Medicine and Health Sciences Commons^™

Social Workers' Perceptions Of Self-Determination In The Mentally Ill, Tristin Dawn Alfred

Theses Digitization Project

The purpose of this study was to add to existing literature regarding social worker's perceptions of and attitudes about self-determination in the mentally ill population. In addition, the study looked at how these biases affect the mentally ill population. A total of 51 social workers were asked to participate in this study.

The Impact Of Treatment On Parental Substance Misuse And Parenting Capacity, Dommonique Juanita Nichol Knox, Jennifer Leah Miller

Theses Digitization Project

This study assessed the parenting capacity of parents who have received various forms of substance abuse treatment and interventions throughout San Bernardino County. The study hoped to attain useful data on how these services have contributed to the parents' parenting capacity now that they are free from substance abuse and/or misuse.

The Effects Of Post Traumatic Stress Disorder On Family Relationships, Melissa Leigh Weissmiller

Theses Digitization Project

The purpose of this study is to explore the impacts that a loved one's Post Traumatic Stress Disorder has on family relationships. With the majority of resources focused on the afflicted, the impacts on the family member and the relationship have implications for further programs and resources that should be focused on the family.

Health Disparities Experienced By People With Disabilities In The United States: A Behavioral Risk Factor Surveillance System Study, Jennifer Renee Pharr, Timothy J. Bungum

School of Public Health Faculty Research

The Americans with Disabilities Act became law in 1990; since then research has shown that people with disabilities continue to experience barriers to health care. The purpose of this study was to compare utilization of preventive services, chronic disease rates, and engagement in health risk behaviors of participants with differing severities of disabilities to those without disabilities. This study was a secondary analysis of 2010 data collected in the Behavioral Risk Factor Surveillance System national survey in the United States. Rao Chi square test and logistic regression were employed. Participants with disabilities had significantly higher adjusted odds ratios for all …

Construct Validity Of Animal-Assisted Therapy And Activities: How Important Is The Animal In Aat?, Lori Marino

Animal-Assisted Therapy Collection

Animal-assisted therapy and animal-assisted activities involve a nonhuman animal as a key therapeutic agent in some kind of intervention that may range from highly specified, as in AAT, to more casual, as in AAA. In this review I address the question: How important is the animal in animal therapy? In other words, does the recent literature strongly support the notion that a live animal, as opposed to another novel stimulating component, is specifically necessary for therapeutic success. Two meta-analyses and 28 single empirical studies were reviewed in order to address this issue. I conclude that the effects of AAT and …

Alcohol Availability And Neighborhood Poverty And Their Relationship To Binge Drinking And Related Problems Among Drinkers In Committed Relationships, Christy M. Mckinney, Karen G. Chartier, Raul Caetano, T. Robert Harris

Social Work Publications

The authors examined the relationship of alcohol outlet density (AOD) and neighborhood poverty with binge drinking and alcohol-related problems among drinkers in married and cohabitating relationships and assessed whether these associations differed across sex. A U.S. national population couples survey was linked to U.S. Census data on AOD and neighborhood poverty. The 1,784 current drinkers in the survey reported on their binge drinking, alcohol-related problems, and other covariates. AOD was defined as the number of alcohol outlets per 10,000 persons and was obtained at the zip code level. Neighborhood poverty was as having a low (<20%) or high (≥20%) proportion of residents living in poverty at the census tract level. We used logistic regression for survey data to estimate odds ratios and 95% confidence intervals and tested for differences of associations by sex. Associations of neighborhood poverty with binge drinking were stronger for male than for female drinkers. The association of neighborhood poverty with alcohol-related problems was also stronger for men than for women. We observed no relationships between AOD and binge drinking or alcohol-related problems in this couples survey. Efforts to reduce binge drinking or alcohol-related problems among partners in committed relationships may have the greatest impact if targeted to male drinkers living in high-poverty neighborhoods. Binge drinking and alcohol-related problems, as well as residence in an impoverished neighborhood are risk factors for intimate partner violence (IPV) and other relationship conflicts.

Concurrent And Predictive Relationships Between Compulsive Internet Use And Substance Use: Findings From Vocational High School Students In China And The Usa, C. Anderson Johnson, Ping Sun, Paula Palmer, Thalida E. Arpawong, Jennifer B. Unger, Bin Xie, Louise Ann Rohrbach, Donna Spruijt-Metz, Steve Sussman

CGU Faculty Publications and Research

Purpose: Compulsive Internet Use (CIU) has increasingly become an area of research among process addictions. Largely based on data from cross-sectional studies, a positive association between CIU and substance use has previously been reported. This study presents gender and country-specific longitudinal findings on the relationships between CIU and substance use. Methods: Data were drawn from youth attending non-conventional high schools, recruited into two similarly implemented trials conducted in China and the USA. The Chinese sample included 1,761 students (49% male); the US sample included 1,182 students (57% male) with over half (65%) of the US youth being of Hispanic ethnicity. …

2012 Annual Report, Center For Applied Research On Substance Use And Health Disparities

Center for Applied Research on Substance Use and Health Disparities Annual Reports

No abstract provided.

Significant Race Differences In Factors Related To The Detention Recidivism Of Youthful Offenders, Christopher A. Mallett, Miyuki Fukushima, Patricia A. Stoddard Dare, Linda M. Quinn

Social Work Faculty Publications

A significant number of youthful offenders in the United States are held in juvenile court detention centers. Of broad concern is the disproportionate impact these placements have on minority youth, with African American and Hispanic youth much more frequently detained in these facilities compared to Caucasian youth. This U.S. study of a 2-county youthful offender population in the Midwest (1 urban, 1 rural) investigated racial differences in both extralegal (demographic, educational, mental health, and history of abuse or neglect) and court-related legal variables that predict detention placement upon recidivism—in other words, a second detention placement. Findings from logistic regression analysis …

Goebl-Parker Administers Cure With Art Therapy, Aldemaro Romero Jr.

Publications and Research

No abstract provided.

Effectiveness Of The Coping Power Program In A Mexican-American Sample: Distinctive Cultural Considerations, Susan L. O'Donnell, Diomaris E. Jurecska, Robert Dyer

Aboriginal Policy Research Consortium International (APRCi)

This study responds to the challenges associated with delivering culturally sensitive and evidence-based treatment (EBT) to at-risk children. Current research supports group interventions based on the Coping Power Program (CPP) curriculum as EBT for improving the frequency of positive behaviors in children and adolescents. However, the effectiveness of the CPP in a Mexican-American sample has not been explored to date. This study investigated the effectiveness of the CPP delivered as a preventative intervention to Mexican-American adoles- cents in a rural school setting. A major emphasis is put on cultural sensitivity when working with this population. Cultural sensitivity is expressed by …

Sleep And Academic Performance In Indigenous Australian Children From A Remote Community: An Exploratory Studyjpc_2059 122, Patrick Cooper, Mark Kohler, Sarah Blunden

Aboriginal Policy Research Consortium International (APRCi)

Aim: Disruptions to sleep in childhood are associated with poor behaviour and deficits in academic performance and executive function. Although academic performance of indigenous children from remote communities in Australia is documented as well below that of non- indigenous children, the extent of sleep disruption and its contribution to academic performance among this population has not been assessed. This pilot study aimed to objectively assess the sleep of remote indigenous children and the association between sleep disruption and both academic performance and executive function.

Method: Twenty-one children from a remote Australian indigenous community aged 6–13 years wore actigraphy for two …

Children And Adolescent Exposure To Alcohol Advertising During Bathurst 1000, Sondra L. Davoren, Craig A. Sinclair

Aboriginal Policy Research Consortium International (APRCi)

No abstract provided.

Addressing Alcohol Use In Community Sports Clubs: Attitudes Of Club Representatives, Luke Wolfenden, Melanie Kingsland, Bosco Rowland, Vanessa Kennedy, John Wiggers

Aboriginal Policy Research Consortium International (APRCi)

No abstract provided.

Social And Emotional Outcomes Of Australian Children From Indigenous And Culturally And Linguistically Diverse Backgrounds, Naomi Priest, Jennifer Baxter, Linda Hayes

Aboriginal Policy Research Consortium International (APRCi)

Objectives: 1) profile the living environments and 2) examine the social and emotional outcomes of Australian children from Indigenous and cultural and linguistically diverse (CALD) backgrounds at school entry. Method: Secondary analysis of cross- sectional data collected in Wave 1 of the Longitudinal Study of Australian Children (n=4,735). Child mental-health outcomes were measured using parent report of the Strengths and Difficulties Questionnaire (SDQ). Results: Significant differences in family and neighbourhood characteristics, including parental income, maternal education, maternal parenting quality and neighbourhood safety, were found in children of Indigenous and CALD backgrounds compared to the reference group of Australian-born, English-speaking children. …

Risk And Protective Factors Associated With Gambling Consequences For Indigenous Australians In North Queensland, Helen M. Breen

Aboriginal Policy Research Consortium International (APRCi)

The purpose of this paper was to examine risk and protective factors associated with the consequences of card gambling and commercial gambling for Indigenous Australians in north Queensland. With Indigenous Elders’ approval and using qualitative methodology, semi-structured interviews were conducted with 60 Indigenous and 48 non- Indigenous Australians in three north Queensland sites. Risk factors associated with both card and commercial gambling consequences were found to be poverty and a reluctance to seek gambling help, while for card gambling only, generational influences was a risk factor. In contrast, protective factors for both card and commercial gambling consequences were reported as …

Preliminary Development And Content Validity Of A Measure Of Australian Aboriginal Cultural Engagement, Stacey L. Berry, Trevor P. Crowe, Frank P. Deane

Aboriginal Policy Research Consortium International (APRCi)

Objectives. Aboriginal people form one of the populations most in need of mental health and substance abuse services within Australia, although many services are not adequately sensitive to, or inclusive of, relevant aspects of Aboriginal culture in their programmes. The Aboriginal Cultural Engagement Survey (ACES) was developed with the objective of assessing the level of cultural engagement of Aboriginal clients. A measure of cultural engagement is an important step in establishing an association between culture and health benefits, so that future interventions may be designed which better meet the cultural needs of Aboriginal Australians within health services.

Design. The process …

National Trends In Aboriginal And Torres Strait Islander Smoking And Quitting, 1994-2008, David Thomas

Aboriginal Policy Research Consortium International (APRCi)

Objective: To describe the trends in the prevalence of smoking, quitting and initiation among Aboriginal and Torres Strait Islander men and women aged 18 years and over. Methods: Analysis of responses to smoking questions in national Indigenous surveys in 1994, 2002, 2004 and 2008. Results: Male Indigenous smoking prevalence fell significantly from 58.5% in 1994 to 52.6% in 2008, an absolute decrease of 0.4 (CI 0.1-0.7)% per year, with the same decline in remote and non- remote areas. Female smoking fell from 51.0% to 47.4%, with markedly different changes in remote and non-remote areas. In non-remote areas, there was an …

Measuring Cultural Appropriateness Of Mental Health Services For Australian Aboriginal Peoples In Rural And Remote Western Australia: A Client/Clinician's Journey, Kerrie Doyle

Aboriginal Policy Research Consortium International (APRCi)

Aboriginal and Torres Strait Islander people in Australia suffer from poorer mental health than non-Aboriginal people, especially in remote and rural settings. Even with the ongoing adoption of the World Health Organisation’s ‘Closing the Gap’ recommendations, the determinants of mental health, including suicide rates, hospitalisation rates and access to healthcare are not noticeably improving. One of the issues for this gap is the poor cultural proficiently of mental health services, creating a cultural security threat to the workers and service users. In my work as a senior Aboriginal Mental Health worker, I have observed incidents of ongoing cultural incompetence across …

‘It Had To Be My Choice’ Indigenous Smoking Cessation And Negotiations Of Risk, Resistance And Resilience, Chelsea Bond, Mark Brough, Geoffrey Spurling, Noel Hayman

Aboriginal Policy Research Consortium International (APRCi)

While Australia is considered a world leader in tobacco control, smoking rates within the Aboriginal and Torres Strait Islander population have not declined at the same rate. This failure highlights an obvious shortcoming of mainstream anti- smoking efforts to effectively understand and engage with the socio-cultural context of Indigenous smoking and smoking cessation experiences. The purpose of this article is to explore the narrative accounts of 20 Indigenous ex-smokers within an urban community and determine the motivators and enablers for successful smoking cessation. Our findings indicated that health risk narratives and the associated social stigma produced through anti-smoking campaigns formed …

Indigenous Family Violence: An Attempt To Understand The Problems And Inform Appropriate And Effective Responses To Criminal Justice System Intervention, Andrew Day, Robin Jones, Martin Nakata, Dennis Mcdermott

Aboriginal Policy Research Consortium International (APRCi)

Whilst high levels of concern about the prevalence of family violence within Indigenous communities have long been expressed, progress in the development of evidence-based intervention programs for known perpetrators has been slow. This review of the literature aims to provide a resource for practitioners who work in this area, and a framework from within which culturally specific violence prevention programs can be developed and delivered. It is suggested that effective responses to Indigenous family violence need to be informed by culturally informed models of violence, and that significant work is needed to develop interventions that successfully manage the risk of …

How And When Health-Care Practitioners In Aboriginal Community Controlled Health Services Deliver Alcohol Screening And Brief Intervention, And Why They Don’T: A Qualitative Study, Anton Clifford, Anthony Shakeshaft, Catherine Deans

Aboriginal Policy Research Consortium International (APRCi)

Introduction. Indigenous Australians experience a disproportionately high burden of alcohol-related harm.Alcohol screening and brief intervention (SBI) offers the potential to reduce this harm if barriers to its delivery in Aboriginal Community Controlled Health Services (ACCHSs) can be optimally targeted. Aims. Examine health-care practitioners’ perceptions of, and practices in, alcohol SBI in ACCHSs. Methods. Semi-structured group interviews with 37 purposively selected health staff across five ACCHSs. Results. Alcohol screening independent of standard health assessments was generally selective.The provision of brief intervention was dependent upon factors related to the patient. Four key factors underlying health-care practitioners’ perceptions of alcohol SBI were prominent: …

Factors Associated With Continued Solvent Use In Indigenous Petrol Sniffers Following Treatmentdar_279 40, Kylie M. Dingwall, Paul Maruff, Alan R. Clough, Sheree Cairney

Aboriginal Policy Research Consortium International (APRCi)

Introduction and Aims. While petrol sniffing afflicts several isolated Indigenous groups internationally, few studies have examined the factors contributing to continued sniffing following treatment.This study aims to describe those factors in a group of Aboriginal Australian users. Design and Methods. During residential treatment, 56 petrol sniffers completed baseline demographic and substance use questionnaires and cognitive and psychological assessments. Eighty per cent were reassessed and interviewed an average of 9 months (SD = 4) later. Cognitive, psychological, substance use and sociocultural factors were compared between those who relapsed at follow up and those who maintained abstinence. Results. More males (n = …

Evaluation Of A Culturally Adapted Training In Indigenous Mental Health And Wellbeing For The Alcohol And Other Drug Workforce, Racheal Hinton, Tricia Nagel

Aboriginal Policy Research Consortium International (APRCi)

Indigenous Australians have high rates of mental illness comorbid with substance misuse. The complex needs of this client group create challenges for the alcohol and other drug (AOD) workforce. This paper describes the outcomes of an Indigenous-specific “Yarning about Mental Health” training for the AOD workforce to strengthen knowledge and skills in mental health approaches and in their engagement with Indigenous clients. The training provides culturally adapted strategies and tools for understanding mental health, promoting wellbeing, and delivering brief interventions in the substance misuse setting. A nonexperimental evaluation which incorporated pre-post questionnaires was conducted with workshop participants attending one of …

The Effects Of Adolescent Heavy Drinking On The Timing And Stability Of Cohabitation And Marriage, Lela Rankin Williams, Laura Wray-Lake, Eric Loken, Jennifer L. Maggs

CGU Faculty Publications and Research

Based on prospective British Cohort Study data, adolescent alcohol use predicted the timing and stability of committed partnerships between 16 and 34 years (n = 3278; 59% female). Propensity score methods balanced age 16 heavy drinkers (32.4%) and nonheavy drinkers on a range of relevant risk factors assessed in infancy and childhood. Adolescent heavy drinking predicted having ever cohabited, earlier transitions into cohabiting and marital relationships, more breakups, and an increased likelihood of divorce. Gender and social class moderated these relationships; heavy-drinking working-class males were especially likely to cohabit and to experience early entry into cohabitation and marriage. Implications …

Stigma Of Mental Illness-2: Non-Compliance And Intervention, Amresh Srivastava

Data and Test Instruments

Stigma of Mental Illness-2: Non-compliance and Intervention Amresh Shrivastava*, Megan Johnston**, Yves Bureau*** ABSTRACT The consequences of stigma are preventable. We argue that individual attention should be provided to patients when dealing with stigma. Also, in order to deal with the impact of stigma on an individual basis, it needs to be assessed during routine clinical examinations, quantified and followed up to observe whether or not treatment can reduce its impact. A patient-centric anti-stigma programme that delivers the above is urgently needed. To this end, this review explores the experiences, treatment barriers and consequences due to stigma. We also offer …

Culture Ontogeny: Lifespan Development Of Religion And The Ethics Of Spiritual Counselling, Glen Milstein, Amy Manierre

Publications and Research

The counsellor has an ethical obligation to treat the whole person. Humans are cultural beings and the foundation of most cultures is religion. Religion and culture are received from our early relation~ ships and modified through later relationships across the lifespan. The paper introduces the term "culture ontogeny" to emphasize that this is a biological process wherein abstract ideas of culture and religion become material in the developing neurophysiology of each brain. A framework and methods are offered to examine the changing roles of religion in clients' emotional self~ structure, inclusive of those who describe themselves as spiritual, not religious. …

The Relationship Of Rehabilitation Counselors' Knowledge Of The Americans With Disabilities Act 1990, Attitudes Toward Reasonable Accommodation, And Job Development Efficacy, Joy Elizabeth Inniss-Johnson

Wayne State University Dissertations

The purpose of this research was to evaluate the relationship between the rehabilitation counselors' level of knowledge, attitudes towards reasonable accommodations and job development efficacy. The more knowledgeable rehabilitation counselors are about ADA, reasonable accommodations, and their attitude toward job development, the less likely their attitudes will be expected to fluctuate. In addition, there has been very little research in terms of evaluating rehabilitation counselor's level of job placement efficacy. A survey-based design was utilized to create both a quantitative description of knowledge of the ADA, beliefs about reasonable accommodations and job placement efficacy and qualitative information concerning the barriers …

Tobacco—The Lesser Evil, Samantha Graham

Undergraduate Review

My mother has always referred to smoking cigarettes as “the lesser of the evils.” Hearing that statement from someone who has been in and out of drug and alcohol rehabilitation programs her whole life, I suppose you could sympathize with it. In fact, most rehabilitation centers dedicate certain times of the day just to allow their patients to smoke. Although my mother considers smoking not to be an “evil” worth sweating over, it will most likely ultimately result in her demise.

Smoking Susceptibility And Its Predictors Among Adolescents In China: Evidence From Ningbo City, Cheng Huang, Jeffrey Koplan, Jing Liu, Changwei Li, Jessica Silvaggio, Amanda K. Macgurn, Tao Zhang, Michael P. Erikson, Pam Redmon

Global Health Faculty Publications

Susceptibility to smoking is a risk factor of actual adolescent smoking behaviors. This study aimed to estimate the rate of smoking susceptibility and its predictors in China with a sample of 4,695 junior high school students in Ningbo, China. Core questions from the Global Youth Tobacco Survey (GYTS) were adapted to the China context and administered to these students. The rate of smoking susceptibility, measured by “Do you foresee yourself taking up smoking in the next 12 months”, is 6.1%. Results from logistic regression suggested that among boys, adolescents’ health knowledge that smoking can cause lung cancer (OR=2.73), the belief …