Digital Commons Network^™

Childhood Cancer Survivorship: Navigating A New Normal In Middle Tennessee, Karli M. Beaumont

OTD Capstone Projects

Monroe Carell Jr. Children’s Hospital at Vanderbilt in partnership with Vanderbilt-Ingram Cancer Center offers REACH for Cancer Survivorship, a pediatric cancer survivorship clinic. REACH provides a full range of follow-up care designed to meet the physical, emotional, and practical needs of survivors and continuous surveillance of deleterious effects of cancer and its treatments. The purpose of this project was to meet population and agency needs through research of long- and late-term sequela while advocating for occupational therapy’s role in the oncology population through the proactive therapy and prospective surveillance models. The process of creating this project included synthesizing the literature, …

My Journey In Researching Depression Among Black People: Experiences Of A Researcher In A Sensitive Study, Brightness L. Kgatla

The Qualitative Report

The interest in qualitative research on mental health within Black communities is rapidly growing. However, there are still debates on the conceptualization of depression among the Black community. This paper focuses on the researcher’s experiences as a young Black South African experiencing depression, and their reflections on interpretivist qualitative research focused on the realities of Black South African youth experiencing depression. The paper highlights the importance of reflexivity in a qualitative study and how the topics researched by a Black South African experiencing depression which is still considered a taboo within some parts of the Black community. If a researcher …

Comics About Organs: Social Support And Graphic Medicine In The Awkward Yeti, Jacob Gibb

Theses and Dissertations

Comic strips have always been a medium for more than humor. Many comic strips published on social media sites address mental health issues. Despite their popularity, the field of graphic medicine, which examines the intersection of health care and comics, has seen little to no examination of how these comics function on social media. Utilizing the popular comic The Awkward Yeti, this research examines how the rhetorical devices of comics make them an ideal medium for communicating about mental health issues and providing social support to social media users. This study conducts a content analysis of 15 Instagram posts from …

Integration Of Mental Health And Enabling Services In A Rural School-Based Setting: An Evidence-Based Initiative, Kim Ferguson, Teresa Carnevale

Epsilon Sigma at-Large Research Conference

The Rural Expansion Program for At-risk Communities to Promote Health Outcomes through the Integration of Mental health and Enabling services in an Existing Primary Care School-Based Setting (REACH ME) program was established to increase access to mental health services at two existing school-based health centers (SBHC) in rural Hancock County, TN. These SBHCs are among the most unique in the nation, holding designations as federally funded qualified health centers - proving primary care services in a geographically isolated, rural, and medically underserved area. The aim of the project is increasing the number of patients receiving mental health and enabling services …

Identifying A Group Of Factors Predicting Cognitive Impairment Among Older Adults, Longgang Zhao, Yuan Wang, Eric Mishio Bawa, Zichun Meng, Jingkai Wei, Sarah Newman-Norlund, Tushar Trivedi, Hatice Hasturk, Roger Newman-Norlund, Julius Fridriksson Ph.D., Anwar T. Nerchant

Faculty Publications

Background

Cognitive impairment has multiple risk factors spanning several domains, but few studies have evaluated risk factor clusters. We aimed to identify naturally occurring clusters of risk factors of poor cognition among middle-aged and older adults and evaluate associations between measures of cognition and these risk factor clusters.

Methods

We used data from the National Health and Nutrition Examination Survey (NHANES) III (training dataset, n = 4074) and the NHANES 2011–2014 (validation dataset, n = 2510). Risk factors were selected based on the literature. We used both traditional logistic models and support vector machine methods to construct a composite score …

Mental Health And Wellness Programming For Adults With Down Syndrome, Chloe Samter

OTD Capstone Projects

This capstone project was completed in partnership with GiGi’s Playhouse located in Brentwood, TN. GiGi’s Playhouse is a non-profit organization that offers free programming for individuals with Down syndrome and their families. The focus of this project was addressing the mental health and wellness of adults with Down syndrome. The goal of this project was to provide meaningful lessons and activities for participants to learn about mental health, coping strategies, and emotional exploration. Participants had the opportunity to learn and practice meditation, mindfulness, self-advocacy, healthy relationships, creative expression, and more. Participants completed The Warwick-Edinburgh Mental Well-being Scale (WEMWBS) as a …

Building Equitable Mental Health Care For Latino Children: Perspectives From Providers And Communities, Francisco Banda, Greeshma James, Karina Vasudeva, Michelle Franklin, Andrea Thoumi, Rushina Cholera

Psychological Science Faculty Publications

Background: The current pediatric mental health crisis has disproportionately impacted Latino youth in the United States (US), as demonstrated by their elevated risks of depression, substance use disorder, and anxiety. Despite this, research suggests Latino youth receive inequitable mental health services.

Objective: To understand best practices, challenges, and priorities in providing accessible and equitable mental health care for Latino youth from the perspectives of front-line mental health providers and Latino community members.

Methods: A bicultural, bilingual researcher conducted semi-structured interviews with 20 participants with expertise in Latino mental health. Topics included barriers and facilitators to mental health care access and …

Mental Healthcare Differences Between The United States, Costa Rica, And Sweden, Michaela Diehm

Honors Program: Senior Projects (Public)

Countries such as the United States, Costa Rica, and Sweden differ in the ways that they approach treatment of mental health disorders, which is due to the structure of their healthcare as well as the culture, affordability, accessibility, and type of treatment that is available to the people of that country. A literature review did not reveal a comparison of the three countries related to the topic of mental healthcare, nor use of the three selected countries to review their structures to determine the best approach to combating mental disorders before. Costa Rica and Sweden are both countries with universal …

Policy Review And Recommendation: Full Practice Authority For Psychiatric Mental Health Nurse Practitioners In Georgia, Shantelle Coe

Student Scholarly Projects

Citizens of the state of Georgia, particularly those in rural or underserved communities, experience a lack of mental health resources. Extensive research evidence underscores the urgent need for enhanced access to mental health services, especially in rural areas where individuals face significant barriers such as limited provider availability and long travel distances. Through a thorough review of existing policy related to scope of practice, this scholarly work advocates for policy changes related to the practice authority of Psychiatric Mental Health Nurse Practitioners (PMHNPs). Advancement of legislative priorities to promote full practice authority for PMHNPs in the state of Georgia empowers …

Unlv Mental Health Initiatives: Unifying Through Innovation And Collaboration, The Lincy Institute, Unlv Practice, Behere Nv, Unlv Department Of Psychology

Lincy Institute Events

Nevada persistently ranks at or near the bottom in the country for overall access to mental health services despite the need (Mental Health America, 2015-2023). UNLV faculty are developing initiatives to change this unacceptable situation. The Lincy Institute, in partnership with UNLV PRACTICE, BeHERE Nevada, and researchers from the Department of Psychology, offered a community forum showcasing three mental health initiatives harnessing faculty collaboration and innovation to drive overdue changes in Nevada’s mental-health landscape. Following the presentations policymakers engaged in open discussion with UNLV presenters and the audience. The three main initiatives showcased in this forum …

Graphic Medicine For Library Outreach, Chanda Briggs, Claire Sharifi

Gleeson Library Faculty and Staff Research and Scholarship

According to a National Academy of Sciences working group investigating the mental health crises in higher education, student wellbeing is an issue that needs to be addressed at the campus level, not siloed in specified departments and units. University libraries can be an integral part of student wellness initiatives, and this poster presentation will present one academic library’s engagement in student wellness initiatives. This poster will:

• Highlight the ways campus partnerships facilitated streamlined library engagement in student wellness

• Identify student centric initiatives and acquisitions

• Identify funding sources used for those initiatives and acquisitions

• Discuss outcomes of library wellness initiatives.

Factors Of Teacher Retention And Attrition In A Post-Trauma Environment, Pamela J. Van Dop

Master of Education Program Theses

This action research project used a mixed-methods study to examine the factors leading to teacher retention and attrition in a post-trauma environment. In this study, 89 current and former teachers participated in a survey which included demographic questions and questions related to teacher workload, physical and mental well-being, factors that contribute to retention and attrition, and perceived support while employed at the school of study. The quantitative data was used to compare and analyze factors of retention and attrition across two subgroups: current teachers and former teachers. Ten teachers representing both subgroups were either interviewed or provided written responses to …

Adaptive Outdoor Recreation To Promote Health And Well-Being For Adults With Disabilities, Brittany Earle

Occupational Therapy Doctoral Student Capstone Posters

Individuals with physical disabilities are disproportionately excluded from leisure pursuits including outdoor recreation due to various barriers. In collaboration with Cleveland Metroparks, I created a program designed for adults with disabilities to enhance health and well-being through participation in outdoor recreation as well as increase awareness of opportunities available. The Adaptive Outdoor Recreation Program is intended to be implemented in spring 2025.

Occupational Therapy's Role In The Area Of Eating Disorders And Body Image, Tayler Arjune

Occupational Therapy Doctoral Student Capstone Posters

The role of Occupational Therapy with the eating disorder and body image population is not widely addressed. This capstone, worked alongside TripleAWellness, to advocate for occupational therapy services within the population of body image and eating disorders by educating clients and staff on occupational engagement and enhancing occupational performance.

Breaking Point: An Exploration Of The Mental Health Crisis On Campus, Melissa Wood

Inquiry: The Journal of the Virginia Community Colleges

In the past several decades, the number of college students who experience mental health concerns has increased astronomically. During that time, acts of campus violence have increased as well. Unfortunately, many colleges have been unable to effectively meet the needs of students with mental disorders. This article explores the challenges surrounding the mental health and wellness of college students. It also analyzes the impact of such challenges on students and the institution. Additionally, this paper examines best practices that colleges may implement to assist students in distress and discusses implications for higher education leaders.

Immigrant And International Students’ Status And Mental Health In College, Stephen Adagwuni

Social Work Student Work

Immigration has become a significant topic of discussion in recent times in the United States (US) and worldwide. The increasing population of immigrants in the US has also been accompanied by a rise in the population of children from immigrant families pursuing higher education in colleges all over the US. In addition to children from immigrant families in the US, other international students from all over the world migrate to the US for their higher education. Research has shown, however, that immigrant students are more likely to experience various mental health challenges due to their unique situation, including acculturation stress, …

Mental Health Outcomes Among Latinx Immigrants In The United States: A Systematic Literature Review, Rosmery Medrano

Social Work Student Work

Immigrants face stressors that are unique to the migration experience and can cause or exacerbate mental health outcomes. The Latinx immigrant population in the United States is less likely to utilize mental health services and is more likely to have poorer mental health outcomes. The underutilization of mental health services and the negative consequences of untreated mental health issues among Latinx immigrants underscore the pressing need for further research to guide interventions and care models. This systematic literature review evaluates recent studies on the impact of immigration and acculturation on mental health outcomes and mental health service use among the …

The Positive Impact Of Occupational Therapy Working With Foster Youth On Campus; Leading By Example, Nautica Bell

Occupational Therapy Doctoral Student Capstone Posters

Aged-out foster youth are under-serviced requiring support in the transition to adulthood. This capstone focused on the development of a guidebook and education on mental health, sensory needs, and life skills for foster youth. The resources showed a positive impact on students– demonstrating the value of occupational therapy.

Occupation-Based Wellness Within The Veteran Population, Jennie Burdette

Occupational Therapy Doctoral Student Capstone Posters

Transitioning from military to civilian life often leaves veterans with long-lasting difficulties which includes physical and mental health challenges that affect different aspects of daily functioning. This capstone, at Baldwin Wallace University’s Student Veteran Center, provided occupation-based education and resources to promote mental health and overall well-being of student veterans.

Promoting Positive Maternal Mental Health: Co-Occupational Education, Engagement, And Empowerment In The Perinatal Period, Elyse Mueller

Occupational Therapy Doctoral Student Capstone Posters

This capstone, which took place at University Hospital’s Neonatal Intensive Care Unit, focused on enhancing maternal well-being and the maternal/infant dyad. This was promoted and advocated for through telehealth sessions for perinatal individuals and by increasing the awareness and practice of impactful co-occupations within the hospital’s NICU.

Addressing Burnout Among Caregivers Of People With Spinal Cord Injury, Rachael Vance

Occupational Therapy Doctoral Student Capstone Posters

This capstone, completed at Louis Stokes Cleveland Veterans Affairs Medical Center, involved the implementation of a 6-week occupational therapy program to address the mental health needs of veterans with spinal cord injury. As part of this program, a needs assessment was conducted to explore the mental health needs of their caregivers. Findings of the program and needs assessment were presented to an interdisciplinary team.

Exploring The Relationships Between Interracial Adoption, Adoptees’ Identity Development And Mental Health: A Systematic Literature Review, Erin Mackey

Social Work Student Work

Interracial adoption, which is the practice of placing a child or youth of a specific race or ethnicity with a family of a contrasting race or ethnicity, has become more prevalent in today’s world because of the overrepresentation of children and youth of color in the child welfare system. Although interracial adoption has been a controversial topic with little information in the past, it is known that identity plays a huge role in the development of children and youth as they grow. Experts have expressed concerns that interracially adopted children and youth are at risk for loss of identity including …

Hooked On A Feeling: The Importance Of Fostering Emotional Intelligence In Adolescents, Annika Wirkkala

Classical Conversations

In the summer of 2023, CNN reported on a 14-year old girl who claimed to have several mental health issues. These included ADHD, depression, autism, and various phobias. After a specialist examined her, however, she was officially diagnosed not with her extensive list of illnesses but with severe anxiety. How did this 14-year old girl become so convinced that she suffered from all of these problems? Social media. Sadly, this girl is not the only victim of social media self-diagnosis. According to the CNN report, “A growing number of teens are turning to social platforms such as Instagram and TikTok …

Occupational Therapy's Role In Supporting Mothers With Breastfeeding, Courtney Kessler

MOT Student Capstones

Breastfeeding and post-partum mental health can impact the bond and quality of life for mothers, especially first-time mothers and their infants. As mothers try to juggle the occupation of breastfeeding, it can become very overwhelming with the role of parenting. Transitioning from hospital to home reduces the amount of direct support and direct access to instruction on breastfeeding and maternal well postpartum. This creates a need for an occupational therapy based breastfeeding wellness program. An occupational therapy based breastfeeding wellness program will be beneficial as it will be client-centered with a focus on quality of life. To combat the issue …

Music As A Coping Mechanism: Clinical Implications Of How College Students Utilize Music To Cope With Anxiety, Depression, And Daily Stressors, Karly Pikel

Senior Theses

Many college students face stress, anxiety, and/or depression in their daily lives which they cope with in their own ways. Listening to music or playing an instrument are particularly powerful forms of coping that can have a plethora of positive effects on an individual. The purpose of this study was to conduct a survey amongst the University of South Carolina student body to determine how they utilize music to cope in their daily lives. Of 847 respondents, almost all of them reported experiencing some extent of anxiety and/or stress and listening to music to help them cope. Respondents agreed that …

Addressing The Rural Youth Mental Health Crisis Through Youth Mental Health First Aid, Rawn Boulden, Christine Schimmel

The Rural Educator

This promising practice describes a statewide effort to address the surging youth mental health crisis through the provision of Youth Mental Health First Aid trainings in West Virginia Public Schools. Youth Mental Health First Aid is an evidence-based training for adults who work with youth. This interactive training increases participants’ awareness of signs and symptoms of mental health challenges, adolescent development, the prevalence of mental health challenges among youth, and the steps they should take to ensure students with mental health challenges receive timely referral to mental health professionals. This intervention has proven highly effective in rural schools in West …

A Qualitative Study On Mother's Occupational Engagement After A Nicu Experience, Rachel Garcia, Mary Ann Smith, Julie Heftie Ms, Otr/L

Spring 2024 Virtual OTD Capstone Symposium

Mothers who are “at-risk” for complications during pregnancy have an increased probability for mental health conditions following delivery, adversely affecting their engagement in motherhood occupations. This qualitative study identifies how best to address the needs of “at-risk” pregnant women. Through the process of conducting semi-structured interviews with women who have experienced NICU with their babies, and interviews with healthcare practitioners working in the NICU, their narrative addresses what approaches would support women while they are going through their “at-risk” pregnancies to assist them with the transition to their occupational roles as mothers and promote bonding with their baby.

Occupational Therapy For People With Dementia Who Have Occupational Performance Challenges Due To Depression, Ally Frazier, Steven M. Gerardi

Spring 2024 Virtual OTD Capstone Symposium

Individuals with dementia experience a multitude of barriers and challenges that impact their daily engagement throughout the environment. In addition, although the pandemic has concluded, noxious effects are still influencing people's lives. Residential care facilities have noticed continual acts of isolation that are presenting as barriers in mental health. Depression has known to be a common comorbidity in the ailment of dementia. Occupational therapy (OT) practitioners have the unique and valuable role in working with this population to target beyond the biomechanical aspects of a resident. Identifying barriers for mastery in leisure pursuits throughout someone’s day is crucial. When residents …

Death And Drugs: Exploring Grief And Addiction Among College Students, Alexis B. Kelly

Honors Theses

Grief and addiction are typically associated with death and drugs. However, there are many types of non-death losses and behavioral addictions that are overlooked in research and daily living. The experiences of grief and addiction affect everyone, often at many points in their lifetime. College students are at particular risk for these factors, as many changes are occurring in their environment during these years. This research aims to explore the impact and relationship of grief and addiction on college students. The main hypothesis is that grief and addiction are positively correlated with one another. To study this, a survey was …

What Are The Barriers? An Examination Of College Students' Perspectives On Mental Health Care Utilization, Isabella Robbins

Honors Theses

This study delves into the perceptions and experiences of college students regarding the utilization of mental health services at a university in the central Appalachian region of the United States. Focusing on understanding barriers to help-seeking, perceived stressors, and preferences for mental health resources, the research aims to inform strategies for enhancing mental health support on campus. A total of 91 undergraduate students completed an electronic survey at Eastern Kentucky University, providing insights into their attitudes towards seeking professional help, perceived stressors, and factors influencing help-seeking behavior. Contrary to expectations, demographic factors showed no significant correlation with willingness to seek …