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Adapting Evidence-Based Treatments For Youth In A Community Mental Health Setting: Single Case Design, Alexis Quinoy Apr 2011

Adapting Evidence-Based Treatments For Youth In A Community Mental Health Setting: Single Case Design, Alexis Quinoy

Theses and Dissertations

This single-case design study examined the effectiveness of adapting evidence-based treatments (EBTs) for children in a community clinic through a university-community partnership. Community clinic therapists treated eight youths (five males), ages 10 to 14, of whom four were Caucasian, two were Latino, one was African-American, and one was Caucasian/African-American. Youths presented with a primary diagnosis of a DSM-IV (American Psychiatric Association, 1994) internalizing disorder (plus multiple comorbidities). An adapted treatment combining multiple elements based on two primary treatment manuals: Coping Cat (Kendall et al., 1990) and PASCET (Weisz et al., 1999) was used. Youths with comorbid externalizing symptoms were also …

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The Experience Of Mental Health Service Use For African American Mothers And Youth, Richard Thompson, Barbara L. Dancy, Tisha R. A. Wiley, Sylvia P. Perry, Cynthia J. Najdowski Jan 2011

The Experience Of Mental Health Service Use For African American Mothers And Youth, Richard Thompson, Barbara L. Dancy, Tisha R. A. Wiley, Sylvia P. Perry, Cynthia J. Najdowski

Psychology Faculty Scholarship

Little is known about African American families’ experiences with mental health services. A purposive sample of 40 dyads of African American youth (aged 13 to 19) and their mothers participated in a cross-sectional qualitative research design using semi-structured interviews that elicited information about their past experiences and satisfaction with mental health services. Though rarely received, group and family therapy were perceived favorably. However, both mothers and youth reported dissatisfaction centered on medication and lack of professionalism, confidentiality, and concern by providers. The failure of mental health services providers to meet basic standards of quality and professionalism may explain the low …

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Maternal Depressive Symptoms And Health Outcomes In Youths With Type 1 Diabetes: A Mediational Model, Struemph Kari Morgan Dec 2010

Maternal Depressive Symptoms And Health Outcomes In Youths With Type 1 Diabetes: A Mediational Model, Struemph Kari Morgan

Theses and Dissertations

Objectives: The rate and impact of depressive symptoms were examined with two models based on known effects of depression on variables related to diabetes management, parental involvement and diabetes conflict. The proposed models will measure potential effects high maternal depressive symptoms may have on parental monitoring and involvement and diabetes specific conflict and how these variables may in turn relate to poor regimen adherence. Methods: Participants included 225 mothers and young adolescents (aged 11-14) with T1D. Diabetes self-care behaviors were measured with the 24 Hour Recall Interview, parental involvement and monitoring were measured with the Parent Management of Diabetes Scale, …

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Family Coping As A Protective Factor For Poor Children, Catherine Decarlo Santiago Jan 2010

Family Coping As A Protective Factor For Poor Children, Catherine Decarlo Santiago

Electronic Theses and Dissertations

This study examined family influences on coping and adjustment among 90 low-income Latino middle school children (46% Female; Average age = 11.38, SD = .66) and their primary caregivers (93% Female; Average age = 36.12, SD = 6.13). All participants identified as Hispanic/Latino, with 75% of families identifying as Mexican-origin Latino, 77% of parents identifying as immigrants, and 32% of children identifying immigrants. All children participating in the study were receiving free or reduced lunch, a poverty indicator. Hierarchical linear modeling analyses revealed that family reframing is related to fewer symptoms of psychopathology and that familism enhances the protective effect …

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Trauma, Dissociation, And Traumatic Stress At A Trauma Center Serving Low-Income Children And Adolescents, Krista Kohl Jan 2010

Trauma, Dissociation, And Traumatic Stress At A Trauma Center Serving Low-Income Children And Adolescents, Krista Kohl

Dissertations

Exposure to trauma continues to be a pervasive and detrimental experience in the lives of children and adolescents in impoverished, urban communities. This study explored the relationships among trauma, dissociation, and posttraumatic stress in a clinic-referred sample of children and adolescents living in urban poverty. Trauma was investigated broadly, including a range of traumatic experiences, with particular attention given to different types, chronicity, multiple exposures, and severity of trauma. Dissociation was investigated as a mediator, or mechanism of the relationships among trauma and posttraumatic stress symptoms, internalizing and externalizing behaviors. Moderators included gender, age, and adverse experiences. Results confirmed that …

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Predictors Of Mental Health Outcomes Among Foster Care Children Receiving Community-Based Services, Alison Merri Dunleavy Jan 2010

Predictors Of Mental Health Outcomes Among Foster Care Children Receiving Community-Based Services, Alison Merri Dunleavy

Master's Theses

Historically, children served in the foster care system experience less favorable mental health outcomes compared to those in the general population (Anctil, McCubbin, & Pecora, 2006; Burns et al., 2004; Garland et al., 2001; Zima, Bussing, Yang, & Berlin, 2000). As a result, the child welfare system has been described as a "de facto public behavioral health care system" (Lyons & Rogers, 2004), prompting state child welfare agencies to seek to put systems and policies in place to serve the needs of these youth, such as Illinios' statewide community-based program, System of Care (SOC), designed to provide multi-modal services to …

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History Of Maltreatment And Psychiatric Impairment In Children In Outpatient Psychiatric Treatment, Kerry Gagnon May 2009

History Of Maltreatment And Psychiatric Impairment In Children In Outpatient Psychiatric Treatment, Kerry Gagnon

Honors Scholar Theses

There is increasing evidence that childhood victimization and attachment disruptions impact a child’s development. In this study, children and adolescents from an outpatient psychiatric clinic were assessed, measuring history of trauma, history of out-of-home placement, initial diagnoses, and CBCL internalizing and externalizing problem scores. Multiple regression analyses showed that both violent abuse trauma (physical/sexual abuse) and victim trauma (physical abuse/sexual abuse/witnessing domestic violence/witnessing community violence) are prevalent among patients with externalizing severity problems; concluding that diagnosis alone may not account for a history of victimization, but externalizing problem severity does. Overall, the study is consistent with past literature that it …

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Program Evaluation : The Clinical Programming Of An Adolescent Psychiatric Residential Program And Adherence To Clinical Best Practice Guidelines, Michael K. Colbert Jan 2009

Program Evaluation : The Clinical Programming Of An Adolescent Psychiatric Residential Program And Adherence To Clinical Best Practice Guidelines, Michael K. Colbert

PCOM Psychology Dissertations

The structure and delivery of clinical services at an adolescent psychiatric community residential program (PCR), located in New Jersey, was evaluated and compared to national clinical guidelines in order to determine the effectiveness of the services being delivered. A multitude of demographic and clinical variables were examined through the review of 70 closed medical records over a 5-year period. An exploration of the history, rationale, and effectiveness of residential treatment services for adolescents is also presented, along with recommendations for the delivery of more effective clinical services.

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Child Neglect And Trauma: The Additive Traumatic Effects Of Neglect On Maltreated Adolescents, Adrianna Rachel Wechsler Jan 2009

Child Neglect And Trauma: The Additive Traumatic Effects Of Neglect On Maltreated Adolescents, Adrianna Rachel Wechsler

UNLV Theses, Dissertations, Professional Papers, and Capstones

Child maltreatment affects thousands of youths in the United States and poses numerous detrimental effects to individuals, families, and the community. Neglect is the most commonly reported and least studied form of child maltreatment. All types of child maltreatment may result in negative outcomes, but the chronic and pervasive nature of child neglect poses a significant threat to child development. No studies have been published evaluating the role of child neglect in the development of Posttraumatic Stress Disorder (PTSD) and PTSD-related symptoms. This study examined whether neglect has an additive traumatic effect on maltreated youth. The first hypothesis was that …

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Transportability Of Trauma-Focused Cognitive Behavioral Therapy : A Case Study With Adolescents In A Residential Treatment Setting, Susanna A. Carew Jan 2007

Transportability Of Trauma-Focused Cognitive Behavioral Therapy : A Case Study With Adolescents In A Residential Treatment Setting, Susanna A. Carew

PCOM Psychology Dissertations

Because of the increase in the numbers of adolescents presenting in residential care, the challenge and difficulty posed to therapists in treating this age-group, and the prevalence of chronic stress and complex trauma symptoms found in this population, the research conducted was a clinical case study investigating the transportability and effectiveness of using Trauma-Focused Cognitive Behavioral Therapy (TF-CBT), a manualized treatment format, with adolescent clients in a residential treatment setting. A doctoral candidate was trained to engage each of three residential clients in 12 individual sessions of TF-CBT. The Behavior Assessment System for Children (BASC), Children’s Depression Inventory (CDI), Jesness …

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Religious Faith And Mental Health Outcomes, Thomas G. Plante, Naveen K. Sharma Jan 2001

Religious Faith And Mental Health Outcomes, Thomas G. Plante, Naveen K. Sharma

Psychology

In this chapter we review recent research regarding the relationship between religious faith/spirituality and mental health outcomes, as well as provide directions for future research and discussion. The specific aspects of mental health and illness that we focus on include well-being, depression, anxiety, substance abuse, and schizophrenia. We also briefly discuss research pertaining to religious faith and personality disorders, eating disorders, somatoform disorders, and bipolar disorder.

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