Medicine and Health Sciences Commons^™

Social And Contextual Factors That Influence Hiv Risk Behaviors Among Indigenous Msm In The Peruvian Amazon, Isaac E. Alva, E. Roberto Orellana

School of Social Work Faculty Publications and Presentations

Men who have sex with men (MSM) face a significantly higher risk of HIV infection than the general population around the globe. In Peru, HIV prevalence among MSM range from 14% to 23%, with Lima, the capital, and port cities in the Amazonian region being the most affected. Recent studies found that indigenous MSM who leave their villages for cities along the Amazon River and its tributaries, engage in high risk behaviors such as high alcohol consumption and unprotected sex with mestizo (non- indigenous) MSM. This study examined social and contextual factors associated with risky behaviors among indigenous MSM in …

Burnout, Vicarious Traumatization, And Compassion Fatigue Within The Field Of Art Therapy, Megan Parrish

EVMS School of Health Professions Theses & Dissertations

Burnout, compassion fatigue, and vicarious traumatization are negative experiences that can pose problems for many health professionals, especially mental health professionals. This study is a preliminary study aimed at identifying the prevalence of these experiences within the field of art therapy. A mixed methods research design consisting of pre-existing measurements and qualitative questions were implemented into an online survey and dispersed through various online media. There were 88 participants who completed the survey. Responses were analyzed with results indicating that there was a presence of burnout, compassion fatigue, and vicarious traumatization within the field. Another aspect of the study was …

Exploring Hope And Quality Of Life: A Proposal For A Group Art Therapy Hope Intervention For Individuals Diagnosed With Lupus, Paige Scheinberg

EVMS School of Health Professions Theses & Dissertations

As a result of the importance of hope and quality of life in disease management for individuals who have been diagnosed with lupus, there is support in the literature for the need for an effective intervention that targets these constructs with this population. The efficacy of art therapy in meeting the physical, mental, and emotional needs of diverse populations is also supported in existing research, making this an ideal form of treatment for lupus patients. In an effort to fill a gap in the literature on the relationship(s) between lupus, hope, and art therapy, this study was created. The original …

A Comparison Of Kinetic Family Drawings By Children With Autism Spectrum Disorder And Typically Developing Siblings, Rachel Daniels

EVMS School of Health Professions Theses & Dissertations

The purpose of this study was to identify the effects of Autism Spectrum Disorder (ASD) on the diagnosed child’s perception of their family. Specifically, the study compared the Kinetic Family Drawings (Burns & Kaufman, 1970) created by children diagnosed with Autism and those created by typically developing children.

Eight participants between the ages of 6 and 12 were recruited, and split into two groups. One group consisted of four children (three boys and one girl) with a mean age of 6.75 and an Autism Spectrum Disorder Diagnosis. The second group consisted of four typically developing children (three girls and one …

Emergency Medical Technicians’ Experience With Visual Journaling: A Qualitative Study, Pamela Gandolfi

EVMS School of Health Professions Theses & Dissertations

The purpose of this study was to understand the experience of EMTs who incorporate the process of visual journaling each week in response to their professional responsibilities. In particular, this study aimed to understand EMTs’ perceptions of the usefulness of visual journaling and to determine possible themes from visual and written journal content.

Six participants, five male and one female, who were certified EMT-Basic (EMT-B), EMT-Intermediate (EMT-I) and Paramedics (EMT-P) volunteered to be part of this study. In addition to being an EMT, they were all also certified firefighters. All participants were aged 18 to 70 years and had met …

Art Therapy And Quality Of Life In Older Adults: A Case Study, Ashton Sullivan

EVMS School of Health Professions Theses & Dissertations

This case report describes my exploration of quality of life by implementing art therapy techniques for life review with an elderly individual. The participant was a 72 year old Caucasian female who, at the time of this investigation, resided in a long term care facility. Together, the participant and I created an altered book incorporating phototherapy techniques in order to enhance the life review process. After seven sessions of art making, the participant answered questions in a semi-structured interview in which I asked about her experience in art therapy and about her quality of life. The results of the interview …

Examining Attachment Styles In Adult Adoptees Using The Bird’S Nest Drawing, Kim Clemens

EVMS School of Health Professions Theses & Dissertations

The purpose of this study is to examine adult attachment styles seen in the Bird’s Nest Drawings of adopted adults, compared to those seen in non-adopted adults. A sample of 17 participants (16 non-adopted adults and 1 adopted adult) in the age range of 21-57 completed a Bird’s Nest Drawing (BND), Bird’s Nest Drawing Story, Adult Attachment Scale Questionnaire, and a demographic questionnaire.

The BND was devised by Donna Kaiser to assess secure and insecure attachment as seen through graphic indicators in a projective drawing test. Kaiser’s February 2012 updated BND checklist is comprised of 14 hypothesized graphic indicator items, …

A Proposed Art Therapy Group For Survivors Of Suicide Based Upon The Results Of A Survivor Of Suicide’S Self-Study, Crystal Menicola

EVMS School of Health Professions Theses & Dissertations

A survivor of suicide’s self-exploration process was explored to investigate the efficacy and applicability of specific therapeutic art and writing tasks proposed in the original methodology for the study of an art therapy group with survivors of suicide. Based on personal reflections throughout the self-exploration process, the researcher improved the original study design by modifying the sequence of tasks and adding supplemental art and writing exercises to sessions in consideration of evocative material that had the potential to elicit a severe trauma response due to recalling traumatic memories. Two standardized measures, the PTSD Checklist-Civilian Version, and the Trauma Symptom Checklist-40, …

A Phenomenological Observation Of The Reductive Printmaking Experience: Implications For Art Therapy, Nicholas Alexander

EVMS School of Health Professions Theses & Dissertations

This qualitative study examined the phenomenological experience of four students in higher education relating to the involvement in a single reductive relief printmaking session. The indirect process of reductive relief printmaking is set apart from other methods due to the multiple steps and the use of various tools during the experience. It offers a reflective distance from the process, which allows the participant time to consider the meaning of an experience as it occurs. The production of multiple images during the process likewise lessens a participant’s resistance. The printed images are composed of layers; a metaphor for life’s process. Prior …

Illness Perceptions Of Hemodialysis Patients With Type 2 Diabetes Mellitus And Their Association With Empowerment, Jaime L. Pula

Seton Hall University Dissertations and Theses (ETDs)

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The Traditional Roles Of Caring For Elders: Views From First Nations Elders Regarding Health, Violence, And Elder Abuse, Eileen A. Owen-Williams

Theses and Dissertations (ETD)

This study sought to respectfully understand Northern British Columbia First Nations Elders' views regarding health of communities, intergenerational relationships, Elder roles, and violence towards Elders. Injuries, both intentional and unintentional, are a leading cause of death for First Nations Peoples. Information regarding Elder abuse in First Nations communities is lacking, though family violence has been identified as a problem within First Nations communities. The goal of this research was to understand the point of view and Elders' reality through the creation of a dialogue with Elders, and to discern the interface between Traditional First Nations' belief systems, healing methods, and …

The Delivery System Design Of A Community Mental Health Center And Provision Of Quality: Cardiometabolic Screening For Persons With A Severe Mental Illness Prescribed Atypical Antipsychotic Medication, Dawn Marie Vanderhoef

Theses and Dissertations (ETD)

Background: Persons with a severe mental illness (SMI) prematurely lose up to 25 years of life when compared to the general population. This patient population has increased morbidity and mortality due to higher than normal rates of obesity, hypertension, diabetes, and cardiovascular disease. Treatment of SMI often includes the use of atypical antipsychotic (AA) medication which has been associated with the development of cardiometabolic illnesses. In response to the higher rates of co-morbid, chronic physical illness, monitoring guidelines for cardiometabolic illness have been published. Despite these guidelines, screening rates for cardiometabolic illness in this population remain low. Neither community mental …

Acetaldehyde And Epithelial Junctions: Role Of Pp2a And Occludin Phosphorylation, Mitzi Dunagan

Theses and Dissertations (ETD)

Chronic alcohol consumption causes health problems including cancers, liver damage, and cirrhosis.These problems are exacerbated by endotoxins from the bacterial population of the colon, which can enter the bloodstream when gastrointestinal tight junctions, protein complexes that prevent paracellular passage of molecules, are compromised. The mechanisms of this barrier disruption are the subject of current study.

Acetaldehyde, produced as a result of ethanol breakdown by intestinal microflora as well as intestinal epithelia, is a known carcinogen. It compromises the barrier function of intestinal epithelial cells by causing irregularities in the phosphorylation of tight junction proteins. It also reacts with proteins, lipids, …

Military Service Members’ Attitudes Towards Mental Illness And Access To Mental Health Services: A Matter Of Stigma., Virginia Delbusto-Cohen

Nursing Doctoral

It has been clinically observed and the literature concurs that military service members often fail to access mental health services in spite of availability of care. The reasons for failure to access care appear to be that military service members are fearful of accessing mental health services for fear of being stigmatized. Failure to receive care for mental health problems can result in deleterious results, some of which may culminate in inability to function or even loss of life. Additionally, failure to access mental health care can result in massive monetary costs in terms of loss and replacement of personnel …

Medicating America: Exploring Prescription Drug Abuse In A Rural East Texas Community, Christi Courade

Undergraduate Research Conference

No abstract provided.

Causes Of The Vietnamese Brain Drain Syndrome, Phuong Nguyen '12

Honor Scholar Theses

In 2010, Vietnam had more than 2 million emigrants residing in countries such as: the United States, Australia, Canada, Germany, France, the Republic of Korea, Japan, and the United Kingdom (World Bank). This number of emigrants accounted for 2.5% of the whole domestic population. Also according to this date, the emigration rate of tertiary-educated population was 27.1% in 2000. Due to relatively high number of emigrants, Vietnam has experienced rapid growth in receipts of remittances recently. Hernandes-Cross (2005) reports that the amount of remittances sent to Vietnam from other countries reached USD $1.2 billion in 1999. By 2003, this number …

Evaluating Effectiveness Of A Public Mental Health Re-Entry Program: Strategic Statewide Partnerships, Stephanie Hartwell

Office of Community Partnerships Posters

This study is the first ever initiative to merge administrative data base in Massachusetts to evaluate an important public mental health program. It examines post-incarceration outcome of adults with serious mental illness (SMI) enrolled in the Massachusetts Department of Mental Health (DMH) Forensic Transition Team (FTT) program. The Program began in 1998 with the goal of transitioning offenders with SMI released from state and local correctional facilities utilizing a core set of transition activities. In this study we evaluate the program's effectiveness using merged administrative data from various state agencies for the years 2007 - 2011, comparing FTT clients to …

Increasing Physical Activity In Inner City Youth Using Novel Interactive Gaming, Sd De Ferranti, Sk Steltz, Scott Crouter, A Kim, Sk Osganian, Jessica Whiteley, H Feldman, Laura L. Hayman, Gokids Boston, University Of Massachusetts Boston

Office of Community Partnerships Posters

The aim of this project was to assess the feasibility of participation in an afterschool physical activity program incorporating novel exercise technologies on changing physical activity level and physical fitness, compared to a nutrition education intervention alone. A second objective was to assess whether this type of intervention could modify cardiovascular risk factors and anthropometrics.

Inclusive National And Community Service: Bringing Together Service And Disability Communities, Paula Sotnik, Jewel Bazilio-Bellegarde, George Jesien, Felicia L. Wilczenski, Gayann Brandenburg, Debra Hart, Sheila Fesko, Stephan Hamlin-Smith, Alice Krueger

Office of Community Partnerships Posters

National service and volunteer programs, seeking to reflect the diversity of their communities, are increasing the participation of individuals with disabilities as members, volunteers, and leaders and working to ensure each individual has a meaningful service experience. In order to support their inclusive efforts, the National Service Inclusion Project (NSIP) brings together the national service and disability communities at a local, state, and national level. Through partnership building, strategic planning, and resource sharing, there have been measureable increases in numbers of service participants with disabilities and the quality of their experience.

Pay-For-Performance In Five State Medicaid Programs: Lessons For The Nursing Home Sector, Edward M. Miller, Julia Doherty

Office of Community Partnerships Posters

This project looks at the pay-for-performance program in five state Medicaid programs and lists the lessons that the Nursing Home Sector can learn from. They are: The federal government has traditionally sought to ensure quality outcomes through nursing home (NH) surveys conducted by state officials; Some states have begun to experiment with pay-for-performance (P4P) incentives, which provider higher Medicaid reimbursement to those facilities achieving desired outcomes; By 2007, there were 9 state P4P programs covering 20% of NHs and 16.7% of residents; Little is known about the use of P4P to promote quality and efficiency in the NH sector.

Increasing Consumer Involvement In Medicaid Nursing Facility Reimbursement: Lessons From New York And Minnesota, Edward M. Miller, Cynthia Rudder

Office of Community Partnerships Posters

This project identified the facts about Nursing Facility Reimbursement by Medicaid in the states of New York and Minnesota. The results of this project are as follows: Medicaid is the main purchaser of nursing home (NH) care in the United States; States design their methods of reimbursing NHs to achieve desired policy objectives; Few consumers or resident advocates have been involved in the development or modification of state methods for reimbursing NHs; Lack of consumer involvement has resulted in payment systems that favor industry and government interests at the expense of issues important to residents and families.

“The Invisible Disability:” Perceptions And Potential Of Children With Autism In Kisumu, Kenya, Talia Cohen

Independent Study Project (ISP) Collection

Awareness and prevalence of autism around the world is on the rise; however, much remains unknown about this developmental disability. This study is a survey of perceptions of individuals with autism in Kisumu and the services available to facilitate their development. Two areas of interest arose during this study. First, many children do not receive intervention services until a very late age, seriously hindering the success of the intervention. Many special schools do not accept children until they are well into vital stages of development, and the Educational Assessment and Resource Center (EARC) lacks the personal and funding to provide …

Guidelines For Peer Support In High‐Risk Organizations: An International Consensus Study Using The Delphi Method, Mark C. Creamer, Tracy Varker, Jonathan Visson, Kathy Darte, Neil Greenberg, Winnie Lau, Gill Moreton, Meaghan O'Donnell, Don Richardson, Joe Ruzek, Patricia Watson, David Forbes

MacDonald Franklin OSI Research Centre

Despite widespread adoption of peer‐support programs in organizations around the world whose employees are at high risk of exposure to potentially traumatic incidents, little consensus exists regarding even the most basic concepts and procedures for these programs. In this article, consensus refers to a group decision‐making process that seeks not only agreement from most participants, but also resolution of minority objections. The aim of the current study was to develop evidence‐informed peer‐support guidelines for use in high‐risk organizations, designed to enhance consistency around goals and procedures and provide the foundation for a systematic approach to evaluation. From 17 countries, 92 …

Mental Disorders And Communication Of Intent To Die In Indigenous Suicide Cases, Queensland, Australia, Diego De Leo, Allison Milner, Jerneja Sveticic

Aboriginal Policy Research Consortium International (APRCi)

In comparing Indigenous to non-Indigenous suicide in Australia, this study focussed on the frequency of the association between some psychiatric conditions, such as depression and alcohol abuse, and some aspect of suicidality, in particular communication of suicide intent. Logistic regression was implemented to analyze cases of Indigenous (n = 471) versus non-Indigenous suicides (n = 6,655), using the Queensland Suicide Register as a data source. Compared to non-Indigenous suicides, Indigenous cases had lower odds of being diagnosed with unipolar depression, seeking treatment for psychiatric conditions or leaving a suicide note. Indigenous suicides had greater odds of verbally communicating suicide intent …

Malnutrition In Young Pakistani Children, Shela Akbar Ali Hirani

School of Nursing & Midwifery

Background: Pakistan is a developing country with the second highest infant and child mortality rate in South Asia. In this region, malnutrition underlies much of the high infant and under five child morbidity and mortality rates. Although struggle to tackle the issue of malnutrition among young Pakistani children has been going on since many decades, till yet a realistic solution for this growing problem has not been found.

Objective: This paper aims at reviewing literature to analyse the biological, maternal, socio-cultural, environmental, and politico-economical determinants of malnutrition among young children in Pakistan so that need based interventions can …

Kebijakan Pembaharuan Agraria Di Indonesia : Studi Pilihan Kebijakan Landreform Pada Pola Kepemilikan Lahan Komunal, Dwi Kristianto

Jurnal Ilmu Kesejahteraan Sosial

No abstract provided.

Motherhood Spirit Dalam Kedermawanan Sosial Perempuan : Sebuah Perspektif Pemberdayaan Perempuan Berbasis Komunitas Dalam Rangka Mewujudkan Pembangunan Berpusat Pada Manusia, Rissalwan Habdy Lubis

Jurnal Ilmu Kesejahteraan Sosial

No abstract provided.

The Ideal Whole Health Family Oriented Community Center, Jessica St. Germain

Honors Theses and Capstones

This paper discusses what would make up the ideal whole health family oriented community center. It looks at the history of community centers in a general manner, and it looks at three existing community centers in New Hampshire. This paper also addresses potential problems and difficulties a whole health family oriented community center might face.

Current Music Therapy Practice With Adolescents With Emotional And Behavioral Disorders In The United States: A Survey Of The Profession, Melinda K. Murray

Masters Theses

The purpose of this study was to survey Board Certified Music Therapists in the US to examine (a) the demographics of the music therapists working with this population in a non-school setting, (b) assessments used by the music therapists, (c) goals for clients, and (d) treatment methods used in the treatment of adolescents with emotional and/or behavioral disorders. The participants in this study were board certified music therapists working with emotional and/or behavioral impairments outside of the school setting. Of the total of 111 surveys sent to music therapists who possibly met the inclusion criteria, 27 were returned (N=27). The …

Occupational Nature Of Social Participation For Adolescent Males With Learning Disorders, Megan Murnane

Honors Theses and Capstones

OBJECTIVE. This study explored the effects of community team sports on social participation and life habit development for males ages 12-17 with a documented learning disorder. METHOD. A causal/comparative design compared two groups. A convenient sample of 24 participants completed Life Habits Questionnaire and Community Integration Questionnaire. Chi-square and T-test analysis were used. RESULTS. Results indicated social integration (t=4.56, p=.00) for boys who played a community sport was significantly higher than boys who did not play a community sport. The number and performance level of life habits was also significantly higher for boys who played a community team sport (t=3.23, …