Digital Commons Network^™

The Development Of Mental Illness Stigma: The Role Of Perceived Social Support, Social Proximity, And Help-Seeking Behavior, Emily Kathryn Reed

Online Theses and Dissertations

The current study sought to explore the relationships mental illness stigmatization may have with perceived social support, proximity, and help-seeking behavior. Based on findings from previously conducted studies, hypotheses were formulated in order to further analyze how perceived social support, proximity, and help-seeking behavior may impact an individual's tendency to stigmatize mental illness. 203 Eastern Kentucky students participated in this study to test these hypotheses. These participants took part in an online study that measured their perceived social support based on their family environment, their proximity to those with a mental illness or mental illness in general, their attitudes regarding …

Andrea Yates: A Continuing Story About Insanity, Deborah W. Denno

Faculty Scholarship

No abstract provided.

Lived Experiences Of School Counselors Who Address Mental Health Needs Through Evidenced-Based Educational Programs, Kelley Yvette Olds

Theses and Dissertations

The purpose of this phenomenological qualitative study was to explore the lived experiences of school counselors who address the mental health needs of students through at least one of the following educational evidenced-based programs: Positive Behavior Intervention and Supports, Response to Intervention, Restorative Practices, and Student Assistance Program. EBPs have evolved as a staple of quality educational programming with a focus on best practices, data, and accountability. Over the past several decades, school counselors have struggled to demonstrate efficiency, accountability, and transparency consistently in counseling outcomes (Generali, Foss-Kelly, & McNamara, 2013). Recent literature in school counseling embraces the movement toward …

Participant Perspectives On Housing And Landlords In A Canadian Housing First Program, Timothy Macleod

Theses and Dissertations (Comprehensive)

Housing First (HF) is an evidence-based approach to housing and services for adults who are chronically homeless and have a psychiatric disability. Research has demonstrated that HF rapidly ends homelessness but less in known about how participants experience their housing environments and landlords. This study is a part of a larger Canadian randomized field trial of HF that included qualitative interviews with participants in five cities. The narratives of 127 participants randomized to HF (n=82) or Treatment as Usual (TAU, n=45) were collected with regard to their perceptions of housing and landlords. Participant narratives were analyzed using thematic analysis and …

Recidivism Rates Among Juveniles With Mental Illness, Kia Chevon Russell

Walden Dissertations and Doctoral Studies

Treating mental illness is imperative to help reduce criminal justice involvement within the juvenile population. Receiving mental health care will help decrease the likelihood for youth to reoffend, ultimately reducing recidivism rates. Past studies showed there are risk factors associated with juveniles and recidivism; however, very few studies have examined what factors are prevalent after services have been received. The purpose of this study was to identify factors that increase the risk of recidivism among juveniles who have received psychiatric stabilization in Harris County, Texas. Risk factors that were assessed included age, gender, ethnicity, and criminal offense. The psychodynamic perspective …

Evaluation Of The Healthy-Heart, Healthy-Brain Program, Sooksai Kaewbua

DNP Projects

Purpose: The purpose of this study was to evaluate the effects of a group-based, psychoeducational program on the knowledge of healthy diet and eating behaviors of adults with mental-health diagnoses in an inpatient psychiatric setting.

Background and Significance: In a given year, adults with mental-health diagnoses have a higher risk of mortality relative to the general population. Mortality from natural causes among individuals with mental-health disorders is similar to the leading causes of death found nationwide, including cardiovascular diseases. There is a growing body of evidence showing a relationship between the health of clients’ hearts and brains. Thus, it is …

A Mental Health Checkup For Children At The Doctor’S Office: Lessons From The Medical-Legal Partnership Movement To Fulfill Medicaid’S Promise, Yael Cannon

Georgetown Law Faculty Publications and Other Works

Traumatic childhood events and the stress they cause can negatively affect health over a lifetime. For children with Medicaid coverage, visits to the doctor’s office present an opportunity to improve this trajectory. Medicaid’s Early Periodic Screening Diagnostic and Treatment (EPSDT) mandate requires that children receive more than a basic physical when they see a doctor for regular “well-child checks.” As part of a comprehensive look at their development, they should receive mental health check-ups that could identify childhood trauma, its impacts, and the interventions that could help improve health and mental health. Data suggests that many children do not receive …

Consequences Of Job Stress For The Psychological Well-Being Of Teachers, Irvin Sam Schonfeld, Renzo Bianchi, Peter Luehring-Jones

Publications and Research

This chapter examines research on the relationship between job stressors and mental health (depressive symptoms, burnout, and mental disorders such as depression) in teachers. Teachers are exposed daily to job stressors (e.g., student disruptiveness) that have been linked to adverse mental health effects. Epidemiologic research indicates that when compared to members of other groups, teachers experience higher rates of mental disorder, although some studies question that conclusion. Large-scale studies indicate when compared to members of other occupational groups, teachers are at higher risk for exposure to workplace violence, with its adverse mental health consequences. Longitudinal research has linked teaching-related stressors …

Mixed-Status Families And The Threat Of Deportation, Eloisa P. Haynes

The Journal of Sociology & Social Welfare

This article offers a description of deportation, explores the effects of deportation in the lives of mixed-status families, as well as, outlines the social and economic cost of deportations to American communities. This article argues that the toll imposed on U.S. citizens, both relatives of those deported and members of the community, renders deportation, in most circumstances, an unfavorable policy that does more harm than good. A policy which is intended to protect Americans and curtail unauthorized migration, instead creates injustice, fragments families and communities, and creates a significant negative impact on the U.S. economy.

African American Women And Their Experiences With Behavioral Health: Implications For Rehabilitation, Kaitlin M. Blakeney

Research Papers

No abstract provided.

National Survey To Identify Mental Health Topics In Entry-Level Ot And Ota Curricula: Implications For Occupational Therapy Education, Brad E. Egan, Susan M. Cahill

Journal of Occupational Therapy Education

Mental health has been identified as a priority practice area for occupational therapy. However, recent research suggests that the number of occupational therapy practitioners working in mental health is declining. The purpose of this survey research study was to examine the extent to which occupational therapy (OT) and occupational therapy assistant (OTA) programs include mental health topics in their curricula. A link to an on-line survey was sent to program directors of OT and OTA programs in the United States. A total of 105 programs fully completed the survey (33% response rate). All of the respondents (n=105) reported that their …

A Community Based Experience To Enhance Occupational Therapy Student Clinical Skills With Clients With Mental Illness, Monica S. Perlmutter, Quinn Tyminski

Journal of Occupational Therapy Education

Despite the high number of individuals living with severe mental illness and the evidence to support effective interventions, only a small percentage of occupational therapy practitioners work in community mental health settings. To address the need for more occupational therapists in this area of practice, schools must provide educational experiences that facilitate interactions with individuals experiencing severe mental illness to increase students’ competence with this population. The Washington University Program in Occupational Therapy fosters students’ clinical reasoning skills throughout a two semester case-based learning course. For the community mental health module at the end of the 2^nd semester, the …

The Repercussions Of Concussions In Youth Football Leagues: An Analysis Of Texas’S Concussion Law And Why Reform Is Necessary., Taylor Adams

The Scholar: St. Mary's Law Review on Race and Social Justice

Texas’s state concussion law, known as Natasha’s Law, does not reflect a comprehensive safety standard that affords protection to athletes of every age and at every level of play. Because uniform concussion standards fall outside the purview of the federal government, the responsibility is left to Texas to implement, amend, and regulate laws on youth athletic competitions.  Natasha’s Law implements an immediate removal policy from practice or a game when a student-athlete exhibits signs of a concussion. Nonetheless, Natasha’s law falls short because it limits coverage to only school sponsored practices, competitions and interscholastic activity, and negates coverage for recreational …

“Mental Health Day” Sickness Absence Amongst Nurses And Midwives: Workplace, Workforce, Psychosocial And Health Characteristics, Scott Lamont, Scott Brunero, Lin Perry, Christine M. Duffield, David Sibbritt, Robyn Gallagher, Rachel Nicolls

Research outputs 2014 to 2021

Aim

To examine the workforce, workplace, psychosocial and health characteristics of nurses and midwives in relation to their reported use of sickness absence described as ‘mental health days’.

Background

The occupational stress associated with the nursing profession is increasingly recognized and nurse/midwifery absenteeism is a significant global problem. Taking a ‘mental health day’ as sickness absence is a common phenomenon in Australian health care. No previous studies have empirically explored the characteristics of nurses and midwives using such sickness absence.

Design

Online cross-sectional survey.

Methods

Survey comprising validated tools and questions on workplace and health characteristics was distributed to nurses …

Occupational Therapy Intervention Development, For Individuals With A Diagnosis Of Psychosis Living In The Community, To Improve Participation In Activities Of Everyday Life: A Feasibility Study For A Pragmatic Randomised Controlled Trial., Joanne Inman

Other Faculty of Health Theses

Background: Having a diagnosis of schizophrenia is associated with employment difficulties, high mortality rates, substantial family burden and impoverished quality of life and it costs between 1.5 to 3 per cent of the total expenditure on national health care (Knapp et al 2004). However social functioning and participation can have a protective impact on mental health of people with a diagnosis of psychosis (Stain et al 2013). Method: A systematic and phased approach to complex intervention development was undertaken involving: (1) A systematic review of effectiveness and (2) a feasibility study, designed to explore and test the key uncertainties of …

The Role Of Afrocentric Features In Mental Healthcare Utilization And Counselor Preferences In Black College Students, Randl B. Dent

Theses and Dissertations

Though mental health issues are prevalent in Black young adults, they underutilize mental healthcare services. This research examined the role of feature-based discrimination in mental healthcare (under)utilization. Study 1, a secondary analysis of the National Longitudinal Study of Adolescent to Adult Health, provided no evidence supporting a link between skin tone and mental healthcare utilization, when controlling for depression diagnosis. However, when controlling for depression symptoms, there was a trend such that Black young adults with darker, as opposed to lighter, skin tone utilized healthcare less. Study 2, an experimental study with 33 Black college students, showed 73% of the …

Provider Perspectives On Self-Injurious Behavior: Past, Present, And Future Directions, Laura A. Hilton

Antioch University Dissertations & Theses

Self-Injurious behavior (SIB) has received a great deal of attention in recent years. Although concern about the prevalence of this behavior has increased, some therapists feel that they cannot adequately treat those who engage in self-injurious behavior (Miller, 2005). In this study, mental health providers were asked to complete a brief survey about their experiences providing treatment to those who engage in self-injurious behavior. The goal was to gather information with respect to their experiences treating self-injurious behavior. The study explored provider perspectives with regard to attitude, prognosis, best treatment practices, clinical preparedness, and comfort level in treating individuals who …

The Health Of Human Trafficking Victims In San Diego, California: A Retrospective Study, Noelle Lipkin Leveque

Dissertations

Background/Purposes/ Aims: Human trafficking (HT) is a threat to human rights globally. Studies indicate between 28% and 87% of HT victims encountered a health care professional during their trafficking period. Nonetheless, little is known about the health care needs of victims of HT. The purpose of this study was to examine the health care needs of a self-identified group of trafficked women in San Diego County, California.

Conceptual Basis: The Model of Human Trafficking and Health by Zimmerman et al. (2011) was used to identify multiple determinates of health following the trafficking period including demographic factors (age at assessment, age …

Do College Students Use Online Self-Help? A Survey Of Intentions And Use Of Mental Health Resources, Michael E. Levin, Krista Stocke, Benjamin G. Pierce, Crissa Levin

Psychology Faculty Publications

Online self-help may help increase the reach of mental health services for college students, but little research has examined students’ actual interest/use of these resources. An online survey of 389 college students examined intentions and use of online mental health resources as compared with other support options. Findings indicated the highest intentions/use of informal supports (e.g., parents, friends) for mental health problems and lowest intentions/use for online self-help. However, a subset of students showed a preference for online self-help over other forms of support. Participants were also more likely to request online self-help resources (21%) than in-person therapy resources (9%) …

Evaluating The Impact Of Integrated Care On Service Utilization In Serious Mental Illness, Heidi C. Waters

Walden Dissertations and Doctoral Studies

Serious mental illness (SMI) affects 5% of the United States population and is associated with increased morbidity and mortality. Use of high-cost healthcare services is common, including hospitalizations and emergency department (ED) visits. Integrating behavioral and physical healthcare may improve care for consumers with SMI, but prior research findings have been mixed. This quantitative retrospective cohort study addressed the impact of integrated care on physical health and ambulatory care sensitive (ACS) utilization via a program evaluation of an integrated health clinic (IHC) at a community mental health center (CMHC). The research questions assessed whether there was a predictive relationship between …

An Educational Program About Living With Depression, Ngozi Gloria Okoro

Walden Dissertations and Doctoral Studies

Depression is a common and disabling mental illness, but the loneliness, isolation, and poor quality of life associated with depression may improve with treatment. Depressive patients adhere to their treatment and experience better outcomes when their family members are involved with their treatment. At the project mental health facility, patients with depression had the highest non-compliance rate to treatment and no educational program existed for their families. This observation led to the current practice-focused question which examined how an evidenced-based educational program can be developed for family members or caregivers of patients diagnosed with depression. The purpose of this project …

Mental Health In The Primary Care Of Trans Patients, Ronica Mukerjee

Yale School of Nursing Digital Theses

Primary care clinicians working with trans patients may not realize the impact of systemic inequality on the mental health of their patients. Although clinical guidelines for care exist, most do not explicitly address this context of inequality. Placing guidelines in a framework of cultural safety will increase the likelihood that patient narrative, needs and culture are respected and taken into consideration when providing care and developing treatment plans for trans patients, thereby decreasing the impact of systemic inequality and improving the quality of the healthcare provided. Considering the positive impact that primary care clinicians can have on the health of …

Iraqi Refugees And Cultural Humility: A Mental Health Professional Training Program, Megan Brunmier Marsh

Antioch University Dissertations & Theses

This paper describes the development of a thorough nine-hour professional training program targeting the cultural humility of mental health clinicians who are treating new Iraqi refugee communities. I used the 15-step evidence-based Comprehensive Program Development Model created by Calley (2009) for the design of the structure, curriculum, and materials for this proposed program (Calley, 2011). The training program is informed by conceptual frameworks of cultural competence and humility, ecological systems theory, and social justice with goals of (a) exploring clinicians’ cultural attitudes in order to improve self-awareness at multiple levels (e.g., physiological, psychological, interpersonal), (b) increasing clinicians’ knowledge about Iraqi …

Police Contact And Mental Health, Amanda Geller, Jeffrey Fagan, Tom R. Tyler

Faculty Scholarship

Although an effective police presence is widely regarded as critical to public safety, less is known about the effects of police practices on mental health and community wellbeing. Adolescents and young adults in specific neighborhoods of urban areas are likely to experience assertive contemporary police practices. This study goes beyond research on policing effects on legal socialization to assess the effects of police contact on the mental health of those stopped by the police. We collected and analyzed data in a two wave survey of young men in New York City (N=717) clustered in the neighborhoods with the highest rates …

The Relationship Between Family Support; Pain And Depression In Elderly With Arthritis, Wendy C. Birmingham, Man Hung, Jerry Bounsanga, Maren W. Voss, Anthony B. Crum, Wei Chen

Faculty Publications

The prevalence and chronic nature of arthritis make it the most common cause of disability among U.S.A adults. Family support reduces the negative impact of chronic conditions generally but its role in pain and depression for arthritic conditions is not well understood. A total of 844 males (35.0%) and 1567 females (65.0%) with arthritic conditions (n = 2411) were drawn from the 2012 Health and Retirement Study to examine the effect of family support on pain and depressive symptoms. Using regression analysis and controlling for age, ethnicity, gender, marital/educational status and employment/income, physical function/disability status, pain and antidepressant medications, and …

Optimism As A Mediating Factor In The Relationship Between Anxiety And News Media Exposure In College Students, Danielle Hoyt

Honors Projects in Applied Psychology

Recently, media research has focused on young people to determine what effect violent media images may have on aggressive behavior, but little research has investigated the kind of psychological distress similar images may cause. What emotional impact does increased exposure to negative and even violent news coverage have on young adults? In this study, the relationship between such news media and anxiety levels is examined, as well as the possible mediating role that an optimistic life orientation may play in that relationship. It is hypothesized that the degree to which these individuals follow news media will positively correlate with their …

Examining The Implementation Of The Patient-Centered Recovery Model In Psychiatric Nursing, Nicole K. Rossi

Senior Honors Projects, 2010-2019

The Recovery Care Model is the recommended evidence-based model for delivering holistic, patient-centered care for mental health clients. The model is a more therapeutic approach than the traditional medical model and upholds the ideas that psychiatric clients are more than just their illness, should be respected as unique individuals, and provided with hope and empowerment in their care while being given the opportunity for informed and autonomous decision-making. Although research has shown support for the Recovery Care Model, its implementation has not been fully accomplished in all psychiatric facilities. Of all of the members of the health care team, nurses …

Overmedicated: Foster Kids In Crisis, Mary E. Wilson

Capstones

Nearly one in four foster children across the county is taking at least one psychotropic medication-- more than four times the rate for all children.

Psychotropic drugs are chemical substances that act primarily upon the central nervous system where they alter brain function, resulting in temporary changes in perception, mood, consciousness and/or behavior.

Over the last decade the use of psychotropic medications amongst children has more than doubled. It has yet to be determined what permanent affects such drugs have on children as they age, due to a limited number of studies.

http://marywilson1.wixsite.com/overmedicated

Chna: The Role Of The Hospital In Addressing Specific Community Health Needs, Yesmina L. Zavala

Master's Projects and Capstones

The Patient Protection and Affordable Care Act (ACA) added a requirement for nonprofit hospitals to keep their tax-exempt status under the Internal Revenue System Code 501(c) 3. This code requires all nonprofit hospitals to complete Community Health Needs Assessment (CHNA) reports every three years and must include input from community stakeholders and underserved individuals representing the low-income, minority and chronically ill population.

In addition to the CHNA, implementation strategies are required to be executed in the geographic areas served in order to meet the identified prioritized needs from the CHNA. Oftentimes, CHNAs are difficult to conceptualize and operationalize within the …

Instagram And The Human (Mis)Connection, Johanna Chisholm

Capstones

Instagram has made strides to try and improve their platform for these mentally unstable teens; most recently by installing a tool that allows users to report people they think might be “going through a difficult time.” This update, while a step in the right direction, seems to still be missing a very important element to actually helping these users: a human connection.

https://jochisholm.github.io/Instagram_Teens/