Social and Behavioral Sciences Commons^™

Are We Reaching The Body? : A Study Of Social Workers' Attitudes On The Mind-Body Connection In Trauma Treatment, Samuel R. Douglas

Theses, Dissertations, and Projects

A national sample of 39 social workers currently treating traumatized clients in therapy in the United States responded to an anonymous, online survey designed to gauge their attitudes toward the role of the mind-body connection in trauma treatment and recovery. The study sought to ascertain whether the most recent research in the neurobiology of trauma, and the resulting developments in the theory of trauma treatment, had significantly influenced the approach taken by social workers in clinical settings. The findings suggest that social workers have largely embraced the idea of a mind-body connection in trauma, and are inclined—in theory, if less …

Screening Techniques : Clinicians' Views And Approaches To Assessing Alcohol And Substance Use In Older Adults, Erin M. Conlan

Theses, Dissertations, and Projects

This qualitative study examined how New York State licensed clinicians approach the initial assessment and ongoing treatment of older adults (55+) identified to be struggling with alcohol or substance misuse issues. The research questions specifically asked: Do clinicians assess for alcohol and substance misuse in the older adult patients they serve? What are the mediating factors within this assessment and treatment process? This study was initiated in an exploratory fashion because of the limited amount of research available which investigates the relationship between clinicians' attitudes and approaches to this work with the rapidly growing older adult populations they serve. Given …

Predicting Dropout In The First 3 Months Of 12-Step Residential Drug And Alcohol Treatment In An Australian Sample, Frank P. Deane, David J. Wootton, Ching-I Hsu, Peter J. Kelly

Frank Deane

Objective: Premature termination from treatment is a major factor associated with poorer drug and alcohol treatment outcomes. The present study investigated client-related baseline predictors of dropout at 3 months from a faith-based 12-step residential drug treatment program. Method: Data were collected over a period of 14 months from eight residential drug and alcohol treatment programs run by The Australian Salvation Army. The final sample consisted of 618 participants, including 524 men (84.8%) and 94 women (15.2%). Predictor variables of interest were age, gender, primary drug of concern, criminal involvement, psychological distress, drug cravings, self-efficacy to abstain, spirituality, forgiveness of self …

Prevalence Of Smoking And Other Health Risk Factors In People Attending Residential Substance Abuse Treatment, Peter J. Kelly, Amanda L. Baker, Frank P. Deane, Frances Kay-Lambkin, Billie Bonevski, Jenna Tregarthen

Frank Deane

Introduction and Aims. People attending substance abuse treatment have an elevated risk of developing cardiovascular disease (CVD) and cancer. Consequently, there have been increasing calls for substance abuse treatment services to address smoking.The current study examined smoking behaviours of people attending residential substance abuse treatment. Additionally, the study examined rates of other potentially modifiable health risk factors for the development of CVD and cancer. Design and Methods. A cross-sectional survey was completed by participants attending Australian Salvation Army residential substance abuse treatment services (n = 228). Rates of smoking, exercise, dietary fat intake, body mass index and depression were identified …

A Comparison Of Treatment Outcomes For Individuals With Substance Use Disorder Alone And Individuals With Probable Dual Diagnosis, Elizabeth K. Cridland, Frank P. Deane, Ching-I Hsu, Peter J. Kelly

Frank Deane

The co-occurrence of substance use and mental health problems, often referred to as dual diagnosis (DD), is increasingly recognised as commonplace within substance abuse treatment programs. Two-hundred and thirty-four individuals from 9 Australian Salvation Army drug and alcohol rehabilitation programs completed a 3-month post-discharge telephone follow-up. Using a cut-off score from the Psychiatric Subscale of the Addiction Severity Index (5th ed.), 66.7% were classified as likely to have DD and 33.3% as substance use disorder only (SUD). Both groups reported comparable and decreased substance use levels at follow-up, yet DD individuals perceived less improvement in substance use problems. Comparable improvements …

Using The Theory Of Planned Behavior And Barriers To Treatment To Predict Intention To Enter Further Treatment Following Residential Drug And Alcohol Detoxification: A Pilot Study, Peter J. Kelly, Frank P. Deane, Zoe Mccarthy, Trevor P. Crowe

Trevor Crowe

There has been limited research examining the impact of clients’ behavioural beliefs on whether they intend to access further treatment following residential drug and alcohol detoxification. Treatment post-detoxification is generally recommended to reduce relapse and for more sustained positive outcomes. The present pilot study examined the extent to which (1) primary components of the Theory of Planned Behaviour (TPB), (2) perceived barriers to accessing treatment and (3) the participants’ previous involvement in substance abuse treatment predicted intentions to enter further treatment following residential detoxification. One hundred and sixty eight participants accessing Salvation Army detoxification units in Australia completed a survey …

Targeting C-Reactive Protein For The Treatment Of Cardiovascular Disease, Mark B. Pepys, Gideon M. Hirschfield, Glenys A. Tennent, J Ruth Gallimore, Melvyn C. Kahan, Vittorio Bellotti, Philip N. Hawkins, Rebecca M. Myers, Martin D. Smith, Alessandra Polara, Alexander J. A Cobb, Steven V. Ley, J. Andrew Aquilina, Carol V. Robinson, Isam Sharif, Gillian A. Gray, Caroline A. Sabin, Michelle C. Jenvey, Simon E. Kolstoe, Darren Thompson, Stephen P. Wood

J. A. Aquilina

Complement-mediated inflammation exacerbates the tissue injury of ischaemic necrosis in heart attacks and strokes, the most common causes of death in developed countries. Large infarct size increases immediate morbidity and mortality and, in survivors of the acute event, larger non-functional scars adversely affect long-term prognosis. There is thus an important unmet medical need for new cardioprotective and neuroprotective treatments. We have previously shown that human C-reactive protein (CRP), the classical acute-phase protein that binds to ligands exposed in damaged tissue and then activates complement1, increases myocardial and cerebral infarct size in rats subjected to coronary or cerebral artery ligation, respectively2,3. …

Study Protocol: A Randomized Controlled Trial Of A Computer-Based Depression And Substance Abuse Intervention For People Attending Residential Substance Abuse Treatment, Peter J. Kelly, Frances Kay-Lambkin, Amanda Baker, Frank P. Deane, Adam C. Brooks, Alexandra Mitchell, Sarah Marshall, Meredith Whittington, Genevieve A. Dingle

Frank Deane

"Background: A large proportion of people attending residential alcohol and other substance abuse treatment have a co-occurring mental illness. Empirical evidence suggests that it is important to treat both the substance abuse problem and co-occurring mental illness concurrently and in an integrated fashion. However, the majority of residential alcohol and other substance abuse services do not address mental illness in a systematic way. It is likely that computer delivered interventions could improve the ability of substance abuse services to address co-occurring mental illness. This protocol describes a study in which we will assess the effectiveness of adding a computer delivered …

Assessing Counseling Students' Attitudes Regarding Substance Abuse And Treatment, Christine Chasek, Maribeth F. Jorgensen, Thomas Maxson

Counseling Faculty Publications

Undergraduate counselors-in-training completed the Substance Abuse Attitude Survey, which measures treatment intervention, treatment optimism, and nonstereotypical attitudes. Treatment optimism was positively correlated with nonstereotypical attitudes and treatment intervention. Results indicated that treatment intervention and nonstereotypical attitudes must be addressed in addiction counseling courses.

Do Spirituality And Religiosity Help In The Management Of Cravings In Substance Abuse Treatment?, Sarah J. Mason, Frank P. Deane, Peter Kelly, Trevor P. Crowe

Frank Deane

The purpose of this study was to examine the relationship of spirituality, religiosity and self-efficacy with drug and/or alcohol cravings. A cross-sectional survey was completed by 77 male participants at an Australian Salvation Army residential rehabilitation service in 2007. The survey included questions relating to the participants’ drug and/or alcohol use and also measures for spirituality, religiosity, cravings, and self-efficacy. The sample included participants aged between 19 and 74 years, with more than 57% reporting a diagnosis for a mental disorder and 78% reporting polysubstance misuse with alcohol most frequently endorsed as the primary drug of concern (71%). Seventy-five percent …

Using The Theory Of Planned Behavior And Barriers To Treatment To Predict Intention To Enter Further Treatment Following Residential Drug And Alcohol Detoxification: A Pilot Study, Peter J. Kelly, Frank P. Deane, Zoe Mccarthy, Trevor P. Crowe

Frank Deane

There has been limited research examining the impact of clients’ behavioural beliefs on whether they intend to access further treatment following residential drug and alcohol detoxification. Treatment post-detoxification is generally recommended to reduce relapse and for more sustained positive outcomes. The present pilot study examined the extent to which (1) primary components of the Theory of Planned Behaviour (TPB), (2) perceived barriers to accessing treatment and (3) the participants’ previous involvement in substance abuse treatment predicted intentions to enter further treatment following residential detoxification. One hundred and sixty eight participants accessing Salvation Army detoxification units in Australia completed a survey …

A Systematic Review Of Psychological Treatments For Combat-Related Ptsd, Benson G. Munyan Iii

Undergraduate Honors Capstone Projects

With ongoing military operations spanning the globe, a new population of combat veterans is emerging. Posttraumatic stress disorder is an enormous issue for veterans, and knowing the status of psychosocial treatments for it seems necessary. The current study seeks to provide a more comprehensive description of the current status of outcome research for combat-related posttraumatic stress disorder, including treatments being utilized, attrition rates, percent responders/nonresponder, and population conflict (i.e., OIF, OEF, Vietnam). The literature was systematically reviewed and 10 randomized controlled trials were identified that focused solely on veteran populations with posttraumatic stress disorder. Treatments utilized in these studies included …

The Dual Diagnosis Capability Of Residential Addiction Treatment Centres: Priorities And Confidence To Improve Capability Following A Review Process, Harold Matthews, Peter Kelly, Frank P. Deane

Peter Kelly

Abstract Introduction and Aims. The Dual Diagnosis Capability of Addiction Treatment (DDCAT) index is used to assess the capacity of substance abuse services to work with individuals with co-occurring mental health problems. The current study aimed to: (i) examine the dual diagnosis capability of residential substance abuse programs in Australia; (ii) identify managers’ perceptions regarding both priorities and confidence for change following the completion of the DDCAT; and (iii) to examine the usefulness of the DDCAT to residential substance abuse programs. Design and Methods. The DDCAT was completed across 16 residential substance abuse units.An external researcher administered and scored the …

Using The Theory Of Planned Behavior And Barriers To Treatment To Predict Intention To Enter Further Treatment Following Residential Drug And Alcohol Detoxification: A Pilot Study, Peter J. Kelly, Frank P. Deane, Zoe Mccarthy, Trevor P. Crowe

Peter Kelly

There has been limited research examining the impact of clients’ behavioural beliefs on whether they intend to access further treatment following residential drug and alcohol detoxification. Treatment post-detoxification is generally recommended to reduce relapse and for more sustained positive outcomes. The present pilot study examined the extent to which (1) primary components of the Theory of Planned Behaviour (TPB), (2) perceived barriers to accessing treatment and (3) the participants’ previous involvement in substance abuse treatment predicted intentions to enter further treatment following residential detoxification. One hundred and sixty eight participants accessing Salvation Army detoxification units in Australia completed a survey …

Comparative Psychotherapy Outcomes Of Sexual Minority Clients And Controls, Sasha A. Mondragon

Theses and Dissertations

Research examining the psychotherapy outcomes of sexual minority clients seen in routine clinical care is lacking. No studies could be identified in which sexual minority client outcomes were examined with a standardized measure. The pre-treatment mental health functioning of 600 sexual minority clients was compared with that of a randomly selected group matched to the minority group on male/female ratio. The post-treatment mental health functioning of 596 sexual minority clients was also examined and compared to a control group matched on female/male ratio, initial levels of mental health functioning, age, and marital status. Results indicated that sexual minority clients who …

The Role Of Engagement Across Conceptually Distinct Treatment Elements For Social Anxiety Disorder, Timothy M. Emge

Department of Psychology: Dissertations, Theses, and Student Research

There are currently several efficacious treatments for social anxiety disorder (e.g. exposure therapy and cognitive therapy). Each of these treatments is thought to reduce symptoms of social anxiety by disrupting maintenance mechanisms of the disorder, yet mechanism of change research has not supported this view. The current study compared components from each therapy modality in order to better understand why symptoms reduce similarly between conceptually distinct treatments. Participants with high social anxiety were randomly assigned to give a speech with cognitive restructuring and engagement-enhancing procedures, cognitive preparation and video feedback, or a speech alone. Self-ratings of speech performance, confidence in …

Risky Business: Prior Experience And Substance Users' Perception Of Risk, Sema Taheri

Theses (6 month embargo)

Individuals incarcerated for both drug-defined crimes and non-drug defined crimes are often substance users. In fact, the percent of arrestees in the United States that test positive for any drug at intake range from a low of 52% in Washington, D.C., to a high of 83% in Chicago, IL (ONDCP, 2011). Prior research has noted the negative relationship between risk perception and actual behavior. My study examined the influence of prior experiences and social environment on substance users' perceived risk of substance use. The sample consisted of adults indicating use of any illicit substance in the past year (N=9,277) in …

The Effects Of Pediatric Acute Lymphoblastic Leukemia On Social Functioning: An Investigation Into The First Year Of Treatment, Rachel L. Duchoslav

All Graduate Theses and Dissertations, Spring 1920 to Summer 2023

Cancer is currently the leading cause of death by disease in children under the age of 15 in the US. While the number of childhood cancer survivors continues to grow, psychological research on this population has lagged. Existing research on the psychosocial effects of childhood cancer is marked by inconsistent conclusions as well as methodological limitations. However, the effect of childhood cancer on social functioning is one area with relatively more consistency. Existing research suggests that childhood cancer can lead to deficits in prosocial skills as well as the emergence of social problems.

The present study investigated individual change in …

Recovery From Bulimia: What Helps In Healing, Erin Reynen

Master of Social Work Clinical Research Papers

There is an astonishing presence of eating disorders in American culture today, affecting upwards of 11 million individuals, and the treatment for these disorders is becoming increasingly comprehensive. Bulimia nervosa is one of the most common eating disorders, involving episodes of binge eating followed by compensatory behaviors to rid the body of food for fear of weight gain. Using a holistic and procovery-based framework, the present study focused on the perspectives of individuals who described themselves as being in recovery from bulimia and their stories of what helped in the healing process. This researcher created a mixed-method online survey to …

Arsenic Contamination In Groundwater In Vietnam: An Overview And Analysis Of The Historical, Cultural, Economic, And Political Parameters In The Success Of Various Mitigation Options, Thuy M. Ly

Pomona Senior Theses

Although arsenic is naturally present in the environment, 99% of human exposure to arsenic is through ingestion. Throughout history, arsenic is known as “the king of poisons”; it is mutagenic, carcinogenic, and teratogenic. Even in smaller concentrations, it accumulates in the body and takes decades before any physical symptoms of arsenic poisoning shows. According to the World Health Organization (WHO), the safe concentration of arsenic in drinking water is 10 µg/L. However, this limit is often times ignored until it is decades too late and people begin showing symptoms of having been poisoned.

This is the current situation for Vietnam, …

Agency Level Interventions For Preventing And Treating Vicarious Trauma: A Qualitative Study, Jessica Johnson

Master of Social Work Clinical Research Papers

The purpose of this study was to explore what types of strategies agencies are using to prevent and/or reduce vicarious trauma. To do this, five qualitative interviews were conducted with participants who work directly with individuals who have survived trauma. The findings showed mixed results, as some agencies employed multiple strategies, while others employed few. Agencies seemed to provide adequate benefits and training to employees, and to also encourage them to engage in self-care. While most agencies required supervision/consultation, only one agency encouraged staff members to discuss how they are being impacted by their clients’ trauma. Agencies also did little …

Effective Practice Based Therapeutic Techniques With Children Diagnosed With Reactive Attachment Disorder: From The Perspective Of Mental Health Professionals, Jennifer Lawrence

Master of Social Work Clinical Research Papers

Children diagnosed with Reactive Attachment Disorder (RAD) have experienced pathological care and disruption of early attachment experiences, resulting in disorganized attachment with caregivers, as well as a myriad of complex symptoms and behaviors. Little research exists regarding effective treatment for children diagnosed with RAD, leaving both mental health professionals and caregivers wanting. The purpose of this qualitative study was to explore effective treatment for children diagnosed with RAD through the lens of mental health professionals. Seven experienced mental health professionals were interviewed regarding their perceptions on effective therapeutic treatment that contributes to increased attachment bonds with caregivers and decreased RAD …

Race And Hepatitis C Management Within The Veterans Administration, Joahd Toure, Joshua Metlay, Sandford Schwartz, Knashawn Morales, David Kaplan, Peter Groeneveld

Journal of Health Disparities Research and Practice

Objective: To examine black-white differences in hepatitis C treatment within the Veterans Administration (VA) and determine whether racial variation in specialty consultation explains differences in hepatitis C treatment between blacks and whites.

Methods: We performed a retrospective cohort study of 1040 veterans meeting VA eligibility criteria for hepatitis C treatment. We used multiple imputation to handle missing race data. Specialty consultation was determined from the VA outpatient medical dataset and hepatitis C treatment was determined from the VA decision support system. Conditional logistic regression was used to examine the association between race and hepatitis C treatment as well as race …

The Multi-Trajectory Theory Of Adult Firesetting (M-Ttaf), Therese A. Gannon, Caoilte Ó Ciardha, Rebekah M. Doley, Emma Alleyne

Rebekah Doley

The assessment and treatment of adults who set fires deliberately are underdeveloped relative to other areas of forensic-clinical psychology. From a scientist–practitioner perspective, all clinical assessment and treatment should be guided by a theoretical and empirically based understanding of the presenting clinical phenomena. In this paper, we critically review current typologies, motives, and theories regarding the etiological features of deliberate adult firesetting. Then, using a theory knitting perspective, we synthesize the prime parts of this information into a comprehensive multifactorial framework of deliberate firesetting. The resulting Multi-Trajectory Theory of Adult Firesetting (M-TTAF) is an integration of current theory, typological, and …

Race-Ethnicity And Medical Services For Infertility: Stratified Reproduction In A Population-Based Sample Of U.S. Women, Arthur L. Greil, Julia Mcquillan, Karina M. Shreffler, Katherine M. Johnson, Kathleen S. Slauson-Blevins

Kathleen S. Slauson-Blevins

Evidence of group differences in reproductive control and access to reproductive health care suggests the continued existence of “stratified reproduction” in the United States. Women of color are overrepresented among people with infertility but are underrepresented among those who receive medical services. The authors employ path analysis to uncover mechanisms accounting for these differences among black, Hispanic, Asian, and non-Hispanic white women using a probability-based sample of 2,162 U.S. women. Black and Hispanic women are less likely to receive services than other women. The enabling conditions of income, education, and private insurance partially mediate the relationship between race-ethnicity and receipt …

The Experience Of Infertility: A Review Of Recent Literature, Arthur L. Greil, Kathleen Slauson-Blevins, Julia Mcquillan

Kathleen S. Slauson-Blevins

About 10 years ago Greil published a review and critique of the literature on the socio-psychological impact of infertility. He found at the time that most scholars treated infertility as a medical condition with psychological consequences rather than as a socially constructed reality. This article examines research published since the last review. More studies now place infertility within larger social contexts and social scientific frameworks although clinical emphases persist. Methodological problems remain but important improvements are also evident. We identify two vigorous research traditions in the social scientific study of infertility. One tradition uses primarily quantitative techniques to study clinic …

Pragmatism And Compromise In Conservation, Peter D. Verheyen

Peter D Verheyen

I write this from the perspective of an apprentice-trained bookbinder and conservator who has spent most of his career working in academic research libraries in the US, work that has included working primarily with special collections, but also heavily used circulating collections and digitization. During this time I have also worked with many other conservators, interns from conservation/preservation programs and students of museum studies and librarianship. While the mission ensuring the long-term health of and continued access to the Library’s collections has not changed, how we do that work and prioritize activities has. This has been a result of changes …

Pragmatism And Compromise In Conservation, Peter D. Verheyen

Libraries' and Librarians' Publications

I write this from the perspective of an apprentice-trained bookbinder and conservator who has spent most of his career working in academic research libraries in the US, work that has included working primarily with special collections, but also heavily used circulating collections and digitization. During this time I have also worked with many other conservators, interns from conservation/preservation programs and students of museum studies and librarianship. While the mission ensuring the long-term health of and continued access to the Library’s collections has not changed, how we do that work and prioritize activities has. This has been a result of changes …

Do Spirituality And Religiosity Help In The Management Of Cravings In Substance Abuse Treatment?, Sarah J. Mason, Frank P. Deane, Peter Kelly, Trevor P. Crowe

Trevor Crowe

The purpose of this study was to examine the relationship of spirituality, religiosity and self-efficacy with drug and/or alcohol cravings. A cross-sectional survey was completed by 77 male participants at an Australian Salvation Army residential rehabilitation service in 2007. The survey included questions relating to the participants’ drug and/or alcohol use and also measures for spirituality, religiosity, cravings, and self-efficacy. The sample included participants aged between 19 and 74 years, with more than 57% reporting a diagnosis for a mental disorder and 78% reporting polysubstance misuse with alcohol most frequently endorsed as the primary drug of concern (71%). Seventy-five percent …

Multiple Component Remediation Of Developmental Reading Disabilities: A Controlled Factorial Evaluation Of The Influence Of Iq, Socioeconomic Status, And Race On Outcomes, Robin Morris, Maureen Lovett, Maryanne Wolf, Rose Sevcik, Karen Steinbach, Jan Frijters, Marla B. Shapiro

Psychology Faculty Publications

Results from a controlled evaluation of remedial reading interventions are reported: 279 young disabled readers were randomly assigned to a program according to a 2 × 2 × 2 factorial design (IQ, socioeconomic status [SES], and race). The effectiveness of two multiple-component intervention programs for children with reading disabilities (PHAB + RAVE-O; PHAB + WIST) was evaluated against alternate (CSS, MATH) and phonological control programs. Interventions were taught an hour daily for 70 days on a 1:4 ratio at three different sites. Multiple-component programs showed significant improvements relative to control programs on all basic reading skills after 70 hours and …