janowitz, James R. Foreit
Reproductive Health
While demand for family planning and reproductive health services is increasing worldwide, a number of recent trends threaten the financial sustainability of donor-supported NGOs that provide these services. First, the U.S. Agency for International Development has seen its funding for population assistance decline since 1995. A second reason is the growth of government-funded programs that provide these services for low-income clients, which reduced the need for NGOs to focus programs entirely on the poor. Health-sector reform has created opportunities for NGOs via public–private partnerships in some countries, but sustained public-sector support is unlikely given limited economic growth in domestic economies …
Medical Geography In Public Health And Tropical Medicine: Case Studies From Brazil, William Brennan Arden
Medical Geography In Public Health And Tropical Medicine: Case Studies From Brazil, William Brennan Arden
LSU Doctoral Dissertations
Within the last few decades, the multitude of infrastructural and environmental changes associated with population growth, human migration, and economic development have catalyzed the emergence and re-emergence of many infectious diseases worldwide. The morbidity and mortality associated with these diseases have in turn led to an increased and renewed impetus to gain a better understanding of the etiology, epidemiology, prevention, and control of these diseases in order to achieve better health and well-being, especially for underprivileged populations. Two traditionally separate fields, medical geography and tropical medicine, have recently seen complex and radical paradigm shifts in response to this global situation: …
Evidence Of Pulmonary Disease In The Poole-Rose Ossuary Population: An Analysis Of The Ribs, Lisa Elaine Baumer
Evidence Of Pulmonary Disease In The Poole-Rose Ossuary Population: An Analysis Of The Ribs, Lisa Elaine Baumer
LSU Master's Theses
This study reports on the demographics and evidence of pulmonary disease in the Poole-Rose Ossuary which was excavated in 1990 under the direction of Heather McKillop. The bones are being studied at the request of the Alderville First Nation. Radiocarbon dated to A.D. 1550 ± 50 years, the skeletal material is a co-mingled collection that is consistent with a mass secondary burial event known as the Feast of the Dead often associated with the Huron. The ribs were used in this study. The condition of the ribs was highly fragmented. The minimum number of individuals for this study was 49 …
Neuropsychological Performance And Dementia Symptoms In A Hiv Positive Population, Kathleen E. Kendra
Neuropsychological Performance And Dementia Symptoms In A Hiv Positive Population, Kathleen E. Kendra
LSU Doctoral Dissertations
Acquired immune deficiency syndrome (AIDS) is an infectious disease caused by human immunodeficiency virus (HIV), which affects millions of individuals worldwide. This syndrome is associated with many medical complications. Fortunately, patients with HIV and AIDS have longer life expectancy than in past decades with HIV and AIDS; however, the risk of cognitive impairment is greater in this population. Identification of dementia due to HIV/AIDS by health care professionals is hampered by the unclear relationship between cognitive functioning and HIV-related health status in the HIV/AIDS research literature. For the current study, individuals with HIV/AIDS who are symptomatic with infection but do …
Durable And Reusable Antimicrobial Textiles, Leila Elizabeth Bonin
Durable And Reusable Antimicrobial Textiles, Leila Elizabeth Bonin
LSU Master's Theses
Antimicrobial textiles are a large research focus in the textile industry. There is an apparent need for creating reusable and durable antimicrobial textiles. Most of the textiles with antimicrobial properties effective against Staphylococcus aureus are disposable. To address the issue, two types of biopolymer solutions were created in a USDA lab. Both solutions displayed antimicrobial properties. A medium weight, plain weave cotton sheeting was used as the test fabric. Samples of the sheeting were cut, treated, and tested to determine their efficacy as antimicrobial textiles. The tests performed included tensile deformation, bending, shearing, compression, surface friction, surface roughness, and treatment …
A Bioarchaeological Perspective On Egyptian Colonialism In Nubia During The New Kingdom, Michele Buzon
A Bioarchaeological Perspective On Egyptian Colonialism In Nubia During The New Kingdom, Michele Buzon
Department of Anthropology Faculty Publications
During the New Kingdom, Egypt began a military campaign to regain command over Nubia. Extremely successful, their control extended to the fourth cataract by the time of Thutmose III. The circumstances of this power, however, are not well known. It is unclear whether Egyptian colonists or locals administered Nubia during this time. Using a bioarchaeological approach via the study of human skeletal remains and archaeological data from the New Kingdom site of Tombos in Nubia and comparative Egyptian and Nubian skeletal samples, this paper addresses these long-standing questions. Analysesuggest that the Tombos individuals were an ethnically and biologically mixed group. …
Impact Of West Nile Virus And Other Mortality Factors On American White Pelicans At Breeding Colonies In The Northern Plains Of North America, Marsha A. Sovada, Pamela J. Pietz, Kathryn A. Converse, D. Tommy King, Erik K. Hofmeister, Paulette Scherr, Hon S. Ip
Impact Of West Nile Virus And Other Mortality Factors On American White Pelicans At Breeding Colonies In The Northern Plains Of North America, Marsha A. Sovada, Pamela J. Pietz, Kathryn A. Converse, D. Tommy King, Erik K. Hofmeister, Paulette Scherr, Hon S. Ip
United States Geological Survey, Northern Prairie Wildlife Research Center: Publications
American white pelicans (Pelecanus erythrorhynchos) are colonial-nesting birds and their breeding sites are concentrated in a few small areas, making this species especially vulnerable to factors that can influence productivity, such as disease, disturbance, predation, weather events and loss of nesting habitat. Nearly half of the American white pelican population breeds at four colonies in the northern plains: Chase Lake National Wildlife Refuge (NWR) in North Dakota, Bitter Lake (Waubay NWR) in South Dakota, Medicine Lake NWR in Montana, and Marsh Lake in Minnesota. Thus, sustained productivity at these colonies is crucial to the health of the entire …
Parasite Pathoecology Of Salmon Pueblo And Other Chacoan Great Houses: The Healthiest And Wormiest Ancestral Puebloans, Karl Reinhard
Parasite Pathoecology Of Salmon Pueblo And Other Chacoan Great Houses: The Healthiest And Wormiest Ancestral Puebloans, Karl Reinhard
Karl Reinhard Publications
Two fields of paleopathological investigation originated in the Southwest. Archaeoparasitology is the study of ancient parasite infection (Reinhard 1990, 1992b). It includes comparisons between time periods of single societies as well as comparisons of parasitism between different, contemporaneous cultures. For example, Fry (1980) compared Fremont and Anasazi parasitism, and also Archaic hunter-gatherer and ancestral Pueblo parasitism. All of these studies fall into the definition of archaeoparasitology.
By contrast, pathoecology is the reconstruction of relationships among behavior, environment, and disease organisms in the development of illness (Martinson et al. 2003; ReinhardandBuikstra2003; Reinhardet al. 2003; Santoro et al. 2003).1his field developed from …
Cranial Deformation As The Cause Of Death For A Child From The Chillon River Valley, Peru, Shelia M.F. Medoncade Souza, Karl J. Reinhard, Andrea Lessa
Cranial Deformation As The Cause Of Death For A Child From The Chillon River Valley, Peru, Shelia M.F. Medoncade Souza, Karl J. Reinhard, Andrea Lessa
Karl Reinhard Publications
Two small mummy bundles, found in a tomb at the Chillon River Valley, Lima Plains, Peru exist in the collections of the Museu Nacional, Rio de Janeiro, Brazil. They were donated to the collections at the beginning of the 20th century. A multidisciplinary team is now curating and studying them. CT scans confirmed both skeletons were of individuals less than one year old at death. One of the bundles is intact and will be preserved and displayed. The other one was partly decomposed and the authors received permission to unwrap it to analyze the bones in details. Mites and pollen …
A Child And His Fate: Tuberculosis, Perimortem Trauma And Mummification, Sheila M. M.De Souza, Karl J. Reinhard, Bernardo Tessarollo, Jose Fernando Cardona Zannier, Adauto Araujo
A Child And His Fate: Tuberculosis, Perimortem Trauma And Mummification, Sheila M. M.De Souza, Karl J. Reinhard, Bernardo Tessarollo, Jose Fernando Cardona Zannier, Adauto Araujo
Karl Reinhard Publications
A male child, sitting, 7 years, circumferential deformation, skin marked by coiled fibers, nostril plugs, consistent with Aymara practices was CT scanned. Puppae in the skin suggest exposition of the body previous to the funeral. Dark brown color at the skin suggest blood perfusion. A broken area at the right frontal with the skin partially inside is suggestive of perimorten trauma. There were no bone debris inside the skull and the CT images show two confluent fractures defined by radiating lines extending beyond the missing bone surface. The right eyeball is projected out, the tongue is outside the mouth, the …
Pathoecology And The Future Of Coprolite Studies In Bioarchaeology, Karl J. Reinhard, Vaughn M. Bryant Jr.
Pathoecology And The Future Of Coprolite Studies In Bioarchaeology, Karl J. Reinhard, Vaughn M. Bryant Jr.
Karl Reinhard Publications
Human coprolites currently provide an expanding array of information about the diet, health, and ecology of prehistoric people in the Southwest, but for many years coprolites were not recognized or preserved, or they were not considered important and thus were not saved (Bryant and Dean 2006). With the expansion of archaeological field work during the last half of the twentieth century archaeologists have increasingly explored the "complete" potentials of sites, including the collection and analysis of geomorphologic, botanical, and faunal data. In some ideal habitats (e.g., very dry or frozen) this includes exploring the scientific potential of human coprolite studies. …
Pathoecology Of Two Ancestral Pueblo Villages, Karl Reinhard
Pathoecology Of Two Ancestral Pueblo Villages, Karl Reinhard
Karl Reinhard Publications
Pathoecology is the study of the biotic, abiotic, and cultural environments of disease (Martinson et al. 2003). A parasitic infection is the result of the pathoecological interaction of host behavior, parasite life cycle, the environment in which both life forms live, the nutritional status of the host, and host physiological responses to all of these factors. Parasites contribute to anemia in many ways. Some, such as hookworm, actually consume blood and cause iron loss through their activities. For other parasites, symptoms such as profuse diarrhea reduce intestinal absorption of nutrients. Others, such as certain fish tapeworms, actually compete for absorption …
Paleoparasitology: Perspectives With New Techniques, Adauto Araújo, Karl Reinhard, Otilio M. Bastos, Ligia C. Costa, Claude Pirmez, Alena Iñighez, Ana Carolina Vicente, Carlos M. Morel, Luiz Fernando Ferreira
Paleoparasitology: Perspectives With New Techniques, Adauto Araújo, Karl Reinhard, Otilio M. Bastos, Ligia C. Costa, Claude Pirmez, Alena Iñighez, Ana Carolina Vicente, Carlos M. Morel, Luiz Fernando Ferreira
Karl Reinhard Publications
Paleoparasitology is the study of parasites found in archaeological material. The development of this field of research began with histological identification of helminth eggs in mummy tissues, analysis of coprolites, and recently through molecular biology. An approach to the history of paleoparasitology is reviewed in this paper, with special reference to the studies of ancient DNA identified in archaeological material.
Paleoparasitologia: perspectivas com novas técnicas
Paleoparasitologia é o estudo de parasitos encontrados em material arqueológico. O desenvolvimento deste campo da pesquisa teve início com a identificação de ovos de helmintos em tecidos mumificados, análise de coprólitos e, recentemente, através da …
Enterobius Vermicularis Ancient Dna In Pre-Columbian Human Populations, Alena Mayo Iniguez, Karl J. Reinhard, Luiz Fernando Ferreira, Adauto Araujo, Ana Carolina, Paulo Vincente
Enterobius Vermicularis Ancient Dna In Pre-Columbian Human Populations, Alena Mayo Iniguez, Karl J. Reinhard, Luiz Fernando Ferreira, Adauto Araujo, Ana Carolina, Paulo Vincente
Karl Reinhard Publications
In prehistoric populations the paleoparasitological findings show an Enterobius vennicularis homogeneous distribution among North American hunter-gatherers intensified with the advent of agriculture. The same occurred in the transition from nomad hunter-gatherers to sedentary farmers in South America, although E. vermicularis infection encompasses only the ancient Andean peoples. Since molecular techniques are sensitive in detecting ancient DNA (aDNA), in this work we have performed a molecular paleoparasitological study of E. vermicularis. aDNA was recovered from North and South American coprolites (4110 BC-AD 900). Human (cox 2 and HVR) and pinworm (5S rRNA spacer) sequences were determined. The sequence analysis confirmed E. …
An American's Guide To Cultural Brokering, Jessica Anna Sauer
An American's Guide To Cultural Brokering, Jessica Anna Sauer
Honors Program Theses
The United States is the world's largest refugee host, welcoming almost 3 million people in the last 30 years, according to the January 16th, 2007 edition of the San Francisco Chronicle. In addition to refugees, the United States accepted 1,266,264 immigrants in 2006, as stated in the Office of Immigration Statistics 2006 Yearbook of Statistics. Furthermore, the Kids Count Data Center reports that one out of every five children lives in an immigrant family. Clearly, these numbers show that immigrants compose a significant part of our communities.
While the US strives to welcome newcomers, many immigrants are left in the …
Haitian American Mothers' Health And Dietary Beliefs Concerning Their Infants, Daniel Schooler
Haitian American Mothers' Health And Dietary Beliefs Concerning Their Infants, Daniel Schooler
Electronic Theses and Dissertations
Studies on the effects of immigration are becoming more important as the number of immigrants into the United States continues to grow. This study was implemented in order to discover the infant feeding practices and beliefs of Haitians living in Central Florida. A food frequency card sort and interview were conducted with thirty-four Haitian mothers. Mothers were asked to identify which foods they fed their children. Foods pictured on the cards included a majority of Haitian staple foods, some of which are primary to the American diet as well. Low food feeding frequencies were generally attributed to lack of access …
Mental Health Care In India: Prescribing The Right Policy, Kimberly Meltzer
Mental Health Care In India: Prescribing The Right Policy, Kimberly Meltzer
Pepperdine Policy Review
India’s perspectives on mental health and standards of care have been complicated by developmental factors, resulting in recognition not upheld in practice. India is a country of particular interest due to this disparity between its rhetoric and reality, and looking at the history of mental health and the impact of these factors will help shape recommendations for improving mental health care. Mental health policy efforts and traditions of care continue to fall short of the country’s mental health care needs. Policy recommendations proposed in this paper center on community mental health care, which should and can be expanded by maximizing …