Digital Commons Network^™

Chhs March/April 2014 E-Newsletter, Dr. John Bonaguro, Dean, Vashon S. Wells, Editor, Wku College Of Health & Human Services

College of Health & Human Services Publications

No abstract provided.

Methamphetamine Use Among Suburban Women: Implications For Nurse Practitioners, Annette Bairan, Miriam Boeri, Janice Morian

Faculty Articles

Purpose The purpose of this article is to provide nurse practitioners (NPs) with more effective strategies to diagnose methamphetamine (MA) use and assess healthcare needs of MA-using women. Data sources The researchers collected data from 65 suburban women who were MA users living in the suburbs of a large southeastern city in the United States. We conducted in-depth interviews and focus groups examining their life history, drug history, risk behaviors, and access to health care. The qualitative findings are examined here. Conclusions Three main themes emerged from the data: (a) gendered stigmatization of MA use; (b) MA-related health risk behaviors; …

Ada News - 02/03/2014, American Dental Association, Publishing Division

ADA News

Established in 1970 as the official newspaper of the American Dental Association, the ADA News serves practicing dentists and others allied to the dental profession in the U.S. and internationally. It is the No. 1 source of news and information about the many benefits and services the ADA delivers to members daily as well as timely information on scientific, social, political and economic developments affecting dentistry and health care.

Qualitative Analysis On Reintegration Needs Of Formerly Incarcerated Women In Clark County, Ohio, Londa E. Holliday

Master of Public Health Program Student Publications

There has been a significant increase in the rate of incarceration among women. Since 1995, women’s incarceration rate has increased by about 203%. With this growing trend it is important to explore the unique needs of women, particularly those that relate to community reintegration. It has been found that women reported their needs differently than men. This study examines some of those needs reported by women in the Clark County Jail through a pilot focus group conducted in January 2012. The women in this study discussed what they felt would be needs they would face once they were released from …

The Impact Of Prison Arts Programs On Inmate Attitudes And Behavior: A Quantitative Evaluation, Larry Brewster

Public and Nonprofit Administration

California has been a leader in prison fine arts programs. Arts-in-Corrections, the granddaddy of them all, enjoyed a highly successful 30 year run until its closure in 2010 as a result of the state's budget crisis. This study evaluates three demonstration projects modeled after AIC, and prison theater programs offered through The Actors' Gang's Prison Project and Marin Shakespeare. Inmates from San Quentin, Soledad, New Folsom and CRC, Norco state prisons participated in the study. Pre-and Post surveys designed to measure changes in attitudes and behavior were administered at the start and finish of each 12-week arts program. The surveys …

The 180 Degree Turn: Finding The Human Side Of Mandated Counseling, Rachel A. Jordan, Denise Lampo, Steven T. Parshall, Renee T. Devuyst

Nursing Faculty/Staff Publications

This article discusses how cultural changes in the United States led to an emergence of a number of mandated treatments intended to address the specific concerns of substance abuse, sexual abuse, and domestic violence. A brief history of interventions for each of the respective fields is described and a trend toward more humanistic treatment methods is noted. The similarities between the Person-Centered Approach and current trends in these fields are explained.

The Lifelong Learning Institute In Chesterfield: Ten Years Of Growing, Edward F. Ansello, Monica Hughes

Case Studies from Age in Action

Educational Objectives

1. To review changes in patterns of continuing learning and non-traditional education.

2. To profile membership and their interests in lifelong learning.

3. To highlight the development of the Lifelong Learning Institute of Chesterfield as a possible model for replication.

The Influence Of Neighborhood Characteristics On Police Officers' Encounters With Persons Suspected To Have A Serious Mental Illness, S. Krishan, R. Bakeman, B. Broussard, S. L. Cristofaro, D. Hankerson-Dyson, L. Husbands, A. C. Watson, Michael Compton

Journal Articles

Objective: Police officers' decisions and behaviors are impacted by the neighborhood context in which police encounters occur. For example, officers may use greater force and be more likely to make arrests in disadvantaged neighborhoods. We examined whether neighborhood characteristics influence police encounters with individuals suspected to have a serious mental illness, addictive disorder, or developmental disability. Method: We obtained data on 916 encounters from 166 officers in six jurisdictions in Georgia, USA and abstracted geographical data pertaining to the location of these encounters from United States Decennial Census data. Encounters were nested within 163 census tracts. Officer-reported data covered general …

Contraceptive Sabotage, Leah A. Plunkett

Law Faculty Scholarship

This Article responds to the alarm recently sounded by the American College of Obstetricians and Gynecologists over “birth control sabotage”—the “active interference [by one partner] with [the other] partner’s contraceptive methods in an attempt to promote pregnancy.” Currently, sabotage is not a crime, and existing categories of criminal offenses fail to capture the essence of the injury it does to victims. This Article argues that sabotage should be a separate crime—but only when perpetrated against those partners who can and do get pregnant as a result of having sabotaged sex. Using the principle of self-possession—understood as a person’s basic right …

Effectiveness Of Lurasidone In Schizophrenia Or Schizoaffective Patients Switched From Other Antipsychotics: A 6-Month, Open-Label, Extension Study, L. Citrome, P. J. Weiden, J. P. Mcevoy, C. U. Correll, J. Cucchiaro, J. Hsu, A. Loebel

Journal Articles

Objective. To evaluate the long-term safety and tolerability of lurasidone in schizophrenia and schizoaffective disorder patients switched to lurasidone. Method. Patients in this multicenter, 6-month open-label, flexible-dose, extension study had completed a core 6-week randomized trial in which clinically stable, but symptomatic, outpatients with schizophrenia or schizoaffective disorder were switched to lurasidone. Patients started the extension study on treatment with the same dose of lurasidone taken at study endpoint of the 6-week core study; following this, lurasidone was flexibly dosed (40-120 mg/day), if clinically indicated, starting on Day 7 of the extension study. The primary safety endpoints were the proportion …

Psychosocial Correlates Of Gender-Based Violence Among Hiv-Infected And Hiv-Uninfected Women In Three Us Cities, R. M. Schwartz, K. M. Weber, G. E. Schechter, N. C. Connors, Y. Gousse, M. A. Young, M. H. Cohen

Journal Articles

Gender-based violence (GBV) is common among women with and at risk for HIV, yet little is known about the GBV associated psychological factors that could be modifiable through behavioral interventions. The current study examined the associations between some of these psychological factors (i.e., hopelessness, consideration of future consequences, self esteem), mental health symptoms, substance abuse, and GBV among a sample of 736 HIV-infected and sociodemographically similar uninfected participants in the Women's Interagency HIV Study (WIHS). Results indicated high rates of lifetime GBV among the sample (58%), as well as high rates of childhood sexual abuse (CSA) (22.2%). HIV-infected women were …

Differences Between Children With Fetal Alcohol Spectrum Disorders And Attention Deficit Hyperactivity Disorders: Rural Social Work Implications For Prevention, Assessment And Treatment, Susan M. Ryan, George S. Leibowitz, Jeanne M. Nauheimer, Paul Force-Emery Mackie

Social Work Department Publications

This literature review examined nine quantitative research studies published between 1992-2013 that compared children with Fetal Alcohol Spectrum Disorders (FASD) and Attention Deficit Hyperactivity Disorder (ADHD) to identify: (a) the differences between these children (e.g., intellectual, behavioral); and (b) the diagnostic tools that may be used to distinguish between them, thereby providing a differential diagnosis. Special focus was placed on rural treatment implications. These studies revealed differences between the intellectual, executive functioning, adaptive behavior, motor, and behavioral skills of children with FASD and ADHD. This review identified neurodevelopmental assessments used in these nine research studies that appear to support learning …

2014 Annual Report, Center For Applied Research On Substance Use And Health Disparities

Center for Applied Research on Substance Use and Health Disparities Annual Reports

No abstract provided.

Santa Clara Magazine, Volume 55 Number 2, Winter 2014, Santa Clara University

Santa Clara Magazine

16 - RISE UP, MY LOVE by Brian Doyle. There are sanctuaries built for worship—and that carry beauty visible to everyone. Then there are the improvised places of faith, more subtle in how they speak to the wonder worked there.

18 - THE CHAPLAIN IS IN THE HOUSE by Jeremy Herb ’08 with Ppotos by Pat Semansky ’08. With the way things have gone recently in Congress, looking to the heavens for some help and guidance might seem like a very good idea. Enter Pat Conroy, S.J., M.Div. ’83.

24 - WELCOME TO CITIZENVILLE by Jim Cottrill. Who published the …

Recommendations For Interviewing Children About Repeated Experiences, Martine B. Powell, Sonja P. Brubacher, Kim P. Roberts

Psychology Faculty Publications

For just over two decades, researchers have been conducting empirical studies devoted to understanding children’s memory for, and ability to describe, individual occurrences of events they have experienced repeatedly. This knowledge is critical because children making allegations of repeated abuse are required to provide details particular to an individual incident in many jurisdictions internationally. Based on this theoretical foundation, we provide specific suggestions to practitioners to assist children in reporting as much information as possible about individual occurrences and techniques that may assist them in doing so accurately. These recommendations cover both presubstantive (i.e., “practice”) and substantive phases of the …

Children’S Use Of A ‘Time Line’ To Indicate When Events Occurred, Leanne L. Gosse, Kim P. Roberts

Psychology Faculty Publications

Children who allege abuse are often asked to provide temporal information such as when the events occurred. Yet, young children often have difficulty recalling temporal information due to their limited knowledge of temporal patterns and linguistic capabilities. As time is an abstract concept (we cannot see it), some investigators have begun to use ‘time-lines’ or pictorial representations of time to aid children. Yet, there is no published research testing whether children are able to use time-lines and whether they can provide adequate temporal information using them. We tested whether children could indicate the time-of-day of events using a pictorial time-line …

Hiv Testing Implementation In Two Urban Cities: Practice, Policy, And Perceived Barriers., Camden J Hallmark, Jennifer Skillicorn, Thomas P Giordano, Jessica A Davila, Marlene Mcneese, Nestor Rocha, Avemaria Smith, Stacey Cooper, Amanda D. Castel

Epidemiology Faculty Publications

BACKGROUND: Although funding has supported the scale up of routine, opt-out HIV testing in the US, variance in implementation mechanisms and barriers in high-burden jurisdictions remains unknown.

METHODS: We conducted a survey of health care organizations in Washington, DC and Houston/Harris County to determine number of HIV tests completed in 2011, policy and practices associated with HIV testing, funding mechanisms, and reported barriers to testing in each jurisdiction and to compare results between jurisdictions.

RESULTS: In 2012, 43 Houston and 35 DC HIV-testing organizations participated in the survey. Participants represented 85% of Department of Health-supported testers in DC and 90% …

Trauma Informed Nursing Care For Women Who Are Marginalized: An Educational Workshop, Jenna Fadlalla

Theses and Graduate Projects

Traumatic events profoundly affect both the physical and emotional health of a woman who endures the event. Gender, socioeconomic, racial, and ethnic disparities in rates of trauma exist showing that women who are marginalized are at a higher risk for trauma. Nurses are privileged to provide care for these women in their greatest times of need, yet despite the intimate relationship between nurses and their patients, trauma is a topic that remains largely unaddressed by the field of nursing. Because trauma can have such a profound effect on health, it is essential for nurses of all specialties and at all …

A Clustering Method To Identify Who Benefits Most From The Treatment Group In Clinical Trials, Beom S. Lee, Pranab K. Sen, Nan Park, Roger A. Boothroyd, Roger H. Peters, David A. Chiriboga

Mental Health Law & Policy Faculty Publications

In randomized controlled trials (RCTs), the most compelling need is to determine whether the treatment condition was more effective than control. However, it is generally recognized that not all participants in the treatment group of most clinical trials benefit equally. While subgroup analyses are often used to compare treatment effectiveness across pre-determined subgroups categorized by patient characteristics, methods to empirically identify naturally occurring clusters of persons who benefit most from the treatment group have rarely been implemented. This article provides a modeling framework to accomplish this important task. Utilizing information about individuals from the treatment group who had poor outcomes, …

Advanced Nurses' Perspectives On The Drug Addiction Treatment Act, 13 Years Later, Dorothy L. Were

Walden Dissertations and Doctoral Studies

The United States experiences opioid addiction at epidemic levels. In 2012, the National Institute of Drug Abuse reported that 23.1 million Americans were in need of addiction treatment services, although only 2.5 million were enrolled in treatment. Following an amendment to the Drug Addiction Treatment Act of 2000 (Public Law 106-310), advanced practice nurses were qualified as providers who could bridge the healthcare gap in treatment access. The purpose of this project was to determine the interest of advanced practice nurses in (a) prescribing buprenorphine and (b) establishing guidelines that would allow them to do so. This quantitative project used …

The Role Of Positive Alcohol Expectancies In Underage Binge Drinking Among College Students, Nicole M Mcbride, Blake Barrett, Kathleen A. Moore, Lawrence Schonfeld

Mental Health Law & Policy Faculty Publications

Objective: This study explored associations between positive alcohol expectancies, and demographics, as well as academic status and binge drinking among underage college students. Participants: A sample of 1,553 underage college students at 3 public universities and 1 college in the Southeast who completed the Core Alcohol and Drug Survey in the Spring 2013 semester. Methods: A series of bivariate analyses and logistic regression models were used to examine associations between demographic and academic status variables as well as positive alcohol expectancies with self-reported binge drinking. Positive alcohol expectancies were examined in multivariable models via 2 factors derived from principal component …

Eastern Michigan University Graduate Catalog, 2014-2015, Office Of The Registrar

Graduate Catalogs

No abstract provided.

Adoption And Implementation Of Alcohol And Drug Screening, Brief Intervention, And Referral To Treatment (Sbirt) In School-Based Health Centers : Provider Knowledge, Attitudes, And Perceptions As Barriers And Facilitators, Brett Harris

Legacy Theses & Dissertations (2009 - 2024)

Background: Screening, Brief Intervention, and Referral to Treatment (SBIRT) has been endorsed by the American Academy of Pediatrics as an evidence-based strategy to address risky substance use among adolescents in primary care settings. However, less than half of pediatricians even screen adolescents for substance use.

Mental Health Service Utilization Among People With Mental Illness : An Examination Of Predictors And The Influence Of Substance Abuse And Hiv, Man-Chun Chang

Legacy Theses & Dissertations (2009 - 2024)

Many people who could benefit from mental health services do not receive them. The objective of this study is to use nationally representative data to systematically investigate correlates of types of mental health treatments and examine the interaction effects between self-perceived treatment need and demographic characteristics.

Dating Violence In Adolescence, Anuja Bandyopadhyay, Amit M. Deokar, Hatim A. Omar

Pediatrics Faculty Publications

Adolescent dating violence is a health and social problem, worldwide. The objective of this chapter was to identify the risk factors and consequences of dating violence, assess the prevention measures taken to increase awareness regarding it and provide an overview of the screening and interventional tools used to support the teens involved in dating violence. Methods: A review of the literature, published in the last 29 years, was conducted and the content was clinically analyzed. Conclusions: There is an increasing trend of dating violence in a younger population. Consistent definitions, comprehensive assessment tools and focused screening are required to assess …

Commercial Sexual Exploitation Of Teens, Tamieka Meadows, Alexis Kennedy

McNair Poster Presentations

This research explores whether commercially sexually exploited children (CSEC) abuse drugs or face greater histories of abuse than their delinquent peers. This research will evaluate whether girls who are CSEC victims experience more abuse of drugs or experience more physical, emotional, or sexual abuse. The study also explores whether CSEC victims witnessed more abuse than non-CSEC victims. A survey of needs and issues facing delinquent girls was given to 130 girls between the ages of 13 to 18. Questions asked about their drug use, abuse history, and whether they witnessed abuse. This research found that many girls who are CSEC …

Access To Emergency Contraception And Safe Abortion Services For Survivors Of Rape: A Review Of Policies, Programmes And Country Experiences In Sub-Saharan Africa, Jill Thompson, Chi-Chi Undie, Ian Askew

Reproductive Health

This study examined how pregnancy prevention and management services (specifically, the provision of emergency contraception, pregnancy testing and counseling, and termination or referral for termination of pregnancy services) feature within post-rape care services in sub-Saharan Africa. The study drew on a range of sources via a desk review, as well as on information provided through key informant interviews. The existence of numerous national guidelines in the region demonstrates countries’ desire to respond to this public health and legal challenge. However, if left in their current state, the gaps and inconsistencies observed across most national guidelines contribute to a violation of …

Social Networks, Drug Use, And Drug Abuse Help-Seeking: A Test Of The Network Episode Model Among African American Women, Erin L. Pullen

Theses and Dissertations--Sociology

Untreated substance use disorders are a major public health concern that has costly consequences at both the societal and individual level. Identifying the characteristics and resources of those who seek help for substance abuse problems in order to inform more effective intervention and treatment techniques is therefore an important research objective. Using the Network Episode Model (NEM) as a theoretical framework, this dissertation examines both substance abuse help-seeking (i.e. inpatient/outpatient treatment and 12-Step meeting attendance) and patterns of drug use over time among low-income African American women, with a special focus on the role of the social network system in …

Restructuring The Michigan Child Care Fund: Reducing Costs And Improving Outcomes, David Wingard, Kieran J. Fogarty, Mary Lagerwey, Joshua Scott

Michigan Journal of Public Health

Michigan’s policy to distribute the Child Care Fund (CCF) to counties at a flat rate of 50% as stated in the Michigan Comprehensive Laws 400.117a provides no structured incentive to the counties to use evidence based practices that are cost-effective for locally based delinquent youth intervention programs. This policy analysis answers the following questions: (1) would retaining delinquent youth in the community produce a cost benefit and/or better outcomes than confinement and (2) is public safety at risk if delinquent youth are retained in the community? Utilizing a policy analysis framework our evidence found that community based services provide better …

Assessing Pediatric Nurses' Knowledge And Comfort Level With Recognition And Reporting Of Child Abuse, Andrea Sebastian

DNP Projects

Child abuse is a serious, yet preventable problem in the United States. Child abuse is defined in The Child Abuse Prevention and Treatment Act as “Any recent act or failure to act on the part of a parent or caretaker which results in death, serious physical or emotional harm, sexual abuse or exploitation or an act or failure to act, which presents an imminent risk of serious harm” (United States Department of Health and Human Services [USDHHS], Children’s Bureau, Child Maltreatment 2009, 2010).

In 2010, there were an estimated 3.3 million referrals to Child Protective Services for the suspected abuse …