Mental and Social Health Commons^™

Characteristics Of Inpatients With Opioid Use Disorder Seen By “Imat” Consult Service From 7/2016 - 6/2017, Katherine Nenninger, Jenny Carwile, Jonathan Fellers, Kinna Thakarar

MaineHealth Maine Medical Center

Introduction:

• For people with opioid use disorder (OUD), admission to the hospital can provide an opportunity to initiate substance use disorder (SUD) treatment and preventive care

• In 2016, a multidisciplinary “IMAT” (integrated medication for addiction treatment) inpatient team was established to help treat patients with SUD

Identifying Youth At Clinical High Risk: What’S The Emotional Impact?, K A. Woodberry, K S. Powers, C Bryant, D Downing, M Verdi, L Kennedy, D I. Shapiro, R Girgis, G Brucato, D Huang, F M. Crump, C M. Corcoran, L I. Seidman, B Link, W R. Mcfarlane, L Yang

MaineHealth Maine Medical Center

Background:

Early intervention in major mental illness promises to improve the lives of those identified.

• But could identifying youth as at clinical high risk (CHR) for psychosis also do harm given that the majority never develop a psychotic disorder?

• Could telling someone they are at risk for psychosis activate internalized stigma that has been associated with increased emotional distress, social withdrawal, non-engagement in treatment, and suicide risk in CHR youth?

• Within the context of a larger study of stigma in CHR, we compared emotional responses to the CHR concept assessed before and after clinical feedback by study …

Social Influence And Moment-To-Moment Changes In Young Adults’ Mood And Psychotic Symptoms, K Powers, K A. Johnson, M Graham, A Cloutier, K Stewart, S Lynch, D Robbins, R Mesholm-Gately, K A. Woodberry

MaineHealth Maine Medical Center

Background:

• Social situations can have a significant impact on young people’s mood and mental experiences.

• More specifically, we want to know how someone’s perceived social influence in social situations relates to their mood and psychotic symptoms.

• Past studies have found connections between lower perceived social status (rank, comparison, and related concepts) and psychotic symptoms anxiety, depression, and other mood related psychopathology.

• We use experience sampling methods to capture moment-to-moment changes in mood and psychotic symptoms in a variety of social settings.

Reducing Length Of Stay For Mental Health Patients, Faye Collins, Nancijean Goudey

MaineHealth Maine Medical Center

Background:

Our facility sees an average of over 200 mental health patients every month, with limited community resources. The length of stay (LOS) for these patients had slowly risen to unacceptable levels; the number of patients whose LOS was greater than 24 hours increased in fiscal year (FY) 2017, from 633 patients to 1145. Patients in crisis require expedited transfer to appropriate care locations. Our goal was to decrease the overall length of stay for mental health patients in the Emergency Department.

Creating The Therapeutic Environment: An Exploration Of Art Therapy And Sexuality, Allison Marx, Lia Verzatt

LMU Theses and Dissertations

This research explored how art therapists create a safe and inviting environment for clients to discuss topics related to sex and sexuality in therapy. Our research consisted of three main questions: How do art therapists use art therapy techniques, materials, and directives to create a therapeutic environment in which clients can open up about their sexuality? How comfortable and/or experienced are therapists regarding discussion of topics related to sex and sexuality with clients in therapy sessions? What barriers are there to discussing sexuality in therapy, and how does art help overcome those barriers? Our research subjects were practicing art therapists …

Art As Meaning Making, Zoe Brockway, Tim Cunningham, Lucia Hye Yoon Joo, Jessica Pedroza, Michelle Plotkin

LMU Theses and Dissertations

This project examines the meaning-making of art through multiple disciplinary lenses: Art Therapy, Art History, Studio Art, Art Education and Anthropology. Disciplines were selected for their inherent ability to enhance an understanding of meaning-making through the art making process and art product. An arts-based methodology was utilized in conjunction with the Outliers and American Vanguard Art exhibition at The Los Angeles County Museum of Art (LACMA), which featured a juxtaposition of formally trained and self-taught artists. Each of the five researchers selected a piece of art included in the exhibition, rendered the piece, documented the rendering process, and viewed each …

Power Shift Within A Couple’S Journey Through Addiction, Carly Brack Marketto

Electronic Theses and Dissertations

Addiction is a rapidly growing problem for many couples, but most treatment plans focus solely on the individual with a substance abuse diagnosis rather than taking a systemic approach. Investigating the power dynamics of couples who have been through addiction and recovery could assist future treatment plans to include underlying factors in relationships instead of only addressing symptoms of the problem. This grounded theory research study strives to understand the power shift within couples when one partner goes from being in active addiction to being sober for one year or more. Power is viewed through the four aspects that Knudson-Martin …

The Influence Of Premarital Counseling On Marital Satisfaction For African-American Couples, Christian Brown

Electronic Theses and Dissertations

Many factors influence marital satisfaction (Ayub, 2010). Some couples prepare themselves with premarital counseling and try to help increase the likelihood of marital satisfaction. When looking at African-American couples, should researchers assume that some African-American couples take premarital education to increase their marital satisfaction? Prior literature has stated that premarital counseling has decreased marital discord and increased marital satisfaction (Parker, 2007). This study will be a qualitative study using a phenomenological design. The researcher collected data from seven participants. Once the interviews were completed, the researcher was able to analyze the data by identifying common themes as well as capturing …

Mental Health On Trial: An In-Depth Look At The Criminalization Of Mental Illness In The United States Criminal Justice System, Addison Elise Shemin

Graduate Theses and Dissertations

The criminal justice system was created to identify, incarcerate, and rehabilitate men and women that have broken the law. However, over two million people with mental illnesses are placed into jails every year. The lack of proper psychological evaluation and diagnosis coupled with misunderstood evidence and economic hardship has produced a system that treats these men and women as criminals rather than someone suffering from an illness. When an individual with mental health issues comes into contact with the criminal justice system they are often improperly evaluated by first responders, wrongfully convicted, and inappropriately sentenced. The lack of proper psychological …

The Effects Of Participation In A Grief Choir On Perceived Grief, Coping, Energy, Social Support, And Health Among Bereaved Adults: A Mixed Methods Randomized Control Study, Lauren Dimaio

Crossroads of Music and Wellness

The purpose of this study was to test the effects of participation in a grief choir vs. verbal grief group on bereaved persons’ perceived grief, coping, energy, social support and health and to examine the experiences of those participating in both groups. In this mixed-methods study, the results from qualitative phenomenological focus groups were used to explain and interpret the findings of the Randomized Control Trial (RCT). Findings demonstrated that the grief choir may have been as effective as the verbal grief group when impacting the participants’ experience of grief.

"Notjustgirls": Exploring Male-Related Eating Disordered Content Across Social Media Platforms, Jessica Pater, Lauren Reining, Andrew D. Miller, Tammy Toscos Phd, Elizabeth D. Mynatt

Mirro Center Articles

ABSTRACT: Eating disorders (EDs) are a worldwide public health concern that impact approximately 10% of the U.S. population. Our previous research characterized these behaviors across online spaces. These characterizations have used clinical terminology, and their lexical variants, to identify ED content online. However, previous HCI research on EDs (including our own) suffers from a lack of gender and cultural diversity. In this paper, we designed a follow-up study of online ED characterizations, extending our previous methodologies to focus specifically on male/masculine-related content. We highlight the similarities and differences found in the terminology utilized and media archetypes associated with the social …

Mindfulness-Based Interventions For Adolescents With Cancer And Teen Cancer Survivors, Daniela Ramirez-Ibarra

Capstone Projects and Master's Theses

Adolescence is a significant period for identity construction and self development (Jones, Blunda, Biegel, Carlson, Biel, & Wiener., 2013). This critical development period is quickly disrupted for adolescents with cancer. With the challenges of undergoing cancer treatment, come abnormal daily routines and changes to the developing self, which may cause anxiety, depression, and other mental health disorders (Jones et al., 2013). Even after an adolescent survives cancer, he or she may be likely to face chronic adjustment difficulties, cognitive challenges, struggles at school, social deficits, post-traumatic stress disorder (PTSD), anxiety, and depression (Jones et al., 2013). To address the stressful …

The Self-Efficacy Of Biological Mothers And Foster Mothers Caring For Infants Prenatally Exposed To Drugs Or Treated For Nas : Examination Of Potentially Influencing Factors., Megan Kathleen Sherehiy

Electronic Theses and Dissertations

This study sought to identify demographic risk and protective factors that may relate to parental self-efficacy in biological and foster mothers caring for infants prenatally exposed to opioids. The study also examined whether participation in treatment for biological mothers and in training for foster mothers was associated with parental self-efficacy. Forty-nine women (21 biological mothers and 28 foster mothers) were surveyed. Measures included demographic, treatment, and training information. A single-item, self-report measure was used to assess satisfaction with support from friends using an item from the World Health Organization Quality of Life-Bref scale (Skevington, Lotfy, & O'Connell, 2004). The Karitane …

The Shape Study : The Survey Of Health And The Perceived Environment Study., Colette Patrice Davis

Electronic Theses and Dissertations

Introduction: Few studies have considered how an individual’s perception of their built environment may be a risk factor for being overweight or obese. Adolescents may be particularly vulnerable in the context of “impoverished environments”, which they may perceive to be difficult, dangerous, resource deficient, and unaesthetic. This study aids in clarifying how the built environment influences the risk of obesity among adolescents residing in a neighborhood in Louisville, KY. Objective: The overall objective was to conduct a cross-sectional epidemiologic pilot study among adolescents aged 12-17 years residing in West Louisville, Kentucky to evaluate the association between perceptions of …

Innovation And Equity In Public Health Research : Testing Arts-Based Methods For Trauma-Informed, Culturally-Responsive Inquiry., Tasha Golden

Electronic Theses and Dissertations

As the field of Public Health has shifted from a biomedical paradigm to a social ecological approach, focusing on health equity and social determinants of health, it has increasingly acknowledged the roles of culture and trauma in health outcomes. The field has responded by modifying some research practices, but continues to prioritize conventional methodologies—with few options designed to foreground trauma- and cultural-responsiveness. Unfortunately, to the extent that conventional approaches require health to be defined, communicated, or valued according to dominant norms, they risk perpetuating inequities. Health equity therefore requires the development of research methodologies that increase inclusivity and access, elicit …

A Phenomenological Study Of The Lived Experiences Of Counseling Students In A Co-Facilitated Experiential Group, Alexandra Meyers

Graduate Theses and Dissertations

Research in the fields of experiential learning, group psychotherapy, and neuroscience has supported the inclusion of the experiential group in counseling training programs due to the potential for positive impact on students’ personal and professional development (Badenoch & Cox, 2010; Denninger, 2010). Investigations exploring counseling students’ experiences of the experiential group have been primarily limited to quantitative studies, while in-depth qualitative inquiry has been minimal. Additionally, an extensive review of the literature has found there have been no qualitative studies examining experiential groups co-facilitated by a course instructor and a doctoral student. The purpose of this phenomenological study was to …

The Effect Of A Training Clinic On The Self-Efficacy Of Counselors In Training, Jihene Ayadi

Graduate Theses and Dissertations

The primary focus of this study was to examine the differences between trainees’ perceived self-efficacy when they graduate from a counseling program that has a community based mental health training clinic versus a program without a training clinic. A web-based survey was developed with the questions from the Counseling Self-Efficacy Inventory (COSE) (Larson et al., 1992) and 45 (N = 45) participants took the survey online. Participants were students enrolled and taking a practicum or internship class in a counseling program with a training clinic (WTC) or in a counseling program without a clinic (WTTC). Mann-Whitney Wilcoxon test, a non-parametric …

Female Genital Mutilation In The United States: Estimating The Number Of Girls At Risk, Phyllis Chesler

Dignity: A Journal of Analysis of Exploitation and Violence

Female genital mutilation (FGM) destroys the capacity of women to experience sexual pleasure. It causes serious medical complications such as bleeding, painful urination, cysts, dangerous and recurrent bladder and urinary tract infections, the growth of scar tissue that make marital intercourse a nightmare and that turns childbirth into an experience of danger and torture. Due to immigration, FGM now poses a potential health crisis in the West, both in Europe and in the United States. To estimate how many girls who live in the West are at risk, one can measure the prevalence of FGM in the non-Western countries where …

A Qualitative Analysis Of Quantitative Assessments In Art Therapy Research With Patients With Cancer In A Medical Setting, Jill Levenberg

LMU Theses and Dissertations

This paper uses a qualitative approach to explore quantitative assessment tools and their use in art therapy research with patients with cancer. An archival method was used to gather articles on cancer research which were compiled from peer-reviewed journal articles available online. The author used a systematic analysis to select articles that met the specific research criteria of working with cancer patients in a medical setting, included the implementation of art therapy, and the administration of a pre- and post-test. Twenty-two quantitative assessments fit these criteria. Further exploration was conducted on the five most common assessment tools. These five assessments …

Art Therapy Based Curriculums With Patients Who Have Or Had Cancer, Gabriela Espinoza

LMU Theses and Dissertations

Patients who have/had cancer are often left with emotional distress, as well as, anxiety, and depression amongst other effects. Art therapy based curriculums have been utilized with patients that have/had cancer with promising results of decreasing emotional distress and other effects. Five different art therapy based curriculums are explored through archival research approach. Through this approach, information is collected to explore five research questions that are presented to understand how these art therapy-based curriculums can help patients who have/had cancer. These research questions explore the type of interventions being utilized in the curriculum when the curriculum is being implemented in …

Art Therapists' Work With Textiles, Sarah Potter

LMU Theses and Dissertations

This research project aims to explore how art therapists use textiles in clinical practice and personal artmaking and to learn about the perceived benefits and challenges of this type of work. The study utilizes a Qualtrics survey, with 70 participants, and a focus group methodology, with 4 art therapists. Through the analysis of the participants’ conversations, artwork, and survey information, emergent themes were identified related to examining biases of gender identity, challenges related to considerations of time, the repetitive and slow nature that are particular mindful qualities of textile making, potentially heightened benefits of textile work with children and adolescents, …

Investigating The Emotional Theory Of Mind In Iranian Married Women: A Descriptive Phenomenological Study, Abbas Rahmati, Maryam Poormirzaei, Masoud Bagheri

The Qualitative Report

In marital relationships, the type of perception of the spouse’s behavior affects how the social information and behavior of the other couple is processed, leading to psychological consequences. Thus, a higher perception of each other’s mental state is followed by sincerity and more satisfaction with the relations. The present study was performed by using a descriptive phenomenological qualitative approach with the aim of investigating emotional theory of mind in 19 married Iranian women who were selected by purposive sampling in 2017. In order to coding data, MAXQDA 2018 software and the Colaizzi’s method were used for coding and analyzing the …

Utilizing Wellness Champions To Live Ohiohealthy, Elizabeth K. Krebs

Masters Theses/Capstone Projects

No abstract provided.

The Holistic Development Of Student-Athletes At Otterbein University, Timothy Bryant Mcknight

Masters Theses/Capstone Projects

No abstract provided.

Poster: The Opioid Epidemic: Assessment Of Primary Prevention Interventions In Muskingum County Public Schools, Terra Armstead

Doctor of Nursing Practice Scholarly Projects

Understanding that the Opioid epidemic is much greater than an epidemic of mortality is critically important. This epidemic is also an epidemic of dependence, addiction, disability, and other severe adverse events affecting millions of people in the U.S. (Franklin, Sabel, Jones, Mai, & Baumgarter, 2015). The opiod epidemic is complex and can be considered a man made epidemic.

The Opioid Epidemic: Assessment Of Primary Prevention Interventions In Muskingum County Public Schools, Terra Armstead

Doctor of Nursing Practice Scholarly Projects

Understanding that the Opioid epidemic is much greater than an epidemic of mortality is critically important. This epidemic is also an epidemic of dependence, addiction, disability, and other severe adverse events affecting millions of people in the U.S. (Franklin, Sabel, Jones, Mai, & Baumgarter, 2015). The opiod epidemic is complex and can be considered a man made epidemic.

Editorial: Invertebrate Models Of Natural And Drug-Sensitive Reward, Moira J. Van Staaden, Robert Huber

Biological Sciences Faculty Publications

The relationship between insects and humans is a complex one, characterized biotically as commensalism, mutualism, or parasitism. This collection of papers reveals yet another dimension, in which shared history invests invertebrate models with the power to interrogate critical challenges to the human reward system. As humans we take pride in approaching a given scenario rationally, in considering the possible options, assigning them values, and then choosing that which maximizes one's individual outcomes. So, why do drug addicts make choices that inevitably lead to ruinous consequences? Fundamentally, addiction appears to impair the very ability to form considered judgments, as it strips …

The Mandala As Response Art: A Method For Centering, Containing, And Exploring, Kristine Lorentzsen

Expressive Therapies Capstone Theses

This thesis examined research that explored the unique characteristics of art made within a circle—a form also known as the mandala. In addition, studies that researched the effects of mandala making on a variety of mental health conditions and as a diagnostic or assessment tool were reviewed. The results of this review suggest that the mandala art form has distinctive qualities, which may be beneficial in a variety of treatment settings. These findings were considered in relation to the practice of response art—art made by the art therapist in response to clinical work. Literature examining the effects of response art …

Effects Of Therapeutic Music On Improving Depressive Symptoms Among Long-Term Care Facility Residents, Yi Jin

Evidence-Based Practice Project Reports

Depression is a common mental disorder that can contribute to both physical and psychological suffering (Skinner, 2014). The prevalence rate of depression is especially high among long-term care facility residents (CounsultGeri, 2018; Lolk & Andersen, 2015). The purpose of this EBP project was to establish a protocol incorporating therapeutic music as an adjunct therapy for managing depressive symptoms among residents of a long-term care facility in the Midwest. Roy adaptation model (Roy, 2009) was utilized as the theoretical framework, and the model for evidence-based practice change (Rosswurm & Larrabee, 2009) guided the project implementation. A total of 13 subjects were …

Anxiety Is Something To Worry About: The Effects Of A Cognitive Behavioral Therapy And Selective Serotonin Reuptake Inhibitor Intervention Protocol On Generalized Anxiety Disorder, Alesha E. Mcclanahan

Evidence-Based Practice Project Reports

Generalized anxiety disorder (GAD) is highly prevalent in the United States with at least 12% of the population affected (Edmund & Sheppard, 2018). GAD can pose significant distress and debilitation throughout the lifespan (Bystritsky, Khalsa, Cameron, & Schiffman, 2013; Edmund & Sheppard, 2018). Barriers to treatment include adverse effects, inaccessibility, and expense. The purpose of this project was to implement an evidence-based protocol involving combination therapy with self-administered cognitive behavioral therapy (CBT) and selective serotonin reuptake inhibitor (SSRI) medication in order to improve patient outcomes through more accessible, affordable, and standardized treatment of GAD. The Neuman Systems Model and Stetler …