Medicine and Health Sciences Commons^™

The Role Of Nurse Practitioners In Meeting The Need For Child And Adolescent Services: A Statewide Survey, Lara Kaye, Lynn Alice Warner, Cathleen A. Lewandowski, Rose Greene, Janet Acker, Nancy Chiarella

Social Work Faculty Publications

The high prevalence of child and adolescent mental health disorders coupled with shortages in ageappropriate mental health services pose a significant problem likely to be exacerbated over time. A survey was designed to identify the current status of and need for child and adolescent psychiatrists (CAPs) and mental health services, as well as strategies and recommendations to address identified needs in the state of New York. Key informants from each county and New York City were surveyed by telephone (N = 58). Most respondents identified a shortage of child and adolescent psychiatry services and reported that when CAPs are unavailable, …

Developing Graduate Curriculum Faithful To Professional Training And A Christian Worldview, Claudia Grauf-Grounds, Scott Edwards, Don Macdonald, Karen Mui-Teng Quek, Tina Schermer Sellers

SPU Works

Trends in Christian higher education indicate a growing interest in professional training programs that take Christian faith commitments and values seriously. This article explores one professional graduate program with secondary accreditation that attempts to be faithful to a Christian worldview while at the same time honoring the developments within its particular discipline. In a desire to practice what we preach, several key components of an intentionally developed curriculum will be described including isomorphic accountability, self-in-relation exploration and mentoring. Some philosophical and theological foundations and pedagogical examples are offered. Finally, implications for graduate program development emphasize the need to attend to …

No Effect Of Prenatal Alcohol Exposure On Activity In Three Inbred Strains Of Mice, Chris Downing, Christina Balderrama-Durbin, Jonathan Hayes, Thomas E. Johnson, David Gilliam

SPS Faculty Publications

Aims: Prenatal exposure to alcohol can have adverse effects on the developing fetus. Two of the hallmarks of children exposed to alcohol prenatally are attention deficits and hyperactivity. While hyperactivity has been observed in rats following prenatal ethanol exposure, few studies have examined these effects in mice. The present study investigated the effects of prenatal ethanol exposure on activity in mice from three inbred strains: C57BL/6 (B6), Inbred Long Sleep (ILS) and Inbred Short Sleep (ISS).

Methods: On days 7 through 18 of gestation, mice were intragastrically intubated twice daily with either 3.0 g/kg Ethanol (E) or an isocaloric amount …

Male Genital Self-Mutilation With Maggot Infestation In An Intoxicated Individual, Thomas M. Dunn, Vincent Collins, Robert M. House, Philippe Weintraub

SPS Faculty Publications

We present the case of a 55-year-old homeless male who presented with penis and scrotal maggot infestation secondary to genital self-mutilation. The patient gave a history consistent with gender identity disorder and indicated that he was intoxicated during the event. The patient had no history of psychosis. He sought medical attention only after he was no longer welcome on public transportation due to the odor emanating from this infection. Untreated gender identity disorder with alcohol dependence in this case led to a drastic behavior with significant consequences.

Calming The Mind, Healing The Body: Can Alternative Therapies Help College Students Improve Their Health?, Carolyn White Gamtso

The University Dialogue

No abstract provided.

Issues In-Depth: Advancing Understanding Of Drug Addiction And Treatment, Roxanne Greitz Miller

Education Faculty Articles and Research

While most school districts utilize a drug abuse resistance curriculum, as science teachers, it is our responsibility to understand the science behind drug addiction in order to most effectively educate our students against drug abuse. In the last two decades, increases in scientific technology have permitted significant discoveries surrounding the neurobiology, genetic components, and treatment of drug addition. This article addresses the latest scientific knowledge about drug addition and treatment with information that can be used in the middle school setting, focusing on cocaine addiction to illustrate the points discussed. (Contains 2 online resources.)

Rural Children Don't Receive The Mental Health Care They Need, David Lambert Phd, Erika C. Ziller Phd, Jennifer D. Lenardson Mhs

Mental Health / Substance Use Disorders

Key Findings: Just over one-third of all children with a mental health problem received a mental health visit in the past year; Controlling for other characteristics that affect access to care, rural children are 20% less likely to have a mental health visit than urban children; Having Medicaid or SCHIP increases the likelihood that a child will receive services, and this is pronounced in rural areas.

Think Like A Mountain : The Need For Nature For Increased Mental Health, Erin M. Mclaughlin

Graduate Research Papers

Nature has been an integral part of the human life for thousands of years. Only in the most recent hundred years, societies have begun to view nature as a foreign concept outside of the normal realm of daily life. Along with this disconnect from nature, mental illness has increased in our societal populations. This paper identifies the correlation of the need for nature, the lack of connection to nature, and the significant increase in depression, ADHD, anxiety, and autism diagnoses, among others. It also identifies therapeutic techniques that incorporate and connect with nature, as well as provides a comprehensive reference …

Hispanics' Experience With Hospice Care, Maria Rosario Diaz

Theses Digitization Project

The purpose of this project was to learn about Hispanic's experience with hospice care and gain insight into their unique needs. The findings will offer Hospice programs with information on how to provide the most appropriate care to the Hispanic population. This study found that the quality of patient care transcended cultural and spiritual boundaries.

Perceptions About The Effectiveness Of Play Therapy Among Parents, Maria Nina Joy Malasig Flores

Theses Digitization Project

This thesis will explore the perceptions about the effectiveness of play therapy among parents. This study will work with Bilingual Family Counseling Services, (BFCS) in Ontario, with their school based program. Their school based program runs throughout the Montclair and Ontario school districts and helps counsel children with behavioral problems who are from 5-12 years of age with play therapy. The issue that will be addressed in this study is to find out through the perception of the parent whether or not play therapy has been effective with their child. This study will survey parents about their child's progress throughout …

Substance Abuse Among The Aging Population: A Needs Assessment, Stephen Michael Clark

Theses Digitization Project

This needs assessment was composed of 33 clinicians' in Riverside and San Bernardino counties that work in the substance abuse field. This study was developed to test if there is a need to increase clinicians' knowledge level base when working with older adults age 65 plus with a substance abuse problem. This needs assessment looked at demographics and tested the differences between self reported knowledge and what instruments their agencies are currently using.

Identification Of Effective Outreach Methods For Mental Health Services To The Hispanic Population, Nidia Yamileth Canello

Theses Digitization Project

The purpose of this study was to find effective outreach methods to the Hispanic population to empower them to seek mental health services when they need them. Hispanics seek mental health services at a lower rate than mainstream America. This community is the most rapidly growing in San Bernardino County, and lack of early intervention when necessary may have costly consequences to Hispanics and society as a whole.

Seriously Mentally Ill Clients' Perspectives On Substance Use And Treatment, Ann Laverne Jankowski

Theses Digitization Project

The purpose of this study was to interview individuals with co-occurring disorders, who attend Dual Diagnosis Anonymous groups, to obtain their perspectives on the consequences and effects of substance use on their mental illness and their lives; their participation in and evaluation of treatment, and their willingness to stop, reduce, or continue to abstain from substance use.

Parental Substance Abuse Services That Promote Family Reunification Under Adoption And Safe Families Act Timelines, Omeera Qadir

Theses Digitization Project

Parents involved in the child welfare system often receive substance abuse services. However, the Adoptions and Safe Families Act (ASFA) time frames for permanency may not be addressing all of the long-term needs of families who are involved within the system. The purpose of this research study was to assess the effectiveness of substance abuse services in promoting family reunification under the ASFA timelines for parents whose children are dependents of the Juvenile Court. The primary information being analyzed was the case files of 50 families who were involved in Riverside County Department of Public Social Services (DPSS), Children's Services …

Barriers That Affect The Under Utilization Of Mental Health Services Among Foster Children, Haneen Sabah Alghita, Denise Nunez

Theses Digitization Project

There are many barriers that interfere with the utilization of mental health services which include instability of the foster child, county/budget restrictions, racial/ethnic inequality, delivery of service, lack of knowledge and understanding of mental health needs, inadequate training on mental health needs for children among foster parents, social worker caseload and lack of communication between Foster Care Social Worker (FCSW) and County Social Worker (CSW). The purpose of this research is to examine the various barriers that affect the under-utilization of mental health services among foster children. Participants included foster parents recruited from Riverside and San Bernardino County who are …

The Relationship Between Full Service Partnership Intervention And Rehospitalization Rates Of The Severe And Persistent Mentally Ill, Joseph Ralph Tena

Theses Digitization Project

The purpose of this study was to assess Inland Empire Mental Health's (IEMH) Full Service Partnership program in Southern California in order to understand the relationship between Full Service Partnership (FSP) intervention and psychiatric rehospitalizations among the Severe and Persistent Mentally Ill. This research project explored what treatment interventions prove effective in reducing psychiatric inpatient rehospitalizations among the severe and persistent mentally disordered population.

The Effects Of Negative Childhood Experiences On The Severity Of Mental And Substance Abuse Disorders And Recidivism, Christie Lynn Gabriel

Theses Digitization Project

Overcrowded prisons are a growing problem in the United States. Currently, California prisons are over capacity 85%. Substance abuse increases the likelihood of criminality, for half of state prisoners admitted to being under the influence of drugs or alcohol at the time of their offense(s). A large portion of these individuals, once incarcerated, is also diagnosed with a mental illness. By researching dually diagnosed inmates who were participating in a 90-day in-custody treatment program, this study focuses on how negative family and school experiences become major contributors to adult mental and substance abuse disorders and criminality.

Reflective Materials And The Use Of Glitter In Art Therapy, Amber Dee Mazza

Art Therapy | Master's Theses in Print

This paper hypothesizes that glitter is an important media in art therapy. This research asked the question, what is the significance and clinical application of glitter in art therapy? Glitter is a commonly used art material and research on the subject matter is absent. The method used was survey research with quantitative and qualitative questions. Seven hundred and fifty eight members of the American Art Therapy Association completed the survey. Glitter has significant meaning in reference to Cathy Moon’s theory of materiality, and can be used to bring light to client art work.

Perceptions Of Breast Cancer Patients On Communicating Sexuality-Related Issues, Farrah Joy Oblepias

Theses Digitization Project

The research project focused on the perceptions of breast cancer patients on addressing sexuality-related issues to their health care provider. A female breast cancer survivor is likely to have low sexual functioning when experiencing change in hormonal status, problems in partner relationships, and vaginal dryness. Moreover, women who undergo a mastectomy due to breast cancer had difficulties in their self-image and their sexual relationship with men.

The Effects Of Immediate Follow-Up On Psychiartric Rehospitalization Rates, Jennifer Erin Mccreight

Theses Digitization Project

The purpose of this study was to examine the effects of an immediate post hospitalization follow-up intervention on the rehospitalization rates of consumers of public mental health services with a classical experimental design. The intervention involves reinforcing the discharge plan, providing psychoeducation, encouraging medication adherence, and triaging each discharged client for additional needs.

Association Of Antipsychotic Use With Hospital Events And Mortality Among Medicare Beneficiaries Residing In Long-Term Care Facilities, Linda Simoni-Wastila, Priscilla T. Ryder, Jingjing Qian, Ilene H. Zuckermann, Thomas Shaffer, Lirong Zhao

Scholarship and Professional Work – COPHS

Objective—Antipsychotic (AP) utilization has grown significantly in long-term care (LTC) settings. Although a growing literature associates AP use with higher mortality in elderly with dementia, the association of APs with hospital events is unclear. The authors examine prevalence and trends in AP use by Medicare beneficiaries residing in LTC and the association of APs and other drug use variables with hospital events and mortality.

Design—Retrospective analysis using sequential multivariate Cox proportional hazards models.

Setting—Medicare Current Beneficiary Survey linked to Institutional Drug Administration and Minimum Data Set files.

Participants—A total of 2,363 LTC Medicare beneficiaries, 1999–2002. Measurements—Trends in LTC AP use …

Predicting Juvenile Delinquency: The Nexus Of Childhood Maltreatment, Depression And Bipolar Disorder, Christopher A. Mallett, Patricia A. Stoddard Dare, Mamadou M. Seck

Social Work Faculty Publications

Background It is important to identify and provide preventative interventions for youth who are most at risk for offending behaviour, but the connection between early childhood or adolescent experiences and later delinquency adjudication is complicated. Aim To test for associations between specified mental disorders or maltreatment and later delinquency adjudication. Method Participants were a random sample of youth before the juvenile courts in two Northeast Ohio counties in the USA (n = 555) over a 4-year time frame (2003 to 2006). Results Logistic regression analysis identified a lifetime diagnosis of depression and/or bipolar disorder to be predictive of later youth …

Mental Health And Substance Abuse In Maine: Building A Community-Based System, David Lambert Phd, John A. Gale Ms

Mental Health / Substance Use Disorders

No abstract provided.

Affective Decision-Making Predictive Of Chinese Adolescent Drinking Behaviors, Lin Xiao, Antoine Bechara, Jerry L. Grenard, Alan W. Stacy, Paula Palmer, Yonglan Wei, Yong Jia, Xiaolu Fu, C. Anderson Johnson

CGU Faculty Publications and Research

The goal of the current investigation was to address whether affective decision making would serve as a unique neuropsychological marker to predict drinking behaviors among adolescents. We conducted a longitudinal study of 181 Chinese adolescents in Chengdu city, China. In their 10th grade (ages 15–16), these adolescents were tested for their affective decision-making ability using the Iowa Gambling Task (IGT) and working memory capacity using the Self-Ordered Pointing Test. Self-report questionnaires were used to assess academic performance and drinking behaviors. At 1-year follow-up, questionnaires were completed to assess drinking behaviors, and the UPPS Impulsive Behavior Scale was used to examine …

Student Stress And Academic Performance: Home Hospital Program, Carolyn B. Yucha, Susan Kowalski, Chad L. Cross

Nursing Faculty Research

The purpose of this study was to evaluate whether nursing students assigned to a home hospital experience less stress and improved academic performance. Students were assigned to a home hospital clinical placement (n = 78) or a control clinical placement (n = 79). Stress was measured using the Student Nurse Stress Index (SNSI) and Spielberger’s State Anxiety Inventory. Academic performance included score on the RN CAT, a standardized mock NCLEX-RN®-type test; nursing grade point average; and first attempt pass-fail on the NCLEX-RN. There were no statistically significant differences between the two groups for age, gender, marital status, ethnicity, or score …

Does A Gatekeeper Suicide Prevention Program Work In A School Setting? Evaluating Training Outcome And Moderators Of Effectiveness, Tanya L. Tompkins, Jody Witt, Nadia Abraibesh

Faculty Publications

The current study sought to evaluate the suicide prevention gatekeeper training program QPR (Question, Persuade, and Refer) among school personnel using a non-equivalent control group design. Substantial gains were demonstrated from pre- to post-test for attitudes, knowledge, and beliefs regarding suicide and suicide prevention. Exploratory analyses revealed the possible moderating effects of age, professional role, prior training, and recent contact with suicidal youth on QPR participants’ general knowledge, questioning, attitudes toward suicide and suicide prevention, QPR quiz scores, and self-efficacy. The need for replication using a more rigorous experimental design in the context of strong community collaboration is discussed.

The Short-Term Effectiveness Of A Suicide Prevention Gatekeeper Training Program In A College Setting With Residence Life Advisers, Tanya L. Tompkins, Jody Witt

Faculty Publications

Although the college years prove to be a vulnerable time for students and a critical period for suicide prevention, few school-based prevention strategies have been empirically evaluated. The current study examined the short-term effects of QPR (Question, Persuade, and Refer), a gatekeeper training program that teaches how to recognize warning signs, question suicidal intent, listen to problems, and refer for help. The 122 residence advisers (RAs) who were trained in QPR demonstrated significant post-training gains across a variety of domains relevant to suicide and suicide prevention, with the 60 completing the follow-up assessment showing sustained knowledge and appraisals into the …

Overweight Children And Adolescents: Impact On Psychological And Social Development, Kimberly K. Mcclanahan, Marlene B. Huff, Hatim A. Omar

Pediatrics Faculty Publications

The global epidemic of childhood and adolescent overweight has become a major public health concern. Not only are these youth more likely to become obese as adults, and thus more prone to obesity-related diseases than their non overweight peers, they are also likely to suffer emotional and social effects associated with overweight. Overweight in youth has been linked to depression, low self-esteem, eating disorders, negative body image, and stigma. It appears to be bi-directional in nature, with overweight sometimes predicting certain psychological effects and psychosocial issues sometimes predicting overweight. Effective assessment and treatment of psychological and mental health issues in …

The Role Of Glutamate And Its Receptors In Mesocorticolimbic Dopaminergic Regions In Opioid Addiction, Yuan Guo, Hui-Ling Wang, Xiao-Hui Xiang, Yan Zhao

United States Public Health Resources

Accumulating evidence suggests that glutamate, as one of the most important excitatory neurotransmitters in the brain, plays a key role in drug addiction including opioid addiction. There is substantial evidence for glutamatergic projections into mesocorticolimbic dopaminergic neurons, which are associated with opioid psychological dependence and are also the key regions of enhancement effect. Glutamate may be involved in the process of opioid addiction not only by acting on its ionotropic and metabotropic glutamate receptors that activate several signal transduction pathways, but also by interacting with other neurotransmitters or neuropeptides such as opioids, dopamine, y-aminobutyric acid and substance P in the …

Evaluation Of Two Web-Based Alcohol Interventions For Mandated College Students, Diana M. Doumas, Lisa L. Mckinley, Phares Book

Counselor Education Faculty Publications and Presentations

This study evaluated the efficacy of two web-based interventions aimed at reducing heavy drinking in mandated college students. Mandated students were randomly assigned to one of two conditions: web-based personalized normative feedback (WPNF) or web-based education (WE). As predicted, results indicated mandated students in the WPNF condition reported significantly greater reductions in weekly drinking quantity, peak alcohol consumption, and frequency of drinking to intoxication than students in the WE condition at a 30-day follow-up. Although not statistically significant, there was a similar trend for changes in alcohol-related problems. Mandated students in the WPNF group also reported significantly greater reductions in …