Digital Commons Network^™

Social Determinants Of Health Extraction From Clinical Notes Across Institutions Using Large Language Models, Vipina K Keloth, Salih Selek, Qingyu Chen, Christopher Gilman, Sunyang Fu, Yifang Dang, Xinghan Chen, Xinyue Hu, Yujia Zhou, Huan He, Jungwei W Fan, Karen Wang, Cynthia Brandt, Cui Tao, Hongfang Liu, Hua Xu

Faculty, Staff and Student Publications

Detailed social determinants of health (SDoH) is often buried within clinical text in EHRs. Most current NLP efforts for SDoH have limitations, investigating limited factors, deriving data from a single institution, using specific patient cohorts/note types, with reduced focus on generalizability. We aim to address these issues by creating cross-institutional corpora and developing and evaluating the generalizability of classification models, including large language models (LLMs), for detecting SDoH factors using data from four institutions. Clinical notes were annotated with 21 SDoH factors at two levels: level 1 (SDoH factors only) and level 2 (SDoH factors and associated values). Compared to …

Perceptions Of Faculty On Trauma-Informed Practices At The American University In Cairo, Marwa M. Emara

Theses and Dissertations

Abstract

Trauma-informed education is gaining momentum in higher education as a framework that seeks to create learning environments that are safe, inclusive, and responsive to the emotional and psychological needs of students—particularly those who have experienced trauma. This qualitative study, situated at the American University in Cairo (AUC), explores how faculty perceive, understand, and implement trauma-informed practices in a diverse university context that includes refugee and displaced students. Data were collected through semi-structured interviews with seventeen faculty members from various disciplines and incorporating an autoethnographic reflection. An expert interview was conducted with Dr. Mays Imad, a leading scholar in trauma-informed …

Implementation Of Social-Emotional Learning, Jordyn Rippe

Journal of Curriculum, Teaching, Learning and Leadership in Education

Social-emotional learning has shown distinction as strengthening students' social and emotional competencies, as well as enhancing the academic experience. The purpose of this study was to determine if the implementation of a social-emotional curriculum would improve competencies in social-emotional development and self-regulation skills. Students need adequate social and emotional instruction that will assist in being able to manage relationships, identify emotions, as well as regulate them. The focus of social-emotional learning is to create a fair learning environment for all students (Cipriano et al., 2022). Lack of social and emotional skills instruction in the classroom can severely impact the development …

Exploring Biblical Language In Trauma Processing, Kathy B. Hoppe

Salubritas: International Journal of Spirit-Empowered Counseling

Clients may often find themselves struggling with accessing traumatic experiences in therapy, thereby developing an avoidance of trauma that impedes healing. Strategies for reducing trauma processing may be difficult to identify effectively. This project suggests several means by which therapists can utilize the language of scripture, including scriptural narrative, metaphor, and poetry, as a therapeutic intervention with conservative Christian clients who are pursuing trauma processing. The proposed approach assists clients in explaining their traumatic events in a secure setting, hence preventing the common hyperarousal symptoms that are upsetting. The treatment can enhance the effectiveness of evidence-based practices. It incorporates several …

Walking In Promise, Living In Reality: Exploring The Mental Health Implications Of The Pentecostal Discourse Of Divine Calling, Robert D. Mcbain

Salubritas: International Journal of Spirit-Empowered Counseling

Pentecostalism places a strong emphasis on the discourse of divine calling, where individuals believe they are purposefully created, guided, and empowered by God to fulfill a specific mission. This sense of calling profoundly shapes Pentecostals’ sense of identity and purpose. Using Grounded Theory, this study analyzes open, in-depth interviews with Pentecostals in the U.S. to explore the impact of the Pentecostal discourse of divine calling on their mental health. The metaphor of ‘walking in’ one’s calling emerges as the central theme used by participants to explain the interaction between their perception of divine calling, their lived realities, and their mental …

Cognitive Behavioral Therapy (Cbt) Intervention Addressing Anxiety Levels Among College Students In A Mid-Western University In The United States: An Effectiveness Study, Ijeoma Idika-Chima

Student Research and Creative Activity Expo

Findings evaluate how well Cognitive Behavioral Therapy (CBT) works to treat anxiety problems in college students at a U.S. university in the Midwest.

Faith Learning Integration In Christian Higher Education And Faculty Job Satisfaction: A Hermeneutical Phenomenological Study, Brad Burgess, Grace Michele Baker, Jamaica Conner, Jonathan Giles, Rachel Joseph, Kevin Layell

Journal for the Scholarship of Teaching & Learning

Faith learning integration (FLI) in Christian institutions of higher education contributes to job satisfaction (JS) for faculty. This study explores FLI and JS among interdisciplinary faculty in a Christian university in the Southeast US. Researchers used a hermeneutical phenomenological approach to collect data from six faculty from varying disciplines, using interviews, focus group discussions, and journaling. Manual coding was utilized to uncover three primary themes: (a) clear expectations for FLI; (b) challenges to implement FLI; and (c) faculty JS from FLI. Two subthemes emerged from the primary theme of clear expectations for FLI: standards set by the organization and classroom …

Editorial: Digital Accessibility Practices Guided By Past Models And Modern Research, Cynthia Curry, Jared Smith

Developmental Disabilities Network Journal

No abstract provided.

Digital Accessibility: A Critical Imperative For Inclusive Information Access, Matt Wappett

Developmental Disabilities Network Journal

No abstract provided.

Commencement [Program], May 16-17, 2025, University Of Northern Iowa

UNI Commencement Programs

Contents:

Board of Regents --- 2
Institutional Leadership --- 2
Ceremony Symbols & Traditions --- 3
Academic Honorary Organizations --- 4
University Ambassador Organizations --- 5
University Honors Program --- 6
Graduation with Honors --- 6
Legacy Graduates --- 6
Military Science --- 7
Merchant Scholarship --- 7
Outstanding Student Leader --- 7
Commencement Student Speakers --- 7
Purple and Old Gold Awards --- 8
Lux Service Award --- 9
7 p.m. Program --- 10
College of Social & Behavioral Sciences --- 11
Division of Online Education & Individual Studies --- 24
10 a.m. Program --- 27
College of Education …

Evolving Discipline Strategies: The Effects Of Police Removal On School Discipline In San Francisco, Eliza Grace Giroux

Master's Projects and Capstones

As conversations about equity and student well-being continue to shape public education, longstanding approaches to discipline in schools are being reevaluated. One major area of focus has been the presence of police on school campuses, especially when punitive systems have disproportionately harmed marginalized students. In San Francisco, this shift culminated in the 2020 passage of Resolution 206, which formally ended the school district’s partnership with the San Francisco Police Department and removed armed officers from campuses. This capstone examines the impact of that decision by exploring how school discipline practices have changed in the years since. Through interviews with members …

University Of Nebraska At Omaha Commencement: May 2025, University Of Nebraska At Omaha

Commencement Programs

No abstract provided.

Enhancing Outpatient Referrals To Heart Failure Clinics, Charla Furing

Doctor of Nursing Practice Scholarly Project

Heart failure patients require complex and specialized treatment that can be provided for in a heart failure clinic. Heart failure is extremely complex and the recommendations for management require observation and diligence. Lindberg et al. (2022), recommends patients with heart failure receive specialized care from providers trained in optimizing therapy, especially patients with new onset heart failure, worsening heart failure, or those unable to tolerate first-line treatments in optimal doses. Patients require referrals to the providers specializing in heart failure management. This study created a comprehensive outpatient referral form for outpatient providers utilizing published heart failure referral forms, heart failure …

School-Based Trauma-Focused Small Group For Early Elementary Students, Kalli F. Anderson

Dissertations, Theses, and Projects

Exposure to trauma has been linked to a number of detrimental effects on children, including decreased or stunted cognitive abilities, increase in externalizing and internalizing symptoms, negative effects on relationships with peers and caregivers, and decreased academic achievements (Perry, 2002; Van Der Kolk, 2005; AAP, 2014; SAMHSA, 2018). It is estimated that one fourth of students will experience at least one traumatic event before the age of 6 and up to one third will experience a traumatic event before the age of 17 (Briggs-Gowan et al. 2010; Finkelhor et al. 2015; McLaughlin et al., 2013). Many students who …

Path To Empowerment: A Trauma Group Of High School Students, Megan Cowden

Dissertations, Theses, and Projects

Knowledge of the implementation of trauma interventions within the school environment can be crucial for academic and lifelong success. The literature review portion will define trauma, examine the prevalence among high school students and explores the impact trauma can have on mental health, academic performance and their social-emotional well-being. It discusses the significant number of students entering high school with traumatic experiences and emphasizes the need for trauma-informed approaches that can be used in schools. The effectiveness of group versus individual therapy is compared, along with an analysis of school-based and social-emotional curriculum. Based on this information, there is a …

Nurturing The Future: Understanding Maternal Knowledge Of Child Development In Oman, Watfa Al-Mamari, Ahmed B. Idris, Saquib Jalees, Muna Al-Jabri, Mohammed A. Mirghani, Dina Al Khalili, Asila Al Yarubi, Jamana Al Zadjali, Zahra Al Lawati, Ayat Al Lawati, Ahmed Al Saidi, Kamila Al Alawi, Sathiya Murthi, Wafa S. Al-Maamari

Sultan Qaboos University Medical Journal

Objectives: This study aimed to examine the knowledge of Omani women of childbearing age concerning infant developmental care. Methods: This cross-sectional study included 1,006 Omani women of childbearing age, recruited from outpatient clinics at Sultan Qaboos University Hospital (response rate = 71%). Their knowledge was evaluated using the Knowledge of Infant Development Inventory (KIDI), a validated self-report questionnaire. The KIDI scores were analysed to identify associations with demographic variables such as women’s age, education level, employment status and number of children. Data were collected from June 2023 to October 2023. Results: The mean age of the participating women was 31.6 …

Staff Education To Enhance Nurse Knowledge Of Depression And Screening Tool Using Patient Health Questionnaire-9, Oluwakemi Omotayo Aregbesola

Walden Dissertations and Doctoral Studies

Summary This staff education program focused on addressing a practice deficit regarding nonstandard depression assessment and substandard nurse knowledge of evidence-based screening tools, mainly the Patient Health Questionnaire-9 (PHQ-9), a nine-item, self-reporting test used to screen for depression and assess severity of the condition based on the Diagnostic and Statistical Manual of Mental Illnesses, 5th Edition. Depression exists as a familiar yet unidentified disorder among psychiatric inpatients, resulting in delayed treatment inferior outcomes. The staff education project targeted the nurses’ knowledge of depression identification while also teaching them to administer the PHQ-9 for prompt screening and intervention. I used an …

Cultivating The Identity Development Of Multiracial Clients: A Group Psychotherapy Manual For Young Adults, Chesnea Shea German

Dissertations, Theses, and Projects

Within the United States, the multiracial community is the fastest growing demographic group (Yoo et al., 2016). Multiracial people defy how American society understands race, leading to a variety of concerns, such as racial identity invalidation and other acts of racism and discrimination, which negatively impact the identity development of young multiracial people. Inadequate identity development can lead to a variety of mental health concerns. Therefore, it has become increasingly more pressing for mental health providers to be knowledgeable about the unique mental health needs of the multiracial community as well as how to provide adequate care. The following literature …

Radical Resilience: Empowering Mothers And Defeating Barriers Through Accessible Trauma Treatments, Kristen Dodds

Dissertations, Theses, and Projects

Maternal trauma refers to the emotional and psychological wounds experienced by mothers (Powers, 2022). This kind of trauma, particularly in mothers affected by Post-Traumatic Stress Disorder and domestic violence, has a profound impact not only on maternal mental health and physical well-being, but also on mothers’ role as primary caregivers. Trauma has the potential to negatively affect future generations, and as a result, there is an urgent need for effective, accessible trauma treatment options. However, systemic barriers such as financial limitations, challenges in acquiring childcare, isolation, limited information, and lack of time make traditional therapy approaches inaccessible to many survivors. …

Identity Development In Adolescent Females Through Mentorship, Kelly L. Jones

Dissertations, Theses, and Projects

The goal of this project is to examine how identity is developed in adolescent females and how mentorship can play a role in this phase of life with the aim to achieve positive outcomes with the participation in a mentorship program. There are many different factors that play into how one’s identity is developed but the aim of this project integrates a variety of areas that research has found to be crucial. Additionally, approaching female adolescent identity development through a multicultural lens is imperative for those in the counseling field. Therefore, the need for this type of program created with …

Integrating Social Work In An Aboriginal Community Controlled Health Service Primary Health Care Setting: The First Three Months Of Data, Ines Sofia Zuchowski, Erin Waters, Albert Kuruvila, Brodie Kuhn, Rebecca Lee

Journal of the Australian Indigenous HealthInfoNet

Background

Social work within General Practice is an emerging contributor to primary healthcare aiming to address social determinants of health. Aboriginal and Torres Strait Islander people experience higher rates of health inequity and racism than non-Indigenous Australians. The Townsville Aboriginal and Islander Health Service [TAIHS] is an Aboriginal and Torres Strait Islander Community Controlled Health Service [ATSICCHS] whose mission is to deliver culturally appropriate services to achieve better health and wellbeing outcomes for Aboriginal and Torres Strait Islander people.

Objective

This article reports on the first three months of data collection of a social worker employed at TAIHS as part …

Observed And Reported Outcomes Following Experiential Cultural Capability And Clinical Yarning Training For Clinicians Treating Aboriginal And Torres Strait Islander People With Persistent Pain, Stuart Ekberg, Renata F. I Meuter, Ivan Lin, Roslyn Rowen, Angela Kinnell, Eva Malacova, Tania Waring, Kushla Houkamau, Marayah Taylor, Matthew Bryant, Jermaine Isua, Andrew Claus, Paul Gray, Joseph Kluver, Christina M. Bernardes, Greg Pratt

Journal of the Australian Indigenous HealthInfoNet

Communication is recognised as crucial to culturally safe healthcare, and poor communication remains a major reason that Aboriginal and Torres Strait Islander people do not access healthcare. This pragmatic, pre-post comparison study employed mixed methods to evaluate cultural capability and clinical yarning training delivered to 57 clinicians supporting Aboriginal and Torres Strait Islander people at three persistent pain management services in Queensland, Australia. Observable outcomes of the training were evaluated by video recording clinicians’ training experiences and seven consultations with patients that occurred either pre- or post-training. Reported outcomes were evaluated by using a modified Cultural Safety Survey (CSS), which …

Editorial, Neil M. Drew

Journal of the Australian Indigenous HealthInfoNet

No abstract provided.

Caring With Courage: A Bone Marrow And Hematopoetic Stem Cell Transplant Caregiver Instructional Class And Support Group, Danica J. Dorlette

General Submissions: Clinical Settings Materials

Informal caregiver preparedness plays a crucial role in successful cellular therapy recovery. An interdisciplinary workshop was implemented between 1/2019 and 5/2024 to educate caregivers on symptom management, infection prevention, safe food handling, discharge planning, home safety, and internal and external supportive services. This quality improvement project aimed to increase confidence in caregiver-related tasks.

Recommendations For Telesupervision: Promoting Ethical, Legal, And Effective University And Clinical Supervision Using Technology, Madeleine M. Stevens, Yegan Pillay, Edisa Music, Elena Shahen

Journal of Counselor Preparation and Supervision

The expansion of the use of technology in counseling has implicated counseling professionals in considering how to legally and ethically incorporate it into all facets of practice, including university and clinical supervision settings. In this article, we provide scholarship-backed recommendations for doing so as well as provide suggestions for incorporating psychodynamic and cognitive-behavioral (CBT) supervision models into telesupervision.

Graduate Counseling Students’ Preparedness To Practice Tele-Mental Health, Clarissa L. Salinas, Eunice Lerma, Valerie Leija, Javier Cavazos Vela, Elizabeth Zamora

Journal of Counselor Preparation and Supervision

This qualitative study explored counseling graduate students’ preparedness to provide telemental health during their internship experience. Data were collected through semistructured interviews with 11 Latine counseling graduate students’ who attended a Hispanic-Serving Institution. The following themes emerged following data analysis: (1) Challenges with Establishing Personal Relationships and Telepresence with Culturally Diverse Clients; (2) Lack of Preparation to Use Evidence-based Practices to Handle Ethical Dilemmas and Crisis Interventions; (3) Cultural Competency and Diversity; (4) Engaging Activities in a Telemental Health Counseling Environment; (5) Additional Training and Practice with Technology; and (6) Lack of Preparation to Use Telemental Health Counseling. Implications for …

Integrating Addiction Counseling Competencies Into Cacrep’S Foundational Curriculum: Addressing Gaps In Pedagogy, Stephanie Robinson, Whitney P. Akers, Jeffrey M. Warren

Journal of Counselor Preparation and Supervision

Professional counselors frequently provide direct and indirect addiction counseling services with relatively little addiction-specific education and training. This lack of training results in counselors delivering services for which they are not adequately prepared. This article explores the current state of training and credentialing of addiction counselors, the addiction-specific gaps that currently exist in CACREP’s foundational curriculum, and the duty accredited programs have to ensure counseling students are trained to provide care to all who seek treatment. A conceptual model for integrating culturally responsive addiction-specific education into CACREP’s foundational curriculum and a hypothetical timeline for implementation are provided. We discuss the …

Exploring Race In Addiction Treatment And The Need For An Anti-Racist Approach, Jackie D. Dell, Mei Tang

Journal of Counselor Preparation and Supervision

Extensive literature documents that Black people, Indigenous people, and People of Color (BIPOC) have been historically and systematically discriminated in addiction and substance use disorder treatment and services. This systemic oppression is the result of the creation and intersection of multiple systems that are rooted in White supremacy, which continue to fail to recognize racism as a critical factor in health disparities. The complexities of the structural factors that contribute to these racial health disparities, and opportunities to better address these disparities were reviewed to discuss their impact on BIPOC clients and the necessity for anti-racist approaches to addressing addiction …

Perceived Preparedness And Self-Efficacy Of Counselors In Training In Online Programs, Monique Starling, Richard L. Green, Robyn T. Simmons

Journal of Counselor Preparation and Supervision

The purpose of this transcendental, phenomenological study was to describe master’s-level Counselors-in-Training (CITs) perceived preparedness to treat real clients before transitioning to their practicum or internship experience. Adult learning theory and self-efficacy development theory guided this study. The research questions included a) How do master-level CITs describe their experience of perceived preparedness to real clients before transitioning to their practicum or internship experience? b) How do study participants describe the influence that the counseling program curriculum, including structure and practicum timing, had on their readiness to transition to practicum or internship? c) How do study participants describe the influence that …

Development And Implementation Of A Counseling Professional Identity Development Exercise, Alexander M. Fields, Ashley F. Waddington, Rachel Gilreath, Madeline Castle, Kara M. Schneider, Lucas M. Perez

Journal of Counselor Preparation and Supervision

The professional identity of counselors is critical for distinguishing the counseling profession from related helping professionals. This paper presents the development and implementation of a novel counseling professional identity (CPI) development exercise, Weekly CPI Statements. The intervention was integrated into a 5-week CACREP introduction to counseling course to facilitate counselor trainees' (CTs) understanding and articulation of the CPI. Through thematic analysis, we examined themes of 29 CTs (school counseling, clinical mental health counseling, and marriage, couples, and family therapy graduate students) experiences after completing the Weekly CPI Statements. The final themes were (a) Encouraged Critical Thinking, (b) Supported Professional Development …