Digital Commons Network^™

Effects Of Telehealth On Dropout And Retention In Care Among Treatment-Seeking Individuals With Substance Use Disorder: A Retrospective Cohort Study, Danielle Gainer, Celeste Wong, Jared A. Embree, Nina Sardesh, Amna Amin, Natalie Lester

Psychiatry Faculty Publications

Background: During the COVID-19 pandemic, telehealth became a widely used method of delivering treatment for substance use disorders (SUD), but its impact upon treatment engagement and dropout remains unknown. Methods: We conducted a retrospective analysis of adult SUD patients (n = 544) between October 2020 and June 2022 among a cohort of treatment-seeking patients at a nonprofit community behavioral health center in Southwestern Ohio. We estimated the likelihood of treatment dropout using survival curves and Cox proportional hazard models, comparing patients who used telehealth with video, telephone, or solely in-person services within the first 14 days of diagnosis. We also …

Urban Land-Based Healing: A Northern Intervention Strategy, Nicole Redvers, Melanie Nadeau, Donald Prince

Indigenous Health Faculty Publications

Urban Indigenous populations face significant health and social disparities across Canada. With high rates of homelessness and substance abuse, there are often few options for urban Indigenous Peoples to access land-based healing programs despite the increasingly known and appreciated benefits. In May 2018, the first urban land-based healing camp opened in Yellowknife, Northwest Territories, Canada, one of the first to our knowledge in Canada or the United States. This camp may serve as a potential model for an Indigenous-led and Indigenous-based healing camp in an urban setting. We seek to present preliminary outcome data from the healing camp in a …

Masculinized Sovereignty: Understanding Violence Towards Mice And The Nonhuman, Anisha Prakash

Crossings: Swarthmore Undergraduate Feminist Research Journal

This paper attempts to analyze how the definition of the normative “human” categorizes bodies that represent alternative political order against settler colonialism, and how the subjects that go against the dominant ideal of human are prohibited from living a free life, if not altogether eliminated. While conducting research, I view the lab as a site of social advancement where the differences between humans and nonhumans create a community of shared purpose. An interrogation of the laboratory as a site of violence can help us better understand how the State’s capitalist modes of advancement and production harm those of indigenous people, …

Providers’ Stigmas And The Effects On Patients With Opioid Use Disorder: A Scoping Review, Peyton Mashni, Sarah Beth Bell, F. Douglas Scutchfield Md, Lauren E. Robinson

Journal of Appalachian Health

Introduction: One of the most prevalent, dangerous stigmas in health care is the complex bias toward patients with opioid use disorder (OUD). This stigma damages the vital patient–provider relationship, further perpetuating the opioid epidemic.

Purpose: Unfortunately, research on the relationship between OUD and provider stigma is greatly lacking. To fill this gap, the present in-depth study undertakes a scoping review of research on providers’ stigma toward OUD in order to determine how enacted stigma affects treatment plans.

Methods: Four databases were used to identify articles published from 1999 to 2021. A comprehensive search strategy was developed through a collaborative process …

How The Rural Risk Environment Underpins Hepatitis C Risk: Qualitative Findings From Rural Southern Illinois, United States, Suzan M Walters, David Frank, Marisa Felsher, Jessica Jaiswal, Scott Fletcher, Alex S Bennett, Samuel R Friedman, Lawrence J Ouellet, Danielle C Ompad, Wiley Jenkins, Mai T Pho

College of Population Health Faculty Papers

Background: Hepatitis C virus (HCV) infection has increased among persons who inject drugs (PWID) in the United States with disproportionate burden in rural areas. We use the Risk Environment framework to explore potential economic, physical, social, and political determinants of hepatitis C in rural southern Illinois.

Methods: Nineteen in-depth semi-structured interviews were conducted with PWID from August 2019 through February 2020 (i.e., pre-COVID-19 pandemic) and four with key informants who professionally worked with PWID. Interviews were recorded, professionally transcribed, and coded using qualitative software. We followed a grounded theory approach for coding and analyses.

Results: We identify economic, physical, policy, …

Interprofessional Poverty Simulation Affects Student Attitudes Toward Poverty And Interprofessional Relationships, Barbara Wise, Katti Sneed, Ruth Eby, Rhonda Oldham

Internet Journal of Allied Health Sciences and Practice

Purpose: Poverty simulations in health professions education involving multiple disciplines have been studied, but the impact of poverty simulations on interprofessional attitudes has been surprisingly neglected. The purpose of this study was to determine the impact of the Cost of Poverty Experience simulation on attitudes toward interprofessional communication, learning, and collaboration, while still positively impacting attitudes toward poverty. Methods: Poverty simulations were held annually at a private midwestern university involving students from multiple disciplines inside and outside healthcare. Debriefing questions related to professional roles and teamwork were used to promote discussions between students from different professions about caring for clients …

Use Of An Adaptive Climbing Program To Improve Social Skills In Children With Developmental Delays: A Feasibility Study, Jillian Hamilton, Jennifer E. Lape, Anne L. Lee

Internet Journal of Allied Health Sciences and Practice

Purpose: A repeated measures single-group feasibility study was used to investigate the potential success and feasibility of an adaptive climbing program including group social skills activities to positively impact social skills in children with developmental delays. Methods: A convenience sample of 10 children aged 4 to 12 years participated in six social skills activity groups and adaptive climbing sessions at a rock-climbing facility in North Carolina. Trained observers measured targeted social skills via an author-generated social skills tracking form. Results: A paired t-test indicates a statistically significant improvement in social skills from session 1 to session 6 (pConclusions: Outcomes suggest …

Feasibility, Acceptability, And Efficacy Of Home-Based Transcranial Direct Current Stimulation On Pain In Older Adults With Alzheimer’S Disease And Related Dementias: A Randomized Sham-Controlled Pilot Clinical Trial, Geraldine Martorella, Hongyu Miao, Duo Wang, Lindsey Park, Kenneth Mathis, Juyoung Park, Julia Sheffler, Lisa Granville, Antonio L Teixeira, Paul E Schulz, Hyochol Ahn

Faculty, Staff and Student Publications

Although transcranial direct current stimulation (tDCS) is emerging as a convenient pain relief modality for several chronic pain conditions, its feasibility, acceptability, and preliminary efficacy on pain in patients with Alzheimer’s disease and related dementias (ADRD) have not been investigated. The purpose of this pilot study was to assess the feasibility, acceptability, and preliminary efficacy of 5, 20-min home-based tDCS sessions on chronic pain in older adults with ADRD. We randomly assigned 40 participants to active (n = 20) or sham (n = 20) tDCS. Clinical pain intensity was assessed using a numeric rating scale (NRS) with patients …

Transpersonal Approaches To Clinical Supervision, Harris L. Friedman

International Journal of Transpersonal Studies Advance Publication Archive

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 …

An Examination Of The Sufficiency Of Emergency Planning In New York City Hospitals For Vulnerable Populations Needing Communication Or Language Assistance, Rosemary Mcdonnell

Theses and Dissertations

Background: While all populations are susceptible to certain hazards that may expose their vulnerabilities in a disaster, populations with no or limited English proficiency, sight limitations, and hearing limitations are especially at risk due to communication and language barriers that they consistently experience. Purpose: This study explored the sufficiency of emergency planning that vulnerable populations with communication barriers may receive in a New York City hospital setting. It investigated the emergency plans, procedures, and practices that hospitals have for these specific, at-risk populations. The sufficiency of these were measured in accordance with their ability to meet the appropriate regulatory standards …

The Opioid Epidemic: Effects On Recidivism In West Virginia, Emilee Frye, Elizabeth Williams

Theses, Dissertations and Capstones

The opioid epidemic began in the 1990s with an increased prescribing of opioids across the nation. Between the years 2013 and 2014, opioid overdose death rates began to increase in West Virginia. By the year 2015, West Virginia held the highest number of opioid overdose death rates in the country. In 2021, fatal overdoses claimed more than 1,417 lives in West Virginia and of those 1,417, an estimated 1,201 of them were due to opioid use.

West Virginia had the highest opioid drug overdose rate in the nation and one of the highest incarceration rates for opioid-dependent individuals. West Virginia …

Sexually Transmitted Infections And Social Determinants Of Health: Emerging Opportunities In The Medicaid Program, Naomi Seiler, Katie Horton, Paige Organick-Lee, Mekhi Washington, Taylor Turner, Lily Ryan

Health Policy and Management Informal Communications

No abstract provided.

Dr. Kiran C. Patel College Of Osteopathic Medicine Graduate Programs, Nova Southeastern University, Nova Southeastern University

Health Professions Divisions Course Catalogs and Course Descriptions

No abstract provided.

Nsu Health Professions Division 2022-2023 Course Catalog, Nova Southeastern University

HPD Course Catalogs

Nova Southeastern University Health Professions Division:

• Dr. Kiran C. Patel College of Osteopathic Medicine
• College of Pharmacy
• College of Optometry
• Dr. Pallavi Patel College of Health Care Sciences
• College of Dental Medicine
• Ron and Kathy Assaf College of Nursing
• Dr. Kiran C. Patel College of Allopathic Medicine

Advanced Practice Registered Nurses And Healthcare Disparities: Understanding The Impact Of Implicit Bias, Marla Lepley-Starr

Doctor of Nursing Practice Projects

Introduction: Disparities in healthcare have long been a challenge for physicians, advanced practice providers, nurses, and other interdisciplinary team members. More recently, population health-focused efforts have been implemented to manage everincreasing rates of diabetes, hypertension, and obesity, as well as lack of transportation, limited access to care, and poverty (North Carolina Department of Health and Human Services [NCDHHS], 2019). Racism, sexism, ageism, sizeism, etc., are present in the healthcare setting and manifests in implicit bias during care delivery. This can manifest as beliefs, behaviors/practices, and emotions of the provider (Paradies et al., 2014). Research is limited related to the …

Incarcerated Patients Have Higher Mortality After Trauma: An Unreported Healthcare Disparity, Harry Newmanplotnick

Yale Medicine Thesis Digital Library

While the U.S. has the highest incarceration rate in the world, at nearly 1% of the adult population, or over 2 million people, insight regarding health disparities in this population remains limited, particularly for traumatic injuries and surgical care. Our aims with this paper were two-fold. First, we sought to perform the largest national database analysis of criminal-justice system involved (CJI) trauma patients (specifically incarcerated patients). Second, we planned to investigate if incarceration status was associated with differences in a variety of outcomes after trauma for U.S. adults.To accomplish these aims we analyzed data from the National Trauma Data Bank …

Prenatal Buprenorphine Exposure Reduces Expression Of Myelin Proteins In Neonatal Longs-Evans Rat, Christopher James Grahe

Theses, Dissertations and Capstones

In the USA and especially in WV, there has been a surge in the rise of opioid use disorder (OUD), and with it a rise in neonatal abstinence syndrome (NAS). What makes this rise in NAS so unfortunate is that the Medications for OUD (MOUD) do not prevent the development of NAS. Although the relationship between MOUD and NAS is still unclear, it is thought that buprenorphine, one of the main substances used to treat OUD in pregnant women, may feed into the development of NAS, which may affect mental and physiological development and cause other health problems. Via understanding …

Life Skills Intervention For Formerly Incarcerated Individuals At Maricopa Reentry Center, Dalenna Bellum

OT Student Capstones

The rates of incarceration quickly rose in the United States in the late 1900’s in response to change in legislation in favor of more tough on crime movements and policy. In addition to these movements and other social, environmental, and demographic factors, certain groups of individuals faced increased risk for incarceration and increased challenges before, during, and after incarceration. The purpose of this doctoral capstone experience and report is to explore challenges during community reentry after incarceration that can lead to re-arrest, or recidivism. This is a crucial time because without the appropriate tools, resources, and supports, the individual is …

School Division Policies Related To Suicide Prevention And Response, David Naff, Fatemah A. Khawaji, Morgan Meadowes, Jill Flynn, Meg Sheriff, Lauren Powell, Lisa Gwyn, Tameka Burroughs, Jean Samuel

MERC Publications

Suicide is one of the leading causes of death among youth age 10-19, and is an increasing concern in the wake of COVID-19. K-12 schools are crucial spaces for offering mental health support to students, and can implement policies to help prevent suicidal thoughts and behaviors. This MERC research and policy brief focuses on education policy related to suicide prevention and response. It is structured to answer five questions: 1) What are recent trends in youth suicide? 2) What does research show about school division policies that are effective in suicide prevention and response? 3) What policies in Virginia and …

The Impact Of Sensory Deprivation And Sensory-Based Intervention For Incarcerated Adults Over The Age Of 65, Kyara G. Crowley, Connor N. Fuchs, Sydney L. Johnson

Critically Appraised Topics

This critically appraised topic (CAT) focuses on sensory-based interventions for improving the quality of life for older adults who are incarcerated in the United States. There are many aspects to this topic; sensory deprivation in the prison system is addressed first, followed by the importance of sensory-based interventions, and finally the relationship between occupational therapy and quality of life.

The Successful Characteristics That Contribute To Black Male Students Matriculating Into Medical School, Cedric Brown

Electronic Theses and Dissertations, 2020-2023

In 2019, individuals that identified as Black represented 13.4% of the U.S. population, 12.5% of the undergraduate student enrollment population and 7.1% of the medical school population. Subsequently, this has yielded a 5% Black physician population and workforce consisting of just 2.3% Black male physicians (AAMC, 2018). The disproportionately low Black physician representation contributes to greater healthcare disparity outcomes within the U.S. Black population. This study is centered on the post-positive characteristics of Black male medical students that have successfully overcome barriers to entry and matriculated into medical school. The phenomenological post-positive study was conducted through the lens of Self-Efficacy …

Effect Of Drug Medi-Cal Organized Delivery System Access To Substance Use Disorder Treatment, Ana Y. Davies

Walden Dissertations and Doctoral Studies

Drug addiction, mental health disorders, and homelessness has impacted communities nationwide increasing mortality and morbidity and is a public health threat. But access to substance use treatment has been a problem due to the lack of the ability by many to pay for services. This observational quantitative research design utilized administrative secondary data collected between July 2017 and June 2022. The key variables are Insurance Status, Number of Admissions, and Successful Discharges in outpatient substance use treatment. The purpose of the study and research questions involved evaluating the effects Drug Medi-Cal (DMC) Organized Delivery System program by analyzing program admissions …

Lived Experiences Of Non-Licensed African American Pastors Providing Counseling For Race-Related Mental Health Issues To Their Parishioners, Brian Sutton

Walden Dissertations and Doctoral Studies

It is important to understand treatment practices of clergy members due to their influence on the treatment seeking behavior for professional counseling services among African American parishioners. The purpose of this qualitative study was to explore and describe African American pastors’ experiences of providing counseling for race-related mental health issues to their parishioners. The conceptual framework for this study was critical race theory. The research design included a descriptive phenomenological study with semi structured interviews with five non-licensed pastors and clergy members. The results of data analysis revealed three main themes and nine subthemes related to the participants’ experiences. The …

Black/African American Men’S Lived Experiences Of Workplace Colorism Bullying, Dr. Benjamin K. Spady Ph.D

Walden Dissertations and Doctoral Studies

Bullying in the U.S. workplace is an ongoing issue that transcends industry boundaries due to perpetrators’ ineffectiveness in viewing all coworkers as equals. The purpose of this qualitative interpretative phenomenological analysis study was to explore the lived experiences of Black/African American men who endure workplace colorism bullying. Critical race theory provided the conceptual framework, which labeled racism as an omnipresent systemic force. Semistructured interview data were collected from six Black/African American men who resided in the United States and who were bullied in the workplace within the past 20 years. Data were coded via open coding to discover themes. The …

Nursing Interventions To Decrease Depressive And Anxious Symptoms In Hispanic-American Youth, Vanessa C. Hernandez

Honors Undergraduate Theses

Introduction: Hispanic-American youth are less likely to receive mental health services despite being at increased risk for depression and anxiety. Having depression and anxiety at a young age can have detrimental long-term effects such as sexual risk behavior, delinquency, and suicide. Various kinds of nurses interact with this age group which can be a missed opportunity to intervene for the welfare of these youth. Interventions exist for depression and anxiety; however, they are not specific to nurses who care for young Hispanic-American patients. Methods: An integrative literature review was performed to identify nursing interventions for Hispanic American youth with depression …

Help-Seeking Behavior Of African American And Non-African American Victims Of Elderly Abuse, Tesfaye Yigletu Wosene

Walden Dissertations and Doctoral Studies

Elderly abuse is a pervasive public health problem in the United States. Most abuse and neglect go unreported due to barriers including fear for safety, concerns about the consequences, culture, lack of knowledge about elder abuse, shame, and self-blame. However, there is limited research on how race and ethnicity impact help-seeking behaviors of the elderly. This cross-sectional quantitative study examined the difference in reporting and help-seeking behavior between African American and non-African American victims of elderly abuse. Applying the behavioral model of health services use, this study involved a secondary data analysis using the Nation Elderly Mistreatment Study Wave II …

Occupational Burnout Factors Among Correctional Mental Health Providers, Morgan Gruhot

Walden Dissertations and Doctoral Studies

Burnout rates of correctional employees are higher than employees in the general public. The purpose of this study was to identify how occupational factors impact burnout rates among correctional mental health workers. Grounded in the job-demands theoretical model, this study compared burnout rates among mental health staff within county jails and state prisons. Burnout was measured using the Maslach Burnout Inventory and Occupational factors were measured using the Areas of Work life Survey and Pandemic Experience and Perception Survey. Data was analyzed using IBM SSPS software to address multiple a priori directional research questions. Research questions considered how occupational factors …

Mental Health Treatment And The Criminal Justice System, Susana Lehan-Trasente

Walden Dissertations and Doctoral Studies

The criminal justice system has established interventions for those who have mental illness and have been charged with criminal complaints. In New York State, the Mental Health Court has been established to address these issues and is to be used by all counties. However, the treatment and probation interventions vary from county to county. Saratoga County uses a Single Point of Access (SPOA) which receives referrals from the general court and probation officers. SPOA refers clients to a variety of treatment interventions available in the county. In Monroe County, the Mental Health Court refers the criminally involved/mentally ill individual to …

Psychopathy And Insight Within An Incarcerated Population, Courtney Steinorth

Graduate Theses/Dissertations

The clinical construct of psychopathy has been researched extensively relative to incarceration. Cognitive insight has shown to be related to prognosis and treatment outcomes with severe psychopathologies. There has been, however, limited research on both psychopathy and cognitive insight in relation to incarceration. The purpose of the present study was to examine the moderation of cognitive insight levels on rates of incarceration (the number of times someone has been incarcerated in a government detention facility) based on their level of self-reported psychopathic traits. A brief demographic questionnaire, the Beck Cognitive Insight Scale, and the Levenson Self-Report Psychopathy Scale were administered …

Cross-Tailoring Integrative Alcohol And Risky Sexual Behavior Feedback For College Students: Protocol For A Hybrid Type 1 Effectiveness-Implementation Trial, Anne E. Ray, Eun-Young Mun, Melissa A. Lewis, Dana M. Litt, Jerod L. Stapleton, Lin Tan, David B. Buller, Zhengyang Zhou, Heather M. Bush, Seth Himelhoch

UK CARES Faculty Publications

Background: Underage drinking and related risky sexual behavior (RSB) are major public health concerns on United States college campuses. Although technology-delivered personalized feedback interventions (PFIs) are considered a best practice for individual-level campus alcohol prevention, there is room for improving the effectiveness of this approach with regard to alcohol-related RSB.

Objective: The aims of this study are to (1) evaluate the impact of a brief PFI that integrates content on alcohol use and RSB and is adapted to include a novel cross-tailored dynamic feedback (CDF) component for at-risk first-year college students and (2) identify implementation factors critical to the CDF’s …