Mental and Social Health Commons^™

An Investigation Of The Relationship Among Life-Skills, Self-Esteem, And Well-Being In Adults, Scott David Meche

Doctoral Dissertations

This study examined the relationship among life-skills, self-esteem, and well-being in 278 adults. Adults were classified into three age groups. Of the 278 participants, 96 were young adults, 92 were middle-aged, and 90 were older adults. Life-skills, global organizations of general coping skills that are learned behaviors which enable effective functioning, were assessed with the Life-Skills Inventory - Adult Form (Gazda, Illovsky, & Taylor, 1991). Analyses were performed to understand the influence of four generic life-skills areas, interpersonal communication/human relations, problem-solving/decision making, identity development/purpose in life, and physical fitness/health maintenance, on self-esteem. Self-esteem was measured with the Self-Esteem Inventory-Adult Form …

Psychological Reactance As A Personality Characteristic: Relationships To Attachment And Autonomy, Maurine Traville Hargrove Ladner

Doctoral Dissertations

Psychological reactance is a construct that motivates people to restore lost or threatened freedoms (Brehm, 1966). Research is beginning to show that psychological reactance may be related to family of origin dynamics. Autonomy is developed through a secure attachment. Dowd (1993) stated that autonomy is fostered by an optimal level of reactance, and one's personal identity is dependent on the development of a flexible autonomy. This study explored the relationship between psychological reactance and attachment. Additionally, research has suggested that level of reactance may be related to level of autonomy. This relationship was empirically explored. Participants were assessed using the …

Modeling The Decision Process Of A Joint Task Force Commander, John Anthony Sokolowski

Computational Modeling & Simulation Engineering Theses & Dissertations

The U.S. military uses modeling and simulation as a tool to help meet its warfighting needs. A key element within military simulations is the ability to accurately represent human behavior. This is especially true in a simulation's ability to emulate realistic military decisions. However, current decision models fail to provide the variability and flexibility that human decision makers exhibit. Further, most decision models are focused on tactical decisions and ignore the decision process of senior military commanders at the operational level of warfare. In an effort to develop a better decision model that would mimic the decision process of a …

An Automated Treatment For Jet Lag Delivered Through The Internet., Daniel Z Lieberman

Psychiatry and Behavioral Sciences Faculty Publications

Seventy percent of persons who suffer from psychiatric illness do not receive treatment. Cost-effective, automated treatment can be delivered through the Internet but can be complicated by the lack of professional supervision. This open study piloted a fully automated, publicly available treatment for jet lag as a means of highlighting some of the issues involved in delivering treatment over the Internet. Twenty study participants rated the severity of their jet lag symptoms and their adherence to a light-exposure schedule calculated to accelerate adaptation to a new time zone. A significant negative correlation was observed between how closely participants followed the …

"Are You Beginning To See A Pattern Here?" Family And Medical Discourses Shape The Story Of Black Infant Mortality, Elaine R. Cleeton

The Journal of Sociology & Social Welfare

Postmodern and poststructuralist theorizations of the interrelations of the particular and the universal have identified women's bodies to be the last frontier for scientific discovery leading to and satisfying the modern compulsion to stabilize and control life from birth to death. This institutional ethnography of one city's response to an elevated infant mortality rate among the babies of African American urban, impoverished women explores their discursive transformation from single mothers who cannot begin prenatal care before the second trimester because too few physicians will treat Medicaid patients, into sexually-immoral, illegaldrug- using women who deliberately harm their babies. The study locates …

A Child's Death: Lessons From Health Care Providers' Texts, Nancy M. Bell, Marie L. Campbell

The Journal of Sociology & Social Welfare

This article originates from a research study that explores 'what happened' to a 10-year-old child with Rett syndrome, who died from "severe malnutrition" according to a Coroners Service inquest jury. The inquest evidence analyzed, using institutional ethnography, shows that approximately one week prior to this child's death three health care providers (an emergency physician, a hospice volunteer and a home care nurse) conducted individual assessments of the child. Child protection workers were also involved. Textual analysis of the health care providers' records shows how the child was officially and textually constructed as 'dying from a terminal illness' in contrast to …

Building Effective School-Based Substance Abuse Prevention Programs, Stephanie M. Juhl

Graduate Research Papers

Substance abuse among children and adolescents has become an epidemic in our society. Therefore, it is important to be cognizant of the reasons for child and adolescent substance abuse as well as to recognize risk factors for use. Many prevention programs have not been research-based and are not appropriate for all populations. Several programs and approaches are reviewed as to whether they will reduce the use of substances. School counselors can improve efforts by combining approaches to create comprehensive and multifaceted programs, which will improve the probability of prevention. Creating school counseling programs will be fundamental in preventing early substance …

Factors In Older Adults' Resistance To Substance Abuse Treatment, Donnie Redl

Theses Digitization Project

The purpose of this study was to determine the factors that cause resistance in older adults to participation in substance abuse treatment programs.

Perceived Effects Of A Substance Abuse Prevention Science Program Among Fourth And Fifth Grade Children: A Qualitative Study, Sarah Morgando Palmer, Tracy Lee Inman

Theses Digitization Project

This project explores the perceptions of fourth and fifth grade students who participated in a substance abuse prevention program. Risk and protective factors are presented to assist the reader in understanding this project.

Day Treatment Programs For Adults With Severe And Persistent Mental Illness: Effectiveness Measured In Rates Of Recidivism, Pamela Jo' Gatfield

Theses Digitization Project

This study measured the effectiveness of rehabilitative day treatment (RDT) programs for persons with severe and persistant mental illness in San Bernardino County. The effectiveness of RDT services was determined by rates of recidivism.

A Process Evaluation Of The Riverside County Dependency Recovery Drug Court, Philip Marshall Breitenbucher, Sean Collins Sullivan

Theses Digitization Project

The purpose of this study is to evaluate the implementation of the "Key Components" as identified by the Department of Justice (1998) into the Riverside County Dependency Recovery Drug Court Program.

Inadequate Substance Abuse Assessment As A Contributory Factor To Child Abuse And Neglect, Gary Eugene Graves

Theses Digitization Project

This study examined an important, yet underreported, area of family service agency assessments, the failure to adequately screen for substance abuse issues. A self-report screening instrument was used to accurately determine substance abuse frequency rates, instead of using the current clinician-directed questioning. New agency clients were randomly assigned to either the experimental group (self-report) or the control group (clinician-directed) to determine if assessment accuracy improved.

The Discovery Of Extramarital Affairs : Clients In Crisis And Implications For Counseling, Alyssa A. Drury

Graduate Research Papers

Extramarital affairs are one of the most common issues presented to counselors and other professionals in clinical settings. This issue has also been said to be one of the most difficult to treat among clinicians. In this paper, a review of the literature is presented regarding the nature of extramarital affairs and different types of affairs. Following this brief literature review, interventions are discussed for professionals when working with this population. Crisis intervention is specifically addressed in addition to practical, clinical interventions that may be used following resolution of crises.

Nsu Achievements - Winter 2003, Nova Southeastern University

NSU Achievements

No abstract provided.

Group Therapy For Bereaved Parents : Sudden Death Of A Child Or Adolescent, Jessica L. Heidecker

Graduate Research Papers

This article reviews parental bereavement through sudden loss of a child by · homicidal, suicidal, or accidental death. It advocates for the Dual Process Model of grieving, and explores group therapy treatment for bereaved parents. This paper contends that parental loss of a child is more intense and traumatic than any other type of loss. Evidence is also provided to state that traumatic grievers benefit from group therapy as opposed to other types of grievers. Meaning reconstruction is established as a key element in the grief process. Overall, the article allows counselors to understand the complications involved in working with …

Police Training And Specialized Approaches For Responding To People With Mental Illnesses, Judy Hails, Randy Borum

Mental Health Law & Policy Faculty Publications

Eighty-four medium and large law enforcement agencies reported the amount of training provided on mental-health-related issues and the use of specialized responses for calls involving people with mental illnesses. Departments varied widely in the amount of training provided on mental-health-related topics, with a median of 6.5 hours for basic recruits and 1 hour for in-service training. Approximately one third of the agencies (32%) had some specialized response for dealing with calls involving people with mental illnesses. Twenty-one percent had a special unit or bureau within the department to assist in responding to these calls; 8% had access to a mental …

The Relationship Between Service Utilization And Medicaid Enrollees’ Trust In Health Care Providers, Huey Jen Chen

Mental Health Law & Policy Faculty Publications

Based on findings from 1990 National Co-morbidity Survey, it is estimated that nearly 20% of the U.S. population is affected by mental disorders during a given year. Approximately 5.4% of adults are considered to have a serious mental illness that interferes with their social function, and half of them suffer from severe and persistent mental illness (SMI). Mental illness imposes a high socioeconomic burden that is second only to cardiovascular disease (Kessler, Berglund, Zhao et al., 1996; Kessler, McGonagle, Zhao et al., 1994).

Among individuals with SMI, 40% do not seek any treatment from either general medical or specialty mental …

Long Term Follow-Up Of A Controlled Study To Facilitate Ssi Benefits: Final Report, Michael G. Dow, Timothy Boaz, Sonal Pathak

Mental Health Law & Policy Faculty Publications

No abstract provided.

The Medicaid Involuntary Commitment Project, Annette Christy, Paul G. Stiles, Sonal Pathak

Mental Health Law & Policy Faculty Publications

The Florida Agency for Health Care Administration (AHCA) has contracted with the Louis de la Parte Florida Mental Health Institute (FMHI) to a study short term involuntary or "Baker Act" examinations for Medicaid enrollees and their service utilizations of services reimbursed by Medicaid. This report presents the questions and methodological approaches that were used in this examination Baker Act and Medicaid data for these individuals.

Managing At-Risk Juvenile Offenders In The Community: Putting Evidence Based Principles Into Practice, Randy Borum

Mental Health Law & Policy Faculty Publications

More than a half-million juveniles are under community supervision as a result of violent or delinquent behavior. Research has shown that treatment can reduce their risk of reoffending. This article reviews and distills the key lessons from hundreds of empirical studies and metaanalyses and applies them to practice. The author argues for conducting systematic and developmentally informed risk assessments, selectively assigning intensive intervention to the highest risk offenders, focusing on criminogenic treatment targets, using proven interventions and treatment strategies, and applying rigor in implementation and follow-up.

Creating Art Psychotherapy Training In Australia, John Henzell

'INSCAPE' - ARTCAP November 13-16, 2003

No abstract provided.

Inscape : Symposium Concerning The Arts In Psychotherapy, Deidre Gorrie

'INSCAPE' - ARTCAP November 13-16, 2003

No abstract provided.

Spirituality And Therapy : Reflecting On The Role Of The Therapist, George E. Trippe

'INSCAPE' - ARTCAP November 13-16, 2003

Following on from the conversation in the public forum at the ARTCAP Symposium, I want to reflect briefly on the role of the therapist, in the therapeutic encounter, in the client’s development of his or her spirituality. I assert that the therapeutic encounter is a spiritual process that serves the development of the spirituality of the client. This is in no way a denial of the clinical nature of our therapeutic work, but an attempt to place clinical methods, strategies, insights and practices in a larger, more comprehensive framework of a deep and transformative spiritual process.

Surely I Am In The Wrong Place?, Holly Edworthy

'INSCAPE' - ARTCAP November 13-16, 2003

No abstract provided.

The Greatest Mystery, Katherine Papas

'INSCAPE' - ARTCAP November 13-16, 2003

No abstract provided.

Factors Influencing Substance Abuse/Dependence And Treatment Outcome Of Adolescents In A Residential Substance Abuse Program: An Exploratory Study, Melissa L. Moody

Masters Theses

Previous research examining the risk factors associated with alcohol and other drug use has primarily focused on the adult population. Few studies have investigated the factors which influence adolescent substance abuse and the respective effects on treatment outcome. This in spite of the considerable decline in the age-of-onset for problematic substance use that could, if gone untreated, escalate into dependence and a variety of other interpersonal problems which extend across the lifespan. Effective interventions targeting the adolescent population would therefore seem to be of utmost importance to both researchers and clinicians. It has been suggested that individualized treatment programs focusing …

Environmental Health In Public Health, Steven Konkel

Books/Book chapters

No abstract provided.

Using Therapeutic Jurisprudence To Bridge The Juvenile Justice And Mental Health Systems, Michael J. Jenuwine, Gene Griffin

Articles by Maurer Faculty

No abstract provided.

Mental Health Assessment Of Minors In The Juvenile Justice System, Michael Jenuwine, Curtis Heaston, Diane N. Walsh, Gene Griffin

Articles by Maurer Faculty

No abstract provided.

Psychotherapy In Antidepressant Patients, Thomas J. Kniesner, Regina H. Powers, Thomas W. Croghan

Center for Policy Research

Depression is a condition with various modes of treatment, including pharmacotherapy, psychotherapy, and some combination of each. The role of psychotherapy in the treatment of depression relative to the role of pharmacotherapy is not well understood, and guidelines for psychotherapy in the primary care setting differ from guidelines for specialty care. There is little evidence about the circumstances in actual practice that affect the use of psychotherapy in conjunction with pharmacotherapy.

We retrospectively identify the most important factors associated with the use of psychotherapy in combination with pharmacotherapy in the treatment of depression. Specifically, we study provider choice, health plan …