Digital Commons Network^™

Applying Trauma-Informed Care Principles For Adolescents That Are Transitioning To College And Work-Life: An Educational Workshop, Annie Patel, Lakeisa Boykin

Summer 2025 OTD Capstone Symposium

Trauma can impact an individual’s ability to function in daily occupations and tasks (SAMHSA, 2014). Traumainformed care focuses on six principles in order to support individuals who have experienced trauma: safety; trustworthiness and transparency; peer support; collaboration and empowerment; choice; and cultural, historical, and gender sensitivity (SAMHSA, 2014). Incorporating these principles allows trauma-informed care to shift the focus from “what is wrong with you?” to “what happened to you?” (Sweeney et al., 2018). This focus allows for a client-centered approach to best assist individuals to address their trauma. 62% of adolescents have been exposed to at least one lifetime traumatic …

Mental Health And Substance Use Interventions Within Muslim Community Spaces: A Community Based-Participatory Research Proposal, Halah Mansour Alayleh

Master's Projects and Capstones

Background. Muslim Americans face significant mental health and substance use challenges compounded by Islamophobic discrimination, cultural stigma, and barriers to accessing culturally competent services. They also significantly underuse professional mental health services. Purpose. This study aims to collaborate with Muslim communities within the San Francisco Bay Area to develop a replicable intervention framework for addressing mental health and substance use stigma within mosques and other Muslim community spaces. Methods. The proposal uses a community-based participatory research (CBPR) methodology while integrating the theory of planned behavior (TPB) and stigma theory in the framework. This proposal outlines the four phases of intervention …

Advancing Mental Health Awareness Among Persons Of Color: An Occupational Therapy Perspective, Irene Rattitham, Cassandra Nelson

Summer 2025 OTD Capstone Symposium

This capstone project aimed to advance mental health awareness among persons of color (POC) residing in a skilled nursing facility by developing and implementing a culturally responsive psychoeducational program. Informed by the Person-Environment-Occupation (PEO) model, trauma-informed care, and mindfulness-based practices, the program addressed barriers such as stigma, limited awareness, and cultural perceptions of mental health. A needs assessment guided the creation of an 8-module curriculum covering topics like emotional regulation, family involvement, and accessing support. Educational materials were translated into Spanish, Korean, Japanese, and Vietnamese to enhance accessibility. The program was delivered through group and individual sessions, in-service presentations, and …

“All Together”: A Case Study Demystifying Patient And Public Involvement (Ppi) In Brief Psychological Interventions Within A Community Mental Health Service For Adults In The Uk, Molly H. Nadel, Katherine Parkin, Stephanie Casey, Rachel Maciag, Alice Xie, Mu-Yin Chang, Youngsuk Kim

Patient Experience Journal

The importance and value of involving patients and the public in the decision-making processes within services designed to support them, and research projects aimed at understanding and improving those services, have long been established. This is often referred to as Patient and Public Involvement (PPI). However, establishing good quality involvement work in practical terms is often less well understood and therefore, the uncertainty surrounding this can lead to hesitation by clinicians in practice. In this paper, we will share our lessons learned and the practical outcomes of PPI when applied in an NHS community mental health service for adults. We …

Integrating Mental Health And Pastoral Counseling At Calvary Baptist Church, Jacqueline Y. Ghee

Doctoral Dissertations and Projects

There is a critical need to provide mental health support to the congregation in the Black church, especially at Calvary Baptist Church. During the research study, the participants have made it clear that they need more support when it comes to emotional help for those who are facing mental health challenges. To address this, initiatives such as mental health training for clergy, establishing support groups, or partnering with mental health professionals can be implemented. Based on the outcome of the one-on-one interviews, the focus group participants from Calvary shared their disappointment with the pastor and leaders for not being able …

The Title Of My Project: Screen Time And Children's Health, Elisabeth Hernandez

Doctoral Dissertations and Projects

Excessive screen time is harmfully affecting families emotionally, physically, and mentally (Brindova et al., 2014). Eating habits, physical exercise, sufficient sleep each night, and communication with family and peers are increasingly declining as screen time is increasing (Siegle, 2017). With the rise in screen time, young people are spending more time alone (Gingold et al., 2014). Behrens et al. (2019) “explored the cause of anxiety and depression in children as it relates to the use of technology” (p. 474). Since the increase in technological advances, there has also been an increase in cyberbullying. “Setting limits on the amount of time …

A Phenomenological Study Exploring The Indirect Impact Of Killings Of Unarmed African Americans By Police On African American Women, Deantonie E. Price

Doctoral Dissertations and Projects

The purpose of this phenomenological study was to understand the indirect impact of police killings of unarmed African Americans on the mental and emotional well-being of African American women. This research aimed to fill a significant gap in the literature, which has been largely overlooked by focusing on the specific experiences of African American women. The central research question explored how these women articulated and experienced the emotional and psychological effects of police killings within their communities. A qualitative phenomenological approach was used to explore the complexities of individuals' perceptions, emotions, and lived experiences. Data collection included in-depth interviews, a …

Improving Collaboration With Hospital Security And Nursing Staff, When Treating Patients In Acute Crisis, By Implementing A Modified Sbar Card., Yuna Choi

Doctor of Nursing Practice Papers

Inpatient psychiatric units provide assistance to patients experiencing acute mental health crises such as psychosis or suicidal ideation. Patients experiencing acute mental health crises can sometimes become agitated or aggressive towards staff, themselves, or other patients, which can pose a significant risk to everyone’s safety. The purpose of the project is to improve staff satisfaction and collaboration by standardizing the interdisciplinary communication between hospital security and nursing staff. Over a period of two weeks, the facilitator educated security and unit staff on a SBAR card during shift huddle to implement on the unit in the event of an acute mental …

Mind Mentor, The Workplace Mental Health Navigator: Evaluating The Utility Of A Self-Paced Web-Based Mental Health Awareness Training For Supervisors, Lauren Offermann

Theses, Dissertations and Culminating Projects

The growing prevalence of mental health challenges in the workplace – such as anxiety and depression, burnout, suicide, and substance abuse – has increased demand for evidence-based supervisor training programs that promote psychological well-being. This study evaluated the effectiveness of Mind Mentor: The Workplace Mental Health Navigator, a 1.5-hour, web-based, self-paced adaptation of the Mental Health Awareness Training (MHAT; Dimoff, 2016) for supervisors. The training aimed to enhance mental health knowledge, awareness, self-efficacy, and supportive behaviors among U.S.-based supervisors with at least one direct report. Using a pre/post/follow-up design (baseline N = 51, immediate post-test N = 35, and 4-week …

Cultural Adaptation Of The Act Guide For Immigrant Community Members, José Manuel González Vera

All Graduate Theses and Dissertations, Fall 2023 to Present

Undocumented immigrants face many challenges that can harm their mental health, such as anti- immigrant policies, the threat of deportation, and difficulty accessing mental health care. Online mental health programs can make mental health care more accessible. The ACT Guide is a self-paced online tool designed to help with anxiety and depression. While it has mainly been used by white college students, similar ACT-based programs have been effective for diverse communities worldwide. The first paper was focused on gathering feedback from community members and Latine psychologists. This was done in partnership with United We Dream (UWD) and the Latinx Immigrant …

Examining The Predictive Validity Of Adolescent Complete Mental Health On High School Academic Performance, Nai-Jiin Yang

All Graduate Theses and Dissertations, Fall 2023 to Present

This multiple-paper dissertation examines how adolescent complete mental health, based on the Dual-Factor Model, predicts high school academic performance. The Dual-Factor Model considers both psychological distress (such as internalizing and externalizing symptoms) and subjective wellbeing (such as life satisfaction and positive affect). The main research objective is to determine whether this comprehensive framework offers stronger predictive power for academic success than symptom-based approaches alone.

Two studies were conducted using self-report mental health data collected at three time points during an academic year. These data were analyzed alongside end-of-quarter grade point averages in English Language Arts, math, and overall GPA using …

Negative Affect And Cannabis Use Outcomes In College Students: The Mediating Effect Of Protective Behavioral Strategies, Morgan Haga

Master's Theses

Particularly considering the ongoing changes in legalization, there has been a growing prevalence of cannabis use among college students. Similarly, students have endorsed increased mental health concerns following the COVID-19 pandemic. Resulting in a cycle of harmful use, research has supported a positive relationship between negative affect and cannabis-related negative outcomes. Protective behavioral strategies for marijuana (PBSM) have been successful in reducing cannabis-related negative outcomes; however, the frequency and utility of PBSM use for students experiencing increased negative affect is unknown. Participants included 330 college students (M_age = 19.17) from 12 U.S. universities who were predominately White non-Hispanic …

Emotional Pathways To Trauma: Racialized Policing And Psychological Distress In Black Adolescent Males, Rochelle S. Parrish

All Theses

Introduction: Black American males, including adolescents, are disproportionately subjected to aggressive policing, often without criminal wrongdoing (Geller et al., 2014; Sewell et al., 2016). These encounters are frequently described as traumatic, marked by fear, loss, and emotional disruption (Smith Lee & Robinson, 2019). Whether direct or vicarious, such experiences can produce lasting psychological effects, particularly among Black boys who face compounded vulnerability from racialized surveillance and community-level trauma (DeVylder et al., 2018; Smith & Patton, 2016). Proactive policing tactics, such as investigatory stops and verbal aggression, have been linked to symptoms consistent with post-traumatic stress disorder (PTSD), including hypervigilance, avoidance, …

Ed-Filter: Dynamic Feature Filtering For Eating Disorder Classification, Mehdi Naseriparsa, Suku Sukunesan, Zhen Cai, Osama Alfarraj, Amr Tolba, Saba Fathi Rabooki, Feng Xia

Research outputs 2022 to 2026

Eating disorders (ED) are critical psychiatric problems that have alarmed the mental health community. Mental health professionals are increasingly recognizing the utility of data derived from social media platforms such as Twitter. However, high dimensionality and extensive feature sets of Twitter data present remarkable challenges for ED classification. To overcome these hurdles, we introduce a novel method, an informed branch and bound search technique known as ED-Filter. This strategy significantly improves the drawbacks of conventional feature selection algorithms such as filters and wrappers. ED-Filter iteratively identifies an optimal set of promising features that maximize the eating disorder classification accuracy. In …

Efficacy Of Digital Mental Health Interventions For Attention-Deficit Hyperactivity Disorder: A Meta-Analytic Review Of Randomised Controlled Trials, K. T. A. Kasturiratna, Andree Hartanto, Angel Khaterina Lee, Charmaine Jiali Koh, Nadyanna M. Majeed

Research Collection School of Social Sciences

Attention-Deficit Hyperactivity Disorder (ADHD) is a prevalent neurodevelopmental disorder that significantly impacts various facets of life. While traditional treatments such as medication and behavioural therapy are effective, they often fall short due to limited access and undesirable side effects. In response to these limitations, digital mental health interventions have emerged as a transformative approach in alleviating ADHD symptoms. The current meta-analysis investigates the effectiveness of digital mental health interventions for ADHD synthesising data across 23 randomised controlled trials, with 99 effect sizes across 1,472 participants. Results showed small, significant effects of digital mental health interventions in reducing overall ADHD symptoms …

Give Me A Break: Exploring The Use Of A Reset Room On Secondary School Students And Resilient Practices In Tennessee, Alex White

Electronic Theses and Dissertations

The culmination of toxic stress and social-emotional instability can result in significant challenges for students. Incorporating an appropriate response to address the social-emotional needs of students must be a priority if schools seek to see improvements in attendance, discipline, and ultimately academic success. Resilient middle and high schools recognized the need to create innovative spaces for students to learn how to self-regulate challenging emotions during the school day. The purpose of this quantitative research study was to investigate the relationship between chronic absenteeism, office disciplinary referrals, and the use of Resilient Schools Reset Rooms in middle and high schools from …

The Associations Of Childhood Adversities And Mental Disorders With Suicidal Thoughts And Behaviors - Results From The World Mental Health International College Student Initiative, Philippe Mortier, Xue Yang, Yasmin Altwaijri, Jacob Holdcraft, Nancy Sampson, Yesica Albor, Ahmad Alhadi, Jordi Alonso, Nouf Al-Saud, Lukoye Atwoli

Internal Medicine, East Africa

Objective: To investigate the associations of demographic variables, childhood adversities (CAs), and mental disorders (MDx) with onset, transition, and persistence of suicidal thoughts and behaviors (STB) among first-year university students.

Method: Poisson regression models within a discrete-time survival framework were constructed using web-based self-report survey data from 72,288 incoming university students across 18 countries (response rate=20.9%; median age=19 years, 57.9% female, 1.4% transgender, 21.0% non-heterosexual). These models examined the associations of four demographic variables, five CAs, and eight MDx with STB outcomes.

Results: Lifetime prevalence of suicidal ideation, plans, and attempts was 47.0%, 26.0%, and 9.6%, respectively; 12-month estimates were …

The Impact Of The Covid-19 Pandemic On The Lives Of Individuals In Kuwaiti Society During Curfew, Hend Batel Al-Ma’Seb, Maha Meshari Al-Sejari

Journal of Arts and Social Sciences

The main aim of this study is to assess the extent to which the Covid-19 pandemic has affected individuals in Kuwaiti society in its various aspects, such as economic conditions, social relations, personal hygiene, and physical health, which are determined by demographic factors such as age, gender, marital status, and level of education. The study employed a descriptive approach and recruited 703 individuals who lived in Kuwait during the pandemic. The main tool used was an online questionnaire. This questionnaire consists of several sections, including an introduction, demographic information about respondents, and a scale of the impact of the pandemic …

Seeking Existential Meaning In The “Sea Of Trees:” A Qualitative Exploration In The Depths Of Japan’S Aokigahara “Suicide” Forest, Sophia Bates

Masters Theses, 2020-current

This thesis explores the intercultural perceptions of suicidality and the role that these perceptions have on meaning of life in Japanese culture through an exploratory, autoethnographic analysis of my journey walking through Japan’s Aokigahara “suicide” Forest. In June 2024, I traveled to Fujikawaguchiko, Japan to conduct an autoethnographic analysis of my experiences walking through Aokigahara Forest using shinrin-yoku and mindful walking (Jung, 2014) as supplemental research methodologies to make empirical observations and take notes on my journey walking through suicide forest as an embodied sensory experience. Drawing upon the research and ideas of cultural anthropologist and existential philosopher Ernest Becker, …

Understanding The Experiences And Perceptions Of Faculty Supporting Undergraduate Students With Mental Health Challenges, Jenna Ranee Parbati Jamieson

Dissertations

College is a big adjustment for students, and it doesn't come without its challenges, including being in a new place with new responsibilities. This is a stressful time that presents new obstacles and frustrations that can lead to increased stress, anxiety, depression, and mental health challenges that may cause faculty to engage and support undergraduate students with mental health challenges. As students adjust and transition to college, it is vital for university faculty to feel confident and comfortable supporting students from diverse backgrounds with varying levels of distress. By interviewing faculty, a better understanding of their lived experiences and perceptions …

Addressing Anxiety And Depression In The Allergy Clinic Through Motivational Interviewing, Brief Cognitive Behavioral Therapy, And Curious Questions, Marylee Verdi, Dominic Candido, Juliette Madan, Jonathan A Bernstein, Don Bukstein, Aikaterini Anagnostou, Matthew Greenhawt, S Shahzad Mustafa, Julie Wang, Anna Nowak-Wegrzyn, Elissa M Abrams, John Oppenheimer, Alexandra E Conway, Andrew A White, Taylor A Doherty, Richard P Morse, Marcus Shaker

Faculty, Staff and Students Publications

Allergic diseases, particularly food allergy, can be associated with significant psychosocial impairment. Allergist-immunologists can provide evidence-based information to correct misperceptions and misunderstandings regarding food allergy that may perpetuate cycles of fear and anxiety. Whereas motivational interviewing can be an empathetic approach to empower patients to actualize health goals, cognitive behavioral therapy (CBT) aims to provide disease-state insight to facilitate an understanding of risk that can transform health beliefs and behaviors. Brief CBT is a clinical approach that can help address ineffective management paradigms through conversations that begin with curious questions. In this review, we discuss evidence supporting implementation of an …

Bridging Psychiatry And Rare Genetic Diseases: A Scoping Review Of Therapeutic Strategies And Diagnostic Delay Paired With Healthcare Economic Burden Analysis, Sheldon R Garrison, Isaac J Siegel, Christopher R Takala, Sarah L Vaithilingam, Gene W Yang, Anthony W Zoghbi, Madeline M Hartig, Sreya Vadapalli, Margaret E Anderson

Duncan NRI Faculty and Staff Publications

Rare genetic diseases (RDs) with primary neuropsychiatric symptoms pose unique challenges for diagnosis and management. While the majority of these RDs have neuropsychiatric symptoms that are secondary to the RD, a subset presents with primary neuropsychiatric symptoms directly linked to their underlying pathophysiology. This subset has significant unmet medical need with delayed diagnoses leading to prolonged delays in treatment optimization and the trialing of medications that fail to target the underlying pathophysiology. This comprehensive review identifies 108 RDs with central neuropsychiatric symptoms that have a 7.7-year average diagnostic delay. Optimal management strategies for these RDs typically includes non-psychotropic medications, dietary …

Assessment Of Mental Health Needs For Chronically Unhoused Individuals Living In A Bridge Housing Community, Isabel Furse Augur

Graduate Theses and Dissertations

Higher rates of psychopathology and substance use are reported in individuals experiencing homelessness compared to the general population, especially in those who are chronically unhoused. Chronically homeless individuals are also less likely to access treatment for these problems because of barriers to care. Addressing housing needs is an important first step in engaging people who are homeless with the care they need. This project focused on assessing the mental health needs of a Housing First community in Northwest Arkansas, which has few barriers for entry but does not provide direct support for mental health. This project adopted a community-based participatory …

Direct And Indirect Associations Of Childhood Adversities With Functional Impairment And Life Stress Among Military Personnel, Laura Campbell-Sills, Emily R. Edwards, Sam D. Strizver, Karmel W. Choi, Jason D. Kautz, Santiago Papini, James A. Naifeh, Pablo A. Aliaga, Paul B. Lester, Ronald C. Kessler, Robert J. Ursano, Murray B. Stein, Paul D. Biese

Faculty Publications

Background

Adverse childhood experiences (ACEs) are associated with physical and mental health difficulties in adulthood. This study examines the associations of ACEs with functional impairment and life stress among military personnel, a population disproportionately affected by ACEs. We also evaluate the extent to which the associations of ACEs with functional outcomes are mediated through internalizing and externalizing disorders.

Methods

The sample included 4,666 STARRS Longitudinal Study (STARRS-LS) participants who provided information about ACEs upon enlistment in the US Army (2011–2012). Mental disorders were assessed in wave 1 (LS1; 2016–2018), and functional impairment and life stress were evaluated in wave 2 …

• Social Media Use Among Undergraduate Women: Associations With Body Image, Disordered Eating, And Well-Being, Kirsten P. Peterson

Psychology ETDs

Though prior research has identified a range of negative impacts associated with social networking site/app (SNS) use, these effects vary and are often attributed to specific aspects of SNSs rather than time spent on them. The current study examined relations between SNS use and various psychological outcomes (i.e., body appreciation, body dissatisfaction, eating pathology, depression, and self-esteem) and how these may differ by platform, proportion of image-based content, image subjects, and passive (relative to active) use. Worse outcomes were anticipated for individuals who primarily used appearance-focused platforms and those with greater exposure to image-based content, self or celebrity images, and …

Implications And Recommendations For Counselors And Counselor Educators Dealing With Personal Mental Health Concerns And Suicidality, Julie C. Hill

Counseling, Leadership, and Research Methods Faculty Publications and Presentations

The purpose of this article is to review the available literature on mental health among counselors and other helping professionals, as well as help-seeking behaviors. One counselor educator/counselor’s experience seeking treatment for mental health concerns in an inpatient setting will be shared. Implications for counselor educators and counselors to better recognize warning signs for themselves and encourage help-seeking behaviors will be discussed.

Anxious Traits Intensify The Impact Of Depressive Symptoms On Stigma In People Living With Hiv, Alexia Koukopoulos, Antonio Maria D'Onofrio, Alessio Simonetti, Delfina Janiri, Flavio Cherubini, Paolo Vassalini, Letizia Santinelli, Gabriella D'Ettorre, Gabriele Sani, Giovanni Camardese

Faculty, Staff and Students Publications

Background/Objectives: Despite medical advances, stigma remains a major challenge for people living with HIV (PLWH). This study examined clinical, sociodemographic, and psychological predictors of HIV-related stigma, and explored whether affective temperament moderates the impact of depression on stigma.

Methods: This cross-sectional observational study included 97 PLWH attending a tertiary infectious disease unit in Rome, Italy. Participants completed a battery of validated psychometric instruments assessing depressive symptoms, anxiety, manic symptoms, mixed affective states, general psychopathology, impulsivity, and affective temperament. HIV-related stigma was evaluated using the Berger HIV Stigma Scale, which measures personalized stigma, disclosure concerns, negative self-image, and concerns …

Insights From The Front Line: Uplifting Stories Of The Covid-19 Pandemic Through The Eyes Of The Public Health Workforce In Iowa, Heidi Haines, Amanda Sursely, Hanh Pham, Rylee Beltran, Daniel K. Sewell, Lina Tucker Reinders, Natoshia Askelson, Sarah Dixon, Kaitlin Emrich, Christine Estle, Michelle Lewis, Jimmy Reyes

Faculty Publications

Introduction: SARS-CoV-2 was declared a pandemic in March 2020. Studies have characterized some of the negative impact of the pandemic on public health workers (PHW), but few have explored the strength and coping strategies used. Our study documents the experiences of PHW in Iowa during the pandemic. Methods: We used an innovative mixed methods data collection tool, SenseMaker^® to gather stories from PHW in Iowa between March and July 2022. Participants provided additional data about their story via structured follow-up questions. We conducted descriptive analyses of the quantitative questions. A qualitative thematic and sentiment analysis was applied to all …

Act With Nmosd: A Targeted, Telehealth-Delivered Mental Health Intervention For Patients & Caregivers, Darcy C. Esiason, Patrick J. Smith, Charles L. Peppers, Emily Wakschal, Leigh Andrews, Chelsi N. Nurse, Hallie M. Kushner, Christopher F. Drescher, Heather Bruschwein, Wendy Erler, Tom Hattrich, Ankita Deshpande, Michael Levy, Thomas P. Leist, C. Virginia O'Hayer

Department of Psychiatry and Human Behavior Faculty Papers

PURPOSE: The rare, unpredictable, debilitating nature of neuromyelitis optica spectrum disorder (NMOSD) constitutes a unique psychological burden. This single-arm, pilot clinical trial examined the effectiveness of Acceptance and Commitment Therapy (ACT) tailored to meet the psychological burden of NMOSD, a brief telehealth-delivered intervention, targeting this burden.

METHODS: Forty-three adults with NMOSD (76 % aquaporin-4 seropositive (AQP4+)) in USA, with elevated anxiety and/or depression completed 6-weeks of an experiential talk therapy designed to increase psychological flexibility and valued action, specifically tailored to address the psychological burden of NMOSD: Acceptance and Commitment Therapy (ACT) w NMOSD. Patients attended via Zoom, along with …

Understanding The Willingness Of Christian Ethnic Minority Student-Athletes To Seek On-Campus Mental Health Services: A Mixed Methods Approach, Benael J. John-Rose

Doctoral Dissertations and Projects

Romans 12:1 tells Christians that their unique physical abilities are gifts from God that should be used to honor Him (New International Version Bible, 1978/2011). Christian racial/ethnic minority student-athletes (CMSAs) often navigate complex intersections of spirituality, identity, and stigma in relation to mental health. Despite growing research in biopsychosocial-spiritual (BPSS) models, CMSAs remain underrepresented in mental health literature. This mixed-methods study explored the willingness of CMSAs to seek on-campus mental health services at a public university in the Southwestern United States. Data was collected through a web-based survey (N = 20) and semi-structured interviews with a subset of participants (N …