Mental and Social Health Commons^™

Quality Of Life Of The Severely Mentally Ill As Described By Social Workers, Simonetta Fosci

Theses Digitization Project

The purpose of this study was to investigate the levels of the quality of life among severely mentally ill offenders residing at a psychiatric hospital in the United States as perceived by their social workers.

The Relative Importance Of Risk Factors Leading To Relapse Among Individuals Recovering From Substance Abuse, Norma America Likens

Theses Digitization Project

The purpose of this study is to help social workers by determining the relative importance of relapse warning signs that have been identified by the addiction treatment professionals.

Exploring The Impact Of Race On Mental Health Service Utilization Among African Americans And Whites With Severe Mental Illness, Michelle Hampton, Linda Chafetz, Mary White

Faculty Publications

BACKGROUND: Disparities among African Americans and Whites with severe mental illness have been identified in numerous studies. Yet it remains unknown if disparities are associated with race or other vulnerabilities common to this population. OBJECTIVES: This study used the Behavioral Model for Vulnerable Populations to examine mental health service utilization among 155 African Americans and Whites with severe mental illness for 12 months after discharge from a residential crisis program. DESIGN: This cross-sectional study was a secondary analysis of data from a randomized trial. RESULTS: Race did not emerge as a significant predictor of mental health service utilization. Factors associated …

Barriers To Hiv Couples Testing: The African American Woman's Perspective, Frederick Scott Smith

Theses Digitization Project

African American Women continue to contract HIV/AIDS at an alarming rate. Of all the women living with Aids in the United States, 64% were African American and two out of three African American women got HIV from having unprotected sex with a man. The purposes of the study are to identify perceived barriers to HIV testing of the intimate partners of African American Women and subsequently identify an effective couples of HIV testing strategy. The research study investigated the primary causes for low HIV testing rates of African American couples. This study uttilized a quantitatve method using self-administered questionaires. The …

Mental Health Of Medical Social Workers In The Workplace, Jenna Christina Gailani

Theses Digitization Project

The purpose of this study was to examine medical social workers' experiences, job burnout, and coping strategies. Participants in this study were recruited from various hospitals in the Inland Empire. The findings were able to act as a pilot study to help augment policies that effect medical social workers.

Major Depression : Diagnosis And Intervention, Lindsay Linck

Graduate Research Papers

This paper will be an analysis of the psychological disorder of major depression. First, the classification of this disorder using the DSM-IV-TR will be reviewed. The areas of etiology, differential diagnosis, and treatment will then be considered. Following, a theory-specific approach to the disease including theoretical framework, diagnosis and treatment, and outcomes of using this approach, will be examined. Finally a personal reflection on the subject of major depression, and lessons learned from this project, will be discussed.

The Medicalization Of Hyperactivity And Inattentiveness : A Social History And Theoretical Perspectives On Adhd, Justin Douglas Brock

Theses, Dissertations and Capstones

This study investigates the rise of the Attention-Deficit/Hyperactivity Disorder diagnosis. It approaches the topic from a medicalization perspective and frames it under the therapeutic state as proposed by Nicholas Kittrie in 1971. It asks three questions: how has society, and particularly, the medical community changed to allow the medicalization of hyperactivity and social control of active children? How has the continuing diagnosis of hyperactivity in children expanded to include attention deficit hyperactivity disorder in both children and adults? And what forces are behind the continuously inclusive diagnosis and why? In an attempt to answer these questions the history of the …

Indigenous Health – Australia, Canada, New Zealand And The United States - Laying Claim To A Future That Embraces Health For Us All., Lisa Jackson Pulver, Melissa R. Haswell, Ian Ring, John Waldon, Wayne Clark, Valorie Whetung, Dianne Kinnon, Catherine Graham, Michelle Chino, Jonathon Lavalley, Christina Compher, Ritu Sadana

School of Public Health Faculty Research

Improving the health of all peoples has been a call across the globe for many decades and unfortunately remains relevant today, particularly given the large disparities in health status of peoples found around the world. Rather than differences in health, or health inequalities, we use a different term, health inequities. This is so as mere differences in health (or "inequalities") can be common in societies and do not necessarily reflect unfair social policies or practices. For example, natural ageing implies older people are more prone to illness. Yet, when differences are systematic, socially produced and unfair, these are considered health …

Antibiotic Sensitivity Patterns Of Hospital-Acquired And Community-Acquired Methicillin Resistant Staphylococcus Aureus, Iyad Kaddora

Theses, Dissertations and Capstones

Staphylococcus aureus is one of the most dangerous human pathogens. An intensive effort to control resistant staphylococci, especially methicillin resistant Staphylococcus aureus (MRSA), is vital as it is the most common cause of hospitalacquired infections. During the one year study period, a total of 35 MRSA isolates were collected. Fifteen isolates were identified as hospital-acquired (HA) infections, and 20 isolates were determined to be community acquired (CA). All 15 (100%) HA-MRSA strains were resistant to clindamycin and to erythromycin. Thirteen isolates (87%) were resistant to ciprofloxacin and levofloxacin, and 12 (80%) were resistant to moxifloxacin. Of the 20 CA-MRSA isolates, …

Development And Vulnerability Factors In Adolescent Alcohol Use, Karen G. Chartier, Michie N. Hesselbrock, Victor M. Hesselbrock

Social Work Publications

This article provides an overview of the characteristics of adolescent alcohol use, normative and subgroup variations in drinking behavior, and important factors associated with an increased risk for developing alcohol problems in later adolescence and young adulthood. A parental/family history of alcoholism, temperament traits, conduct problems, cognitive functioning, alcohol expectancies, and peer and other social relations are identified as influencing an adolescent’s susceptibility for initiating a variety of alcohol use behaviors. The Deviance Prone Model, proposed by Sher (1991), is presented as an important tool for testing possible relationships among the various risk factors and their sequencing that leads to …

Comprehensive Evidence-Based Program Teaching Self-Management Of Auditory Hallucinations On Inpatient Psychiatric Units, Robin Buccheri, L Trygstad, M Buffum, K Lyttle, G Dowling

Nursing and Health Professions Faculty Research and Publications

Patients hearing command hallucinations to harm whose only self-management strategies are to obey these commands, can represent serious safety concerns on inpatient psychiatric units. A comprehensive evidence-based program teaching self-management of auditory hallucinations on inpatient psychiatric units is described that includes five components: suggestions for staff education; patient self-assessment tools; an interview guide and safety protocol; a course to teach strategies for managing distressing voices and commands to harm; suggestions to improve staff communication; and a plan to extend the program from inpatient care settings into the community by sharing materials with community case managers and caregivers when patients are …

Substance Abuse: A Chronic Care Perspective, Michael James Sweitzer

Theses Digitization Project

This study provides an examination of the Chronic Care Model and its application to the treatment of substance abuse disorders. The hypothesis of the study was that elements of the Chronic Care Model are not being utilized within San Bernardino County's system of care. The study was conducted by having Alcohol and other Drug Counselors throughout San Bernardino County complete the study's 24-question quantitative survey. The purpose of this study is to add to the sparse literature related to the Chronic Care Model and its application to the alcohol and other drug (AOD) field. At this time the AOD field …

Post-Traumatic Stress Disorder: Guiding Management With Careful Assessment Of Comorbid Mental And Physical Illness, Don Richardson, Diane Mcintosh, Murray B. Stein, Jitender Sareen

MacDonald Franklin OSI Research Centre

Post-traumatic stress disorder (PTSD) is a common and serious psychiatric condition in the civilian and veteran population. The lifetime prevalence of PTSD in the Canadian general population is 9.2%, which, surprisingly, is not significantly different from the 7.2% lifetime prevalence rate within the Canadian Regular Forces. In Canadian veterans pensioned with a medical condition the 1-month prevalence was 10.3%. Given the serious functional impairment and impaired quality of life associated with PTSD, careful assessment and treatment of PTSD is warranted. Due to the complex clinical presentation of PTSD, which can include symptoms across the continuum from adjustment disorder and subthreshold …

Viewing Violence, Mental Illness And Addiction Through A Wise Practices Lens, Cynthia C. Wesley-Esquimaux, Andrew Snowball

Aboriginal Policy Research Consortium International (APRCi)

The progressive approaches First Nations, Métis, and Inuit communities use to address health and wellness concerns are rarely written about or acknowledged in a positive manner. This paper speaks to a concept introduced through the Canadian Aboriginal Aids Network (CAAN) entitled “wise practices”. CAAN saw a wise practices model as more useful and inclusive of Aboriginal community practice and knowledge exchange than the current “best practice” model. In addition, wise practices acknowledge and express the notion of “Changing the Face of Aboriginal Canada”, a metaphor frequently used by the senior author of this paper, as a long overdue vehicle for …

Children With Fasd- Related Disabilities Receiving Services From Child Welfare Agencies In Manitoba, Don Fuchs, Linda Burnside, Sheila Marchenski, Andria Mudry

Aboriginal Policy Research Consortium International (APRCi)

Fetal Alcohol Spectrum Disorder (FASD) is a serious social and health problem for the child welfare, health and education systems in North America and other parts of the world. This article describes the population of children in care of the child welfare system in Manitoba. Also this article will highlight the relevance of these research findings to aboriginal populations in Canada and its implications for international aboriginal/ indigenous groups. Finally, the implications for policy, practice are discussed and the article puts forward some directions for further research.

A Four-Stage Method For Developing Early Interventions For Alcohol Among Aboriginal Adolescents, Christopher J. Mushquash, Brian D. Mcleod, Sherry H. Stewart

Aboriginal Policy Research Consortium International (APRCi)

This paper details a four-stage methodology for developing early alcohol interventions for at-risk Aboriginal youth. Stage 1 was an integrative approach to Aboriginal education that upholds Aboriginal traditional wisdom supporting respectful relationships to the Creator, to the land and to each other. Stage 2 used quantitative methods to investigate associations between personality risk factors and risky drinking motives. Stage 3 used qualitative interviews to further understand the contexts and circumstances surrounding drinking behaviour within a larger cultural context. Stage 3 involved tailoring personality- matched, motive-specific brief interventions to meet at-risk adolescents’ needs. Stage 4 involved an efficacy test of the …

Denominational Support For Clergy Mental Health, Bobby L. Trihub, Mark R. Mcminn, William C. Buhrow, Thomas F. Johnson

Faculty Publications - Doctor of Psychology (PsyD) Program

To date, minimal research has addressed the actual services provided to maintain the mental health of leadership in the church. Three major Protestant denominations were consulted within this study, including a total of 434 pastors across the United States. Among these three denominations, a range of services are now being offered to support clergy, with services such as time off, prayer support groups, and clergy retreats among the most valued, adequately provided, and utilized. Still, clergy do not see the provision of services as fully adequate, and report a number of obstacles to utilizing services. Generally, the most highly rated …

Analysis Of Emergency Department Use In Maine: A Study Conducted On Behalf Of The Emergency Department Use Work Group Of The Maine Advisory Council On Health System Development, Elizabeth Kilbreth Phd, Barbara Shaw, Danny Westcott, Carolyn E. Gray Mph

Population Health & Health Policy

This report presents additional statewide analysis of emergency department (ED) utilization and also the results of a comparative analysis of six health service areas in Maine, three selected for above average rates of emergency department visits, and three selected for below average rates of emergency department visits.

“Applied” Aspects Of The Drug Resistance Strategies Project, Michael L. Hecht, Michelle Miller-Day

Communication Faculty Articles and Research

This paper discusses the applied aspects of our Drug Resistance Strategies Project. We argue that a new definitional distinction is needed to expand the notion of “applied” from the traditional notion of utilizing theory, which we call “applied.1”, in order to consider theory-grounded, theory testing and theory developing applied research. We label this new definition “applied.2” research. We then explain that our descriptive work describing the social processes of adolescent substance use, identity and use, and drug norms, as well as the subsequent development and dissemination of our keepin’ it REAL middle school substance use curriculum are examples of “applied.1” …

Failure Of Physicians To Prescribe Pharmacotherapies For Addiction: Regulatory Restrictions And Physician Resistance, Ellen M. Weber

Journal of Health Care Law and Policy

No abstract provided.

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?

Introduction: Obstacles To The Development And Use Of Pharmacotherapies For Addiction, Richard C. Boldt

Journal of Health Care Law and Policy

No abstract provided.

The Virtues Of Pragmatism In Drug Policy, Richard J. Bonnie

Journal of Health Care Law and Policy

No abstract provided.

Harm Reduction And The American Difference: Drug Treatment And Problem-Solving Courts In Comparative Perspective, James L. Noland Jr.

Journal of Health Care Law and Policy

No abstract provided.

The Food And Drug Administration And The Pharmacy Profession: Partners To Ensure The Safety And Efficacy Of Pharmacogenomic Therapy, Jennifer E. Spreng

Journal of Health Care Law and Policy

No abstract provided.

Evaluation Of Concurrent Medications Pre- And Post Initiation Of Long-Acting Injectable Antipsychotic Therapy, Lindsay Pokallus Pharmd, Laurence Karper Md, Jessica Price Pharmd, Bcps

Department of Pharmacy

No abstract provided.

A "Pawsitive" Influence Of Animals In Long-Term Care Facilities: Animal-Assisted Therapy At St. Peter Regional Treatment Center, Hannah L. Winkler

All Graduate Theses, Dissertations, and Other Capstone Projects

The St. Peter Regional Treatment Center (SPRTC) provides secure, residential, multi-disciplinary treatment services, including psychosocial rehabilitation and skill enhancement, to individuals civilly committed as Mental Ill and Dangerous by the State of Minnesota. Since the treatment process is so comprehensive at SPRTC, patients may spend several years receiving in-patient treatment.

Since SPRTC does not currently have an animal-assisted therapy (AAT) program, the purpose of this project was to research existing AAT programs being implemented with similar patient populations as a way to inform SPRTC staff of possible programs they could implement on their campus. The overall goal of this project …

From Infanticide To Activism: The Transformation Of Emotions And Identity In Self-Help Movements, Verta Taylor, Lisa A. Leitz

Peace Studies Faculty Books and Book Chapters

Taylor and Leitz trace processes of collective identity construction and politicization among women suffering from postpartum psychiatric illness who have been convicted of infanticide. Joining a growing body of research suggesting that self‐help and consumer health movements can be a significant force for change in both the cultural and political arenas, Taylor and Lietz examine one such movement, a pen‐pal network of women incarcerated for committing infanticide. Taylor and Leitz show how a sense of collective identity fostered by the pen‐pal network triggered a profound emotional transformation in participants, allowing them to convert shame and loneliness into pride and solidarity, …

More Than Just Openness: Developing And Validating A Measure Of Targeted Parent-Child Communication About Alcohol, Michelle Miller-Day, Jennifer A. Kam

Communication Faculty Articles and Research

Research addressing parent-child communication on the topic of alcohol use relies heavily on assessing frequency of discussions and general assessments of openness in parent-child communication, ignoring the complexity of this communication phenomenon. This study adds to the literature by articulating a conceptualization and developing a measurement of parent-child communication—targeted parent-child communication about alcohol—and comparing the efficacy of targeted parent-child communication about alcohol in predicting positive expectancies of alcohol use and recent alcohol use. The predictive power of general openness in parent-child communication and frequency of communication about alcohol also were assessed. Students in 5th and 6th grade (N = 1407) …

Examining The Impact Of Student Involvement And Intercultural Experiences On Perceptions Of Institutional Commitment To Diversity, Aaron Klein Haight

Master's Theses and Doctoral Dissertations

The purpose of this study was to examine the impact of involvement in student organizations as it relates to perceptions of campus climate. The researcher conducted a crosssectional, ex-post facto secondary data analysis of a 2005 institutional survey on diversity at Great Falls State University. The researcher utilized a Chi Square Test for Independence, as well as a Forward Thinking Logistic Regression Model to analyze the data. Although the main emphasis of the research was student involvement in student organizations, the researcher also analyzed data pertaining to background demographics and campus climate. The data results demonstrated differences in perception in …