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Rethinking The Childhood-Adult Divide: Meeting The Mental Health Needs Of Emerging Adults, Barbara L. Atwell

Elisabeth Haub School of Law Faculty Publications

Part I of this article describes ADHD and explores the extent of ADHD medication abuse, especially among young adults. Part II discusses the characteristics of emerging adults, who may be more likely than their older counterparts to make unwise decisions about medications and other life choices.34 While we protect minors by requiring parental consent for their medical treatments, emerging adults are effectively able to obtain any drug on the market if they convince the doctor that they have the requisite diagnosis. Part III explores HIPAA, the medical malpractice standard of care and the challenges associated with a society that is …

The Dark Frontier: The Violent And Often Tragic Point Of Contact Between Law Enforcement And The Mentally Ill., Gary Howell

The Scholar: St. Mary's Law Review on Race and Social Justice

There currently exists a widespread and unacceptable risk of violence between law enforcement personnel and mentally ill suspects. The point of contact between law enforcement and the mentally ill has evolved over the last fifty years and can trace its origins to deinstitutionalization. Deinstitutionalization aimed to close centralized, state mental health institutions in favor of decentralized, community-based mental health care facilities. Deinstitutionalization, however, created a number of consequences for the mentally ill and law enforcement. For example, in the years since deinstitutionalization, an excessive number of homeless mentally ill persons and their families have had little or no access to …

Identifying Program Needs Of Women Detainees In A Jail Environment, Jeanna Michele Rodda

Theses and Dissertations

Since the 1980s, the population of incarcerated women has been steadily increasing. Approximately 200,000 women are incarcerated in prisons and jails in the United States (Clarke, Phipps, Tong, Rose, and Gold, 2010). There is an increasing level of comorbidity among the population of incarcerated women, with the majority requiring mental health, physical health, substance abuse and pregnancy services at the time of their incarceration or soon afterwards. Incarcerated women face a number of challenges; they are cut off from their primary support system and their children. Their physical health deteriorates, they lack appropriate coping skills, and often experience withdrawal symptoms. …

Trauma Informed Practices For Oakland Unite Service Providers, Maereg D. Haile

Master's Projects and Capstones

Oakland, California - a home to almost 400,000 residents - is the top five most violent cities of the nation. There are lots of factors that greatly contribute to violence including: Poverty, housing/homelessness, unemployment, food insecurity, educational attainment, substance abuse. These factors feed to greater healthy disparities and increased trauma in low-income communities – specifically in east and west Oakland. Measure Y, now called Oakland Unite, is the current violence prevention effort that is set for reauthorization in November 2014. In order for these efforts to continue, Oakland Unite has started looking at comprehensive violence prevention initiatives that includes mental …

Mental Health, Psychology And The Law Symposium: Introduction, Sean O'Brien

Faculty Works

The authors coordinated and edited a symposium law review issue on Mental Health, Psychology and the Law. The Introduction summarizes submissions that included a memoir from an author whose family members were consumers of mental health services, legal scholars and practitioners who use mental health evidence to defend clients facing the death penalty, and the duty of attorneys to tend to their own mental health care needs while dealing with these emotionally heavy issues.

Incarceration And Reintegration: How It Impacts Mental Health, April M. Marier, Alex Alfredo Reyes

Electronic Theses, Projects, and Dissertations

ABSTRACT

Background: Previous criminal justice policies have been non-effective leading to overpopulated prisons and unsuccessful reintegration. There is a lack of effective supportive and/or rehabilitative services resulting in high rates of recidivism and mental health implications. Objective: This study investigated the perceived impact that incarceration and reintegration with little to no supportive and/or rehabilitative services has on the mental health status of an individual. The emphasis was on participant perception and not on professional reports because of underreporting and lack of attention to mental health in the criminal justice system. Methods: Focus groups in the Inland Empire and Coachella Valley …

Predicting Successful Drug Court Graduation: Exploring Demographic And Psychosocial Factors Among Medication-Assisted Drug Court Treatment Clients, Autumn Michelle Frei

USF Tampa Graduate Theses and Dissertations

The purpose of this study was to examine the influence of psychosocial factors on drug court graduation among a medication assisted treatment drug court population. The extant research identifies drug courts as effective in reducing recidivism and relapse rates; however meta-analyses of the drug court literature reveal that there is little explanation as to why drug courts are effectual and especially for whom. This study examined trauma, mental health, and social support to determine predictive psychosocial factors of drug court participants while controlling for certain demographics. The analyses showed that social support was predictive, but failed to identify trauma or …

Placing The Promotion Of Health And Well Being On The Irish Prison Agenda - The Complexity Of Health Promotion In Irish Prisons, Catherine Macnamara, Patricia Mannix-Mcnamara

Irish Journal of Applied Social Studies

The prison population experiences significant health inequality and social exclusion (Department of Health 2002). Once incarcerated, prisoners are at increased risk of mental illness and have higher exposure to communicable diseases (WHO 2008). Prisoners generally have poorer health because imprisonment negatively impacts upon the health of the individual (WHO 2008). However, the prison setting offers a unique opportunity to implement targeted health promotion initiatives with a population that may have had very limited experience of accessing health services prior to incarceration. The World Health Organisation recognises the need for health promotion in prisons. This is evidenced in the Health in …

Cracking Invisible Barriers: A Focus On Mental Health Service Use Among Immigrant Latinos In The United States, Evenor Alfonso Aleman

Educational Specialist, 2009-2019

Rapidly changing demographics often result in disparities in services offered for the population. Increasing Latino presence in many parts of the United States has yet to be recognized when developing adequate mental health care. This is specifically true with those who are less proficient in English. The purpose of this study is to explore the barriers many Latinos face when seeking mental health services. These barriers include sociological, cultural, and organizational factors that have been found to influence the underutilization rates of services by Latinos. By exploring these barriers, potential growth areas in the service provided for Spanish speaking clients …

Substance Abuse Trends In Maine: State Epidemiological Profile 2014, Tim Diomede

Muskie School Capstones and Dissertations

This report takes into account the primary objectives of the Office of Substance Abuse and Mental Health Services (SAMHS): to identify substance abuse patterns in defined geographical areas, establish substance abuse trends, detect emerging substances, and provide information for policy development and program planning. It also highlights all the prevention priorities identified in the SAMHS strategic prevention plan: underage drinking, high-risk drinking among 18-25 year olds, misuse of prescription drugs among 18-25 year olds, and marijuana use in 12-25 year olds; as well as monitors the progress being made to address these priorities. This report includes data available through December …

Hegemonic Masculinity And Misconceptions Of Gender And Mental Health In Violent Criminality, Mina Dailami

Honors Papers

The present research investigates how masculine dominance in the criminal justice system is upheld through misleading media representations of violent criminality in women as predicated upon masculine traits or mental illness and masculine Identity Protection Cognition (which demonstrates the how implicit social information influences an individual to make judgments in favor of protecting their own socially dominant group). Responses to an online survey of 413 participants demonstrated that overall participants assumed men to be more likely than women to engage in violent action, and violence in men was judged to be a function of power, whereas violence in women was …

Introduction: Mental Health, Psychology, And The Law, Mary Kay Kisthardt

Faculty Works

The authors coordinated and edited a symposium law review issue on Mental Health, Psychology and the Law. The Introduction summarizes submissions that included a memoir from an author whose family members were consumers of mental health services, legal scholars and practitioners who use mental health evidence to defend clients facing the death penalty, and the duty of attorneys to tend to their own mental health care needs while dealing with these emotionally heavy issues.

Aggressive Policing And The Mental Health Of Young Urban Men, Amanda Geller, Jeffrey Fagan, Tom Tyler, Bruce Link

Faculty Scholarship

Objectives: We provide the first population-based analysis of the health implications of contemporary policing. Many cities have adopted “proactive” policing models, which engage citizens – often aggressively – at low levels of suspicion. We survey young men on their experiences of police encounters and subsequent mental health. Methods: We conducted a population-based phone survey of 1,261 young men in New York City. Respondents reported how many times they were approached by New York Police Department (NYPD) officers, what these encounters entailed, any trauma they attributed to the stops, and their overall anxiety. Data were analyzed using cross-sectional regression. Results: Respondents …

The Co-Occurrence Of Multiple And Overlapping Demands Among Women Leaving Prison, Jennifer Jo Schweitzer

All Graduate Theses, Dissertations, and Other Capstone Projects

The findings presented in this thesis result from an analysis of the experiences over a three-year period of thirteen women recently released from prison, all of whom simultaneously struggled with severe physical and mental health problems, drug and alcohol addiction(s), and histories of trauma. The purpose of this study was to better understand the strategies women with these multiple and overlapping vulnerabilities utilized as they attempted to reintegrate into the community. This group of thirteen women is a subsample of a population of 41 women whose reentry experiences were the focus of a larger, longitudinal research project. The data consist …

What Does The 'Q' Stand For Anyway? : Queerness And Agency Competence, Eleanor C. Taylor

Theses, Dissertations, and Projects

This exploratory study’s purpose was to explore queer identity in mental health practice through the question, "Does queerness emerge as a distinct cultural category through the language of conversation, clinical practice, and administrative policy in mental health agencies that serve queer people, and in what practices is this reflected?” This project was undertaken in order to begin to fill gaps in existing cultural competence literature, particularly regarding queer identity.

This project entailed semi-structured interviews with ten participants, who worked in direct service at mental health agencies that serve LGBTQIA+ populations. This study examines the meanings and effects of queerness in …

Solitary Confinement, Public Safety, And Recdivism, Shira E. Gordon

University of Michigan Journal of Law Reform

As of 2005, about 80,000 prisoners were housed in solitary confinement in jails and in state and federal prisons in the United States. Prisoners in solitary confinement are generally housed in a cell for twenty-two to twenty-four hours a day with little human contact or interaction. The number of prisoners held in solitary confinement increased 40 percent between 1995 and 2000, in comparison to the growth in the total prison population of 28 percent. Concurrently, the duration of time that prisoners spend in solitary confinement also increased: nationally, most prisoners in solitary confinement spend more than five years there. The …

Response To Mental Health Calls: The Frontline Perspectives Of Police Officers, Communicators And Administrators, Sarah C. Dougall

Theses and Dissertations (Comprehensive)

Abstract

OBJECTIVES: The purpose of this study was to examine the lived experiences of frontline police personnel of a mid-sized police service in Southern Ontario. As the prevalence of mental illness increases, so do the calls for assistance to police services. Police officers often find themselves on the frontline and are often the first responders to mental health calls when an individual is in crisis (Wells & Schafer, 2006). With the majority of current research being quantitative in nature, this qualitative study allowed the voice of frontline police personnel to be heard in order to provide a complete picture of …

Empowering Homeless Youth In Transitional Living Programs: A Transformative Mixed Methods Approach To Understanding Their Transition To Adulthood, Ashley Etzel Ausikaitis

Dissertations

The purpose of this dissertation is to gain insight into the journeys of homeless youth residing in transitional living programs in the Chicago area. There are multiple factors that can lead youth to homelessness as well as various risks made greater by living on the street that can lead to negative life outcomes. There is a dearth of research on outcomes of youth in transitional living programs, particularly research that includes the perspectives of those receiving services. This researcher partnered with three transitional living sites that serve homeless youth ages 18 to 24. Utilizing both qualitative and quantitative methods, the …

Emergency Department Utilization Among Recently Released Prisoners: A Retrospective Cohort Study, Suyanpeng Zhang, Allie Silverman, Sze Chaun Suen, Christina Andrews, Brian Chen

Faculty Publications

Background: The population of ex-prisoners returning to their communities is large. Morbidity and mortality is increased during the period following release. Understanding utilization of emergency services by this population may inform interventions to reduce adverse outcomes. We examined Emergency Department utilization among a cohort of recently released prisoners.

Methods: We linked Rhode Island Department of Corrections records with electronic health record data from a large hospital system from 2007 to 2009 to analyze emergency department utilization for mental health disorders, substance use disorders and ambulatory care sensitive conditions by ex-prisoners in the year after release from prison in comparison to …

Impact Of Co-Occurring Psychiatric Disorders And Traumatic Brain Injury On Speech-Language Treatment: Speech-Language Pathologists’ Perspectives, Janis Whitney Neal

Master's Theses and Doctoral Dissertations

Previous studies have associated traumatic brain injury (TBI) with higher rates of psychiatric disorders. This study investigated speech-language pathologists’ (SLPs) perspectives on the prevalence of co-occurring psychiatric disorders in the TBI population and its impact on speech-language treatment. Interviews were conducted with twelve SLPs working with a TBI population. Results revealed a lack of standard measures to assist SLPs in distinguishing between the symptoms of psychiatric disorders versus the neuropsychiatric symptoms of TBI. Also, results indicated the heavy reliance on a multidisciplinary team to provide comprehensive and individualized treatment for the TBI clientele, and the negative consequences of untreated psychiatric …

Understanding African American Male Inmates’ Decisions To Seek Mental Health Treatment While Incarcerated, Darnell A. Durrah Jr.

Dissertations (1934 -)

Incarceration in United States correctional facilities has significantly increased in the past decade (The Pew Charitable Trust, 2009). African American adult males are more likely to be incarcerated compared to all other major ethnic groups (U.S. Department of Justice, 2010). One of the current challenges experienced within correctional facilities is the need to provide appropriate mental health treatment services (U.S. Department of Justice, 2011). Studies have noted the need for such services, however, African American adult males generally are not likely to utilize these services (Morgan et al., 2004). In the general (not incarcerated) population, research has found that cultural …

Substance Abuse Treatment Programs: What Works And Why, Jonathan Oliver, Dr. Stephen J. Bahr, Dr. Stephen J. Bahr

Journal of Undergraduate Research

Substance Abuse has been a problem for several generations and is a major contributor to mental health problems. To address the issue of substance abuse, many treatment programs have been established with intentions to offer guidance and support to those individuals seeking relief from addiction and destructive lifestyles. The programs that exist today have different approaches to substance abuse treatment and may be more effective for some individuals than others. Our hope was to learn more about the programs and publish a paper that would be helpful in identifying which types of treatment were most successful.

Mental Health, Substance Use, And Delinquency Among Truant Youth In A Brief Intervention Project: A Longitudinal Study, Richard Dembo, Rhissa Briones-Robinson, Kimberly Barrett, Ken C. Winters, James Schmeidler, Rocío Aracelis Ungaro, Lora Karas, Steven Belenko, Laura Gulledge

Faculty Publications

The relationship between substance use, mental health disorders, and delinquency among youth is well documented. What has received far less attention from researchers is the relationship between these issues among truant youth, in spite of studies that document truants are a population at risk for negative outcomes. This study bridges this gap by (a) examining psychosocial functioning and delinquency among truants and (b) assessing the efficacy of a brief intervention (BI) in reducing delinquent behavior over time. To meet these objectives, data were collected from 183 truant youth enrolled in an ongoing National Institute on Drug Abuse (NIDA)-funded BI project. …

Adjudicating Sex Crimes As Mental Disease, Melissa Hamilton

Pace Law Review

The psychiatric diseases of the paraphilias are now entrenched in the law in decisions concerning culpability, desert, and risk. Though, as the foregoing cases suggest, it is a tough balancing act, considering the existence of psychiatric illness suggests less responsibility, while at the same time implying a greater risk of future dangerousness. To better navigate this conundrum, the law has drawn on the psychiatric sciences. Part II of this Article outlines a basic need for law and science to serve each other even though they may not share objectives. With respect to the advent of new laws to control sex …

Introduction: Wounds Of War: Meeting The Needs Of Active-Duty Military Personnel And Veterans With Post-Traumatic Stress Disorder, Olympia Duhart, Kathy L. Cerminara

Faculty Scholarship

No abstract provided.

Humane Punishment For Seriously Disordered Offenders: Sentencing Departures And Judicial Control Over Conditions Of Confinement, E. Lea Johnston

UF Law Faculty Publications

At sentencing, a judge may foresee that an individual with a major mental disorder will experience serious psychological or physical harm in prison. In light of this reality and offenders’ other potential vulnerabilities, a number of jurisdictions currently allow judges to treat undue offender hardship as a mitigating factor at sentencing. In these jurisdictions, vulnerability to harm may militate toward an order of probation or a reduced term of confinement. Since these measures do not affect offenders’ day-to-day experience in confinement, these expressions of mitigation fail to protect adequately those vulnerable offenders who must serve time in prison. This Article …

Research Brief: "Partnering With Communities To Address The Mental Health Needs Of Rural Veterans", Institute For Veterans And Military Families At Syracuse University

Institute for Veterans and Military Families

This research focuses on veterans in rural communities who have less access to mental health providers. The Yellow Ribbon Task Force program promoted and encouraged engagement in mental health care for veterans in rural communities, although future policies should enhance already existing clinical practices to increase standards for care. For further study, researchers should focus on evaluating initial program implementation and pilot testing in a variety of states and rural populations.

Research Brief: "Risk Of Incarceration And Other Characteristics Of Iraq And Afghanistan Era Veterans In State And Federal Prisons", Institute For Veterans And Military Families At Syracuse University

Institute for Veterans and Military Families

This brief examines data from The Health Care for Reentry Veterans (HCRV) to compare the risk of incarceration of veterans in order to identify socio-demographic and clinical characteristics in incarcerated veterans. OEF/OIF/OND veterans appeared to be at lower risk of incarceration than veterans of other service eras, but those who were incarcerated had higher rates of PTSD and would benefit from policies that fund accessible programing aimed at increasing vocational training and increasing educational opportunities. In future studies, researchers should focus on the implementation of PTSD treatment services for the incarcerated veteran population, including the success rate of various programs …

All Roads Lead From Vietnam To Your Home Town: How Veterans Have Become Casualties Of The War On Drugs, Susan Stuart

Law Faculty Publications

No abstract provided.

So You're Sorry? The Role Of Remorse In Criminal Law, Rocksheng Zhong

Yale Medicine Thesis Digital Library

The role of remorse in judicial decisions in the criminal justice system has been addressed in scholarship and remains controversial. The purpose of this qualitative research was to examine the views of seated criminal judges about remorse, its assessment, and its relevance in their decision-making. After exemption by the IRB, 23 judges were interviewed using an open-ended format. Transcriptions of these audio-recorded sessions were analyzed phenomenologically by members of the research team. The results showed that judges varied widely in their views about the assessment of remorse and its relevance in judicial decision-making. Judges generally agreed that remorse was a …