Digital Commons Network^™

Internalized Homophobia Of Lgb Emerging Adults: Identity Complexities And Mental Health, Emily Christine Newbury

Antioch University Dissertations & Theses

Meyer’s (2003) minority stress model explores the relationship between the social stress of sexual minorities and mental health. Internalized homophobia is linked to feelings of shame, guilt, and worthlessness, and contributes to the development of mental health problems (Ramirez-Valles, Molina, & Dirkes, 2013). The present study examined the relationship between internalized homophobia and mental health in young adults who identify as LGB. Participants (N =130) were recruited from universities in Connecticut and Georgia, as well as from the Amazon Mechanical Turk website. It was hypothesized that higher levels of internalized homophobia would be related to higher levels of self-reported anxiety, …

Further Validation Of The Consultation Skills Scale (Css): Relationships Between Consultation Skills, Supervisory Working Alliance, And Interprofessional Collaboration, Gulsah Kemer, Jeffry Moe, Kaprea F. Johnson, Emily Goodman-Scott, Zahide Sunal, Chi Li

Counseling & Human Services Faculty Publications

We conducted a confirmatory factor analysis (CFA) to obtain validity support for the Consultation Skills Scale (CSS) in a sample of 369 counseling professionals and interns. Upon obtaining a poor model fit from an initial CFA, we utilized modification indices and removed nine items from the CSS. As a result, we achieved a better model fit for the shorter 8-item instrument (CSS-S). To further examine validity of the CSS-S, we also explored the relationships between counselors' consultation skills and two related professional activities, ability to foster supervisory working alliance and ability to engage in interprofessional collaboration. We discuss the results …

About A Revolution: Toward Integrated Treatment In Drug And Mental Health Courts, Sara Gordon

Scholarly Works

This Article examines specialty courts, including drug, alcohol, and mental health courts, which proponents claim created a revolution in criminal justice. Defendants whose underlying crime is the result of a substance use disorder or a mental health disorder can choose to be diverted into a specialty court, where they receive treatment instead of punishment. Many of these individuals, however, do not just suffer from a substance use disorder or a mental health disorder; instead, many have a “co-occurring disorder.” Approximately 8.9 million American adults have co-occurring mental health and substance use disorders, and almost half of individuals who meet diagnostic …

"I Should Have Known". The Perceptual Barriers Faced By Mental Health Practitioners In Recognizing And Responding To Their Own Burnout Symptoms, Marieke Ledingham, P Standen, Chris Skinner, Robbie Busch

Sciences Papers and Journal Articles

Studies have shown burnout to be a significant problem in the mental health field, causing workers serious health problems and reducing quality of care provided to clients. Yet despite mental health practitioners’ training in supporting others’ emotional health, they may be reluctant to seek help for burnout symptoms. This paper addresses this paradox by showing how human cognitive processes could act as powerful blocks to the recognition of and response to burnout. Fifty-five mental health practitioners’ beliefs and perceptions about burnout were examined using qualitative interview and survey data interpreted through a phenomenological perspective on attribution theory. The study identified …

Transition Into Adulthood: Cannabis Use And Mental Health, Katie Mcintyre

All ETDs from UAB

The US is currently experiencing sweeping changes in the legal status of cannabis, the most common illicit drug used in America. Due to its classification as a Schedule I substance we know very little about how cannabis use impacts mental health since illicit drugs are not legally allowed to be researched in a laboratory setting. The current research on cannabis use (CU) and mental health (MH) is expansive and conflicting. One side of the debate suggests CU in adolescence has a direct effect on MH, the other side suggests CU could be an indirect coping mechanism of poor MH. One …

Medice, Cura Te Ipsum (Physician, Heal Thyself): A Documentary Film Exploring How The Passions Of Medical Students Will Make Them Better And Healthier Physicians, Ryan Emhoff

Phase 1

It is a well documented, yet largely ignored fact that physicians, residents and medical students are experiencing a pandemic of depression, burnout, dissatisfaction, and suicide. The principal cause may be the institution of medicine, which is slow to change, abusive, and dismissive of these complaints. While interventions are necessary at all levels of training, medical students may be the most in need as their mental health is the poorest of these groups.

Emotion-focused coping activities focus on alleviating stress. The humanities can function as emotion-focused coping activities, and exposure to them in medical education has been correlated with higher empathy …

State Benchmark Plan Coverage Of Opioid Use Disorder Treatments And Services: Trends And Limitations, Stacey A. Tovino

Faculty Articles

Professor Tovino offers a survey of state benchmark plan coverage of opioid use disorder treatments and services, and identifies trends and limitations relevant thereto. Part II of the article provides background information regarding opioid use disorder and the treatments and services available for individuals with this disorder. Part III reviews federal mental health parity law and federal mandatory mental health and substance use disorder law as applied to insurance coverage of treatments and services for opioid use disorder, with a focus on the Affordable Care Act's (ACA's) state benchmark health plan selection requirement and the effect on that requirement of …

Implicit Attitudes Of Asian American Older Adults Toward Aging, Anita Ho

Scripps Senior Theses

Greenwald, McGhee, and Schwartz (1998) developed the Implicit Association Test (IAT), a measure of mental associations between target pairs and positive or negative attributes. Highly associative categories yield faster responses than the reverse mental associations, which is thought to reflect implicit attitudes toward stereotypes. The present study investigated the effect of ethnic group on one’s implicit attitudes toward aging and gender stereotypes by comparing two groups of older adults, Asian Americans and Caucasian Americans, that likely hold different culture values. Past qualitative studies have established the existence of mental health stigma in Asian American populations, including negative Asian American perceptions …

Smartphone Addiction And Depression: Prevalence, Sociodemographic Factors And Its Association With Severity Of Depression / Lim Poh Khuen, Poh Khuen Lim

Student Works (2010-2019)

The recent increase in smartphone usage is a worldwide phenomenon, bringing about a stronger reason for researches to focus on its potential benefits and hazards on the health of the population. Prior studies have found negative effects on both physical and psychological health with increased amount of smartphone use. Literature has revealed that there is a bidirectional relationship between smartphone addiction and depression, with most studies concluding the detrimental effect of excessive smartphone usage on mental health. The aim of this study is to determine the prevalence of smartphone addiction among depressive patients, and to investigate the associated socio-demographic factors …

Evolution Of Occupational Therapy Practice: Life History Of Anne Macrae, Phd, Otr/L, Bcmh, Faota, Danielle Cox, Brock Wahlert

Oral History Student Papers

The purpose of this study was to provide current and future generations of occupational therapists a view of the history and how occupational therapy practice has evolved from its inception to current practice through the life history stories of occupational therapists who have held leadership roles at the national level and beyond. This life history is one of 30 life history interviews, which are part of a larger project, Histories of Individuals Who Have Been Influential in Developing Occupational Therapy (OT) at the National Level and Beyond. Student Researchers interviewed Dr. Anne MacRae for data collection. Interview questions were structured …

Life History Of Elizabeth Crepeau, Phd, Otr/L, Faota, Nathina Crabtree, Sara Gregoire

Oral History Posters

The purpose of the study is to provide current and future generations of occupational therapists a view of the history and how occupational therapy practice has evolved from its inception to current practice through the life history stories of occupational therapists who have held leadership roles at the national level and beyond. It is anticipated that the life history process will be a powerful way to gather this information. This life history is part of the larger study consisting of 30 occupational therapists. The larger project is Histories of Individuals Who Have Been Influential in Developing Occupational Therapy (OT) at …

Evolution Of Occupational Therapy Practice: Life History Of Anne Macrae, Phd, Otr/L, Bcmh, Faota, Danielle Cox, Brock Wahlert

Oral History Posters

This life history is one of 30 life history interviews which are part of a larger project, Histories of Individuals Who Have Been Influential in Developing Occupational Therapy (OT) at the National Level and Beyond. The purpose of study is to provide current and future generations of occupational therapists a view of the history and how occupational therapy practice has evolved from its inception to current practice through the life history stories of occupational therapists who have held leadership roles at the national level and beyond. It is anticipated that the life history process will be a powerful way to …

School Counselors' Lived Experiences Supporting Students With Mental Health Concerns, Linda F. Peterson

Walden Dissertations and Doctoral Studies

Mental health in schools is a growing concern for many school counselors, educators and communities. School counselors are in key roles in the school setting to support students with mental health concerns. This research was done to gain a deeper understanding of the experiences, beliefs, and attitudes of school counselors supporting students with mental health diagnoses. This hermeneutic phenomenology research used n=4 participants school counselors and each has worked in their field for over 6 years. Additionally, each participant worked in the same school building for a minimum of 3 years or more. Semi structured interviews were used to collect …

Social Workers' Perceptions Of The Effects On United States Soldiers Of Multiple Deployments, Cynthia Louise Wilson

Walden Dissertations and Doctoral Studies

Military personnel who have served during Operation Iraqi Freedom, Operation Enduring Freedom, and Operation New Dawn have experienced longer and more frequent deployments than U.S. personnel involved in any previous conflict. These multiple tours in combat zones have resulted in complex psychosocial needs for military personnel. The goal of this action research study was to understand social workers' perceptions and experiences of military personnel who experienced 3 or more deployments in a combat zone. The theoretical foundation for the study was narrative theory. Research questions sought to understand the social workers' perceptions of the psychosocial treatment needs of these veterans, …

A Meta-Synthesis Of Adolescent Psychological Help-Seeking, Karen Barnes

Walden Dissertations and Doctoral Studies

Although adolescents experience psychological difficulty at a rate higher than any other age group, most do not get the support they need. The purpose of this study was to explore perceptions about barriers, facilitating factors, and help-seeking preferences for psychological support among adolescents. This study involved Best, Gil-Rodriguez, Manktelow, and Taylor’s conceptual framework pathways to online help-seeking to help explain adolescents’ perceptions of factors that influence them seeking support as well as identify pathways for support. A qualitative meta-synthesis design was used to synthesize findings of individual qualitative studies into themes around the central phenomenon of adolescent help-seeking. Data were …

Examining Cultural Humility And Intersectionality In Mental Health Treatment, Sandra Y. Herrera-Spinelli

Walden Dissertations and Doctoral Studies

Cultural awareness is an ethical standard in the social work profession and, as the diversity in the United States continues to grow, it is a social work practice problem when cultural awareness is not implemented in mental health settings. The National Association of Social Workers revised the cultural awareness standards to include cultural humility and intersectionality as practice indicators. The purpose of this action research study was to examine how clinical social workers demonstrated cultural humility and intersectionality in mental health settings. Person-centered theory guided this study and a total of 17 clinical social workers in New Mexico participated in …

Mentally Ill, Or Mentally Ill And Dangerous?: Rethinking Civil Commitments In Minnesota, Eliot T. Tracz

Mitchell Hamline Law Journal of Public Policy and Practice

No abstract provided.

A Manualized Parent Psychoeducation And Nutrition Program And Its Impact On A Sense Of Community: A Pilot Study, Nahaal Binazir

Theses and Dissertations

Parenthood is an experience that is both joyful and anxiety provoking. Amidst a number of pressures, new parents may encounter depressed feelings, consistent anxious thoughts or various other stressors. These factors can also lead to the development of poor nutritional habits, which further exacerbate psychological symptoms and can create a destructive cycle in their lifestyles. Research indicates that one’s sense of community (or conversely social isolation) can further impact parental experiences - which include one’s sense of competence, affect directed towards their children and their overall satisfaction. In considering this, a quantitative and partially qualitative pilot study was conducted to …

Associations Between School Safety And Behavioral Health Issues: A Multivariable Study Of A Large School Sample In Kentucky, Patricia M. Clark

Online Theses and Dissertations

The perception of feeling safe in school impacts academic achievement of students. As the number of school shootings has grown, implementing effective school safety plans has become a significant job duty of educators. There is some conflict in the exact constructs that fit within the school safety definition and often behavioral health issues are not addressed as part of the school safety planning process. Research shows that when students don’t feel safe their behavioral health issues increase (Fletcher, A., Bonell, C., Sorhaindo, A., & Strange, V., 2009). The multivariable regression study identified the association of substance use, mental health issues, …

'Stand Up To Suicide', Katherine Hickman

Williams Honors College, Honors Research Projects

This paper reviews the planning and implementation of a suicide prevention event titled ‘Stand Up to Suicide’ held at The University of Akron in September 2018. This project was designed in response to the rising suicide crisis. After reviewing various peer-reviewed articles, communication methods, and interviewing mental-health professionals, an event was created and implemented to empower students to speak up about suicide awareness and get connected to suicide prevention resources. While an average of 123 individuals die by suicide in the United States every day, suicide is preventable. With a space to enter into the tough conversation of suicide, this …

Effects Of Police-Mental Health Collaborative Services On Calls, Arrests, And Emergency Hospitalizations, Sean Russel-Jacque Zauhar

Walden Dissertations and Doctoral Studies

With the increasing amount of police calls involving persons experiencing a mental health crisis (PICs), agencies are looking for ways to reduce the overuse of emergency services and criminal confinement. Police-mental health collaborative (PMHC) programs were developed to utilize the expertise of both mental health and law enforcement practitioners to provide immediate linkage to psychiatric services in an effort to prevent unnecessary involvement in the criminal justice system. The theoretical framework for this study was built on the sequential intercept model (SIM) along with the theories of social network and social support. The SIM identifies 5 key points where PICs …

Emergency Responders' Perceptions Of Mental Health Patients While Providing Care In Rural Areas, Cindy Perkinson Costilla

Walden Dissertations and Doctoral Studies

Prior research has shown a correlation between public stigma and emergency responders' perceptions of mental health patients while providing care. However, research examining public stigma and emergency responders' perceptions of mental health patients is limited in rural areas. The purpose of this study was to explore possible relationships between the dependent variable, public stigma, and the independent variables: social distance, blameworthiness, and fear of unpredictable behavior. Link's modified labeling theory was the theoretical framework for this study. A sample of 92 emergency responders obtained from Facebook completed a questionnaire that consisted of three Likert scales. A multiple regression showed little …

Mental Health Outcomes Of Discrimination Among College Students On A Predominately White Campus: A Prospective Study, Joseph C. Jochman, Jacob E. Cheadle, Bridget J. Goosby, Cara Tomaso, Chelsea Kozikowski, Timothy Nelson

Department of Psychology: Faculty Publications

Racial discrimination is a social stressor harmful to mental health. In this paper, we explore the links between mental health and interpersonal discrimination-related social events, exposure to vicarious racism via social media, and rumination on racial injustices using a daily diary design. We utilize data from a racially diverse sample of 149 college students with 1,489 unique time observations at a large, predominantly white university. Results show that interpersonal discrimination-related social events predicted greater self-reported anger, anxiety, depressive symptoms, and loneliness both daily and on average over time. Vicarious racism from day to day was associated with increased anxiety symptoms. …

The Experience Of Mindful Self-Compassion, Erika Ristok

Theses and Dissertations (Comprehensive)

Given the benefits seen in the literature with regards to mindful self-compassion, embodiment of positive emotion, and the efficacy of brief interventions, this study sought to advance an understanding of the experience of mindful self compassion. Eight participants were taught a brief self-compassion exercise along with a step that embodies a feeling of comfort. The participants were drawn from a wait-list for counselling services at a Family Health Team site. They were interviewed using a semi-structured interview format following training and practice with the self-compassion exercise. Qualitative phenomenological analysis was used in order to gain an understanding of the essence …

An Evaluation Of Preexisting Psychiatric Diagnosis: Patient Outcomes In An Intensive Care Setting, Nicole R. Ryan

DNP Projects

Abstract

BACKGROUND: Mental health is a state of well-being in which an individual is able to acknowledge ability levels, cope with the normal stresses of life, be a productive member of society and contribute to the community. An important consideration for DNP prepared nurses is implementing principles of the Collaborative Care Model as a guiding framework to improve access to evidence-based mental health care in a medical care setting.

PURPOSE: The purpose of this DNP project was to examine the demographic, clinical and treatment characteristics of patients with both medical and psychiatric diagnoses admitted to an Intensive Care Unit (ICU) …

Gaps In Mental Healthcare Use And Perceived Quality Between Privately Insured Lgb And Heterosexual Individuals In The United States, Yuki Hayashi

Public Health Theses

Previous research has identified significantly heightened levels of mental health issues and psychological distress among lesbian, gay, and bisexual (LGB) individuals in the U.S., as well as greater mental health service utilization among this population. Using a nationally representative sample of privately insured adults in the U.S., we investigate differences in mental healthcare utilization, characteristics of mental healthcare received, and perceived quality of care between LGB and heterosexual individuals. Key results find that privately insured LGB men and women are significantly more likely than their heterosexual counterparts to have used outpatient mental healthcare as well as out-of-network (OON) outpatient mental …

The Association Between Self-Reported History Of Experiencing Violence & Mental Health Status Among Urban Refugees And Asylum Seekers In Malaysia, Rayne Soyoung Kim

Public Health Theses

Background: In displaced populations, studies have shown that there are significant associations between exposure to violence and reporting mental illness. There is little known regarding this relationship in countries like Malaysia, which serves as a transitional point where refugees wait to be resettled.

Objective: To assess the cross-sectional association of exposure to violence with mental health status in the urban refugee and asylum-seeking population in Malaysia.

Methods: 286 self-identified refugees and asylum seekers, recruited by using time-location sampling, were given interviewer-administered surveys, including questions regarding exposure to violence and mental health symptoms. Multivariable logistic regression analyses were performed to evaluate …

Older Adult Spouses’ Emotional Responses To Reminiscing About Their First Encounter: Associations With Mental Health, Marital Satisfaction, And Cardiovascular Reactivity, Hanzhen Lan

Public Health Theses

Objectives: While there has been growing interest in how close relationships affect older adults’ health, not much research has examined how emotional experiences in older married couples’ positive interactions relate to individual and relational well-being and physical health. The present study hypothesizes that positive emotional responses to older couples reminiscing about first encounter are associated with each spouse’s higher marital satisfaction, fewer depressive symptoms, and healthier cardiovascular reactivity (blood pressure and heart rate variability).

Method: One hundred and one couples completed a background questionnaire at home and then participated in a laboratory session in which they discussed how they first …

Increasing Access To Rural Mental Health Care Using Hybrid Care That Includes Telepsychiatry, M. Courtney Hughes, Jack M. Gorman, Yingqian Ren, Sana Khalid, Carol Clayton

Faculty Articles, Papers, and Other Scholarship

There is a lack of access to mental health care in rural areas of the United States. One potential strategy for increasing access and improving health outcomes for rural dwellers is offering hybrid psychiatric care, a combination of in-person and telepsychiatry services. Although prior research has shown telepsychiatry can help overcome access barriers, there is a lack of research on the use of hybrid care for patients in rural areas following an inpatient admission or an emergency department visit—a time when many patients are in high need of follow-up care. The aim of this project was to examine process and …

Quality Of Life And Mental Health After Pediatric Central Nervous System Tumor Treated With Surgery Only, Alexandra Cutillo

All ETDs from UAB

Benign pediatric central nervous system (CNS) tumors treated with surgery alone have been considered relatively harmless to long-term health. However, a developing line of research has identified several late effects experienced in this population including psychological, adaptive, behavioral, neurological, and cognitive problems. Quality of life of children after resection alone has not previously been evaluated, especially in comparison to that of healthy children and children with chronic illness. Further, there has been no research geared toward developing psychosocial programs to address the late effects identified in this population. The following manuscripts contribute to the literature by evaluating and providing potential …