Health Systems Partnership For Collaborative Anti-Racist Perinatal Care: A Case Study Of Black Community Based Perinatal Care, Roberta Hunte, Monique Gill, Kevin Cherry, Desha Reed-Holden

Reports

No abstract provided.

Barriers To Methadone For Hiv Prevention Among People Who Inject Drugs In Kazakhstan, Amanda Rachel Liberman

Yale Medicine Thesis Digital Library

Background: In Eastern Europe and Central Asia, HIV incidence and mortality continue to increase, and this epidemic is concentrated among people who inject drugs (PWID). In Kazakhstan, the prevalence of HIV among PWID is higher than for any other key population. Opioid agonist therapies like methadone are the only evidence-based treatment for opioid use disorder and thus are crucial tools for HIV prevention. Though methadone has been provided for free in Kazakhstan since 2008, less than 1% of PWID currently access this service. An intervention to increase methadone scale-up is necessary, and the Exploration, Preparation, Implementation, and Sustainment (EPIS) Framework …

Process-Oriented: A Creative Approach To Transformative Learning, Dorit Netzer

International Journal of Transpersonal Studies Advance Publication Archive

In this intrinsic case study, the author explores the value of creative expression as a process-oriented approach to transformative learning through her experience of designing and facilitating a graduate art-therapy studio workshop. The author grounds her teaching in a humanistic view of creativity and transpersonal, transformative learning theories pertaining to expressive ways of knowing. Excerpts from one group of students’ responses to the course in terms of its impact on their personal-professional identity were grouped under four major themes: Purposeful Encounter; Authenticity; Expressive Mediums for Self-Care; and Shared Discovery. Conclusions from this case may be relevant to other educational settings …

Adolescent Mental Health In The Twenty-First Century, Arthur Maerlander, Patricia Gail Bray

Center for Brain, Biology, and Behavior: Faculty Publications

Conclusion

Parents do not suddenly relinquish medical decision-making to their children and are a vital part of a process construed within the framework of consent and confidentiality laws. In the transition period from childhood to adulthood, adolescents develop unique healthcare needs and concerns at the very time they are gaining autonomy from their parents. Adolescents progress from being recipients of decisions about their care to gradually becoming active participants in their healthcare and emerge as a primary partner in medical decision-making. Building a strong therapeutic alliance with young people can help them become responsible healthcare decision-makers.

Yet while “healthcare,” including …

The Influence Of Needs Satisfaction And Support On The Well-Being Of Physicians Deployed In Underserved Communities, Karl Hendrick Bautista, Jianna Capillo, Mari Jazmin Ezekielle Lopez, Edgardo Javier Santos, Ivan Matthew Severino, Chloe Angela Mae Sio, Samantha Marie Tanchanco, Genejane M. Adarlo, Michelle Pia Eustaquio

Health Sciences Faculty Publications

This study investigated the influence of needs satisfaction and support on the well-being of physicians deployed in underserved communities. Basic Psychological Needs Theory is used as the theoretical framework, positing that fulfilling the three basic psychological needs of autonomy, competence, and relatedness can foster well-being and optimal functioning. The results revealed that meeting basic psychological needs alongside workplace conditions and individual characteristics can play distinct roles in promoting emotional, psychological, and social well-being as well as reducing the likelihood of anxiety and depression. This study suggests that promoting the well-being of human resources for health, particularly among physicians deployed in …

Integrating Clinical Intuition For A Whole Person Approach To Empowerment, Jennifer Sousa

International Journal of Transpersonal Studies

This paper is a summary of a study utilizing constructivist grounded theory to examine the process of accessing and applying clinical intuition in psychotherapy. Intensive interviews were conducted with 19 psychotherapists to explore their experiences with clinical intuition, including training on the topic, supportive conditions for accessing intuition, and decision making around its application in session. Engagement in an iterative process of data collection and analysis occurred to arrive at the constructed theory: integrating clinical intuition for a whole person approach to empowerment. The theory is comprised of the core categories (a) building trust and confidence to access and use …

Transpersonal Approaches To Clinical Supervision, Harris L. Friedman

International Journal of Transpersonal Studies

Transpersonal psychology can provide unique approaches to clinical supervision by offering an interconnected self-expansive view of the self across time and space, as well as can provide a secular avenue to consider the importance of spirituality without relying on supernatural assumptions. Transpersonal supervisors can challenge conventional notions about what and how supervisees know, and even the nature of being a knower, through providing a more inclusive, perhaps even holistic, vantage that is both critical of mainstream approaches and surpasses their ability to provide a coherent “super” (i.e., going beyond the usual more-myopic understandings) vision. Background on transpersonal psychology related to …

Discharge Implementation Project: Ascertaining If Discharge Implementation Orders Overall Improves Discharge Metrics At A Texas Hospital, Zachary Paras, Omar Nawab, Komthorn Cunvong, Jackson V. Littlejohn, Sathish Karmegam

North Texas GME Research Forum 2024

There are several factors preventing discharges out of the hospital within 24 hours that ultimately affects metrics for both hospital systems and physicians. These factors include pending labs, imaging, or procedures; pending placement approval at a facility outside of the hospital upon discharge; notification of family and caretakers; secured funding for devices and medicines; and others. In an attempt to mitigate preventable extra days spent in the hospital once a patient is medically ready for discharge, a Texas hospital implemented a discharge order set for providers to utilize that informs all involved parties including case management, PT/OT, social work, nurses, …

Winona State University Rochester Blog:2014-2023, Winona State University

Winona State University Blogs

The Winona State University (WSU) Rochester Blog includes articles and entries from May 2014-March 2023. Note: there may be format coding in the document.

Uab Nursing - Fall 2024, University Of Alabama At Birmingham

UAB Nursing magazine

No abstract provided.

Reimagining Equitable Care: Simulation-Based Education And The Dismantling Of Implicit Bias And Stigma Of Vulnerable Populations In Hospitals, Vanessa Smith

Nursing | Senior Theses

Background: Simulation-based education consists of using high-fidelity mannequins and equipment to provide a safe space for healthcare professionals to practice crucial skills within healthcare. Used within hospitals and schools, simulation most commonly surrounds practicing hands-on skills such as central line insertion, IV insertion, Ultrasound-guided procedures, code blue response, etc. However, a large portion of healthcare that is overlooked is tackling issues within patient-provider relationships. Simulation can help dismantle the negative behaviors and feelings providers push onto patients through the use of standardized patients and role-playing. By using these methods, simulation can reduce providers’ personal implicit biases and the stigma associated …

Cancer Care Annual Report 2022-2023, Children's Mercy Kansas City

Cancer Center Annual Reports

Annual report of cancer care and oncology services at the Children's Mercy Kansas City, a pediatric medical center. This year’s report focuses on Brain Tumors.

Treating Young Adult Cannabis Use Disorder With Text Message-Delivered Peer Network Counseling, Nikola Zaharakis, J. Douglas Coatsworth, Nathaniel R. Riggs, Aubrie Radford, Stephanie Rayburn, Jeremy Mennis, Michael A. Russell, Aaron Brown, Michael J. Mason

Social Work Faculty Publications

Background: Approximately 16.5% of U.S. young adults have a cannabis use disorder (CUD) and are at risk for negative outcomes. Treatment can reduce cannabis use, but young adults are less likely to seek help than older adults. Peer Network Counseling-txt (PNC-txt) is a brief, text-delivered, Motivational Interviewing-informed substance use intervention focusing on peer relations and activity spaces as mechanisms for behavioral change. PNC-txt has shown evidence of reducing tobacco and cannabis use with adolescents and young adults, but it has not been tested in the context of legal cannabis use. The current randomized controlled trial sought to expand the evidence …

Baystate Medical Center Nursing Report - 2024, Joanne Miller Rn, Brenda Rocha Rn, Cno

Baystate Medical Center Nursing Report

Baystate Medical Center Nursing Report - 2024

Do Adverse Childhood Experiences And Depressive Symptoms Predict Cannabis Use Among College Students Of Color, Llorielle Gregory-Jerome, Arlenis Santana Phd, Chelsea D. Williams Phd, The Spit For Science Working Group, Danielle M. Dick Phd

IRBEH/Spit for Science Publications and Presentations

No abstract provided.

Risk And Protective Factors Associated With Substance Use For Adolescents In Second Or Last Chance Alternative Schools: A Narrative Review, Jaylynn Floyd, Jamie Cage Phd, Karen Chartier Phd, Msw, Amy Adkins Phd

IRBEH/Spit for Science Publications and Presentations

No abstract provided.

Deaf And Hard Of Hearing Asian Consumers Of The Maryland Behavioral Health Service System, Kota Takayama Ph.D, Teresa Crowe Ph.D

JADARA

This exploratory study examines the demographic profile and diagnoses of deaf and hard of hearing Asian consumers in Maryland who received behavioral healthcare services from January 2016 to January 2019. Results show that: 1) most deaf consumers lived in private residences, 2) most consumers felt somewhat satisfactory in their mental health recovery, 3) almost half had mood disorder diagnoses, 4) nearly 25% had a schizophrenia diagnosis which was more than three times higher than the prevalence for non-Asian populations, and 5) deaf Asian consumers were more likely to have alcohol-related disorders. The discussion includes comparisons with other racial and ethnic …

A Multidisciplinary Approach To Managing Financial Toxicity In Oncology Patients, Katelin Muse

Walden Dissertations and Doctoral Studies

Patients with a cancer diagnosis are counseled at length about the standard of care treatment options, which may include surgery, radiation, anticancer medications, and chemo/immunotherapy through an informed consent process. Unfortunately, the potential economic burden and the accompanying psychological burden is seldom discussed up front. There is a significant need for routine screening and a multidisciplinary approach to the prevention of financial toxicity for the oncology patient. The purpose of this doctoral project was to lead an interprofessional team in the development of a clinical practice guideline for routine financial screening using the Comprehensive Score for Financial Toxicity (COST) tool …

Medications For Opioid Use Disorder & Implications For Mobile Methadone Units, Sarah Boeke, Samantha Singer, Stella Resko

Substance Use Research Team

Research has shown the urgent need for updates to guidelines regulating opioid treatment programs (OTPs), especially as the COVID-19 pandemic exacerbated overdose rates and the drug supply became increasingly contaminated with fentanyl, synthetic opioids, and xylazine (Moghtaderi et al., 2023)(DEA, 2022). Part 8 of Title 42 of the Code of Federal Regulations (CFR), originally enacted in 2001, includes regulations that guide OTPs. The 42 CFR Part 8 final rule, issued by SAMHSA, updates these federal regulations. It is the first major revision since 2001, aimed at expanding access to care, improving patient outcomes, and integrating lessons learned from the COVID-19 …

U.S. Online Romance Scams: A Mixed Methods Analysis Of Factors Associated With Victimization And Exploration Of Lived Experiences Of Victimization, Rebecca A. Cole

Social Work Dissertations - Archive

The objective of this dissertation is to understand develop an understanding of experiences of online romance scam¹(ORS) victimization and to examine factors associated with ORS victimization. The dissertation samples ORS victims and uses purposive sampling strategies to recruit participants. The research used a mixed methods explanatory design approach. Inclusion criteria included ORS victims 18 and older who lived in the U.S., lost any amount of money in ORS scam, and met the scammer on any Internet platform. Three research manuscripts complete this dissertation. The first manuscript is a scoping review to understand the mental and physical health outcomes …

Boiling Behind Bars: Exploring The Hidden Toll Of Extreme Heat On Mental Health In Texas Prisons, Sandra K. Miller

Social Work Theses - Archive

The State of Texas supports the largest prison system in the US and held 132,859 people in 100 units scattered across the state as of December 2023. Approximately 70% of Texas prison beds are not air conditioned, despite the state’s reputation for dangerously hot, humid summers. The State has officially recorded temperatures inside Texas prison facilities as high as 120 degrees with heat index values of over 150. Although there is a growing body of research on the negative physiological and psychological consequences of extreme heat among the general public, little is known about the physical and emotional toll of …

Global Deaf And Disability-Led Partnerships For Accessible Emergency Response And Humanitarian Action, Alina A. Engelman, Joe Booze, Alexia Izquierdo

The Journal of Sociology & Social Welfare

Disability-serving non-profit, non-governmental organizations (NGOs) play a critical role in fostering care networks and supporting humanitarian action for disabled people before and during emergencies, particularly in the absence of targeted philanthropic and governmental support. However, relatively few NGOs serving disabled people are led or operated by people with disabilities, especially by disabled women. This analysis, based on survey and interview data with leadership, explores the impact of two disability-led operations. Findings have profound implications for how social work practice can center disability justice both in preparing for and responding to emergencies. This paper assesses the needs and impact of two …

Cancer Survivorship Care In The United States At Facilities Accredited By The Commission On Cancer, Julia Stal, Kimberly A. Miller, Timothy W. Mullett, Judy C. Boughey, Amanda B. Francescatti, Elizabeth Funk, Heidi Nelson, David R. Freyer

Markey Cancer Center Faculty Publications

IMPORTANCE Since 2021, American College of Surgeons Commission on Cancer (CoC) accreditation standards require providing a survivorship program for patients with adult-onset cancer treated with curative intent. Since more than 70% of all patients with cancer in the US are treated at CoC-accredited facilities, this presents an opportunity for a landscape analysis of survivorship care availability.

OBJECTIVE To determine the prevalence, types, and outcomes of cancer survivorship services at CoC-accredited facilities.

DESIGN, SETTING, AND PARTICIPANTS This survey study used an anonymous, online, cross-sectional survey conducted from May 4 to 25, 2023. Participants were CoC-accredited facilities in the US representing diverse …

Unlocking Adolescent Mental Health: Exploring Social Determinants And Depression With The Social Ecological Model, Lauren B. Robins, Danielle Rodgers, Yusuf Barburoglu, Jasmine Griffith, Cearra L. Arnold

Counseling & Human Services Faculty Publications

Employing the robust framework of the Social Ecological Model (SEM) and drawing insights from the Social Determinants of Health (SDOH), this research sought to uncover the interplay between SDOH and mental health among adolescents. With a focus on depression, the study unraveled how various social determinants, both individually and collectively, shape the mental well-being of adolescents, leveraging the rich dataset provided by the National Survey of Children’s Health 2018. Utilizing advanced statistical techniques, the study revealed the predictive power of SDOH in understanding adolescent mental health. Results illuminate the significant influence of social determinants on depression, underscoring the imperative for …

The Way Of Eldering: Spiritual Maturation Across The Lifespan, Kineret Yardena

Social Work Theses - Archive

Background and Objectives

People in midlife are often encumbered with uncertainty about how to transition toward later life without regret. Many sense the need to spiritually mature as they age, but lack practical guidance. Elders are those in later life who have made this transition and who have become sources of wisdom, nurturance and guidance for those younger than they. This phenomenological study explores the spiritual maturation journey of eldering.

Research Design and Methods

Ten people who were identified as elders took part in intuitive life story interviews. Using Story Method, this phenomenological study sought to identify key themes in …

A Neuroscience-Based Curriculum For Addiction Prevention For Fourth-Grade Students, Paola Andrea Benitez

Social Work Theses - Archive

Substance use is one of the main problems affecting adolescents and young adults. While the consumption of alcohol has decreased, the consumption of marijuana has increased rampantly due to youth's positive perception after being legalized in 24 states with no clear message of the many adverse effects this drug causes. Different approaches to prevention have been used throughout the years: scare-led tactics, socio-emotional learning skills, and neuroscience-based curriculums. Since substance use results from the conjunction of different biopsychosocial factors that lead to this relapsing brain disease, the solution should integrate different preventive solutions as well. Public policy, schools, social workers, …

Outpatient Fall Prevention In Ambulatory Adults 65 Years Old And Over, Dorothy L. Osborne-White

Doctor of Nursing Practice (DNP) Scholarly Projects - Archive

Background: In the United States (U.S.), falls are the leading cause of injury among adults 65 and over, resulting in 36 million falls yearly (Moreland et al., 2020). According to the Centers for Disease Control and Prevention (CDC, 2023), one in four older adults experiences a fall each year. Falls are the world's second most prominent cause of accidental deaths (World Health Organization [WHO], 2021). Falls are the leading cause of both fatal and non-fatal injuries among older adults (Moreland et al., 2020).

Methods: A quality improvement project that included a fall bundle was implemented in a primary clinic. A …

Implementing Social Determinants Of Health Data Collection In A Large Urban Pediatric Hospital Setting, Stormee Williams, Kristina Hill, Barry Owen, Forest Melton

Research

No abstract provided.

Variability In Perceptions Of Complementary Health Approaches Among Graduate Student Trainees, Delaney C. Bilodeau

Theses and Dissertations

Complementary Health Approaches (CHAs) encompass a diverse range of practices which are often used both independently and alongside conventional medical treatments. Understanding how graduate students training in different fields perceive CHAs is important because these professional trainees will go on to occupy roles as healthcare practitioners, researchers, policy makers, and consumers. This study used sequential rank agreement methods (Ekstrøm, Gerds, & Jensen, 2019) to investigate variations in perceptions of CHAs in a sample of graduate students (N = 416) from 140 possible training programs. Ratings of CHA familiarity, perceptions of CHA legitimacy, and willingness to recommend CHAs were compared …

Intersectionality, Racial Discrimination And Oral Healthcare Utilization Among Black Adults In Baltimore City, Maryland, Briona M. Phillips

Theses and Dissertations

INTRODUCTION: Oral health is essential for overall well-being, yet disparities persist, particularly among marginalized populations including Black adults. Limited access to and underutilization of oral healthcare services exacerbate these disparities. Discrimination, both individual and systemic, acts as a significant barrier to accessing care, contributing to disparities in oral health outcomes. Individuals facing discrimination experience mistrust and fear within oral healthcare settings, leading to delayed or avoided care. Therefore, investigating and addressing discrimination among Black adults is essential for promoting equitable access to oral healthcare, improving overall oral health outcomes, and lessening existing disparities.

PURPOSE: The purpose of this dissertation was …