Medicine and Health Sciences Commons^™

Healthcare Utilization For Behavioral Health Disorders: Policy Implications On Nationwide Readmissions, And Outcomes In The States Of Nebraska And New York, Rajvi J. Wani

Theses & Dissertations

The main goal of this dissertation was to estimate national-level inpatient readmissions and state-level hospital-based emergency department (ED) visits with behavioral health (BH) conditions in the states of Nebraska and New York. The dissertation aims to assess the impact of the policy mandates under the Patient Protection and Affordable Care Act on these state and national estimates. The Nationwide Readmissions Database and the State Emergency Department databases maintained by the Healthcare Cost and Utilization Project were used for this dissertation. US Adult population with high-risk of readmissions in the inpatient departments for alcohol-related disorders (ARD) and of visiting ED for …

Exploring The Relationship Between Team Characteristics And Mental Health Symptoms Amongst Student Athletes, Dylan Owens

Senior Honors Projects, 2010-2019

Depression and anxiety are disabling conditions that are particularly prevalent amongst young adults (Wolanin, Hong, Marks, Panchoo, & Gross, 2016). Student athletes must cope with extensive time demands that go beyond those of ordinary young adults, consequently putting them at increased risk to experiencing mental health issues. Numerous factors may influence an athlete’s well being, such as gender, injury, and type of sport. This study tests these various factors but also extends previous literature by analyzing the effects of team dynamics on student athlete mental health. An anonymous multi-part questionnaire was sent out to all JMU athletes in the Fall …

Interlace: Designing An Inclusionary Architecture For Alzheimer's Sufferers, Alexander Fashinasi

Bachelor of Architecture Theses - 5th Year

This thesis intends to address the increasing challenges the Alzheimer’s disease poses for our growing American population. The research begins by looking at the brain as a combination of components which make up the individual. Following this, the research compiles information on the Alzheimer’s disease and its symptoms, followed by an analysis of the built environments effects on the condition.

Through analysis of precedent cases and the combined Alzheimer’s research, I chose to propose an experimental community in which those with Alzheimer’s can live a life with greater autonomy while simultaneously slowing the progression of the disease. I place this …

An Analysis Of Socio-Economic Consequences Of Cancer In Nepal, Soumi Roy Chowdhury

Economics ETDs

This dissertation investigates the socio-economic burden of cancer patients using a primary survey in Nepal. Given the low uptake rate of cancer screening facilities in developing countries, my study covers three important issues: the need of information dissemination on cancer prevention among asymptomatic individuals, the emotional stress of cancer patients in relation to a control group of patients, and the severity of economic burden due to premature cancer related deaths measured at the national and individual levels. In developing countries with low level of information and awareness, it is difficult to communicate the importance of cancer preventative measures to the …

Social Work Trauma Interventions: Dialectical Behavioral Therapy, Kassie Baumann

Senior Honors Theses

According to Lynne Weilart (2013), in her article on the reasons why people seek out therapy, trauma is the number one reason people attend counseling. Many different trauma-informed approaches are designed specifically to address the consequences of trauma and to facilitate healing. Some of these approaches are as follows: Cognitive Behavioral Therapy (CBT); Dialectical Behavioral Therapy (DBT);Mentalization Based Therapy (MBT); Trauma Systems Therapy (TST); Trauma Assessment Pathway (TAP); and Attachment, Self-Regulation, and Competency (ARC) (de Arellano, Danielson, Ko, & Sprauge, 2008). The effectiveness of each trauma intervention will be examined. DBT is one of these trauma interventions that is growing …

Improving Access To Collegiate Substance Use Prevention Resources, Sarah Danko

Senior Honors Projects

The incidence of substance use has been increasing at an alarming rate and declared a public health epidemic. Certain subpopulations, including the collegiate population, are at an increased risk for developing a substance use disorder. According to The National Center on Addiction and Substance Abuse, 22.9% of college students meet the criteria for a substance use disorder. This rate is markedly high compared to the rate amongst the general public of 8.5%. A number of factors predispose college students to alcohol and substance use disorders. These factors include increased freedom, social pressures, and high-demand academic workload. Despite the scope of …

Watson’S Theory Of Human Caring: Effect On Nurse Perception Of Care Environment, Shannon Jones

Nursing Theses and Capstone Projects

Psychiatric and mental health nurses face unique problems related to the specifics of the role including low morale and burnout. These problems stem from many factors including insufficient staffing, lack of support from management, and patient behaviors such as aggression or noncompliance which lead to poor patient outcomes. The purpose of this study was to determine what effect adoption of Dr. Jean Watson’s Theory of Human Caring has on nurse perception of the care environment on an inpatient psychiatric unit in a rural community hospital as measured by a modified version of the Combined Assessment of Psychiatric Environments (CAPE) instrument. …

The Denison Pequotsepos Nature Center Giving Garden At Coogan Farm: A Practitioner Report On Community Gardens For Health And Regional Food Security, Emma Sutphen

Sustainability and Social Justice

The Denison Pequotsepos Nature Center (DPNC) is a community organization that, through its various programming, works to perpetuate a vision of humans as part and parcel of the world. In 2013, when the Nature Center acquired the Coogan Farm property, the organization built a community garden called the Giving Garden to serve surrounding communities, expanding services to the foodservice sector educational programming around sustainable agriculture. DPNC’s partnership with the Robert G. Youngs Family Foundation, United Way of Southeastern Connecticut, and Gemma E. Moran mobile food pantry, forged in 2014, has allowed the garden to minimize area food insecurity through its …

Maine Health Access Foundation Addiction Care Program: Interim Evaluation Report, Mary Lindsey Smith Phd, Katie Rosingana Ba, Frances Jimenez Ba, Rachel M. Gallo Mph, Mark Richards Bs

Substance Use Research & Evaluation

No abstract provided.

Primary Care Provider Attitudes Towards Adoption Of Evidence Based Practice: Indicators Of Acceptance Towards Bibliotherapy, Shannon Scott

Doctor of Nursing Practice Scholarly Projects

The rising prevalence of depression is straining the skeletal mental health systems in rural communities, resulting in a majority of patients receiving management for their depression solely by their primary care providers. However, providers need to be empowered with evidence-based resources to provide adequate care beyond pharmacotherapy exclusively. Bibliotherapy, or the prescription of books for the treatment of disease, is readily used by psychologists but less incorporated into the traditional medical model of patient care. This small pilot study provided primary care providers in a rural area complimentary copies of the self-help text Feeling Good (Burns, 2009) to incorporate into …

Association Between A Single Nucleotide Polymorphism In Neuregulin-1 And Schizophrenia In Pakistani Patients, Haider Ali Naqvi, Shafqat Huma, Hira Waseem, Kashaf Aqeel Zaidi, Hina Saeed Zuberi, Syed Hani Abidi

Department of Biological & Biomedical Sciences

Objective: To determine the association of single-nucleotide polymorphism8nrg433E1006 in the neuregulin-1 gene associated with schizophrenia.
Methods: This case-control study was conducted at the Fountain House, Lahore, and the psychiatric clinics at the Aga Khan University, Karachi, from 2010 to 2013.The total genomic deoxyribonucleic acid was isolated and single-nucleotide polymorphism8nrg433E1006 was screened by nested polymerase chain reaction followed by sequencing. These sequences, from patients and controls, were aligned with the human neuregulin-1-glial growth factor 2 gene sequence, which served as a reference sequence. The single nucleotide polymorphism genetic algorithm was characterised at position 433 in the neuregulin-1 gene by …

A Surging Drug Epidemic: Time For Congress To Enact A Mandate On Insurance Companies And Rehabilitation Facilities For Opioid And Opiate Addiction, Alanna Guy

Journal of Law and Health

This Note begins with a discussion of both the national opioid problem as well as the specific epidemic in Ohio as an example of how it has grown within all of the states. Part II discusses the differences between prescription opioids and opiates, how they can be obtained, what effects they have on the human body, and why the government has an interest in this growing problem. Next, this Note explains how and why there was an increase in access and addiction to prescription opioid pain medication. Following this explanation, the steps the government has taken to try to rectify …

Levels Of Professional Stress In Missouri State University Sport Coaches, James Edgar Seratt

Graduate Theses/Dissertations

Due to the particular nature of collegiate sport coaching, that is, the need to secure victories at all costs in order to ensure job security, collegiate sport coaches are a population that are likely to experience high levels of personal and professional stress. Previous research has indicated that coaches at all levels of competition, experience degrees and levels of stress similar to those experienced by individuals in other high stress professions, including police officers, medical professionals, and teachers. Furthermore, research has indicated that high levels of stress are positively correlated with decreased work performance. For this research, 45 Missouri State …

Art Therapy And Art History Theories, An Inquiry, Hannah L. Masters

LMU Theses and Dissertations

This research uses critical theory inquiry with interviews and arts-based research to explore biases about art making in clinical art therapy practice. The literature review establishes an historical link between theoretical tenets in fields of art therapy and art history. Participants are chosen from experts in the fields of art therapy and art history. Interviews explore what art making means to each participant, utilizing both verbal and arts-based processing. The data is condensed through coding and arts-based reflection, and seven emergent themes are identified. The themes are checked with the participants for accuracy. The findings of the paper integrate the …

Utilization Of Telehealth Technology In Addiction Treatment In Colorado, J. Michael Faragher, Ying Shan Doris Zhang, Virginia Low, Demi Folds, Mita Johnson

Counseling Psychology: Faculty Scholarship

The growing presence of electronic technology in the health service professions is redefining the boundaries of counseling services. Commonly referred to as telehealth, utilization of electronic communication strategies to expand connectedness has opened new frontiers in behavioral health through applications ranging from digital phones, interactive video sessions, to virtual supervision. Substantial research suggests that telehealth is generally equal in effectiveness to traditional forms of treatment, especially for those individuals struggling with substance abuse problems. Unfortunately, research also suggests that telehealth is often underutilized when it comes to providing addiction treatment services. Telehealth trends in Colorado were examined using a Telehealth …

Habit Formation And Deconstruciton: A Study In Behavioral Psychology, Mary Sims

Emerging Writers

Second-place winner in the Short Essay category of the 2018 Emerging Writers Contest. The essay examines the writer's application of behavioral psychology theory to her own habits.

Promoting Mental Health Awareness At Uri, Megan Kurose

Senior Honors Projects

Honors Project Abstract: Megan Kurose (Marketing)

Promoting Mental Health Awareness at URI

Sponsor: Sara Murphy (Thanatology)

In 2012, The National Alliance on Mental Illness (NAMI) published a survey report on mental health entitled “College Students Speak”. The survey included in the report was web-based, and received 765 responses from individuals diagnosed with a mental health conditions who are currently or were enrolled in college within the past five years. Responses were collected from August 2011 to November 2011. According to the report, 57% of survey respondents did not request mental health accommodations from their school. The consequences of not receiving …

Dancing, Mindfulness, And Our Emotions: Embracing The Mind, Body, And Sole, Alisha M. Collins

Dissertations, Theses, and Capstone Projects

This capstone project examines dance, as an intervention and mindfulness practice that assists with managing our emotions. There is a need for dance therapy in social institutions such as, healthcare facilities, schools, and community centers. Dance therapy has the potential to reduce negative emotions, create mindfulness, improve self-expression, and promote a healthy well-being. I am proposing that dance therapy is applied as a regular practice in social institutions to develop mindfulness and promote emotional stability.

In this study, I argue that dance therapy can contribute to our well-being long term. In addition to this written thesis, a visual component of …

Assessing Pre-Sleep Experiences In A Population Of Depressed And Non-Depressed College Students, Lawrencia Teris

Renée Crown University Honors Thesis Projects - All

A common symptom of depression is insomnia – yet it remains unclear why those with depression report difficulty sleeping and little is known about the pre-sleep experiences of those who are depressed. The aim of this paper is to compare pre-sleep experiences in people with and without depression on eight different types of sleep-disturbing experiences that people often have when they lie awake during the night. Eighty-seven undergraduate college participants including 34 with depression and 53 without depression completed daily surveys for 14 days on these pre-sleep experiences. Results indicated that those with depression reported significantly higher scores on thinking …

Shame And Guilt Proneness Pre-Diagnostic Scale For Depression, Ptsd, And Suicidal Ideation In Active Duty Veterans, Elizabeth Fantini

Renée Crown University Honors Thesis Projects - All

PTSD was discovered in 1980 (Friedman, J. M., 2007), since then an increasing number of veterans and active duty soldiers have been affected by it. Not only have our soldiers been affected by PTSD but depression and suicidal ideation, the repercussions of war, combat zones or any type of severe stress felt while they were active duty. There are two key emotions linked to the diagnosis of PTSD, depression or suicidal ideation; guilt and shame. It has been concluded that guilt and shame both have effects of the diagnosis of PTSD, depression and suicidal ideation. There have been multiple studies …

Pornography As A Public Health Issue: Promoting Violence And Exploitation Of Children, Youth, And Adults, Elisabeth Taylor

Dignity: A Journal of Analysis of Exploitation and Violence

The pornography industry is expanding exponentially as a result of ongoing technological advances. The ability to stream videos over the internet and the ubiquity of the smart phone have meant that pornography producers are able to use algorithms to target potential consumers, to cultivate new sexual tastes and to deliver content to a more diverse audience over mobile devices. The advent of virtual reality pornography with interactive sex toys and sex robots imbued with artificial intelligence promises to unleash a further step-change in the extent to which pornography influences ‘real-world’ sexual culture. The critical analysis of pornography undertaken over decades …

A Phenomenological Inquiry Into The Shared Lived Experience Of Married Male Doctoral Students In Counselor Education And Their Non-Student Spouses, Anthony Suarez

Graduate Theses and Dissertations

Research involving married doctoral students has suggested that they face a unique set of circumstances that include benefits, challenges, and changes. Additional research has highlighted the culture within Counselor Education and Supervision (CES) programs. While there are some studies that explore the experiences of married graduate students in counseling-related fields, very little literature exists that explores married students in CES programs. No such studies focus on the experiences of married male students in CES.

The purpose of this study was to explore the shared lived experiences of married male doctoral students in Counselor Education and Supervision (CES) programs and their …

A Laboratory-Based Experimental Test Of Reasons For Living: Effects On Behavioral Approach Toward A Suicide-Related Stimulus, Sasha Micaella Rojas

Graduate Theses and Dissertations

There are few laboratory-based experiments that examine the effects of suicide-related risk or protective factors on suicide-related outcomes. Consistent with extant evidence-based theoretical models and treatments for suicidal behavior, it appears that increasing awareness of reasons for living may reduce risk for suicidal behavior. Thus, the current study represents an initial effort to experimentally examine the impact of bringing awareness to one’s most important reason for living on behavioral approach towards a suicide-related stimulus. Random assignment was used to assign an unselected undergraduate sample of 78 participants to complete either a script-driven imagery procedure specific to the most important reason …

Effort-Related Decision Making In Comt Variant Mice: Pharmacological Studies And Genetic Susceptibility To Motivational Dysfunction, Suzanne Cayer

Honors Scholar Theses

Effort-related decision making tasks in animals can model motivational symptoms in humans, which are a set of symptoms spanning a multitude of neuropsychiatric disorders, such as major depressive disorder and the negative symptoms of schizophrenia. The present studies aimed to evaluate the effort-related effects of the Val158Met polymorphism of human catechol-methyltransferase (COMT), by testing mice carrying either the human COMT Val (n=8) or Met allele (n=8) with Wild-Type control mice (n=15) by using concurrent FR2 and FR4/pellet choice tasks in a touchscreen operant conditioning apparatus. The Val158Met polymorphism has been repeatedly associated with neuropsychiatric disorders, and the Val allele has …

Ptsd And Dysfunctional Parenting: Emotional And Biological Mechanisms, Molly Franz

Department of Psychology: Dissertations, Theses, and Student Research

Women are disproportionately at risk for developing PTSD following exposure to trauma. Among its many harmful effects, PTSD is associated with a range of negative family outcomes, including impairments in parenting behaviors. Despite the prevalence of PTSD and its impact on parenting, little is known about the mechanisms responsible for this association. The present project addressed this gap by examining the impact of PTSD on dysfunctional parenting behaviors in a lab setting. Based on prior theory and empirical evidence, I expected that a diagnosis of PTSD would be associated with more dysfunctional parenting (i.e., harsh/overreactive and lax/permissive behaviors) during routine …

The Prospective Influence Of Religiousness On Alcohol Use: What Role Do Perceived Norms Play?, Corey Todd Brawner

Dissertations

Alcohol misuse is recognized as one of the most pressing health hazards for college students. Previous research has supported a protective relationship between religiousness and problematic alcohol use, but it is less clear what aspects of religiousness are protective and through what mechanisms its effect is exerted. The current study utilized a prospective design to accomplish three primary goals: (1) Delineate the protective effects of religious motivation and public participation on alcohol use and alcohol-related problems in a sample of undergraduates at a large public university in the southeastern United States, (2) determine whether effects were maintained long-term, and (3) …

Insane: James Holmes, Clark V. Arizona, And America's Insanity Defense, Eric Collins

Journal of Law and Health

Insanity is a legal term of art that changes definitions depending on the legal standard in American jurisprudence, which explains why a man who mental health professionals described as having an uncontrollable obsession with killing people can be found not insane and guilty. This Note addresses the current state of the Insanity Defense Reform Act of 1984 and its widespread implementation at the state level. Part II supplies background information on the history of the insanity defense and how it has transformed over the years in American jurisprudence. Part III provides an analysis of the of the insanity defense. Part …

Violence And Aggression In School Settings, Barbara Katic

Journal of Critical Issues in Educational Practice

Violence and aggression continue to cause harm to American schools and communities, which has been visibly illustrated by the continual perpetration of school shootings. In order to prevent these situations for occurring again, the etiology of violent and aggressive behaviors must be studied. Utilizing an ecological perspective, both the risk factors and protective factors of violence and aggression, also known as a dual strategy approach, are examined within an educational context. Specific risk factors reviewed include weapons exposure and social rejection, while protective factors reviewed include school connectedness and pro-social relationships. Implications regarding the prevention of violent and aggressive acts …

Fear Of The Future: A Sociological Profile Of Anxiety In College, Lauren Hannah

Renée Crown University Honors Thesis Projects - All

College students are currently experiencing what psychologists and media outlets refer to as an "anxiety epidemic." Undergraduates are self-reporting and seeking counseling for anxiety in record numbers. Fear of the Future: A Profile of Anxiety in College is an exploratory sociology project whose aim is to understand the experience, manifestations, and root causes of anxiety in late Millennial college students. The core research involves a survey of over 400 Syracuse University undergraduates and three interviews with some of Syracuse University's professional counselors. The demographic findings of the survey and the common threads among statements from counselors are synthesized to …

Psychiatric Impact Of Tuberous Sclerosis Complex And Utilization Of Mental Health Treatment, Kate Mowrey

Dissertations and Theses (Open Access)

Tuberous sclerosis complex (TSC) is a multi-system, neurocutaneous disorder with neuropsychiatric features known as TSC-associated neuropsychiatric disorders (TAND). While 90% of individuals with TSC have some TAND features, only 20% receive treatment, leading to a 70% treatment gap. This study evaluated perception of disease severity, presence of anxiety and depression, as well as the utilization and barriers towards mental health services among adults with TSC. Disease severity had a moderate and low-moderate association with anxiety and depression, respectively. Regardless of past utilization, respondents had a positive outlook towards the use of mental health services with the major barrier being cost.