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A Sociopolitical View Of Mental Health: An Exploration Of The Lived Experiences Of Policymakers Regarding Their Perspectives Surrounding Mental Health Policy Construction, Katie C. Fetzer

University of New Orleans Theses and Dissertations

A substantial gap exists between those who are considered experts on mental health (e.g., academics, mental health professionals) and those in charge of constructing mental health policies (e.g., legislators, Senators). This gap is in areas of both knowledge and professional relations. Mental health professionals are not adequately trained to engage in policy advocacy and reform efforts and have little to no policy advocacy training (Smith, Reynolds, & Rovnak, 2009). Policymakers lack necessary knowledge related to mental health for effective mental health policy construction (Corrigan, Druss, & Perlick, 2014; Lee, Smith, & Henry, 2013). As a result of this gap, mental …

Suicide Watch: How Netflix Landed On A Cultural Landmine, Shabnaj Chowdhury

Capstones

Following the premiere of the television series “13 Reasons Why” in 2017, Netflix stepped squarely on a cultural landmine, stirring controversy over its graphic depiction of teen suicide.

According to media experts, showing a teenager kill themselves on television was completely unprecedented. Mental health experts say the act has significant consequences for “at risk” audience members, or people who were already experiencing suicidal thoughts before watching the show. It is proven that entertainment, and television specifically, can strongly influence audience behaviors and thoughts.

Suicide is one of the only causes of deaths that’s on the rise in the United States, …

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 …

Caring For The Whole Clinician: A Body-Based Framwork For Self-Care And Supervision, Aliza Roth

Creative Arts Therapies Theses

The purpose of this program development project was to create a framework for clinical supervision that utilizes yoga and dance/movement therapy in support of the holistic wellness of mental health professionals. Clinicians are at risk for burnout and compassion fatigue, especially when they place more emphasis on their client’s well-being than their own. Research points to the significance of incorporating self-care, stress-management and embodied awareness of self and client into the supervision process; however, there remains an underdeveloped body of knowledge related to body-based frameworks for clinical supervision and how such frameworks relate to clinician self-care. Utilizing the five yogic …

Art That Heals, Christina Cardona

Capstones

Beryl Brenner was a creative arts therapist for 40 years, and helped veterans heal from war traumas through art all across the city. For the past 11 years, she was at the Brooklyn Campus of the VA NY Harbor Healthcare system in Bay Ridge, where she developed the art therapy program. https://christinacardona1.wordpress.com

Developing Social And Emotional Skills In Early Childhood Instruction: A Delphi Study, Tess Breen

Dissertations

Purpose: The purpose of this Delphi study was to explore social and emotional learning in early childhood instruction with an emphasis on identifying the methods expert early childhood teachers use to support and promote the development of empathy and emotion regulation, to have the teachers rate the impact of these methods, and to identify the specific activities used to implement the six most highly rated methods.

Methodology: This study utilized the Delphi method which is an iterative process used to collect and distill the judgments of experts using a series of questionnaires interspersed with feedback. Fourteen participants recommended strategies to …

Wellness And Prevention Program Sustainability Design For Clark University Athletics Department, Emily Corbett

International Development, Community and Environment (IDCE)

The purpose of this work is to design a wellness based prevention program that is tailored to fit the campus community within Clark University, Worcester, MA, called the Peer Athletes Advocating for Wellness (PAAW) initiative. This paper first presents the current research on wellness related issues within a college campus, specifically surrounding sexual violence. It then outlines the current sexual violence prevention programming that takes place yearly for incoming first year students at Clark University, as well as a one-time initiative during which student athletes participated in the sexual violence prevention programming. There is a review of the current most …

Cost Of Caring: The Effects Of Euthanasia On Animal Shelter Workers, Kim L. Nguyen-Finn

Theses and Dissertations

This mixed-methods study focuses on animal shelter workers, a population that has often been overlooked in research and clinical practice, and the emotional strains of the task of euthanasia. The effects of employment in a kill or no-kill shelter, participation in euthanasia, and number of years employed on mental health issues of substance abuse, anxiety, depression, secondary traumatic stress, and burnout were examined. A three-way MANOVA was run to test the hypothesis that there is a cell effect among the type of shelter employed in, participation in euthanasia, and years of experience on mental health, which was not supported by …

Perceptions Of Confidentiality And Stigma Associated With Use Of Counseling Services, Jesi Hall

Electronic Theses and Dissertations

Counseling services are offered in most universities, but are often underutilized. Past researchers found that students listed time, cost, stigma, and confidentiality concerns as their top reasons for avoiding seeking help (e.g., Clement et al., 2015; Dearing, Maddux, and Tangney, 2005). The purpose of this study was to identify whether concerns about confidentiality affect stigma related to use of mental health services. Students answered questions about perceived stigma and the reasons they have avoided seeking counseling in the past. Those who had previously used services reported fewer confidentiality concerns. In a stepwise multiple regression, concerns about confidentiality were found to …

Understanding The Relationship Between Anti-Transgender Bias, Non-Affirmation, And Post-Traumatic Stress: A Model Of Internalized Transphobia-Mediated Post-Traumatic Stress., Sebastian Mitchell Barr

Electronic Theses and Dissertations

Transgender people’s increased risk for negative mental health outcomes, when compared to cisgender peers or the general public, has been well documented in the psychological literature. Researchers have begun to establish empirical support for a relationship between anti-transgender bias, non-affirmation of gender identity, internalized transphobia, and other transgender-specific minority stressors. Although little work has explored the mechanisms of this relationship, some psychologists have proposed conceptualizing these factors as potentially traumatic experiences and understanding the poor mental health outcomes as manifestations of complex post-traumatic stress. In this dissertation, I examine whether there is empirical support for this framework by evaluating the …

The Relationship Of Gender-Based Microaggressions And Internalized Sexism On Mental Health Outcomes: A Mother-Daughter Study, Nicole D. Feigt

All Graduate Theses and Dissertations, Spring 1920 to Summer 2023

Subtle occurrences of discrimination, insults, and slights against gender can impact woman of all ages, although little research has been done on the mental health impacts of these events on adolescents or middle-aged women. Additionally, a person’s own views on sex roles and sexism may impact how these events affect them. The following study examined the relationship between mothers and daughters on variables related to ambivalent sexism, gender-based microaggressions, and anxiety and depression. One hundred two mothers and their adolescent daughters completed various online surveys through the use of a Qualtrics panel. The sample was fairly representative, with respondents varying …

Diversification Of Resources In Rural King City, Laura Martinez

Capstone Projects and Master's Theses

Lack of resources in rural King City has become a barrier for access to mental health treatment. Monterey County Behavioral Health (MCBH) provides mental health services but diverse programs like Interim Inc. are in the Salinas area. External mental health resources are difficult to obtain for some of the clients. Therefore, the ACCESS team for MCBH King City made the decision to implement a support group that would serve as a new resource for local adult clients.

A Mindfulness Group was developed to help clients who suffer from anxiety and depression. The group contained content that educated clients on how …

Does Machismo Culture Influence Latina/O Attitudes On Mental Health?, Amanda R. Mercado

Theses and Dissertations

This study represents an attempt to contribute to the identified gap in knowledge towards the effects of machismo on both Latina women and Latino men and how it effects their attitudes towards mental health. The idea that previous research on machismo has been so one-sided, but has revealed that psychological distresses were present and ignored, leaves room for my research to explore how Latina women are affected because they are just as susceptible to psychological distresses as men. By using a research based framework to explain the effects of machismo on both Latina women and Latino men, my study will …

Mental Health Matters: Promoting Social And Emotional Learning, Shannen A. Menor

Capstone Projects and Master's Theses

The mental health of children is something that is overlooked and often not talked about. This is important because children need guidance to manage their emotions especially after going through traumatic experiences. The focus of this Capstone Project was on gaining more information about children’s mental health and promoting the importance of Social and Emotional Learning (SEL). By interviewing three elementary school teachers at Roadrunner Elementary, I collected data to see how they viewed social and emotional learning and what they thought could be done to improve students’ mental health. Based on an analysis of the data and the relevant …

Barriers From Youth Participation In Monterey County, Erika Ramirez

Capstone Projects and Master's Theses

Monterey County Behavioral Health (MCBH) aims to serve residents who suffer from mental illnesses in the Monterey County area to help them live a healthy and productive life. Currently there are low service participation rates from the youth population with mental health issues in Monterey County. The purpose of this research project was to develop and distribute a survey to identify different service acquisitions to increase youth participation in overall services offered. Data from the Monterey County website showed that 12,154 youth that are eligible for services, yet only 779 actually went in for one or more visits for mental …

Mental Health Stigma And Help-Seeking In A College Sample: Barriers And Potential Motivators For Action, Christina H. Morris

Honors College Theses

Stigma surrounding mental health is one of many barriers impeding help-seeking behavior. This study had two aims: (1) to examine the relationships between mental wellbeing, internalized stigma, help-seeking attitudes, and demographic variables such as race, gender, socioeconomic status, and marital status, and (2) to explore what hinders students in the help-seeking process and determine what would make students more likely to seek psychological help if they perceive a need for it. It was hypothesized that the relationship between internalized stigma and help-seeking attitudes would be moderated by gender, and the relationship between mental wellbeing and help-seeking attitudes would be mediated …

The Role Of Migration-Related Stress In Depression Among Haitian Immigrants In Florida: A Mixed Method Sequential Explanatory Approach, Dany Amanda C. Fanfan

USF Tampa Graduate Theses and Dissertations

Recognizing, appropriately treating depression, and meeting the mental health needs of the growing number of Haitian immigrants in the United States (US), continue to pose a challenge because of differences in culture, beliefs, idiom of distress, expression of depression as well as specific stressors associated with the migration process. Previous studies, while limited, document high levels of depression among Haitian migrants, and postulated that migration-related stress (MRS) may play a significant role. Aspects of the migration process, more specifically stressors endured during settlement in the US may negatively precipitate the development of depression.

This study used a mixed method sequential …

Cardiodynamic Associations With Resilience In Undergraduate Students And The Effect Of A Mentorship Intervention, Rachel J. Knetsch

Electronic Thesis and Dissertation Repository

The National College Health Assessment (NCHA) indicates that a majority of Canadian university students report feeling overwhelmed, stressed, and anxious during their undergraduate studies. Resilience refers to positive adaptation, or the ability to maintain or regain mental health, despite experiencing adversity (Herrman et al., 2011). While autonomic indices have been used to describe chronic physiological stress, the role of heart rate variability (HRV) as an index of resilience remains unclear. This research tested the hypotheses that (1) there is a relationship between HRV and resilience scoresand (2) a mentorship intervention will improve HRV and resilience outcomes. Fifty-seven first year students …

A Symptom Cluster Approach To Psychiatric Disorders Among Men Who Have Sex With Men And Have Experiences Of Childhood Sexual Abuse: Impact On Sexual Health Knowledge And Sexual Risk Taking Behavior, Brett M. Goshe

Doctoral Dissertations

Gay, bisexual, and other men who have sex with men carry a disproportionate burden of new HIV infections in the United States. This same group is also particularly vulnerable to experiences of childhood trauma, including sexual abuse, and subsequently developing psychiatric disorders later in adulthood. This study examines how particular psychiatric disorders and their underlying symptom clusters impair sexual health knowledge and condom use self-efficacy, and also increase sexual risk taking behavior. A total of 296 HIV-uninfected men who have recently had condomless sex with other men completed a baseline survey and psychodiagnostic interview. Among the measures included in this …

Predicting Weight Loss Following Bariatric Surgery: The Impact Of Stress, Depression, Social Support And Patient Gender, Erica Ahlich

USF Tampa Graduate Theses and Dissertations

The buffering effect of social support against a range of stress-related health outcomes has been well-documented in a variety of research areas; however, no previous work has examined the applicability of this model to bariatric surgery outcomes. Additionally, based on previous evidence and relevant theoretical work, the stress-buffering effect of social support may show important gender differences. The current study examined stress, depression, social support, and patient gender as predictors of curvilinear weight loss trajectories during the first year following surgery. Data were collected using retrospective chart review. The buffering effects of three types of support were explored using growth …

The Efficacy Of School Implemented Cognitive Behavioral Therapy To Reduce Adolescent Anxiety, Madeline N. Michelsen

Selected Honors Theses

Adolescent anxiety is a growing problem which affects millions of children every year. There are a myriad of factors which produce adolescent anxiety such as excessive stress, adverse childhood experiences, and chemical imbalances amongst many other factors. An emerging therapy to treat mental health disorders, such as anxiety, is cognitive behavior therapy (CBT) which teaches participants how to correct maladaptive thought patterns to develop resilience. Cognitive behavior therapy has produced positive results for reducing symptoms of anxiety and other mental health disorders in both adolescents and adults. Due to its unparalleled student access, schools have the unique opportunity to develop …

Improving A Discharge Process To Decrease Readmission Rates, Erni Ensing

Master's Projects

No abstract provided.

Essays On The Economics Of Unhealthy Behaviors, Raul Segura-Escano

Dissertations, Theses, and Capstone Projects

This dissertation aims to explore a variety of responses in the form of unhealthy behaviors as a consequence of different sudden events perceived by individuals. The first one is the doubtlessly pure exogenous shock caused by an unexpected terrorist attack, Boston Marathon Bombings. The second one is the turmoil caused by the Great Recession of 2008, which is the most serious economic downturn since the Great Depression during the 1930’s. This dissertation consists of the following two chapters:

Chapter 1: “The Impact of Terrorism on Mental Health and Substance Use: Evidence from the Boston Marathon Bombings” On April 15, 2013, …

Puerto Rican Cultural Arts And Expressive Arts Therapies: Mental Health And Collective Resilience Post-Hurricane Maria, Stephanie Soler-Martinez

Expressive Therapies Capstone Theses

The research aimed to study how integrating Puerto Rican popular cultural arts with the expressive arts therapies could assist the recovery process post Hurricane Maria. During post-disaster recovery efforts, access to formal psychological services are not always viable to survivors and the services available are usually not enough to cover the demand. The literature review examined the relationship between: mental health in the aftermath of natural disasters; cultural relevancy within the field of psychology in Puerto Rico; resilience in post-disaster communities; and psychosocial community interventions. Findings encouraged for programing for Puerto Rico’s psychosocial recovery from Hurricane Maria, or any future …

Cumulative Childhood Adversity And Disparities In Adult Psychological Distress And Educational Attainment, Loanna Heidinger

Electronic Thesis and Dissertation Repository

Exposure to childhood adversity often does not occur as an isolated experience; rather, adverse childhood circumstances tend to co-occur, resulting in a climate of disadvantage that has detrimental consequences, and contributes to disparities in adult outcomes. Although the enduring impacts of cumulative childhood adversity on adult mental health and attainment outcomes are well documented in the literature, studies have not accounted for the long-term impact of cumulative childhood adversity on trajectories of adult psychological distress. Furthermore, measures of adversity used to predict selection into higher education consistently focus on childhood economic hardship as the sole indicator of adversity and overlook …

"People Don't Know How I Feel": Developing A Mental Health Curriculum For Latinx Adolescents, Selina Flores

Master's Projects and Capstones

As rates of mental health issues worsen for Latinx adolescents, many barriers to utilizing mental health services increase. Mental health education shows promise in improving outcomes and decreasing potential barriers to utilization of mental health services among Latinx high school students. The purpose of this project was to pilot a mental health education course with Latinx (gender neutral term for Latino/a) high school students in Marin County and to evaluate its outcomes. A mental health curriculum and evaluation surveys were constructed, which focused on mental health knowledge, help-seeking, and attitudes and beliefs. Seven Latinx female high school students from Marin …

Stronger: An Examination Of The Effects Of The Strong Black Woman Narrative Through The Lifespan Of African American Women, Verinique Bailey

Communication Theses

The Strong Black Woman narrative and characteristic fosters both positive and negative representations of African American women. This study explores the lived experiences of African American women and their encounters with stereotypes, particularly the Strong Black Woman narrative and characteristic, through their lifespan. By examining three dominant age groups (young adults, middle-aged adults, and older adults) this study analyzed the level of endorsement to the Strong Black Woman narrative in connection to self-care and help seeking behaviors. The article and supplemental documentary contribute to existing research and support the idea that African American women become stronger when they practice self-care …

Mind Over Matter: Evaluation Of A Mindfulness-Based Stress Reduction Program For College Students, Jim Kasper

Public Health Theses

Mind Over Matter: Evaluation of A Mindfulness-Based Stress Reduction Program for College Students

By

Jim Kasper

Background: While there is increasing evidence for the effectiveness of mindfulness practice to reduce feelings of anxiety, depression, and stress, and elevate self-compassion and awareness, the impact of brief mindfulness programs on these domains among urban, college-aged populations has not been explored fully. The current study aims to explore the impact of a brief mindfulness program upon student experiences of both positive and negative thoughts and emotions.

Methods: A mixed-methods study was designed to evaluate the impact of a 6-week mindfulness-based stress reduction (MBSR) …

Predicting Help-Seeking Attitudes And Intentions In A Diné Sample, Chesleigh N. Keene

Electronic Theses and Dissertations

The purpose of the study was to investigate the relationship between cultural factors, psychological distress, barriers, and attitudes toward seeking psychological help among Diné tribal members. This study is in response to calls to consider psychological and cultural factors in the underutilization of mental health services by ethnic minorities. The present study examines psychological and cultural antecedents to seeking professional psychological help among Diné tribal members (N=119). It examined the mediating role of attitudes toward help seeking in the relationship between psychological distress, barriers to care, three acculturation variables, and intentions to seek counseling. Mediation was assessed with …