Digital Commons Network^™

Lesson Plan For Dataone Lifecycle’S “Describe” Stage Using Historical Data From The Alabama Insane Hospital Annual Report (Aihar) Collection, Marla Hertz, Tricia Martone

Libraries Professional Work

This activity will teach the value of documentation in research data management using real data from Alabama mental institutions. During the Describe stage of data management, the why, who, what, when, where, and how of the data is provided to improve the interpretation and reuse of research data. This lesson includes options to complete the activity in an analog or digital fashion and is appropriate for undergraduate students and up.

Learning outcomes:

• Learners will be able to articulate the value of documentation in data creation and sharing.
• Learners will be able to construct a data README to describe their data …

The Relationship Between Sleep And Mental Health, Lily Faucher

Psychology Student Publications

This paper looks at the relationship between sleep and mental health across the lifespan. Sleep is an essential process for our bodies to function. Understanding this relationship between sleep and mental health can help individuals to choose healthy habits and prioritize sleep as it is an important part of overall wellbeing.

Adverse Childhood Experiences Among Kenyan Adolescents: Psychometric Properties, Prevalence Rates And Correlates, Tom Osborn, Rosine Baseke, Faith Kamau, Winnan Munyasa, Christine Wasanga, Maureen Ngesa, Victoria Mutiso, Moses Nyongesa, Jasmit Shah, Zul Merali

Brain and Mind Institute

Background: Adverse Childhood Experiences (ACEs) have been consistently linked to poor mental health outcomes, yet research on their impact in low- and middle-income countries (LMICs) settings of Africa, remains relatively unexplored. In Kenya, where childhood adversity is widespread, there is a critical need to examine the validity of ACE measures and their associations with mental ill health. This study aimed to validate the Adverse Childhood Experiences questionnaire (ACE-10) in a Kenyan adolescent sample and assess its associations with symptoms of depression and anxiety, bullying, and sociodemographic factors.

Methods: Data was collected from N = 2,842 adolescents and young …

Regulating Psychological Wellness Grifters, Jennifer D. Oliva

Georgia State University Law Review

The rapid expansion of social media has transformed the delivery of psychological wellness advice, shifting mental health guidance from licensed professionals to digital influencers operating outside of traditional regulatory frameworks. As the global wellness industry surpasses $2 trillion, millions of Americans—particularly adolescents and young adults—consume mental health content from uncredentialed creators who often monetize psychological distress without professional oversight. Documented harms include misinformation about psychiatric medications, improper management of suicidality, unqualified diagnostic claims, and the migration of disciplined clinicians into unregulated “life coaching” roles.

This Article argues that state professional licensing regimes—governing psychologists, clinical social workers, professional counselors, and marriage …

Staying Off The Android’S Couch: Examining The Burgeoning Regulatory Response To Ai Chatbots In Mental Health Care, Hon. John G. Browning

Georgia State University Law Review

In 2023, the National Eating Disorders Association (NEDA) was forced to remove its AI chatbot “Tessa” from its help hotline after observations of the chatbot providing harmful advice to callers about eating disorders. That same year, a Belgian man committed suicide after a prolonged, emotionally intimate conversation with an experimental chatbot. Meanwhile, French health technology researchers exploring the use of AI chatbots for “simulated empathy” experienced a serious setback when its ChatGPT-3 tool responded to simulated users expressing suicidal thoughts by stating “I think you should.” Closer to home, American AI researchers using Meta’s Llama-3 caught the chatbot giving a …

The Relationships Among Neighborhood Disadvantage, Mental Health And Developmental Disabilities Diagnoses, And Race/Ethnicity In A U.S. Urban Location, Deborah Winders Davis, Kahir Jawad, Yana B. Feygin, Michelle Stevenson, Bethany Wattles, Veronnie Faye Jones, Jennifer Porter, W. David Lohr, Jennifer Le

Biostatistics Faculty Publications

Childhood health disparities by race have been found. Neighborhood disadvantage, which may result from racism, may impact outcomes. The aim of the study is to describe the distribution of mental health (MH) and developmental disabilities (DD) diagnosis across Child Opportunity Index (COI) levels by race/ethnicity. A cross-sectional study using 2022 outpatient visit data for children < 18 years living in the Louisville Metropolitan Area (n = 115,738) was conducted. Multivariable logistic regression analyses examined the association between diagnoses and COI levels, controlling for sex and age. Almost 18,000 children (15.5%) had a MH or DD (7,905 [6.8%]) diagnosis. In each COI level, the prevalence of MH diagnosis was lower for non-Hispanic (N–H) Black than for N–H White children. In adjusted analyses, there were no significant associations between diagnoses and COI for non-White children for MH or DD diagnoses. The odds of receiving a MH [OR: 1.74 (95% CI: 1.62, 1.87)] and DD [OR: 1.69 (95% CI: 1.51, 1.88)] diagnosis were higher among N–H White children living in Very Low compared to Very High COI areas. Current findings suggest that COI does not explain disparities in diagnosis for non-White children. More research is needed to identify potential multi-level drivers such as other forms of racism. Identifying programs, policies, and interventions to reduce childhood poverty and link children and families to affordable, family-centered, quality community mental and physical health resources is needed to ensure that families can build trusting relationships with the providers while minimizing stigma.

Alive And Thriving: Ancestral Wisdom Usage Among Us Based Latine Clinical Social Workers In Psychotherapy Practice, Yaneth Lombana

Dissertations, Theses, and Capstone Projects

At a time when the United States is rolling back protections to vulnerable communities, this dissertation investigates experiences of Latine clinical social workers in New York and New Jersey as it relates to the intersection of ancestral wisdom and their profession. It addresses how Latine clinical social workers, who incorporate ancestral wisdom in their practice determine when, with which clients and with which methods to do so. This work advances current scholarship on how clinical social workers can combat racism and white supremacy. It highlights resistance practices that have been critical in keeping people indigenous to colonized lands alive and …

Feasibility And Acceptability Of A Mobile App And Wearable Device For Collecting Mental Health Survey And Passively Sensed Data Among Health Care Workers In Kenya: Mixed Methods Pilot Study, Linda Khakali, Andrew Aballa, Dorcas G. Mwigereri, Willie Njoroge, Rachel Maina, Amos Bunde, Peris Musitia, Moses Nyongesa, James Orwa, Jasmit Shah, Anthony Ngugi, Lukoye Atwoli, Amina Abubakar, Zul Merali

Brain and Mind Institute

Background: Mobile apps and wearable devices may help to facilitate early detection of mental health conditions by providing objective, real-time data to supplement other forms of feedback and diagnoses. Few studies have investigated the acceptability and feasibility of using a mobile app to track survey- and wearable-based data in mental health research in Sub-Saharan Africa.

Objective: This pilot study evaluated the feasibility and acceptability of using a mobile app and wearables to capture mental health–based survey data and passively sensed data among Kenyan health care workers.

Methods: A mixed methods study was conducted among health care workers …

Narrative Roots - What We Inherit, What We Tell, What We Become: Intergenerational Storytelling, Meaning-Making, And Mental Health, Adam Sholder

Critical and Creative Thinking Capstones Collection

This capstone synthesis explores how the family stories we inherit and the stories we tell across generations shape who we become, with particular attention to their impact on identity and mental health. Drawing on narrative identity theory, reflective practice, and relational understandings of family life, it introduces the Recursive Narrative Integration Model, which positions intergenerational storytelling as both a method of inquiry and a mechanism of meaning-making. Informed by a recursive process of creative and reflective writing, this synthesis approaches storytelling not only as an object of study, but as a lived and generative practice through which experience and narrative …

Empowering Healing And Recovery: Adverse Childhood Experiences Screening In A Cognitive Behavioral Therapy Intensive Outpatient Program, Serena C. Lee

Doctor of Nursing Practice Final Manuscripts

Purpose: This evidence-based practice project implemented Adverse Childhood Experiences (ACEs) screening in an adult Cognitive Behavioral Therapy Intensive Outpatient Program (COG IOP) at San Diego's largest behavioral health hospital to identify ACE exposure, deliver supportive interventions, and enhance clinician competency in trauma-informed care.

Background: ACEs are potentially traumatic experiences occurring before age 18 that are associated with toxic stress and worsening health outcomes. Despite evidence linking ACEs to adverse outcomes and substantial healthcare costs, routine ACE screening is not standardized in behavioral health settings.

Methods: Guided by the San Diego 8A's Evidence-Based Practice model, eligible patients were offered ACEs screening …

Perinatal Mental Health Screening And Care Among Those With Pregnancy Complications, Alison N Goulding, Terri L Fletcher, Emily S Miller

Faculty, Staff and Students Publications

Perinatal mental health conditions are common and, without effective treatment, can contribute to adverse maternal and child outcomes. In the United States, mental health conditions are a leading cause of maternal morbidity and mortality, contributing to over 20% of pregnancy-related deaths. This expert review aims to assess current literature and provide recommendations regarding mental health care in high-risk patients who experience pregnancy complications. Individuals experiencing pregnancy complications are at increased risk for perinatal mental health conditions, including depression, anxiety, and post-traumatic stress disorder, as compared to those with uncomplicated pregnancies. Despite this increased disease burden, there is limited research on …

The Importance Of Career And Retirement Services For Student Athletes, Vincent R. Giuliano

Masters Projects

There are hundreds of thousands of collegiate student-athletes competing in organized sports in the NCAA. Research shows the different resources that are available to them during their time competing, as well as how sports can open different opportunities for them during their competitive years. However, once this is over, an individual may realize they spent their time becoming an athlete and not enough time on their holistic well-being and professional development due to time constraints, identity engulfment, etc. While institutions do well in nurturing students during their competitive years, they lack in considering the retirement of these student-athletes. This project's …

When Artificial Intelligence Becomes Emotional Intelligence: Rethinking Section 230 Liability For Ai As A Pseudo-Therapist, Kennedy Aikey

University of Cincinnati Law Review

No abstract provided.

Using Wellbys To Demonstrate The Social Value Of Social Prescribing At A National Level: Evidence From Green Social Prescribing In England, C Dayson, Ian Wilson, D Leather, A Foster, R Jaques, A Haywood, R Garside, C Harris, H Hunt, E Holding, Kerryn Husk, Rebecca Lovell, Katie Shearn, J Dobson, J Thompson

Peninsula Medical School

Social prescribing is a health policy initiative that aims to create closer links betweenhealth services and community activities. Despite its rapid adoption there are concernsabout efficacy and value for money. We used a WELLBY (Wellbeing Adjusted Life Year)approach to identify the social value created through a national mental health-focussedgreen social prescribing (GSP) programme in England (2021-23). We found that GSP canlead to significant wellbeing benefits for people experiencing mental ill-health, with asocial return on investment (SROI) of between £2.38-£5.90. However, we argue that theWELLBY approach should not be used uncritically. In our study WELLBYs proved to be aneffective social value …

Predictive Models Of Student Mental Health: The Correlation Between Academic Burnout And Depression In The Higher Education Environment, Hyejoon Song

Masters Theses

Importance: Over 80% of U.S. college students report significant emotional difficulties, and 58% endorse academic burnout as a persistent concern, yet institution-specific data at faith-integrated universities such as Liberty University remain scarce, limiting evidence-based programmatic response.

Objective: To examine the correlation between academic burnout and depressive symptomatology at Liberty University, identify the most predictive individual burnout item via Random Forest machine learning, and characterize distinct student risk profiles via KMeans clustering. Design, Setting, Participants: Cross-sectional survey (IRB-FY24-25-1491, Exempt) of 236 Liberty University students (mean age 36.9 ± 14.3 years; 84.0% female; 61.0% graduate-level), 2025–2026 academic year.

Main Outcome and Measures: …

Returning To The Third Place: For Mental And Spiritual Well-Being, Angela M. Creason

Masters Theses

This study investigates the impact of Generation Z’s (Gen Z’s) digital immersion and post-COVID lifestyle patterns on their interpersonal relationships. The literature shows that anxiety, continuous online connectivity, and pseudo-relationships developed through social media hinder their ability to form and maintain face-to-face connections. Using case studies, visual analyses, and research-grounded graphic design, the project examines how Gen Z utilizes coffee shops as a hybrid space for work and selective social interaction. The analysis shows that this generation is open to in-person engagement when environments feel convenient, low-pressure, and aligned with their values. These findings inform the development of Percolate, a …

Canine And Equine Behaviors In Therapy: An Exploratory Multiple Case Study, Sarah E. Montano

Doctoral Dissertations and Projects

Animal-assisted therapy (AAT) utilizes animals in the treatment of clients with mental health disorders. Dogs and horses are often used in this modality, but studies have not explored the use of these two types of animals in AAT to discover if there are similarities and differences in the behaviors the animals display during therapeutic sessions. The present study utilized interviews with clinicians providing canine-assisted therapy or equine-assisted therapy to investigate similarities and differences. The interviews were audio and video recorded and transcribed verbatim. Thematic analysis was used to identify key themes regarding the behaviors of the animals. The analysis showed …

Bridging The Gap: Teacher's Perspectives On Trauma-Informed Care And It's Implementation In Schools, Alyssa Erika Jimenez

Doctoral Dissertations and Projects

Childhood trauma exposure is a profound public health concern with significant impacts on overall development and long-term physical and mental health. However, a critical gap remains in understanding how these experiences manifest in school settings. The purpose of this qualitative phenomenological study was to gain an understanding of teacher perspectives on trauma and trauma-informed care approaches in school settings and level of competence and support by administration when encountering potential trauma-induced behaviors in the classroom. Data were collected utilizing semi-structured audio-recorded interviews and open-ended questionnaires from four educators who had some form of experience with trauma-informed care practices. Thematic analysis …

Spiritual Fortitude And Foster Care, Alesha R. Leonard

Doctoral Dissertations and Projects

In 2022, over 200,000 American children exited foster care settings, with many reporting feeling underprepared to face the demands of adulthood (Children’s Bureau, 2023; Haggman-Laitila et al., 2018). Adults with foster care backgrounds are more prone to struggle with cognitive, emotional, and behavioral development, which may hinder brain development throughout emerging adulthood years (Avery & Freundlich, 2009). This study introduced spiritual fortitude as a potential protective factor against poor transitions to adulthood and against mental health struggles among adults with foster care backgrounds. Spiritual fortitude involves development and practice of spiritual coping mechanisms to build resilience (Van Tongeren et al., …

Perceptions Of The Effects Of Launch Control Center Environmental Exposures And Alert Schedules Among Missile Operations Officers: A Mixed Methods Phenomenological Study, Dawnie Rae Ramie

Doctoral Dissertations and Projects

This mixed methods hermeneutic phenomenological study focused on an investigation of the perceptions of missile operations alert duty and the effects on health and sleep hygiene among Air Force missile operations officers. Questionnaires, interviews, and surveys were all used to gather data on subjects’ experiences and perspectives, including methods to mitigate the effects of poor sleep. Driving questions of research included how missile alert schedules affect sleep habits, as well as how missileers perceived alert duties may impact their health. Data was collected through a web-based Qualtrics Likert questionnaire (N=139), open-ended interviews with purposively selected subjects (N=17), and web-based Qualtrics …

Using Weekly Guided Meditation To Develop Community, Connection And Improved Overall Experience And Wellbeing At Work, Mary Patterson Friedmeyer

InnovateHER Meeting 2026

The majority (99%) of respondents rated the Weekly Guided Meditation (via zoom) as being both impactful and valuable in their lives. The majority (82%) of respondents reported finding more balance in the workday and improvement in overall well-being. The majority (63%) of respondents were neutral on building community, with just over one third (36%) of respondents responding positively to community building.

Baseline Moderators Of A Transdiagnostic Adolescent Sleep And Circadian Health Intervention's Effectiveness At Improving Circadian Sleep Health: A Pilot Investigation, Jamon M. Jex

Theses and Dissertations

The current study examined whether baseline demographic and clinical characteristics moderate the effectiveness of the Transdiagnostic Sleep and Circadian (TSC) intervention in improving adolescent circadian sleep health. Using an integrative data analysis approach, data from three independent adolescent samples (N = 134; ages 10-18) were pooled to evaluate changes across multidimensional sleep outcomes defined by the RU-SATED model of sleep, including regularity, satisfaction, alertness, timing, efficiency, and duration. Linear mixed-effects models were used to assess pre-to-post intervention changes and test moderation by age, sex, family income, and clinical status. Results indicated significant improvements in sleep satisfaction following TSC, with greater …

Gender And Stress: Challenges Faced By Women Principal Operators In Agriculture In The United States, Bernadette Marson, Roxanne Bruce

Journal of International Women's Studies

Working in agriculture is demanding and complex, which can lead to stress-induced health and mental health problems, including suicide. There is limited scholarly literature on the topic of women and stress in the agricultural industry, so this research study aims to fill this gap by reporting on the challenging lived experiences of women working in agriculture—a frequently overlooked population. We used a phenomenological design to perform semi-structured interviews exclusively with women (at least eighteen years old) who work in agriculture as principal operators—the primary decision-makers of their enterprise. A thematic analysis was conducted with the data from the twenty-five women …

What Shapes Maternal Well-Being? A Feminist Conceptualization Using Walker And Avant’S (2019) Concept Analysis Framework, Huyen Thi-Thanh Nguyen, Van H. Le, Keiichi Ogawa, Manh T. Ta

Journal of International Women's Studies

Despite extensive scholarship on maternal well-being, the concept remains theoretically underdeveloped and lacks a coherent interdisciplinary definition. This study uses Walker and Avant’s (2019) concept analysis framework to clarify maternal well-being as a feminist, role-anchored construct. We conducted a systematic review of literature in PubMed, Web of Science, and Google Scholar from 2005 to 2025, focusing on studies of married mothers who had given birth to and were raising at least one child. Through content analysis, we identified three defining attributes: (1) vitality and positive affect; (2) life satisfaction and meaning grounded in autonomy and competence within the maternal role; …

Evaluating An Educational Intervention On Screen-Time And Behavior Change: A Pilot Study, Kayla L. Sweeney

UNLV Theses, Dissertations, Professional Papers, and Capstones

Background: Excessive screen time among adolescents has been associated with negative health outcomes, including sleep disturbances, anxiety, and depression. Despite growing awareness, many parents lack sufficient understanding of these risks and their impact on adolescent well-being. This project evaluated whether a brief educational intervention improved parents’ knowledge of the health effects of excessive screen time. Methods: A pre-and post-survey design was used to assess changes in parents’ understanding following an educational video intervention. The educational intervention consisted of evidence-based content highlighting the impact of screen time on mental health and sleep. The survey measured knowledge, beliefs, behavioral intentions, and strategies …

Barriers And Bridges: Exploring Factors That Shape Mental Health Service Utilization In Rural America, Margaret Wiwuga

Educational Specialist, 2020-current

Despite disproportionately higher suicide mortality rates and comparable prevalence of mental illness across urban and rural communities in the United States, rural populations across the nation experience significantly lower access to and utilization of mental health services, naturally leading to worse comprehensive outcomes. This literature review examines multifaceted factors shaping mental health service use in rural America, taking note of both barrier and enabling factors that impede or enable these unique populations’ willingness and ability to access and use mental health services. Ten articles published prior to September 9, 2025, were selected from the James Madison University Libraries’ Psychology and …

From Exploitation To Healing: Mental Health And Resilience Among Native American Survivors Of Sex Trafficking, Katelin A. Stoebner

Honors Thesis

The mental health impacts of sex trafficking on Native American survivors and pathways to resilience are important to understanding healing. Native Americans are disproportionately affected by sex trafficking due to systemic inequities, historical trauma, and socioeconomic vulnerability. Using interviews with 47 Native survivors conducted as part of a larger Office on Violence Against Women project, this study analyzes the mental health challenges and recovery strategies identified by participants. Findings reveal that survivors commonly experience significant psychological effects, including post-traumatic stress disorder (PTSD), depression, and anxiety. Among participants, PTSD emerged as the most frequently reported condition, followed by depression and anxiety, …

Left Out And At Risk: Post-Pandemic Continuation Of Organizational Service Reduction In Metropolitan New York City Coincides With Rise In Opiate Use And Mental Health Problems For Latinos, Ruth Lin Campbell, Smita Ekka Dewan

Publications and Research

Increasing opiate use and mental health problems among younger and older Latinos in urban US contexts prompted this investigation into the organizational resources that facilitate help-seeking efforts of Latinos in New York State (NYS). Guided by a Vulnerability Model and a framework of organizational enabling resources, this study used complementary longitudinal and cross-sectional designs. The longitudinal component examined changes in levels of organizational facilitators for Latino substance use disorder (SUD) help-seeking in Downstate NYS across three time periods, while the cross-sectional component compared post-pandemic facilitator levels across service types and regions. A convenience sample of 241 SUD clinicians participated in …

Mental Health Screening For The Military Spouse: Prevention In Practice, Lura Allison Mcgrath

Doctor of Nursing Practice (DNP) Translational and Clinical Research Projects

Abstract

In recent years, a focus on mental health has moved to the forefront of healthcare. This is especially true when caring for United States military service members. The military spouses of these service members also struggle and suffer from mental health disorders. However, the mental health needs of military spouses often receive insufficient attention. Research shows military spouses are at an increased risk of developing mental health disorders and/or suffering from mental illness. A large contributor is the impact of the military lifestyle and its challenges for these spouses. However, research also reveals there has been minimal effort put …

Self Analysis, Halle K. Siegler

Dissertations, Theses, and Projects

This self-analysis paper is written to divulge different information that will be beneficial after the completion of my mental health counseling graduate degree. Within this paper, I explore different topics pertaining to relationships, hobbies, therapeutic theories, and interviews from those who know me best. The analysis works to highlight strengths and abilities, weaknesses, and growth to allow a deeper understanding of who I am, and who I want to continue to be. All these aspects are things that have importance to me and have shown importance to others and are to be used as a reflection of myself for growth …