Digital Commons Network^™

Transformational Leadership In The Psychiatric-Mental Health Setting, Alan Ryan

Graduate Theses, Dissertations, and Capstones

This evidence based practice quality improvement project examines the effectiveness of transformational leadership practices in the acute psychiatric setting. Literature shows the psychiatric mental health setting causes extreme stress for employees.  Individuals entering the acute psychiatric setting, as well as regulating bodies, count on exceptional leadership from administrators guided by the Five Practices of Exemplary Leadership (Kouzes & Posner, 2012, p. 15).  Fully functioning and cohesive clinical and administrative components of a healthcare organization makes a facility viable.  The findings of this project identify important factors relating to transformational leadership practices and their impact among psychiatric inpatient staff and patient …

Perception Correction: Addressing Social Stigmatization Around Bdsm And Mental Health, Erin Afana

Master's Theses

Mainstream society’s characterization of activities and subgroups as abnormal can result in a long history of being shamed and pathologized, leading to discrimination and stigmatization. BDSM (bondage and discipline, dominance and submission, and sadomasochism) is an alternative lifestyle with a variety of identities, characteristics and practices that are viewed by many as being outside of societal norms. The consequences of this can be seen in how society, in general, views BDSM participants, how the criminal justice system responds to issues involving BDSM, and how the mental health system perceives those who participate in BDSM activities. The purpose of this thesis …

"It's Like Being Pulled In Two Directions": Experiences Of Transgender Latter-Day Saints, Morgan Monet

Theses and Dissertations

This study qualitatively examined the experiences of transgender individuals who also identify as active members of the Church of Jesus Christ of Latter-day Saints (N=10). Researchers took an interpretive phenomenological approach to elicit factors which allow trans Mormon folks to hold their apparently conflicting religious and gender identities simultaneously (and the consequences of doing so). Overall, we aimed to answer the broad question, “what is it like to be transgender and Mormon?” Following a process of semi-structured interviews, transcription, and coding, the broad categories which seemed to connect many elements of the trans/Mormon experience were 1) a sense of being …

Throwing Pebbles While Waiting: An Autoethnographic Exploration Of Mental Health And Colonialism, Kelly Limes Taylor, Rita Sørly, Bengt Karlsson

The Qualitative Report

In this article, three scholars jointly investigate questions of Western colonization and mental health. While their areas of interest and experience vary, the authors discuss oppression as a common thread connecting their ideas about mental health and its medicalization. In line with Toyosaki et al. (2009), the researchers did a community autoethnography, performing written dialogue as a dynamic research method. Using a sequential model, Kelly Limes Taylor wrote about her experience, passed it on to Rita Sørly and Bengt Karlsson. Karlsson added his story to the previous writing, and he passed it on to Sørly for further addition of stories. …

Patient Resilience Has Moderate Correlation With Functional Outcomes, But Not Satisfaction, After Primary Unilateral Total Knee Arthroplasty., Amer Haffar, Sean Bryan, Marc Harwood, Jess H. Lonner

Rothman Institute Papers

Background: As many as 20% of patients who undergo total knee arthroplasty (TKA) are dissatisfied. Psychological factors have been shown to play a role in outcomes after TKA. The purpose of this study was to investigate the impact of patient resilience on functional outcomes and satisfaction after primary unilateral TKA.

Methods: Eighty-six patients who underwent primary unilateral TKA by a single surgeon were studied. Primary outcomes were the Brief Resilience Scale (BRS), mental health component of the Veterans Rand 12-Item Health Survey (VR-12 MCS), Knee Injury and Osteoarthritis Outcome Score for Joint Replacement, and New Knee Society Score. Correlations between …

A Rhetorical Analysis Of Higher Education’S Mental Health Messaging, Gabrielle Thompson

Theses and Dissertations

In 2017, SAMHSA reported that nearly 20% of the American population have been diagnosed with a mental, behavioral, or emotional disorder. College aged students are within the age group most likely to be diagnosed with a mental illness (SAMHSA, 2017), making mental health services and promotions on college campuses a necessity. Because of the current mental health crisis affecting students, this research aimed to investigate the mental health messages higher education institutions produce for their students. Using close textual analysis, mental health materials in the form of flyers, social media posts, websites, and syllabi from 11 universities and colleges were …

Evaluation Of Depression, Anxiety And Stress In Graduate Nursing Students, Rachel Dunston

Dissertations

Mental health issues are growing in the United States. Postgraduate school is widely known to increase the level of psychological difficulties (Dyrbye et al., 2006) experienced by students. There is a need to address mental health care in graduate nursing students. This project was a descriptive observational comparison pre-post-intervention design used to see if online modes of delivery would aid in decreasing mental health issues for nursing graduate students. Participants were provided with access to three podcasts and encouraged to use the Sanvello mobile application provided to all students at this university. The first podcast focused on using the Sanvello …

Mental Health Concerns Of Frontline Registered Nurses Associated With The Covid-19 Pandemic, Julie Ingle

Dissertations

Problem

COVID-19 caused local healthcare facilities to admit patients with COVID-19 at increasing rates, critically overloading healthcare system resources. Caregiver-related stress associated with the COVID-19 pandemic placed frontline registered nurses (RNs) at risk for mental health consequences (Havlioglu & Demir, 2020; Shechter et al.,2020).

Methods

This quality improvement project used a descriptive design to administer a collection of validated instruments assessing anxiety, depression, posttraumatic stress disorder (PTSD), and demographics. A purposive sample of RNs were recruited from the COVID-19 units in a local hospital, and the survey was distributed via email.

Results

During the implementation period (April 4, 2021-May 15, …

Mental Health Effects Of The Covid-19 Pandemic On Older Adults, Elizabeth Kerr

Dissertations

Problem: Significant psychological effects such as anxiety, depression, stress, and loneliness are shown to affect the older adult population, aged 65 years and older. The social isolation and disconnectedness related to the COVID-19 pandemic potentially worsens anxious and depressive feelings, increasing the risk for adverse outcomes in the high-risk older adult population. This project aimed to identify older adults at risk for acute, situational mental health issues associated with the pandemic.

Methods: A descriptive study design was used. Telephone interviews were conducted to explore effects of the COVID-19 pandemic on mental health responses in older adults. A convenience sample …

A Qualitative Exploration Of The Feasibility Of Incorporating Depression Apps Into Integrated Primary Care Clinics, Danae Dinkel, Jennifer Harsh Caspari, Louis Fok, Maxine Notice, David J. Johnson, Shinobu Watanabe-Galloway, Margaret R. Emerson

Journal Articles

Background: The use of mobile applications or “apps” is beginning to be identified as a potential cost-effective tool for treating depression. While the use of mobile apps for health management appears promising, little is known on how to incorporate these tools into integrated primary care settings – especially from the viewpoints of patients and the clinic personnel. Purpose: The purpose of this study was to explore patient- and clinic-level perceptions of the use of depression self-management apps within an integrated primary care setting. Methods: Patients (n=17), healthcare providers, and staff (n=15) completed focus groups or semi-structured interviews in-person or via …

Soundtrack Of A Life: A Musical Narration Of A Military Veteran’S Life, Caroline M. Melcher

Recital Papers

Soundtrack of a Life: A Musical Narration of a Military Veteran’s Life

A Qualitative Study Examining The Quality Of Working Alliance As A Function Of The Social Identifies Of Clients And Therapists During The Mental Health Intake, Ora Nakash, Michal Cohen, Liron Aharoni, Shir Zur, Maayan Nagar

School for Social Work: Faculty Publications

Therapists are faced with the challenge of developing effective ways to advance cross-cultural engagement with a rapidly growing diverse client population. In this qualitative study, we characterized the way clients and therapists described the quality of working alliance during the mental health intake and examined whether these descriptions vary as a function of their social identities. We conducted in-depth interviews with Ashkenazi (socially advantaged group; n = 22) therapists and their Mizrahi (socially disadvantaged group n = 29) or Ashkenazi (n = 26) clients immediately following their intake session in four mental health clinics in Israel. We performed a thematic …

Campus Mental Health Service Use Among Female Survivors Of Sexual Violence: An Interpretative Phenomenological Analysis, Hannah Coffman

Graduate Theses and Dissertations

Description: Despite the increase in resources to address the alarming rates of collegiate sexual violence (SV), survivors consistently do not disclose or seek mental health treatment from campus supports (Halstead et al., 2017). The purpose of this study was to understand the lived experiences of women who survived SV during college.

Method: Seven women who experienced SV during college completed a series of two semi-structured interviews using a HIPAA-compliant, web-conferencing software (Seidman, 2013). The interviews were transcribed verbatim and analyzed using an interpretative phenomenological analysis (IPA) framework (IPA; Smith, 2004; Smith et al., 2009). A six-step data analysis procedure identified …

Culture-Bound Syndrome, Thanya Lunchaprasith, Teeravut Wiwattarangkul, Sorawit Wainipitapong

Chulalongkorn Medical Journal

Many mental disorders are expressed in different characteristics, as a result of cultural factors. These conditions, known as culture-bound syndrome, have been studied in the field of psychiatry and social anthropology. Some mental abnormalities are treated as distinctive psychiatric disorders; many others were not yet clinically recognized. Therefore, patients with the conditions should be evaluated and treated in both psychiatric and cultural practices. It should be noted that, cultural specific mental disorders gradually fade in the age of globalization.

Racial, Ethnic Differences In Complementary And Integrative Health Use Among Adults With Mental Illness: Results From The 2017 National Health Interview Survey, Lee Za Ong, Karisse A. Callender, Kacie M. Blalock, Jerome J. Holzbauer

College of Education Faculty Research and Publications

The purpose of this study was to examine the patterns of complementary and integrative health (CIH) use among adults with a racial/ethnic minority background and a mental illness. A secondary data analysis of 2017 National Health Interview Survey (N = 793) was conducted using chi-square, multivariate logistic regression, and multinomial logistic regression. Overall, Black/African Americans and Hispanic/Latinx groups remained the least proportional of CIH therapies utilization. Being a male, Black/African American or Latinx/Hispanic and had work experience were predictors of the least use of the CIH therapies. Research is needed to bridge the gaps on the CIH use among a …

The Effect Of Gratitude On Resilience, Mental Health And Stress, Stuart Folkerts

Senior Honors Theses

Due to the stresses of the COVID-19 Pandemic, mental health problems have been on the rise. As stress levels have been on the rise, resilience levels seem to be decreasing. Not only does the mental health crisis put a greater strain on healthcare and the economy but is also puts individuals at a greater risk for developing various physical health problems. The virtue, gratitude, may work to increase resilience while decreasing stress and mental health pathologies. The objective of this study was to examine if participants in a 20-day gratitude text message intervention improved in resilience, stress, and mental health …

Secondary Trauma: How Does It Impact Educators, Callie Namminga

Master's Theses & Capstone Projects

Students are facing more adverse traumatic experiences at an early age in their lifetime. When students enter school, their teachers begin to take on new roles and often learn and encounter the trauma alongside of these students. Secondary trauma in educators is on the rise and many do not know how to manage it. This literature review will examine the impacts that secondary trauma has on teachers, how it shapes and impacts teachers’ roles in education, what causes secondary trauma, and how teachers can adapt and overcome the impacts and implications that secondary trauma causes in their professional and personal …

Covid-19 And Mental Well-Being Of Nurses In A Tertiary Facility In Kenya, Sayed Karar, Jasmit Shah, Zohray Talib

Internal Medicine, East Africa

Background: The 2019 coronavirus disease (COVID-19) epidemic is a global health emergency which has been shown to pose a great challenge to mental health, well-being and resilience of healthcare workers, especially nurses. Little is known on the impact of COVID-19 among nurses in sub-Saharan Africa.

Methods: A cross sectional study was carried out between August and November 2020 among nurses recruited from the Aga Khan University Hospital, Nairobi. The survey questionnaire consisted of six components- demographic and work title characteristics, information regarding care of COVID-19 patients, symptoms of depression, anxiety, insomnia, distress and burnout, measured using standardized questionnaires. Multivariable logistic …

‘Remain In Mexico’: Stories Of Trauma And Abuse, Alfonso Mercado, Luz M. Garcini, Amanda Venta, Manuel Paris

Psychological Science Faculty Publications

Two families’ stories—a separation at the border and an assault in a migrant shelter—show the horrific dimensions of US migration policy.

Interpreter Perspectives On Working With Trauma Patients: Challenges And Recommendations To Improve Access To Care., Bianca T. Villalobos, Rosaura Orengo-Aguayo, Rebeca Castellanos, Freddie A. Pastrana, Regan W. Stewart

Psychological Science Faculty Publications

Given the growing number of immigrant and limited-English-proficiency individuals in the U.S., accessing language-congruent services can be a significant barrier for many seeking mental health treatment. The use of spoken-language interpreters can help address this barrier; however, the interpretation in the context of trauma therapy can be particularly challenging for interpreters without mental health training. This quality improvement study explores issues identified by interpreters assisting in the provision of trauma-focused treatment for primarily immigrant populations. Ten certified medical interpreters (nine Spanish-language interpreters and one American Sign Language interpreter) participated in a focus group at a specialty trauma clinic in the …

Impact Of Covid-19 On The Mental Health And Well-Being Of Latinx Caregivers Of Children With Intellectual And Developmental Disabilities, Yolanda Suarez-Balcazar, Mansha Mirza, Vanessa L. Errisuriz, Weiwen Zeng, Jasmine P. Brown, Sandra Vanegas, Nazanin M. Heydarian, Deborah Parra-Medina, Paula Morales, Hilda Torres, Sandy Magaña

School of Social Work Faculty Publications

The COVID-19 pandemic has impacted the entire world in unprecedented ways. However, populations that have had a history of marginalization have experienced a more profound impact. One such group is Latinx families of children with intellectual and developmental disabilities (IDD) in the Unites States. In this study, we used a mixed methods approach to explore the impact of the pandemic on the mental health and well-being of Latinx caregivers of children with IDD. Specifically, we (1) identified which social determinants of health are correlated with maternal caregivers perceived general health, mental health, and well-being; (2) explored the impact of the …

Fostering Resilience Through Early Childhood Education, Amanda Nelson

Graduate Teacher Education

Resilience is the capacity to thrive in, rather than just survive stress and adversity (Ernst et al., 2019). Supporting children to develop resilience is an essential part of holistic developmentally appropriate practice within the field of Early Childhood Education because an improved capacity for resilience benefits other domains of education and wellness (Center on the Developing Child at Harvard University, 2011). Studies on resilience in early childhood education were examined to identify and explore protective factors, classroom strategies, and home relationships that contribute to an increased capacity for resilience in young children. In addition, position statements and articles from early …

Design For Living

DePaul Magazine

With health care increasingly moving online, DePaul has emerged as a leader in cutting-edge digital technology leveraged for the greater good. From harnessing design as a vehicle for social change to creating an app to help close racial inequity gaps in care, 21st-century advances with an eye toward Vincentian values are unfolding every day at DePaul thanks to the inventiveness and ingenuity of its faculty, staff and students.

Distress Evaluation In A Veteran Affairs Oncology Clinic, Reena Jayani, Ronald J. Markert, Amy Heard, Geetika Kumar

Internal Medicine Faculty Publications

Distress in oncology patients (pts) has a negative impact on quality of life, survival, and healthcare satisfaction. Higher distress leads to lower compliance with treatment and follow-up [1-8]. The 2012 American College of Surgeons Commission on Cancer (CoC) standard of care for oncology pts included an assessment for distress [1]. A screening process for distress allows the healthcare team to address these issues early and refer to appropriate resources [2-9]. This project was initiated to meet National Comprehensive Cancer Network (NCCN) and CoC standard of care, identify distress in veterans with cancer, and address these concerns. Patients who attended the …

An Investigation Of The Impact Of Occupational Stress On Mental Health Of Remote Working Women It Professionals In Urban Bangalore, India, Subha B., Madhusudhanan R., Ajai Abraham Thomas

Journal of International Women's Studies

The COVID-19 pandemic has influenced various aspects of our lives and triggered many long-term consequences. The actual well-being of women IT employees is in danger due to the prolonged period of work from home as the pandemic has influenced individuals differently across the world. Physical distancing, dread, vulnerability, and a continued period of remote working has prompted an enormous number of women in the IT sector to experience challenges to emotional well-being. Work-related pressure is one of the major sources of stress in the modern working environment. Stress and unfavorable working conditions have been connected to low efficiency, truancy, and …

Work Stress And Information Anxiety Of Library Personnel In Academic Libraries In Nigeria, Adenike Ayokari Adebamiro, Sunday O. Popoola Prof

Library Philosophy and Practice (e-journal)

The paper investigates work stress and information anxiety of library personnel in academic libraries in South-west, Nigeria. The research design adopted for the study was survey method of the correlational type. Simple random sampling technique was used to select a sample population of 308 (60% of the population) out of 703 library personnel in academic libraries in South-west, Nigeria. The findings of this study revealed that the level of work stress of the library personnel is moderate with a mean score X = 52.45; SD=7.366. The level of information anxiety of is also moderate with mean score X=36.87; SD= 6.370. …

Longitudinal Trauma Treatment Outcomes In An Immigrant And Refugee Sample, Shuen-En Ho

Clinical Psychology Dissertations

Refugee and immigrant populations are at an increased risk of having posttraumatic stress disorder (PTSD) and exhibit a significant amount of variance in trauma treatment outcomes that may be impacted by sociocultural factors. This study examines the impact of demographic variables on treatment outcome and trajectory of PTSD symptoms in a clinic setting with trauma-focused treatments in refugee/immigrant and general populations. Data was collected from the electronic medical record at the Harborview Center for Sexual Assault and Traumatic Stress. A total of 817 participants completed intake, 58 of which self-identified as immigrant/refugee. One-way ANOVAs were conducted to examine group differences …

Mind The Gap: Creating Mindfulness Of Mental Health In Business, Mandy Paulsen

Marriott Student Review

The business community has ignored mental health challenges for too long. Two phenomenon, absenteeism and presenteeism, are causing massive losses to businesses. The millennial generation has higher rates of depression. Poor mental health means poor employee retention. What do businesses need to do? Mind the gap: begin recognizing the mental health challenges, and how to foster a culture of mental health awareness in their employees.

Emotional Rescue: A Hiker Becomes A Benefactor As She Follows A Set Of Sneaker Prints, Ty Gagne

Appalachia

Ty Gagne’s riveting story of a hiker who followed a set of sneaker prints in foul weather and saved a man from suicide.

The Effects Of South Korean Beauty Standards On Body Image, Self-Esteem, And Life Satisfaction Amongst Asian Americans, Janessa Akemi Fong

Honors Projects

The United States has seen significant changes in beauty standards over the years, and the current study focused on the influence beauty standards have on body image, self-esteem, and life satisfaction in the Asian American population. Past literature found a positive relationship between beauty standards and body image, self-esteem, and life satisfaction (Choi & Choi, 2016; Hye et al., 2013; Lee et al., 2014), however, these studies have not addressed the Asian American population directly and there was minimal comparison between Western beauty standards and Asian beauty standards. To address these gaps in the literature, this study proposed that there …