Social and Behavioral Sciences Commons^™

Clinician Perspectives On Fistula Mental Health, Victoria K. Leonard

Doctoral Dissertations

Background – Obstetric fistula is a childbirth injury caused by prolonged labor that leads to stillbirth and incontinence, spurring social exclusion and isolation. These layers of trauma put women with fistula at great risk for psychological suffering, which has profound negative socioeconomic impacts on them, their families, and communities. This study captured treatment as usual at Comprehensive Community Based Rehabilitation in Tanzania (CCBRT), the country’s largest provider of fistula care.

Method – Improving holistic fistula treatment requires engaging the clinicians who care for women with fistula. This study aimed to investigate the training, beliefs, and treatment approaches of nurses and …

An Exploration Of Adult Children’S Attachment To Their Parents Across Two Cultural Groups: Indians In India And Indians Who Immigrated To The United States, Vilasini Meenakshi Arun

Doctoral Dissertations

Typically, attachment theory has been studied and explored with western populations. Individuals seeking mental health treatment within the United States include western and nonwestern cultural groups and research, theories and interventions that apply to diverse populations are necessary. Attachment relationships are often a part of, or reasons for clients to seek therapy either overtly or covertly, thus allowing research on attachment to better inform treatment plans and practice. An attachment relationship between a parent and child can be influenced by several factors and may change over the course of development, but little is known about this process among Indians …

Evaluating The Client Base And Housing Outcomes Of A Community Based Organization Serving Unhoused Adults, Emi Caprio

Doctoral Dissertations

There is a well-documented, bidirectional relationship between mental health and housing instability. When coupled with the complex historical, societal, and political factors contributing to houselessness, the result is a unique set of mental health needs within this community. Despite this, there is a low rate of mental health service utilization and a dearth of research on how to tailor services to meet the needs of unhoused individuals. Additionally, first-hand perspectives are often omitted, as this population is seen as “hard to reach”. The goal of this two-phase mixed-methods program evaluation was to better understand the demographic and mental health profiles …

The Impact Of #Metoo On Reasons For Sexual Assault Disclosure, Cheryl H. Tien

Doctoral Dissertations

Sexual assault is a long-standing widespread problem. Yet, despite the high prevalence of sexual assault, it is the most underreported crime of all crimes reported to the police (Bureau of Justice, 2018). The #MeToo movement has had a significant impact on the way in which sexual assault survivors disclose their experiences and the reasons they disclose. Disclosure appears to be an important factor in survivors’ healing from their assault, with increasing coping, greater attachment to others, and positive growth cited as effects of disclosure provided that the response to the disclosure is positive to the survivor (Ahrens & Aldana, 2012; …

Reiki For Recovery: Incorporating Japanese Health Practices To Increase Contemporary Resiliency In American Health, Leif Peterson

Master's Projects and Capstones

The Japanese health practice of Reiki attempts to maximize the latent ability of the human system to heal itself. The Reiki system, established over a century ago, combines multiple Asian health traditions, experimenting with practices that maximize the natural processes of the body to perform its own repairs. Reiki encourages healthy behaviors that balance the mind and body, return the human system to a lowered stress level, and allow for an optimal recovery state for the patient. This paper illustrates how this Japanese health-affirming method can be integrated and utilized within existing health and medical practices. An area that is …

Experiences Of Latinx's Adult Transition To The U.S. And The Clinical Implications That Arise In Acclimating Into The Dominant Culture: An Interpretive Phenomenological Analysis, Gabriela Olavarrieta

Doctoral Dissertations

There has been a significant gap in the literature regarding the lived experience of the Latinx adult transition to the United States and the clinical implications that arise in acclimating to the dominant culture, particularly under the Trump Administration. The approach for the current research examined Latinxs’ adulthood transitions to the United States, experiences of acculturative stress, including instances of discrimination as well as their experiences acclimating or assimilating into the dominant culture. This study also examined what seeking, or being unable to seek, mental health services looked like in the current sociopolitical climate. Interpretive phenomenological analysis was utilized to …

Minority Stress, Social Support, And Mental Health Among Lgbqp+ Religious Disaffiliates, Kate Jablonski

Doctoral Dissertations

The present study investigated the association between four minority stress processes (victimization, internalized heterosexism, rejection sensitivity, and disclosure of sexual orientation identity) and symptoms of depression and anxiety among lesbian, gay, bisexual, queer, pansexual, or otherwise non-heterosexual (LGBQP+) disaffiliates from non-affirming religions, and whether social support mediated these relationships. A nonexperimental, cross-sectional, correlational design was used. Participants were recruited through Reddit, a popular social-networking site, and completed an online survey that assessed experiences of minority stress, perceptions of social support, and symptoms of depression and anxiety. Participants were 161 non-religious, US-born, cisgender, LGBQP+ Reddit-users who identified as having disaffiliated from …

Efficacy Of Integrated Mental Health Care With Dual Diagnosis Patients And Their Utilization Of Psychiatric Emergency Services, Denton Scott

Doctoral Dissertations

Historically, patients with dual diagnosis have been subjected to ineffective treatment and negative attitudes from healthcare providers. Further, these patients are plagued with myriad afflictions that exist beyond substance abuse and mental illness. The treatments and collateral damage associated with the diagnosis impose excessive healthcare costs and can be of significant detriment to society. Largely, patients suffering from dual diagnosis do not receive adequate treatment. As such, psychiatric emergency services are frequently utilized as an alternate treatment, wherein the main focus of care is on the substance abuse alone. This study argues that solely treating the substance abuse is not …

Evaluating The Effectiveness Of Peer Engagement And Knowledge (Peak): A Community-Based Group Intervention For Youth In Hawai‘I, Jennifer T. T. Ho

Doctoral Dissertations

This study is a program evaluation with a mixed methods design that evaluated the effectiveness of Peer Engagement and Knowledge (PEAK), a six-week community-based group intervention that incorporates mindfulness-based interventions (MBIs) to address multiple health behaviors for multiracial youth in Hilo, Hawai‘i. A total of 51 youth, ages 12-23 years old, participated in this study which included pre-/posttest analyses of health risk factors such as substance use and depression and health promoting factors such as resilience, self-esteem, and mindfulness. Responses from two subsets of participants, who engaged in a focus group (n = 11) and composed gratitude letters ( …

Indigenization Of Genocide Healing: A Grounded Action Of Culturally And Contextually Relevant Educational And Psychosocial Strategies To Reduce Impacts Of Societal Toxic Stress In Rwanda Post-Genocide, Jean Pierre Ndagijimana

Master's Theses

Sixty percent of the current Rwandan population were born after the 1994 genocide against the Tutsi and those born since or who were young at the time of the genocide have remained among those affected most. Although Western trauma theorists and interventionists have played the role of experts in the genocide healing, the exclusion of the indigenous population’s experiences, knowledge, and wisdom has limited them from meeting local needs. The post-genocide situation raises various issues, genocide ideology, and increasing family homicides; however, locals do not want to seek counseling services, or run the risk of being labeled as mentally ill. …

An Attachment-Based Group Intervention, Shannon Dillon

Doctoral Dissertations

This mixed method study aimed to understand and describe the effectiveness of an intervention and the experiences of mothers raising their children in a transitional living home. This was achieved through interviewing four mothers in Gilead House. Initially, participants completed the Depression, Anxiety and Stress scale (DASS-21), the Trauma History Screening (THS), the Adolescent Adult Parenting Inventory-2 (AAPI-2) and a demographics form. The first interview was also completed. Interview questions were based on the Working Model of the Child Interview (WCMI). Following this time 1 meeting an attachment-based group intervention was utilized for eight weeks. This intervention was based on …

Symptoms, Contributing Factors, And Screening For Perinatal Mood And Anxiety Disorders In U.S. Latinas: A Literature Review, Jennifer N. S. Massie

Master's Projects and Capstones

This literature review was conducted to gather the published information on the topic of perinatal mood and anxiety disorders in the Latina population in the United States. Academic databases were searched for articles published between 2005 and 2016. 60 articles were considered, and a final sample of 36 articles and websites was included in this review.

Evidence suggests that Latina women in the perinatal period (pregnant and up to one year postpartum) in the United States of America tend to have a higher risk and incidence of perinatal mood and anxiety disorders than White women, and a higher risk and …