Medicine and Health Sciences Commons^™

Improving Mental Health Of Elementary School Children, Alexa Proctor

Purdue Journal of Service-Learning and International Engagement

Alexa Proctor is an advanced practice student on clinical rotations with the Purdue University College of Pharmacy. In this article, she describes her experience working with Mental Health America (MHA) of Tippecanoe County and third grade children, in addition to her passion to help improve mental health in students of all ages.

The Association Of Stress With Anxiety And Depression: Evidence From A Community Health Needs Assessment, Nicole La Tournous, Grace Bagwell-Adams

Journal of the Georgia Public Health Association

Background: Mental illness affects approximately 1 in 5 Americans, making mental health an important area of study for public health. Much research has been conducted on two of the most prevalent mental health disorders, anxiety and depression. However, the association of stress with these disorders, especially specific types of stress (e.g., financial, health, relationship), has been under-studied at the local level. This study aimed to gain insight into the relationship between stress, anxiety, and depression in Athens-Clarke County, Georgia.

Methods: Data collected in the 2015 Athens-Clarke County Community Health Needs Assessment were analyzed using linear regression models to explore the …

Association Between Intimate Partner Violence And Mentally Unhealthy Days In Women In The U.S., Danielle Broadnax, Reinetta Thompson Waldrop, Mechelle D. Claridy, Elaine Archie Booker, Ernest Alema-Mensah

Journal of the Georgia Public Health Association

Background: In the United States (U.S.), intimate partner violence (IPV) is a serious public health concern, mainly affecting the health and well-being of women. The objective of this study was to identify the IPV and socio-demographic factors associated with mentally unhealthy days among women in the U.S. of ages ≥18 years.

Methods: Data for this study were obtained from the 2007 Behavioral Risk Factor Surveillance System. Multivariable analyses were used to estimate adjusted odds ratios (AORs) and 95% confidence intervals (95% CIs) for factors associated with IPV and 14 or more mentally unhealthy days per month. Analyses were conducted using …

Alleged Insanity: Frank Johnson Sr., Racial Injustice, And The Failure Of The Mental Health Care System In South Carolina, Jonathon P. Johnson

Senior Theses

This thesis is about Frank Johnson Sr. and the circumstances that led to his downfall as a farmer and father of six, to his tragic death in the isolation of a racially segregated mental institution 18 miles away from his home. Using his life and incarceration at the South Carolina State Park mental health facility, I argue that racial injustice contributed to his tragic death and the woefully inadequate treatment thousands of African Americans in South Carolina received during Jim Crow. Additionally, I argue that the tragic circumstances around my great grandfather’s institutionalization and death were part of an enduring …

Sexual Risk-Taking Among At-Risk Alcohol And Drug Users Presenting To Emergency Departments, Rebecca Howell, Aaron Johnson

Journal of the Georgia Public Health Association

Background: Alcohol use is linked to increased sexual risk-taking, including unprotected sexual contacts, and illegal drug use is associated with an increased likelihood of sexual risk-taking and at-risk alcohol use. Risky sexual behavior is co-morbid with anxiety, depression, and mood disorders. The purpose this study was to identify factors associated with sexual risk-taking among adult, at-risk alcohol or drug users presenting to emergency departments (EDs).

Methods: Data were derived from self-report surveys conducted with a random sample of ED patients screening positive for at-risk alcohol or drug use. As part of an alcohol and drug assessment completed by a health …

Test Site Predicts Hiv Care Linkage And Antiretroviral Therapy Initiation: A Prospective 3.5 Year Cohort Study Of Hivpositive Testers In Northern Tanzania, Elizabeth A. Reddy, Chris Bernard Agala, Venance P. Maro, Jan Ostermann, Brian W. Pence, Dafrosa K. Itemba, Donna Safley, Jia Yao, Nathan M. Thielman, Kathryn Whetten

Faculty Publications

Background: Linkage to HIV care is crucial to the success of antiretroviral therapy (ART) programs worldwide, loss to follow up at all stages of the care continuum is frequent, and long-term prospective studies of care linkage are currently lacking.

Methods: Consecutive clients who tested HIV-positive were enrolled from four HIV testing centers (1 health facility and 3 community-based centers) in the Kilimanjaro region of Tanzania as part of the larger Coping with HIV/AIDS in Tanzania (CHAT) prospective observational study. Biannual interviews were conducted over 3.5 years, assessing care linkage, retention, and mental health. Bivariable and multivariate logistic regression analyses were …

Research Brief: "Unmet Mental Healthcare Need And Suicidal Ideation Among U.S. Veterans", Institute For Veterans And Military Families At Syracuse University

Institute for Veterans and Military Families

This brief is about the relationship between veterans' unfulfilled mental healthcare needs and suicidal ideation. In policy and practice, physicians should provide information to veterans about organizations and initiatives for assistance, and veterans' organizations should address socioeconomic needs, mental healthcare needs, and alcohol and substance use among the veteran population; policymakers should provide healthcare services for veterans to ensure that they receive mental healthcare when they need it. Suggestions for future research include reporting techniques besides self-reporting, incorporating veterans into the study who might have mental health concerns but are not clinically diagnosed, and looking at the impact of family …

Research Brief: "Access To Mental Health Care Among Women Veterans: Is Va Meeting Women’S Needs?", Institute For Veterans And Military Families At Syracuse University

Institute for Veterans and Military Families

This brief is a summary of access to mental health care among women veterans and gender related indicators of perceived access to mental health care.

Resource Guide For Addiction And Mental Health Care Consumers: Answering Questions About Insurance Coverage And Parity For Addiction And Mental Health Care Services, Lucy C. Hodder, Michele D. Merritt, Margaret H. Schmidt, Jacqueline Botchman, Caitlyn Ebert, Marguerite Corvini, Kate Crary, Bridget Drake

Law Faculty Scholarship

Navigating the maze of health insurance coverage can be difficult. For individuals with addiction or mental illness, the process of getting treatment approved and paid for by health insurance can be overwhelming. As a result, many people give up when their health insurance company denies coverage for needed services. This Guide can help people learn how to access health insurance and use their coverage to pay for treatment. This Guide also provides a basic explanation of consumers’ rights under the federal Mental Health Parity and Addiction Equity Act.

Implementing Change To Decrease The Emergency Department Visits For Pediatric Clients Referred To Mental Health Services, Diane Sandoval

Master's Projects and Capstones

The purpose of this clinical nurse leader (CNL) internship project is to implement an improvement intervention to decrease emergency department visits or psychiatric emergency services visit rates for pediatric clients receiving mental health services through the ambulatory clinic. The goal is to increase client safety by preventing harm to themselves or others and improving quality of care provided through timely nursing telephone triage. The project is taking place in a county run pediatric ambulatory clinic. We will participate in a shared leadership team to make recommendations for improvement at the microsystem level. Team members include the charge nurse, clinic manager, …

Screening For Developmental Delay In Georgia’S Family Shelters: Formative Evaluation Of A Quality Improvement Initiative, Marvin So, Luisita G. Agbayani, Mariel K. Gutierrez, Josef T. Griffins

Journal of the Georgia Public Health Association

Background: Children in families experiencing homelessness are at elevated risk for cognitive, motor, speech, and other developmental delays. Given the prevalence of family homelessness in Georgia and across the U.S., investigating the feasibility of implementing developmental screeners while families are in shelters is warranted.

Methods: Three pilot shelters were selected for the development and implementation of Quality Improvement (QI) Teams, who used Plan-Do-Study-Act (PDSA) Cycles to make progress towards universally screening children for delay. We employed a formative evaluation to (1) characterize screening rates and shifts in shelter as a result of QI initiatives, and (2) identify barriers and facilitators …

Research Brief: "Mental Health Of Transgender Veterans In Us States With And Without Discrimination And Hate Crime Legal Protection", Institute For Veterans And Military Families At Syracuse University

Institute for Veterans and Military Families

This study suggests that policies protecting transgender individuals from employment discrimination are associated with better mental health, as it found that transgender individuals represent one of the most marginalized populations in both civilian and military communities. In practice, employers should continue encouraging a safe and welcoming environment for all employees, including individuals who identify as transgender, and medical providers serving transgender veterans should consider evaluating their patients’ mental health. In policy, policymakers might continue efforts to reduce discrimination based on sexual orientation and gender identity and might consider introducing bills to protect LGBTQ+ persons. Suggestions for future study include sampling …

Practice Matters: Red Flags In Adults With Mental Illnesses, Lynette S. Smith Phd, Aprn, Pmhnp, Fnp, Tonya Bragg-Underwood Dnp, Fnp-Bc, Cne, W. Spencer Cole Msn, Rn

International Journal of Faith Community Nursing

Faith Community Nurses have common beliefs, principles, ethics, and a level of trust with their population making them well-positioned to positively impact parishioners. FCNs provide support for people’s spiritual needs and nursing care. This makes FCNs a vital and approachable resource for parishioners when seeking advisement and assistance regarding their mental healthcare. In this article, we define red flags as suicidal idealization, mania, and psychosis, which if not promptly assessed and referred for treatment may result in serious harm or death. These red flags are predominately found in people with schizophrenia, depression, bipolar disorder, and post-traumatic stress disorder. People with …

Psychiatric Comorbidities In Gambling And The Clubsnsw Chaplaincy Program (Australia), Melanie Hartmann, Alex Blaszczynski, Rowan Cameron

International Conference on Gambling & Risk Taking

A recent systematic review of population studies conducted over the last 12 years indicated that 57.5% of individuals meeting criteria for a gambling disorder have a comorbid substance use disorder, 60.1% a nicotine dependence, 57.5% a mood disorder, and 37.4%, any anxiety disorder. In a proportion of these, the comorbid condition predates the onset of gambling disorders suggesting these might represent a vulnerability factor. These findings suggest important implications for gambling prevention and treatments. Instead of promoting only gambling specific interventions and treatments, the emphasis needs to be on a more holistic approach that includes screening for and treating comorbid …

Rape And Mental Health Outcomes Among Women: Examining The Moderating Effects Of “Healthy” Fear Levels, Ryan E. Spohn, Emily M. Wright, Johanna C. Peterson

Criminology and Criminal Justice Faculty Publications

This study examined the mediating and moderating impact of fear of victimization on the relationships between forcible and vicarious rape on depression and PTSD among college women. Forcible and vicarious rape positively affected PTSD and depression symptomology, but fear did not mediate these relationships. Fear moderated the impact of forcible rape on PTSD, but was not a moderator for depression. Findings suggest that there may be “healthy” levels of fear in the aftermath of victimization where having too little fear may leave women unnecessarily vulnerable to victimization, while having too much fear may lead to social isolation and withdrawal.

Psychological Abuse, Mental Health, And Acceptance Of Dating Violence Among Adolescents, Jeff R. Temple, Hye Jeong Choi, Joanna Elmquist, Michael L. Hecht, Michelle Miller-Day, Gregory L. Stuart, Meagan Brem, Caitlin Wolford-Clevenger

Communication Faculty Articles and Research

Purpose

Existing literature indicates that acceptance of dating violence is a significant and robust risk factor for psychological dating abuse perpetration. Past work also indicates a significant relationship between psychological dating abuse perpetration and poor mental health. However, no known research has examined the relationship between acceptance of dating violence, perpetration of dating abuse, and mental health. In addition to exploring this complex relationship, the present study examines whether psychological abuse perpetration mediates the relationship between acceptance of dating violence and mental health (i.e., internalizing symptoms of depression, anxiety, and hostility).

Methods

Three waves of longitudinal data were obtained from …

Conditions Facilitant L’Appropriation De Démarches Préventives En Santé Psychologique Au Travail Par Les Gestionnaires, 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 Initiatives For Asian American Women, Karen Lin

Binghamton University Undergraduate Journal

Despite being one of the fastest growing minorities of the United States, Asian Americans are most at risk for developing mental disorders and least likely to seek professional help. With a significant portion of the United States represented by Asian ethnicities, addressing the mental health needs of this population is not only important but necessary to advance the overall health of all Americans. The purpose of this paper is to describe the influences of cultural norms and standards that increase risk factors for poor mental health outcomes and negative help seeking attitudes in first generation Asian American college-aged females. These …

Developing Therapeutic Communication Skills: Integration Of Standardized Client Simulation In An Associate Degree Nursing Program, Kristine Weber, Timothy Farrell

UNLV Theses, Dissertations, Professional Papers, and Capstones

By the year 2020, it is projected that there will be a shortage of 300,000 to one million registered nurses in the United States (Juraschek, Zhang, Ranganathan & Lin, 2012). Therapeutic communication skills are a fundamental and integral part of any registered nurse’s practice. Despite the importance of therapeutic communication, evidence suggests that the lack of skill development in nursing programs is having an adverse effect on the NCLEX-RN pass rate of graduating registered nurses. Identifying and addressing shortfalls in effective communication offers an opportunity to improve this pass rate. Learning to effectively communicate in a simulated situation will provide …

An Appointment With Dr. Joseph Dejarnette: An Analysis Of A Leading Eugenics Advocate And How His Legacy Has Been Rewritten, 1906-1943, Brianna Melchione

Masters Theses, 2010-2019

The following is a thesis containing two separate parts: the background paper and a website. While both parts have been created with the ability to stand alone, they work best in conjunction with one another. The overall project provides a close study of Staunton, Virginia’s Western State Hospital’s Superintendent, Dr. Joseph DeJarnette, who practiced there from 1906-1943, and his involvement with eugenic sterilization. Dr. DeJarnette practiced during the Progressive Era, which influenced him to be a man desiring reform and progress, through science. The goal of this project is to analyze how his reputation as a doctor has been rewritten …

Mindfulness-Based Intervention For Perinatal Grief Education And Reduction Among Poor Women In Chhattisgarh, India: A Pilot Study, Lisa R. Roberts, Susanne B. Montgomery

Interdisciplinary Journal of Best Practices in Global Development

INTRODUCTION: Stillbirth is a significant public health problem in low to middle income countries and results in perinatal grief, often with negative psychosocial impact. In low-resource settings, such as Chhattisgarh, India, where needs are high, it is imperative to utilize low-cost, effective interventions. Mindfulness-based stress reduction (MBSR) is an empirically sound intervention that has been utilized for a broad range of physical and mental health problems, and is adaptable to specific populations. The main objective of this pilot study was to explore the feasibility and effectiveness of a shortened, culturally adapted mindfulness-based intervention to address the complex grief after stillbirth. …

Applying Experience-Based Co-Design With Vulnerable Populations: Lessons From A Systematic Review Of Methods To Involve Patients, Families And Service Providers In Child And Youth Mental Health Service Improvement, Alison Mulvale, Ashleigh Miatello, Christina Hackett, Gillian Mulvale

Patient Experience Journal

The objective was to identify methods used to involve patients, family and service providers in child and youth mental health service improvement research. We analyzed the alignment of methods used with Experience-Based Co-Design (EBCD) methodology, and how power imbalances among participants were addressed. A systematic review of the English-language peer review literature since 2004 was carried out. The EMBASE, Scholar’s Portal, PubMed, Web of Science databases and the Ontario College of Art and Design University libraries were searched electronically for variations of ‘child’, ‘mental health’, ‘experience-based co-design’, ‘participatory research’ and ‘health care services’. Textual data was systematically extracted and analyzed. …

Adverse Childhood Experiences In Rural And Urban Contexts, Jean A. Talbot Phd, Donald Szlosek Mph, Erika C. Ziller Phd

Mental Health / Substance Use Disorders

Recent research shows that rural children are more likely than urban children to experience certain kinds of adversity. Researchers at the Maine Rural Health Research Center looked at how adverse childhood experiences (ACEs) have affected rural and urban adults. Using data from the Behavioral Risk Factor Surveillance System Assessment, this study found that, while the prevalence of ACEs was comparable in rural and urban adults, over half of rural adults surveyed reported having ACE exposure.Among those with any ACE history, about one quarter experienced four or more ACEs. Policy implications and strategies are highlighted in this brief.

Key Findings:

• Past …

Un Análisis Post-Colonial: La Encarnación De La Pérdida Histórica En La Manifestación De Depresión En Personas Mapuche En El Contexto Urbano, Haley Case

Independent Study Project (ISP) Collection

Esta investigación buscaba evaluar las manifestaciones cualitativas y simbólicas de la depresión en la población Mapuche de la región de Santiago a través de la aplicación de teoría que aborda del sufrimiento social y la violencia estructural. Métodos etnográficos se fueron utilizados por la realización de observaciones y entrevistas semi-estructuradas con personas involucradas en la comunidad Mapuche y el sistema de salud biomédico en las comunas de La Pintana y Lampa en la Región Metropolitana. Según la cosmovisión Mapuche, la salud tiene base fundamental en la armonización del cuerpo, alma, espíritu y mente de un ser humano con su familia, …

The Association Between Obesity, Depression, And Anxiety: Evidence From A Community Health Needs Assessment Survey, Grace B. Adams, Angela Murcia

Journal of the Georgia Public Health Association

Background: The obesity epidemic has garnered much attention as a public health crisis. In order to make progress, it is necessary to understand the factors associated with obesity. One area of research needing more development is the link between obesity and other chronic health conditions. The objective of the present study was to further understand the relationship between obesity and the prevalence of anxiety and depression in Athens-Clarke County in northeast Georgia.

Methods: Data from the 2015 Athens-Clarke County Community Health Needs Assessment (n=1234) were used to assess the relationship between obesity and the prevalence of anxiety and depression among …

All Things New: A Holistic Theology Of Major Depression And Pastoral Care, T. S. Giovanetto

Journal of Applied Christian Leadership

Dissertation Notice:

M.A. Thesis, Trinity International University, 2015.

Full Text of the Thesis available from ProQuest Dissertations & Theses Global

This study approaches the topic of mental illness within the church, integrating biblical theology and clinical psychology to propose a model of pastoral care for the severely depressed. Examining the history of distrust between the church and the social sciences, and criticizing prominent models of pastoral care built upon the chastisement of mentally ill individuals, the thesis proposes a model of care built upon the acceptance and validation of persons facing psychological distress. In this model, ministers teach sufferers to …

An Identification Of The Social And Emotional Needs Of People Living With Post-Lingual Hearing Loss, Dianne Briffa, Fiona Davidson, Danielle Ferndale Ms

JADARA

Hearing loss is associated with challenges in achieving effective communication which can constrain an individual’s ability to participate in social and work environments, affecting their social and emotional well-being. Through a thematic analysis of focus groups, interview and survey responses from 41 people experiencing post-lingual hearing loss, we identified an overarching theme of adjusting to impaired communication and three sub-themes in which we were able to identify the unmet social and emotional needs of people who are hard of hearing. In light of our analysis we discuss and offer recommendations specific to meeting the needs of this population.

“Don’T Shoot The Unicorn!” Finding Transformative Happiness And Resilience Through Developing Your “Anditude”!, M. Bruce Garris, Gary W. Mauk

National Youth Advocacy & Resilience Conference

As a care provider and leader in your community, you understand the challenge of keeping your own resilience high, and maintaining an attitude of hope. This transformational, uplifting program will equip you to develop the skill of happiness, empowering you to lead youths by demonstrating positive approaches in your own life, and impacting them with “Infectious Resilience” as they learn to adopt your Anditude!

Smoking Characteristics And Psychiatric Comorbidities Of Pregnant Smokers: An Analysis Of Quit4baby Randomized Controlled Trial, Shawn Chiang, Lorien C. Abroms, Jennifer M. Schindler-Ruwisch, Leah E. Leavitt

GW Research Days 2016 - 2020

Background: Text messaging or short message service (SMS) programs have been shown to be effective in helping adult smokers quit smoking (Abroms et al., 2014). However, to our knowledge, no prior research has examined psychiatric comorbidities associated with smoking in the text messaging context. The risk of smoking has been shown to increase as a function of the number of psychiatric illnesses with which a person is diagnosed (Aubin, Rollema, Svensson, & Winterer, 2012). The current study examined this association and other correlates of smoking-psychiatric comorbidity in a sample of U.S. pregnant smokers enrolled in Quit4Baby, a smoking cessation text …

Between Crazy And Fine, Annette Aguilera-Gonzalez

SURGE

As a young Latina, I grew up hiding the fact that I met with a therapist and that I suffered from depression and anxiety. Conversations about mental well-being or taking steps to cope with anxiety were non-existent in my community of friends and family. It was always a taboo topic, an area that we never touched. People were labeled as “crazy” and serious situations were swept under the rug. Seldom was I offered empathy or support. [excerpt]