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Articles 1 - 14 of 14
Full-Text Articles in Medicine and Health Sciences
Caring For Patients At Risk Of Suicide In Vermont, Lindsay R. Aldrich
Caring For Patients At Risk Of Suicide In Vermont, Lindsay R. Aldrich
Family Medicine Clerkship Student Projects
Suicide is the 9th leading cause of death in Vermont among all age groups. 34% of people who died by suicide had a primary care visit for their mental health within the last year. As a response to this statewide issue, I assisted Richmond Family Medicine’s application for this year’s Suicide-Safer Care Mini-Grant.
Increasing Mental Health Resource Access During The Covid-19 Pandemic, Valerie Braddick
Increasing Mental Health Resource Access During The Covid-19 Pandemic, Valerie Braddick
Family Medicine Clerkship Student Projects
No abstract provided.
Improving The Therapeutic Environment In The Crisis Stabilization Unit At Glens Falls Hospital, Emma Hall
Improving The Therapeutic Environment In The Crisis Stabilization Unit At Glens Falls Hospital, Emma Hall
Family Medicine Clerkship Student Projects
The Crisis Stabilization Unit (CSU) at Glens Falls Hospital provides a separate, safe space within the Emergency Department for adults and children struggling with mental health crises to stabilize before discharge or admission to an inpatient psychiatric unit. An increase in mental health crises over the past 10+ years plus a shortage of nearby inpatient beds, especially for adolescents and children, has led to longer stays in the CSU. Longer stays in a place not built for therapeutic intervention but rather for crisis stabilization may lead to increased agitation, prolonged stays or prolonged time to stabilize a patient, and potentially …
Opportunities For Patient Self-Reflection During Acute Phase Of Depression Treatment, Millen Abselab
Opportunities For Patient Self-Reflection During Acute Phase Of Depression Treatment, Millen Abselab
Family Medicine Clerkship Student Projects
This project for UVMMC Family Medicine at Hinesburg investigates the acute phase of depression treatment for adult patients and introduces opportunities for patient empowerment during this 4-to-6-week window through de-identified automated text surveys for self-reflection about treatment and pattern tracking contributory to mood. Sample text survey built on Beck Depression Inventory (BDI-II) and deployment of text surveys is based on Mosio. Future interventions can utilize mobile phone apps based on patient response to surveys.
Combating Seasonal Affective Disorder In Vermont, Prasanna Kumar
Combating Seasonal Affective Disorder In Vermont, Prasanna Kumar
Family Medicine Clerkship Student Projects
Seasonal Affective Disorder (SAD) is a cyclical pattern of depression-like symptoms that occur during the winter months. In Vermont, SAD is estimated to affect up to 10% of individuals. An informational flyer was developed that explained the symptoms of SAD, what the treatment options are, and then linked individuals with local resources for wellness activities in Chittenden County using QR codes in order to prevent SAD. The flyer was distributed at the Community Health Care Centers of Burlington South End office. The flyer was met with enthusiasm and will be given out to patients at the end of this season …
Assessment And Awareness Of Mental Health Conditions Among Refugees In Vermont, Sandi Caus
Assessment And Awareness Of Mental Health Conditions Among Refugees In Vermont, Sandi Caus
Family Medicine Clerkship Student Projects
Refugees experience profound hardship in their home-country, displaced country and throughout the period of re-settlement. Experiences like direct or indirect exposure to traumatic events, torture, sexual abuse and stigmatized refugee identity post-resttlement are major risk factors for the development of mental health coniditions inlcuding PTSD, depression and psychosis. Despite major risk factors for the development of mental health conditions, culturally-specific mental health stigma persists as a major barrier to addressing mental health among refugees. This project emphasizes techniques and self-education that can be utilized to improve mentah health screening and identification among refugee patients in Vermont.
Narrative Medicine: Perspectives On Opioid Maintenance, Noorin Damji
Narrative Medicine: Perspectives On Opioid Maintenance, Noorin Damji
Family Medicine Clerkship Student Projects
People who experience opioid addiction often feel marginalized by healthcare workers, or stigmatized by the medical system. Additionally, there are not enough medical providers to meet the needs of people who struggle with opioid addiction. These factors create barriers that prevent the medical establishment from effectively meeting the needs of people who experience addiction. This project compiles rich perspectives of patients on opioid maintenance treatment to share with medical students and providers to foster greater empathy for these patients, and positive attitudes toward managing substance use disorder among future medical providers.
Coping Skills For Daily Life: Cost-Effective Strategies To Prevent And Address Mental Health Disorders, Shae Ian Rowlandson
Coping Skills For Daily Life: Cost-Effective Strategies To Prevent And Address Mental Health Disorders, Shae Ian Rowlandson
Family Medicine Clerkship Student Projects
Mental health disorders, along with their associated cost and negative outcomes, have continued to persist in Vermont and have become one of the largest, growing challenges to public health in the United States. Unfortunately, Vermont does not appear to have enough resources or providers to optimally address it. Concurrently, coping strategies of minimal cost that have the potential to prevent or address mental health disorders may often be underutilized or misconstrued by the population. A pamphlet providing information on evidenced, cost-effective coping strategies was designed and distributed to providers and patients to enable patients with the skills to help themselves …
Addressing Adolescent And Young Adult Mental Health During The Covid-19 Pandemic, Megan Boyer
Addressing Adolescent And Young Adult Mental Health During The Covid-19 Pandemic, Megan Boyer
Family Medicine Clerkship Student Projects
This quality improvement project at South Burlington Family Medicine aimed to investigate the mental health of individuals ages 13-25 in our practice during the COVID-19 pandemic. Eligible patients received a PHQ-9 questionnaire with two additional questions related to COVID-19. Recommendations for future interventions to serve this population were made based on these preliminary findings, with the goal of doing a full PDSA cycle in the near future.
Perinatal Depression: Breaking Barriers To Treatment, Florence Lambert-Fliszar
Perinatal Depression: Breaking Barriers To Treatment, Florence Lambert-Fliszar
Family Medicine Clerkship Student Projects
Depression in the perinatal period is a common medical issue in Vermont, affecting about 10% of women. Multiple and severe consequences of depression during this time are seen for both mothers and babies, including lower breastfeeding rates, fewer healthcare visits for the child, and psychopathology in the child later on. The goal of this project is to identify and address some of the barriers we currently face in identifying and treating women for depression. Major barriers women encounter in seeking help involve poor recognition of symptoms facing increasing stress of motherhood, stigma, as well as neglecting to attend to mental …
The Association Of Hormonal Contraception With Depression, Pamela Derickson
The Association Of Hormonal Contraception With Depression, Pamela Derickson
Family Medicine Clerkship Student Projects
Hormonal contraceptives are widely used by women during their reproductive years. Currently, over 100 million women worldwide use the pill, and 82% of sexually active women in the USA will use oral contraceptive pills at some time during their reproductive years (Carrol, 2017). Oral contraceptive use, especially among adolescents, is associated with subsequent use of antidepressants and a first diagnosis of depression, suggesting depression may be a potential adverse effect of hormonal contraceptive use (Skovlund, 2016). This project focused on educating health care providers at the Community Health Center of Burlington, VT (CHCB) about the association of depression and oral …
Hidden Adolescent Risks: Provider Education On Non-Suicidal Self-Injury, Bailey Fay
Hidden Adolescent Risks: Provider Education On Non-Suicidal Self-Injury, Bailey Fay
Family Medicine Clerkship Student Projects
Non-suicidal self-injury (NSSI) has been shown to be a strong risk factor for suicidal ideation and suicide attempt. One study has shown over 50% of people engaging in NSSI have at least one suicide attempt in their lifetime. The 2015 Vermont Youth Risk Behavior Survey found 17% of high school students reported non-suicidal self-injury at least once in the past year. This reflects roughly one in four females and one in ten males. Furthermore, these numbers have increased significantly since 2013. In an effort to promote awareness of NSSI in the primary care setting, a handout was created for providers …
Provider Education: Managing Depression In Cancer Patients, Nicole Leonard
Provider Education: Managing Depression In Cancer Patients, Nicole Leonard
Family Medicine Clerkship Student Projects
Depression is more prevalent and less often treated in cancer patients compared to the general population. Cancer can increase the risk of depression in multiple different ways, but depression can also increase the risk of cancer. Untreated depression in cancer patients can increase the risk of metastasis and worsen prognosis. The purpose of this project is to educate providers on the connection between mental health and cancer as well as provide them resources on how to approach and manage patients with cancer and depression.
Mental Health Screening In Nursing Homes, Meghan Breen
Mental Health Screening In Nursing Homes, Meghan Breen
Family Medicine Clerkship Student Projects
Depression and dementia are two of the most common mental health conditions in nursing homes. Screening for these conditions does not have to be difficult or time consuming, but doing it can significantly improve the health of nursing home residents. The WHO-Five for depression and the Mini-Mental Status Exam are both sensitive, specific, and time-sensitive. Using these screening in a nursing home in rural Vermont helped improve the accuracy of patient records and impacted medical care.