Medicine and Health Sciences Commons^™

New Outpatient Experience Survey Design: A Quality Improvement Case Study, Nathan Paluso

Muskie School Capstones and Dissertations

The purpose of this capstone project is to evaluate the implementation process for a new survey methodology introduced by Maine Medical Partners (MMP), by following the Plan-Do-Study-Act (PDSA) quality improvement cycle framework. This new survey has been implemented to collect data on patients’ experiences in the MMP outpatient facilities, and is offered to the patients via iPad at check-out after their appointment. Through observation at MMP practices and MMP staff interviews, strengths and weaknesses of the implementation process have been identified. Evidence-based solutions pertaining to the identified weaknesses have been selected through a literature review and are incorporated in recommendations …

Experience Of Adults With Special Needs In Sexual Education Programs, Kate C. Hallissey

Thinking Matters Symposium Archive

Adults with special needs are discouraged from exploring their sexuality, expressing it, accessing sexual health care, and learning about their sexual rights. As a result, this population experiences higher rates of sexually transmitted diseases and sexual abuse than the general population (Saxe & Flanagan, 2014). Adults with special needs deserve to receive sexual education programming that provides them with the information they need to make informed choices about sexuality and relationships. Understanding their experiences in sexual education programs can better inform future programming for this population.

Consideration Of Cognitive Behavioral Therapy In Treating Schizophrenia: An Evidence-Based Practice Project, Kati Boucher

Thinking Matters Symposium Archive

Purpose: to answer the clinical PICOT question: For patients with schizophrenia how does CBT (cognitive behavioral therapy) and medication management compare to medication management alone affect symptom severity

Therapist Experience Treating Female Sexual Assault Survivors, Melinda Irving

Thinking Matters Symposium Archive

Sexual assault often results in survivors experiencing Post traumatic stress disorder or depression. The phenomena of treating survivors in therapy after a sexual assault, has been researched thoroughly from the view of clients. Qualitative research done from therapists experiences is not as abundant in the literature. Therapists experiences treating female survivors of sexual abuse was explored, using a phenomenological research method. Examining therapist's perspective on providing therapy with survivors, can support other therapists working with women who have survived a sexual assault

Lcsw-Perceived Therapeutic Alliance And Job Satisfaction A Correlational Pilot Study, Daniel J. Kelly

Thinking Matters Symposium Archive

One-hundred-and-fifty Licensed Clinical Social Workers (LCSWs) were sent surveys measuring demographics, therapeutic alliance, and job satisfaction. Past literature suggests that clinician-perceived therapeutic alliance is related to job satisfaction. Results of this study failed to confirm this. Implications and limitations are discussed

Trauma & Substance Use, Kaitlyn Arnold

Thinking Matters Symposium Archive

Research Question: How is trauma and substance use connected?

Treatment Alternatives To Obsessive Compulsive Disorder: An Evidence-Based Project, Katherine Oberwager

Thinking Matters Symposium Archive

To answer the clinical PICOT question: in adults with obsessive compulsive disorder (OCD), how does augmenting a selective serotonin reuptake inhibitor (SSRI) with N-acetyl-cysteine (NAC) compare to monotherapy with an SSRI in terms of symptom severity and to translate this evidence into practice.

Racialization Of Heroin Use And The Emergence Of A Public Health Issue, Ellen Pogson

Thinking Matters Symposium Archive

How is race used as a tool in newspaper publications to shape public opinion of the heroin epidemic in Portland, Maine, between the years 2014-­‐2016?

How does the portrayal of the heroin user inform public policy and health care interventions?

Assessment Of The Use Of Overdose Education And Naloxone Distribution By Maine Buprenorphine/Naloxone Prescribers, Stephen Kirsch

Muskie School Capstones and Dissertations

Background: Overdose deaths, specifically related to opioids, have been identified as a public health problem both nationally and in the state of Maine. Overdose Education and Naloxone Distribution (OEND) is an innovative model of patient education that has been shown to be effective in increasing knowledge of overdose risk and has the potential to help reduce opiate related overdose deaths.

Methods: A 28-item web-based survey examining clinician attitudes, OEND practices and characteristics was distributed to 196 Maine based physicians with a Drug Enforcement Agency waiver to prescribe burprenorphine/naloxone. Facilitators and barriers to the provision of OEND were also assessed. Surveys …

Urine Cotinine In Children And Parental Behavior Modification: A Pilot Study, Teresa Lachance

Muskie School Capstones and Dissertations

“Urine Cotinine in Children and Parental Behavior Modification” was designed by Dr. Deirdre Burns, a pediatrician at the Barbara Bush Children’s Hospital (BBCH). It was implemented as a pilot study to determine whether urine cotinine testing in children who are admitted to the hospital for respiratory illness and tracking parental smoking behaviors over time was feasible. Parents were given a brief survey to assess their current smoking behaviors and to understand their readiness to quit smoking. They received smoking cessation materials provided by the Breathe Easy Coalition of Maine. These materials outline information about second-hand and third-hand smoke, and encourage …