Digital Commons Network^™

Conceptualizing Success In Therapeutic Wilderness Experiences: The Creation And Maintenance Of Instructor-Participant Relationships, Chelsea I. Ambrozaitis

Honors Scholar Theses

Researchers have noted that relationships created between instructors and clients in therapeutic wilderness experiences are unique (Russell, 2003; Russell & Phillips-Miller, 2001; Sklar, Anderson, & Autry, 2007; Taniguchi et al., 2009), but little research has been done to explore these relationships. The present study is an investigation of how instructors build and maintain relationships with participants, conceptualize these relationships, and define success in these tasks. Nine instructors from a wilderness program for at-risk youth participated in interviews. Data were analyzed using a line-by-line coding technique. Results of this study add to existing research on wilderness therapy and therapeutic wilderness experiences, …

The State Of The University Of Connecticut Health Center, Ankeet S. Bhatt

Honors Scholar Theses

Academic medical centers represent the integration of education, namely schools of medicine and dental medicine, research, often through a biomedical sciences graduate program, and a clinical experience, often supplied with an onsite hospital. These medical centers involve an intricate mix of individuals and personalities, making their operation a difficult and sometimes daunting task. The University of Connecticut Health Center (UCHC) financial struggles have created a new opportunity, an affiliation with Hartford Healthcare, which will equip the UCHC with a major tertiary care University Hospital. This thesis intends to provide an analysis of the challenges and potential benefits of such a …

Medical-Legal Partnerships: Addressing The Unmet Legal Needs Of Health Center Patients, Peter Shin, Fraser Rothenberg Byrne, Emily Jones, Joel B. Teitelbaum, Lee Repasch, Sara J. Rosenbaum

Geiger Gibson/RCHN Community Health Foundation Research Collaborative

Medical-legal partnerships (MLPs), now available at over 180 hospitals and health centers across 38 states, are an important option for addressing the legal needs affecting low-income and vulnerable patients, and thereby improving their overall health. We estimate that each year, anywhere between 50 and 85 percent of health centers users - or between ten and 17 million people - experience unmet legal needs, many of which negatively impact their health. In a medical-legal partnership, health care staff at hospitals, clinics, and other sites are trained to screen for health-related legal issues, refer the patient to an affiliated lawyer or legal …

Waitlist-Controlled Trial Of Cognitive Behavior Therapy For Hoarding Disorder, Gail Steketee, Randy O. Frost, David F. Tolin, Jessica Rasmussen, Timothy A. Brown

Psychology: Faculty Publications

Objective: This study investigated a multicomponent cognitive behavioral treatment (CBT) for hoarding based on a model proposed by Frost and colleagues and manualized in Steketee and Frost (2007).

Method: Participants with clinically significant hoarding were recruited from the community and a university-based anxiety clinic. Of the 46 patients randomly assigned to CBT or waitlist (WL), 40 completed the 12-week assessment and 36 completed 26 sessions. Treatment included education and case formulation, motivational interviewing, skills training for organizing and problem solving, direct exposure to nonacquiring and discarding, and cognitive therapy. Measures included the Saving Inventory-Revised (self-report), Hoarding Rating Scale-Interview, and measures …

Can Student Reflection Predict Academic Success And Clinical Performance In A Physical Therapist Education Program?, Jeanne L. Cook

Department of Educational Administration: Dissertations, Theses, and Student Research

The purpose of this retrospective study was to determine if a predictive relationship existed between student reflection and student academic and clinical success as determined by student performance on the National Physical Therapy Examination (NPTE) and the Clinical Performance Instrument (CPI). Secondary questions included whether higher and lower reflection scores would correspond with higher and lower NPTE and CPI scores respectively, and whether students’ reflection scores would increase between the first and fourth clinical internships. Journal entries were submitted by students from a physical therapist education program at a large North Central Region university over the course of two clinical …

The Abortion Attitudes Of Counselor, Social Worker, And Nursing Trainees, Mary J. Ball

Dissertations

This study examined the similarities and dissimilarities in abortion attitudes among counselors (CTs, n = 51), social workers (SWTs, n = 42), and nurses in training (NTs, n = 78), based on profession, age, race, gender, and religion. Data were analyzed using analysis of variance and standard multiple regression. It was predicted that profession, religion, age, gender, and race would predict the abortion attitudes of CTs, SWTs, and NTs in training. It was also predicted that the attitudes of CTs and SWTs would be most similar, and that both of these groups would hold more positive abortion attitudes than NTs. …

Addressing The Lack Of Palliative Care Resources For Icu Patients And Families, Jeffrey Chiv

Senior Honors Projects

An alarming trend in hospitals across the United States is the increased prevalence of end-of-life care issues the healthcare team must face. This increase can be attributed to the advent of new medical technology; the average life expectancy of the population is increased due to new treatment options for acute diseases. The dire tradeoff of this benefit is that the main cause of death has shifted from acute disease to chronic diseases such as cancer. These debilitating diseases often result in situations where patients are no longer able to exercise autonomy or communicate, relying on family and healthcare providers to …

Pain Management In Nursing Home Residents With Cancer And Dementia With And Without Hospice Services, Todd Bryant Monroe

Theses and Dissertations (ETD)

Aims: We sought to identify differences in pain management between two groups; nursing home residents with malignant cancer and dementia with and without hospice services.

Methods: Decedent records from 2003-2009 were assessed for diagnosis of dementia and cause of death as cancer. Ten malignant cancer diagnoses were determined a priori from the CDC 2004 data on the top 10 malignant cancers for all races and genders. Fifty-five decedents from 10 nursing homes were included in the final sample. Four instruments were used: Minimum Data Set (MDS) a standardized assessment tool required of most U.S. nursing homes. A large …

Impact Belize 2010 Executive Report, Ritchie D. Taylor, Jordan Norris, Molly Calico, Bernie Strenecky, Daniel Carter, Dawn Garrett Wright, Eve Main, Bonny Petty, Molly Kerby, Jill Norris

Impact Belize

No abstract provided.

Today - April 16, 2010, Loma Linda University

TODAY

Inside this issue:

-- Behavior Health Institute hosts opening ceremonies
-- LLU students travel to the Amazon
-- LLU School of Pharmacy students provide blood pressure screening and medication consultation during National Patient Safety Week
-- School of Public Health alumnus provides holistic healing for torture survivors in San Diego
-- Visiting Japanese students learn about respiratory care
-- LLU students receive scholarships during the 26th BALL Scholarship Banquet
-- Pediatric Wholistic Medicine Clinic to hold open house in new location
-- Vaneta Condon: A 52-year journey dedicated to the success of students
-- Board of Trustees report
-- School …

Information And Incentives: Improving The Health Of New York City's Low-Income Population, Kathryn Linehan, Lisa Sprague

National Health Policy Forum

The National Health Policy Forum sponsored a site visit to New York City (NYC) in April 2010 to explore health care delivery for Medicaid beneficiaries and the uninsured in New York City’s hospital-dominated market. New York offers real-time examples of government policy and provider initiatives in health information technology (IT) and quality improvement being played out on a large, complex, and dynamic stage with multiple stakeholders. Site visit participants heard from providers and others who discussed efforts to improve the quality of care for low-income New Yorkers through a variety of methods, such as the adoption and use of electronic …

Com Outlook Spring 2010, College Of Osteopathic Medicine

COM Outlook

No abstract provided.

Wku Scholar, Pamela Napier, Editor-In-Chief

WKU Scholar

No abstract provided.

A Butterfly Effect: The Impact Of Marriage And Family Therapy Training On Students' Spouses, Carla M. Dahl, Mary L. Jensen, Jane L. Mccampbell

Faculty Publications

This qualitative study examines the impact of mar- riage and family therapy (MFT) training on the

marriages of trainees. Analysis of data from 18 spouses of alumni from a training program in an evangelical Protestant seminary found participants reporting mostly negative impacts related to time and finances, both negative and positive impacts related to role changes and adjustments, and mostly positive impacts related to marital communication. The additional contribution of this study has to do with the report of an overwhelmingly positive impact of systemic, integrative MFT training on the student’s faith as observed by their spouse and on the …

An Intervention To Reduce Environmental Tobacco Smoke Exposure Improves Pregnancy Outcomes, Ayman El-Mohandes, Michele Kiely, Susan M. Blake, Marie G. Gantz, M. Nabil El-Khorazaty

Publications and Research

Objective—We tested the efficacy of a cognitive-behavioral intervention in reducing environmental tobacco smoke exposure (ETSE) and improving pregnancy outcomes among African-American women.

Methods—We recruited 1,044 women to a randomized controlled trial during 2001-2004 in Washington, DC. Data on 691 women with self-reported ETSE were analyzed. A subset of 520 ETSE women and salivary cotinine levels (SCLs)/ml was also analyzed. Individually tailored counseling sessions adapted from evidence-based interventions for ETSE and other risks, were delivered to the intervention group. The usual care group received routine prenatal care as determined by their provider. Logistic regression models were used to predict …

Annual Report, Western Kentucky University College Of Health & Human Services, Dr. John Bonaguro, Dean, Wku College Of Health & Human Services

College of Health & Human Services Publications

No abstract provided.

Denial In Alcohol And Other Drug Use Disorders: A Critique Of Theory., Patricia A. Stoddard Dare, Leaanne Derigne

Social Work Faculty Publications

Despite the centrality of the construct in the field of alcohol and other drug (AOD) addiction, denial remains poorly conceptualized. One reason for this narrow conceptualization is the recent unilateral devotion to the Transtheoretical Model (TTM). In an effort to demonstrate denial’s theoretical complexity, the TTM and five additional intuitively appealing theories of denial will be summarized.The strengths and weaknesses of each theory and possible treatment implications based on each theory will also be presented. The article concludes with a recommendation for future research to evaluate multiple theories of denial using consistent and rigorous research methodology in order to develop …

What's Happening: April, 2010, Maine Medical Center

What's Happening

No abstract provided.

Potret Pembangunan Prasarana Kesejahteraan Sosial: Profil Prasarana Pelayanan Kebutuhan Dasar Dan Pembangunan Ekonomi Di 45 Kabupaten/Kota Di Pulau Jawa, Sofyan Cholid

Jurnal Ilmu Kesejahteraan Sosial

No abstract provided.

Upaya Perlindungan Anak Melalui Pelatihan Keluarga Miskin Dengan Anak Yang Tereksploitasi Secara Ekonomi Maupun Anak Yang Beresiko Untuk Tereksploitasi Secara Ekonomi, Isbandi Rukminto Adi, Ety Rahayu, Sari Viciawati

Jurnal Ilmu Kesejahteraan Sosial

This article describes the effort in protecting children in need of special protection, especially to the family who have children in risk of being economically exploitated or children who have been economically exploitated by their parents. The problems of these children occur because they cannot access the basic services for them. This happened not only because the limited services from the government, but this could also happened because of the family life-style or the process of child rearing undertaken by their parents. Therefore this article describes the efforts in improving the resiliciency of poor family with children in the risk …

Kajian Pengembangan Indikator Prilaku Hidup Bersih Dan Sehat Untuk Meningkatkan Sekolah Sehat, Wisni Bantarti

Jurnal Ilmu Kesejahteraan Sosial

No abstract provided.

Pemahaman Gender Mainstreaming Pada Perempuan Kader Partai Dan Ibu Nyai Pesantren Di Wilayah Banten, Bunda Sri Sugiri

Jurnal Ilmu Kesejahteraan Sosial

No abstract provided.

Breaking The Cycle Of Domestic Violence, Rebecca Bolden

Independent Study Project (ISP) Collection

Domestic violence is a serious problem that affects women all over the globe. It has been found that children who witness domestic violence in their homes are more likely to be involved in a violent relationship later on in life, perpetuating an intergenerational cycle of violence. This project aims to look at services that exist for women who suffer from domestic violence, in order to suggest future prevention strategies to end the cycle of violence. My methodology was interviewing four different organizations that exist in Salvador that support women who have suffered domestic violence as well as work to prevent …

The Many Faces Of Health: Dialogue And Research At The University Of New Hampshire, Emily D. Robbins

Inquiry Journal 2010

No abstract provided.

Attitudes And Perceptions Towards Men In Nursing Education, Wally J. Bartfay, Emma Bartfay, Kimberly A. Clow, Terry Wu

Internet Journal of Allied Health Sciences and Practice

Purpose: The aim of the current investigation was to compare and contrast societal perceptions and attitudes towards men in nursing as reported by male and female nursing and non-nursing university students. Methods: A comparative study design was employed to investigate societal attitudes and perceptions towards male nurses enrolled in school of nursing in a mid-sized university in Ontario, Canada. A convenience non-random sampling method was employed that consisted of undergraduate nursing (N = 82) and non-nursing (N = 67) students. Perceptions and attitudes towards men in nursing were assessed using the Attitudes Towards Men in Nursing Scale (ATMINS). Results: Sixty-seven …

Today - March 3, 2010, Loma Linda University

TODAY

Inside this issue:

-- Pediatric residency at SACHS-Norton clinic brings physicians face to face with the health care needs of inner city kids
-- Inland Empire boy helps Loma Linda University assist the children of Haiti
-- CHIP program coming to Loma Linda
-- Longtime LLU professor writes new book on whole person medicine
-- The China Study author to speak at Loma Linda University Church
-- Big Hearts for Little Hearts Loma Linda Guild hosts ‘Dressing Up Red’ Luncheon
-- Children’s Hospital to benefit from Food 4 Less fundraiser
-- ‘The Adventists’ documentary makes West Coast premiere in Loma …

The President's Emergency Plan For Aids Relief (Pepfar): A Social Work Ethical Analysis And Recommendations, Robert J. Barney, Stephan L. Buckingham, Judith M. Friedrich, Lisa M. Johnson, Michael A. Robinson, Bibhuti K. Sar

The Journal of Sociology & Social Welfare

The President's Emergency Plan for AIDS Relief (PEPFAR) is the most recent international social program instituted by the U.S. Government to combat HIV/AIDS. Since its inception in 2003, this foreign policy initiative has dedicated $63 billion for HIV/AIDS prevention and treatment in foreign countries. Despite PEPFAR's many accomplishments, it continues to promote controversial prevention strategies. This paper analyzes these prevention strategies, utilizing social work values as described in the NASW Code of Ethics. Policy, practice, and research implications are discussed.

Today - February 3, 2010, Loma Linda University

TODAY

Inside this issue:

-- Center for Biodiversity and Conservation Studies to open
-- Two additional LLU medical teams arrive in Haiti; Hopital Adventiste d’Haiti endures additional seismic activity
-- Documentary to be shown on growth of fundamentalism among young Adventists
-- Loma Linda University faculty and students prepare report for Cambodia
-- School of Medicine dean looks forward to Alumni Postgraduate Convention
-- Pharmacy students raise funds for Haiti relief efforts
-- New study to examine weight loss
-- Public health investigators and student publish in international journal
-- Academic credit to be available at Healthy People 2010
-- On …

What's Happening: February, 2010, Maine Medical Center

What's Happening

No abstract provided.

Predictors Of Depressive Symptomatology In Family Caregivers Of Wom-En With Substance Use Disorders Or Co-Occurring Substance Use And Mental Disorders, David E. Biegel, Shari Katz-Saltzman, David Meeks, Suzanne Brown, Elizabeth M. Tracy

Social Work Faculty Publications

This study utilized a stress-process model to examine the impact of having a female family member with substance use or co-occurring substance use and mental disorders on family caregivers' depressive symptomatology. Participants were 82 women receiving substance abuse treatment and the family member providing the most social support for each woman. Greater caregiver depressive symptomatology was predicted by greater care recipient emotional problems, less care recipient social support, and poor caregiver health. Implications of findings for treatment and future research are discussed