Digital Commons Network^™

Postpartum Depression In Adolescent Mothers: Evaluating The Effectiveness Of Screening Tools, Social And Cultural Interventions, Ysabella M. Co

Nursing | Senior Theses

Background: Pregnancies among adolescents is often an outcome of improper sex education and understanding. It is vital to provide mothers with the proper medical care and resources throughout their pregnancy and postpartum period to prevent any risks or harm from occurring. With the complexities and stressors of pregnancy at such a young age, it is important for healthcare to provide resources regarding postnatal depression diagnoses and interventions, especially to a population that is at risk for mental health issues. Objective: To provide adolescent mothers thorough medical care and lessen the risk of experiencing postpartum depression. By providing frequent …

The Impact Of Workplace Stressors On Anxiety Levels And Mental Health Among Pediatric Intensive Care Nurses, Kelsey Ang

Nursing | Senior Theses

Background: Pediatric Intensive Care Unit (PICU) nurses work in a high-stress environment where they are exposed daily to traumatic situations. The demanding emotional and physical challenges contribute to significant psychological burdens, including increased stress and anxiety. Purpose: The current paper proposes a research design to examine the outcomes of stress, anxiety levels, and mental well-being on PICU nurses when workplace support and structured debriefing sessions take place following a traumatic event. Methods: Participants will be recruited from PICU hospitals in Northern California. Participation will be voluntary, and informed consent will be obtained prior to the study. The selection criteria will …

Good Arts, Good Mental Health®: The Effectiveness Of An Australian Health Promotion Media Campaign In Promoting Community Mental Wellbeing Via The Arts, Christina R. Davies, Melanie T. Pescud, Rhonda Clifford, Richard Mcgrath, Annie Thomson, Mia Jeffrey, Melissa Stoneham, Terri Pikora, Peter Wright, Sonya Girdler, Loretta Baldassar, Stephen Clift

Research outputs 2022 to 2026

Introduction: This study describes and evaluates Good Arts, Good Mental Health^® (GAGMH), a groundbreaking, population-level, arts-mental health promotion media campaign. The objectives of the campaign (Wave 1) were to increase brand awareness, comprehension, and agreement with the tagline Good Arts, Good Mental Health^® and empower the general population to form an intention to engage in the Arts for their mental wellbeing. Methods: The campaign ran from August to September 2024 (4 weeks), cost AUD$198,965 (23% creative and 77% media/advertising distribution), and targeted the Western Australian (WA) general population aged 18–65 years, all genders, in both metropolitan and regional …

Evaluating Entry-Level Occupational Therapy Education And Practice: A Qualitative Swot Study In The Philippines, Paolo Miguel P. Bulan, Janice A. Rojas, John Ray O. Suerte, Nikki Y. Pestaño, Maria Menierva G. Lagria, Cristito P. Dimitiman Jr., April Grace A. Chiongbian, Frances Vince E. Dimitiman, Martina Nicole A. Ligutom, Debbie Rose D. Cabañero, Jay Arr M. Sale

Journal of Occupational Therapy Education

Occupational therapy education plays a pivotal role in equipping professionals to meet the dynamic demands of healthcare systems. This study evaluated the Bachelor of Science in Occupational Therapy (BSOT) program at Velez College in the Philippines, utilizing a qualitative analysis framework to explore its strengths, weaknesses, opportunities, and threats (SWOT) as perceived by educators, students, alumni, and practitioners. Findings highlight the program’s robust generalist curriculum, strong community-based partnerships, and interprofessional collaboration opportunities. However, challenges such as limited access to standardized assessment tools, high educator turnover, and insufficient specialization opportunities were identified. Notably, emerging demands in mental health and holistic care …

Law Enforcement And The Need For Mental Health Collaboration, Jacquline Gillins-Hatcher

Theses and Dissertations

This study examined the ongoing challenges and the necessity of enhanced collaboration between law enforcement agencies and mental health professionals in responding to mental health crises in the United States. Using a constructivist grounded theory approach, qualitative data were collected through semistructured interviews with law enforcement officers and mental health professionals, along with an analysis of existing records and policies.

Findings highlighted that crisis intervention team training improved officers’ ability to manage crisis situations. However, barriers such as limited interagency coordination, funding constraints, leadership challenges, and systemic policy gaps continued to hinder effective collaboration. Data from this research indicated that …

Exploring Occupational Therapy Assistant Student Experiences In Mental Health, Behavioral Health, And Psychosocial Level I Fieldwork, Tiffany L. Benaroya, Michelle Zechner, Meredith Cimmino, Ann A. Murphy, Margaret Swarbrick, Pamela Rothpletz-Puglia

Journal of Occupational Therapy Education

Occupational therapy services offered in behavioral health remain low despite the growing number of individuals with behavioral health and psychosocial needs who could benefit from these services. Concurrently, in academia, all occupational therapy and occupational therapy assistant students must complete at least one fieldwork focused primarily on mental health, behavioral health, and/or psychosocial needs. Research is limited regarding these fieldwork experiences, especially among occupational therapy assistant students. This project aimed to understand this gap better and comprehend how these experiences impact readiness to work with individuals labeled with a serious mental illness. Forty-five occupational therapy assistant students completed pre- and …

The Impact Of Structured Weekend Group Therapy On Restraints, Seclusion And Length Of Stay On Inpatient Psychiatric Units, Victoria Grau

West Chester University Doctoral Projects

Group therapy is an essential part of inpatient psychiatric treatment, with documented positive effects including better medication compliance, lower readmission rate, and improved self- esteem. Patients who are admitted for an inpatient psychiatric stay have a small window of time in which behavioral health staff can work with them. Group therapy can help patients develop a plan for these issues and provide a foundation for successful discharge and symptom management. The project site is a mid-size teaching hospital in an urban community with higher rates of mental health diagnoses than the national average. Group therapy was conducted initially Monday – …

Cultivating Quality Of Life: Assessing Diet, Physical Activity, And Mental Health Among Arab-American Breast Cancer Survivors - Uncovering Barriers And Facilitators For Holistic Well-Being, Nouf Ali Alhomaidhi

CGU Theses & Dissertations

This dissertation examines the quality of life among Arab-American breast cancer survivors, with a particular emphasis on dietary practices, physical activity, and mental health. Despite increasing survivorship rates in this population, there remains a significant gap in the literature addressing their unique post-treatment experiences and needs. Employing a convergent parallel mixed-methods design, this study integrates quantitative survey data and qualitative narrative interviews to assess adherence to health behavior guidelines and to identify culturally specific barriers and facilitators to well-being. Quantitative findings indicated suboptimal adherence to recommended dietary and physical activity guidelines and highlighted prevalent psychological distress among participants. Thematic analysis …

Indigenous Technology Futurisms: Reclaiming Mackinac Island In Virtual Reality, Madeline A. Gupta

Library Map Prize

In Indigenous Technology Futurisms: Reclaiming Mackinac Island in Virtual Reality, Madeline A. Gupta introduces a place-based digital storytelling project that uses interactive mapping as the foundation for cultural reconnection and community wellness. Centered on Mackinac Island—ancestral land of the Anishinaabe people—the project features a custom-designed map by an Anishinaabe artist, allowing users to navigate a VR website by selecting specific locations across northern Michigan. Each map point opens into a spatial video experience paired with traditional audio content, including oral histories, poetry, and songs.

The project reframes digital cartography through an Indigenous lens, challenging Western colonial mapping practices that …

Body Mass Index, Sleep, And Food Insecurity Predict Prevalence Of Anxiety And Depression In College Students, Makenzie Barr-Porter, Amelia Sullivan, Jade Mcnamara

Dietetics and Human Nutrition Faculty Publications

This study aimed to assess the relationship between mental health, health behaviors, and food security in young adults in a university environment. Young adults (N = 536) at two United States universities completed a survey assessing health behaviors and characteristics. Logistic regression determined the odds of anxiety and/or depression based on gender identity, body mass index (BMI), food security status (FSS), and sleep restfulness. Over one-third of students were food insecure (36.7%), and almost all reported anxiety (57%) and/or depression (39.1%). Students who identified as female, reported very low FSS, poor sleep, and had higher BMI were at greater odds …

“The Culture - I Wish It Were Less Intense And More Joyful And Full Of Life”: A Youth Participatory Action Study On Teen Mental Health And Wellness, Marna Wolak

Doctoral Dissertations

Studies indicate that a grave mental health crisis is disproportionately impacting female-identified youth. While school districts have made attempts to address this problem, those most impacted - young people - have frequently found their voices overlooked by adults seeking solutions. Therefore, this Youth Participatory Action Research (YPAR) study, grounded in humanizing and liberatory pedagogy, examines how high school-aged students in an urban school district understand and define their experiences with mental health challenges and suggest strategies and interventions for improved wellness. Two sets of research questions guide this study: 1) Primary questions: What are youth perspectives about how their mental …

Web Of Exploitation: The Psychological Need For Comprehensive Federal Law To Combat Cyber Sexual Abuse, Sarah E. Bahrenburg

Journal of Race, Gender, and Ethnicity

Cyber sexual abuse inflicts deep and lasting psychological harm on victims, often exacerbating the trauma of traditional sexual abuse due to the permanence and reach of digital content. Survivors may experience depression, anxiety, PTSD, and suicidal ideation as intimate images, videos, or messages resurface indefinitely online. Despite the severity of its impact, current state and federal legal protections are limited and inconsistent, leaving many victims without adequate criminal or civil remedies. This article argues for the creation of comprehensive federal legislation specifically targeting cyber sexual abuse. Such laws would not only provide clearer paths to justice and accountability but also …

The Lack Of Mental Health Support In Caribbean Households, Arnoudly Bossicot

LEAD Scholars Academy Showcase

Growing up in a Caribbean household, mental health, amongst other topics, was something no one dared to speak about. Seeking therapy or talking to a trusted family member is not an option since you will look weak. When mental health issues are left untreated, long-term adverse effects on the emotional, social, physical, and behavioral aspects of life. In some instances, it may result in suicide. This research will explore the different elements that affect a person’s willingness to receive mental health treatment in Caribbean households. Would teenagers and young adults seek mental help if given the right resources and support? …

Using Brief Acceptance And Commitment Training To Increase Psychological Flexibility And Reduce Stress In School-Based Professionals, Rayna Yaeger

All Graduate Theses, Dissertations, and Other Capstone Projects

The significant behavioral and mental health concerns of students and staff in public schools within the United States has led to an increased risk of stress and burnout in teachers, which may lead to subsequent physical and mental health related concerns for staff and negative educational outcomes for students. Due to these school-based concerns, action should be taken to meet the needs of staff and students. This study aimed to better understand the effect of brief, group-based ACTraining on teachers’ psychological flexibility, general stress, job-related burnout, and social validity by replicating and extending the findings of Gillard et al. (2021) …

Health Measures And Willingness To Pay For Internet Services, Maysam Rabbani, Cari A. Bogulski, Corey J. Hayes

Department of Economics Faculty Scholarship and Creative Works

Introduction: With the rapid adoption of telehealth services, health measures are increasingly tied to internet access. However, there is limited literature on how internet connectivity correlates to health measures and health care utilization. We examined the links between willingness to pay (WTP) for internet services and health measures, namely, health insurance type, general health, physical health, mental health, health literacy, and cost/transportation barriers to health care access. Methods: We designed a custom survey and collected 5, 200 responses in four U.S. states. We implemented a stratified conjoint analysis to estimate the WTP for internet speed and quality and its connections …

Program Analysis And Development In A Kentucky Specialty Court Program, Brooke Mahanna

Occupational Therapy Doctorate Capstone Posters

This capstone was completed with a Specialty Court program within Kentucky. The focus was education and advocacy for occupational therapy (OT) in a setting that currently lacks these services. The goals included identifying OT's role in substance use treatment, especially for justice-involved individuals and developing OT-informed resources to support holistic care and wellness.

Substance use negatively impacts personal, social, and occupational participation (Doğu & Özkan, 2023; Sadaqat et al., 2023). OT’s focus on quality of life is an approach shown to improve long-term outcomes. Lack of OT services in the project setting highlights a gap in holistic care for program …

Using The Background Of Occupational Therapy To Argue Our Role In Stress Management: Proposed Lines Of Inquiry, Klaire M. Gowins

Occupational Therapy Doctorate Capstone Posters

The purpose of this ALE presentation is to present research in support of the development of the Student Stress Management Center (SSMC) at EKU. The researchers’ long-term proposition, beyond the scope of this poster, is to effectively communicate to various audiences the importance and occupation-based characteristics of a Student Stress Management Center for students within the higher education setting. In preparation for that goal, this poster reviews scholarly literature relevant to the field of occupational therapy and its philosophical roots to lay groundwork for clarifying whether and how a revised articulation of the philosophical base is needed, relative to the …

The Effect Of Surf Therapy On Mental Health, Sydney Smallwood Ots, Andrea Fairman Ph.D., Mot, Otr/L, Cprp, Atp, Michele Leone Dnp, Lmhc, Rn

Occupational Therapy Doctorate Capstones

Research Question, Aim, and Purpose:

Question: Does Surf therapy help improve positive mental health outcomes in veterans and children who have experienced trauma?

Aim: To examine the relationship between surf therapy and Posttraumatic Stress Disorder (PTSD) symptoms in veterans, active-duty service members, and foster children at COSTA who have experienced trauma.

Purpose: To determine the impact surf therapy at COSTA has on mental health in veterans and foster children who have experienced PTSD

Exploring The Relationship Between Individual Value Priorities And Pathological Psychological Traits, Dennis Kurtz

Doctor of Psychology (PsyD)

Values are central to the ways that humans evaluate the world and make decisions, and they play an important role in individual psychological functioning and well-being. Although human values are frequently used in psycho-therapeutic interventions in clinical practice, the precise nature of their relationship to psychopathology is unclear. This research explored the relationship between human values and psychopathology using the Schwartz basic theory of human values and the Minnesota Multiphasic Personality Inventory–3. Participants were recruited from a community mental health clinic. Data were analyzed to determine relationships between value priorities and clinical scales.

The study hypothesized positive associations between self-enhancement …

Mental Health Trends Among African American High School Students, Alexis Heard

Theses and Dissertations

Adolescent mental health is a major public health issue in the U.S., with African American high school students facing a rapidly worsening crisis. While all youth show increasing rates of depression, anxiety, and suicidality, African American adolescents are at greater risk due to systemic racism, socioeconomic inequality, community violence, and limited access to culturally responsive care. Few national studies have examined mental health trends among this group. This study (1) examines 2011–2021 trends in persistent sadness/hopelessness, suicidal ideation, suicide planning, and suicide attempts among African American high school students; (2) explores gender differences; and (3) compares these patterns to national …

The Changes In Health-Related Quality Of Life After Attending Cardiac Rehabilitation: A Qualitative Systematic Review Of The Perspective Of Patients Living With Heart Disease, Amineh Rashidi, Lisa Whitehead, Helena Halton, Lisa Munro, Ian Jones, Lisa Newson

Research outputs 2022 to 2026

Background Although the benefits of engaging in cardiac rehabilitation are well established, patient perceptions of the changes in their health-related quality of life are poorly documented. This systematic review synthesized qualitative studies on patients’ perspectives of change in their health-related quality of life after attending cardiac rehabilitation. Objective To identify and synthesize the best available evidence on the perspective of patients living with heart disease about the changes in their health-related quality of life after attending cardiac rehabilitation. Methods Eight databases were used to identify relevant papers published in English and peer-reviewed, and no date restrictions were considered for the …

Exploring The Barriers To Mental Health Help-Seeking Among African Migrants In Australia: A Qualitative Study, Nnaemeka Meribe, Obed Adonteng-Kissi, Kathomi Gatwiri, Lillian Mwanri, Frank Darkwa Baffour, Agness Tembo, Edith N. Botchway-Commey, David Chisanga, Ahmed A. Moustafa, Kerrie E. Doyle, Uchechukwu Levi Osuagwu

Research outputs 2022 to 2026

Background: The health of African migrants in Australia is a largely under-researched topic despite the steadily increasing size of the population and its uniqueness. In particular, few studies have explored the mental health of African migrants in Australia or their utilization of mental health services.

Aims: This study explored the barriers to mental health help-seeking among first-generation African migrants in Australia.

Methods: In this qualitative study conducted using the hermeneutical phenomenological research approach, the purposive sampling method was used to recruit participants. In-depth interviews with participants were undertaken online via Zoom, Teams, and WhatsApp calls. Interviews were recorded and transcribed …

Outdoor Adventure Education For Adolescent Social And Emotional Wellbeing: A Systematic Review And Meta-Analysis, Michael J.A. Down, D. Picknoll, T. Edwards, F. Farringdon, G. Hoyne, B. Piggott, M. C. Murphy

Research outputs 2022 to 2026

This study examines the effects of OAE on adolescent social and emotional wellbeing and their contributors. Intervention studies (single or multi-arm) assessing the effects of OAE on wellbeing were included. Meta-analysis was conducted on outcomes of interest, and the Cochrane Risk of Bias (RoB) Tool assessed RoB in multi-arm studies. Four studies assessed within-group change (n = 368), and six assessed between-group change (n = 1,143). Findings indicate significant between-group improvements in resilience, self-esteem and social belonging when OAE was compared to no intervention, but no self-efficacy and overall wellbeing changes were observed. Studies were at high risk of bias, …

Australian Fathers’ Experiences Of Caring For Their Preterm Infants, Esther Adama, Eric Adua, Evalotte Mörelius, Annie Chang, Ravisha Srinivasjois, Sara Bayes

Research outputs 2022 to 2026

Fathers and/or non-birthing partners are now actively involved in child-rearing globally; however some experience emotional difficulties during the perinatal period. With the birth of a preterm infant, parents experience additional stress beyond that normally engendered by having a baby, which can impact on parent-infant relationship and infant development. In Australia, there is limited evidence on fathers’ experiences of preterm birth. Thus, this study aimed to explore the experiences of Australian fathers of preterm infants including their emotional and physical wellbeing when they have a preterm infant. Narrative inquiry guided the study; 13 fathers whose preterm infant was admitted to Australian …

Resilience And Its Effects On Psychological Well Being During The Covid-19 Pandemic, Taylor Reinsel

Honors Theses

Stressors and trauma in life are unavoidable. However, the way we respond and adapt to them can be within our control. This response differs from person to person, but there are factors that can influence the likelihood of an individual rebounding from a crisis, as well as factors that can put them at a higher risk of developing mental illness. One of the main factors that influences Psychological Well Being is the presence of Resilience.

The main goal of this study was to examine how factors of Resilience relate to Psychological Well Being and COVID-19 Well Being during the COVID-19 …

A Small Price To Pay For Better Mental Health Crisis Care: Why States Should Be Funding The New 988 Hotline Through Phone Fees, Katherine Menello

Law Student Publications

Mental health care in the United States is uncoordinated, underresourced, and overall insufficient. Mental health crisis care is much the same, but with much higher stakes. The lack of a comprehensive mental health crisis care system across the country has led to law enforcement involvement becoming the default system in most communities. Yet, an overwhelming majority of Americans want a better way; in a survey conducted in summer 2023, “85% of people sa[id] they want a mental health response to someone experiencing a mental health, drug or suicide crisis, not a police response.”...

Multidisciplinary Lethal Means Safety Counseling Design And Implementation: Training And Identifying Barriers In A Children's Hospital, Cassandra L. Stegall, Brendon Carnell, Jaime M. Golden, Rupa Kapoor, John H. Fanton, Paul C. Mullan, Alexandra P. Leader

Department of Pediatrics Faculty Publications

Background

Access to lethal means contributes significantly to suicide completion. Lethal means safety counseling (LMSC) is an injury prevention strategy to limit access to firearms, medications, and other means of injury. Not previously evaluated in the trauma setting, this study aims to design and implement a standardized LMSC protocol for pediatric patient discharge education in emergency (ED), trauma, and inpatient psychiatry settings.

Methods

A single-center quality improvement study at an academic pediatric urban tertiary Level-one trauma center was performed from July 2023 to February 2024. Protocol was implemented for pediatric patients discharged from three departments: ED, surgery trauma service, and …

Human-Centered Advocacy: Requiring Trauma-Informed Lawyering Through Mandatory Continuing Legal Education, Meghan Sheldon

Roger Williams University Law Review

No abstract provided.

Clinician Perspectives On Incorporating Physical Activity And Sleep Prescriptions Using Ehealth For Youth With Comorbid Psychiatric Disorders: Qualitative Focus Group Study, Alyssa M. Button, James Slavet, Amanda E. Staiano, April Bowling

Health Sciences Faculty Publications

Background: Physical activity and sleep prescriptions are indicated for the treatment of psychiatric disorders among youth. However, there is limited clinical adoption of these practices. Exergaming (ie, games that require physical activity) is a feasible intervention to promote physical activity and sleep hygiene and is appealing to youth given their interest in video gaming. Integrating exergaming prescriptions into clinical mental health practices may offer an opportunity to expand access to these interventions, yet pragmatic considerations for adopting these programs are poorly understood.

Objective: This study aimed to gain feedback from practicing clinicians on adopting GamerFit, an app-based intervention that incorporates …

Protect Transgender Kids: What Is “Protection” In Light Of Bans On Gender-Affirming Care?, Patricia B. Barnett

Journal of Race, Gender, and Ethnicity

This Note examines the growing legal and constitutional conflict surrounding state laws that ban or restrict gender-affirming care for transgender minors. At the heart of the issue lies the clash between state authority and the constitutionally protected rights of parents under the Due Process Clause of the Fourteenth Amendment. Drawing on medical consensus that affirms the necessity and efficacy of gender-affirming care, the Note argues that these laws not only endanger the well-being of transgender youth but also infringe on parents' fundamental rights to direct their children’s medical treatment. The analysis highlights how some states mischaracterize gender-affirming care as a …