Medicine and Health Sciences Commons^™

Supervision In Community Mental Health: Understanding Intensity Of Ebt Focus., Leah Lucid, Rosemary Meza, Michael D Pullmann, Nathaniel Jungbluth, Esther Deblinger, Shannon Dorsey

Rowan-Virtua School of Osteopathic Medicine Departmental Research

The goal of the present study was to examine clinician, supervisor, and organizational factors that are associated with the intensity of evidence-based treatment (EBT) focus in workplace-based clinical supervision of a specific EBT, Trauma-Focused Cognitive Behavioral Therapy (TF-CBT). Supervisors (n = 56) and clinicians (n = 207) from mental health organizations across Washington State completed online self-report questionnaires. Multilevel modeling (MLM) analyses were used to examine the relative influence of nested clinician and supervisor factors on the intensity of EBT focus in supervision. We found that 33% of the variance in clinician report of EBT supervision intensity clustered at the …

Dose-Response Of Cotton Dust Exposure With Lung Function Among Textile Workers: Multitex Study In Karachi, Pakistan, Naureen Akber Ali, Asaad Ahmed Nafees, Zafar Fatmi, Iqbal Azam Syed

School of Nursing & Midwifery

Background: Cotton dust exposure among textile mill workers lead to impaired lung function. However, only few studies have investigated the dose-response relationship between cotton dust and lung function.
Objective: To determine the dose-response relationship between cotton dust exposure and lung function among textile workers.
Methods: This cross-sectional survey was conducted from January to March 2016 and included 303 adult male textile workers from spinning and weaving sections of 5 mills in Karachi, Pakistan. We collected data through a translated version of the American Thoracic Society respiratory questionnaire (ATS-DLD-78A) and using spirometry. Mill-level airborne cotton dust was measured …

Health Care Provider Personal Religious Preferences And Their Perspective On Advance Care Planning With Patients, Marjorie A. Bowman, Sarah St. Cyr, Adrienne Stolfi

Population and Public Health Sciences Faculty Publications

Objective:

To understand how health-care providers’ (HCPs) religious preferences influence their willingness to undertake advance care planning (ACP) with patients and their acceptance of other HCP’s involvement.

Methods:

Online anonymous survey distributed to HCPs in hospital, ambulatory offices, and hospice settings in Dayton, Ohio. We evaluated the associations of HCP religion with their personal ACP, willingness to facilitate ACP, and acceptance of other HCPs’ ACP participation.

Results:

704 respondents: nurses (66.2%), physicians (18.8%), other HCPs (15.0%), white (88.9%), and primarily Catholic (23.3%) or Protestant (32.0%). “No religion” was marked by 13.9%. Respondents were favorable to ACP with patients. Religious respondents …

An Interprofessional Education Initiative For Allied Health Students Preparing To Serve Individuals With Autism Spectrum Disorders, Brenda L. Beverly, Donna Wooster

University Faculty and Staff Publications

The need for effective services for persons with autism spectrum disorders (ASD) is driving efforts to better prepare teams of allied health professionals. To address this need, an interprofessional graduate course was piloted with students from three allied health professions: physical therapy, occupational therapy, and speech-language pathology. The course aims were to address knowledge and competency in the field of ASD and to promote interprofessional abilities during entry-level preparation. Nine graduate students participated in weekly on-line education and attended a day-long autism conference with local practitioners from seven different professions. Attitude changes toward interprofessional practice were assessed with two pre- …

Rethinking Bullying Interventions For High School Students, Aida Midgett, Diana M. Doumas, April Johnston, Rhiannon Trull, Raissa Miller

Counselor Education Faculty Publications and Presentations

The purpose of this study was to obtain feedback to inform a modification of a brief, school-based bullying intervention originally developed for elementary and middle school students to be age appropriate for the high school level. We investigated the in-depth, inner experiences of high school students randomly selected to participate in a brief, bystander bullying intervention program. Thorough qualitative analysis, we found students spoke about (a) the complexity of bullying in high school, (b) cyberbullying and increased potential consequences related to social media, (c) the normalization and minimization of bullying, (d) lack of adult support, (e) an appreciation for the …

Digital Health Practices, Social Media Use, And Mental Well-Being Among Teens And Young Adults In The U.S., Victoria Rideout, Susannah Fox, Well Being Trust

Articles, Abstracts, and Reports

A national survey of 14- to 22-year-olds provides new evidence on the growing mental health crisis affecting young people. The survey, sponsored by Hopelab and Well Being Trust (WBT), finds that large numbers of teens and young adults experiencing moderate to severe symptoms of depression are turning to the internet for help, including researching mental health issues online (90 percent), accessing other people’s health stories through blogs, podcasts, and videos (75 percent), using mobile apps related to well-being (38 percent), and connecting with health providers through digital tools such as texting and video chat (32 percent).

“This survey suggests that …

Difference In Therapeutic Alliance: High-Conflict Co-Parents Vs Regular Couples, Andrea Mae Parady

Theses and Dissertations

The purpose of this research is to explore differences in the therapeutic alliance for High-Conflict Co-Parents (HCC) vs. Regular Couples. Therapeutic alliance refers to the relationship, consisting of a bond, and agreement on the tasks and goals of therapy, between at least two people in the therapeutic relationship. It was hypothesized that HCC clients would have lower therapeutic alliance scores compared to regular couple clients. The results supported this hypothesis. By identifying these differences, more research can be conducted to improve our understanding of how to strengthen the therapeutic alliance with HCC clients, leading to improved treatment of this population.

Alternative Financial Services As A Social Determinant Of Health In U.S. Metropolitan Statistical Areas, Courtney Hundley, Richard W. Wilson, John Chenault

Faculty and Staff Scholarship

Alternative financial services (AFS) such as payday lenders, pawn brokers, tax refund loans, and check cashers are more prevalent in minority and lower income neighborhoods. These are neighborhoods also found to have disparities in health, compared to more affluent neighborhoods and communities. The focus of this paper is to determine if any relationship exists between use of AFS and health disparities. Using data from a survey performed by the Federal Deposit Insurance Corporation (FDIC), we compared four banking variables to several measures of health for 85 metropolitan statistical areas (MSA) across the nation. The four banking variables all related to …

The Tragedy Of Child And Adolescent Suicide, Brad Hinman

Faculty Publications

"In 2015, the Centers for Disease Control and U.S. Department of Education reported that 20 to 28 percent of U.S. students in grades 6 to 12 have experienced bullying, 30 percent admitted to bullying others, and 70 percent witnessed bullying in some form. According to the report, children and young adults are affected by bullying and cyberbullying during their school-age years, and some even into adulthood.³ “School violence and bullying occurs throughout the world and affects a significant proportion of children and adolescents. It is estimated that 246 million children and adolescents experience school violence and bullying in …

Body Dissatisfaction And Suicidal Ideation Among Psychiatric Inpatients With Eating Disorders, Katrina A Rufino, Humsini Viswanath, Rebecca Wagner, Michelle A Patriquin

Staff and Researcher Publications

The current study the relationship between eating disorders (EDs) and suicidal ideation and suicide attempt in adult inpatients. In particular, the present study investigated one potential mechanism, body dissatisfaction (BD), which may contribute to increased risk for suicide in adult ED patients. A sample of 432 psychiatric inpatients ranging from 18 to 65 years of age participated in the current study. Findings indicated that patients who have higher levels of BD also had higher levels of passive and active suicidal ideation and previous suicide attempts. Higher levels of BD were also related to increased suicidal ideation after controlling for depression …

Sexual Violence Victimization, Mental Health, And University-Based Health Service Use Among College Females, Julie E. Stoner

Health Services Research Dissertations

Females between the ages of 18 and 24 consistently experience higher rates of sexual violence compared to females in any other age group (Sinozich & Langton, 2014). Approximately one in five college women experience sexual violence victimization (SVV; Krebs, Lindquist, Berzofsky, Shook-Sa & Peterson, 2016) during the academic year. Among undergraduate female students, 23.1% are victims of sexual violence due to physical force, violence or incapacitation (Cantor et al., 2015). Sexual victimization has been associated with several short- and long-term psychological health consequences, accounting for enhanced symptoms of depression, anxiety, PTSD, and suicide risk (Basile, Smith, Breiding, Black & Mahendra, …

The Relationship Between Childhood Adversity And Adult Relationship Health For Economically Marginalized, Racially And Ethnically Diverse Individuals, Sandy-Ann M. Griffith

Counseling & Human Services Theses & Dissertations

Childhood adversity is prevalent and significantly influences an individual’s life. Adverse Childhood Experiences (ACEs) are linked to chronic physical and mental health issues, as well as maladaptive and abusive patterns of behavior in adult relationships such as unhealthy problem-solving strategies, poor ability at conflict resolution, and intimate partner violence (IPV). The current study explored the relationship between ACEs and adult relationship health outcomes. Controlling for the effect of average individual yearly income on adult relationship health, the extent to which demographic factors (i.e., gender, race and ethnicity, and children status) moderate the relationship between ACEs and adult relationship health and …

Exploring The Variant Experiences Through Which Racial/Ethnic Minorities Select Art Therapy As A Career, Mary Ritchie Roberts

Counseling & Human Services Theses & Dissertations

This study implemented a phenomenological approach to the inquiry of the career decisions of racial/ethnic minorities leading to selection of art therapy as a career. Gottfredson’s Career Theory was used to design interview questions to elicit the perspectives of ten racial/ethnic minority members about their career choice of art therapy. This study used post-intentional phenomenological qualitative coding of data to understand the decisions and contributing factors to racial/ethnic minorities selecting a career in art therapy. The findings suggest factors including: personal characteristics, interests, personal and professional beliefs, cultural beliefs, influential people, social contexts, experiences, and encounters contributed to racial/ethnic minority …

Attention Deficit Hyperactivity Disorder With Comorbid Anxiety/Depression In Adults: Impacts On Neuropsychological Functioning, Cristina Valdivieso Bain

Psychology Theses & Dissertations

ADHD comorbidity with other disorders is high in the adult population (over 44% of individuals carry a second diagnosis, 25% anxiety, 18.6% in depression). Separately, these disorders can impact scores on neuropsychological assessments. Little research has investigated how comorbidity among ADHD and other disorders impacts test scores collectively. Given high rates of comorbidity between ADHD and anxiety/depressive disorders and the potential impact on neuropsychological functioning, the current study examined how these comorbid disorders collectively impact cognition. Specifically, the present study investigated differences in full scale intelligence, general ability, and cognitive proficiency on the WAIS-IV between those diagnosed with ADHD only …

The Effect Of The Oxytocin Hormone In Cocaine Addicted Rats Suffering From Abstinence Syndrome, Juan Padilla

The International Student Science Fair 2018

Rehabilitation from a history of drug abuse is a very difficult and life changing process. Abstinence syndrome forces the rehabilitating patient to go through anxiety like symptoms. The Oxytocin hormone has been believed to be a potential facilitator in the rehabilitation process. This hormone is very present during interactions of affection (hugs) and birth, it foments trust while it associates to a feeling of calmness. Oxytocin would theoretically be a calming agent to the anxiety like symptoms such as craving. The experiment aimed to test the calming effects of the hormone, consisted of a five-day systemic cocaine injections treatment schedule …

Contextualization Of Psychological Treatments For Government Health Systems In Low-Resource Settings: Group Interpersonal Psychotherapy For Caregivers Of Children With Nodding Syndrome In Uganda., Byamah B Mutamba, Brandon A Kohrt, James Okello, Janet Nakigudde, Bernard Opar, Seggane Musisi, William Bazeyo, Joop De Jong

Psychiatry and Behavioral Sciences Faculty Publications

BACKGROUND: Evidence for the effectiveness of psychological treatments in low- and middle-income countries is increasing. However, there is a lack of systematic approaches to guide implementation in government health systems. The objective of this study was to address this gap by employing the Replicating Effective Programs (REP) framework to guide contextualization of a psychological treatment in the Uganda public health system for caregivers of children affected by nodding syndrome, a neuropsychiatric disorder endemic to Sub-Saharan Africa associated with high morbidity and disability.

METHODS: To contextualize a psychological treatment, we followed the four components of the REP framework: pre-conditions, pre-implementation, implementation, …

Integrasi Konseling Kelompok Cognitive Behavior Therapy Dengan Passive Music Therapy Untuk Mereduksi Academic Anxiety, Efektifkah?, Dominikus David Biondi Situmorang, Mulawarman Mulawarman, Mungin Eddy Wibowo

Jurnal Kajian Bimbingan dan Konseling

The aim of this study is to determine the effectiveness of group counseling with cognitive behavior therapy approach using passive music therapy technique to reduce the academic anxiety of students who is writing thesis. The research used quasi-experimental design (pretest, posttest, and follow-up). Group counseling was conducted for five meetings, and follow-up was performed two weeks after the treatment. Research subjects were seven students. Purposive sampling technique was used to select the subjects, that is based on inclusion criteria and level of academic anxiety which is obtained from academic anxiety scale (rxy = 0.536-0.823, coefficient alpha = 0.963). The results …

Pemanfaatan Media Bimbingan Dan Konseling Di Sekolah Menengah Kejuruan Muhammadiyah Se-Kota Yogyakarta, Hardi Prasetiawan, Said Alhadi

Jurnal Kajian Bimbingan dan Konseling

The particular study aimed to know the utilization of media in guidance and counseling service provided by school counselor. Quantitative approach was used in the study. The research instrument was questionnaire with five alternative answers, such: very often; often; rare; sometime; and never. The result of the study showed the use of media in guidance and counseling service by school counselor ranging from visual media, electronic media; audio visual media; computer media.

Kematangan Emosi Remaja Pelaku Bullying, Siti Maryam, Fatmawati Fatmawati

Jurnal Kajian Bimbingan dan Konseling

In recent year, there is a number of news in the mass media on violence in the school, including bullying. The high number of juvenile delinquency is the result of a lack of ability to control emotions in an acceptable way, causing the individual to easily engage the group's influence to perform negative behavior, including bullying behavior. From the above explanation, we interested to examine more deeply how the emotional maturity in adolescents bully in Junior High School 9 Banda Aceh. This study was done through quantitave method by using using the Emotional Maturity scale developed by Katkovsky and Gorlow. …

Modul Latihan Self-Assessment: Media Bagi Siswa Sekolah Menengah Atas Untuk Tahap Awal Perencanaan Karier, Eni Rindi Antika, Andi Mappiare-At, Ella Faridati Zen

Jurnal Kajian Bimbingan dan Konseling

In general, the particular research and development aimed to produce modules for students and guidebook modules for counselor which is acceptable both theoretically and practically. The acceptability is assessed in the terms of format or design, as well as the material content and practice. The developmental procedures adapted from Borg and Gall model, namely: (1) stage I preliminary study and planning, (2) stage II product development, (3) stage III product trial, (4) stage IV product revision, and (5) final product. The product was a Self-Assessment Training Module as a Career Stage Planning of Students in Senior High School and its …

Pengembangan Website Cybercounseling Realita Untuk Meningkatkan Keterbukaan Diri Siswa Sekolah Menengah Kejuruan, Abi Fa'izzarahman Prabawa, M Ramli, Lutfi Fauzan

Jurnal Kajian Bimbingan dan Konseling

This research and development aims to produce a cybercounseling reality website and a reality cybercounseling guidebook to improve self-disclosure for Vocational High School students which are grateful theoretically and practically. The research and development study steps are: preliminary study, product development, and product test. Product’s guidelines are tested using one group pretest-posttest design. Product test results show that cybercounseling reality website is gratefully theoretically and practically and also effectively to improve Vocational High School students’ self-disclosure.

Variation In Airborne Pollen Concentrations Among Five Monitoring Locations In A Desert Urban Environment, Tanviben Y. Patel, Mark P. Buttner, David Rivas, Chad L. Cross, Dennis A. Bazylinski, Joram S. Seggev

Environmental & Global Health Faculty Research

The urbanization of the Las Vegas Valley has transformed this part of the Mohave Desert into a green oasis by introducing many non-native plant species, some of which are allergenic. Typically, one monitoring station is established per city to obtain pollen counts for an entire metropolitan area. However, variations in pollen concentrations could occur among different microenvironments. The objective of this study is to measure and compare pollen concentrations in five locations in Las Vegas to determine if there are significant differences between microenvironments within the city. Air samples were collected from five sites across the Las Vegas Valley over …

The Effect Of The Oxytocin Hormone In Cocaine Addicted Rats Suffering From Abstinence Syndrome, Juan Padilla

The International Student Science Fair 2018

This study aimed to understand the effects of oxytocin in cocaine-addicted rats to prove its ability to help recovering drug addicts overcome the extreme anxiety and craving that makes them relapse during their rehabilitation.

The Workingwell Smartphone App For Individuals With Serious Mental Illnesses: A Proof-Of-Concept, Mixed Methods Feasibility Study (Preprint), Joanne Nicholson, Spenser M. Wright, Alyssa M. Carlisle, Mary Ann Greene Sweeney, Gregory J. Mchugo

Dartmouth Scholarship

Background: The disparities in employment for individuals with serious mental illnesses (SMI) have been well documented, as have the benefits of work. The benefits of mobile technology in providing accessible, in-the-moment support for these individuals has been demonstrated. The WorkingWell mobile app was developed to meet the need for accessible follow-along supports for individuals with SMI in the workplace. Objective: We explore the usability, usage, usefulness and overall feasibility of the WorkingWell mobile app with individuals with SMI receiving community-based services and actively employed. Methods: In this proof-of-concept, mixed methods, two-month feasibility study (N=40), employed individuals with SMI were recruited …

Gsa Members' Experiences With A Structured Program To Promote Well-Being, Alicia A. Lapointe, Claire Crooks

Journal Articles

LGBT2Q+ youth experience significant oppression in schools and there are few evidence-informed programs to promote well-being. This study describes the experiences of youth who participated in a 17-session structured mental health promotion program through their GSAs. Focus groups were conducted with 15 youth. Results indicated that the program helped youth validate and affirm their identities and expressions. The program also afforded youth structured opportunities to identify and process minority stressors, and develop essential coping strategies to bolster their well-being and manage their toxic relationships.

The Role Of Communities In Mental Health Care In Low- And Middle-Income Countries: A Meta-Review Of Components And Competencies., Brandon A Kohrt, Laura Asher, Anvita Bhardwaj, Mina Fazel, Mark J D Jordans, Byamah B Mutamba, Abhijit Nadkarni, Gloria A Pedersen, Daisy R Singla, Vikram Patel

Psychiatry and Behavioral Sciences Faculty Publications

Abstract

Community-based mental health services are emphasized in the World Health Organization’s Mental Health Action Plan, the World Bank’s Disease Control Priorities, and the Action Plan of the World Psychiatric Association. There is increasing evidence for effectiveness of mental health interventions delivered by non-specialists in community platforms in low- and middle-income countries (LMIC). However, the role of community components has yet to be summarized. Our objective was to map community interventions in LMIC, identify competencies for community-based providers, and highlight research gaps. Using a review-of-reviews strategy, we identified 23 reviews for the narrative synthesis. Motivations to employ community …

Linking Molar Organizational Climate And Strategic Implementation Climate To Clinicians’ Use Of Evidence-Based Psychotherapy Techniques: Cross-Sectional And Lagged Analyses From A 2-Year Observational Study, Nathaniel J. Williams, Mark G. Ehrhart, Gregory A. Aarons, Steven C. Marcus, Rinad S. Beidas

Social Work Faculty Publications and Presentations

Background: Behavioral health organizations are characterized by multiple organizational climates, including molar climate, which encompasses clinicians’ shared perceptions of how the work environment impacts their personal well-being, and strategic implementation climate, which includes clinicians’ shared perceptions of the extent to which evidence-based practice implementation is expected, supported, and rewarded by the organization. Theory suggests these climates have joint, cross-level effects on clinicians’ implementation of evidence-based practice and that these effects may be long term (i.e., up to 2 years); however, no empirical studies have tested these relationships. We hypothesize that molar climate moderates implementation climate’s concurrent and long-term relationships with …

Clinical Effectiveness Of Family Therapeutic Interventions In The Prevention And Treatment Of Perinatal Depression: A Systematic Review And Meta-Analysis, Fallon Cluxton-Keller, Martha L. Bruce

Dartmouth Scholarship

Background:

Family therapy is a potential strategy to increase family support for those suffering from perinatal depression. Family therapeutic interventions for this population typically target depressed women and their adult family members to improve family functioning and reduce depressive symptoms.

Objective:

This systematic review and meta-analysis is a synthesis of the current evidence on the usefulness of family therapy interventions in the prevention and treatment of perinatal depression and impacts on maternal depressive symptoms and family functioning.

Methods:

This study used the Cochrane Collaboration guidelines for systematic reviews and meta-analyses. Six electronic databases were searched for randomized controlled trials and …

Changes In Depression And Positive Mental Health Among Youth In A Healthy Relationships Program, Natalia Lapshina, Claire Crooks, Amanda Kerry

Journal Articles

Mental health promotion programming in schools and community settings is an important part of a comprehensive mental health strategy. The goal of this study was to identify and explore meaningful classes of youth based on their pre- and post-intervention depression symptoms scores with 722 youth involved in a 15-week healthy relationships and mental health promotion program. We utilized latent class growth analysis to identify depression class trajectories, controlling for group clustering effects. A three-class solution identified high decreasing, moderate stable, and low stable trajectories. Gender, age, and reported experience of bullying victimization predicted trajectory class membership. The low stable class …

Identifying Patients And Clinical Scenarios For Use Of Long-Acting Injectable Antipsychotics – Expert Consensus Survey Part 1, Martha Sajatovic

Faculty Scholarship

Objective: To assess expert consensus on barriers and facilitators for long-acting injectable antipsychotic (LAI) use and provide clinical recommendations on issues where clinical evidence is lacking, including identifying appropriate clinical situations for LAI use. Methods: A 50-question survey comprising 916 response options was distributed to 42 research experts and high prescribers with extensive LAI experience. Respondents rated options on relative appropriateness/importance using a 9-point scale. Consensus was determined using chi-square test of score distributions. Mean (standard deviation) ratings were calculated. Responses to 29 questions (577 options) relating to appropriate patients and clinical scenarios for LAI use are reported. Results: Recommendations …