Medicine and Health Sciences Commons^™

Improving Mental Health And Substance Abuse Treatment In Juvenile Detention Facilities, Harvard Law School Mississippi Delta Project

Delta Directions: Publications

Mental health and substance abuse treatment services are an essential component of a well-functioning rehabilitative juvenile justice system. These services are especially important in juvenile detention facilities, which contain a disproportionate number of juveniles suffering from mental illness due to the association between such issues and delinquency and the relative lack of services in the community.

Ethical Implications Of Treatment For Gender Dysphoria In Youth, Kelsey Hayes

Journal of Health Ethics

This manuscript explores ethical implications on treatment for youth with diagnosed gender dysphoria. The ethical considerations outlined and analyzed in this essay involve illuminating an understanding of whether the administration of pubertal suppression with GnRH agonists, and cross-sex hormones to children with gender dysphoria is morally justified as treatment to manage their psychological distress, or if safer more understood alternatives exist. This essay emphasizes that as health care professionals we must ensure youth with gender dysphoria receive adequate medical treatment and care however, this essay concludes through extensive literature review, that the use of inconclusive and under researched methods to …

Development And Testing Of An Assessment Of Youth/Young Adult Voice In Agency-Level Advising And Decision Making, Janet S. Walker, Brie Masselli, Jennifer E. Blakeslee, Caitlin Baird, Kristin Thorp

School of Social Work Faculty Publications and Presentations

There is a range of stakeholder benefits when youth- and young adult-serving agencies include service recipient “voice” in advising and decision making regarding agency policies and programming. Yet many agency stakeholders lack awareness of strategic best practices to ensure the consistent and meaningful participation of young people in decision-making processes, and few tools exist to evaluate agency efforts. This paper describes the development and validation of the Youth/Young Adult Voice at the Agency Level (Y-VAL), an assessment of the extent to which agencies have implemented best practices for supporting meaningful participation. The Y-VAL is intended for research purposes, as well …

Stress Of Trying Daily Therapy Interventions, Emily Kathryn Hansen

Theses and Dissertations

This study is focused on clients' daily experiencing of stress, and measures how this stress might affect their implementation of ideas and recommendations from therapy. Typically, clients attend therapy with the intention of making positive changes. Part of the therapeutic process involves clients completing therapeutic work in their daily lives (Conklin, Strunk, Cooper, 2017); however, stressful tasks and other elements often preclude this therapeutic work from occurring (Kazantzis & L'Abate, 2005). In this study we examine which interventions from therapy are most likely to be attempted at home, and the level of stress in making these attempts. A series of …

A Learning Collaborative Approach To Improve Mental Health Service Delivery In Pediatric Primary Care., Rebecca A Baum, Divya Manda, Courtney M Brown, Samantha A Anzeljc, Melissa A King, John Duby

Ambulatory and Primary Care Articles

BACKGROUND: Pediatric primary care practitioners (PPCPs) report inadequate training in the care of children with common mental health conditions. Although additional training is needed, system changes are also necessary to support improvements in care.

METHODS: We developed the Building Mental Wellness Learning Collaborative to assist PPCPs in delivering better mental health services in primary care by targeting 5 focus areas: mental health promotion; early identification and screening; practitioner skills; collaboration and community linkages; and medication management. Aims were developed for each area.

RESULTS: Twenty-one practices and 50 practitioners completed the collaborative in 2 seven-month waves. For mental health promotion, ≥85% …

Peer-Delivered Harm Reduction And Recovery Support Services: Initial Evaluation From A Hybrid Recovery Community Drop-In Center And Syringe Exchange Program, Robert D. Ashford, Brenda Curtis, Austin M. Brown

Faculty Articles

Background: Recovery from substance use disorder (SUD) is often considered at odds with harm reduction strategies. More recently, harm reduction has been categorized as both a pathway to recovery and a series of services to reduce the harmful consequences of substance use. Peer recovery support services (PRSS) are effective in improving SUD outcomes, as well as improving the engagement and effectiveness of harm reduction programs. Methods: This study provides an initial evaluation of a hybrid recovery community organization providing PRSS as well as peer-based harm reduction services via a syringe exchange program. Administrative data collected during normal operations of the …

Spatio-Temporal Distribution Of Negative Emotions In New York City After A Natural Disaster As Seen In Social Media, Oliver Gruebner, Sarah R. Lowe, Martin Sykora, Ketan Shankardass, Sv Subramanian, Sandro Galea

Department of Psychology Faculty Scholarship and Creative Works

Disasters have substantial consequences for population mental health. We used Twitter to (1) extract negative emotions indicating discomfort in New York City (NYC) before, during, and after Superstorm Sandy in 2012. We further aimed to (2) identify whether pre- or peri-disaster discomfort were associated with peri- or post-disaster discomfort, respectively, and to (3) assess geographic variation in discomfort across NYC census tracts over time. Our sample consisted of 1,018,140 geo-located tweets that were analyzed with an advanced sentiment analysis called ”Extracting the Meaning Of Terse Information in a Visualization of Emotion” (EMOTIVE). We calculated discomfort rates for 2137 NYC census …

Determinants Of Uncontrolled Hypertension In Rural Communities In South Asia-Bangladesh, Pakistan, And Sri Lanka, Tazeen Jafar, Mihir Gandhi, Imtiaz Jehan, Aliya Naheed, H Asita De Silva, Hunaina Shahab, Dewan Alam, Nathasha Luke, Ching Wee Lim Wee Lim, Cobra-Bps Study Group

Community Health Sciences

Background: Uncontrolled blood pressure (BP) is a leading risk factor for death and disability in South Asia. We aimed to determine the cross-country variation, and the factors associated with uncontrolled BP among adults treated for hypertension in rural South Asia.
Methods: We enrolled 1718 individuals aged ≥40 years treated for hypertension in a cross-sectional study from rural communities in Bangladesh, Pakistan, and Sri Lanka. Multivariable logistic regression model was used to determine the factors associated with uncontrolledBP (systolic BP ≥140 mmHg or diastolic BP ≥90 mmHg).
Results: Among hypertensive individuals, 58.0% (95% confidence interval 55.7, 60.4) had uncontrolled BP: 52.8% …

Source Of Stress In Sport: A Rasch Calibration, Christine Williams, Ramona Stone, Seungho Ryu

Public Health Sciences Faculty Publications

The purpose of this study was to assess the psychometric properties of a stress in sport inventory by determining optimal categorization and model-data fit, and calibrate the sources of stress items associated with individual and team sport athletes using Rasch modeling. The study examines the intensity level of various sources of acute stress experienced by competitive athletes. The Sources of Stress in Sport Inventory (SSSI) was generated to measure intensity level of perceived stress in sport. A total of 336 college-aged males (N=167) and females (N=169) who previously competed in high school or college sports participated. Function of the rating …

Why Should We Care? Psychodynamic Theory And Practice In Counselor Preparation, Elyssa Smith

Journal of Counselor Preparation and Supervision

Abstract

This constructivist grounded theory investigation explored the experiences and perceptions of seven counselors-in-training regarding psychodynamic theory and practice. Two categories, five themes including three subthemes, and a tentative theory which spoke to the experiences, perceptions, and attitudes of students regarding contemporary psychodynamic psychotherapy emerged. Implications for counselor education and the training of counselors are discussed.

Keywords: counselor preparation, psychodynamic, reflective practice

Personality Dimensions And Attributional Styles In Individuals With And Without Gender Dysphoria, Siamak Khodarahimi, Hassan Ali Veiskarami, Maria Mercedes Ovejero Bruna

Journal of Mind and Medical Sciences

This research investigates personality dimensions and attributional styles among individuals with and without gender dysphoria in relationship to gender, educational level, and ethnicity. Participants were 60 men and women with and without gender dysphoria. A demographic sheet and two inventories were used. Results showed that patients with gender dysphoria had significantly higher neuroticism and lower agreeableness compared with individuals without gender dysphoria. No significance differences in extraversion, openness to experience, and conscientiousness (based on the “big five” personality model) were found between those with and without gender dysphoria. Also, individuals without gender dysphoria had higher positive attributional styles compared to …

Quality Of Life In Romanian Patients With Schizophrenia Based On Gender, Type Of Schizophrenia, Therapeutic Approach, And Family History, Elena Alina Rosca, Ovidiu Eugen Alexinschi, Călin Brîncuș, Valentin Petre Matei, Ana Giurgiuca

Journal of Mind and Medical Sciences

The low quality of life of patients with schizophrenia has been extensively discussed and investigated. Various aspects from gender, socio-demographic profile, and/or type of neuroleptic treatment have been taken into account in describing this condition. The purpose of this study is to assess the perceived quality of life of Romanian patients suffering from schizophrenia and to correlate it with gender differences, type of schizophrenia, family history of psychiatric illness, and type of antipsychotic treatment. 143 patients diagnosed with schizophrenia according to DSM IV-TR and ICD 10 were included in the study. Social demographic data were documented and further assessment was …

Clinical Documentation Received By Referring Provider, Linda Butler, Julie Plourde, Nate Fuller, Brandy Brown, Roslyn Gerwin, Alyssa Gaudette, Cheryl Wilbur, Rachel Garnsey, Jim Bailinson

MaineHealth Maine Medical Center

Problem statement: At the time of follow up appointments, referring providers do not always have access to the documentation needed for continuum of care.

Mental Health Care In Bali: On & Off The Record, Sara M. Crane

Independent Study Project (ISP) Collection

No abstract provided.

Substance Abuse Treatment In Prison Settings: A Systematic Review, Emilee Cline

Psychology Capstone Projects

A significant relationship between criminal behavior and substance abuse exists, which leads to a large proportion of individuals in the prison system who meet criteria for a substance use disorder. This review compares empirically-supported treatments for substance use disorder to current substance abuse treatment programs offered in United States prisons. A review of current literature indicates that Therapeutic Communities are the most common form of substance abuse treatment provided, and often these are combined with Cognitive-Behavioral Therapy groups. Special treatment considerations are provided based on the type of substance used, gender, and ethnicity. Empirically-supported treatments are currently being implemented by …

Older Adults' Health Care Utilization A Year After Experiencing Fear Or Distress From Hurricane Sandy, Laura P Sands, Yimeng Xie, Rachel Pruchno, Allison Heid, Yili Hong

Rowan-Virtua School of Osteopathic Medicine Departmental Research

OBJECTIVE: To determine whether self-reports of disaster-related psychological distress predict older adults' health care utilization during the year after Hurricane Sandy, which hit New Jersey on October 29, 2012.

METHODS: Respondents were from the ORANJ BOWL Study, a random-digit dialed sample from New Jersey recruited from 2006 to 2008. Medicare hospital, emergency department (ED) and outpatient claims data from 2012 and 2013 were matched to 1607 people age 65 and older in 2012 who responded to follow-up surveys conducted from July 2013 to July 2015 to determine their hurricane-related experiences.

RESULTS: In total, 7% (107) of respondents reported they experienced …

Finding Hope In Chaos: The Development Of A Tool To Identify Key Factors That College Students Use To Effectively Deal With Adversity, Joetta Harlow Kelly

Dissertations

The purpose of this study is to identify techniques that could be developed into a resource for counselors and other professionals who assist college students in dealing effectively with adversity. In a series of four surveys, 200 people were asked to participate. These included professional counselors and ministers both on and off campus, as well as directors in Student Affairs, such as those in student support services and student life. To accomplish this, questionnaires were developed to identify and allow for tabulation of the counseling techniques most commonly used for students dealing with adversity by those working with college students. …

Las Perspectivas De Los Trabajadores Sobre La Accesibilidad A Los Recursos Públicos Para El Tratamiento De Depresión Y Ansiedad En La Actualidad En El Área Metropolitana De Buenos Aires: Estudio Cualitativo De Tipo Exploratorio-Descriptivo. / Perspectives Of Workers On The Accessibility Of Public Resources For The Treatment Of Depression And Anxiety In The Metropolitan Area Of Buenos Aires: Qualitative Exploratory-Descriptive Study., Ellen Broaddus

Independent Study Project (ISP) Collection

En los últimos años, el tema de la salud mental se ha convertido en un elemento fundamental para la salud y el bienestar. Con la ley nacional 26.657 de 2010, Argentina declaró que todos tendrían servicios de salud mental gratuitos y accesibles y que no serían discriminados por sus trastornos. Sin embargo, los trastornos mentales, especialmente la depresión y la ansiedad, siguen siendo muy frecuentes, y en realidad muchos de los recursos públicos prometidos no son en realidad accesibles. Para investigar el estado actual de la salud mental pública, esta investigación buscó en los profesionales del campo para explorar sus …

An Exploratory Study On Mental Illness Perspectives In Hanoi, Margaret Cox

Independent Study Project (ISP) Collection

Almost 12 million people in Vietnam have been diagnosed with a mental illness; the prevalence of mental illness within the population means that understanding how people perceive it. Previous research has demonstrated the negative impacts that stigma and negative perceptions of mental illness have and how they can inhibit individuals from seeking treatment for a mental illness. The aim of this exploratory study was to answer the question: How do Vietnamese university students and mental health professionals living in Hanoi perceive mental illness? Fifteen university students and five mental health professionals were interviewed in a series of semi-structured interviews. A …

The Challenges Of India’S Rising Breast Cancer Epidemic, Brigette Stickney

Independent Study Project (ISP) Collection

India is currently undergoing rapid urbanization, which is greatly impacting Indian citizens’ health. One of the rising concerns due to the drastic lifestyle and environmental changes that are results of urbanization is the issue of breast cancer. Breast cancer diagnosis rates are rising exponentially, and breast cancer has moved its way up to be the most common cancer in India. Breast cancer mortality rates in India are also some of the worst in the world. This paper analyses the social, mental, economic, geographic, and physical challenges that are present for women diagnosed with cancer in India. It assesses how they …

Oxcarbazepine Overdose In A Polysubstance Related Suicide, Melissa Beals, Robert J. Krumsick, C. Clinton Frazee Iii, Lindsey J. Haldiman, Uttam Garg

Posters

Introduction
Oxcarbazepine is a derivative of carbamazepine that is used primarily in the treatment of epilepsy, and experimentally as a mood-stabilizer in adjunctive therapy for the treatment of bipolar disorder. Oxcarbazepine is converted through oxidation to its pharmacologically active metabolite 10-OH-Carbazepine, which is thought to be responsible for most of the anticonvulsant action of the drug. Adverse effects of oxcarbazepine are generally dose-dependent and may include fatigue, somnolence, dizziness, diplopia, nystagmus, and ataxia. Additive sedative effects have been noted when oxcarbazepine is used in combination with other CNS depressionproducing medications. Furthermore, oxcarbazepine and 10-OH-Carbazepine are powerful CYP2C19 inhibitors, potentially increasing …

Integrating Primary Care And Wellness Into A Community Mental Health Clinic, Brett Williamson Msw, Mba, Brenda Frutos Mph, Ches, Nyann Biery Ms

Department of Family Medicine

No abstract provided.

How The Misunderstanding That Heroin Addiction Is A Choice And The Stigma Surrounding Medication-Assisted Treatment Leads To More Overdose Deaths, Margaret M. Drew

Student Publications

Heroin is an opioid that commonly appears as white or brown powder. Eventually a person can become physically dependent on heroin, meaning the body begins to expect the drug. A sudden withdrawal from the drug can cause intense symptoms such as vomiting, muscle pain, and cravings, often leading to relapse (Shannon, p. 172). Although the initial decision to try heroin may be up to the addict, due to the dependence one develops when using heroin, addiction eventually morphs into an involuntary compulsion. There are many factors out of an individual’s control that influence their likelihood of trying heroin and becoming …

Internalized Hiv Stigma, Art Initiation And Hiv-1 Rna Suppression In South Africa: Exploring Avoidant Coping As A Longitudinal Mediator, Valerie A. Earnshaw, Laura M. Bogart, Jean-Philippe Laurenceau, Brian T. Chan, Brendan G. Maughan-Brown, Janan Dietrich, Ingrid Courtney, Gugu Tshabalala, Catherine Orrell, Glenda E. Gray, David Bangsberg, Ingrid T. Katz

OHSU-PSU School of Public Health Faculty Publications and Presentations

Introduction: Cross‐sectional evidence suggests that internalized HIV stigma is associated with lower likelihoods of antiretroviral therapy (ART) initiation and HIV‐1 RNA suppression among people living with HIV (PLWH). This study examined these associations with longitudinal data spanning the first nine months following HIV diagnosis and explored whether avoidant coping mediates these associations.

Methods: Longitudinal data were collected from 398 South African PLWH recruited from testing centres in 2014 to 2015. Self‐report data, including internalized stigma and avoidant coping (denying and distracting oneself from stressors), were collected one week and three months following HIV diagnosis. ART initiation at six months and …

Evaluasi Manfaat Penggunaan Aplikasi E-Mobile Posyandu Terhadap Kader Posyandu Dalam Proyek Pos Pintar Sebagai Program Csr The Hongkong And Shanghai Bank Corporation (Hsbc) Di Posyandu Pepaya, Rw 16, Kecamatan Cilincing, Jakarta Utara.

Jurnal Ilmu Kesejahteraan Sosial

The role of cadres is very important in improving posyandu services, therefore we need to strengthen the role of cadre as a source of health information and to encourage mothers with children under five years old to come to the posyandu. Through one of HSBC CSR programs called Pos Pintar Project, cadres are capacitated through the training of mobile-Posyandu applications so that they can provide better services to mothers with children under five years old who come to the posyandu. This study uses a qualitative approach with a type of summative evaluation research. The result shows that posyandu cadres who …

Pemahaman Situasi Anak Yang Berkonflik Dengan Hukum Pada Lembaga Pemasyarakatan Orang Dewasa: Suatu Kajian Literatur.

Jurnal Ilmu Kesejahteraan Sosial

Based on data of the Prison Database System, on November 2013, the number of prisoners is 5730, with detail of 2233 were detained (with details of 2168 as boys and the rest were girls) and 3497 child delinquent (with details of 3428 boys and girls). The increase in cases of child delinquent is not balanced with the increase in the number of prisons and special detention for children. The number of special detention for Children in Indonesia is only 17 units out of 33 provinces. From 17 special detention for Children in Indonesia, there are only 8 units of special …

Peran Pendamping Dalam Intervensi Pada Orang Dengan Hiv/Aids (Odha).

Jurnal Ilmu Kesejahteraan Sosial

People living HIV / AIDS have social problems in various dimensions, especially in the social dimension such as being excluded from the social environment, lacking social support, difficulties in establishing relationships with the social environment, and being not confident with status as himself as a person with HIV. To help people living HIV/AIDS problems in their social dimensions, in Jember Regency there is a Peer Support Group (PSG) of Pelangi which intervenes both with individual and group approaches. In carrying out the intervention, there were social worker who included former People living HIV/AIDS and not The role of social worker …

Model Kemitraan Dalam Pemberdayaan Usaha Mikro Pedesaan.

Jurnal Ilmu Kesejahteraan Sosial

Recent literature has explored enough strategies to empower MSMEs. This research offers a different perspective by giving more emphasis on empowerment aspects to rural business partners by student groups. The research approach used is qualitative through in-depth interviews with informants related to research questions such as students as agent of change and rural business partners. Some important findings that emerge are several strategies in empowering MSMEs that arise in partnership and foster parents models with intensive assistance from student groups to business partners. Some effective strategies found are building relationships and trust, using directive and nondirective interventions, strengths perspective, achievement …

Pemberdayaan Masyarakat Oleh Pt Nestle Indonesia Melalui Kelompok Tani Ternak Sapi Perah Budi Luhur.

Jurnal Ilmu Kesejahteraan Sosial

Poverty is a social welfare issue and has become the focus of world development. The most basic form of poverty is the deprivation of welfare. Poverty is experienced by many developing countries like Indonesia and nowadays it is centered in rural areas. Therefore, PT Nestle as part of the private sector has an obligation to support and help solve poverty experienced by the state. The manifestations of these efforts are to support community empowerment through Budi Luhur Dairy Farmers Group --- as one of the strategies to reduce poverty. Why is it focused on dairy farmers? Because they increase the …

Pemahaman Situasi Anak Yang Berkonflik Dengan Hukum Pada Lembaga Pemasyarakatan Orang Dewasa: Suatu Kajian Literatur.

Jurnal Ilmu Kesejahteraan Sosial

Based on data of the Prison Database System, on November 2013, the number of prisoners is 5730, with detail of 2233 were detained (with details of 2168 as boys and the rest were girls) and 3497 child delinquent (with details of 3428 boys and girls). The increase in cases of child delinquent is not balanced with the increase in the number of prisons and special detention for children. The number of special detention for Children in Indonesia is only 17 units out of 33 provinces. From 17 special detention for Children in Indonesia, there are only 8 units of special …