Medicine and Health Sciences Commons^™

A Community Based System Of Integrated Clinical Care: Primary Care, Mental Health And Substance Use Treatment, Terri Reuvers

All Graduate Theses, Dissertations, and Other Capstone Projects

Our segregated medical and mental health care system misses opportunities for early detection of physical disease. Missed opportunities lead to increased costs. Colorado’s Medicaid health plan estimates that an integrated health program will reduce costs for patients with psychiatric disorders by 10%. The cost of doing nothing may exceed $300 billion per year in the United States (NCCBH, 2010). The purpose of this Capstone project is to critically examine existing models of Integrated Primary and Mental Health care. These models will then be evaluated to identify those most compatible with rural communities in Southern Minnesota.

Evidence-Based Protocols For Assessment And Treatment Of Adolescent Suicide Risk In An Emergency Department, Rebecca Bentele

All Graduate Theses, Dissertations, and Other Capstone Projects

Suicide and suicide attempts are a frequently encountered clinical crisis and the assessment, management and treatment of suicidal patients is one of the most stressful tasks for clinicians (Fowler, 2012). The purpose of this project was to examine whether current assessment and treatment protocols followed in the ED, Mankato, adhere to best-­‐practices as identified through research, as well as to make recommendations to MCHS-­‐Mankato for future considerations and potential modifications to existing protocols.

The Working Alliance: A Survey Of An Outpatient Mental Health Center, Jennifer Bramstedt

All Graduate Theses, Dissertations, and Other Capstone Projects

This research investigated the working alliance between therapist and client at RiverView Clinic, an outpatient mental health center. Utilizing data captured by the Working Alliance Inventory-Short Revised (WAI-SR), the research posited the following:

• median total scores from therapist’s would be higher than median scores of the working alliance from clients
• clients who presented with mild to moderate concerns would have higher working alliance scores than clients who reported moderate to severe concerns
• new clients would have higher task and goal sub-scores than clients in therapy for more than fifteen sessions
• if working alliance scores reflected ruptures or strains in the …

A Guide To Understanding, Building And Sustaining An Effective Therapeutic Community, Sara Loose

All Graduate Theses, Dissertations, and Other Capstone Projects

The purpose of this guide is to facilitate an understanding of therapeutic community/ milieu therapy concepts as well as building and sustaining an effective therapeutic community on each unit, in each cottage, and within Leo A. Hoffmann Center as a whole. This guide includes evidence based research that supports the use of therapeutic community principles, and interventions and evaluation tools that can potentially be used by Leo A. Hoffmann Center to enhance services. Ultimately, the goal of the project is to provide the agency with a tangible, well rounded resource that can be used by the multidisciplinary team to provide …

Paraphilias: Relevant Factors For Treatment Providers Of Sexual Offenders, Darren Tungsvik

All Graduate Theses, Dissertations, and Other Capstone Projects

• To educate clinical staff at MSOP of Paraphilic disorders and their factors related to the treatment of sexual offenders.
• Contribute to MSOP’s mission of promoting public safety through providing comprehensive treatment and reintegration opportunities for civilly committed sexual offenders.
• Need exists at MSOP with a lack of educational training materials for clinical staff of Paraphilic disorders and their treatment.

The Impact Of Telephonic Health Coaching On Physical Activity, Healthy Eating, And Cholesterol Levels, Jill Marie Hansen

All Graduate Theses, Dissertations, and Other Capstone Projects

The purpose of this study was to understand the role of telephonic health coaching in reducing the risk behaviors of physical inactivity and imprudent dietary behaviors and improving cholesterol levels from Year 1 to Year 2. Data related to 45,410 employees was drawn from seven employer groups from January 1, 2009 to December 12, 2012. Descriptive statistics, independent sample t-tests, one sample t-tests, and Pearson's product-moment correlational analyses were used to describe the employees in data set and test the hypotheses of this study. Health coaching participants were significantly more likely to be females than males. Participants in health coaching …

Access To Ems Services And Training, Knowledge, And Perceptions Related To First Aid And Cardiopulmonary Resuscitation (Cpr) Skills Among College Students, Feifei Sun

All Graduate Theses, Dissertations, and Other Capstone Projects

This study included two purposes. The first purpose of this study was to compare undergraduate students' knowledge and perceptions related to first aid and cardiopulmonary resuscitation (CPR) according to their level of first aid and CPR training. The second purpose of this study was to compare the students' perceptions of access to emergency medical services (EMS) by the geographic location of their hometown. A quantitative survey was distributed to students enrolled in three HLTH 101: Health and Environment classes in Spring, 2013. The survey included questions related to the participants' demographic characteristics, perceptions of the time needed for EMS services …

Standardized Care Of The Late Preterm Infant In Upper Midwest Hospitals, Michelle Susanne Foy

All Graduate Theses, Dissertations, and Other Capstone Projects

Standardizing care or critical pathways have delivered evidence-based care in adult medicine and have positive patient outcomes. Some aspects of standardized care have been used in neonatology, but less often in caring for the late preterm infant (gestational week 34-37 weeks). With each level of care nursery, Level-I, level-II or level-III, there can be a wide range of how to care for the late preterm infant. The purpose of this study was to determine if nurseries or various levels of care had established standards of care specific to the late preterm infant and what barriers existed that prohibited standards of …

Evidence-Based Treatment For Anxiety Disorders And Marijuana Use Across The Lifespan, Tanya Borchert

All Graduate Theses, Dissertations, and Other Capstone Projects

The purpose of this capstone project was to identify evidence-based practices relating to anxiety disorders and cannabis use throughout the lifespan. Identification of the practices will more effectively meet the needs of the clients served at the Dual Recovery Program and allow the agency to best serve clients with co-occurring anxiety disorders and cannabis use in a parallel manner. The literature indicates that there is a correlation between anxiety disorders and cannabis abuse (Buckner & Schmidt, 2011; Buckner, Zvolensky, & Schmidt, 2012; Bricker, et al., 2006; Bonn-Miller, Vujanovic, Boden, & Gross, 2011). If the anxiety disorder can be properly diagnosed …

The Relationship Between Emotional Intelligence And Alcohol Use Among Students At Minnesota State University - Mankato, Ganisher Davlyatov

All Graduate Theses, Dissertations, and Other Capstone Projects

The purpose of this study was to examine the role of emotional intelligence, gender, fraternity/sorority membership, and residence on alcohol use among undergraduate students enrolled in spring semester, 2013 at Minnesota State University, Mankato. The relationship between emotional intelligence and alcohol use was studied. Moreover, the effect of gender, fraternity/sorority membership, and residence on alcohol use was determined. Participants were 390 students of Minnesota State University, Mankato. A quantitative cross-sectional online survey was conducted to collect data regarding students' emotional intelligence status and alcohol use through Schutte Self Report Intentory (SSRI) for emotional intelligence (Schutte, Malouff, Hall, Haggerty, Cooper, Golden, …

Selected College Students' Perceptions, Knowledge And Awareness Of Sexual Abuse Of Children, Farhiya A. Muse

All Graduate Theses, Dissertations, and Other Capstone Projects

The purpose of this research was to assess and evaluate selected college students' perception of and knowledge and awareness about sexual abuse of children. In order to collect data a 29-item survey was developed and administered to students in selected classrooms in Minnesota State University, Mankato campus regarding their perception, knowledge, awareness, and prevention strategies of sexual abuse of children; as well as demographic information. The findings from the quantitative analysis for each research question are presented in this study. The findings of the study indicated there were college students who do have much knowledge and awareness about sexual abuse …

Best Practices For Implementing Trauma-Informed Care With Youth Who Are Homeless Or At- Risk Of Being Homeless, Ellen Morrow

All Graduate Theses, Dissertations, and Other Capstone Projects

Exposure to traumatic events during childhood can affect brain development, how someone reacts to stress, and what they may find threatening or unsafe. Trauma can be a precursor to the development of a range of psychopathology including post-traumatic stress disorder, depression, anxiety, substance abuse, personality distortions and psychosis (APA, 2000, Rose, Freeman & Proudlock, 2012). Left untreated trauma can also result in medical conditions later in life including heart disease, cancer, respiratory problems and social conditions such as homelessness, prostitution or delinquency (Steele & Malchiodi, 2012; WISQARS, 2010). Maschi and Schwalbe (2012) cite studies which estimate up to 93% of …

Evaluation Of Family Skills Group At Fernbrook Family Center, Jessica Robertson

All Graduate Theses, Dissertations, and Other Capstone Projects

This project evaluated the Parenting Piece by Piece curriculum. This project sought to gain feedback on the ways the agency can improve family skills groups to better meet the needs of the client population Fernbrook Family Center serves. Parenting Piece by Piece is an eight-week program teaching parents new parenting skills.

Role Of Health Behaviors In Sexual Quality Of Life Among Hematopoietic Stem Cell Transplant Survivors, Keagan Lee Mcpherson

All Graduate Theses, Dissertations, and Other Capstone Projects

Hematopoietic stem cell transplant (HSCT) recipients are a population increasingly characterized by survivorship. A psychosocial outcome integral to overall quality of life and optimal survivorship outcomes is sexual quality of life (SQOL). In this arena, HSCT patients' prognostics are markedly grim. Though examinations of variables that affect overall survivorship in HSCT patients are relatively novel, SQOL outcomes have still received a disproportionately minimal amount of focus both in research and practice. Because health behaviors and their correlates are implicated in SQOL outcomes in the general population as well as survivorship and overall QOL outcomes in HSCT patients, inquiring about the …

Health Promotion In The Workplace: Exploring Perspectives Of Barriers And Incentives To Employee Participation, Amanda Conlon

All Graduate Theses, Dissertations, and Other Capstone Projects

The growth in worksite health promotion programs has grown over the past 30 years. However, some of today's programs lack one or more of the fundamentals needed to achieve their goals. Common shortcomings include poor participation levels, lack of appropriate incentives, lack of options for program delivery, and lack of tailoring programs to meet the needs and wants of a diverse workforce. The purpose of this study was to identify what influences employees' decisions regarding participation in worksite wellness programs. Opinions of eligible worksite health promotion participants were collected using a web-based questionnaire adopted from the 2004 Porter Novelli HealthStyles …

Incredible Years Parenting Program: Developing And Evidenced-Based Implementation Protocol, Brooklynn Fredericksen

All Graduate Theses, Dissertations, and Other Capstone Projects

The purpose of this project was to develop an evidence-based implementation protocol for the Incredible Years program at Fernbrook Family Center. The significance of this project was to generate a protocol manual that can be used as a guide for future implementation of the Incredible Years program.

Best Practices In The Provision Of Group Therapy For Adult Male Clients Diagnosed With Schizophrenia At Fernbrook Family Center, Nathaniel S. Gendron

All Graduate Theses, Dissertations, and Other Capstone Projects

The purpose of this project was to provide Fernbrook Family Center with evidence-based research on treatment modalities, strategies, and curricula that have been proven successful for group based therapy with adult males who are suffering from schizophrenia and other psychotic disorders. This included group screening protocol, group therapy techniques, and cohesion in the group process. The importance of group therapy was explored and why it is an appropriate treatment recommendation for adult males with Schizophrenia.

The Use Of Electroconvulsive Therapy In An Acute Care Setting: Enhancing The Knowledge And Skills Of Mental Health Professionals, Lori Thom

All Graduate Theses, Dissertations, and Other Capstone Projects

1.To enhance the knowledge of mental health professionals working in the psychiatric care unit of the New Ulm Medical Center on the current use of electroconvulsive therapy (ECT).

2.To enhance the knowledge, insights, and skills of mental health professionals working in the psychiatric care unit of the New Ulm Medical Center in working with patients and their families when ECT would be a beneficial component of mental health treatment.

Family Counts: Education For Family Systems Impacted By Addiction, Tanya Friese

All Graduate Theses, Dissertations, and Other Capstone Projects

Educating and empowering families through education. By educating the families of Project Turnabout patients and families will be more able to take care of themselves. When a family members needs are met they will in turn be more able to support their loved ones recovery. The goal of the Capstone is to have 3 to 4 modules of education to share with families over the course of their participation in the Project Turnabout family program.

Identification Of Effective Play Techniques For Use With Children In A Outpatient Mental Health Clinic, Jan Schwarzrock

All Graduate Theses, Dissertations, and Other Capstone Projects

The purpose of this research project was to identify which play techniques are the most effective and produce good outcomes for children. Children enter therapy for a number of reasons to improve their emotional and cognitive wellbeing, however engaging them can be challenging. During a therapeutic session, children use play to share experiences through the toys they choose, whereas adults verbally express themselves. The Allina Health/NUMC Outpatient Therapy Department was interested in the identification of play techniques that they could be used to enhance their work with children with the intent to explore the impact of using play techniques on …

Examining Generational Differences Across Organizational Factors That Relate To Turnover, Kimberly Asuncion

All Graduate Theses, Dissertations, and Other Capstone Projects

Turnover continues to pose a problem for all organizations across industries. This study examines the complex nature of turnover, by examining the relationship of turnover intentions with perceptions of distributive justice, procedural justice, growth opportunities, and recognition across age groups. Age groups will be used as a proxy for generational cohort membership. Results of the study confirm previous research that generational differences do exist; however, those differences are fairly small. Perceptions of distributive justice, procedural justice, growth opportunities, and recognition were found to be significant predictors of turnover intentions regardless of the age group.