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Japan And Its Hesitation In Legalizing Same-Sex Marriage, Morgan R. Lewellen May 2025

Japan And Its Hesitation In Legalizing Same-Sex Marriage, Morgan R. Lewellen

Departmental Honors & Graduate Capstone Projects

Japan is the only state in the G7 that has not legalized same-sex marriages despite increasing support of LGBTQ+ rights and norms for respecting human rights. While some local governments and constitutional courts have made progress with recognizing same-sex partnerships and deeming the ban on same-sex marriage unconstitutional, the Japanese national government has not enacted comprehensive pro-LGBTQ+ policy. Instead, the Diet (Japan’s legislative body) passed the “LGBT Understanding and Enhancement Bill” in 2023, which is a law that fails to legally recognize same-sex marriage or provide protections. This project aims to explore Japan’s hesitancy by examining politics, culture, history, and …


Program Evaluation Of The Behavioral Interventions Monitoring Assessment System-2 For High School Students In Rural Nebraska, Laura Burnett, Lakin Braman May 2025

Program Evaluation Of The Behavioral Interventions Monitoring Assessment System-2 For High School Students In Rural Nebraska, Laura Burnett, Lakin Braman

Doctor of Nursing Practice Projects: College of Nursing

Behavioral and mental health issues among adolescents in rural areas often go unrecognized due to limited access to screening and intervention. This study evaluated the efficacy of the BIMAS- 2 tool in identifying at-risk high school students in a rural Nebraska high school. Methods: A retrospective cohort program evaluation was conducted over two years with 263 students in grades 9-12. The BIMAS-2 assessment was administered electronically each semester, followed by in-person mental health interviews. Descriptive statistics and Pearson chi-square tests assessed the tool’s sensitivity, specificity, and predictive value. Results: The BIMAS-2 demonstrated high sensitivity (100%) and specificity (96.15%), with a …


Reducing Stigma Towards Alcohol Use Disorder (Aud): A Parasocial Contact Approach, Prah Haider May 2025

Reducing Stigma Towards Alcohol Use Disorder (Aud): A Parasocial Contact Approach, Prah Haider

Honors Thesis

Alcohol use disorder (AUD) is characterized by loss of control over alcohol intake, compulsive alcohol use and a negative emotional state when not drinking, which can follow a chronic, relapsing course (Carvalho et al., 2019). AUD ranks among the most prevalent mental disorders globally. According to the 2022 National Survey on Drug Use and Health, 28.8 million adults ages 18 and older (11.2% in this age group) had AUD in 2021 (NIH, 2024). My proposal seeks to create a novel approach to addressing stigma through creating the illusion of a relationship between a television viewer and a mediated on-screen persona. …


Behavior Analysts’ Training And Practices Regarding Cultural Diversity: A Replication And Extension, Tania M. Valdez-Nuguid May 2025

Behavior Analysts’ Training And Practices Regarding Cultural Diversity: A Replication And Extension, Tania M. Valdez-Nuguid

Theses & Dissertations

Culturally responsive care, which involves adapting assessment and treatment methods to reflect the culture of individuals served (Sue & Torino, 2005), is crucial for client success, especially for minoritized and marginalized groups. This study replicated and extended Beaulieu et al. (2019) by surveying behavior analysts on their training, perceived competence, and practices in culturally responsive care. We extended Beaulieu et al. (2019) by including open-ended questions regarding culturally responsive practices and barriers faced in delivering culturally responsive care and offering the survey in Spanish. Participants reported feeling skilled and comfortable providing culturally responsive care, with increased training across various modalities. …


The Art Of Dreaming: A Surrealist Approach To Dream Analysis, Shelby Wright May 2025

The Art Of Dreaming: A Surrealist Approach To Dream Analysis, Shelby Wright

Honors Thesis

Over the past two years, I created a series of paintings to explore the meaning of my nightmares. This study analyzes the themes and symbols in these dreams through the psychological frameworks of Sigmund Freud and Carl Jung. Freud’s causal approach focuses on repressed desires, while Jung’s method relies on mythological symbols and archetypes in the collective unconscious. Drawing on the ideas of André Breton and the Surrealist movement, I examine how art can bridge dreams and waking life. By painting my dreams, I aim to better understand my unconscious and invite viewers to question their perception of reality. This …


India Must Rethink, Ishrat Husain Dr. May 2025

India Must Rethink, Ishrat Husain Dr.

Faculty Research - Newspaper and Magazine Articles

The April 22 Pahalgam incident has evoked a hysterical reaction from India, which has attacked Pakistani and Azad Kashmir cities killing innocent civilians, including children, and damaging the Neelum-Jhelum hydel works. Within five minutes of the Pahalgam attack, Indian media started pointing fingers at Pakistan alleging it had enabled the terrorist attack. Two weeks later, India attacked without providing a shred of evidence of Pakistan’s alleged involvement. The purpose of this article is to urge Indian policymakers to avoid prolonging their actions as the political, social and economic costs for their own country are substantial, and instead, examine their policy …


Navigating Lipid Nanoparticle Design: From Microfluidic Optimization For Rna Delivery In Pancreatic Cancer To Extended-Release Formulations For Hiv-1 Therapy., Farhana Islam May 2025

Navigating Lipid Nanoparticle Design: From Microfluidic Optimization For Rna Delivery In Pancreatic Cancer To Extended-Release Formulations For Hiv-1 Therapy., Farhana Islam

Theses & Dissertations

Lipid nanoparticles (LNPs) have emerged as a powerful platform for the delivery of RNA and small-molecule therapeutics, enabling improved drug stability, biodistribution, and cellular uptake. This study explores the formulation and optimization of LNPs for two distinct therapeutic applications: (1) mRNA-based therapy for pancreatic cancer (PC) and (2) extended-action fostemsavir (FTR) delivery for HIV-1 treatment. For PC therapy, a library of 48 mRNA-LNP formulations was developed for intraperitoneal (IP) administration in an orthotopic pancreatic tumor mouse model. Using microfluidic assembly, LNPs were engineered with varying lipid compositions and characterized based on size, zeta potential, and cytotoxicity. Biodistribution and mRNA expression …


Multi-Modal Mri For The Pre-Clinical Evaluation Of Hiv-Linked Changes In The Central Nervous System, Gabriel Gauthier May 2025

Multi-Modal Mri For The Pre-Clinical Evaluation Of Hiv-Linked Changes In The Central Nervous System, Gabriel Gauthier

Theses & Dissertations

Though the inception of anti-retroviral therapy (ART) has fundamentally changed the life expectancy of human immunodeficiency virus (HIV) patients, accessibility and outcomes vary enormously along demographic lines. Even for people living with HIV (PLWH) with perfect access and adherence to anti-retroviral drugs (ARVs), modern treatment plans are fundamentally unable to secure complete viral remission for patients. The cause of this perpetual infection is the persistence of viral reservoirs in the central nervous system (CNS), hidden beyond the reach of modern ARVs, leaving patients to deal with lifelong medication side-effects and risks of developing HIV-associated neurodegenerative disorders (HAND). Despite improving outcomes …


Apolipoprotein E4, Tauopathy, And Brain Injury: Molecular Insights Into Alzheimer's Disease Pathology, Nashanthea J. Roland May 2025

Apolipoprotein E4, Tauopathy, And Brain Injury: Molecular Insights Into Alzheimer's Disease Pathology, Nashanthea J. Roland

Theses & Dissertations

Alzheimer’s disease (AD) is the world’s leading cause of dementia, characterized by progressive atrophy of the hippocampal and cortical brain regions, synapse damage and loss, and a buildup of senile plaques and neurofibrillary tangles composed of β-amyloid peptides and hyperphosphorylated tau, respectively. While age is the most significant risk factor for developing AD, apolipoprotein E4 (APOE4) is the strongest genetic risk factor for AD. Although it is known that APOE4 influences tau pathology, the molecular mechanisms by which APOE4 drives AD pathogenesis and progression remain unclear. In addition to intrinsic contributions to AD, there are many extrinsic factors that can …


Changing The Face Of Power: Understanding Black Female Clinical Supervisors Through The Superwoman Schema, Shanelle V. Clay May 2025

Changing The Face Of Power: Understanding Black Female Clinical Supervisors Through The Superwoman Schema, Shanelle V. Clay

Electronic Theses and Dissertations

According to the American Counseling Association Code of Ethics (2014), the counseling profession’s core values include honoring diversity and embracing a multicultural approach to both direct services and supervision. Despite the acknowledgement of multiculturalism in clinical supervision, there is minimal research on the impact of supervisors’ intersectionality on supervision dynamics. This qualitative research study will examine the experience of Black female clinical supervisors and the impact the Superwoman Schema has on their role in supervision. This phenomenological research is grounded in the Superwoman Schema Conceptual Framework and Black Feminist Thought. A total of five superordinate themes and 14 subordinate themes …


Doctoral Supervisors Perceived Counseling Self-Efficacy After Being Trained On Using Supervision For Vicarious Grief Through The Discrimination Model, Sara Keegan May 2025

Doctoral Supervisors Perceived Counseling Self-Efficacy After Being Trained On Using Supervision For Vicarious Grief Through The Discrimination Model, Sara Keegan

Electronic Theses and Dissertations

The purpose of the intended study was to investigate whether training doctoral students on how to handle vicarious grief experiences through the Discrimination Model would impact doctoral supervisors’ counseling self-efficacy when providing supervision on vicarious grief. This was determined by collecting and comparing pre- and post-test scores from 48 doctoral students, from CACREP-accredited Counseling Education and Supervision programs, on a researcher-revised version of the Counselor Self-Efficacy Scale that specifically addresses supervision for vicarious grief (CSES-SVG). Participants were recruited by using convenience sampling through invitation from the researcher via counseling-related listservs (e.g., CESNET, Duquesne’s Canvas/e-mail), or via program directors or site …


The Corps, Greta Zimmer, Daniel Rogers May 2025

The Corps, Greta Zimmer, Daniel Rogers

Honors Thesis

When a rich, sheltered girl joins a ragtag community service team in Mississippi, she must learn who she is while dealing with her arrogant rival, manipulative boss, and the brutal challenges of serving the unhoused population.


Let-7 Restrains An Epigenetic Circuit In At2 Cells To Prevent Fibrogenic Intermediates In Pulmonary Fibrosis, Matthew J Seasock, Md Shafiquzzaman, Maria E Ruiz-Echartea, Rupa S Kanchi, Brandon T Tran, Lukas M Simon, Matthew D Meyer, Phillip A Erice, Shivani L Lotlikar, Stephanie C Wenlock, Scott A Ochsner, Anton Enright, Alex F Carisey, Freddy Romero, Ivan O Rosas, Katherine Y King, Neil J Mckenna, Cristian Coarfa, Antony Rodriguez May 2025

Let-7 Restrains An Epigenetic Circuit In At2 Cells To Prevent Fibrogenic Intermediates In Pulmonary Fibrosis, Matthew J Seasock, Md Shafiquzzaman, Maria E Ruiz-Echartea, Rupa S Kanchi, Brandon T Tran, Lukas M Simon, Matthew D Meyer, Phillip A Erice, Shivani L Lotlikar, Stephanie C Wenlock, Scott A Ochsner, Anton Enright, Alex F Carisey, Freddy Romero, Ivan O Rosas, Katherine Y King, Neil J Mckenna, Cristian Coarfa, Antony Rodriguez

Faculty, Staff and Students Publications

MicroRNA-mediated post-transcriptional regulation of lung alveolar type 2 (AT2) and AT1 cell differentiation remains understudied. Here, we demonstrate that the let-7 miRNA family plays a homeostatic role in AT2 quiescence by preventing the uncontrolled accumulation of AT2 transitional cells and promoting AT1 differentiation. Using mouse and organoid models, we show that genetic ablation of let-7a1/let-7f1/let-7d cluster (let-7afd) in AT2 cells prevents AT1 differentiation and leads to KRT8 transitional cell accumulation in progressive pulmonary fibrosis. Integration of AGO2-eCLIP with RNA-sequencing identified direct let-7 targets within an oncogene feed-forward regulatory network, including BACH1/EZH2/MYC, which drives an aberrant fibrotic cascade. Additional CUT&RUN-sequencing analyses …


Healthcare Experiences And Pain Dismissal By Healthcare Professionals, Amanda Warren May 2025

Healthcare Experiences And Pain Dismissal By Healthcare Professionals, Amanda Warren

Honors Theses

Background. Pain dismissal by healthcare professionals has gained recent attention in popular culture as people have come forward to discuss their own experiences with this issue. Pain dismissal is prevalent within the healthcare system, and college-aged young adults may be particularly vulnerable to experiencing pain dismissal because of their age. College students may also be influenced by societal factors that may affect their attitudes towards seeking help and advocating for themselves during healthcare visits. There is limited research on college students' attitudes and behaviors on seeking help after experiencing pain dismissal by a healthcare provider. This study aims to 1) …


Creative Expression Through Worldbuilding: A Study On The Connections Between Literature And Music Through Analysis Of Brandon Sanderson's The Stormlight Archive, Lauralei S. Palmer May 2025

Creative Expression Through Worldbuilding: A Study On The Connections Between Literature And Music Through Analysis Of Brandon Sanderson's The Stormlight Archive, Lauralei S. Palmer

Honors Theses

This thesis examines the worldbuilding connections visible throughout fantasy literature and musical works. Though their tools seem different, authors, composers, and performers use equivalent techniques to draw in their audiences and produce an immersive, emotional experience. This research focuses on American author Brandon Sanderson’s highly detailed worldbuilding in his epic fantasy series, The Stormlight Archive. The Stormlight Archive exhibits the three pillars of worldbuilding: completeness, invention, and consistency. This research also examines Franz Liszt’s Les Préludes, a symphonic poem based on Alfonse Lamartine’s poem, Ode. Finally, this thesis culminates in the fusion of literary and musical worldbuilding in description …


Exploring Contemporary Issues Through Accounting Case Studies, Emaline Myers May 2025

Exploring Contemporary Issues Through Accounting Case Studies, Emaline Myers

Honors Theses

This thesis was completed as part of the course “Accounting 420- Independent Study” under the guidance of Dr. Victoria Dickinson and includes a collection of five case studies exploring the role of accounting, ethics, and policy in today’s world. Each case investigates how financial information, government decisions, and business strategy intersect, and what that means for professionals entering the accounting field. The topics covered in this thesis range from international financial fraud to environmental disclosures, military spending, public education, and small business development. Several key takeaways emerged from the completion of these cases. Case Study I highlights issues in global …


Investigating The Cytotoxic Effects Of Amino Acid-Based Ionic Liquids And Peg-Pla Nanoparticles On Mcf10a Human Breast Epithelial Cells For Drug Delivery Applications, Ella C. Mertins May 2025

Investigating The Cytotoxic Effects Of Amino Acid-Based Ionic Liquids And Peg-Pla Nanoparticles On Mcf10a Human Breast Epithelial Cells For Drug Delivery Applications, Ella C. Mertins

Honors Theses

This study investigates the cytotoxic effects of polyethylene glycol-polylactic acid (PEG-PLA) nanoparticles (NPs) both bare and coated with choline-based ionic liquids (ILs) on MCF10A human breast epithelial cells. The goal was to evaluate how IL-modified NPs influence cell viability at varying concentrations and to assess their potential as drug delivery systems. Three choline-based ILs, Choline-L-Asparagine 1:1, Choline-DL-Isoleucinate 1:1, and Choline-L-Leucinate 1:1, were used as surface coatings for PEG-PLA NPs. Additionally, the ILs were tested independently to establish a baseline for their cytotoxicity. Using a luminescent ATP-based viability assay following the treatment of MCF10A cells, the ILs were found to be …


Identifying The Trends Of K-12 Funding Formula Reforms In Red States: A Comparative Case Study Of Texas, Tennessee And Mississippi., Hannah E. Watts May 2025

Identifying The Trends Of K-12 Funding Formula Reforms In Red States: A Comparative Case Study Of Texas, Tennessee And Mississippi., Hannah E. Watts

Honors Theses

Following the decade after K-12 public education funding cuts brought on by the Great Recession, some states are addressing these funding cuts with changes to their funding formulas. This comparative case study identifies trends of significant changes in education funding formulas since the end of the Great Recession in states with majority Republican legislatures—red states. The states analyzed in this study are Texas, Tennessee, and Mississippi. The research analyzes what caused the states to change their education funding formulas as well as trends regarding the changes of the actual education funding formula. With other red states looking to change their …


The Impact Of Sovereignty: Russian Foreign Military Interventions In De Facto States, Ella B. Chapman May 2025

The Impact Of Sovereignty: Russian Foreign Military Interventions In De Facto States, Ella B. Chapman

Honors Theses

This thesis examines the role of sovereignty in foreign military interventions, utilizing a comparison of Russian foreign military interventions in de facto states to those in internationally recognized states. Through a qualitative approach combining English and Russian news sources, political documents, and statements from key political figures, the study identifies that the difference between these types of interventions is slight. The motivations were similar across the cases, while there were variations in conduct and effect. These findings suggest that sovereignty plays a minor role in foreign military interventions and that foreign military interventions increase the reliance of a de facto …


Breaking News And Broken Hopes: Inter-Korean Engagement And The Emotional Consequences Of Media Framing, Sophia Lizanne Trombley May 2025

Breaking News And Broken Hopes: Inter-Korean Engagement And The Emotional Consequences Of Media Framing, Sophia Lizanne Trombley

Honors Theses

This thesis analyzes two periods of pro-North Korean engagement regimes in South Korea during the presidencies of Kim Dae-jung (1998-2003), Roh Moo-hyun (2003-2008), and Moon Jae-in (2017-2023). Through analysis of the three aforementioned presidents’ initiatives for engagement with the North, categorization of news headlines from two major South Korean sources, and public opinion polls, I argue that especially high and low emotional reactions among the South Korean public during these periods were exacerbated by news media’s overly dramatized portrayal of inter-Korean interactions, both big and small. This has led to desensitization and emotional exhaustion among the South Korean public, causing …


Syrian Perspectives On The U.S. Intervention Against Isis: Analysis Of Youtube Videos, Nelson Cleveland May 2025

Syrian Perspectives On The U.S. Intervention Against Isis: Analysis Of Youtube Videos, Nelson Cleveland

Honors Theses

This thesis investigates Syrian public opinion surrounding the 2014 U.S.-led military intervention against ISIS through critical discourse analysis of Arabic-language YouTube videos. In light of the renewed interest and continued presence of U.S. troops in Syria following the Assad regime’s collapse in 2024, the study examines how Syrians originally responded to the coalition strikes and political context in which they occurred. Drawing on four primary videos including street interviews, protest recordings, and discussions from expert panelists, the analysis uncovers recurring themes of distrust towards the U.S. and other states who engaged in intervention, condemnation of perceived collusion and exploitation, and …


Impacts Of Polyploidization On Endocrine Regulation And Vocalization In The Gray Treefrog Complex, Avery Thigpen May 2025

Impacts Of Polyploidization On Endocrine Regulation And Vocalization In The Gray Treefrog Complex, Avery Thigpen

Honors Theses

Comparative genomics data suggest that vertebrates are descendants of ancestral polyploids and that historical polyploidization events fueled evolutionary innovations. For example, polyploidization can modify gene expression patterns and/or increase gene mutation rates to alter the phenotype. While considerable emphasis has been placed on the evolutionary impact of ancient polyploidization events, less is known regarding phenotypic modifications in extant polyploids. I examined circulating levels of adrenal glucocorticoids and gonadal steroids in the diploid-tetraploid gray treefrog complex to understand how polyploidization has impacted hormonal regulation. Furthermore, I examined the relationships between levels of these hormones and acoustic signals to examine if and …


Analyzing And Understanding The Broad Spectrum Of Accounting: Five Concentrated Case Studies, Anna D. Franks May 2025

Analyzing And Understanding The Broad Spectrum Of Accounting: Five Concentrated Case Studies, Anna D. Franks

Honors Theses

This thesis is a compilation of five case studies, each exploring a distinct aspect of the accounting profession and its role in modern society. They were written and compiled under the supervision of Dr. Victoria Dickinson during the Honors Accountancy 420 course and in accordance with the requirements of the Sally McDonnell Barksdale Honors College and the Patterson School of Accountancy. Cases I-IV examine various pressing issues within the field of accounting, including the 2008 stock market crash, the implications of the military industrial complex that is present in many modern governments, environmental sustainability in accounting, and a look at …


The Mechanism Of Election Denial: How Ideological Extremism Leads To Anti-Support For The United States Government, Emily C. Reeks May 2025

The Mechanism Of Election Denial: How Ideological Extremism Leads To Anti-Support For The United States Government, Emily C. Reeks

Honors Theses

The violent events of January 6, 2021 explicitly demonstrated the widening ideological gap in the United States, as citizens and members of Congress both questioned the results of the 2020 election. This research paper seeks to understand if this increasing ideological extremity might manifest itself as questioning the legitimacy of an election among members of Congress. Researchers across decades have studied the sort of effects that increasing ideological extremity can have on voters; however, I could not find much research on how it might affect members of Congress. I theorize that ideological extremity amongst members of Congress is causing them …


Taking Everything Into Account: An Accumulation Of Real-World Accounting Case Studies, Sydney Baumgardner May 2025

Taking Everything Into Account: An Accumulation Of Real-World Accounting Case Studies, Sydney Baumgardner

Honors Theses

Accountancy 420, Independent Study, pushed students enrolled into the class to delve further into accounting than they had ever before. During this course, several independent case studies were completed, as were several group case studies. The following cases are presented chronologically. At the end of the spring semester, our knowledge cumulated into a final project exploring business establishment in the state of Mississippi, which was presented to esteemed state officials and academics. This project necessitated research and the creation of hypothetical financial statements for our imagined company. This presentation fulfilled the requirements of the Sally McDonnell Barksdale Honors College. Throughout …


Accounting Problems Analysis In The Real World, Price A. Turner May 2025

Accounting Problems Analysis In The Real World, Price A. Turner

Honors Theses

This thesis explores how real-world challenges intersect with the field of accounting through the analysis of six diverse case studies: The China Hustle, the Military-Industrial Complex, Environmental, Social, and Governance (ESG) concerns, the economic philosophies of Dr. Thomas Sowell and Dr. Ben Carson, and an economic development proposal for Oxford, Mississippi. These cases were analyzed using financial models, evaluations, and qualitative research conducted under the guidance of Dr. Victoria Dickinson in the Honors Accountancy 420 course at the Patterson School of Accountancy, in partnership with the Sally McDonnell Barksdale Honors College.

The findings illustrate how accounting principles and problem-solving …


Weathering The Storm: Examining Mississippi’S Disaster Recovery For Diverse Economic Groups, Ethan C. Robertson May 2025

Weathering The Storm: Examining Mississippi’S Disaster Recovery For Diverse Economic Groups, Ethan C. Robertson

Honors Theses

This study investigates the systemic disparities in disaster recovery resource allocation in Mississippi, with a particular focus on the challenges faced by underprivileged communities. Guided by the central research question—how can we make disaster recovery more equitable?—this research critically examines whether current disaster recovery policy in Mississippi is equitable and how effectively it addresses the needs of diverse economic groups. The current disaster recovery model often fails to address the unique needs of socio-economically vulnerable populations, hindering their ability to recover effectively. Through case studies of Hurricane Katrina (2005), the Mississippi River Flooding (2011), and undeclared tornadoes in December 2022, …


School Of Law Commencement: May 10, 2025, University Of North Dakota May 2025

School Of Law Commencement: May 10, 2025, University Of North Dakota

UND Commencement Programs

UND School of Law Commencement program from May 10, 2025.


Red Cows, Yellow Dogs: Political Identity, Political Polarization, And Media Skepticism In A Single-Party Socialist Republic, Huu Dat Tran May 2025

Red Cows, Yellow Dogs: Political Identity, Political Polarization, And Media Skepticism In A Single-Party Socialist Republic, Huu Dat Tran

LSU Doctoral Dissertations

This dissertation examines the interplay among political identity, trust in government and media, and patterns of media consumption in Vietnam, a single‐party socialist republic in Southeast Asia. Moving beyond the liberal democratic focus of existing scholarship, the dissertation challenges the assumption of political homogeneity in authoritarian settings and empirically explores the extent and character of polarization.

The dissertation takes a quantitative approach and employs multiple statistical techniques, including latent profile analysis (LPA) and structural equation modeling (SEM). It uncovers multiple latent political profiles within Vietnamese society, defined by varying degrees of trust in the government and ideological orientation. Further analysis …


An Occupation-Based Intervention Program To Address The Mental Health Needs Of Students In Rural School Systems, Caitlin A. Butterfield, Mackenzie Feldhacker Otd, Otr/L, Clt-Lana May 2025

An Occupation-Based Intervention Program To Address The Mental Health Needs Of Students In Rural School Systems, Caitlin A. Butterfield, Mackenzie Feldhacker Otd, Otr/L, Clt-Lana

Occupational Therapy Capstone Presentations

In the United States, 20% of the population lives in rural areas, with many experiencing mental illness, including adolescents facing increased risks from unemployment, obesity, and limited mental health services (Berryhill et al., 2021; Morales et al., 2020). Rural youth also have a suicide rate twice as high as non-rural areas, highlighting the need for mental health interventions (Berryhill et al., 2021). This capstone project addressed the mental health needs of students in a rural school system through an occupation-based, multi-tiered intervention. Using a trauma-informed Occupational Therapy (OT) Public Health Approach aligned with the Multi-Tiered System of Supports (MTSS) framework, …