Digital Commons Network^™

Nevada's Healthcare And Education Workforce Pipelines, David Damore, Caitlin J. Saladino, William E. Brown Jr.

Policy Briefs and Reports

With ongoing workforce shortages in K-12 education, healthcare, and mental and behavioral health—occupations central to the HEAL (health, education, administration, and literacy) economy—this brief utilizes the Nevada P-20 to Workforce Research Data System (NPWR) and data from the U.S. Bureau of Labor Statistics to explore the current and projected landscape for these workforces in Nevada. Examining the demographic characteristics of those participating in focused career and technical education training and those earning relevant postsecondary credentials illuminates gender disparities in Nevada’s healthcare and education workforce pipelines. After reviewing the current state of these workforces and assessing the available NPWR data, we …

Disparities In Street Harassment Exposure And Mental Health Consequences: Elevated Risk For Marginalized Women, Sophia Shaiman, Kaitlin M. Boyle

Faculty Publications

Street harassment is a widespread harm that disproportionately affects women. While research suggests links between racial inequality, street harassment, and mental health outcomes, it is less understood how the severity of harassment experienced is shaped by their demographic characteristics, and how the severity of the harassment shapes mental health outcomes. Thus, we ask two questions. First, which demographic characteristics are associated with a greater risk of “complementary” and “hostile” forms of street harassment? Second, are complementary and hostile forms of street harassment both associated with higher levels of negative emotion, psychological distress, and post-traumatic maladaptive beliefs? To answer these questions, …

Recognizing And Addressing Burnout In Physician Associates, Nellie Garcia

Lynchburg Journal of Medical Science

ABSTRACT

Burnout among Physician Associates (PAs) is a pervasive occupational hazard with far-reaching consequences for clinician well-being, patient safety, and the sustainability of healthcare systems. This doctoral project examines the multifaceted nature of PA burnout, focusing on its impact on mental and physical health, clinical performance, team dynamics, and workforce retention. A structured literature review of peer-reviewed studies published between 2020 and 2025 revealed consistent associations between burnout and emotional exhaustion, anxiety, depression, and diminished job satisfaction. These symptoms impair decision-making, reduce empathy, and elevate the risk of medical errors—factors that compromise patient outcomes and disrupt collaborative care.

The review …

Promoting Mental Health For Asian American, Native Hawaiian And Pacific Islanders: An Action Plan And Resource Guide, Sue Maxam

Social Justice Week

No abstract provided.

The Impact Of Cooperative Extension Programs On Late Life Mental Health Outcomes: A Systematic Review, Naomi R. Meinertz, Kate Perepezko, Jeong Eun Lee, Mary E. Dozier Phd

Journal of Human Sciences and Extension

Rural-dwelling older adults have greater mental health disparities with higher rates of depression and anxiety compared to their urban counterparts; however, reaching these communities to understand and address the specific psychological needs of rural-dwelling older adults remains a barrier for gerontologists. Due to the extensive reach of the Cooperative Extension System, university Extension systems are primed to facilitate connections between researchers and rural communities to improve mental health outcomes for older adults. Despite the potential benefits of such partnerships, Extension is largely unknown and underutilized by gerontological researchers, leaving many older adults disconnected from resources available through land-grant universities that …

Intergenerational Creative Movement Program: A Social Connection Intervention To Foster Health And Well-Being, Claire M. Reardon, Mohammad Khalilian, Amy F. Kostelic, Susan Thiel, Anthony R. Bardo

Journal of Human Sciences and Extension

A sense of connection and belonging is widely recognized to be essential for mental health. Yet, since the COVID-19 pandemic, loneliness, social isolation, and mental health problems have remained elevated across America. Transitions into young adulthood and older age, while distinct, similarly challenge social connectedness, especially among women. Our multi-lesson education program connected first-generation female college students with college-educated forty-plus women to foster belonging and improve mental health. The program integrated dance as a creative physical activity, promoted intergenerational engagement through a humanistic focus on generativity, and used a social network approach to gauge the development of connections among participants …

Level Up: How Video Games Can Be Beneficial And Spark Creative Imagination In Players, Makendra M. Phipps

Honors Theses

Since the 2010’s, a technological trend has been flourishing: the development and enhancement of video games across different platforms. The early 1970s began the evolution of video game systems, from Atari and Magnavox Odyssey (1972) to Game Boy (1989) to Nintendo Switch 2 (2025) today. Video games themselves have also evolved, from the first basic computer games of the 1950s (such as OXO and Tennis for Two), to the introduction of arcade games in the 1970s (Pong, Space Invaders, PAC-Man), to the popular video games of today (Grand Theft Auto, Minecraft, Fortnite, R.E.P.O., to name …

Empowering Mothers: A Digital Intervention For Perinatal Mental Wellness, Morgan Edmunds

Doctor of Nursing Practice Scholarly Projects

Aim: The aim of this project was to develop a smartphone application prototype for peripartum mental health. The goal of this application was to enhance access to education and quality mental health care.

Background: Currently, in the United States, peripartum mental health conditions are the leading cause of maternal morbidity and mortality (The Joint Commission, 2023). There is a gap in education, screening, and treatment for peripartum mental health due to distrust and a lack of resources, including a lack of mental health providers (Dossette et al., 2024; Feldman & Perret, 2023). Therefore, there is a significant number of women …

Leveraging After School Programs As Resources To Support Adolescent Health And Wellbeing Within Underserved Communities: A Qualitative Study, Olivia Staples

Theses and Dissertations

Over the past decade, youth have shown a consistent rise in stress, major depression, anxiety, and suicide, with underserved youth (low-income, minoritized communities) at greatest risk of exposure to chronic stress, related outcomes, and less access to health services (APA, 2017). Afterschool programs (ASPs), which serve as important resources in underserved communities, can be a critical support for youth health and well-being (Afterschool Alliance, 2019). However, few studies have examined ways in which ASPs address the challenges underserved youth face across their ecosystem to promote youth resilience (Jones & Deutsch, 2011). Using qualitative interview data from staff and youth across …

Addressing Mental Health And Homelessness In The Lower Valley, Viere Arellano-Almazan

Selected Social Change Portfolios in Prevention, Intervention, and Consultation

Goal Statement: To reduce homelessness in the Lower Yakima Valley by implementing early intervention and culturally responsive mental health prevention strategies that enhance access to care, reduce stigma, and strengthen community resilience. Significant Findings: The Lower Yakima Valley faces significant challenges in addressing the intersection of mental health and homelessness due to limited access to culturally and linguistically appropriate care. Research indicates that rural residents particularly Hispanic immigrant and farmworker populations experience elevated levels of psychological distress, stigma, and barriers to accessing services (Armstrong et al., 2022). Applying the Social-Ecological Model has illuminated how multiple interconnected factors influence vulnerability, including …

Design Of A Maintenance Protocol Based On Bipolar Neutrosophic Analysis For Severe Depression, Karina Alejandra Álvarez Lino

Neutrosophic Sets and Systems

Severe depression has been one of the leading causes of disability worldwide and maintains a high risk of relapses even after successful treatment, especially in medium-sized cities in Latin America. Therefore, this study focused on the design of a clinical maintenance protocol based on Acceptance and Commitment Therapy (ACT), aimed at young adults residing in Ambato, Ecuador, who had previously received Cognitive-Behavioral Therapy (CBT). To this end, a bipolar neutrosophic analysis of depression was conducted to determine the attributes that impact the identified patients and define the design of the proposal. The designed protocol was structured into eight group sessions, …

Too Much Of A Good Thing? Can Students Be Too Behaviorally Engaged, Rosemary Louise Odem

Theses and Dissertations

Student engagement in school is a key determinant of students’ academic success. Student engagement is commonly conceptualized as a meta construct comprised of three dimensions: emotional, cognitive, and behavioral engagement (Fredricks, 2015). Behavioral engagement, the focus of this study, is defined by positive conduct, involvement in learning and academic tasks, and participation in school-related activities (Fredricks et al., 2004). Some researchers have suggested that psychological strengths, like engagement, can be overused and result in maladaptive consequences (Niemiec, 2019; Oishi et al., 2007). This study addressed this notion using archival data from a sample of 422 students from one Southeastern US …

Criminal Court's Disability, Zohra Ahmed

Faculty Scholarship

Do criminal courts meaningfully accommodate psychiatric disability? A review of competency proceedings across the United States suggests not. In competency to stand trial proceedings, criminal court actors offer a narrow vision of psychiatric disability that excludes many defendants. Ultimately, the institutional context of criminal court undermines even the meagre accommodations that the competency framework provides.

Competency proceedings are the constitutional accommodations available to disabled defendants if they can establish that they are unable to consult with their lawyers or if they do not have a rational or factual understanding of the proceedings against them. After a finding of incompetency, the …

"Incredibly Powerful And Well-Crafted" - A Review Of Pandemic Death Discourse: Denial, Disparity And The Promise Of Communication, Elda Kanzki-Veloso Ph.D.

The Qualitative Report

This book analysis, focused on Pandemic Death Discourse: Denial, Disparity and the Promise of Communication (Alvarez et al., 2025), expressed a deeply human expectation from readers. The reviewer wanted more than just straightforward facts; there was a deep yearning for real emotion, personal stories, and meaningful connections that helped people cope with fear and uncertainty. They emphasized the importance of immersing readers in the rich experiences of grief, resilience, and hope. There was a need to feel the heavy impact of overlooked lives. The desire for a sense of outrage regarding the disposable nature of certain lives emerged, as well …

What Works, For Whom, In What Circumstances And Why, When Integrating Voluntary And Statutory Community Mental Health Services: A Realist Evaluation Case Study, Charley Hobson-Merrett, Rebecca Hardwick, Jane Yeandle, Beccy Wardle, Catherine Connor, John Gibson, Vanessa Pinfold, Alexandra Stirzaker, Richard Byng

Peninsula Medical School

Background: Integration of voluntary and statutory mental health services may address gaps in mental health care. The Community Mental Health Framework for Adults and Older Adults 2019 provided impetus for integration within England. It was unknown how, why, or under what circumstances integration would occur.Methods: A realist evaluation of Framework implementation in Somerset was undertaken. The extent of change, and how, why and under what circumstances change occurred were evaluated. Embedded researchers collected observational and interview data, and reviewed internal records. Realist qualitative analysis created and tested a programme theory exploring the extent, cause, and impact of change.Results: Services worked …

Breaking The Silence: A Scoping Literature Review On Trauma-Informed Care For Black Women Navigating Sexual Health-Related Trauma, Ayanna Troutman, Funlola Are, Ashley Okoye, Sarah Chiang, Destiny Craig, Anthony Akande, Irene Stafford

Faculty, Staff and Student Publications

Black women disproportionately experience sexual health-related trauma, yet their mental health needs are often inadequately addressed due to systemic barriers and stigma. This literature review examines trauma-informed care (TIC) frameworks tailored to Black women, emphasizing culturally responsive practices in addressing sexual health-related trauma. By synthesizing findings from existing research, including the importance of intersectionality, culturally specific interventions, and community-centered approaches, this review highlights effective strategies for mental health providers. The review concludes with implications for enhancing TIC training and implementation in clinical settings which contributes to the advancement of equitable mental health services for Black women.

Confronting The Mental Health Crisis: Structural Inequities, Market Pressures, And The Role Of Pharmacy Solutions, Kasi Gorli, Thomas L. Pile, Craig Kimble, Alberto Coustasse

Management Faculty Research

The mental health crisis in the US is severe, with depression and anxiety leading causes of disability among young adults. The mental health services market is growing, but access to care remains inconsistent, particularly in rural and underserved areas. Pharmacists are playing a crucial role in mental health care, improving medication adherence and patient outcomes through collaborative practice agreements. Systemic reform is needed to address barriers such as affordability and social determinants, with pharmacists integral to closing care gaps.

Overcoming Traumatic Barriers To Maximize The Potential Of College Students Facing Mental Health Challenges, Ashley Blanche

Student Theses and Dissertations

This study aimed to explore gaps in knowledge and support for young adults with trauma, with the goal of improving their mental health and academic success. The purpose of this qualitative case study was to investigate how past trauma contributed to mental health challenges that affected the academic success of disadvantaged undergraduate students aged 18–25 in Mississippi. The problem to be addressed in this study was the lack of mental health consciousness in the college community as it related to past trauma in disadvantaged college students aged 18-25. This study’s theoretical framework was based on Vygotsky's Sociocultural Theory, linking adverse …

Impact Of Restorative Yoga On Mental Health And Cognitive Function In Doctoral Physical Therapy Students, Carly Ritter

Doctorate in Kinesiology

Doctor of Physical Therapy (DPT) students experience high academic stress, often impacting mental health. Restorative yoga may reduce stress, regulate the Hypothalamic-Pituitary-Adrenal (HPA) axis response, and support cognitive function. This study examined its effects on mental health and cognitive function in DPT students. Forty-four students were randomly assigned to restorative yoga or control groups in a double-blind design. Participants completed the Stroop Test, Rey Auditory Verbal Learning Test (RAVLT), Depression Anxiety Stress Scale (DASS-8), and a demographic survey at baseline and after 6 weeks. The yoga group practiced twice weekly; controls maintained regular activity, excluding yoga. ANOVA and correlation analyses …

Efficacy Of Psychedelics Therapy Across Psychiatric Disorders: An Umbrella Review Of Meta-Analyses, Alissa A. Lopez, Ihsan Salloum, Juan C. Lopez-Alvarenga

Research Colloquium

Background: Psychedelics are gaining renewed scientific interest as a treatment for mental health conditions such as major depression, post-traumatic stress disorder (PTSD), anxiety, and addiction. Numerous clinical trials and meta-analyses suggest these substances may produce significant therapeutic effects. However, there is currently no high-level synthesis comparing how different psychedelic compounds perform across a range of psychiatric conditions. A quantitative umbrella review is needed to clarify whether psychedelics broadly improve mental health outcomes, and whether certain compounds are more effective for specific diagnoses.

Methods: The aim of this study is to conduct an umbrella review (meta-analysis of meta-analyses) to assess the …

Experiences With Social Media Social Comparison In Women Ages 18-28: A Qualitative Study, Olivia Oakley Dr.

Dissertations

This qualitative study aimed to understand young women’s experience using social media and their reported mental health connections, such as self-esteem and comparison. As inferred in recent research, a wide range of social media content is being produced and consumed, from promoting the “thin ideal” to newer campaigns advocating for body positivity (Cohen et al., 2019, Grabe et al., 2008; Groesz et al., 2002). In a time where there is so much online content to consume, it is important to continue to evaluate the lived experiences of those using social media. This phenomenological qualitative research captured the lived experiences of …

Communication Inhibitors: Dilemmas In Community Partnerships Amidst Mental Health Crises In Texas, Alessa Juarez, Kendra N. Bowen, Johnny Nhan

Qualitative Criminology (QC)

"Community partnerships between police departments, social services, and healthcare providers continue to struggle in various ways, with mental health crisis response remaining a primary yet fragmented service delivery. Using the nodal governance perspective, this paper provides qualitative insight into the existing communication and resource barriers between law enforcement personnel and social service providers in a large urban county in Texas. Four key themes are presented: staff and resource availability, continuity of care, staff personnel and characteristics, and communication efficiency. Policy implications are also discussed, with the study’s findings supporting the prioritization of building stronger communication between existing social service providers, …

Scoping Review Of Sexual And Gender Minority Health Research In Ireland, John P. Gilmore, Tonda L. Hughes, Sean Kearns, Laurie A. Drabble, Diarmuid Stokes, Siobhán D. Thomas, Chris Noone, Lauren Bochicchio

Faculty Research, Scholarly, and Creative Activity

Aim: To map existing sexual and gender minority (SGM) health research in Ireland, identify gaps in literature and outline priorities for future research and healthcare. SGM is an umbrella term that includes people who identify as lesbian, gay, bisexual, transgender, queer or intersex and is sometimes abbreviated as LGBTQI+. Design: A scoping review of peer-reviewed studies published between 2014 and 2024. Methods: The review followed Joanna Briggs Institute (JBI) guidelines and PRISMA-ScR framework for scoping reviews. Articles were identified through systematic database searches and screened independently by reviewers. Data Sources: PubMed, PsycINFO, CINAHL and Embase were searched for articles published …

Self-Talk Speaks Loud: A Bibliometric Dissection Of Its Rise In Counseling Practices, Sri Purwanti, Wahyu Nanda Eka Saputra

Buletin Konseling Inovatif

This study aims to map global trends in self-talk using a bibliometric approach. The data source was entirely drawn from the Scopus database, focusing on publications containing keywords related to self-talk, such as self-talk, talk, and relationship. The analysis was conducted on 960 selected documents published between 1975 and 2025. The results show a significant increase in publications since 2020, reflecting a growing need for self-talk approaches that support mental health and psychological well-being. Authors from various countries contributed differently, with the United States dominating in terms of both publication volume and citations, while developing countries such as Indonesia have …

Mental Health Services For Older Hispanics/Latinos: Incorporating Culture And Context Into Clinical Approaches To Care, Denise Longoria, Romeo Escobar, John M. Gonzalez, Luis R. Torres-Hostos

School of Social Work Faculty Publications

This article discusses older Latinos and their use of mental health services. A brief history of utilization and the contributing factors, including access to services, barriers, and acceptability of mental health services, are included. Sekhon et al.’s theoretical framework of acceptability is discussed in the context of Latino clients. The authors adapt the framework and apply the elements to work with older Latinos and their families. Common stereotypes and faulty assumptions about older Latinos are examined as the Latino population grows and changes in levels of education, language, family structure, roles, religion, and alternative practices continue. Core values for working …

At Stake In Each Other’S Company: A Systems View Of Compassion Fatigue In Mental Health Work, Susan S. Standen

Journal of Conscious Evolution

Traditional research on the phenomenon of compassion fatigue (CF) in mental health work tends to include recommendations for workers to build skills in psychological detachment and self-care. This puts the burden of coping with vicarious trauma on the individual caregiver, not on the systems they operate within. Alternatively, a transformative systemic perspective suggests that Western cultural assumptions about care-giving and individual resilience need to be reassessed. By broadening the exploration of CF and comparing it with human reactions to overwhelming crises across fields and disciplines, new questions can be asked, and new solutions can be proposed. This essay details how …

An Evolutionary Preamble Towards A Multilevel Framework To Understand Adolescent Mental Health: An International Delphi Study, Federica Sancassiani, Vanessa Barrui, Fabrizio Bert, Sara Carucci, Fatma Charfi, Giulia Cossu, Arne Holte, Jutta Lindert, Simone Marchini, Alessandra Perra, Samantha Pinna, Antonio Egidio Nardi, Alessandra Scano, Cesar A Soutullo, Massimo Tusconi, Diego Primavera

Faculty, Staff and Student Publications

Background/objectives: Adolescence is a sensitive developmental window shaped by both vulnerabilities and adaptive potential. From an evolutionary standpoint, mental health difficulties in this period may represent functional responses to environmental stressors rather than mere dysfunctions. Despite increasing interest, integrative models capturing the dynamic interplay of risk and protective factors in adolescent mental health remain limited. This study presents a holistic, multi-level framework grounded in ecological and evolutionary theories to improve understanding and intervention strategies.

Methods: A two-round Delphi method was used to develop and validate the framework. Twelve experts in adolescent mental health evaluated a preliminary draft derived from the …

Sociodemographic Determinants Of Telehealth Visits: A Comparison Of Mental Health And Substance Use Disorders With Other Services, Stanley Nkemjika, Orman Trent Hall, Jeanette Tetrault, Ayana Jordan

Department of Psychiatry and Human Behavior Faculty Papers

BACKGROUND/OBJECTIVES: Discrimination has wide-ranging implications, affecting patients' trust in healthcare professionals and their intentions to seek care. It can cause barriers that can affect access to care, especially among racial and ethnic minority groups in mental healthcare settings. Hence, we aim to examine the relationship between racial discrimination and reasons for using telehealth services.

METHOD: Using the 2022 Health Information National Trends Survey (HINTS-6), we isolated 6017 participants who reported on discrimination inquiry. The primary dependent variable in this study is self-reported discrimination in healthcare, while the main independent variable is the reason for the most recent telehealth visit, and …

Childhood Loneliness And Cognitive Decline And Dementia Risk In Middle-Aged And Older Adults, Jinqi Wang, Danyang Jiao, Xiaoyu Zhao, Yixing Tian, Haibin Li, Xia Li, Chen Sheng, Lixin Tao, Hui Chen, Zhiyuan Wu, Xiuhua Guo

Research outputs 2022 to 2026

Importance: Adult loneliness has been linked to cognitive decline and dementia risk, but the long-term implications of childhood loneliness remain underexplored. Objectives: To investigate whether childhood loneliness is associated with cognitive decline and dementia risk and whether adult loneliness mediates or modifies these associations. Design, Setting, and Participants: This cohort study used data from the China Health and Retirement Longitudinal Study, a nationally representative cohort study conducted between June 1, 2011, and December 31, 2018, with a maximum follow-up of 7 years. Data analyses were performed from October 1, 2024, to January 15, 2025. Exposure: Childhood loneliness was defined as …

Assessing The Psychological Wellbeing And Resilience Of Frontline Health Workers In Uganda: A Cross-Sectional Study, Ahmed Sarki, Joseph Atukwatse, Gideon Mbithi, Sabina Odero, Mary Namuguzi, Bernard Mutwiri, Lestine Bitakwitse, Peninah Wachira, Kevinson Mwangi, Eunice Ndirangu, Amina Abubakar

Institute for Human Development, East Africa

Background: Health workers in the frontline are the major drivers of health systems in low- and middle-income countries. However, these health workers face both chronic and acute shocks and stressors that expose them to mental health problems which are often overlooked. We examined the prevalence of mental health problems, correlates of psychological functioning, and resilience of frontline health workers in Uganda.

Methods: We conducted a cross-sectional study comprising 1800 frontline health workers across all regions of Uganda from August through October 2023. We used tools such as the PC-PTSD-5, PHQ9, PSS, GAD-7, Oldenburg Burnout Inventory, and CD-RISC-10 to assess PTSD, …