Digital Commons Network^™

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

UF Law Faculty Publications

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 …

Let's Grow: Investigating The Relationship Between Houseplants And Mental Health In College Students, Makia G. Adler

Honors Thesis

This literature review explores the potential mental health benefits of houseplants for college students, a population increasingly affected by anxiety and depression. With traditional mental health services strained and often inaccessible, simple and low-cost alternatives are urgently needed. This review examines whether the presence and interaction with houseplants can improve psychological well-being, specifically symptoms of anxiety and depression. Drawing from ten peer-reviewed studies, this review finds a generally positive association between houseplants and mental health, though results vary. Notably, the duration of exposure appears to have little effect, while setting and autonomy in plant interaction are more influential. Interactions in …

Development Of A Mental Health Screening Protocol And Educational Materials For Cares Therapy Clinic, Darlene C. Horn

Entry-Level Occupational Therapy Doctorate - Doctoral Capstone Symposium

In the United States, 26% of individuals report living with mental illness each year. Those with a disability are 5 times more likely to report symptoms of mental distress. Additionally, underinsured individuals are at increased risk of going undiagnosed and untreated.

A student-run free clinic that provides occupational therapy (OT), physical therapy, and speech therapy services to underinsured individuals implemented a new initiative to screen patients using the Patient-Health-Questionnaire (PHQ) assessment due to the higher risk of undiagnosed mental illness. However, with no dedicated mental health providers on staff, there was a need to develop a standard protocol for students …

Community Viability And Attitudes Toward Mental Illness: Rural Insights For Community-Based Care, Carrie N. Baker, Sarah A. Bush

Journal of Rural Social Sciences

Access to mental healthcare varies greatly in rural, suburban, and urban communities. The community viability indicator (CVI) and the community attitudes to mental illness (CAMI) scale are tools for understanding a community’s health and viability and their receptiveness toward people with mental illness. This study of US adults (n = 1,028) in rural, urban, and suburban communities aimed to describe the relationship between community viability and community attitudes toward mental illness and determine the effect of community type on CAMI scores. Results revealed positive associations between community attitudes toward mental illness and community viability for rural and suburban community members. …

An Analysis Of Burnout In Owner-Operated Businesses, Leslie Madison

M.S. in Leadership

This project explores what professional burnout is in the context of owner-operated businesses. The topic was selected based on my own experiences of burnout in my business. After just a few years of working without boundaries, I began to feel the lingering symptoms of stress. Pushing through the stress of running a creative business on my own eventually led to a state of debilitating burnout that caused me to stop all operations and allow my business to run on auto-pilot. Results of this study show a potential beginning of modern-day professional exhaustion which dates to the 17^th century when …

Nourish Gw: Associations Between Food Insecurity And Self-Perceived Physical And Mental Health Among Gw Students, Lily Amorosino, Mackenzie Konyar, Aditi Venkateswaran, Sean Watley, Grace Jordan, Kaleigh Stegman, Andrew Sonn, Jennifer Sacheck, Gabby Headrick

GW Research Showcase 2021-2026

No abstract provided.

Navigating The Legal Risk Universities' Healthcare Providers Potentially Face From Medical Decisions Impacting Collegiate Athletes' Future Nil Income While Following The Ncaa's Mental Health Best Practices, Kenneth D. Ferguson

Faculty Works

This Essay is written to address a series of questions encompassing name, image, and likeness (NIL) opportunities available to collegiate athletes in sports where the potential is high for head and other career-ending injuries. Sports performance can produce significant economic value through NIL. Decisions made by team physicians, athletic trainers, or other healthcare professionals may affect a collegiate athlete's potential for financial gains expected through NIL. These physicians, athletic trainers, and other healthcare professionals will have to consider whether they could be held personally liable for health care-related decisions affecting financial gains collegiate athletes could potentially experience from NIL.

Part …

A Wellness And Social Engagement Program For Post-Lower Limb Amputees, Graciela Gonzalez, Cassandra Nelson

Spring 2025 OTD Capstone Symposium

A wellness and social engagement program was developed and implemented to provide education relating to the mental health impacts, decrease in health management, and lack of social participation after a lower-limb amputation amongst adults, 18 years or older. The program provided a manual with educational information, external resources, and visual aids to enhance independence in activities of daily living (ADLs).

An Analysis Of The Mental Health Of Private School Teachers, Caitlin R. Frederick

Leadership Education Capstones

This capstone study investigates the mental health of private school teachers, focusing on how access to professional development resources and support systems influences their well-being. Grounded in Maslach and Jackson’s Burnout Theory, the research explores emotional exhaustion, depersonalization, and diminished personal accomplishment as critical components of teacher burnout. A mixed-methods approach was used, incorporating pre- and post-surveys alongside a mental health presentation delivered to staff at a small Christian school in Minnesota. Of the 45 invited participants, 26 reported implementing new strategies—such as gratitude practices and emotional regulation—into their personal and professional lives. Findings reveal that while professional development can …

Understanding The Experiences Of Nonprofit Leaders In Psychotherapy, Anna Bramlett

Dissertations (1934 -)

Nonprofit leaders are at the helm of organizations that contribute significantly and meaningfully to society. Nonprofit organizations provide a range of services across sectors that include healthcare, education, mental health, civic engagement, and many others. Existing literature attends to the challenges nonprofit leaders face in their work roles, with managing boards and fundraising frequently cited as stressors. Little is known about the mental health experiences of nonprofit leaders, including common mental health diagnoses they experience, prevalence of mental health symptoms, or effective interventions for mental health concerns. The present study sought to explore the experiences of nonprofit leaders who attend …

How Does Adult Foster Care Affect Mental Health Outcomes In California?, Christopher A. Stanley

Master of Public Administration Capstone Papers

Mental health in adult foster care is an important threat to the overall mental health of the citizens of California. Mental health has challenged professionals and recipients of adult foster care. Although mental health and adult foster care have had some connections (i.e., people with mental health issues typically live in adult foster care), the mental health effects of living in an adult foster care have been overlooked. In particular, mental health has been separated from general medical issues and has been overlooked as a necessary part of a person's overall health. This capstone paper will draw upon the literature …

Mindfulness In Dental Education And Dentistry, Ellen Lee Dds, Brian Chin Mba, Melvin Lin, Jamie Chen, Daranthea Atmadja, Hazel Hong, Celine Lee, Yeonji Lee

The New York State Dental Journal

Healthcare professionals experience an enormous amount of stress. This can have a huge impact on their quality of life and may also affect their ability to manage patients. Mindfulness is one method that can be used to deal with stress. This method can be employed by practicing dentists, as well as dental students. Patients may also benefit from using mindfulness practices.

Impacts On College-Aged Asian American Mental Health, Zahra Soherwardy

Senior Theses

This study explores the relationship between different forms of racial harassment and mental health issues in Asian American college students. Asian American mental health is a growing concern in the field of public health. Asian Americans have the lowest treatment rates and some of the highest stigma levels of any demographic. They are also impacted by the model minority myth and discrimination, further alienating them from getting help. The topics of subtle racism, blatant racism, and current racial discrimination were compared to depressive symptoms, anxiety, self-esteem, and four domains of aggression using survey data. Subtle racism was found to be …

Supporting College Students’ Mental Health Through Occupational Therapy, Mallory R. Watts

Selected Honors Theses

The mental health of college students has emerged as a significant concern, particularly because of the pressures of academic, social, and personal demands intensify. This study investigates the role of Occupational Therapy (OT) in supporting the mental health of college students, exploring the potential need for integrating OT services into campus programs. By assessing the current mental health resources available to students and evaluating their effectiveness, this research aims to identify gaps in support and determine whether OT could serve as a valuable addition to existing services. Through a combination of surveys, interviews, and literature reviews, the study examines students' …

Exploring University Student Mental Health And Wellbeing Through A Low-Barrier Peer-Led Service: Emerging Insights From The Living Room, Amanda L. Cole, Fiona Navin, Dawn Reid

Research outputs 2022 to 2026

Universities are increasingly recognising the importance of addressing the social and emotional wellbeing of their students. Mental health challenges experienced while at university can hinder academic achievement and exacerbate existing mental ill-health. In response to this identified need, many institutions have implemented mental health services, such as psychological and counselling support. However, barriers such as stigma, accessibility, and effectiveness often limit their reach and impact. Many students do not avail themselves to services, or access the supports available, due to these barriers. This study gathered initial data from 110 participants who visited Edith Cowan University’s “The Living Room” (TLR) within …

Cultural Self-Harm Differences, Erin Simmons

Psychology Student Papers and Posters

This study is based on the evident cultural differences in self-harm behaviors and what those behaviors look like specifically for individuals that identify as Black or African American. Previous literature suggests that cultural differences in self-harm exist but very little research centers Black experiences and their connection to self-harm. Self-harm is considered a broad term, and it encompasses a variety of behaviors, some more common than others, but these common behaviors are typically exclusively explored within only a few demographics with a low Black participant pool. This contributes to the assumed lack of self-harm among the Black community but through …

“We're Not One-Box Issue People”: Intersectional Perspectives On Lgbtq+ Mental Health In Schools: A Uk Qualitative Study With Students, Staff And Training Providers, Charlotte Woodhead, Amy Morgan, Ibrahim Sabra, Sara Sabra, Lukasz Konieczka, Gemma Knowles, Emily Cunningham, Juliet Dryud, Liberty Elliott, Lauren Ige, Angela Mascolo, E. Singh, Katharine Rimes

School of Psychology

Abstract There is limited intersectionality-informed, contextually diverse qualitative research on school experiences of LGBTQ+ students and links to mental health. Focusing on racialized, ethnic minority and religious/faith groups, this coproduced UK study examines how: 1) sexual and/or gender diverse students with intersecting minoritized identities experience school; 2) school environments could better support their mental health; and 3) what shapes school inclusion initiatives. In-depth interviews and focus groups were conducted with 22 staff members, 32 students (13–19 years), and nine LGBTQ+ school inclusion training providers. The sample was diverse across gender and sexual identity, race/ethnicity, religion and context. Data were analysed …

Understanding The Interplay Between Nutritional Status And Depression Among Community-Dwelling Older Adults, Mary R. Goldsworthy

USF Tampa Graduate Theses and Dissertations

By the year 2050, it is projected that the population of individuals aged 60 years and older will increase by 47 percent, reaching a total of 82 million in the United States. Many older adults experience depressive symptoms, and some never recover from it. Depression is one of the most common psychiatric disorders among older adults. Approximately 3.2% of community-dwelling older adults experience major depressive disorder in a 12-month period, although many more experience clinically significant depressive symptoms, with a recent estimate of 35% based on a global meta-analysis. In addition to physical functioning and depressive symptoms, another domain in …

Does Crisis Intervention Training Reduce Negative Encounters With The Mental Health Population, Jayden Smith

SACAD: Scholarly Activities

Law enforcement officers frequently interact with individuals experiencing a mental health crisis. These encounters can lead to negative outcomes including escalation, use of force, or unnecessary incarceration. Crisis intervention training (CIT) aims to equip officers with the necessary skills to recognize and respond to people with mental health conditions. This research examines the effectiveness of CIT in reducing negative encounters between law enforcement and the mental health population in communities. Analyzing data on arrest rates, use of force incidents, and officer and community perception will show whether CIT leads to safer interactions. However, critics say that CIT is ineffective due …

Gender-Affirming Medical Interventions: A Clinical Review, Raha Borazjani

Lynchburg Journal of Medical Science

This clinical update examines the findings for mental health outcomes related to gender-affirming medical interventions (GAMIs), specifically gender-affirming hormone therapy (GAHT) and gender-affirming surgery (GAS) in transgender individuals. This study analyzes the impact of these interventions on gender dysphoria, depression, suicidality, and overall psychological well-being from findings published in peer-reviewed literature from 2015-2025. The findings indicate that GAHT leads to substantial decreases in depressive symptoms, anxiety, and suicidality with the most pronounced benefits occurring during the first 2 years of therapy. Studies have linked GAS with long-term improvements in psychological distress, body image, quality of life with low regret rates …

Roadmap To Better Mental Health Care, James R. Kilgore, James C. Somers, Jenna Rolfs, Everett Allen, Tom Colletti, Blake Rogers, Maggie Banger, Nikoleta Delis, Debra S. Munsell Dhsc, Pa-C

Lynchburg Journal of Medical Science

This article will describe the current providers involved in delivering mental health services, the projected needs for mental health providers in the next decade, and interventional strategies that may enhance their delivery of care. By adopting comprehensive, patient-centered interdisciplinary strategies, and utilizing new and innovative tools and pharmaceutical agents healthcare providers can mitigate the adverse effects of lack of access and the delivery of mental health care.

Prevalence Of Psychiatric And Sleep Disorders And Their Impact On Quality Of Life In Children With Hypermobile Ehlers-Danlos Syndrome: An Observational Study., Amanda K. Hertel, Jordan T. Jones, Ashley Lytch, Emily Cramer, Ariana Schroeder, William R. Black

Manuscripts, Articles, Book Chapters and Other Papers

Hypermobile Ehlers-Danlos Syndrome (hEDS) is the most common connective tissue disorder. However, few studies exist on psychiatric and sleep disorders in pediatric patients with hEDS. This study aims to describe psychiatric and sleep disorders and evaluate their impact on health-related quality of life (HRQoL) in pediatric patients with hEDS. As part of a longitudinal study, a convenience sample of 123 pediatric patients with hEDS, were recruited at a hEDS multidisciplinary clinic in sequential order over a seven-month period. Patient-reported outcomes were completed (Patient Reported Outcomes Measurement Information System Pediatric Profile Version 2 [PROMIS], Generalized Anxiety Disorder-7 [GAD-7], Adolescent Sleep Wake …

Unveiling The Multidimensional Impact Of Sex Trafficking: Insights From Survivors, Claudia G. Interiano-Shiverdecker, Devon E. Romero, John J. S. Harrichand, Jessica Martin, David J. Thompson

Trauma Counseling and Resilience

This transcendental phenomenological study delves into the lived experiences of 10 women who experienced sex trafficking. Through in-depth individual interviews, participants unveiled a narrative marked by coercion, manipulation, and multifaceted abuse. Despite variations in the duration and onset of their ordeals, participants uniformly expressed the profound and lasting impact of sex trafficking across numerous facets of their lives. Psychological distress, physical ailments, disrupted vocational trajectories, strained relationships, and spiritual upheaval were recurrent themes, illustrating the pervasive nature of their trauma. This research highlights the urgent necessity for holistic support and intervention strategies tailored to the intricate and multidimensional needs of …

A Preliminary Study On The Role Of Personal History Of Infectious And Parasitic Diseases On Self-Reported Health Across Countries, Gerit Pfuhl, Filipe Prazeres, Marta Kowal, Toivo Aavik, Beatriz Abad-Villaverde, Reza Afhami, Leonardo Aguilar, Grace Akello, Laith Al-Shawaf, Jan Antfolk, Chiemezie S. Atama, Derya Atamtürk Duyar, Roberto Baiocco, Sercan Balım, Carlota Batres, Yakhlef Belkacem, Théo Besson, Adam Bode, Merve Boğa, Jordane Boudesseul, Mahmoud Boussena, Hamdaoui Brahim, Nana Burduli, Ali R. Can, Hakan Cetinkaya, Antonio Chirumbolo, Dimitri Chubinidze, Clément Cornec, Bojana M. Dinić, Seda Dural, Izzet Duyar, Samuel O. Ebimgbo, Edgardo Etchezahar, Peter Fedor, Tomasz Frackowiak, David A. Frederick, Katarzyna Galasinska, Felipe A. García, Talia Gomez Yepes, Dmitry Grigoryev, Farida Guemaz, Ivana Hromatko, Gözde Ikizer, Steve M.J. Janssen, Julia A. Kamburidis, Tina Kavčič, Nicolas Kervyn, Farah Khan, Aleksander Kobylarek, Mehmet Koyuncu, Yoshihiko Kunisato, David Lacko, Miguel Landa-Blanco, Linda H. Lidborg, Samuel Lins, Tetyana Mandzyk, Silvia Mari, Tiago Marot, Martha Martinez-Banfi, Alan D. A. Mattiassi, Marlon Mayorga-Lascano, Moises Mebarak, Norbert Meskó, Maria Rosa Miccoli, Vita Mikuličiūtė, Taciano L. Milfont, Katarina Mišetić, Mara Morelli, Jean C. Natividade, Izuchukwu L. G. Ndukaihe, Felipe C. Novaes, Salma S. Omar, Mohd Sofian Omar Fauzee, Tobias Otterbring, Barış Özener, Simon Ozer, Ju Hee Park, Irena Pavela Banai, Farid Pazhoohi, Mariia Perun, Martin Pírko, Ekaterine Pirtskhalava, Katarzyna Pisanski, Nejc Plohl, Koen Ponnet, Pavol Prokop, Matheus F. F. Ribeiro, Frederico Rosário, Ayşegül Şahin, Fatima Zahra Sahli, Dušana Šakan, Oksana Senyk, Henrik Siepelmeyer, Diana Ribeiro Da Silva, Sangeeta Singh, Çağlar Solak, Sinem Söylemez, Anna Studzinska, Chee-Seng Tan, Gulmira Topanova, Merve Topcu Bulut, Ezgi Toplu-Demirtaş, Bastien Trémolière, Singha Tulyakul, Joaquín Ungaretti, Jaroslava V. Valentova, Marco A.C. Varella, Mona Vintila, Tatiana Volkodav, Anna Wlodarczyk, Yao-Yuan Yeh, Gyesook Yoo, Oulmann Zerhouni, Marcos Zumárraga‑Espinosa, Maja Zupančič, Piotr Sorokowski

Psychology Faculty Articles and Research

Objectives

Infectious diseases are often associated with decline in quality of life. The aim of this study is to analyze the relationship between personal history of communicable, i.e., infectious and parasitic diseases and self-rated health.

Study design

Secondary analysis of a large dataset multi-country observational study.

Methods

We used a four-pronged analysis approach to investigate whether personal history of infectious and parasitic diseases is related to self-reported health, measured with a single item.

Results

Three of the four analyses found a small positive effect on self-reported health among those reporting a history of pathogen exposure. The meta-analysis found no support …

Lived Experiences Of Adults Who Were Removed From Primary Caregiver And Placed In Foster Care Before Age Three, Jillian Eve Young

Doctoral Dissertations and Projects

The capacity to form attachments early in life with important and primary caregivers can significantly influence a child’s psychological development in numerous areas across the life span. Healthy attachments early in life have been shown to be essential; however, due to various situations, many children have trouble developing healthy attachments or experience disruptions with primary/important caregivers. This transcendental phenomenological study focused specifically on the lived experiences of adults ages 18-64 (born between 1960 and 2004) who were removed from their primary/important caregiver during the first three years (even temporarily) and placed into foster care. In these circumstances, it could be …

Breaking Barriers: Bridging Gaps In Mental Health Literacy Through Digital Innovation, Adraine Racquel Chapman

Doctoral Dissertations and Projects

This study addressed the development and implementation of digital innovations aimed at bridging gaps in mental health knowledge, promoting awareness, reducing stigma, and enhancing support networks for children and adolescent families. Recognizing the critical need for accessible mental health education, this research reviewed methods in which digital tools were used to create engaging and informative resources. The study investigated the effectiveness of these digital innovations in increasing mental health literacy, fostering open communication, and building supportive communities. By integrating theoretical frameworks and empirical data, the dissertation highlighted the potential of digital platforms to revolutionize health education. The findings spotlighted and …

Crossing The Chasm: Engaging Black Men Survivors Of Gun Violence In Mental Health Services, Erin Major, Celina Thomas, Charlotte Healy, Amy Vanderstoep, Joseph B Richardson, Thomas M Scalea, Melike N Harfouche

Rowan-Virtua School of Osteopathic Medicine Departmental Research

BACKGROUND: Despite being high risk for post-traumatic stress disorder, Black men survivors of gun violence, and particularly young men aged 18-24, seldom participate in mental health services after injury. The aim of this study was to identify barriers to participation in mental health services for this population.

METHODS: Over a 2-year period, 1 hour-long focus group was conducted with three counselors of the local hospital-based violence intervention program and 21 individual, semistructured in-depth interviews were held with Black men who were hospitalized for a firearm-related injury. All interviews were recorded and transcribed. Transcripts were coded using open coding and grounded …

Responding To Digital Addiction, Ned Snow

Seattle University Law Review

In Unwired: Gaining Control over Addictive Technologies, Professor Gaia Bernstein calls our attention to the growing problem of digital addiction. Digital addiction may sound like something out of a science-fiction novel or something that does not raise the same sort of real-life practical concerns as are present in a physical health crisis or an economic decline. But as Bernstein presents the evidence, we learn that the consequences of digital addiction can be just as harmful as a serious disease or a financial depression. Cognitive development disorders, anxiety, emotional depression, social isolation, and other mental health ills can be debilitating—as much …

Religiosity, Patience, And Mental Well-Being Among Ncaa Athletes In The United States At State, Secular Private, And Faith-Based Colleges And Universities, Laura Upenieks, Elizabeth M. Bounds, Karen K. Melton, Perry L. Glanzer, Sarah A. Schnitker

Journal of Issues in Intercollegiate Athletics

Patience has been defined as remaining calm in the face of frustration, suffering, or adversity for the sake of something beyond the self. This study examines patience, an understudied virtue in the world of collegiate athletics. Drawing from a sample of 415 student-athletes across the United States, we assess patience as a mediating mechanism between religiosity/spirituality and well-being. Regression results suggest that of the three subscales of patience considered, only greater hardships patience was associated with lower depression, anxiety, and loneliness. We also observed that greater intrinsic religiosity and a secure attachment to God predicted greater patience, yet more frequent …

Three Essays Exploring The Interaction Between Health And Labor Market Outcomes, Jingxin Nie

USF Tampa Graduate Theses and Dissertations

This dissertation investigates the influence of health policies and employment disruptions on individual health, behavior, and cognitive outcomes, utilizing quasi-experimental methods to address causal inference challenges across three distinct studies.

The first chapter examines the effects of Medicaid expansion under the Affordable Care Act on workers' compensation claims, leveraging variation in insurance coverage resulting from the policy change. Employing a difference-in-differences (DID) approach and a staggered DID framework following Callaway & Sant'Anna, this study uses data from the Current Population Survey’s Annual Social and Economic Supplements (ASEC). The findings reveal that despite increasing insurance coverage, Medicaid expansion did not significantly …