Medicine and Health Sciences Commons^™

Every Moment Counts (Emc): Understanding School Stakeholder Perceptions Of Positive Mental Health Promotion In The Elementary School Setting. A Preliminary Report., Madeline Malooly, Angela Blackwell, Lauren Thomas

Spring 2024 Virtual OTD Capstone Symposium

For children and adolescents, the prevalence of psychological disorders associated with mental illness continues to rise in North America and is now considered to be the leading cause of disability for this population (Bitsko et al., 2022). It was estimated that between 25 and 50% of adult mental illnesses could be prevented through early intervention and preventative measures in childhood (Kim-Cohen et al., 2003). In an effort to address mental health promotion in schools, Dr. Susan Bazyk founded and created EMC, which is a “multi-pronged mental health promotion initiative to help all children to be mentally healthy in order to …

Analysis Of Non-Kinship Foster Parent Training Needs And Their Support Of Foster Youth: An Occupational Therapy Perspective, Mackenzie King, Pam Kasyan-Howe, Kristin Domville, Amy Paul-Ward

Fall 2023 Virtual OTD Capstone Symposium

This poster discusses the training needs of non-kinship foster parents and how they support the youth in their care. A quantitative survey was used to find relationships between experience fostering and foster parent preparedness or desire for additional training. The survey also included a section for participants to write down their training needs; themes from this question are found on the poster. The poster further discusses future recommendations and implications for OT practice in working with this population.

Impact Of Mental Health Boarding In The Emergency Department And Recommendations On How We Can Improve, Kyra Buettner

Master of Science in Physician Assistant Studies Capstone Presentations (Center City)

Introduction

Every year in the United States there is an estimated 2 million adolescents who experience suicidal ideation or attempt suicide.¹ The shortage of behavioral and mental health professionals has led to an increase in emergency department (ED) visits. “Boarding” is defined as “the practice of holding patients in the ED or another temporary location after the decision to admit or transfer has been made.²” The purpose of this study is to evaluate the following question - in adolescent patients with suicide attempt or mental health crisis, does boarding in the ED result in poorer mental health …

Social Media Skills And Safety Education Program For Adolescents With Idds: An Occupational Therapy Approach, Janelle A. Rodriguez, Monica Watford, Nooreen Khalid, Kate Lundgren

Summer 2023 Virtual OTD Capstone Symposium

Adolescents with intellectual and developmental disabilities are interested in using the internet and social media to maintain friendships. There is a gap in the literature exploring social media skills training programs to educate this population to safely use social media and the internet.

An Occupational Therapist Role In Mental Health: Focus In Schizophrenia And Eating Disorders, Stephany Tourtillott, Lakeisa Boykin, Inti Marizita

Spring 2023 Virtual OTD Capstone Symposium

Occupational therapy is a field that aims to help a population gain as much independence as possible within all areas of occupation. In many cases and populations, this tends to fall within the physical limitations domain and does not often consider populations where mental health is the main domain affected. In this capstone project, the writer dove into how an occupational therapist can help those with schizophrenia and eating disorders, specifically within the adolescent population. This capstone project began with a literature review in which five significant themes arose: background on mental health, the current treatment of schizophrenia and eating …

Promoting Safe Sex Practices And Sexually Transmitted Infection Prevention In The Adolescent Population In Ridgefield, Ct, Gina Jin

Family Medicine Clerkship Student Projects

Adolescents are a uniquely at-risk population for the spread of preventable sexually-transmitted infections. Direct lifetime medical costs of sexually transmitted infections (per CDC) is nearly $16 billion in the United States. Nearly half (46%) of all new STIs in the country occur among young people (ages 15-24). Because of this, effective STI prevention in the adolescent population is important and should be further investigated.

Increasing Access Of Outpatient Therapeutic Services For Adolescents With Persistent Symptoms After Sport-Related Traumatic Brain Injury, Natalie J. Bales

Family Medicine Clerkship Student Projects

Persistent symptoms lasting at least 21 days after initial traumatic brain injury occur in about 15-20% of adolescents. Initial assessment of concussions can be done using the SCAT5 and a wide variety of other standardized assessment tools. However, there are striking gaps in standard clinical procedure for follow-up care for athletes who have persistent symptoms. Furthermore, there are many issues with accessibility to therapeutic services including long wait times that prevent timely referral to those services. This pilot intervention was implemented at the University of Vermont to address those issues by providing a hotline resource for families to use and …

Adolescent Substance Use: Standardizing Screening Methods In Clinical Practice, Bryan D. Shin

Family Medicine Clerkship Student Projects

Adolescent substance use is a highly pervasive issue that strongly correlates with increasing depression and anxiety rates. Standardized screening tools for substance use, such as the CRAFFT or the Screening to Brief Intervention Tool, are freely available but not widely utilized for every patient encounter in clinical practice. This project aimed to improve standardization of substance use screening at a primary care clinic located in Castleton, Vermont through implementation of the CRAFFT tool as an automatically-loaded form in each adolescent encounter note. The goal was to improve substance use detection rates by facilitating efficient incorporation of standardized screening into the …

Adolescent Hiv Pre Exposure Prophylaxis Prescribing Practices Among Family Medicine Physicians: Limited Immediate Uptake, Marshal Miller, E. Cooper, S. Elsesser, A. Cunningham

Department of Family & Community Medicine Posters

This study aims to:

• Examine the adolescent PrEP prescribing practices and knowledge of family medicine physicians.
• Begin to identify areas that might be key targets for interventions which may lead to increased adolescent PrEP prescribing uptake.

Designing A Program To Increase Enrollment And Retention Of Hispanic Children In Public Health Insurance Programs In Virginia: Lessons Learned, Cara Tonn

College of Health Sciences Posters

Children who have ongoing healthcare coverage benefit from improved health, education, and economic outcomes due to increased preventive services use and regular school attendance. These factors play a crucial part in determining a child’s level of education and future economic status. However, children eligible for publicly funded health insurance remain uninsured or experience “churning” throughout childhood and adolescence. Barriers to healthcare retention include lack of program awareness and understanding of the application process and belief that healthcare coverage only provides marginal benefits. Additionally, denial due to incorrect paperwork also contributes to low retention rates. Children who live in non-English speaking …

Adolescent Anticipatory Guidance, Anna M. Corbalan

Family Medicine Clerkship Student Projects

This project focuses on creating an educational resource specifically for adolescents and young adults regarding the anticipatory guidance for this age group. Although adolescence is generally a healthy time for most, many health or social problems will start or peak during this time. Therefore, it is a crucial time to incorporate preventive guidance and increase health literacy to avoid unhealthy chronic behaviors in adulthood.

Occupational Therapy’S Role In Reducing Barriers For Team-Based Sports Participation For Adolescents, Dennis Nguyen, Karen Park, Becki Cohill, Susan Macdermott

Summer 2021 Virtual OTD Capstone Symposium

Participating in team-based sports has numerous benefits that includes not only increased physical fitness, but also cognitive abilities and academic performance. With the many benefits of participating in team sports can provide, it will be significant to understand adolescents' specific barriers and assist in reducing the barriers for successful participation. The purpose of the capstone project was to identify and understand adolescent barriers to bridge the gap between conventional rehabilitation and team sports participation. Multiple barriers and motivators were identified including financial management, time management, and physical/athletic skill. Facing these determinants may possibly support in increasing team sports participation and …

Transitional Vocational Program For Persons With Low Vision And Other Visual Impairments, Andria Lubben, Karen Park, Susan Macdermott, Becki Cohill

Summer 2021 Virtual OTD Capstone Symposium

Background: Low Vision is a life-altering visual disability (CDC, 2015). OTs work with individuals with low vision and work in the workplace and education, however, there is no research on OTs working with individuals with low vision in work or post educational settings (Butler, 2016). Vocational and educational needs are often not being met for individuals with low vision (Barbieri et al., 2019).

Problem: OTs have a limited role in adolescent transition to the workplace and higher education in individuals with low vision and other visual impairments.

Purpose: To understand transitional programs that support vocational and educational development of individuals …

How To Have The “Vape Talk” With Adolescent Patients, Helen Gandler

Family Medicine Clerkship Student Projects

Recent years have shown a dramatic increase in the popularity of electronic vapor products, which include e-cigarettes, vapes, vape pens, e-cigars, e-hookahs, hookah pens, and mods. While emerging data shows that adolescents are becoming more aware of the dangers posed by these products, more than 3.6 million US youth still use e-cigarettes. As of February 18, 2020, a total of 2,807 hospitalized e-cigarette, or vaping, product use-associated lung injury (EVALI) cases or deaths in the United States have been reported to CDC.

This project had two goals: to create a tool to help facilitate discussions between providers and their adolescent …

The Safety And Efficacy Of Antidepressant Use In The Adolescent Population, Jason Marcello

Physician Assistant Scholarly Project Posters

This literature review was conducted to determine the safety and efficacy of antidepressants in the adolescent population based on the currently available research. Specifically, are antidepressants safe and efficacious in treating depression in adolescents and is their use associated with increased risk of suicide. Data was collected by searching medical databases including: Clinical Key, CINAHL Complete, PsycINFO, PubMed, DynaMed Plus, and Cochrane Review. The review of the literature included systematic reviews, metaanalysis, cross-sectional, longitudinal, randomized control trials, and survey methods. All literature works selected were published within the past ten years. Upon analysis, the literature showed a significant increase in …

Analysis Of Tech-Based And Telemental Health Approaches Within The Adolescent And Young Adult Populations Of Rural America, Audrey K. Smeenk

Physician Assistant Scholarly Project Posters

The incidences of depression and anxiety among adolescent and young adult populations are intensifying, and resources remain limited for the management of these diseases within rural America.

• Evaluation on different interventions was completed to assess ease of access, efficacy, and patient adherence with the hope to decrease incidence of disease and increase availability of resources to rural areas.

• Based on the current completed research, there is a predominance of evidence that has shown moderate statistical data and promising outcomes from tech-based mobile applications and telemental health. Statistical evidence supports that technological based interventions are a potential treatment option …

Proprioceptive Neuromuscular Facilitation In A Male Wrestler Post Type Ii Slap Lesion Surgical Repair, George Eskander, Matthew L. Daugherty

St. Augustine, Fall 2018

The primary purpose of this case report was to assess the effects of a specific progression of PNF and Rhythmic Stabilization Exercises (RSE) in conjunction with traditional physical therapy for a seventeen-year-old wrestler post Type II SLAP lesion surgical repair.

This case report indicated that the utilization of PNF and RSE is a beneficial component to physical therapy treatment of a seventeen-year-old wrestling athlete with a Type II SLAP lesion surgical repair. Designing a treatment plan with emphasis on PNF and RSE is cost-efficient, as it does not require expensive equipment or additional certifications. Also, physical therapists utilizing PNF and …

Adolescent And Young Adult Medicine: Supporting An Often Forgotten Population, Isabelle Mason

Family Medicine Clerkship Student Projects

The actions and lifestyle choices adolescents and young adults make have profound effects on their future health and well-being. Unfortunately, these patients are often scarce among family practice lineups, making it difficult for physicians to provide impactful preventative care. This project looks at how to help reach these oft-forgotten patients.

Chain Reaction: Functional Strengthening For The Treatment Of Posterior Tibialis Tendinopathy In An Adolescent Athlete, Emily Terrell, John Layne

St. Augustine, Spring 2017

The purpose of this case report was to describe the successful addition of lower extremity kinetic chain functional strengthening to the standard of care for chronic PPT treatment.

Rutland City Public School At Risk Youth Mentorship, Michael J. Marallo

Family Medicine Clerkship Student Projects

This after school program’s purpose is to address the unique challenges of Rutland, VT Middle/High School students with multiple psychosocial risk factors (as determined by comparison to the ACE questionnaire) through mentorship, health and life skills education, and by guiding the development of positive coping skills. Activities will allow for self-expression outside of the classroom in a safe environment. Focus will be placed on assisting paraeducators and teachers with meeting goals that are appropriate for each individual student.

Mindfulness As An Effective Strategy For Anxiety Relief In Adolescent Patients, Desiree N. Dibella

Family Medicine Clerkship Student Projects

Anxiety disorders affect 6.8 million adults over the age of 18 in the United States, and anxiety disorders are the most common mental health illness in children.

Risk Factors for anxiety disorders in young adults include the following: -Shyness, or behavioral inhibition, in childhood -Being of the female sex -Having few economic resources -Exposure to stressful life events in childhood -Anxiety disorders in close biological relatives -Parental history of mental disorders -Elevated afternoon cortisol levels in the saliva Teens and young adults increasingly suffer from anxiety disorders with the CDC reporting the rate of anxiety disorders among 3 to 17 …

The Facts - Your Choice: Std Risk Information For The Adolescent Patient, J C. Gwilliam

Family Medicine Clerkship Student Projects

Sexual health education is one of the factors that has led to a dramatic drop in adolescent pregnancy since the 1990s. Paradoxically, though, rates of sexually transmitted-infections (STI) in the adolescent population during that period soared. The educational deficit appears to be a lack of understanding of both short- and long-term health risks that STIs pose, and conflation of contraceptive effectiveness with STI prevention. This project sought to develop an inexpensive, office-based education product that would aid practitioner-adolescent patient discussion and facilitate follow-up in the family medicine setting.

Tracking 6 Weeks Of Training/Surfing Sessions Of Adolescent Competitive Surfers: Just What Are These Young Surfers Up To?, Oliver Farley, Josh Secomb, Joanna R. Parsonage, Lina Lundgren, Chris Abbiss, Jeremry Sheppard

ECU Posters

The assessment of weekly and even monthly surf practice/training hours is vital for understanding the loads these up and coming surfers endure. Such information will help understand what kind of training these athletes are undertaking, how long they are surfing, what they consider training, and also areas that should be improved upon in terms of specific training. The purpose of this study was to establish surfers' training hours in terms of strength, balance and conditioning hours, as well as surfing hours, coached hours and competition hours. The monitoring of the athletes will provide insights into the weekly surf hours compared …

Oncolog Volume 54, Number 02, February 2009, Maude Veech, Joe Munch, Don Norwood

OncoLog MD Anderson's Report to Physicians (All issues)

• Accelerated Partial Breast Irradiation: A Promising Adjuvant to Lumpectomy Acute Lymphoblastic Leukemia: Pediatric Regimens for Adolescents and
• House Call: Think About Your Medical Needs When Preparing for Natural Disasters
• Young Adults Yield Survival Advantages
• A New Biomarker for Bladder Cancer?

Oncolog Volume 53, Number 05, May 2008, John Lebas, Joe Munch, Alexander V. Prokhorov Md, Phd

OncoLog MD Anderson's Report to Physicians (All issues)

• Hepatocellular Carcinoma: New Standards in Therapy Emerging
• House Call: When Diagnosis Meets Denial
• In Brief: Overweight, Obese Patients Fare Worse with Breast Cancer, Researchers Find
• DiaLog: ASPIRE to Stop Teen Smoking, by Alexander V. Prokhorov, MD, PhD, Project Director, ASPIRE, Professor, Department of Behavioral Science
• A Reverse Approach to Adrenal Gland Resection

Oncolog, Volume 50, Number 06, June 2005, Karen Stuyck, Ellen Mcdonald, Therese Bevers Md

OncoLog MD Anderson's Report to Physicians (All issues)

• Teen-Savvy Smoking Prevention
• Considering Prophylactic Surgery, Part II
• House Call: From Patient to Patient: Real-World Coping Tips
• DiaLog: Enrolling Patients in Prevention Trials, by Therese B. Bevers, MD, Associate Professor, Department of Clinical Cancer Prevention

Oncolog, Volume 47, Number 05, May 2002, Kerry L. Wright, Ann Sutton, Carmelita Escalante Md

OncoLog MD Anderson's Report to Physicians (All issues)

• Tobacco Research and Treatment Progra Studies Include Ways to Prevent and Treat Nicotine Dependence in Special Populations
• Emergency Center Provides Specialized Care for M. D. Anderson Patients Experiencing Oncologic Emergencies
• DiaLog: M. D. Anderson's Emergency Center, by Carmelita Escalante, MD, Associate Professor and Ad Interim Chair, Department of General Internal Medicine, Ambulatory Treatment, and Emergency Care
• House Call: Depression and Cancer
• Smoking Cessation Studies Blend Computer Technology with Behavioral Therapy

Oncolog, Volume 46, Number 03, March 2001, Dawn Chalaire, Beth Notzon, Janette Weaver, Leonard A. Zwelling Md, Mba, Kerry L. Wright

OncoLog MD Anderson's Report to Physicians (All issues)

• Researchers Examine Link Between Stress and Response to Cancer Treatment
• Emotional Side Effects: Section of Behavioral Medicine in Department of Pediatrics Helps Patients and Their Families Cope with Cancer
• House Call: Getting the Facts About Clinical Trials
• DiaLog: Where Patient Care and Research Meet, by Leonard A. Zwelling, MD, MBA, Vice President for Research Administration
• Moving Toward Recovery: Exercise Video Features Adolescents with Cancer

Oncolog, Volume 45, Number 11, November 2000, Rebecca Gershenson Smith, Kerry L. Wright, Kris Muller, Sima Jeha Md

OncoLog MD Anderson's Report to Physicians (All issues)

• Program Addresses Medical, Psychosocial Needs of Young People with Cancer
• DiaLog: Coming of Age ... with Cancer, by Sima Jeha, MD, Medical Director, Adolescent and Young Adult Program
• House Call: Cancer Screening: Early Detection Does Make a Difference
• Endostatin: Phase I Trial Yields Promising Preliminary Results
• Molecular Radiosensitizers Target Proliferation and Apoptosis Pathways in Tumor Cells

Oncolog, Volume 28, Number 04, October-December 1983, Christopher J. Logothetis Md, Melvin L. Samuels Md, Andrew C. Von Eschenbach Md, Antonio Trindade Md, Sheryl Ogden Bsn, Cindy Grant Bs, Douglas E. Johnson Md, Helmuth Goepfert Md, Jordan U. Gutterman Md, William J. Dichtel Md, Roy B. Sessions Md, Ayten Cangir Md, Marcelle Sulek

OncoLog MD Anderson's Report to Physicians (All issues)

• Implant Relieves Chronic Pain, Delivers Drug Directly to Central Nervous System
• New Drug Combination Improves Survival For Patients with Metastatic Prostate Cancer
• Leukocyte Interferon Inhibits Growth Of Virally Related Laryngeal Tumor