Mental and Social Health Commons^™

Role Of Extended Release Quetiapine In The Management Of Bipolar Disorders, Martha Sajatovic

Faculty Scholarship

Atypical antipsychotics have become a widely utilized component of the bipolar disorder treatment armamentarium, with approximately 45% of bipolar patients prescribed atypicals. Over the last decade all atypical drugs except for clozapine have received a Food and Drug Administration (FDA) bipolar indication. In October 2008, the FDA approved quetiapine XR monotherapy for the treatment of acute depressive episodes of bipolar disorder and acute manic or mixed episodes in bipolar I disorder based on two placebo-control trials. Quetiapine was also approved as adjunct therapy with lithium and divalproex for the treatment of acute manic or mixed episodes as well as maintenance …

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 …

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) …

Special Issues In Transcultural, Transracial, And Gay And Lesbian Parenting And Adoption, Frank E. Vandervort, Robert B. Sanoshy

Book Chapters

The adoption of children whose natural parents are unable to or incapable of caring for them by adults who are able to provide for them has existed throughout human history in one form or another (In re Smith Estate 1955; Miller et al. 2007). Before the mid-1800s, however, there was no formal mechanism for a person interested in adopting a child in the United States to do so (Bartholet 1999). In 1851, the Massachusetts legislature enacted the Massachusetts Adoption of Children Act (General Court of Massachusetts 1851). Though enacted more than 150 years ago, the act's basic structure is clearly …

Executive Deficits In Amyotrophic Lateral Sclerosis: Examining The Consequences Of Self-Regulatory Impairment On Quality Of Life, Abbey R. Roach

University of Kentucky Doctoral Dissertations

Amyotrophic Lateral Sclerosis (ALS) is a fatal neurodegenerative disease that attacks the motor system and contributes to a range of cognitive and behavioral impairments (e.g., behavioral and emotional disinhibition, planning and problem solving difficulties, impulsivity, attention, and personality change). This executive dysfunction may contribute to selfregulatory impairment across several domains, including cognitive skills, thought processes, emotion regulation, interpersonal skills, and physiology, that may be crucial to the quality of life (QOL), or well being, of patients and their caregivers. Given the relentless course and prognosis of ALS, palliative treatments for ALS should target the full range of self-regulatory deficits. Thirty-seven …

Cognitive Therapy For The Treatment Of Depressive Symptoms In Patients With Heart Failure, Rebecca L. Dekker

University of Kentucky Doctoral Dissertations

Depressive symptoms are common in patients with heart failure (HF) and adversely affect mortality, morbidity, and health-related quality of life. Cognitive therapy (CT) has been proposed as a non-pharmacological treatment for depressive symptoms in patients with HF. However, there is currently little evidence to support use of CT in patients with HF.

The purpose of this dissertation was to develop and test a brief, nurse-delivered CT intervention for the treatment of depressive symptoms in patients with HF. Prior to testing the intervention, preliminary work was conducted resulting in four manuscripts: 1) a review of the evidence for CT in treating …

Blood/Lust: Freud And The Trauma Of Killing In War, Nolen Gertz

Publications and Research

During World War I, Sigmund Freud and his followers held a special symposium in Budapest entitled "Psycho-Analysis and the War Neuroses." Their contributions centered on the importance of trying to understand what can cause a soldier to become traumatized in war by investigating the individual factors of each case as opposed to merely the situational factors. Thus by redefining such ambiguous illnesses as shell shock and war strain into the Freudian framework of the traumatic neuroses, they were able to do what the neurologists could not — explain the meaning behind the soldiers' symptoms and treat them with successful results. …

Youth Suicide Prevention In Rural Kentucky, Hatim A. Omar

Pediatrics Faculty Publications

Youth suicide continues to be one of the leading causes of death in the United States. Nation wide it is the third leading cause of death in the 10-24 year old age group. The rate of suicide varies somewhat from state to state. In the state of Kentucky, youth suicide is the second leading cause of death. This article describes a grass roots, community based program for youth suicide prevention and its impact on the community. The Stop Youth Suicide Campaign was launched in 2000 and included more than 30 local agencies. This program worked through public education, education of …

Social Support, Social Control And Health Behavior Change In Spouses, Kieran T. Sullivan, Lauri A. Pasch, Katherine Hanson, Kathrine Bejanyan

Psychology

Our work on support processes in intimate relationships has focused on how partners in committed relationships help one another contend with personal difficulties, and how partners elicit and provide support in their day-to-day interactions. We are particularly interested in how these support skills relate to marital outcomes (Pasch & Bradbury, 1998; Pasch, Harris, Sullivan, & Bradbury, 2004; Sullivan, Pasch, Eldridge, & Bradbury, 1998) and how they relate to behavior change in spouses (Sullivan, Pasch, Johnson, & Bradbury, 2006), especially health behavior changes. In this chapter, we review research examining the effects of social support and social control on spouses' health …

A Vignette Study Examining The Accuracy Of Diagnosis: The Role Of Patient And Practitioner Gender And Race Match, Kevin Johnson

Wayne State University Dissertations

ABSTRACT

DIAGNOSING MENTAL ILLNESS

By

KEVIN JOHNSON

2010

Advisor: Dr. Janet R. Hankin

Major: Medical Sociology

Degree: Doctor of Philosophy in Sociology

A convenience snowball sample of 228 mental health practitioners were surveyed and administered two vignettes of persons with mental illness and a 12-question survey that included occupational background and attitudinal questions about diagnosing mental illness. The gender and race of the patients were randomly altered, while the symptoms and characteristics of mental illness remained constant for each vignette. Each practitioner assigned a DSM-IV diagnostic label for axis I and axis II on both vignettes. The surveys were coded …

A Descriptive Analysis Of Bookings In Sibley County Jail Between January 1, 2008 And December 31, 2009, Deanna Aufderheide

All Graduate Theses, Dissertations, and Other Capstone Projects

Each year approximately 12 million admissions and releases occur in U.S. jails (Solomon, A. L., Osborne, J. W. L, LoBuglio, S. F., Mellow, J., & Mukamal, D. A.). Those that cycle in and out of jail often times are unstable. These instabilities include: substance abuse, lack of housing and employment, mental illness, and health concerns. More than 80 percent of offenders are incarcerated for less than one month; some for a few hours or a few days (Solomon, et. al.). This concern was identified by the Public Health Nurse (PHN) who has seen the same offenders being booked in, time …

The Role Of Organizational Commitment In Practitioner Implementation Of Evidence-Based Practices In Substance Abuse Treatment Settings, Irene Teresa Manfredo

Legacy Theses & Dissertations (2009 - 2024)

Organizational commitment (OC) has been linked to different types of work-related behaviors including innovation implementation and professional behavior change but the influence of OC on technology transfer or research to practice processes is as yet unknown. Using a social exchange perspective, the study employed constructs derived from Klein & Sorra (1996) - perceived implementation climate and practitioner innovation-values fit - to understand the association between practitioner level OC and evidence-based practice implementation (EBP) in substance abuse treatment settings. Method: A secondary data analysis was conducted utilizing a 2008 cross-sectional survey of outpatient substance abuse practitioners in eastern New York State …

Evidence Based Practices For Sensory Stimulation Seeking Impulsive Diagnosis, Sheena Gasner

All Graduate Theses, Dissertations, and Other Capstone Projects

The purpose of this project is to identify evidence based practices that can be used in the treatment of Sensory Stimulation Seeking Impulsive Disorder (430.0). Identification of these practices will more effectively meet the therapeutic needs of the children diagnosed with this disorder.

Quality Of Life And Persons With Intellectual Disability: Can We Measure Qol In This Population?, Søren Ventegodt, Hatim A. Omar, Flemming Struve, Tove K. Nielsen, Isack Kandel, Joav Merrick

Pediatrics Faculty Publications

Quality of life (QOL) has been discussed by professionals working with persons with intellectual disability (ID) for some time, but since QOL is concerned with subjective well-being, satisfaction and happiness, how is it possible to measure, when the person in question is unable to communicate? Consciousness is believed to be an internal and personal thing, but we have done the simple experiment to ask observers to rate QOL of another person, also in sub dimensions like self-assessed physical and mental health, relationship with self, self-assessed sexual ability, self-assessed social ability, and we have found that people are able to assess …

Prospective Associations Of Insomnia Markers And Symptoms With Depression, Mariana Szklo-Coxe, Terry Young, Paul E. Peppard, Laurel A. Finn, Ruth M. Benca

Community & Environmental Health Faculty Publications

Whether insomnia, a known correlate of depression, predicts depression longitudinally warrants elucidation. The authors examined 555 Wisconsin Sleep Cohort Study participants aged 33-71 years without baseline depression or antidepressant use who completed baseline and follow-up overnight polysomnography and had complete questionnaire-based data on insomnia and depression for 1998-2006. Using Poisson regression, they estimated relative risks for depression (Zung scale score >= 50) at 4-year (average) follow-up according to baseline insomnia symptoms and polysomnographic markers. Twenty-six participants (4.7%) developed depression by follow-up. Having 3-4 insomnia symptoms versus none predicted depression risk (age-, sex-, and comorbidity-adjusted relative risk (RR) = 3.2, 95% …

Alcohol Abuse In The Workplace: Developing A Workable Plan Of Action, Pearl Jacobs, Linda Schain

Criminal Justice Faculty Publications

Businesses readily acknowledge that employees who use illegal drugs pose a significant risk to the company and its employees. Alcohol use on the job creates an even greater risk yet companies often do not deal with the use or abuse of alcohol in the same manner as the use of illegal drugs. The danger in the use of alcohol is not limited to those diagnosed as alcoholics. A threat is present when an employee consumes two or three beers at lunch and then returns to work. These individuals do the most to create a hazardous situation. The abuse of alcohol …

The Role Of The Arts Toward Healing Trauma And Building Resilience In The Palestinian Community, Yousef Al-Ajarma

Expressive Therapies Dissertations

This study has investigated the sources of resilience in a sample of Palestinians who experienced the first Intifada and are now studying in the United States. The study found that family and community support, the pursuit of an education, and participation in artistic activities all contribute to individual resilience among Palestinians. In addition, political awareness and activity are another source of resilience, because they help individuals living under the Occupation to find meaning in their life and make sense of their struggles. Currently, young people in Palestine are at risk of developing psychological trauma from exposure to the violence of …

Phenomenology Of Embodied Dreamwork With Puerto Rican Women: A Dissertation, Lourdes F. Brache-Tabar

Expressive Therapies Dissertations

The author investigated the experience of embodied dreamwork. Participants were eight Puerto Rican women who were chronically ill, of low socioeconomic status, who lived in Boston. The data were analyzed using transcendental phenomenology. Each participant engaged in one embodied dreamwork–unstructured interview session lasting approximately 1.5 hours. In addition, each participant drew a picture of how she felt after the dreamwork interview. This snowball, purposive sample gave detailed information about how they experienced embodied dreamwork. The participants’ statements were grouped into themes: (a) sense of place—environment, surroundings, spatiality; (b) the players—self, others; (c) plot; (d) in the sea of emotions—naming affective …

Foothills Academy: A Program Ranking And Comparative Analysis Of Residential Treatment Programs, William Aaron

MPA/MPP/MPFM Capstone Projects

The Foothills Academy is an all male adolescent residential treatment facility in Albany, Kentucky. As more states turn toward alternative treatment options to address the growing needs of youth suffering from mental and emotional disorders and substance abuse issues, demand for more efficient treatment programs is on the rise. To remain competitive and to administer the best treatment services for their clients, residential treatment programs must utilize industry best practices that allow efficient use of public funds. By identifying high performing programs, those programs may then be studied to identify factors key to individual program success.

My findings were consistently …

What Is The Impact Of Kentucky’S Pharmacy Recovery Network?, Benjamin Paul Clark

MPA/MPP/MPFM Capstone Projects

Problem Statement: This capstone will focus on Kentucky’s Pharmacy Recovery Network (PRN). In general, professional recovery networks are organizations that act as a liaison between professional state boards and the health professionals who are dealing with substance abuse and addictions that sometimes result in negative consequences to that individual and/or their profession. Instead of a “one-strike and you are out” approach, these organizations recognize that there is a disease process occurring. Thus, as opposed to engaging in strictly punitive measures, a rehabilitative approach is chosen to allow the health professional an opportunity to recover and successfully reenter into their profession. …

Mindfulness Based Stress Reduction And Chronic Illness, Kelly Dulohery

All Graduate Theses, Dissertations, and Other Capstone Projects

The Minnesota Department of Health (n.d.) defines a chronic health condition as having an extended course, does not resolve suddenly, and complete cure is a rarity. The literature suggests that stress can exacerbate the symptoms of chronic health condition (Roth and Robins, 2004). Addressing the biopsychosocial needs of individuals with chronic health conditions pushes the limits of conventional medicine (Grossman, Niemann, Schmidt, & Walach, 2004). A chronic health condition, if left untreated can lead to additional physical and psychological conditions (e.g. contributing to the development of anxiety, depression, and feelings of isolation, hopelessness, and helplessness) (Ledesma & Kumano, 2009); (Reibel, …

Filling The Gap In Crisis Intervention: Horizon Homes, Inc. Proposal For Sccbi Crisis Services, Ricki Pribyl

All Graduate Theses, Dissertations, and Other Capstone Projects

In late April 2010, the South Central Crisis Center operated in Mankato, MN under state operated services (SOS) closed its doors. The closing of the crisis center left a gap in mental health services, particularly for the ten counties it specifically served. Legislators in the Mankato area, specifically Kathy Sheran worked hard to put together a block grant through the Health and Human Services Act, which would allow additional funding for the reopening of the crisis center. Given that the grant went though, the operation of the new crisis center would be overseen by the South Central Community Based Initiative …

Investigating Compassion Fatigue And Burnout Rates Among Mental Health Professionals At Sioux Trails Mental Health Center, Lora Schoewe

All Graduate Theses, Dissertations, and Other Capstone Projects

The purpose of this research is to explore the existence of compassion fatigue and burnout among mental health professionals at Sioux Trails Mental Health Center, which is a community based mental health center in located in various rural communities in Southern Minnesota. The research also sought to identify what the professional and agency can do to reduce burnout rates.

Research Questions: Does compassion fatigue and burnout exist among the mental health professionals at Sioux Trails Mental Health Center? What professional and personal resources do the mental health professionals use to reduce the risk of compassion fatigue an burnout?

Evidence-Based Strategies And Techniques For Children With Asd, Tanya Walerius

All Graduate Theses, Dissertations, and Other Capstone Projects

To identify and research evidence-based Autism Spectrum Disorder strategies and techniques for working with children, particularly children aged 6 –10 years old, who receive In-Home Skills Services. Most therapeutic services are received through the school systems (Shapiro & Accardo, 2008), but Counseling Services of Southern Minnesota (CSSM) provides In-Home Skills Services that requires the Children’s Therapeutic Services and Supports (CTSS) staff to be knowledgeable and competent in the services they provide to clients.

The purpose of this project was to provide CSSM with specific strategies and techniques through a manual to be used by the CTSS workers. The information will …