Contextual Socioeconomic Status and Mental Health Counseling Use Among US Adolescents with Depression

Most adolescents with depressive disorders do not receive any mental health services, even though effective treatments exist. Although research has examined numerous individual-level factors associated with mental health service use among depressed adolescents, less is known about the role of contextual factors. This study examines the relationship between contextual-level socioeconomic status (SES) and clinic-based mental health counseling use among US adolescents with high depressive symptoms in urban and suburban areas. Data from the first two waves of the National Longitudinal Study of Adolescent Health (N = 1,133; 59 % female) were analyzed using multilevel logistic models in which adolescents were nested within counties. After controlling for individual-level predisposing, enabling, and need characteristics, as well as county racial/ethnic composition, county SES was positively associated with clinic-based counseling use among depressed youth. A one standard deviation increase in the county affluence index was associated with 43 % greater odds of receiving any clinical counseling services. Furthermore, the positive relationship between county affluence and clinical counseling use was no longer significant after controlling for the county supply of mental health specialist physicians. The results indicate that county residential context is a key correlate of mental health service use among depressed adolescents, such that those who live in lower SES counties with fewer mental health specialists are less likely to receive treatment.     

The EU Global Strategy in a Transitional International Order

This article explores the prospects for the EU’s role as a global leader in a transitional international order, based on the assumption that multilateral principles will remain at the heart of global governance. It focuses in particular upon the EU’s 2016 Global Strategy in the context of three principal trends and challenges for global governance: political and normative challenges, legitimacy challenges, and systemic challenges. It argues that the prospects for the EU’s global role are limited as long as the EU remains committed to traditional forms and norms of global governance, because these are increasingly out of touch with the emerging international order, and the nature of contemporary collective action challenges.     

Interrogating Gender Divides in Technology for Education and Development: the Case of the One Laptop per Child Project in Ghana

The One Laptop per Child (OLPC) project aims to make low-cost computers accessible to the “world’s poorest children,” presuming that the gadgets will support their empowerment via education. The project’s success globally, however, has been mixed at best, with many countries terminating their purchases due to cost, inadequate infrastructure, and negative side effects. In October 2010, Ghana suspended the country’s 3-year participation. This study examines the complex history and failure of OLPC Ghana in two pilot schools, one urban and one rural, with particular attention to gender bias. The analysis draws on interviews with government personnel, students, and teachers in the pilot classes. Despite lacking electric power in the rural community, UNDP’s Millennium Villages Project played a strong support role, making OLPC somewhat more effective with less of a gender divide in the rural school than in the urban school in Accra. Both pilot schools faced severe sustainability challenges raising decade-old questions about modernity and technological determinism. Further, in both schools, particularly the urban school, a digital divide by gender was evident.     

Partners in clime: Public‐private partnerships and British Columbia's capacity to pursue climate policy objectives

Governments are increasingly using public‐private partnerships (P3s) to draw the private sector into more active participation in infrastructure development. Climate action initiatives have not typically yielded profitable results for the private sector, and might therefore constrain the placing of conditions by governments on P3 arrangements. This article investigates a major P3 infrastructure project in British Columbia – the Canada Line extension to Vancouver's urban rail transit network – and concludes that the P3 organization did not constrain the government's capacity to pursue policy objectives for climate action. This counterintuitive result occurred because public sector leadership enabled an effective engagement with environmental policy priorities.     

Conflict and cohesion in the British labour party and French communist party

The article examines the differing organisational structures and political cultures which provide the bases for cohesion in the PCF and British Labour Party. It argues that the electoral decline of the two parties since the late 1960s, and the rise of new political forces to challenge their primacy on the Left, have generated growing internal conflict in each case. Despite the greater pressures towards unity in the PCF such conflicts have threatened the existing bases of cohesion in both parties. The article concludes by considering the possibilities of surmounting the current problems.