Digital Commons Network^™

Adversity, Resilience, Mental Health, And Well-Being In First-Year Student-Athletes: A Mixed Methods Intervention Study, Parker Leap

Dissertations, 2020-current

Research indicates that student-athletes face unique stressors as they transition to college. Resilience programming has been shown to have mental health benefits with the general college student population; however, few studies have examined efficacy of resilience programming with college-student athletes during their transition to college. The purpose of this study was to examine the effects of a novel, culturally-resonant, NCAA grant-funded resilience course on scores of resilience, student athlete mental health, and sport well-being. This study also sought to assess the feasibility of this course and explore participants’ subjective experiences. A mixed methods intervention research design was utilized and included …

Examining Intergenerational Trauma And Mental Health Supports Within The Latinx Community: A Rapid Review, Liliana Ferrufino

Educational Specialist, 2020-current

Intergenerational trauma is a phenomenon experienced by many individuals including those within the Latinx community. This literature review examines the mental health challenges faced by Latinx youth, including depression, anxiety, and the impact of bicultural stress and discrimination. Additionally, the literature review discusses existing intergenerational trauma interventions such as the Intergenerational Trauma Treatment Model and a multi-tiered approach in schools. The current rapid review explored what methods have been evaluated to address the mental health needs of Latinx youth. After a search of databases, three studies were selected. The methodology and findings from each publication is briefly summarized, highlighting the …

Medical Interpreters' Work Impact On Their Lives: Understanding Medical Interpreters' Work Experience, Nicholas M. Herrarte Smith

Senior Honors Projects, 2020-current

Medical interpreters in the US are crucial health workers that specialize in facilitating communication between non-English-speaking patients and English medical professionals. Although much research has been done regarding the positive impact of professional medical interpreters on LEP (limited English proficient) patients' health, it is less known how medical interpreters’ lives are impacted in this line of work. Thus, this study was aimed at gaining a better understanding on the impact that this line of work has on the lives of medical interpreters. For this study, a survey was created with questions regarding demographics, interpretation’s certification process, interpreter’s satisfaction/experience, and mental …

Supporting The Mental Health Needs Of Youth Through Neurobiologically-Informed Approaches, Hannah P. Jarrett

Educational Specialist, 2020-current

Many children and adolescents are experiencing increased mental health challenges, resulting in a serious public health crisis. Mental health providers must apply innovative, research-based, and developmentally responsive intervention to meet the current mental health needs of youth. Neurobiologically-informed approaches, such as Polyvagal Theory, the Neurosequential Model of Therapeutics, and Interpersonal Neurobiology, could be used to support children and adolescents appropriately and effectively across a variety of settings. These approaches apply principles of neuroscience, acknowledge developmental considerations, and attend to the impact of trauma. This project reviews mental health trends in children and adolescents, provides a brief overview of these approaches, …

Rural Populations Amongst The Mental Health Crisis In The United States Of America: Implications For Counseling Professionals, Caylyn Arbogast

Educational Specialist, 2020-current

The United States is currently experiencing a mental health crisis, following the COVID-19 Pandemic. While the United States continues to experience stigma around mental health, the impacts of the mental health and substance use crisis are even more prominent within rural communities. Challenges include lack of funding, transportation, availability, et cetera regarding the access and availability of services. Virginia, being comprised of mostly rural areas increases the likelihood that counselors may encounter a client from this background or directly serve people of these communities. Counselors are challenged to increase accessibility, affordability, acceptability, and availability to decrease barriers to treatment. As …

Dealing With Your Dragons: Counseling Through Dungeons And Dragons, Devon Howell

Educational Specialist, 2020-current

The purpose of this literature review is to explore the idea of using the game of Dungeons and Dragons as a form of group counseling in a therapeutic setting. A search of relevant literature was conducted to discover potential therapeutic utility and cultural aspects of this prospective methodology. It was hypothesized that while the topic might not be well researched, it will yield potential possibilities for therapeutic use. The research presents possibilities for different theoretical underpinnings; in particular, it offers a unique range of benefits to both the client (improvements to social skills, sense of community, and overall mental health), …

Exploring Barriers To Rural Mental Health Practice: A Pilot Study, Caitlin Vu

Educational Specialist, 2020-current

There is a shortage of mental health professionals in rural areas around the world. Current literature on barriers to healthcare professionals choosing to practice in rural areas mainly focuses on medical professionals, with few studies examining the barriers to rural practice for mental health professionals. Along with examining the perceived barriers and enablers to rural mental health practice, researchers wanted to further examine the reliability of the revised Barriers to Rural Mental Health Practice instrument. Researchers distributed the survey to mental health professionals across the United States. Preliminary findings support high internal reliability for the total scale and three of …

Addressing Systemic Inequities: A Psychoeducational Group For Advocating For African Americans, Jaree' Barnwell

Educational Specialist, 2020-current

This paper will discuss and describe the development of an open psychoeducational group that will empower people of the community through education to advocate for African American/Black people within institutions that may perpetuate barriers. Acknowledging that one in four people struggle with mental health issues, it is imperative to consider an appropriate treatment modality that destigmatizes mental health and equips participants with information. This group is especially relevant as one in three African Americans, who struggle with mental health concerns, will never receive the appropriate care comparatively afforded to white populations. This thesis will concisely discuss the education system, the …

Asian Immigrant Parents And Their Asian/Asian-American Children: Bridging The Emotional Gap, Natalie Vergara Realubit

Educational Specialist, 2020-current

This manuscript explores and examines Asian/Asian-American identity and values. A brief discussion of Asian immigration history, intergenerational trauma, and the impacts of COVID-19 will be linked to Asian identity. Eastern values are explored in conjunction with Western values to highlight the differences and contradictions Asians/Asian-Americans navigate. Biculturalism is explained, as well as how the navigation of values results in individuals living in their ethnic and host cultures simultaneously. Acculturation and enculturation, the model minority myth, education and the American Dream, and bicultural stress experienced by Asian-Americans and Asian international students are explored to highlight the various ways in which biculturalism …

The Fetishization Of Asian American Women: Where We Are And Where To Go, Genevieve Askin

Educational Specialist, 2020-current

Women of color in the United States suffer from hyper sexualization and fetishization, and Asian American (AA) women are no different. These racial microaggressions and normalized expressions of oppression based on both race/ethnicity and gender contribute to a distinct marginalization that women of color experience. This paper seeks to 1) explore the unique layers of oppression that AA women face, including combating the model minority myth, westernized beauty standards, and fetishization, as well as 2) address the difference in reception between the Stop Asian Hate movement and Black Lives Matter, while defining and critiquing the whitewashing of this field in …

Nature And Its Place In Professional Counseling: A Qualitative Study Of Expert Views, Experiences, And Future Plans, Matthew V. Bukowski

Dissertations, 2020-current

Recent publications and initiatives within professional counseling indicate a growing interest in the connections between human wellness and the natural world. Despite consistent growth of this trend between the years 2000 and 2021, there has been little dialogue within the profession about the ethical, ideological, and social justice implications of integrating nature therapy with professional counseling and counselor education. This study investigated the views, experiences, and future plans of 10 counselor educators who integrate nature therapy into their professional roles and developed two major themes and 12 subthemes that encapsulate their responses. Participants in the study overall shared a desire …

Safe To Fight: Lessons From Counseling For Grappling Coaches, Rachel Wilson

Educational Specialist, 2020-current

The following is a series of articles designed to help coaches respond empathically and effectively to the emotional needs of their athletes and to safety concerns in their club. The three articles discuss students who shut down when they train; students who become overly aggressive; and students or coaches who groom and prey on others. A review of the counseling literature is offered to explain the behaviors each type of student is likely to engage in. Counseling principles and technique are offered to provide a framework for coaches to use as they teach these kinds of students and address safety …

A General Education Course Designed To Cultivate College Student Well-Being, Jessica C. Davis

Dissertations, 2020-current

Mental health issues appear to be on the rise across our world, especially within the college student population. Considerable data suggests that today’s students have lower rates of well-being and healthy psychological functioning and higher rates of distress, fragility, and clinically significant mental health problems than seen in previous generations. These findings have led some scholars to define this trend as a college mental health crisis. The purpose of this study was to respond to this crisis via the development and administration of a well-being general education course conceptually grounded in Henriques’ Unified Framework of psychology and psychotherapy (see, Henriques, …

Difference In Stigma Between Anorexia Nervosa, Bulimia Nervosa, And Binge Eating Disorder, And The Effect Of Eating Disorder Symptomology On Stigma In College Students, Ashley A. Matkins

Senior Honors Projects, 2020-current

Background: Eating disorders (ED) are mental illnesses characterized by unhealthy eating and exercise habits. These disorders are common in college students and, like other mental illnesses, eating disorders are highly stigmatized.

Objectives: This study evaluated how college students perceived anorexia nervosa, bulimia nervosa, and binge eating disorder, and the effect of eating disorder symptomology on stigma.

Methods: Participants were randomized to receive one of three vignettes depicting an ED. The study used the Universal Stigma Survey (USS), the Eating Disorder Examination Questionnaire (EDEQ), and demographic questions to evaluate stigma, symptomology as well as their familiarity with, and diagnosis of eating …

The Effects Of Generalized Stress And Anxiety On Clinical Athletic Training Students: A Qualitative Study, Morgan E. Dumont

Masters Theses, 2020-current

Stress and anxiety are present and acknowledged on our society as seven out of 10 United States adults deal with moderate stress or anxiety on a daily basis (Beiter et al., 2015). Sport research has primarily focused on student-athletes, how they struggle, and the resources that can be provided to help this population cope and manage their stress. However, there is lack of research about stress and anxiety among those individuals who provide the care to student-athletes, specifically the athletic training students within their clinical assignments. Athletic training students lead similar schedules to student-athletes by devoting time to prepare for …

Bridging The Gap: The Collaboration Of Mental Health Services And The Juvenile Justice System, Gregory Medley

Educational Specialist, 2009-2019

Abstract

This paper explore the mental health needs of juveniles in the juvenile justice system. The need for mental health services in detention centers has been identified consistently throughout the United States. It is clearly noted in research that meeting the needs of youth in local community detentions centers are inadequate. With 65% to 70% of youth in contact with juvenile justice system having a diagnosable mental health disorder; over 60% of youth with a mental health disorder also having a substance abuse disorder (Mental Health and Juvenile Justice Collaborative for Change, 2015). As a result, I have created a …

Understanding The Help-Seeking Behaviors Of Student-Athletes: Effect Of A Multidisciplinary Healthcare Team And The Perception Of Barriers And Facilitators For Seeking Help, Lauren M. Sander

Masters Theses, 2010-2019

This study was aimed at identifying barriers and facilitators that influence help-seeking as well as the effect of implementing an integrated healthcare approach based on current recommendations. A total of 411 student-athletes from 18 intercollegiate teams at a mid-major Division I institution in the mid-Atlantic region completed a 12–item instrument comprised of ten quantitative items and two open-ended questions. The quantitative data was analyzed using SPSS software, and a constant comparative method was used to code responses from the open-ended questions. Findings suggested a prevalence of mental health challenges among student-athletes, especially overwhelming stress, struggles with time management, and anxiety. …

Let The Church Say Amen! A Qualitative Study Exploring The Experiences Of African American Pastors Providing Mental Health Support, Tiffanie D. Sutherlin

Dissertations, 2014-2019

The purpose of this qualitative study was to understand how African American Pastors experience their role as mental health supporters. Researchers are continuing to conduct research to better understand some of the challenges and barriers African Americans may experience that impacts their attitudes towards mental health services. Many African Americans identify as spiritual or religious and implement coping skills based on their spiritual or religious connection to a High Power. This researcher focused on four male and four female Pastors who identified as African American and were located in the Eastern Region of the United States. The participants engaged in …

In Translation: An Examination Of Esl Policy On Paper As It Relates To The Realities Of Implementation, Grace M. Cuevas

Senior Honors Projects, 2010-2019

This honors research project explores the features of Title III requirements as they relate to the actual experience of students and their families. This paper synthesizes my experience researching English as a Second Language (ESL) specific supports and policy to inform my time spent accompanying an upper-level administrator for the Harrisonburg City Public School (HCPS) system, and interviewing professionals at an area school. In this paper I outline the results of interviews with 13 service providers. Interviews examined the “letter of the law” and the subsequent “spirit of the law” through application of a social work lens to the different …

Effects Of A Crisis Intervention Team Assessment Center On Emergency Department Length Of Stay, Carlissa Lam

Doctor of Nursing Practice (DNP) Final Clinical Projects, 2016-2019

Introduction: Emergency departments are overburdened with mental health patients who lack adequate access to behavioral health resources. The influx of patients has led to an increased length of stay in the emergency department for patients who are being evaluated for mental health concerns. Overcrowding can lead to delays in treatment, undesirable medical events, and patient mortality. Crisis Intervention Team (CIT) models bring law enforcement, mental health providers, emergency departments, and individuals with mental illness together to improve care for patients in crisis. They have been instrumental in identifying patients in crisis and transporting them to a Crisis Intervention Team Assessment …

Exploring The Relationship Between Team Characteristics And Mental Health Symptoms Amongst Student Athletes, Dylan Owens

Senior Honors Projects, 2010-2019

Depression and anxiety are disabling conditions that are particularly prevalent amongst young adults (Wolanin, Hong, Marks, Panchoo, & Gross, 2016). Student athletes must cope with extensive time demands that go beyond those of ordinary young adults, consequently putting them at increased risk to experiencing mental health issues. Numerous factors may influence an athlete’s well being, such as gender, injury, and type of sport. This study tests these various factors but also extends previous literature by analyzing the effects of team dynamics on student athlete mental health. An anonymous multi-part questionnaire was sent out to all JMU athletes in the Fall …

Nature's Effect On Mental Health, Hannah Thomas

Senior Honors Projects, 2010-2019

The United States has an overwhelming number of people suffering from mental illness, especially anxiety and depression. These disorders can be debilitating in many areas of the person’s life. Not even half of those diagnosed with these conditions are treated effectively and costs are expected to rise significantly in the coming years. One population that is often overlooked that suffers from these conditions is health professionals themselves. Physicians and nurses have high rates of depression and anxiety due to the stress from their occupation. In order for more patients and providers to be treated and for the health care system …

Mental Health Literacy: Investigating Adolescents’ Knowledge Of Depression And Professional Sources Of Help, Jessica A. Meeks

Educational Specialist, 2009-2019

Depression is one of the most common mental health disorders affecting adolescents, and there is evidence suggesting that there are adolescents suffering from depression who are not receiving treatment (Mojtabai, Offson, & Han, 2016). The increasing presence of mental health professionals and mental health services in public schools is one solution to the treatment gap. However, less is known about adolescents’ understanding of depression and treatment options. The current study utilized an online survey to examine the mental health literacy of 38 ninth grade students. Results indicated that adolescents have a moderate ability to recognize and label depression from brief …

Hear Me When I’M Well: A Convergent Parallel Mixed Methods Study Of Psychiatric Advance Directives In Virginia, Anne Metz

Dissertations, 2014-2019

Psychiatric advance directives (PADs) are legal documents that allow individuals to express their wishes and desires regarding potential future psychiatric care. PADs have been theorized as a way to empower individuals through improved clinical outcomes, reduced coercion, and minimized involvement of individuals with mental illness in the criminal justice system. Since 2010, the Commonwealth of Virginia has had legislation in place to support the use of these advance planning documents. The purpose of this convergent parallel mixed methods study was to enhance our understanding of PADs in Virginia. Quantitative and qualitative data were collected concurrently via survey and follow-up interview …

Navigating Culture: An Exploration Of Domestic Violence And Abuse Resource Provision To The Harrisonburg Iraqi Refugee Community, Kaitlin Michelle Holland

Senior Honors Projects, 2010-2019

There are currently 22.5 million refugees worldwide who have been displaced from their home countries due to war, conflict, or persecution. Of this total, only 1% are recommended for resettlement each year. In recent years, many of these resettled refugees have come from Iraq, fleeing conflict stemming from the Iraq war and ISIS. Upon resettlement, refugees face significant acculturation difficulties that can negatively affect mental health. Additionally, experiencing domestic violence and abuse (DVA) can also negatively affect physical and mental health. I researched how the refugee migration experience and domestic violence and abuse affect mental health as well as what …

Improving Adherence To Mental Health Treatment In A Low-Income Clinic, Janice G. Gandy

Doctor of Nursing Practice (DNP) Final Clinical Projects, 2016-2019

The increasing prevalence of mental illness in the United States presents significant challenges for primary care providers in low-income settings. Integrated Behavioral Health (IBH) programs have resulted in improved general health for low-income participants; however, managing appointment adherence, in which the patient attends appointment as scheduled, is particularly challenging. The purpose of this pilot project was to implement bundled interventions at a low-income primary care clinic to improve patient adherence to behavioral health treatment. The bundle of interventions included: 1) educational interventions emphasizing the benefits of IBH care 2) warm patient handoffs between the primary care provider to a behavioral …

The Effect Of Educational Modules On Attitudes Towards Disabilities, Hunter W. Greer

Educational Specialist, 2009-2019

The researchers in this study were interested in the effect of educational modules on student’s ratings of appropriateness and fairness of 10 different accommodations offered at the college level. Researchers were also interested in investigating if these modules would affect individual’s scores on the Social Distance Scale to evaluate levels of stigma towards mental health. Researchers surveyed 150 college students at a large South Eastern University and found that individuals rated accommodations as higher than neutral in fairness and appropriateness overall, but did not find a difference in students who read the modules and students who did not. Researchers also …

I Can Thrive!: Fostering Well-Being In Adolescent Girls Via The Unified Approach, Jennifer L. Mills

Dissertations, 2014-2019

With the rise of positive psychology as a subfield of psychology, there has been increased focus and attention on the construct of well-being. Unfortunately, lack of agreement regarding the ultimate goal of positive psychology has contributed to fragmentation within the field of psychology. Thus, literature on well-being has not been integrated into a broad model for understanding psychology and human nature, as is the case with much psychological research. Connecting such research to a deep theoretical and philosophical model is important with a construct like well-being, as it is a complicated and central construct for the field, for both practitioners …

Examining The Implementation Of The Patient-Centered Recovery Model In Psychiatric Nursing, Nicole K. Rossi

Senior Honors Projects, 2010-2019

The Recovery Care Model is the recommended evidence-based model for delivering holistic, patient-centered care for mental health clients. The model is a more therapeutic approach than the traditional medical model and upholds the ideas that psychiatric clients are more than just their illness, should be respected as unique individuals, and provided with hope and empowerment in their care while being given the opportunity for informed and autonomous decision-making. Although research has shown support for the Recovery Care Model, its implementation has not been fully accomplished in all psychiatric facilities. Of all of the members of the health care team, nurses …

An Appointment With Dr. Joseph Dejarnette: An Analysis Of A Leading Eugenics Advocate And How His Legacy Has Been Rewritten, 1906-1943, Brianna Melchione

Masters Theses, 2010-2019

The following is a thesis containing two separate parts: the background paper and a website. While both parts have been created with the ability to stand alone, they work best in conjunction with one another. The overall project provides a close study of Staunton, Virginia’s Western State Hospital’s Superintendent, Dr. Joseph DeJarnette, who practiced there from 1906-1943, and his involvement with eugenic sterilization. Dr. DeJarnette practiced during the Progressive Era, which influenced him to be a man desiring reform and progress, through science. The goal of this project is to analyze how his reputation as a doctor has been rewritten …