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The Need Of Online Counselling To Enhance Mental Health Among Students In Higher Learning Institutions In Tanzania, Bernadetha Gabriel Rushahu

Tanzania Journal of Sociology

This study aimed to explore the need of online counselling to enhance mental health among students in higher learning institutions. The study employed a qualitative research approach in which 40 participants were involved. These were purposefully selected from two higher learning institutions in Tanzania - 30 were students and 10 were counsellors. In-depth interviews and Focus Group Discussion were used to collect data from the respondents. The findings revealed that through online counselling, it is easy to access psychosocial therapy, maintain privacy, conduct time/cost-friendly therapy, access services, allow freedom of expression as well as allow easy feedback and follow-up. Also, …

Reflection Paper: What We Make Together: Art, Adolescence, And Collaborative Research In Action, Natepy Vann

Introduction to Public Health

No abstract provided.

Supporting Young Carers In Early Childhood: Mapping Power, Threat, Meaning, And Strengths: A Ptmf-Informed Qualitative Study, Carly Ellicott, Ali Bidaran, Felicity Dewsbery, Alyson Norman, Helen Lloyd

School of Psychology

Background/Objectives: This qualitative study examines strengths and strains faced by professionals working with young carers throughout the United Kingdom (UK) in the context of society’s youngest carers; young carers in early childhood (YCEC) (0–8 years). Methods: The Power Threat Meaning Framework (PTMF) was utilised to map key findings of three focus groups. This conceptual lens offers a narrative-based understanding of ways in which power operates in society. Increasingly applied to explore experiences of individuals, communities, and groups, the PTMF proposes that concepts of distress are founded in broader contexts of injustice and social inequalities. Twenty-four participants were recruited from throughout …

A Phenomenological Study Of The Mental Health Needs Of High School Youth In A Rural Community Post Covid-19 Pandemic, Maritza Gonzalez

Doctoral Dissertations and Projects

The purpose of this phenomenological study is to describe former high school students’ experiences with mental health struggles while in high school during the COVID-19 pandemic in a rural Texas Public Independent School District. Mental illness increased among youth during the prolonged pandemic period of time and many of the pervasive mental health concerns have not been addressed effectively in the aftermath. As a result, a growing number of concerns pertaining to the mental health wellbeing of K-12 children continues to be on the rise. Thus, it is of utmost importance to learn more about the experiences of our youth …

Examining The Psychological Impact Of Adverse Childhood Traumatic Experiences In Adult Survivors: Creating A Community Of Awareness And Intervention, Lawanda T. Mobbs

Doctoral Dissertations and Projects

Childhood trauma encompasses experiences such as abuse, neglect, and household dysfunction, experiences which have profound and lasting effects on an individual’s development and well-being. These behaviors can manifest in many ways. The intricate interplay between childhood trauma, mental health challenges, and maladaptive behaviors creates a complex clinical picture, often requiring specialized and trauma-informed approaches within the community. Understanding the efficacy of interventions tailored to this population is crucial for improving the quality of life and fostering resilience. Despite extensive research, there remain significant gaps in understanding the full scope of these effects and how to mitigate them. This study investigated …

Exploring The Counselor Identities Of Latina Counselors Through The Lens Of Their Familial, Cultural, And Religious Contexts: A Phenomenological Study, Samuel Landa

Doctoral Dissertations and Projects

Developing a counselor identity is an essential component of becoming a counselor. There are several factors influencing the developmental process. Though there are several studies that explore the topic of counselor identity development, the research on what this process entails for Latina counselors is limited. Thus, this transcendental phenomenological qualitative study explores how family, culture, and religion influence the counselor identity development of Latina counselors. This study utilized Schlossberg’s transition theory (1981) to observe how these factors become evident in the first year of their Council for Accreditation of Counseling and Related Educational Program (CACREP) and how they influenced their …

Relationships Between Depression And Body Composition In Collegiate Athletes And Non-Athletes, Aysha W. Cunningham, Keegan Pulford-Thorpe, Edward Kerr Iii, Tamara Hew-Butler

International Journal of Exercise Science: Conference Proceedings

Up to 62.9% of the general college student population report depression. Whether or not collegiate athletes have higher or lower depression scores remains unclear. PURPOSE: To 1) determine the incidence of depression at a midwestern university and 2) explore relationships between depression and body composition in collegiate athletes and non-athletes. METHODS: A convenience sample of student-athletes and non-athletes, from a NCAA Division II school, were screened for depression using the Center for Epidemiological Studies Depression – Revised (CESD-R) scale. The threshold for depression was ≥16. Total body composition was assessed using a dual energy x-ray absorptiometry (DXA) scanner (Hologic, Horizon …

The Built Environment And Its Effects On Health Outcomes In Metropolitan Miami, Jared Sanchez Hoehing

Electronic Theses and Dissertations

Obesity, depression and social isolation rates are an increasing worry in the United States. As planners, we help shape the built environment, which can influence a person’s health outcomes. To assess the effects the built environment has on health outcomes, this paper looks at the percentage of park space, the population density and the national walk index score, combined with several demographic and socioeconomic variables in the Metropolitan Miami region. The study uses the spatial autoregression results of the variables on each health measurement to determine the connection with each health outcome. Despite initial hypotheses that the built environment leads …

Food Insecurity. A Factor In Criminal Behavior?, Jerrod Brown, Jeremiah Schimp, Leanne Skehan, Janina Cich

Nutritional Neurocriminology Today

This article examines how food insecurity and limited access to nutritionally adequate foods impair cognitive function, emotional regulation, decision-making, and impulse control. Emerging research purports that individuals experiencing food insecurity face increased risks of mental and physical health problems, violent behavior, delinquency, heightened childhood vulnerability, and criminal justice involvement across the lifespan. The article advocates for increased awareness, routine screening, and specialized training for professionals in mental health, social services, and the criminal justice system to address food insecurity, thereby supporting long-term policy and community-level strategies that reduce criminal behavior and improve outcomes for vulnerable populations.

Relational Healing: Survivors Of Sex Trafficking And Their Experiences Of Connection, Disconnection, And Growth, Claudia G. Interiano-Shiverdecker, Devon E. Romero, David J. Thompson, John J. J. S. Harrichand

Department of Counseling Scholarship and Creative Works

In this interpretive phenomenological analysis, we interviewed 10 women to make meaning of their lived experiences of sex trafficking and mental health challenges and how relational dynamics influenced their healing and sense of self. Our analysis revealed four themes: (a) central relational paradox, which described internalized shame and mistrust due to relational ruptures as a result of trauma and inadequate trauma-informed care; (b) disconnection and disempowerment, attending to survivor protective withdrawal mechanisms and how counselor misattunement created cycles of disconnection and invalidation; (c) fluid expertise, where survivors emphasized that healing occurred when counselors embraced a collaborative, respectful stance, honoring client …

Affect Regulation In The Context Of Sexual And Gender Minority Stress: A Scoping Review Protocol, Daphne Y. Liu, Benjamin A. Swerdlow, Shao Yuan Chong, Nadia Kako, Alex Rubin, Nicholas S. Perry

Psychology: Faculty Scholarship

Objective

To provide a broad, comprehensive picture of affect regulation in the context of sexual and gender minority stress, this scoping review aims to identify and synthesize methods, methodologies, and available evidence pertinent to emotion regulation and coping in the context of minority stress among sexual and gender minority (SGM) people.

Introduction

SGM people face disproportionately high rates of mental health problems due to experiences of minority stress and lack of social safety. Theories and growing evidence suggest that affect regulation plays a critical role in SGM people’s well-being in the face of minority stress. Researchers have largely studied emotion …

M-O-M-S On The Bayou: Implementation Of An Intervention To Improve Mental Health After Disaster, E. W. Harville, Gloria Giarratano, M. Patterson, M. Schultheis, K. S. Dorans, S. Turner, S. Harris, S. Longo, K. Weis

School of Nursing Faculty Publications

Pregnant women are a vulnerable population after disaster. Their health may be improved through community-based support programs in addition to their standard prenatal care. We conducted a prenatal peer support program, Mentors Offering Maternal Support (M-O-M-S), focused on improving mental health in hurricane-affected areas in southern Louisiana. M-O-M-S consists of six biweekly sessions covering pregnancy acceptance, maternal role identification, family and partner relationships, preparation for labor/fears around labor, well-being/safety of self and baby, and post-delivery health and maternal-infant bonding. The program is led by a “mentor”, an experienced mother but not necessarily a clinician or social worker, who guides the …

An Exploratory Study Of The Relationship Between Social Factors And Social Connectivity; How Do Our Social Behaviors Impact Our Physical And Cognitive Health?, Tayler K. Errera

Williams Honors College, Honors Research Projects

Social connectedness has reportedly seen significant declines in the last two and a half decades (Hsiao et al., 2022). These trends correlate with social media, related technological advances, and COVID-19 quarantine responses. With signs that this decline has started to stagnate, interest in what individuals and communities can do to reverse this adverse impact arises. While many factors are known to correlate to social connectivity, this study demonstrates the significance of specific factors regarding college students. This study highlights the importance of exercise and technological restraint in fostering social connection.

Storm Of Elysium: How The Most Afflicted Minds Of History And Fiction Made Legacies, Pierce Thompson

A with Honors Projects

Honors project involving historical/fictional characters and how they made history/created legacies with their afflictions/mental health conditions. Historical/book context will be provided, and the condition will be covered through psychiatric research for the particular character.

Counseling And The Neurodiversity Paradigm: A Call To Action, Emily Goodman-Scott, Rawn Boulden, Aaron Albright, Jenna Alvarez, Betsy M. Perez

Counseling & Human Services Faculty Publications

The counseling profession is rooted in prevention, wellness, mental health, and a critical social justice approach to serving historically marginalized communities, including people with disabilities. The overarching construct of disability comprises subtypes, such as neurodivergence. Given the prevalence of neurodivergent individuals worldwide (approximately 15%-20%), the counseling profession must be prepared to support this community. At the same time, there is a dearth of peer-reviewed literature on neurodiversity specifically for the counseling profession. In this article, we address a timely topic in the profession. We discuss utilizing a critical counseling lens and centering marginalized identities, such as people with disabilities; prominent …

Post-Stroke Depression (Psd) And Occupational Therapy (Ot) Intensity: A Retrospective Medicare Claims Analysis, Lauren H. Allen

Entry-Level Occupational Therapy Doctorate - Doctoral Capstone Symposium

Purpose: Post stroke depression (PSD) is the most frequent and burdensome mental health complication following a stroke, affecting approximately one third of survivors. Examining how PSD relates to outpatient occupational therapy (OT) utilization may help identify gaps in post-stroke mental health care and reveal whether current billing practices adequately capture OT services.

Project Goals: This project aimed to determine whether an early PSD diagnosis predicts outpatient OT treatment intensity and describe patterns of OT billing related to mental health, including mental health current procedural terminology (CPT) code use and CPT code distributions.

Site: This project was conducted in collaboration …

Chronic Absenteeism In Long Island Secondary Schools: A Mixed-Methods Study Of Post-Covid-19 Trends And Professional Perceptions, William M. Gibbons

Selected Full Text Dissertations, 2011-

Recent educational research studies have shown that an alarming number of students are chronically absent from school, a trend that is occurring both nationwide and in New York State. While this number had been slowly increasing before the COVID-19 pandemic, it has accelerated significantly following the pandemic. This increase in chronic absenteeism is also prevalent across Nassau and Suffolk County high schools; there has been a large increase in the percentage of students who are chronically absent in high school since the COVID-19 pandemic. Experts warn that this increased number can lead to multiple negative consequences for students, including social …

Prevalence And Correlates Of Anxiety And Depression Symptoms Among Medical Students: The Role Of Student Debt Burden, Foroozan Afsharchi, Joshua F. Edwards, Kailash S. Ram, Jingru Huang, Valicia Hale, Ismail El Moudden

Department of Family and Community Medicine Faculty Publications

Background

This cross-sectional study examined whether anxiety and depression symptoms decrease as medical students progress through training (suggesting adjustment disorder) or persist (suggesting chronic conditions), while identifying associated risk factors, including student debt burden and treatment effectiveness.

Methods

We surveyed medical students (years 1-4) at VHS-ODU using a sociodemographic questionnaire and validated screening instruments (GAD-7 for anxiety and PHQ-9 for depression) via RedCap from September to November 2024.

Results

Among 126 students, Scores were higher in Years 2-3 than in Years 1 and 4, but differences by year were not significant (GAD-7 p=0.055; PHQ-9 p=0.352). Students with a prior mental-health …

Aging On The Fringes: Understanding Inequities Among Older Adults Impacted By Poverty, Mental Health Challenges, And Drug Use, William O’Leary, David Howson-Jan, Marjorie Knight, Soo Chan Carusone

Lyle S. Hallman Social Work Faculty Publications

This report provides an overview of government reports and academic literature examining aging and its intersection with poverty, homelessness, drug use, and mental health challenges. It pairs national and Ontario trends with data from Waterloo Region to illustrate how aging on the fringes is unfolding locally.

Throughout the report, “Local Lens: Waterloo Region” callouts highlight key regional indicators and their implications for programs and policy. The purpose of this report is to support discussion and action to advance equity-informed research and advocacy for people aging on the fringes. It is written for community members, service providers, and organizations seeking to …

Suicide Stigma In A Cross-Cultural Context: Comparison Between Mexican And Mexican American Communities., Robin E. Gearing, Micki Washburn, Kathryne Brewer, Luis R. Torres-Hostos, Pedro Isnardo De La Cruz, Miao Yu, Natalia Giraldo-Santiago, Alberto Cabrera, Adelaido Garcia Andres

School of Social Work Faculty Publications

Suicide and suicide-related stigma are serious public health issues affecting Latine communities and often serve as a barrier to help-seeking Mexicans and Mexican Americans experiencing mental health concerns. Despite this, there are still gaps in our understanding of how suicide stigma specifically impacts Latines of Mexican heritage. While Mexicans and Mexican Americans share many familial, cultural, and religious values, their exposure to different societal norms may shape distinct perceptions of suicidal ideation and mental health. To better understand suicide-related stigma in these communities, we conducted a community-based survey with 248 Mexican Americans in Houston and 203 participants in Mexico City …

Backward, Benjamin W. Abbott

Playwriting (MFA) Theses

Backward is a solo show about a man who, when he turns forty-five, starts living backward in time. Every day he wakes up, he has traveled back to the day before the one he just lived and there's nothing he can do to stop it. As he relives his life in reverse, he must confront his failures as a husband and father. Even as he learns the lessons necessary to repair them, those relationships get left behind in the future. He continues moving backward and eventually must confront the most difficult relationship of them all: his relationship with his own …

The Impact Of Intimate Partner Violence On Victims’ Mental, Physical, And Economic Well-Being: A Comprehensive Literature Review (2012–2022), Kerry Lee, Jennifer L. Mezzapelle, Lyric N. Russo, Emily M. Douglas, Denise A. Hines

Graduate School of Social Work and Social Research Faculty Research and Scholarship

Intimate partner violence (IPV) remains a significant global public health concern, drawing increasing attention due to its profound impact on victims. A systematic review by Lawrence et al. (2012) demonstrated that IPV victims of physical and psychological abuse experience higher rates of physical injuries, poorer health outcomes, poorer physical functioning, and increased psychological symptoms compared to non-victimized individuals. Building on this work, we conducted a systematic review of 159 quantitative studies published between 2012 and 2022.

Across the included studies, more than half had samples ranging between 100-500 (52.8%, n=84) in size, were cross-sectional (84.9%; n=135), and utilized …

German Couples' Mental And Relational Health Before, During, And After Pregnancy: Comparisons Across Conception Type, Mckenna Fey

Theses and Dissertations--Family Sciences

Previous research on the perinatal period (i.e., pregnancy and postpartum) has largely focused on the pregnant partner’s experience and has rarely involved dyadic data from both partners in a romantic relationship. Although mental health—particularly of pregnant partners—has been extensively studied, relational health is often overlooked in the literature. Using life course theory as a framework, the present study examines both pregnant and nonpregnant partners’ mental and relational health before, during, and after pregnancy to understand actor, partner, and cross-process effects. Six hundred and twelve couples (N = 1,224 individuals) from the German Family Panel (pairfam) were assessed for mental and …

The Impact Of Patient-Centered Care On Women With Infertility And Pregnancy Loss: An Integrative Review, Kaidynce R. Sweazy

All Electronic Theses and Dissertations

Introduction: Infertility affects roughly 17.5% of adults worldwide, while pregnancy loss occurs in up to 30% of pregnancies. These reproductive traumas increase the risk of developing a mental health disorder, such as anxiety, depression, or post-traumatic stress disorder (PTSD). The purpose of this review is to identify the influence of patient-centered care on psychological outcomes and experiences of care in women with infertility and pregnancy loss.
Methods: A literature search of the PubMed and Cinahl databases was conducted for original studies published from January 2016 to January 2026 that address the psychological outcomes and/or experiences of women who experienced infertility …

Harmony In Healing: Addressing The Psychosocial Needs Of Individuals Living With Lymphedema, Bria K. Brombacher

Entry Level Occupational Therapy Doctoral Capstone Projects Class of 2026

Lymphedema is a chronic and incurable condition associated with significant physical and psychosocial challenges, including depression, anxiety, social isolation, and reduced quality of life. Despite increasing recognition of these concerns, limited interventions exist that specifically address the psychosocial needs of individuals living with lymphedema. Additionally, individuals within this population often report limited provider awareness of lymphedema within the healthcare system. The purpose of this doctoral capstone project, Harmony in Healing: Addressing the Psychosocial Needs of Individuals Living with Lymphedema, was to promote well-being, improve quality of life, and increase awareness of the psychosocial implications of lymphedema through occupational therapy intervention. …

Rapid Response To Recovery: Expand Integrated, Technology-Enabled Crisis Care, Madison Chandler

Theses and Dissertations--Public Health (M.P.H. & Dr.P.H.)

Behavioral health challenges in rural communities continue to place significant strain on healthcare systems, particularly through repeated reliance on emergency departments for crisis care. Nelson County, Kentucky, reflects this pattern, with higher reported rates of poor mental health and limited access to behavioral health providers. This paper proposes the Beacon Behavioral Health Response Program, a community-based, multidisciplinary crisis intervention model designed to improve access to timely care and strengthen continuity of support. The program combines mobile crisis response—delivered by a licensed clinical social worker and a peer support specialist—with a technology-enabled component using the Luma AI-supported mental health platform. Together, …

Promoting Maternal And Infant Health In Franklin County, Ky: A Community-Based Physical Activity And Education Intervention, Subin Kim

Theses and Dissertations--Public Health (M.P.H. & Dr.P.H.)

Maternal and infant health outcomes are key indicators of population health, yet persistent disparities exist in rural communities across the United States. In Kentucky, Franklin County reflects this pattern, with concerning maternal and infant health indicators despite relatively favorable socioeconomic conditions. Identified challenges include elevated rates of poor physical and mental health days, high drug overdose mortality, provider shortages, and ongoing reproductive health concerns such as tobacco use during pregnancy and increased infant mortality associated with elevated maternal body mass index.

To address these gaps, a three-pronged, community-based prenatal and postpartum physical activity and education program is proposed. The program …

Strengthening Rural Mental Health Crisis Response: Integrating Broadband Telehealth Care Across Counties Served By Kentucky River District Health Department, Mary K. Mcnabb

Theses and Dissertations--Public Health (M.P.H. & Dr.P.H.)

Rural communities in Eastern Kentucky face persistent barriers to timely and effective mental health crisis care, including provider shortages, transportation challenges, and limited broadband infrastructure. Counties served by the Kentucky River Health Department Wolfe, Lee, Owsley, Perry, Knott, Leslie, and Letcher experience disproportionately high behavioral health needs while relying on shared regional resources. The Broadband-Enabled Rural Crisis Stabilization Initiative (BERCSI) is a proposed public health program designed to strengthen rural mental health crisis response through integrated, technology-enabled care. Grounded in evidence-based practices, including tele-mental health and crisis stabilization models, BERCSI leverages broadband expansion to facilitate rapid assessment, coordinated care, and …

Mental Health In Inpatient Rehabilitation, Kayla M. Minor

Occupational Therapy Doctorate Capstone Posters

This doctoral capstone project was completed at Frazier Neurorehabilitation Institute in Louisville, Kentucky, to address mental health in the inpatient rehabilitation setting. My primary ACOTE focus area was program and project development, with additional emphasis on education and advocacy related to mental health awareness. The purpose of this project was to create an online mental health toolkit that provides occupational therapists with resources to address mental health concerns with patients and caregivers during sessions. The online mental health toolkit consists of 11 main topics containing approximately eight interactive and educational pages in each folder to support therapeutic intervention. The literature …

Dear Vincent, James H. Stone Iv

Playwriting (MFA) Theses

Dear Vincent is a play written for J. Harvey Stone’s MFA in Playwriting from Hollins University. The play is inspired by the life of Vincent van Gogh and his letters with his brother Theodore. The artist Vincent van Gogh was an avid writer to his brother Theodore. This play is inspired by, but not dictated by, the letters Vincent van Gogh wrote to his brother. Connected by hymns in Act I and by the news of the 1980s in Act II, this Vincent lives through his letters as well but ultimately has to make a decision regarding this life in …