Medicine and Health Sciences Commons^™

Determinants Of Satisfaction With An Automated Alcohol Evaluation Program., Daniel Z Lieberman

Psychiatry and Behavioral Sciences Faculty Publications

High rates of untreated mental illness cause serious health problems in the United States and worldwide. The use of computer-administered therapy has the potential to increase access to mental health care for certain patient populations. An online version of an alcohol check-up was developed that guided subjects through a series of standardized questionnaires, and provided them with feedback designed to enhance their appreciation of the negative aspects of their alcohol use. Ratings of the helpfulness of the questionnaires were evaluated in order to determine the characteristics of individuals who would potentially benefit from an automated substance abuse intervention, and to …

A Smoking Cessation Project For African American Women: Implications For Relational Research, Suzanne M. Hanna, Patricia W. Walker, Jerome F. Walker, Jacalyn A. Claes, Cheryl K. Stewart, Ann M. Swank, L. Jane Goldsmith

SHU Faculty Publications

Smoking cessation among African Americans is a primary health objective for the nation. African American women are more likely than their counterparts to have a high dependency upon nicotine. Studies with African American women report lower quit rates than those for whites. A culturally sensitive pilot project was designed for African American women to investigate smoking, perception of family environment (FES-R, Life Events Scale, family survey), feasibility of family-focused followup sessions, and an exercise program. Baseline cigarettes were negatively correlated with the FES-R subscales for cohesion, active-recreational orientation, and moral/ religious emphasis; they were positively correlated with negativity in an …

Criminality Groups And Substance Abuse, Dana Brown

Masters Theses & Specialist Projects

This descriptive study was designed to determine whether substance abusers could be differentially characterized by past involvement in crimes and, further, whether there is a relationship between the type of substance abused and the degree of violence of the crimes committed. By comparing the socio-demographic characteristics, substance-use, and strain-inducing events reported by 598 residential and outpatient treatment seekers in the Kentucky Treatment Outcome and Performance Pilot Studies Enhancement Project, this study provides further understanding of the crime-substance relationship. This study utilized Robert Agnew's 1992 general strain theory. Results suggest that substance addicts and substance users can be characterized in terms …

Socio-Economic And Demographic Factors Associated With Injecting Drug Use Among Drug Users In Karachi, Pakistan, A. Agha, S. Parviz, M. Younus, Zafar Fatmi

Community Health Sciences

Objective: To identify the socio-economic and demographic factors associated with injecting drug users (IDUs) in Karachi.

Methods: We recruited 242 IDUs (taking drugs through sub-dermal routes) and 231 non-IDUs (taking drugs other than sub-dermal routes) from February through June 1996. IDUs were interviewed regarding sociodemographic factors, economic condition, and social network (marital status, living with spouse). In addition, information regarding location of drug users within the city (districts of Karachi) and current history of sexually transmitted diseases (STDs) were gathered. Moreover, blood samples were also obtained for HIV testing

.Results: Multivariate analysis showed that the income generation via illegal …

Client Commitment Language During Motivational Interviewing Predicts Drug Use Outcomes, Paul Amrhein, William R. Miller, Carolina Yahne, Michael Palmer, Laura Fulcher

Department of Psychology Faculty Scholarship and Creative Works

Client language from a motivational interview (MI) and drug use outcome were investigated. Interview videotapes of 84 drug abusers were coded for frequency and strength of utterances expressing commitment, desire, ability, need, readiness, and reasons to change or maintain their habit. Cluster analysis of proportion days abstinent (PDA) revealed 3 groups: high PDA at intake and follow-up (3, 6, 9, 12 months; maintainers); low intake PDA/high follow-up PDA (changers); and low intake PDA/low to moderate follow-up PDA (stragglers). Distinct group patterns emerged for commitment strength (CS) during MI. Clients dishonest in checklist self-report exhibited CS similar to stragglers. CS for …

Group Therapy For Incarcerated Women Who Experienced Interpersonal Violence: A Pilot Study, Rebekah G. Bradley, Diane R. Follingstad

CRVAW Faculty Journal Articles

This study evaluated effectiveness of group therapy for incarcerated women with histories of childhood sexual and/or physical abuse. The intervention was based on a two-stage model of trauma treatment and included Dialectical Behavior Therapy skills and writing assignments. We randomly assigned 24 participants to group treatment (13 completed) and 25 to a no-contact comparison condition (18 completed). We evaluated treatment effects, using the Beck Depression Inventory, Inventory of Interpersonal Problems, and Trauma Symptom Inventory. The data demonstrate significant reductions in PTSD, mood, and interpersonal symptoms in the treatment group.

Effects Of Perceived Costs And Rewards On Motivation And Retention Of Rape Crisis Center Volunteers, Amanda Grissom

Masters Theses & Specialist Projects

The purpose of this study was to obtain information that may assist Rape Crisis Center (RCC) volunteer coordinators and executive directors in the recruitment and retention of volunteers. The major hypotheses guiding this study are as follows: (a) the reasons that initially motivated volunteers to volunteer at the RCC will be the same as their reasons for why they are continuing to volunteer at the RCC and (b) volunteers at RCCs continue to volunteer because the perceived costs of volunteering do not exceed the perceived rewards of volunteering. Using a modified version of Black's (1989) questionnaire, respondents were asked to …

Psychosocial Stress And Cervical Neoplasia Risk, Ann L. Coker, Sharon M. Bond, Margaret M. Madeleine, Kathryn J. Luchok, Lucia Pirisi

CRVAW Faculty Journal Articles

OBJECTIVE: We assessed the association between psychosocial stress and preinvasive cervical neoplasia development controlling for HR-HPV infection.

METHODS: This case-control study enrolled low-income women receiving family planning services at health department clinics. There were 59 cases with biopsy confirmed HSIL and 163 with low-grade SIL and 160 controls with normal cervical cytology. A modified SLE scale was used to measure stressful events and the perceived impact of the event in the prior 5 years. Unconditional logistic regression was used to assess SIL risk and stressful events scores and by subscales.

RESULTS: After adjusting for age, HR-HPV infection, and lifetime number …

Compromised Constitutions: The Iranian Experience With The 1918 Influenza Pandemic., Amir Afkhami

Psychiatry and Behavioral Sciences Faculty Publications

The global demographic impact of the 1918-19 influenza pandemic continues to fascinate researchers and scholars. This paper examines the social and demographic effects of this outbreak on Iranian society, through a comprehensive investigation of the modes of transmission and propagation, mortality rates, and other distinctive features of the region, and reveals the importance of taking a country's unique sociopolitical settings into account. Iran was one of the regions hit hardest by the pandemic, with mortality rates significantly higher than in most regions of the world. Though globally the victims of influenza lived primarily in urban areas, it was Iran's rural …

Understanding The Terrorist Mindset, Randy Borum

Mental Health Law & Policy Faculty Publications

No abstract provided.

A Comparison Of Symptom Severity Between University Counseling Center And Community Mental Health Center Clients, Joshua Gunn

Masters Theses & Specialist Projects

The present study compares presenting levels of psychological distress at a university counseling center and a community mental health center. The Brief Symptom Inventory (BSI) was completed by clients at intake, and the results were subjected to statistical analysis. A significant difference was found between the two service units on the Global Symptom Index and all nine scales of the BSI. There were no gender differences in overall levels of psychological distress; however, a difference was found on the interpersonal hostility scale. Implications of the study, as well as limitations and suggestions for future research, are discussed.

Welfare Reform: Adolescent Girls In Transition: A One-Year Follow-Up Study, Roger A. Boothroyd, Mary I. Armstrong, Angela Gomez, Haynes Diane

Mental Health Law & Policy Faculty Publications

The report summarizes the findings from a one-year follow-up study examining the current well-being and predictors of future hopes and aspirations of adolescent girls living in families receiving TANF. This mixed-method study includes two phases. Phase 1 involved face-to-face interviews using various standardized measures with 125 mothers who were receiving TANF in 2002 and their daughters while Phase 2 included in-depth qualitative interviews with a random sample of 20 adolescent girls participating in Phase 1. One year re-interview rates were 92% for Phase 1 interviews and 90% for Phase 2 interviews.

Patterns Of Cocaine Consumption: A Sub-Analysis Of The Drugnet Survey, Nivedita Seerpi

Masters Theses & Specialist Projects

The myths and misconceptions that surround cocaine use lead to the over-estimation of the prevalence of cocaine addiction in society. Health education curricula and drug policy do not differentiate between cocaine use and abuse. This study describes the cocaine consumption patterns in a nonclinical, non-incarcerated sample of cocaine users. The resulting patterns are compared to those found by Cohen (1989) and Cohen and Sas (1993, 1994, 1995). DRUGNET is an online survey of recreational drug use by nondeviant adults via the WWW. Self-selected subjects completed a survey over the Internet between February and October 1997 (N= 701). This sample was …

An Automated Treatment For Jet Lag Delivered Through The Internet., Daniel Z Lieberman

Psychiatry and Behavioral Sciences Faculty Publications

Seventy percent of persons who suffer from psychiatric illness do not receive treatment. Cost-effective, automated treatment can be delivered through the Internet but can be complicated by the lack of professional supervision. This open study piloted a fully automated, publicly available treatment for jet lag as a means of highlighting some of the issues involved in delivering treatment over the Internet. Twenty study participants rated the severity of their jet lag symptoms and their adherence to a light-exposure schedule calculated to accelerate adaptation to a new time zone. A significant negative correlation was observed between how closely participants followed the …

Police Training And Specialized Approaches For Responding To People With Mental Illnesses, Judy Hails, Randy Borum

Mental Health Law & Policy Faculty Publications

Eighty-four medium and large law enforcement agencies reported the amount of training provided on mental-health-related issues and the use of specialized responses for calls involving people with mental illnesses. Departments varied widely in the amount of training provided on mental-health-related topics, with a median of 6.5 hours for basic recruits and 1 hour for in-service training. Approximately one third of the agencies (32%) had some specialized response for dealing with calls involving people with mental illnesses. Twenty-one percent had a special unit or bureau within the department to assist in responding to these calls; 8% had access to a mental …

Environmental Health In Public Health, Steven Konkel

Books/Book chapters

No abstract provided.

The Discovery Of Extramarital Affairs : Clients In Crisis And Implications For Counseling, Alyssa A. Drury

Graduate Research Papers

Extramarital affairs are one of the most common issues presented to counselors and other professionals in clinical settings. This issue has also been said to be one of the most difficult to treat among clinicians. In this paper, a review of the literature is presented regarding the nature of extramarital affairs and different types of affairs. Following this brief literature review, interventions are discussed for professionals when working with this population. Crisis intervention is specifically addressed in addition to practical, clinical interventions that may be used following resolution of crises.

A Qualitative Review Of The Native American Caregivers Support Program: The Successes, Barriers, And Training Needs, Holly A. Beard, M. Yvonne Jackson, Meg Graves, Floyd Godfrey, Clare Houseman

Nursing Faculty Publications

Caregiving is accepted as a natural part of life and is recognized as an inherent responsibility within the American Indian/Alaskan Native Community. A qualitative analysis was conducted employing constant comparative method to explain the current status of the Native American Caregiver Support Program (NACSP) funded by Title VI-C grants. The NACSP (Title VI-C) of the Older Americans Act (OAA) is administered by the Department of Health and Human Services (DHHS), Administration on Aging (AoA). The NACSP allows each tribal organization to develop a program to deliver supportive services that are tailored to the needs of their caregiver's while providing five …

Feelings & The Therapeutic Encounter/Alliance, Emma Condon

'INSCAPE' - ARTCAP November 13-16, 2003

No abstract provided.

Surely I Am In The Wrong Place?, Holly Edworthy

'INSCAPE' - ARTCAP November 13-16, 2003

No abstract provided.

The Greatest Mystery, Katherine Papas

'INSCAPE' - ARTCAP November 13-16, 2003

No abstract provided.

Inscape : Symposium Concerning The Arts In Psychotherapy, Deidre Gorrie

'INSCAPE' - ARTCAP November 13-16, 2003

No abstract provided.

Creating Art Psychotherapy Training In Australia, John Henzell

'INSCAPE' - ARTCAP November 13-16, 2003

No abstract provided.

Spirituality And Therapy : Reflecting On The Role Of The Therapist, George E. Trippe

'INSCAPE' - ARTCAP November 13-16, 2003

Following on from the conversation in the public forum at the ARTCAP Symposium, I want to reflect briefly on the role of the therapist, in the therapeutic encounter, in the client’s development of his or her spirituality. I assert that the therapeutic encounter is a spiritual process that serves the development of the spirituality of the client. This is in no way a denial of the clinical nature of our therapeutic work, but an attempt to place clinical methods, strategies, insights and practices in a larger, more comprehensive framework of a deep and transformative spiritual process.

Group Therapy For Bereaved Parents : Sudden Death Of A Child Or Adolescent, Jessica L. Heidecker

Graduate Research Papers

This article reviews parental bereavement through sudden loss of a child by · homicidal, suicidal, or accidental death. It advocates for the Dual Process Model of grieving, and explores group therapy treatment for bereaved parents. This paper contends that parental loss of a child is more intense and traumatic than any other type of loss. Evidence is also provided to state that traumatic grievers benefit from group therapy as opposed to other types of grievers. Meaning reconstruction is established as a key element in the grief process. Overall, the article allows counselors to understand the complications involved in working with …

Psychotherapy In Antidepressant Patients, Thomas J. Kniesner, Regina H. Powers, Thomas W. Croghan

Center for Policy Research

Depression is a condition with various modes of treatment, including pharmacotherapy, psychotherapy, and some combination of each. The role of psychotherapy in the treatment of depression relative to the role of pharmacotherapy is not well understood, and guidelines for psychotherapy in the primary care setting differ from guidelines for specialty care. There is little evidence about the circumstances in actual practice that affect the use of psychotherapy in conjunction with pharmacotherapy.

We retrospectively identify the most important factors associated with the use of psychotherapy in combination with pharmacotherapy in the treatment of depression. Specifically, we study provider choice, health plan …

Using Therapeutic Jurisprudence To Bridge The Juvenile Justice And Mental Health Systems, Michael J. Jenuwine, Gene Griffin

Articles by Maurer Faculty

No abstract provided.

Clinical And Forensic Outcomes From The Illinois Mental Health Juvenile Justice Initiative, Michael Jenuwine, John S. Lyons, Gene Griffin, Sharon Quintenz, Michelle Shasha

Articles by Maurer Faculty

To address the mental health needs of youths who are arrested and detained in Illinois, an initiative was designed and implemented that identified youths with psychotic or affective disorders, linked them to community services, and monitored their cases. This study assessed whether such linkage is possible and whether it improves clinical and forensic outcomes. METHODS: Under the initiative, court staff refer youths who may have a mental illness to a clinical liaison. If the youth is eligible for the program, the liaison works with the family to develop a community-based action plan. For the analysis presented here, the Child and …

Coping With Divorce, Amanda Sue Lawless Anderson

Graduate Research Papers

This research paper targets children who are experiencing divorce in their families. The purpose of this paper is to assist counselors in knowing how divorce affects children and how to work effectively with children and families experiencing divorce. A look at the various developmental stages, the grief process of divorce, practical interventions to be used with children experiencing divorce, and providing resources for educators and parents will assist counselors and parents in helping children to cope with their experience.

Building Effective School-Based Substance Abuse Prevention Programs, Stephanie M. Juhl

Graduate Research Papers

Substance abuse among children and adolescents has become an epidemic in our society. Therefore, it is important to be cognizant of the reasons for child and adolescent substance abuse as well as to recognize risk factors for use. Many prevention programs have not been research-based and are not appropriate for all populations. Several programs and approaches are reviewed as to whether they will reduce the use of substances. School counselors can improve efforts by combining approaches to create comprehensive and multifaceted programs, which will improve the probability of prevention. Creating school counseling programs will be fundamental in preventing early substance …