Digital Commons Network^™

Lay-Led Crisis Intervention Strategies In The Adult 3 Ministry Of First Baptist Dallas, Jeffrey Adams

Doctoral Dissertations and Projects

This DMIN action research project focused on the care, counsel, and advocacy lay leaders can provide to church members who experience a crisis. Due to the growing member-to-minister ratio at First Baptist Dallas, lay leaders can supplement the work of the ministers by providing frontline support. The problem is that most lay leaders within the church have limited training in crisis management outside their own life experiences. If lay leaders are equipped in biblical crisis management and intervention responses, then they will be able to provide guidance to church members in crisis. The qualitative research for this project was completed …

A Transcendental Phenomenological Study Of The Effects Of Having A Mentor On The Emotional, Mental, And Spiritual Health Of Bi-Vocational Clergy, Kenneth E. Hall Jr.

Doctoral Dissertations and Projects

The purpose of this transcendental phenomenological study is to understand the effect of a mentor/mentee relationship on the feelings of isolation and loneliness of bi-vocational clergy. The prevalence of bi-vocational clergy is on the rise across all denominations. Coupled with the number of clergy people leaving the ministry annually, bi-vocational clergy will become even more commonplace within the church structure. As the prevalence of bi-vocational clergy increases and the number of roles that they are expected to fill grows, safeguarding their mental, emotional, and spiritual health needs to be a priority. Bi-vocational clergy are at great risk for burnout and …

Navigating The Graduate Student Experience: Grit, Growth, And Persistence, Magdalen Kramer, Mitchell Buerkle, Heather Arlen, Ali Gravelle, Eli Bruess

The Journal of Advancing Education Practice

Graduate students navigate challenges in higher education with determination and tenacity. Postgraduate studies are enticing for career and personal advancement, but with an attrition rate of 12 – 26%, even the best students fail. The expectation and pressure to maintain high academic standards are often daunting. Many graduate students battle with emotional health and feelings of isolation, work-life balance, asynchronous learning, and other invisible factors, but still manage to find motivation to persist. We used personal experiences, information, and insight from our Winona State University leadership communication class to examine potential difficulties graduate students face. We backed our findings with …

Understanding Medical Information And Emotional Support Needs In Mental Health Questions With Large Language Models, Chen Liu, William Yu Chung Wang, Gohar Khan

All Works

Purpose – This study seeks to bridge the gap between users’ multidimensional needs and the single-task capabilities of existing Mental Health Question Answering (MHQA) systems by tackling the underexplored challenge of jointly understanding medical informational needs and emotional support needs within complex consumer mental health inquiries. Design/methodology/approach – Grounded in Rhetorical Structure Theory (RST), the proposed Multi-Needs and Context Recognition (MNCR) framework decomposes mental health question understanding task into four interrelated subtasks: Medical Needs Recognition (MNR), Medical Needs-related Context Extraction (MNCE), Emotional Needs Recognition (ENR) and Emotional Needs-related Context Extraction (ENCE). A new benchmark dataset, MHQ-MedEmo, was constructed through multi-layered …

Investigating Dysfunctional Cognition Change As A Putative Mechanism Of Cbt For Youth Anxiety, Ocd And Ptsd: Protocol For An Individual Participant Data Meta-Analysis, Ivana Buric, Anke Klein, Ronald M Rapee, Brooke Levis, Philip C Kendall, Eric A Storch, Lynn Mobach

Faculty, Staff and Students Publications

Introduction: Anxiety disorders, obsessive-compulsive disorder (OCD) and post-traumatic stress disorder (PTSD) are common in children and adolescents and can lead to significant impairment. Cognitive behavioural therapy (CBT) with exposure is the first-line treatment, yet approximately half of treated youth do not achieve full remission. Dysfunctional cognitions-negative automatic thoughts, maladaptive beliefs and distorted interpretations-are considered key targets of CBT, but evidence in youth is mixed and underpowered. This study will examine whether change in dysfunctional cognitions mediates treatment outcome in anxiety, OCD and PTSD symptoms and whether this association varies across individual characteristics.

Methods and analysis: An individual participant data meta-analysis …

Quality Improvement Project: Nursing Faculty Mental Health Literacy Assessment And Evaluation, Elesha Roberts

Doctor of Nursing Practice Projects

Mental illness is a major healthcare concern affecting young adults enrolled in college. College students enrolled in nursing programs in particular face intense academic pressure due to the demands and rigor of the program. Students commonly report symptoms associated with depression, anxiety, and suicide. Nursing faculty often do not feel comfortable approaching students about these concerns and other related mental health issues. Many faculty members lack the knowledge and skill to identify mental health issues and provide resources to support students in need. Faculty should be mental health literate and aware of campus resources. The purpose of this quality improvement …

More Girls In The Classroom Improves Adolescent Mental Health, Monica Deza, Maria Zhu

Population Health Research Brief Series

Mental health challenges are common among adolescents in the United States. This brief summarizes findings from a study using data from the National Longitudinal Study of Adolescent Health (Add Health), a nationally representative survey of middle and high school students conducted in 1994-1995. The analysis included over 17,000 students from 133 schools across the United States. The authors find that the mix of boys and girls in a classroom affects adolescent mental health and school satisfaction. When classes have more girls, both boys and girls experience better mental health outcomes. Boys in classes with more female peers are 10% less …

Hurricanes And Human Health In Louisiana: Insights From Hurricanes Laura, Delta, And Ida, Shobha Kumari Yadav, Robert V. Rohli, M. E. Betsy Garrison, Elisabeth Ponce-Garcia, Nazla Bushra, Charleen Mcneill

Faculty Publications

Louisiana is one of the most disaster-prone states, with hurricanes ranking among the most destructive hazards. Hurricanes impede sustainability by straining hospital infrastructure, overwhelming emergency departments, and disrupting continuity of care. Louisiana’s healthcare system, characterized by high uninsured rates, limited rural access, and notable racial and socioeconomic disparities, is particularly vulnerable during disasters. This research explores trends of mental and respiratory health in Louisiana surrounding Hurricanes Laura (2020), Delta (2020), and Ida (2021). Analysis reveals a substantial increase in admissions after landfall of all three storms, with mental health conditions showing a larger surge than respiratory ones in already-vulnerable communities. …

Suicide Among Youth And Young Adults In Canada: Bereaved Parents’ Perspectives On The Systems Of Care, Toula Kourgiantakis, Deborah Cooper, David Cooper, Shelley Craig, Eunjung Lee, Jori Jones, Carrie K.Y. Lau, Romy Naïma Tousignant, Jonathan B. Singer, Marjorie Johnstone, Juveria Zaheer

Social Work: School of Social Work Faculty Publications and Other Works

Background: Suicide is the second leading cause of death among youth and young adults aged 15–24 in Canada. Emergency departments often serve as the first point of contact for identifying suicide risk, particularly for youth and young adults, partly due to the inaccessibility and unavailability of community mental health services. Almost half of the youth who die by suicide visit an emergency department in the year preceding their death, and up to 90% have untreated mental health and substance use concerns. Studies have found that parents describe youth mental health services as harmful, fragmented, inaccessible, and inadequate in meeting their …

Let’S Talk Mental Health: An Assessment Of Oregon Agricultural Stakeholders Discussing Mental Health, Whitney Stone, Lauren Chase, Taylor Foerster

Journal of Human Sciences and Extension

Working in agriculture presents some unique mental health stressors, including financial difficulties, climate variability, and isolation. Currently, Extension offers mental health literacy programming addressing mental health and suicide in agricultural communities; however, some of the programming is underattended, and resources are underutilized. We sought to find out how communicating about mental health resources was perceived by agricultural stakeholders who work closely with farmers and ranchers, including agribusiness employees, leaders in the community, and pre-service agriculture teachers. Through this mixed-method study using focus groups and a survey, we wanted to find out the perceptions of mental health resources to help inform …

Full Issue, Volume 13, Number 3, Donna J. Peterson Dr., Scott Cummings, Elizabeth Gregory North

Journal of Human Sciences and Extension

No abstract provided.

From Stigma To Strength: Exploring Workplace Wellness At Nami Monterey County, Maria G. Zamudio

Capstone Projects and Master's Theses

Employees in Monterey County face persistent challenges related to poor mental health, driven by high costs of living, limited access to providers, workplace stress, and stigma surrounding help-seeking behaviors. The National Alliance on Mental Illness (NAMI) Monterey County, a grassroots organization committed to education and advocacy, primarily serves caregivers and families of individuals with mental illness but is expanding efforts to address systemic workplace mental health barriers. This capstone project involved designing and piloting workplace-focused interventions, including presentations for a Public Works Department, a customizable training binder, and pre/post-assessment tools. The initiative sought to reduce stigma, increase awareness of resources, …

Mental Health Outcomes Of A Pediatric-Focused Obesity Randomized Control Trial In Rural Communities, Brittany D. Lancaster, E. Goldenberg, A. S. Trofimoff, Y. Dai, B. Forseth, R. S. Romine, K. Fleming, Ann M. Davis

Publications

Objective: This study explores the impact of iAmHealthy, a rurally focused pediatric obesity intervention, on mental health outcomes and examines how baseline mental health affects body mass index (BMI) outcomes for child–parent dyads in rural communities. Method: Eighteen schools were randomly assigned to iAmHealthy or the Newsletter Control group. iAmHealthy consists of health coaching and group sessions via televideo. Child and parent height and weight, child depression, child quality of life, and parent distress were assessed at baseline, posttreatment (8 months), and follow-up (20 months) from October 2017 to December 2021. Multilevel modeling assessed treatment effects on mental health and …

Quality Improvement Project Enhancing Documentation Practices In Community Mental Health Clinics, Carol Parker

Doctor of Nursing Practice Projects

Accurate and timely documentation are essential for safe, high-quality care in community mental health settings. This quality improvement (QI) project addressed inconsistent documentation practices among licensed, unlicensed, and Qualified Mental Health Specialist (QMHS) staff at an outpatient clinic. The purpose of the QI project was to implement and assess a structured in-service training program using the Accountable Health Communities–Health-Related Social Needs (AHC-HRSN) screening and documentation tool to improve staff knowledge, enhance documentation accuracy, and facilitate care coordination. Guided by the Iowa Model of Evidence-Based Practice and Lewin’s Change Management Model, a pre- and post-intervention design was used. Fifteen staff members …

Gender Differences In Psychological Strengths Among Rural Adolescents, Angela Preston, Jodi Bullard, Rachel Smith, Ashlyn Peppler

Nursing Faculty Publications and Presentations

Purpose: Rural adolescents often lack access to mental health care along with increased rates of depression and suicide completion. While psychological strengths have been associated with positive outcomes globally, little is known regarding the prevalence of these indicators (hope, self‐efficacy, resilience, optimism, and gratitude) among adolescents living in rural Texas. The purpose of this study was to describe how rural adolescents report their psychological strengths and examine the data for potential gender differences.

Design and Methods: A secondary analysis of cross‐sectional data was performed on the RStudio platform using tests of central tendency and inferential statistics. Results: There were 425 …

Drought, Worry, And Preparing For The Future: The Ethnopsychology Of Climate Distress In Kilifi County, Kenya, Edna Bosire, Syed Wahid, Linda Khakali, Benjamin Oestericher, Felix Agoi, Anthony Ngugi, Rosebella Iseme, Jasmit Shah, Zul Merali, Lukoye Atwoli

Brain and Mind Institute

The impacts of climate change in sub-Saharan Africa (SSA) presents a chronic and intensifying disaster, with drought, flooding, and extreme heat, presenting unique challenges and profound disruptions. Growing evidence links such events to ecological grief, ecological anxiety, and solastalgia – negative affective states that reflects responses to climate change related destruction of nature, species, culturally significant or sacred spaces, and other ways of life. While this literature is expanding in the Global North, little is known about how communities in SSA perceive and respond to deteriorating or depleting natural ecosystems. This article explores the ethnopsychology of distress precipitated by environmental …

Where's Waldo?: Finding The Missing Voice Of The College Counselor, Krystyn K. Dupree

LSU New Orleans Theses and Dissertations

College counseling has been integral to higher education for more than a century; however, the role of college counselors has become increasingly complex amid rising student mental health needs, growing symptom severity, and constrained institutional resources. Despite extensive research on college student mental health, little contemporary scholarship has examined the lived experiences of the professionals providing these services. The purpose of this qualitative study was to explore how college counselors who provide mental health services perceive their professional role within the context of higher education.

Guided by Bronfenbrenner’s ecological systems theory, this study conceptualized college counselors as embedded within interconnected …

Validated And Culturally Specific Screening Tools And Early Response Programs For The Detection And Prevention Of Eating Disorders Among First Nations Peoples In Australia: A Scoping Review, Mark John Castro, Zyana Gall, Alana Gall, Hilary Smith, Kanita Kunaratnam

Research outputs 2022 to 2026

Background: Eating disorders (EDs) are complex mental health conditions that can have severe health consequences, exacerbating the overall disease burden and causing significant economic impacts on healthcare systems. Globally, cultural and societal factors influence the presentation and management of these disorders, necessitating culturally specific approaches to screening and prevention. Among First Nations peoples in Australia, the intersection of historical, cultural, and social factors offers both context and strength in addressing EDs, while also presenting distinct challenges in identification and prevention. Objective: This scoping review seeks to map and evaluate existing research on culturally specific and validated screening tools and early …

Longitudinal Associations Between Maternal And Child Screen Use At 1 Year Of Age And Child Behavior And Development At 3 Years Of Age, Stephanie Sim, Juliana Zabatiero, Natasha Bear, Amber Beynon, George Thomas, Ravisha Srinivasjois, Brad Jongeling, Desiree Silva, Leon Straker

Research outputs 2022 to 2026

Background: Young children are increasingly exposed to evolving screen technology. International guidelines recommend no screen use for children under the age of 2 years, due to the potential for detrimental effects on behaviour and development. However, evidence for these guidelines is limited by inadequate consideration of device-specific effects (TV and mobile phone/tablet computer), maternal screen use, confounders such as maternal mental health and importance of effect sizes. Our aim was to investigate longitudinal associations of device-specific maternal and child technology use and covariates (including maternal mental health) with behavioural and developmental outcomes, to guide adults on screen use behaviours by …

As Effective As You Perceive It: The Relationship Between Chatgpt’S Perceived Effectiveness And Mental Health Stigma, Scott N. Hannah, Deirdre Drake, Christopher D. Huntley, Joanne M. Dickson

Research outputs 2022 to 2026

Individuals are increasingly using artificial intelligence chatbots, such as ChatGPT, to seek conversational support for their personal mental health difficulties. Heightened concerns about mental health stigma may make anonymous, on-demand chatbot interactions more appealing for some than traditional face-to-face support. This study examined if using ChatGPT-4 for personal mental health difficulties is associated with two distinct forms of stigma, anticipated stigma and self-stigma. Our main aim was to investigate if the perceived effectiveness of ChatGPT use for mental health issues mediates the relationship between ChatGPT usage and anticipated stigma and self-stigma. The sample comprised 73 participants, mostly undergraduate psychology students. …

A Subdural Hemorrhage, Marianne Koleng

be Still

This piece attempts to weave together an understanding of medicine, healing, trauma, and neuroscience through an exploration of past injury and how pivotal moments as such can influence a future career pursuing medicine. This piece also demonstrates how seeking attention can lead to deleterious health impacts and investigates the importance of tempering pride with humility.

Barriers To Mental Health Access Among Immigrant Populations In The U.S., Cecilia Menzinger

Capstones

No abstract provided.

Chatgpt As A Mental Health Ally: A Study On College Students’ Adoption Of Ai For Therapy, Alya Albastaki

Theses

This research investigates college students’ use of ChatGPT for mental health support, addressing a population with high unmet mental health needs due to barriers like accessibility and cost. Through a mixed-methods study, which included a survey of 126 students and sentiment analysis of 1,200+ social media posts, the research examined adoption prevalence, gender influences, and perceived benefits and limitations. Survey findings show 40.5% of students use ChatGPT for mental health, especially those with self-reported challenges. Female students reported higher adoption, linked to greater mental health needs and openness to supplementary support. Key benefits included 24/7 access, anonymity, and low cost, …

Bridging The Gap: Culturally Responsive Bereavement Support In Latino Families, Maria I. Hernandez

Capstone Projects and Master's Theses

Hospice of the Central Coast (HCC), a division of Montage Health, delivers high-quality end-of-life care and bereavement support to adults and families in Monterey and select areas of San Benito County. This capstone project sought to address the disparities by developing and implementing an eight-week bereavement support group curriculum translated and adapted for Spanish-Speaking Latino families. Despite the organization’s longstanding commitment to compassionate and inclusive healthcare, internal data reveal substantial gaps in service for the latino population: of 628 patients served in 2023, only 47 patients were of Hispanic or Latino origin. This discrepancy stems from ingrained barriers such as: …

Building Adult-Gerontology Acute Care Nurse Practitioner Student Competencies For Telemental Health Treatment Through Simulation, Amy Dievendorf Dnp, Aprn, Fnp-Bc, Agacnp-Bc, Phyllis Raynor Phd, Aprn, Pmhnp-Bc, Beverly Baliko Phd, Rn, Pmhnp-Bc, Abbas Tavakoli Drph, Mph, Me

Publications

Depressive disorders are common mental health conditions that are often undiagnosed or undertreated. Adult-Gerontology Acute Care Nurse Practitioners (AGACNPs) are educated in the management of acute and critically ill patients but are often uncomfortable identifying and treating mental health conditions. Telehealth instruction is useful in mental healthcare and is required as part of the AGACNP’s efficient patient care competencies. This article reports findings from a mental health-focused telehealth instructional activity integrated into an existing AGACNP curriculum. This instructional activity was designed to introduce students to telehealth delivery and build AGACNP competencies using telehealth technology to assess patients with depressive mood …

Culturally Responsive Recommendations For Eating Disorder Prevention And Management For First Nations Peoples In Australia: A Policy Scoping Review, Zyana Gall, Hilary Smith, Gabrielle Grant, Kanita Kunaratnam, Carissa Lee, Felicity Kerslake, Alana Gall

Research outputs 2022 to 2026

Background: Evidence suggests First Nations people in Australia may experience a higher burden of eating disorders (EDs) than the broader Australian population. EDs are among the most debilitating and lethal mental health conditions; however, little is known about the unique considerations for First Nations people experiencing EDs, especially around best practices. This policy scoping review aims to map the current recommendations for managing EDs specific to First Nations peoples and to identify further research opportunities. Methods: We conducted targeted searches of electronic databases and health websites (n = 53) for policies, reports, toolkits/guidelines, and fact sheets that contained any information …

Associations Between Food Insecurity And Gpa Among Full-Time California State University Undergraduates During Covid-19: The Impact Of Mental Health, Lindsey Jones

Master's Theses

Food insecurity is a persistent public health concern among college students that has been associated with student’s academic and mental health outcomes. This thesis examined the associations between food insecurity, academic performance (measured by GPA) and mental health (using Kessler 6 psychological distress and self-perceived mental health impacts on academic performance), among full-time undergraduate students within the California State University (CSU) system. Cross-sectional analyses were conducted using data from the Spring 2021 CSU National College Health Assessment, administered across all 23 campuses. Of the 20,167 respondents, 12,899 students were included in the analytical sample. Bivariate analyses were conducted to analyze …

Communication And Privacy Management Between Female Veterans, Their Military Voluntary Kin, And Biolegal Family Members, Carol Lee Tschampl-Diesing

Dissertations and Doctoral Documents, University of Nebraska-Lincoln, 2023–

Military voluntary kin (MVK) refer to relationships between Service members and/or Veterans that they consider to be “like family,” despite lacking blood or legal ties. The purpose of this qualitative/interpretive communication study was to explore how female Veterans, who are the largest growing population of U.S. Veterans, discursively construct MVK relationships, navigate communication, privacy management, and boundary turbulence with their MVK and biolegal families (BLF). The researcher undertook in-depth interviews with nine female U.S. Veterans who reported having at least one MVK. The researcher posed four research questions, engaging in an interpretive analysis.

Participants described three ways they navigated interactions …

Influence Of Food Insecurity On Adolescent Mental Health: A Comprehensive Literature Review, Sarah Foss

Capstone Experience: Master of Public Health

Food insecurity is a growing public health concern with significant implications for adolescent mental health. This literature review provides an overview of current research on the relationship between food insecurity and adolescents’ mental health in the United States. A literature review was completed to identify studies examining the association between food insecurity and anxiety, depression, or attention deficit disorder (ADD)/Attention Deficit Hyperactivity Disorder (ADHD). Evidence shows that the experience of food insecurity in adolescence is associated with a higher risk of developing or experiencing an exacerbation of anxiety, depression, or ADD/ ADHD. This review utilizes the socioecological model to explain …

Program Development For Previously Incarcerated Individuals Transitioning Back Into Society, Shiean Raychel Walters

Occupational Therapy Doctoral Capstones

This project supports individuals re-entering society after prison, dealing with substance abuse, or court commitments. Through real-life activities such as paying rent, working, cooking, and community service, it helps participants build independence, manage routines, and prevent relapse or recidivism. The program offers occupational therapy-based interventions to address key life skills like time and money management, job acquisition, self-care, and emotional regulation. It also aids in addiction recovery, ensuring individuals can adapt to new roles and routines that may initially feel unfamiliar or uncomfortable. A key component is an occupational therapy assessment that evaluates participants’ readiness to transition to independent living, …