Medicine and Health Commons^™

Integrating Feminist Approaches In Counseling Work With Adult Women, Kristen M. Toole

Adultspan Journal

The scope of ‘women’s issues’ in counseling is an ever-evolving landscape. Recent events such as the reversal of Roe v. Wade and the disproportionate impact of COVID-19 on women serve as powerful reminders of the necessity of this focus while underscoring a deep-rooted history of oppressive patriarchal structures. Therefore, counselors must remain informed of the unique considerations surrounding adult women in counseling and acquire proficiency in versatile techniques to meet this population’s nuanced needs. This article examines the complexity of contemporary womanhood and explores the fundamentals of Feminist Counseling Theory (FCT), a holistic, multiculturally conscious, social justice theory in counseling. …

The Opioid Epidemic In West Virginia, Nicholas Bowden, Rachel Merino, Sruthi Katamneni, Alberto Coustasse

Management Faculty Research

The rate of overdose-related to the use of licit and illicit opioids has drastically increased over the last decade in the U.S. The epicenter being West Virginia the highest rates of overdoses accounting for 41.5 deaths for 100,000 people among the 33,091 deaths in 2015. The number of people injecting drugs has increased from 36% in 2005 to 54% in 2015. The total U.S cost of prescription opioid abuse in 2011 has been estimated at $25 billion, and criminal-justice-system costs to $5.1 billion. The reasons for this opioid epidemic incidence in WV have been a combination of sociocultural factors, a …

Exploring The Perspectives And Experiences Of Physicians In Wv Who Prescribe Medication-Assisted Treatment (Mat) To Patients With Opioid Use Disorder (Oud), Kimberly Ann White

Theses, Dissertations and Capstones

This qualitative study explores the lived experiences of six physicians in West Virginia who treat patients with opioid use disorder using Buprenorphine, often referred to as medication-assisted treatment (MAT). MAT is an empirically-supported method of treating people who suffer from the physiological symptoms of opioid addiction and its associated psychological, social, and behavioral components to ease withdrawal. West Virginia ranks first in the nation for opioid overdose deaths, with an estimated 60,000 people needing treatment for Opioid Use Disorder (OUD) and approximately 280 physicians certified to provide MAT. Semi-structured individual interviews lasting one hour were the primary source of information …

"We're Human": An Analysis Of Formal And Informal Training Methods For Direct Care Staff Working With Dual-Diagnosis Populations, Adam Clay Stephenson

Theses, Dissertations and Capstones

Direct care staff, or DCS, are individuals tasked with providing a number of care services to individuals with disabilities in various settings. This study focuses on a group of direct care staff working at a day habilitation program in central West Virginia. Training techniques used to prepare these workers for a diverse array of roles are reviewed comparatively and through a sociological theoretical lens utilizing perspectives from Bandura (1977), Laubach (2005), Marx (1964), and Wolfensberger (1983). Semi-structured interview results indicate that formal training is driven by a less valorous view of disabled individuals as a class than informal training; that …

Medicalization Of Mental Disorders: 1970- To The Present, W. Joseph Wyatt

Psychology Faculty Research

A thirty-five year escalation of emphasis on biological causation has rendered, for many, medications as the treatment of choice for mental disorders. Non-drug treatment may be cast aside, as a result.

Climate Influence On The Health Of An Appalachian City, Ryan Wade Becka

Theses, Dissertations and Capstones

In 2008 the Center for Disease Control (CDC) found Huntington, West Virginia, to be the unhealthiest city in America. A Gallup Poll conducted in 2010 found the Huntington-Ashland metropolitan area number one of 188 metro areas where depression diagnoses are most common. Manifestations of poor health in Huntington may be related to Seasonal Affective Disorder (SAD), a type of depression that occurs mainly in winter months. Symptoms of SAD are reported as a lack of energy, sleeping more, and consuming high amounts of carbohydrates and starchy foods. I theorize that these maladaptive behaviors may be a reaction to climate conditions …

Mental Health Services And Alternative Schools, Chasity D. Johnson

Theses, Dissertations and Capstones

With the number of children being placed into alternative school settings growing, it is of interest to know if mental health services are a beneficial addition to the traditional alternative programs. To research this issue, case studies of 48 children who had attended an alternative school were assessed. Participants included 48 students, half of whom had received only alternative school services while the other half had received alternative school services in addition to mental health services during their alternative school placement. Findings show no significant correlation between the hours of mental health services received and any of the following variables: …

The Medicalization Of Hyperactivity And Inattentiveness : A Social History And Theoretical Perspectives On Adhd, Justin Douglas Brock

Theses, Dissertations and Capstones

This study investigates the rise of the Attention-Deficit/Hyperactivity Disorder diagnosis. It approaches the topic from a medicalization perspective and frames it under the therapeutic state as proposed by Nicholas Kittrie in 1971. It asks three questions: how has society, and particularly, the medical community changed to allow the medicalization of hyperactivity and social control of active children? How has the continuing diagnosis of hyperactivity in children expanded to include attention deficit hyperactivity disorder in both children and adults? And what forces are behind the continuously inclusive diagnosis and why? In an attempt to answer these questions the history of the …

Kawasaki Syndrome In Texas, Alberto Coustasse, Julius J. Larry, Witold Migala, Cody Arvidson, Karan P. Singh

Management Faculty Research

The authors examined hospitalization rates of Kawasaki Syndrome (KS) among Texas children to isolate clusters, identify demographic disparities, and suggest possible causative factors. Using a retrospective cross-sectional study design, they studied 330 KS cases from 2,818,460 hospital discharges. The majority of the cases (61.5%) occurred within the 1-4-years-old category, representing the highest hospitalization rate (14.3 per 100,000 children). Almost 75% of the KS population was less than 5 years old, with hospitalization rates approximately 8 times higher than that of all other children (p < .05). KS diagnosis occurred for only 49.4% of all KS cases upon admission. Along with high-density clusters identified in major metropolitan areas, the authors found the highest rates of KS among Asian and Pacific Islander and non-Hispanic black children. Genetic predispositions and access to healthcare issues may explain the results. The authors recommend improving educational initiatives with healthcare providers and establishing KS as a reportable condition.

Expanding Self-Direction In Services For The Aged And People With Disabilities, Ruth A. Burgess

Theses, Dissertations and Capstones

Medicaid-funded long-term care services are traditionally delivered in nursing homes. States may apply for waivers which allow them to provide home and community based services with Medicaid funds. Because these services are by definition an alternative to nursing home care, waiver services are generally based upon a medical model which emphasizes medical deficits and tends to restrict consumers’ movements to inside the home. Recent developments such as the Olmstead Decision and federal New Freedom Initiatives have caused states to recognize that consumers desire and have a legal right to be part of a community rather than institutionalized or homebound. These …

Medicalized Childbirth In The United States: Origins, Outcomes, And Opposition, Martelia L. Henson

Theses, Dissertations and Capstones

This study focuses on childbirth in the United States as a medical event, specifically concentrating on the historical development of medicalized birth and the cultural and social ramifications of this transformation. The main objective is to apply various aspects of social movement theory and movement dynamics to the rise of obstetric medicine as it is documented in the existing body of childbirth literature, in order to achieve a greater understanding of the appropriation of American childbirth practices by the medical profession. Also included is a discussion of various birth reform movements that have attempted, and are attempting, to challenge the …

Hospice: A Descriptive Analysis Of The Structure And Formation Of Hospice Organization In West Virginia, Rebecca Ann Lowery

Theses, Dissertations and Capstones

It has been recognized that a hospice must move through several stages in order to become an organization. Moving from a volunteer or interest group to an operating hospice requires detailed planning and organizing. Also, community support and financial stability are crucial in the developing stages. The developing hospice also needs support from the medical community, because physicians make most of the patient referrals to the hospice program.

Several reasons may be given to explain why the Hospice of Lincoln County was unsuccessful in developing into an operating organization. First, the board of directors for this developing hospice were the …