Mental and Social Health Commons^™

Application Of Unmanned Aircraft System (Uas) For Monitoring Bank Erosion Along River Corridors, Scott D. Hamshaw, Tayler Engel, Donna M. Rizzo, Jarlath O’Neil-Dunne, Mandar M. Dewoolkar

College of Engineering and Mathematical Sciences Faculty Publications

Excessive streambank erosion is a significant source of fine sediments and associated nutrients in many river systems as well as poses risk to infrastructure. Geomorphic change detection using high-resolution topographic data is a useful method for monitoring the extent of bank erosion along river corridors. Recent advances in an unmanned aircraft system (UAS) and structure from motion (SfM) photogrammetry techniques allow acquisition of high-resolution topographic data, which are the methods used in this study. To evaluate the effectiveness of UAS-based photogrammetry for monitoring bank erosion, a fixed-wing UAS was deployed to survey 20 km of river corridors in central Vermont, …

Adolescent Alcohol Usage In Vermont State: A Review Of Underage Drinking And Its Associations With Suicidality, Cecilia Idman-Rait, Karly Fischer, Shirley Callaghan, Rachel Danis, Caitlin Rettenmaier, Michelle Shepard

Master of Public Health Culminating Projects

Objective To understand adolescent alcohol usage in Vermont and its associations with suicidality.

Methods A cross-sectional study, utilizing 2017 high school VT YRBS data. Multiple logistic regression and chi-square tests were run using SPSS 25 software. Two groups of survey respondents were selected to represent alcohol usage, Binge Drinkers and Non-Binge Drinkers. Suicidality was analyzed by group, controlling for the predictor variables: age of first drink, grade level, gender, mental health/depression diagnosis, other drug usage, socioeconomic status, and ease of access to alcohol.

Results This study provides state-specific data regarding increased likelihoods of suicide and underage drinking in Vermont. Conclusions …

Associations Among Healthcare Utilization And Binge Drinking, Ethan Grey, Chad Phalon, Anna Greene, Patricia Harmeyer, Kalyn Rosenberg, Cristine Griffing, Tom Delaney

Master of Public Health Culminating Projects

Objective. To examine associations among routine healthcare services and binge drinking in Vermont adults.

Methods. We analyzed a cross-sectional sample of randomly selected 6516 adults who participated in the self-reported 2017 Vermont Behavioral Risk Surveillance System survey. We estimated odds ratios for responses indicative of binge drinking in association with length of time since last routine checkup using a bivariate logistic regression model.

Results. Participants who reported binge drinking were 31% (OR = 0.69, 95% confidence interval [CI] = 0.56, 0.83) less likely to engage in a healthcare visit within the past year controlling for age, employment status, annual household …

From The Anthropocene To Mutual Thriving: An Agenda For Higher Education In The Ecozoic, Ivan Vargas Roncancio, Leah Temper, Joshua Sterlin, Nina L. Smolyar, Shaun Sellers, Maya Moore, Rigo Melgar-Melgar

College of Arts and Sciences Faculty Publications

Higher education in the global North, and exported elsewhere, is complicit in driving the planet's socio-ecological crises by teaching how to most effectively marginalize and plunder Earth and human communities. As students and activists within the academic system, we take a firm stand to arrest this cycle, and to redirect education toward teaching how to create conditions for all life to thrive. In this paper, we articulate a research and education agenda for co-constructing knowledge and wisdom, and propose shifts in the 'ologies from the current, destructive modes to intended regenerative counterparts. We offer to shift from an ontology of …

Scaling Up Sustainability In Commodity Agriculture: Transferability Of Governance Mechanisms Across The Coffee And Cattle Sectors In Brazil, R. Hajjar, P. Newton, D. Adshead, M. Bogaerts, V. A. Maguire-Rajpaul, L. F.G. Pinto, C. L. Mcdermott, J. C. Milder, E. Wollenberg, A. Agrawal

Rubenstein School of Environment and Natural Resources Faculty Publications

A number of governance mechanisms address socio-environmental challenges associated with commodity agriculture in tropical forested countries. Governance mechanisms that prove effective in one agricultural sector are often applied to other sectors as well. For example, voluntary certification programs have been adopted by producers of commodities as diverse as beef, coffee, palm oil, and soy. However, there are substantial differences in the extent to which governance mechanisms scale up and achieve impact in different sectors. This paper analyzes how the potential for scaling up a particular governance mechanism is influenced by environmental, market, and social geographies that differ between sectors. Through …

Automated Identification Of Unhealthy Drinking Using Routinely Collected Data: A Machine Learning Approach, Levi N. Bonnell, Benjamin Littenberg, Safwan R. Wshah, Gail L. Rose

Larner College of Medicine Faculty Publications

Background: Unhealthy drinking is prevalent in the United States and can lead to serious health and social consequences, yet it is under-diagnosed and under-treated. Identifying unhealthy drinkers can be time-consuming for primary care providers. An automated tool for identification would allow attention to be focused on patients most likely to need care and therefore increase efficiency and effectiveness.

Objectives: To build a clinical prediction tool for unhealthy drinking based solely on routinely collected demographic and laboratory data.

Methods: We obtained demographic and laboratory data on 89,325 adults seen at the University of Vermont Medical Center from 2011-2017. Logistic regression, …

Improving Contraception Among Female Syringe Exchange Clients: A Reproductive Needs Assessment, Gena Zollman

College of Nursing and Health Sciences Doctor of Nursing Practice (DNP) Project Publications

Purpose: Women with opioid and other substance use disorders have a high rate of unintended pregnancy and a low rate of effective contraceptive use. Integrating family planning (FP) services into medication-assisted treatment (MAT) clinics has increased rates of initiation and adherence to contraception among this population. This study assesses the reproductive health needs of female clients in a syringe exchange program (SEP)to assess if integrating FP services would improve access to contraception.

Methods: Female clients of a SEP voluntarily completed an anonymous survey to determine demographics, FP needs, and barriers to accessing care, and were compensated with $20 gift cards. …

Risk Attitudes Affect Livestock Biosecurity Decisions With Ramifications For Disease Control In A Simulated Production System, Gabriela Bucini, Scott C. Merrill, Eric Clark, Susan M. Moegenburg, Asim Zia, Christopher J. Koliba, Serge Wiltshire, Luke Trinity, Julia M. Smith

College of Agriculture and Life Sciences Faculty Publications

HOG producers' operational decisions can be informed by an awareness of risks associated with emergent and endemic diseases. Outbreaks of porcine epidemic diarrhea virus (PEDv) have been re-occurring every year since the first onset in 2013 with substantial losses across the hog production supply chain. Interestingly, a decreasing trend in PEDv incidence is visible. We assert that changes in human behaviors may underlie this trend. Disease prevention using biosecurity practices is used to minimize risk of infection but its efficacy is conditional on human behavior and risk attitude. Standard epidemiological models bring important insights into disease dynamics but have limited …

Willingness To Comply With Biosecurity In Livestock Facilities: Evidence From Experimental Simulations, Scott C. Merrill, Susan Moegenburg, Christopher J. Koliba, Asim Zia, Luke Trinity, Eric Clark, Gabriela Bucini, Serge Wiltshire, Timothy Sellnow, Deanna Sellnow, Julia M. Smith

College of Agriculture and Life Sciences Faculty Publications

This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms. Disease in U.S. animal livestock industries annually costs over a billion dollars. Adoption and compliance with biosecurity practices is necessary to successfully reduce the risk of disease introduction or spread. Yet, a variety …

What's In Your Cup? Increasing Transparency And Confidence In Alcohol Use Screening And Brief Intervention, Dylan C. Koundakjian

Family Medicine Clerkship Student Projects

19% of Vermonters report drinking alcohol at levels which puts their health at risk, but many healthcare providers do not feel confident in addressing their patients' usage. This can stem from lack of experience with alcohol use, worries about stigma, and time constraints. However, data has shown that even 5-15 minute interventional conversations can significantly reduce a patient's risky drinking. This project aims to provide real-world, practical advice for having conversations around alcohol, and provides a conversion chart converting popular alcoholic beverages into standard drink equivalents.

Using Word Embeddings To Explore The Language Of Depression On Twitter, Sandhya Gopchandani

Graduate College Dissertations and Theses

How do people discuss mental health on social media? Can we train a computer program to recognize differences between discussions of depression and other topics? Can an algorithm predict that someone is depressed from their tweets alone? In this project, we collect tweets referencing “depression” and “depressed” over a seven year period, and train word embeddings to characterize linguistic structures within the corpus. We find that neural word embeddings capture the contextual differences between “depressed” and “healthy” language. We also looked at how context around words may have changed over time to get deeper understanding of contextual shifts in the …

Substance Use Disorder Treatment Decision Aid For Adults In Chittenden County Vermont, Elizabeth V. Mcleod

Family Medicine Clerkship Student Projects

Substance Abuse Disorders (SUDs) are a prevalent public health concern in both the national and local arena resulting in millions of dollars in pubic health costs and loss of life. Navigating the treatment options available in Chittenden County can be time consuming, difficult, and delay treatment. In order to help guide adult patients and their families in Chittenden County along their journey towards recovery from SUDs, a treatment decision aid was developed for choosing the right level of care.

How To Improve A Medication-Assisted Treatment Program For Opioid Use Disorder: First, Look At The Evidence, Collin York

Family Medicine Clerkship Student Projects

The prevalence of Opioid Use Disorder (OUD) in the United States has been described as an epidemic, and rural areas have been affected in particular. A treatment paradigm called Medication-Assisted Treatment (MAT) has been demonstrated to be effective at treating OUD, and more and more rural, primary care clinics are establishing MAT programs. One such clinic is Hudson Headwaters Health Network, a FQHC in Upstate New York. I wrote a literature review and distributed it to staff involved in MAT program design, and I also wrote a practical evidence guide for MAT providers. Providers completed a survey assessing the evidence …

Improving Awareness Of Opiate Support Programs In Lamoille County, Samantha Bissonette

Family Medicine Clerkship Student Projects

Despite Vermont having doubled the rate per 10,000 people ages 18 to 64 receiving Medication Assisted Treatment (MAT) for Opiate Use Disorder (OUD) since 2012, there are still numerous barriers preventing patients from seeking treatment, including confusion about how to go about entering a treatment program, fear of stigma, and many others. Lamoille County has started to expand outreach to people struggling with OUD by having emergency services personnel, outpatient medical offices, and recovery centers hand out a county-specific information card with clear information about how to enter treatment and support programs. This project builds upon this existing initiative.

Predictors Of Psychotherapy Attrition Among Refugees, Emily Robin Pichler

Graduate College Dissertations and Theses

It is estimated that approximately one in five patients will terminate therapy early, before participating in full treatment and obtaining maximum therapeutic benefits. Millions of people are forcibly displaced as refugees each year, and therefore at increased risk for poverty, discrimination, and complex mental health needs, yet no research has yet examined rates or predictors of psychotherapy attrition among refugees. The current study draws upon a sample of refugee clients seeking treatment at a community clinic (N = 196), and a comparison group of 165 non-refugee clients at the same clinic. Logistic regression was employed to (1) compare rates of …