Order From Order Sets: Analysis Of Ordering Patterns And Patient Outcomes Before And After Order Set Changes On The Inpatient Psychiatry Units At Tjuh, David Halpern, Md
House Staff Quality Improvement and Patient Safety Posters
To decrease the total number of times one-time orders were added for patients for Vistaril, Remeron, Melatonin, Colace, Senna, and MiraLAX. Increase number of times urine PCP and urine oxycodone added to the urine drug screen.
To decrease overall length of stay and improve treatment outcomes
Massoptions Transforms The Way Elderly And People With Disabilities Get Much Needed Long-Term Services And Supports In Massachusetts, 2018 University of Massachusetts Medical School
Massoptions Transforms The Way Elderly And People With Disabilities Get Much Needed Long-Term Services And Supports In Massachusetts, Jeff A. Auger, Kerrie Topi
Commonwealth Medicine Publications
Some of the Commonwealth’s most underserved populations—the elderly, people with disabilities, and their caregivers— now have simplified access to the long-term services and supports (LTSS) they need, thanks to MassOptions, an innovative collaboration between UHealthSolutions, the nonprofit business affiliate of UMass Medical School, and the Massachusetts Executive Office of Elder Affairs.
Why Pregnant Women With Depression Often Slip Through The Cracks, 2018 University of Massachusetts Medical School
Why Pregnant Women With Depression Often Slip Through The Cracks, Tiffany A. Moore Simas, Nancy Byatt
Psychiatry Publications and Presentations
One in seven women experience depression during pregnancy and after they give birth. This article explains how a model the authors created in Massachusetts to ensure that women with depression get the help they need is being implemented in other states.
Using Mhealth To Increase Treatment Utilization Among Recently Incarcerated Homeless Adults (Link2care): Protocol For A Randomized Controlled Trial, Jennifer M. Reingle Gonzalez, Michael S. Businelle, Darla Kendzor, Michele Staton, Carol S. North, Michael Swartz
Behavioral Science Faculty Publications
Background: There is a significant revolving door of incarceration among homeless adults. Homeless adults who receive professional coordination of individualized care (ie, case management) during the period following their release from jail experience fewer mental health and substance use problems, are more likely to obtain stable housing, and are less likely to be reincarcerated. This is because case managers work to meet the various needs of their clients by helping them to overcome barriers to needed services (eg, food, clothing, housing, job training, substance abuse and mental health treatment, medical care, medication, social support, proof of identification, and legal aid ...
Li Fem Anpil: The Lived Experience Of Haitian Immigrant Women With Postpartum Depression, 2018 University of Massachusetts Medical School
Li Fem Anpil: The Lived Experience Of Haitian Immigrant Women With Postpartum Depression, Colette Dieujuste
Graduate School of Nursing Dissertations
Purpose: The purpose of this interpretive phenomenological study is to explore the lived experience of Haitian immigrant women living in Massachusetts with PPD.
Specific Aims: Aim 1: To explore the lived experience of PPD among Haitian immigrant women. Aim 2: To explore how the experience of being Haitian influences Haitian immigrant women in their response to PPD.
Framework: Leininger's Theory of Cultural Care (1988) guided the phenomenological approach and data collection. The Transcultural Care Decision & Action model contains three predictive modes for guiding nursing care judgments, decisions, or actions to provide care.
Design: Interpretive phenomenology guided this qualitative study. Individual face-to-face interviews were conducted. The data from each interview were transcribed into a written document and analyzed using the Crist and Tanner five-step process.
Results: This study yielded two themes; each theme has three dimensions. The first theme is “Feeling Disconnected” with three dimensions: (a) lack of support; (b) partner conflict; and, (c) nostalgia ...
Exploratory Study Of The Use Of Community Treatment Orders With Clients Of An Ontario Act Team, 2018 Wilfrid Laurier University
Exploratory Study Of The Use Of Community Treatment Orders With Clients Of An Ontario Act Team, Magnus Mfoafo-M'Carthy, Cara Grosset, Carol Stalker, Irene Dullaart, Linda Mccoll Dr.
Social Work Faculty Publications
Community Treatment Orders (CTOs) have raised questions about coercion, lack of autonomy, and effectiveness in reducing hospitalizations and improving service users’ quality of life. This study examined the experiences of clients and clinicians when CTOs are used in combination with Assertive Community Treatment (ACT) in a recovery oriented approach. Eleven clients who were or had previously been on a CTO and eight ACT clinicians were interviewed. Although most clients had negative feelings about CTOs, some acknowledged their lives had improved. Clinicians reported that the decision to employ a CTO is sometimes debated within the team but they agreed that combining ...
"Understanding Lgbtq+ Intimate Partner Violence & Challenges In, 2018 National Louis University
"Understanding Lgbtq+ Intimate Partner Violence & Challenges In, Dr. Juanita Yates
This research project is a focus on Intimate Partner Violence (IPV) within LGBTQ+
community and the challenges associated with seeking family support. IPV is defined as a violent
or aggressive behavior within the home, typically involving the violent abuse of an intimate spouse
or partner. However, IPV can happen on the street, in one’s home or even in a public place. Those
exposed to IPV can be children, men and women. IPV is a prevalent issue in our society (Bright
2008). According to Ristock (2005), violence in LGBTQ+ relationships may be referred to as
partner violence, relationship violence, or ...
An Examination Of The Impact Traumatic Events Has On Psychosocial Impairment In Eating Disorder Patients, 2018 California State University, San Bernardino
An Examination Of The Impact Traumatic Events Has On Psychosocial Impairment In Eating Disorder Patients, Jennifer Parker Hackett
Electronic Theses, Projects, and Dissertations
Research suggests that trauma has an impact on eating disorders. While prior research has demonstrated that the trauma from abuse has a significant impact on eating disorders, research has failed to explore other types of trauma. In addition, previous studies have stopped short of examining the impact trauma has on functioning among individuals with an eating disorder. This study aimed to address that gap in the literature. The purpose of this study is to examine whether traumatic life events impact psychosocial functioning among individuals living with an eating disorder. Furthermore, this study aimed to identify which traumas are shown to ...
Common And Dissociable Neural Activity After Mindfulness-Based Stress Reduction And Relaxation Response Programs, 2018 Harvard Medical School
Common And Dissociable Neural Activity After Mindfulness-Based Stress Reduction And Relaxation Response Programs, Gunes Sevinc, Britta K. Holzel, Javeria Hashmi, Jonathan Greenberg, Adrienne Mccallister, Michael Treadway, Marissa L. Schneider, Jeffery A. Dusek, James F. Carmody, Sara W. Lazar
Open Access Articles
OBJECTIVE: We investigated common and dissociable neural and psychological correlates of two widely used meditation-based stress reduction programs.
METHODS: Participants were randomized to the Relaxation Response (RR; n = 18; 56% female) or the Mindfulness-Based Stress Reduction (MBSR; n = 16; 56% female) programs. Both programs use a "bodyscan" meditation; however, the RR program explicitly emphasizes physical relaxation during this practice, whereas the MBSR program emphasizes mindful awareness with no explicit relaxation instructions. After the programs, neural activity during the respective meditation was investigated using functional magnetic resonance imaging.
RESULTS: Both programs were associated with reduced stress (for RR, from 14.1 ...
Depression And The Relationship Between Sleep Disturbances, Nightmares, And Suicidal Ideation In Treatment-Seeking Canadian Armed Forces Members And Veterans, Don Richardson, Lisa King, Kate St. Cyr, Philippe Shnaider, Maya L. Roth, Felicia Ketcheson, Ken Balderson, Jon D. Elhai
MacDonald Franklin OSI Research Centre
Background: Research on the relationship between insomnia and nightmares, and suicidal ideation (SI) has produced variable findings, especially with regard to military samples. This study investigates whether depression mediated the relationship between: 1) sleep disturbances and SI, and 2) trauma-related nightmares and SI, in a sample of treatment-seeking Canadian Armed Forces (CAF) personnel and veterans (N = 663). Method: Regression analyses were used to investigate associations between sleep disturbances or trauma-related nightmares and SI while controlling for depressive symptom severity, posttraumatic stress disorder (PTSD) symptom severity, anxiety symptom severity, and alcohol use severity. Bootstrapped resampling analyses were used to investigate the ...
Daily Associations Between Objective Sleep And Consumption Of Highly Palatable Food In Free-Living Conditions, W. S. Chan
Open Dartmouth: Faculty Open Access Articles
Prior studies have shown that individuals with shorter sleep duration and later sleep timing consume more highly palatable food (HPF). It is unclear if this relationship exists at the within‐individual level, e.g. if sleeping less or later on one night is associated with greater HPF consumption in the following day in naturalistic environments. This study examined the daily associations between naturalistic sleep and HPF consumption.
Data were obtained from 78 healthy young adults (age = 20.38 [SD = 2.40] years). Participants carried a wrist actigraph and completed daily diaries tracking food consumption and covariates for seven ...
Convergent Roles Of De Novo Mutations And Common Variants In Schizophrenia In Tissue-Specific And Spatiotemporal Co-Expression Network, 2018 The University of Texas Health Science Center at Houston
Convergent Roles Of De Novo Mutations And Common Variants In Schizophrenia In Tissue-Specific And Spatiotemporal Co-Expression Network, Peilin Jia, Xiangning Chen, Ayman H. Fanous, Zhongming Zhao
Psychology Faculty Publications
Genetic components susceptible to complex disease such as schizophrenia include a wide spectrum of variants, including common variants (CVs) and de novo mutations (DNMs). Although CVs and DNMs differ by origin, it remains elusive whether and how they interact at the gene, pathway, and network levels that leads to the disease. In this work, we characterized the genes harboring schizophrenia-associated CVs (CVgenes) and the genes harboring DNMs (DNMgenes) using measures from network, tissue-specific expression profile, and spatiotemporal brain expression profile. We developed an algorithm to link the DNMgenes and CVgenes in spatiotemporal brain co-expression networks. DNMgenes tended to have central ...
Continue, Adjust, Or Stop Antipsychotic Medication: Developing And User Testing An Encounter Decision Aid For People With First-Episode And Long-Term Psychosis, 2018 College of Public Health, Temple University
Continue, Adjust, Or Stop Antipsychotic Medication: Developing And User Testing An Encounter Decision Aid For People With First-Episode And Long-Term Psychosis, Yaara Zisman-Ilani, David Shern, Patricia Deegan, Julie Kreyenbuhl, Lisa Dixon, Robert Drake, William Torrey, Manish Mishra, Ksenia Gorbenko, Glyn Elwyn
Open Dartmouth: Faculty Open Access Articles
People with psychosis struggle with decisions about their use of antipsychotics. They often want to reduce the dose or stop, while facing uncertainty regarding the effects these decisions will have on their treatment and recovery. They may also fear raising this issue with clinicians. The purpose of this study was to develop and test a shared decision making (SDM) tool to support patients and clinicians in making decisions about antipsychotics.
A diverse editorial research team developed an Encounter Decision Aid (EDA) for patients and clinicians to use as part of the psychiatric consultation. The EDA was tested using ...
Predictors Of Falls And Fractures Leading To Hospitalization In People With Schizophrenia Spectrum Disorder: A Large Representative Cohort Study., Brendon Stubbs, Christoph Mueller, Fiona Gaughran, John Lally, Davy Vancampfort, Sarah E. Lamb, Ai Koyanagi, Shalini Sharma, Robert Stewart, Gayan Perera
AIM: To investigate predictors of falls/fractures leading to hospitalisation in people with schizophrenia-spectrum disorders.
METHODS: A historical cohort of people with schizophrenia-spectrum disorders (ICD F20-29) from 01/2006-12/2012 was assembled using data from the South London and Maudsley NHS Biomedical Research Centre Case Register. Falls/fractures were ascertained from a linkage to national hospitalisation data. Separate multivariate Cox regression analyses were employed to identify predictors of falls and fractures.
RESULTS: Of 11,567 people with schizophrenia-spectrum disorders (mean age 42.6 years, 43% female), 579 (incidence rate 12.79 per 1000 person-years) and 528 (11.65 per 1000 ...
The Victimization Of The Misconceived: The Mentally Ill In The Criminal Justice System, 2018 San Jose State University
The Victimization Of The Misconceived: The Mentally Ill In The Criminal Justice System, Margarita Trejo
Themis: Research Journal of Justice Studies and Forensic Science
It is unfortunate to say that the number of people who suffer from a serious mental illness has been drastically increasing in the criminal justice system since the late 1960s. This drastic change has captivated the minds of the public, forced them to develop a fallacious stereotype, and labeled the mentally ill population as wrongdoers. This image, however, is inaccurate. In reality, these people are the victims of a broken system. This paper establishes the victimization that a person with a serious mental illness experiences as they are processed through the criminal justice system. The following elaborates how victimization is ...
Dance Movement Therapy With Adolescents In A Partial Hospital Program: A Method For Engagement, 2018 Lesley University
Dance Movement Therapy With Adolescents In A Partial Hospital Program: A Method For Engagement, Claude Michelle Aubourg
Expressive Therapies Capstone Theses
Therapeutic engagement during adolescence can be a major challenge in adolescent mental health. Research has indicated therapeutic techniques designed for engaging clients are often ineffective for adolescents because adolescents bring distinctive qualities to the therapy process that differentiate them from other therapy populations. There is also limited research showing effectiveness of Dance/Movement Therapy (DMT) with the adolescent population. This capstone will present an adaptable method utilizing dance/movement therapy interventions with participants ages 12-17 in a Partial Hospital Program. The objective of this project was to examine how DMT can improve engagement in treatment with adolescents in a partial ...
Self-Applied Touch To Promote Self-Regulation In Adolescent Males With Problem Sexual Behaviors: Development Of A Method, Nicole Krzeminski
Expressive Therapies Capstone Theses
Adolescents who have experienced problematic attachment relationships in infancy often have difficulty with self-regulation and therefore may cope using destructive means such as harmful sexual behavior. Self-regulation is the ability to calm the mind and body and manage emotions appropriately. Dance/movement therapy (DMT) may be a beneficial treatment tool for adolescents with problem sexual behaviors (PSB) to teach self-regulation techniques that may have not been developed due to early traumatic experiences. Self-applied touch is a DMT intervention that may assist individuals with self-regulation that was missed during critical developmental periods. This Capstone project implemented a self-applied touch warm-up with ...
Body Based Meditative And Mindfulness Practices For Veterans With Combat Related Ptsd, 2018 Lesley University
Body Based Meditative And Mindfulness Practices For Veterans With Combat Related Ptsd, Jessica Steurer
Expressive Therapies Capstone Theses
This literature review investigates and examines how body based meditative and mindfulness practices can be an effective treatment method for Veterans with symptoms of combat-related posttraumatic stress disorder. Yoga Therapy and other Expressive Therapy modalities (Art, Music) have developed evidenced-based practices and supporting research for this treatment area. Dance Movement Therapy (DMT) has shown effectiveness when treating conditions Veterans often present with such as combat-related PTSD, Substance Abuse, Anxiety, and Stress. DMT is a modality that focuses on the integration of the mind and body. Veterans benefit from body-based practices because they help to focus on the present moment while ...
Patterns Of Stigma: Dance Therapy As An Intervention Method For People Living With Hiv, 2018 Lesley University
Patterns Of Stigma: Dance Therapy As An Intervention Method For People Living With Hiv, Elizabeth Jezorski
Expressive Therapies Capstone Theses
This paper will explore the impact that dance movement therapy (DMT) has for people living with HIV. DMT is an evidence-based modality that engages the body in the therapeutic process for individuals and groups in various settings. DMT has been shown to increase social connectedness, empathy and body awareness in many populations; however, there is a lack of research using DMT as an intervention for people with concealable stigma. Concealable stigma is an experience of oppression that can often be hidden or concealed. To explore this, four DMT sessions were implemented with people living with HIV. These sessions were analyzed ...
Radical Social Ecology As Deep Pragmatism: A Call To The Abolition Of Systemic Dissonance And The Minimization Of Entropic Chaos, Arielle Brender
Student Theses 2015-Present
This paper aims to shed light on the dissonance caused by the superimposition of Dominant Human Systems on Natural Systems. I highlight the synthetic nature of Dominant Human Systems as egoic and linguistic phenomenon manufactured by a mere portion of the human population, which renders them inherently oppressive unto peoples and landscapes whose wisdom were barred from the design process. In pursuing a radical pragmatic approach to mending the simultaneous oppression and destruction of the human being and the earth, I highlight the necessity of minimizing entropic chaos caused by excess energy expenditure, an essential feature of systems that aim ...