Medicine and Health Sciences Commons^™

Protocol For A Study Investigating The Influence Of Graded Levels Of Human Support On Adherence And Outcomes Of An Online, Multimodal Lifestyle Intervention To Improve Mental Health, Mel Renfrew, Darren Morton, Lillian Kent, Peter Beamish, Jason Hinze, Geraldine Przybylko, Bevan Craig

Peter Beamish

Introduction: Mental health is in global jeopardy and devising effective preventative and curative solutions are vital. Lifestyle interventions have been shown to be efficacious for improving mental health; however, in a progressively digital culture, face-to-face (F2F) interventions are being replaced by online and mobile options.¹ While online delivery can overcome ‘hurdles’ of inaccessibility and may also be more ‘scalable’, it poses unique challenges, as decreasing levels of human support can affect adherence to lifestyle interventions and associated outcomes.^2,3,4 Research is needed to better understand the importance of human support in online interventions and the type and dosage of …

Protocol For A Study Investigating The Influence Of Graded Levels Of Human Support On Adherence And Outcomes Of An Online, Multimodal Lifestyle Intervention To Improve Mental Health, Mel Renfrew, Darren Morton, Lillian Kent, Peter Beamish, Jason Hinze, Geraldine Przybylko, Bevan Craig

Lillian Kent

Introduction: Mental health is in global jeopardy and devising effective preventative and curative solutions are vital. Lifestyle interventions have been shown to be efficacious for improving mental health; however, in a progressively digital culture, face-to-face (F2F) interventions are being replaced by online and mobile options.¹ While online delivery can overcome ‘hurdles’ of inaccessibility and may also be more ‘scalable’, it poses unique challenges, as decreasing levels of human support can affect adherence to lifestyle interventions and associated outcomes.^2,3,4 Research is needed to better understand the importance of human support in online interventions and the type and dosage of …

The Influence Of Human Support On The Effectiveness Of A Web And Mobile App-Based Multimodal Lifestyle Intervention Targeting Mental Health: A Randomised Comparative Study, Mel Renfrew, Darren Morton, Jason K. Morton, Jason Hinze, Peter Beamish, Geraldine Przybylko

Darren Morton

Introduction: There is a need for efficacious lifestyle interventions that promote the mental health and emotional wellness of both healthy and clinical cohorts. Evidence regarding the usefulness of adding human support (i.e. guidance) to improve the outcomes of web- and mobile app-based psychological interventions for clinical populations is mixed,^1-3 however little is known about healthy cohorts.

Methods: 458 self-selected participants registered to join a 10-week, web- and mobile app-based, multimodal lifestyle intervention. The participants were randomised into three groups, differentiated by support mode: standard, who received automated emails only (S); standard plus personalised SMS messages (S+pSMS); standard plus online …

Protocol For A Study Investigating The Influence Of Graded Levels Of Human Support On Adherence And Outcomes Of An Online, Multimodal Lifestyle Intervention To Improve Mental Health, Mel Renfrew, Darren Morton, Lillian Kent, Peter Beamish, Jason Hinze, Geraldine Przybylko, Bevan Craig

Darren Morton

Introduction: Mental health is in global jeopardy and devising effective preventative and curative solutions are vital. Lifestyle interventions have been shown to be efficacious for improving mental health; however, in a progressively digital culture, face-to-face (F2F) interventions are being replaced by online and mobile options.¹ While online delivery can overcome ‘hurdles’ of inaccessibility and may also be more ‘scalable’, it poses unique challenges, as decreasing levels of human support can affect adherence to lifestyle interventions and associated outcomes.^2,3,4 Research is needed to better understand the importance of human support in online interventions and the type and dosage of …

Sanism And Mad Pride: Critical Perspectives On Mental Health, Karen Mccarthy, Bianca Doherty

Karen McCarthy

The issue of stigma surrounding mental health has received increasing attention within occupational therapy, however, the focus has been primarily limited to the individual(s) being stigmatized, rather than on the underlying processes that create and maintain stigma. This presentation will explore the concept of ‘sanism’ as a system of thought that provides a foundation upon which stigma is maintained against persons labelled with a mental health diagnosis. The Mad Pride movement will also be discussed as an alternative perspective of mental health and a way to combat the sanism and the negative impacts of stigma.

A Quality Improvement Project For Co-Occurring Disorders In Outpatient Behavioral Health, Erin Sheehan

Erin Sheehan

Psychiatric Impact Of Tuberous Sclerosis Complex And Utilization Of Mental Health Treatment, Kate Mowrey, Hope Northrup Md

Kate Mowrey

Health Inequality: What Counselors Need To Know To Act, D. Jones, M. Tang

David E. Jones

The War Within: One Soldier's Experience, Several Clinician's Perspectives, Laura M. Schmuldt, Troyann I. Gentile, Jason S. Bluemlein, John C. Fitch Iii, William R. Sterner

Troyann I. Gentile

Soldiers returning from deployment are presenting with a plethora of serious mental health challenges, including depression, anxiety, post-traumatic stress disorder, sleep disturbances, and substance abuse issues. This paper will describe the journey of one soldier following his deployment to Iraq and the difficulties he faced during reintegration. Clinicians representing five approaches – dialectical behavior therapy (DBT), eye movement desensitization and reprocessing (EMDR), group systems theory, and motivational interviewing (MI) will provide perspectives on the development of traumatic response symptomology, as well as suggestions for understanding and treating the soldier profiled in the case study.

Understanding Relationships In Health Related Quality Of Life For Parents Of Children With Autism Spectrum Disorder, Norah Louise Johnson

Norah L Johnson

Nurses encounter many parents of children with autism spectrum disorder (ASD). Both parents are under stress that ultimately impacts their health related quality of life (HRQL). Few studies assess the mediators of parenting stress on HRQL for both parents. This study explored the relationship of parenting stress, family functioning and HRQL for parenting dyads of children with ASD. Lazarus and Folkman's (1984) Transactional Model of Stress and Coping and Lakey and Cohen's (2000) Social Support Theory framed the study. Implementing a cross sectional, descriptive design, 387 parents (n=64 dyads) of ASD-affected children, from 46 states, completed web-based surveys. Demographics, the …

Heroin And Opiate Abuse In Ashland County, Ohio: A Public Perception Study, Oscar T. Mcknight

Oscar T McKnight Ph.D.

This research began with identifying an expert panel of professionals in Ashland County and facilitating an informational focus group on the perceived scope of heroin/opiate abuse within multiple social services, community intervention and support programs. Seven general findings emerged: 1. The overall total number of clients/cases/patients in the system has remained stable over the years; however, the proportional number of clients abusing opiates has increased. 2. That virtually every person abusing opiates enters their respective system at one point or another. 3. Only a small percent remain active with more than one system while engaged in opiate treatment. 4. Multiple …

Mental Health Of University Students: Perspectives For Intervention And Prevention: An Indo-Canadian Collaborative Project, Amresh Srivastava, Rahel Eynan, Ravi Shah, Laxaman Dutt, Shubhangi Parkar, Tss Rao, Dp Giridhar, Rakesh Bhandari, Nagesh Bhandari, Paul Link

Amresh Srivastava

Purpose: The study aimed to determine the levels of psychological distress of university students and examine teachers’ awareness and opinions concerning suicide prevention. Methods: The study used a two-phase, sequential mixed-method approach of converging quantitative and qualitative methodologies. In the quantitative study the 1a2-item General Health Questionnaire (GHQ-12) was used to measure psychological wellbeing in a student sample ( n=110 ). The qualitative study consisted of a focus group with students (n=200) and faculty members. (n=25). Results: The scores for the sample ranged between 0- 33 with a mean score of 10.25 (SD= 6.14). The majority of respondents (70.6%) endorsed …

Do State Medical Board Applications Violate The Americans With Disabilities Act?, Robin Schroeder, Chantal Brazeau, Freda Zackin, Sue Rovi, John Dickey, Mark Johnson, Steven Keller

Robin S. Schroeder MD

PURPOSE: To determine whether medical licensing board application questions about the mental or physical health or substance use history of the applicant violate the Americans with Disabilities Act (ADA) of 1990. METHOD: Content analysis of 51 allopathic licensing applications (50 states and District of Columbia) was performed at the University of Medicine and Dentistry of New Jersey-New Jersey Medical School in 2005. Questions referencing physical or mental health or substance use were identified by a team of physicians and reviewed and categorized based on the ADA and appropriate case law by legal counsel. RESULTS: Of the 51 applications reviewed, 49 …

Socioeconomic-Status And Mental Health In A Personality Disorder Sample: The Importance Of Neighborhood Factors, Zach Walsh, M. Tracie Shea, Shirley Yen, Emily B. Ansell, Carlos M. Grilo, Thomas H. Mcglashan, Robert L. Stout, Donna S. Bender, Andrew E. Skodol, Charles A. Sanislow, Leslie C. Morey, John G. Gunderson

Charles A. Sanislow, Ph.D.

This cross-sectional study examined the associations between neighborhood-level socioeconomic-status (NSES), and psychosocial functioning and personality pathology among 335 adults drawn from the Collaborative Longitudinal Personality Disorders Study. Participants belonged to four personality disorder (PD) diagnostic groups: Avoidant, Borderline, Schizotypal, and Obsessive Compulsive. Global functioning, social adjustment, and PD symptoms were assessed following a minimum two-year period of residential stability. Residence in higher-risk neighborhoods was associated with more PD symptoms and lower levels of functioning and social adjustment. These relationships were consistent after controlling for individual-level socioeconomic-status and ethnicity; however, the positive association between neighborhood-level socio-economic risk and PD symptoms was …

Invisible, Underserved, And Diverse: The Health Of Women In Prison, Janette Taylor, R. Williams, M. Eliason

Janette Y. Taylor

In the United States of America, women are the fastest growing segment of the criminal justice system. They are entering the system with far greater physical and mental health problems than men, but with fewer health services. Additionally, within this expanding population of incarcerated women, are disproportionately represented poor women of color with serious health needs. This article: a) uses an ecosocial model to examine and critique the health and healthcare of women in prison, b) examines social structures that influence incarceration and health status, and c) proposes reconsideration of current prison health services and education.

Health Status And Resources Of Rural Homeless Women And Children, Martha Craft-Rosenberg, S. Powell, Kennith Culp

Martha J. Craft-Rosenberg

The purpose of this research is to describe the health status and health resources for homeless women and children in a Midwestern rural community. A group of 31 rural homeless women in a shelter participated in the study by answering questions on the Rural Homeless Interview developed by the investigators. The findings revealed higher than expected rates of illness, accidents, and adverse life events, with the incidence ofsubstance abuse and mental illness being comparable to data from other homeless populations. The data on children were limited by lack of knowledge on the part of their mothers. Some mothers reported that …

Psychosocial Health Of Black Sexually Marginalized Men, Louis Graham

Louis F Graham

There is a paucity of research on the psychosocial health of black sexually marginalized men. The little research that exists suggests that black sexually marginalized men are disproportionately burdened by mental health problems and disorders, the most severe of which are depression, anxiety, and suicidality. A number of theoretical models have been conceptualized to explain health outcomes among both ethnic and sexual minorities, the most comprehensive of which include three primary pathways. The minority stress model, which has been used with ethnic and racial minorities as well as lesbian, gay, and bisexual communities, posits that minorities who face oppression from …

Health Status And Resources Of Rural Homeless Women And Children, Martha Craft-Rosenberg, S. Powell, Kennith Culp

Kennith R. Culp

The purpose of this research is to describe the health status and health resources for homeless women and children in a Midwestern rural community. A group of 31 rural homeless women in a shelter participated in the study by answering questions on the Rural Homeless Interview developed by the investigators. The findings revealed higher than expected rates of illness, accidents, and adverse life events, with the incidence ofsubstance abuse and mental illness being comparable to data from other homeless populations. The data on children were limited by lack of knowledge on the part of their mothers. Some mothers reported that …

Public Perception Study 2011: Mental Illness, Drug And Alcohol Abuse, Oscar T. Mcknight

Oscar T McKnight Ph.D.

This study examined the public perception of mental illness, drug and alcohol abuse. Field-interviews with participants occurred "on the street" with no difficulty. Participants offered ten general recommendations to professionals developing programs for mental illness, drug or alcohol abuse. The public stressed the professional responsibilities of physicians, pharmacists, counselors and teachers to prevent drug abuse.

E-Mental Health: Providing Quality Mental Health Information To Practitioners And The Public, Sally A. Gore, Elaine Russo Martin

Sally A. Gore

With the Internet a prominent place for many Americans to turn when seeking health information, the importance of providing authoritative, reliable, quality-filtered resources is a tasl well-suited for professional medical librarians. This article outlines three steps librarians can take to locate, organize, develop and deliver quality e-mental health resources effectively for mental health professionals and their patients, including establishing partnerships, developing and delivering resources, and providing training and outreach.

Tautology And Coercion In Assertive Community Treatment (Act): The "Treatment Effect" Of Assertive Community Treatment Deconstructed., Tomi Gomory

Tomi Gomory

Assertive Community Treatment (ACT) has been identified as one of only six evidence-based practices for the severely mentally ill by federal, private foundation, and professional mental health experts. This article reviews the research of the inventors of ACT (the Madison Wisconsin ACT group) because their model is the criterion for all ACT replications. The focus is on the well known, but mysterious “disappearance” of ACT effect when ACT “interventions” cease. The analysis concludes provocatively that there is no ACT clinical effect in the first place. What actually is measured by these researchers and claimed incorrectly as “clinical” treatment effect is …

The Origins Of Coercion In Assertive Community Treatment: A Review Of Early Publications From The Special Treatment Unit Of Mendota State Hospital., Tomi Gomory

Tomi Gomory

This article argues that Assertive Community Treatment (ACT) is fundamentally and historically based on the uncritical but societally well accepted view that medically justified coercion (punishment or unwanted treatment) is therapeutic. It documents this claim by reviewing the early professional history and the resultant publications of the inventors of ACT (originally known as Training in Community Living), consisting of psychiatrists, social workers, and psychologists who trained and worked during the 1960s through the 1980s, at Mendota State Hospital (eventually renamed Mendota Mental Health Institute) in Wisconsin.