Medicine and Health Sciences Commons^™

Building Confidence, Diminishing Stress: A Clinical Incivility Management Initiative For Nursing Students, Younglee Kim, Phoebe (Yeon) S. Kim, Henrietta Nwamu, Anne Lama

Nursing Faculty Publications

Objective: The aim of this study was to evaluate the effectiveness of an interactive program designed to reduce nursing students’ perceived stress and improve self-efficacy and readiness to professionally address incivility during clinical practice. Background: Incivility in clinical settings adversely impacts learners, educators, institutions, and healthcare systems, undermining safety and the teaching–learning process. Despite its increasing global prevalence, effective interventions remain largely unexplored. Methods: Our mixed-methods study, conducted from March to April 2024, involved senior baccalaureate pre-licensure nursing students (N = 35) from a California State University. The three-week, one-hour-per-week, interactive clinical incivility management program was developed through an extensive …

Factors That Contribute To Disparities In Access To Mental Health Services Within Hispanic Adults, Jasmine Soriano

Electronic Theses, Projects, and Dissertations

The focus of this research project was to understand and identify the challenges Hispanic adults face when accessing their mental health services to better understand this concerning issue and help support social workers in bridging that gap in the Hispanic community. The study took place at a mental health clinic in Southern California through virtual interviews for those who chose to participate. This agency provides mental health therapy to individuals 0-21 years of age, but for the purpose of this study, only adults aged 18-21 qualified to participate. The study consisted of twelve voluntary participants from both Hispanic adult clients …

Social Workers’ Preparedness For Practice With Patients Experiencing Psychotic Disorders, Paula Crespin

Electronic Theses, Projects, and Dissertations

The present study explored the preparedness of social workers when providing services to individuals diagnosed with psychotic disorders who present with non-affective psychosis. The present study sought to examine the perceived barriers to mental health service utilization for individuals diagnosed with psychotic disorders as well as the perceived preparedness of social workers when providing services to individuals with non-affective psychosis. Social workers are crucial frontline workers in the treatment and support of individuals diagnosed with psychotic disorder. This qualitative study was comprised of twelve semi-structured interviews to gauge the preparedness of social workers (N=12). Results from the thematic analysis demonstrated …

Social Worker Student’S Anxiety, And Alcohol Consumption During The Covid-19 Pandemic, David Adler

Electronic Theses, Projects, and Dissertations

The COVID-19 pandemic has been extremely impactful on a vast majority of the population, either from losing a possible loved one, or the pandemonium that arose in its wake. The purpose of this study is to better understand how much of an impact the COVID-19 pandemic has had on social worker students’ mental health, specifically, how it has affected their levels of stress, anxiety, and levels of alcohol consumption. This study is significant because the pandemic has had a substantial impact on the mental health of so many individuals, and it is important to research just how large these effects …

Mental Health Burden Among College Students During Covid-19 Pandemic: A Cross-Sectional Study, Jeffrey Bao Truong

Electronic Theses, Projects, and Dissertations

Background: The COVID-19 pandemic is a significant public health issue and has negatively burdened the general population’s health, though assessment among vulnerable groups remain limited. The present study aimed to evaluate the mental health burden of the COVID-19 pandemic among college students.

Method:This study utilized a cross-sectional approach. Courses across multiple departments were used to collect data in order to ensure a diversity of majors. All statistical analyses were conducted using SPSS version 28 with p <.05 denoting significance.

Results: A total of 98 study participants were included in analyses. Among study participants, 32%reported feeling their mental health worsened due to COVID-19 …

Treatment Access For Dual Diagnosis Substance Use And Mental Health Disorders, Pedro Banuelos

Electronic Theses, Projects, and Dissertations

In 2018, of 1.3 million Latinx adults in the United States facing concurrent issues with substance use disorders (SUD) and mental health disorders (MHD) 93% remained untreated for either diagnosis. This is concerning since Substance Abuse and Mental Health Services Administration (SAMHSA) data reveals that this population is at greater risk for suicidal thoughts, plans, and attempts. They also face structural barriers such as employment, housing, legal involvement, and insurability that further impede access to treatment.

This study’s purpose was to examine barriers to accessing treatment for Latinx populations confronting co-occurring SUDs and MHDs. This study used a qualitative design …

Levels Of Engagement In Mental Health Services Regarding Minorities, Karla Salazar Rendon

Electronic Theses, Projects, and Dissertations

This study focuses on analyzing if the level of engagement when receiving mental health services affects how many mental health providers an individual has. Although mental health impacts everyone, minorities encounter barriers such as language, transportation, and residential segregation. Obstacles such as these discourage individuals in regards to pursuing mental health services. Minorities make up a significant amount of the U.S. population: however, they are underrepresented in the mental health field. The challenges they encounter need to be addressed to provide efficient services. This study includes male and female participants over the age of 18 in San Bernardino County. The …

Analysis On Suicidal Ideation Among Adolescents (12-17 Years) In The Usa, Himani Raturi

Electronic Theses, Projects, and Dissertations

Suicide is one of the leading health concerns in United States among adolescents and the presence of suicidal ideation (SI) is quite high, with ~20-30% of adolescents reporting it at some point. Though we have seen growth and development in the prevention of suicide, there is limited research on the ability to identify the adolescents which might be at risk for SI. The objective behind the project is to identify adolescents with SI using machine learning.

The project shows statistics from different articles on adolescents in the U.S. For this study, adolescent data was taken from NSDUH 2018. Moreover, detailed …

Suicidal Ideation Among United States Veterans: A Systematic Review, Champagne D. Moore

Electronic Theses, Projects, and Dissertations

Objective: The goal of this study was to conduct a systematic review of suicidal ideation and associated factors among US veterans.

Methods: PRISMA guidelines for identifying and collecting published peer-reviewed articles were employed. Article characteristics were assessed, and trends were analyzed.

Results: Study results show that US veterans have higher rates of suicide as compared to non-US veterans. Among US veterans, the most common means of suicide was firearms, especially among males. Factors such as gun legislation was related to suicide rate among the population.

Conclusion: Veteran suicide prevention must be a public health priority. Prevention measures should further address …

Scope Of Attention Variation As A Function Of Anxiety And Depression, Kathleen O'Donnell

Electronic Theses, Projects, and Dissertations

As a social species, correct emotional perception is so vital, that the human brain has evolved a mechanism to control attentional choices by exerting a narrowed field of perception during danger, called the scope of attention (SoA). The SoA determines what information will be focused on or ignored by blocking the perception of non-relevant items and increasing selective focus on danger; even if danger is merely a sad-face. The emotional items blocked from perception cannot be remembered because they were never perceived. But, attention-control to emotional stimuli also varies with mood, as seen in mood-disorders. A mood-disorder’s effect upon the …

An Examination Of The Impact Traumatic Events Has On Psychosocial Impairment In Eating Disorder Patients, Jennifer Parker Hackett

Electronic Theses, Projects, and Dissertations

Research suggests that trauma has an impact on eating disorders. While prior research has demonstrated that the trauma from abuse has a significant impact on eating disorders, research has failed to explore other types of trauma. In addition, previous studies have stopped short of examining the impact trauma has on functioning among individuals with an eating disorder. This study aimed to address that gap in the literature. The purpose of this study is to examine whether traumatic life events impact psychosocial functioning among individuals living with an eating disorder. Furthermore, this study aimed to identify which traumas are shown to …

Clinical Social Workers’ Perspectives On Illicit Drug Use And The Development Of Psychotic Disorders, Asma Naseer

Electronic Theses, Projects, and Dissertations

This purpose of this study was to explore social workers’ perspectives of drug-induced psychosis. More specifically, it sought to determine how knowledgeable clinical social workers are on the impact illicit drug use on the development of psychotic disorders. The study also aimed to discover clinical social workers’ perspectives regarding the influence of illicit drug use on the development of psychotic illnesses. This study used mixed methods approach in attempt to solve the research question. The quantitative portion of the research, an anonymous survey, allowed for the assessment of social workers’ knowledge of drug-induced psychosis. The qualitative portion of the research, …

Preserving, Interpreting, And Displaying Mental Health History: Establishing The Patton State Hospital Museum And Archive, Shannon Rene Long

Electronic Theses, Projects, and Dissertations

There are few museums in the western half of the United States that provide an opportunity to educate the public about the history of mental health care. Recently, a mental health museum and archive of artifacts, photographs, and documents was established on the grounds of Patton State Hospital in Highland, California. The purpose of this paper is to reflect on the establishment of this museum and archive and to provide an account of the 125 year history of Patton State Hospital. Understanding the history of Patton provides an opportunity to understand the history of mental health care in the United …

Substance Abuse Among The Elderly: What Works In Treatment, Sophia Morelli

Electronic Theses, Projects, and Dissertations

Social workers are trained during the course of their education to work with the elderly and to understand the various dynamics of aging. These professionals also receive education on substance abuse and how to assess clients as well as link them to appropriate supportive services. How can social workers be more inclined to effectively treat the elderly substance abuser? What are, if any, special considerations a social worker should be aware of when working with the geriatric population? What treatment modalities seem to be more effective with the elderly client? This study utilized a qualitative analysis consisting of interviews with …

A Path Analysis On The Acquisition Of Mental Health Treatment And The Effect Of That Treatment On Subsequent Offending, Gabriel Jude Saucedo

Theses Digitization Project

The purpose of this study was to determine how various demographic and systemic factors interacted to either facilitate or hinder the acquisition of mental health treatment, and if once acquired, what effect did that treatment have on subsequent offending. Mental health treatment is viewed as an effective and cost effective way of reducing offending in this population. Unfortunately, research also indicates that many juveniles due to various demographic and systemic impediments, do not acquire the mental health treatment they need. Consequently, their symptoms deteriorate to the point they manifest as delinquent.

Needs Of Transitional Age Youth, Evelyn Kelli Ensman

Theses Digitization Project

The purpose of this study was to gain insight into needs of transitional age youth by interviewing experts in this field. The study participants for this research study are the employees that work with the transitional age youth population. The study participants consisted of: Licensed Clinical Social Workers, Masters level Social Workers (MSW), and Marriage and Family Therapists (MFT). The research site for this study was Bilingual Family Counseling Service, INC located in Ontario, California. It is a non-profit behavioral health-care organization that provides a wide range of services to individuals and families. This study used a post positivist methodology. …

Predictors Of Treatment Outcome For Contingency Management Of Stimulant Abstinence In Severely Mentally Ill Outpatients, Frank Albert Nowland Angelo

Theses Digitization Project

This study will investigate the impact of client variables on in-treatment performance, in a contingency management intervention. Co-occurring disorders (COD) is a prolific problem with the severely mentally ill (SMI) population. People with both severe mental illness and substance abuse disorder suffer greater negative consequences of drug use than do populations with only one of these issues. This can be seen in greater levels of psychiatric symptoms, higher levels of interpersonal violence, and increased homelessness. Drug use has been found to exacerbate psychotic symptoms and relapses in schizophrenic patients, when compared to schizophrenic persons without drug use.

The Effects Of Post Traumatic Stress Disorder On Family Relationships, Melissa Leigh Weissmiller

Theses Digitization Project

The purpose of this study is to explore the impacts that a loved one's Post Traumatic Stress Disorder has on family relationships. With the majority of resources focused on the afflicted, the impacts on the family member and the relationship have implications for further programs and resources that should be focused on the family.

Quality Of Life Of The Severely Mentally Ill As Described By Social Workers, Simonetta Fosci

Theses Digitization Project

The purpose of this study was to investigate the levels of the quality of life among severely mentally ill offenders residing at a psychiatric hospital in the United States as perceived by their social workers.

Identification Of Effective Outreach Methods For Mental Health Services To The Hispanic Population, Nidia Yamileth Canello

Theses Digitization Project

The purpose of this study was to find effective outreach methods to the Hispanic population to empower them to seek mental health services when they need them. Hispanics seek mental health services at a lower rate than mainstream America. This community is the most rapidly growing in San Bernardino County, and lack of early intervention when necessary may have costly consequences to Hispanics and society as a whole.

Seriously Mentally Ill Clients' Perspectives On Substance Use And Treatment, Ann Laverne Jankowski

Theses Digitization Project

The purpose of this study was to interview individuals with co-occurring disorders, who attend Dual Diagnosis Anonymous groups, to obtain their perspectives on the consequences and effects of substance use on their mental illness and their lives; their participation in and evaluation of treatment, and their willingness to stop, reduce, or continue to abstain from substance use.

Barriers That Affect The Under Utilization Of Mental Health Services Among Foster Children, Haneen Sabah Alghita, Denise Nunez

Theses Digitization Project

There are many barriers that interfere with the utilization of mental health services which include instability of the foster child, county/budget restrictions, racial/ethnic inequality, delivery of service, lack of knowledge and understanding of mental health needs, inadequate training on mental health needs for children among foster parents, social worker caseload and lack of communication between Foster Care Social Worker (FCSW) and County Social Worker (CSW). The purpose of this research is to examine the various barriers that affect the under-utilization of mental health services among foster children. Participants included foster parents recruited from Riverside and San Bernardino County who are …

The Relationship Between Full Service Partnership Intervention And Rehospitalization Rates Of The Severe And Persistent Mentally Ill, Joseph Ralph Tena

Theses Digitization Project

The purpose of this study was to assess Inland Empire Mental Health's (IEMH) Full Service Partnership program in Southern California in order to understand the relationship between Full Service Partnership (FSP) intervention and psychiatric rehospitalizations among the Severe and Persistent Mentally Ill. This research project explored what treatment interventions prove effective in reducing psychiatric inpatient rehospitalizations among the severe and persistent mentally disordered population.

Parental Satisfaction With Child Mental Health Services, Frances Ahunna Ohaeri

Theses Digitization Project

The purpose of this study was to identify to what degree specific factors influence the level of satisfaction experienced by foster parents whose foster children are recieving mental health services from agencies that they have been referred to by a Coming of Age Foster Family Agency.

The Effects Of Stigma Perpetuated By Substance Abusers On Mentally Ill Substance Abusers In Residential Treatment, Mark Eugene Barnstable

Theses Digitization Project

The purpose of this study was to examine mentally ill substance abusers (MISA's) perception of stigma, and stigma experiences perpetuated by non-mentally ill substance abusers in residential treatment and its association with MISA's level of well being. Stigma related to mental illness has been explored and conceptualized by researchers as having various constructs that affect individuals in diverse ways.

Perceptions Of Mental Health Services For Operation Iraqi Freedom And Operation Enduring Freedom Military Personnel: A Needs Assessment, Chrystal Anne Long, Jeffrey Lee. Soriano

Theses Digitization Project

The purpose of this study was to assess the perceptions of mental health services for OIF/OEF military personnel among military spouses and mental health practitioners. The professional and personal knowledge of the mental health practitioners and the military spouses provided valuable information about the effectiveness, availability, strengths, and weaknesses of the military's mental health services.

An Evaluation Of Client Satisfaction With The Services Provided By A Community-Based Mental Health Agency, Sheri-Lyn Kaye Fahlgren Romero, Sarah Elisabeth Hayes

Theses Digitization Project

The purpose of this study was to explore parent satisfaction with the services provided to their child by West End Family Counseling Services located in San Bernardino, California. It is hoped that the information obtained will enhance the quality of mental health offered for children and make others aware of the importance of intervention and prevention early in a child's life.

Body Image And Depression, Alicia Sue Boggio

Theses Digitization Project

The purpose of this study was to examine the link between body image and depression in young women. This study intended to examine a correlation between body image dissatisfaction and depressed mood.

Day Treatment Programs For Adults With Severe And Persistent Mental Illness: Effectiveness Measured In Rates Of Recidivism, Pamela Jo' Gatfield

Theses Digitization Project

This study measured the effectiveness of rehabilitative day treatment (RDT) programs for persons with severe and persistant mental illness in San Bernardino County. The effectiveness of RDT services was determined by rates of recidivism.

Binge Eating, Anxiety And Depression: A Study Of Typology And Direction Of Prediction, Kimberly Lynn Olson

Theses Digitization Project

The purpose of this project was to examine the relationship between binge eating, anxiety and depression.