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Full-Text Articles in Medicine and Health Sciences

Public Perception Study 2011: Mental Illness, Drug And Alcohol Abuse, Oscar T. Mcknight Oct 2011

Public Perception Study 2011: Mental Illness, Drug And Alcohol Abuse, Oscar T. Mcknight

Oscar T McKnight Ph.D.

This study examined the public perception of mental illness, drug and alcohol abuse. Field-interviews with participants occurred "on the street" with no difficulty. Participants offered ten general recommendations to professionals developing programs for mental illness, drug or alcohol abuse. The public stressed the professional responsibilities of physicians, pharmacists, counselors and teachers to prevent drug abuse.


25. Maltreated Children’S Ability To Estimate Temporal Location And Numerosity Of Placement Changes And Court Visits., Lindsay Wandrey, Thomas D. Lyon, Jodi A. Quas, William J. Friedman Sep 2011

25. Maltreated Children’S Ability To Estimate Temporal Location And Numerosity Of Placement Changes And Court Visits., Lindsay Wandrey, Thomas D. Lyon, Jodi A. Quas, William J. Friedman

Thomas D. Lyon

Research examining children’s temporal knowledge has tended to utilize brief temporal intervals and singular, neutral events, and is not readily generalizable to legal settings in which maltreated children are asked temporal questions about salient, repeated abuse that often occurred in the distant past. To understand how well maltreated children can describe temporal location and numerosity of documented, personal experiences, we assessed 167 6- to 10-year-old maltreated children’s temporal memory for changes in their living arrangements and prior visits to court. Small percentages of children were capable of providing exact temporal location information (age, month, or season) regarding their first or …


What’S Good About Feeling Bad: Toward A Theology Of Suffering In International Settings, John C. Thomas Sep 2011

What’S Good About Feeling Bad: Toward A Theology Of Suffering In International Settings, John C. Thomas

John C. Thomas

No abstract provided.


Behind The Door: Simulated Crises Implemented In Psychiatric/Mental Health Nursing Education, Melinda Hermanns Aug 2011

Behind The Door: Simulated Crises Implemented In Psychiatric/Mental Health Nursing Education, Melinda Hermanns

Melinda Hermanns

No abstract provided.


How Far Do Low-Income Parents Travel To Shop For Food?, Amy Hillier, Carolyn Cannuscio, Allison Karpyn, Jacqueline Mclaughlin, Mariana Chilton, Karen Glanz Jul 2011

How Far Do Low-Income Parents Travel To Shop For Food?, Amy Hillier, Carolyn Cannuscio, Allison Karpyn, Jacqueline Mclaughlin, Mariana Chilton, Karen Glanz

Amy Hillier

Research on the impact of the built environment on obesity and access to healthful foods often fails to incorporate information about how individuals interact with their environment. A sample of 198 low-income WIC recipients from two urban neighborhoods were interviewed about where they do their food shopping and surveys were conducted of food stores in their neighborhoods to assess the availability of healthful foods. Results indicate that participants rarely shop at the closest supermarket, traveling on average 1.58 miles for non-WIC food shopping and 1.07 miles for WIC shopping. Findings suggest that access to healthful foods is not synonymous with …


24. Interviewing Children Versus Tossing Coins: Accurately Assessing The Diagnosticity Of Children’S Disclosures Of Abuse., Thomas D. Lyon, Elizabeth C. Ahern, Nicholas Scurich Jul 2011

24. Interviewing Children Versus Tossing Coins: Accurately Assessing The Diagnosticity Of Children’S Disclosures Of Abuse., Thomas D. Lyon, Elizabeth C. Ahern, Nicholas Scurich

Thomas D. Lyon

We describe a Bayesian approach to evaluating children’s abuse disclosures and review research demonstrating that children’s disclosure of genital touch can be highly probative of sexual abuse, with the probative value depending on disclosure spontaneity and children’s age. We discuss how some commentators understate the probative value of children’s disclosures by: confusing the probability of abuse given disclosure with the probability of disclosure given abuse, assuming that children formally questioned about sexual abuse have a low prior probability of sexual abuse, misstating the probative value of abuse disclosure, and confusing the distinction between disclosure and nondisclosure with the dstinction between …


15. Assessing The Competency Of Child Witnesses: Best Practice Informed By Psychology And Law., Thomas D. Lyon Jun 2011

15. Assessing The Competency Of Child Witnesses: Best Practice Informed By Psychology And Law., Thomas D. Lyon

Thomas D. Lyon

Truth-lie competency, which concerns the child's understanding of the difference between truth and lies and the importance of telling the truth, can be demonstrated by asking the child whether simple statements are the truth, and by asking the child to promise to tell the truth. Tests of children's truth-lie competency do not predict honesty, but eliciting a child's promise to tell the truth does increase honesty.


The Cost Of Treating Addiction From The Client's Perspective: Results From A Multi-Modality Application Of The Client Datcap, Kathryn Mccollister, Michael French, Jeffrey Pyne, Brenda Booth, Richard Rapp, Carey Carr Jun 2011

The Cost Of Treating Addiction From The Client's Perspective: Results From A Multi-Modality Application Of The Client Datcap, Kathryn Mccollister, Michael French, Jeffrey Pyne, Brenda Booth, Richard Rapp, Carey Carr

Michael T. French

There is a considerable disparity between the number of individuals who need substance abuse treatment and the number who actually receive it. This is partly due to the fact that many individuals with substance use disorders do not perceive a need for formal treatment. Another contributing factor, however, is a discrepancy between the real and perceived cost of services. Although many cost evaluations of substance abuse treatment have been conducted from the treatment provider perspective, less is known about the client-specific costs of attending treatment (e.g., lost work and leisure time, transportation, out-of-pocket and in-kind payments). Concerns about financial and …


Trial Of The University Assistance Program For Alcohol Use Among Mandated Students, Hortensia Amaro (1950-), Marilyn Ahl, Atsushi Matsumoto, Guillermo Prado, Christina Mulé, Amaura Kemmerer, Mary E. Larimer, Dale A. Masi, Philomena Mantella Jun 2011

Trial Of The University Assistance Program For Alcohol Use Among Mandated Students, Hortensia Amaro (1950-), Marilyn Ahl, Atsushi Matsumoto, Guillermo Prado, Christina Mulé, Amaura Kemmerer, Mary E. Larimer, Dale A. Masi, Philomena Mantella

Hortensia Amaro

Objective:The aim of this study was to investigate the effectiveness of a brief intervention for mandated students in the context of the University Assistance Program, a Student Assistance Program developed and modeled after workplace Employee Assistance Programs. Method:Participants were 265 (196 males and 69 females) judicially mandated college students enrolled in a large, urban university in the northeast United States. All participants were sanctioned by the university's judicial office for an alcohol- or drug-related violation. Participants were randomized to one of two intervention conditions (the University Assistance Program or services as usual) and were assessed at baseline and 3 and …


Brief Screening For Co-Occurring Disorders Among Women Entering Substance Abuse Treatment, Alisa K. Lincoln, Jane M. Liebschutz, Miriam Chernoff, Dana Nguyen, Hortensia Amaro (1950-) Jun 2011

Brief Screening For Co-Occurring Disorders Among Women Entering Substance Abuse Treatment, Alisa K. Lincoln, Jane M. Liebschutz, Miriam Chernoff, Dana Nguyen, Hortensia Amaro (1950-)

Hortensia Amaro

BackgroundDespite the importance of identifying co-occurring psychiatric disorders in substance abuse treatment programs, there are few appropriate and validated instruments available to substance abuse treatment staff to conduct brief screen for these conditions. This paper describes the development, implementation and validation of a brief screening instrument for mental health diagnoses and trauma among a diverse sample of Black, Hispanic and White women in substance abuse treatment. With input from clinicians and consumers, we adapted longer existing validated instruments into a 14 question screen covering demographics, mental health symptoms and physical and sexual violence exposure. All women entering treatment (methadone, residential …


The Nida Brain Disease Paradigm: History, Resistance And Spinoffs, David T. Courtwright Jun 2011

The Nida Brain Disease Paradigm: History, Resistance And Spinoffs, David T. Courtwright

David T. Courtwright

This article examines ‘the NIDA paradigm’, the theory that addiction is a chronic, relapsing brain disease characterized by loss of control over drug taking. I critically review the official history of the National Institute on Drug Abuse (NIDA) paradigm and analyze the sources of resistance to it. I argue that, even though the theory remains contested, it has yielded important insights in other fields, including my own discipline of history.


Mr. Atod’S Wild Ride: What Do Alcohol, Tobacco, And Other Drugs Have In Common?, David T. Courtwright Jun 2011

Mr. Atod’S Wild Ride: What Do Alcohol, Tobacco, And Other Drugs Have In Common?, David T. Courtwright

David T. Courtwright

All researchers agree that individuals can become intoxicated by and dependent on alcohol, tobacco, and other psychoactive drugs. But they have disagreed over whether, and to what extent, drug pathologies comprise a unitary medical problem. Most critically, does addiction have a biological common denominator? Consensus on this question has shifted back and forth. In the late nineteenth and early twentieth centuries, physicians often studied and treated various drug addictions together, working under the “inebriety” paradigm. By the mid-twentieth century the inebriety paradigm had collapsed. Tobacco and alcohol had split off, both in the medical research community and in western popular …


Substance Abuse Treatment Utilization Among Adults Living With Hiv/Aids And Alcohol Or Drug Problems, John Orwat, Richard Saitz, Christopher Tompkins, Debbie Cheng, Michael Dentato, Jeffrey Samet Apr 2011

Substance Abuse Treatment Utilization Among Adults Living With Hiv/Aids And Alcohol Or Drug Problems, John Orwat, Richard Saitz, Christopher Tompkins, Debbie Cheng, Michael Dentato, Jeffrey Samet

Michael P. Dentato, PhD, MSW

This is a prospective cohort study to identify factors associated with receipt of substance abuse treatment (SAT) among adults with alcohol problems and HIV/AIDS. Data from the HIV Longitudinal Interrelationships of Viruses and Ethanol study were analyzed. Generalized estimating equation logistic regression models were fit to identify factors associated with any service utilization. An alcohol dependence diagnosis had a negative association with SAT (adjusted odds ratio [AOR] = 0.36, 95% confidence interval [95% CI] = 0.19–0.67), as did identifying sexual orientation other than heterosexual (AOR = 0.46, CI = 0.29–0.72) and having social supports that use alcohol/drugs (AOR = 0.62, …


Critical Race Theory As Theoretical Framework And Analysis Tool For Population Health Research, Louis Graham, Shelly Brown-Jeffy, Robert Aronson, Charles Stephens Feb 2011

Critical Race Theory As Theoretical Framework And Analysis Tool For Population Health Research, Louis Graham, Shelly Brown-Jeffy, Robert Aronson, Charles Stephens

Louis F Graham

In population health research, it is important to consider socioecological perspectives that include cultural attitudes and beliefs which permeate all levels (intrapersonal, interpersonal, institutional/community, and structural/ policy). Given the specificity of target populations centered on identity – ethnic and others – it is appropriate and warranted to centralize cultural studies theories into health determinant investigations. Cultural studies, which focus explicitly on identity exploration and impacts, have much to contribute to health research. In accordance with the transdisciplinary nature of population health and bearing in mind the significant role of ethnic identity in health outcomes, it is beneficial to utilize critical …


Creating The Organizational Capacity To Serve Families With Parental Mental Illness: The Implementation Of Family Options, Kathleen Biebel, Katherine Woolsey Feb 2011

Creating The Organizational Capacity To Serve Families With Parental Mental Illness: The Implementation Of Family Options, Kathleen Biebel, Katherine Woolsey

Kathleen Biebel

Summary: The purpose of this presentation is to present preliminary findings describing the organizational context of a traditionally adult-serving community mental health program, Employment Options, Inc., as they implement a family-centered, strengths-based intervention for families living with parental mental illness.


Rethinking Thecognitiverevolutionfromaneuralperspective:How, Howard Cromwell Jan 2011

Rethinking Thecognitiverevolutionfromaneuralperspective:How, Howard Cromwell

Howard Casey Cromwell

Words such as cognition, motivation and emotion powerfully guide theory development and the overall aims and goals of behavioral neuroscience research. Once such concepts are accepted generally as natural aspects of the brain, their influence can be pervasive and long lasting. Importantly, the choice of conceptual terms used to describe and study mental/neural functions can also constrain research by forcing the results into seemingly useful ‘conceptual’ categories that have no discrete reality in the brain. Since the popularly named ‘cognitive revolution’ in psychological science came to fruition in the early 1970s, the term cognitive or cognition has been perhaps the …


Information Placed In Trust: Older Gay Men And Social Workers On Talking About Sexual Identity In Aged Care, Mark Hughes Jan 2011

Information Placed In Trust: Older Gay Men And Social Workers On Talking About Sexual Identity In Aged Care, Mark Hughes

Professor Mark Hughes

As more men who openly identify as gay approach older age, it is important for health and aged care professionals to consider the appropriateness of talking with these men about their sexual identity. This paper reports findings from a pilot study that examined how sexual identity should be acknowledged in aged care practice. The paper draws on qualitative data from two focus groups; one with older gay men and one with social workers. An analysis of the themes that overlapped the two groups highlighted the extent to which participants thought sexual identity should be discussed openly, the value placed on …


Risky Behaviour And Hiv Prevalence Among Zambian Men, Nisha Malhotra, Jonathan Young Jan 2011

Risky Behaviour And Hiv Prevalence Among Zambian Men, Nisha Malhotra, Jonathan Young

Nisha Malhotra

The objective of this paper is to identify demographic, social and behavioural risk factors for HIV infection among men in Zambia. In particular, the role of alcohol, condom use, and number of sex partners is highlighted as being significant in the prevalence of HIV. Multivariate Logistic Regressions were used to analyse the latest cross-sectional population-based demographic health survey for Zambia (2007). The survey included socio-economic variables and HIV serostatus for consenting men (N = 4,434). Risk for HIV was positively related to the wealth status. Men who considered themselves to be at high risk for HIV-positive were most likely to …


How Do We ‘See’ Occupations? An Examination Of Visual Research Methodologies In The Study Of Human Occupation, L. Hartman, A. Mandich, L. Magalhaes, Treena Orchard Dec 2010

How Do We ‘See’ Occupations? An Examination Of Visual Research Methodologies In The Study Of Human Occupation, L. Hartman, A. Mandich, L. Magalhaes, Treena Orchard

Dr. Treena Orchard

This article argues that visual research methodologies have potential to contribute to the study of occupation. The use of visual research methodologies is quickly growing in a number of disciplines and can help researchers to access information and reasoning not accessible through interview, log or survey. The reflexive, reflective, engaged process of creating and analysing visual materials allows for rich representations on behalf of participants, and immersion in the data on the part of researchers. This paper explores photovoice, body mapping and textual analysis of visual materials to understand how they can contribute to occupational science research. These methods were …


The Utility Of Motivational Interviewing Using Co-Active Life Coaching Skills On Adults Struggling With Obesity: Participants' Perspectives, Courtney Newnham-Kanas, Jennifer Irwin, Don Morrow Dec 2010

The Utility Of Motivational Interviewing Using Co-Active Life Coaching Skills On Adults Struggling With Obesity: Participants' Perspectives, Courtney Newnham-Kanas, Jennifer Irwin, Don Morrow

Donald Morrow

No abstract provided.


Change-Ing Obesity: A Methodological Account Of A Comprehensive Study For University Students With Obesity, Erin Pearson, Jennifer Irwin, Don Morrow Dec 2010

Change-Ing Obesity: A Methodological Account Of A Comprehensive Study For University Students With Obesity, Erin Pearson, Jennifer Irwin, Don Morrow

Donald Morrow

No abstract provided.


'What's The Use Of Getting A Cow If You Can't Make Any Money From It?': The Reproduction Of Inequality Within Contemporary Social Reforms Of Devadasis, Treena Orchard Dec 2010

'What's The Use Of Getting A Cow If You Can't Make Any Money From It?': The Reproduction Of Inequality Within Contemporary Social Reforms Of Devadasis, Treena Orchard

Dr. Treena Orchard

No abstract provided.


Mental Health Programs And Services, Gina Milgate Dec 2010

Mental Health Programs And Services, Gina Milgate

Gina C Milgate

A number of organisations offer support to people who are dealing with issues that affect their social and emotional wellbeing. This chapter lists mental health services and programs that provide specific assistance for Aboriginal and Torres Strait Islander people and the practitioners who work with them. There are different programs and services for different groups and types of mental health issues. The information has been supplied by the organisations or has been gleaned from their websites. The services listed in this chapter are not the only ones available but the chapter does provide a starting point for people looking for …


A Dimensional Analysis Of Caregiver Burden Among Spouses And Adult-Children, Marie Savundranayagam, R. Montgomery, K. Kosloski Dec 2010

A Dimensional Analysis Of Caregiver Burden Among Spouses And Adult-Children, Marie Savundranayagam, R. Montgomery, K. Kosloski

Marie Y Savundranayagam

Purpose of the study: Caregiver burden is a multidimensional construct, addressing tension and anxiety (stress burden), changes in dyadic relationships (relationship burden), and time infringements (objective burden) resulting from caregiving. The study aims were to assess (a) whether the dimensions of burden were the same for caregiving spouses and adult children, (b) the role of assisting with problem behaviors (PBs) and activities of daily living (ADLs) on each dimension of burden, and (c) the role of each dimension of burden on self-rated health and intention to institutionalize the care receiver. Design and Methods: This study included 280 spouse/partner and 243 …


Impact Of A Psychoeducational Program On Three Types Of Caregiver Burden Among Spouses, Marie Savundranayagam, R. Montgomery, K. Kosloski, T. Little Dec 2010

Impact Of A Psychoeducational Program On Three Types Of Caregiver Burden Among Spouses, Marie Savundranayagam, R. Montgomery, K. Kosloski, T. Little

Marie Y Savundranayagam

Abstract Purpose The purpose of this study was to investigate the extent to which a psychoeducational intervention called “Powerful Tools for Caregivers” (PTC) influences burden of spouse caregivers. Specifically, this study examined whether spouse caregivers who attended PTC exhibited reductions in stress burden, relationship burden, and objective burden compared to a comparison group.

Design and Methods The 6 week intervention used a self-efficacy framework to train caregivers to focus on self-care, communicate effectively, and manage emotions. This quasi-experimental study included 115 participants from the PTC group and 95 participants from a comparison group. Assessments were completed before and after the …


The Role Of Problem Orientation Cognitive Distortions In Depression And Anxiety Intervention For Young Adults., Coralie Wilson Dec 2010

The Role Of Problem Orientation Cognitive Distortions In Depression And Anxiety Intervention For Young Adults., Coralie Wilson

Coralie J Wilson

Interventions that aim to improve social problem-solving skills can significantly reduce the severity of anxiety and depression symptoms in young people. Anxious and depressed individuals often have a negative orientation to problem solution which acts as a barrier to implementing problem-solving skills. Research with older adults suggests that symptoms impair problem-solving abilities through cognitive processes associated with the development of anxiety and depression. In this study we extend previous investigations by assessing the extent to which specific cognitive distortions and symptoms of anxiety and depression are associated with negative problem orientation in a sample of 285 young adults aged 18 …


Rural Adolescents’ Help Seeking Intentions For Emotional Problems: The Influence Of Perceived Benefits And Stoicism., Coralie Wilson Dec 2010

Rural Adolescents’ Help Seeking Intentions For Emotional Problems: The Influence Of Perceived Benefits And Stoicism., Coralie Wilson

Coralie J Wilson

This paper is the second from a larger multi-cite study developed and led by the third author which explores factors that influence adolescents' help-seeking intentions. Specifically, this paper investigates the extent to which perceived benefits of help seeking, stoicism, gender and symptoms of psychological distress are associated with intentions to seek professional help for emotional problems. A cross sectional self-report questionnaire was administered to adolescents recruited from seven high schools in rural towns in the Riverina region of New South Wales. A total of 778 adolescents were recruited. The sample included 373 male and 404 female participants between 13 and …


Moral Undertow And The Passions: Two Challenges For Contemporary Emotion Regulation, Louis Charland Dec 2010

Moral Undertow And The Passions: Two Challenges For Contemporary Emotion Regulation, Louis Charland

Louis C. Charland

No abstract provided.


Decision-Making Capacity And Responsibility In Addiction, Louis Charland Dec 2010

Decision-Making Capacity And Responsibility In Addiction, Louis Charland

Louis C. Charland

No abstract provided.


The Role Of Research In Art Therapy Master's Degree Programs, Cecile Brennan Dec 2010

The Role Of Research In Art Therapy Master's Degree Programs, Cecile Brennan

Cecile Brennan

Art therapy master's degree programs are required to provide instruction in research theory and methodology, in accordance with art therapy and professional counseling education standards. Although the art therapy standards outline broad, general principles regarding the study of research, the professional counseling standards are more comprehensive and focused on educating graduate students to be adept evaluators and consumers of research. This viewpoint discusses the role of research in the master's degree curriculum and whether it is pedagogically appropriate to require graduate students, who are in the early stages of mastering clinical skills, to conduct independent research. Recommendations are offered based …