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Art Therapy Meets Dungeons And Dragons: Supporting The Development Of Social Skills In High School Students, Ben Li

Expressive Therapies Capstone Theses

This arts-based research explores the current literature on the clinical uses of Dungeons and Dragons (D&D) using art and play therapies. Previous studies that intersect with D&D and expressive arts interventions have been traditionally focused on drama and play therapies while this study focused on open studio practices based on art therapy methodologies. D&D in clinical settings has been effective in developing social connection between peers and emotional regulation. A 10-week art therapy group was conducted in a school setting with adolescents with academic anxiety, socioemotional disabilities, and developmental disabilities. The author provided a space for participants to create art …

The Shifting Landscape Of Adolescent Wellness In Boarding Schools: Can Time Spent Off Screens And Outdoors Improve Adolescent Wellbeing?, Kristen H. Peterson

Dartmouth College Master’s Theses

For nearly twenty years I have worked directly with adolescents as an independent school educator. Whether in the classroom, on the field, or in the dorm, I have observed and supported students through their middle and high school experiences. During this time, I have witnessed an alarming shift in adolescent physical, emotional, and social wellbeing. Concurrently, I have observed a dramatic increase in the amount of time students spend using screen-based devices, and a decrease in their time spent outdoors.

Using research to ground my anecdotal accounts in empirical understanding, my thesis examines whether or not screen use might help …

Promoting Parental Comfort To Facilitate Conversations On Adolescent Sexual Health And Behaviors, Angelina Jolie Banes, Lauren Liddell

Nursing | Senior Theses

This thesis proposal will investigate the impact of a comprehensive digital sexual health education program on the comfort levels of parents and teens when discussing sensitive topics such as pregnancy and sexually transmitted infections (STIs). The research is guided by Orem’s Self-Care Deficit Nursing Theory, which emphasizes the need to assess and address individuals’ self-care deficits, including the ability to engage in safe and informed sexual behaviors. The research design is a quantitative, quasi-experimental study with a one-group pre and post-test design. The sample consists of 50 parents and 50 teens from Marin County, who will participate in an online …

Identity And Body Image: How Bicultural Influences Affect The Development Of Negative Body Image And Disordered Eating In Korean American Adolescents, Abigail G. Brown

Honors Projects

The objective of this research project is to examine the existing literature related to culture, body image, and disordered eating in Korea and the United States as they are related to the identity and body image formation of Korean American adolescents in the United States. Because there is not much existing literature specifically investigating the experience of Korean American adolescents, this paper aims to synthesize the current research regarding Korean and United States culture to create a summary of factors that contribute to the development of negative body image and/or disordered eating in this population. In addition, these factors will …

Covid, Creativity, And Connecting Through Change: Reviewing The Literature On How Art Therapy Can Help Children And Adolescents Cope With Pandemic-Related Grief, Lydia Speicher

Expressive Therapies Capstone Theses

The COVID-19 pandemic has been one of the most significant global events in the past century, both resulting in massive casualties and significant mental health outcomes across the world. Some of the most impacted populations are children and adolescents whose lives have been interrupted during their formative years. The purpose of this literature review is to explore how art therapy has been used during the COVID-19 pandemic to address the grief experienced by children and adolescents through their losses of stability and peer support surrounded by uncertainty. This literature review seeks to understand exactly how the pandemic has affected the …

From Inpatient Facility To The Everyday Classroom - Examining The Process Of Reintegration For Arkansas Youths, Grace Webb

Honors Theses

This thesis focuses on analyzing the current policies set in place within the state of Arkansas for student reintegration following a prolonged absence from school due to mental health issues. It is designed to explore what barriers and disconnections there are between mental health care and continued care after discharge of youths from an inpatient mental health facility and re-entry into the classroom. Within this thesis, current conditions impacting youth mental health and education are explored, as well as current school counseling plans throughout four school districts in various regions across the state. To my knowledge gathered from my findings, …

Emergency Care For Youth Who Experience Suicidality And Identify As Lesbian Gay Bisexual Transgender Queer/Questioning (Lgbtq+): An Interpretive Phenomenology, Theresa Schultz

Electronic Theses and Dissertations

Purpose: Suicide is a leading cause of death in children; youth who identify as LGBTQ+ are at an exponentially higher risk of suicide. The purpose of this study was to explore the lived experiences of young adults who identify as LGBTQ+ and sought emergency care for suicidality when they were adolescents.

Methods: Heideggerian hermeneutics phenomenology is the research method used in this study. Youth, ages 18-25 years, who identify as LGBTQ+ and sought emergency treatment for suicidality when they were adolescents (13-17 years) were recruited to participate;fifteen youth enrolled. Individuals ranged in age from 20 to 25 years. Participants described …

Ask Your Doctor About: Prescribing Activism For Eco-Anxiety In Adolescents, Lexi Nutkiewicz

Master's Projects and Capstones

Climate change is an ongoing public health crisis. Efforts to protect future generations' physical and mental health are more urgent than ever. Youth, in particular, are experiencing eco-anxiety, a specific form of anxiety relating to stress or distress caused by environmental changes and one’s knowledge of them due to the climate crisis. This scoping review provides a better understanding of the value of youth climate change activism as a strategy to mitigate eco-anxiety. This review evaluates the current definitions of eco-anxiety, the risk factors for eco-anxiety among adolescents, and considers the benefits and drawbacks of youth activism. To identify relevant …

Dance Movement Therapy Interventions To Build Coping Skills And Identity In Adolescent Patients Dealing With A Cancer Diagnosis: Development Of A Method, Ariel Hortin

Expressive Therapies Capstone Theses

Adolescents are a special category in pediatric oncology because of their unique physical and mental development. This patient population has needs specific to both their development and cancer diagnosis. Dance Movement Therapy (DMT) focuses on building awareness of inner sensations so that the patient can then connect those observations with felt emotions and thoughts. Connecting the physical experience with the emotional experience can provide helpful information for the patient as a tool for change. Building and strengthening relationships with family members also strengthens the critical support system for the patient. Dance Movement Therapy interventions may be effective in working with …

Practicing Trauma-Informed Care In Nursing For A Better Outcome In Hospitalized Adolescents With Adverse Childhood Experiences And Trauma, Allysa Mia Fabricante

Nursing | Senior Theses

As nurses we want to give our patients the best care. That is why trauma-informed care (TIC) is important to include into nursing practice. TIC is a fairly new idea that addresses a patient's whole past and present life. Incorporating it into nursing practice can benefit patients who have adverse childhood experiences and trauma. Adverse Childhood Experiences (ACEs) are traumatic events that occur to a person starting from birth to 17 years old. In a hospital setting an adolescent patient can be triggered if ACEs and trauma is not properly addressed. The long-term effects of ACEs can affect adolescents into …

Children Of Divorce Parents Group Manual, Sheyenne Hokit

Dissertations, Theses, and Projects

Divorce is something that is, unfortunately, becoming a commonality for a lot of children, and due to the complexity of divorce, many children struggle when trying to understand divorce and how it affects them. Some effects of divorce are various emotional and behavioral issues such as increased anger and decreased emotion regulation. Social, health, and academic concerns were also found. Counseling interventions like narrative therapy, emotion-focused family therapy, emotion-focused therapy, and play therapy were found to be effective with this population (Hirschfeld & Wittenborn, 2016, Thomas & Gibbons, 2009). The identified interventions provide peer-based social support, education on the misconceptions …

Role Of Social Media In Adolescent-Parent Relationships Among At-Risk Youths, Jennifer Davis

Walden Dissertations and Doctoral Studies

Social media has been linked to online crimes and cyberbullying among 88% of teens. The purpose of this study was to understand the role of adolescent and parent social media use on adolescents reported at-risk behaviors, as well as the role of social media among at-risk youths and their parents using the attachment theory. An interpretive phenomenological analysis design was used in this study to describe relationships between adolescents and their parents involving social media use and reported at-risk behaviors. Semi-structured interviews were performed with a total of six pairs of individuals resulting in 12 total participants. There were four …

How Social Workers Contribute To Outcomes Of Adolescent Participants In Wilderness Programs, Tracy Dockler

Walden Dissertations and Doctoral Studies

The wilderness environment has become recognized as a viable treatment modality for addressing the psychosocial and behavioral needs of treatment-resistant adolescents. Even though social workers provide services in these specialized programs, little is known about how they perceive the contributions they make to the outcomes of the adolescent participants. The conceptual framework of wilderness treatment with a focus on the wilderness experience, as well as on the physical, social, and psychosocial aspects of participant functioning guided this study. In this qualitative study, a semistructured interview guide was used to elicit the thoughts of five master’s level social workers (MSWs) regarding …

The Connection Between Positive Coping Skills And Cutting For Young Adults In Adolescence, Nicoletta Weide

Walden Dissertations and Doctoral Studies

According to recent studies, the instances of non-suicidal self-injury (NSSI) in adolescents have sharply risen in recent years. Cutting is the most prevalent form of NSSI in adolescence which leads to scarring, social stigma, and an increased risk of suicide. NSSI and cutting are considered maladaptive coping skills. The purpose of this general qualitative study is to explore how positive coping skills and self-regulation impacted their instances of cutting. Self-regulation theory was used to analyze if having positive alternative skills was enough to regulate the behavior and have an impact on their instances of cutting. This general qualitative research study …

Social Media Use And Mental Health: An Educational Intervention To Reduce Depression And Anxiety In Adolescents, Natalie Catlett

DNP Projects

Background: Most adolescents spend a great deal of their time using various social media platforms. However, excessive and maladaptive social media use is correlated with worsening symptoms of depression and anxiety among adolescents.

Objective: This project aimed to determine whether an educational intervention could help decrease overall time spent using social media and improve mood and mental health outcomes among adolescents with depression or anxiety disorders.

Methods: This was a quasi-experiment with a pretest and posttest design. An educational intervention about the relationship between social media use and symptoms of depression and anxiety among adolescents and strategies to minimize risk …

Interpersonal Psychotherapy For Depressed Adolescents: A Systematic Review Of Quantitative Studies Exploring Effectiveness, Concomitant Findings, And Mediating And Moderating Variables, Luke Rex

Theses and Dissertations

Depression is one of the leading causes of illness and disability among adolescents. According to the National Institute of Mental Health (2022), almost one-fifth of adolescents ages 12 to 17 years in the United States had at least one major depressive episode in 2020, representing 4.1 million people, and over half did not receive any treatment. An interpersonal approach to therapy for adolescents known as Interpersonal Psychotherapy for Depressed Adolescents (IPT-A), developed by Dr. Laura Mufson, has been regarded as having well-established efficacy in treating depressed adolescents. This systematic review of quantitative studies (without meta-analysis) was conducted to (a) examine …

The Ecology Of Mental Health And The Impact Of Barriers On Mental Health Service Utilization, Alisha Aggarwal

Theses & Dissertations

Mental health has emerged as a major public health concern in recent times with several disparities and barriers related to adequate health service utilization. Different age groups experience diverse symptoms and face distinct barriers in accessing and utilizing healthcare. Policies like Mental Health Parity and Addiction Equity Act and the Patient Protection and Affordable Care Act were launched to improve insurance coverage and delivery of mental health services. However, a large gap of unmet needs exists for adequate mental health service utilization in the country. This dissertation aims to describe the financial and non-financial barriers to mental health service utilization …

Concurrent Reporting Of Adverse Childhood Experiences Among Perspectives Of Adolescents And Caregivers., Katie J. Berghuis

Electronic Theses and Dissertations

The consequences of Adverse Childhood Experience (ACE) events in youth have predominantly been studied through retrospective studies that assess adults’ first 18 years of life or caregiver report of ACEs in youth. Reliance on only caregiver report to discern ACEs is a limitation amongst prior studies as research has found that caregivers tend to underestimate ACEs among their children, and there is even a greater discrepancy of reporting between caregivers and youth 12 years and older. Therefore, this study investigated concurrent reporting of self-report ACE scores in adolescents – defined in this study as 12 to 20 years old – …

Intimate Partner Violence Education For High School Students, Morgan Foster

Dissertations

Problem Adolescents are at risk for experiencing intimate partner violence (IPV). As early as seventh grade, over half of adolescents have reported being in a romantic relationship. Adolescent screening for and education of IPV is minimal, and only the Healthy Relationships Quiz developed by the U.S. Department of Health and Human Services [HHS] screens young adolescents across all aspects of IPV, including psychological and sexual violence. The purpose of this project was to develop an IPV education plan for high school students in a health course.

Methods An educational lesson plan for IPV was created for high school teachers.

Results …

Effectiveness Of An Online Intervention Combating Mental Health Stigma On Adolescent Help-Seeking Behaviors, Chelsea Krayecki

Counselor Education Capstones

Mental health stigma has been shown to be a barrier to seeking help for mental health concerns. This is especially true for adolescents due to important developmental characteristics. According to the World Health Organization (WHO) (2021), depression is one of the major causes of mental health concerns and disability among adolescents. In addition, the WHO (2021) also states that mental health conditions account for 16% of global burden of illness in people ages 10-19-years-old. The current pandemic has only increased these concerns, as social, emotional, and mental well-being has been impacted by the pandemic (Centers for Disease Control and Prevention, …

The Impact Of Mindfulness On Mental And Emotional Health, Physical Fitness, And Academic Performance, Melanie B. Smith

Online Theses and Dissertations

Past research has indicated promising results with mindfulness and mental health. This study examines the relationship between mindfulness and mental health, physical fitness, and academic performance for middle and high school students enrolled in health and physical education courses. The Calm app was utilized in part of the Calm Schools Initiative. (n.d.) as part of the intervention. The treatment group took part in mindfulness activities twice per week for the duration of the study. Measurers were recorded using the Mindful Attention Awareness Scale – Adolescents (Brown, West, Loverich, & Biegel, 2011), Perceived Stress Scale (Cohen, Karmarck, & Mermelstein, 1983), Patient …

Effects Of A Physical Activity Intervention On The Stress Reduction Of Underserved Adolescent Youth, Gwenyth C. Asbury

Senior Theses

Stress levels of American teenagers are rising. Studies show that teens are reporting higher stress levels than what they perceive to be healthy and that these levels are higher than the levels of perceived stress reported by adults (APA, 2013). In addition to reporting unhealthy levels of stress, adolescents are reporting feeling overwhelmed and depressed due to their stress (APA, 2013). These findings are especially true for underserved adolescents who are more likely to have exposure to violence, discrimination, racism and conditions of poverty in addition to experiencing the typical stressors associated with adolescence (American Academy of Child and Adolescent …

Investigating The Impact Of The Fava Well-Being Protocol On Perceived Stress And Psychological Well-Being With At-Promise High School Students, Renee L. Fensom

Counseling & Human Services Theses & Dissertations

An elevation in stress levels can be caused by many contributing factors, which can ultimately interfere with the learning of young people. Fortunately, an increase in well being can help promote resilience, creating a buffer to stress. Therefore, the current study investigated the influence of a positive psychology intervention aimed at lowering perceived stress and increasing well-being among at-promise students. The theoretical framework for this study was based on Ryff’s Model of Psychological Well-Being (PWB). The specific intervention used was the Well-being Therapy School Protocol developed by Fava and associates, based off of Carol Ryff’s Model of PWB (Fava, 2016). …

Mental Health Screening For Low Income Adolescents: An Evidence-Based Project, Allison Bryden

Doctor of Nursing Practice Final Manuscripts

Abstract

TITLE: Mental Health Screening For Low-Income Adolescents

BACKGROUND: Nearly 80% of adolescents in the United States will suffer from a mental illness and not receive evaluation or services. Children from low socio-economic backgrounds have an increased risk of mental health disorders which permeate into adulthood, leading to additional negative sequel and lower quality of life. Among adolescent mental health conditions, depression and anxiety are the most common. Literature has suggested provider intuition alone has low sensitivity and specificity for detecting mental illness and that screening tools are indicated.

PURPOSE: The aim of this project is to implement standardized routine …

Unplugging: An Evidence-Based Project To Reduce Screen Time And Improve Healthy Media Use In The Adolescent Population, Erica Persichetti

Doctor of Nursing Practice Final Manuscripts

Abstract

Background:Excessive media use is an emerging health concern amongst the pediatric population. The American Academy of Pediatrics (AAP) recommends less than 2 hours per day of recreational screen time, yet the national average is between 7 to 9 hours per day for adolescents. A media-saturated lifestyle has consequences on a child’s mental, physical, and emotional health. Despite guidelines stating media use should be assessed at annual well-visits, only 16% of providers are following this recommendation. This gap in care leaves many families with a limited understanding of the impact of media on their child's health and represents a …

Mental Health And You, Sierra Salvatierra

Capstone Projects and Master's Theses

The Latinx community at the Epicenter in Salinas dealt with mental health illnesses, as well as were brought up with machismo attitudes. This population has a strong stigma against getting help with their mental health. Being faced with immigration, poverty, discrimination and inadequite conversations about health, drives a spike in anxiety levels. Consequences of not dealing with mental health illnesses include unresolved emotions are generational trauma, self harm, substance abuse, and unhealthy relationships. The project created to get in front of this problem was a dialogue series of conversation starters for people who want to open up. The purpose of …

Mental Health In The School System: Providing Tools And Resources For Teachers, Hannah Skinner

Student Capstone Papers

This capstone project's aim was to look at the mental health needs of school aged children, and how Occupational Therapists can help to meet their needs in the school system. The doctoral student completed a background on mental health statistics and needs in children, and also completed a literature review on occupational therapy’s role in mental health and schools, mindfulness, and current practices in the United States.

A gap was identified after a literature search was completed: While the school systems understand mental health is an area that should be addressed, there is a gap in providing these tools and …

The Effect Of Grooming And Therapeutic Riding By Adolescents With Autism Spectrum Disorder On Equine Salivary Cortisol Concentrations, Morgan Shields

Undergraduate Honors Thesis Projects

The use of horses in therapeutic riding programs, especially for adolescents with autism spectrum disorder (ASD), has grown, yet the impact of grooming and riding on equine stress levels remains unknown. The aim of this study was to compare the effects of grooming and therapeutic riding on salivary cortisol concentrations of 10 horses in a therapeutic riding program. Samples were taken pre and post over two control and grooming days and over two series of nine therapeutic riding lessons for adolescents with ASD. On grooming days, each horse was groomed using a set protocol. On riding days, horses were ridden …

Neighborhoods And Mental Health: Understanding The Social, Environmental And Structural Factors To Better Support Our Youth And Communities, Meghan Murtagh

Community Engagement Student Work

The social, structural and environmental characteristics of neighborhoods can have a significant impact on the social, emotional, behavioral and cognitive development of children and adolescents. The Center for Disease Control reports every 1 out of 5 children (22%) living below 100% of the federal poverty level have a mental, behavioral and/or developmental disorder (CDC, 2019). Through the utilization of ecological frameworks and a “place” based framework called The Social Determinates of Health, research was conducted to examine the link between neighborhoods and health outcomes in children and adolescents. These findings were then shared through a workshop with the target audience …

The Impacts Of Loyola Marymount’S Summer Arts Workshop From The Perspective Of The Adult Facilitators, Alexandria C. Loiseau

LMU/LLS Theses and Dissertations

This study looks at the Summer Arts Workshop (SAW) and its impacts on the adult facilitators that are involved in the workshop’s programming and implementation. The study seeks to gain an understanding of how the workshop could be improved in order to strengthen the workshop so that its adolescent participants could continue to benefit from attending it. The research question is: What are the impacts of a therapeutically informed summer arts workshop/camp with adolescents according to participants? Strengths? Space for improvements? This study is a qualitative approach utilizing a semi-structured interview. The analysis of the data from the four interviews …