Digital Commons Network^™

Mental Health Status And Access To Health Care Services For Adults In Maine, Erika C. Ziller Phd, Barbara Leonard Mph

Access / Insurance

Maine people with poor mental health describe significant challenges with affordability and access to health care. A new report released by the Maine Health Access Foundation (MeHAF) and the University of Southern Maine, Mental Health Status and Access to Health Care Service for Adults in Maine, describes how adults 18 and older in Maine who report depression and poor mental health have many barriers to getting health care. These results have important implications for planning in a time when major changes in health insurance coverage are expected.

Analyzing data from the ongoing federal/state public health survey, the Behavioral Risk …

Mental Health Of African Asylum-Seekers And Refugees In Hong Kong: Using The Social Determinants Of Health Framework, William Chi Wai Wong, Sealing Cheung, Heidi Yin Hai Miu, Julie Chen, Kelley Ann Loper, Eleanor Holroyd

School of Nursing & Midwifery, East Africa

Background: Hong Kong is non-signatory to the 1951 Refugee Convention and its 1967 Protocol, and has no systematic domestic policies committed to the rights of asylum-seekers and refugees (ASRs). This creates a tenuous setting for African ASRs there. This study explored how mapped social determinates of health has impacted the mental health and wellbeing of African ASR’s in Hong Kong.

Methods: A cross-sectional survey was carried out with 374 African ASRs. The survey comprised of: (a) sociodemographics; (b) health status; (c) health behaviours; and, (d) social experiences. Associations between social determinants of health and depression screen were explored and multivariable …

The Impact Of A Civic Service Program On Biopsychosocial Outcomes Of Post 9/11 U.S. Military Veterans, Monica M. Matthieu, Karen A. Lawrence, Emma Robertson-Blackmore

Social Work Faculty Publications

Volunteering as a health promotion intervention, improves physical health, mental health, and social outcomes particularly in older adults, yet limited research exists for veterans. We conducted a preliminary study to explore whether volunteering impacts a variety of biopsychosocial outcomes, including symptoms of post-traumatic stress disorder (PTSD) and depression, among returning military veterans from Iraq and Afghanistan. A survey enrolling a prospective cohort of United States (U.S.) veterans who served in the military after 11 September 2001 and who participated in a national civic service program was conducted. A total of 346 veterans completed standardized health, mental health, and psychosocial self-report …

2017 Research & Innovation Day Program, Mackenzie Nesbitt, Hannah Niesen, Allison Menegoni, Linda Whitehead, Amy Luck, Reanna Bandi, Amina Fajkovic, Robert Sutherland, Kyle Sullivan, Victoria Sutherland, Scott G. Veenvliet, Mackenzie Lorn Jagoo Myles, Afrah Fatima, Michelle Anger, Ursula Goniarski, Cherie Hall, Kai Hatje-Moule, Jillian Moorehouse, Nicole Hawkins, Anna Fekete, Jacob Squire, Dalton Heil, Michael Jennings, Kristina Pepe, Angela Bourne, Mackenzie Howson, Dinesh Jeevanandam, Martin Volkening, Bruce Steers, Robert Nicol, Leah Tomaszewski, Mark Challinor, Michael Zhang, Pat Girard, A&L Labs, Xiaoming Gou, Kayla Bailey, Emilio Barbero, Jessica Bouchard, Karen Hale, Jessica Wilkins, Ruth Montgomery, Madison Henry, Stacy Lyons, Olalekan Hassan Agboke, Chelsea Woods, Youth Opportunities Unlimited, Kate Sadler, Meghan Mastronardi, Taylor Myers, Allyson Richter, Victoria Nagy, Ian Jones, Esden Geary, Melissa Echlin, Clay Greene, Steve Done, Eric Wingelaar, Charlane Cluette, Denise Luksys, Robert Mosley, Megan Trigila, Viacheslav Astashevskii, Nikolai Ustiantcev, Dhvani Mehta, Akshay Saini, Kristin Cadotte, Gabriela Aquino, Palasad, Nadia Kuhni, Lindsey Webber, Tamas J. Lindenmaier, Elizabeth Lorusso, Julia Flook, Dugg Steary, Julie Brown, Lorie Ranieri, Helen Harrison, Amy Mitchell, Firdaus Imambaccus, Lisa Mccorquodale, Thames Valley District School Board, Ruwan Bedeir, Arlynes Argueta Garcia, Nicholas Bouvier, Danielle Stephen, Paula Burns, Gurtej Singh Bhoday, Chandan Pathek, Derek Baker, Seyedehshahrzad Ghafouriansahraei, Sara Grehorini, Phylicia Getty, Kelsey O'Donnell, Robin Moffatt, Mary Chamberlain, Lauren April Koza, Johann Tan Ting, Austin Mitchell, Robert Haaf, John Bennett, Natalia Aguillon, Tandeep Sidhu, Amanda Mercer, Alicia Bulhoes, Jimmy Ramirez, Sabrina Moreira Villela, Amneh Kalloush P.Eng, Solomon Asantey P.Eng, Shannon Enwright, Adam Luxton, Nicholas Ireland, Abby Stokes, Allison Mills, Vibha Venkatram, Andre Foreman, Connor Giroux, Karissa Thornton, Kaitlyn Poirier, Kevin Bonden, Julia Van Damme, Morgan Wardell, Amy Turnbull, Russell Vey, Andrew Ross, Jesse Bourret-Gheysen, Colette Van Dyk, Julia Bowering, Jing Zhang, Cheryl Ketola, Heather Gillespie, Andrea Mellon, Jude Silva, Krista Ly, Tina Bonnett, Brianne Englander, Marcela Lievano, Jesse Milley, Zachary Klassen, Julia Jezic, Megan Ward, Huda Bander, Ryan Chanyi, Jeremy Burton, Kris James, Peter Cadieux, Natalya Yudina, Jamie Louwagie, Kaylen O'Rourke, Haylee Siddall, James Booth, Leap Junction, London Lindyhoppers, Swing London Inc., Eli Paddle, Jason Gilliland, Seyed Goosheh, Jennifer Patterson, William Pol, Russell Schnurr, Natalia Aguillon, Megan Anderson, Linda Crosby, Lorie Ranieri, Ronna Hoglund, Carol Butler, Gail Brown, Michael J. Boisvert, Natalie Rowe

Centre for Research and Innovation Publications

A one day showcase of applied research, social innovation, scholarship projects and activities.

Alcohol Use And Mental Health Conditions Among Black College Males: Do Those Attending Postsecondary Minority Institutions Fare Better Than Those At Primarily White Institutions?, Adam E. Barry, Zachary Jackson, Daphne C. Watkins, Janelle R. Goodwill, Haslyn E R Hunte

Faculty & Staff Scholarship

While there is a sizeable body of research examining the association between alcohol use and mental health conditions among college students, there are sparse investigations specifically focusing on these associations among Black college students. This is concerning given Black college students face different stressors compared with their non-Black peers. Black males appear especially at risk, exhibiting increased susceptibility to mental health issues and drinking in greater quantities and more frequently than Black females. This investigation examined the association between alcohol consumption and mental health conditions among Black men attending institutions of higher education in the United States and sought to …

Depression And Personal Depression Stigma Among Hospital Employed Nurses, Christy Herman Moose

Nursing Theses and Capstone Projects

Background. Nurses experience depression at twice the rate of the general public. Personal depression stigma may complicate the issue by creating a barrier to help-seeking behaviors. This study sought to determine if depressed nurses have a higher rate of personal depression stigma than non-depressed nurses. Method. This study used a quantitative study design and a convenience sampling method of nurses at a community hospital. Data was obtained using a web-based survey that included the Patient Health Questionnaire 9 item depression scale (PHQ-9) and the Depression Stigma Scale – personal (DSS – personal). The total depression score (TDS) was used to …

Development Of The Ableist Microaggression Scale And Assessing The Relationship Of Ableist Microaggressions With The Mental Health Of Disabled Adults, Shanna Katz Kattari

Electronic Theses and Dissertations

Approximately 20% of U.S. residents are currently living with a disability. Ableism values a specific type of physical, mental and/or emotional capital as well as supports socially constructed expectations of ability, valuing these expectations over different types of ability and disability. One way in which ableism is perpetuated is through microaggressions, at the more interpersonal, or micro level. Microaggressions are everyday interactions that perpetuate inequalities and stereotypes against people who belong to marginalized communities. Experiencing multiple microaggressions has been referred to as death by a thousand paper cuts, indicating the severity of the sum total of these casual types of …

Early Years Transitions: Supporting Children And Families At Risk Of Experiencing Vulnerability: Rapid Literature Review, Jacynta Krakouer, Pru Mitchell, Jenny Trevitt, Anita Kochanoff

Early Childhood Education

This rapid literature review on support for children and families at risk of experiencing vulnerability in early years transitions was commissioned by the Victorian Department of Education and Training. It sought to understand how Early Childhood Education and Care (ECEC) services, professionals and teachers could better support children at risk of vulnerability, and their families, during transitions. The transitions included are from home, out-of-home care (OOHC) and other programs/services to ECEC services and to school. In particular, this review focuses on the support needs of children who have experienced trauma, children living in out-of-home care, refugee children, and children who …

Affective Learning Opportunities For Gifted Adolescents, Jessica Anne Howard

Teaching and Learning Sciences: Doctoral Research Projects

The importance of teaching children and adolescents about affective content has recently become more of a priority in the realm of education, especially when working with gifted learners. The Colorado Department of Education requires that students on Advanced Learning Plans (ALPs) write an annual academic and affective goal. The problem of practice guiding this research is the lack of services and support for gifted adolescents to achieve healthy affective development and to write affective goals. It appears that opportunities for students, especially secondary students, to learn about affective content are limited. This multiple case study examined factors contributing to gifted …

Sensory-Based Group Treatment In Reducing Physically Acting-Out Behaviors And Perceived Levels Of Distress, Tiffany Barnette

Occupational Therapy Doctorate Capstone Projects

Background: Mental health legislation over the last several decades has focused on restricting the use of seclusion and restraints within facilities receiving federal financial assistance. Facilities serving psychiatric populations have looked for strategies to eliminate the need for these forced interventions. One strategy is the use sensory-based treatment in occupational therapy intervention. Sensory approaches that have been adopted as ‘best practice’ include the use of sensory rooms, groups and kits to help users learn how to regulate psychological and emotional states of arousal.

Purpose: The purpose of this Capstone Project was to examine the effectiveness of a sensory-based …

Preparing To Parent: Mindfulness In Expectant Parents Exposed To Adversity, Laurel Marie Hicks

Wayne State University Dissertations

Expectant parents who have been exposed to psychosocial risk encounter deleterious psychological (Ashley et al., 2016), and physiological (V. H. Pereira, Campos, & Sousa, 2017) effects. This not only affects the parent-to-be, but also may affect the developing fetus (E. P. Davis et al., 2011) and is linked to poorer infant development (Lefmann & Combs-Orme, 2014). However, not all risk-exposed individuals experience this, many are resilient and still thrive in the face of adversity. Understanding potential risk and resiliency factors in expectant parents is advantageous, so tailored interventions can be devised to improve outcomes. One potential resiliency factor, mindfulness, is …

Age Of Language Acquisition And Prevalence Of Suicidal Behavior In A Deaf Population With Co-Occurring Substance Use Disorder, Jared A. Embree, Nicole R. Kinzeler, Susan Fraker, Sandra Castle, Josephine F. Wilson

JADARA

If language is delayed through developmental milestones in childhood, individuals may have less access to the resiliency tools necessary to build social support and positive social identity. Suicide attempts may represent a maladaptive form of communication stemming from delayed ability to express unmet emotional needs. To evaluate the relationship between age of language acquisition and suicidality, analysis was conducted on self-reported data from prelingual deaf adults in substance use disorder treatment. Suicidal ideation was reported by 50.5% of consumers, and lifetime suicide attempts were reported by 42.1%. Individuals with significantly delayed language acquisition presented with the highest rates (61.1%) of …

Sensory-Based Services In Adult Mental Health, Leslie Reed

Occupational Therapy Doctorate Capstone Projects

Purpose: The purpose of this Capstone Project was to evaluate the sensory room program used by occupational therapy to determine whether use of the sensory room and the elements within the room reduced perceived levels of distress and acting out and/or aggressive behaviors of patients with mental illness. Methods: This Capstone Project was an outcome evaluation of a routine clinical program using retrospective analysis of existing patient records to ascertain physical aggression episodes, sensory modulation ability, and self-ratings and staff ratings of patient distress levels pre- and post-sensory intervention. Results: Through analysis of quantitative data, the results of the project …

Consumers, Clergy, And Clinicians In Collaboration: Ongoing Implementation And Evaluation Of A Mental Wellness Program, Glen Milstein, Dennis Middel, Adriana Espinosa

Publications and Research

As a foundation of most cultures, with roots in persons’ early development, religion can be a source of hope as well as denigration. Some religious institutions have made attempts to help persons with mental health problems, and some mental health professionals have sought to engage religion resources. These programs have rarely been sustained. In 2008, the Mental Health Center of Denver (MHCD) developed a program to assess the utility of religion resources within mental health care. In response to positive feedback, MHCD appointed a director of Faith and Spiritual Wellness who facilitates community outreach to faith communities and spiritual integration …

The Third Tier In Treatment: Attending To The Growing Connection Between Gut Health And Emotional Well-Being, Joseph Verdino

Publications and Research

The microbial environment of the human gut has powerful influence on immunity, metabolism, and obesity. There is now emerging evidence that the microbiome of our gastrointestinal system may also be a key factor impacting our emotional and behavioral health. The purpose of this article is to elucidate how this emerging area of science can further educate and encourage mental health professionals to explore an additional means to treatment. Since much of this research is found in the biological and neuroscientific literature, it can be quite cumbersome for clinicians to digest and apply, who would critically benefit from a concise discussion …

African American Women And Their Experiences With Behavioral Health: Implications For Rehabilitation, Kaitlin M. Blakeney

Research Papers

No abstract provided.

The Repercussions Of Concussions In Youth Football Leagues: An Analysis Of Texas’S Concussion Law And Why Reform Is Necessary., Taylor Adams

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

Texas’s state concussion law, known as Natasha’s Law, does not reflect a comprehensive safety standard that affords protection to athletes of every age and at every level of play. Because uniform concussion standards fall outside the purview of the federal government, the responsibility is left to Texas to implement, amend, and regulate laws on youth athletic competitions.  Natasha’s Law implements an immediate removal policy from practice or a game when a student-athlete exhibits signs of a concussion. Nonetheless, Natasha’s law falls short because it limits coverage to only school sponsored practices, competitions and interscholastic activity, and negates coverage for recreational …

The Delicate Process And Relational Style Of Solution Focused Brief Therapy: Ericksonian Hypnotherapy Resemblances In Sfbt, Annette Bovee-Akyurek

Department of Family Therapy Dissertations and Applied Clinical Projects

Solution focused brief therapy (SFBT) is an approach that facilitates movement of problems toward solutions. If applied as Insoo Kim Berg and Steve de Shazer intended, this approach requires a “delicate process” of attentive observational skills and use of language. This delicate process can be seen in SFBT with several resemblances of Ericksonian hypnotherapy. Through James Paul Gee’s discourse analysis, these resemblances were explored in two commercially available videos of SFBT sessions facilitated by Insoo Kim Berg. Both SFBT features and Ericksonian features were noted in these sessions, as well as an overlap of both approaches, and Ericksonian resemblances in …

Exploring Clinical Best Practices For Working With The Co-Occurrence Of Psychosis And A Trauma History, Sierra Leah Black

Theses, Dissertations, and Projects

This qualitative research study explored clinical practices most effective in helping people who experience co-occurring psychosis and a trauma history. The research was conducted through interviews with nine mental health professionals, who reported they created their own skill base in working with clients with a co-occurrence of psychosis and trauma. Although every respondent reported this co-occurrence as common, they all expressed a lack of confidence and expertise in treating the population. Best practices for treatment were found to be a combination of psychiatric medication, psychotherapy, and community support. Themes of treatment included the need to establish trusting relationships, appreciate client …

The Impact Of Islamophobia On The Muslim American Community : Accounts Of Psychological Suffering, Identity Negotiation, And Collective Trauma, Areeza Ali

Theses, Dissertations, and Projects

The rise of Islamophobia has undoubtedly disrupted the identity and way of life of Muslim Americans in the last decade and half. This study centers the voices of eight Muslim Americans discussing the mental health impact of anti-Muslim discrimination and prejudice, the pervasiveness of xenophobic and Islamophobic perspectives in the U.S., and the normalization and acceptance of discrimination as evidenced by the presidential victory of Donald Trump.

The major findings of this study indicate that the marginalization and othering of Muslim Americans have manifested in adverse psychological symptoms including fear, stress, worry, isolation, numbness, desensitization and insecurity. In addition, this …

A Correlative Analysis Of Mystical Experiences And Lasting Symptom Improvement From Mdma-Assisted Psychotherapy For Treatment-Resistant Ptsd : A Project Based Upon An Investigation Sponsored By Multidisciplinary Association For Psychedelic Studies (Maps), Michiko A. Mitsunaga-Whitten

Theses, Dissertations, and Projects

Before the Controlled Substance Act of 1985 categorized psychedelic substances as criminalized schedule I drugs, psychiatrists used ±3,4-methylenedioxymethamphetamine (MDMA) as a catalyst to psychotherapy. Over two decades later, this project seeks to contribute to the renaissance of psychedelic research. Specifically, this study focuses on participants’ experience of treatment in the recent FDA approved Phase 2 clinical study, “A Randomized, Triple-Blind Phase 2 Pilot Study Comparing 3 Different Doses of MDMA in conjunction with manualized psychotherapy in 24 Veterans, Firefighters, and Police Officers with Chronic, Treatment-resistant PTSD.” The current study presents results from correlation analyses of the Mystical Experience Questionnaire …

From Yellow Peril To Model Minority : ǂB Deconstruction Of The Model Minority Myth And Implications For The Invisibility Of Asian American Mental Health Needs, Lynda Anne Moy

Theses, Dissertations, and Projects

The model minority myth is a racial stereotype imposed upon Asian Americans, often depicting them as a successful and high-achieving monolithic group in the United States. This paper examines sociopolitical functions of the term “model minority” and implications for this broad and diverse racial group by reviewing existing literature and conducting an analysis of qualitative interviews with 12 Asian Americans. The findings of this study suggest that while the model minority myth appears to be a positive stereotype, it may lead Asian Americans to experience distress through (a.) a sense of confinement, (b.) treatment as foreigners, and (c.) …

Mixed-Status Families And The Threat Of Deportation, Eloisa P. Haynes

The Journal of Sociology & Social Welfare

This article offers a description of deportation, explores the effects of deportation in the lives of mixed-status families, as well as, outlines the social and economic cost of deportations to American communities. This article argues that the toll imposed on U.S. citizens, both relatives of those deported and members of the community, renders deportation, in most circumstances, an unfavorable policy that does more harm than good. A policy which is intended to protect Americans and curtail unauthorized migration, instead creates injustice, fragments families and communities, and creates a significant negative impact on the U.S. economy.

Faculty Perceptions Regarding The Inclusion Of Military-Connected Children Into Educator Preparation Curriculum, Brianna Conway, Connie L. Schaffer

Educational Leadership Faculty Publications

The current study researched university faculty members’ knowledge and perceptions regarding military-connected children in the public-school setting. Faculty members from seven departments at a local university participated in the study. Faculty members completed a short survey regarding general knowledge of military-connected children and their families, as well as their inclusion of information about this population of students into their curriculum. Results suggest faculty members at the university received little to no educational training regarding military-connected children in their pre-service education. Furthermore, many faculty members at the university did not include information on military-connected families in their coursework, but were open …

The Relationship Between Family Support; Pain And Depression In Elderly With Arthritis, Wendy C. Birmingham, Man Hung, Jerry Bounsanga, Maren W. Voss, Anthony B. Crum, Wei Chen

Faculty Publications

The prevalence and chronic nature of arthritis make it the most common cause of disability among U.S.A adults. Family support reduces the negative impact of chronic conditions generally but its role in pain and depression for arthritic conditions is not well understood. A total of 844 males (35.0%) and 1567 females (65.0%) with arthritic conditions (n = 2411) were drawn from the 2012 Health and Retirement Study to examine the effect of family support on pain and depressive symptoms. Using regression analysis and controlling for age, ethnicity, gender, marital/educational status and employment/income, physical function/disability status, pain and antidepressant medications, and …

National Survey To Identify Mental Health Topics In Entry-Level Ot And Ota Curricula: Implications For Occupational Therapy Education, Brad E. Egan, Susan M. Cahill

Journal of Occupational Therapy Education

Mental health has been identified as a priority practice area for occupational therapy. However, recent research suggests that the number of occupational therapy practitioners working in mental health is declining. The purpose of this survey research study was to examine the extent to which occupational therapy (OT) and occupational therapy assistant (OTA) programs include mental health topics in their curricula. A link to an on-line survey was sent to program directors of OT and OTA programs in the United States. A total of 105 programs fully completed the survey (33% response rate). All of the respondents (n=105) reported that their …

The Health Of Human Trafficking Victims In San Diego, California: A Retrospective Study, Noelle Lipkin Leveque

Dissertations

Background/Purposes/ Aims: Human trafficking (HT) is a threat to human rights globally. Studies indicate between 28% and 87% of HT victims encountered a health care professional during their trafficking period. Nonetheless, little is known about the health care needs of victims of HT. The purpose of this study was to examine the health care needs of a self-identified group of trafficked women in San Diego County, California.

Conceptual Basis: The Model of Human Trafficking and Health by Zimmerman et al. (2011) was used to identify multiple determinates of health following the trafficking period including demographic factors (age at assessment, age …

A Path Towards Abuse - The Decline Of Moral Treatment In The Utica Lunatic Asylum, Stefanie C. Bartlett

Global Tides

This paper explores the deterioration of institutionalized mental health care by conducting a case study on the reasons why moral treatment methods declined in the Utica Lunatic Asylum, later renamed Utica State Hospital. The Utica State Hospital serves as a concrete example of how the general causes of decline in the United States varied among individual asylums. In the late nineteenth century, mental health care in the United States evolved from the personal, therapeutic environment that moral treatment promoted, to one of systematic abuse and neglect. In general, the reasons for this change were overcrowding, insufficient funding, and a decline …

Extended Family Relationships: How They Impact The Mental Health Of Young Adults, Kayla Jansen

Theses and Dissertations--Family Sciences

This study bridges the gap in literature about the impact of extended family relationships on young adult depression and self-esteem. A sample of 304 undergraduate students between the ages of 18 and 21 at the University of Kentucky was recruited to complete an online survey about their immediate and extended family relationships and their mental health. The largest predictor of self-esteem and depression in early young adults is perceived social support from the family of origin, which is also moderately correlated with perceived support from extended family members. This indicates that extended family support collaborates with family of origin support …

Consequences Of Job Stress For The Psychological Well-Being Of Teachers, Irvin Sam Schonfeld, Renzo Bianchi, Peter Luehring-Jones

Publications and Research

This chapter examines research on the relationship between job stressors and mental health (depressive symptoms, burnout, and mental disorders such as depression) in teachers. Teachers are exposed daily to job stressors (e.g., student disruptiveness) that have been linked to adverse mental health effects. Epidemiologic research indicates that when compared to members of other groups, teachers experience higher rates of mental disorder, although some studies question that conclusion. Large-scale studies indicate when compared to members of other occupational groups, teachers are at higher risk for exposure to workplace violence, with its adverse mental health consequences. Longitudinal research has linked teaching-related stressors …