Digital Commons Network^™

Empowering Schools: Suicide Prevention Education For School Nurses, Navjot K. Singh

Doctor of Nursing Practice (DNP) Projects

Background: Suicide among adolescents and youth is a serious public health issue that requires immediate intervention to reduce ideation and death. The increasing rate of suicide among children and adolescents has a profound effect on families, friends, and the community.

Problem: Suicide among school aged children and adolescents can create significant challenges for school nurses, who are often the first contact for students who recognize suicidal ideation and mental health crises. This issue is particularly significant for the Alameda school nurses in California, as they play a significant role in identifying and supporting students in a crisis.

Methods: A …

Staff Education For Nurses And Mental Health Technicians, Aminah Shanell Abdikadir

Walden Dissertations and Doctoral Studies

Restraint and seclusion persist as considerable hazards to both patients and healthcare personnel in some mental health institutions. These interventions correlate with heightened trauma, injury, and extended duration of stay. The goal of the project was to instruct nurses and mental health technicians in verbal de-escalation strategies to diminish incidences of restraint and isolation as part of a practice reform initiative. Ten staff members engaged in pre- and post-training evaluations to assess knowledge, confidence, and readiness to apply de-escalation tactics. Data were examined using paired t tests. Results indicated statistically significant enhancements in staff knowledge, and confidence along with willingness …

Online Graduate Academic Experiences Of Adults With Bipolar Disorder, Paola Ann Faiman-Mullins

Walden Dissertations and Doctoral Studies

Research regarding older adults with hidden disabilities in the field of adult online learning remains scarce, including a lack of research on older adults with a diagnosis of bipolar disorder. Although the needs and struggles of college students with bipolar disorder aged 18-25 in online learning have been identified, few studies have been done to uncover the needs and struggles of older learners with bipolar disorder aged 40-65. This study explored the academic experiences of these individuals to better understand their unidentified and unmet needs. This study was grounded within the community of inquiry framework. This basic qualitative study recruited …

Burnout And Self-Efficacy: Exploring The Rewards And Challenges Faced By Crisis Counselors Working In Emergency Department Settings, Ellen Dotas

Dissertations, 2020-current

This dissertation explores burnout and self-efficacy in counselors who work with clients in crisis in emergency department settings. Mental health and emergency departments are two areas that tend to report higher levels of burnout than are reported in other occupational fields. While much research has been done on the topics of burnout and self-efficacy, limited information is available about counselors who work in these crisis roles. This dissertation follows a three-manuscript format and includes a conceptual, qualitative, and quantitative manuscript. The conceptual manuscript explores the nature of the crisis assessment itself, focusing on the area of risk assessment. The qualitative …

What Sacrifice Looks Like: Stories From Mixed-Status Latine Families In Nyc, Alejandra M. Romero Sanchez

CISLA Senior Integrative Projects

What Sacrifice Looks Like explores the lived realities of mixed-status Latine families in New York City, shedding light on how immigration policies, legal precarity, and cultural expectations shape their everyday experiences. Drawing on survey responses and in-depth interviews with individuals from these families, this study examines the emotional, psychological, and material sacrifices made in the face of systemic exclusion. Themes of family separation, generational responsibility, and the pressure to embody the “quintessential immigrant” emerge as central to understanding how (i)legality affects identity, family dynamics, and aspirations. Grounded in a human development lens and informed by scholarship on immigrant justice, this …

Examining The Effects Of Mental Health And Parent–Youth Relationship On The Associations Between Childhood Violence Exposure And Adolescent Dating Violence Perpetration, Laura A. Voith

Faculty Scholarship

Background/objectives: Adolescent dating violence (ADV) is a serious public health concern affecting youth worldwide. Potential risk factors of ADV include child maltreatment (CM) and intimate partner violence exposure (eIPV), though existing research on ADV perpetration specifically is inconsistent. There is limited research on co-occurring eIPV and CM, despite co-occurrence in 30–60% of homes where there is one. This study aims to address these gaps by testing the impact of childhood violence exposure on ADV perpetration and assessing two potential, theory-informed mitigating factors—mental health and parent–youth relationship. Methods: This study utilizes moderated-mediation structural equation modeling with longitudinal data from a sample …

Exploring The Relationship Between Diet And Mental Health, Emory Layne

Honors Theses

Dietary patterns in Western societies have shifted over the past century due to the rise of food manufacturing and technological advancements. Ultra-processed foods now account for approximately half of the daily energy intake in high-income countries. Similarly, the national mental health crisis emerged in the 21st century and worsened after the COVID-19 pandemic. The changes in diet have impacted the gut microbiome, which interacts with the brain through the bidirectional gut-brain axis. Research suggests the concept of the gut-brain axis is a principal indicator of diet’s impact on mental health. However, this area of research is still emerging and requires …

The Relationship Between Women's Use Of Birth Control Pills And Their Perceptions Of The Mental Health Effects (Depression And Anxiety) Of The Pill, Andrea Bonano Mendez

Honors Theses

The National Library of Medicine published an article mentioning how hormonal contraception might cause and sustain depression in some patients (Mu & Kulkarni, 2022). Currently, approximately 25% of women ages 15-44 who are currently using a form of contraception rely on the pill as the primary method (Cooper, 2024). However, there is still no definite yes or no answer in terms of whether the use of birth control pills can lead to mental health effects. The objective of this paper is to see what the current perceptions on whether birth control pills have an effect on mental health based on …

Connect 2 Cope: Stress And Coping Strategies Associated With University Honors Students, Anna R. Rodgers

Honors Theses

Coping and connecting are two things that college students don’t take a course in but are essential qualities they will need beyond their time in the university, in both work and life. This research sought to understand how students at Southern Illinois University, with special focus on Honors students, experience stress and view connection as a coping mechanism. It gives insights into sources of stress, including pressures that are external to university life and impact student mental health. The participants included SIUC Honors Students and SIU Non-Honors Students. I was also able to ask each group of students their perceptions …

The Impact Of The Mediterranean Diet On Depression: A Narrative Review, Emma Kate Schaaf

Honors Theses

Background. The Western diet has extensive negative ramifications on physical health and emotional well-being. The Mediterranean diet, widely regarded as one of the healthiest eating patterns in the world, may have the ability to improve psychological conditions. This study aims to examine existing research from randomized control trials (RCTs) on the association between depression prevalence and the Mediterranean diet.

Methods. The following review was conducted using PRISMA guidelines and the Google Scholar and PsycInfo databases. The criteria for inclusion were that studies: 1) were randomized control trials (RCTs) examining the Mediterranean diet; 2) included samples of adults (i.e., > 18 years …

Peach Street, Anastasia Lawrence

Theses

Peach Street connects to the universal phenomenon of losing innocence of childhood and navigating the perils and disappointments of the adult world and visualizes my ongoing experience with anxiety and what psychiatrists call derealization, the feeling of being detached from reality. Set in the same location as where I first felt immense panic, my photos create a fictional narrative where a small town, its residents, and the environment are being controlled by a force emanating from the town’s lake. The lake’s aura blinds the residents to its control, forcing them to live in a set way without personal expression or …

Exploring The Relationship Between Disability And Stress: A Preliminary Study, Katie Mcclyman

Undergraduate University Honors Capstones

Mental health issues can become disabling, and living with a disability in an ableist world can cause mental health struggles. This project explores what aspects of living with a disability generate stress. This project is a survey that gathered data through a two-questionnaire survey of disabled college-aged students. The need for a project like this came from the fact that there is not substantial research from the field of psychology done on disabled people and the relationship between disability and stress. The results of this study found that the more disability impact increases, so does disability related stress. This means …

Podcasts In Mental, Physical, Or Combined Health Interventions For Adults: Scoping Review, Elizabeth M. Dascombe, Philip J. Morgan, Ryan J. Drew, Casey P. Regan, Gabrielle Turner-Mcgrievy, Myles D. Young

Faculty Publications

Background:

The increasing prevalence of poor mental and physical health in adults is a global health concern. Given the scope of this problem, scalable and effective treatment interventions are needed. While podcasts (online digital audio files) are becoming more popular, the extent of podcast use in mental, physical, or combined health interventions has not been reviewed.

Objective:

This scoping review primarily aims to summarize the available evidence regarding the use of podcasts in health promotion interventions. A series of 5 research questions was designed to systematically review and accurately represent podcast use in current research interventions.

Methods:

We conducted a …

Cultural Self-Harm Differences, Erin E. Simmons

Student Scholar Symposium Abstracts and Posters

This study is based on the evident cultural differences in self-harm behaviors and what those behaviors look like specifically for individuals that identify as Black or African American. Previous literature suggests that cultural differences in self-harm exist but very little research centers Black experiences and their connection to self-harm. Self-harm is considered a broad term, and it encompasses a variety of behaviors, some more common than others, but these common behaviors are typically exclusively explored within only a few demographics with a low Black participant pool. This contributes to the assumed lack of self-harm among the Black community but through …

Lawyers, Trauma, And Professional Well-Being: How The Legal Community Takes Back Its Mental Health, Brenda D. Gibson

Arkansas Law Review

Accompanying a notable shift in the legal academy to being more attentive to our students’ mental health, there must be an equal (or even greater) shift to focusing on trauma, mental health, and well-being in the broader profession. Significantly, trauma and its effects are compounded when combined with the challenges faced by underrepresented populations within the profession. To date, these challenges have been greeted by an ad hoc, piecemeal reaction to stress and trauma,10 which only inhibits wellness in the profession. Part I explores the current literature in both the humanities and the legal profession, beginning with a brief discussion …

Eos Wellness Center: Rethinking Inpatient Mental Health Facility Design, Emily Simms

Bachelor of Architecture Theses - 5th Year

The design of mental health facilities significantly impacts patient outcomes, especially for individuals with depression. Environmental factors such as lighting, thermal comfort, and access to nature influence mental health. This research explores how architectural design can reduce self-harm incidents and enhance recovery outcomes for patients with depression. The project hypothesizes that synchronizing light patterns and thermal comfort with patients’ circadian rhythms will reduce self-harm incidents and improve recovery. The problem established in the research is that disruptions to circadian rhythms increase the risk of depression, PTSD, and anxiety by 30% (Burns et al., 2022). Suicide is also the second leading …

An Educational Intervention: Knowledge Acquisition Of Perimenopausal Mental Health Symptoms And Treatment Options For Women Aged 35 Years Plus, Allison M. Hopps

Doctor of Nursing Practice Scholarly Projects

Perimenopause is a span of four to six years preceding menopause when estrogen levels decline. Up to 40% of women experience depression during the perimenopause transition. Hormone replacement therapy (HRT) can be an effective treatment for depressive symptoms during perimenopause, but many healthcare practitioners prescribe antidepressants instead of HRT for the management of mood-related symptoms. Perimenopausal depression is associated with the progression of chronic conditions such as cardiovascular disease, diabetes, and dyslipidemia. The general population, including women and healthcare providers, lacks the education and awareness surrounding perimenopause symptoms and treatment. This project educated women between ages 35 to 55 on …

Remote Teaching During A Pandemic, Jennifer B. Sample

The Journal of Advancing Education Practice

No abstract provided.

One Can Only Dream, Sophia V. Yacca

Theses and Dissertations

One Can Only Dream is an interactive installation in which players are invited to navigate a liminal, dream-like game, engage with a branching series of questions, and introspect upon the relationships between unconscious expression, conscious self-perception, and the inherent difficulty of depicting, sharing, and understanding subconscious thought.

Rooted in both my personal experience with a rare neurophysiological condition and in my desire to create, this project examines dreams not only as a medical and cultural phenomenon, but also as a means to form identity, reflect trauma, and inspire creativity. Drawing from modern interactive storytelling and my lived experiences, this work …

Finding Freedom In Appalachia: Evaluating A Mental Health Intervention In West Virginia, Elizabeth A. Claydon, Karen Haring, Jessica Haring, Kelsey Riggi, Beth Currence

Journal of Appalachian Health

Introduction: Rural areas have limited capacity to provide comprehensive mental health treatment and resources. This creates the need for interventions to ensure individuals with mental health concerns have access to resources to improve their mental health.

Purpose: The purpose of this mixed-methods evaluation was to assess the effectiveness and impact of Libera, a mental health program tailored for girls and women within the Appalachian region.

Methods: Quantitative surveys, including validated measures for depression, anxiety, and eating disorder symptoms, and life satisfaction, were collected pre- and post-Libera intervention for participants. Simultaneously, annual surveys were sent to Listeners in addition to qualitative …

Affordable Architecture: Promoting Mental Health Through Cost-Effective Design In Underfunded High Schools In Dallas-Fort Worth, Raphaella Malicay

2025 Spring Honors Capstone Projects - Archive

Mental health awareness has increased over the years as well as numerous strategies to support mental health. Some of these strategies include addressing the built environment. This paper explores the intersection between mental health and the built environment through the lens of affordable architectural methods that would be effective in underfunded secondary schools. This study examines how architecture influences students’ well-being and how certain design strategies can be implemented even in schools that lack the financial resources for adequate infrastructure. Here the focus is on investigating affordable solutions such as improving ventilation, optimizing natural light, having flexible learning spaces, and …

Investigating Mental Health Outcomes Of National Collegiate Athletic Association (Ncaa) Division I Student-Athletes At The University Of Louisville, 2019-2023., Paul Harvey

Electronic Theses and Dissertations

Mental health outcomes among collegiate student-athletes, has become a broader concern in the 21^st century. This study examines prevalence and incidence of anxiety and depression amongst student-athletes at the University of Louisville from 2019-2023 across different Sports Groups. The prevalence of anxiety was found to be 20.22% and risk of anxiety was 15.65%. The prevalence of depression was found to be 13.11% and risk of depression was 18.75%. Logistic regression was used to estimate the association between sports groups and anxiety/depression. There was a borderline association between sports groups and prevalence of anxiety after confounder adjustment (OR=1.86, 95% CI: …

Predicting Confidence In Performing Mental Health Actions Among Allied Professionals., Jean Marie Zelenko

Electronic Theses and Dissertations

One in five young people before the age of 25 exhibit onset of symptoms of an emotional or behavioral disorder (Kessler et al., 2005). Up to 80% of depressed youth do not receive services (Kataoka, 2002) and less than 50% of the time youth seek help for suicidal ideation and/or self-harm (Michelmore & Hindley, 2012). This high prevalence of mental health distress and low frequency of help-seeking among youth require examination of factors influencing youths’ likelihood of seeking help. One factor that increases the likelihood of help-seeking is encouragement from others to seek mental health services (Cusack et al., 2004). …

Beyond The Flames: Occupational Therapy Approaches To Address Pain Management, Mental Health, And Occupational Engagement In Burn Patients, Mackenzie Mertz

Occupational Therapy Capstone Presentations

This capstone project centered around gaining advanced clinical skills and knowledge, advocating for occupational therapy’s role in burn rehabilitation, and creating education on topics such as pain management and mental health. This project was completed at the Medical University of South Carolina Burn Center with a diverse population throughout the continuum of care and various functional and psychosocial needs. The theoretical framework supporting this project was the Canadian Model of Occupational Performance and Engagement. Assessment tools included range of motion, manual muscle testing, sensation, a pain analogue scale, and the Canadian Occupational Performance Measure. Clinical skills were gained throughout the …

Occupational Therapy Intervention Program Addressing Mental Health For Student Athletes Navigating Transition And Recovery, Taylor K. Pfrommer

Occupational Therapy Capstone Presentations

This capstone project aimed to develop and evaluate an occupation-based mental health program for student-athletes navigating the transitions in and out of sports. Guided by the Model of Human Occupation (MOHO), Occupational Adaptation (OA), and Self-Determination Theory (SDT), intervention sessions contained six one-on-one sessions focused on identity reformation, building adaptive responses, and restructuring a meaningful routine. A mixed-methods approach was used to evaluate outcomes from two participants using the Brief-COPE, Athletic Identity Measurement Scale (AIMS), Canadian Occupational Performance Measure (COPM), satisfaction surveys, and thematic analysis of qualitative feedback. Results indicated growth in self-awareness and emotional expression for both participants. Participant …

A Cross-Sectional Examination Of Rejection-Identification And Collective Action Among Latino College Students Following The Walmart Shooting In El Paso, Xavier Vera-Adrianzen

Open Access Theses & Dissertations

Objectives: The present study aimed to test predictions derived from the rejection-identification model and collective action perspectives. Using a cross-sectional design, hypothesis 1 examined whether ethnic identification mediated the association between perceived discrimination and psychological distress, and hypothesis 2 examined whether attitude toward activism moderated the mediating effect of ethnic identification on the association between perceived discrimination and issue-specific activism. Method: 372 (77.4% female; Mage = 20.9 years, SD = 4.2) Latino undergraduate students from the University of Texas at El Paso (UTEP) completed an online survey within approximately two years after the El Paso Walmart shooting, the deadliest attack …

Upstate South Carolina Mental Health And Sport Initiative: Contributing Solutions To The Mental Health Crisis Via Improvement Of Mental Health Literacy Among Adults In Youth Sport Communities, Margaret Domka

All Dissertations

This study contributed solutions to the youth mental health crisis by providing effective options for mental health awareness training (MHAT) that can be utilized in youth sport for increasing mental health literacy (MHL) among adults. Widely implementing MHAT has the potential to improve youth mental health status through increased help-seeking behaviors by adults. This study first evaluated whether mental health status and MHL are correlated in a youth sport setting with significant results indicating that investing time and resources into MHAT is worthwhile. Next, two MHAT modules were evaluated to determine their effectiveness for increasing MHL among this audience, i.e., …

Rural Access To Certified Community Behavioral Health Clinics (Ccbhcs), Aaron P. Smith, Jeffrey Talbert

Rural & Underserved Health Research Center Publications

Overview of Key Findings

▪ The number of Certified Community Behavioral Health Clinics (CCBHCs) expanded from 2022 to 2023, increasing from 371 to 480. Most of the growth was driven by rural counties (57.9% increase, 126 to 199) while urban counties increased by 14.7% (245 to 281).

▪ The number of services offered at CCBHCs is similar in both rural and urban localities, but urban CCBHCs were more likely to offer services that cater to a diverse client base, such as speaking different languages, and nicotine cessation programs. Rural CCBHCs were more likely to have programs for minors, veterans, and …

The Kids Aren’T Alright: Changes In The Mental Health Of Adolescents Post-Covid-19, Tanya Belom

Education (PhD) Dissertations

Mental health is an increasing concern for today’s youth, with one in six U.S. children and adolescents aged 6-17 experiencing a mental health disorder each year, and 50% of all lifetime mental illnesses begin by age 14. The COVID-19 pandemic, which resulted in lockdowns, social isolation, school closures, and ultimately a disruption in everyday life, is believed to have adversely impacted the mental health of children and adolescents. There is limited research available on the impacts of the pandemic on adults, and even less research is available on the impact of the pandemic on youth, specifically as we navigate the …

Advancing Postpartum Mental Health Services At White River Health, Hannah Crowl

Occupational Therapy Doctoral Capstones

This doctoral capstone project focused on addressing gaps in postpartum mental health care by developing two complementary resources: a comprehensive mental health assessment tool (Maternal Occupational Mental Health Assessment - MOMHA) and an educational manual, both grounded in CBT principles and framed within the Occupational Therapy Practice Framework, 4th edition (OTPF-4).