Medicine and Health Sciences Commons^™

A Systematic Review Of Culturally Sensitive Interventions For Ethnic Minority Elders With Mental Illness, Sarah Littlefield, Rosalinda Villareal

Williams Honors College, Honors Research Projects

Honors Research Proposal

Goals and Objectives

Our systematic review asks the question: In ethnic minority elders with mental illness, how does culturally sensitive care, compared to current practices, affect patient outcomes? Our project goal is identifying evidence based practice with the goal of improving patient outcomes for ethnic minority elders with mental illnesses.

Methodology:

We will compile evidence from 20 current peer-reviewed studies. These studies will be selected from the CINAHL Plus med database, and key search terms will include: culturally sensitive care, culture, ethnic, mental health, intervention. All selected articles will be current within the last five years.

Outcomes: …

Evaluating The Effectiveness Of Adverse Childhood Experiences And Trauma Informed Care Training For Mental Health Nurses, Felicia Gathings

Doctoral Projects

Adverse Childhood Experiences (ACEs) are traumatic events that happened to a person at a young age, and when untreated they have a higher risk of developing a mental illness. ACEs are associated with social problems, illnesses, and physiological issues. ACEs are related to increased health risks and an increase in high-risk behaviors. Despite increase evidence relating ACEs to physical and mental issues, nurses lack training in ACEs and trauma-informed care (TIC). The overall goal of this project was to increase knowledge of ACEs and TIC in mental health nurses when caring for mentally ill patients. Pre-test and Post-test surveys were …

Homeless And Helpless: How The United States Has Failed Those With Severe And Persistent Mental Illness, Ashley Gorfido

Journal of Law and Health

The United States has failed its citizens who suffer from severe and persistent mental illness (SPMI). Homelessness is one of the most obvious manifestations of this failure. The combination of a lack of effective treatment, inadequate entitlement programs such as Social Security Disability Insurance (SSDI), and subpar housing options form systemic barriers that prevent people suffering from mental illness from being able to obtain adequate housing. Cultural beliefs within the United States regarding who is homeless and what homelessness means also play a significant role in the development of positively impactful social welfare programs.

Part II of this Note reviews …

Why Can't Homeless Addicts Get Help Too, Rachael D. Causland

English Department: Research for Change - Wicked Problems in Our World

Homeless people today struggle more with addiction than people who have stability in their life. Whether it’s due to financial issues, or not having a support system, homeless people struggle to get the help they need for both their addiction and their homelessness. A high number of homeless people report to have started an addiction since being homeless, and they do so to stay alive, in turn people are continuing to stay homeless and many of these people are dying of overdoses or just staying stuck in the situation they are forced to deal with alone. There are some states …

The Influence Of Instructor Mental Illness Disclosure On The Perceptions Of Mental Illness, Classroom Climate, Teacher Credibility, Homophily, And Social Attraction, Kirsten L. Bridgemen

Theses and Dissertations

This study uses the lens of Communication Privacy Management theory to analyze the impact an instructor’s depth of disclosure of their mental illness can have on mental illness stigmatization, classroom climate, as well as teacher credibility, homophily, and social attraction. Participants responded to a series of quantitative-based questions regarding a hypothetical syllabus with varied levels of a teacher disclosing their mental illness. Results indicated that none of the investigated dependent variables were negatively affected by the hypothetical instructor’s disclosure, and mental illness stigmatization was lessened. Implications, limitations, and areas for future research are discussed.

Controlled Observation: The Challenges Of Therapy For The Mentally Ill Incarcerated Population, Esther Tingué

Dissertations, Theses, and Capstone Projects

Popular perception and objective of incarceration is confinement, brutality and in some cases inhumane conditions. But what about the incarcerated population who suffer from the additional burden of mental illness? How does confinement affect mentally ill inmates? This capstone project asks: (1) how do individuals/organizations provide rehabilitative services in this evolved culture of crime and punishment? And (2) how is therapy provided in a restricted environment? I examine these questions from the perspective of the therapist, the person who (in a restricted environment) takes on the responsibility of treating and managing the effects of mental illness for this population.

Associations Of Sex, Gender, And Gender Role Beliefs With Mental Health Attitudes, Ariel Erazo

Graduate Theses and Dissertations

Mental health stigma is a strong deterrent for individual with mental illness utilizing mental healthcare. Individuals living with a mental illness experience shame and marginalization due to stigma. Stigma is perpetuated through stereotypes created and used by people in the majority. Studies have been done to assess individual’s attitudes toward mental healthcare seeking in regards to gender, age, race, and profession. This study aimed to look at traditional gender role beliefs, sex, and gender expression as predictors of individual’s mental health attitudes and individual’s views of mental health norms. Using a cross-sectional survey, 392 participants completed scales that included the …

Proceeding Without Consent: The Ethics Of Disregarding Patient Preference For Paternalistic Reasons, Nicholas Munsey

Undergraduate Theses and Capstone Projects

Within the last few decades, modern medical regulations have brought the practicing medical community to an unprecedented level of accountability. Laws and regulations governing the practice of medicine were once, at best, loosely enforced guidelines; practices such as experimental surgeries, dangerous health testing, end of life care, and treatment of mental illness were left comparatively unregulated. The introduction of patient rights and new standards for practicing have left the medical community with a novel dilemma: how might one approach a patient who, according to medical advice, is in need of treatment if that patient is unable to express preference or …

The Abodamfo: Ghana’S Marginalization Of Their ‘Other’, Rockling Afariwaa

Student Writing

Traditional practices and thinking of most Ghanaians, has kept them from accepting and adapting to the social needs of their mentally ill population. The mentally ill are no longer accused of being witches, hung, or killed, and although the way people perceive and react to the mentally ill, in general, has evolved since the periods of Sigmund Freud, other forms of persecution against them exist in today’s societies. These persecutions are in the form of stigmatization, discrimination, and marginalization. Through Individual stigmatization and structural stigmatizations of mentally ill people in Ghana, by the societies and communities in which they are …

Marginalization And Criminalization Of People With Mental Illness, Ariana Walker

Student Writing

It is worth noting that people with a mental illness or disorder have a stigma around them that dictates how others treat them. With this stigma comes discrimination stemming from an already established opinion and experience with a person who has a mental illness. People who have a mental illness that affects their life are marginalized within our society, which means they get treated differently than the majority. This essay will serve as a discussion of the treatment history of mental disorders, forced institutionalization of the people, the impact deinstitutionalization had, and how this led to today’s problem of criminalization. …

Change The Conversation: A Study Of Mental Health Education And College Aged Students Attitudes’ Towards Mental Illness, Bryan J. Landgren

Community Engagement Student Work

Researchers have found that public opinion of people who are mentally ill or struggle with their own mental health are often negative. This project was created in an effort to determine the most efficient way to engage people in conversations about mental health and the stigma that encompasses such a conversation. What happens when mental health struggles are visible and supported through open and honest communication? What happens when they are not? The workshop Change the Conversation: Attitudes Towards Mental Health aimed to close the gap surrounding mental health education on a college campus and promote the necessity of understanding …

Strengthening Mental Health Awareness Of University Students Using An Online Training Module, Lavern Rosemarie Bourne

Walden Dissertations and Doctoral Studies

Canadian youth pursuing postsecondary education are facing a major mental health crisis. There are substantial gaps between the diagnosis and treatment of mental illnesses. The purpose of this study was to evaluate whether a web-based mental health educational intervention was an effective tool with which to increase mental health awareness and help-seeking behaviors of university students. The theory of planned behavior, the help-seeking model, and the technology acceptance model were the theories that guided this study. Using a quantitative quasi-experimental research design, data were collected from 329 undergraduate students in the Faculty of Health Sciences at a university in Eastern …

Urbanicity As A Moderator Of The Relationship Between Stigma And Well-Being Outcomes For Individuals With Serious Mental Illnesses, Emily Leickly

Dissertations and Theses

During the deinstitutionalization movement in the 1960s, community mental health centers and supportive and affordable housing for people with serious mental illnesses (SMI) was concentrated in economically disadvantaged urban centers. Today, these urban centers are becoming increasingly gentrified and unaffordable for people with SMI. Affordability is no longer synonymous with urban living, and supportive housing for people with SMI is increasingly found in non-urban areas. Given this shift, it is important to understand the potential impacts of non-urban living on people with SMI. Non-urban environments provide potential benefits for the general population, including reduced traffic and increased proximity to the …

Mental Illness Stigma, Devine Lewis

WRIT: Journal of First-Year Writing

Mental illness stigma is a national issue prevalent due to common misconceptions of mental illness presented in media and entertainment outlets. The stigmatization of mental illness causes the increase of mental patients refusing to seek treatment, it prohibits the advancement of psychological science, and causes discrimination and prejudice towards the mental health community. Solutions to this issue include prioritizing awareness and advocacy for this issue as well as educating the general public with relevant and correct information/representations relevant to the mental health community. The increase of social interaction with mental health patients decreases the stigmatization of mental illness as does …

The Treatment Of People With Mental Illness In The Criminal Justice System: The Example Of Oneida County, New York, Alexander Black '19, Kylie Davis '18, Kenneth Gray '20, Connor O'Shea '18, Alexander Scheuer '18, Samantha Walther '18, Nico Yardas '18, Frank M. Anechiarico, Ralph Eannace, Jennifer Ambrose

Student Scholarship

This publication is two-fold: an executive summary and the report itself. The executive summary provides a general overview of the larger report, on the criminalization of the mentally ill. It begins by summarizing three case studies from the report that concern the intersection of mental health issues and the criminal justice system in Oneida County in New York State. It then provides a brief historical overview of mental health issues and the criminal justice system before going on to discuss the current best practices in addressing the criminalization of the mentally ill, including law-enforcement mechanisms, mental health courts, and reintegration …

Supporting Marin County Youth Suffering From Anxiety And Depression, Victoria L. Grajeda

Counseling Psychology | Master's Theses

This toolkit was created to help shed light on the impact a stressful high school environment can have on today’s youth, and provide teachers, students, and parents with up-to-date information on what resources are available within the county of Marin. When working with adolescents, it is important to consider environmental threats to their mental health (i.e., lack of sleep) in order to make proper referrals and treatment plans. A study done by Kelley, Lockley, Kelley, & Evans (2017) implemented a 10:00 a.m. start time at an urban school in England. By delaying school start times, Kelley et al., found that …

These Places We Walk : Stories Of Mental Illness In American Society., Rachel Grace Trimble

College of Arts & Sciences Senior Honors Theses

This paper examines research on mental illness and mental health literacy as well as an examination of literary elements in interlinked stories in order to write a linked collection of five short stories about mental illnesses. Depression, bipolar disorder, schizophrenia, post-traumatic stress disorder, and obsessive-compulsive disorder.

Identifying Interest In And Barriers To Psychiatric Genetic Counseling, Samantha Montgomery

Dissertations & Theses (Open Access)

Mental illness is common in the United States and genetic counseling for psychiatric indications can help individuals understand multifactorial inheritance, recurrence risk estimates, and identify ways to protect their future mental health. Despite interest in and efficacy of the service documented in populations outside of the United States, individuals with personal and/or family histories of psychiatric conditions are very rarely accessing psychiatric genetic counseling services. The purpose of our study was to identify interest in and barriers to psychiatric genetic counseling with the hopes of better characterizing this population and improving access to this beneficial service in the future. An …

Perceptions Of Mental Health: Eight Conversations With Mainers From Africa, Teresa Sosa, Emelda Ogweta

Thinking Matters Symposium Archive

As of 2016, 42 million refugees from around the world had been forced to flee their homes due to war, persecution, or natural disaster (George & Jettner, 2016). Due to these factors, as well as relocation and resettlement, refugees are at a significant risk for trauma and other mental health issues (George & Jettner, 2016). While the literature consistently validates this heightened risk for mental illness in refugees, more research is needed into refugee's perspectives on mental health. Through analysis of semi-structured interviews with eight refugees from Africa, this phenomenological study investigated refugee's perceptions of mental health and mental illness. …

"The Tyrant Father": Leslie Stephen And Masculine Influences On Virginia Woolf And Her Novel, To The Lighthouse, Anya Graubard

Honors Theses

This paper examines the volatile yet nurturing relationship between Virginia Woolf and her father, Leslie Stephen. It specifically considers the effects of three male “tyrants” in Woolf’s childhood, including not only her father but also her two half-brothers, who abused her sexually. Analysis of the dynamics of these relationships provides insight into Woolf’s lifelong battle with mental illness and helps us to understand the complicated relationships she had as an adult with men and women.

In her letters, diaries, and memoir essays, Woolf reveals how she drew from her own experiences of childhood to write her most famous novel, To …

How To Address Tobacco Use In Minnesota's Mental Health And Substance Use Disorder Services: Tips From The Field, Meghan Bown, Jamie Andycha, Sophie Burnevik, Ruth Tripp, American Lung Association, Blue Cross Blue Shield, Leadership Academy Collaborative

Articles

The American Lung Association, Upper Midwest Region, developed and facilitates the Leadership Academy Collaborative, bringing together various health care stakeholders in Minnesota to collaborate on a shared vision to reduce commercial tobacco use among people living with mental illness and/or substance use disorders. The following areas were identified as strategies that would benefit from further collective action: social norms, delivery, policy

"Free Indirect Suicide: An Unfinished Fugue In H Minor", Seo-Young J. Chu

Publications and Research

In this lyric essay/work of creative nonfiction (listed among “Notable Essays & Literary Nonfiction” in Best American Essays 2020), Seo-Young Chu uses poetry, autotheory, and creative nonfiction to explore the generational trauma/postmemory han she inherited from her parents and the importance of destigmatizing mental illness through dialogue.

Mentally Ill, Or Mentally Ill And Dangerous?: Rethinking Civil Commitments In Minnesota, Eliot T. Tracz

Mitchell Hamline Law Journal of Public Policy and Practice

No abstract provided.

Mental Health Concerns In African American Churches: Pastoral Preparedness In Counseling, Melody Samuel

Nursing Theses and Capstone Projects

African Americans rely heavily upon their pastors for more than spiritual guidance. Pastors are known as gatekeepers in the African American community serving as a resource to address a multitude of issues for their congregant from personal issues such as finances and marital issues, grief and bereavement, to physical and mental health issues. The aim of this study was to examine pastoral preparedness for counseling of mental health concerns in the African American church. To better understand the demand of mental health counseling for their congregants and assess the pastor’s perception of educational and training needs, 35 pastors and/or associate …

Outpatients' And Treatment Providers’ Cultural Model(S) Of Mental Illness In Northern Illinois, Emily Jean Stephen

Graduate Research Theses & Dissertations

For this thesis, I interviewed outpatients and clinicians from mental health treatment providers from the DeKalb, Illinois area to investigate the cultural models of mental illness held by both groups. I employed ethnographic methods of semi-structured interviews, and with cognitive tasks (free-listing, and pile sorting) to research similarities and differences between the outpatients’ and mental health treatment providers’ cultural models of ‘mental illness.’ Both mental health clinicians and outpatients have experience with disorders commonly termed ‘mental illness.’ I found differences of experience and identity seemed to more strongly influence one’s cultural model of mental illness than one’s level or type …

Demography, Risk, And Power: An Examination Of The Deceased Patient Population At The Hastings State Hospital, 1900-1978, Dawn T. Whitney

All Graduate Theses, Dissertations, and Other Capstone Projects

The purpose of this research is to investigate the Hastings State Hospital (HSH) and its cemetery (HSHC) within a multidisciplinary framework, invoking discourse analysis, demography, and critical race theory to examine how power and risk factors impact the treatment and disposal of the body at death. It incorporates perspectives from both anthropology and sociology to interpret the data, relying heavily on the ideas of Michel Foucault. Integrating these diverse analytical tools is important to this research because social and structural forces all intersect in the creation of identity, power, and inequality.

All data in this study represent patients that have …

Examining The Relationship Between Body Mass Index And Health-Related Quality Of Life Perception Among People With Mental Illness, Fatima Bukair

Electronic Thesis and Dissertation Repository

People suffering from mental illness are three times more likely to die prematurely from ‘natural’ causes than those without mental disorders as a result of their physical condition. Their life expectancy is reduced by 12-19 years. Obesity is commonly associated with mental illness and accounts for increased risk of cardiovascular disease, diabetes mellitus, stroke, heart disease, some cancers and osteoarthritis. This paper examined the relationship between body mass index (BMI) and health-related quality of life perception using the Short-Form Health Survey 36 among people living with mental illness. A Multivariate Multiple Regression model was employed to estimate the variables that …

An Exploratory Study On Mental Illness Perspectives In Hanoi, Margaret Cox

Independent Study Project (ISP) Collection

Almost 12 million people in Vietnam have been diagnosed with a mental illness; the prevalence of mental illness within the population means that understanding how people perceive it. Previous research has demonstrated the negative impacts that stigma and negative perceptions of mental illness have and how they can inhibit individuals from seeking treatment for a mental illness. The aim of this exploratory study was to answer the question: How do Vietnamese university students and mental health professionals living in Hanoi perceive mental illness? Fifteen university students and five mental health professionals were interviewed in a series of semi-structured interviews. A …

Potential Biases And Social Stigmas Toward Mental Health On Georgia Southern’S Campus, Brandi N. Hawkins

Honors College Theses

Aims: The purpose of this study is to examine the potential biases and social stigmas toward mental health on Georgia Southern’s campus. The research questions explored are as follows: (1) Are there mental health biases on campus? (2) Are there any differences between college, class status, marital status, race, age, or gender in terms of mental health bias? (3) Do students feel as though there are available resources on campus? (4) Do students feel comfortable reaching out for help?

Methods: Data was collected from 350 undergraduate students over the age of 18 via a Likert-style questionnaire. The questionnaire …

Jails Are Not Treatment Centers, Michael Henning, Rachel Mattick, Cali Turbes

Master of Social Work Student Policy Advocacy Briefs

Currently, in Minnesota alone, there are more individuals with severe mental illness being incarcerated than hospitalized. Blue Earth County's Yellow Line Project (YLP) reported that 83.7% of individuals screened positive for mental illness prior to being booked into jail . Not only does incarcerating individuals with mental illness fill our jails, it prolongs mental illness and time spent away from treatment. Jail diversion programs divert individuals with mental health disorders from the criminal justice system and into appropriate treatment when applicable. For those individuals ineligible for diversion from the criminal justice system, care coordination would be ideal to assist in …