Medicine and Health Sciences Commons^™

Abstracts From The 23rd Annual Health Care Systems Research Network Conference, March 21–23, 2017, San Diego, California

Journal of Patient-Centered Research and Reviews

This proceedings supplement includes selected abstracts presented at the 23rd annual conference of the Health Care Systems Research Network (HCSRN), held March 21–23, 2017, in San Diego, California. Formerly called the HMO Research Network, HCSRN aims to improve individual and population health through research that connects the resources and capabilities of its member health care systems.

Conditions Facilitating Managers' Adoption Of Organizational Interventions Designed To Prevent Mental Health Problems In The Workplace, Caroline Biron, France St-Hilaire, Geneviève Baril-Gingras, Marie-Esther Paradis, Shirley Chabot, Rébecca Lefebvre, Hans Ivers, Michel Vézina, Pierre-Sébastien Fournier, Mahée Gilbert-Ouimet, Chantal Brisson

Rapports de recherche scientifique

De plus en plus d’évidences scientifiques montrent que les risques psychosociaux (RPS), tels une demande psychologique élevée, une faible latitude décisionnelle, un faible soutien social et un déséquilibre entre les efforts et la reconnaissance reçue au travail, contribuent au développement de problèmes de santé psychologique, de troubles musculosquelettiques de même que de maladies cardiovasculaires. Ces atteintes à la santé figurent parmi les principales causes d’absence du travail pour maladie. La littérature sur les interventions préventives en santé psychologique concerne principalement les interventions visant à modifier certaines caractéristiques individuelles (par exemple les habitudes de vie des travailleurs) plutôt que …

Mental Health And Substance Use Disorders And Treatment Receipt Among Pregnant Women In The United States, 2008-2014 : Trend Analysis, Likelihood Of Treatment Receipt, And Ethnic Disparities In Mental Health Treatment., Taghreed Nayel Salameh

Electronic Theses and Dissertations

The purposes of this dissertation were to examine trends from 2008 to 2014 in mental health and substance use disorders and treatment receipt, and explore factors associated with treatment receipt in pregnant women aged 18-44 years in the United States. A systematic review showed that illicit drug use disorder increased in pregnant women over the past decade. Despite the increase in treatment admissions for these disorders from 1992 to 2012, the overall treatment admission rate for pregnant women remained relatively stable (4%). In a trend study, compared mental health and substance use disorders and treatment receipt across Matched groups of …

Female Veterans: Satisfying Patterns Of Daily Activities As Defined By The Life Balance Model, Chloe Hillpot, Kerry A. Macdonald, Laura A. Rohr

Mental Health

This phenomenological case study explored the occupational needs and life satisfaction of one female veteran upon reintegration into civilian life. One female veteran, with 23 years of military service, participated in a semi-structured telephone interview. Results demonstrated that military service negatively impacted the participant’s social interactions, physical and mental wellbeing, and ability to cope with stressors, indicating military service posed difficulties for the participant to engage in meaningful occupations upon reintegration. Recommendations included development of occupation-based interventions using the Person Environment and Occupation framework, and further research to identify appropriate services to facilitate successful reintegration into society for female veterans.

Trigger Warnings: From Panic To Data, Francesca Laguardia, Venezia Michalsen

Department of Justice Studies Faculty Scholarship and Creative Works

Following a practice originated online, university faculty and staff have increasingly used “trigger warnings” to alert students to the possibility that they might be affected or even harmed by potentially traumatic material. This practice has led to a passionate debate about whether such warnings stifle or encourage student expression and academic freedom, and whether they are beneficial or detrimental to learning. In this article, we illustrate the history and current state of this debate, and examine the scientific support for the arguments for and against the use of such warnings. Specifically, we question the scientific basis for the suggestion that …

Breaking The Silence: A Phenomenological Exploration Of Secondary Traumatic Stress In U.S. College Student Affairs Professionals, Robert Jason Lynch

Educational Leadership & Workforce Development Theses & Dissertations

Breaking the Silence: A Phenomenological Exploration of Secondary Traumatic Stress in U.S. College Student Affairs Professionals is a qualitative-intensive mixed methods study using phenomenology and art-based research techniques to uncover the essence of secondary traumatic stress in U.S. college student affairs professionals. Researchers in the fields of psychology, counseling, social work and other helping professions suggest that repeated exposure to individuals experiencing trauma, or hearing repeated details of an individual’s trauma, have negative outcomes on professional helpers. Coined secondary traumatic stress, this phenomenon may be defined as “the stress resulting from helping or wanting to help a traumatized or suffering …

Research Brief: "Mental Health Of Transgender Veterans Of The Iraq And Afghanistan Conflicts Who Experienced Military Sexual Trauma", Institute For Veterans And Military Families At Syracuse University

Institute for Veterans and Military Families

This brief is about the relationship between identifying as a transgender veteran, military sexual trauma, and mental health disorders. In policy and practice, transgender veterans who have experienced military sexual trauma should discuss the trauma history with a mental health provider, and health care providers should work with transgender veterans to connect them with proper counseling services. The DoD should work to reduce gender identity stigma within the military and the VA should research MST treatment effectiveness among transgender veterans. Suggestions for future research include using self-rated identity as a variable and determining more about the effectiveness of MST treatments …

Deployment, Post-Traumatic Stress Disorder And Hypertensive Disorders Of Pregnancy Among U.S. Active-Duty Military Women, Michelle C. Nash

USF Tampa Graduate Theses and Dissertations

Introduction. Today women comprise 15% of the U.S. active-duty military, but are often overlooked in research of the Armed Forces. While some of the challenges faced by women are similar to men, they encounter unique stressors related to childcare while deployed, sexual harassment and assault, and gynecological needs. Women are also more likely than men to develop post-traumatic stress disorder (PTSD). Both stress and PTSD have been linked to the development of chronic hypertension and some adverse birth outcomes. We hypothesized that post-9/11/2001 era military women who deployed or who had indicators of PTSD would be at greater risk of …

Research Brief: "Impact Of Military Trauma Exposures On Post-Traumatic Stress And Depression In Female Veterans", Institute For Veterans And Military Families At Syracuse University

Institute for Veterans and Military Families

This brief is about the relation between combat stressors, depression, and PTSD among female veterans. In policy and practice, health providers should refer female veterans to services if they have experienced military sexual trauma; the DoD and VA should conduct analysis on the experiences of service and veteran women, and how they can best support service women who experienced military sexual trauma. Suggestions for future research include using an expanded sample and more sampling strategies, as well as use clinical interviews to collect data.

A Study Protocol For A Randomised Controlled Trial Of An Interactive Web-Based Intervention: Cancercope, Suzanne K. Chambers, Lee Ritterband, Frances Thorndike, Lisa Nielsen, Joanne Aitken, Samantha Clutton, Paul Scuffham, Philippa Youl, Bronwyn Morris, Peter Baade, Jeffrey Dunn

Research outputs 2014 to 2021

Introduction:

Approximately 35% of patients with cancer experience clinically significant distress, and unmet psychological supportive care needs are prevalent. This study describes the protocol for a randomised controlled trial (RCT) to assess the efficacy and cost-effectiveness of an internet-based psychological intervention for distressed patients with cancer.

Methods and analysis:

In phase I, the intervention was developed on an interactive web platform and pilot tested for acceptability using a qualitative methodology with 21 patients with cancer. Phase II is an RCT underway with patients with or at risk of elevated psychological distress comparing: (1) static patient education website with (2) …

Understanding The Link Between Substance Abuse And Mental Health, Crystal Ann Horton

Electronic Theses, Projects, and Dissertations

Treating people with co-occurring or dual diagnosis disorders requires an integrated treatment approach due to the complex health and social needs of people who suffer from mental illness and drug addiction. An integrated approach is not only necessary but crucial to treat both the drug addiction and mental illness concurrently. The aim of this study is to explore the impact that non- integrated care can have on the number of relapses that dually diagnosed people can have. The study found that there is no correlation between concurrent treatment and the number of relapses that dually diagnosed people may have. Social …

Do Athletes With Musculoskeletal Injuries Show Similar Patterns Of Cognitive Decline As Seen In Concussed Athletes?, Janae Wicker, Larry Howard, Erika Smith-Goodwin

Journal of Sports Medicine and Allied Health Sciences: Official Journal of the Ohio Athletic Trainers Association

In Volume 3, Issue 1 of the JSMAHS you will find Professional research abstracts, as well as Under Graduate student research abstracts, case reports, and critically appraised topics.

Thank you for viewing this 3^rd Annual OATA Special Edition.

A Randomized Controlled Trial Of Individual Versus Group-Format Exercise And Self-Management In Individuals With Parkinson's Disease And Comorbid Depression, Martha Sajatovic, Ellen M. Walter, Curtis M. Tatsuoka, Steven A. Gunzler, Christina M. Whitney, Benjamin L. Walter

Faculty Scholarship

Background: Depression is common in people with Parkinson’s disease (PD), and exercise is known to improve depression and PD. However, lack of motivation and low self-efficacy can make exercise difficult for people with PD and comorbid depression (PD-Dep). A combined group exercise and chronic disease self-management (CDSM) program may improve the likelihood that individuals will engage in exercise and will show a reduction in depression symptoms. The purpose of this study was to compare changes in depression in PD-Dep between individual versus group exercise plus CDSM and to examine participant adherence and perception of the interventions. Methods: Participants (N=30) were …

Research Brief: "The National Veteran Sleep Disorder Study: Descriptive Epidemiology And Secular Trends, 2000–2010", Institute For Veterans And Military Families At Syracuse University

Institute for Veterans and Military Families

This brief is about the relation between sleep disorder diagnosis and cardiovascular disease, cancer, and mental health disorders among veterans. In policy and practice, physicians should familiarize themselves with signs of and screenings for sleep disorders and should discuss factors that affect sleep with their veteran patients; the VHA should continue recommending policies that help veterans receive a prompt diagnosis and treatment of their sleep disorders, policymakers should fund early intervention programs to help veterans learn how to cope with reintegration, and the VHA should create a database on sleep disorders in veterans. Suggestions for future research include studying veterans …

Solitary Confinement: Social Death And Its Afterlives, Jen Rushforth

Themis: Research Journal of Justice Studies and Forensic Science

No abstract provided.

Relations Between Adverse Childhood Experiences And Current Maladaptive Beliefs In A College Sample, Ilana Starr Berman

Graduate Theses and Dissertations

Cumulative childhood trauma has been associated with both symptoms of post-traumatic stress disorder and depression. However, few studies have examined these relations with normative young adult populations nor have they explored the relation between childhood adversities and cognitive distortions as an outcome variable. The current study aimed to: 1) replicate and extend research on the relations between cumulative adversity, using a broad measure of adverse childhood experiences (ACEs; Felitti et al., 1998), which assesses both maltreatment (e.g., physical, sexual, emotional abuse and neglect) and exposure to elements of household dysfunction (e.g., caregiver substance use, witnessing maternal abuse), and mental health …

A Study Of Innovation In Model Project Design: Addressing Mental Health Symptoms Among Co-Occurring Substance Use And Mentally Ill Clients Who Are Homeless In A Local Community Clinic Setting, Isis Dian Martel

Graduate Theses and Dissertations

Homeless persons with co-occurring substance use combined with mental illness constitute a particularly vulnerable subgroup with complex service needs. Unfortunately, the capacity to deliver critical treatment services has been extremely limited causing many from this population to remain untreated. Untreated co-occurring disorders can lead to a host of difficulties for both the individual and the community (Bouchery, Harwood, Sacks, Simon, & Brewer, 2011). Developing community based intervention services in Arkansas is a key activity necessary in strategically addressing this problem (Barbee, Gonzales, & Shelor, 2016). In partnership with the Arkansas Division of Behavioral Health Services, a local community treatment provider …

Conflict In South Asia And Its Impact On Health, Siddarth David, Rukhsana Gazi, Mohammed Shafiq Mirzazada, Chesmal Siriwardhana, Sajid Bashir Soofi, Nobhojit Roy

Department of Paediatrics and Child Health

South Asia has a large population affected by different types of protracted conflict and can provide critical insights to understand health challenges in conflict zones.
Health systems in conflict affected areas should prioritise domestic and gender-based violence, along with reproductive and sexual health services.
Mental health and psychosocial services for conflict-affected populations in South Asia need to be strengthened, and these services should be integrated into existing primary care platforms.
Building the capacity of the existing healthcare system and developing a trained local workforce can improve the access to and availability and acceptability of health services in conflict-affected communities.
Research …

Cmhc Newsletter Volume 1, Issue 1, Laura B. Kestemberg Ph.D., Laura L. Wood Ph.D., Lmhc, Rdt_Bct, Daniel Woods

Clinical Mental Health Counseling Newsletter

"Mentoring Compassionate Counselors for our Communities"

Inside this issue:

Upholding Molloy's Pillar of Service Through Group Counseling

Spring 2017 Practicum Placements

Membership NIghts

Exploring Student Stress: What Your Saliva Says about Your Anxiety

Timeline of CMHC Program Events

Welcome note from the Director

The CMHC Dept. Takes on the ACA 2017 Conference & Expo in San Francisco

Introducing New Part-Time and Adjunct Faculty

Effect Of Stigma And Advocacy On Our State Of Mental Health: A Scientific And Personal Approach, Hannah Giangaspro

Senior Theses

The prevalence of mental health disorders amongst college students, especially studentathletes and honors students, has reached dangerously high levels. Furthermore, the stigma associated with mental disorders has been proven to prevent the struggling population from seeking help for themselves through mental health services. This study examined the relationship between mental health and college students (i.e. undergraduates, student-athletes, and honors students), as well as the effects of mental health advocacy on the speaker and the listener. Study participants consisted primarily of NCAA Division I undergraduate studentathletes at the University of South Carolina, with a sample size of 116. Results indicated that …

The Relationship Between The Military's Masculine Culture And Service Members' Help-Seeking Behaviors, Rachel Reit

Master's Theses (2009 -)

Since the terrorist attacks on September 11, 2001, over 2.5 million active duty U.S. military service members have deployed to Iraq and Afghanistan (Knobloch & Wilson, 2015). Of those who return as veterans, twenty percent experience serious mental health problems, and only 30-40% of them seek help or treatment (Tanielian & Jaycox, 2008; Wilson, Gettings, Hall, & Pastor, 2015). Recently, the military has increased efforts to encourage help-seeking behaviors among service members and to normalize mental health treatment. However, the military’s masculine culture and emphasis on strength and toughness inhibits the success of these efforts. The present studies investigate the …

The Relationship Between Trauma Exposure And College Student Adjustment: Factors Of Resilience As A Mediator, Amber Leih Jolley

Counseling & Human Services Theses & Dissertations

Adjustment to college is an important developmental task for students entering institutions of higher education. More than half of students who enter college report exposure to a potentially traumatic event (PTE), with many students reporting multiple event exposure (Banyard & Cantor, 2004). Many students adjust well to college despite experiencing PTEs, suggesting that certain factors may mitigate the effects of exposure. This study utilized archival data to explore the relationship between the type of PTE, accumulation of PTEs, underlying factors of resilience, and adjustment to college in a national sample of treatment-seeking college students. The data were analyzed using hierarchical …

Ecological Correlations Of Dietary Food Intake And Mental Health Disorders, Jordan Hoerr, Joshua Fogel, Benjamin Van Voorhees

Publications and Research

This paper examines the ecological association of dietary food intake with mental health outcomes on the group level across countries. Published data from the World Mental Health Survey were used to compare lifetime prevalence of four categories of mental health disorders (anxiety disorders, mood disorders, impulse control disorders, and substance use disorders) with a country’s fish/seafood and sugar/sweetener supply quantity using the Spearman rank correlation. Data were compared for 17 countries across the world. Sugar and sweetener supply quantity was significantly and positively associated with anxiety disorders (rho = 0.75, p = 0.001), mood disorders (rho = 0.75, p = …

{Ace}Ing Early Childhood In Minnesota, Bailey Alston, Casie Devos, Alisha Field, Renee Gasner

Master of Social Work Student Policy Advocacy Briefs

Too many young children are facing ACEs that are detrimentally impacting their development and contributing to negative outcomes that persist into adulthood. There are no current policies using the ACE questions to drive mental health interventions. The Governor’s Task Force on Mental Health made nine recommendations that, if implemented, will greatly improve the mental health and well-being of children and their parents. Improving early childhood prevention and intervention programs helps ALL Minnesota’s families build healthy and rich experiences for their children.

1. Expand the Early Childhood Mental Health Grant program statewide to increase early childhood mental health specialists.
2. Create a Governor’s …

A Mental Health Workforce Crisis: Roadmap For Enhancing Recruitment & Retention In Minnesota, Iowa & Wisconsin, Lindsay Duenow, Rebecca Kobernick, Mckenzie Sohre, Kim Wallgren

Master of Social Work Student Policy Advocacy Briefs

Building and maintaining an adequate mental health workforce requires successful recruitment and retention of qualified workers. Identifying recruitment and retention factors specific to behavioral health providers is essential in determining strategies for increasing the rural health behavioral workforce. The World Health Organization estimates there are 1.18 million additional mental health workers needed to end the mental health treatment gap between patients and providers worldwide. In the U.S., there has been a nationwide shortage of mental health professionals, and this shortage is more pronounced in rural communities,with twenty percent of rural areas lacking mental health services, compared to five percent of …

Childhood Obesity: The Role Of The Mental Health Professional, Barry Panzer

NYMC Faculty Publications

This work consists of two major components: understanding the nature of childhood obesity and providing clinical services. Factors responsible for the current epidemic will be outlined, as will the current definition of the disorder. Statistical data regarding the epidemiology of weight disorders in childhood will be provided in order to give a perspective of the problem. Various obesity trajectories and their differential diagnostic and treatment issues will be thoroughly explored. The intervention section intends to help clinicians to evaluate salient factors in assessing the obese child and to identify appropriate goals and treatment methods. The course will provide vital information …

Factors Affecting Mental Health Seeking Behaviors Of Law Enforcement Officers, Vincent M. Haecker

Dissertations

The intent of this study was to elicit perspectives from law enforcement counselors, clinicians, chaplains, and peer group leaders for factors affecting law enforcement officer’s (LEOs) seeking mental health assistance. The law enforcement and mental health communities have gone to great lengths to ensure assistance is available to LEOs in an effort to counter the stress and trauma associated with the policing profession. Past studies attempted to elicit LEOs attitudes on mental health services, generating mixed results and were unable to establish why available services were underutilized. This study employed a qualitative methodology to elicit perspectives on this phenomena from …

Mental Health Status And Access To Health Care Services For Adults In Maine, Erika C. Ziller Phd, Barbara Leonard Mph

Access / Insurance

Maine people with poor mental health describe significant challenges with affordability and access to health care. A new report released by the Maine Health Access Foundation (MeHAF) and the University of Southern Maine, Mental Health Status and Access to Health Care Service for Adults in Maine, describes how adults 18 and older in Maine who report depression and poor mental health have many barriers to getting health care. These results have important implications for planning in a time when major changes in health insurance coverage are expected.

Analyzing data from the ongoing federal/state public health survey, the Behavioral Risk …

Mental Health Of African Asylum-Seekers And Refugees In Hong Kong: Using The Social Determinants Of Health Framework, William Chi Wai Wong, Sealing Cheung, Heidi Yin Hai Miu, Julie Chen, Kelley Ann Loper, Eleanor Holroyd

School of Nursing & Midwifery, East Africa

Background: Hong Kong is non-signatory to the 1951 Refugee Convention and its 1967 Protocol, and has no systematic domestic policies committed to the rights of asylum-seekers and refugees (ASRs). This creates a tenuous setting for African ASRs there. This study explored how mapped social determinates of health has impacted the mental health and wellbeing of African ASR’s in Hong Kong.

Methods: A cross-sectional survey was carried out with 374 African ASRs. The survey comprised of: (a) sociodemographics; (b) health status; (c) health behaviours; and, (d) social experiences. Associations between social determinants of health and depression screen were explored and multivariable …

The Impact Of A Civic Service Program On Biopsychosocial Outcomes Of Post 9/11 U.S. Military Veterans, Monica M. Matthieu, Karen A. Lawrence, Emma Robertson-Blackmore

Social Work Faculty Publications

Volunteering as a health promotion intervention, improves physical health, mental health, and social outcomes particularly in older adults, yet limited research exists for veterans. We conducted a preliminary study to explore whether volunteering impacts a variety of biopsychosocial outcomes, including symptoms of post-traumatic stress disorder (PTSD) and depression, among returning military veterans from Iraq and Afghanistan. A survey enrolling a prospective cohort of United States (U.S.) veterans who served in the military after 11 September 2001 and who participated in a national civic service program was conducted. A total of 346 veterans completed standardized health, mental health, and psychosocial self-report …