Mental and Social Health Commons^™

Levels Of Subjective Quality Of Life Among Adults With Psychotic Disorders Formerly In Foster Care: Compared To A Matched Sample, Rosa Arias, Flora Irene Dharmaraj

Theses Digitization Project

The purpose of this study was to explore whether or not adults with psychotic disorders, who were formerly in foster care, are more likely to report a lesser quality of life as compared to a matched sample with no history of foster care.

Uncovering The Methadone Counseling Process Among Recovering And Non Recovering Chemical Dependency Counselors, Sara-Amanda Mccarthy, Jennifer Ann Palmersheim

Theses Digitization Project

The purpose of this study was to uncover the methadone counseling process among recovering and non-recovering chemical dependency counselors by examining the concepts and techniques utilized throughout the counseling process. This study examined whether the recovery status of a counselor affected the counselor's theoretical addiction model and the concepts and techniques that were utilized throughout the counseling process.

Social Workers' Knowledge Of Substance Abuse, Mirta Escobedo Johnson

Theses Digitization Project

This study was designed to determine how knowledgeable child welfare social workers are of substance abuse when working with substance abusing clients. The results indicated that social workers within San Bernardino County have competent levels of knowledge in substance abuse which allow them to provide appropriate services to the community members they serve.

Using Therapy Dogs With Troubled Middle School Children To Improve Social Skills And Teach Environmental Sensitivity, Linda Sue Flanagan

Theses Digitization Project

The objective of this project is to impove the social skills of troubled middle school children by teaching them humane dog care as well as the handling and training skills of dogs. The hope is to use therapy dogs as a link to the local environment and the development of environmental sensitivity; and to improve the academic status and decrease any negative behaviors displayed by these children. Includes lesson plans.

Advancing Transdisciplinary And Translational Research Practice: Issues And Models Of Doctoral Education In Public Health, Linda Neuhauser, Dawn M. Richardson, Sonja Mackenzie, Meredith Minkler

Community Health Faculty Publications and Presentations

Finding solutions to complex health problems, such as obesity, violence, and climate change, will require radical changes in cross-disciplinary education, research, and practice. The fundamental determinants of health include many interrelated factors such as poverty, culture, education, environment, and government policies. However, traditional public health training has tended to focus more narrowly on diseases and risk factors, and has not adequately leveraged the rich contributions of sociology, anthropology, economics, geography, communication, political science, and other disciplines. Further, students are often not sufficiently trained to work across sectors to translate research findings into effective, large-scale sustainable actions. During the past 2 …

Humor And Laughter May Influence Health: [Part] Iii. Laughter And Health Outcomes, Mary Payne Bennett, Cecile Lengacher

Nursing Faculty Publications

This is part three of a four-part series reviewing the evidence on how humor influences physiological and psychological well-being. The first article included basic background information, definitions and a review of the theoretical underpinnings for this area of research. The second article discussed use of humor as a complementary therapy within various clinical samples, as well as evidence concerning how a sense of humor influences physiological and psychological wellbeing. This third article examines how laughter influences health outcomes; including muscle tension, cardio-respiratory functioning and various stress physiology

Depression: Relationships To Sleep Paralysis And Other Sleep Disturbances In A Community Sample, Mariana Szklo-Coxe, Terry Young, Laurel Finn, Emmanuel Mignot

Community & Environmental Health Faculty Publications

Sleep disturbances are important correlates of depression, with epidemiologic research heretofore focused on insomnia and sleepiness. This epidemiologic study’s aim was to investigate, in a community sample, depression’s relationships to other sleep disturbances: sleep paralysis (SP), hypnagogic/hypnopompic hallucinations (HH), cataplexy – considered rapid eye movement-related disturbances – and automatic behavior (AB). Although typical of narcolepsy, these disturbances are prevalent, albeit under-studied, in the population. Cross-sectional analyses (1998–2002), based on Wisconsin Sleep Cohort Study population-based data from 866 participants (mean age 54, 53% male), examined: depression (Zung Self-Rating Depression Scale), trait anxiety (Spielberger State-Trait Anxiety Inventory, STAI-T ≥ 75th percentile), and …

Dolphin-Assisted Therapy: More Flawed Data And More Flawed Conclusions, Lori Marino, Scott O. Lilienfeld

Animal-Assisted Therapy Collection

Dolphin-Assisted Therapy (DAT) is an increasingly popular choice of treatment for illness and developmental disabilities by providing participants with the opportunity to swim or interact with live captive dolphins. Two reviews of DAT (Marino and Lilienfeld [1998] and Humphries [2003]) concluded that there is no credible scientific evidence for the effectiveness of this intervention. In this paper, we offer an update of the methodological status of DAT by reviewing five peer-reviewed DAT studies published in the last eight years. We found that all five studies were methodologically flawed and plagued by several threats to both internal and construct validity. We …

Stained Glass At The Cutter's Edge, Jocelyn Fitzgerald

Art Therapy | Master's Theses in Print

This thesis explored the personal experience of creating a stained glass window with five adolescents who had previously been identified as causing self-harm to themselves. The narratives of these five adolescents between the ages of thirteen to seventeen were collected in qualitative interviews. This study emphasized the importance of; self-object and transitional object, destructive and creative process, power and self-esteem. The literature illuminates; the history of self-mutilation, the current issues with self- mutilation, including the internet and cultures outside of the United States, the combination of narrative therapy with art therapy, the use of stained glass as an intervention, and …

Evaluation Of A Behavioral Health Integration Program In A Rural Primary Care Facility, Tina W. Billmeyer

Theses, Dissertations and Capstones

Behavioral or mental health has historically been seen as a separate entity from medical or primary health care. With the increased utility of psychotropic medication, more and more patients are presenting to their primary care provider with behavioral health issues prompting the healthcare field to look for methods to integrate medical and behavioral health services. The current study examined the effectiveness of a pilot program that attempted to integrate services at a rural primary care clinic. The study asked whether participation in the program resulted in improved scores on a questionnaire of perceived health status and whether participating medical providers …

Examining Smoking And Cessation During Pregnancy Among An Appalachian Sample: A Preliminary View, Lesley Cottrell, Mark Gibson, Carole Harris, Alia Rai, Sabera Sobhan, Traci Berry, Bonita Stanton

Wayne State University Associated BioMed Central Scholarship

Abstract

Background

Several transitions that a woman experiences prenatally may influence her desire or ability to discontinue smoking. This study explores the role of smoking for young, Appalachian, nulliparous pregnant women and their plans for smoking during their pregnancies.

Results

The reports of women and their male partners were taken from baseline interviews conducted during the first trimester of pregnancy. Cigarette smoking appeared to be more than an isolated addictive activity; rather, smoking was interwoven in women's social and personal realms, often changing as their perceptions of self changed. Women and their partners who continued to smoke appeared to be …

Day Of Dialogue—Insights And Evidence From Product Introduction: Lessons For Microbicides, Martha Brady, C. Elizabeth Mcgrory

HIV and AIDS

This report summarizes key issues and themes emerging from a Population Council Day of Dialogue held in March 2007. The Council convened this meeting of experts in the fields of product development, introduction, and social marketing; clinical trials; and reproductive health and HIV/AIDS in order to identify key features that can be used to guide efforts to introduce microbicides.

Employed Parents Of Children With Mental Health Disorders: Achieving Work–Family Fit, Flexibility, And Role Quality, Eileen M. Brennan, Julie M. Rosenzweig, A. Myrth Ogilvie, Leslie Wuest, Ann A. Shindo

Faculty Publications - College of Social Work

Extensive interviews with 60 employed parents of school-age children treated for mental health problems explored work–family fit, flexibility, family support, and work–life strategies in relation to role quality. Role quality was measured as employment and parenting rewards and concerns. Work–family fit was positively related to family flexibility but not work flexibility. Higher flexibility in work and family predicted lower job concerns, and work flexibility and work–family fit were predictors of job rewards. Parental concerns were dependent on flexibility and work–family strategies. Single parents had significantly fewer sources of family support and used fewer work–family strategies than caregivers with partners. Human …

Injecting Drug Users In India: Understanding Sexual Behaviours And Sexual Networks To Design Effective Behaviour Change Strategies, Avina Sarna, Waimar Tun, Aruna Bhattacharya, Vaishali Sharma Mahendra, Neville Selhore, Arjun Singh, Louis Apicella

HIV and AIDS

The practice of injecting drug use has been spreading to different parts of India since the early 1980s and is associated with an increase in HIV prevalence rates. Injecting drug users (IDUs) engage in both risky injection and sexual practices that increase the risk for HIV transmission. While risky injection practices are well understood, there is limited understanding of IDUs’ sexual behaviors and social networks. The Population Council conducted a cross-sectional study to explore patterns of risky sexual behaviors, sexual network characteristics, and drivers of high-risk behaviors of IDUs in Delhi and Imphal. The contrasting settings were selected to allow …

Cutting Through The Confusion (Review), Kristina M. Kays

Faculty Publications - Psychology Department

Reviews the video, Self-Injury (with) Wendy Lader (2006). Self-injury behavior (SIB) includes, among other behaviors, "intentional carving or cutting of the skin and subdermal tissue, scratching, burning, ripping or pulling skin or hair, swallowing toxic substances, bruising, and breaking bones" (Cornell Research Program, 2006). Over the last two decades self-injury reports have risen noticeably because of increased SIB in adolescents, more clients seeking help, and increased reliability in diagnosis among professionals. The alarming numbers indicate a desperate need to understand how to diagnose and treat SIB clients effectively. In response to this escalating need, guest expert Wendy Lader is featured …

The Substance Of Quality Treatment With Coexisting Problems (Book Review), Kristina M. Kays

Faculty Publications - Psychology Department

Reviews the book, "Clinical handbook of co-existing mental health and drug and alcohol problems" by Amanda Baker and Richard Velleman (see record 2007-01081-000). The text editors, Baker and Velleman, propose to present "practical descriptions of assessments and interventions for coexisting problems, with a view to enhancing motivation, confidence and competence to do so". Not only do the chapters succinctly address expert views on assessment, but they also thoughtfully explain intervention approaches with coexisting issues, specific populations, and further training and supervision needs in the treatment of coexisting disorders. The editors use European spelling and an approach that is a "symptom-focused …

Getting To The Heart Of It (Book Review), Kristina M. Kays

Faculty Publications - Psychology Department

Reviews the book, "Assessment of Client Core Issues" by Richard W. Halstead (see record 2006-21518-000). According to Kays, this book offers a conceptualization of clinical cases synthesizing elements from narrative, schema, and cognitive therapy traditions. The author's stated goal is "to present a model that might help counselors think past a symptom-based formulation for diagnosis and incorporate a structured process for analyzing the vast amount of information clients reveal about their struggles in life". Depending heavily on schema therapy concepts originally developed by J. E. Young, Halstead develops an assessment approach that addresses both the unremarkable and problematic client situations. …

Risk Markers Associated With Physical And Psychological Abuse By Intimate Partners Against Women In Substance Abuse Treatment, Scott J. Buchanan

Seton Hall University Dissertations and Theses (ETDs)

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Exile, Identity, And Artistic Creation: An Arts Based Phenomenological Study With Immigrant Women: A Dissertation, Vera Heller

Expressive Therapies Dissertations

This arts based phenomenological study with immigrant women explores the migratory and creative processes from the perspective of the Hero's archetype, viewed by Jung as a template for individuation. Its objective is to gain further insight into the contribution of art therapy to healing the fragmentation of identity inherent in the transition between two - often radically different - cultures.

A Program Evaluation Research Study On The Implementation Of The Mentors In Violence Prevention Program In A Public High School: A Dissertation, Nancy G. Beardall

Expressive Therapies Dissertations

The Mentors in Violence Prevention (MVP) Program is the subject of this research study. MVP is a high school leadership and mentoring program that focuses on promoting gender respect and preventing harassment, sexual harassment and teen dating abuse in middle schools and high schools. This program evaluation study of the MVP program utilizes both quantitative and qualitative data. The findings suggest the MVP training supports the mentors in their ability to become active bystanders and leaders in this work, not only in the short term and while they are in the program, but over the long term, when they are …

From Gps To Psychologists: The Patients' Perspective On Help-Seeking And Referral, Zdenka Bartova

Theses : Honours

The experience of living with psychological problems has a profound effect on an individual's life. For those actively seeking help, General Practitioners usually present the first point of contact. General Practitioners thus serve as gatekeepers who either decide to manage the individuals themselves and/or refer them to a mental health professional. The referral decision is part of a complex help-seeking process in which patients have to mediate their own understanding of their problems with that of the practitioner, all within the structural constraints of the current health care system. This literature review discusses constructs of mental illness and the impact …

Chronic Care At The Crossroads: Exploring Solutions For Chronic Care Management. Report On The Us Summit., Janice L Clarke

College of Population Health Faculty Papers

Report on the US Summit

Knowledge And Beliefs Of Adolescents Regarding Sexually Transmitted Infections And Hiv/Aids In A Rural District In Pakistan, Hafsa Raheel, Franklin White, Muhammad Masood Kadir, Zafar Fatmi

Community Health Sciences

Objective:

To assess the knowledge and beliefs of adolescents (15-19 years girls and boys) regarding sexually transmitted infections (STIs) and HIV/AIDS.

Methods:

A community based cross-sectional survey was conducted in October 2002 in a rural district (Mirpurkhas) of Sindh province, Pakistan.

Results:

A total of 428 adolescent girls and boys were interviewed. Only 44% correctly named at least one STI, while 55% knew at least two modes of transmission for HIV/AIDS. Adolescents with education greater than or equal to secondary level, those who were able to read the newspaper, possessed electricity in their homes and were allowed to meet their …

Resource Allocation Within The National Aids Control Program Of Pakistan: A Qualitative Assessment Of Decision Maker's Opinions, Sara Husain, Masood Kadir, Zafar Fatmi

Community Health Sciences

Background:

Limited resources, whether public or private, demand prioritisation among competing needs to maximise productivity. With a substantial increase in the number of reported HIV cases, little work has been done to understand how resources have been distributed and what factors may have influenced allocation within the newly introduced Enhanced National AIDS Control Program of Pakistan. The objective of this study was to identify perceptions of decision makers about the process of resource allocation within Pakistan's Enhanced National AIDS Control Program.

Methods:

A qualitative study was undertaken and in-depth interviews of decision makers at provincial and federal levels responsible to …

Behavioural Activation Treatment For Depression: A Review Of The Literature ; Effects Of A Brief Behavioural Activation Treatment On Activity Levels And Depression, Debra L. Bailey

Theses : Honours

Behavioural activation (BA) is an emergent psychological treatment for depression rooted in the tradition of behavioural theory. This paper discusses the manner in which BA arose as a result of the seminal Jacobson et al. (1996) study, which dismantled the behavioural and cognitive components of cognitive behavioural therapy (CBT; Beck, Rush, Shaw, & Emery, 1979). Published empirical studies examining the effectiveness of BA are reviewed and considerations for future research are offered. It is concluded that BA shows promise as a parsimonious, effective, and potentially cost-efficient psychological treatment for depression. However, more large-scale research is needed: in samples with low …

Depression, Rumination And Dependency In Relation To Age And Gender, Alison J. Lee

Theses : Honours

Extensive research has been carried out in the field of depression and its relation to age and gender. This article reviews relevant literature in the field of depression, rumination and dependency and the relationships of these to age and gender. It has been shown in numerous studies that depression, rumination and dependency are related and exist in comorbidity with each other. This article also reviews some of the research that has been conducted on age and gender with relation to rumination and dependency. It has been found in relation to rumination, dependency and depression that women are more susceptible than …

Teaching Parenting Skills In A Methadone Treatment Setting, Randy R. Gainey, Kevin P. Haggerty, Charles B. Fleming, Richard F. Catalano

Sociology & Criminal Justice Faculty Publications

Family factors significantly affect children’s risk of substance abuse, delinquency, and other problem behaviors (Arthur, Hawkins, Pollard, Catalano, & Baglioni, 2002). Children of substance abusers represent a particularly high-risk population. Prenatal exposure to addictive substances and the medical complications that may arise are important factors that, from conception, place this population at high risk of drug abuse and other problem behaviors (Griffith, Azuma, & Chasnoff, 1994). As children of substance abusers mature, their lives are characterized by exposure to continued drug and alcohol abuse by family members, recurrent or chronic illnesses, frequent moves, financial troubles, legal conflicts, family disorganization, and …

Why It Is Important To Look At Long-Term Abstinence From Heroin Use: A Review Life Beyond Heroin: An Exploration Of The Motivations For Long-Term Heroin Abstinence, Lucy Dann

Theses : Honours

The phenomenon of achieving long-term abstinence from drug use remains to be thoroughly understood in the alcohol and other drug (AOD) community, particularly in the area of heroin use. This review assesses research in the field of long-term abstinence from drug use and highlights the need to examine long-term abstinence from heroin use. Prochaska and DiClemente's (1986) Stages of Change model of behaviour change is examined as well as literature examining its importance in the AOD field. Studies examining long-term abstinence from alcohol, tobacco, cocaine and heroin use are reviewed from a psychological perspective, focusing on cognitive-behavioural constructs. Findings revealed …

Psychotherapists Working With Homeless Clients: The Experience Of Stress, Burnout Symptoms, And Coping, Sharon D. Young

Antioch University Dissertations & Theses

Stress, secondary trauma, and burnout symptoms are significant problems within the field of human services. Homeless clients present many challenges, frequently are highly traumatized, and often require many services. Psychotherapist working with homeless clients experience negative effects of exposure to the stress and trauma of homeless clients, and as a result must develop strategies for coping in order to continue in the work. This study used a mixed method design to investigate psychotherapists' experience working with homeless clients through Healthcare for the Homeless grantee projects, and their strategies for coping with the stress of their work. A survey, which included …

Behavioral Management Of Command Hallucinations To Harm In Schizophrenia, Robin Buccheri, L Trygstad, G Dowling

Nursing and Health Professions Faculty Research and Publications

The study objective was to evaluate changes in prevalence of command hallucinations to harm self or others, characteristics and intensity of auditory hallucinations, and levels of anxiety and depression after attendance at a 10-session course teaching behavioral strategies for managing persistent auditory hallucinations to adult outpatients with schizophrenia. Prevalence of command hallucinations to harm self or others was measured at baseline, end of course, and 1-year post-course. Pre-course scores on the Characteristics of Auditory Hallucinations Questionnaire, Unpleasant Voices Scale, tension-anxiety subscale of Profile of Mood States, and Beck Depression Inventory-II were compared with scores immediately post-course and 1 year later. …