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Washington University in St. Louis

Theses/Dissertations

2010

Mental health

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Evaluating The Patient-Centeredness Of Medicare Part D, Melissa Hensley Jan 2010

Evaluating The Patient-Centeredness Of Medicare Part D, Melissa Hensley

All Theses and Dissertations (ETDs)

The implementation of the Medicare prescription drug benefit: "Part D") has brought about many changes in the provision of prescription medications to adults with serious mental illness. Existing research on the impact of Part D on this population, for the most part, examines the benefit from the perspective of the physicians who treat these individuals. This research seeks to use a framework of patient-centered care to examine the impact of the Part D benefit on adults with mental illness, from the viewpoints of beneficiaries themselves and the case managers: "community support workers") who serve them. In addition, data from the …


Psychosocial Problems Of Homeless Sexual Minority Youths And Their Heterosexual Counterparts, Maurice Gattis Jan 2010

Psychosocial Problems Of Homeless Sexual Minority Youths And Their Heterosexual Counterparts, Maurice Gattis

All Theses and Dissertations (ETDs)

Abstract The purpose of this dissertation was to better understand the psychosocial problems: mental health problems, substance use problems, and sexual risk behaviors) and the associated contextual risk factors by comparing homeless sexual minority youths with their heterosexual counterparts. This study used an ecological perspective: Bronfenbrenner, 1989) and a risk and protective factors framework: Hawkins, Catalano, & Miller, 1992) to identify contextual risk factors at the microsystem, mesosystem, and macrosystem levels that are associated with the psychosocial problems of homeless sexual minority and homeless heterosexual youths. Individuals aged 16-24 were recruited from three drop-in programs serving homeless youths in downtown …