Medicine and Health Sciences Commons^™

Best Practices For Working With Undocumented Latino Youth, Elizabeth J. Braun

All Graduate Theses, Dissertations, and Other Capstone Projects

Research Question: What are evidence supported individual, group and community practices to address the needs of Latino youth experiencing mental health issues related to undocumented legal status and risk of deportation?

Best Practices For Treating Co-Occuring Disorders In A Chemical Dependency Treatment Setting, Michelle Dick

All Graduate Theses, Dissertations, and Other Capstone Projects

The purpose of this capstone project was to identify best practices for treating co-occurring disorders that could be utilized with adult males being treated for chemical dependency at the House of Hope, Inc. Identification of these practices will more effectively meet the needs of the clients served at House of Hope, Inc. and allow the agency to increase their capacity to better service clients with co-occurring disorders.

Factors That Contribute To Patient Length Of Stay At St. Peter Regional Treatment Center, Brenda Karch

All Graduate Theses, Dissertations, and Other Capstone Projects

This research project employed a quantitative review of archived data comprised of patients that had been discharged from St. Peter Regional Treatment Center between 2002-2010. These patients were admitted to Minnesota Security Hospital for treatment and progressed through the program to Forensic Transition Services and eventually discharged to the community.

Effectiveness Of The Whytry Curriculum With Adults Participating In A Vocational Training Program, Erika Kern

All Graduate Theses, Dissertations, and Other Capstone Projects

The purpose of this research project is to evaluate the effectiveness of the WhyTry curriculum with adults participating in a vocational training program specifically to develop retail skills. WhyTry is an interactive, multisensory program used to motivate participants to change patterns of indifference by using analogies, videos, and music to stimulate and inspire them to succeed. The curriculum has elements of Solution Focused Brief Therapy, Social and Emotional Intelligence, and multi-sensory learning (WhyTry, 2011). My research question is as follows: Is the WhyTry curriculum effective in increasing self-esteem and self-efficacy with adults who are participating in a vocational training program? …

Understanding The Role Of Attachments And Schemas: A Model For Working With Sex Offenders, Carol J. Ries

All Graduate Theses, Dissertations, and Other Capstone Projects

The purpose of this project is to research, develop, present, and evaluate a training module to increase knowledge of the role of attachments and schemas in working with sex offenders and to provide a model for working with sex offenders. Research Questions: 1. To what extent will a training module on the role of attachments and schemas increase attendees’ understanding of these topics? 2. Will a training module increase the likelihood that attendees will apply this knowledge of attachments and schemas in their work with clients?

Computer-Based Training: Understanding Mental Health Civil Commitment, Tiffany Sandbo

All Graduate Theses, Dissertations, and Other Capstone Projects

The purpose of this training is to enhance health and mental health professionals’ knowledge about the mental health civil commitment law and process in Minnesota. The goal is upon completion of this training: 1)Trainees will understand the mental health civil commitment law and process in Minnesota. 2)Trainees will understand your role in the mental health civil commitment process.

Recommendations For The Provision Of Patient Activities, Jean Schlichting

All Graduate Theses, Dissertations, and Other Capstone Projects

Federal Code § 485.645 is entitled “Special requirements for CAH (Critical Access Hospital) providers of long-term care services (“swing beds”).” It states that a CAH must be in substantial compliance with the skilled nursing facility requirements found in § 483. § 483.15 states that the facility must provide a comprehensive activities program that is designed to meet the physical, mental and psychosocial interests and needs of each patient. To ensure the program is meeting the interests and needs of patients, it also states that a comprehensive activities assessment should be completed with each patient. A wealth of research finds that …

Shelter Program For Homeless Males With Substance Use And Mental Illness: A Strength And Effectiveness Based Approach, Kotatee Tamba

All Graduate Theses, Dissertations, and Other Capstone Projects

Homelessness represents one of the United States most pressing and complex problems. Approximately, nine percent of the nation’s homeless are considered to be rural. Locally, homelessness in Steele County continues to be a problem. A one night survey of homeless individuals in southeastern Minnesota revealed that there are 217 people experiencing homelessness on any given night. Homeless males have been found to be at greater risk of becoming homeless and tend to remain homeless for longer periods of time. The high risks associated with substance use, lack of adequate shelters and limited access to health care services in rural communities …

Housing With Support Marketing Study Tool, Gary M. Travis

All Graduate Theses, Dissertations, and Other Capstone Projects

Housing for persons with serious mental illness (SMI) that is permanent, affordable, and supportive is very limited because the availability of these resources is inadequate and subject to significant demand by persons that are disabled or on a limited income. The limited access to housing for persons with SMI is contributing to homelessness and Minnesota has seen a steady rise since 1994 in the rate and number of people that are homeless and coping with mental illness (Wilder Research, 2010a). While some of the impact of disability, homelessness, and limited affordable housing access is known, what remains uncertain is a …

Prenatal Maternal Stress Programs Infant Stress Regulation, Elyssia Poggi Davis, Laura M. Glynn, Feizal Waffarn, Curt A. Sandman

Psychology Faculty Articles and Research

Objective: Prenatal exposure to inappropriate levels of glucocorticoids (GCs) and maternal stress are putative mechanisms for the fetal programming of later health outcomes. The current investigation examined the influence of prenatal maternal cortisol and maternal psychosocial stress on infant physiological and behavioral responses to stress.

Methods: The study sample comprised 116 women and their full term infants. Maternal plasma cortisol and report of stress, anxiety and depression were assessed at 15, 19, 25, 31 and 36 + weeks' gestational age. Infant cortisol and behavioral responses to the painful stress of a heel-stick blood draw were evaluated at 24 hours after …

Development Of A Positive Psychology Intervention For Patients With Acute Cardiovascular Disease, Jeff C. Huffman, Carol A. Mastromauro, Julia K. Boehm, Rita Seabrook, Gregory L. Fricchione, John W. Denninger, Sonja Lyubomirsky

Psychology Faculty Articles and Research

The management of depression and other negative psychological states in cardiac patients has been a focus of multiple treatment trials, though such trials have not led to substantial improvements in cardiac outcomes. In contrast, there has been minimal focus on interventions to increase positive psychological states in cardiac patients, despite the fact that optimism and other positive states have been associated with superior cardiovascular outcomes. Our objective was to develop an 8-week, phone-based positive psychology intervention for patients hospitalized with acute cardiac disease (acute coronary syndrome or decompensated heart failure). Such an intervention would consist of positive psychology exercises adapted …

David Grove's Metaphors For Healing, David Pincus, Anees A. Sheikh

Psychology Faculty Articles and Research

Within the ever-expanding list of approaches to psychotherapy, there is a tendency to overlook deep imagery approaches. The current article reports on one such metaphor-based therapy developed by David Grove (Grove & Panzer, 1989). The approach is analyzed within the context of mainstream contemporary psychotherapy in general, the state of empirical understanding of common processes to psychotherapy, and in relation to other deep imagery-based approaches to therapy. Next, a step-by-step description of the techniques used within metaphor therapy are presented, along with a case example demonstrating the use of these techniques on a case involving pain symptoms. Finally, it is …

Clinical Social Work And The Biomedical Industrial Complex, Tomi Gomory, Stephen E. Wong, David Cohen, Jeffrey R. Lacasse

The Journal of Sociology & Social Welfare

This article examines how the biomedical industrial complex has ensnared social work within a foreign conceptual and practice model that distracts clinical social workers from the special assistance that they can provide for people with mental distress and misbehavior. We discuss: (1) social work's assimilation of psychiatric perspectives and practices during its pursuit of professional status; (2) the persistence of psychiatric hospitalization despite its coercive methods, high cost, and doubtful efficacy; (3) the increasing reliance on the Diagnostic and Statistical Manual of Mental Disorders, despite its widely acknowledged scientific frailty; and (4) the questionable contributions of psychoactive drugs to clinical …

Maternal Defense: Breastfeeding Heightens Aggression By Reducing Stress, Jennifer Hahn-Holbrook, Julianne Holt-Lunstad, Colin Holbrook, Sarah M. Coyne, E. Thomas Lawson

Psychology Faculty Articles and Research

Mothers in numerous species exhibit heightened aggression in defense of their young. This shift typically coincides with the duration of lactation in nonhuman mammals, which suggests that human mothers may display similarly accentuated aggressiveness while breast feeding. Here we report the first behavioral evidence for heightened aggression in lactating humans. Breast-feeding mothers inflicted louder and longer punitive sound bursts on unduly aggressive confederates than did formula-feeding mothers or women who had never been pregnant. Maternal aggression in other mammals is thought to be facilitated by the buffering effect of lactation on stress responses. Consistent with the animal literature, our results …

A Prospective Study Of Positive Psychological Well-Being And Coronary Heart Disease, Julia K. Boehm, Christopher Peterson, Mika Kivimaki, Laura D. Kubzansky

Psychology Faculty Articles and Research

Objective: Research suggests that positive psychological well-being is associated with cardiovascular health. However, much of this research uses elderly samples and has not determined the pathways by which psychological well-being influences cardiovascular disease or whether effects are similar for men and women. This study investigates the association between two aspects of well-being (emotional vitality and optimism) and coronary heart disease (CHD) in a sample of middle-aged men and women, and considers potential mediating factors.

Method: Between 1991 and 1994, well-being and coronary risk factors were assessed among 7,942 individuals without a prior cardiovascular event from the Whitehall II …

Improving The Detection Of Narcissistic Transformational Leaders With The Multifactor Leadership Questionnaire: An Item Response Theory Analysis, Dale Frederick Hosking Martin

Walden Dissertations and Doctoral Studies

Narcissistic transformation leaders have inflicted severe physical, psychological, and financial damage on individuals, institutions, and society. Multifactor Leadership Questionnaire (MLQ) has shown promise for early detection of narcissistic leadership tendencies, but selection criteria have not been established. The purpose of this quantitative research was to determine if item response theory (IRT) could advance the detection of narcissistic leadership tendencies using an item-level analysis of the 20 transformational leadership items of the MLQ. Three archival samples of subordinates from Israeli corporate and athletic organizations were combined (N = 1,703) to assess IRT data assumptions, comparative fit of competing IRT models, item …

Perceptions Of The Role Of Nurses In Providing Psychosocial Care For Patients With Cancer, Kerry Suzuki

Walden Dissertations and Doctoral Studies

Psychosocial care for patients with cancer is aimed at detection, diagnosis, treatment, and prevention of psychological distress (PD). PD is a universal clinical phenomenon experienced by at least 38% of patients with cancer, yet only10% are identified as having PD. Nurses are presumed providers of psychosocial care, yet no research examined what nurses perceive as their role in caring for patients with cancer, and whether nurses believe that providing psychosocial care to patients with cancer is within their role. Patient care that rests on assumptions is too precarious; nurses' role beliefs are critical in light of their impact on practice …

Public Sponsored Health Insurance To Improve Health Outcomes With Implications For Government Health Policy, Design, And Decision Making, Steven M. Wagner

Walden Dissertations and Doctoral Studies

This research sought to ascertain the extent to which providing public sponsored health insurance (PSHI) to previously uninsured Mexican-American Hispanics improves health outcomes among those requiring ongoing treatment to control diabetes. Prior research utilizing insurance access theory; access, equity, and health outcome interrelationship theory; health affordability theory; and financial and resource burden theory suggests the uninsured receive less care than the insured, with delayed treatment, leading to chronic conditions. This research tested each of those major theoretical constructs into a blended conceptual framework based on the notion that providing health insurance helps alleviate the disabling effects of diabetes among this …

A Case Study Of Primary Healthcare Services In Isu, Nigeria, Raymond Ogu. Chimezie

Walden Dissertations and Doctoral Studies

Access to primary medical care and prevention services in Nigeria is limited, especially in rural areas, despite national and international efforts to improve health service delivery. Using a conceptual framework developed by Penchansky and Thomas, this case study explored the perceptions of community residents and healthcare providers regarding residents' access to primary healthcare services in the rural area of Isu. Using a community-based research approach, semistructured interviews and focus groups were conducted with 27 participants, including government healthcare administrators, nurses and midwives, traditional healers, and residents. Data were analyzed using Colaizzi's 7-step method for qualitative data analysis. Key findings included …

A Survey Of Georgia Adult Protective Services Staff: Implications For Older Adult Injury Prevention And Policy, Sheryl M. Stasser, Judith Kerr, Patricia S. King, Brian Payne, Sarah Beddington, Danielle Pendrick, Elizabeth Leyda, Frances Mccarty

Sociology & Criminal Justice Faculty Publications

Introduction:

The aging population is a rapidly growing demographic. Isolation and limited autonomy render many of the elderly vulnerable to abuse, neglect and exploitation. As the population grows, so does the need for Adult Protective Services (APS). This study was conducted to examine current knowledge of older adult protection laws in Georgia among APS staff and to identify training opportunities to better prepare the APS workforce in case detection and intervention.

Methods:

The Georgia State University Institute of Public Health faculty developed a primary survey in partnership with the Georgia Division of Aging Services’ leadership to identify key training priority …

The Relationship Of Self-Care To Burnout Among Social Workers In Health Care Settings, Jennifer D. Weekes

Walden Dissertations and Doctoral Studies

Self-care is critical in minimizing the symptoms of burnout among human services professionals, but specific information on the role of self-care among social workers in healthcare settings is limited. This correlational study was designed provide a fuller understanding of this relationship. Orem's theory of self-care and the theory of reasoned action and planned behavior served as the theoretical foundations of this study. The sample included 185 members of the National Association of Social Workers, who volunteered to participate in this study. Participants completed online versions of the Maslach Burnout Inventory and Self-Care Assessment Work Sheet. Correlation and analysis of variance …

Tarnished Golden Years: Older Offenders With Mental Health Problems And Late Life First Time Offenders, Brianne Stanback

USF Tampa Graduate Theses and Dissertations

Older offenders (offenders 50 years and older) are a distinct groups within the U.S. correctional system. Studies 1 and 2 were intended to investigate mental health and stressors among jailed older offenders.

Study 1 examined the prevalence rates of mental health disorders and explored the relationship between mental health disorders and stressors. Participants 50 years and older (N=330) from the 2002 wave of the Survey of Inmates in Local Jails (SILJ) were studied via descriptive analysis, factor analysis, and a logistic regression to determine which variables were related to the probability of having a mental health problem. 65.8% of participants …

The Impact Of Hospice And Dementia Special Care Units On End-Of-Life Care For Individuals With Dementia, Catherine Elizabeth Mccarty

USF Tampa Graduate Theses and Dissertations

ABSTRACT

Hospice and Dementia Special Care Units (DSCUs) have been shown to be gold standards of care for individuals who are dying and for those with dementia in nursing homes. Using a retrospective administrator and family survey, this study investigated whether the processes of care used in hospice and DSCUs are associated with increased quality of end of life (EOL) care for individuals with dementia. A convenience sample of 17 facilities in four states (FL, PA, MD and MA) was included in the study. Nursing home administrators were surveyed between September 2008 and October 2009. The administrators identified 116 family …

Connective Leadership: The Chief Nursing Officers' Relationship With Staff Nurses, Mary Ellen Clyne

Seton Hall University Dissertations and Theses (ETDs)

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"Out Of The Mouths Of Sibs"... A Phenomenological Study Of The Experience Of Being A Well School-Age Sibling Of A Child With A Traumatic Injury, Mary Jo Bugel

Seton Hall University Dissertations and Theses (ETDs)

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Attitudes Toward Help-Seeking And Mental Health Among College Athletes: Impact Of A Psycho-Educational Workshop, Sandra R. Ackerman

Seton Hall University Dissertations and Theses (ETDs)

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Adolescent Depression And Social Support, Religiosity And Spirituality In A Faith-Based High School, Angela P. Ekwonye

Seton Hall University Dissertations and Theses (ETDs)

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A Self-Psychological Exploration Of Multiple Sclerosis In Its Biopsychosocial Context, Elisabeth Anne Parrott

Antioch University Dissertations & Theses

This theoretical dissertation constructs a new frame of reference for understanding relapsing-remitting multiple sclerosis (RRMS) using self psychology to develop a biopsychosocial formulation of the illness in order to better inform the medical treatment of patients. After conducting a critical exploration of MS in its historical context and providing a brief overview of the etiology of MS, this paper examines the phenomenology of the illness using the concepts of self psychology to further develop the theory of Engel’s (1977) biopsychosocial model. The relationship among biological, intrapsychic, and social factors and coherent conceptualization and medical treatment of multiple sclerosis is addressed. …

The Technology Of Grief: Social Networking Sites As A Modern Death Ritual, Jordan Ciel Fearon

Antioch University Dissertations & Theses

Technology plays a significant role in the socialization and development of society. One popular technology includes Facebook, a Social Networking Site (SNS). As Facebook has become a common site for reaching out to others for a sense of support and connection, it has also become a site to express grief and bereavement through the creation of Memorial Groups. Through a qualitative survey design, descriptive information regarding the impetus to create a Memorial Group as well as the desired utility was examined through the perspective of the creator. An online questionnaire consisting of open and closed-ended questions was completed by 68 …

A Task Analysis Of Metacommunication In Time-Limited Dynamic Psychotherapy, Theodore Matthew Austin

Antioch University Dissertations & Theses

This study examined how successful metacommunication unfolded in time-limited dynamic psychotherapy (TLDP) using the task-analytic paradigm developed by Greenberg (2007). Specifically, the purpose of the study was to discern the elements, themes, and temporal sequences that were common to effective metacommunication. In accordance with the paradigm, this was accomplished by the creation of a rational model, which combined existing theoretical literature on metacommunication and anecdotal clinical evidence. Next, the distilled components of metacommunication in six high-quality (HQ) sequences were contrasted to the distilled components of six low-quality (LQ) sequences in order to generate an empirical model. These sequences were selected …