Digital Commons Network^™

Mental Health Trends Among African American High School Students, Alexis Heard

Theses and Dissertations

Adolescent mental health is a major public health issue in the U.S., with African American high school students facing a rapidly worsening crisis. While all youth show increasing rates of depression, anxiety, and suicidality, African American adolescents are at greater risk due to systemic racism, socioeconomic inequality, community violence, and limited access to culturally responsive care. Few national studies have examined mental health trends among this group. This study (1) examines 2011–2021 trends in persistent sadness/hopelessness, suicidal ideation, suicide planning, and suicide attempts among African American high school students; (2) explores gender differences; and (3) compares these patterns to national …

Mindfulness & Mental Health: Balanced Time Perspective As A Mediator, Eddie Trueblood

Masters Theses

Mindfulness is a practice of intentionally paying attention to the present moment in a nonjudgmental way. Being more mindful can decrease symptoms of anxiety, depression, and stress, among other mental and physical health improvements. (Donald et al., 2016; Hofmann et al., 2010; Kabat-Zinn et al.,1992). This study examined if balanced time perspective (BTP) is one of the mechanisms of action of mindfulness in its relationship with depression, anxiety, and stress. BTP refers to a person’s ability to flexibly adapt their time perspective (attention to the past, present, or future, and positive or negative attitudes toward each) to suit the current …

Homophobic And Transphobic Bullying: Impacts On The Mental And Physical Health Of Queer Black Adolescents In Kacen Callender’S Young Adult Fiction, Uthra Devi R.K., C. Jothi, S. Rema Devi

Journal of International Women's Studies

This paper examines how homophobic bullying profoundly impacts the mental and physical health of Black queer children, with a particular focus on the rising suicide rate within this marginalized community. Analysing the representation of homophobic and transphobic bullying in Kacen Callender’s young adult fiction, this study explores the devastating impact of both verbal and nonverbal forms of abuse, including rejection, intimidation, and social isolation. These negative experiences contribute to long-term emotional distress, leading to an increased vulnerability to anxiety, depression, and suicidal ideation. Meyer’s minority stress theory is used to examine how systematic ignorance and rejection of queerness render Black …

Nh State Parks Outdoor Recreation And Wellbeing, Muriel C. Bennett

Honors Theses and Capstones

This evaluation strives to analyze NH residents’ usage of outdoor spaces (adults 18+) and NH State Park lands. The general purpose of this evaluation is to gain evidence and develop an understanding of participant use of outdoor spaces and whether participant’s mental well-being is a driving factor in outdoor recreation. As children and adults are spending increasingly more time indoors and on phones and computers, it is necessary for further research and advocacy efforts to be developed on the importance of time outdoors. It has be found that “urban lifestyles impose increasing demands on our cognitive resources” (Ohily, 2010) which …

Stakeholder Perspectives On Acceptability Of Implementing A Child Mental Health Intervention In Child Welfare Services: A Pilot Study, Kerry Lee, Caterina Pisciotta, Geetha Gopalan

Graduate School of Social Work and Social Research Faculty Research and Scholarship

This study examined the acceptability of a modified 4Rs and 2Ss behavioral parent training intervention within a Child Welfare (CW) placement prevention service. Twelve child welfare staff (caseplanners, supervisors, administrators) and 12 CW-involved families completed surveys, interviews, and a focus group. All quantitative benchmarks for high acceptability were met (e.g., treatment satisfaction, acceptability and appropriateness). Staff valued the intervention’s content and support, but noted concerns about consultation time, training, and role conflict. Families appreciated recruitment, logistical support, group environment, and child/ family wellbeing, but cited barriers with parent-child separation during sessions, group size and duration, certain activities, and the program’s …

The Chemical Straightjacket: Institutional Over-Use Of Psychotropic Drugs On Children In Lieu Of Therapeutic Community Mental Health Services, Marisa Leib-Neri

Indiana Journal of Law and Social Equality

This Article argues that the abysmal state of children’s mental health in America is in part due to an overreliance on and over prescription of psychotropic drugs inside psychiatric residential institutions in lieu of community based mental health services. This overreliance on residential institutions and psychotropic drugs has allowed a new form of chemical restraint to flourish—the chemical straitjacket. This Article uses the medication lists of twelve children in seven different North Carolina psychiatric residential treatment facilities to demonstrate how the chemical straitjacket operates: the prescription of drugs not approved for pediatric populations, counter to evidence-based practices for particular diagnoses, …

Ministry Organization Response To The Mental Health Crisis, Bryn L. Wood

Senior Honors Theses

The mental health crisis has been negatively affecting individuals across the globe for about half a century, only growing in its impact each year. However, following the Covid-19 pandemic, mental health crises skyrocketed. This is especially true for youth and young adults as physical isolation has altered many facets of their lives. This thesis will explore the mental health crisis, as well as the way it has impacted youth and young adult organizations. Specifically, it will discuss research on recommended ways for these organizations to respond to the mental health crisis through unique programming and how these practices have been …

The Triangle Of Social Media, Mental Health, And Activism: Lessons From July 2024 Anti-Discrimination Students Movement In Bangladesh, Md Belal Hossain

All Graduate Theses, Dissertations, and Other Capstone Projects

This project explores social media, mental health, and activism as three interconnected avenues of academic inquiry in the context of a student movement called the Anti-Discriminatory Students Movement (ADSM), that took place in July-August 2024 in Bangladesh. The movement, also called July Revolution (Bangladesh), overthrew a 16-year-ruling autocratic government and propelled the nation towards significant structural and political reform efforts. Utilizing a mixed method approach, including key informant interviews (N=6) and an online survey (N=396), it investigates how the triangle of social media, mental health, and activism evolved during this movement. Interview analysis reveals five major themes: 1) Ambiguity in …

Postpartum Depression In Adolescent Mothers: Evaluating The Effectiveness Of Screening Tools, Social And Cultural Interventions, Ysabella M. Co

Nursing | Senior Theses

Background: Pregnancies among adolescents is often an outcome of improper sex education and understanding. It is vital to provide mothers with the proper medical care and resources throughout their pregnancy and postpartum period to prevent any risks or harm from occurring. With the complexities and stressors of pregnancy at such a young age, it is important for healthcare to provide resources regarding postnatal depression diagnoses and interventions, especially to a population that is at risk for mental health issues. Objective: To provide adolescent mothers thorough medical care and lessen the risk of experiencing postpartum depression. By providing frequent …

The Impact Of Workplace Stressors On Anxiety Levels And Mental Health Among Pediatric Intensive Care Nurses, Kelsey Ang

Nursing | Senior Theses

Background: Pediatric Intensive Care Unit (PICU) nurses work in a high-stress environment where they are exposed daily to traumatic situations. The demanding emotional and physical challenges contribute to significant psychological burdens, including increased stress and anxiety. Purpose: The current paper proposes a research design to examine the outcomes of stress, anxiety levels, and mental well-being on PICU nurses when workplace support and structured debriefing sessions take place following a traumatic event. Methods: Participants will be recruited from PICU hospitals in Northern California. Participation will be voluntary, and informed consent will be obtained prior to the study. The selection criteria will …

The Impact Of Maternal Mental Health On Child Development, Jessica White

Nursing | Senior Theses

Purpose

This research investigates the impact of early maternal mental health interventions on child development, focusing on cognitive, emotional, and social behaviors. The study aims to evaluate whether children whose mothers receive mental health interventions, such as support for depression and anxiety, show improved developmental outcomes compared to children whose mothers do not receive such interventions.

Methods

The study will include 100 mother-child pairs, recruited from clinics in Northern California. Child developmental outcomes will be assessed using standardized tools: Wechsler Intelligence Scale for Children (WISC-V), Strengths and Difficulties Questionnaire (SDQ), and Social Skills Improvement System Rating Scales (SSIS-RS). Follow-ups will …

The Impact Of Structured Weekend Group Therapy On Restraints, Seclusion And Length Of Stay On Inpatient Psychiatric Units, Victoria Grau

West Chester University Doctoral Projects

Group therapy is an essential part of inpatient psychiatric treatment, with documented positive effects including better medication compliance, lower readmission rate, and improved self- esteem. Patients who are admitted for an inpatient psychiatric stay have a small window of time in which behavioral health staff can work with them. Group therapy can help patients develop a plan for these issues and provide a foundation for successful discharge and symptom management. The project site is a mid-size teaching hospital in an urban community with higher rates of mental health diagnoses than the national average. Group therapy was conducted initially Monday – …

Lost Things, Aloysius Devine

Graduate Thesis and Dissertation post-2024

Lost Things is a novella that explores sexuality, family, and mental illness. When Pearl drops out of college following a crisis in mental health, she returns to Sunnyside, Florida, where she does not belong. Pearl’s queerness and inability to meet her mother’s harsh expectations render her an outsider in her own home. However, Pearl finds solace and companionship in Saint Anthony, a goldfish her little sister won at the school fair. Pearl and Saint Anthony devolve into mutual obsession: Pearl, with the beached blue whale that washes up a mile from her home, and Saint Anthony with the ocean. Pearl’s …

Indigenous Technology Futurisms: Reclaiming Mackinac Island In Virtual Reality, Madeline A. Gupta

Library Map Prize

In Indigenous Technology Futurisms: Reclaiming Mackinac Island in Virtual Reality, Madeline A. Gupta introduces a place-based digital storytelling project that uses interactive mapping as the foundation for cultural reconnection and community wellness. Centered on Mackinac Island—ancestral land of the Anishinaabe people—the project features a custom-designed map by an Anishinaabe artist, allowing users to navigate a VR website by selecting specific locations across northern Michigan. Each map point opens into a spatial video experience paired with traditional audio content, including oral histories, poetry, and songs.

The project reframes digital cartography through an Indigenous lens, challenging Western colonial mapping practices that …

Body Mass Index, Sleep, And Food Insecurity Predict Prevalence Of Anxiety And Depression In College Students, Makenzie Barr-Porter, Amelia Sullivan, Jade Mcnamara

Dietetics and Human Nutrition Faculty Publications

This study aimed to assess the relationship between mental health, health behaviors, and food security in young adults in a university environment. Young adults (N = 536) at two United States universities completed a survey assessing health behaviors and characteristics. Logistic regression determined the odds of anxiety and/or depression based on gender identity, body mass index (BMI), food security status (FSS), and sleep restfulness. Over one-third of students were food insecure (36.7%), and almost all reported anxiety (57%) and/or depression (39.1%). Students who identified as female, reported very low FSS, poor sleep, and had higher BMI were at greater odds …

Web Of Exploitation: The Psychological Need For Comprehensive Federal Law To Combat Cyber Sexual Abuse, Sarah E. Bahrenburg

Journal of Race, Gender, and Ethnicity

Cyber sexual abuse inflicts deep and lasting psychological harm on victims, often exacerbating the trauma of traditional sexual abuse due to the permanence and reach of digital content. Survivors may experience depression, anxiety, PTSD, and suicidal ideation as intimate images, videos, or messages resurface indefinitely online. Despite the severity of its impact, current state and federal legal protections are limited and inconsistent, leaving many victims without adequate criminal or civil remedies. This article argues for the creation of comprehensive federal legislation specifically targeting cyber sexual abuse. Such laws would not only provide clearer paths to justice and accountability but also …

The Lack Of Mental Health Support In Caribbean Households, Arnoudly Bossicot

LEAD Scholars Academy Showcase

Growing up in a Caribbean household, mental health, amongst other topics, was something no one dared to speak about. Seeking therapy or talking to a trusted family member is not an option since you will look weak. When mental health issues are left untreated, long-term adverse effects on the emotional, social, physical, and behavioral aspects of life. In some instances, it may result in suicide. This research will explore the different elements that affect a person’s willingness to receive mental health treatment in Caribbean households. Would teenagers and young adults seek mental help if given the right resources and support? …

Creating A Short-Form Label Avoidance Measure: A Psychometric, Julia Johanna Cameron

Graduate Student Theses, Dissertations, & Professional Papers

Stigma is a commonly reported barrier to receiving treatment for mental health concerns. One aspect of stigma, label avoidance, specifically addresses the stigma involved when individuals deny their status as having a mental illness and avoid institutions that may mark them as someone with a mental illness. Despite the importance of label avoidance for understanding treatment seeking, there does not currently exist a psychometrically sound measure of label avoidance. In order to address this gap, the present study used a revised and shortened form of a preliminary measure of label avoidance, the LAM-16, to collect psychometric data over two time …

Using Brief Acceptance And Commitment Training To Increase Psychological Flexibility And Reduce Stress In School-Based Professionals, Rayna Yaeger

All Graduate Theses, Dissertations, and Other Capstone Projects

The significant behavioral and mental health concerns of students and staff in public schools within the United States has led to an increased risk of stress and burnout in teachers, which may lead to subsequent physical and mental health related concerns for staff and negative educational outcomes for students. Due to these school-based concerns, action should be taken to meet the needs of staff and students. This study aimed to better understand the effect of brief, group-based ACTraining on teachers’ psychological flexibility, general stress, job-related burnout, and social validity by replicating and extending the findings of Gillard et al. (2021) …

Health Measures And Willingness To Pay For Internet Services, Maysam Rabbani, Cari A. Bogulski, Corey J. Hayes

Department of Economics Faculty Scholarship and Creative Works

Introduction: With the rapid adoption of telehealth services, health measures are increasingly tied to internet access. However, there is limited literature on how internet connectivity correlates to health measures and health care utilization. We examined the links between willingness to pay (WTP) for internet services and health measures, namely, health insurance type, general health, physical health, mental health, health literacy, and cost/transportation barriers to health care access. Methods: We designed a custom survey and collected 5, 200 responses in four U.S. states. We implemented a stratified conjoint analysis to estimate the WTP for internet speed and quality and its connections …

Program Analysis And Development In A Kentucky Specialty Court Program, Brooke Mahanna

Occupational Therapy Doctorate Capstone Posters

This capstone was completed with a Specialty Court program within Kentucky. The focus was education and advocacy for occupational therapy (OT) in a setting that currently lacks these services. The goals included identifying OT's role in substance use treatment, especially for justice-involved individuals and developing OT-informed resources to support holistic care and wellness.

Substance use negatively impacts personal, social, and occupational participation (Doğu & Özkan, 2023; Sadaqat et al., 2023). OT’s focus on quality of life is an approach shown to improve long-term outcomes. Lack of OT services in the project setting highlights a gap in holistic care for program …

The Role Of Occupational Therapy In Mental And Behavioral Health, Claudia Robertson

Occupational Therapy Doctorate Capstone Posters

The purpose of this capstone was to promote preparedness of occupational therapy (OT) students for mental and behavioral health practice through the creation of a learning module. This project was completed in collaboration with the University of Kentucky College of Nursing Behavioral Health and Wellness Environments for Living and Learning (BH WELL) research team. Recently, OT students reported a perceived lack of preparedness for level II fieldwork (Bergstresser-Simpson et al., 2023). The literature review and SWOT analysis highlighted a gap between the needs of the mental and behavioral health populations and OT student preparation for level II fieldwork. Though the …

Using The Background Of Occupational Therapy To Argue Our Role In Stress Management: Proposed Lines Of Inquiry, Klaire M. Gowins

Occupational Therapy Doctorate Capstone Posters

The purpose of this ALE presentation is to present research in support of the development of the Student Stress Management Center (SSMC) at EKU. The researchers’ long-term proposition, beyond the scope of this poster, is to effectively communicate to various audiences the importance and occupation-based characteristics of a Student Stress Management Center for students within the higher education setting. In preparation for that goal, this poster reviews scholarly literature relevant to the field of occupational therapy and its philosophical roots to lay groundwork for clarifying whether and how a revised articulation of the philosophical base is needed, relative to the …

Community Based Psychosocial Wellness Groups For Children And Adolescents With Neurodivergent Conditions, Caitlin Duffy Ot/S, Tania Rose Otd, Otr/L

Occupational Therapy Doctorate Capstones

Aim and Purpose:

Research Question: What is the impact of community based psychosocial wellness groups on the overall mental health and wellness of children and adolescents with neurodivergent conditions?

Aim: To reach more children by creating a Surf-Fit program located within a local community setting.

Purpose: To create and implement effective community-based psychosocial wellness groups in collaboration with Gnome Surf.

Occupational Therapy Services Within An Enhanced Psychiatric Rehabilitation Residential Facility, Cole Scott Ots, Nancy Dooley Phd, Otr/L, Faota, Alison Johnson Otd, Otr/L

Occupational Therapy Doctorate Capstones

The Site and Purpose:

Monarch is a company based in North Carolina. Putnam Pike is it’s first Rhodes Island based service. It is recognized as an Enhanced Mental Health Psychiatric Rehabilitation Residential Facility. This was an internal quality improvement project to support this new residential facility.

P.I.O. Question: How do occupational therapy services support the occupational wellbeing of residents with serious and persistent mental illness in rehabilitation residential facilities?

The Effect Of Surf Therapy On Mental Health, Sydney Smallwood Ots, Andrea Fairman Ph.D., Mot, Otr/L, Cprp, Atp, Michele Leone Dnp, Lmhc, Rn

Occupational Therapy Doctorate Capstones

Research Question, Aim, and Purpose:

Question: Does Surf therapy help improve positive mental health outcomes in veterans and children who have experienced trauma?

Aim: To examine the relationship between surf therapy and Posttraumatic Stress Disorder (PTSD) symptoms in veterans, active-duty service members, and foster children at COSTA who have experienced trauma.

Purpose: To determine the impact surf therapy at COSTA has on mental health in veterans and foster children who have experienced PTSD

Supports For Mental Well-Being Valued By Healthcare Workers: Qualitative Analysis Of Data From A Canadian Cohort Of Healthcare Workers During The Covid-19 Pandemic, Shannon Marie Ruzycki, Anil Adisesh, Quentin Durand-Moreau, France Labrèche, Tanis Zadunayski, Erica Stroud, Nicola Cherry

Études primaires

A prospective cohort of 4964 HCWs from four Canadian provinces was established early in the COVID-19 pandemic. Participants were invited to comment about workplace mental health supports at three time points. We performed a thematic content analysis of responses from 1738 participants using the Social Support Behaviour Code framework to categorize barriers to support as informational, tangible, emotional, social, or expressing esteem. Themes were synthesized into suggestions for healthcare organizations to prepare for future crises. Formal and informal peer support, workplace mental health supports, and one-on-one counseling were most often mentioned as valued. Analysis suggested that workplace social networks as …

Exploring The Effect Of Personal Mental Health Disclosures On Perceptions Of Doctoral Psychology Applicants, Hunter C. Schow

Doctor of Psychology (PsyD)

While some research exists discussing the attitudes around personal mental health disclosures as they pertain to both professional decorum and admission to doctoral psychology training programs, little research has analyzed the actual impact of such disclosures on how applicants are perceived. This study aimed to assess whether personal mental health disclosures in admissions essays ultimately affect how applicants are perceived by doctoral faculty determining whether or not to admit them to their program. The hypothesis was that ambiguous disclosures do have an impact, and especially those showing unaddressed or ongoing struggles. An electronic survey utilizing a mixed-methods approach was distributed …

Exploring The Relationship Between Individual Value Priorities And Pathological Psychological Traits, Dennis Kurtz

Doctor of Psychology (PsyD)

Values are central to the ways that humans evaluate the world and make decisions, and they play an important role in individual psychological functioning and well-being. Although human values are frequently used in psycho-therapeutic interventions in clinical practice, the precise nature of their relationship to psychopathology is unclear. This research explored the relationship between human values and psychopathology using the Schwartz basic theory of human values and the Minnesota Multiphasic Personality Inventory–3. Participants were recruited from a community mental health clinic. Data were analyzed to determine relationships between value priorities and clinical scales.

The study hypothesized positive associations between self-enhancement …

“The Culture - I Wish It Were Less Intense And More Joyful And Full Of Life”: A Youth Participatory Action Study On Teen Mental Health And Wellness, Marna Wolak

Doctoral Dissertations

Studies indicate that a grave mental health crisis is disproportionately impacting female-identified youth. While school districts have made attempts to address this problem, those most impacted - young people - have frequently found their voices overlooked by adults seeking solutions. Therefore, this Youth Participatory Action Research (YPAR) study, grounded in humanizing and liberatory pedagogy, examines how high school-aged students in an urban school district understand and define their experiences with mental health challenges and suggest strategies and interventions for improved wellness. Two sets of research questions guide this study: 1) Primary questions: What are youth perspectives about how their mental …