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The Past And Future Of Deinstitutionalization Litigation, Samuel R. Bagenstos

Articles

Two conflicting stories have consumed the academic debate regarding the impact of deinstitutionalization litigation. The first, which has risen almost to the level of conventional wisdom, is that deinstitutionalization was a disaster. The second story challenges the suggestion that deinstitutionalization has uniformly been unsuccessful, as well as the causal link critics seek to draw with the growth of the homeless population. This Article, which embraces the second story, assesses the current wave of deinstitutionalization litigation. It contends that things will be different this time. The particular outcomes of the first wave of deinstitutionalization litigation, this Article contends, resulted from the …

Health Effects Associated With Foreclosure: A Secondary Analysis Of Hospital Discharge Data, Nancy N. Menzel, Sheniz Moonie, Melva V. Thompson-Robinson

School of Public Health Faculty Research

Objectives. The purpose of this study was to assess the health effects of high home foreclosure rates in an area of the United States of America and the utility of hospital discharge data for this purpose. Methods.We analyzed hospital discharge data from three postal zip codes using the principal diagnosis for 25 Diagnostic Related Groups associated with stress. Descriptive statistics were used to characterize hospital discharge rates for each condition by year and zip code. To test for differences across time, the Cochran-Armitage trend test was performed. Results. Most conditions did not demonstrate a statistical change between 2005 and 2008. …

The Impact Of Unemployment On Mental And Physical Health, Access To Health Care And Health Risk Behaviors, Jennifer Renee Pharr, Sheniz Moonie, Timothy J. Bungum

School of Public Health Faculty Research

The purpose of this study was to examine the impact of employment status and unemployment duration on perceived health, access to health care, and health risk behaviors. Data from Nevada's 2009 Behavioral Risk Factor Surveillance System (BRFSS) were analyzed. We compared participants who were unemployed (greater than and less than one year) to those who were employed and those who were voluntarily out of the labor force (OLF). Unemployed participants had significantly worse perceived mental health profiles, were more likely to delay health care services due to cost, and were less likely to have access to health care than employed …

Factors That Predict Referrals For Behavioral Health Consultation In Children In A Primary Care Setting , Erika Anne Doty

Doctor of Psychology (PsyD)

No abstract provided.

Study Of Interventions To Reduce Musculoskeletal Disorders And Psychological Health Problems In 911 Emergency Call Centres In The Municipal Public Security System, Georges Toulouse, Louise St-Arnaud, Alain Delisle, Denis Duhalde, Julie Lévesque, Anne Marché-Paillé, Marisol Moore, Alain-Steve Comtois, Christian Larue, Erik Pena Salazar

Rapports de recherche scientifique

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La présente recherche fait suite à une première étude épidémiologique montrant la prévalence élevée des troubles musculo-squelettiques (TMS), des troubles de santé psychologique (TSPsy), des facteurs de risques physiques et psychosociaux chez les préposés des centres d'appels d'urgence de la sécurité publique municipale (CAU-SPM). Elle vise à comprendre comment apparaissent ces risques dans le travail afin de proposer des pistes d'action pour réduire leurs effets délétères sur la santé des préposés. Dans cette perspective, cette recherche se fonde sur l'approche ergonomique de l'activité de travail, incluant des mesures physiologiques, et est …

Occupational Health And Safety Of Students Who Hold Jobs During The School Year: Effects Of Concurrent School Activity And Work Constraints, Luc Laberge, Élise Ledoux, Chloé Thuilier, Michaël Gaudreault, Jeanne-Sophie Martin, Esther Cloutier, Julie Auclair, Lise Lachance, Suzanne Veillette, Claude Rozon, Marco Gaudreault, Nadine Arbour, Sandra Bescou, Thomas Agenais, Laurence Hostiou

Rapports de recherche scientifique

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Cette recherche s'inscrit dans la foulée des travaux publiés au Québec depuis les années 1990 qui ont contribué à l'émergence d'un nouveau champ de recherche sur le travail rémunéré chez les étudiants. Ces travaux s'intéressent plus particulièrement à l'incidence du travail rémunéré sur les études. Cependant, rares sont ceux qui ont directement abordé les atteintes potentielles à la santé en lien avec le travail rémunéré des étudiants, notamment les accidents de travail, les troubles musculo-squelettiques (TMS), la détresse psychologique et la fatigue.

Bien que les étudiants travailleurs soient moins à risque …

A Systematic Approach For Identifying The Psychological Health And Work-Related Determinants Of Occupational Disability In A Target Sector, Marie-France Coutu, Iuliana Nastasia, Marie-José Durand, Marc Corbière, Patrick Loisel, Pierre Lemieux, Marie-Elise Labrecque, Sara Pettigrew

Rapports de recherche scientifique

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La difficulté à se maintenir au travail en raison d’un problème de santé psychologique constitue une préoccupation sociale grandissante. Les auteurs ont voulu développer une approche systématique pour identifier les déterminants de l’incapacité à maintenir une vie professionnelle active chez le travailleur ayant des difficultés psychologiques. Pour ce faire, ils ont élaboré et effectué une première validation de deux outils à l’intention des milieux de travail : un dispositif d’enquête permettant d’identifier les déterminants, la prévalence et la distribution de la détresse psychologique et du présentéisme et un outil ergonomique pour …

Development Of An Instrument For Evaluating The Factors Influencing Long-Term Sick Leave Attributable To Mental Health Problems, Marie-José Durand, Marc Corbière, Catherine Briand, Marie-France Coutu, Louise St-Arnaud, Nicole Charpentier

Rapports de recherche scientifique

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Les problèmes de santé mentale sont en recrudescence dans les organisations. Jusqu’à maintenant, on connait des approches de traitement qui réduisent les symptômes de la maladie. Toutefois, il est clairement démontré que malgré l’amélioration du fonctionnement des personnes, celle-ci n’est pas associée nécessairement à un retour au travail. Ce constat suggère que l'incapacité au travail associée à un tel état de santé constitue un phénomène multifactoriel complexe. Or, peu d'études ont évalué spécifiquement les facteurs prédictifs et les obstacles de la reprise des activités professionnelles dans ces cas. Cette étude cible, …

Deinstitutionalization And Its Discontents: American Mental Health Policy Reform, Olga Loraine Kofman

CMC Senior Theses

In 1963, President John F. Kennedy signed the Mental Retardation and Community Mental Health Centers Construction Act, establishing the beginnings of deinstitutionalization in the United States. By some counts, this Act was a stupendous policy success—by others, a dismal failure. 50 years later, no cohesive national mental health care policy has emerged to deal with increased rates of mental illness among the homeless and the incarcerated. However, California has made enormous strides to create a state policy which provides adequate services to the mildly, moderately, and severely mentally ill as well as adequate funding for those services through Proposition 63, …

A Survey Assessing The Contributing Factors To Substance Abuse Treatment In U.S. Corrections Settings, Michael Soule

Yale Medicine Thesis Digital Library

In light of the dramatic rise in incarceration due to the "War on Drugs," we explored the contributing factors to substance abuse treatment (SAT) programming - in particular, evidence-based treatments like medication assisted therapy (MAT) - implementation in United States correctional settings (including jails, prisons, and community corrections facilities). We hypothesized that current funding availability would be the primary factor preventing and contributing to program implementation, but further hypothesized that an array of secondary factors such as overcrowding, geographic location, facility type, and attitudes and knowledge about MAT would also play a role. We mailed a survey to an enriched …

A Review Of Developmentally Appropriate Evidence-Based Effective Parenting And Resources For Parents, Kari Schwecke

All Graduate Theses, Dissertations, and Other Capstone Projects

Krisma Counseling, a counseling center located in rural southern Minnesota, offers high quality and affordable consumer-centered mental health services to individuals, families, couples, including in-home therapy. In order to provide adequate services and care that abides by the Nation Association of Social Workers Code of Ethics, there needs to be standard ethical practice rooted in evidence based literature. The purpose of this project was to research developmentally appropriate evidence-based effective parenting and create a resource guide for clinicians to use in their work with parents of children ages two to 17.

Reconnecting To Work: Policies To Mitigate Long-Term Unemployment And Its Consequences, Lauren D. Appelbaum Editor

Upjohn Press

The goal of this book is to enable a better understanding of the consequences of long-term unemployment and the policies that are needed to address it. The contributors present research that examines the psychological as well as economic consequences of experiencing a prolonged spell of joblessness. Included are discussions of policies to increase job creation and to get the long-term unemployed back into jobs.

Reforming State Mental Health Parity Law, Stacey A. Tovino

Faculty Articles

This Article is the final installment in a three-part project that presents a comprehensive challenge to lingering legal distinctions between physical and mental illness in the context of health insurance. The first installment in this series narrowly inquired as to whether the postpartum mood disorders should be classified as physical or mental illnesses in a range of health law contexts, including the context of health insurance. The second installment was broader in scope and challenged a number of federal provisions that allow publicly- and privately-funded health care programs and plans to provide mental health insurance benefits that are less comprehensive …

Client-Provider Relationship And Treatment Outcome: A Systematic Review Of Substance Abuse, Child Welfare, And Mental Health Services Research, Christina Andrews

Faculty and Staff Publications

This systematic review reports on the association of the client-provider relationship with service outcomes across 3 service sectors: substance abuse, child welfare, and mental health. The review includes 60 research reports meeting inclusion criteria: 25 in substance abuse, 7 in child welfare, and 28 in mental health. For each social service sector, we analyze the association of the client-provider relationship to intermediate and ultimate outcomes. In addition, we examine potential moderating mechanisms of rater type (i.e., client, provider, and observer) and treatment setting (i.e., inpatient, outpatient, other). Social services research increasingly seeks to identify the active elements that affect outcomes …

Building Resilience In Foster Children: The Role Of The Child's Advocate, Frank E. Vandervort, James Henry, Mark A. Sloane

Articles

This Article provides an introduction to, and brief overview of trauma, its impact upon foster children, and steps children's advocates" can take to lessen or ameliorate the impact of trauma upon their clients. This Article begins in Part 11 by defining relevant terms. Part III addresses the prevalence of trauma among children entering the child welfare system. Part IV considers the neurodevelopmental (i.e., the developing brain) impact of trauma on children and will explore how that trauma may manifest emotionally and behaviorally. With this foundation in place, Part V discusses the need for a comprehensive trauma assessment including a thorough …

"All You Think About...Is Being High" - Phenomenology Of Experiences Surrounding Heroin Detoxification, Michelle Therssen Joy

Yale Medicine Thesis Digital Library

Heroin addiction is a chronic, relapsing disorder often attempted to be addressed through detoxification; nonetheless, it poses a substantial economic and societal burden. There has been little psychiatric research into the lived experience of persons struggling with this addiction. The aim of the present study is to characterize the subjective experience of heroin addiction in patients presenting for inpatient detoxification through methods of phenomenological inquiry. Narrative interviews of twelve participants presenting for detoxification were recorded and thematically analyzed for their meaningfulness to the individuals. The findings indicate that the experience of heroin addiction entails focusing on the present with a …

Stamp Out Stigma : Putting A Face To Mental Illness : Increasing Mental Health Knowledge For Local High School Students, Danielle Pacheco

Capstone Projects and Master's Theses

Adolescence is a critical time for mental, social, and emotional development. Untreated mental health problems among adolescents often result in negative outcomes. Mental illness can decrease an individual’s ability to function in the community, with consequences such as suicide, delinquency, truancy, and substance abuse. Adolescents face these determinate costs when they do not receive treatment; consequently, they may increase as the problem of untreated illnesses expands. The lack of resources, deficiency of mental health education, and fear of stigma discourages individuals and their families from seeking the help they need. The Stamp Out Stigma workshop provides information and education about …

Growing Health: Community Gardens And Their Effects On Diet, Physical And Mental Health And Community, Brittany Minnick Hanson

Electronic Theses and Dissertations

Recently, research on community gardens and their benefits to health and community has become very popular. However, this influx of research has failed to investigate challenges to successful community gardening. Some articles examine issues between community gardeners and the land owners, but other than these conflicts community garden challenges, like lack of participation and quality leadership, have not been discussed in the literature (Draper and Freedman, 2010). To allow future gardens to be as successful as possible it is important to identify potential obstacles. Additionally, it is just as important to continue to examine possible benefits, for example, physical activity …

"Sell's" Conundrums: The Right Of Incompetent Defendants To Refuse Anti-Psychotic Medication, Christopher Slobogin

Vanderbilt Law School Faculty Publications

The Supreme Court's 2003 decision in Sell v. United States declared that situations in which the state is authorized to forcibly medicate a criminal defendant to restore competency to stand trial "may be rare." Experience since Sell indicates that this prediction was wrong. In fact, wittingly or not, Sell created three exceptions to its holding (the dangerousness, treatment incompetency, and serious crime exceptions) that virtually swallow the right to refuse. Using the still-on-going case of Jared Loughner as an illustration, this essay explores the scope of these exceptions and the dispositions available in those rare circumstances when none of them …

Headway Emotional Health Services: A Parent Satisfaction Survey And Needs Assessment, Eowyn T. Gatlin

All Graduate Theses, Dissertations, and Other Capstone Projects

Headway Emotional Health Services seeks to transform lives and restore families by providing a variety of quality mental health services to children and families in the Twin Cities Metro Area. The Vision Program is a partnership between Headway and the Bloomington Public School system. The Vision Program serves K-12 students who qualify for level 3 Emotional and/or Behavioral Disability (EBD) services. All students are in a classroom at their mainstream school and receive daily support from the Vision Mental Health Specialist, a special education classroom teacher, and a paraprofessional. Many students are able to participate in some mainstream programing through …

Wigging Out, Jeanette. Moffa

Electronic Theses and Dissertations 2010 - 2019

Wigging Out, a memoir, chronicles my first chemotherapy treatment which began in 2008 for the autoimmune disease Lupus. The primary focus is on how identity is affected by disability. Each symptom of my disease and side effect from my medications prompted a reevaluation of my identity as I felt a change both in myself and in the way others perceived me. In order to maintain a sense of control, I tried several techniques to pass and cover my disabled status, including the use of prosthetic hair pieces. Ultimately, the use of prosthetics made accepting my situation more difficult as it …

Neuropsychological Correlates Of Emotion Regulation In Hiv, Roger C. Mcintosh

Electronic Theses and Dissertations 2010 - 2019

Diminished affective behavior is a frequently observed concomitant of cognitive dysfunction in the Human Immunodeficiency Virus (HIV), yet little is known about their relationship. A neuropsychological battery and electroencephalogram (EEG) recording was conducted on 29 HIV+ (Mage = 35.6 years, SD =5.36) and 30 HIV- (Mage =32.9 years, SD =6.39) women recruited from a family AIDS care program in South Florida. Using an emotion regulation paradigm, we compared event-related potentials (ERPs) following cues to view-neutral, view-negative and reappraise-negative images from the International Affective Picture System (IAPS). A group X instruction interaction was found for the P200 and early (400-1000 ms) …

Clinical Implications Of Wearing A Scarlet Letter: Sex Offender Public Policy, Tracy E. Shannon

Antioch University Dissertations & Theses

This dissertation outlines a mixed methods research approach to evaluate the clinical implications of sex offender public policies. Background information is given regarding current public policy on sex offender civil commitment and community notification and registration, the development of public policy and the current ramifications of the Sex Offender Registration Act (SORNA), the etiology and construction of the definition of sex offenders, and a review of sex offender interventions and their impact on therapeutic outcomes. This study examines the therapeutic and anti-therapeutic effects of SORNA using a therapeutic jurisprudence framework. A discussion of the correlation between mental health symptoms and …

Fatherhood And A Partner's Postpartum Depression: Coping, Relationship Satisfaction, Gender Roles, And Empathy, Martha G. Ruiz

Antioch University Dissertations & Theses

The present study focused on assessing differences in new father’s coping styles when living with a partner suffering from symptoms of postpartum depression. It further investigated whether a relationship existed between father’s coping style and their level of relationship satisfaction, empathy, and views on gender. Five fathers, between the ages of 27 and 46 volunteered their participation in this study. Fathers were recruited through their partners from medical and mental health clinics and agencies offering services to new mothers or mothers suffering from symptoms of postpartum depression. The Coping Responses Inventory (CRI) was utilized to determine if differences existed in …

Further Support For Mental Health Parity Law And Mandatory Mental Health And Substance Use Disorder Benefits, Stacey A. Tovino

Faculty Articles

In this Article, I provide additional support for my recent proposal (All Illnesses Are (Not) Created Equal: Reforming Federal Mental Health Insurance Law, Harvard Journal on Legislation, Vol. 49, forthcoming 2012.) to extend federal mental health parity law and mandatory mental health and substance use disorder benefits to all public healthcare program beneficiaries and private health plan members. I begin by examining health-related doctrine outside the context of mental health insurance law, including disability discrimination law, civil rights and human rights law, health information confidentiality law, healthcare reform law, and child and adult health and welfare law, and …

Exposure To Intimate Partner Violence: Does The Gender Of The Perpetrator Matter For Adolescent Mental Health Outcomes?, Emily M. Wright, Abigail A. Fagan

Criminology and Criminal Justice Faculty Publications

Youth who are exposed to intimate partner violence (IPV) between their parents may be at increased risk for a multitude of behavioral and emotional problems, including mental health problems such as depression, anxiety, posttraumatic stress disorder (PTSD), and internalizing symptoms (Fergusson & Horwood, 1998; Finkelhor, Ormond, & Turner, 2009; Graham-Bermann, DeVoe, Mattis, Lynch, & Thomas, 2006; Zinzow et al., 2009). Research also suggests that males and females may react differently to being exposed to parental violence, although most of the findings in this area are mixed with regard to mental health outcomes. For instance, some evidence suggests that male witnesses …

Racial/Ethnic Differences In Possible Selves Of Diverse Adolescents: Implications For Higher Education And Mental Health, Viana Y. Turcios-Cotto

Master's Theses

There are striking disparities in the academic achievement of American youth, with Latino and Black adolescents attaining higher education at vastly lower rates than White adolescents. Though numerous reasons exist for these educational disparities this study examines possible selves as they may relate to educational achievement among Latinos. Specifically, this study investigates: a) racial/ethnic differences in the content and themes of expected possible selves held by young adolescents; b) within group differences among Latino students and their expected possible selves; c) racial/ethnic differences in the relation between higher education possible selves and current mental health adjustment. Written responses reflecting types …

Students With Mental Health Issues In Higher Education: A Survey Of Prevalence And Fall-To-Spring Persistence Rates In A Community College Environment, Pendy J. Pecka

Dissertations

Among the multitude of challenges and adversities students face during their first year of higher education, many experience deterioration of their emotional or mental health. Current research focuses on the perceived rise in the breadth and complexity of student mental health concerns at four-year colleges and universities. Even though community college students encompass the majority of individuals enrolled in the United States higher education system, no research specifically examines the mental health prevalence of these students and whether these difficulties negatively impact persistence. This study explored the relationship between evidence of mental health problems and fall-to-spring persistence for first-year students …

Genealogies Of Resistance To Incarceration: Abolition Politics Within Deinstitutionalization And Anti-Prison Activism In The U.S., Liat Ben-Moshe

Sociology - Dissertations

"Genealogies of resistance to incarceration: Abolition politics within de-institutionalization and anti- prison activism in the U.S." looks at two main sites in which abolition of "total institutions" is enacted. The first site is activism around penal and prison abolition. The second site is deinstitutionalization- the move to close down institutions for people labeled "mentally retarded" (or intellectual/developmental disabilities) and "mental illness" (or psychiatric disabilities). My goals in this study are twofold and interrelated. First, I investigate abolition or closure of institutions as a radical form of activism and sketch the costs and benefits of engaging in abolition as an activist …

Effect Of Environmental Conditions On Perceived Psychological Restorativeness Of Coastal Parks, J. Aaron Hipp, Oladele A. Ogunseitan

Brown School Faculty Publications

We investigated the hypothesis that perception of psychological restorativeness during visits to coastal parks is modified by objective and perceived environmental conditions. Visitors (n=1,153) to California beaches completed a survey on perceived weather, environmental quality, and perceived restorativeness. We used generalized ordinal logistic models to estimate the association between environmental parameters and odds of perceiving higher levels of restorativeness. Visitors perceived greater restorativeness at beaches when ambient temperatures were at or below mean monthly temperatures and during low tides. The odds of perceiving the environment as more psychologically restorative were three times greater when visiting on days defined by government …