Digital Commons Network^™

Transgender Resiliency: A Comparison Of Transgender And Cisgender Therapy Clients’ Family Functioning And Psychological Symptomology, Deborah Coolhart , Ph.D., Lmft, Anibal Torres Bernal , Ph.D., Kimdy Le , Ph.D.

Counseling and Family Therapy Scholarship Review

Existing literature often suggests transgender people face increased vulnerabilities in comparison to cisgender people and poorer mental and physical health outcomes. However, studies are increasingly exploring resilience of transgender people and factors contributing to positive coping. The current study compared transgender to cisgender clients at a University-based couple and family therapy center on self-reported psychological symptomology and family functioning. Transgender individuals did not differ significantly from cisgender individuals on family functioning, however transgender individuals reported significantly fewer symptoms on all twelve subscales of psychological symptomology, despite lower income and lower levels of education. Results suggest transgender individuals may develop unique …

Disordered: Conversations About Mental Health And Society, Rachel Brown

Theses and Dissertations

Disordered is a collaborative, participatory street art project designed to destigmatize mental health challenges like depression and anxiety, and reframe health as a societal issue. Through social practice and guerrilla strategies, Disordered intervenes in public spaces, creating conversations, stickers and metal signs to inspire personal, social and political transformations.

Mental Illness Among Refugees In The Middle East, Alyssa Clark, Will Hayden, Chloe Jensen

Ballard Brief

Refugees are particularly susceptible to mental illness because of the situations they are forced to flee and the uncertainty they face in new countries. Mental illnesses can keep refugees from living high-quality lives. Refugees, particularly in the Middle East, face many barriers to receiving treatment for mental illness. Destigmatizing mental illness and providing access to high-quality, culturally appropriate mental health care are key practices in treating mental illness among refugees.

Psychotropic Medications And Children: Perceptions Of Mental Health Professionals, Elinor Jane Brereton

Electronic Theses and Dissertations

This project explores mental health professionals' perspectives on the prescription of psychotropic medications to children. It emphasizes the placement of biomedicine within its larger social, economic, and political context, and the influence these structures have on the way mental illness is conceptualized and treated in children. Eight semi-structured interviews were conducted in Denver, Colorado with psychiatrists, psychologists, social workers, and a pharmaceutical board member to capture multiple perspectives from different positionalities within the field. Participants discussed factors that they believe influence prescribing practices including: professional role changes, issues of access, limited evidence, cost, and institutional pressures to practice within a …

Behavioral Health In Rural America: Understanding Citizen Perceptions And Willingness To Respond To Community Needs, John M. Keesler, Helen Johnston, Jonah Simon, Taegan Anthony, Meagan Barnhart, Madison Bartlett, Janet Delong, Sharon Galloway, Melissa Kilpatrick, Jonathan Laucella, Hope Moreland, Gaby Ryan, Valerie Shannon

Contemporary Rural Social Work Journal

Amid nationwide efforts to address behavioral health needs, rural communities often face unique challenges and a lack of resources. This study presents a bottom-up approach used by one rural community in the Midwest to respond to their needs regarding mental health and substance use. A survey instrument was developed from interviews with community stakeholders and disseminated in both online and paper formats. The survey sought to understand citizen perspectives regarding quality of life, barriers to treatment, and willingness to engage in efforts to address the community’s needs. Data from 1,303 respondents (71.5% women, 54.7% income <$42,000) were analyzed using descriptive statistics and chi-square analyses. Results indicate that cost of treatment, shame, and lack of privacy were a barrier for most citizens’ treatment-seeking behavior. In addition, many citizens were willing to engage in strategies to address the community’s needs, including increased county spending, forming a neighborhood watch, and donating money. Differences associated with gender and income emerged across perceptions and willingness to support efforts. Implications for community efforts are discussed.

The Relationship Between Dietary Quality And Mental Health In A Young Adult Appalachian College Population, Rachel Anne Wattick

Capstones and Honors Theses

To investigate the relationship between dietary quality and mental health status of young adults in an Appalachia college setting we 1) assessed the overall dietary quality of students 2) assessed the frequency of depression and anxiety symptoms of students and 3) assessed the relationship between these factors and food insecurity of students. A cross-sectional design was used in a large, Appalachian college population in fall 2017. Survey items included the Dietary Screener Questionnaire (DSQ), experience of depression or anxiety symptoms over the past 30 days, and the US Adult Food Security Survey Module, demographic variables and BMI. Participant responses (n=1956) …

The Grip Of Trauma: How Trauma Disrupts The Academic Aspirations Of Foster Youth, Brenda Morton

Faculty Publications - College of Education

The academic challenges foster youth encounter during their P-12 education have been widely reported. Yet, despite these challenges, the majority of foster youth desire postsecondary education. What is less known is the reason why so few foster youth alumni who desire a four-year college degree, achieve this goal. For the participants in this four-year longitudinal study, maltreatment, resulting in foster care placement, and the ensuing exposure to the foster care system, resulted in trauma histories and mental health diagnoses. Anxiety, depression, and posttraumatic stress disorder (PTSD), were the most common diagnosis. The participants shared the ways in which these mental …

Mental Health Difficulties And Service Use Of Incarcerated Women: The Influence Of Violence Perpetration And Victimization, Rachel C. Casey

Graduate Research Posters

The study investigated the relationships between incarcerated women’s experiences with violence and their mental health with the goal of identifying avenues for more tailored, compassionate responses to their mental health difficulties during incarceration. To achieve this aim, a secondary data analysis was performed using data from the Survey of Inmates in State Correctional Facilities completed by the Bureau of Justice Statistics in 2004 (N=2553). Six research questions guided the inquiry, which involved univariate, bivariate, and multivariate statistical analyses, including latent class analysis—performed to identify patterns in mental health difficulties among incarcerated women—and multiple logistic regression procedures. The latent class analysis …

Mental Health - Family, Najma Motan

A with Honors Projects

Through research and interviews with mental health professionals at local facilities, this student seeks to discover the current state family therapy practice.

The Systemic Multigenerational Implications Of Education: Second-Generation Haitian- American College Graduates’ Perspectives, Daphney Farah Lundi

Department of Family Therapy Dissertations and Applied Clinical Projects

Similar to other immigrant populations in the United States, Haitians have a migratory history of escaping from political turmoil, natural disasters, and extreme poverty (Zephir, 2004). However, Haitian Americans remain one of the underserved populations in the United States. Marginalized yet resilient, Haitian families in the U.S. continue to display strength in the face of adversity. Second-generation Haitian-American college graduates are the evidence of such strengths. There is very little research focused on second-generation Haitian-American college graduates’ perspective on the possible familial influences pertaining to education. Using an Interpretative Phenomenological Analysis (IPA) design and Bowen’s Family Systems Theory as a …

Adolescent Engagement In Home-Based Treatment: An Action Research Study, Krystal Finch

Walden Dissertations and Doctoral Studies

Adolescent engagement in home-based treatment is a challenge within the social work field. Studies have suggested that the foundation of clinical practice relies on the clinician's ability to understand the process of engaging adolescents in treatment, which may also include a period of adaptability, relatability, and connectedness within the treatment setting. The purpose of this study is to explore the clinical practice approaches, roles, and experiences utilized in home-based treatment to adolescents residing in a large city in northeastern United States. This study was grounded in the ecological systems theory which provides social workers with an opportunity to assess the …

Acculturation And Post-Migration Psychological Symptoms Among Iraqi Refugees: A Path Analysis, Joseph W. Lemaster, Carissa L. Broadbridge, Mark A. Lumley, Judith E. Arnetz, Cynthia Arfken, Michael D. Fetters, Hikmet Jamil, Nnamdi Pole, Bengt B. Arnetz

Psychology: Faculty Publications

Refugees frequently experience symptoms of posttraumatic stress and depression, which impede their acculturation in the new host country where they are resettling. There are few longitudinal studies investigating predictors of mental health and acculturation during the early postmigration period. We conducted a longitudinal study of 298 Iraqi refugees, assessing them upon arrival to the U.S. and 1 year after migration. Premigration trauma was associated with increased PTSD and depressive symptoms at baseline, and with decreased acculturation 1 year later. Resilience was associated with depressive symptoms at 1-year follow-up, but not with other resettlement outcomes (PTSD symptoms, English-language skills, or acculturation). …

Community Strengthening And Mental Health System Linking After Flooding In Two Informal Human Settlements In Peru: A Model For Small-Scale Disaster Response, Carmen C. Contreras, M. Aguilar, B. Eappen, C. Guzmán, P. Carrasco, A. K. Millones, Jerome T. Galea

Social Work Faculty Publications

Background: Mental health is an important factor in responding to natural disasters. Observations of unmet mental health needs motivated the subsequent development of a community-based mental health intervention following one such disaster affecting Peru in 2017.

Methods: Two informal human settlements on the outskirts of Lima were selected for a mental health intervention that included: (1) screening for depression and domestic violence, (2) children's activities to strengthen social and emotional skills and diminish stress, (3) participatory theater activities to support conflict resolution and community resilience, and (4) community health worker (CHW) accompaniment to government health services.

Results: A total of …

Impact Of The School Health Innovations Grant Act On Healthcare Access, Outcomes, And Cost In The District Of Columbia, Robert West

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

This paper provided a prospective policy analysis of the Washington, D.C. School Health Innovations Grant Act. This act establishes a grant program to facilitate the formation of school-based telehealth centers to provide mental health services to District school children. The purpose of this act is to improve access to mental health services for children, especially children in disadvantaged populations, such as those low-income, predominantly African American neighborhoods in eastern Washington, D.C., where a high burden of need is compounded by a shortage of health professionals.

This analysis was guided by the Bardach framework of policy analysis. The various factors affecting …

Log Kya Kahenge: Psychological Well-Being And Perceived Stigma In The South Asian American Community, Khushboo Jain

Pomona Senior Theses

Current research has independently studied depression, stigma, and coping mechanisms in relation to culture, yet the effects of perceived stigma on the relationship between depression and control coping are heavily understudied. Typically, studies have broadly focused on comparing eastern and western cultures, but have not analyzed how populations with mixed cultural influences experience depression and stigma and further engage in control coping mechanisms. This study thus explores how perceived stigma moderates the relationship between depressive symptoms and control coping mechanisms for South Asian Americans. The study hypothesizes that the level of perceived stigma will moderate the relationship between depression and …

Political Activism And Mental Health Among Black And Latinx College Students, Elan C. Hope, Gabriel M. Velez, Carly Offidani-Bertrand, Micere Keels, Myles I. Durkee

College of Education Faculty Research and Publications

Objectives: The current study investigates the utility of political activism as a protective factor against experiences of racial/ethnic (R/E) discrimination that negatively affect stress, anxiety, and depressive symptoms among Black and Latinx college freshmen at predominately White institutions. Method: Data come from the Minority College Cohort Study, a longitudinal investigation of Black and Latinx college students (N = 504; 44% Black). We conducted multiple regression analyses for each mental health indicator and tested for interaction effects. Results: For Black and Latinx students, the relationship between R/E microaggressions and end of freshman year stress varied by political activism. For Black students, …

Web-Delivered Cognitive Behavioral Therapy For Distressed Cancer Patients: Randomized Controlled Trial, Suzanne K. Chambers, Lee M. Ritterband, Frances Thorndike, Lisa Nielsen, Joanne F. Aitken, Samantha Clutton, Paul A. Scuffham, Philippa Youl, Bronwyn Morris, Peter D. Baade, Jeff Dunn

Research outputs 2014 to 2021

Background: Web-based interventions present a potentially cost-effective approach to supporting self-management for cancer patients; however, further evidence for acceptability and effectiveness is needed.

Objective: The goal of our research was to assess the effectiveness of an individualized Web-based cognitive behavioral therapy (CBT) intervention on improving psychological and quality of life outcomes in cancer patients with elevated psychological distress.

Methods: A total of 163 distressed cancer patients (111 female, 68.1%) were recruited through the Queensland Cancer Registry and the Cancer Council Queensland Cancer Helpline and randomly assigned to either a Web-based tailored CBT intervention (CancerCope) (79/163) or a static …

Social Work Education And Mental Health Stigma, Dana K. Prisloe

Honors Theses and Capstones

No abstract provided.

Mental Health Difficulties And Service Use Of Incarcerated Women: The Influence Of Violence Perpetration And Victimization, Rachel C. Casey

Theses and Dissertations

The present study aimed to expand the knowledge base regarding incarcerated women’s experiences with violence and their mental health with the goal of identifying avenues for more tailored, compassionate responses to their mental health difficulties in both macro and direct practice contexts. To achieve this aim, a secondary data analysis was performed using data from the Survey of Inmates in State Correctional Facilities (SISCF) completed by the Bureau of Justice Statistics (BJS) in 2004. Six research questions pertaining to women’s experiences with violence and their mental health difficulties and service utilization guided the inquiry, which involved univariate, bivariate, and multivariate …

Child Abuse, Mental Health And Sleeping Arrangements Among Homeless Youth: Links To Physical And Sexual Street Victimization, Kimberly A. Tyler, Rachel Schmitz

Department of Sociology: Faculty Publications

Physical safety is a primary concern among homeless youth because they struggle to secure basic necessities and a permanent place to live. Despite this, studies have not fully examined the numerous linkages that might explain risk for victimization within the context of material insecurity. In this study, we examine multiple levels of both proximal and distal risk factors at the individual (e.g. mental health), family (e.g. child abuse), and environmental levels (e.g. finding necessities) and their associations with physical and sexual street victimization among 150 Midwestern homeless youth. Results from path analyses show that child physical abuse is positively associated …

Exploring The Discourses Of Compulsive Hair-Pulling: A Body-Mapping Study, Julia Mason

Theses and Dissertations (Comprehensive)

Compulsive hair-pulling (which is sometimes diagnosed as the OCD-Related Disorder, Body-Focused Repetitive Behaviour, "Trichotillomania)" is an understudied experience that has significant social and emotional impacts on the women that it affects. This study focused on the meanings that are derived from the interactions that women with compulsive hair-pulling experience with social discourses surrounding mental illness, physical appearance, and behaviour. Guided by relativist ontology and the co-creation of understanding between researcher and participants, this qualitative exploration was guided by anti-oppressive practice and used an arts-based research method called Body-Map Storytelling. In group format, four women were invited to describe their knowledge, …

Therapeutic Alliance Through Person-Centered Therapy: An Influential Factor In Long-Term Utilization Of Mental Health Services Among Asians In The United States, Lahela Ashlee Rice Jorgenson

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

While the Asian population in the United States is growing vastly and there is an abundance of literature regarding barriers to utilization of psychological services for this population, there remains minimal research on positive or facilitative factors for those who do utilize services and do not prematurely terminate treatment. The purpose of this study was to explore possible factors that promote clients' utilization and commitment to mental health services, as reported by Asian clinicians working with an Asian American population. This study was performed through a descriptive qualitative approach consisting of semi-structured interviews with four clinicians providing mental health services …

Helping Veterans Through Outreach, Rodney B. Ebersole

Justice

The present Master's project seeks to develop a better understanding of Veterans and what they are going through. Research methods include extensive data on the high suicide rates of Veterans. Veteran and service members are in need of a service to them that will address the issue of suicide and what can be done to help and eliminate this problem. The programs that need to be designed to help needs should be in locations that have Veteran populations so as to serve them with their needs. Ultimately, Veterans Affairs (VA) officials have boosted their mental health personnel and suicide hotline …

Improving Adherence To Mental Health Treatment In A Low-Income Clinic, Janice G. Gandy

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

The increasing prevalence of mental illness in the United States presents significant challenges for primary care providers in low-income settings. Integrated Behavioral Health (IBH) programs have resulted in improved general health for low-income participants; however, managing appointment adherence, in which the patient attends appointment as scheduled, is particularly challenging. The purpose of this pilot project was to implement bundled interventions at a low-income primary care clinic to improve patient adherence to behavioral health treatment. The bundle of interventions included: 1) educational interventions emphasizing the benefits of IBH care 2) warm patient handoffs between the primary care provider to a behavioral …

Mind, Body, And Soul, Kate Henreckson

The Voice

No abstract provided.

Do The Lessons From Micro-Conflict Literature Transfer To High Crime Areas?: Examining Mexico’S War On Drugs, Muhammad Nasir, Marc Rockmore, Chih Ming Tan

Economics & Finance Faculty Publications

Exposure to political violence has been found to affect behavioural parameters. The effects of high levels of criminal violence, however, are largely unknown. We examine the effects of Mexico’s war on drugs on risk aversion, mental health and pro-social behaviour. Using a nonlinear difference-in-differences (DiD) model, we find that the post 2006 surge in violence significantly increased risk aversion and reduced trust in civic institutions without any simultaneous strengthening of kinship relationships. Although the deterioration of mental health due to violence exposure has been hypothesised to explain changes in risk aversion, we find no such effect.

Reflections On The Challenging Proliferation Of Mental Health Issues In The District Court And The Need For Judicial Education, Jessie B. Gunther

Maine Law Review

Maine's courts constantly deal with litigants with mental health issues. Historically, our decisions have relied on expert testimony addressing specific issues of responsibility, risk, and treatment. In recent years, by my observation, court involvement in the treatment process has increased, but the availability of expert evidence has decreased. Thus, we as judges have become the ultimate decision-makers regarding litigants' mental health treatment in both criminal and civil contexts, without supporting expert testimony. In the face of this development, three interconnected issues arise. The first issue is whether judges should even attempt to fill the void caused by lack of expert …

Lived Experiences Of Men With Dissociative Identity Disorder, Melissa Zeligman, Jennifer H. Greene, Gulnora Hundley, Joseph M. Graham Jr., Sarah Spann, Erin Bickley, Zachary Bloom

Adultspan Journal

No abstract provided.

Understanding Resilience Strategies Among Minor-Attracted Individuals, Allyson Walker

Dissertations, Theses, and Capstone Projects

The field of criminology generally assumes that attraction to minors is synonymous with sex offending. This erroneous and reductive assumption has led to a lack of exploration into the lives of individuals who are attracted to minors and who live their lives without offending. The lack of research on this topic reinforces the already overwhelming stigma against this population, and has limited our understanding of how individuals who are attracted to minors strategize to refrain from offending. This knowledge may also help others struggling with these attractions to remain resilient.

This dissertation is a result of efforts to learn more …

Mental Health And Academic Outcomes Among Adolescents In South Korean Orphanages, Hollee Ann Mcginnis

Arts & Sciences Graduate Student Theses and Dissertations

Research conducted over the past 100 years in Western nations support the adverse effects of orphanages on children’s emotional, developmental, and social well-being as well as economic costs to society (Save the Children UK, 2009; Bakermans-Kranenburg, Van IJzendoorn & Juffer, 2008; Williams & Greenberg, 2010). Globally, the number of orphaned and abandoned children is conservatively estimated to be around 143 million, of whom the majority reside in Asia, followed by Sub-Saharan Africa (UNICEF, UNAIDS, & USAID, 2004). South Korea (hereafter “Korea”) is an exemplary nation for study because it has a well-established child welfare system, including family-based alternatives (domestic and …