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Feasibility Study Among Military Personnel With Traumatic Amputation During Military Combat Or Training, Michele (Shelly) R. Burdette-Taylor Phd, Msn, Rn-Bc, Cwcn, Cfcn

Dissertations

Military operations have resulted in a significant number of mangled extremities leading to traumatic amputations. Extremity injuries predominate, representing 50% to 70% of all injuries treated (Melcer, 2010). The majority of injuries sustained in Operation Endearing Freedom/Operation Iraqi Freedom (OEF/OIF) are combined penetrating, burn and blast injuries, traumatic amputation, and infections from the multi-drug resistant organism, Acinetobacter (Melcer, 2010). The purpose of this study was to measure the quality of well-being and impact of events in a group of adults who served in the U.S. armed forces and sustained the loss of one or more limbs during any combat or …

Social Determinants Of Mental Health And Well-Being Among Aboriginal Peoples In Canada, Susan Wingert

Electronic Thesis and Dissertation Repository

The articles in this volume address the question: How do social determinants structure the health and well-being of the Aboriginal population in Canada? The first article uses bivariate statistical tests to assess whether First Nations residents’ subjective assessments of personal and community well-being correspond to scores from the Community Well-Being (CWB) Index, which is a measure of socioeconomic conditions in the community. The second article uses path analysis to test the extent to which the stress process model explains the social distribution of psychological distress and well-being in the off-reserve Aboriginal population. Specifically, it investigates whether stress, mastery, and social …

Damaged Goods, Danna Michelle Parker

Electronic Theses and Dissertations

Art is a form of expression. When used as a channel for emotional catharsis from trauma, it facilitates healing. Research has found that victims of childhood trauma often cannot find words to express their feelings, and are paralyzed and unable to move on with their lives after trauma. My research explores how creativity and metalsmithing have provided the tools necessary for me to construct my own method of expressing emotions, through visual representation. Repeatedly, I have made the same mistakes in life; and time and time again have worked to figure out not only why, but also how to repair …

Asian Americans And Cultural Values : Encountering And Overcoming Sociocultural Barriers To Community Mental Health Services : A Project Based Upon An Independent Investigation, William Lee

Theses, Dissertations, and Projects

This qualitative study explored the narrative experience of Asian American/Pacific Islanders (AA/PIs), who have received or are currently receiving community mental health services. This study was an attempt to illuminate their experience of encountering and overcoming socio-cultural barriers to these services. Historic underutilization of mental health services among AA/PI communities motivated the need to explore what cultural and/or institutional factors reduce barriers to services. Four AA/PIs, with an average length of 7.25 years in treatment, were recruited from a community mental health agency in San Francisco, CA. They participated in 45- minute to one hour semi-structured interviews discussing their experience …

Religious Coping And Social Support As Mediators And/Or Moderators And Acculturative Stress In A Latino Community Sample, Priscilla Vasquez

Master's Theses (2009 -)

This study examined whether religious coping and social support are moderators and/or mediators between acculturative stress and psychological distress in a Latino community sample. Particularly, the buffering model, the deterioration model, and the counteractive model were tested. Two hundred and twenty-eight Spanish-speaking and English-speaking participants filled out surveys, and it was found that both religious coping and social support mediated the relationship between acculturative stress and psychological stress. However, the results did not support any of the coping models. This study shows that religious coping and social support are associated with an increase in psychological distress.

The Influence Of Collective Self-Esteem And The Impact Of Perceived Stigma From Others On Sorority Women's Attitudes Toward Seeking Mental Health Services : A Project Based Upon An Independent Investigation, Lauren Michelle Baron

Theses, Dissertations, and Projects

Although researchers are aware of the fact that public and group stigma affect mental health help-seeking behavior, there has been no research on level of collective self-esteem and stigma within specific social networks related to members' attitudes toward seeking mental health services. This study aimed to identify a relationship between sorority women's collective self-esteem, or how much they value their membership in the sorority, and their perceived stigma from their fellow sorority members on their overall attitudes toward seeking mental health services. Fifty-one sorority women between the ages of 18-24 self-selected to participate in an online survey composed of three …

How Tibet Buddhists In The United States Negotiate Mental Health Concerns, Paul Peter Sireci

Theses, Dissertations, and Projects

No abstract provided.

So Many Choices, So Little Time: Religiosity And The Stress Of Making Decisions, Joshua David Boeke

Undergraduate Honors Thesis Collection

Numerous studies have appeared in the literature demonstrating that religiosity and mental health are positively related. However, although investigators have identified several variables that partially mediate the effects of religiosity on mental health, much of this relationship remains unexplained. The goal of this survey study was to examine to what extent religious individuals experience better mental health outcomes because they experience less stress when making decisions. Specifically, this study evaluated whether religious individuals reduce the number of decision alternatives they consider when making decisions, which in turn should make decision making easier and reduce decision-making stress. Participants were asked to …

The Effects Of Client Therapist Racial And Ethnic Matching: A Meta Analytic Review Of Empirical Research, Raquel Cabral Bowman

Theses and Dissertations

In a widely cited 2003 report, the U.S. Surgeon General criticized mental health and social services within the United States for failing to adequately serve the needs of clients of color. The report highlighted the fact that therapists often do not adequately account for cultural variables in their evaluations or interventions. Clients of color are rarely seen by therapists who adequately understand their cultural values and backgrounds. To address this discrepancy, researchers have explored a variety of therapy process and outcome variables across clients seen by therapists of their same race vs. another race (often called "ethnic matching"). Over 200 …

A Feminist Analysis Of Mental Health Providers' Perspectives Of Latina Women, Caroline Ruth Smith

College of Liberal Arts & Social Sciences Theses and Dissertations

Researchers have documented that Latina women involved in the mental health system face a number of barriers to access to services and ongoing use of services. Latina women involved in the mental health system are often viewed as at-risk. This study challenges traditional pathological views of Latina women in the mental health system. This study uses a feminist analysis to examine mental health providers’ perception of Latina women. It views Latina women as mental health system survivors and suggests that resilience and strength-based perspectives can transform the treatment of Latina women. Secondary data from twenty-two interviews with agency directors, psychiatrists, …

Outcomes Of The Implementation Of The Mental Health Recovery Measure In The Dekalb Community Service Board Population, Sharon H. Davis

Public Health Theses

The relationship between mental health and public health has been debated for decades. But when services are delivered through publically funded mental health clinics, it clearly becomes a public health endeavor. One of the latest trends in mental health service delivery is the recovery concept. Developed in the 1990’s, the recovery concept represents a paradigm shift where successful treatment is defined by self-awareness, self-care, and self-fulfillment. Furthermore, patients are encouraged to assess their own progress in the recovery process. There are currently nine unique assessment tools to measure recovery progress, including the Mental Health Recovery Measure (MHRM), which was used …

Disclosure, Social Reactions To Disclosure, And Mental Health Outcomes Among Adult Child Sexual Abuse Victims., Holly E. Hopson

Electronic Theses and Dissertations

Child sexual abuse (CSA) is a frequent problem in American society associated with a wide range of negative mental health outcomes. Some evidence suggests that disclosure may moderate the relationship between CSA and mental health. However, the specific reactions a victim receives following disclosure may directly affect the impact that disclosure has on mental health. The current study directly and simultaneously evaluated the roles of disclosure and social reactions in relation to mental health outcomes. The sample consisted of 652 undergraduate students at East Tennessee State University who completed an on-line, self-administered questionnaire. Forty-four (6.75%) of the participants reported experiencing …

Violence, Depression, Parental Stress, And Child Neglect Among High Risk Postpartum Women, Kristen D. Lambert Phd, Msn, Rn

Dissertations

The purpose of this study was to characterize a vulnerable population of postpartum women at risk for family violence and maladaptive outcomes and to determine the degree the identified attributes increase the risk of child neglect and psychological aggression. Lazarus' Appraisal Theory and Scaer's Traumatic Spectrum framework provided a conceptual basis to examine the interrelationships between intimate partner violence (IPV), depression, previous traumatic history, and child neglect. A descriptive correlation design using secondary analysis of longitudinal data collected for the Healthy Families San Diego Clinical Trial was used. Standardized measures including the CTS, CTS2, CTSPC, CES-D and PSI were administered …

The Use Of Behavioral Agreements By Senior Student Affairs Officers And Counseling Center Directors To Manage Student Mental Health Concerns And Minimize Threatening Behavior, Douglas A. Geiger

Dissertations

This qualitative investigation examines the use of behavioral agreements by Senior Student Affairs Officers and Counseling Center Directors to manage student mental health concerns and minimize behavior that poses threats to campus communities. Six pairs of Senior Student Affairs Officers and Counseling Center Directors at the same institution were interviewed for this study. In addition, documents concerning mental health and threat assessment policy and protocols are also examined and discussed. An expanded theory of practice known as Student Intervention Facilitators is presented as an option to mandated psychotherapy.

Phenomenology Of Embodied Dreamwork With Puerto Rican Women: A Dissertation, Lourdes F. Brache-Tabar

Expressive Therapies Dissertations

The author investigated the experience of embodied dreamwork. Participants were eight Puerto Rican women who were chronically ill, of low socioeconomic status, who lived in Boston. The data were analyzed using transcendental phenomenology. Each participant engaged in one embodied dreamwork–unstructured interview session lasting approximately 1.5 hours. In addition, each participant drew a picture of how she felt after the dreamwork interview. This snowball, purposive sample gave detailed information about how they experienced embodied dreamwork. The participants’ statements were grouped into themes: (a) sense of place—environment, surroundings, spatiality; (b) the players—self, others; (c) plot; (d) in the sea of emotions—naming affective …

Pragmatic Language Skills Underlying Social Competence Of Reading Disability In Middle School Students, Ali Adibi

Electronic Theses and Dissertations

The purpose of this investigation was to examine pragmatic language engagement and social competence in middle school children with and without reading disability during dyadic interaction. Engagement was defined in terms of degree of information and responsiveness provided by each partner. Analyses indicated reading disabled students differ from non-reading disabled students in terms of pragmatic language engagement. However, this was true only in terms of degree of responsiveness. Students with reading disability employed similar degrees of pragmatic language engagement in terms of information to those of their nondisabled peers. Further, no relationships were found between social competence and either type …

Acculturation Of Russian Refugee Adolescents: The Life Domain Of Peer Relationships, Andrew A. Morozov

Electronic Theses and Dissertations

The purpose of this qualitative study was to uncover the meaning of acculturation as experienced by the Russian refugee adolescents in the domain of peer relationships. This qualitative study implemented a purposeful sampling strategy. In-depth interviews were conducted with 12 refugee adolescents from Russia (3 ethnic Russians and 9 Meskhetian Turks), male and female, aged 15-18, who resided in Denver, Colorado. Applying Moustakas's (1994) phenomenology method of analysis, 8 main themes emerged. The essence of the phenomenon can be described in terms of the refugee adolescents' need for self-worth and belongingness. Belongingness is understood as identification with and acceptance by …

Extending The Benefits Of Alcohol And Drug Treatment: An Exploration Of Volunteer Utilization And Delivery Of Recovery Services, Leonard L. Bade

Theses and Dissertations

This thesis explored what treatment providers can learn from community-based organizations about volunteerism as a way to support long-term alcohol and drug recovery. In particular, this thesis used 11 structured interviews with staff at community-based organizations and treatment centers to determine the level of resource allocation of volunteers, the utilization of volunteers in program and service delivery, and the motivation of volunteers to get and stay involved in recovery activities. Gaining a better understanding of volunteerism as a strategy for extending care beyond a treatment setting had benefits for both treatment center alumni and volunteers. Findings supported previous anecdotal and …

A Vignette Study Examining The Accuracy Of Diagnosis: The Role Of Patient And Practitioner Gender And Race Match, Kevin Johnson

Wayne State University Dissertations

ABSTRACT

DIAGNOSING MENTAL ILLNESS

By

KEVIN JOHNSON

2010

Advisor: Dr. Janet R. Hankin

Major: Medical Sociology

Degree: Doctor of Philosophy in Sociology

A convenience snowball sample of 228 mental health practitioners were surveyed and administered two vignettes of persons with mental illness and a 12-question survey that included occupational background and attitudinal questions about diagnosing mental illness. The gender and race of the patients were randomly altered, while the symptoms and characteristics of mental illness remained constant for each vignette. Each practitioner assigned a DSM-IV diagnostic label for axis I and axis II on both vignettes. The surveys were coded …

A "Pawsitive" Influence Of Animals In Long-Term Care Facilities: Animal-Assisted Therapy At St. Peter Regional Treatment Center, Hannah L. Winkler

All Graduate Theses, Dissertations, and Other Capstone Projects

The St. Peter Regional Treatment Center (SPRTC) provides secure, residential, multi-disciplinary treatment services, including psychosocial rehabilitation and skill enhancement, to individuals civilly committed as Mental Ill and Dangerous by the State of Minnesota. Since the treatment process is so comprehensive at SPRTC, patients may spend several years receiving in-patient treatment.

Since SPRTC does not currently have an animal-assisted therapy (AAT) program, the purpose of this project was to research existing AAT programs being implemented with similar patient populations as a way to inform SPRTC staff of possible programs they could implement on their campus. The overall goal of this project …

A Qualitative Analysis Of School-Based Mental Health Professionals’ Views On The Use Of Self-Disclosure And Humor, Robert Felloney

PCOM Psychology Dissertations

There is some controversy in the therapeutic community over the use of therapist self-disclosure and humor. On one hand, there are those who contend that use of these therapeutic techniques can have both relational and outcome benefits. On the other hand, there are those who indicate employment of these counseling methods can interfere with the counseling process by being a distraction, as they take the focus away from the client. Relatively little research has been done on the effectiveness of utilizing these techniques, especially the use of therapeutic humor. Review of the research shows there are relational and consequent outcome …

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 …

Contributions Of Neglect Subtypes And Family History In Dsm-Iv Disorders: Findings From The Ncs-R, Leanne Heaton

Theses and Dissertations

Despite the prevalence of neglect in the child welfare system, understanding of the etiology of neglect remains limited in scope. Limitations are driven by the frequent reliance on child protective services (CPS) data which consists of identified cases and consequently, the most serious of all cases, or through a few population based studies that operationalize neglect as a homogenous phenomenon rather than as distinct subtypes. Furthermore, most studies of neglect focus on maternal deficiencies while paternal factors are largely ignored. This study is meant to address these considerations by utilizing the National Comorbidity Survey Replication (NCS-R), a broad population based …

Exploring The Content Validity Of The Workplace Mental Health Risk Assessment, Jocelyn Cowls

Digitized Theses

Mental illness is currently the leading cause for disability claims in Canadian organizations. A Workplace Mental Health Risk Assessment (WMHRA) was developed to facilitate primary prevention initiatives. This thesis explored the content validity of the items generated for this assessment. Two rounds of the Delphi method were utilized to gain consensus from various experts regarding the importance of items. Experts included workers, human resource personnel, supervisors, occupational therapists and physicians. Consensus was achieved on 18 items to be maintained and 10 were eliminated, and rewording was required for 23 items. Therefore, at this stage of the development process, the WMHRA …

Exploring Mental Health Issues Of Rural Senior Women Residing In Southwestern Ontario: A Secondary Analysis Photovoice Study, Phaedra Panazzola

Digitized Theses

Purpose: To examine the mental health issues and factors that positively and negatively affect the mental health of rural senior women in southwestern Ontario. Methods: A secondary analysis of a photovoice study that investigated the mental health and factors that affect the mental health of 31 participants in southwestern Ontario. A feminist approach was employed for this study. Results: Three mental health issues were identified. Three factors were found that positively affected participants’ mental health, three factors negatively affected participants’ mental health, and two factors both positively and negatively affected the participants’ mental health. Conclusions: By specifically focusing on mental …

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 …