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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 …

Is Combat Exposure Predictive Of Higher Preoperative Stress In Military Members?, Eric J. Bopp Phd

Dissertations

Since September 11, 2001, the United States has been engaged in large-scale combat operations exposing numerous military service members to stressful, traumatic, and threatening environments. As a result, many of these individuals have experienced significant psychological problems, such as anxiety, depression, and posttraumatic stress disorder (PTSD), as well as physiological alterations, such as cardiovascular changes and neuroendocrine disturbances. The preoperative experience may be perceived as stressful, often increasing in magnitude as the patient progresses through the preoperative period. Military anesthesia providers frequently provide anesthetic care to military members with a history of combat exposure. Anecdotally, it is not uncommon for …

Efficacy Of Mantram Repetition Program On Sleep In Veterans With Posttraumatic Stress Disorder, Lindsay Cosco Holt Phd

Dissertations

Posttraumatic Stress Disorder (PTSD) affects over seven million (3.5%) of the US adult population. In 2011, 476,515 veterans were currently seeking treatment for PTSD. Statistics show that 87% of veterans with PTSD report sleep disturbances and 52% experience frequent nightmares, making sleep the second most common reason why veterans seek mental health care upon return from deployment (Germain et al., 2006). Studies have sought to find a link between PTSD and sleep, and the importance of sleep in the recovery process, but there is a gap in the research on sleep disturbances and interventions for improvement in veterans with PTSD. …

Psychometric Properties Of The Resourcefulness Scale Among Caregivers Of Persons With Autism Spectrum Disorder, Abir K. Bekhet, Jaclene Zauszniewski

College of Nursing Faculty Research and Publications

Caregiving for children with autism spectrum disorder (ASD) can be very costly to caregivers’ well-being. Resourcefulness interventions have shown increases in positive health outcomes. However, before delivering the intervention, there should be a reliable and a valid measure to test resourcefulness. The psychometric properties of the Resourcefulness Scale (RS) have not been examined among ASD caregivers. This study examined the psychometrics of the 28-item RS in a convenience sample of 204 ASD caregivers. A Cronbach’s alpha of .91 showed the internal consistency of the RS. Construct validity was supported by the emergence of two dimensions of resourcefulness (personal and social) …

Making Healthy Minds And Bodies In Syria And Lebanon, 1899 - 1961, Beverly A. Tsacoyianis

All Theses and Dissertations (ETDs)

Psychiatrists in Syria presented mental health treatment to Syrians as more than just a way to control or cure mental illness, but as a modernizing worldview to combat popular ideas about the origins of mental illness. When the Ibn Sina Mental Hospital was founded near Damascus in 1922, staff were careful to strip treatment of religious meaning. While the physicians were trained in French psychiatric methods, they neither attempted "moral healing" nor imposed religious instruction, as at other hospitals in the region such as the Protestant medical missionary-run Asfuriyeh near Beirut. Ibn Sina hospital staff were so careful to present …

Family-Farm Therapy: An Urban Therapy Clinic To Address The Multifaceted Needs Of Multi-Stressed Families And Their Surrounding Communities, Felisa M. Huene

Graduate Research Symposium (2010 - 2017)

Family-Farm Therapy incorporates a therapeutic clinic within an urban farming community site, and focuses on multi-stressed family systems and the larger community system. The goal is for systemic change within the family and the community by creating positive relationships and personal acceptance. Farming has traditionally been a family endeavor which makes it a unique environment to be utilized as metaphors for family systems, their interactions, behaviors, and structure. Multi-stressed families have socioeconomic hurdles that complicate their ability to adjust to change and crisis in their family. Farming addresses such hurdles by offering economic sustenance, increased physical health, and community acceptance. …

Lessons In Betrayal, Donald Quentin Counts

Theses

An Abstract on the Thesis of Donald Q. Counts Title: Lessons in Betrayal Each of the selected works in this thesis share one common element, as they attempt to explore the nature of betrayal as a thematic element, and each story depicts a different aspect of this theme. Cold Hearted is a coming-of age story, as a young boy discovers what it can mean when family cannot be trusted. Threads can be viewed as science fiction or magic realism, but at heart it concerns itself with a man whose own nature has led to time itself turning against him. Then …

The Unequal Burden Of Debt And Its Impact On Health, Elizabeth Sweet, Zachary Dubois

Office of Community Partnerships Posters

Average household debt in America has tripled in the past 30 years. Much of this burden is unequally borne by racial/ethnic minorities and those with lower incomes, who face discrimination in obtaining loans and must devote more household resources to paying off debts. Being indebted is a strong predictor of suicide, depression, and other adverse mental health outcomes. However, its impact on physical health is underexplored.

Lawyer Assistance Programs: Bridging The Gap, Dr. Sarah Cearley

University of Arkansas at Little Rock Law Review

No abstract provided.

Half In Shadow She Speaks: An Expressive Therapies Exploration Of The Self Image Of African American Women, Lillian Marie Sylvester

Expressive Therapies Dissertations

African American women have suffered from negative images being thrust upon them, unrealistic expectations desired from them, and a lack of acknowledgement of their humanity—femininity often ignored or manipulated for sexual or reproductive control over them. The scars from these societal ills have fueled mindsets which assist in the fostering of continued unrealistic goals (Western ideals of beauty, infinite emotional resources), allowing circumstances for illness and disease to persist. The study attempts to explore, through mask making and dramatic play, how African American women see themselves and how this view may be useful in creating interventions to treat this population. …

Self-Assessments Of Happiness Before And After Hiking In Monteverde, Costa Rica, April 2014, Janeanne Levenstein

Monteverde Institute: Culture, Community, and Health

Conservation of the environment and natural systems is important for many reasons and motivations for conservation efforts can come myriad perspectives. Following E.O. Wilson's (1984) concept of biophilia, this study seeks to explore the effects of nature on human happiness with the hope of providing evidence that environmental conservation is important for human well-being. Surveying entrants to the Curi-Cancha Reserve in Monteverde, Costa Rica, and using a self-case study, I find a positive relationship between hiking and level of happiness.

Religiosity, Spirituality, And Depressive Symptoms In Older Adults In An Active Living Community, Monica D'Adrianne Solomon

USF Tampa Graduate Theses and Dissertations

The population of older adults in the United States is steadily rising. The Centers for Disease Control and Prevention (CDC) recently released a call to reduce mental distress in older adults. Research shows that mental distress is associated with depressive symptoms, which are significantly related to many chronic medical conditions, functional impairment, suicide, and all-cause mortality. Depression is a major public health concern. There is an interest in gerontology research on the buffering role of engagement against depressive symptoms such as volunteering, social activities, and religion. Certain religious beliefs and behaviors contribute to maintaining or improving mental health and research …

Time To Talk: The Mental Health Of Adults In Nevada, Ramona W. Denby, Sandra D. Owens, Sarah Kern

Lincy Institute Reports and Briefs

About 11.3% of the adult population in Nevada report a past-year mental illness, with nearly 4% of them experiencing disorders serious enough to impair their functionality. Almost 13% of Nevada adults have substance abuse disorders, this is the second highest statewide substance abuse prevalence rate in the country; the District of Columbia is first at 14.7% of its population (SAMSHA, 2013). With most states (including Nevada) now increasing their mental health care budgets after years of spending cuts—between 2009 and 2012 there was a $4.35-billion drop in state mental health spending (Ollove, 2013)—pertinent questions center on needed treatment, research, and …

Perspectives Of Social Work Students On Nutrition And The Nutrition Effects On Mental Health, Diana Tran

Electronic Theses, Projects, and Dissertations

Nutrition is related to the mental well-being of clients. However, the nutritional views and practices of social workers in the mental health field have not been thoroughly explored. By using the post-positivist paradigm, 15 mental health social work students were interviewed for their perspectives regarding nutrition and nutrition’s effect on stress. Their main ideas were identified, connected, and organized to develop a theoretical statement. The resulting theory focused on the development of social work students' perspectives in applying nutrition into their mental health practice. The students were influenced by a variety of background factors, including their education, barriers to applying …

Addressing Our Needs: Maslow Comes To Life For Educators And Students, Lori Desautels

Scholarship and Professional Work – Education

In the mid-1950s, humanistic psychologist Abraham Maslow created a theory of basic, psychological and self-fulfillment needs that motivate individuals to move consciously or subconsciously through levels or tiers based on our inner and outer satisfaction of those met or unmet needs. As a parent and educator, I find this theory eternally relevant for students and adults, especially in our classrooms. After studying it over the past couple of years, my graduate and undergraduate students have decided that every classroom should display a wall-sized diagram of the pyramid, as students and teachers alike place pins and post-its on the varying tiers …

Research Brief: "Caregiving Experiences And Health Conditions Of Women Veteran And Non-Veteran Caregivers", Institute For Veterans And Military Families At Syracuse University

Institute for Veterans and Military Families

This brief is a summary of women veteran caregivers experiencing health concerns, including sleeplessness, poor mental health, and some chronic conditions.

Men Making Meaning Of Eating Disorders: A Qualitative Study, Robin Leichtman

ETD Archive

There is a stark contrast between the research and published accounts reflecting women's experiences in coping with an eating disorder in comparison to men's narratives. Because of this, many medical and mental health providers do not consider an eating disorder as a possible diagnosis when men present with symptoms associated with an eating disorder. This notion was confirmed by Menstuff┬« (2012), who reported men are often not diagnosed and/or are embarrassed by being diagnosed with an eating disorder because eating disorders have become more associated with a problem women or gay men experience. Assumptions that eating disorders are a female …

Parental Strain, Mental Health Problems, And Parenting Practices: A Longitudinal Study, Alicia Borre, Wendy L. Kliewer

Psychology Publications

Although poor parenting practices place youth living in under resourced communities at heightened risk for adjustment difficulties, less is known about what influences parenting practices in those communities. The present study examines prospective linkages between three latent constructs: parental strain, mental health problems and parenting practices. Parental victimization by community violence and life stressors were indicative of parental strain; depressive, anxious, and hostile symptoms were indicators of parental mental health; and parental knowledge of their child’s activities and child disclosure were indicators of parenting practices. Interviews were conducted annually for 3 waves with 316 female caregivers (92% African American) parenting …

Mental Health First Aid Usa: The Implementation Of A Mental Health First Aid Training Program In A Rural Healthcare Setting, Andrew M. O'Neill, Valerie L. Leyva, Michael N. Humble, Melinda L. Lewis, John A. Garcia

Contemporary Rural Social Work Journal

Nearly one-quarter of adults in the United States suffer from a documented mental disorder. Consequently, anyone could encounter a person with symptoms of mental illness at some point as they carry out their daily life activities. Although laypersons may accurately identify physical illnesses, they may lack necessary skills to identify symptoms of mental disorders, or know how to adequately respond to persons in a mental health crisis. Mental Health First Aid USA is an evidence-based certification program designed to teach lay citizens to recognize certain symptoms of common mental illnesses, offer and provide first aid assistance, and guide a person …

Job Attributes, Job Satisfaction And The Return To Health After Breast Cancer Diagnosis And Treatment, Andrew J. Barnes, Nicholas Robert, Cathy J. Bradley

Health Policy Publications

Background: As detection and treatment of cancer has advanced, the number of working age women with breast cancer has increased. This study provides new information on the intersection of breast cancer treatment and job tasks and how, together, they impact employed and newly diagnosed women.

Methods: The sample comprised 493 employed women within two months of initiating treatment. Job satisfaction and demands were assessed by pre-diagnosis recall along with measures of mental and physical health and assessed again nine months after initiating treatment. Using seemingly unrelated regression, we tested the effect of job tasks and satisfaction on mental and …

George M. Leader, 1918-2013, Michael J. Birkner, Charles H. Glatfelter

Gettysburg College Faculty Books

George M. Leader (1918-2013), a native of York, Pennsylvania, rose from the anonymous status of chicken farmer's son and Gettysburg College undergraduate to become, first a State Senator, and then the 36th governor of the Commonwealth of Pennsylvania. A steadfast liberal in a traditionally conservative state, Leader spent his brief time in the governor's office (1955-1959) fighting uphill battles and blazing courageous trails. He overhauled the state's corrupt patronage system; streamlined and humanized its mental health apparatus; and, when a black family moved into the white enclave of Levittown, took a brave stand in favor of integration.

After politics, Leader …

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 …

Chinese American College Graduates In The Great Recession : An Exploratory Study, Rebecca D. Lee

Theses, Dissertations, and Projects

The purpose of this qualitative study was to explore the ways in which the Great Recession has affected Chinese American, recent college graduates in their career development. The person-in-environment perspective of clinical social work was the foundation for this study: it was expected that the negative economic effects of the Great Recession have changed the occupational landscape for Chinese American recent college graduates, which has had an effect on their mental health and personal relationships. Participants were recruited through snowball sampling, and 12 individuals were interviewed regarding their career-related experiences after graduation. All participants identified as Chinese American and graduated …

Trans* And Gender Non-Conforming (Tgnc) Young Adults : Self-Report Of Access And Comfort In Health Care Systems, Victoria L. Reiszner

Theses, Dissertations, and Projects

This study examined diverse trans* and gender non-conforming (TGNC) young adults' perceptions of medical and mental health providers and health care settings; and how TGNC perceptions influence or inhibit their level of comfort and willingness to access preventative and emergency services. The study aimed to extend knowledge and understanding of challenges faced by TGNC individuals and to inform health care providers on how they can become more effective in both their outreach and service provision to TGNC communities. Much of the current literature examining individuals with gender nonconforming identities focus on discrimination, limited access to health care, major health challenges, …

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 …

Understanding And Building Resilience With Art: A Socio-Ecological Approach, Meagan Shand

Theses: Doctorates and Masters

Resilience is a widely researched phenomenon, it means different things to different people and is perceived and measured according to the theoretical lens being applied. The following thesis reviews the theoretical development of resilience that has led to contemporary understandings, to establish a platform for the research topic - understanding and building resilience with Art. Narrative research methods are combined with art processes to illuminate the stories of eight culturally diverse women participating in a community based mental health art program, in Western Australia. Fifteen resilience themes emerged from the collective experience, and are presented in a socio-ecological framework to …

Jeunes Du Secondaire Et Du Collégial Qui Cumulent Études Et Travail : Une Enquête Sur Les Conditions D’Exercice Du Travail Et La Sst, Luc Laberge, Élise Ledoux, Julie Auclair, Marco Gaudreault

Rapports de recherche scientifique

Au Québec, les jeunes entrent de plus en plus tôt sur le marché du travail. Or, parmi l’ensemble des travaux de recherche portant sur la question des jeunes en lien avec la santé et la sécurité du travail (SST), peu d’études portent sur les travailleurs âgés de 15 à 19 ans. De 1976 à 2005, le taux d’activité de ces jeunes travailleurs est pourtant passé de 43,7 % à 51,8 %. Plus encore, la proportion des jeunes de 15 à 19 ans qui occupent un emploi alors qu’ils sont aux études a presque doublé au cours des trente dernières années. …

Family Needs, Caregiver Burden, And Mental Health: Caregivers Of Individuals With Various Neurological Conditions From Colombia And Mexico, Megan Elizabeth Sutter

Theses and Dissertations

This cross-sectional study examined differences in family needs (informational, social, financial, health, and household support), caregiver mental health (depression, satisfaction with life, vitality, social functioning, and emotional role limitations), and caregiver burden (personal life, guilt, and psychological) among caregivers of individuals with traumatic brain injury, spinal cord injury, multiple sclerosis, and dementia from cities in Colombia and Mexico (N = 343). The study also examined the connections among family needs, caregiver mental health, and caregiver burden in the combined sample of caregivers of individuals with neurological conditions. Many significant differences were identified among groups, and implications are discussed. Family …

On Being Transminded: Disabling Achievement, Enabling Exchange, Anne Dalke, Clare Mullaney

Literatures in English Faculty Research and Scholarship

We write collaboratively, as a recent graduate and long-time faculty member of a small women’s liberal arts college, about the mental health costs of adhering to a feminist narrative of achievement that insists upon independence and resiliency. As we explore the destabilizing potential of an alternative feminist project, one that invites different temporalities in which dis/ability emerges and may be addressed, we work with disability less as an identity than as a generative methodology, a form of relation and exchange. Mapping our own college as a specific, local site for the disabling tradition of “challenging women,” we move to larger …

Early Health And Human Capital Accumulation : An Econometric Analysis Using The Psid-Cds, 1997-2007, Dohyung Kim

Legacy Theses & Dissertations (2009 - 2024)

The first chapter estimates the effect of fetal growth on academic achievement in childhood using a nested error-component two-stage least squares (NEC2SLS) estimator that draws on internal instruments from alternative dimensions of the multi-level panel data structure of the panel data set. This estimation method increases efficiency by exploiting information on children with no siblings in the sample as well as identifies coefficients for the time-invariant, mother-specific regressors, all of which are not feasible with conventional mother-fixed effects estimation. We estimate modest but statistically significant effects of birth weight and fetal growth rate on math and reading scores, with the …