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Stories Of Children, Youth, And Families’ Adaptation To Community Living In The First Year After Involvement With Children’S Residential Mental Health Programs, Karen M. Frensch, Gary Cameron Jan 2019

Stories Of Children, Youth, And Families’ Adaptation To Community Living In The First Year After Involvement With Children’S Residential Mental Health Programs, Karen M. Frensch, Gary Cameron

Partnerships for Children and Families Project

Twenty-two youth between the ages of 14 and 18 years old who were involved with residential programs from participating children’s mental health organizations in Southern Ontario, Canada during 2015 to 2017 participated in a study of adaptation to community living in the first year following program exit. Youth, parents, child welfare workers, and mental health workers took part in qualitative interviews up to three times during the study period. Interview comments were used to construct a narrative or “story” of the year following program exit that integrated multiple informants’ perspectives of how each youth was functioning within that timeframe. Stories …


Fighting Opioid Addiction In The United States: Legislative Policy Review, And How Peer Supports Are Suited For Battle, Jeremiah Elsinger, Jessica Rentsch Jan 2019

Fighting Opioid Addiction In The United States: Legislative Policy Review, And How Peer Supports Are Suited For Battle, Jeremiah Elsinger, Jessica Rentsch

The Graduate Review

No abstract provided.


Mental Illness Among Adolescent Refugees In The United States, Kate Lloyd Jan 2019

Mental Illness Among Adolescent Refugees In The United States, Kate Lloyd

Ballard Brief

As the worldwide refugee population has steadily increased over the past decade, mental health concerns among refugees have become more prevalent. In the United States. adolescent refugees face higher rates of mental illness in comparison to non-refugee adolescents. Mental health concerns stem from traumatic experiences, challenges with acculturation, discrimination from peers, separation from parents, and cultural perceptions of mental illness in their country of origin. As a result of these experiences. adolescent refugees are at a higher risk of mental illnesses such as PTSD, depression. and anxiety, creating barriers to their ability to smoothly transition into the United States. In …


Addiction As Disease, Teneille R. Brown Jan 2019

Addiction As Disease, Teneille R. Brown

Utah Law Faculty Scholarship

The opioid addiction epidemic is the most overwhelming public health crisis our country has faced. It is now creating a legal crisis, as the its poisonous fruits spill over into the criminal, tort, and family courts. The epidemic costs the U.S. economy about $500 billion every year, and the pressure is crippling our legal systems. This Article is an attempt to relieve some of that pressure, by advocating for a comprehensive public health campaign based upon a new model of addiction. Research shows that the prevalent “moral choice” model of addiction has facilitated stigma and discouraged treatment, by viewing affected …


Los Angeles Community-Based Associate Social Workers' Understanding Of Culture And Therapy, Christine Cearfoss Jan 2019

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 …


Analyzing Differences In Mental Health Treatment Seeking Behavior In Hopkins County, Kentucky, Kathryn Olson Gross Jan 2019

Analyzing Differences In Mental Health Treatment Seeking Behavior In Hopkins County, Kentucky, Kathryn Olson Gross

Theses and Dissertations--Public Health (M.P.H. & Dr.P.H.)

Rates of mental illnesses are consistently higher in the corrections system at all levels of incarceration. However, local jails are largely unable to meet the mental health needs of their inmates. Considering that there are several barriers to treatment seeking such as stigma, transportation, or availability of services in rural areas already, the treatment seeking behavior of people in jail differs from those not in jail. The objective of this research is to understand the factors that influence treatment seeking behavior among those in jails, and how those factors differ from those not in jail. Overall people in jail had …


Increasing Clergy's Knowledge Of Mental Illness, Confidence, And Willingness To Refer, Suzan Mae Davis Merritt Jan 2019

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

Walden Dissertations and Doctoral Studies

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


Veterans' Treatment Courts In Kentucky: Examining How Personal Characteristics And During-Program Occurrences Influence Program Completion And Criminal Recidivism, Monica Lynn Himes Jan 2019

Veterans' Treatment Courts In Kentucky: Examining How Personal Characteristics And During-Program Occurrences Influence Program Completion And Criminal Recidivism, Monica Lynn Himes

Theses and Dissertations--Social Work

Military veterans are disproportionately represented in United States (U.S.) jails and prisons, with nearly 10% of current inmates being veterans. Veterans’ criminal justice involvement is often precipitated by underlying mental health and substance abuse that are connected to their military service. Veterans’ treatment courts are the judicial response to a need for more coordinated provision of mental health and substance abuse services to veterans involved in the criminal justice system. Modeled after drug courts and mental health courts, veterans treatment courts are a judicial innovation that aim to honor the service of veterans by providing them an alternative to incarceration. …


Further Validation Of The Consultation Skills Scale (Css): Relationships Between Consultation Skills, Supervisory Working Alliance, And Interprofessional Collaboration, Gulsah Kemer, Jeffry Moe, Kaprea F. Johnson, Emily Goodman-Scott, Zahide Sunal, Chi Li Jan 2019

Further Validation Of The Consultation Skills Scale (Css): Relationships Between Consultation Skills, Supervisory Working Alliance, And Interprofessional Collaboration, Gulsah Kemer, Jeffry Moe, Kaprea F. Johnson, Emily Goodman-Scott, Zahide Sunal, Chi Li

Counseling & Human Services Faculty Publications

We conducted a confirmatory factor analysis (CFA) to obtain validity support for the Consultation Skills Scale (CSS) in a sample of 369 counseling professionals and interns. Upon obtaining a poor model fit from an initial CFA, we utilized modification indices and removed nine items from the CSS. As a result, we achieved a better model fit for the shorter 8-item instrument (CSS-S). To further examine validity of the CSS-S, we also explored the relationships between counselors' consultation skills and two related professional activities, ability to foster supervisory working alliance and ability to engage in interprofessional collaboration. We discuss the results …


"I Should Have Known". The Perceptual Barriers Faced By Mental Health Practitioners In Recognizing And Responding To Their Own Burnout Symptoms, Marieke Ledingham, P Standen, Chris Skinner, Robbie Busch Jan 2019

"I Should Have Known". The Perceptual Barriers Faced By Mental Health Practitioners In Recognizing And Responding To Their Own Burnout Symptoms, Marieke Ledingham, P Standen, Chris Skinner, Robbie Busch

Sciences Papers and Journal Articles

Studies have shown burnout to be a significant problem in the mental health field, causing workers serious health problems and reducing quality of care provided to clients. Yet despite mental health practitioners’ training in supporting others’ emotional health, they may be reluctant to seek help for burnout symptoms. This paper addresses this paradox by showing how human cognitive processes could act as powerful blocks to the recognition of and response to burnout. Fifty-five mental health practitioners’ beliefs and perceptions about burnout were examined using qualitative interview and survey data interpreted through a phenomenological perspective on attribution theory. The study identified …


Social Workers' Perceptions Of The Effects On United States Soldiers Of Multiple Deployments, Cynthia Louise Wilson Jan 2019

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, …


A Meta-Synthesis Of Adolescent Psychological Help-Seeking, Karen Barnes Jan 2019

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

Walden Dissertations and Doctoral Studies

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


Examining Cultural Humility And Intersectionality In Mental Health Treatment, Sandra Y. Herrera-Spinelli Jan 2019

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

Walden Dissertations and Doctoral Studies

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


The Experience Of Mindful Self-Compassion, Erika Ristok Jan 2019

The Experience Of Mindful Self-Compassion, Erika Ristok

Theses and Dissertations (Comprehensive)

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


Gaps In Mental Healthcare Use And Perceived Quality Between Privately Insured Lgb And Heterosexual Individuals In The United States, Yuki Hayashi Jan 2019

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

Public Health Theses

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


Efficacy Of A Va Residential Treatment Program For Co-Occurring Disorders, Kathrin Hohenstern Jan 2019

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 …


Crime And Mental Health Problems In Norway - A Zero-Sum Game?, Dag Leonardsen Jan 2019

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

The Journal of Sociology & Social Welfare

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


Women’S Lived Experiences Of Gender Microaggressions: Dental Hygienists’ Stories, Karin E. Hovey Jan 2019

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 …


Accessing Mental Health Services For Students In Public Schools, Wendy L. Hite Jan 2019

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 …


A Sociopolitical View Of Mental Health: An Exploration Of The Lived Experiences Of Policymakers Regarding Their Perspectives Surrounding Mental Health Policy Construction, Katie C. Fetzer Dec 2018

A Sociopolitical View Of Mental Health: An Exploration Of The Lived Experiences Of Policymakers Regarding Their Perspectives Surrounding Mental Health Policy Construction, Katie C. Fetzer

LSU New Orleans Theses and Dissertations

A substantial gap exists between those who are considered experts on mental health (e.g., academics, mental health professionals) and those in charge of constructing mental health policies (e.g., legislators, Senators). This gap is in areas of both knowledge and professional relations. Mental health professionals are not adequately trained to engage in policy advocacy and reform efforts and have little to no policy advocacy training (Smith, Reynolds, & Rovnak, 2009). Policymakers lack necessary knowledge related to mental health for effective mental health policy construction (Corrigan, Druss, & Perlick, 2014; Lee, Smith, & Henry, 2013). As a result of this gap, mental …


As A Pediatrician, I Don’T Know The Second, Third, Or Fourth Thing To Do: A Qualitative Study Of Pediatric Residents’ Training And Experiences In Behavioral Health, Rachel Petts Phd, Jeffrey D. Shahidullah Phd, Paul W. Kettlewell Phd, Kathryn A. Dehart Md, Kris Rooney Md, Ilene G. Ladd Ms, Tyler Bogaczyk Bs, Sharon L. Larson Phd Dec 2018

As A Pediatrician, I Don’T Know The Second, Third, Or Fourth Thing To Do: A Qualitative Study Of Pediatric Residents’ Training And Experiences In Behavioral Health, Rachel Petts Phd, Jeffrey D. Shahidullah Phd, Paul W. Kettlewell Phd, Kathryn A. Dehart Md, Kris Rooney Md, Ilene G. Ladd Ms, Tyler Bogaczyk Bs, Sharon L. Larson Phd

International Journal of Health Sciences Education

Despite a mandated 1-month rotation in developmental-behavioral pediatrics (DBP), pediatric residents report inadequate training in behavioral health care. As a first step in much needed curriculum development in this area, this study sought to assess learner experiences regarding the management of behavioral health problems during residency. Four focus groups were conducted for residents in years 1-3 of training in 2 residency programs in a northeastern state. Transcripts were analyzed and coded by researchers through qualitative classical content analysis. The exploratory analysis revealed 9 key themes: time requirements, rapport building, resources and referrals for behavioral health, psychiatric medications, diagnosis vs. treatment, …


Effects Of A Crisis Intervention Team Assessment Center On Emergency Department Length Of Stay, Carlissa Lam Dec 2018

Effects Of A Crisis Intervention Team Assessment Center On Emergency Department Length Of Stay, Carlissa Lam

Doctor of Nursing Practice (DNP) Final Clinical Projects, 2016-2019

Introduction: Emergency departments are overburdened with mental health patients who lack adequate access to behavioral health resources. The influx of patients has led to an increased length of stay in the emergency department for patients who are being evaluated for mental health concerns. Overcrowding can lead to delays in treatment, undesirable medical events, and patient mortality. Crisis Intervention Team (CIT) models bring law enforcement, mental health providers, emergency departments, and individuals with mental illness together to improve care for patients in crisis. They have been instrumental in identifying patients in crisis and transporting them to a Crisis Intervention Team Assessment …


In Translation: An Examination Of Esl Policy On Paper As It Relates To The Realities Of Implementation, Grace M. Cuevas Dec 2018

In Translation: An Examination Of Esl Policy On Paper As It Relates To The Realities Of Implementation, Grace M. Cuevas

Senior Honors Projects, 2010-2019

This honors research project explores the features of Title III requirements as they relate to the actual experience of students and their families. This paper synthesizes my experience researching English as a Second Language (ESL) specific supports and policy to inform my time spent accompanying an upper-level administrator for the Harrisonburg City Public School (HCPS) system, and interviewing professionals at an area school. In this paper I outline the results of interviews with 13 service providers. Interviews examined the “letter of the law” and the subsequent “spirit of the law” through application of a social work lens to the different …


Caring For The Whole Clinician: A Body-Based Framwork For Self-Care And Supervision, Aliza Roth Dec 2018

Caring For The Whole Clinician: A Body-Based Framwork For Self-Care And Supervision, Aliza Roth

Creative Arts Therapies Theses

The purpose of this program development project was to create a framework for clinical supervision that utilizes yoga and dance/movement therapy in support of the holistic wellness of mental health professionals. Clinicians are at risk for burnout and compassion fatigue, especially when they place more emphasis on their client’s well-being than their own. Research points to the significance of incorporating self-care, stress-management and embodied awareness of self and client into the supervision process; however, there remains an underdeveloped body of knowledge related to body-based frameworks for clinical supervision and how such frameworks relate to clinician self-care. Utilizing the five yogic …


Art That Heals, Christina Cardona Dec 2018

Art That Heals, Christina Cardona

Capstones

Beryl Brenner was a creative arts therapist for 40 years, and helped veterans heal from war traumas through art all across the city. For the past 11 years, she was at the Brooklyn Campus of the VA NY Harbor Healthcare system in Bay Ridge, where she developed the art therapy program. https://christinacardona1.wordpress.com


Improving Youth Access To Mental Health Support Through A Youth–Adult Partnership, Laurie Ross, Lindsay Carpenter Connors Dec 2018

Improving Youth Access To Mental Health Support Through A Youth–Adult Partnership, Laurie Ross, Lindsay Carpenter Connors

Journal of Youth Development

Mental and behavioral health disorders are major issues facing young people in the United States; yet, the majority of youth who need support do not get help. Young people tend not to get help for 2 interacting reasons: system barriers that prevent youth from seeking help, and personal reasons that can influence them to forgo treatment. Youth–Adult Partnerships (Y-APs) have the potential to improve mental health programming and increase service utilization because they create space to blend youth and service provider knowledge and experience. This article provides a detailed case study of a youth–adult partnership’s 2-year community assessment and strategic …


Barriers To Mental Health Service Access At A Large Public University, Auburn Beebe Nov 2018

Barriers To Mental Health Service Access At A Large Public University, Auburn Beebe

PSU McNair Scholars Online Journal

College students are dealing with serious mental health issues and represent an important population to access when providing mental health services. Though most universities provide free mental health counseling services, many students are unaware or reluctant to use those services. Many factors contribute to this reluctance such as lack of knowledge about services and perceived stigma. Though many studies have shown that women are both diagnosed with anxiety and depression more often than men as well as seek mental health counseling more than men, few have identified the reasons for this disparity and examined the gender differences in collegiate men …


Problems Facing The Working Poor: Implications For Counseling, Tristan D. Mcbain Oct 2018

Problems Facing The Working Poor: Implications For Counseling, Tristan D. Mcbain

The Hilltop Review

The most recent reports from U.S. Bureau of Labor Statistics indicate that 8.6 million people in the United States are among the working poor, a population whose formal employment does not provide sufficient income to remain above the poverty threshold. The problems facing the working poor are examined in this article. Labor market issues, job stress, mental health concerns, stigma, and barriers to appropriate treatment were all identified as problems facing this disadvantaged population. Implications for counselors and counseling practice are discussed including considerations for the working poor population and counselor education training programs.


Exposure To Community Violence And Substance Use Among Black Men Who Have Sex With Men: Examining The Role Of Psychological Distress And Criminal Justice Involvement, Dexter R. Voisin Oct 2018

Exposure To Community Violence And Substance Use Among Black Men Who Have Sex With Men: Examining The Role Of Psychological Distress And Criminal Justice Involvement, Dexter R. Voisin

Faculty Scholarship

Young Black MSM (YBMSM) are disproportionately affected by violence, criminal justice involvement, and other structural factors that also increase vulnerability to HIV. This study examined associations between exposure to community violence (ECV) and substance use, psychological distress, and criminal justice involvement (CJI) among YBMSM in Chicago, IL. Respondent driven sampling was used to recruit a sample of 618 YBMSM (aged 16–29) from the South Side of Chicago between June 2013 and July 2014. Weighted logistic regression assessed the direct effects of ECV, CJI, and psychological distress on substance use outcomes. Indirect effects were assessed via path analysis with mean and …


An Exploratory Study On Mental Illness Perspectives In Hanoi, Margaret Cox Oct 2018

An Exploratory Study On Mental Illness Perspectives In Hanoi, Margaret Cox

Independent Study Project (ISP) Collection

Almost 12 million people in Vietnam have been diagnosed with a mental illness; the prevalence of mental illness within the population means that understanding how people perceive it. Previous research has demonstrated the negative impacts that stigma and negative perceptions of mental illness have and how they can inhibit individuals from seeking treatment for a mental illness. The aim of this exploratory study was to answer the question: How do Vietnamese university students and mental health professionals living in Hanoi perceive mental illness? Fifteen university students and five mental health professionals were interviewed in a series of semi-structured interviews. A …