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State Benchmark Plan Coverage Of Opioid Use Disorder Treatments And Services: Trends And Limitations, Stacey A. Tovino

Faculty Articles

Professor Tovino offers a survey of state benchmark plan coverage of opioid use disorder treatments and services, and identifies trends and limitations relevant thereto. Part II of the article provides background information regarding opioid use disorder and the treatments and services available for individuals with this disorder. Part III reviews federal mental health parity law and federal mandatory mental health and substance use disorder law as applied to insurance coverage of treatments and services for opioid use disorder, with a focus on the Affordable Care Act's (ACA's) state benchmark health plan selection requirement and the effect on that requirement of …

Implicit Attitudes Of Asian American Older Adults Toward Aging, Anita Ho

Scripps Senior Theses

Greenwald, McGhee, and Schwartz (1998) developed the Implicit Association Test (IAT), a measure of mental associations between target pairs and positive or negative attributes. Highly associative categories yield faster responses than the reverse mental associations, which is thought to reflect implicit attitudes toward stereotypes. The present study investigated the effect of ethnic group on one’s implicit attitudes toward aging and gender stereotypes by comparing two groups of older adults, Asian Americans and Caucasian Americans, that likely hold different culture values. Past qualitative studies have established the existence of mental health stigma in Asian American populations, including negative Asian American perceptions …

Smartphone Addiction And Depression: Prevalence, Sociodemographic Factors And Its Association With Severity Of Depression / Lim Poh Khuen, Poh Khuen Lim

Student Works (2010-2019)

The recent increase in smartphone usage is a worldwide phenomenon, bringing about a stronger reason for researches to focus on its potential benefits and hazards on the health of the population. Prior studies have found negative effects on both physical and psychological health with increased amount of smartphone use. Literature has revealed that there is a bidirectional relationship between smartphone addiction and depression, with most studies concluding the detrimental effect of excessive smartphone usage on mental health. The aim of this study is to determine the prevalence of smartphone addiction among depressive patients, and to investigate the associated socio-demographic factors …

Life History Of Elizabeth Crepeau, Phd, Otr/L, Faota, Nathina Crabtree, Sara Gregoire

Oral History Posters

The purpose of the study is to provide current and future generations of occupational therapists a view of the history and how occupational therapy practice has evolved from its inception to current practice through the life history stories of occupational therapists who have held leadership roles at the national level and beyond. It is anticipated that the life history process will be a powerful way to gather this information. This life history is part of the larger study consisting of 30 occupational therapists. The larger project is Histories of Individuals Who Have Been Influential in Developing Occupational Therapy (OT) at …

A Meta-Synthesis Of Adolescent Psychological Help-Seeking, Karen Barnes

Walden Dissertations and Doctoral Studies

Although adolescents experience psychological difficulty at a rate higher than any other age group, most do not get the support they need. The purpose of this study was to explore perceptions about barriers, facilitating factors, and help-seeking preferences for psychological support among adolescents. This study involved Best, Gil-Rodriguez, Manktelow, and Taylor’s conceptual framework pathways to online help-seeking to help explain adolescents’ perceptions of factors that influence them seeking support as well as identify pathways for support. A qualitative meta-synthesis design was used to synthesize findings of individual qualitative studies into themes around the central phenomenon of adolescent help-seeking. Data were …

Masculine Norms, Psychological Symptom Severity, And Intentions To Seek Formal Help In Male College Students, Zahra S. Shine

Cal Poly Humboldt theses and projects

Research has consistently found men to be less likely than women to seek help for mental health symptoms. Additionally, greater symptom severity is related to higher levels of help seeking, although this relationship is less clear among men. Greater conformity to masculine norms may help to explain the relationship between symptom severity and help seeking among men. The present study aimed to further research on men’s help-seeking by examining whether conformity to masculine norms would moderate the relationship between symptom severity and help-seeking intentions in male college students (N = 89). A multiple regression analysis was conducted with all …

A Manualized Parent Psychoeducation And Nutrition Program And Its Impact On A Sense Of Community: A Pilot Study, Nahaal Binazir

Theses and Dissertations

Parenthood is an experience that is both joyful and anxiety provoking. Amidst a number of pressures, new parents may encounter depressed feelings, consistent anxious thoughts or various other stressors. These factors can also lead to the development of poor nutritional habits, which further exacerbate psychological symptoms and can create a destructive cycle in their lifestyles. Research indicates that one’s sense of community (or conversely social isolation) can further impact parental experiences - which include one’s sense of competence, affect directed towards their children and their overall satisfaction. In considering this, a quantitative and partially qualitative pilot study was conducted to …

Associations Between School Safety And Behavioral Health Issues: A Multivariable Study Of A Large School Sample In Kentucky, Patricia M. Clark

Online Theses and Dissertations

The perception of feeling safe in school impacts academic achievement of students. As the number of school shootings has grown, implementing effective school safety plans has become a significant job duty of educators. There is some conflict in the exact constructs that fit within the school safety definition and often behavioral health issues are not addressed as part of the school safety planning process. Research shows that when students don’t feel safe their behavioral health issues increase (Fletcher, A., Bonell, C., Sorhaindo, A., & Strange, V., 2009). The multivariable regression study identified the association of substance use, mental health issues, …

'Stand Up To Suicide', Katherine Hickman

Williams Honors College, Honors Research Projects

This paper reviews the planning and implementation of a suicide prevention event titled ‘Stand Up to Suicide’ held at The University of Akron in September 2018. This project was designed in response to the rising suicide crisis. After reviewing various peer-reviewed articles, communication methods, and interviewing mental-health professionals, an event was created and implemented to empower students to speak up about suicide awareness and get connected to suicide prevention resources. While an average of 123 individuals die by suicide in the United States every day, suicide is preventable. With a space to enter into the tough conversation of suicide, this …

Emergency Responders' Perceptions Of Mental Health Patients While Providing Care In Rural Areas, Cindy Perkinson Costilla

Walden Dissertations and Doctoral Studies

Prior research has shown a correlation between public stigma and emergency responders' perceptions of mental health patients while providing care. However, research examining public stigma and emergency responders' perceptions of mental health patients is limited in rural areas. The purpose of this study was to explore possible relationships between the dependent variable, public stigma, and the independent variables: social distance, blameworthiness, and fear of unpredictable behavior. Link's modified labeling theory was the theoretical framework for this study. A sample of 92 emergency responders obtained from Facebook completed a questionnaire that consisted of three Likert scales. A multiple regression showed little …

Mental Health Outcomes Of Discrimination Among College Students On A Predominately White Campus: A Prospective Study, Joseph C. Jochman, Jacob E. Cheadle, Bridget J. Goosby, Cara Tomaso, Chelsea Kozikowski, Timothy Nelson

Department of Psychology: Faculty Publications

Racial discrimination is a social stressor harmful to mental health. In this paper, we explore the links between mental health and interpersonal discrimination-related social events, exposure to vicarious racism via social media, and rumination on racial injustices using a daily diary design. We utilize data from a racially diverse sample of 149 college students with 1,489 unique time observations at a large, predominantly white university. Results show that interpersonal discrimination-related social events predicted greater self-reported anger, anxiety, depressive symptoms, and loneliness both daily and on average over time. Vicarious racism from day to day was associated with increased anxiety symptoms. …

The Experience Of Mindful Self-Compassion, Erika Ristok

Theses and Dissertations (Comprehensive)

Given the benefits seen in the literature with regards to mindful self-compassion, embodiment of positive emotion, and the efficacy of brief interventions, this study sought to advance an understanding of the experience of mindful self compassion. Eight participants were taught a brief self-compassion exercise along with a step that embodies a feeling of comfort. The participants were drawn from a wait-list for counselling services at a Family Health Team site. They were interviewed using a semi-structured interview format following training and practice with the self-compassion exercise. Qualitative phenomenological analysis was used in order to gain an understanding of the essence …

An Evaluation Of Preexisting Psychiatric Diagnosis: Patient Outcomes In An Intensive Care Setting, Nicole R. Ryan

DNP Projects

Abstract

BACKGROUND: Mental health is a state of well-being in which an individual is able to acknowledge ability levels, cope with the normal stresses of life, be a productive member of society and contribute to the community. An important consideration for DNP prepared nurses is implementing principles of the Collaborative Care Model as a guiding framework to improve access to evidence-based mental health care in a medical care setting.

PURPOSE: The purpose of this DNP project was to examine the demographic, clinical and treatment characteristics of patients with both medical and psychiatric diagnoses admitted to an Intensive Care Unit (ICU) …

Gaps In Mental Healthcare Use And Perceived Quality Between Privately Insured Lgb And Heterosexual Individuals In The United States, Yuki Hayashi

Public Health Theses

Previous research has identified significantly heightened levels of mental health issues and psychological distress among lesbian, gay, and bisexual (LGB) individuals in the U.S., as well as greater mental health service utilization among this population. Using a nationally representative sample of privately insured adults in the U.S., we investigate differences in mental healthcare utilization, characteristics of mental healthcare received, and perceived quality of care between LGB and heterosexual individuals. Key results find that privately insured LGB men and women are significantly more likely than their heterosexual counterparts to have used outpatient mental healthcare as well as out-of-network (OON) outpatient mental …

The Association Between Self-Reported History Of Experiencing Violence & Mental Health Status Among Urban Refugees And Asylum Seekers In Malaysia, Rayne Soyoung Kim

Public Health Theses

Background: In displaced populations, studies have shown that there are significant associations between exposure to violence and reporting mental illness. There is little known regarding this relationship in countries like Malaysia, which serves as a transitional point where refugees wait to be resettled.

Objective: To assess the cross-sectional association of exposure to violence with mental health status in the urban refugee and asylum-seeking population in Malaysia.

Methods: 286 self-identified refugees and asylum seekers, recruited by using time-location sampling, were given interviewer-administered surveys, including questions regarding exposure to violence and mental health symptoms. Multivariable logistic regression analyses were performed to evaluate …

Older Adult Spouses’ Emotional Responses To Reminiscing About Their First Encounter: Associations With Mental Health, Marital Satisfaction, And Cardiovascular Reactivity, Hanzhen Lan

Public Health Theses

Objectives: While there has been growing interest in how close relationships affect older adults’ health, not much research has examined how emotional experiences in older married couples’ positive interactions relate to individual and relational well-being and physical health. The present study hypothesizes that positive emotional responses to older couples reminiscing about first encounter are associated with each spouse’s higher marital satisfaction, fewer depressive symptoms, and healthier cardiovascular reactivity (blood pressure and heart rate variability).

Method: One hundred and one couples completed a background questionnaire at home and then participated in a laboratory session in which they discussed how they first …

Outpatients' And Treatment Providers’ Cultural Model(S) Of Mental Illness In Northern Illinois, Emily Jean Stephen

Graduate Research Theses & Dissertations

For this thesis, I interviewed outpatients and clinicians from mental health treatment providers from the DeKalb, Illinois area to investigate the cultural models of mental illness held by both groups. I employed ethnographic methods of semi-structured interviews, and with cognitive tasks (free-listing, and pile sorting) to research similarities and differences between the outpatients’ and mental health treatment providers’ cultural models of ‘mental illness.’ Both mental health clinicians and outpatients have experience with disorders commonly termed ‘mental illness.’ I found differences of experience and identity seemed to more strongly influence one’s cultural model of mental illness than one’s level or type …

Beyond School Engagement: School Adaptation And Its Role In Bolstering Resilience Among Youth Who Have Been Involved With Child Welfare Services, Skyler S. Leonard

Electronic Theses and Dissertations

Objective: Youth involved with the child welfare system are at significant risk of poor school functioning and mental health. Little research has explored how the connection to school impacts known relationships between adversity and youth outcomes. The following project sought to shed light on the role of schools in conferring risk or resilience for youth in contact with the child welfare system, with regard to their mental health. The overall aims of this project were to (1) improve our conceptualization of school adaptation, with particular attention to individual variation along multiple dimensions of school adaptation, (2) examine the relationship of …

Crime And Mental Health Problems In Norway - A Zero-Sum Game?, Dag Leonardsen

The Journal of Sociology & Social Welfare

Through a historical overview, the author analyses the Norwegian welfare society and the limits of a social-engineering approach to social problems. While economic growth and welfare benefits expanded for many years, so did registered crime and mental problems. This paradox gives a justification for challenging established ways of thinking about social prevention policies. Since the turn of the century, crime figures have decreased while the state of mental health has worsened. The author argues that if the price of the suppression of crime is the depression of mind, then the gains are indeed pyrrhic.

The Effects Of Mindfulness Practice With Music Listening On Working Memory, Emily Irene Messick

University of the Pacific Theses and Dissertations

The purpose of this experimental study was to investigate mindfulness strategies and their influence on working memory. The potential role of music in facilitating mindfulness practice is explored. Various listening exercises were investigated along with their influence on working memory (i.e. attention control). Thirty-four individuals were randomly assigned to participate in one of four listening groups: 1) mindfulness with music, 2) mindfulness without music, 3) music only, and 4) silence. Thirty-four participants engaged in a computerized digit-span task before and after the listening exercise to assess pre- and post-test working memory performance. Thirty participants were included in data-analysis due to …

Transition Into Adulthood: Cannabis Use And Mental Health, Katie Mcintyre

All ETDs from UAB

The US is currently experiencing sweeping changes in the legal status of cannabis, the most common illicit drug used in America. Due to its classification as a Schedule I substance we know very little about how cannabis use impacts mental health since illicit drugs are not legally allowed to be researched in a laboratory setting. The current research on cannabis use (CU) and mental health (MH) is expansive and conflicting. One side of the debate suggests CU in adolescence has a direct effect on MH, the other side suggests CU could be an indirect coping mechanism of poor MH. One …

Quality Of Life And Mental Health After Pediatric Central Nervous System Tumor Treated With Surgery Only, Alexandra Cutillo

All ETDs from UAB

Benign pediatric central nervous system (CNS) tumors treated with surgery alone have been considered relatively harmless to long-term health. However, a developing line of research has identified several late effects experienced in this population including psychological, adaptive, behavioral, neurological, and cognitive problems. Quality of life of children after resection alone has not previously been evaluated, especially in comparison to that of healthy children and children with chronic illness. Further, there has been no research geared toward developing psychosocial programs to address the late effects identified in this population. The following manuscripts contribute to the literature by evaluating and providing potential …

Memoir As Witness To Mental Illness, Dora W. Klein

Faculty Articles

During a trial, a witness's job is to supply the facts by telling the jury what she saw, heard, or otherwise experienced that is relevant to the legal questions the jury must answer. The jury's job is to decide how much weight and credibility to accord a witness's testimony. Jurors are expected, even instructed, to rely on their own knowledge about the world when deciding whether and how much to believe a witness. Most of the time, jurors' own experiences are sufficient to allow them to accurately assess a witness's testimony. However, jurors are sometimes called upon to assess testimony …

Examining Cultural Humility And Intersectionality In Mental Health Treatment, Sandra Y. Herrera-Spinelli

Walden Dissertations and Doctoral Studies

Cultural awareness is an ethical standard in the social work profession and, as the diversity in the United States continues to grow, it is a social work practice problem when cultural awareness is not implemented in mental health settings. The National Association of Social Workers revised the cultural awareness standards to include cultural humility and intersectionality as practice indicators. The purpose of this action research study was to examine how clinical social workers demonstrated cultural humility and intersectionality in mental health settings. Person-centered theory guided this study and a total of 17 clinical social workers in New Mexico participated in …

Increasing Clergy's Knowledge Of Mental Illness, Confidence, And Willingness To Refer, Suzan Mae Davis Merritt

Walden Dissertations and Doctoral Studies

Over 43 million Americans suffer from mental illness annually with 40% seeking support from clergy (Polson & Rogers, 2007) who claim to be ineffectively prepared (Farrell & Goebert, 2008). This study investigated if mental health training administered to clergy would increase their knowledge of various mental disorders, alter their opinion regarding helpful resources, grow their self-confidence to help individuals experiencing mental health issues, and increase clergy's willingness to refer out. The theoretical basis for this research was attribution theory that attempts to explain social perceptions (Mannarini & Boffo, 2013) and the struggle individuals (i.e. clergy) have regarding the causation of …

Effects Of Psychiatric Hospital Closures On Local Jail Administrators, Correctional Staff, And Inmates, Mark Christian Lasko

Walden Dissertations and Doctoral Studies

A series of psychiatric hospital closures has led to a movement of care for individuals with mental illness from state-run facilities to managed care centers. Many of the individuals who no longer reside in psychiatric hospitals have become ensnared in the criminal justice system. Correctional facilities have an increased burden to care for the needs of the mentally ill, but lack the training and facilities to do so adequately. In this study, the lived experiences of correctional staff who have experienced the process of a hospital closure were examined. Psychiatric rehabilitation and gatekeeper theories served as the theoretical framework for …

School Counselors' Lived Experiences Supporting Students With Mental Health Concerns, Linda F. Peterson

Walden Dissertations and Doctoral Studies

Mental health in schools is a growing concern for many school counselors, educators and communities. School counselors are in key roles in the school setting to support students with mental health concerns. This research was done to gain a deeper understanding of the experiences, beliefs, and attitudes of school counselors supporting students with mental health diagnoses. This hermeneutic phenomenology research used n=4 participants school counselors and each has worked in their field for over 6 years. Additionally, each participant worked in the same school building for a minimum of 3 years or more. Semi structured interviews were used to collect …

Natural Environment Associations With Mental Health And Obesity Status, Adam Edwin London

Walden Dissertations and Doctoral Studies

Mental health and obesity were ranked among the health priorities of the 2014 and 2017 Community Health Needs Assessments in Kent County, Michigan. Exposure to nature is correlated to improved health outcomes across a variety of morbidities including poor mental health and obesity. This cross-sectional study set within the frameworks of attention restoration theory, environmental health, and pathways to health benefits from nature assessed county survey data including self-reported nature exposures/interactions separated into 3 domain areas: access to nature, attitudes about nature, and physical activity in nature or in nature-based activities. Binary logistic regression analyses of the 653 respondents found …

Associations Between Perceptions Of U.S. Immigration Enforcement Policies, Physical Health, Psychological Distress, And Health Care Utilization In A Hispanic Border Community, Isabel Katharina Maria Latz

Open Access Theses & Dissertations

Since the beginning of the current U.S. federal administration, immigration policies have become more restrictive and immigration enforcement has been strengthened. This cross-sectional survey study examines associations between perceptions of and experiences with current immigration enforcement policies and self-rated physical health, psychological distress, and health care utilization among Hispanic adults with different residency statuses in the U.S. Paso del Norte region. This study further investigates moderating effects of collective efficacy and engaged coping strategies on associations between policy perceptions and psychological distress.

The study sample included 211 Hispanic adult residents of the U.S. Paso del Norte Region (i.e., El Paso, …

Long-Term Prevalence And Predictors Of Prolonged Grief Disorder Amongst Bereaved Cancer Caregivers: A Cohort Study, Rachel D. Zordan, Melanie L. Bell, Melanie Price, Cheryl Remedios, Elizabeth Lobb, Christopher Hall, Peter Hudson

Medical Papers and Journal Articles

Context: The short-term impact of prolonged grief disorder (PGD) following bereavement is well documented. The longer term sequelae of PGD however are poorly understood, possibly unrecognized, and may be incorrectly attributed to other mental health disorders and hence undertreated.

Objectives: The aims of this study were to prospectively evaluate the prevalence of PGD three years post bereavement and to examine the predictors of long-term PGD in a population-based cohort of bereaved cancer caregivers.

Methods: A cohort of primary family caregivers of patients admitted to one of three palliative care services in Melbourne, Australia, participated in the study (n = …