Digital Commons Network^™

Using Participatory Design Methodologies To Co-Design And Culturally Adapt The Spanish Version Of The Mental Health Eclinic: Qualitative Study, Laura Ospina-Pinillos, Tracey Davenport, Antonio Mendoza Diaz, Alvaro Navarro-Mancilla, Elizabeth M. Scott, Ian B. Hickie

Medical Papers and Journal Articles

Background: The Mental Health eClinic (MHeC) aims to deliver best-practice clinical services to young people experiencing mental health problems by making clinical care accessible, affordable, and available to young people whenever and wherever they need it most. The original MHeC consists of home page with a visible triage system for those requiring urgent help; a online physical and mental health self-report assessment; a results dashboard; a booking and videoconferencing system; and the generation of a personalized well-being plan. Populations who do not speak English and reside in English-speaking countries are less likely to receive mental health care. In Australia, international …

Translational Insights Into The Genetic Etiology Of Mental Health Disorders: Examining Risk Factor Models, Neuroimaging, And Current Dissemination Practices, Jessica L. Bourdon

Theses and Dissertations

Psychiatric genetics is a basic science field that has potential for practical application and effective translation. To date, translational frameworks utilized by this field have been linear (e.g., sequential) in nature, focusing on molecular genetic information. It is proposed that non-linear (e.g., socio-ecological) frameworks are a better way to immediately translate non-molecular genetic information. This dissertation explored the translation of psychiatric genetic information in two ways. First, a survey was sent to academic stakeholders to assess the state of the science regarding the translation of genetic information to the clinical care of mental health disorders. Findings from this indicate a …

From Sunrise To Sunset: A Lifespan Approach To Understanding The Mental Health Of A Subset Of American Farmers, Janna L. Imel

Theses and Dissertations

Prior research has indicated higher risk of suicide for farmers and identified depression and anxiety as mental health concerns, though the majority of research was conducted in the 1980s-1990s. In today’s economic, social, and political climate, farmers are exposed to situations and stressors reminiscent of the 1980s Farm Crisis. An added risk is the aging workforce of farmers, as age-related conditions can make farming even riskier. This study investigated the mental health of a subset of American farmers by exploring farm-related stressors, coping mechanisms, and mental health outcomes. Dispositional mindfulness was explored as a specific coping mechanism. Participants (N …

Identifying Targets For Quality Improvement In A Community Child Mental Health Agency, Natalie K. Finn

Theses and Dissertations

The implementation of evidence-based practices has great potential to improve the quality of children’s services; however, with a large variety of available practices, it can be challenging to select targets for quality improvement in community-based treatment. This study used a method called relevance mapping to identify how thoroughly evidence-based programs could cover a specific population of children seeking services at a large public agency and identify practice elements relevant to these clients. A therapist survey was used to examine current practice at the agency. Eight therapists at the agency reported on their practice delivery for 141 clients. Results from relevance …

Family Separation And The Impact Of Digital Technology On The Mental Health Of Refugee Families In The United States: Qualitative Study, Sayyed Fawad Ali Shah, Julia Meredith Hess, Jessica R. Goodkind

Research, Publications & Creative Work

Background: Conflicts around the world have resulted in a record high number of refugees. Family separation is a critical factor that impacts refugee mental health. Thus, it is important to explore refugees’ ability to maintain contact with family members across the globe and the ways in which they attempt to do so. It is increasingly common for refugees to use information and communication technologies (ICTs), which include mobile phones, the internet, and social media sites, such as Facebook, WhatsApp, Skype, and Viber, for these purposes.

Objective: The aim of this study was to explore refugees’ perceptions of the …

The Role Of Social Comparisons In Perceived Parental Competence, Mental Health, And Relationship Satisfaction, Sarah T. Caverly

PCOM Psychology Dissertations

The theory of social comparison suggests that all individuals are naturally driven to evaluate and compare their opinions and abilities with those of similar others to varying degrees. Social comparison behavior is associated with negative outcomes impacting mental health and relationship satisfaction, with the prevalence of social-media use providing an increased opportunity to engage in social comparisons. Most of the research on the impact of this behavior has been conducted with young-adult populations, overlooking other populations, such as parents. The limited research in this area suggests that parents, particularly mothers, who engage in social comparisons experience increased depression, are less …

Internalized Homophobia Of Lgb Emerging Adults: Identity Complexities And Mental Health, Emily Christine Newbury

Antioch University Dissertations & Theses

Meyer’s (2003) minority stress model explores the relationship between the social stress of sexual minorities and mental health. Internalized homophobia is linked to feelings of shame, guilt, and worthlessness, and contributes to the development of mental health problems (Ramirez-Valles, Molina, & Dirkes, 2013). The present study examined the relationship between internalized homophobia and mental health in young adults who identify as LGB. Participants (N =130) were recruited from universities in Connecticut and Georgia, as well as from the Amazon Mechanical Turk website. It was hypothesized that higher levels of internalized homophobia would be related to higher levels of self-reported anxiety, …

Women’S Lived Experiences Of Gender Microaggressions: Dental Hygienists’ Stories, Karin E. Hovey

Antioch University Dissertations & Theses

This dissertation presents research involving women’s subjective experiences of gender microaggressions. The introduction includes a review of the literature on microaggressions: (a) the types of microaggressions, (b) the emotional and psychological cost to those who experience microaggressions, and (c) how gender microaggressions against women work to maintain oppression and sexual objectification of women in American society. This current research addresses the knowledge gap created by little research on women’s lived experiences of gender microaggressions they encounter in their everyday lives, particularly in the workplace. The population studied was dental hygienists. This population is unique because of the disproportionate number of …

The Experience Of Relapse After Long-Term Sobriety And Subsequent Return To Sobriety, Bahram Edward Kaikhosrow Shahrokh

Antioch University Dissertations & Theses

While psychiatric medications have been categorized as the same as substances of abuse in Alcoholics Anonymous (AA), medications for common medical disorders were not affected by this disapproval of medication. It may be time for a new dialogue (Woody, 2015). According to Gjersing and Bretteville (2018), there has been a concerning increase in overdose deaths in the last decade. This includes a threefold increase in overdose deaths from prescription narcotics and six-fold increase in overdose deaths from heroin in the United States. When prescription opioid users find difficulty in obtaining pills, they may move on to heroin, which is much …

Accessing Mental Health Services For Students In Public Schools, Wendy L. Hite

All-Inclusive List of Electronic Theses and Dissertations

The purpose of this qualitative study was to learn what practicing Educational leaders state are the competencies needed for school administrators to access school-based mental health services for students. Research questions included what competencies of elementary principals facilitate the provision of mental health services for students in elementary public schools and what administrative structures, policies, and procedures are needed in elementary schools for students to access mental health services. Standards for school administrators in pre-service programs were reviewed to determine if there are gaps in what administrators are taught in pre-service programs versus what knowledge they need to have in …

Effects Of Mental Health Programs On School Violence, Lillian R. Gray

College of Graduate Studies: Theses & Dissertations

Bullying, defined as any unwanted aggressive behavior(s) by another youth or group of youths who are not siblings or current dating partners that involves an observed or perceived power imbalance and is repeated multiple times or is highly likely to be repeated, is becoming an epidemic in our schools, with rates of victimization rising (Donegan, 2012). This thesis examines mental health programs already established within schools, as well as schools where students do not have access to mental health resources and compares the amount of violence that is perpetrated within these schools. Next, this study explores the relationship between bullying …

High-Rise Apartments And Urban Mental Health—Historical And Contemporary Views, Danica-Lea Larcombe, Eddie Van Etten, Alan Logan, Susan L. Prescott, Pierre Horwitz

Research outputs 2014 to 2021

High-rise apartment buildings have long been associated with the poor mental health of their residents. The aims of this paper are to examine whether this connection is necessarily so, by reviewing the evidence relating to the relationships between high-rise living and social wellbeing, occupant’s stress levels, and the influence they have on mental health. From selected literature, psychological stress and poor mental health outcomes of the populations that live in high-rise apartments are indeed apparent, and this is particularly so for apartments in poor neighbourhoods. Yet many apartments in developed cities are in affluent areas (particularly those with views of …

International Student Support Groups: Learning From Experienced Group Members And Leaders, Nathan` Page, Mark Beecher, Derek Griner, Timothy B. Smith, Aaron Jackson, Klint Hobbs

Faculty Publications

Adjustment to college can be particularly difficult for international students. A multi-site qualitative study investigated the experiences of six group leaders and 10 group members who participated in seven different university counseling center international student support groups. Analyses of interview data using hermeneutic interpretation resulted in nine major themes and ten sub-themes organized into four sections: (1) Recruitment and group design, (2) Experiences of group members, (3) Experiences of group leaders, and (4) Additional considerations. College and university counseling centers can effectively work with international students by providing outreach and support groups.

Crisis Intervention Team Training For Law Enforcement: Analyzing The Factors That Influence Verbal De-Escalation Skills Knowledge Attainment In The Memphis Model, Paul M. Dunaway

Electronic Theses and Dissertations Archive

Crisis intervention team (CIT) training has been proven to be effective at increasing officers knowledge of mental health, improving attitudes toward those with a mental illness, and reducing use of force rates and arrest leading to incarceration of mental health consumers. Prior research has been primarily limited to outcome evaluations of CIT programs. The current study had 105 participants and examined officer-level variables identified in the literature that may affect verbal de-escalation skills knowledge attainment in the Memphis Model of CIT training. This was accomplished through the use of a hierarchal regression analysis. Results of the study found that officers …

Parental Bonding: Validity, Stability And Predictor Of Mental And Physical Health During Pregnancy, Delicia Dorothy Pereira

Theses: Doctorates and Masters

Background: Parental bonding during childhood is known to have a significant impact on an individual’s life-long health. The influence of early parent-child relationships may be particularly strong in mothers who are pregnant with their first child. In this study, these emotional bonds were explored using the Parental Bonding Instrument (PBI), a retrospective and quantitative measure of parental bonding. The PBI has not been validated in a pregnant population, nor has its consistency been examined across the birth of a child. Therefore, this study: i) validates the factor structure of the PBI for the first time in an Australian population of …

Effects Of Police-Mental Health Collaborative Services On Calls, Arrests, And Emergency Hospitalizations, Sean Russel-Jacque Zauhar

Walden Dissertations and Doctoral Studies

With the increasing amount of police calls involving persons experiencing a mental health crisis (PICs), agencies are looking for ways to reduce the overuse of emergency services and criminal confinement. Police-mental health collaborative (PMHC) programs were developed to utilize the expertise of both mental health and law enforcement practitioners to provide immediate linkage to psychiatric services in an effort to prevent unnecessary involvement in the criminal justice system. The theoretical framework for this study was built on the sequential intercept model (SIM) along with the theories of social network and social support. The SIM identifies 5 key points where PICs …

Social Workers' Perceptions Of The Effects On United States Soldiers Of Multiple Deployments, Cynthia Louise Wilson

Walden Dissertations and Doctoral Studies

Military personnel who have served during Operation Iraqi Freedom, Operation Enduring Freedom, and Operation New Dawn have experienced longer and more frequent deployments than U.S. personnel involved in any previous conflict. These multiple tours in combat zones have resulted in complex psychosocial needs for military personnel. The goal of this action research study was to understand social workers' perceptions and experiences of military personnel who experienced 3 or more deployments in a combat zone. The theoretical foundation for the study was narrative theory. Research questions sought to understand the social workers' perceptions of the psychosocial treatment needs of these veterans, …

Examining Police Officer Satisfaction With Mental Health Resources, Jessica Renee Burke

Walden Dissertations and Doctoral Studies

The purpose of this study was to determine the overall satisfaction officers experience with the mental health resources provided by their department. The research aimed to determine whether or not age had an impact on satisfaction levels of police officers. The results from this research would provide information for law enforcement agencies to use in evaluating their own mental health services. Archival survey data from the National Police Suicide Foundation (n = 48) was used for this study to examine the research question: how does age impact an officer's satisfaction in mental health resources. A linear regression was used to …

About A Revolution: Toward Integrated Treatment In Drug And Mental Health Courts, Sara Gordon

Scholarly Works

This Article examines specialty courts, including drug, alcohol, and mental health courts, which proponents claim created a revolution in criminal justice. Defendants whose underlying crime is the result of a substance use disorder or a mental health disorder can choose to be diverted into a specialty court, where they receive treatment instead of punishment. Many of these individuals, however, do not just suffer from a substance use disorder or a mental health disorder; instead, many have a “co-occurring disorder.” Approximately 8.9 million American adults have co-occurring mental health and substance use disorders, and almost half of individuals who meet diagnostic …

Wellness In Allied Health Students: The Case For Change, Abigail Lewis, Alison Kirkman, Lisa Holmes

Research outputs 2014 to 2021

Introduction: The case for change. There are increasing mental health issues among young people, including higher education students. millennial students face unique challenges relating to attention, critical thinking and managing stress. Specifically, allied health students engage in multiple placements in which they need to interact with real people in real time while being evaluated in assessment and treatment strategies. Some universities have been using wellness programs and mindfulness strategies to support student mental health across campuses for some time. However, as allied health students face unique challenges, there is a need for a particular focus on wellness at an individual …

Strong Black Women, Depression, And The Pentecostal Church, Dawn E. Davis

Walden Dissertations and Doctoral Studies

Depression is a global health concern and among the top two causes of disability

and disease. African-Americans often seek help from the Black church, but

Pentecostal churches may fail to provide effective support due to doctrinal beliefs.

African-American women with depression struggle due to psychosocial implications

of the diagnosis. This research study used social constructionism and the

biopsychosocial model of health to explore the lived experiences of African-

American women suffering from self-reported depression while attending

Pentecostal churches in the Northeast United States. Fourteen women, ages

20 to 76, participated in this qualitative, phenomenological study. Data obtained

from the semistructured, …

Efficacy Of A Va Residential Treatment Program For Co-Occurring Disorders, Kathrin Hohenstern

Walden Dissertations and Doctoral Studies

The problem of co-occurring substance abuse and mental health disorders among the veteran population can impact numerous aspects of a veteran's life, including self-esteem, relationships, employment, and legal issues. The Mental Health Residential Rehabilitation Treatment Program (MH RRTP) at the Saint Cloud, Minnesota VA Healthcare System is a program that provides residential treatment for this population. Identifying practical and beneficial treatment methods promotes better coping mechanisms for veterans and impacts social change by providing timely and cost-efficient care for veterans, while also leading the way for overall changes and improvements in other VA residential treatment programs. This study identified how …

Screening For Posttraumatic Stress Disorder In Ards Survivors: Validation Of The Impact Of Event Scale-6 (Ies-6), Megan M. Hosey, Jeannie-Marie S. Leoutsakos, Ximin Li, Victor D. Dinglas, O. Joseph Bienvenu, Ann M. Parker, Ramona O. Hopkins Phd, Dale M. Needham, Karin J. Neufeld

Faculty Publications

Background: Posttraumatic stress disorder (PTSD) symptoms are common in acute respiratory distress syndrome (ARDS) survivors. Brief screening instruments are needed for clinical and research purposes. We evaluated internal consistency, external construct, and criterion validity of the Impact of Event Scale-6 (IES-6; 6 items) compared to the original Impact of Event Scale—Revised (IES-R; 22 items) and to the Clinician Administered PTSD Scale (CAPS) reference standard evaluation in ARDS survivors.

Methods: This study is a secondary analysis from two independent multi-site, prospective studies of ARDS survivors. Measures of internal consistency, and external construct and criterion validity were evaluated.

Results: A total of …

Factors Associated With Anxiety, Depression, Burnout, And Ptsd In Australian Paramedics, Timothy Rankin

Theses: Doctorates and Masters

Background

Paramedics are at higher risk of anxiety, depression, burnout, and PTSD compared to the general population. Factors that have been associated with mental disorders include occupational stress, fatigue, sleep quality, chronic pain, physical activity, perceived social support, and overall quality of life. To date only a few of these factors have been investigated simultaneously in Australian paramedics.

Aim

This study aimed to investigate occupational stress, fatigue, sleep quality, chronic pain, physical activity, perceived social support, and overall quality of life, and their associations with anxiety, depression, burnout and PTSD in Australian paramedics.

Methods

Sixty-three paramedics, working for ambulance services …

Evaluating The Frequencies Of Self-Reported Mental Health Conditions In Affluent Youth, Philip Bondurant

Walden Dissertations and Doctoral Studies

American youth are facing a mental health crisis. Rates of depression and suicide continue to rise among all children ages 12-17. While there is considerable research on the mental health of underserved children, much less is known about the mental health status of youth from affluent communities. The purpose of this study was to evaluate the effectiveness of community health assessment (CHA)-driven mental health interventions on the youth of affluent communities. Using a pre and post evaluation model, this study compared the frequencies of self-reported depression and suicide ideation for students in Grades 8, 10, and 12, and geographic location …

An Exploration Of Mental Health Practitioners' Perceptions Of Ethical Requirements And Self-Care As Means To Maintain Professional Competence, Ebony Denise Coleman

Walden Dissertations and Doctoral Studies

A mental health practitioner must refrain from partaking in any mental health work if personal problems interfere with his or her ability to provide services in a competent manner. The purpose of this qualitative study was to explore how mental health practitioners manage personal problems to stay ethically compliant. Previous research has indicated that a significant amount of literature has revealed the causes and damaging effects of burnout among mental health workers. However, there remains an important gap in the current literature that links burnout directly with competently providing quality care. Ethical compliance, self-care, and mental health practitioners' perceptions were …

Los Angeles Community-Based Associate Social Workers' Understanding Of Culture And Therapy, Christine Cearfoss

Walden Dissertations and Doctoral Studies

Social workers have no clear professional guidelines about the application of culturally competent mental health service delivery. Without culturally competent mental health service delivery, clients from diverse cultures do not access needed mental health services and they experience less effective therapy treatment outcomes and overall disparity of service delivery throughout the therapeutic process. The purpose of this descriptive case study was to better understand how community-based social workers are delivering culturally competent services to clients. The theoretical framework for the study was multiculturalism and the primary research questions addressed how associate clinical social workers who provide in-home mental health services …

Measuring Effects Of Childhood Adversity On Resilience Level Of Army Veterans, Stephanie Rausch

Walden Dissertations and Doctoral Studies

Veteran suicide is a public health issue that requires more research to understand the multidimensional factors, such as resilience, that lead someone to suicide. Adverse childhood events (ACEs), such as poverty and abuse, have affected how resilience is developed. This study examined the association between childhood factors of socioeconomic status, parental discipline, and being a military child, and adult resiliency level. Dienstbier's theory of mental toughness framed the study, which posits that a child who experiences mild ACEs and has time to recover between events, will be more resilient than children who experience serious ACEs, and children who experience little …

Predicting Educational Attainment Based On Forensic Psychiatric Patients' Age At First Hospitalization, Malinda Marie Lawson

Walden Dissertations and Doctoral Studies

Education during recovery could impact a forensic psychiatric patient's community reintegration; however, individual education goals for patients can be difficult due to the lack of available parameters. The purpose of this study was to test whether age at first hospitalization is predictive of educational attainment among forensic psychiatric patients and to determine which ages of first hospitalization best predict 8 levels of educational attainment. Cattell's intelligence theory served as the theoretical framework for this study because mental illness requiring early hospitalization may affect education and learning. This quantitative, nonexperimental study involved a predictive design with data from the Canadian Institute …

Psychosocial Differences In Far Right, Far Left, Islamic, And Single Issue Lone Extremists, Tamara Marie Lamontagne

Walden Dissertations and Doctoral Studies

Acts of lone extremism are on the rise, yet little is known about who commits these acts. Research in this area has failed to delineate by extremist subtype. This has led to the misconception these acts and actors present with such variance psychosocially that they cannot be predicted. The purpose of this research was to assess whether statistically significant relationships exist between lone extremist subtypes on the psychosocial variables of mental illness, substance use, and having radicalized friends or family members. The conceptual framework for this study was De La Corte's psychosocial principles of terrorism, which addressed the social and …