Mental and Social Health Commons^™

Sew It Seams: Wearing The Symbols Of Distant Neighbors, Tamar Reva Einstein

Expressive Therapies Dissertations

This art-based expressive therapy study investigated opinions and feelings about cultures in the city of Jerusalem and the country of Israel at large. A coat, designed and sewn by the researcher, was covered with symbols that were identified with peoples who have been victims of violence, discrimination, dehumanization, and conflict within and across cultural groups in Jerusalem. The symbols of the cultures in Jerusalem were placed on the coat so that they touched each other at the seams. Following Phase 1 of the study, which included 24 participants, Phase 2 of the study included 4 additional participants who were selected …

An Art Program Evaluation Of Daily Life Therapy For Children With Autism, Rowena Elise Talusan-Dunn

Expressive Therapies Dissertations

The author evaluated a private school’s art program in 2009-2010 that used Daily Life Therapy (DLT) for students diagnosed with autism spectrum disorders (ASD). Significant increases in numbers of persons diagnosed with ASD have been noted in the last two decades. Several methodologies claim success in programming for children with ASD, but lack empirically based research and it is unclear which are most beneficial. This program evaluation used a mixed-method design to address the following questions: (1) is there evidence of success with the art experience goals and objectives in the art products, (2) what is the experience of the …

It Is Time To Talk About It: Designing A Health Communication Program For Eating Disorder Recovery In An Appalachian University, Erica Lynn Clites

Theses, Dissertations and Capstones

The purpose of this thesis was to evaluate the treatments used in current eating disorder programs and to develop a more effective model using two relevant communication theories: the Transtheoretical Model of Change and Social Networking Theory. Further, the thesis explored the need for greater mental health literacy on Appalachian college and university campuses as it relates to the three major eating disorders defined by the DSMIV-TR: anorexia nervosa, bulimia nervosa, and binge eating disorders. The analysis of current treatment revealed an overemphasis on physical health and quantitative medical progress. Applying both the Transtheoretical Model of Change and Social Networking …

Role Of Community Health Workers In Improving Diabetes Outcomes, Janet Kegley, Helen Collett, Ralph Fugate

Center of Excellence in Rural Health Presentations

Objective Examine the effectiveness of using community health workers (CHWs) to support nurse-led diabetes self-management education (DSME) with medically underserved clients.

Methods A pretest-posttest group design was used. A sample of 640 was non-randomly drawn from eastern Kentucky Homeplace division clients who reported that they had been told by a health professional they have type-2 diabetes. The sample size for was reduced to 489 because of a decrease in project funding. Inclusion criteria for the study were Kentucky Homeplace clients 18-65+ years of age who reported they had been told by a provider they have diabetes. Clients meeting inclusion criteria …

Smoking Susceptibility And Its Predictors Among Adolescents In China: Evidence From Ningbo City, Cheng Huang, Jeffrey Koplan, Jing Liu, Changwei Li, Jessica Silvaggio, Amanda K. Macgurn, Tao Zhang, Michael P. Erikson, Pam Redmon

Global Health Faculty Publications

Susceptibility to smoking is a risk factor of actual adolescent smoking behaviors. This study aimed to estimate the rate of smoking susceptibility and its predictors in China with a sample of 4,695 junior high school students in Ningbo, China. Core questions from the Global Youth Tobacco Survey (GYTS) were adapted to the China context and administered to these students. The rate of smoking susceptibility, measured by “Do you foresee yourself taking up smoking in the next 12 months”, is 6.1%. Results from logistic regression suggested that among boys, adolescents’ health knowledge that smoking can cause lung cancer (OR=2.73), the belief …

Hemicrania Continua Headache In A Veteran With Post Traumatic Stress Disorder And Major Depressive Disorder Without Traumatic Brain Injury, Brandon A. Kohrt, Erica Duncan

Psychiatry and Behavioral Sciences Faculty Publications

Hemicrania continua is a headache characterized by chronic unremitting unilateral pain associated with ipsilateral autonomic findings. This type of headache responds to high-flow oxygen and indomethacin. This case report describes a male veteran with posttraumatic stress disorder (PTSD) and major depressive disorder who suffers from comorbid hemicrania continua. The psychiatric symptoms were recalcitrant to psychopharmacological intervention. However, when the patient's hemicrania continua was treated appropriately, the patient's psychiatric symptoms also abated. This case demonstrates the need to address physical comorbidities that may exacerbate psychiatric disorders, such as PTSD.

Reintegration Of Child Soldiers In Burundi: A Tracer Study, Mark J.D. Jordans, Ivan H. Komproe, Wietse A. Tol, Aline Ndayisaba, Theodora Nisabwe, Brandon A. Kohrt

Psychiatry and Behavioral Sciences Faculty Publications

No abstract provided.

New Therapies, Old Problems, Or, A Plea For Neuromodesty, Stephen J. Morse

All Faculty Scholarship

This article suggests that investigational deep brain stimulation (DBS) for mental disorders raises few new bioethical issues. Although the scientific basis of the procedure may be both complex and largely unknown, addressing informed consent in such situations is a familiar problem. After reviewing the legal and moral background for investigating DBS and the scientific difficulties DBS faces as a potential treatment for mental disorders, the article focuses on informed consent and makes two primary suggestions. The study of DBS may proceed, but "hyper-disclosure" of the complexities should be required for competent subjects or proper surrogates if the candidate is not …

Predictors Of Treatment Outcome For Contingency Management Of Stimulant Abstinence In Severely Mentally Ill Outpatients, Frank Albert Nowland Angelo

Theses Digitization Project

This study will investigate the impact of client variables on in-treatment performance, in a contingency management intervention. Co-occurring disorders (COD) is a prolific problem with the severely mentally ill (SMI) population. People with both severe mental illness and substance abuse disorder suffer greater negative consequences of drug use than do populations with only one of these issues. This can be seen in greater levels of psychiatric symptoms, higher levels of interpersonal violence, and increased homelessness. Drug use has been found to exacerbate psychotic symptoms and relapses in schizophrenic patients, when compared to schizophrenic persons without drug use.

Attitudes Of Social Workers Towards The Use Of Canine Therapeutic Intervention With Traumatized Children Within Child Welfare Services, Cristi Maria Page

Theses Digitization Project

The purpose of this study was to investigate the attitudes of social workers towards the use of canine therapeutic intervention with traumatized children within child welfare services.

Pre, Peri, And Post-Migration Perspectives Of Mexican National Refugees Related To Experiences Of Violence, Migration, And Resettlement Along The Texas-Mexico Border, Jana L. Mccallister

Open Access Theses & Dissertations

For the past six years, the war on drugs in Mexico has resulted in the out-migration of tens of thousands of Mexican nationals fleeing violence, many settling in El Paso, Texas. The historical context of being pulled to the U.S. for economic opportunity had changed. Mexican nationals were now refugees pushed out of their country for safety. Because the context of migration had changed, the close proximity and similarities between El Paso, Texas and Ciudad Juárez, and the availability of social support in the U.S., the experiences of this refugee cohort were unique. Because increasing numbers were seeking mental health …

Coping As A Mediator Between Proximity To Violence In Juarez, And Ptsd Symptoms Among College Students Attending A University On The Texas - Mexico Border, Francis Javier Reyes

Open Access Theses & Dissertations

The present study directly examined whether proximity to ongoing violence might lead to symptoms of Post-Traumatic Stress Disorder (PTSD) in a sample of students attending a border university less than a mile from the US Mexico border. Exposure to violence is a common cause of PTSD symptomology. Prior research in the region suggests that ongoing traumatic stress due to the violence in Juarez is associated with increased PTSD symptomology. Because coping skills are thought to protect individuals from PTSD the Transactional Model of Stress and Coping (Lazarus & Folkman, 1984) guided the study. The purpose of this study was to …

Significant Race Differences In Factors Related To The Detention Recidivism Of Youthful Offenders, Christopher A. Mallett, Miyuki Fukushima, Patricia A. Stoddard Dare, Linda M. Quinn

Social Work Faculty Publications

A significant number of youthful offenders in the United States are held in juvenile court detention centers. Of broad concern is the disproportionate impact these placements have on minority youth, with African American and Hispanic youth much more frequently detained in these facilities compared to Caucasian youth. This U.S. study of a 2-county youthful offender population in the Midwest (1 urban, 1 rural) investigated racial differences in both extralegal (demographic, educational, mental health, and history of abuse or neglect) and court-related legal variables that predict detention placement upon recidivism—in other words, a second detention placement. Findings from logistic regression analysis …

Differential Effects Of Acute Amphetamine And Phencyclidine Treatment And Withdrawal From Repeated Amphetamine Or Phencyclidine Treatment On Social Interaction And Social Memory In Rats, Ming Li, Wei He, Rebecca Munro

Department of Psychology: Faculty Publications

Although animal models based on amphetamine (AMPH) or phencyclidine (PCP) treatment have been used extensively to study the neurobiological and behavioral characteristics of schizophrenia, there are conflicting reports regarding their validity in modeling the negative symptoms and cognitive deficits of schizophrenia. The present study examined how acute AMPH or PCP treatment (Experiment 1) and withdrawal from repeated AMPH treatment (Experiment 2) or PCP treatment (Experiment 3) affects social behavior and social recognition memory in male Sprague-Dawley rats. Each subject was tested on two consecutive days. On the first day, the rats were tested four times (5 min/each) at 10-min intervals …

Is There Evidence For The Bipolar Spectrum And The Safety Of Pharmaceutical Interventions?, Jill Littrell

SW Publications

Social workers constitute a high proportion of mental health professionals and a high percentage of social workers provide mental health care. Thus, psychiatric diagnoses and pharmaceutical interventions are relevant for many social workers. This paper reviews the rise in the diagnoses of Bipolar spectrum disorders for both children and adults. It considers the safety of antipsychotic medications, a mainstay of treatment for children and adults, which, in addition to other well-documented negative side effects, have recently been shown to decrease brain volume by a significant percent. These issues are particularly relevant for children in the foster care system.

Can A Diagnosis Be Epidemic, With Therapeutic Efforts The Catastrophe?, Jill Littrell

SW Publications

The diagnosis of Bipolar Spectrum Disorders (BSD) given for office visits has risen 40 fold for children and has risen dramatically for adults as well. Some of the growth may have been fueled by re-categorization of individuals who would previously have received diagnoses of major depression along with the widening of diagnostic criteria for BSD. Concomitant with the rise in BSD diagnoses, the number of adults and children receiving atypical antipsychotics has increased dramatically. Recent evidence finds that atypical antipsychotics cause considerable reduction in brain volume. It is thus imperative to ensure that those with diagnoses comprising BSD—Bipolar I, Bipolar …

The Relationship Of Rehabilitation Counselors' Knowledge Of The Americans With Disabilities Act 1990, Attitudes Toward Reasonable Accommodation, And Job Development Efficacy, Joy Elizabeth Inniss-Johnson

Wayne State University Dissertations

The purpose of this research was to evaluate the relationship between the rehabilitation counselors' level of knowledge, attitudes towards reasonable accommodations and job development efficacy. The more knowledgeable rehabilitation counselors are about ADA, reasonable accommodations, and their attitude toward job development, the less likely their attitudes will be expected to fluctuate. In addition, there has been very little research in terms of evaluating rehabilitation counselor's level of job placement efficacy. A survey-based design was utilized to create both a quantitative description of knowledge of the ADA, beliefs about reasonable accommodations and job placement efficacy and qualitative information concerning the barriers …

A Discussion Of The Mental Health Of Public School Teachers, Gary W. Ballou

All Faculty Scholarship for the College of Education and Professional Studies

It has been suggested that public school teachers are exposed to highly stressful situations which are related to psychological and psychiatric problems. Unfortunately, there is no quantitative data suggesting which factors contribute to improving the mental health of American teachers, nor have there been any prior studies that have directly compared the factors associated with mental health disturbances between teachers and workers in other occupations in the United States. In light of this, I felt it crucial to find the factors associated with psychological/psychiatric problems in public school teachers in the United States using an appropriate reference professional group.

An Intergenerational Study: Mirrors As A Tool For Self-Reflection, Susan Ridley

Expressive Therapies Dissertations

Globalization and advances in technology have resulted in a loss of cultural, community, and individual identity. Having a strong sense of self can be a protective factor in resisting peer pressure and involvement in negative behaviors, and a determining factor in the formation of one’s coping skills, and resiliency to life’s challenges. This was especially important for adolescents who are negotiating the developmental growth from childhood to adulthood, and older adults who are transitioning from the independence of adulthood to the dependence of old age.

This was a qualitative intergenerational study on the process of self-reflection on identity. Mirrors have …

Social Workers' Perceptions Of Self-Determination In The Mentally Ill, Tristin Dawn Alfred

Theses Digitization Project

The purpose of this study was to add to existing literature regarding social worker's perceptions of and attitudes about self-determination in the mentally ill population. In addition, the study looked at how these biases affect the mentally ill population. A total of 51 social workers were asked to participate in this study.