Digital Commons Network^™

Trauma Exposure Among Women In The Pacific Rim, Elizabeth Reeves, Pilar De Bernal, Susan G. Silva, Diva Jaramillo, Tulia Uribe, Agnes Tiwari, Gladys Eugenia Canaval, Maria Eugenia Mendoza Flores, Ruth Ann Belknap, Janice Carrol Humphreys

College of Nursing Faculty Research and Publications

Purpose

Healthcare professionals who provide services in the immediate or long‐term aftermath of traumatic events need to understand the nature and frequency of traumatic events in the lives of women. However, research on trauma exposure in women has only recently begun to assess events other than intimate partner and sexual violence and has not supported direct statistical comparison of cross‐national and cross‐cultural data. The purpose of this descriptive, correlational study was to describe and compare trauma exposure prevalence and type in community‐based samples of women in the United States, Colombia, and Hong Kong.

Design

Women were recruited through posted notices …

J Mich Dent Assoc Apr 2017

The Journal of the Michigan Dental Association

Archival issues of the Journal of the Michigan Dental Association may include reports on the activities of the association and its members, clinical articles, information on legal and ethical practice considerations, and perspectives of interest to MDA members and those in the oral health profession.

Exploring Individual And Structural Factors Associated With Employment Among Young Transgender Women Of Color Using A No-Cost Transgender Legal Resource Center, Brandon J. Hill, Kris Rosentel, Trevor Bak, Michael Silverman, Richard A. Crosby, Laura Salazar, Michele Kipke

Health, Behavior & Society Faculty Publications

Purpose: The purpose of this study was to explore individual and structural factors associated with employment among young transgender women (TW) of color.

Methods: Sixty-five trans women of color were recruited from the Transgender Legal Defense and Education Fund to complete a 30-min interviewer-assisted survey assessing sociodemographics, housing, workplace discrimination, job-seeking self-efficacy, self-esteem, perceived public passability, and transactional sex work.

Results: Logistic regression models revealed that stable housing (structural factor) and job-seeking self-efficacy (individual factor) were significantly associated with currently being employed.

Conclusion: Our findings underscore the need for multilevel approaches to assist TW of color gain employment.

Training Us Health Care Professionals On Human Trafficking: Where Do We Go From Here?, Clydette Powell, Kirsten Dickins, Hanni Stoklosa

Pediatrics Faculty Publications

Some 21 million adults and children are labor-trafficked or sex-trafficked through force, fraud, or coercion. In recognition of the interface between trafficking victims and the healthcare setting, over the last 10 years there has been a notable increase in training of health care professionals (HCPs) on human trafficking (HT) and its health implications. Many organizations have developed curricula and offered training in various clinical settings. However, methods and content of this education on trafficking vary widely, and there is little evaluation of the impact of the training. The goal of this study was to assess the gaps and strengths in …

Training Us Health Care Professionals On Human Trafficking: Where Do We Go From Here?, Clydette Powell, Kirsten Dickins, Hanni Stoklosa

Pediatrics Faculty Publications

Some 21 million adults and children are labor-trafficked or sex-trafficked through force, fraud, or coercion. In recognition of the interface between trafficking victims and the healthcare setting, over the last 10 years there has been a notable increase in training of health care professionals (HCPs) on human trafficking (HT) and its health implications. Many organizations have developed curricula and offered training in various clinical settings. However, methods and content of this education on trafficking vary widely, and there is little evaluation of the impact of the training. The goal of this study was to assess the gaps and strengths in …

An Evaluation Of The Mpowerment Evidence-Based Program In Congruence With Chicago-Specific Mobile App On Reducing Hiv Transmission And Acquisition, Katelyn Elizabeth Mason

Theses and Dissertations--Public Health (M.P.H. & Dr.P.H.)

Black Men who have sex with Men are at higher risk of contracting HIV than other populations, and thus require programs that focus of their need. Chicago, Illinois has incidence and prevalence rates 3 times higher than the national average, with a large burden of the disease falling on BMSM. Mpowerment is an evidence-based intervention that utilizes formal and informal meetings at a home base and local venues, and has found promising effects in reducing unprotected anal intercourse. Mobile applications have also shown promise in increasing adherence, and will be adapted into the Mpowerment program to create a High Impact …

Adolescent Girls Initiative-Kenya: Health And Life Skills Audio Training Script, Wajir, Population Council

Poverty, Gender, and Youth

The Adolescent Girls Initiative project-Kenya (AGI-K) helps young, vulnerable adolescent girls build their social, health, and economic assets. AGI-K tests combinations of interventions in health, violence prevention, wealth creation, and education to determine which package of interventions delivers the most impact and at what cost. The project was led by Population Council and implemented in two marginalized areas 1) Kiberain Nairobi and 2) Wajir County in Northeastern Kenya by Plan International and Save the Children, respectively. This scripted guide was designed to support the delivery of the health, life skills, and nutrition sessions in Wajir in response to challenges with …

Health Professional Students As Providers Of Behavioral Health Services To Uninsured Immigrants, Juan Gabriel Rodriguez Guzman

Yale Medicine Thesis Digital Library

Using the principles of lay counseling, health professional students were trained to deliver psychosocial educational interventions and administer substance use screenings to uninsured monolingual Spanish-speaking Latino immigrants with symptomatic depression and/or substance use disorders. Changes in depressive symptoms were assessed with the PHQ-9. Twenty-five patients enrolled in the lay counselor program for depression. PHQ-9 data were available from the 15 individuals who completed the program, among whom the mean baseline score was 11.7 (SD = 6.2) and mean final score was 4.6 (SD = 4.2) (p

The Impact Of A Referral Card-Based Intervention On Intimate Partner Violence, Psychosocial Health, Help-Seeking And Safety Behaviour During Pregnancy And Postpartum: A Randomized Controlled Trial, An-Sofie Van Parys, Ellen Deschepper, Kristien Roelens, Marleen Temmerman, Hans Verstraelen

Obstetrics and Gynaecology, East Africa

Background: We aimed to investigate the impact of a referral-based intervention in a prospective cohort of women disclosing intimate partner violence (IPV) on the prevalence of violence, and associated outcomes psychosocial health, help-seeking and safety behaviour during and after pregnancy.

Methods: Women seeking antenatal care in eleven Belgian hospitals were consecutively invited from June 2010 to October 2012, to participate in a single-blind randomized controlled trial (RCT) and handed a questionnaire. Participants willing to be interviewed and reporting IPV victimisation were randomised. In the Intervention Group (IG) participants received a referral card with contact details of services providing assistance and …

Bangladesh: Using Strong Evidence And Strategic Collaboration To Increase Access To Menstrual Regulation With Medication, Nancy Termini Lachance, Sharif M.I. Hossain

Reproductive Health

Through close cooperation with the Ministry of Health and Family Welfare of Bangladesh, and other partners, STEP UP generated strong evidence and cultivated ongoing collaboration that contributed to policy changes and program expansions to increase access to menstrual regulation with medication (MRM). Study results demonstrate that MRM is acceptable and effective in Bangladesh, and has thus been legalized and folded into the national FP program and scaled up nationwide. However, ongoing observation and studies are still needed to understand whether the efficacy and acceptability of MRM remains the case when services are delivered at scale on a national level. Furthermore, …

Harmonizing National Abortion And Pregnancy Prevention Laws And Policies For Sexual Violence Survivors With The Maputo Protocol, Jill Thompson, Chi-Chi Undie, Avni Amin, Ronald Johnson, Rajat Khosla, Ian Askew, Leopold Ouedraogo, Triphonie Nkurunziza, Sarah Rich, Elizabeth Westley, Melissa Garcia

Reproductive Health

In April 2016, the Population Council, the World Health Organization (WHO), and the International Consortium for Emergency Contraception (ICEC) convened a three-day regional technical meeting aimed at helping participating countries meet their obligations under the Maputo Protocol to protect and promote the reproductive health rights of women and girls, with a special emphasis on survivors of sexual and intimate partner violence. Participants included representatives from six countries in sub-Saharan Africa—Botswana, Ethiopia, Kenya, Malawi, Rwanda, and Zambia—as well as international and regional experts on reproductive health, law, and human rights. Presentations and discussions focused primarily on the prevention and management of …

Barriers To Preventive Healthcare For Immigrants In Michigan, Sondos Ghazi Al-Hachim

Walden Dissertations and Doctoral Studies

The Affordable Care Act expanded insurance coverage to the general population; however, expanding insurance coverage to immigrants might not be sufficient to improve utilization of annual physical preventive exams. This study evaluated adult Michigan immigrants' individual demographics, perceptions, and behaviors, as well as the collective cultural and system characteristics that might act as barriers to the utilization of annual physical preventive exams. Ken Wilber's integral operating system model for medicine conceptual framework was used to create a comprehensive map of factors and bring more clarity and understanding to the barriers to annual physical preventive exam. The quantitative survey was the …

How Harm Reduction Programs Work In The Context Of Village And Commune Safety Policy: Lessons Learned From A National Non-Governmental Organization In Cambodia, Sovannary Tuot, Sopheab Heng, Chhorvann Chhea, Eunice Salonga, Siyan Yi

This paper aims to examine the challenges and implications of the Village and Commune Safety Policy (VCSP) on harm-reduction programs and describe lessons learned from a harm-reduction program within the context of the VCSP in Cambodia. Data were collected from a monitoring and evaluation database and reports of a drop-in center that provides a wide range of harm-reduction services. In addition, qualitative data were collected through key informant interviews and focus group discussions with 38 participants including people who use drugs (PWUD) and people who inject drugs (PWID). Desk reviews and consultative meetings with key stakeholders were also conducted. In …

Exploring The Experience Of Separation In Australia: Perspectives From Formerly Married And Cohabiting Parents, Sarah M. Barbas

Theses: Doctorates and Masters

The increase in separation and divorce rates during the 20th century brought with it many far-reaching social implications for all involved, sparking a high level of interest among researchers. Most research in this area has been approached from stress frameworks that have conceptualised separation and divorce as a stressful life transition that individuals must adjust to. Yet, attempts to understand separation and divorce to date have been dominated by quantitative methods that have resulted in a relatively static and objective understanding of this experience; particularly in Australia. Furthermore, although international rates of divorce are declining, rates of separation following cohabiting …

Healer, Witness, Or Double Agent? Reexamining The Ethics Of Forensic Psychiatry, Matthew U. Scherer

Journal of Law and Health

In recent years, psychiatrists have become ever more prevalent in American courtrooms. Consequently, the issue of when the usual rules of medical ethics should apply to forensic psychiatric encounters has taken on increased importance and is a continuing topic of discussion among both legal and medical scholars. A number of approaches to the problem of forensic psychiatric ethics have been proposed, but none adequately addresses the issues that arise when a forensic encounter develops therapeutic characteristics. This article looks to the rules governing the lawyer-client relationship as a model for a new approach to forensic psychiatric ethics. This new model …

Breakdown: Treatment Gaps In New York City's Mental Health System, Christine Brink Kjeldgaard, Noah Caldwell, Mary Hanbury, Mike O'Brien, Joanna Purpich, Anthony Izaguirre

Capstones

Forty years after New York City began to "deinstitutionalize" its mental health system in hopes of building community-based care, the city is still falling short. This investigative project, undertaken by six reporters at CUNY's Graduate School of Journalism, uncovers the treatment gaps facing mentally ill New Yorkers, who are among the most vulnerable in the city. The project follows them to the actual places where they seek care: hospitals, clinics, homeless shelters, prisons and schools.

Healthy Homes, Healthy Futures: A Home Visitation Curriculum For Pediatric Residents, Kofi D. Essel, Sirisha Yalamanchi, Cara Lichtenstein, Erin Hysom

E-Learning Modules

A working knowledge of the home and neighborhood environment is critical to understanding the barriers that families face when struggling with obesity. Most doctors are only given the opportunity to address individuals with obesity in the office setting and usually describe their counseling abilities as ineffective. This focused home visitation curriculum offers a unique tool to improve residents’ understanding of the social determinants of health, how these determinants relate to obesity, and critical obesity-management skills. The curriculum requires residents to review three PowerPoint modules and an article on motivational interviewing. Residents then implement what they have learned by doing two …

School Siting Near Industrial Chemical Facilities: Findings From The U.S. Chemical Safety Board's Investigation Of The West Fertilizer Explosion., Veronica A Tinney, Jerad M Denton, Lucy Sciallo-Tyler, Jerome A. Paulson

Environmental and Occupational Health Faculty Publications

BACKGROUND: The U.S. Chemical Safety and Hazard Investigation Board (CSB) investigated the April 17, 2013 explosion at the West Fertilizer Company (WFC) that resulted in 15 fatalities, more than 260 injuries and damage to more than 150 buildings. Among these structures were four nearby school buildings cumulatively housing children in grades K-12, a nursing care facility and an apartment complex. The incident occurred during the evening when school was not in session, which reduced the number of injuries.

OBJECTIVES: The goal of this paper is to illustrate the consequences of siting schools near facilities that store or use hazardous chemicals, …

Engaging Homeless Service Providers In Educational Efforts During A Tuberculosis Outbreak In Atlanta, Preetha Nandi, Mary Claire Worrell, Tom Andrews, Rose-Marie Sales, Jeff Mcmichael, Kristen H. Hamptom, Neela D. Goswami

Journal of the Georgia Public Health Association

Background: During an outbreak of tuberculosis (TB) in the homeless population of metropolitan Atlanta, education of homeless service providers (HSPs) about the implementation of local infection control measures was imperative to limiting the spread of TB and to preventing future outbreaks.

Methods: By use of educational sessions and teaching posters, two interventions were designed to focus educational efforts from November 2014 to August 2015: 1) a spatially-targeted approach that identified HSPs within an area of Fulton County, GA (which includes downtown Atlanta) with high TB case density (cases per square mile) from 2009 – 2014, and 2) an organizational meeting …

J Mich Dent Assoc Sep 2016

The Journal of the Michigan Dental Association

Archival issues of the Journal of the Michigan Dental Association may include reports on the activities of the association and its members, clinical articles, information on legal and ethical practice considerations, and perspectives of interest to MDA members and those in the oral health profession.

Mutuality In Movement: A Relational Approach To Dance/Movement Therapy With Domestic Violence Survivors, Heather L. Maclaren

Creative Arts Therapies Theses

This qualitative case study explored the integration of relational-cultural therapy and dance/movement therapy (DMT), or relational-DMT, with survivors of domestic violence. The study examined how participants experience relational-DMT and the therapeutic relationship we established together. Three culturally diverse participants receiving individual short-term counseling services at a domestic violence service agency were included in the study. Three forms of data were collected over six to eight therapy sessions. Following each session, the participants completed the Helpful Aspects of Therapy questionnaire, while the researcher completed embodied case documentation (Fogel, 2007). After the final therapy session, a semi-structured interview was conducted with each …

Integration Of Professional Identity And Christian Religious Identity In Undergraduate Social Work Students, Lolene K. Bargerstock

Dissertations

Undergraduate social work programs are responsible to prepare students who will practice in accordance with the NASW Code of Ethics. Such preparation is not simply limited to developing a body of knowledge or set of skills but extends to adoption of a professional identity. Several research studies point to religious values as a significant motivational factor in choosing social work as a profession, yet little research has been conducted to investigate the integration of religious identity with an emerging professional identity. The current study sought to explore the experience of professional identity formation in undergraduate Christian social work students …

Addressing Health Disparities Among Homeless In Alachua County Through Community-Based Participatory Research., Meron Hirpa, Omar Iqbal, Haider Ali, Sama I. Ilyas, Nabeel Iqbal, Jeena A. Kar, Tiffany Splatt, Brendan Shortley, Nancy Hardt

Journal of Health Disparities Research and Practice

Introduction. In states such as Florida that did not expand Medicaid, a large number of economically disadvantaged individuals do not qualify for subsidies to buy health insurance through the Affordable Care Act (ACA) ². This leaves the health needs of Florida’s homeless population largely unaddressed. Nearly 48.1% of Alachua County’s homeless population has disabling conditions ¹⁶. This confirms a pressing need to understand the homeless population's healthcare needs, knowledge, and barriers in accessing healthcare. Methods. We used a Community-Based Participatory Research model in conducting health fairs and needs assessment surveys, incentivizing participation, and providing education about existing resources. …

Examination Of The Effects Of Language And Cultural Barriers On Spanish-Speaking Patients In Health Settings As Observed By Medical Spanish Interpreters, Sarah J. Kraska

Senior Honors Projects, 2010-2019

This study aimed to investigate how the Spanish language and culture affects treatment, access to healthcare and perceptions of medical visits within the Hispanic population. This was examined through the viewpoint of medical Spanish interpreters in the Harrisonburg community. Quantitative data served to provide descriptive statistics regarding these interpreters, while qualitative data was used to gather data about themes and subthemes that were developed regarding this topic. Language was found to not be a significant barrier, but culture did have a significant affect. It was found that these barriers affected access to care because of lack of information, education levels …

Recurrent Mutations Of T-Cell Receptor And Co-Stimulatory Signaling Proteins In Peripheral T-Cell Lymphomas, Joseph Rohr

Theses & Dissertations

Peripheral T-cell lymphomas (PTCLs) comprise a heterogeneous group of mature T-cell neoplasms with a poor prognosis. Recently, mutations in TET2 and other epigenetic modifiers as well as RHOA have been identified in these diseases, particularly in angioimmunoblastic T-cell lymphoma (AITL). CD28 is the major co-stimulatory receptor in T-cells which, upon binding ligand, induces sustained T-cell proliferation and cytokine production when combined with T-cell receptor stimulation, through many signaling molecules including VAV1. This thesis identifies recurrent mutations in CD28 in PTCLs, as well as mutations in VAV1. Two residues of CD28 – D124 and T195 – were recurrently mutated in 11.3% …

Case Study: Provider For Program To Prevent The Revictimization Of Persons Trafficked For Sex, Janis G. Arlow

Masters Theses, 2010-2019

This case study seeks to identify behavior, skills, and attitudes of a professional providing an effective reintegration program for persons trafficked for sex. New demands on medical and social services were created over the past two decades by legislative changes. Initial research focuses on rescue and unmet primary needs. The service program selected for this study has stepped beyond awareness and rescue efforts to the rehabilitation and prevention of revictimization of trafficked persons. A literature review covers the history of sex trafficking in the United States; the recovery environment; materials, trainings and programs available for professionals seeking knowledge to serve …

Landscaping In Lockup: The Effects Of Gardening Programs On Prison Inmates, Rachel Jenkins

Graduate Theses & Dissertations

Background: Incarcerated individuals in the United States suffer from
disproportionately poor mental health outcomes.
Objective: This paper examines the effects of prison gardening programs on the psychosocial health of incarcerated individuals in the United States prison system through a systematic review of the literature.
Methods: Databases including Academic Search Premier, Web of Science, PsycArticles, and Google Scholar were used to identify peer-reviewed articles that met inclusion criteria. The quantitative and qualitative results from these articles were compiled and synthesized.
Results: Selected prison gardening programs were shown to increase self-efficacy and self-worth and decrease anxiety in inmates involved in these initiatives. …

School Mental Health Guide For Educators, Yvonne Smith

Nursing Theses and Capstone Projects

This Capstone Project explored the impact of providing a staff development program to educators in a public school setting to address rising concerns over unmet student mental health needs in this school setting. Student mental health response and referral had become prominent concerns in the project school. The project leader developed two separate sessions addressing adolescent depression and mental health. The sessions, facilitated by the project leader and the project implementation team, represented the interprofessional disciplines of nursing, counseling, and social work. Each session addressed issues of confidentiality, definition and signs/symptoms of each conditions, common treatments, evidenced-based classroom strategies and …

A Medical Malpractice Trial Where The Residents And Faculty Are The Judge And The Jury, Kelly A. Rabah

Obstetrics and Gynecology Faculty Publications

At the conclusion of this session, the learner should be able to:

• Name 3- 5 of the most common reasons for a medical malpractice claim

• Describe and compare negligence, types of error, and recklessness

• Explain 3-5 steps that should be taken to minimize risk for a malpractice suit

• Discuss the emotional toll that litigation causes and the personal and professional risks that may result

Clearing The Smoke: The Ethics Of Multistate Legal Practice For Recreational Marijuana Dispensaries, Eric Mitchell Schumann

St. Mary's Journal on Legal Malpractice & Ethics

With many firms practicing in multiple states, a lawyer could represent a marijuana dispensary in a legalized state while practicing in a state, like Texas, which continues to criminalize the drug. This raises a question of whether Texas attorneys who make the bold attempt to assist a company that sells marijuana violate the rules of professional responsibility.

In Section II, this Comment examines the background of the criminalization of marijuana and looks into the movement to liberalize the laws surrounding it. Section III analyzes the rules of professional conduct in Texas and in Colorado to determine what a lawyer in …