Digital Commons Network^™

House: Homeless Opioid User Service Engagement Program. Year 1 Report, Mary Lindsey Smith Phd, Katharine Knight Mph, Evelyn Ali Bs, Thomas Chalmers Mclaughlin Msw, Phd, Katie Rosingana Ba, Tyler Egeland Ba, Mark Richards Bs, Karen Pearson Mlis, Ma

Substance Use Research & Evaluation

Homelessness and lack of stable housing is often a barrier to achieving stability for individuals who are experiencing homelessness (IWAEH) with an OUD. In order to meet the complex needs of IWAEH with OUD, the Department of Health and Human Services funded a pilot program in 2021, the Homeless Opioid Users Service Engagement (HOUSE) Program; clinicians at Greater Portland Health provide clients with low-barrier Medication Assisted Treatment (MAT), while staff at Preble Street provide casework support and rapid housing assistance to individuals who have been identified as being at high risk of overdose, are experiencing homelessness, and are diagnosed with …

Alumni Journal - Volume 93, Number 1, Loma Linda University, School Of Medicine

Alumni Journal, School of Medicine

Editorials
2 | From the Editor
4 | From the President
6 | From the Dean

News
7 | This and That
12 | Alumni News
13 | Students
14 | School of Medicine News
16 | AIMS Report
18 | Department Reports: Psychiatry and Neurosurgery

APC 2022
22 | APC 2022 in Review

Features
35 | Alumni Spotlight
36 | Whole Person Care Today
39 | Arthur N. Donaldson, Class of 1915
42 | The Call

In Memoriam
44 | Featured Obituary: Brian S. Bull '61
45 | Alumni Remembered

The Influence Of Integrated Behavioral Health Primary Care Setting On The Utilization Of Mental Health Services And Depression Treatment Response Among Men, Tendai Masiriri

Dissertations

The 2010-2013 National Health Interview Survey showed that nearly 9% of men had daily feelings of anxiety or depression, yet less than 41% sought help for their symptoms (Blumberg et al., 2016). Men are more reluctant than women to seek help (Angst et al., 2002; Brownhill et al., 2005). The failure to seek help among men is associated with multiple factors related to stigma and gender, yet male suicide rates are approximately 3-5 times higher than their female counterparts. However, they have a higher likelihood of seeking help from a medical provider rather than a mental health provider. If men …

The Ballad Of The "White" Collar Criminal: An Examination Of The Intersection Of Race And Gender In Federal White-Collar Sentencing And Possible Implications Of The Findings, Taylor Tesher

Cardozo Journal of Equal Rights & Social Justice

The note argues that racial and gender disparities exist in federal white-collar crime sentencing, particularly affecting Black women, who often receive harsher sentences compared to their white counterparts. It highlights cases like Felicity Huffman and Kelley Williams-Bolar to illustrate these disparities and calls for reforms to address the lack of transparency and consistency in sentencing.

Nbome Toxicity And Fatalities: A Review Of The Literature, Matthew Lipow, Syed Zane Kaleem, Eduardo Espiridion

Transformative Medicine

In the decade since the introduction of the novel synthetic hallucinogen NBOMe into the consumer market, this drug has become an increasingly prevalent, yet poorly understood cause of altered mental status (AMS) resulting in hospitalization.

In this literature review, we conducted a PubMed query for mentions of NBOMe ingestion since Suzuki et al.’s publication of their 2015 review. Among English language publications published between October 2014 and June 8, 2021, were sixteen case reports and six case series detailing a total of 42 cases of NBOMe toxicity.

Notably, 26 (62%) patients experienced tachycardia, 22 (52%) had hypertension, 34 (81%) experienced …

Evaluation Of A Federal Mental Health Court: Do They Work?, Kimberly Houser, Christine A. Saum

College of Humanities and Social Sciences Departmental Research

No abstract provided.

Adapting A Conceptual Framework To Engage Diverse Stakeholders In Genomic/Precision Medicine Research, Karriem S. Watson, Elizabeth G. Cohn, Alecia Fair, Usha Menon, Laura A. Szalacha, Selena M. Carpenter, Consuelo H. Wilkins

Publications and Research

Introduction: Genomic/precision medicine offers a remarkable opportunity to improve health and address health disparities. Genomic medicine is the study of genes and their interaction with health. Precision medicine is an approach to disease prevention and treatment that considers individual variability in genes, environ- ment and lifestyle. Conclusions from studies lacking diversity may hinder general- izability as genomic variation occurs within and between populations. Historical factors, such as medical mistrust, ethical issues related to decision making, and data sharing pose complex challenges that may further widen inequities in genomic/ precision medicine if not appropriately addressed. Although few biomedical studies integrate priorities …

Protocol: A Scoping Review Of Graduate Student Education, Curriculum Impact, And Interest In Interdisciplinary Research Training, David D. Allen Iii

Faculty and Student Publications

Title: PROTOCOL: A Scoping Review of Graduate Student Education, Curriculum Impact, and Interest in Interdisciplinary Research Training

Background: Alongside traditional graduate education practices, implementing curriculum focused on providing interdisciplinary research training to graduate students may help support their academic development. This additional educational focus can bolster graduate student understanding of methodological practices, develop alternative routes of thinking or approaching a problem/ issue/ topic, may assist in developing student professional socialization skills, and may positively impact student internal motivations, beliefs, and perceptions.

Methods: Our scoping review protocol was developed a priori utilizing the Joanna Briggs Institute guidance, by …

Intouch March 28, 2022, New York Medical College

InTouch

• “Knocking Down Barriers” Panel Discussion Celebrates Women Leaders at NYMC
• Stand with Ukraine Humanitarian Drive is Successful with More Than 2,500 Donations
• NYMC Annual Days of Giving Set for March 29 and 30
• NYMC and TU Host 18^th COVID-19 Symposium
• The Office of Development and Alumni Relations Fosters Relationships with Students Past and Present

Prevention Of Violence Against Women And Girls: A Cost-Effectiveness Study Across 6 Low- And Middle-Income Countries, Giulia Ferrari, Sergio Torres-Rueda, Esnat Chirwa, Andrew Gibbs, Stacey Orangi, Edwine Barasa, Theresa Tawiah, Rebecca Kyerewaa Dwommoh Prah, Rozina Karmaliani, Hussain Maqbool Ahmed Khuwaja

School of Nursing & Midwifery

Background: Violence against women and girls (VAWG) is a human rights violation with social, economic, and health consequences for survivors, perpetrators, and society. Robust evidence on economic, social, and health impact, plus the cost of delivery of VAWG prevention, is critical to making the case for investment, particularly in low- and middle-income countries (LMICs) where health sector resources are highly constrained. We report on the costs and health impact of VAWG prevention in 6 countries.
Methods and findings: We conducted a trial-based cost-effectiveness analysis of VAWG prevention interventions using primary data from 5 randomised controlled trials (RCTs) in sub-Saharan Africa …

A Macro Social Examination Of The Relationship Between Disabilities And Crime Using Neighborhood And County Level Data, Natasha A. Baloch

USF Tampa Graduate Theses and Dissertations

Over the last few decades, there has been a consistent increase in mental illnesses in the US population. This has also lead to increased interactions of those with mental illnesses and/or disabilities with law enforcement and the criminal justice system. Despite these instances, there is limited research on the relationship between disabilities, mental health issues and crime in the large body of criminological research. Further, the current extant research is a) outside the field of Criminology, b) primarily focuses on those with only intellectual or developmental disabilities and/or c) does not examine this relationship at the macro level, despite evidence …

Physical Training As The Basis Of Professional Activities Of Patrol Policemen, Kostiantyn Prontenko, Valentin Bondarenko, Sergiy Bezpaliy, Dmytro Kyslenko, Yurii Lisnichenko, Vasyl Ollo, Alla Aloshyna, Olexandr Bychuk, Volodymyr Smirnov

Baltic Journal of Health and Physical Activity

Background: Physical training is an integral part of policemen’s professional training. The aim of the study is to verify experimentally the effectiveness of the authors’ methodology of training future patrol policemen targeted at increasing their general physical fitness level during the primary professional training course. Material and methods: The study involved the patrol policemen of the primary professional training course (N = 115) of the National Academy of Internal Affairs. The level of physical fitness was assessed by the following tests: 100-m race, pull-ups, push-ups, 1000-m race, shuttle run 4 х 9 m, sit-ups, standing long jump, sitting forward bend, …

Applying Transformative Evaluation To Assess Service Provided To African Americans Through The Snap-Ed Program, Matthew Greene

LSU Doctoral Dissertations

Obesity and food insecurity are disproportionately experienced by African Americans compared to white Americans. African Americans encounter multiple barriers to healthful eating in their food environment, in part due to structural racism. Four studies were undertaken to understand how SNAP-Ed may best address the needs of African Americans and whether the program is serving African Americans in Louisiana equitably. In the first study, a scoping review was conducted to describe nutrition interventions addressing structural racism experienced by African Americans and compare them to the Getting to Equity in Obesity Prevention Framework. Nearly all included studies focused on PSE change interventions …

Intergenerational Risk And Resilience Pathways From Discrimination And Acculturative Stress To Infant Mental Health, Sabrina R. Liu, Curt A. Sandman, Elyssia Poggi Davis, Laura M. Glynn

Psychology Faculty Articles and Research

Preconception and prenatal stress impact fetal and infant development, and women of color are disproportionately exposed to sociocultural stressors like discrimination and acculturative stress. However, few studies examine links between mothers’ exposure to these stressors and offspring mental health, or possible mitigating factors. Using linear regression, we tested associations between prenatally assessed maternal acculturative stress and discrimination on infant negative emotionality among 113 Latinx/Hispanic, Asian American, Black, and Multiethnic mothers and their children. Additionally, we tested interactions between stressors and potential pre- and postnatal resilience-promoting factors: community cohesion, social support, communalism, and parenting self-efficacy. Discrimination and acculturative stress were related …

Increasing Knowledge Of Opioid Use Disorder And Medication Assisted Treatment In Advanced Practice Registered Nurses In Georgia, Angela Paige Queen Dnp, Msn, Aprn, Fnp-Bc, Jennifer Goldsberry Dnp, Msn, Aprn, Fnp-Bc, Cne, Gail Godwin Ph.D, Pmhp-Bc, Cne, Sallie Coke Ph.D.,Aprn, C-Pnp,C-Fnp, Pmhs

Doctor of Nursing Practice (DNP) Translational and Clinical Research Projects

The national opioid crisis has had devastating effects on the United States (US) healthcare system with the financial burden totaling more than $2 trillion from 2015 to 2018 (White House Government, 2020) and the physical burden of 128 overdose-related deaths daily (Centers for Disease Control, 2020). According to the Centers for Disease Control (CDC), some of these deaths result from deficits in education of healthcare providers about pain management treatment (CDC, 2020). Improved education for healthcare providers has resulted in a significant decline in the total number of opioid prescriptions from 2016 to 2019, which suggests that successful containment of …

Increasing The Knowledge Of Opioid Use Disorder And Medication Assisted Treatment For Advanced Practice Registered Nurses In Georgia, Angela Queen Dnp, Msn, Aprn, Fnp-Bc, Jennifer Goldsberry Dnp, Msn, Aprn, Fnp-Bc, Cne, Gail Godwin Ph.D, Pmhp-Bc, Cne, Sallie Coke Ph.D.,Aprn, C-Pnp,C-Fnp, Pmhs

Doctor of Nursing Practice (DNP) Translational and Clinical Research Projects

The national opioid crisis has had devastating effects on the United States (US) healthcare system with the financial burden totaling more than $2 trillion from 2015 to 2018 (White House Government, 2020) and the physical burden of 128 overdose-related deaths daily (Centers for Disease Control, 2020). According to the Centers for Disease Control (CDC), some of these deaths result from deficits in education of healthcare providers about pain management treatment (CDC, 2020). Improved education for healthcare providers has resulted in a significant decline in the total number of opioid prescriptions from 2016 to 2019, which suggests that successful containment of …

"You Can't Go Wrong Being Safe": Motivations, Patterns, And Context Surrounding Use Of Fentanyl Test Strips For Heroin And Other Drugs., Megan K Reed, Amanda Guth, Venise J Salcedo, Jeffrey K Hom, Kristin L Rising

Department of Emergency Medicine Faculty Papers

BACKGROUND: Unintentional drug overdose fatalities due to fentanyl contamination continue to increase. Fentanyl test strip (FTS) use has emerged as a valuable harm reduction strategy to detect the presence of fentanyl in drugs. However, motivation for FTS uptake and context surrounding use have not been well characterized in the literature. This study aimed to capture people who use drugs' (PWUD) lived experiences to understand motivations underlying FTS uptake, ongoing use, and actions after testing.

METHODS: We conducted qualitative interviews with PWUD at a harm reduction organization in Philadelphia, PA. Interviews asked about experiences with using FTS. Interviews were audio-recorded, professionally …

What’S Next For Tobacco Control Efforts? Health Equity Related Lessons Learned From A National Qualitative Study On Tobacco Control And Prevention, Courtney A. Parks, Hollyanne E. Fricke, Alethea Chiappone, Jennie L. Hill, Amy L. Yaroch

Journal of Health Disparities Research and Practice

Context: Despite gains in the tobacco prevention and control movement, tobacco products remain a threat, with specific populations at greater risk.

Objective: The purpose of this paper is to examine the role that leaders in the tobacco prevention and control movement have played in progress achieved to date and identify recommendations for the future using a health equity framework. The purpose of this paper is to examine the role that leading organizations in the tobacco prevention and control movement have played in progress achieved to date, identify future recommendations within the context of current public health priorities (e.g., obesity prevention), …

R.A.C.E. To Recovery Year 1 Evaluation Summary Report, Katie Rosingana Ba, Evelyn Ali Bs, Tyler Egeland Ba, Mary Lindsey Smith Phd

Substance Use Research & Evaluation

Through a collaborative effort led by the Healthy Community Coalition, the multi-sector Rural Addiction Care Expansion (R.A.C.E.) to Recovery initiative consortium is utilizing evidence-based, community-wide response to impact and reduce the effects of the opioid epidemic in the Western Maine Public Health District/ Greater Franklin County. To assess and evaluate the implementation, successes, and challenges of the RACE to Recovery project, the Cutler Institute is collecting and analyzing data for both process and outcomes of the initiative.

In the first year of the initiative, the Cutler evaluation team utilized both primary and secondary data to assess RACE to Recovery program …

Motivasi Dan Beban Kerja Sebagai Penentu Kinerja Karyawan Di Rsia Selaras Cikupa, Adi Candra, Weka Gunawan, Reza Hilmy

Jurnal ARSI : Administrasi Rumah Sakit Indonesia

Employee performance in an institution shows the successful implementation of all organizational activities. However, RSIA Selaras Cikupa, through initial observations found many problems related to performance, namely the number of employees who were late from January to June 2019 tended to increase every month. From the initial interviews it is also known that the low motivation of employees. The research objective was to determine the effect of motivation and workload on employee performance at RSIA Selaras Cikupa with job satisfaction as an intervening variable. This type of research is quantitative research. The method used is a survey with interval weighting. …

Trends And Age-Related Characteristics Of Substance Use In The Hospitalized Homeless Population, Sung-Youn Chun, Ji W. Yoo, Hyeki Park, Jinwook Hwang, Pearl C. Kim, Seong Park, Jay J. Shen

School of Medicine Faculty Research

We aimed to examine trends and characteristics of substance use (opioid, cocaine, marijuana, and heroin) among hospitalized homeless patients in comparison with other hospitalized patients in 3 states. This was a cross-sectional study, based on the 2007 to 2015 State Inpatient Data of Arizona, Florida, and Washington (n= 32,162,939). Use of opioid, cocaine, marijuana, heroin, respectively, was identified by the International Classification of Diseases, 9th Revision. Multi-level multivariable regressions were performed to estimate relative risk (RR) and 95% confidence intervals (CI). Dependent variables were the use of substances (opioid, cocaine, marijuana, and heroin), respectively. The main independent variable was homeless …

Ua12/2/1 Up Next On The Hill, Vol. 97, No. 6, Wku Student Affairs

WKU Administration Documents

Magazine edition of the College Heights Herald for the period Feb. 14 to March 21, 2022.

• Collins, Michael. I Went to School There? University Plan Marks New Era of Campus for Next Generation of Students
• Trickett-Wile, Arthur & Jake Jones. Like Farmer, Like Son – Alex Burke
• Stover, D.J. Gun Violence Hasn’t Left, from a Survivor of Marshall County
• Lanuzza, Izzy. International Bonds Key to WKU Tennis Success

College Of Health Professions News, Georgia Southern University

College of Health Professions: News & Publications (2012-2023)

• WCHP Establishes the Waters College Advisory Board

"1,000 Conversations I'D Rather Have Than That One:" A Qualitative Study Of Prescriber Experiences With Opioids And The Impact Of A Prescription Drug Monitoring Program., Jillian Zavodnick, Alexis Wickersham, Alison Petok, Brooke Worster, Amy Leader

Department of Medicine Faculty Papers

BACKGROUND: Prescription Drug Monitoring Programs (PDMPs) have shown impacts on a number of opioid-related outcomes but their role in clinician emotional experience of opioid prescribing has not been studied.

OBJECTIVES: This study explores the impact of PDMPs on clinician attitudes toward and comfort with opioid prescribing, their satisfaction with patient interactions involving discussion of opioid prescriptions, and their recognition of opioid use disorder (OUD) and ability to refer patients to treatment.

METHODS: Researchers conducted semi-structured interviews with five physicians and two nurse practitioners from a variety of specialties and practice environments.

RESULTS: Many participants reported negative emotions surrounding opioid-related patient …

A Feminist Challenge To Transgenderism. A Review Of Doublethink: A Feminist Challenge To Transgenderism By Janice G. Raymond, Esohe Aghatise

Dignity: A Journal of Analysis of Exploitation and Violence

No abstract provided.

Evaluating Patient Experience At A Novel Health Service For Aboriginal And Torres Strait Islander Prisoners: A Pilot Study, Lachlan Arthur, Ana Herceg, Heidi Shukralla, Jason Payne, Julie Tongs Oam

Journal of the Australian Indigenous HealthInfoNet

Background
The Winnunga Alexander Maconochie Centre Health and Wellbeing Service (AMCHWS) is the first prison health service operated by an Aboriginal Community Controlled Health Organisation in Australia. This pilot study developed and implemented a patient experience survey to evaluate the novel model of healthcare delivered by the Winnunga AMCHWS to Aboriginal and Torres Strait Islander prisoners.

Methods
Patients accessing the Winnunga AMCHWS between February and May 2020 were invited to participate in the study. Descriptive data were analysed and compiled for demographics, patient satisfaction, patient perception of care quality, cultural safety, and patient thoughts on the Winnunga AMCHWS.

Findings
Sixteen …

Andragogy: The Common Thread In The Teaching Of Adults In Colleges Of Education, Criminal Justice, And Health Management, Grant J. Shostak, Larry Acker, Vanessa Vandergraaf

Faculty Scholarship

The Covid-19 pandemic has brought dramatic changes to higher education. Students and educators face challenges never anticipated, including switching classes from on-ground to online and back again, mental fatigue, stress, and burnout. Faculty across disciplines may turn to Andragogy to best teach college students to inform their teaching practices. This paper demonstrates how professors from education, criminal justice, and healthcare management have used andragogical techniques in their classrooms.

Social Determinants Of Health And Depression Among African American Adults: A Scoping Review Of Current Research, Brooks Yelton, Daniela B. Friedman, Samuel Noblet, Matthew C. Lohman, Mark M. Macauda, Mayank Sakhuja, Katherine H. Leith

Faculty Publications

Depression in the United States (US) is increasing across all races and ethnicities and is attributed to multiple social determinants of health (SDOH). For members of historically marginalized races and ethnicities, depression is often underreported and undertreated, and can present as more severe. Limited research explores multiple SDOH and depression among African American adults in the US. Guided by Healthy People (HP) 2030, and using cross-disciplinary mental health terminology, we conducted a comprehensive search to capture studies specific to African American adults in the US published after 2016. We applied known scoping review methodology and followed Preferred Reporting Items for …

Racially Informed Care: A Treatment Approach And Exploration Of The Implications Of Race Related Barriers In The United States, Charae Mcconnell

The Open Journal of Occupational Therapy

Social factors surrounding race and ethnicity often create barriers to meaningful occupation and keep people of color from achieving a greater quality of life (Pooremamali et al., 2016). These barriers often result in occupational deprivation and feelings of alienation in society. Research has shown that these barriers created by systematic racism exist for individuals across different environments and persist over their lifetime (Pooremamali et al., 2016). Because of these barriers and the prolonged stress responses caused by racism, people of color, especially black and brown, have significantly higher rates of chronic illness than White Americans. People of color, specifically African …

Ecospirituality In Forensic Mental Health: A Preliminary Outcome Study, Clark Patrick Heard, Jared Scott, Stephen Yeo

The Open Journal of Occupational Therapy

Background: In this study, the personal experience of spirituality in nature (the concept of ecospirituality) was supported by occupational therapy and spiritual care staff enabling a community-based group for persons affiliated with a forensic mental health system in Ontario, Canada. Spirituality is a key, though debated, tenet in occupational therapy practice. At the same time, immersive participation in nature has been linked to positive health outcomes.

Methods: A qualitative method consistent with Interpretative Phenomenological Analysis was employed. Data was collected via the completion of semi-structured interviews (n = 9). Collected data was transcribed verbatim and then coded for …