Welcome to the Nexus of Ethics, Psychology, Morality, Philosophy and Health Care

Welcome to the nexus of ethics, psychology, morality, technology, health care, and philosophy
Showing posts with label Higher Education. Show all posts
Showing posts with label Higher Education. Show all posts

Thursday, February 2, 2023

Yale Changes Mental Health Policies for Students in Crisis

William Wan
The Washington Post
Originally posted 18 JAN 23

Here are some excerpts:

In interviews with The Post, several students — who relied on Yale’s health insurance — described losing access to therapy and health care at the moment they needed it most.

The policy changes announced Wednesday reversed many of those practices.

By allowing students in mental crisis to take a leave of absence rather than withdraw, they will continue to have access to health insurance through Yale, university officials said. They can continue to work as a student employee, meet with career advisers, have access to campus and use library resources.

Finding a way to allow students to retain health insurance required overcoming significant logistical and financial hurdles, Lewis said, since New Haven and Connecticut are where most health providers in Yale’s system are located. But under the new policies, students on leave can switch to “affiliate coverage,” which would cover out-of-network care in other states.

In recent weeks, students and mental advocates questioned why Yale would not allow students struggling with mental health issues to take fewer classes. The new policies will now allow students to drop their course load to as low as two classes under special circumstances. But students can do so only if they require significant time for treatment and if their petition is approved.

In the past, withdrawn students had to submit an application for reinstatement, which included letters of recommendation, and proof they had remained “constructively occupied” during their time away. Under new policies, students returning from a medical leave of absence will submit a “simplified reinstatement request” that includes a letter from their clinician and a personal statement explaining why they left, the treatment they received and why they feel ready to return.

<cut>

In their updated online policies, the university made clear it still retained the right to impose an involuntary medical leave on students in cases of “a significant risk to the student’s health or safety, or to the health or safety of others.”

The changes were announced one day before Yale officials were scheduled to meet for settlement talks with the group of current and former students who filed a proposed class-action lawsuit against the university, demanding policy changes. 

<cut>

In a statement, one of the plaintiffs — a nonprofit group called Elis for Rachael, led by former Yale students — said they are still pushing for more to be done: “We remain in negotiations. We thank Yale for this first step. But if Yale were to receive a grade for its work on mental health, it would be an incomplete at best.”

But after decades of mental health advocacy with little change at the university, some students said they were surprised at the changes Yale has made already.

“I really didn’t think it would happen during my time here,” said Akweley Mazarae Lartey, a senior at Yale who has advocated for mental rights throughout his time at the school. 

“I started thinking of all the situations that I and people I care for have ended up in and how much we could have used these policies sooner.”

Monday, September 30, 2019

An Admissions Group Is Scrambling to Delete Parts of Its Ethical Code. That Could Mean Big Changes for Higher Ed.

Grace Elletson
The Chronicle of Higher Education
Originally published August 30, 2019

Here is an excerpt:

A handful of provisions are at issue. One prohibits colleges from offering incentives, like special housing or better financial-aid packages, only to students who use an early-decision application.

Another says colleges can’t recruit or offer enrollment to students who are already enrolled or have submitted deposits to other colleges. Under the NACAC ethics code, May 1 is when commitments by those students are made final, and colleges must respect that deadline.

Another states that colleges cannot solicit transfer applications from a previous applicant or prospect unless that student inquired about transferring.

According to a document sent to NACAC members, the Justice Department believes “that these provisions restrain competition among colleges” and that, if they are removed, thus allowing for more competition, the result “may lower” college costs if colleges can solicit students who have already committed.

If the provisions are removed, the changes will be significant, and turmoil in admissions offices should be expected, said Jon Boeckenstedt, vice provost for enrollment management at Oregon State University.

Removing those parts of the ethical code would allow institutions to recruit students from competitor colleges even after they’ve committed, and to see their own students get poached, he said.

The changes could cause colleges to enter into a precarious dance — keep students committed and simultaneously recruit others, all year long.

Given the uncertainty that the changes would cause for enrollment predictions, especially for smaller, tuition-dependent colleges, higher education’s landscape will be upended, Boeckenstedt said.

The info is here.

Friday, October 9, 2015

There Is No Excuse for How Universities Treat Adjuncts

By Caroline Fredrickson
The Atlantic
Originally published September 15, 2015

Here is an excerpt:

To say that these are low-wage jobs is an understatement. Based on data from the American Community Survey, 31 percent of part-time faculty are living near or below the federal poverty line. And, according to the UC Berkeley Labor Center, one in four families of part-time faculty are enrolled in at least one public assistance program like food stamps and Medicaid or qualify for the Earned Income Tax Credit. Known as the “Homeless Prof,” Mary-Faith Cerasoli teaches romance languages and prepares her courses in friends’ apartments when she can crash on a couch, or in her car when the friends can’t take her in. When a student asked to meet with her during office hours, she responded, “Sure, it’s the Pontiac Vibe parked on Stewart Avenue.”

Naomi Winterfalcon, who teaches at Champlain College in Burlington, Vermont, is happy that she was able to get another job this year and stay off food stamps for the summer. A recent study shows that a large portion of universities and colleges limit their adjuncts’ teaching hours to avoid having to provide the health insurance now required for full-timers under the Affordable Care Act.

The entire article is here.

Sunday, February 24, 2013

The Ethics of Admissions, Part I: Graduate and Professional School


By Jane Robbings
Inside HigherEd - Sounding Board Blog
Originally posted February 13, 2013

I’ve been wanting to write a series of posts on the ethics of admissions and its connection to operating models since I began this blog a few months ago.  While there is lots of talk about one or the other, they are rarely brought together in the sense of recognizing how embedded the ethical choices of institutions—and their consequences—are in the construction of their program and college business models. Acknowledging the ethics of a business model—yes, business models are ethics-laden—implies a stakeholder, or corporate social responsibility (CSR) view.

For a long time, though, institutions of higher education have made their operational decisions largely on the basis of internal interests. We could argue about whether what is going on now in terms of business model collapse is essentially chickens coming home to roost—the inevitable outcome of blindedness and self-interest.  And maybe warn about what is yet to come in other areas such as medical research. But for now I’m most interested in looking at recent movements—some coerced, some bravely self-initiated, to consider the ethical connection between admissions and business models. So far, the most explicit has been going on in graduate and professional education.

In the “coerced” category, the poster child is law schools. One could say this is a case of the market, and in response the government, saying “enough” and forcing change. While it can seem sudden, like most sources of change the problems did not arise overnight, but are the cumulative effect of a gradual process. Law schools, like business schools, underwent a “Flexnorization”—a specific effort to become more scientific and empirical as a strategy to drive out lower, practitioner-driven forms—in the late 60s on; the reports from the middle decades of the 20th century, such as the 1968 Rutgers “Law School of Tomorrow,” reflect contentious debate and an awareness of what might be the negative outcomes; by the time of the 2007 Carnegie report with its meaningful title (Educating Lawyers: Preparation for the Practice), many concerns had become a reality. And a funny thing happened along the way: the lower-tier schools were not driven out—indeed, like their business school counterparts they thrived by the promise of credentials and high earnings—and the upper tier schools have lost much of their market in the recession—a market that may never return, in part because the narrow tasks performed by even highly paid associates can be performed more cheaply overseas or through an agency (and, increasingly, by a computer), and because firms themselves are restructuring the way they practice.

The entire blog post is here.

Saturday, October 20, 2012

Sports in the Board Room

By Allie Grasgreen
Inside Higher Ed
Originally published October 10, 2012


The very morning that the man whose actions brought down top administrators at Pennsylvania State University was being condemned to at least 30 years in prison for child abuse, critics of big-time collegiate athletics gathered here were discussing the role -- or lack thereof -- of university governing boards in sports programs.

In documenting the many failings revealed by the abuse scandal at Penn State, the report by Louis J. Freeh documented the faults of the university's former president, Graham Spanier -- among them, neglecting to adequately alert the 32-member Board of Trustees about red flags regarding former assistant football coach Jerry Sandusky.

But equally or even more so at fault, the report said, was the board itself, whose trustees failed to ask questions of Spanier or themselves, such as whether they should conduct an internal investigation. They lacked the necessary structures even to make sure they got the information they needed to properly assess and address potential risks, the report said.

And so officials from the Association of Governing Boards of Universities and Colleges recognized the “crisis” at Penn State and role the board played in it, as they presented the findings of a new survey and report on board responsibilities for intercollegiate athletics here Wednesday at a meeting of the Knight Commission on Intercollegiate Athletics.

The entire story is here.