Community Participation of Individuals with Mental Illnesses in Rural Areas: Stakeholder Perspectives on Barriers and Facilitators.

Community inclusion and participation are social determinants of physical and mental health. This study examines activity preferences, barriers to engagement, and potential strategies for facilitating community participation for individuals with serious mental illness living in rural communities. Data for this qualitative study were collected in a series of focus groups with a stakeholders in rural Pennsylvania. Written responses to questions on activities, barriers, facilitators, and solutions were analyzed by members of the research team. The activities that are important to our participants included both those readily accessible in rural areas and those only accessible in more urban areas. Many of the barriers identified aligned with prior research (e.g., poverty, community mobility issues). A number of novel and feasible solutions to overcome barriers were provided at the policy, program, and practice levels, some of which that can be implemented immediately, to increase participation, and improve overall health of people with mental illnesses.

Exposure to an Anonymous Survivor Instagram Account is Linked to Institutional Betrayal Among Campus Sexual Misconduct Survivors.

The main purpose of this study was to examine whether viewing an anonymous survivor social media (Instagram) account was linked to PTSD symptoms and institutional betrayal among campus sexual misconduct survivors. Data were collected from 259 undergraduate students (78.8% female; 79.2% White) who completed an online cross-sectional survey. Results demonstrated that 85 participants (32.8%) endorsed exposure to at least one unwanted sexual experience since coming to college. Of these trauma-exposed participants, 21 (24.7%) reported clinically elevated symptoms of PTSD secondary to the unwanted sexual experience. The average number of instances of institutional betrayal following the sexual trauma was 2.73 (SD = 2.75), and institutional betrayal was positively correlated with PTSD symptoms (r = .29, p = .008). An independent samples t-test showed that trauma-exposed participants who viewed an anonymous survivor Instagram account specific to their college reported higher institutional betrayal compared to trauma-exposed participants who did not view the account (d = 1.55). Furthermore, frequent viewing of the Instagram account (i.e., at least once per week) was associated with the highest reported institutional betrayal (d = .49). Whether or not trauma-exposed participants viewed the Instagram account did not appear to be associated with PTSD symptoms. To the authors' knowledge, this is the first study to examine the associations among exposure to an anonymous survivor Instagram account, institutional betrayal, and PTSD symptoms. While further research is needed to understand the causal relationship among these variables, these results highlight the continued and urgent need of institutions of higher education to address campus sexual misconduct, in the form of reporting/adjudication processes and robust prevention programming.

Hearing children's voices? Including children's perspectives on their experiences of domestic violence in welfare reports prepared for the English courts in private family law proceedings.

This research examined Children and Family Court Advisory and Support Service (Cafcass) reports prepared for private family court proceedings in domestic violence cases in England. The research found that in cases where children's accounts identified them as victims of violence, these disclosures regularly disappeared from report recommendations. Particular discourses regarding 'child welfare' and 'contact' were identified, which routinely impacted on the ways in which children's voices were taken into account. Whilst culturally there has undoubtedly been an influential move towards including children's perspectives in decision-making that affects them, how these views are interpreted and represented is subject to adult 'gate-keeping' and powerful cultural and professional ideologies regarding 'child welfare' and 'post-separation family relationships'. This research found that the unrelenting influence of deeply embedded beliefs regarding the preservation or promotion of relationships with fathers continues to have the effect of marginalising issues of safeguarding, including children's voiced experiences of violence, in all but the most exceptional of cases. Rather, safeguarding concerns in respect of domestic violence and child abuse were persistently overshadowed by a dominant presumption of the overall benefits of contact with fathers.

Domestic Violence and Private Family Court Proceedings: Promoting Child Welfare or Promoting Contact?

Despite improved understanding regarding domestic violence, child welfare and child contact, and related policy developments, problems persist regarding how the family courts deal with fathers' violence in contested contact/residence cases. In the study reported here, analysis was undertaken of welfare reports prepared for the courts in such cases to investigate how and to what extent issues of domestic violence and children's perspectives on these issues were taken into account when making recommendations to the courts. Analysis found that despite evidence of domestic violence and child welfare concerns, contact with fathers was viewed as desirable and inevitable in the vast majority of cases.

Assessing accumulation and biliary excretion of naphthenic acids in yellow perch exposed to oil sands-affected waters.

Naphthenic acids are known to be the most prevalent group of organic compounds in oil sands tailings-associated waters. Yellow perch (Perca flavescens) were exposed for four months to oil sands-influenced waters in two experimental systems located on an oil sands lease 30 km north of Fort McMurray Alberta: the Demonstration Pond, containing oil sands tailings capped with natural surface water, and the South Bison Pond, integrating lean oil sands. Yellow perch were also sampled from three lakes: Mildred Lake that receives water from the Athabasca River, Sucker Lake, at the edge of oil sands extraction activity, and Kimowin Lake, a distant reference site. Naphthenic acids were measured in perch muscle tissue using gas chromatography-mass spectrometry (GC-MS). Bile metabolites were measured by GC-MS techniques and by high performance liquid chromatography (HPLC) with fluorescence detection at phenanthrene wavelengths. A method was developed using liquid chromatography-high resolution mass spectrometry (LC-HRMS) to evaluate naphthenic acids in bile. Tissue analysis did not show a pattern of naphthenic acids accumulation in muscle tissue consistent with known concentrations in exposed waters. Bile fluorescence and LC-HRMS methods were capable of statistically distinguishing samples originating from oil sands-influenced waters versus reference lakes. Although the GC-MS and HPLC fluorescence methods were correlated, there were no significant correlations of these methods and the LC-HRMS method. In yellow perch, naphthenic acids from oil sands sources do not concentrate in tissue at a measurable amount and are excreted through a biliary route. LC-HRMS was shown to be a highly sensitive, selective and promising technique as an indicator of exposure of biota to oil sands-derived naphthenic acids.

The immunological effects of oil sands surface waters and naphthenic acids on rainbow trout (Oncorhynchus mykiss).

There is concern surrounding the immunotoxic potential of naphthenic acids (NAs), a major organic constituent in waters influenced by oil sands contamination. To assess the immunological response to NAs, rainbow trout (Oncorhynchus mykiss) waterborne exposures were conducted with oil sands-influenced waters, NAs extracted and purified from oil sands tailings waters, and benzo[a]pyrene (BaP) as a positive control. After a 7d exposure, blood, spleen, head kidney, and gill samples were removed from a subset of fish in order to evaluate the distribution of thrombocytes, B-lymphocytes, myeloid cells, and T-lymphocytes using fluorescent antibodies specific for those cell types coupled with flow cytometry. The remaining trout in each experimental tank were injected with inactivated Aeromonas salmonicida and held in laboratory water for 21 d and subjected to similar lymphatic cell evaluation in addition to evaluation of antibody production. Fluorescent metabolites in bile as well as liver CYP1A induction were also determined after the 7 and 21 d exposure. Oil sands waters and extracted NAs exposures resulted in an increase in bile fluorescence at phenanthrene wavelengths, though liver CYP1A was not induced in those treatments as it was with the BaP positive control. Trout in the oil sands-influenced water exposure showed a decrease in B- and T-lymphocytes in blood as well as B-lymphocytes and myeloid cells in spleen and an increase in B-lymphocytes in head kidney. The extracted NAs exposure showed a decrease in thrombocytes in spleen at 8 mg/L and an increase in T-lymphocytes at 1mg/L in head kidney after 7d. There was a significant decrease in antibody production against A. salmonicida in both oil sands-influenced water exposures. Because oil sands-influenced waters affected multiple immune parameters, while extracted NAs impacts were limited, the NAs tested here are likely not the cause of immunotoxicity found in the oil sands-influenced water.

Immunotoxic effects of oil sands-derived naphthenic acids to rainbow trout.

Naphthenic acids are the major organic constituents in waters impacted by oil sands. To investigate their immunotoxicity, rainbow trout (Oncorhynchus mykiss) were injected with naphthenic acids extracted from aged oil sands tailings water. In two experiments, rainbow trout were injected intraperitoneally with 0, 10, or 100 mg/kg of naphthenic acids, and sampled after 5 or 21 d. Half of the fish from the 21 d exposure were co-exposed to inactivated Aeromonas salmonicida (A.s.) to induce an immune response. A positive control experiment was conducted using an intraperitoneal injection of 100 mg/kg of benzo[a]pyrene, a known immune suppressing compound. T-lymphocytes, B-lymphocytes, thrombocytes, and myeloid cells were counted in blood and lymphatic tissue using flow cytometry. In the 5d exposure, there was a reduction in blood leucocytes and spleen thrombocytes at the 100 mg/kg dose. However, at 21 d, leucocyte populations showed no effects of exposure with the exception that spleen thrombocyte populations increase at the 100 mg/kg dose. In the 21 d exposure, B- and T-lymphocytes in blood showed a significant Dose × A.s. interaction, indicating stimulated blood cell proliferation due to naphthenic acids alone as well as due to A.s. Naphthenic acid injections did not result in elevated bile fluorescent metabolites or elevated hepatic EROD activity. In contrast to naphthenic acids exposures, as similar dose of benzo[a]pyrene caused a significant decrease in B- and T-lymphocyte absolute counts in blood and relative B-lymphocyte counts in spleen. Results suggest that the naphthenic acids may act via a generally toxic mechanism rather than by specific toxic effects on immune cells.