Digital Commons Network^™

Finding Freedom In Appalachia: Evaluating A Mental Health Intervention In West Virginia, Elizabeth A. Claydon, Karen Haring, Jessica Haring, Kelsey Riggi, Beth Currence

Journal of Appalachian Health

Introduction: Rural areas have limited capacity to provide comprehensive mental health treatment and resources. This creates the need for interventions to ensure individuals with mental health concerns have access to resources to improve their mental health.

Purpose: The purpose of this mixed-methods evaluation was to assess the effectiveness and impact of Libera, a mental health program tailored for girls and women within the Appalachian region.

Methods: Quantitative surveys, including validated measures for depression, anxiety, and eating disorder symptoms, and life satisfaction, were collected pre- and post-Libera intervention for participants. Simultaneously, annual surveys were sent to Listeners in addition to qualitative …

Affordable Architecture: Promoting Mental Health Through Cost-Effective Design In Underfunded High Schools In Dallas-Fort Worth, Raphaella Malicay

2025 Spring Honors Capstone Projects - Archive

Mental health awareness has increased over the years as well as numerous strategies to support mental health. Some of these strategies include addressing the built environment. This paper explores the intersection between mental health and the built environment through the lens of affordable architectural methods that would be effective in underfunded secondary schools. This study examines how architecture influences students’ well-being and how certain design strategies can be implemented even in schools that lack the financial resources for adequate infrastructure. Here the focus is on investigating affordable solutions such as improving ventilation, optimizing natural light, having flexible learning spaces, and …

Predicting Confidence In Performing Mental Health Actions Among Allied Professionals., Jean Marie Zelenko

Electronic Theses and Dissertations

One in five young people before the age of 25 exhibit onset of symptoms of an emotional or behavioral disorder (Kessler et al., 2005). Up to 80% of depressed youth do not receive services (Kataoka, 2002) and less than 50% of the time youth seek help for suicidal ideation and/or self-harm (Michelmore & Hindley, 2012). This high prevalence of mental health distress and low frequency of help-seeking among youth require examination of factors influencing youths’ likelihood of seeking help. One factor that increases the likelihood of help-seeking is encouragement from others to seek mental health services (Cusack et al., 2004). …

Investigating Mental Health Outcomes Of National Collegiate Athletic Association (Ncaa) Division I Student-Athletes At The University Of Louisville, 2019-2023., Paul Harvey

Electronic Theses and Dissertations

Mental health outcomes among collegiate student-athletes, has become a broader concern in the 21^st century. This study examines prevalence and incidence of anxiety and depression amongst student-athletes at the University of Louisville from 2019-2023 across different Sports Groups. The prevalence of anxiety was found to be 20.22% and risk of anxiety was 15.65%. The prevalence of depression was found to be 13.11% and risk of depression was 18.75%. Logistic regression was used to estimate the association between sports groups and anxiety/depression. There was a borderline association between sports groups and prevalence of anxiety after confounder adjustment (OR=1.86, 95% CI: …

Beyond The Flames: Occupational Therapy Approaches To Address Pain Management, Mental Health, And Occupational Engagement In Burn Patients, Mackenzie Mertz

Occupational Therapy Capstone Presentations

This capstone project centered around gaining advanced clinical skills and knowledge, advocating for occupational therapy’s role in burn rehabilitation, and creating education on topics such as pain management and mental health. This project was completed at the Medical University of South Carolina Burn Center with a diverse population throughout the continuum of care and various functional and psychosocial needs. The theoretical framework supporting this project was the Canadian Model of Occupational Performance and Engagement. Assessment tools included range of motion, manual muscle testing, sensation, a pain analogue scale, and the Canadian Occupational Performance Measure. Clinical skills were gained throughout the …

Occupational Therapy Intervention Program Addressing Mental Health For Student Athletes Navigating Transition And Recovery, Taylor K. Pfrommer

Occupational Therapy Capstone Presentations

This capstone project aimed to develop and evaluate an occupation-based mental health program for student-athletes navigating the transitions in and out of sports. Guided by the Model of Human Occupation (MOHO), Occupational Adaptation (OA), and Self-Determination Theory (SDT), intervention sessions contained six one-on-one sessions focused on identity reformation, building adaptive responses, and restructuring a meaningful routine. A mixed-methods approach was used to evaluate outcomes from two participants using the Brief-COPE, Athletic Identity Measurement Scale (AIMS), Canadian Occupational Performance Measure (COPM), satisfaction surveys, and thematic analysis of qualitative feedback. Results indicated growth in self-awareness and emotional expression for both participants. Participant …

A Systematic Literature Review Of Behavior Analysis In Psychiatric Inpatient Settings, Stephanie Henry, Robbie Hanson

Theses

Applied behavior analysis (ABA) may be best known for the treatment of individuals with intellectual or developmental disabilities, such as those with autism spectrum disorder (ASD). However, ABA also has a long history of effective outcomes with other populations, such as with individuals who are admitted to inpatient psychiatric facilities (Dougher, 2004; Harvey et al., 2009). In 2018, 187,877 individuals in the United States were reported as receiving treatment for mental health disorders (Lutterman, 2022). Given behavior analysis’ success implementing operant procedures with these populations, an updated review of the literature on the use of behavior analysis within these settings …

Advancing Postpartum Mental Health Services At White River Health, Hannah Crowl

Occupational Therapy Doctoral Capstones

This doctoral capstone project focused on addressing gaps in postpartum mental health care by developing two complementary resources: a comprehensive mental health assessment tool (Maternal Occupational Mental Health Assessment - MOMHA) and an educational manual, both grounded in CBT principles and framed within the Occupational Therapy Practice Framework, 4th edition (OTPF-4).

Who’S In Control? Perceived Stress And Emotional Regulation Partially Mediate The Impact Of Adverse Childhood Experiences (Aces) On Mental Health And Life Satisfaction., Mary A. Burdan

Psychological Science Undergraduate Honors Theses

Adverse childhood experiences (ACEs) are potentially traumatic events that occur during the first 18 years of life and have a strong potential to negatively impact health and well-being in adulthood. The exploration of this connection is important because health and lifestyle behaviors have been linked to the leading causes of death in the United States. ACEs have been found to alter brain development and have been associated with mental health issues and lower life satisfaction, but information about the pathway between these connections is scarce. The present study aimed to investigate if inadequate emotional regulation and higher levels of perceived …

Student Veterans' Attitudes Towards Mental Health Issues And Treatments, Elicia S. Ramu

Undergraduate Honors Theses

Mental health concerns with United States veterans have been a pervasive issue for decades. The changes and evolving nature of the mental health field, including terminology and diagnoses, are believed to discourage veterans from reaching out and asking for help when it is needed most. However, these are not the only reasons why veterans choose not to seek out treatment. It has been found that other reasons include the stigma towards mental health alongside financial, external costs, and hidden costs of treatment. The following study has been conducted to understand the various barriers that hinder student veterans with mental health …

The Role Of Ect In Ocd: A 10-Year Review (2014-2024), Mariana Sales, Tainiz Polanco, Amy Nguyen

Rowan-Virtua Research Day

Background: Obsessive-compulsive disorder (OCD) affects up to 2.5% of the population with significant impacts on everyday functioning and relationships. First-line treatment includes selective serotonin reuptake inhibitors (SSRI) and cognitive behavioral therapy; however, studies have found that up to 40-60% of patients do not respond to SSRIs. ECT is an alternative approach that has demonstrated limited efficacy in OCD.

Objective: The current review aims to summarize the results of published work between 2014-2024 to assess the efficacy of ECT in the treatment of OCD.

Methods: A literature review was conducted using eight studies from 2014-2024 to assess the effectiveness of ECT …

Mental Health Crisis Of Medical Staffs During The Pandemic – How Has The Covid-19 Impacted Health Care Workers’ Mental Status, Yue Chen

Rowan-Virtua Research Day

The COVID-19 pandemic has waged a relentless battle against humanity, but amidst the physical toll lies a hidden front: the war on the mental health of our healthcare workers (HCWs).

Previous reviews have demonstrated a potential prevalence of mental health problems among HCWs, but these reviews necessitate updating and inclusion of more studies, along with a comparative analysis of pre- and post-pandemic backgrounds. Therefore, the aim of my study is to deliver updated prevalence estimates for mental health concerns among HCWs in the aftermath of the COVID-19 pandemic.

The results show not only a drastic increase in the percentage of …

Art Of Returning: Supporting Students After Psychiatric Hospitalization, Kaly Mariano

Capstone Projects and Master's Theses

Reintegrating into campus life after a psychiatric hospitalization can be deeply challenging for college students. Research shows that in the two weeks following discharge from inpatient care, individuals are 200 times more likely to die by suicide than the general population—making this a critical period of vulnerability (Chung et al., 2017). Suicide remains the second leading cause of death among college-aged adults (Centers for Disease Control, 2023). In response to these risks, this capstone project utilized a mixed-methods approach, through community-based participatory research to explore how CSUMB’s CARE Team and Dean of Students’ Office can best support students before, during, …

Increasing Student Awareness Of Mental Health Resources, Vanessa M. Morga

Capstone Projects and Master's Theses

Rates of anxiety and depression are too high among youth in Greenfield. Portola Butler High School is an alternative education institution serving students that struggled in traditional school environments. Many students at continuation schools deal with unique stressors such as academic struggles, family issues and social isolation which can significantly affect their mental well-being. Located in a rural area with limited access to mental health resources, Portola Butler faces unique challenges in addressing the mental and emotional needs of their students.The intervention included a presentation to a class of high school students at Portola Butler Continuation School. The focus was …

Self-Compassion Mediates The Relationship Between Childhood Adversity In The Prediction Of Later Health Outcomes Among U.S. Adults, Emily Bunch

Psychological Science Undergraduate Honors Theses

Adverse Childhood Experiences (ACEs) are potentially traumatic events, such as abuse, neglect, and household dysfunction, that occur before 18 years old. ACEs are strong predictors of negative health outcomes, such as poor physical health and risky health behaviors (Felitti et al., 1998; Merrick et al., 2017; Hughes et al., 2017). Previous research has proposed self- compassion may serve as a robust protective factor against childhood adversity (Hazzard et al., 2021) and may help explain the negative consequences of ACEs. The present study investigated the relationship between retrospectively reported ACEs and health outcomes in the context of self-compassion. 458 U.S. adults …

An Evaluation Of A Us College Student-Athletes’ Peer Support Training Program: A Pilot Project, Lee Za Ong, Praveen Madiraju

College of Education Faculty Research and Publications

Purpose

This pilot project aims to evaluate the effectiveness of peer support competency training in relation to college student-athletes’ peer support skills and well-being.

Design/methodology/approach

This project included four 90-min training sessions on peer support competency skills based on the Substance Abuse and Mental Health Services Administration’s peer support core competencies guidelines. A mixed-method design was used to evaluate the effectiveness of the training by measuring their peer support ability and through focus groups to gain insight into their experience.

Findings

A two-way analysis of variance yielded a significantly higher well-being score at the posttraining. Qualitative data revealed an increased …

Divine Condemnation And Psychological Flexibility: Viewing Psychological Distress Through A Religious Lens, Abby Chittenden

Honors Theses

Recent research has shown the widespread prevalence of psychological distress. Religion can operate both as a resource as well as a problem or barrier to good mental health. Given that some individuals attribute mental distress to religious or spiritual causes, such as punishment from God or demonic involvement, this research examines how these beliefs influence emotional regulation and mental health outcomes. The study surveyed 1,304 participants, including 686 undergraduate students and 618 online participants, to assess their religious attributions, psychological flexibility, and level of distress. The results indicated that those in the general sample who viewed their mental health struggles …

Assessing The Impact Of The Covid-19 Pandemic On Mental Health In Patients Presenting To A Student-Run Free Clinic, Sabah Iqbal, Kirsten Carlberg, Emily Reilly, Jessica Ivanov, Victoria Youssef, Lily Roessler, Maikel Monsour, Nils Brolis

Rowan-Virtua Research Day

Background

Mental health is an important part of patient care, therefore it is imperative to understand how it’s recognized and treated. Socioeconomic status and the COVID19 pandemic contribute to disproportionate incidences of mental illness^{1, 2, 10, 11, 12}. This study uses data from a student-run clinic, the Rowan-Virtua Community Health Center (RVCHC), to examine disparities in mental health needs and screenings among the local population.

Hypothesis

It was hypothesized that underserved populations are at a disadvantage when it comes to both mental health screenings and treatment due to restricted access to healthcare and other unmet needs. Additionally, the …

Household Wealth And Mental Health In Older Adults Across Racial Groups: Moderating Role Of Social Support, Sunkanmi Folorunsho

Department of Sociology: Dissertations, Theses, and Student Research

This thesis examines the relationship between household wealth and mental health outcomes among older adults, with particular attention to racial and ethnic differences and the potential moderating role of social support. Although financial resources are widely recognized as important determinants of psychological well-being, less is known about how social support interacts with economic conditions to shape mental health in later life. The study also addresses how these patterns may vary among different racial and ethnic groups, given persistent inequalities in wealth and disparities in access to social resources.

Drawing on data from the 2020 wave of the Health and Retirement …

Horror Films And Why We Enjoy The Genre, Jessica Thomason

Theses

This project focuses on the research of horror films and why certain individuals enjoy the genre despite having taboo subjects. The primary focus is to find the answer to the research question “why do some individuals enjoy horror?”. The aim of this research was to identify a connection between why individuals enjoy horror through the content. The research then informed the creative process behind the painting series that accompanies this project.

The Burden Of Care: Understanding Burnout Among Pediatric Healthcare Workers, Navya Khandavalli

Theses/Capstones/Creative Projects

Burnout among pediatric healthcare professionals is a growing concern that impacts both employee well-being and the overall quality of patient care. The aim of this study is to analyze the definition of burnout and how healthcare organizations can implore strategies to help improve the mental and physical well-being of their staff. Analysis was done through a survey administered to healthcare employees recruited from pediatric clinics, the neonatal ICU, pediatric research, and pediatric rehabilitation facilities. Findings from the methods found that burnout is often defined as prolonged occupational stress in an individual and are often characterized by symptoms of emotional exhaustion, …

Lgbtq+ Client Experiences And Opinions On Therapist Cultural Humility, Elliot Dulyk, Dasean L. Young

Honors College Theses

LGBTQ+ people (i.e., individuals from gender or sexual minorities) are at a heightened risk for mental health issues and often face barriers in receiving quality mental healthcare. The use of cultural humility practices by therapists has been correlated with improved therapeutic relationships and therapy outcomes. Practicing cultural humility involves engaging in critical self-evaluation, lifelong learning, and having an other-oriented stance. The present study examined 54 LGBTQ+ people’s perceptions of their therapists’ cultural humility and their positive and negative identity-related experiences in therapy. We conducted an online survey of LGBTQ+-identifying individuals who were ages 18 or older and currently attend or …

Bridging The Education-Employment Gap: Barriers To Employment And Well-Being Among Unemployed Individuals In Abu Dhabi, Masood Badri, Mugheer Alkhaili, Hamad Aldhaheri, Guang Yang, Muna Albahar, Asma Alrashdi, Saad Yaaqeib, Alanoud Alsawai

All Works

Unemployment remains a critical socio-economic challenge with profound implications for individual wellbeing. This study examines the self-perceived barriers to employment and their impact on key well-being determinants, including life satisfaction, happiness, mental health (where higher scores indicate worse outcomes), subjective health, family relations, friend relations, and the ability to make ends meet (ATMEM), among unemployed individuals in Abu Dhabi. Using data from a comprehensive survey (QoL-5), the analysis reveals significant differences in well-being outcomes across demographic factors such as gender, age, education level, and head of household status. Notably, barriers such as lack of social networks, job competition, and education-related …

Unbridled Healing: Identifying The Barriers Of Equine-Assisted Therapy, Sally A. Hamm

Human Development and Family Sciences Undergraduate Honors Theses

Despite the documented benefits of equine-assisted therapy (EAT) for mental health conditions, this complementary approach remains underutilized. This qualitative study investigated barriers preventing wider EAT implementation by examining challenges faced by clients, facilities, and volunteers. Data collected through open-ended surveys from 33 participants and the researcher's autoethnographic observations revealed eight common barriers: Accessibility (48 mentions), Money (43), Time (30), Awareness (23), Physical Factors (13), Relationships (13), Risk (13), and Weather (7). Clients identified financial constraints as their primary barrier, particularly insurance limitations. Facilitators struggled most with accessibility challenges, including lack of resources, trained staff, suitable horses, and appropriate facilities. Volunteers …

The Coping Strategies Of Collegiate Football Student-Athletes With Mental Health, James Williams

Leadership Education Capstones

This study explores the mental health challenges faced by Division II collegiate football players, their coping mechanisms, and the adequacy of institutional resources. Through qualitative interviews with student-athletes, the research examines their experiences, stress levels, and perceptions of support systems. Findings indicate that anxiety, stress, and performance pressure are prevalent among players, with 58.3% reporting anxiety symptoms and 50% experiencing football-related stress. Despite 91.7% of respondents being aware of campus mental health services, comfort levels in discussing mental health remain moderate, and coaching support is perceived as only somewhat effective. The results highlight that while individual coping strategies exist, psychological …

Exercise As An Intervention For Postpartum Depression (Ppd), Kylie P. Mistretta

Honors Scholar Theses

Objective: To illustrate the applications of exercise for preventing the development of postpartum depression (PPD) and addressing associated risk factors identified in the literature. Data Sources: PubMed and EBSCO: Academic Search Premier were accessed using the search terms exercise OR physical activity OR yoga AND postpartum depression OR postnatal depression. A secondary search of PubMed was conducted using the search terms exercise AND pregnancy AND depression OR gestational diabetes OR weight gain OR sleep quality.

Study Selection: Studies selected for inclusion were peer-reviewed, published after January 2012, written in English, and relevant to the PPD risk factors examined. Only clinical …

Perception Of Mental Health Among Students In Higher Education, Kasibah Baig, Leia Aguilar

Electronic Theses, Projects, and Dissertations

Mental health in higher education environments is a topic that has the need for exploration and discussion. Students with poor mental health face additional stressors and challenges in their academic and personal areas of life. It is critical for colleges and universities to address the topic of mental health and understand how it can affect students, as well as to be able to provide the proper support and services. By having more conversations about mental health on campus and providing easily accessible and inclusive resources for students, it can create a comfortable environment on campus for students to be able …

Bridging The Gap For Parents Seeking Mental Health Services For Children, Emmary Yolanda Taylor

Electronic Theses, Projects, and Dissertations

The rising statistics of adolescents suffering from concerns of mental health in all its various diagnosis, is an increasing problem for the community. The understanding of mental health in adolescents is now continuously being explored due to the rise of concerns. Although professionals continue to research and address the rise of mental health, parental literacy regarding addressing mental health concerns constitutes as one of the number one factors in prevention. The research presented in this paper uses a qualitative approach to study parental literacy and culture regarding mental health in adolescents within the San Bernardino County community. The qualitative research …

Beyond Work-Family Conflict: Conceptualization And Measurement Of Work-Eldercare Conflict, Patrick Cullen

Electronic Theses, Projects, and Dissertations

The number of workers with informal caregiving responsibilities continues to grow exponentially (Feinberg & Skufca, 2020), yet research on the intersection of work and eldercare is often neglected in the literature (Griggs et al., 2020). While earlier eldercare measures have typically been dichotomous, researchers have more recently begun to incorporate multidimensional measures of eldercare (Calvano, 2013). However, what has yet to be thoroughly explored is eldercare in the context of role theory, particularly interrole conflict, as existing work-family measures may be deficient in this regard. Therefore, in the present study, role theory was used to develop the Work-Eldercare Conflict Scale …

Evaluating School-Based Interventions And Programs In Treating Children Mental Health Disorders, Rozandra Yazmin Sanchez

Electronic Theses, Projects, and Dissertations

Background: The implementation of mental health services such as school-based interventions and programs have been well established within schools. However, it is uncertain how effective school-based interventions and programs are in treating children who are diagnosed with a mental health disorder specifically for children who are younger than 11 years old as it has not been explored. Objective: This proposed quasi-experimental study aims to determine the effectiveness of school-based mental health intervention programs in supporting and treating children (ages 6 to 11) who are diagnosed with a mental health disorder by evaluating their symptoms. Method: The proposed study would collect …