Digital Commons Network^™

The Lived Experiences Of Avoiding Recidivism Among African American Male (First-Time) Former Offenders, Jeff Hines

Walden Dissertations and Doctoral Studies

AbstractThe United States has a high recidivism rate within its criminal population, especially among men of African American descent. However, within this population, some first-time former offenders have used successful approaches to avoid re-incarceration. The objective of this study was to investigate how these first-time former offenders desist from crime and avoid recidivism. This was a phenomenological study, utilizing the Desistance Theory as a framework, to explore how these men survived the consequences of post-incarceration and remained crime-free. In-depth, semi-structured, open-ended interviews were conducted with six African American male first-time former offenders (age 25 and older) who were not on …

Is Transcranial Magnetic Stimulation (Tms) An Effective Therapy In Reducing Depressive Symptoms In Adults With Bipolar Depression?, Emily M. Boylan

PCOM Physician Assistant Studies Student Scholarship

OBJECTIVE: The objective of this selective EBM review is to determine whether or not transcranial magnetic stimulation (TMS) is an effective therapy in reducing depressive symptoms in adults with bipolar depression.

STUDY DESIGN: Systematic review of three randomized controlled trials (RCTs) that were published in the English language between 2016 and 2019.

DATA SOURCES: Data sources included articles found using PubMed as the search engine and were selected based on their relevance to the research question as well as patient measured outcomes.

OUTCOMES MEASURED: Outcomes measured include changes in depression symptoms measured using the 17-item Hamilton Depression Rating Scale (HDRS-17) …

Health Insurance Coverage, Sociodemographic Factors, And Treatment Completion For Opioid Abusers In Indiana, Ibrahim Samna

Walden Dissertations and Doctoral Studies

Many accidental deaths have recently occurred in Indiana due to opioid overdose. The current study sought to assess the association between sociodemographic factors, health insurance, and successful treatment completion for opioids abusers in Indiana based on the existing literature gap. In this study, the dependent variables considered were treatment completion status and opioid abuse. The independent variables included health insurance coverage and sociodemographic factors of education, marital status, employment status, race, gender, and age. I measured both dependent and independent variables as categorical. A cross-sectional and quantitative research approach was used by analyzing data from the 2017-Treatment Episode Data Set …

The Impact Of Midwifery On Infant And Maternal Outcomes Among Black Mothers, Joann Honoré

Walden Dissertations and Doctoral Studies

According to recent studies, disparities are prevalent in maternal and fetal outcomes between Black and White mothers in the United States. Researchers have established that using a midwife versus other healthcare practitioners can elicit positive maternal and fetal outcomes for Black mothers. However, no within-race research has been conducted exploring midwifery as an insulating factor against these disparities. The purpose of this quantitative retrospective cohort study was to explore the impact of midwifery on infant and maternal outcomes compared to outcomes associated with other prenatal care models/caregivers among Black mothers in California using secondary data. The ecological model was used …

Making Deflection The New Diversion For Drug Offenders, Kay L. Levine, Joshua C. Hinkle, Elizabeth Griffiths

Faculty Articles

The argument unfolds as follows. In Part I, we describe the origins and operation of deflection programs that currently exist in the United States and present the published empirical evidence about their effect on recidivism rates, as well as police and user population responses to them. We specifically discuss the LEAD template from Seattle, in addition to other models in Massachusetts and Texas. In Part II, we take a closer look at how conventional policing differs from the pre-arrest diversion program that was recently instituted in Atlanta. Using data from an original dataset of all 2012 felony drug arrests in …

Impact Of Benzodiazepines And Polysubstance Status On Repeat Non-Fatal Drug Overdoses, Sarah Mayberry, Sarah Nechuta, Shanthi Krishnaswami

Peer Reviewed Articles

Research has shown that benzodiazepines and mental health disorders can increase the likelihood of repeat overdose, but researcher have not explored this association in Tennessee (TN). We examined benzodiazepines, polysubstance overdose status with/without benzodiazepines, and mental health comorbidities with repeat overdose using statewide data in TN. This study analyzed TN hospital discharge data on nonfatal overdoses for patients ages 18–64 from 2012 to 2016 for 21,066 patients with an initial inpatient visit and 36,244 patients with an initial outpatient visit. The study assessed each patient at one year after initial overdose to determine likelihood of repeat overdose. We used a …

Mitigating Opioid Related Healthcare Use In Kentucky: An Assessment Of The Impact Of Kentucky Revised Statute (Krs) Changes To Opioid Prescribing On Opioid Related Prescribing And Healthcare Utilization, Drew Speer

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

The opioid epidemic has impacted few other places more than the state of Kentucky. In 2018, data from the Centers of Disease Control and Prevention (CDC) and the National Institute on Drug Abuse (NIDA) ranked Kentucky as being in the top ten for rate of drug overdose deaths and opioid-involved overdose deaths per 100,000 persons.^1,2 These rankings exist even though prescription opioid dispensing rates have fallen from 102.6 per 100 persons in 2015 to 72.3 per 100 persons in 2019.³ Aligning with this trend, while research shows this problem began with prescription opioids in the late 1990’s, it …

Neither “Post-War” Nor Post-Pregnancy Paranoia: How America’S War On Drugs Continues To Perpetuate Disparate Incarceration Outcomes For Pregnant, Substance-Involved Offenders, Becca S. Zimmerman

Pitzer Senior Theses

This thesis investigates the unique interactions between pregnancy, substance involvement, and race as they relate to the War on Drugs and the hyper-incarceration of women. Using ordinary least square regression analyses and data from the Bureau of Justice Statistics’ 2016 Survey of Prison Inmates, I examine if (and how) pregnancy status, drug use, race, and their interactions influence two length of incarceration outcomes: sentence length and amount of time spent in jail between arrest and imprisonment. The results collectively indicate that pregnancy decreases length of incarceration outcomes for those offenders who are not substance-involved but not evenhandedly -- benefitting white …

The Role Of Vocal Hostility On Mood: Initial Development Of An Alternative Stress Paradigm, Jaquoy Sowell, Jennifer Gray, Christa C. Christ

University of South Carolina Upstate Student Research Journal

Maltreatment, such as physical or emotional abuse, can alter one’s later emotional regularity and responses to stimuli. To be able to study the effect of maltreatment on later stimuli response, appropriate laboratory paradigms need to be available, which is not currently true. The purpose of the study was to investigate the effect of vocal hostility stimuli on mood change as preliminary steps toward the creation of a laboratory paradigm. Participants were recruited from a regional university in southeast United States and asked to react to recorded audio with a hostile tone. Study 1 found that participants’ mood did not differ …

Understanding Resilience Among Individuals With Adverse Childhood Experiences (Aces), Meghan Larson

Walden Dissertations and Doctoral Studies

Adverse childhood experiences (ACEs), such as abuse, neglect, and dysfunction in a child’s home are considered a public health crisis due to their correlation to health disparities and psychosocial problems in adulthood such as substance use, relationships, education, and maintaining employment. However, some individuals are resilient and demonstrate the ability to adapt and function well despite experiencing adverse events. To better understand resilience when ACEs are present, I conducted a basic qualitative research study to explore the lived experiences of individuals in Tennessee with elevated ACE and resilience scores. A purposeful sample of 12 participants who scored high on ratings …

Perspectives Of Key Court Personnel On The Prosecution Of Domestic Violence Cases, Crystal M. Schoeder

Walden Dissertations and Doctoral Studies

Domestic violence (DV) continues to be a public health and criminal justice problem. Several criminal justice system changes have been made to combat DV, such as mandatory arrest policies, no-drop prosecution policies, and specialized DV courts. Perspectives on these policies, DV, and the criminal justice system have been obtained from the victims, police officers, and victim advocates. However, perspectives from those within the criminal justice court system are missing. The purpose of this qualitative phenomenological study was to obtain the perspectives of key court personnel in small rural communities regarding the prosecution of DV cases. Narrative policy framework was used …

Psychological Distress And Relationship Satisfaction Among Survivors Of Sexual Violence, Alyssa Campbell

Theses and Dissertations--Family Sciences

The World Health Organization (WHO; 2002) has indicated that sexual violence is a serious public health concern, and both the WHO and the United Nations (UN) have declared that violence against women, in particular, is a profound violation of human rights (UN General Assembly, 1993; WHO, 2017). Although the systemic and negative impact of trauma on family and intimate relationships have been well documented, the empirical literature regarding the effects of adult sexual trauma on relationship satisfaction is less robust. These studies are designed to address this gap and will do so with analyses centered on an understudied population: the …

Empowerment Pathways: A Mitigation Approach To Adolescent And Youth Racial Stress In Marginalized Populations, Lauren B. Robins, Megan Cannedy, Rachel Kerrigan, Brittany G. Suggs

Counseling & Human Services Faculty Publications

Racial unrest recently has been incessant. In response, this conceptual contribution explores a prevention-based program for African American adolescents and youth to aid in their navigation through ubiquitous racial unrest and persistent mental health adversities. This article provides a comprehensive literature review on racial injustice and presents information regarding race-based traumatic stressors and adverse mental health outcomes. The prevention-based program that was created in response to the apparent racial unrest among African American youth and adolescents is presented and explored. The goal of this conceptual article is to raise awareness of this issue, provide practical steps to combat racial injustice, …

Covid-19 Student Mental Health Check, Dianna Blankenship, Irma S. Jones

Criminal Justice Faculty Publications

The COVID-19 pandemic has produced many changes in the lives of our students and families. In this article, the responses of students in criminal justice classes at a Hispanic serving institution in south Texas were collected and synthesized. The 252 responses were divided into seven frequently observed and repeated themes: jobs and job related, school and courses, graduation, routine, family, positivity, and groceries/shopping. Findings for this time period matched what much of what the national and international news and reports have all reported. It indicates that, as teaching professionals, we must be mindful to provide the added support to assist …

Youth Mental Health Community Based Ot Intervention Guide: Putting The Pieces Back Together, Bailey Schumacher, Meaghan Wolfgram

Occupational Therapy Capstones

Introduction: Each year, approximately half a million youth are brought to juvenile detention centers. Based on these statistics, 26,000 children are detained each day (Holman & Ziedenber, 2006). Many children and youth who encounter the juvenile justice system have past experiences of exposure to trauma and mental health illnesses. When these are overlooked or neglected, this may lead to worsening mental health and longstanding involvement within the criminal justice system. For young people, action of prevention to keep them in school and in the community is key: kids should not be in jail in the first place, especially not as …

Naloxone/Buprenorphine, Methadone, Naltrexone And Their Role In Medication Assisted Treatment, Robert Barrett

Capstone Showcase

Abstract

Opioid use disorder (OUD) is an increasingly common diagnosis that has drastically increased in the last 5 years. Though multiple treatment modalities exist for treating OUD (naltrexone, buprenorphine, methadone), few studies have compared treatment outcomes in adults on long term therapy. This is an important topic to understand as providers as we will undoubtedly come into contact with patients either actively abusing opioid antagonists or in recovery from opioid abuse. Since the introduction of Oxycontin and subsequent over prescription of opioid analgesics, opioid overdoses have increased by over twelve-fold. Once providers began to realize a widespread pattern of abuse, …

Catching Up With Hpv Immunization: An Educational Video For College Students, Behrooz R. Soleimani

Doctor of Nursing Practice Projects

HPV is the most common sexually transmitted infection in the US, and it can lead to minor health problems such as genital warts and serious problems like cancer in men and women. HPV vaccination can effectively prevent HPV-related cancers and is recommended by ACIP to individuals aged 9-26. HPV vaccine uptake is low among adolescents and young adults in the US. College students have a window of opportunity to catch up with their HPV immunizations, and are often uninformed about HPV, the HPV vaccine, their eligibility to receive the HPV vaccine, and where they can obtain the HPV vaccine. An …

Harming The Help-Seeking: Necessity For Assessing Harmful And Biased Attitudes Toward Clients With Substance Use Disorder, Crystal D. Mcdowell, Crystal Dawn Mcdowell

Psychology Doctoral Specialization Projects

Numerous times, as a new clinician, I have witnessed the substance use disorder population referred to as not being dependable, dangerous, burnt out, and even hopeless. Often times I have heard mental health professionals make statements amongst themselves that the client could not be helped, referred to them as a “frequent flyer,” (meant to convey they frequently present for treatment, relapse, and return for treatment), and complain how tax dollars are being wasted to support the client. I felt empathy and a sense of hopelessness for these clients as they were seeking treatment in order to get help and yet …

From The Legal Literature: Covid And The Criminal Law, Francesca Laguardia

Department of Justice Studies Faculty Scholarship and Creative Works

No abstract provided.

Lived Experiences Of Police Officers And Their Roles During Opioid Overdose, Sean Banks

Walden Dissertations and Doctoral Studies

Researchers have conducted multiple studies regarding opioid users, opioid addicts, relatives of addicts, and health professional responses. The opioid crisis has been a focus for scholars following the first wave of prescription in 1991 (CDC, 2016). However, there is limited research that examines the lived experiences of law enforcement officers and their roles during an opioid overdose. As the opioid crisis has continued to negatively affect individuals, families, communities, cities, and countries, federal, state, and local policymakers have searched for ways to combat the opioid crisis. For many law enforcement agencies, policymakers have enacted policy that mandates patrol officers carry …

Examining The Factor Structure And Validity Of The Triarchic Model Of Psychopathy Across Measures, Katherine L. Collison, Joshua D. Miller, Donald R. Lynam

Department of Psychological Sciences Faculty Publications

The triarchic model of psychopathy proposes 3 distinct trait domains underlying psychopathy: boldness, meanness, and disinhibition. The original (and most widely used) measure developed from this model is the Triarchic Psychopathy Measure (TriPM), which yields a total psychopathy score as well as scores on each of the 3 domains. Recently, researchers have derived several alternative measures from other inventories to assess these 3 domains; however, the purported underlying 3-factor structure of the alternative scales has been relatively untested. In the present study, 431 participants completed the TriPM and its alternative measures via Amazon Mechanical Turk, and items within the scales …

Nsu College Of Psychology Graduate Student Catalog 2021–2022, Nova Southeastern University

College of Psychological Services / College of Psychology Postgraduate Student and Course Catalogs

No abstract provided.

Human Trafficking Education Module For Healthcare Providers: Reviewed And Informed By Survivors Of Sex Trafficking, Katlyn Sargent Sheets

Doctor of Nursing Practice Projects

Human trafficking (HT) is an epidemic within the United States, resulting in what could be deemed a public health crisis. HT remains concealed due to the criminal, secretive nature of the enterprise, in addition to inconsistent definitions, historically perpetuated biases, and stigmas, in addition to an overall lack of education, knowledge, and awareness. Data around HT are also minimal due to these same barriers. The majority of HT victims report accessing the emergency department and hospital during their time of trafficking, placing healthcare professionals in a unique position to recognize and assist victims. Studies indicate that few healthcare professionals have …

The Impact Of The Accuracy Of Hiv Risk Perception On Hiv Risk Behavior Changes Among Women With Substance Use Disorders In Treatment., Yiwen Ye

Public Health Theses

Studies involving women or women with SUDs for PrEP are limited even though in many areas of the world women remain at high-risk for HIV acquisition. This study is to evaluate the impact of accuracy of HIV risk perception on HIV risk behaviors changes over time among women with substance use disorders in treatment, including sexual and injecting risk behaviors. This is a secondary analysis based on a preference controlled un-blinded study. This study enrolled 165 cis- or trans-female volunteers ≥18 years old who were self-reported HIV-uninfected, had diagnosed SUDs, and were presenting for or currently enrolled in drug treatment. …

The Lived Experiences Of Black Youth Who Recidivate In Diversion Programs, Justin Richards

Walden Dissertations and Doctoral Studies

There are high rates of recidivism among U.S. Black youth when compared to other races, such as Whites and Hispanics. The purpose of the study was to examine the lived experiences of Black youth in the juvenile justice system and in diversion programs. Using a phenomenological qualitative method, twelve Black adults between the ages of 18 to 40 were interviewed about their lived experiences while participating in mental health courts and in-home probation as youth. The conceptual framework of the study was based on the risk, need, and responsivity model. The primary research question examined the lived experiences and perceptions …

Issues Facing Community-Based Social Workers When Providing Female Offenders With Reunification Services, Karen N. Vertti

Walden Dissertations and Doctoral Studies

AbstractThe goal with this action research project was to understand how community-based social workers (CBSWs) could address female offenders’ and their children’s needs while striving to reintegrate them into the community of Central Los Angeles County, California. Postrelease female offenders with children suffer from a variety of issues related to housing, employment, and personal childhood trauma. The trauma exacerbates the risk of revictimization and recidivism. CBSWs play a pivotal role in helping female offenders overcome barriers to successful reentry and reunify with their children. This study incorporated Bronfenbrenner’s ecological systems theory which provided a systems lens to this project. The …

Mental Health Provider Experiences Among Juvenile Offenders With Attention Deficit Hyperactivity Disorder, Vanessa West

Walden Dissertations and Doctoral Studies

Research has indicated various treatment options available such as medication management or family therapy for juvenile offenders struggling with a diagnosis of, or symptoms of, attention deficit hyperactivity disorder (ADHD). Exploring mental health clinicians’ perceptions may provide insight into treatment needed for this population to contribute positively to society. Past researchers refrained from obtaining mental health clinicians’ perspectives on treatment when working with this population. Rational choice theory indicates that individuals examine the costs and benefits of their actions prior to making decisions. Gestalt/feature-intensive processing theory promotes the inclusion of necessary information to help with processing when making decisions. Youth …

Safety Planning: Self-Management Approaches For Intimate Partner Violence In Ohio, Yvette Clemons

Walden Dissertations and Doctoral Studies

AbstractIntimate partner violence (IPV) is a global health education and promotion burden that has affected one in four women in the United States between the ages of 18-24, who are at increased risk of subsequent negative health outcomes of sexually transmitted inflections, mental health and substance abuse disorders, exacerbated suicidal ideations, and death. Exploring the health education needs and learning preferences of women affected by IPV who have utilized self-management strategies during safety planning interventions was the purpose for this phenomenological qualitative study and aligned the four research questions. SurveyMonkey was used to conduct interviews of 30 women align with …

Infant Removal From Birth Parents - How Does Health Information Impact Court Decisions? A Scoping Review, Rachel Gregory-Wilson, Liesel Spencer, Elizabeth Handsley, Toby Raeburn

Nursing Papers and Journal Articles

Problem: Courts make complex decisions daily regarding removal of infants from birth parents and placement in out-of-home care. Nurses and other health professionals often take part in such processes, either as court informants, witnesses, or via their role delivering healthcare to infants and/or birth parents involved. To date there has been very little research exploring how health information impacts upon decision-making about infant removal.

Aim: To explore how health information impacts court decisions about removing infants from birth parents.

Methods: Using Arksey and O’Malley’s five-stage method for scoping reviews as a guide, eight electronic databases were searched to identify relevant …

Health Reform Reconstruction, Lindsay F. Wiley, Elizabeth Y. Mccuskey, Matthew B. Lawrence, Erin C. Fuse Brown

Faculty Articles

This Article connects the failed, inequitable U.S. coronavirus pandemic response to conceptual and structural constraints that have held back U.S health reform for decades and calls for reconstruction. For more than a half-century, a cramped “iron triangle” ethos has constrained health reform conceptually. Reforms aimed to balance individual interests in cost, quality, and access to health care, while marginalizing equity, solidarity, and public health. In the iron triangle era, reforms unquestioningly accommodated four legally and logistically entrenched fixtures — individualism, fiscal fragmentation, privatization, and federalism — that distort and diffuse any reach toward social justice. The profound racial disparities and …