Other Mental and Social Health Commons^™

Improving Provider Adherence To Adolescent Depression Screening: Implementation Of A Standardized Phq-A Workflow In Pediatric Primary Care, Taylor P. H. Wamser

Student Scholarly Projects

Practice Problem: Adolescent depression is frequently under identified in pediatric primary care because of inconsistent implementation of routine depression screening despite national recommendations. This practice gap may delay diagnosis and treatment which may increase the risk of adverse mental health outcomes.

PICOT: The PICOT question that guided this project was: In pediatric primary care providers, how does the implementation of a standardized PHQ-A (Patient Health Questionnaire for Adolescents) workflow compared to informal screening practices affect provider adherence to depression screening guidelines over 12 weeks?

Evidence: Current evidence and national clinical practice guidelines support routine adolescent depression screening using validated tools …

Occupational Therapy For Maternal Pelvic Floor And Mental Health: A Holistic Approach To Recovery, Diana S. Theodore

Student Capstone Papers

Maternal pelvic floor dysfunction (PFD) is highly prevalent yet often underrecognized in occupational therapy practice, despite its significant impact on mental health, daily function, and quality of life. Many postpartum women experience symptoms such as urinary incontinence, pain with intimacy, and pelvic organ prolapse, which are frequently normalized or left untreated. Occupational therapy practitioners often have limited training in addressing the complex relationship between pelvic floor function and maternal mental health, contributing to gaps in care. The purpose of this capstone project was to develop a comprehensive handbook for occupational therapy students and practitioners integrating pelvic floor function and maternal …

Development Of A Mental Health Program For Work Rehabilitation, Vannida M. Nguyen, Cassandra Nelson

Spring 2026 OTD Capstone Symposium

Work-related injuries often result in decreased work performance and extended recovery time. This can lead to mental health challenges and a risk of re-injury. Typical work rehabilitation focuses on physical recovery while overlooking psychosocial factors. This capstone project developed a wellness program to support emotional wellness and improve return-to-work (RTW) outcomes. The program incorporated educational content, coping strategies, and interventions targeting emotional wellness for injured workers receiving physical therapy. Occupational therapy has the ability to address both physical and psychosocial factors and increase interdisciplinary efforts during work rehabilitation. Improved confidence reflected in the self-reported RTW-SE scores suggests that occupational therapy …

The Mommy Wine Culture: A Scoping Review Using The Person-Environment-Occupational Model., Sabina Khan

Student Dissertations

Maternal alcohol use as a coping response to parenting-related stress has received growing attention in public health and psychology but remains underexplored within occupational therapy. This gap limits understanding of how daily role demands, environmental pressures, and individual vulnerabilities combine to shape drinking as a functional coping behavior. This dissertation aimed to identify and synthesize factors associated with maternal alcohol use in the context of parenting stress and interpret these determinants using the person–environment–occupation model. A scoping review was conducted following the Arksey and O’Malley framework and reported according to PRISMA-ScR guidelines. Five databases were systematically searched without date or …

Integrating Maternal Pelvic Floor And Mental Health In Occupational Therapy, Diana S. Theodore, Lesley Sally Khan-Farooqi, Amanda Ciecior, Teresa Martinez, Brooke Caldwell

Spring 2026 OTD Capstone Symposium

This poster highlights an integrated occupational therapy approach to maternal pelvic floor and mental health. Postpartum recovery is often addressed in fragmented ways, separating physical symptoms from emotional and functional impact. This work emphasizes the connection between pelvic floor function, nervous system regulation, and daily activities. Drawing from clinical experiences across acute, outpatient, and community settings, this project presents practical, client-centered strategies to support recovery. Key areas include breathing, bowel and bladder health, and functional movement. By focusing on occupational performance, such as toileting, mobility, sleep, and caregiving. This approach demonstrates the role of occupational therapy in supporting whole-person postpartum …

Increasing Implementation Of The Comfortable Cafeteria Program To Promote School-Age Children’S Mental Health And Well-Being, Reinecka Mondesir, Angela Labrie Blackwell Phd, Otr

Summer 2025 OTD Capstone Symposium

Every Moment Counts (EMC) is a positive mental health promotion initiative that offers several initiatives to create inclusive environments that support student participation and emotional well-being throughout the school day. Comfortable Cafeteria, part of EMC, fosters positive mealtime experiences supporting peer interaction, emotional regulation, and inclusion. Many SBOT practitioners lack the resources to implement Comfortable Cafeteria, despite its benefits. This capstone project addresses the need for practical tools to help school-based occupational therapy (SBOT) practitioners integrate the Comfortable Cafeteria program into daily practice. Using the Multi-Tiered System of Supports (MTSS) framework, the project developed and disseminated an interactive, evidence-based video …

Factors That Contribute To Occupational Burnout Among Occupational Therapists And Certified Occupational Therapy Assistants: A Qualitative Design, M'Kayla Davis, Kim Broussard, Mary Jan Greer

Summer 2025 OTD Capstone Symposium

This capstone project investigates the prevalence, contributing factors, and impact of occupational burnout and compassion fatigue among occupational therapists (OTs) and certified occupational therapy assistants (COTAs) in inpatient rehabilitation facilities. Using a qualitative research design, structured interviews and thematic analysis, the study identifies heavy workloads, staffing limitations, emotional demands, and sleep deprivation as primary contributors to burnout. The research employs occupational adaptation theory to explore adaptive strategies practitioners utilize, such as boundary setting and seeking professional or interrelationship support, to mitigate these effects. Findings highlight the pervasive nature of burnout among participants on professional performance and personal well-being, and the …

Addressing Psychosocial Barriers To Participation In People Experiencing Homelessness: An Occupational Therapy Workshop, Preston Bender, Steven M. Gerardi, Lacey Spark

Summer 2025 OTD Capstone Symposium

Despite the occupational therapy (OT) profession's emphasis on holistic, person-centered care, many OT practitioners and students report feeling a lack of self-efficacy and preparedness to navigate the complex psychological, social, and systemic barriers that hinder occupational participation in people experiencing homelessness (PEH). This capstone project aimed to address the perceived unpreparedness among clinicians through the creation of an 8-hour interactive educational workshop aligned with Experiential Learning Theory. The content is grounded in the Model of Human Occupation (MOHO) and informed by the Bridging the Transition from Homelessness: A Social Justice Framework (BTTF), trauma-informed care (TIC), harm reduction, and diversity, equity, …

Advancing Mental Health Awareness Among Persons Of Color: An Occupational Therapy Perspective, Irene Rattitham, Cassandra Nelson

Summer 2025 OTD Capstone Symposium

This capstone project aimed to advance mental health awareness among persons of color (POC) residing in a skilled nursing facility by developing and implementing a culturally responsive psychoeducational program. Informed by the Person-Environment-Occupation (PEO) model, trauma-informed care, and mindfulness-based practices, the program addressed barriers such as stigma, limited awareness, and cultural perceptions of mental health. A needs assessment guided the creation of an 8-module curriculum covering topics like emotional regulation, family involvement, and accessing support. Educational materials were translated into Spanish, Korean, Japanese, and Vietnamese to enhance accessibility. The program was delivered through group and individual sessions, in-service presentations, and …

Opening The Outdoors: Experiences Of Black, Indigenous, And People Of Color (Bipoc) Adults In Outdoor Occupations To Support Mental Health, Jasmine Reynoso, Amy Lyons-Brown

Spring 2025 OTD Capstone Symposium

This mixed methods study explores the experiences of Black, Indigenous, and People of Color (BIPOC) adults in exploring and engaging in outdoor occupations to support mental health. Through 15 survey responses and 2 semi-structured interviews, data was collected and analyzed using descriptive statistics and reflective thematic analysis. The findings revealed three overarching themes: Barriers to Outdoor Occupations, Facilitators to Encourage Participation, and Personally Experienced Benefits. Participants explained how outdoor activities contribute to improved mental health, emotional regulation, and a sense of holistic well-being. By addressing the gap in research on nature-based occupations within BIPOC communities, this study highlights the need …

Family-Centered Care In Pediatric Oncology, Olivia B. Hope, Jazminne Orozco Arteaga Otd, Otr/L

Spring 2025 OTD Capstone Symposium

Pediatric cancer is a medical condition defined by the development of cancerous cells in children and adolescents. Play is a child’s job; it creates a sense of belonging, fills their internal desire to participate in various environments, and allows them to develop sensory, motor, and cognitive skills. The PEOP model further structured this study by providing a comprehensive framework that considers the interactions between the child, their environment, and their occupational participation. This research project used a qualitative, exploratory design to understand how play-based interventions may enhance FCC in the pediatric oncology setting. Thematic analysis was utilized to create five …

Combating The Impact Of Adverse Childhood Experiences On Self-Esteem And Emotion Regulation: An Art-Based Intervention Program, Kaileigh Kirk, Cynthia Haynes

Spring 2025 OTD Capstone Symposium

This poster presents an art-based intervention program developed and designed to positively impact self-esteem and emotion regulation in children with Adverse Childhood Experiences (ACEs) through evidence-based intervention activities and group discussions. This program was created with the hopes of expanding occupational therapy's knowledge and utilization of potential interventions for children with ACEs.

Return To Driving For Clients With Tbi: A Guide For Caregivers To Navigate Emotional Barriers Experienced By Clients, Brianna Dorsey, Mary Greer

Fall 2024 OTD Capstone Symposium

The project describes the building of an online resource for caregivers to have easily accessible resources regarding information about brain injuries, emotional barriers, and return to driving programs. Each section provides further resources for caregivers and is intended to help improve their care and medical literacy.

Breast Cancer Survivorship, Jayde Mosley, Rebecca King

Fall 2024 OTD Capstone Symposium

Activities of daily living become difficult for clients during breast cancer survivorship due to the physical and emotional alterations that take place in the body. A program will provide clients with a guide on what to expect during breast cancer survivorship. This guide will also be distributed to clients who undergo mastectomy procedures and other forms of treatment. It will provide them with information regarding dos and don’ts, symptoms, long-term effects, outreach and support groups, adaptive equipment, and more information on ways to improve their quality of life.

Increasing Leisure Activity Participation And The Quality Of Life Of People With Dementia And Their Caregivers, Karla Vela, Rebecca King, Keegan Mckay

Fall 2024 OTD Capstone Symposium

The problems associated with the progression of dementia, such as increased stress, and a decrease in engagement in leisure activities and social participation have a negative impact on the patients’ and caregivers’ quality of life. In addition, there is limited research on the long-term impact of occupational therapy leisure activity programs on patients with dementia and their caregivers’ quality of life. A leisure activity program was created for people with dementia and their caregivers to improve their leisure activity engagement and quality of life. Overall, the participant’s and caregivers benefitted from this program and had positive opinions based on the …

Occupational Therapy Role In Aiding Health Management For Caregivers Of Children With Neurological Conditions, Peyton Mcgee, Mary Jan Greer, Caitlin Boyd

Fall 2024 OTD Capstone Symposium

Neurological disorders are identified as a dysfunction on any part of the nervous system that cause disability (Kumar et al., 2022). In order to enhance the outcome of children with neurological conditions, there should be an emphasis on the role and well-being of their caregivers. Common symptoms of neurological disorders among children include delayed developmental milestones, seizures and epilepsy, regression of skills, abnormal movements and behaviors, headaches, sensory processing issues, and communication difficulties. Adjusting to a new normal can be overwhelming for caregivers, especially when children transition out of rehab. The aim of the proposed capstone project is to aid …

The Benefit Of Creative Arts-Based Interventions For Children With Autism Spectrum Disorder, Marissa Patrick, Zeida Gutierrez

Fall 2024 OTD Capstone Symposium

Autism Spectrum Disorder (ASD) is a neurodevelopmental condition that significantly affects emotional regulation, social communication, and executive functioning. Addressing emotional regulation in children with ASD is essential for enhancing mental health, quality of life, and functional independence in occupations such as social participation. Despite evidence supporting the use of creative arts-based interventions to improve mental health, limited research exists on their specific application for emotional regulation in this population.

This project aimed to implement and evaluate a creative arts-based intervention program designed to improve emotional regulation skills in children with ASD within occupational therapy (OT) practice. Conducted over five weeks …

Preventing Depression In Grandparents Raising Grandchildren: An Educational Video Series, Sabrina Casares, Steven Gerardi, Meghan Skidmore

Fall 2024 OTD Capstone Symposium

Grandparent caregivers often face increased risk for depression, yet access to mental health resources—particularly self-help approaches—is limited. Texas Grandparents Raising Grandchildren (TXGRG), a non-profit organization supporting grandparent caregivers, lacked a specific mental health resource to address this need. This capstone project developed and implemented a self-help, occupation-based educational video series to provide practical strategies for preventing and managing depression. Designed for accessibility and ease of use, the video series offers tools grounded in daily occupations to promote mental well-being. This project fills a critical gap by equipping TXGRG and its caregivers with a proactive, occupation-focused mental health resource to support …

Life Review And Reminiscence In Occupational Therapy Practice: An Educational Video Series, Andrea Garza, Steven M. Gerardi Phd, Otd, Mss, Otr

Fall 2024 OTD Capstone Symposium

Dementia is a progressive neurological disorder that impacts millions of people, leading to cognitive decline and functional impairment. Life review therapy and reminiscence therapy are effective treatment approaches that have been used with people with dementia to stimulate cognitive processes and provide emotional support by reflecting on past experiences. Although therapeutic occupations based on reminiscence and life review have been used in occupational therapy (OT) practice, there is limited literature on the topic to guide clinical practice. Problem: There is a lack of guidance on the integration of occupation-based life review and reminiscence into OT practice for people with dementia. …

Manualized Occupational Therapy Intervention For Children And Adolescents With Post-Traumatic Stress Disorder, Adam Mcmahon

Student Capstone Papers

Post-traumatic stress disorder (PTSD) in children can cause physiological and psychological reactions that can lead to impaired executive functioning and self-regulation skills that interfere with occupational engagement. Occupational Therapy (OT) utilizes an occupational perspective to treat children with PTSD. However, there is an absence of a manualized OT intervention in the literature that incorporates an occupation-based approach, utilizes graded occupation as the primary intervention, and tracks treatment progress and outcomes. The purpose of this capstone project was to create a manualized OT intervention protocol for OT practitioners to treat children with PTSD guided by the model of human occupation and …

Manualized Occupational Therapy Intervention For Children And Adolescents With Post-Traumatic Stress Disorder, Adam J. Mcmahon, Steven M. Gerardi

Summer 2024 OTD Capstone Symposium

The capstone poster demonstrates the purpose for a manualized occupational therapy (OT) intervention for OT practitioners to treat children with post-traumatic stress disorder. The intervention uses an occupation-based approach informed by behavioral activation therapy and the model of human occupation principles. The manual includes two parts. Part one demonstrates the foundational principles for OT practitioners to obtain knowledge, skills, and tools before implementing the intervention. Part two outlines the treatment process beginning with evaluation, introducing manualized OT intervention to the child and the family member(s) and/or caregiver(s), treatment application, progress note, and discharge. The manualized OT intervention will allow OT …

Increasing Occupational Engagement In Adults With Anxiety And Depression Through Martial Arts, Alfred Franklin, Keisa Boykin

Summer 2024 OTD Capstone Symposium

This poster is for a capstone project that developed a martial arts program for adults with anxiety and depression to increase occupational engagement in these individuals.

Occupational Therapy’S Role In The Success And Positive Outcomes Of Youth Within The Foster System, Cassidy Solomon

Student Capstone Papers

This capstone paper will discuss the development of an occupational therapy program to support the needs of youth within the foster system and prepare this population to live independently. Background information including statistics, the need for occupational therapy, and the program specifics such as rationale, significance, and objective are discussed. The development of an occupational therapy program to aid in the success of children within the foster care system helps close a gap in research that will contribute to this population's success and positive outcomes. The purpose of this capstone was to develop a program for children in the foster …

Occupational Therapy’S Role Within The Foster System, Cassidy Solomon, Cassandra Nelson

Summer 2024 OTD Capstone Symposium

This poster will discuss the development of an occupational therapy program to support the needs of youth within the foster system to prepare this population to live independently. Background information including statistics, the need for occupational therapy, and the program specifics such as rationale, significance, and objective are displayed. The development of an occupational therapy program to aid in the success of children within the foster care system helps to close a gap in research that will contribute to the success and positive outcomes of this population. The purpose of this capstone was to develop a program for children in …

Wellness Research & Programming For Bodybuilders, Victoria Castillo, Karen Park, Kersten Laughlin

Spring 2024 Virtual OTD Capstone Symposium

This project explores the occupational impact on bodybuilders and wellness & program development for competitive bodybuilders. Phase one focuses on research to understand the occupational impact on bodybuilders during competition. Phase two, which focuses on program development, highlights the alignment to the objectives as they allow for the development of an educational program intended for bodybuilder coaches to help with health prevention and wellness with their bodybuilder clients.

An Evidence-Based Approach For Decreasing Burnout In Health Care Workers, Leonor T. Salalila

Student Scholarly Projects

Practice Problem: Health care worker (HCW) burnout is a pervasive phenomenon within the healthcare industry, affecting professionals across various disciplines. Emotional exhaustion is a prominent feature, leading to feelings of being emotionally drained, overwhelmed, and unable to cope effectively with the demands of the job. Additionally, burnout often results in a significant lack of motivation among HCWs, who may struggle to find meaning and purpose in their work, exacerbating feelings of frustration and disillusionment. Consequences extend beyond individual well-being, impacting healthcare organizations with reduced work efficacy, low productivity, increased absenteeism, and high turnover rates. Addressing burnout requires a multifaceted approach, …

Policy Review And Recommendation For Secondary Education Np-Led Clinics In The Southeastern United States, Shiney Alex Jacob

Student Scholarly Projects

Secondary-level education involves adolescent children aged 11-12 years to 18-19 with unique healthcare needs. Their healthcare is of significant importance as they are transitioning to adulthood, and a majority of them lack access to primary healthcare needs. Advanced Practice Registered Nurses/Nurse Practitioners (APRNs/NPs) provide high-quality, cost-effective, and evidence-based care to people across the lifespan, and there is minimal utilization of their services in meeting the primary care needs of adolescents at the secondary school level. The purpose of the policy project was to determine if current policies and practices related to school health services in three southeastern states of the …

The Role Of Occupational Therapy And The Use Of Physical Agent Modalities And Occupational Therapy Interventions To Decrease Pain Associated With Endometriosis To Provide Increased Occupational Performance In Leisure Activities, Ciara Autumn Pearce, Keisa Boykin

Fall 2023 Virtual OTD Capstone Symposium

Endometriosis is a condition that can affect women of reproductive age (Kalaitzopoulos et al., 2021). This condition causes endometrial-type tissue to grow outside of the uterus (Kalaitzopoulos et al., 2021). Women diagnosed with endometriosis often have difficulty participating in their daily responsibilities and leisure activities. In a study completed by Lozano-Lozano et al., 2021, 22.6% of women reported limitations in at least one activity of daily living and instrumental activity of daily living. Other limitations include incontinence, meal preparation, leisure activities, and household chores (Mundo-López et al., 2020). Symptoms of endometriosis often include chronic fatigue, anxiety, depression, sexual dissatisfaction, and …

Occupational Therapist Perception And Utilization Of Occupation-Based Evaluation And Assessment With Children And Youth With Asd., Zalome Restrepo, Pam Kasyan-Howe, Kristin Domville, Kristina Hartsook

Spring 2023 Virtual OTD Capstone Symposium

Children with ASD participate less in ADLs & IADLs than typically developing children(Travers et al.,2022). The problem is a gap between the known occupation-based assessments and utilization of the assessments by occupational therapists treating children and youth with ASD (Manee et al., 2020; Luna, 2019). This gap results in decreased activity participation diversity for the child and decreased ability for the occupational therapists to evidence effectiveness of occupation-based services (Manee et al., 2020; Luna, 2019). The purpose of this quantitative type of capstone project is to analyze occupational therapists who treat children and youth with ASD to determine the utilization …

Supporting Caregivers Of The Aging Adult: A Program Evaluation, Tanya O'Brien

Student Scholarly Projects

There is an ever-increasing burden on caregivers of individuals with cognitive illness as a result of the increasing number of older adults with dementia and Alzheimer's disease. Currently, St. John's County Florida offers three programs designed to provide support for caregivers of individuals with cognitive illness. This project evaluated the three programs as part of a program evaluation to determine the efficacy of program selection for sustainability. Utilizing the Center for Disease Control's (CDC) Program Evaluation Framework (PEF), a detailed and thorough evaluation review of the Power Tools for Caregivers, Savvy Caregiver, and an original three-model program developed by the …