Medicine and Health Sciences Commons^™

Exploring The Mental Health Care Experiences Of Youth Transitioning From Paediatric To Adult Psychiatric Services Using The Photovoice Method: A Participatory Analysis Of The Photostream Project, Brianna Jackson

Electronic Thesis and Dissertation Repository

The transition from adolescence to adulthood brings with it many new challenges and stressors that may negatively impact psychosocial wellbeing. Unfortunately, the disjointed progression from paediatric to adult psychiatric services leaves transitional-aged youth (TAY) vulnerable to its deleterious sequelae, including social isolation, self-harm, substance use, and suicidal ideation. As devised, the Canadian mental health sector is ill-equipped to meet the care demands of emerging adults, resulting in undue suffering. Current evidence validates the need for clinical practice reform and policy revision to address this issue, yet the perspectives of young people are consistently underrepresented in conversations regarding youth-oriented psychiatric program …

Black Women’S Wellbeing: The Intersections Of Race, Immigrant Status, And Mental Health Among African Diasporan Women In Houston, Texas, Sianneh Vesslee

African American and Africana Studies Summer Fellows

My central research question is: how has white supremacy impacted African Diaspora women’s mental health, access to mental healthcare, and identities as mental health patients in the United States as discernible in advertisements and state policies for psychological wellness? More specifically, I will investigate whether and/or how white supremacy shapes the ways in which advertising and state policies for mental healthcare address the particular needs of black women who immigrate to Houston, Texas from Lagos, Nigeria and Coahuila, Mexico. I choose those geographies because Houston is a U.S. city with one of the highest populations of black immigrants from Nigeria …

A Collaborative Effort To Assess Disparities Associated With Behavioral Health In The North Texas Region, Sushma Sharma

Journal of Health Disparities Research and Practice

Objective: This study aimed to provide an assessment of 16 North Texas Counties’ behavioral health access disparities and provide details of the percentage of hospital patient visits from each county diagnosed with mental health and drug issues. The gender, age, race-ethnicity and insurance status of each patient, the zip codes where they live and patient migration between different providers was also detailed. Furthermore, the number of psychiatric beds for each county is listed.

Methods: This study utilized the DFWHC Foundation's data warehouse which contains comprehensive hospital visit data from 96 partner hospitals, to understand the clinical trends of mental health …

Audience Response Systems And Missingness Trends: Using Interactive Polling Systems To Gather Sensitive Health Information From Youth., Tammy Toscos, Michelle Drouin, Mindy Flanagan, Maria D. Carpenter, Connie Kerrigan, Colleen Carpenter, Cameron Mere Mba, Marcia Haaff

Health Services and Informatics Research

BACKGROUND: The widespread availability and cost-effectiveness of new-wave software-based audience response systems (ARSs) have expanded the possibilities of collecting health data from hard-to-reach populations, including youth. However, with all survey methods, biases in the data may exist because of participant nonresponse.

OBJECTIVE: The aims of this study were to (1) examine the extent to which an ARS could be used to gather health information from youths within a large-group school setting and (2) examine individual- and survey-level response biases stemming from this Web-based data collection method.

METHODS: We used an ARS to deliver a mental health survey to 3418 youths …

Barriers To Mental Health Treatment In Patients Referred By Primary Care, Rebecca Palmer

Dissertations

Problem: Limited access to mental health treatment is one of many potential barriers to treating mental illness in the United States. Where resources are readily available, reportedly high no-show rates for established mental health appointments suggests further investigation is necessary to identify frequent barriers within that population. This was a quality improvement project to identify common themes in patient-reported barriers to care.

Methods: A 4-question phone survey was offered to individuals that did not appear at their mental health appointment. Data was analyzed to identify the most commonly reported barriers to mental health treatment. Additional data collected includes reported history …

Disparities In Quality Of Life By Appalachian-Designation Among Women With Breast Cancer, Robin C. Vanderpool, Ann L. Coker, Heather M. Bush, Sarah E. Cprek

Journal of Appalachian Health

Introduction: Few studies have examined the association of geography and quality of life (QOL) among breast cancer patients, particularly differences between Appalachian and non-Appalachian Kentucky women, which is important given the cancer and socioeconomic disparities present in Appalachia.

Purpose: The purpose of this study was to determine whether women with breast cancer residing in Appalachian Kentucky experience poorer health outcomes in regards to depression, stress, QOL, and spiritual wellbeing, relative to those living in non-Appalachian Kentucky after adjusting for demographic, socioeconomic, and health-related factors.

Methods: Women, aged 18–79, recruited from the Kentucky Cancer Registry between 2009 and 2013 with an …

How Well Do We Understand Mental Health?, Ashley Van Slyke

Population Health Research Brief Series

Roughly 9.8 million adults in the United States, representing 4% of the U.S. adult population, have a diagnosis of a serious mental illness (SMI). An additional 16.1 million (6.7%) have a diagnosed depressive disorder. Millions more know people with serious mental illness or depression. Poor mental health is a massive and growing public health crisis. Its looming presence begs the question: Do we, as a society, truly understand different mental illnesses?

Working With Youth As Stakeholders In Mental Health System Transformation: An Institutional Ethnography Of A Service Organization In Access Open Minds, Eugenia Canas

Electronic Thesis and Dissertation Repository

As national system- and research-agendas invest heavily in the improvement of youth mental health services delivery, the discursive and policy impetus for the inclusion of youth as advisors has increased. However, we know little about the work of youth engagement (YE) in the everyday realities of a care-delivery organization. Does the engagement of youth advisors ultimately inform care?

This dissertation addresses the knowledge concerns of YE with a detailed account of the experiences of youth advisors, service providers, and an organization in the process of services reform. I used institutional ethnography to (1) reveal the day-to-day work of engaging young …

A Systematic Review And Analysis Of Racial Differences In Treatment For Depression, Elli D. R. Parisi

DePaul Discoveries

Mental health affects a large proportion of the population across the world. Though many mental health studies exist, they are inconsistent in methodology, conceptualization of terms, and populations studied; as a result, many studies are incomparable with each other. Further, there is arguably too few studies that focus on marginalized or underrepresented populations. The current study aims to address some of this gap in knowledge. The differences in the way depression is diagnosed and treated in various racial and ethnic groups were identified, and the findings of previous studies were analyzed to help improve the way mental health, and specifically …

Teens Using Screens For Help: Impact Of Suicidal Ideation, Anxiety, And Depression Levels On Youth Preferences For Telemental Health Resources., Tammy Toscos Phd, Amanda Coupe, Mindy Flanagan, Michelle Drouin, Maria D. Carpenter, Lauren Reining, Amelia Roebuck, Michael Mirro Md, Facc, Fhrs, Faha

Health Services and Informatics Research

BACKGROUND: High rates of mental illness, stress, and suicidality among teens constitute a major public health concern in the United States. However, treatment rates remain low, partially because of barriers that could be mitigated with tech-based telemental health (TMH) resources, separate from or in addition to traditional care.

OBJECTIVE: This study aimed to analyze TMH resource usage by high school students to establish current user characteristics and provide a framework for future development.

METHODS: A total of 2789 students were surveyed regarding demographics, recent anxiety and depression symptoms, suicidality, and stress; people with whom they could openly and honestly discuss …

Dietary Inflammatory Index And Sleep Quality In Southern Italian Adults, Justyna Godos, Raffaele Ferri, Filippo Caraco, Filomena Irene Ilaria Cosentino, Sabrina Castellano, Nitin Shivappa, James R. Hébert, Fabio Galvano, Giuseppe Grosso

Faculty Publications

Background: Current evidence supports the central role of a subclinical, low-grade inflammation in a number of chronic illnesses and mental disorders; however, studies on sleep quality are scarce. The aim of this study was to test the association between the inflammatory potential of the diet and sleep quality in a cohort of Italian adults. Methods: A cross-sectional analysis of baseline data of the Mediterranean healthy Eating, Aging, and Lifestyle (MEAL) study was conducted on 1936 individuals recruited in the urban area of Catania during 2014–2015 through random sampling. A food frequency questionnaire and other validated instruments were used to calculate …

Dietary Inflammatory Index And Sleep Quality In Southern Italian Adults, Justyna Godos, Raffaele Ferri, Filippo Caraci, Filomena I. I. Cosentino, Sabrina Castellano, Nitin Shivappa, James R. Hébert, Fabio Galvano, Giuseppe Grosso

Faculty Publications

Background: Current evidence supports the central role of a subclinical, low-grade inflammation in a number of chronic illnesses and mental disorders; however, studies on sleep quality are scarce. The aim of this study was to test the association between the inflammatory potential of the diet and sleep quality in a cohort of Italian adults. Methods: A cross-sectional analysis of baseline data of the Mediterranean healthy Eating, Aging, and Lifestyle (MEAL) study was conducted on 1936 individuals recruited in the urban area of Catania during 2014-2015 through random sampling. A food frequency questionnaire and other validated instruments were used to calculate …

Our Criminal Justice System Should Not Be Our Mental Health System (But It Is), Donald Roth

Faculty Work Comprehensive List

"Our criminal justice system is like the silt layer at the bottom of the ocean. If a problem isn’t taken care of higher up in society, it will eventually find its way down to the criminal justice system."

Posting about the need for criminal law reform from In All Things - an online journal for critical reflection on faith, culture, art, and every ordinary-yet-graced square inch of God’s creation.

https://inallthings.org/our-criminal-justice-system-should-not-be-our-mental-health-system-but-it-is/

Psychosocial Well-Being And Efforts To Quit Smoking In Pregnant Women Of South-Central Appalachia, Brittney Stubbs, Valerie Hoots, Andrea D. Clements, Beth Bailey

ETSU Faculty Works

Introduction: Psychosocial well-being variables from the Tennessee Intervention for Pregnant Smokers (TIPS) study, a longitudinal smoking cessation study in South-Central Appalachia, were investigated as potential predictors of smoking status.

Methods: A sample of 1031 pregnant women participated in an expanded 5A's (Ask, Advise, Assess, Assist, Arrange) program, from 2008 to 2011. Measures of stress, self-esteem, depressive symptoms, and disordered eating collected by interview during the first trimester, or during the third trimester in a combined interview if participants began prenatal care late, were hypothesized to differ among three groups of participants: pregnant women who never smoked, pregnant women who smoked …

"We've Always Been Like Kind Of Kicked To The Curb." A Qualitative Analysis On Experiences Of Discrimination And Its Effect On Self-Esteem Among College Students, Cindy Mahoney

Electronic Theses, Projects, and Dissertations

Objective: The goal of this study was to conduct a systematic review of the relationship between mental health, discrimination, and self-esteem among college students. To further explore this concept, focus group interviews were conducted as a follow up.

Methods: Following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, a total of five existing literatures was systematically analyzed. Data analytic tables were used to collect information on population and study characteristics for the first part. The focus groups were transcribed verbatim and results were thematically analyzed to identify emergent constructs.

Results: There is a substantial relationship between mental …

Gratitude As An Antidote To Anxiety And Depression: All The Benefits, None Of The Side Effects, Mary Kate Schutt

Population Health Research Brief Series

Despite efforts among health care professionals, schools, and workplaces to address mental health issues, anxiety and depression remain pervasive public health concerns. This issue brief discusses how emerging research suggests practicing Gratitude may be an alternative antidote to battling anxiety and depression.

College Students’ Mental Health: Exploring The Relationship With Resilience And Academic Performance, Bailey Hart

MSU Graduate Theses

Negative mental health outcomes are becoming increasingly prevalent in college students. Depression, anxiety, and stress have been previously shown to negatively impact academic motivation and performance. Resilience and social support can serve as preventative factors to protect students from this adversity. Resilience is a dynamic process that changes based on environmental factors. An individual’s perceptions of social support can be influenced by friends, family, and significant others. Another possible influence in the perception of social support and resilience is race/ethnicity. Social support especially has been viewed differently based on culture. The purpose of this study was to examine the links …

Ten Questions Concerning The Built Environment And Mental Health, Andrew J. Hoisington, Kelly A. Stearns-Yoder, Steven J. Schuldt, Cody J. Beemer, Kerry A. Kinney, Teodor T. Postolache, Christopher A. Lowry, Lisa A. Brenner

Faculty Publications

Most people spend the majority of their lives indoors. Research over the last thirty years has focused on investigating the mechanisms through which specific elements of the built environment, such as indoor air quality, influence the physical health of occupants. However, similar effort has not been expended in regard to mental health, a significant public health concern. One in five Americans has been diagnosed with a mental health disorder in the past year, and, in the United States, the number of suicide deaths are similar to the number of deaths due to breast cancer. Increases in mental health disorders in …

Mental Sensorium, Brittany Adkins

Bachelor of Architecture Theses - 5th Year

According to ADAA, nearly one-half of those diagnosed with depression are also diagnosed with an anxiety disorder. Anxiety disorders are highly treatable but only 36.9% are receiving any kind of treatment. Anxiety disorders develop based on a set of factors including genetics, brain chemistry, personality, and life events. Many do not realize but our environment, especially the built environment we inhabit every day can have a positive or negative effect on our mental well-being. Architecture should not just focus on the physical needs of their inhabitants but the mental health needs as well.

The built environment has a considerable impact …

Intrusive Thoughts - Guitar, Voice, & String Quintet, Joseph M. Young

Theses and Dissertations

This four-movement song addresses mental health, specifically that of Obsession Compulsive Disorder and the symptom of intrusive thoughts that are often associated. From the point of view of an individual suffering from OCD, each movement describes the disorder and portrays different stages of dealing with and managing emotions and relationships.

Understanding The Help-Seeking Behaviors Of Student-Athletes: Effect Of A Multidisciplinary Healthcare Team And The Perception Of Barriers And Facilitators For Seeking Help, Lauren M. Sander

Masters Theses, 2010-2019

This study was aimed at identifying barriers and facilitators that influence help-seeking as well as the effect of implementing an integrated healthcare approach based on current recommendations. A total of 411 student-athletes from 18 intercollegiate teams at a mid-major Division I institution in the mid-Atlantic region completed a 12–item instrument comprised of ten quantitative items and two open-ended questions. The quantitative data was analyzed using SPSS software, and a constant comparative method was used to code responses from the open-ended questions. Findings suggested a prevalence of mental health challenges among student-athletes, especially overwhelming stress, struggles with time management, and anxiety. …

Importance Of Social Support In Athletics As It Relates To Injury Recovery And Preparedness To Return To Play, Haleigh Gray

Graduate Theses

Background: Recent studies have evaluated the physical problems as well as the psychological complications that arise from sport injuries. However, little research has been done on techniques to address or mitigate these psychological issues. Objective: The purpose of this study was to investigate how social support was perceived during the injury rehabilitation process and how it influenced return to play preparedness. Setting: National Collegiate Athletic Association (NCAA) Division I mid-major university. Participants: A total of 21 previously injured student-athletes participated in the study. Methods: Through this mixed method study, each student-athlete completed a validated social support survey that evaluated perceived …

How Undocumented Latino Parents’ Legal Status Affects Their U.S. Citizen-Children’S Health, Karla Garcia Hernandez

Senior Theses

The purpose of this paper is to review studies that have assessed how undocumented parents’ legal status have affected their United States citizen-children’s health. This issue involves nurses from different specialties, such as pediatric nursing, mental health nursing and community health nursing. Eight articles were reviewed in regard to how parental legal status affects the child’s access to healthcare services, the child’s physical health and the child’s mental health. The articles revealed that citizen-children of undocumented parents had limited access to health care services, had poorer health, and had higher chances of having mental health illnesses. The paper provided implementations …

Dating For College Students In The San Francisco Bay Area, Justin Pring, Cristina Cummings, Gabriela Saucedo, Cathy Lynn Gonzales

Occupational Therapy | Graduate Capstone Projects

Dating is a widely practiced occupation by many individuals, especially the emerging adult, college student population. The primary objective of this research study was to develop a greater understanding of San Francisco (SF) Bay Area college students’ perception, practice, and occupational impact of dating. Phenomenological interviews were conducted with seven college students living in the SF Bay Area. Three themes emerged: the dating process, internal and external factors that influence dating, and personal growth from dating experiences. The data revealed that the emerging adult, college student population values dating and believes it can significantly impact their own development. However, this …

Acting Hysterical: Analyzing The Construction, Diagnosis And Portrayal Of Historical And Modern Hysterical Women, Gillian Singer

Honors Theses

Hysterical women’s stories from the 19th and 20th centuries have all too often been ignored and furthermore, invalidated through the capitalization and spectacularization of hysterical women’s experiences. “Acting Hysterical: Analyzing the Construction, Diagnosis and Portrayal of Historical and Modern ‘Hysterical’ Women” aims to acknowledge hysterical women’s narratives by studying the visual documentation of hysterical women. Visual documentation of hysteria began with the photographing of Dr. Jean-Martin Charcot’s “hysterical” female patients and extends to modern cinematic representations from the last two decades of historical and modern hysterical women.

Medical Muses, a book based in years of research by Asti Hustvedt served …

When Process Becomes Processing: Managing Instructor Response To Student Disclosure Of Trauma In The Composition Classroom, Kelci Barton

Electronic Theses and Dissertations

In first-year composition courses, there are three aspects of teaching that are researched well so far: disclosure of trauma in student writing, instructor feedback, and emotional labor. The disclosure of trauma is almost completely unavoidable in first-year composition. We encounter an issue with instructor feedback; how do we provide feedback to student writing, like grammar and mechanics, when the student has disclosed trauma in the writing? Additionally, we can build off this with emotional labor, which already occurs consistently in teaching but is heightened in this instance. When providing feedback to a student who has disclosed trauma, this can be …

Investigating Predictive Relationships Between Speech-Language Pathology Graduate Students' Sense Of Classroom Community, Perceived Learning, And Perceived Anxiety., Emily B. Schantz

Electronic Theses and Dissertations

Mental health is an all-encompassing term that focuses on a person’s ability to achieve work-life balance inclusive of positive mental health and mental ill-health. Current trends suggest an overall increase in mental ill-health for undergraduate and graduate students. McMillan and Chavis’ sense of community theory provided the theoretical framework for this study. This study aimed to examine whether speech-language pathology graduate students’ sense of classroom community and perceived learning predict anxiety levels while controlling for demographic variables. Three-hundred-sixteen master’s level speech-language pathology students completed an online survey containing the Generalized Anxiety Disorder Questionnaire, Perceived Learning Scale, and Classroom Community Scale. …

A Simple Mindfulness Practice Can Improve Mental Health, Mary Kate Schutt

Population Health Research Brief Series

Depression, anxiety, and related mental distress are rising at alarming rates in the U.S. This issue brief discusses the impacts of practicing mindfulness on mental health and well-being.

A Crisis In The Farming Community: A Pathway To Acceptable, Accessible And Available Mental Health Care In Rural Minnesota, Trevor Frybarger, Laura Koch, Kathy Thao, Taryn Wicks

Master of Social Work Student Policy Advocacy Briefs

Minnesota relies on farmers to put food on our tables and to help drive our economy. The chronic stressors associated with an unstable farm economy is taking its toll on farm families all across Minnesota. Chronic stress can contribute to marital tensions, domestic violence, work disruption, depression, anxiety, and suicide. Minnesota has only 1 mental health counselor dedicated to doing outreach and crisis counseling to farm families. Many mental health professionals lack competency in working in rural communities, including understanding farm related stressors. Minnesota is doing some things right, like the Minnesota Farm and Rural Help Line. But, it needs …

Lgbt+ Teens, Social Media Use & Depressive Symptoms, Megan Curtis, Danielle Ryder

Thinking Matters Symposium Archive

Sexual and gender minority youth are statistically more likely to face severe mental health challenges than their cisgender, heterosexual peers; they consistently comprise a disproportionate percentage of youth who report experiencing depression, suicide ideation and attempted suicide in the United States every year (e.g. Abreu & Kinney, 2018). The aim of this study was to fill a gap in the current literature base by investigating the effects of social media use on sexual and gender minority youth mental health. The researchers conducted an online anonymous questionnaire targeted toward American LGBT+ (Lesbian, Gay, Bisexual, Transgender, etc.) youth ages 14 to 18, …