Mental and Social Health Commons^™

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

All Graduate Theses, Dissertations, and Other Capstone Projects

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

Dual Diagnosis Treatment Group Curriculum, Julie M. Wood

All Graduate Theses, Dissertations, and Other Capstone Projects

The social workers at the MSH are treating many patients who have previous placements in chemical dependency treatment in addition to previous hospitalizations for their mental illness. Licensed Drug and Alcohol Counselors (LADC) are employed at the hospital but not on unit 800 which is the crisis and intake unit. The hospital does not have funds available in their budget to add additional LADC staff at the present time.

Having a treatment group focusing on dual diagnosis would enable the patients to receive education and therapy for their addiction issues much earlier in the course of their treatment at MSH. …

"First Impression": Creating An Intake Procedure That Is Welcoming To Clients And Useful To Clinicians, Brandi Embacher

All Graduate Theses, Dissertations, and Other Capstone Projects

Have you ever contacted an agency and felt doubtful about their ability to help you due to the phone interaction or written correspondence you received? The significance of this Capstone project is to create an intake procedure that will leave a positive first impression for individuals seeking services with Mankato Marriage and Family Therapy Center (MMFTC).

Implementation Of Evidence-Based Practices In Opioid Substance Abuse Treatment, Elizabeth V. Keck

All Graduate Theses, Dissertations, and Other Capstone Projects

The purpose of this capstone project is to begin the implementation of evidence-based practices for opioid substance abuse population in the rural community of Owatonna, MN and the surrounding communities.

The Effectiveness Of The Patient Health Questionnaire-9 Across Cultures, Caylin Cedergren

All Graduate Theses, Dissertations, and Other Capstone Projects

This project has two purposes. First, to evaluate the effectiveness of the Patient Health Questionnaire (PHQ-9) across cultures since it is the standard depression tool used across Mayo Clinic Health System. Second, to develop a Standard of Care that would create consistency in the follow-up provided to patients at Mayo Clinic Health System – Springfield Clinic whose PHQ-9 score reflects signs of depression.

Stroke Rehabilitation, Length-Of-Stay, And Re-Admission Rates: A Literature Review, Morgen Hagedorn

All Graduate Theses, Dissertations, and Other Capstone Projects

Stroke is shown to be a significant U.S. health problem with a profound impact on the nation’s rising healthcare costs (Hall, Levant, & DeFrances, 2012). Longer patient length-of-stay [LOS] and higher re-admission rates have brought consequences to healthcare systems as institutional budgets are unable to reconcile the additional services and the influx of healthcare demands. Through a comprehensive literature review, the author illustrates the general knowledge available on the stroke experience, on stroke care and rehabilitation, and on patient LOS and re-admission rates. The literature review is based on general medical research with a focus on the stroke population. The …

Policies In Hospital Social Work, Jolene L. Reisdorfer

All Graduate Theses, Dissertations, and Other Capstone Projects

The goal of this project was to create an environment that provides a professional standard of care to ensure patient safety. This project will address the absence of policies in the Social Service Department at Mayo Clinic Health System, Southwest Region. A standard of care is a detailed standardized model of an intervention process that discusses the goals, objectives, settings, process, procedures and interventions (Gayle, 2005). Policy development must occur to assure that patients with social service needs are being identified appropriately and are being provided necessary interventions to meet their needs (Gordon & Rehrs, 1969). The project also identified …

A Review Of Developmentally Appropriate Evidence-Based Effective Parenting And Resources For Parents, Kari Schwecke

All Graduate Theses, Dissertations, and Other Capstone Projects

Krisma Counseling, a counseling center located in rural southern Minnesota, offers high quality and affordable consumer-centered mental health services to individuals, families, couples, including in-home therapy. In order to provide adequate services and care that abides by the Nation Association of Social Workers Code of Ethics, there needs to be standard ethical practice rooted in evidence based literature. The purpose of this project was to research developmentally appropriate evidence-based effective parenting and create a resource guide for clinicians to use in their work with parents of children ages two to 17.

Bridging Tactics: Parental Support Systems: A Proposal For A Psycho-Educational Parent Group, Emily F. Thompson

All Graduate Theses, Dissertations, and Other Capstone Projects

The purpose of this Capstone project is to design and present a new intervention program for increasing supportive services to the parents of clients being served through the infant/early childhood mental health program at CSSM. The goal of this project is to provide CSSM with a culturally-­responsive, theoretically grounded, evidence-­based proposal for the development of a psycho-educational group that includes a clear rationale for why this intervention is needed and how it will help the agency achieve the outcomes of infant/early childhood mental health program.

An Overview Of Avoidant Personality Disorder, Kristin Dehrkoop

All Graduate Theses, Dissertations, and Other Capstone Projects

Avoidant Personality Disorder presents very similarly to other disorders in the Diagnostic and Statistical Manual (DSM-IV). What separates Avoidant Personality Disorder (APD) to other disorders that present similarly?

Headway Emotional Health Services: A Parent Satisfaction Survey And Needs Assessment, Eowyn T. Gatlin

All Graduate Theses, Dissertations, and Other Capstone Projects

Headway Emotional Health Services seeks to transform lives and restore families by providing a variety of quality mental health services to children and families in the Twin Cities Metro Area. The Vision Program is a partnership between Headway and the Bloomington Public School system. The Vision Program serves K-12 students who qualify for level 3 Emotional and/or Behavioral Disability (EBD) services. All students are in a classroom at their mainstream school and receive daily support from the Vision Mental Health Specialist, a special education classroom teacher, and a paraprofessional. Many students are able to participate in some mainstream programing through …

Needs Assessment Of Emergency Department Social Workers In Southwestern Minnesota In Relation To Emergency Department Expansion, Gina Marie Njugunah

All Graduate Theses, Dissertations, and Other Capstone Projects

Expansion of a hospital emergency department will affect the role of the emergency department social worker. This research project was conducted to assess the needs, concerns, and strengths of the social workers working in the emergency department of a regional medical center. The study included 13 participants who completed an on-line survey. Results showed that participants were concerned with the increase in patient volume as well as the possible increase in wait time for patients. Participants also expressed how concerns could be addressed. The most common solution was to track information about the cases, including wait times for patients, in …

Mental Health Inpatient Hospitalization And Smoking Cessation, Susan Warring

All Graduate Theses, Dissertations, and Other Capstone Projects

Forty- four percent of cigarettes purchased, are by persons with serious mental illness. This population dies approximately twenty- five years earlier than the general population. In 1993, American hospitals were mandated to become smokefree. At that time, psychiatric facilities requested variances amid concerns that their patients may present adverse behaviors due to nicotine withdrawal. Within the last five years, smoking bans have become more prevalent, resulting in many psychiatric facilities adhering to a no smoking policy. The Owatonna Mental Health Unit at the Owatonna hospital currently has a variance to allow smoking breaks for their mentally ill inpatients.

Research Questions: …

Survey Of Emergency Department Patients' Perceived Barriers To Accessing Services And Community Resource Utilization, Kelsey Ann Wilke

All Graduate Theses, Dissertations, and Other Capstone Projects

The purpose of this project is to describe the patients being served by Avera McKennan’s emergency department (ED) and to explore perceived barriers to accessing services and current community resource utilization in order to prevent further non-emergent visits.

Research Questions: 1) What are the demographic characteristics of emergency department patients that are referred to the emergency department social worker? 2) What are the perceived barriers that emergency department patient’s encounter when trying to access services and community resources?

Needs Assessment For A Multidisciplinary Eating Disorder Outpatient Services, Mary Beth Patterson

All Graduate Theses, Dissertations, and Other Capstone Projects

Research has indicated there is limited specialist multidisciplinary care in non-metropolitan regions and rural communities for eating disorder treatment, leaving patients and professionals dissatisfied with quality of care. The purpose of this project was to assess the need for multidisciplinary eating disorder treatment service in South-Central Minnesota, and if so, to obtain information about the current patient population and treatment of such patients.

Characteristics Of Patients Admitted With Alcohol Related Traumatic Injuries, Jessica Wolf

All Graduate Theses, Dissertations, and Other Capstone Projects

Alcohol use is well recognized as a contributor to traumatic injury. The purpose of this review was to describe the demographics of patients admitted to a regional trauma center with alcohol related traumatic injuries in order to improve service to this population and provide injury prevention programs directed towards this population.

Research Question: What are the characteristics of patients admitted to St. Marys Hospital with an alcohol related traumatic injury?

Effective Trauma Assessment Tools For Women With Severe Mental Illness, Heather A. Bangu

All Graduate Theses, Dissertations, and Other Capstone Projects

Minnesota Security Hospital (MSH) serves individuals under civil commitment as Mentally Ill and Dangerous by the State of Minnesota. MSH is evaluating its practices to ensure the treatment environment encompasses a recovery oriented, person-centered, and trauma-informed program. Understanding and assessing trauma will assist clinicians in providing patients with the most effective and efficient treatment (Carlson, 1997). Long term negative outcomes exists for individuals with severe mental illness who have experienced trauma including more severe psychiatric symptoms, substance abuse, and homelessness (Mueser, Salyers, Rosenberg, Ford, Fox, & Carty, 2001). The purpose of this Capstone project was to identify and recommend evidence-based …

Best Practices Of A Social Worker's Role In Supporting Family Caregivers Enrolled In Hospice Care, Jessie Wolf

All Graduate Theses, Dissertations, and Other Capstone Projects

The purpose of this project was to explore best practices are for hospice social worker’s providing care to family caregivers enrolled in hospice. This project explored processes and assessment tools that other hospice agencies in rural Minnesota utilized while caring for the family members of hospice patients. The information obtained was used to provide recommendations to Mayo Clinic Health System- Mankato Hospice program to further improve the hospice programming and the social worker’s role.

Evidence-Based Strategies For Working With Veterans, Bethany Fopma

All Graduate Theses, Dissertations, and Other Capstone Projects

According to the Veterans Health Administration (VHA), 3.3 million veterans (41%) live in rural areas. Due to geographical barriers, these veterans often lack access to needed services and providers. This research project analyzed studies that utilized telehealth in delivering services to veterans with PTSD. While more research in this area needs to be conducted, telehealth technology shows promising results for improving veterans’ symptoms and providing veterans with satisfactory services. Research Question: Is telehealth medicine an effective intervention in treating veterans with PTSD?

Best Practice In Working With The Somali Population, Ilhan Duale

All Graduate Theses, Dissertations, and Other Capstone Projects

Since the early 1990s, the state of Minnesota has had an unprecedented increase in refugees from Somalia. These individuals have emigrated from a war-zone country and arrived in the United States with a range of trauma-related injuries and mental health issues. As a result, Somali individuals and families who have migrated to the United States will require physical and mental health support. There is, however, a lack of research on effective interventions with Somali individuals and families. With the stigma that surrounds mental health and negative cultural views of mental health in the Somali population, practitioners at Comunidades Latinas Unidas …

Natural Connections: A Recommendation To Implement An Animal Assisted Therapy (Aat) Program Within The Shakopee Mdewakantonsioux Community, Heidi Simon

All Graduate Theses, Dissertations, and Other Capstone Projects

Currently the Shakopee Mdewakanton Sioux Community does not have an Animal Assisted Therapy (AAT) program. The purpose of this project was to research AAT programs that exist in First Nation Communities. The ultimate goal was to present evidence to support the implementation of a culturally based AAT program into the current mental health model within the Shakopee Mdewakanton Sioux Community. The Animal Assisted Therapeutic Learning (ATTL) program would incorporate traditional beliefs with contemporary ways of life in regard to healing and mental health.

The Power Of Service Work: Developing A Consumer Volunteer Program For The House Of Hope, Inc., Darcy Wennes

All Graduate Theses, Dissertations, and Other Capstone Projects

House of Hope, Inc. (HOH) is a rural residential chemical dependency treatment center serving adults over the age of 18. HOH is a non-profit non-sectarian agency. Many clients at HOH have a dual diagnosis of chemical dependency and mental illness. Consumers at HOH are encouraged to volunteer, but are given limited support to do so. They have several hours in their day where there is no programming, and many consumers feel bored and unproductive. The literature suggests that there is a relationship between volunteer work carried out by consumers and their personal feelings of empowerment (Cohen, 2009) . Consumers’ feelings …

Best Practices For Working With Undocumented Latino Youth, Elizabeth J. Braun

All Graduate Theses, Dissertations, and Other Capstone Projects

Research Question: What are evidence supported individual, group and community practices to address the needs of Latino youth experiencing mental health issues related to undocumented legal status and risk of deportation?

Best Practices For Treating Co-Occuring Disorders In A Chemical Dependency Treatment Setting, Michelle Dick

All Graduate Theses, Dissertations, and Other Capstone Projects

The purpose of this capstone project was to identify best practices for treating co-occurring disorders that could be utilized with adult males being treated for chemical dependency at the House of Hope, Inc. Identification of these practices will more effectively meet the needs of the clients served at House of Hope, Inc. and allow the agency to increase their capacity to better service clients with co-occurring disorders.

Factors That Contribute To Patient Length Of Stay At St. Peter Regional Treatment Center, Brenda Karch

All Graduate Theses, Dissertations, and Other Capstone Projects

This research project employed a quantitative review of archived data comprised of patients that had been discharged from St. Peter Regional Treatment Center between 2002-2010. These patients were admitted to Minnesota Security Hospital for treatment and progressed through the program to Forensic Transition Services and eventually discharged to the community.

Understanding The Role Of Attachments And Schemas: A Model For Working With Sex Offenders, Carol J. Ries

All Graduate Theses, Dissertations, and Other Capstone Projects

The purpose of this project is to research, develop, present, and evaluate a training module to increase knowledge of the role of attachments and schemas in working with sex offenders and to provide a model for working with sex offenders. Research Questions: 1. To what extent will a training module on the role of attachments and schemas increase attendees’ understanding of these topics? 2. Will a training module increase the likelihood that attendees will apply this knowledge of attachments and schemas in their work with clients?

Computer-Based Training: Understanding Mental Health Civil Commitment, Tiffany Sandbo

All Graduate Theses, Dissertations, and Other Capstone Projects

The purpose of this training is to enhance health and mental health professionals’ knowledge about the mental health civil commitment law and process in Minnesota. The goal is upon completion of this training: 1)Trainees will understand the mental health civil commitment law and process in Minnesota. 2)Trainees will understand your role in the mental health civil commitment process.

Shelter Program For Homeless Males With Substance Use And Mental Illness: A Strength And Effectiveness Based Approach, Kotatee Tamba

All Graduate Theses, Dissertations, and Other Capstone Projects

Homelessness represents one of the United States most pressing and complex problems. Approximately, nine percent of the nation’s homeless are considered to be rural. Locally, homelessness in Steele County continues to be a problem. A one night survey of homeless individuals in southeastern Minnesota revealed that there are 217 people experiencing homelessness on any given night. Homeless males have been found to be at greater risk of becoming homeless and tend to remain homeless for longer periods of time. The high risks associated with substance use, lack of adequate shelters and limited access to health care services in rural communities …

Housing With Support Marketing Study Tool, Gary M. Travis

All Graduate Theses, Dissertations, and Other Capstone Projects

Housing for persons with serious mental illness (SMI) that is permanent, affordable, and supportive is very limited because the availability of these resources is inadequate and subject to significant demand by persons that are disabled or on a limited income. The limited access to housing for persons with SMI is contributing to homelessness and Minnesota has seen a steady rise since 1994 in the rate and number of people that are homeless and coping with mental illness (Wilder Research, 2010a). While some of the impact of disability, homelessness, and limited affordable housing access is known, what remains uncertain is a …

Stigma Reduction Techniques/Campaigns For Practitioners In A Rural Community Mental Health Practice, Becky Mensing

All Graduate Theses, Dissertations, and Other Capstone Projects

The purpose of this project was to systematically review the literature on the negative effects of stigma on the therapy seeking clients of rural mental health centers. Also to provide information on anti-stigma campaign efforts. The goal of anti-stigma programs are to create awareness about how stigma affects people with mental illnesses, and to have participants develop a sense of what it means to walk in the shoes of a person with mental illness (Corrigan, 2004, p. 19). The research question was how do we help people from being victimized by the prejudice and discrimination that arises from stigma?