Mental and Social Health Commons^™

Sexual Victimization Recognition And Non-Disclosure Inventory Of Young Adolescents, Nancy S. Faulkner

All-Inclusive List of Electronic Theses and Dissertations

This study was conducted to assess sexual victimization recognition and nondisclosure of young adolescents proximate to the age of the abuse. Participants were 214 middle school pupils, ages 12 to 15 who were presented with Informed Consent giving them the right not to respond, presented brief information on Body Safety, and asked to respond to five questions. The Body Safety information and administration of the survey were on videotape for ease and consistency of data collection. Three null hypotheses were tested using Chi square and three research questions were analyzed by descriptive, non-statistical trend analysis. The following results were noted: …

Drug Abuse Prevention: Programming And Research Recommendations, C. Anderson Johnson, Steve Sussman

CGU Faculty Publications and Research

In this issue of American Behavioral Scientist, we describe the state-of-the-science of drug abuse prevention, including program evaluation and content suggestions, and major methodological and substantive challenges as we understand them at this late date in the twentieth century. These articles also suggest important areas for prevention research as we enter into the next century.

Methodological And Substantive Issues In Substance Abuse Prevention Research, C. Anderson Johnson, John W. Farquhar, Steve Sussman

CGU Faculty Publications and Research

This article summarizes current issues in drug abuse prevention research through integration of other articles in this journal and by heeding historical trends in prevention science. Recommendations are made for future research directions. For prevention to advance, iterative processes are needed involving both quasi-experimental and experimental designs and involving both small, simple units and large, complex, interactive units. Accuracy of measurement and replication are of paramount importance.

Breadth Of Program And Outcome Effectiveness In Drug Abuse Prevention, C. Anderson Johnson, David P. Mackinnon, Mary Ann Pentz

CGU Faculty Publications and Research

The most popular school programs for tobacco and other drug abuse prevention address a variety of substances from tobacco to alcohol to other drugs. It is not uncommon for the same school program to address an even broader range of health and social objectives including exercise and nutrition promotion, pregnancy and HIV prevention, and violence prevention. In this article, the authors address the question of whether it is more effective to target a narrow range of objectives (e.g., smoking prevention) or a wider range of related behaviors (e.g., tobacco, alcohol, and other drug abuse). First, they consider a range of …

Measuring Hospital Use Without Claims: A Comparison Of Patient And Provider Reports., R E. Clark, S K. Ricketts, G J. Mchugo

Dartmouth Scholarship

We compared the validity of hospital admission and length of stay reports from patients, outpatient providers, and hospitals, and we examined possible sources of error. Data were collected from people enrolled in a randomized trial of treatment for severe mental illness and substance use disorders, from community mental health centers (CMHCs), and from hospitals. Reports for each of the 74 study participants covered two-year time periods beginning and ending at various times between 1989 and 1993. We compared reports from the various sources and constructed a hybrid with data from all three sources. Using parametric and non-parametric statistics, we compared …

Community Participation In Health, Family Planning And Development Activities: A Review Of International Experiences, Abbas Bhuiya, Fatima Yasmin, Farida Begum, Ubaidur Rob

Reproductive Health

The family planning (FP)/maternal and child health (MCH) program in Bangladesh has achieved success in the recent past, mostly through a large-scale government service-delivery system with support and cooperation from donors and nongovernmental organizations. There is concern about the financial and social sustainability of the program. Other issues include achievement of replacement-level fertility within a stipulated period and improvement of MCH-FP service quality. It is widely believed that most of the concerns will be taken care of with effective community participation. Before activating community initiatives, it is worth carrying out action research. A literature review was completed from July to …

Stress And Stress Management: A Photonovel, M. Susan Jones, The Kentucky Partnership For Farm Family Health & Safety, Kay Carr, Deborah Williams

Nursing Faculty Publications

No abstract provided.

The Relationship Between Risk For Drug Abuse And Meaning In Life, Paul Turner

Masters Theses & Specialist Projects

Drug abuse continues to be one of the most significant problems in the United States today. Attempts to understand drug abuse have produced numerous multidimensional prevention and treatment models. These models have resulted in the identification of psychological, social and biological risk factors related to drug abuse. In this study, the risk for drug abuse was assessed in 311 college students. A questionnaire was developed to measure risk. The questionnaire assessed risk for abuse predicted by the following factors: academic performance, coping and psychological health, religiosity, family and peer drug use, and the individual's past and current drug use. Based …

Ethnic Minorities And Mental Health: Ethical Concerns In Counseling Immigrants And Culturally-Diverse Groups, Gemima M. Remy

Trotter Review

Between 1980 and 1990 nearly 9 million foreign-born individuals migrated to the United States. In 1993, the Immigration and Naturalization Service recorded the entry of over 900,000 immigrants and refugees. This figure is believed to be higher given the estimated 1.5 to 2.5 million people who enter this country illegally each year. Currently, ethnic minority groups make up one-fourth of the United States population. It is estimated that by the year 2000, one-third of the U.S. population will be comprised of ethnic minorities. As the population of the United States becomes increasingly diverse, considerable attention is being directed to a …

Improving Health Care For Disadvantaged Local Communities: Proposing User Fees Based On Some International Experiences, Saskia Wilhelms

Trotter Review

The fact that national health care reform in the United States has been stalled is not reason for resign. More than ever, one has to design and implement creative options to achieve satisfactory health service at low costs. The political turnover in Congress shifts more responsibility to local governments. This means less funding and less willingness by the national government to be held accountable for health and social services. On the other hand, this situation may carry opportunity to impact social policies on a local level.

The living conditions in some of our communities equal those in so-called third world …

Disparities In The Health Care Status Of Women: Implications For Research, Marcia I. Wells-Lawson

Trotter Review

Even a cursory review of data on the health status of women reveals striking differences by race. According to data from the National Center for Health Statistics, death rates among Black women from the three leading causes of death (cardiac disease, cancer and cerebrovascular disease) exceed those of white, Asian, Native American and Latina women for each age category from 45-84. With the exception of Black women, the death rates among white women from these diseases exceed those of other ethnic groups of women. Data on two of the risk factors for cardiac and cerebrovascular diseases (hypertension and obesity), show …

The Multicultural Mental Health Research Center (Mmhrc), Castellano Turner

Trotter Review

African Americans, Asian Americans, Hispanic/Latino Americans, and Native Americans have had relatively less access to the resources of society compared to white Americans. These resources include such things as educational and employment opportunities, political and economic power, and the goods and services that a prosperous society can produce. Health care is an important resource to which access is not equal for all groups. African Americans and other ethnic minority groups are, by most indices of health care access and utilization, underserved. Mental health services, in particular, have been shown to be less available to ethnic minority populations. Jones and Korchin, …

Factors Which Predict The Initiation And Use Of Alcohol In Rural Adolescents, Charlotte Swint

Masters Theses & Specialist Projects

The purpose of this research was to determine whether a selected group of factors are significant when trying to predict the use of alcohol by adolescents who live in rural areas. This research is important because most of the studies concerning drug and alcohol use in adolescents have focused on adolescents who live in urban areas. The results of such studies may not be generalizable to rural populations. The factors investigated included the following: availability of alcohol, peer influence, parental influence, tobacco use, gender, and grade level. These factors were chosen based on their inclusion in four prominent theories regarding …

A Model Of Costs Of A Cbd Programme, Saumya Ramarao, John Townsend, M.E. Khan

Reproductive Health

This study is a collaborative effort of the Population Council, New Delhi, and the Centre for Development and Population Activities, New Delhi. Cost analysis is an analytical tool that provides program managers and planners with information about existing and potential programs. Existing programs can be evaluated for efficiency and effectiveness, while the resource requirements of future programs can be estimated. In the context of family planning (FP) programs, cost analysis provides policymakers and program managers with sufficient data on efficient ways to meet the demand for FP services with available resources. As FP programs mature and requirements for the resources …

Lessons Learned From A Community-Based Distribution Programme In Rural Bihar, S. Parveen, M.E. Khan, John Townsend, Bella C. Patel

Reproductive Health

The state of Bihar in North India ranks near the bottom of the Indian states in terms of its demographic situation. The infant mortality rate as of 1991 was 69 per 1,000, and the contraceptive prevalence rate as of 1990 was 26 percent. Bihar ranks near the bottom among other states of India in almost all indicators of social and economic development. One reason for its low performance is weak management. Besides poverty, a poor communications network and lack of proper infrastructure further make the implementation of programs difficult. Workers have misconceptions about FP methods, and educational activities are poorly …

Correlates And Consequences Of Early Initiation Of Sexual Intercourse, Ann L. Coker, Donna L. Richter, Robert F. Valois, Robert E. Mckeown, Carol Z. Garrison, Murray L. Vincent

CRVAW Faculty Journal Articles

This cross-sectional analysis of the 1991 CDC Youth Risk Behavior Survey explored factors associated with an early age at first sexual intercourse. Almost 18% of White males, 49% of Black males, 5% of White females and 12% of Black females were sexually active before age 13. Carrying a weapon to school, fighting, and early (< age 13) experimentation with cigarettes and alcohol were associated with early initiation of sexual activity for all four race and gender groupings. Those initiating sexual activity early had greater numbers of partners but were 50% less likely to use condoms regularly and were two-seven times more likely to have been pregnant or caused a pregnancy. Females who initiated sexual activity early were more likely to have had a sexually transmitted disease (STD). Interventions to postpone sexual activity need to be tailored to the ethnic and gender differences observed in these analyses. Interventions must begin before age 13 and should be comprehensive school-based efforts.

An Assessment Of Associations Between Selected Health Practices And Mental Wellness, Ginger Bomar

Masters Theses & Specialist Projects

The purpose of this study was to assess the relationship between mental well-being and selected health behaviors. A cross-sectional study was performed on a sample of 490 students at Western Kentucky University during the 1993 Spring, Summer, and Fall semesters. Study participants completed the Participant Data Sheet, General Weil-Being Schedule, and the Health Behavior Instrument. The data were gathered and analyzed via correlation analysis which revealed a relationship between mental well-being and certain health behaviors. The correlations between general well-being and selected health behaviors were stronger among males than females. There was a relationship found between mental well-being and hours …

Community-Based Aids Prevention And Care In Africa: Case Studies From Five African Countries, Ann Leonard

HIV and AIDS

The Population Council carried out a three-year project entitled “Community-Based AIDS Prevention and Care in Africa: Building on Local Initiatives.” Given the constraints faced by the health care infrastructure in responding to the AIDS crisis and the limitations of traditional educational approaches in motivating people to modify their sexual behavior, in the African context community-based AIDS prevention and care of those affected are the first line of defense against the infection. This project was developed to explore efforts by organizations in Africa dealing directly with the consequences of AIDS, to understand the essential components of effective community-based efforts for AIDS …

The Identification And Magnitude Estimation Of Stressors In A Selected Military Population At One Training Command, Susan W. Miller

Community & Environmental Health Theses & Dissertations

The purpose of this study was to identify the most stressful aspects of being a student at a military training command. ·Forty students listed the significant stressors that they encounter at the training command. This list was reviewed and consolidated into a stressor rating questionnaire with 16 stressors. A convenience sample of 86 students rated the stressors. In the second part of the study, the students rated the stressors on a scale of "0 to 1000". The study revealed that the most significant stressors for students were absence of family and friends, uncertainty about their future, dealing with instructor's attitudes, …

Structuring Support For Volunteer Commitment: An Aids Services Program Study, Taryn Lindhorst, Ronald Mancoske

The Journal of Sociology & Social Welfare

Since the AIDS epidemic began over a decade ago, the bulk of services for people living with HIV in the community setting have been provided by volunteers. Volunteers are confronted with the stigmatized status of people with HIV and must learn to manage multiple crisis issues. This paper describes research on volunteerism in a buddy program for people living with AIDS and the perceptions of volunteers about the structural supports of the volunteer program. Issues around perceptions of stress and the relationship between bereavement and volunteering are explored.

Employment-Based Family Planning Services, Placide Tapsoba, Ian Askew, J. Tunde Taylor Thomas, Sering Falu Njie, Momodou Jasseh

Reproductive Health

Although The Gambia Family Planning Association (GFPA) has always been interested in promoting contraceptive use in the Greater Banjul Area (GBA), insufficient funds and the need to prioritize program expansion in rural areas hindered this. The GFPA operates two clinics in GBA, open to few workers. The government has three Family Planning and Maternal and Child Health clinics in Banjul, also used by few workers. Factory managers, trade union leaders, and the GFPA believe that a well-organized family planning (FP) education and service delivery program could benefit employees and employers. This operations research study tested the feasibility of a work-based …

An Analysis Of Substance Abusers' Field Dependence & Time Spent In Rehabilitative Therapy, Robert Fane

Masters Theses & Specialist Projects

This project was designed to determine if significant differences existed between the level of psychological differentiation, as determined by the Group Embedded Figures Test (GEFT), of individuals entering a treatment center for chemical dependency and the length of stay at the facility.

The subjects consisted of 43 white males who were seeking treatment for addiction to mood altering chemicals at a regional treatment facility in Bowling Green, Kentucky. Each subject was interviewed to collect pertinent background information pertaining to past substance abuse and was evaluated to determine psychological differentiation, utilizing the GEFT.

It was determined through an analysis of variance …

The Impact Of An Incentive/Competition Program On Participation And Smoking Cessation Among High Risk Smokers At The Worksite, Dyann M. Matson

Loma Linda University Electronic Theses, Dissertations & Projects

This study compared the effectiveness of a multicomponent smoking cessation/reduction program (”M") at one worksite (N = 81), with the same program plus incentives and team competition ("I") at a second worksite (N = 68). Incentives were discontinued at six months. A third worksite (N = 36) received a traditional smoking cessation program ("T').

The "I" program attracted a higher percentage of hourly (blue-collar) smokers (18.5%) compared to the "M" program (9.3%), or the "T" program (7.9%). Incentives with competition were also effective for improving abstinence for as long as 6 months (41%) compared to the "M" program (23%), and …

Characteristics Of Habitual Dysfunctional Behaviors, Carole Ryan Serena

Loma Linda University Electronic Theses, Dissertations & Projects

The suggestion that habitual dysfunctional behavior disorders (HDBs) have a common underlying cluster of addictive characteristics and dynamics is new. A broad research base which would support this theory has not kept current with clinical In order successes. In order to address the need for relevant research, an anonymous cross sectional study was designed to identify, describe and compare variables associated with 15 habitual dysfunctional behaviors (HDBs) in a sample (N =176) from a broad spectrum of socioeconomic groups.

People reporting two different HDBs (alcohol and food-related behaviors) were compared to those not reporting any HDBs on levels of four …

Crisis Intervention Services In Mental Health: A Review Of The Literature, Roger A. Lohmann, Ellen Neidermeyer

Faculty & Staff Scholarship

This paper is a review of the literature on mobile crisis services and other forms of modern crisis intervention services. It is the first part of a larger project, termed the North Central West Virginia Crisis Study. The purpose of this literature review is to identify recent published literature on crisis services, with particular attention to crisis response services. No attempt has been made to survey the voluminous literature on crisis intervention practice skills and techniques.

A Descriptive Study Of Commitment Practices In A Selected Jurisdiction, Louis A. Pesnicak

Community & Environmental Health Theses & Dissertations

This study examines the application of commitment procedures in one urban community in Virginia. The study investigated: the concordance rates of clinical recommendation for treatment and the outcome of the commitment hearing. the time lapse between detention of an individual and the hearing outcome. the presenting symptomatology and outcome. and the pre-detention compliance to treatment and outcome. The study's findings showed a concordance rate of 64% between clinical recommendation and outcome. It provided no significant differences in symptomatology/outcome, compliance/outcome, and time lapse/outcome. The lack of any significant findings seems to suggest that application of commitment laws might benefit from institution …

Ua12/2/1 Magazine, Wku Student Affairs

WKU Administration Documents

Special magazine edition of the College Heights Herald:

• Poore, Chris. Silent Escape – Amy Deputy, Bulimia

The Selection And Implementation Of A Drug And Alcohol Intervention Program/Model For Grand Coulee Dam Junior High School, Grand Coulee, Washington, Scott L. Ramsey

All Graduate Projects

The purpose of this study was to plan and implement an intervention program to combat adolescent substance abuse at Grand Coulee Dam Junior High School, Grand Coulee, Washington. This study presented a review of the research and literature related to drug and alcohol intervention models and has documented the steps and procedures taken by the Grand Coulee Dam Junior High School Core Team to implement the intervention model selected.

Predictive Probabilities In Employee Drug-Testing, John M. Gleason, Darold T. Barnum

RISK: Health, Safety & Environment (1990-2002)

Substance abuse in the U.S. has been estimated to cost $99 billion annually through lower productivity. Yet the authors urge caution in attempting to reduce these costs and health and safety Risks. In doing so, they cite commonly high frequencies of false negatives and false positives in employee drug tests - the latter having the potential to do great injustice to many drug-free employees.

Assessment Of Maternal Substance Abuse And Neonatal Exposure, Carol Jean Dauenhauer Giese

Loma Linda University Electronic Theses, Dissertations & Projects

Infants born to adolescent and young adult mothers who abuse substances, are at high risk for chemical dependency and its sequelae. There is a need to identify such infants and their mothers so that intervention will be available to them. The purpose of this study was to develop a systematic approach to evaluate mothers and infants for potential drug use and improve the quality of the nurses decisions.

This research project involves two sub-projects. In Part A, a Substance Abuse Assessment Tool (SAAT) was developed. The hospital nurses used the SAAT March 1, 1990, through April 12, 1990. The incidence …