Mental and Social Health Commons^™

Association Of Naloxone Coprescription Laws With Naloxone Prescription Dispensing In The United States, Minji Sohn, Jeffery C. Talbert, Zhengyan Huang, Michelle R. Lofwall, Patricia R. Freeman

Institute for Pharmaceutical Outcomes and Policy Faculty Publications

Importance: To mitigate the opioid overdose crisis, states have implemented a variety of legal interventions aimed at increasing access to the opioid antagonist naloxone. Recently, Virginia and Vermont mandated the coprescription of naloxone for potentially at-risk patients.

Objective: To assess the association between naloxone coprescription legal mandates and naloxone dispensing in retail pharmacies.

Design, Setting, and Participants: This was a population-based, state-level cohort study. The sample included all prescriptions dispensed for naloxone in the retail pharmacy setting contained in IQVIA's national prescription audit, which represents 90% of all retail pharmacies in the United States. The unit of observation was state-month …

Integrative Review On Cognitive Behavioral Therapy In Chronic Diseases: The Responses Predictors, Nada Lukkahatai, Jillian Inouye, Diane Thomason, Jennifer Kawi, Bruce Leonard, Kirsten Connelly

Nursing Faculty Research

Background: Cognitive behavioral therapy (CBT) is a self-management strategy used by patients with chronic diseases. Studies consistently report the effectiveness of this therapy in managing symptoms and improving patients’ quality of life. However, evidence also shows that not all patients benefit from the therapy. Methods: This article presents findings from an integrative review of studies published between 2010 and 2014 that investigated outcome predictors of CBT in chronic illness. The use of CBT in psychological disorders was excluded from the review. Result: Eleven studies were included into this review. Every study supported the effectiveness of CBT for both immediate and …

Human Trafficking And Today's Youth, Rachel Whitfield

Presentations

This presentation is designed to help health care providers

• Dispel myths around US domestic trafficking
• Define the different types of human trafficking
• Understand the contributing factors for trafficking
• Understand the effect of pornography on the developing brain
• Recognize risk factors and signs and symptoms of trafficking
• Know how to report human trafficking and where to find local resources

Brief Of Amicus Curiae 290 Criminal Law And Mental Health Law Professors In Support Of Petitioner's Request For Reversal And Remand, Kahler V. Kansas, 18-6135 (U.S. June 6, 2019), Paul F. Rothstein

Georgetown Law Faculty Publications and Other Works

Amici curiae are a group of philosophically and politically diverse law school professors and scholars in the fields of criminal law and mental health from a variety of disciplines who have been teaching and writing about the insanity defense and related issues throughout their careers. They include the authors of leading criminal law and mental health law treatises and casebooks and numerous important scholarly books and articles.

Amici believe this case raises important questions about principles of criminal responsibility, the integral role of the insanity defense in Anglo-American law, and the inadequacy of the “mens rea alternative” to the traditional …

Impactful Care: Addressing Social Determinants Of Health Across Health Systems, Nicole Lisa Friedman

Dissertations and Theses

There is emerging evidence that addressing health-related social needs through enhanced clinical-community linkages can improve health outcomes and reduce costs. Unmet health-related social needs, such as food insecurity, inadequate or unstable housing, and lack of access to transportation may increase the risk of developing chronic conditions, reduce an individual's ability to manage these conditions, increase health care costs, and lead to avoidable health care utilization. In response, work on social needs is happening across large health systems in the United States, but the pace of progress is slow and accountability is diffuse.

The goal of this applied research project is …

Development And Validation Of The Workplace Mental Illness Stigma Scale (W-Miss), Nicholas Anthony Smith

Dissertations and Theses

Although 1 in 5 Americans will experience a mental illness at some point, each year people with mental illnesses continue to face high levels of stigmatization and discrimination at work. Recognizing this, many organizational researchers and practitioners have sought to improve workplaces for employees with mental illness through a variety of organizational interventions. Unfortunately, few interventions are thoroughly evaluated. One barrier to evaluating such interventions is the lack of a theoretically meaningful measure of workplace mental illness stigma. In this dissertation, I proposed to develop and evaluate such a measure (the W-MISS) based on Jones, Farina, Hastorf, Markus, Miller, and …

Our Criminal Justice System Should Not Be Our Mental Health System (But It Is), Donald Roth

Faculty Work Comprehensive List

"Our criminal justice system is like the silt layer at the bottom of the ocean. If a problem isn’t taken care of higher up in society, it will eventually find its way down to the criminal justice system."

Posting about the need for criminal law reform from In All Things - an online journal for critical reflection on faith, culture, art, and every ordinary-yet-graced square inch of God’s creation.

https://inallthings.org/our-criminal-justice-system-should-not-be-our-mental-health-system-but-it-is/

The Color Of Water: An Autoethnographically-Inspired Journey Of My Becoming A Researcher, Trude Klevan, Bengt Karlsson, Alec Grant

The Qualitative Report

In this paper, the first author autoethnographically describes, discusses and reflects on her process of becoming a researcher based on her PhD journey. She explores how the development of knowledge and her understandings of what counts as knowledge is entangled with her personal and professional development. The second and third authors join with her to explore and comment on the ways in which her doctoral topic knowledge and her process of becoming a researcher co-evolved. On this basis, all authors challenge and trouble what counts as qualitative knowledge and inquiry in contemporary academia and discuss the need for the provision …

Educational Reinforcements Of And Challenges To Gender Norms In Urban Sri Lanka, Ruvani Fonseka

Faculty Research, Scholarly, and Creative Activity

Background:
In 2013, over half of surveyed Sri Lankan men and women expressed gender-inequitable attitudes equating masculinity with violence, and femininity with obedience to men. Gender-inequitable attitudes have been shown to be linked to gender-based violence (GBV) in multiple contexts.
The goal of this research was to identify points of intervention at which programmes and policies could cultivate gender-equitable attitudes among youth in Sri Lanka, with a goal of reducing GBV in adulthood.
Methods:
Over 9 months, the lead author interviewed 18 young adults (ages 18-30) in urban Sri Lanka to understand how their experiences influenced their gender identity, as …

Implementing School-Based Education Programs To Combat Lack Of Access To Psychiatric Facilities In The United States, Marisa L. Sparbanie

Kentucky Journal of Undergraduate Scholarship

One in five Americans are diagnosed with a mental illness, yet only 41% of adults received healthcare services in the past year. Due to barriers in accessing care, services are costly, wait times are long, and appointment times are inconvenient. Lack of access to quality, affordable care disproportionately affects those in rural areas and individuals with low socioeconomic status. School-based mental health education programs should be developed as a beginning step to combat increasing mental health conditions and limited access to healthcare facilities. Lack of access to care may lead to occupational injustices such as: occupational alienation, deprivation, and imbalance. …

Healthcare Access And Poverty Among Central Appalachian Residents, Kacey M. Lefevers

Kentucky Journal of Undergraduate Scholarship

Healthcare access is an important shaping force in the lives of Appalachian people. Appalachians often face both inadequate availability of medical facilities and poverty, which limits access to health insurance and therefore healthcare. This results in reduced life expectancy and health disparity. In this study, the author examines relationships between adequate healthcare and access to healthcare among Appalachian residents. Using a convenience sample of Appalachian residents, the author finds that income, education, and being an Appalachian resident have unique impacts on healthcare access or perceptions of healthcare in general.

The Impact Of A Brief, Bullying Bystander Intervention On Internalizing Symptoms: Is Gender A Moderator Of Intervention Effects?, Diana M. Doumas, Aida Midgett, April D. Watts

Counselor Education Faculty Publications and Presentations

The purpose of this study was to evaluate the efficacy of a brief, bystander bullying intervention on reducing internalizing symptoms among students (N = 65). Although witnessing bullying is associated with mental health risks, the majority of research on bystander interventions focuses on the impact of these programs on school-wide bullying reduction rather than improved emotional outcomes for those trained to intervene. Results indicated high school students trained in a brief, bystander bullying intervention reported greater decreases in internalizing symptoms from baseline to a 3-month follow-up compared to students in a control group. Further, gender moderated intervention effects such that …

“You Do It Without Their Knowledge”: Is Nonconsensual Comdom Removal The New Public Health Emergency?, Marwa Awad Mohamed

Electronic Theses, Projects, and Dissertations

Background: Sexual consent is often defined as the voluntary agreement to participate in a sexual act, though the differing definitions across and within countries make legal consensus difficult. In recent years, due to popularization through social media, nonconsensual condom removal, termed stealthing, is becoming common, especially among young adults. Yet, little to no empirical evidence exists on this sexual behavior.

Methods: In this exploratory sequential mixed methods approach, we aimed to address the current perception of stealthing among young adults. College students were recruited from general education courses at a medium-sized four- year public university. Focus groups were conducted to …

"We've Always Been Like Kind Of Kicked To The Curb." A Qualitative Analysis On Experiences Of Discrimination And Its Effect On Self-Esteem Among College Students, Cindy Mahoney

Electronic Theses, Projects, and Dissertations

Objective: The goal of this study was to conduct a systematic review of the relationship between mental health, discrimination, and self-esteem among college students. To further explore this concept, focus group interviews were conducted as a follow up.

Methods: Following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, a total of five existing literatures was systematically analyzed. Data analytic tables were used to collect information on population and study characteristics for the first part. The focus groups were transcribed verbatim and results were thematically analyzed to identify emergent constructs.

Results: There is a substantial relationship between mental …

Psychosocial Well-Being And Efforts To Quit Smoking In Pregnant Women Of South-Central Appalachia, Brittney Stubbs, Valerie Hoots, Andrea D. Clements, Beth Bailey

ETSU Faculty Works

Introduction: Psychosocial well-being variables from the Tennessee Intervention for Pregnant Smokers (TIPS) study, a longitudinal smoking cessation study in South-Central Appalachia, were investigated as potential predictors of smoking status.

Methods: A sample of 1031 pregnant women participated in an expanded 5A's (Ask, Advise, Assess, Assist, Arrange) program, from 2008 to 2011. Measures of stress, self-esteem, depressive symptoms, and disordered eating collected by interview during the first trimester, or during the third trimester in a combined interview if participants began prenatal care late, were hypothesized to differ among three groups of participants: pregnant women who never smoked, pregnant women who smoked …

Reappraisal And Savoring As Mediators Of The Effect Of Informal Mindfulness Practice On Well-Being, Yan Qiang Tan

Dissertations and Theses Collection (Open Access)

Although extensive research has been conducted on the effects of mindfulness-based interventions (MBIs), the processes through which MBIs affects well-being are still unclear. Furthermore, most of the current mindfulness research has focused on formal mindfulness practice. I aim to contribute to the field by studying the effects of informal mindfulness practice delivered through a mobile application in a two-week experience sampling study. Well-being was examined at three levels: immediately after completing an informal mindfulness exercise, at the end-of-the-day, and retrospective assessments of the two-week intervention period. I examined two possible mediators of the effect of the MBI on well-being: reappraisal …

How Korean Couples Construct Marital Relationships: A Qualitative Study, Young Joo Kang

Loma Linda University Electronic Theses, Dissertations & Projects

With increased economic and employment opportunities for women, South Korean couples are challenged by division of labor in the family. This qualitative study examined how marital partners maintain their relationships in light of rapid social change. The study employed social constructionism and feminist theory as conceptual frameworks. Through social constructionism, I sought to understand the interactive roles marital partners perform as they attempt to balance family needs and responsibilities within the context of evolving gender ideas. Feminist theory provided an additional lens to further understand the nuances of partners’ beliefs and expectations about their own gender and that of their …

Connected Families: Programs For Families Of Infants/Toddlers At Risk For Autism, Toni Carol Durnal Dunning

Loma Linda University Electronic Theses, Dissertations & Projects

Although children with secure attachment are known to have better outcomes, fostering secure attachment in an infant/toddler at risk for autism spectrum disorder is challenging. Some of the challenges stem from bi-directional, negative and ambiguous interaction sequences between the child and caregiver that cause emotional dysregulation and undermine caregiver confidence setting the stage for perpetual miscuing and misattunement— a pattern that can impact the entire family system leaving the child, caregiver, and family vulnerable to stress, anxiety, depression, and isolation.

Although the etiology of autism is a matter of intensive and ongoing research spanning many disciplines, there is converging agreement …

Just Culture: It's More Than Policy, Linda Ann Paradiso, Nancy Sweeney

Publications and Research

Any healthcare organization’s top priority is effective and safe care. Despite this, medical error is the third-leading cause of death in the US. Hospitals are imperfect systems where nurses have competing demands and are forced to improvise and develop workarounds. Errors rarely occur in a vacuum, rather they’re a sequence of events with multiple opportunities for correction. Clinical nurses can have a significant impact on reducing errors due to their proximity to patients. When errors are identified, the events and impact on safe care need to be shared. Just culture is a safe haven that supports reporting. In a just …

Health Disparities Among South Asians: Is Food Insecurity The Missing Link?, Valentina Chawdhury

Electronic Theses, Projects, and Dissertations

Objective: Food insecurity among South Asians in the US is a public health issue. Food insecure adults face a plethora of adverse outcomes and research shows that individuals with ancestral origins from South Asia have a higher susceptibility rate for cardiovascular disease after migrating to urban environments. As such, the goal of this study was to research possible barriers South Asians face when creating cultural dishes in the US.

Methods: This was a convergent parallel mixed-methods analysis to understand how South Asians feel about food insecurity. Pricing and availability of cultural food items were obtained from South Asian and Western …

Get Engaged: Results Of Ncpg 2018 National Survey Of Gambling Attitudes & Experiences, Keith Whyte, Don Feeney

International Conference on Gambling & Risk Taking

The National Survey of Gambling Attitudes and Gambling Experiences (NGAGE) is the largest published survey of gambling participation and problems in the US. This unprecedented look into how Americans gamble, what they gamble, how they think about it in every state. Includes a special focus on sports gambling. Presenters will review the findings and implications for everyone involved in gambling issues.

The Effect Of Caregiver Burnout On Alzheimer's Treatment Compliance, Daniel Kane, Brandon Liu

School of Psychology, Family, and Community Research Conference

According to the Alzheimer's Association (2019), approximately 5.8 million Americans live with Alzheimer's Disease (AD). Additionally, it is reported that 16 million Americans are considered caregivers to those individuals. While AD is incurable, treatment adherence is a significant predictor of family and patient outcomes. This proposal explores the impact of caregiver burnout on patient treatment compliance of those with Alzheimer's disease (AD). It is hypothesized that the presence of burnout in caregivers of loved ones with AD will negatively affect treatment compliance. A possible implication of this study is improving quality of life outcomes for those managing AD.

Gender Differences In Non-Suicidal Self-Injury In A Sample Of Treatment-Seeking Gamblers, Megan Cowie

International Conference on Gambling & Risk Taking

Gambling Disorder (GD) is a public health concern with tremendous implications (Smith & Wynne, 2002). The disorder rarely occurs in isolation, often presenting with other conditions. Suicidal ideation and attempts are common among treatment-seeking gamblers (Maccallum & Blaszczynski, 2003). An important yet overlooked risk factor for suicidality is non-suicidal self-injury (NSSI; Klonsky et al., 2013). NSSI can serve many functions: relief of negative emotions; generation of positive states; escape from interpersonal obligations; attention or facilitation of resources (Nock & Prinstein, 2004). Previous research has found gender differences in NSSI. Despite NSSI’s relationship to suicidality and the noted gender differences, literature …

Illness And The American Workplace: Issues And Implications For Employers And Employees, Victoria R. Dolan

Student Theses and Dissertations

This project aims to identify American employee experiences and existing workplace policies and cultures surrounding illness, disability, and sick leave. This approach was taken in order to closely examine what looks to be working well for companies and workers, and what could benefit from a more human centric approach in regards to workplace policy and employee support programs. The study of employee experiences in particular represents a gap in the current scholarly literature regarding illness and illness policy in the American workplace, and more accurately represents the experiences for both employees and employers. Furthermore, it assists with distinguishing the types …

Interventions For Problem And Pathological Gambling: Status, Innovations, And Challenges, Matthew P. Martens

International Conference on Gambling & Risk Taking

The purpose of this presentation is to address research on the effectiveness of problem gambling interventions and offer insights for new directions. Dr. Martens has led two clinical trials over the past five years that have integrated technology into problem gambling interventions for young adults. In the first trial (Martens et al., 2015), he found that a computerized personalized feedback intervention reduced gambling problems among at-risk young adult gamblers. In the second trial (Martens et al., in preparation), he found that an intervention delivered via cell phone and text-message had an indirect effect on gambling-related problems. Although effect sizes for …

Gratitude As An Antidote To Anxiety And Depression: All The Benefits, None Of The Side Effects, Mary Kate Schutt

Population Health Research Brief Series

Despite efforts among health care professionals, schools, and workplaces to address mental health issues, anxiety and depression remain pervasive public health concerns. This issue brief discusses how emerging research suggests practicing Gratitude may be an alternative antidote to battling anxiety and depression.

Human Learning, Memory, And Student Development, Alan R. Erickson

Contemporary Issues in Educational Leadership

My educational interests have largely been informed by my career in the sciences and medicine. My professional education has been both formative and transformative, opening doors to the joy of learning and a realization in the importance of memory. As an educator, clinician, and student, I have been greatly impacted by issues of curricular design, curricular development, learning and memory. My current responsibilities in student affairs also have exposed me to the delicate balance between student development, curricular design, learning and memory. Patton, Renn, Guido, and Quaye (2016) noted the importance of educators being able to use different literature sources …

Do Not Miss Your Shot: Improving Follow-Up In Patients Receiving Long-Acting Injectable Medications, Mary O'Hara

Doctor of Nursing Practice Final Manuscripts

Background: Serious mental illness including schizophrenia and bipolar disorder affects 1 in 24 adults in California. These chronic disorders are difficult to treat and often sabotaged by medication nonadherence. Long-acting injectable (LAI) medications are one strategy to combat medication nonadherence. Effectively providing treatment with LAI medications can be challenging at the clinic level.

Objectives: Reduce the number of days without medication by reducing the number of days between injection due date and injection administration for patients receiving LAI medications.

Design: Establish appointments for all injection visits. Standardize visit protocol for injection encounters to optimize provider time. Arrange immediate follow-up and …

Using Short Message (Sms) To Deliver Appointment Reminders And Reduce No-Show Rates: An Evidence-Based Practice Project, Fernando Serrano

Doctor of Nursing Practice Final Manuscripts

Background/Objectives: Missed appointments (MAs) are correlated with reduced treatment efficacy, increased financial burden on medical institutions, and early treatment terminations for therapy (DeFife, Conklin, Smith, & Poole, 2010). MAs occur for a variety of reasons including, but not limited to severity of illness, financial/geographic constraints, and forgetting the appointment (Filippidou, Lingwood, & Mirza, 2014). Appointment compliance within outpatient mental health clinics has a wide variance with some clinics reporting MAs ranging from 15% to 50% (Car, Gurol-Urganci, de Jongh, Vodopivec-Jamsek, & Atun, 2013).

With decreasing costs and a subsequent massive increase in mobile phone technology use by the general population, …

Spirituality And The Infant Brain: Implications For Attachment Theory And Therapeutic Process Across The Life Span, Caitlin Eliasson

Consensus

No abstract provided.