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Building Equitable Mental Health Care For Latino Children: Perspectives From Providers And Communities, Francisco Banda, Greeshma James, Karina Vasudeva, Michelle Franklin, Andrea Thoumi, Rushina Cholera

Psychological Science Faculty Publications

Background: The current pediatric mental health crisis has disproportionately impacted Latino youth in the United States (US), as demonstrated by their elevated risks of depression, substance use disorder, and anxiety. Despite this, research suggests Latino youth receive inequitable mental health services.

Objective: To understand best practices, challenges, and priorities in providing accessible and equitable mental health care for Latino youth from the perspectives of front-line mental health providers and Latino community members.

Methods: A bicultural, bilingual researcher conducted semi-structured interviews with 20 participants with expertise in Latino mental health. Topics included barriers and facilitators to mental health care access and …

Parents As Reporters Of Middle School Students’ Subjective Well-Being, Daijah N. Hines

USF Tampa Graduate Theses and Dissertations

Historically, self-report has been the predominant method for assessing the subjective well-being of adolescents (SWB). Regarding the use of secondary reporters, especially parental/caregiver reports, in assessing adolescent SWB, there is a gap in the literature. Gaining a better understanding of how to best evaluate adolescent SWB can assist in the identification of adolescents who may be at risk for mental health concerns or who could benefit from increased well-being. It may also assist in the development of future interventions in positive psychology for adolescents. This validity study explored (1) What is the reliability of a newly developed parent report measure …

Provision And Long-Term Assessment Of A Specialized Clinical Evidence-Based Practice Curriculum For Master Of Social Work Students, Susan Reay

Social Work Faculty Publications

This study investigated social workers’ knowledge of the common elements in evidence-based practice to treat youth mental health conditions following a specialized curriculum during their Master of Social Work (MSW) education. Participants’ knowledge was measured during their MSW education and in their first 5 years of social work practice after graduation. The quantitative study measured participants’ knowledge of common elements three times; 86 social workers participated in the study with 67 sets of scores at three data points. Study results showed that participants knew more after completing the curriculum but knew less one to five years after graduation. Overall, however, …

Lift Every Voice: Engaging Black Adolescents In Social Justice Service-Learning To Promote Mental Health And Educational Equity, Sonya Mathies Dinizulu, Gabriel M. Velez, Mirinda Morency, Kristen Jacobson, Kelsey Moore, Nichole Carter, Stacy L. Frazier

College of Education Faculty Research and Publications

This study reports on the feasibility and acceptability of a social justice infused service-learning (S-L) program to promote Black adolescent mental health and educational equity. We convened a community advisory board to help adapt and pilot test, via open trial mixed method design, an evidence-based service-learning program for Black middle school adolescents (n = 21) attending summer camp at a faith-based setting. We describe a S-L curriculum, with a focus on the achievement gap, and training for church staff and assess staff and youth reports of feasibility, acceptability, and promise to (a) improve/engage psychological engagement targets, and (b) improve …

Exploring Viability In Help-Seeking Attitudes And Preferences Among Black Christian Churchgoers: A Case For Interprofessional Collaboration Between Black Churches And Mental Health Professionals, Samanda Bryant Hagan

Antioch University Dissertations & Theses

Support for collaborative partnerships between Black churches and mental health professionals is on the rise. Yet, little attention has been given to if and how the numerous barriers that Black people face in both domains, among others, affects mental health help-seeking attitudes and preferences on a sociocultural level. When there are negative consequences to mental health treatment utilization, either perceived or real, within every context of one’s lived experience, self-concealment may be a more favorable option. Using a quantitative, cross-sectional research design, the current study explores the relationship between self-concealment and religious and professional mental health help-seeking attitudes and preferences …

A Helping Hand Out Of The River: Refugee Perspectives For Provider Engagement, Brian L. Isakson, Elizabeth R. Stein, Alexandra Olson, Destiny Waggoner, Jill Holtz, Sara Ali, Suha Amer, Martin Ndayisenga

Journal of Patient-Centered Research and Reviews

Purpose: A growing number of refugee groups are seeking care within the U.S. health care system for medical, psychological, and social needs. Research is limited in understanding refugee-specific conceptualizations of helping relationships and provider characteristics that improve interactions in health systems. This study aimed to identify provider characteristics that facilitate engagement and helpfulness in a refugee-specific population from refugee participant voices to inform future practices of health care clinics.

Methods: Semi-structured interviews with refugee participants were conducted to assess 1) experiences moving on from difficult experiences, 2) engagement with the health system, and 3) provider characteristics that facilitated engagement and …

Feasibility, Acceptability And Preliminary Implementation Of The Cornerstone Program For Transition-Age Youth With Mental Health Conditions: A Mixed Methods Study, Andrea R. Cole, Danielle R. Adams, Shelly Ben-David, Beth Sapiro, Melissa L. Villodas, Victoria Stanhope, James Jaccard, Michelle R. Munson

Department of Social Work and Child Advocacy Faculty Scholarship and Creative Works

Transition-age youth with mental health conditions from low socio-economic backgrounds often drop out of mental health services and, as such, do not receive therapeutic doses of treatment. Cornerstone is an innovative team-based, multi-component intervention designed to address the clinical needs of this understudied population through coordination and extensive provision of services in vivo (in the community). The present study used a convergent parallel mixed-methods design. Researchers collected quantitative and qualitative data during a small developmental trial, analyzing the two data types independently and then exploring them side-by-side to evaluate feasibility, acceptability, and preliminary implementation. Semi-structured interviews and quantitative surveys were …

From Inpatient Facility To The Everyday Classroom - Examining The Process Of Reintegration For Arkansas Youths, Grace Webb

Honors Theses

This thesis focuses on analyzing the current policies set in place within the state of Arkansas for student reintegration following a prolonged absence from school due to mental health issues. It is designed to explore what barriers and disconnections there are between mental health care and continued care after discharge of youths from an inpatient mental health facility and re-entry into the classroom. Within this thesis, current conditions impacting youth mental health and education are explored, as well as current school counseling plans throughout four school districts in various regions across the state. To my knowledge gathered from my findings, …

Adolescent Mother's Experiences In Mental Health: Bringing Forth Awareness, Nylda E. Jaramillo

Capstone Projects and Master's Theses

The Youth Homeless Response Team (YHRT) is a program that serves unaccompanied youth, who are currently at risk of being homeless or fleeing a domestic violence situation. By providing case management. Within the program's population of focus, a large portion of unhoused youth are adolescent mothers. This project addresses the high prevalence of poor mental health among young mothers. Acknowledging financial insecurity as a contributor the project entailed, hosting a diaper donation event called “Dance For Diapers.” so that diapers may be delivered to low-income young mothers at YHRT. The event was able to raise a total of $105 and …

Uplifting An Invisible Population: How We Can Combine Psychology And Policy To Improve The Educational And Mental Health Outcomes Of Homeless Youth, Melissa Hamilton

Washington Semester Program

The goal of this thesis is to a) explain why homeless youth are frequently linked to poor mental health and education outcomes, and b) offer evidence-based suggestions that ought to be considered when developing any intervention aiming to improve the education and mental health of homeless youth. To accomplish this, prominent theories in both the psychology (ex: Maslow’s Hierarchy of Needs) and political science (ex: failed implementation of the McKinney-Vento Act) fields that pertain to student homelessness were reviewed, and a comparative analysis of existing intervention models was conducted. Three key trends were identified across successful homeless youth intervention models …

The Impact Of Covid-19, Mental Health Distress, And School-Based Sociocultural Protective Factors Among Elementary-Aged Children And Their Caregivers, Aijah K.B. Goodwin, Anthony J. Roberson, Ar’Reon Watson, Grace L. Chen, Anna C.J. Long

Faculty Publications

Given the individual and systemic stress endured by children and families during the COVID-19 pandemic, research examining culturally responsive school experiences and supports to enhance resilience is critical. This study examined the relationship between caregivers’ perceptions of COVID-19 impact, mental health distress among children and caregivers, and school-based sociocultural protective factors, including culturally responsive practices in schools and the relationships between teachers and caregivers, concurrently and longitudinally. Data were collected from caregivers of elementary-aged children at two-time points from March to April 2020 (N = 174) and one year later in 2021 (N = 114). Regression analyses revealed that COVID-19 …

Responding To Escalating Student Behavioral Health Needs : A Comparative Case Study Of Multi-Tiered System Of Support Team Functioning, Randi Bargo-Smith

Browse all Theses and Dissertations

The state of youth behavioral health in the United States was a public health crisis before the overwhelming challenges presented by the coronavirus disease 19 (COVID-19) pandemic, and now, the situation is even more dire. The impacts of youth behavioral health challenges are pervasive and long-lasting for youth, their families, and the entire community. It is critical to identify innovative ways that youth behavioral health is being addressed in schools and understand how comprehensive school mental health systems including multi-tiered system of support teams are functioning. This comparative case study investigated the functioning of two high school multi-tiered system of …

Preventing Consequences Of Adverse Childhood Experiences (Aces) In Black Youths In Oakland, Ca, Althea M. O'Brien

Selected Social Change Portfolios in Prevention, Intervention, and Consultation

Goal Statement: The goal of this Social Change Portfolio is to create a prevention program that could be utilized by the counselor for Black youth in Oakland, California who have experienced adverse childhood experience (ACEs) in order to strengthen protective factors in Black youth, thus preventing future behavioral, mental, physical health, and downstream consequences (Bhushan et al., 2020).

Significant Findings: The population of focus are Black Youths, which are affected by ACES at disproportionate rates (Bhushan et al., 2020). According to the 2020 California Surgeon General’s Report, Adverse Childhood Experiences (ACEs) is a health crisis; more than 6 out of …

The Effects Of Active Shootings On 4-H Youth And Families, Melinda Garcia, Elizabeth Gangwer

Journal of Extension

The effects of active shootings should be a priority to provide needed assistance to 4-H youth and families in coping with their social-emotional well-being. Exposure to such violence can lead to lasting impacts on youth that can affect behavior. Addressing this sensitive topic is crucial in ensuring that Extension professionals are prepared to meet the needs of youth and families. Higher rates of depression, aggression, to name a few, are a result of having witnessed such events as a shooting. Providing training for Extension personnel can aid in reducing the amount of PTSD and other social-emotional trauma.

Mental Health Concerns In The Pediatric Population Following Covid-19, Kristina N. Yaczik, Ashley M. Komosinski

Honors Projects

The COVID-19 pandemic has contributed to an increase in stress and mental health concerns in the pediatric population. Research indicates a decrease in pediatric mental health incidences in 2020, followed by an increase in 2021 and 2022. It is thought that the initial decrease may be due to the intensity of the pandemic at the time and a lack of hospital beds available. The increase suggests a response to the high levels of adversity and stress children and adolescents faced both during and after the origination of the pandemic. The evidence supports the idea that the COVID-19 pandemic had a …

Predicting Therapists’ Intentions To Use An Innovation: The Role Of Innovation-Specific, Individual, And Organizational Factors, Jonathan KuʻUhoaepilipono Ahuna

Theses and Dissertations

Understanding factors that contribute to an individual’s decision to use an innovation can increase the public health impact of innovations in children’s mental health services. Objective. This study examined whether and to what extent therapists’ innovation-specific judgements (e.g., innovation is easy to use, socially desirable) were associated with intentions to use an innovation using constructs from one of the most robust theories of innovation use–the Unified Theory of Acceptance and Use of Technology (UTAUT). Method. Two aims were addressed using data collected from 95 therapists and 28 supervisors who participated in a multi-site cluster randomized trial. Therapists used either a …

The Impact Of Mobile Technology-Delivered Interventions On Youth Well-Being: Systematic Review And 3-Level Meta-Analysis, Colleen Conley, Elizabeth B. Raposa, Kate Bartolotta, Sarah E. Broner, Maya Hareli, Nicola Forbes, Kirsten M. Christensen, Mark Assink

Psychology: Faculty Publications and Other Works

Background: Rates of mental health problems among youth are high and rising, whereas treatment seeking in this population remains low. Technology-delivered interventions (TDIs) appear to be promising avenues for broadening the reach of evidence-based interventions for youth well-being. However, to date, meta-analytic reviews on youth samples have primarily been limited to computer and internet interventions, whereas meta-analytic evidence on mobile TDIs (mTDIs), largely comprising mobile apps for smartphones and tablets, have primarily focused on adult samples.

Objective: This study aimed to evaluate the effectiveness of mTDIs for a broad range of well-being outcomes in unselected, at-risk, and clinical samples of …

Preventing Self-Harm Among Adolescent Victims Of Adverse Child Experiences Integrated Review, Irene Tsimba Zenga, Trinette Radasta, Julie Maxworthy

DNP Qualifying Manuscripts

Background: Evidence shows a clear connection between adverse childhood experiences (ACEs) and mental health disorders in adolescence. If not treated, adolescent victims of ACEs could develop maladaptive behaviors such as self-mutilation and suicidal ideation. The standard therapies to treat this population are psychotropic medications or cognitive behavior therapy.

Search Methodology: Ten studies from a literature search on CINAHL, PubMed, APA PsychInfo, and Joanna Briggs databases were selected, appraised, and reviewed.

Integrated Review: Studies were grouped into six types: (a) screening for ACEs, (b) usual care and alternative therapies, (c) ineffectiveness of usual care, (d) comprehensive treatment that included trauma-informed therapy, …

Veterans Transition Center Self-Care Guide For Case Managers, Camille Quiroz

Capstone Projects and Master's Theses

The Veterans Transition Center provides transitional housing for homeless veterans in Monterey County and assists veterans in increasing their self-sufficiency. This project was completed within the Permanent Supportive Housing Program, which provides housing for up to two years. At the macro level, case managers and social workers experience work burnout earlier in their careers due to a lack of mental health support. The VTC currently has no established mental health support system for case managers. This project is an educational intervention designed to increase the case managers’ awareness of mental health and the importance of self-care by providing resources in …

Race, Racial Matching, And Cultural Understanding As Predictors Of Treatment Engagement In Youth Mental Health Services, Wendy Chu

Theses and Dissertations

Racially marginalized youth experience barriers that impact their ability to maximally benefit from mental health services; thus, efforts to identify strategies that support youth treatment engagement may address mental health and treatment disparities. This study examined the role of youth race, youth-therapist racial matching, and youthreported therapist cultural understanding on youth’s early treatment engagement in mental health services. The youth sample (n = 1159; M_age = 13.8 years, SD = 2.9; 52.1% female) comprised of 778 (67.1%) Latinx, 221 (19.1%) African American, 139 (12.0%) White, and 21 (1.8%) Asian American clients. The therapist sample (n = 126; Mage …

Clark Magazine, Winter/Spring 2022, Clark University

Clark Magazine

The Winter/Spring 2022 edition of Clark Magazine. Clark Magazine is a twice-yearly publication primarily geared towards Clark University Alumni.

The cover story is 'Mission of the Mind: The Mosakowski Institute merges psychology with technology to confront the mental health crisis devastating America's youth.'

Supporting The Mental Health Of Black Students: A Framework For Comprehensive School-Based Mental Health Systems, Shenita Williams

Theses and Dissertations

School-based mental health is plagued with two primary challenges: (a) design and (b) service delivery. The design of school-based mental health is often comprised of fragmented, individual programs and services, and the delivery of mental-health services and support are culturally insensitive. The purpose of this Delphi study, grounded in African-centered thought (Afrocentricity), was to identify essential components of a comprehensive school-based mental-health system necessary to adequately address and support the mental health of Black students in K–12 public school settings. Through the cultural lens of Black experts, the needs of Black students along a continuum of mental health was highlighted. …

Mobile Response Teams And The Youth Emergency Behavioral Health System, Paige J. Alitz

USF Tampa Graduate Theses and Dissertations

Introduction: This dissertation includes three separate manuscripts that coalesce under the shared topic of mobile crisis response and the emergency behavioral health system. Method: The first manuscript includes a synthesis of the research on mobile crisis response from the 1960s to present day to assess whether mobile crisis services can improve mental health care access in the U.S. for youth and adults. The second manuscript includes bivariate and multivariate analyses of MRT participant data to characterize participants who receive an involuntary psychiatric evaluation versus those who do not, and to assess factors associated with involuntary psychiatric evaluation or referral to …

Abuse, Mental State, And Health Factors Pre And During The Covid-19 Pandemic: A Comparison Among Clinically Referred Adolescents In Ontario, Canada, Shannon L. Stewart, Ashley Toohey, Angela Celebre, Jeff W. Poss

Paediatrics Publications

Throughout the COVID-19 pandemic, population surveys revealed increased levels of anxiety and depression, while findings from large-scale population data analyses have revealed mixed findings with respect to the mental health consequences for children and youth. The purpose of this study was to examine the impact of the COVID-19 pandemic on the well-being and health-compromising behaviors of adolescents (12–18 years) previously referred for mental health services. Data were collected (pre-pandemic n = 3712; pandemic n = 3197) from mental health agencies across Ontario, Canada using the interRAI Child and Youth Mental Health assessment. Our findings revealed no increased incidence of witnessing …

Improved Psychological Services For American Indian Communities, Grace Anna Hofer

Honors Thesis

The importance of mental health care is growing. Inadequate psychological aid in underserved areas creates an environment for health disparities. There is a needed emphasis for outreach in rural and ethnically diverse communities with a lack of healthcare professionals to service those afflicted by mental illness. One such group is the American Indian communities of indigent populations that experience multifactorial inequalities. The treatment and reception of mental health care continue to face many challenges such as access to care, lack of education, and stereotypes. To provide effective mental health services to the American Indian population, a collaboration in designing interventions …

‘Remain In Mexico’: Stories Of Trauma And Abuse, Alfonso Mercado, Luz M. Garcini, Amanda Venta, Manuel Paris

Psychological Science Faculty Publications

Two families’ stories—a separation at the border and an assault in a migrant shelter—show the horrific dimensions of US migration policy.

Libraries And Mental Health Initiatives: A Literature Review, Megan Smith

Library Philosophy and Practice (e-journal)

The coronavirus (covid-19) pandemic has increased the mental health needs of communities across America. Public libraries have responded by utilizing the existing resources they developed such as training staff in Mental Health First Aid and employing social workers and nurses. In addition, libraries have created new targeted programs to address mental health during the covid-19 pandemic. This literature review discusses how these various factors relate and further directions for research.

Providing Trauma-Informed Care For Children In The Foster Care System, Hannah Genn

Senior Honors Theses

Foster parents need to be trained in trauma-informed approaches and how to identify previous traumas in order to understand how their foster children’s past experiences of abuse or neglect manifest as mental disorders, social challenges, or behavioral concerns. Warning signs for depression or post-traumatic stress disorder should be noted, and youth should be taught how to foster healthy relationships in order to prevent substance abuse, irresponsible sexual activity, or academic failing. Foster parents can provide additional support by creating reasonable expectations for their foster children, teaching effective coping skills, and connecting with available resources.

Cultural Bereavement And Resilience In Refugee Resettlement: A Photovoice Study With Yazidi Women In The Midwest United States, Julie A. Tippens, Kaitlin Roselius, Irene Padasas, Gulie Khalaf, Kara Kohel, Elizabeth Mollard, Izdihar (Vianne) Sheikh

Department of Child, Youth, and Family Studies: Faculty Publications

This study explored how ethnic Yazidi refugee women overcome adversity to promote psychosocial health and well-being within the context of U.S. resettlement. Nine Yazidi women participated in two small photovoice groups, each group lasting eight sessions (16 sessions total). Women discussed premigration and resettlement challenges, cultural strengths and resources, and strategies to overcome adversity. Yazidi women identified trauma and perceived loss of culture as primary stressors. Participants’ resilience processes included using naan (as sustenance and symbol) to survive and thrive as well as by preserving an ethnoreligious identity. Findings suggest that women’s health priorities and resilience-promoting strategies center on fostering …

Estimating School Race/Ethnic Enrollment Effects On Student Mental Health: Density And Diversity As A Risk Or Protective Factor, Melissa J. Dupont-Reyes, Alice P. Villatoro, Jo C. Phelan, Kris Painter

Public Health

Objective: To investigate effects of school race/ethnic enrollment on mental health in early adolescence by examining both race/ ethnic density (percent non-Latinx [NL] White enrollment) and diversity (range/size of all race/ethnic groups enrolled). Variation by student race/ethnic identity is examined as minority stressors are uniquely experienced by race/ethnic minority students.

Methods: Generalized estimating equations tested main effects of density/diversity on depressive-anxious symptoms across student-reported race/ethnic identity, adjusting for student/school factors. Owing to statistically significant Latinx-group differences by acculturative stress, four unique identities were generated: NL-Black, low-stress Latinx, high-stress Latinx, and NL-White—referent. Points of convergence of student mental health profiles across …