Digital Commons Network^™

Regulating Ai Therapy Chatbots: A Call For Federal Oversight, Carolyn V. Wheeler

Texas A&M Law Review

While artificial intelligence therapy chatbots continue to develop and increase in popularity, there is little regulatory oversight for this burgeoning industry. Regulation is needed because there is a high probability for harm when artificial intelligence is used in the mental health therapy industry, yet there is no consensus on standards that apply. Artificial intelligence therapy chatbots are currently only regulated by indirect, suboptimal liability schemes. State governments could regulate them by considering them human practitioners or telehealth services, or the federal government could regulate them as medical devices. This Comment examines the pitfalls of the lack of artificial intelligence therapy …

The Lived Experiences Of African American Children Of Clergy: What Has Become Of Them In Their Adulthood?, Chantel Danielle Staton

Doctoral Dissertations and Projects

It is noticeable that there are stereotypes associated with being African American due to prejudice and racism. It is identifiable, as well, that there are stereotypes associated with being a child of the clergy due to their expectations being higher than nonclergy children. How do the two coexist? This phenomenological study aims to understand how the lived experiences of African American children of clergy have impacted their adulthood. How has being an African American child growing up in the home of a pastor impacted how that child now copes mentally, emotionally, and spiritually as an adult? This study is designed …

Counseling Students’ Perceptions Of Support During The Covid-19 Crisis: A Qualitative Study, Breahannah Hilaire, Galaxina G. Wright, Lea H, Laurie O. Campbell

Journal of Counselor Preparation and Supervision

The COVID-19 pandemic changed the counseling programs in clinical instruction, mentorship, and student’s perception of the university. The qualitative data presented in this paper identifies eight counseling students’ beliefs of support during their time in counseling program during the COVID-19 pandemic. Data was obtained through semi-structured interviews. An interpretive phenomenological analysis resulted in four themes: including higher education response, personal resources, emotions in crisis, and transitions in crisis.

Burnout, Compassion Fatigue, And Self-Care Practices: Mental Health Professionals Working In The Community, Autumn Brooke Wohlford

Doctoral Dissertations and Projects

Mental health has been thoroughly researched in recent years. However, following community-level mental health professionals' mental health patterns is an emerging concept in the present research field. Due to the recent high demand for mental health professionals in their communities, burnout and compassion have increased. In recent years, researchers have focused on increased burnout and compassion fatigue, as well as the use of self-care practices in mental health professionals. To further contribute to the research, using a quantitative research study, burnout rates, compassion fatigue, and self-care practices were examined in mental health professionals using a multiple linear regression. Sixty mental …

Childhood Sexual Abuse Among Asian American Adults: Prevalence, Cultural Barriers, And Mental Health Implications, Kruti S. Chaliawala, Liliana Rojas-Guyler

Dignity: A Journal of Analysis of Exploitation and Violence

Childhood sexual abuse represents a significant public health concern, particularly within minority populations, where adversities and complications are prevalent but understudied. This study aims to investigate the mental health of Asian American childhood sexual abuse survivors and explore the prevalence of childhood sexual abuse among Asian adults. A secondary analysis of the 2020 Behavioral Risk Factor Surveillance System (BRFSS) data was conducted, including a final sample of 1,894 Asian adults (0.16% of the total sample size of N = 401,958). Among these participants, 16.8% (n = 1,894) reported experiencing CSA. The most common forms of abuse were inappropriate touching …

A Systematic Review And Meta-Analysis On The Effect Of Nature Exposure Dose On Adults With Mental Illness, Joanna Ellen Bettmann, Elizabeth Speelman, Annelise Jolley, Tallie Casucci

Faculty and Staff Works

Time spent in nature leads to significant physical and mental benefits, but research is mixed on how much time in nature is necessary to affect change in adults' mental health. This meta-analysis aimed to answer the question: what effect does length and interval of nature dosage have on adults with mental illness? The authors defined nature exposure as an experience in nature lasting at least 10 minutes and taking place in an actual natural setting. Because some studies indicated single experiences of exposure to nature (one-time) while others utilized multiple exposures to nature (interval), these studies were separated to determine …

Beyond The Status Of Health: A Collection Of Stories Representing Diverse Maternal Mental Health Perspectives, Sara Santarossa, Ruth A. Blake, Heather Buchanan, Mercedes Price, Rachael Guzzardo, Craig Guzzardo, Lakenya M. Johnson, Jacobeth M. Morshall, Andrea Bate, Wayne Bate, Riziki Bakari, Leah Copeland, Dana Murphy, Ashley Redding, Amy Loree

Journal of Patient-Centered Research and Reviews

As part of a Patient-Centered Outcomes Research Institute (PCORI) Eugene Washington Engagement Award aimed at improving capacity to address maternal mental health in research, this collection of eight stories describes the unique experiences from caregivers (N = 2), patient/caregiver dyads (N = 2), healthcare stakeholders (N = 2), and community stakeholders (N = 2). Shared here are narratives dedicated to uplifting and supporting maternal mental health through storytelling. Elevating the voices and lived experiences of these diverse perspectives helps one understand the deeper and sometimes “invisible” needs of birthing people, thus moving beyond the status quo.

Los Inmigrantes Indocumentados Y Su Pelea Para La Salud Medica En Los Estados Unidos, Alejandro Del Rello

World Languages and Cultures Senior Capstones

This essay explores the critical issue of healthcare access for undocumented immigrants in the United States. Despite contributing significantly to the economy through labor and taxes, undocumented immigrants face systemic barriers to medical care, including lack of insurance, fear of deportation, and economic troubles. These barriers result in untreated illnesses, mental health struggles, and increased use of emergency services, which generate higher long-term costs. The paper argues for inclusive healthcare policies, such as Medicaid expansion and protections for patient privacy, to improve public health, reduce disparities, and enhance economic stability. Drawing from U.S. and international examples, the essay demonstrates that …

Feasibility Of An Lgbtq+ Public Health Surveillance Platform In Kentucky: A Brief Report On Mental Health Signals, Keith J. Watts, Sydney Howard, Missy Spears, Carolyn Lauckner, Rachel H. Farr, Glenn Means, Justin X. Moore

Social Work Faculty Publications

Background/Objectives: Robust, state-level LGBTQ+ health surveillance is scarce in Kentucky, limiting evidence-based healthcare planning and policy. We aimed to evaluate the feasibility and early public-health utility of a community-partnered annual survey and compare selected mental health stressors between Kentucky and non-Kentucky respondents.

Methods: We conducted a cross-sectional online survey (13 April–15 July 2024) developed with a statewide LGBTQ+ nonprofit. Recruitment occurred via organizational channels and community events. A content warning preceded the survey, which was administered via Qualtrics. Data quality was screened using reCAPTCHA. We assessed feasibility metrics including recruitment and completion rates. Mental health stressors were captured …

Examining The Role Of Peer And Family Belongingness In The Mental Health Of Black Lgbtq+ Youth, Keith J. Watts, M. Alex Wagaman, Andrew D. Eaton, Vivian W. Y. Leung, Shelley L. Craig

Social Work Faculty Publications

A sense of belonging to familial and peer networks is crucial for the mental health of LGBTQ + youth. Black LGBTQ + youth report feeling rejected and isolated due to their sexual and/or gender identities. Utilizing linear regression analyses, this study explored the relationship between peer and family belongingness and levels of depression, anxiety, and self-rated mental health among 181 Black LGBTQ + youth in the United States and Canada. Findings suggest that family and peer belongingness are important factors in Black LGBTQ + youth’s mental health and warrant further study into the protective nature of peer and family relationships …

(Non)Police Brutality, Shawn E. Fields

Faculty Scholarship

Local governments increasingly rely on unarmed, nonpolice experts to provide public safety services. In response to demands to reduce police violence, many municipalities have empowered paramedics, mental health counselors, social workers, and homeless outreach personnel, to triage health and safety issues without police involvement. Pilot programs reallocating police funds to these alternate responders appear to reduce arrest rates and rates of police violence. But they have not eliminated acts of violence committed by these nonpolice actors themselves. Shocking stories of paramedics chemically sedating motionless patients to death, social workers assaulting clients, and homelessness response units brutally dispersing unhoused persons after …

“I Learned To Bottle Up My Feelings From A Young Age”: A Narrative Analysis Of Latina Young People’S Family Mental Health Socialization, Jenn M. Lilly

Social Service Faculty Publications

Latina young people report high levels of mental health problems and low levels of helpseeking

compared with their white peers, but little research has examined factors influencing

their mental health views. Inductive analysis of 25 participants’ narratives revealed that Latina

young people described three stages in the development of their mental health-related beliefs,

attitudes, and behaviors: undergoing a process of family mental health socialization, suffering

in silence, and attaining a new perspective. Within each of these phases, participants shared

stories that attest to their agency and resilience. This research uncovers a novel theoretical

construct, “family mental health socialization,” which elucidates …

Examining Mental And Sexual Health Themes In Latina Youth Zines: A Multi-Modal Content Analysis, Jenn M. Lilly, D'Andrah Almanzar, Doreen Dorcely, Luisa Fernanda Sandoval Cortes, Ana Iris Murcia

Social Service Faculty Publications

Multiple, convergent risk factors place Latina youth at disproportionate risk for mental

and sexual health issues. Yet, their firsthand perspectives and experiential knowledge of

how to navigate mental and sexual health challenges is rarely the subject of scholarly

inquiry. This article presents a multi-modal content analysis of themes and messages

conveyed by two digital zines created by Latina young adults for Latina teens through an

arts-based research project. In this arts-based research, zines functioned as both data and

method, capturing Latina youth’s nuanced perspectives and lived experiences of mental

and sexual health. We identified six themes in their works—acknowledging and …

Stakeholder Perspectives On Acceptability Of Implementing A Child Mental Health Intervention In Child Welfare Services: A Pilot Study, Kerry Lee, Caterina Pisciotta, Geetha Gopalan

Graduate School of Social Work and Social Research Faculty Research and Scholarship

This study examined the acceptability of a modified 4Rs and 2Ss behavioral parent training intervention within a Child Welfare (CW) placement prevention service. Twelve child welfare staff (caseplanners, supervisors, administrators) and 12 CW-involved families completed surveys, interviews, and a focus group. All quantitative benchmarks for high acceptability were met (e.g., treatment satisfaction, acceptability and appropriateness). Staff valued the intervention’s content and support, but noted concerns about consultation time, training, and role conflict. Families appreciated recruitment, logistical support, group environment, and child/ family wellbeing, but cited barriers with parent-child separation during sessions, group size and duration, certain activities, and the program’s …

The Impact Of Structured Weekend Group Therapy On Restraints, Seclusion And Length Of Stay On Inpatient Psychiatric Units, Victoria Grau

West Chester University Doctoral Projects

Group therapy is an essential part of inpatient psychiatric treatment, with documented positive effects including better medication compliance, lower readmission rate, and improved self- esteem. Patients who are admitted for an inpatient psychiatric stay have a small window of time in which behavioral health staff can work with them. Group therapy can help patients develop a plan for these issues and provide a foundation for successful discharge and symptom management. The project site is a mid-size teaching hospital in an urban community with higher rates of mental health diagnoses than the national average. Group therapy was conducted initially Monday – …

The Lack Of Mental Health Support In Caribbean Households, Arnoudly Bossicot

LEAD Scholars Academy Showcase

Growing up in a Caribbean household, mental health, amongst other topics, was something no one dared to speak about. Seeking therapy or talking to a trusted family member is not an option since you will look weak. When mental health issues are left untreated, long-term adverse effects on the emotional, social, physical, and behavioral aspects of life. In some instances, it may result in suicide. This research will explore the different elements that affect a person’s willingness to receive mental health treatment in Caribbean households. Would teenagers and young adults seek mental help if given the right resources and support? …

Protect Transgender Kids: What Is “Protection” In Light Of Bans On Gender-Affirming Care?, Patricia B. Barnett

Journal of Race, Gender, and Ethnicity

This Note examines the growing legal and constitutional conflict surrounding state laws that ban or restrict gender-affirming care for transgender minors. At the heart of the issue lies the clash between state authority and the constitutionally protected rights of parents under the Due Process Clause of the Fourteenth Amendment. Drawing on medical consensus that affirms the necessity and efficacy of gender-affirming care, the Note argues that these laws not only endanger the well-being of transgender youth but also infringe on parents' fundamental rights to direct their children’s medical treatment. The analysis highlights how some states mischaracterize gender-affirming care as a …

A Preliminary Study On The Role Of Personal History Of Infectious And Parasitic Diseases On Self-Reported Health Across Countries, Gerit Pfuhl, Filipe Prazeres, Marta Kowal, Toivo Aavik, Beatriz Abad-Villaverde, Reza Afhami, Leonardo Aguilar, Grace Akello, Laith Al-Shawaf, Jan Antfolk, Chiemezie S. Atama, Derya Atamturk Duyar, Roberto Baiocco, Sercan Balım, Carlota Batres, Yakhlef Belkacem, Théo Besson, Adam Bode, Merve Boğa, Jordane Boudesseul, Mahmoud Boussena, Hamdaoui Brahim, Nana Burduli, Ali R. Can, Hakan Cetinkaya, Antonio Chirumbolo, Dimitri Chubinidze, Clément Cornec, Bojana M. Dinić, Seda Dural

School of Psychology

Objectives: Infectious diseases are often associated with decline in quality of life. The aim of this study is to analyze the relationship between personal history of communicable, i.e., infectious and parasitic diseases and self-rated health. Study design: Secondary analysis of a large dataset multi-country observational study. Methods: We used a four-pronged analysis approach to investigate whether personal history of infectious and parasitic diseases is related to self-reported health, measured with a single item. Results: Three of the four analyses found a small positive effect on self-reported health among those reporting a history of pathogen exposure. The meta-analysis found no support …

Supports For Mental Well-Being Valued By Healthcare Workers: Qualitative Analysis Of Data From A Canadian Cohort Of Healthcare Workers During The Covid-19 Pandemic, Shannon Marie Ruzycki, Anil Adisesh, Quentin Durand-Moreau, France Labrèche, Tanis Zadunayski, Erica Stroud, Nicola Cherry

Études primaires

A prospective cohort of 4964 HCWs from four Canadian provinces was established early in the COVID-19 pandemic. Participants were invited to comment about workplace mental health supports at three time points. We performed a thematic content analysis of responses from 1738 participants using the Social Support Behaviour Code framework to categorize barriers to support as informational, tangible, emotional, social, or expressing esteem. Themes were synthesized into suggestions for healthcare organizations to prepare for future crises. Formal and informal peer support, workplace mental health supports, and one-on-one counseling were most often mentioned as valued. Analysis suggested that workplace social networks as …

Mental Health And Treatment Use In Undergraduate Engineering Students, Matthew D. Whitwer, Sarah A. Wilson, Joseph H. Hammer, Brenna Gomer

Educational, School, and Counseling Psychology Faculty Publications

Background: Engineering students experience high levels of distress and low rates of mental health treatment seeking, yet there is a gap in knowledge around how this compares with that of students in other fields of study. Given the influence of social identity (e.g., gender identity, race/ethnicity) on mental health and treatment seeking, it is important to account for sociodemographic variation across fields when performing such comparisons. Purpose: This study used Andersen's Behavioral Model to compare mental health distress and treatment use between students in engineering and other fields while controlling for sociodemographic factors. Methods: Survey data came from the 2021–2022 …

Accessible Mental Health Chicago, Guadalupe Cuevas

Selected Social Change Portfolios in Prevention, Intervention, and Consultation

Goal Statement: My prevention-focused goal statement for Accessible Mental Health Chicago is to create a program that focuses on providing mental health resources for all in all areas of Chicago. This is by having community based low-cost or no-cost mental health services throughout the city, in the local languages that are of that community.

Significant Findings: While there are some limited resources in the areas with the highest calls for mental health crisis, they are not accessible for most of the city. While there are mental health centers throughout the city there aren’t many low or no cost resources. This …

Exploring Student Experiences And Perceptions Of Digital Storytelling In Occupational Therapy Education: A Comprehensive Analysis And Evaluation, Alexis M. F. Morin, Justin R. Eck

Journal of Occupational Therapy Education

The COVID-19 pandemic heightened the need for digital transformation in higher education, emphasizing the importance of incorporating digital pedagogy. This study explored student experiences and perceptions of digital storytelling, a multimedia-based narrative technique, as an innovative assessment method in occupational therapy education. First-year, first-semester entry-level Doctor of Occupational Therapy students created digital stories on mental health topics and completed self-reflection papers. A retrospective qualitative descriptive method was employed, analyzing 14 consented self-reflection papers. Emerging qualitative themes revealed that digital storytelling enhanced students' understanding of occupational performance impacts, led to the development and utilization of transferrable skills for clinical practice, and …

Assessing The Relationship Between Perceived Psychological And Physical Pain In Adults With Orthopedic Pain, Daniel C. Karimi Dehkordi

Honors Undergraduate Theses

Suicide remains a public health concern in the U.S., particularly among individuals experiencing chronic pain and psychological distress. This cross-sectional study investigated the relationship between perceived physical and psychological pain in 41 adults with chronic orthopedic conditions. The relationship between other risk and protective factors and perceived levels of pain distress was also examined. Results showed a significant positive correlation between psychological distress and physical pain (r(39) = 0.388, p < .05) and psychological distress and depressive/anxiety symptoms (r (39) = 0.477, p < .01). Psychological distress was moderately associated with feelings of hopelessness (r (39) = 0.403, p < .01), however, the relationship between physical pain and hopelessness was weak and nonsignificant (r (39) = -0.06, p = .71). Contrary to expectations, emotional support did not buffer the effects of psychological distress (r (39) = 0.07, p = 0.66). Mediational analysis confirmed that emotional support did not influence the relationship between physical pain and psychological distress (Beta (β) = -0.969, p = 0.572; Sobel Z = 0.5598, p = 0.575). Age was not correlated with psychological distress (r (39) = -0.24, p = 0.13) or mental health symptoms (r (39) = -0.05, p = .77). While there was no significant difference across sex, males reported higher mental health symptomatology and psychological distress scores than female counterparts. These findings underscore the direct impact of physical pain on psychological distress and challenge assumptions about the protective role of social support. The study highlights the need for integrated, multidisciplinary interventions targeting both physical and psychological pain to mitigate suicide risk among individuals with chronic orthopedic conditions. Future research should iii explore alternative support mechanisms and resilience-building strategies to address the complex interplay of pain, distress, and suicidality.

Family Stress Processes Underlying Covid-19-Related Economic Insecurity For Mothers And Fathers And Children's Internalizing Behavior Problems, Joyce Y. Lee, Shawna J. Lee, Sehun Oh, Amy Xu, Angelise Radney, Christina M. Rodriguez

Psychology Faculty Publications

COVID‐19 and its economic fallout have resulted in unprecedented financial insecurity and material hardship for many American families, with a disproportionately negative impact on children and families from socioeconomically disadvantaged contexts. The current study applied the family stress model to examine the family processes underlying pandemic‐related economic insecurity and children's internalizing behaviours. Online survey data from an economically diverse sample of mothers and fathers, who experienced at least one type of pandemic‐related economic insecurity in the United States (N = 259), were collected across two longitudinal time points in the early weeks of COVID‐19: (1) 14 April and (2) 30 …

Exploring The Barriers To Mental Health Help-Seeking Among African Migrants In Australia: A Qualitative Study, Nnaemeka Meribe, Obed Adonteng-Kissi, Kathomi Gatwiri, Lillian Mwanri, Frank Darkwa Baffour, Agness Tembo, Edith N. Botchway-Commey, David Chisanga, Ahmed A. Moustafa, Kerrie E. Doyle, Uchechukwu Levi Osuagwu

Research outputs 2022 to 2026

Background: The health of African migrants in Australia is a largely under-researched topic despite the steadily increasing size of the population and its uniqueness. In particular, few studies have explored the mental health of African migrants in Australia or their utilization of mental health services.

Aims: This study explored the barriers to mental health help-seeking among first-generation African migrants in Australia.

Methods: In this qualitative study conducted using the hermeneutical phenomenological research approach, the purposive sampling method was used to recruit participants. In-depth interviews with participants were undertaken online via Zoom, Teams, and WhatsApp calls. Interviews were recorded and transcribed …

Differences In Mental Health Outcomes In Immigrant Vs. U.S.-Born Populations In Urban Vs. Rural Areas In The United States, Zoë Gentles

Electronic Theses & Dissertations (2024 - present)

Background

The immigration process to the United States creates distinct mental stressors. These stressors are influenced by socioeconomic factors including income, education level and insurance status. In rural America, these factors are intensified due to a poor healthcare infrastructure that is limited. This study examines the relationship between urban-rural residence and mental health outcomes among immigrants vs. native-born residents in the United States.

Methods

Data from the National Health Interview Survey (NHIS) from 2019 and 2022 were used to examine the relationship. The exposure of interest was place of birth, and the outcome of interest was the presence of clinically …

Law Enforcement And The Need For Mental Health Collaboration, Jacquline Gillins-Hatcher

Theses and Dissertations

This study examined the ongoing challenges and the necessity of enhanced collaboration between law enforcement agencies and mental health professionals in responding to mental health crises in the United States. Using a constructivist grounded theory approach, qualitative data were collected through semistructured interviews with law enforcement officers and mental health professionals, along with an analysis of existing records and policies.

Findings highlighted that crisis intervention team training improved officers’ ability to manage crisis situations. However, barriers such as limited interagency coordination, funding constraints, leadership challenges, and systemic policy gaps continued to hinder effective collaboration. Data from this research indicated that …

Exploring Identity And Belonging Through Housing Pathways: Resettlement Experiences Of Female Ukrainian Refugees, Stephanie M. Duncan

Electronic Theses & Dissertations (2024 - present)

Background: This dissertation examines the resettlement experiences of female Ukrainian refugees in Germany following the escalation of the Russia-Ukraine conflict in 2022, which displaced over 8.5 million Ukrainians, including 1.2 million to Germany by April 2024. Focusing on Munich, the study explores the interplay of housing pathways, identity, and belonging, emphasizing gendered challenges faced by women, particularly single mothers and caregivers, navigating trauma, systemic barriers, and cultural adaptation. Organized into three articles, this work employs a social justice lens to address structural barriers, such as discriminatory housing markets, economic exclusion, and limited access to resources, which disproportionately impact marginalized women, …

Pathways To Disclosure And Treatment Among Individuals With An Attraction To Minors, Theodore Jackson

Electronic Theses & Dissertations (2024 - present)

Child sexual abuse prevention is a significant social concern in the United States and internationally. While there have been some successful efforts to reduce recidivism risk among individuals who have committed sexual offenses, we fall short when preventing first time offenses. Therefore, looking at ways to provide treatment to those who are more at-risk for a first offense seems like a potential solution to this problem. One such relevant risk-factor is attraction to minors. This study is a qualitative examination using Interpretive Phenomenological Analysis of how people who are attracted to minors make the decision to disclose their attraction, seek …

Simulating A Multi-Tier Intervention For Refugee Mental Health Using Agent-Based Modeling, Bishan Huang

Electronic Theses & Dissertations (2024 - present)

Increasing numbers of people are fleeing political violence and becoming refugees who resettle all around the world.Compared to the general population in the countries where they resettle, refugees disproportionately suffer from depression and higher trauma-related mental health symptoms including post-traumatic stress disorder (PTSD) due to the experiences that led to their refugee status, as well as post-migration stressors, disadvantages in multiple social determinants of health, and lack of social support. New York City has received refugees from over 50 countries and may require policy and infrastructure changes to meet refugee mental health needs, especially in face of the recent surge …