Mental and Social Health Commons^™

Clinical Practice Guideline For Treating Depression In Lgbtq+ Patients In Primary Care, Shantrice Bernice Nichols-Bates

Walden Dissertations and Doctoral Studies

The lesbian, gay, bisexual, transgender, and queer/questioning (LGBTQ+) population is at increased risk for depression, poor mental health outcomes, and higher instances of suicidality and reluctance to seek care for mental health issues in comparison to their non-LGBTQ+ peers. The identified gap in practice was the need for an evidence-based clinical practice guideline (CPG) for managing mild to moderate depressive disorder in the LGBTQ+ patient at a primary care clinic located in the southeastern United States. The purpose of this project was to develop a CPG to aid primary care providers in screening for, identifying, and managing mild to moderate …

Mental Health Counselors’ Use Of Complementary And Alternative Approaches For Treating Individuals With Anxiety Disorders, Jane Rose Simmons

Walden Dissertations and Doctoral Studies

Anxiety disorders are one of the most prevalent mental health disorders worldwide. Traditional counseling approaches do not address the evolving needs of individuals with anxiety disorders, and information is scarce regarding counselors’ use of complementary and alternative approaches in treating anxiety disorders. The purpose of this quantitative survey study was to investigate whether counselors’ knowledge, perceptions, intentional practices, and openness predicted their use of complementary and alternative approaches in counseling individuals with anxiety disorders. The integrative mental health model for the conceptual framework guided this study. The research questions examined how five variables—spirituality, specialization, types of anxiety disorders treated, training, …

Black Women, Mental Health Treatment, And Spiritual Healing: A Transcendental Phenomenological Study, Grace M. Abraham Lewis

Walden Dissertations and Doctoral Studies

Counselor educators are ill-equipped to train counselors to prepare to meet the needs of Black Christian Pentecostal Women (BCPW) because there is a lack of information on this population. To increase cultural competency, counselors need to be more aware of the experiences of this population. The purpose of this study was to explore the lived experiences of BCPW who sought community mental health counseling concurrent with deliverance practices through the church. Using Edmund Husserl’s transcendental phenomenological approach as the conceptual framework, semi-structured interviews via zoom were conducted with 4 BCPW who were active members of the Christ Throne International Ministries …

Factors That Affect Anxiety And Acculturation In Syrian Emigrants, Thomas H. Anderson

Walden Dissertations and Doctoral Studies

Since the Syrian civil war began in 2011, more than 6 million Syrians have registered as refugees. Many displaced Syrians suffer myriad mental health disorders, including anxiety, which become a burden as they attempt to acculturate into a foreign culture. Research to understand the Syrian refugees has been conducted since the conflict began; however, the findings are inconsistent. Existing academic research does not adequately capture the depth of anxiety of Syrian emigrants, nor does it present an accurate picture of the challenges of acculturation. The purpose of this quantitative study was to examine the differences in anxiety and acculturation based …

The Tragedy Of Caspian: C. S. Lewis And His Trauma, Chandler Hanton

College of Graduate Studies: Theses & Dissertations

This thesis reconsiders C.S.Lewis’ The Chronicles of Narnia as a type of scriptotherapy that enabled Lewis to process and come to terms with a life full of serious and significant traumatic events. Trauma theory offers a vehicle for us to consider the alignments and connections between Lewis himself and his fictional creation, Caspian. In the specifics of both characterization and incident, Lewis mirrors the events and relationships that instilled and healed the trauma in his own life. In situating Caspian as his alter-ego, Lewis allowed his writing to function as a gender-specific therapeutic process for addressing the effects of his …

Raising Awareness Of Second Victim Phenomenon And Supportingyou: A Quality And Safety Initiative, Megan Renee Bryant

Graduate Theses, Dissertations, and Problem Reports (ETD)

Current literature has established a need for practice change in management of healthcare-related critical incidents. Peer-support programs have been cited as the most impactful resource healthcare professionals request following a critical incident (Daniels & McCorkle, 2016). SupportingYOU, a peer-support program, is in the process of expansion at a large academic children’s hospital in northern West Virginia in anticipation for the opening of a new facility. The specific aim of this project was to raise awareness of second victim phenomenon (SVP), SupportingYOU, and perception of awareness of resiliency. Interventions included multi-formatted educational sessions on SVP and SupportingYOU via PowerPoints, brochures, flyers, …

The Politics Of Drug Rehabilitation In The Philippines, Gideon Lasco, Lee Edson Yarcia

Development Studies Faculty Publications

The international consensus to end compulsory drug treatments and close forced rehabilitation facilities needs urgent transformation to country policies. In the Philippines, as with other countries in Asia, rehabilitation can be compulsory and is seen as the humane alternative to the “war on drugs.” In this paper, we present the landscape of rehabilitation and narrate the ways in which people who use drugs are forced to undergo treatment. We unpack the politics behind rehabilitation and explain the sociocultural foundations that support compulsory treatment. We argue that a transition to a human rights-based approach, including voluntary alternatives in community settings, is …

An Analysis Of Georgia Mothers Who Gave Birth In 2015 And 2016 Without Receiving Prenatal Care, Joncel Stephens, Shanta R. Dube, Merrilee Gober

Journal of the Georgia Public Health Association

Background: The present study characterizes the population of women residing in the state of Georgia who did not receive prenatal care before giving birth to a live infant. The association between mother’s place of residence (rural/non-rural) and preterm delivery was also examined.

Methods: This study examined data obtained from the Georgia Department of Public Health which includes data for 7,062 mothers who did not receive prenatal care before giving birth to a live infant in Georgia in the years 2015 and 2016. Data on the resulting births was also studied. Descriptive analyses of the following variables were used …

Perception Of Health Care Access In Rural Georgia: Findings From A Community Health Needs Assessment Survey, Elisa M. Childs, Tiffany R. Washington

Journal of the Georgia Public Health Association

Background: Limited access to health care services has been cited as a barrier to care for individuals who live in rural areas, contributing to significant health disparities in this population. While perception of services has been cited as a determinant of utilization of health services, it is unknown how perception of services influences health care access in rural areas. The paucity of studies specific to areas in the United States that are medically underserved, necessitated this study and its quantification of the issues that are relevant to individuals living in rural Georgia.

Methods: This study examined the perception of health …

สุขภาวะทางจิตและการเห็นคุณค่าในตนเองของเด็กและเยาวชนในศูนย์ฝึกและอบรมเด็กและเยาวชนบ้านกาญจนาภิเษก, ปพนพัชร์ ชัยศิริวิกรม

Chulalongkorn University Theses and Dissertations (Chula ETD)

งานวิจัยชิ้นนี้เป็นการศึกษากลุ่มเด็กและเยาวชนภายในศูนย์ฝึกและอบรมเด็กและเยาวชน โดยดำเนินการศึกษาเชิงพรรณนา ณ ช่วงเวลาใดเวลาหนึ่ง เพื่อศึกษาเกี่ยวกับสุขภาวะทางจิตและการเห็นคุณค่าในตนเอง ความเกี่ยวข้องกันของสุขภาวะทางจิตและการเห็นคุณค่าในตนเอง รวมถึงปัจจัยที่เกี่ยวข้องของสุขภาวะทางจิตและการเห็นคุณค่าในตนเองของเยาวชนในศูนย์ฝึกและอบรมเด็กและเยาวชนบ้านกาญจนาภิเษกซึ่งเป็นเพศชายทั้งหมดจำนวน 52 คน ดำเนินการเก็บรวบรวมข้อมูลโดยใช้แบบสอบถามข้อมูลพื้นฐานทั่วไป แบบประเมินสุขภาวะทางจิต และแบบประเมินการเห็นคุณค่าในตนเอง วิเคราะห์ข้อมูลด้วยสถิติเชิงพรรณนาและสถิติเชิงอนุมาน ทั้งนี้ผลการวิเคราะห์ข้อมูลพบว่ากลุ่มตัวอย่างส่วนใหญ่มีสุขภาวะทางจิตและการเห็นคุณค่าในตนเองระดับปานกลางคือร้อยละ 48.1 และร้อยละ 65.4 ตามลำดับ พบคะแนนของสุขภาวะทางจิตและคะแนนการเห็นคุณค่าในตนเองของกลุ่มตัวอย่างมีความเกี่ยวข้องสัมพันธ์กันในทางบวกระดับสูงอย่างมีนัยสำคัญทางสถิติ (r=.740, p<0.01) และพบว่าปัจจัยเกี ่ยวกับการมีแบบอย่างที ่ดีในปัจจุบันมี นัยสำคัญทางสถิติที ่เกี ่ยวข้องกับสุขภาวะทางจิต (p<0.05) โดยเป็นปัจจัยเดียวที ่เกี ่ยวข้องกับสุข ภาวะทางจิตอย่างมีนัยสำคัญ ภายหลังจากการวิเคราะห์ถดถอยลอจิสติกยังคงพบนัยสำคัญทาง สถิติในการทำนายระดับสุขภาวะทางจิต (B=-1.402, p<0.05) แต่ทว่าไม่พบปัจจัยที่สัมพันธ์กับการ เห็นคุณค่าในตนเองของกลุ ่มตัวอย่างในครั ้งนี้ ผลจากการศึกษานี ้สามารถเป็นแนวทางในการดูแล และส่งเสริมเด็กและเยาวชนภายในศูนย์แห่งนี ้ให้มีสุขภาวะทางจิตและการเห็นคุณค่าในตนเอง เพิ่มขึ้นในอนาคต

The Detrimental Impact Of Alcohol Intoxication On Facets Of Miranda Comprehension, Amelia Mindthoff, Jacqueline R. Evans, Andrea C. F. Wolfs, Karina Polanco, Naomi E. S. Goldstein, Nadja Schreiber Compo

Psychology Faculty Articles and Research

Objective: Law enforcement officers often encounter alcohol-intoxicated suspects, suggesting that many suspects are presented with the challenge of grasping the meaning and significance of their Miranda rights while intoxicated. Such comprehension is crucial, given that Miranda is intended to minimize the likelihood of coercive interrogations resulting in self-incrimination and protect suspects’ constitutional rights. Yet, the effects of alcohol on individuals’ ability to understand and appreciate their Miranda rights remain unknown—a gap that the present study sought to address. Hypotheses: Informed by alcohol myopia theory (AMT), we predicted that intoxicated individuals would demonstrate impaired Miranda comprehension compared to sober …

Attachment Theory To Inform Intervention In Correctional Populations With Adverse Childhood Experiences And Substance Use Disorders, Samantha Mendoza

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

Research shows a correlation exists between Adverse Childhood Experiences (ACEs) and poor mental health such as psychiatric and substance use disorders (Adshead, 2018). Research further suggests a correlation between ACEs and insecure attachment in adults (Adshead, 2018). The National Institute on Drug Abuse (2020) estimates 85% of the correctional population either has a substance use disorder or was incarcerated for a drug-related offense. This paper theorizes that those involved in the correctional system with a history of high ACE scores and substance use also experience insecure attachment, which is not currently addressed in correctional SUD programs. Attachment theory moderates the …

Books To Support Mental Well-Being: A Study On The Possible Challenges In Implementing Bibliotherapy In The Sri Lankan Context, R.A.P.S. Senevirathna, L.H.M.D.S. Lansakara

Library Philosophy and Practice (e-journal)

This ongoing research examines the Bibliotherapy in several aspects. Bibliotherapy is the "process of dynamic interactions between the personality of the reader and literature as a psychological field which may be utilized for personality assessment, adjustment and growth" (Shrodes, 1949). The focus of the study is on defining the concept, determining the capacity of Bibliotherapy to support mental well-being and discuss the possible challenges in applying Bibliotherapy to the Sri Lankan context. The study involved a qualitative thematic analysis concerning the selected areas. The study revealed that Bibliotherapy is a therapeutic approach which is assisted by the healing power of …

An Exploration On The Barriers To Accessing Mental Health Services Among South Asian Youth, Oeishi Faruquzzaman

Theses and Dissertations (Comprehensive)

Research in Canada and the United States has found that South Asians routinely underutilize mental health services, however research on the barriers experienced by South Asians is limited, especially research regarding the experiences of South Asian youth (Inman et al., 2014; Islam et al., 2017; Karasz et al., 2016). Through a series of semi-structured interviews (N=20) with South Asian youth between the ages 16 to 27 in the Greater Toronto Area, the present study explores South Asian youths’ experiences accessing mental health services and the impact of COVID-19 on mental health and service use. Thematic analysis of interview data reveal …

Cost Of Care For Asylum Seekers And Refugees Entering The United States: The Case Of Volunteer Medical Providers In El Paso, Texas, Rigoberto I Delgado, Manuel De La Rosa, Marlon A Picado, Lisa Ayoub-Rodriguez, Celia E Gonzalez, Leopold Gemoets

Faculty, Staff and Student Publications

BACKGROUND: Between October 2018, and February 2020, the United States saw an unprecedented increase in the number of asylum seekers and refugees arriving unexpectedly at international crossings along the US-Mexico Border. Many of these migrants needed proper medical attention, and consequently created significant pressure on local health systems. In El Paso, Texas, volunteer clinicians, collaborating closely with religious organizations and non-governmental organizations, provided outpatient medical care for the new arrivals; the county hospital provided in-patient care at local tax payers' expense. The objective of this study was to estimate costs of healthcare services offered by these volunteers in order to …

Distinguish Bipolar And Major Depressive Disorder In Adolescents Based On Multimodal Neuroimaging: Results From The Adolescent Brain Cognitive Development Stud, Yujun Liu, Kai Chen, Yangyang Luo, Jiqiu Wu, Qu Xiang, Li Peng, Jian Zhang, Weiling Zhao, Mingliang Li, Xiaobo Zhou

Faculty, Staff and Student Publications

BACKGROUND: Major depressive disorder and bipolar disorder in adolescents are prevalent and are associated with cognitive impairment, executive dysfunction, and increased mortality. Early intervention in the initial stages of major depressive disorder and bipolar disorder can significantly improve personal health.

METHODS: We collected 309 samples from the Adolescent Brain Cognitive Development study, including 116 adolescents with bipolar disorder, 64 adolescents with major depressive disorder, and 129 healthy adolescents, and employed a support vector machine to develop classification models for identification. We developed a multimodal model, which combined functional connectivity of resting-state functional magnetic resonance imaging and four anatomical measures of …

Sulfhemoglobinemia And Methemoglobinemia Following Acetaminophen Overdose, Justin A Seltzer, Irvan Bubic, Garret A Winkler, Nathan A Friedman, Jessica Bagby, Christian A Tomaszewski, Richard F Clark, Allyson Kreshak, Daniel R Lasoff

Faculty, Staff and Student Publications

INTRODUCTION: Though acetaminophen overdoses are common, acetaminophen induced methemoglobinemia is rare and it is thought to be due to oxidative stress from reactive metabolites. However, few prior cases of sulfhemoglobinemia in the setting of acetaminophen overdose have been reported. We report a case of mixed methemoglobinemia and sulfhemoglobinemia in the setting of a large, isolated acetaminophen ingestion.

CASE REPORT: A 30-year-old African American male presented after intentionally ingesting 50 tablets of 500 mg acetaminophen two days prior. He was cyanotic and tachypneic. Peripheral oxygen saturation was 78 % on room air and minimally improved with high-flow oxygen. He was noted …

Telehealth Delivery Of Acceptance And Commitment Therapy And Recreational Therapy: Supporting People With Chronic Pain During The Covid-19 Pandemic, Grace L. Roy

Honors Theses and Capstones

Chronic pain is a significant public health problem that requires person-centered and comprehensive care to address the many socioecological factors that contribute to pain. Within the context of the COVID-19 pandemic, telehealth options for chronic pain management can help more people access the care that they need. The purpose of the current pilot study was to investigate the efficacy and feasibility of delivering a 6-week Acceptance and Commitment Therapy (ACT) and recreational therapy intervention via telehealth for a group of seven participants with chronic pain. It was found that TeleACT-RT was associated with positive behavioral outcomes including increased psychological flexibility, …