Digital Commons Network^™

Reducing Length Of Stay For Mental Health Patients, Faye Collins, Nancijean Goudey

MaineHealth Maine Medical Center

Background:

Our facility sees an average of over 200 mental health patients every month, with limited community resources. The length of stay (LOS) for these patients had slowly risen to unacceptable levels; the number of patients whose LOS was greater than 24 hours increased in fiscal year (FY) 2017, from 633 patients to 1145. Patients in crisis require expedited transfer to appropriate care locations. Our goal was to decrease the overall length of stay for mental health patients in the Emergency Department.

The Effect Of A Training Clinic On The Self-Efficacy Of Counselors In Training, Jihene Ayadi

Graduate Theses and Dissertations

The primary focus of this study was to examine the differences between trainees’ perceived self-efficacy when they graduate from a counseling program that has a community based mental health training clinic versus a program without a training clinic. A web-based survey was developed with the questions from the Counseling Self-Efficacy Inventory (COSE) (Larson et al., 1992) and 45 (N = 45) participants took the survey online. Participants were students enrolled and taking a practicum or internship class in a counseling program with a training clinic (WTC) or in a counseling program without a clinic (WTTC). Mann-Whitney Wilcoxon test, a non-parametric …

Using “Remote” Training And Coaching To Increase Providers’ Skills For Working Effectively With Older Youth And Young Adults With Serious Mental Health Conditions, Janet S. Walker, Caitlin Baird

School of Social Work Faculty Publications and Presentations

Since about the turn of the century, a growing awareness of the poor outcomes resulting from “as usual” community mental health care has led to increasing efforts to implement programs and interventions with empirical evidence of effectiveness. However, these efforts have encountered numerous barriers, in particular the high cost of implementation, which has severely limited uptake and sustainment of empiricallysupported programs and interventions. Typically, the largest contributor to cost is the training and coaching required to ensure provider competence and fidelity to the intervention or program model. This paper describes a social innovation that aims to provide high-quality training and …

Adverse Childhood Experiences, Homeless Chronicity, And Age At Onset Of Homelessness, Joseph T. Tucciarone Jr.

Electronic Theses and Dissertations

Childhood adversity is associated with numerous negative outcomes across multiple domains, including mental and physical health, interrelationships, and social functioning. Notably, research suggests that childhood adversity has a dose-response relationship with these outcomes; that is, greater numbers of adverse experiences in childhood are associated with worse outcomes. These outcomes overlap with many risk factors of homelessness. This study sought to address two questions: 1) Does a dose-response relationship exist between childhood adversity and chronic homelessness? 2) Does childhood adversity negatively predict the age at which homelessness first occurs? Adults experiencing homeless who are accessing homeless services in the Tri-Cities area …

Art As Meaning Making, Zoe Brockway, Tim Cunningham, Lucia Hye Yoon Joo, Jessica Pedroza, Michelle Plotkin

LMU Theses and Dissertations

This project examines the meaning-making of art through multiple disciplinary lenses: Art Therapy, Art History, Studio Art, Art Education and Anthropology. Disciplines were selected for their inherent ability to enhance an understanding of meaning-making through the art making process and art product. An arts-based methodology was utilized in conjunction with the Outliers and American Vanguard Art exhibition at The Los Angeles County Museum of Art (LACMA), which featured a juxtaposition of formally trained and self-taught artists. Each of the five researchers selected a piece of art included in the exhibition, rendered the piece, documented the rendering process, and viewed each …

Female Genital Mutilation In The United States: Estimating The Number Of Girls At Risk, Phyllis Chesler

Dignity: A Journal of Analysis of Exploitation and Violence

Female genital mutilation (FGM) destroys the capacity of women to experience sexual pleasure. It causes serious medical complications such as bleeding, painful urination, cysts, dangerous and recurrent bladder and urinary tract infections, the growth of scar tissue that make marital intercourse a nightmare and that turns childbirth into an experience of danger and torture. Due to immigration, FGM now poses a potential health crisis in the West, both in Europe and in the United States. To estimate how many girls who live in the West are at risk, one can measure the prevalence of FGM in the non-Western countries where …

Power Shift Within A Couple’S Journey Through Addiction, Carly Brack Marketto

Electronic Theses and Dissertations

Addiction is a rapidly growing problem for many couples, but most treatment plans focus solely on the individual with a substance abuse diagnosis rather than taking a systemic approach. Investigating the power dynamics of couples who have been through addiction and recovery could assist future treatment plans to include underlying factors in relationships instead of only addressing symptoms of the problem. This grounded theory research study strives to understand the power shift within couples when one partner goes from being in active addiction to being sober for one year or more. Power is viewed through the four aspects that Knudson-Martin …

The Influence Of Premarital Counseling On Marital Satisfaction For African-American Couples, Christian Brown

Electronic Theses and Dissertations

Many factors influence marital satisfaction (Ayub, 2010). Some couples prepare themselves with premarital counseling and try to help increase the likelihood of marital satisfaction. When looking at African-American couples, should researchers assume that some African-American couples take premarital education to increase their marital satisfaction? Prior literature has stated that premarital counseling has decreased marital discord and increased marital satisfaction (Parker, 2007). This study will be a qualitative study using a phenomenological design. The researcher collected data from seven participants. Once the interviews were completed, the researcher was able to analyze the data by identifying common themes as well as capturing …

Meditation As An Intervention To Help College Students Cope With Stress, Marissa Bottos

Evidence-Based Practice Project Reports

According to the American College Health Association (ACHA) (2017), in a survey of 31,463 students, 31.7% stated that stress negatively impacts their academic performance (lower grades, dropped course, etc.). Additionally, 45.1% of the students stated they have more than average stress levels. The purpose of this evidence-based practice (EBP) project was to determine if mindfulness meditation was effective in helping college students cope with stress. Based on current evidence, Jon Kabat-Zinn’s online application for mindfulness meditation is supported as an effective way to help college students cope with stress (Regehr et al. 2013; Yusufov et al. 2018; Cavanagh et al. …

Religious Coping And Christ-Centered Recovery For Women With Substance Use Disorders, Mary Beth Bever

DNP Projects

Women have unique risk factors for the development of substance use disorder (SUD), barriers to SUD treatment, and risk factors for SUD relapse that require holistic care models and provide trauma-informed care approaches that address effective coping strategies. The use of religion and spirituality has been commonplace in many SUD programs to inspire the use of positive religious coping; however, negative religious coping may also be drawn on which poses a potential harm for women with SUD. The aim of this project was to assess for a correlation in positive and negative religious coping scores and program completion rates in …

Self-Care And Burnout Among Nurses In A Hospital Setting, Hannah Stirnaman

DNP Projects

Rates of burnout among healthcare professionals are well documented. The burnout of professional nurses is associated with a number of poor outcomes with costly consequences to both the healthcare system and public health. The American Nurses Association (ANA) has pushed for an initiative entitled Healthy Nurse Healthy Nation that encourages nurses to prioritize their health first and lists compelling statistics of nurse stress, mental health concerns, and workplace injuries. Burnout, a combination of emotional exhaustion, depersonalization, and decreased productivity, is one consequence of workplace stress and the demands placed on nurses; however, there is a lack of research on individualized …

Managing Madness: The Ethics Of Identifying And Treating Mental Illness, Mason Seely

Helene Lafrance Library Undergraduate Research Award

This essay analyzes different contemporary models for defining mental illness and offers a new framework that promotes the use of normative values during the clinical diagnostic process. Although ethic centric models for identifying mental illness do currently exist, these accounts are limited. Specifically, these accounts acknowledge the relationship between mental illness labels and implied responsibility in making their argument to support a normative framework, yet do not explain what capacities are necessary for an agent to have full responsibility. Recognizing this shortcoming, this paper provides an enriched model for identifying mental illness by marrying a normative conception of psychiatric dysfunction …

Increasing Mental Health Literacy In The African American Community: Collaborations Between Mental Health Professionals And The Black Church, Brianna Simmons

Virginias Collegiate Honors Council Conference

African Americans tend to underutilize mental health services due to historical and present institutionalized racism, misdiagnoses, and misunderstandings, and to the lack of representation in the mental health field (Dempsey, Butler, and Gaither, 2016). African Americans thus turn to the Black Church for help. Clergy members of the Black Church use biblical counseling, which consists of seeking God’s wisdom (Dempsey et al., 2016). This differs from traditional psychological counseling where formalized diagnostic criteria are followed, and medication is often prescribed. Despite these differences between the Black Church and professional mental health agencies, there are a number of commonalities, such as …

Take Control: A Proposed Mental Health Treatment Program To Be Implemented In Youth Correctional Facilities Around Oregon Based On The Evidence-Based Target Program, Zoey S. Rochefort

OHSU-PSU School of Public Health Annual Conference

70% of youth in state and local juvenile justice systems exhibit symptoms of one or more mental health disorders and are not receiving adequate treatment. Currently, in Oregon, there is no mental health-screening requirement for youth admitted into detention centers or correctional facilities. Though this doesn’t mean kids never get diagnosed, it does mean there is a large delay in time before treatment begins where they could be receiving care. The Take Control program is working to mitigate wasted time and improve mental health treatment for youth inmates through a seven-step treatment program that provides youth with steps and strategies …

The Effects Of Stress Mindset Interventions On University Students' Health And Functioning, Abigail Fate

Undergraduate Honors Papers

In modern society, the overwhelming cultural narrative proclaims that stress is detrimental to health and should be limited and avoided at all costs. However, recent research has demonstrated that it is one’s stress mindset, rather than their stress level, that determines the psychological and physiological outcomes. Mindsets are lenses that simplify and order the world, and have been proven to influence daily behavioral and physiological responses to create cascading effects. Recent research has demonstrated that one’s mindset about stress is the demining factor in health, performance, and productivity in response to stressful conditions, and that these mindsets can be manipulated …

Experiences Of Veterans With Ptsd And Sud In An Outpatient Setting, Andrew Breault, Hannah Shifflett-Kohler

Thinking Matters Symposium Archive

In 2014, there were approximately 7.9 million adults in the United States with co-occurring Post Traumatic Stress Disorder (PTSD) and Substance Use Disorders (SUD) (SAMHSA, 2014). Of the veterans who served in the conflicts in Iraq and Afghanistan alone, 30% of those in SUD treatment also meet the criteria for PTSD (Seal et al, 2008, pp. 476). Furthermore, statistics show that about 20 Veterans in the United States complete suicide daily (Spiva, 2019, p. 8). The Department of Veterans Affairs is urgently seeking successful approaches to addressing the high incidence of suicides among all veterans along with the low retention …

Cyberbullying And Suicide Among Lgbtq Youth: Is There A Connection?, Holly Wright, Victoria Wilson Townley

Thinking Matters Symposium Archive

The suicide rate among children and teens has been rising over the last decade, and members of the LGBTQ youth population are at considerably greater risk for suicide than their heterosexual peers. LGBTQ youth are also at heightened risk of being bullied due to sexual orientation. Recent technological advancements have created a new platform for bullying, that of cyberbullying, which can contribute to feelings of depression and low self-esteem. The detrimental impact that cyberbullying can have on mental health suggests the possibility of a potential connection between cyberbullying and LGBTQ youth suicide. This qualitative study examines the possible link between …

Lgbt+ Teens, Social Media Use & Depressive Symptoms, Megan Curtis, Danielle Ryder

Thinking Matters Symposium Archive

Sexual and gender minority youth are statistically more likely to face severe mental health challenges than their cisgender, heterosexual peers; they consistently comprise a disproportionate percentage of youth who report experiencing depression, suicide ideation and attempted suicide in the United States every year (e.g. Abreu & Kinney, 2018). The aim of this study was to fill a gap in the current literature base by investigating the effects of social media use on sexual and gender minority youth mental health. The researchers conducted an online anonymous questionnaire targeted toward American LGBT+ (Lesbian, Gay, Bisexual, Transgender, etc.) youth ages 14 to 18, …

Perceptions Of Mental Health: Eight Conversations With Mainers From Africa, Teresa Sosa, Emelda Ogweta

Thinking Matters Symposium Archive

As of 2016, 42 million refugees from around the world had been forced to flee their homes due to war, persecution, or natural disaster (George & Jettner, 2016). Due to these factors, as well as relocation and resettlement, refugees are at a significant risk for trauma and other mental health issues (George & Jettner, 2016). While the literature consistently validates this heightened risk for mental illness in refugees, more research is needed into refugee's perspectives on mental health. Through analysis of semi-structured interviews with eight refugees from Africa, this phenomenological study investigated refugee's perceptions of mental health and mental illness. …

The Experience Of Social Workers Who Utilize Therapy Dogs In Practice, Kathryn Jochems

Thinking Matters Symposium Archive

Animal assisted therapy, which incorporates animals into structured therapeutic interventions, and its use within social work has been shown to increase social interactions, communication, and the overall health and safety of clients (Nimer & Lundahl, 2007). However, there is a gap in the literature regarding the professional and personal experiences of individual social workers with incorporating certified therapy dogs into their practice. This study examined the approval process, perceived effects on practice, perceived effects outside of practice, and future implications of using therapy dogs in social work through the analysis of qualitative data from seven in-depth interviews with licensed social …

The Effects Of Alchoholism Within Family Structures, Abbey Westmoreland, Eva Cumpton, Hyejoon Park

Posters

Employing qualitative study with purposive sampling methods, we want to study family mechanism exposed alcoholic consumption. Testing the effects of alcoholism within family structures, we examined whether children and the spouse of the alcoholic displayed any signs of emotional or physical abuse after treatment had been in place. The number of years post treatment varied upon different individuals. We also tested whether the different treatment options such as AA or in-patient treatment had longer lasting effects. The sample size included 10 white males from different backgrounds. Family sample size includes 5 white individuals, 4 females and 1 male. Outcomes were …

A Thematic Analysis Of Adults’ Reflection On Childhood Experiences Being Parented By An Adult With Mental Health Issues, Jennifer Luja, Meg O'Malley

Thinking Matters Symposium Archive

Children are impacted by their relationships with caregivers. The objective of this research was to develop awareness of the impact on children being cared for by caregivers with mental health issues by examining the experiences of individuals who had a caregiver with severe and persistent mental health issues during childhood. Researchers also gained insight on how social workers can be more supportive to children in these circumstances. The researchers conducted interviews with five participants, the recordings of which were then transcribed and coded to identify themes. Prevalent themes include critiques of available services, resiliency and challenges of family members as …

Women & Adhd Functional Impairments: Beyond The Obvious, Noelle Marita Lynn

Masters Theses

Women with Attention Deficit Hyperactivity Disorder are an understudied and underserved population. Research on women with ADHD has shown that they are significantly impaired by ADHD and its functional impairments. It also shows that women often internalize their symptoms and impairments. However, no research was found that explores what this internalization does to the women. The researcher chose to begin to address this gap in the literature through this qualitative phenomenological study. The purpose of this study is to explore the impact of functional impairments caused by ADHD on the internal lived experiences of women.

The researcher conducted fourteen interviews …

Dampak Bumdes Terhadap Kesejahteraan Masyarakat Di Desa Aik Batu Buding, Kabupaten Belitung, Provinsi Bangka Belitung.

Jurnal Ilmu Kesejahteraan Sosial

Village development is a priority in national development, because it is closely related to the third point of the President's Nawacita which states that it is developing Indonesia from the periphery by strengthening regions and villages within the framework of a unitary state. This study aims to describe the impact of BUMDES on the welfare of rural communities. BUMDES is one of the programs to strengthen the role of the region. village aik batu buding, Belitung Districts, Bangka Belitung Islands Province has become one of the best BUMDES in the Province in 2016, because it is interesting to see the …

Internamente Solo: Escuchando Y Resistiendo La Soledad De Adultos Mayores En La Araucanía, Chile / Internally Alone: Hearing And Resisting The Loneliness Of Seniors In La Araucanía, Chile, Grace Ellrodt

Independent Study Project (ISP) Collection

Research Question: Which current patterns drive or diminish loneliness among seniors of the Region of the Araucanía in the city of Temuco and surrounding rural communes?

Objectives: Understand and interpret the roots and the antidotes of the loneliness phenomenon experienced by seniors in Temuco and surrounding communes in the present moment.

Identify and analyze the drivers of pathological elder loneliness in structural, intermediary, and proximal factors.

Highlight the perspectives and narratives of seniors, community leaders, and health resources with respect to strategies to reduce the crisis.

Background: Currently, the population of seniors has risen and will continue to rise in …

Continuing Education In Motivational Interviewing For Addiction Counselors: Reducing The Research‐To‐Practice Gap, Diana M. Doumas, Raissa M. Miller, Susan Esp

Counselor Education Faculty Publications and Presentations

The researchers evaluated the effectiveness of continuing education training in Motivational Interviewing (MI) for addiction counselors. Participants reported a significant increase in counseling self-efficacy and 86.8% reported increasing MI use in their practice. Only 3.9%, however, participated in post-training consultation.

Kontribusi Pengasuh Di Panti Asuhan Muslimin Dalam Pemenuhandimensi Emosional Warmth Berdasarkan Kerangka Perlindungandan Kesejahteraan Sosial Anak, Fatiyah Rahmadiana, Dwi Amalia Chandra Sekar

Jurnal Ilmu Kesejahteraan Sosial

This study aims to provide an overview of the caregiver's contribution in fulfilling child welfare in orphanages as a substitute for parents who are needed to fulfill children's development needs. This study uses the UNICEF Child Welfare and Protection Framework, namely Parenting Capacity and limits the discussion on one of the indicators, namely Emotional Warmth. This study uses a qualitative approach with a type of descriptive research. Data collection methods used are literature studies, observations and in-depth interviews. The results of this study illustrate the efforts of caregivers in fulfilling emotional warmth by showing their affection first getting closer to …

A Crisis In The Farming Community: A Pathway To Acceptable, Accessible And Available Mental Health Care In Rural Minnesota, Trevor Frybarger, Laura Koch, Kathy Thao, Taryn Wicks

Master of Social Work Student Policy Advocacy Briefs

Minnesota relies on farmers to put food on our tables and to help drive our economy. The chronic stressors associated with an unstable farm economy is taking its toll on farm families all across Minnesota. Chronic stress can contribute to marital tensions, domestic violence, work disruption, depression, anxiety, and suicide. Minnesota has only 1 mental health counselor dedicated to doing outreach and crisis counseling to farm families. Many mental health professionals lack competency in working in rural communities, including understanding farm related stressors. Minnesota is doing some things right, like the Minnesota Farm and Rural Help Line. But, it needs …

Menakar Keberlanjutan Program Kube: Peluang Dan Tantanganprogram Kube Dalam Pemberdayaan Masyarakat Miskin Perkotaandi Kelurahan Keparakan, Kecamatan Mergangsan, Kotayogyakarta, Laras Aprilianti, Eka Zuni Lusi Astuti

Jurnal Ilmu Kesejahteraan Sosial

KUBE is one of the poverty alleviation programs under the Directorate of Social Empowerment and Poverty Reduction, Ministry of Social Affairs. This program aims to empower the poor groups through the financial assistance to support productivity in economy. KUBE in Keparakan Village, Mergangsan, Yogyakarta City is one of the KUBE in DIY Province which is the best KUBE candidate in DIY. Ironically, within 3 years implementation of the KUBE Program, from 6 KUBE, 4 KUBE sustainable and the other 2 was discontinued. This paper seeks to examine what are the supporting and inhibiting factors for the implementation of sustainability KUBE …

Badan Usaha Milik Desa (Bumdes) Ijen Lestari Sebagai Inovasipelayanan Publik Untuk Mendukung Pengembangan Ekonomilokal Melalui Community Based Tourism, Harod Rahmad Novandi, Isbandi Rukminto Adi

Jurnal Ilmu Kesejahteraan Sosial

The proportion of rural poverty is always higher than urban poverty in Indonesia. Poverty reduction programs, especially in rural areas, should put the community as the priority subject in each program. Banyuwangi Regency in East Java Province is one of the best example in poverty reduction program. Banyuwangi succeed to reduce its poverty rate significantly from tourism sector. This tourism increases income per capita of Banyuwangi from year to year. The poverty reduction in Banyuwangi is influenced by smart kampung and local economic development through a community-based tourism. (CBT) and Initiating local industry.Based on observation and in depth interview, Village-Owned …