Medicine and Health Sciences Commons^™

A Meta-Synthesis Of The American And The European Standards For The Accreditation Of Counseling Training Programs, Natalia Zapolsky

Dissertations

The purpose of this qualitative study was to explore how the European Standards for the accreditation of counseling training programs compare to CACREP standards and to each other. The differences and commonalities between standards have been defined through a meta-synthesis of integrated findings from a large body of inter-related qualitative studies and reinterpretation of the synthesized data.

This qualitative meta-synthesis research was intended to contribute to the process of counseling globalization by exploring the unique cultural features and aspects of the European and the U.S. accrediting systems for counseling training programs. This research revealed 1) the commonly recognized areas that …

Direct Assessment Of Mental Health And Metabolic Syndrome Amongst Indonesian Adolescents: A Study Design For A Mixed-Methods Study Sampled From School And Community Settings, Peter S. Azzopardi, Lisa Willenberg, Nisaa Wulan, Yoga Devaera, Bernie Medise, Aida Riyanti, Ansariadi Ansariadi, Susan Sawyer, Tjhin Wiguna, Stanley Luchters

Population Health, East Africa

Non-communicable diseases (NCDs) are the leading cause of morbidity and mortality globally, with the burden largely borne by people living in low- and middle-income countries. Adolescents are central to NCD control through the potential to modify risks and alter the trajectory of these diseases across the life-course. However, an absence of epidemiological data has contributed to the relative exclusion of adolescents from policies and responses. This paper documents the design of a study to measure the burden of metabolic syndrome (a key risk for NCDs) and poor mental health (a key outcome) amongst Indonesian adolescents. Using a mixed-method design, we …

The Epidemiology Of Alcohol Use Disorders Cross-Nationally: Findings From The World Mental Health Surveys, Meyer D. Glantz, Chrianna Bharat, Louisa Degenhardt, Nancy A. Sampson, Kate M. Scott, Carmen C.W. Lim, Ali Al-Hamzawi, Jordi Alonso, Laura Helena Andrade, Graca Cardoso, Giovanni De Girolamo, Oye Gureje, Yanling He, Hristo Hinkov, Elie G. Karam, Viviane Kovess-Masfety, Victor Lasebikan, Sing Lee, Daphna Levinson, John Mcgrath, Maria-Elena Medina-Mora, Constanta Mihaescu-Pintia, Zeina Mneimneh, Jacek Moskalewicz, Fernando Navarro-Mateu, Jose Posada-Villa, Charlene Rapsey, Juan Carlos Stagnaro, Hisateru Tachimori, Margreet Ten Have, Nathan L. Tintle, Yolanda Torres, David R. Williams, Yuval Ziv, Ronald C. Kessler

Faculty Work Comprehensive List

Background: Prevalences of Alcohol Use Disorders (AUDs) and Mental Health Disorders (MHDs) in many individual countries have been reported but there are few cross-national studies. The WHO World Mental Health (WMH) Survey Initiative standardizes methodological factors facilitating comparison of the prevalences and associated factors of AUDs in a large number of countries to identify differences and commonalities.

Methods: Lifetime and 12-month prevalence estimates of DSM-IV AUDs, MHDs, and associations were assessed in the 29 WMH surveys using the WHO CIDI 3.0.

Results: Prevalence estimates of alcohol use and AUD across countries and WHO regions varied widely. Mean lifetime prevalence of …

Assessing Mental Capacity: Buv V Buu [2019] Sghcf 15, Gary Kok Yew Chan

Research Collection Yong Pung How School Of Law

The assessment of the mental capacity of an elderly person (“P”) is central to the framework under the Mental Capacity Act (Cap 177A, 2010 Rev Ed). This case note discusses the clinical diagnosis and functional aspects of mental capacity and evidence needed to assess P’s mental capacity; the importance of examining the functional abilities for particular decisions to be made and how they are applied to P’s decision to execute legal documents; the extent to which assistance may be provided to P to make decisions; and the impact of undue influence on mental capacity

Understanding Individual And Family Experiences Associated With Dup: Lessons From The Early Assessment And Support Alliance (Easa) Program In Oregon, Usa, Ryan P. Melton, Shannon Blajeski, Diana Glasser

Regional Research Institute for Human Services

Research shows that a longer duration of untreated psychosis (DUP) is associated with worse psychiatric outcomes, with average length of DUP of 73 weeks in the U.S. The aim was to examine the DUP period for first episode psychosis in Oregon, with a focus on the processes between the first positive symptoms and first treatment. To investigate DUP, researchers used methods consistent with grounded theory to collect data from 9 participants and their families about the process between onset of psychotic symptoms and entrance into treatment. Results suggest that recognition of symptoms was the primary driver of help-seeking in this …

Temporal Trends And Geographic Variations In Mortality Rates From Prescription Opioids: Lessons From Florida And West Virginia, Sarah A Palumbo, Charles H Hennekens, Janet D Robishaw, Robert S Levine

Faculty, Staff and Students Publications

OBJECTIVES: To explore temporal trends and geographic variations in mortality from prescription opioids from 1999 to 2016.

METHODS: Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research Multiple Cause of Death files were used to calculate age-adjusted rates and 95% confidence intervals (CIs) and create spatial cluster maps.

RESULTS: From 1999 to 2016, counties in West Virginia experienced the highest overall mortality rates in the United States from prescription opioids. Specifically, from 1999 to 2004, the highest rate in West Virginia of 24.87/100,000 (95% CI 17.84-33.73) was the fourth highest in the United States. From 2005 to …

Mail-Back Envelopes For Retrieval Of Opioids After Pediatric Surgery, Adam C Adler, Ammar N Yamani, Caitlin D Sutton, Danielle M Guffey, Arvind Chandrakantan

Faculty, Staff and Students Publications

BACKGROUND: Opioid overprescription has the potential to lead to harmful medications remaining in homes and to a rise in accidental or deliberate ingestion by children and adolescents. Although methods for opioid disposal are available, many are costly or require greater than minimal effort for the patient. In this study, we used a mail-back return envelope to retrieve unused opioids after ambulatory pediatric surgery.

METHODS: This feasibility study was performed to assess the rate of opioid return by using a mail-back envelope for children ages 0 to 18 prescribed opioids after outpatient surgery. Participants were provided a return envelope as well …

The Role Of Financial Insecurity And Expectations On Perspectives Of Mental Health Services Among Refugees, Jacqueline M. Siven

USF Tampa Graduate Theses and Dissertations

This dissertation examines how perspectives of mental health among refugees are situated within the realities of the refugee resettlement system, a population for which information on this issue is quite limited. Through in-depth interviews and participant observation with Congolese refugees and non-Congolese refugee-serving professionals in a major Florida city, this dissertation examines how perceptions of mental health and mental health services among refugees were affected by financial insecurity and disparities in expectations. Local Congolese refugees expected the American Dream; they believed that once they arrived they would find prosperity through hard work. Instead they experienced frustration and distress because the …

Effect Of Mindfulness On Empathy And Self-Compassion: An Adapted Mbct Program On Filipino College Students, Reginald Paul R. Centeno, Karina Therese G. Fernandez

Psychology Department Faculty Publications

Attending college is meaningful for many young adults. This period is marked by physical, emotional, and psychological changes that can have both positive and negative effects on college students. The last two decades have seen an alarming increase in the number of college students who suffer from mental health conditions, such as depression, suicide, anxiety, and alcohol abuse. It is recommended that actions to support the students’ wellbeing must be creative and evidence-based. Research suggests that a mindfulness-based intervention may be an effective strategy to address mental health conditions among college students. This study was done to examine the efficacy …

The Wounded Body Of Christ: Social Trauma In Pastoral Care, Kelsi Watters

School of Theology and Seminary Graduate Papers/Theses

No abstract provided.

A Qualitative Analysis Of The Social And Cultural Contexts That Shape Screen Time Use In Latino Families Living On The U.S.-Mexico Border, Cristina S. Barroso, Andrew E. Springer, Christopher Ledingham, Steven H. Kelder

Health & Biomedical Sciences Faculty Publications

Purpose: The purpose of this study was to understand how first generation Latino parents, whose primary language is Spanish and live in a colonia on the U.S.-Mexico border, use screen time in their homes.

Methods: A purposeful sampling approach was used to recruit eligible parents of pre-adolescents (ages 9–14) who were native Spanish speakers, and living on the U.S.-Mexico border. Three focus groups in Spanish (two with mothers and one with fathers) were conducted. Data were codified using a general inductive approach based on grounded theory. A consensus process was repeated until a final codebook was developed.

Results …

A Longitudinal, Randomized And Controlled Study Of App-Delivered Mindfulness In The Workplace, Jennifer S. Mascaro, Kathryn Wehrmeyer, Veronica Mahathre, Alana Darcher

Journal of Wellness

Introduction: Workplace mindfulness meditation programs are of great interest for improving employee well-being and job performance, fueled in part by the apparent effectiveness of mindfulness meditation as well as by the recent proliferation of mobile mindfulness applications (apps) that can be incorporated into a workplace setting. It is critical to examine the facilitators and barriers to engaging with app-delivered mindfulness in the workplace to understand how biological, psychological, and socio-demographic variables impact practice time.

Methods: Using a longitudinal and randomized controlled design, we explored facilitators of and barriers to practicing app-delivered mindfulness in the workplace among predominately non-white call center …

Medicaid Home Visitation And Maternal And Infant Care And Health: A Reassessment Of Program Effectiveness, Cristian Meghea, Zhiying You, Jennifer E. Raffo, Lee Anne Roman

Michigan Journal of Public Health

Introduction: The Maternal Infant Health Program, MIHP, is Michigan's largest home visiting program for Medicaid-eligible pregnant women and infants. Prior quasi-experimental propensity score matched MIHP evaluations were limited by the possibility of selection bias due to the limited available baseline characteristics. The purpose of this study was to assess the effectiveness of MIHP including previously unobserved baseline characteristics to mitigate the possibility of selection bias.

Methods: We analyzed health care and outcomes of mothers and their infants using linked administrative and screening data. All Medicaid pregnant women with a singleton birth in Michigan between 2009 and 2012 who were prenatally …

Symptom Severity, Self-Efficacy And Treatment-Seeking For Mental Health Among Us Iraq/Afghanistan Military Veterans, Mary Keeling, Nicholas Barr, Hazel Atuel, Carl A. Castro

Social Work Faculty Research

Military veterans have high rates of mental health problems, yet the majority do not seek treatment. Understanding treatment-seeking in this population is important. This study investigated if symptom severity and self-efficacy are associated with treatment-seeking among US Iraq/Afghanistan veterans. Survey data from 525 veterans meeting clinical criteria for PTSD and depression were included of which, 54.4% had sought treatment in the past 12 months. Multivariate logistic regression analysis indicated that high symptom severity was associated with treatment seeking, whereas high self-efficacy was associated with a decreased likelihood to seek treatment. Self-efficacy could be an underlying mechanism of treatment seeking decisions.

Barriers And Promoters Of Retention Of Direct Care Workers In Community Mental Health Agencies, Shinobu Watanabe-Galloway, Brent Khan, Mogens (Bill) Baerentzen, Zaeema Naveed

Reports and White Papers: Behavioral Health Education Center of Nebraska

Demand for behavioral health direct-care providers is increasing due to shortage of licensed behavioral health providers. However, high turnover has been reported among them with limited exploratory research. The present study aimed to identify a wide variety of barriers and promoters of retention and strategies to retain direct care workers. An online, self-administered survey designed to measure demographics, job satisfaction, perceived importance of various job aspects, intention to leave, perceived stress and sources of stress was administered among 179 direct care workers from four agencies. Multiple logistic regression exhibited higher odds of intending to leave for those who had higher …

The History Of Lobotomies: Examining Its Impacts On Marginalized Groups And The Development Of Psychosurgery, Simon Godin, Brett Leblanc

Psychology from the Margins

Frontal lobotomies, which are defined as the lesioning of the frontal lobe from the rest of the brain, were performed extensively from the 1930s to the 1960s in Europe and the United States, significantly impacting psychology and psychosurgery. The history of frontal lobotomies features many different practitioners with diverse methods; however, the overwhelming majority of popular lobotomists committed unethical actions by today’s standards that led to the direct marginalization of specific demographics. Using a framework guided by an exploration of those historically disempowered by the performance of lobotomies, this review article traces the lobotomy’s historical progression, focusing on the unethical …

Promoting Bike Safety And Physical Activity In The Community: The Kenton-Hardin County Family Bike Program, Jamie Hunsicker

Ada Chats

No abstract provided.

Minding The Mindfulness Research In Healthcare: More Data On Diversity Are Urgently Needed, Basant Pradhan

Cooper Rowan Medical Journal

Amongst the myriads of applications of meditative practice, mindfulness meditation can be arguably the simple yet most evidence-based type of meditative method. This simple and age-old technique emphasizes upon cultivating in the practitioner a nonjudgmental awareness on a moment-to-moment basis. Mindfulness meditation was introduced to the American audience in the early 1990’s by Jon Kabat-Zinn, and beginning the early 2000s has seen an exponential growth trajectory that continues to this day. However, its rising popularity has given rise to considerable misinformation and misunderstanding as well.

Participatory Art And Aging: Proposal For Dementia Prevention Strategy, Colette Brown

Augsburg Honors Review

As the population age increases, and Alzheimer's disease death rates increase, the need for dementia prevention therapies grows in relevance and necessity. A cooperative model for teaching Conceptual art to older adults is proposed as a dementia prevention strategy. Preventive benefits of the proposed strategy are preliminarily suggested to improve: l) cognitive reserve (CR), where a strong CR has been associated with longer lasting functionality in dementia patients; 2) cognitive lifestyle, a behavioral measure of CR; and 3) neuroplasticity, with promoting neuroplasticity being the goal of many non-pharmacological dementia prevention studies. Texts on art therapy, Conceptual art, social practice, neuroplasticity, …

A Health Disparity Action Plan: Achieving Equity Through Clinical Trials, Affordable Care, And Professional Development, Daniel Schafer, Shefa Moten, Ayesha Khan, Mauro Ferrari, Boris Lushniak, Edwin Burkett, Asad Moten

Journal of Health Disparities Research and Practice

Given the threatened nature of affordable care in the United States, it is crucial to underscore its importance. What is more, the reason such care is so important is the presence of an oft-unacknowledged disparity in access to quality care in this country and, indeed, around the world. A world without health disparities can be achieved and will be characterized by prompt and quality care available to all and at all stages of the care continuum. Further insurance reform is needed beyond the Affordable Care Act, while local care must be more accessible in rural, urban, and other underserved areas. …

Year Of Inquiry Into Student Mental Health, José M. Torres, Amber Stitziel Pareja, Katie Berger, Monika Narain '21, Ray Shang '20

Publications & Research

Year of Inquiry Objectives

• To engage in an in-depth examination of a current challenge that significantly influences IMSA’s work and mission
• To identify both the scope of and potential solutions to the challenge
• Topic: Student mental health and well-being

Year Of Inquiry Into Student Mental Health, José M. Torres, Amber Stitziel Pareja, Katie Berger, Monika Narain '21, Ray Shang '20

Student Publications & Research

Year of Inquiry Objectives

• To engage in an in-depth examination of a current challenge that significantly influences IMSA’s work and mission
• To identify both the scope of and potential solutions to the challenge
• Topic: Student mental health and well-being

The Effects Of Group Music Therapy On Levels Of Anxiety, Depression, Well-Being, Functional Disability, And Distress In Adult Congolese Refugees, Elise Hawkes

SMU Journal of Undergraduate Research

Refugees have a variety of mental health needs due to their experiences, including trauma, anxiety, and depression. Psychotherapy, one of the main modalities for treatment, presents limitations including language barriers and negative stigmas. Music therapy might help to overcome these limitations due to its reliance upon music, rather than verbal language, as the therapeutic medium, and due to music’s ubiquitous cultural prevalence. Music therapy has been shown to have positive effects on sleep quality, well-being, trauma symptoms, social function, and mood. Music therapy training and research results have demonstrated ways to connect with clients through music and overcome cross-cultural barriers. …

Adolescent And Young Adult Mental Health Is Better In States That Mandate More School Mental Health Policies, Stephanie Spera, Shannon M. Monnat

Population Health Research Brief Series

Mental health problems and suicide rates have increased among adolescents and young adults over the past several years. This research brief shows that adolescent and young adult mental health is better in states that mandate more school mental health policies, including school-based mental health centers, professional development in suicide prevention, and social-emotional curricula.

From One Period To The Next... : Menstruation And The Psychoanalytic Process Of Working Through To The Feminine, Loryn L. Hatch

Dissertations, Theses, and Capstone Projects

This dissertation delves into the theoretical treatment and place of menstruation in psychoanalysis. Beginning in Chapter I with a broad and varied overview of menstruation with a primary focus on Western culture, some of the persistent ideas and themes, as well as their effects, are illustrated to help pose core questions about menstruation, including how to think about its simultaneous presence and absence within the social discourse and its relationship to psychoanalysis. Chapter II explores the appearances of menstruation in Freud’s body of work, including its relationship to the burgeoning field of psychoanalysis and the fixed place it holds in …

Psychological Distress And Its Associated Factors Among Informal Care Givers Of Disabled Young Adults With Traumatic Brain Injuries, Samera Punjwani, Yasmin Parpio, Rubina Barolia, Muhammad Shahzad Shamim, Nargis Asad

Department of Surgery Docs

Objective: To measure the psychological distress among the informal caregivers of disabled young adults with traumatic brain injuries (TBI) and to identify its associated factors.
Methods: An analytical cross sectional study was conducted with 76 informal caregivers of young adults (19 - 50 years) with TBI, using admission records of one of the tertiary care hospitals in Karachi, Pakistan from 2015 to 2016. Data were collected using a structured questionnaire comprising a general demographic questionnaire and the General Health Questionnaire- 28. The effect of the predictors on the psychological distress was determined by applying multiple linear regression analysis.
Results: The …

Insight Gains Of Narrative Case Studies, H. Luis Vargas

Counseling and Family Therapy Scholarship Review

The Editor provides an Editorial for the new issue.

Psychosocial Mediators Of Perceived Stigma And Suicidal Ideation Among Transgender Women, Krishna Kiran Kota, Laura F. Salazar, Rachel E. Culbreth, Richard A. Crosby, Jamal Jones

Health, Behavior & Society Faculty Publications

BACKGROUND: Transgender women (TGW) in the U.S. experience high rates of stigma, depression, and elevated rates of suicide. This study examined correlates of suicidal ideation and estimated the conditional indirect effects of perceived stigma and psychosocial mediators on suicidal ideation.

METHODS: Using a cross-sectional study design, TGW (N = 92) were recruited through snowball sampling in Atlanta, Georgia. Structured interviews were conducted. Suicidal ideation was assessed by combining two variables that measured suicidal thoughts. Logistic regression models were performed to identify the potential risk and protective factors for suicidal ideation. We examined hypothesized psychosocial factors, including anxiety, depression, psychosocial impact …

Web-Based Graphic Representation Of The Life Course Of Mental Health: Cross-Sectional Study Across The Spectrum Of Mood, Anxiety, Eating, And Substance Use Disorders., Robin Leora Aupperle, Martin P. Paulus, Rayus Kuplicki, James Touthang, Teresa Victor, Hung-Wen Yeh, Tulsa 1000 Investigators, Sahib S. Khalsa

Manuscripts, Articles, Book Chapters and Other Papers

BACKGROUND: Although patient history is essential for informing mental health assessment, diagnosis, and prognosis, there is a dearth of standardized instruments measuring time-dependent factors relevant to psychiatric disorders. Previous research has demonstrated the potential utility of graphical representations, termed life charts, for depicting the complexity of the course of mental illness. However, the implementation of these assessments is limited by the exclusive focus on specific mental illnesses (ie, bipolar disorder) and the lack of intuitive graphical interfaces for data collection and visualization.

OBJECTIVE: This study aimed to develop and test the utility of the Tulsa Life Chart (TLC) as a …

Books: The Original And Final Refuge For Mental Wellness, Kyle Christopher Miller

Journal of Wellness

An appreciation for literature and how reading fights to stay relevant in the fast moving era of technology.