Medicine and Health Sciences Commons^™

Supporting Academic Primary Care Teams Serving Refugees: A Qualitative Study, Gabrielle Waclawik Md Mph, Fabiana Kotovicz, Devin Walsh-Felz Md Mph, Savitri Tsering Mssw, Nancy Pandhi Md Mph Phd

Journal of Refugee & Global Health

Introduction: Primary care providers continue to experience significant challenges when caring for refugee patients, yet they are often refugees’ initial point of contact with the U.S. health care system. The purpose of this qualitative study is to expand our understanding of the experiences of academic primary care team members during clinical encounters with refugee patients.

Methods: This multi-perspective, qualitative study included physicians (faculty and residents), nurse practitioners, pharmacists, nurses, and medical assistants (n=10), who have been working with refugee patients for at least one year at two family medicine residency clinics and/or a community health center. Semi-structured in-person interviews were …

Legal And Ethical Approaches To Impaired Capacity: Balancing Autonomy And Non-Maleficence, Gregory Brown

Psychiatry & Behavioral Health Faculty Research

Goals and Objectives:

1. Articulate the two primary ethical principles in conflict when considering an assessment of capacity.
2. Define the legal authority provided under an L2K hold within the state of Nevada and the authority not granted under that form of detainment.
3. Clarify the difference between specific decision making capacity versus global impairment of cognition.
4. Differentiate the pros and cons of a “sliding scale” of competence model.
5. Apply the concept of an alternative decision maker legally in clinical care setting.

Comparison Study: Trauma-Focused Cognitive Behavioral Therapy And Acceptance And Commitment Therapy For Trauma, Colleen Marie Kirsch Hiltz White

Dissertations

There is a need for more evidenced based treatments for adolescents with trauma related disorders. Currently, Trauma Focused Cognitive Behavioral Therapy (TF CBT) is the gold standard, but clients and clinician need the ability to choose between effective treatments. This study completed a direct comparison between six weeks of treatment in Acceptance and Commitment Therapy for Trauma and TF CBT via telehealth during the COVID-19 pandemic. Treatments were measured using the Clinician Administered PTSD Scale and the Child PTSD Symptom Scale. Both treatments were found to be effective in reducing trauma related symptoms in two 12-year-old females.

The Social Value Of Zero Balancing, David Laden

Journal of Transformative Touch

Does Zero Balancing have a social value? Does it in some way contribute to the betterment of society? Does it really have the capacity to make the world a better place? These are questions I started asking myself years ago when I was going through a period of soul searching - investigating my own feelings of powerlessness - feelings of not doing enough in the larger sphere of “making the world a better place”.

Interim Evaluation Report By The Independent Evaluator For The New Hampshire Delivery System Reform Incentive Payment (Dsrip) Program, Mary Lindsey Smith Phd, Deborah Thayer, Katie Rosingana Ba, Catherine Mcguire, Rachel M. Gallo Mph, Evelyn Ali, Olivia Dooley Mpa, Carolyn Gray Mph, Tom Merrill Ma, Karen Pearson Mlis, Ma,, Mark Richards Bs

Substance Use Research & Evaluation

Delivery System Reform Incentive Payment (DSRIP) programs are part of the broader Center for Medicare & Medicaid Services (CMS) Section 1115 Waiver programs and provide states with significant funding to support system transformation efforts. CMS approved New Hampshire’s five-year Building Capacity for Transformation Section 1115(a) Medicaid Demonstration Waiver in 2015. The overall goal of the DSRIP Demonstration is to improve the care for New Hampshire’s Medicaid Beneficiaries with behavioral health disorders by addressing workforce and infrastructure shortages, improving care transitions, and integrating physical and behavioral health.

Penerapan Sistem Attachment Pada Anak Melalui Gawai, Dwi Amalia Chandra Sekar, Aqilatul Layyinah

Jurnal Ilmu Kesejahteraan Sosial

Attachment between mother and child is an affective bond that is important to maintain in a family. For working mothers, the device is one solution to maintain attachment to their children. This research aims to describe the attachment system in children aged 2-3 years through the device and the application of the attachment system to fulfill the developmental tasks of the child. The articles are arranged based on qualitative research with descriptive methods. Although the attachment system that was built was adapted to the use of the device, but working mothers always maintain the quality of their relationship by interacting …

Individualize Outcome Evaluation Program Rehabilitasi Sosial Anak Berkonflik Hukum (Abh) Di Brsampk Rumbai., Rieza Satifa, Isbandi Rukminto Adi

Jurnal Ilmu Kesejahteraan Sosial

This study aims to individually evaluate the impact (Outcomes) of a social rehabilitation program for Children in Legal Conflict (ABH) in BRSAMPK Rumbai. One of the programs available is the Rumah Antara that is intended for ABH who have already been or are undergoing legal proceedings. By using a qualitative approach, this research evaluated ABH who have carried out social rehabilitation and have resumed life in their communities, so that they can provide a pattern and input to the Balai and the justice system in handling child with criminal cases. Past conditions cause the family to be more possessive to …

Fungsi Badan Usaha Milik Desa Dalam Meningkatkan Kesejahteraan Masyarakat : Studi Bumdes Serang Makmur Sejahtera, Desa Serang, Kabupaten Purbalingga, Rojaul Huda, Bambang Shergi Laksmono

Jurnal Ilmu Kesejahteraan Sosial

One of the efforts to reduce poverty and improve community welfare is through entrepreneurship. Village owned enterprises (BUMDes) are one of the places for entrepreneurial learning for rural communities. Likewise, what happened at BUMDes Serang Makmur Sejahtera in Serang Village, Karangreja District, Purbalingga Regency. The research objective is to gather information about the function of BUMDes in improving the welfare of the community in rural areas. This article uses a qualitative research method with a descriptive type. Data were collected by observation and in-depth interviews with BUMDes managers, village officials, and village communities. Based on this research, it is found …

The Role Of Paraprofessionals In The Mental Health Structure Of India, Amy Abraham

Senior Theses

The mental health treatment gap in India is part of a growing public health crisis, with over 95% of those in need of services never receiving them. Over 197 million Indians suffer from at least one diagnosable mental health disorder, and this number continues to grow given the treatment gap. The treatment gap is a result of four major factors: lack of government support, stigma, limited treatment facilities, and the dearth of professionals able to provide treatment. The current study aimed to analyze several factors of paraprofessional led mental health interventions including setting, treatments delivered, treatment models, and client outcomes. …

Effects Of A Physical Activity Intervention On The Stress Reduction Of Underserved Adolescent Youth, Gwenyth C. Asbury

Senior Theses

Stress levels of American teenagers are rising. Studies show that teens are reporting higher stress levels than what they perceive to be healthy and that these levels are higher than the levels of perceived stress reported by adults (APA, 2013). In addition to reporting unhealthy levels of stress, adolescents are reporting feeling overwhelmed and depressed due to their stress (APA, 2013). These findings are especially true for underserved adolescents who are more likely to have exposure to violence, discrimination, racism and conditions of poverty in addition to experiencing the typical stressors associated with adolescence (American Academy of Child and Adolescent …

The Experience Of Family Therapists Providing An In-Person Group Intervention, Responding To The Covid-19 Pandemic, And Attempting To Continue With A Comparable Intervention In A Virtual Setting, Miranda R. Gab

University Honors Theses

Group interventions are widely used in mental health and educational settings. Studies have shown that these groups can be conducted in either in-person or virtual settings with success, though there is limited research on the delivery of synchronous, online group interventions, particularly an in-person group intervention that abruptly transitioned to telehealth delivery due to the coronavirus. This observational research aims to tell the story of how two family therapists, who served as co-facilitators for an in-person parenting intervention, transitioned to deliver the same content virtually due to the restrictions of the COVID-19 pandemic. Drawing upon previous and present research in …

Improving Health Care In Nevada, Ember Smith, Kaylie Pattni

Policy Briefs and Reports

Across the United States, improvements in health outcomes lag while health care costs rapidly rise. Medical personnel and resource shortages combined with high underinsured and uninsured rates further complicate access to quality, affordable health care. In order to better understand state-level solutions, we explore factors that contribute to health care deficiencies and emphasize Nevada’s unique obstacles.

Dukungan Sosial Guna Pemenuhan Hak Sosial Ekonomi Bagi Klien Pemasyarakatan Di Balai Pemasyarakatan Kelas I Jakarta Pusat., Dina Setyani, Fentiny Nugroho

Jurnal Ilmu Kesejahteraan Sosial

This study aims to describe social support in order to fulfill the socio-economic rights of correctional clients. The socio-economic rights are the second generation of human rights groups which focus on the welfare aspect. Assistance as a form of social approach to achieve welfare based on human rights, where clients can identify their own needs, so as to minimize human rights violations and have the opportunity to function socially and live well. The existence of social support from the nearest environment makes the client able to adapt back to the community and be able to develop his potential. The research …

Partisipasi Masyarakat Pada Daya Tarik Wisata Pantai Maimol Di Kabupaten Alor., Yudha Eka Nugraha, Pasifikus Mala Meko, Yerry B. G. Blegur

Jurnal Ilmu Kesejahteraan Sosial

According to Indonesian tourism policy in UU 10 year 2009, tourism will increase community welfare towards community participation. This research aims to identify community participation in tourism activity of Maimol beach using three main concepts namely: factors, forms and levels of participation. The method used was descriptive qualitative by conducting observations and direct interviews with predetermined informants such as the Government, the beach management, the community and tourists, as well as collecting research evidence in the form of image documentation. The results showed that the community around the Maimol beach had participated by working together for every decision was made, …

Public Health Implications Of Early Marriage, Prachi Joshi, Tilicia Mayo-Gamble

Health Policy & Community Health: Faculty Publications

Work published by Georgia Southern University Press.

Predictors Of Positive Outcomes In Treating Individuals Diagnosed With Idd And Comorbid Psychiatric Disorders, Jacob Omondi Wasonga

Dissertations

The purpose of this research was to evaluate the use of a new treatment protocol, the systemic treatment plan (STP) by identifying the predictors of positive treatment outcomes for individuals diagnosed with intellectual and developmental disabilities (IDD) and comorbid mental health conditions. This study examined the relationship between challenging behaviors, psychiatric conditions, and positive treatment outcomes for individuals with IDD and co-occurring disorders, particularly those individuals whose treatment was driven by the STP. A linear regression analysis was conducted to determine which challenging behaviors and psychiatric disorders best predict positive outcomes in systemically engaged treatment. The results from this study …

Growth Mindset Messaging In Stigma-Relevant Contexts: Harnessing Benefits Without Costs, Crystal L. Hoyt, Jeni L. Burnette

Jepson School of Leadership Studies articles, book chapters and other publications

Growth mindsets are increasingly used to promote learning, development, and health. The increased popularity resulted in scrutiny and disputes about utility. The current work reviews a perspective critical to the debate. Namely, we focus on emerging research that examines both the favorable and potentially adverse consequences of growth mindset messaging in stigma-relevant contexts. This double-edged sword model merges the mindset perspective with attribution theory and the psychological essentialism literature. In stigmatizing contexts and in isolation, growth mindsets can indirectly predict less positive outcomes, via personal responsibility for the problem, but more positive outcomes, via expectations for the potential to manage …

The Integration Of Primary Care And Psychiatry For Adults With Schizophrenia, Yvonne C. Cobbs Dr

Electronic Theses and Dissertations

In this project, the investigator used the Integrated Primary Care Consulting Psychiatry Toolkit (IPCCPT) to assist with an integrated primary care and psychiatric clinic’s operations through a virtual educational intervention to minimize care fragmentation for adults with schizophrenia. Mortality rates for adults with schizophrenia at this urban outpatient mental health clinic rose in patients with schizophrenia. From March to September 2020, there were 45 patient deaths not related to COVID-19. The investigator conducted a virtual educational webinar on the integration of primary care and psychiatry using the IPCCPT with 37 full-time employees in the clinic. The investigator measured the knowledge …

The Effects Of Meditation In College Students, Katherine Shelton

Student Theses and Dissertations

Research has been conducted on young student age groups (ages 13-18) and the effects that meditation elicits on anxiety, stress and academic performance, but that is where the age is capped (Beauchemin, Hutchins, & Patterson, 2008). The purpose of this study was to investigate the effects of meditation on a previously understudied age category: undergraduate college students ages 18-22. All participants had their age, gender, height, weight, body mass index, systolic blood pressure, diastolic blood pressure, and resting heart rate measured before and after the study, and completed a 19-Item Body-Image Questionnaire (Koleck, Brunchon-Schweitzer, Cousson-Gélie, Gilliard, & Quintard, 2002). Results …

Career Choice Tendency Of State Senior High School Students In Industry 4.0 Era, Zulfianti Rosyida Zahro, Arbin Janu Setiyowati, Irene Maya Simon

Jurnal Kajian Bimbingan dan Konseling

This study aims to describe the career choice tendency of state senior high school students in the industry 4.0 era. This research is quantitative descriptive research, in the form of a percentage, involving 236 students as the participants. The sample was chosen using cluster random sampling technique. For the instrument, this research used a questionnaire of students’ career choice tendency in the industry 4.0 era. The obtained data were analyzed using percentage descriptive statistics. The findings reveal that 93% of senior high school students in Malang city tend to choose a career in the business and repair services sector, then …

Pengaruh Dukungan Sosial Terhadap Kesejahteraan Psikologis Mahasiswa Dengan Religiusitas Sebagai Moderator, Nur Eva, Pravissi Shanti, Nur Hidayah, Moh. Bisri

Jurnal Kajian Bimbingan dan Konseling

Previous studies have indicated that psychological well-being has a positive contribution to mental health and is a predictor of academic achievement, self-control, life satisfaction, gratitude, optimism, hope, and happiness. Psychological well-being is also influenced by social support and religiosity. This study aimed to examine the effect of social support on students’ psychological well-being, with religiosity as a moderator. This study employed a correlational research design with 354 participants recruited using a simple random sampling technique. Data were collected using a social support scale, a religious scale, and a psychological well-being scale. The data were then analyzed using moderated regression analysis. …

Cognitive Behavior Modification Untuk Menurunkan Prokrastinasi Akademik Siswa Sekolah Menengah Atas, Roiyan One Febriani, M. Ramli, Nur Hidayah

Jurnal Kajian Bimbingan dan Konseling

Procrastination is a problem that many students experience. This study aimed to investigate the effectiveness of cognitive behavior modification to reduce academic procrastination of high school students. To achieve this goal, this study used a single subject design. Three male students and two female students were selected as research participants using a purposive sampling technique. Data on the rate of procrastination in the baseline 1 (A1), intervention (B) and baseline 2 (A2) phases were obtained from the academic procrastination observation sheet. The data were then analyzed using visual graphic analysis with the split middle method. The analysis showed a decrease …

Effects Of Self-Instruction And Time Management Techniques In Group Counseling To Reduce Academic Procrastination, Dahlia Novarianing Asri, Asroful Kadafi

Jurnal Kajian Bimbingan dan Konseling

This study aims to discover the effectiveness of group counseling with self-instruction and time management techniques in decreasing academic procrastination in mathematics learning. This research used a randomized pre-test post-test comparison group design with sixteen participants selected through a purposive random sampling technique. Eight of those participants (group 1) used the self-instruction technique; meanwhile, the other eight participants (groups 2) used the time management technique. The data was obtained through an academic procrastination scale, referring to academic procrastination aspects, developed by Tuckman. Additionally, the Wilcoxon Signed Rank Test was used to test the effectiveness of both techniques, and the Mann-Whitney …

Problematika Anak Pekerja Migran Di Tulungagung Dalam Perspektif Bimbingan Dan Konseling, Wikan Galuh Widyarto, Machsun Rifauddin

Jurnal Kajian Bimbingan dan Konseling

Migrant workers are foreign exchange earners but also cause social problems, especially for children who are left behind. This study aimed to explain the problems experienced by children of migrant workers guidance and counseling point of view. A qualitative approach with a case study design was deployed in this study. Four children of migrant workers were recruited as the key informants in this study, while the supporting informants were their grandparents and mothers/fathers who take care of them at home. Data were collected using interview and List of Community Issues (LOCI). Data analysis was performed by reducing, presenting, and verifying …

The Quality Of Sexual Life After Vaginal Surgical Interventions, Maria Pană, Romina-Marina Sima, Oana-Denisa Bălălău, Anca-Daniela Stănescu, Liana Pleş, Mircea-Octavian Poenaru

Journal of Mind and Medical Sciences

Introduction. The malfunction of the supporting pelvic system generates signs and symptoms that require various procedures. The aim of our study was to evaluate whether vaginal surgical interventions for genital prolapse or urinary incontinence have an impact on patients’ sexual quality of life. Materials and methods. We studied 40 eligible women who underwent vaginal surgical procedures in Saint John Hospital, Bucharest. Patients completed a questionnaire 6 months after the intervention. Results. Patients who underwent vaginal surgery for prolapse were 50-64 years of age. The most frequent vaginal surgical intervention was vaginal hysterectomy (32.5%), followed by anterior and …

Work Place Impact On Mental Wellbeing Of Frontline Doctors, Vishnupriya Veeraraghavan, Krishnan Srinivasan

Journal of Mind and Medical Sciences

Background. Coronavirus Disease 2019 (COVID-19, also known as 2019-nCoV), a cluster of acute respiratory illness with unknown causes, has occurred in India since January 2020. Over the past several months, the entire world is struggling to cope with and contain the virus spread. Several studies showed that mental health problems could occur in both healthcare workers and SARS survivors during the SARS epidemic. Considering the geographical variation, dense population, multi-strata health care structure, and rising COVID cases in South India, we have a reason to speculate that the burden on the frontline doctors is high and their psychological condition …

Indicators Of Psychological Distress And Body Image Disorders In Female Patients With Breast Cancer, Helena Van Oers, Lourens Schlebusch

Journal of Mind and Medical Sciences

Breast cancer patients are vulnerable to elevated stress related to receiving the diagnosis, unfamiliar and invasive treatment, and coping with the side-effects of treatment, which may find various forms of expression. Another common feature of this patient population is body image dysphoria. Both the disease and treatment lead to impairments in physical appearance and general bodily functioning. This study aimed to explore the differential manifestations of stress and the nature of body image dysphoria within a sample of female breast cancer patients (n=80), compared to female patients with other sites of disease (n=80) in order to examine differences in the …

Assessing Test Anxiety And Resilience Among Greek Adolescents During Covid-19 Pandemic, Sofia Sakka, Vasiliki Aliki Nikopoulou, Eleni Bonti, Paraskevi Tatsiopoulou, Panayiota Karamouzi, Aikaterini Giazkoulidou, Virginia Tsipropoulou, Eleni Parlapani, Vasiliki Holeva, Ioannis Diakogiannis

Journal of Mind and Medical Sciences

The aim of the present study was to explore the impact of school year’s extension due to the coronavirus pandemic (COVID-19) by addressing test anxiety and by studying the coping strategies adolescents used to overcome it. For the majority of the adolescents the final exams can be a powerful source of stress, since the entrance examinations are required for admission into higher education and further reflect the transition to adulthood. The sample consisted of 67 High School students and the data collection was conducted online due to the imposed measures by the Greek government. Results showed normal or average levels …

Mental Health & Drugs; A Map Of The Mind, Wylie Jones Jordan

Journal of Mind and Medical Sciences

The practice of physical medicine underwent a sea change at the turn of the 20th century, but the management of mental disorders stayed much the same as it had been since Rome. New names have been coined for disorders, and synthetic drugs are advertised as a solution to every problem, but the causes are still largely unknown and, although spontaneous remission can occur, there are no cures. This review of psychiatric diagnosis and treatment from Rome to the 21st century offers a rationale to support the classic (and still current) classification of disorders. It offers a method of distinguishing the …

The Association Between Depressive Symptoms And Accumulation Of Stress Among Black Men In The Health And Retirement Study, Roland J. Thorpe, Jr., Ryon Cobb, Keyonna King, Marino A. Bruce, Paul Archibald, Harlan P. Jones, Keith C. Norris, Keith E. Whitfield, Darrell Hudson

Publications and Research

Background and Objectives: Among the multiple factors posited to drive the health inequities that black men experience, the fundamental role of stress in the production of poor health is a key component. Allostatic load (AL) is considered to be a byproduct of stressors related to cumulative disadvantage. Exposure to chronic stress is associated with poorer mental health including depressive symptoms. Few studies have investigated how AL contributes to depressive symptoms among black men. The purpose of the cross-sectional study was to examine the association between AL and depressive symptoms among middle- to old age black men.

Research Design and Methods: …