Digital Commons Network^™

The Relationships Between Behavioral And Sociocultural Constructs And Electronic Nicotine Delivery Systems (Ends) And Cannabis Patterns In Hispanic Young Adult University Students, Kevin Sandoval Medina

Open Access Theses & Dissertations

The proliferation of both electronic nicotine delivery systems (ENDS) and cannabis has contributed to a concerning trend of dual usage, posing a greater public health risk, particularly pronounced among at-risk populations of increased substance use, such as Hispanic young adult college students. This study utilized the socioecological framework and social cognitive theory to observe behavioral and sociocultural constructs associated with dual use and identify potential risk and protective factors. Four hundred and twenty-one Hispanic young adult university students completed a cross-sectional survey assessing sociodemographics, depression, anxiety, stress, familism, acculturation, self-efficacy, and past month dual use and dual use recency of …

A Cross-Sectional Examination Of Rejection-Identification And Collective Action Among Latino College Students Following The Walmart Shooting In El Paso, Xavier Vera-Adrianzen

Open Access Theses & Dissertations

Objectives: The present study aimed to test predictions derived from the rejection-identification model and collective action perspectives. Using a cross-sectional design, hypothesis 1 examined whether ethnic identification mediated the association between perceived discrimination and psychological distress, and hypothesis 2 examined whether attitude toward activism moderated the mediating effect of ethnic identification on the association between perceived discrimination and issue-specific activism. Method: 372 (77.4% female; Mage = 20.9 years, SD = 4.2) Latino undergraduate students from the University of Texas at El Paso (UTEP) completed an online survey within approximately two years after the El Paso Walmart shooting, the deadliest attack …

School Leadership Insights And Practices: Understanding Bullying Prevention Strategies Among Educational Teachers In Private And Public Schools Across The Uae, Wissal Mohsen

Thesis/ Dissertation Defenses

This thesis investigates the detrimental effects of bullying on students, including impacts on their mental health, academic performance, and overall well-being. Addressing this issue necessitates a proactive strategy involving school leaders, teachers, and parents. Data were collected through a questionnaire, with selected items employing a 5-point Likert scale and others utilizing a multiple-choice format. Analysis was conducted using SPSS software, encompassing statistical tests such as descriptive statistics, one-way ANOVA, t tests, and logistic binary regression. The t test indicated that leadership practices implemented to prevent bullying in both public and private schools were highly effective and statistically significant (p < .05). This research contributes to understanding how school leadership and teacher involvement influence the efficacy of bullying prevention strategies. By incorporating quantitative methodologies, the study provides a comprehensive examination of school policies, bullying awareness initiatives, and reporting systems. Findings highlight the importance of adopting context-specific approaches to bolster bullying prevention efforts within schools. Future research combining qualitative and quantitative analyses may yield deeper insights into real-world challenges encountered in bullying intervention strategies, thereby bridging the gap between policy formulation and practical implementation to ensure anti-bullying programs are effective and culturally relevant.

Sexual And Gender Minority Individuals In Our Community: Policy Recommendations To Address Discrimination-Related Stresses, Emylia N. Terry

Lincy Institute Events

Sexual and gender minority (SGM) individuals face a wide range of mental and physical health challenges, which contribute to higher rates of suicide. SGM individuals encounter distress, discrimination, and in some cases, harmful anti-LGBTQIA+ laws and policies that contribute to additional mental and physical health stress. A web-based survey of 1,034 SGM participants in the United States measured the types and frequency of discrimination occurrences and related distress. The survey considers the variety of interactions between individuals and their relationships, while also measuring the community and societal factors that affect health outcomes for SGM individuals. This research evaluates many variables …

Traumatic Grief: Understanding Its Psychological Impact And The Role Of Therapeutic Interventions, Theresa C. Xiong

Master of Arts in Human Services

Abstract

This paper explored the psychological and emotional effects of traumatic grief, focusing on its impact on individuals who experienced sudden or violent loss. Traumatic grief is often linked to mental health conditions such as Post-Traumatic Stress Disorder (PTSD) and Prolonged Grief Disorder (PGD), which can greatly affect a person's emotional and psychological well-being. The paper examined the effectiveness of Cognitive Behavioral Therapy (CBT) and Trauma-Focused Therapy (TFT) in treating these conditions, focusing on how these therapies address both trauma and grief at the same time. Additionally, the literature review highlighted the importance of early intervention in reducing the long-term …

The Overlooked Experience: Black Females Seeking Mental Health Services On Hbcu Campuses, Shanta' Atkinson

Walden Dissertations and Doctoral Studies

Researchers have identified a variety of invisible barriers, including Strong Black Woman (SBW), stigma, and religion, that exist for Black females who would be seeking mental health services. There is minimal qualitative data to identify the treatment barriers that Black females experience when seeking mental health services. The experiences of Black females seeking mental health services on HBCU campuses have not been the sole focus of research. The purpose of this hermeneutic phenomenological study was to fill the gap in the literature by exploring the lived experiences of Black females on HBCU campuses who have sought mental health services on …

Depressive Symptoms And Associated Factors Among Men Who Have Sex With Men In Malaysia, Fiora Lena

Honors Scholar Theses

There is a high prevalence of mental health issues, including depressive symptoms, among men who have sex with men (MSM) globally. Such a study has not been done in Malaysia, a setting where stigma and discrimination are particularly high and same-sex behaviors are criminalized. While HIV and sexual behavior among MSM in Malaysia are well studied, their depressive symptoms remain underexplored. Therefore, the purpose of this study was to determine the proportion of MSM in Malaysia who experience depressive symptoms. In this study, we conducted a secondary data analysis of the baseline data of the Project JomPrEP, which is a …

Mental Health Courts: An Assessment Of Eligibility Criteria, Service Characteristics, And Public Opinion, Emily Suiter

Theses and Dissertations

Mental health courts, a type of specialty court targeting justice-involved persons with mental illness, have become prominent across the United States. Using a therapeutic jurisprudence approach, these courts largely operate independently with no guiding framework, leading to varied practices. Additionally, public opinion on mental health courts is unknown, causing potential problems as these courts are rapidly expanding and funded, at least partially, through taxpayer dollars. Chapter One of this dissertation provides a framework for the remainder of the dissertation. Chapter Two is a detailed literature review of relevant theories and past research regarding mental health courts. Chapters Three and Four …

Fatigue Level Associated With Quality Of Life For Prostate Cancer Patients: Results From The All Of Us Research Program, Hui-Yi Lin, Masuma Mannan, Yu-Wen Chiu, Ya-Hsin Li, Rajasree P. Chowdry, Tung-Sung Tseng

School of Public Health Faculty Publications

BACKGROUND/OBJECTIVES: Prostate cancer (PCa) patients frequently experience extended survivorship, highlighting the importance of quality of life (QoL) in cancer care. QoL has been shown to influence survival and PCa progression. For PCa patients, fatigue is a common issue due to cancer itself or its treatments. However, many QoL studies on PCa patients are limited by small sample sizes in clinic settings and often overlook the impact of fatigue and health-related behaviors. To fill this gap, this study aims to evaluate fatigue associated with QoL and related health measures among PCa patients. METHODS: This study used the All of Us cohort …

Assisted Outpatient Treatment: A State-By-State Comparative Review, E. Lea Johnston, Autumn Klein

Cleveland State Law Review

Assisted outpatient treatment, otherwise known as preventive outpatient commitment, is rapidly expanding across the United States, aiming to address mental health needs and reduce homelessness, hospital costs, and community violence. Since 2019, fifteen preventive outpatient commitment statutes have been passed or expanded. These statutes, which authorize courts to mandate community treatment for nondangerous individuals with mental illnesses, have evaded close scrutiny, rest on misconceptions, and raise significant constitutional concerns. An analysis of legislative debates, court opinions, and scholarship reveals a fundamental misunderstanding about the prevalence of these laws, which contributes to their speedy passage. Additionally, no analysis exists of these …

Improving Access To Mental Health Care Using Telehealth, Lavern Palmer

Doctor of Nursing Practice Projects

More than half of adults with mental illness in the United States live in mental health deserts—geographic areas with limited access to mental health services and persistent barriers to care. This study investigates the impact of telehealth implementation on patient no-show rates at a rural community clinic in Georgia. The aim was to determine whether the use of telehealth for psychiatric care would decrease the no-show rate of mental health appointments. A retrospective analysis was conducted using patient attendance logs collected 12 weeks before and after the implementation of telehealth services. Quantitative data were analyzed using a Pearson correlation to …

The Inner Blueprint: Unlocking Your 24/7 Potential, Mackenzie Zurcher, Becky King

Spring 2025 OTD Capstone Symposium

Inner Blueprint is a trauma-informed, occupation-based intervention designed to address the complex needs of adolescent girls with histories of trauma, substance use, and mental health conditions. Grounded in occupational science, the program emphasizes the integration of brain function, sensory processing, emotional regulation, and hormonal influence to promote self-awareness, resilience, identity development, self-worth, and functional independence. The intervention incorporates manualized content delivered through interactive group activities, reflective exercises, and routine-based skill building to support gains in emotional regulation, self-concept development, and daily life performance. A central therapeutic emphasis is placed on enhancing interoceptive awareness and empowering participants to recognize that their …

Fictional Failures And Real-World Lessons: Ethical Speculation Through Design Fiction On Emotional Support Conversational Ai, Fayle Kollig, Jessica Pater, Fayika Farhat Nova, Casey Fiesler

Health Services and Informatics Research

Conversational artificial intelligence (CAI), which replicates human-to-human interaction as human-to-machine, is increasingly developed to address insufficient access to healthcare. In this paper, we use design fiction methods to speculate on ethical consequences of CAI that offers emotional support to complement or replace mental healthcare. Through a near-future news article about a fictional, failed CAI, we explore safety and privacy concerns associated with mismatches between what an emotional support CAI is advertised to do, what it technically can do, and how it is likely to be used. We pose the following questions to researchers, regulators, and developers: How might we jointly …

An Ot Program For Amputation Individuals And Their Caregiver, Ashley Hradecky, Cassandra Nelson

Spring 2025 OTD Capstone Symposium

Amputation individuals and their caregivers currently lack sufficient education regarding residual limb management, limb positioning, mental health, and phantom limb pain. These gaps in health management skills ultimately result in relationship strains, technology abandonment, and decreased independence. The goal was to develop and implement an educational program for new amputation individuals and their caregivers targeting these topics. Six pairs successfully completed this four-week program, with each pair responding to pre and post surveys. Interventions included lower extremity positioning, prosthetic care management, residual limb management, mirror therapy, transcutaneous electrical nerve stimulation, and tactile point discrimination. When comparing the pre and post …

Sexuality: Issues In Adulthood, Taylor D. Michl, Amanda Kracen

Essays in Developmental Psychology

Human sexuality in Western cultures is generally comprised of emotional intimacy, sexual identity, and sexual behavior. Sex is understood and experienced differently by people as aspects of identity (e.g., culture, race, class, gender, ability, size, religion, sexual identity) affect sexuality. Although engaging in sex is not necessary for a fulfilling life, the majority of adults in the U.S. participate in sexual activity, and regular sexual activity correlates with improved mental health (Brody, 2010).

Hegemonic Masculinity: Exploring How Asian And Pacific Islander Emerging Adult Males Describe Masculinity, Eman'on Wanderer

Walden Dissertations and Doctoral Studies

The phenomenon of hegemonic masculinity presents a significant mental health concern among diverse emerging adult males. This generic qualitative study was an exploration of the perspectives of Asian and Pacific Islander emerging adult males regarding their descriptions of masculinity. Gender schema theory (GST) is the foundational framework of this study. Rooted in social cognitive theory, GST exemplifies how environmental factors shape the initial development of gender identity and the enduring effects this gendering has on cognitive processes throughout an individual's life. The primary research question in this study was: How do Asian and Pacific Islander emerging adult males describe masculinity? …

Electronic-Based Determinants Of Health Screening On An Inpatient Behavioral Health Unit, Anyaku O. Okpara

Dissertations

Problem: Approximately 14.1 million Americans are diagnosed with a Serious Mental Illness (SMI). These individuals experience death 10-20 years earlier compared to the general population, primarily due to chronic medical comorbidities and unmet health-related social needs (HRSNs). Mortality rates, increased healthcare utilization, and frequent readmissions in patients with multiple, unmet HRSNs are likely to remain high unless developments such as the incorporation of standardized, multi-domain, social determinants of health (SDOH) screenings into electronic health records (EHRs). The purpose of this quality improvement (QI) project, guided by the Institute for Healthcare (IHI) model for change utilizing the Plan-Do-Study-Act (PDSA) cycle, was …

Exploring The Role Of Occupational Therapy In Collegiate Athlete Mental Health Care: A Concept Analysis, Jacquelyn Arnett, Lesley Khan-Farooqi

Spring 2025 OTD Capstone Symposium

Adverse mental health outcomes in collegiate athletes are on the rise in the United States, prompting concerns about the impact of external surroundings on their well-being. Occupational therapy (OT) is a profession that specializes in environmental- and occupation-centered intervention, approaches to mental health care not currently being utilized in collegiate athlete populations. Despite these potential benefits, OT practitioners (OTPs) are not an established member of the care team in current athlete mental health care structures, likely because many stakeholders do not understand the unique services OTPs can offer. Walker and Avant’s eight-stage concept analysis was employed to examine the role …

Supporting Students Who Support Students: Creating Systems Of Care For Resident Assistants (Ras), Landyn M. Teachout

Masters Projects

Resident Assistants (RAs) at institutions of higher education nationwide are responsible for creating community-building opportunities, engaging meaningfully with students, reporting and documenting concerns, generally ensuring the safety of on-campus students, and much more. RAs are expected to manage the mental, physical, and emotional needs of the students they supervise while simultaneously fulfilling other obligations they may face as students, friends, classmates, members of family units, and individuals in society. This project explores the mental and emotional toll the RA position plays on students who participate in the role. Particularly, this project investigates the needs of modern college students, the phenomena …

Self-Stigmatization And Shame Surrounding Ocd Health Outcomes, Emily A. Veasey

Psychology Presentations

Obsession Compulsion Disorder (OCD) is characterized as a disorder with persistent unwanted thoughts and repetitive behaviors that sooth these unwanted thoughts. Research has found that OCD, as a mental illness, is considered a concealable stigmatized identity (CSI), an identity that is hidden from others but still carries the burden of stigma. The goal of this review is to explore the negative consequences of stigmatization and its effect on health outcomes for people with OCD. A literature review was conducted using key words, “OCD”, “Stigmatization”, “Shame”, and “Treatment”. Health outcomes include both mental and physical. Our review found that OCD and …

Beyond The Mind: A Podcast Series Advocating For Mental Health Services And Addressing Anxiety In High Schools, Kennedy Coates, Sylvia Anderson

Howard University, Department of Occupational Therapy Capstone and Faculty Research

Date: 04/23/2025

Student Name: Kennedy Coates

Capstone Project Title: Beyond the Mind: A Podcast Series Advocating for Mental Health Services and Addressing Anxiety in High Schools

Capstone Faculty Advisor: Sylvia Anderson DHEd, MBA, OTR/L, CAPS

Abstract:

This project explores the challenges and research gaps related to adolescent anxiety in a high school setting. It aims to identify specific mental health needs and advocate for school-based interventions through the development of an educational podcast. The podcast offers practical strategies and resources for both students and school staff to further address anxiety. Data was collected through observation and a review of existing …

Resource Toolkit Development For Mental Health Awareness In School-Aged Children, Jessica L. Newton

Post-Professional Occupational Therapy Doctorate - Innovations in OT Symposium: Transforming Possibilities into Practice

Introduction: Mental health challenges are on the rise, and school-aged children often lack mental health services and education at an early age, which can lead to mental illness. Therefore, it is important to increase awareness of mental health challenges in school-aged children by educating individuals to reduce the stigma. Providing school and community-based resources to improve overall health and well-being is essential to combat the rise in mental illness in our communities.

Methods: A quality improvement (QI) design for product development and education was aimed at addressing this rising problem. The needs assessment results, current literature, evidence-based practices, and conceptual …

Religious Scrupulosity: The Law And The Gospel, Robert J. Chester

Senior Honors Theses

The clear distinction of the law and gospel for the salvation and justification of an individual, highly affects the minds, beliefs, and lives of those who suffer from religious scrupulosity. Religious scrupulosity is known as obsessional fears of thinking or behaving immorally against one’s religious beliefs. Religious scrupulosity affects many in the church, and is a form of obsessive/compulsive thought that can form due to improper emphasis of gospel truth. The way the church preaches and emphasizes certain points of the gospel can change the perception and understanding of many people in the world. The evident distinction between law and …

God’S Got Me:The Intersection Of Faith And Mental Healing, Bre'anna Coleman

Honors Theses

Due to the lack of healthcare accessibility and other factors within the Mississippi Delta, faith and the church is often utilized within African American communities in the area as a form of mental wellness. The Intersection of Faith and Mental Healing was a photo voice methodology project that highlighted how faith and mental healing intersect and impact African Americans within the Mississippi Delta. Through three prompts, six participants discussed mental health and how faith, location, and their identities shaped their views of mental wellness. Five participants were male with one female participant. Their ages ranged from eighteen to sixty five …

The Art Of Resiliency: Patient Stories Of Maternal Mental Health Experiences, Sara Santarossa, Becca Austin, Molly A. Bell, Samantha C. Henry, Ashley Inclima, Hailey Maddox, Tara G. Smith, Leah Copeland, Dana Murphy, Ashley Redding, Amy Loree

Journal of Patient-Centered Research and Reviews

As part of a Patient-Centered Outcomes Research Institute Eugene Washington Engagement Award aimed at improving capacity to address maternal mental health in research, this collection of stories describes experiences from six unique patient perspectives. Using motherhood as a common thread, these six stories weave together the patients’ challenges and barriers juxtaposed with their hopes and dreams. Exploring such topics as infant loss, expectations versus the reality of the postpartum experience, grief, loss of identity, loss of physical or emotional safety, advocacy, and perseverance through challenging maternal mental health experiences, these tales of resiliency leverage the voices and lived experiences of …

Road To Recovery: Reboot Recovery, Brooke Gephart

OTD Capstone Projects

This doctoral capstone project was completed in partnership with REBOOT Recovery, a non-profit organization dedicated to providing trauma healing through faith-based, peer-led courses. The purpose of this project was to create content to aid the participants and the leaders of REBOOT to overcome trauma and improve their well-being. Life guides were created to address feelings of anxiety and depression, substance use disorder, and provided education on implementing coping skills to help improve their daily functioning. Educational content was developed for leaders regarding the complexities of overcoming trauma for autistic people and highly sensitive people, to best equip leaders to assist …

Influence Of Collectivist Cultural Values On Occupational Roles And Mental Health Of First-Generation College Students, Guenne Sarmiento, Jazminne Orozco Arteaga

Spring 2025 OTD Capstone Symposium

First-generation college students (FGCS) from collectivist backgrounds often encounter unique challenges as they navigate academic duties alongside familial responsibilities. These challenges are influenced by collectivist cultural values (CCV), which prioritize family ties, community cohesion, and collective well-being. This capstone project utilizes the Kawa Model to illustrate the supportive and unsupportive factors in the lives of these students, examining how cultural expectations, occupational roles, and mental health intersect. It emphasizes the critical role of occupational therapy in unraveling and addressing these complexities.

Animal-Assisted Therapy With Children In Hospitals And Schools: A Systematized Review, Tantine Kendig

LSU Master's Theses

It has been demonstrated that animals can offer humans significant health benefits. Animal-assisted therapy (AAT) is a growing form of therapy used in various settings to enhance the health of children, encompassing both physical and mental wellness. The challenges of hospitalization and the school environment have been shown to pose different challenges for children, such as an increase in anxiety, stress, depression, and others that have the potential to affect their mental, physical, emotional, and social well-being. This study aimed to assess the effectiveness of animal-assisted therapy, specifically dog-assisted therapy, on children in hospital and school settings by conducting a …

Opening The Outdoors: Experiences Of Black, Indigenous, And People Of Color (Bipoc) Adults In Outdoor Occupations To Support Mental Health, Jasmine Reynoso, Amy Lyons-Brown

Spring 2025 OTD Capstone Symposium

This mixed methods study explores the experiences of Black, Indigenous, and People of Color (BIPOC) adults in exploring and engaging in outdoor occupations to support mental health. Through 15 survey responses and 2 semi-structured interviews, data was collected and analyzed using descriptive statistics and reflective thematic analysis. The findings revealed three overarching themes: Barriers to Outdoor Occupations, Facilitators to Encourage Participation, and Personally Experienced Benefits. Participants explained how outdoor activities contribute to improved mental health, emotional regulation, and a sense of holistic well-being. By addressing the gap in research on nature-based occupations within BIPOC communities, this study highlights the need …

Employee Wellness In Acute Mental Health Settings – An Occupational Therapy Perspective, Ethan Gross, Susan Macdermott

Spring 2025 OTD Capstone Symposium

This poster outlines a doctoral capstone project focused on addressing the holistic factors influencing patient recovery and well-being in acute mental health settings. A comprehensive needs assessment was conducted to identify knowledge gaps, sources of staff stress, and environmental barriers impacting occupational performance. Findings informed the development of a staff-focused program aimed at mitigating stressors and enhancing therapeutic engagement. In addition, a report will be created with evidence-based recommendations for physical environment modifications to support both patient and employee well-being and occupational participation