Psychiatric and Mental Health Commons^™

Preliminary Outcomes, Acceptability, And Feasibility Of A Brief Crisis Response Planning Intervention For Reducing Suicide Risk In Primary Care Behavioral Health Patients, Aubrey R. Dueweke

Graduate Theses and Dissertations

Primary care is an important setting for improving identification and treatment of people at risk for suicide. However, there are few developed protocols for management of suicide risk in this setting. This study aimed to evaluate the preliminary outcomes, acceptability, and feasibility of a brief crisis response planning intervention for patients at a moderate risk for suicide in a primary care behavioral health (PCBH) setting. The outcomes examined included change in suicidal cognitions, suicidal intent, hope, and coping efficacy. Twenty-two adult primary care patients at moderate risk for suicide participated in this study, which involved filling out self-report measures before …

Effects Of Multivitamin-Mineral Supplementation On Mental Health Among Young Adults, Ya-Hsuan Chang

Graduate Theses and Dissertations

The percentage of young adults who had mental illnesses has increased from 2008 to 2015. However, few existing studies investigating the potential benefits of multivitamin-mineral (MVM) supplementation on mental health focused on young adults (18-24 years of age), whose eating behaviors are often unhealthy. The purpose of this study was to examine the effects of a MVM supplement on mental health in young adults. One hundred and thirty-three college students (Mage=20.59, SD=1.77; 80.15% female) participated in this randomized, double-blind, placebo-controlled trial. Participants consumed either a MVM supplement or a placebo for 30 days. The supplement contained B Vitamins, Vitamin C, …

Barriers Of African American Football Student-Athletes In Seeking Mental Health Services, Todd Andrew Wilkerson

Graduate Theses and Dissertations

Nearly half (48%) of collegiate football student-athletes are African American (NCAA, 2018). African American student-athletes face adversity at their respective institutions in the forms of racism and unfair treatment (Hill, Hall & Appleton, 2010). African American male student-athletes face educational stressors, campus stressors and athletic stressors. These stressors consist of academics, family, athletics and social relationships (Miller & Hoffman, 2009). Many African American student-athletes do not seek mental health treatment due to their status on campus (Watson, 2006). However, few studies have examined mental health and barriers for African American male student-athletes when seeking mental health services. As such, the …

Implementation Of An Evidence-Based, Electronic Clinical Algorithm To Improve Screening, Evaluation, And Referral Of College Students For Depressive Symptoms And An Evaluation Of Differences Based On Sexual Orientation And Gender Identity Data, Chris Webb

Graduate Theses, Dissertations, and Capstones

The purpose of this project was to improve the screening, evaluation, and referral of college students (LGBTQ+/Heterosexual) for depressive symptoms through the implementation of an evidence-based, electronic clinical algorithm. There is evidence in the literature indicating that there are increased mental health disparities among college students and the LGBTQ+ population. The prevalence of depressive symptoms among university students is higher than the general population, requiring university student health centers to implement enhanced screenings for depressive symptoms and identification of depression predictors. Prior to implementation of this project, a student health clinic in the Southeastern part of the United States used …

Barriers To Epilepsy Care In Central Uganda, A Qualitative Interview And Focus Group Study Involving Plwe And Their Caregivers, Martha Sajatovic, Carol Blixen

Faculty Scholarship

Background: Epilepsy is a common neurological disease with substantial impact on the subject and their caretakers. This exploratory study identified barriers to care for persons living with epilepsy (PLWE) to develop a culturally acceptable nurse led self-management intervention for PLWE previously developed in the United States. Methods: The study involving 48 participants (31 PLWE and 17 caregivers) with in depth interviews and focus groups was conducted. We obtained insights into barriers to care in PLWE and their caregivers. Using a thematic analytic procedure emphasizing the dominant themes the qualitative responses were analyzed. Median age of PLWE was 24 years (IQR …

Barriers To Mental Health Treatment In Patients Referred By Primary Care, Rebecca Palmer

Dissertations

Problem: Limited access to mental health treatment is one of many potential barriers to treating mental illness in the United States. Where resources are readily available, reportedly high no-show rates for established mental health appointments suggests further investigation is necessary to identify frequent barriers within that population. This was a quality improvement project to identify common themes in patient-reported barriers to care.

Methods: A 4-question phone survey was offered to individuals that did not appear at their mental health appointment. Data was analyzed to identify the most commonly reported barriers to mental health treatment. Additional data collected includes reported history …

Identifying Depression In The National Health And Nutrition Examination Survey Data Using A Deep Learning Algorithm, Jihoon Oh, Kyongsik Yun, Uri Maoz, Tae-Suk Kim, Jeong-Ho Chae

Psychology Faculty Articles and Research

Background

As depression is the leading cause of disability worldwide, large-scale surveys have been conducted to establish the occurrence and risk factors of depression. However, accurately estimating epidemiological factors leading up to depression has remained challenging. Deep-learning algorithms can be applied to assess the factors leading up to prevalence and clinical manifestations of depression.

Methods

Customized deep-neural-network and machine-learning classifiers were assessed using survey data from 19,725 participants from the NHANES database (from 1999 through 2014) and 4949 from the South Korea NHANES (K-NHANES) database in 2014.

Results

A deep-learning algorithm showed area under the receiver operating characteristic curve (AUCs) …

Risk And Resilience Pertaining To Mental Health Of Youth Attending A College In Kathmandu Who Were Exposed To The 2015 Earthquakes During Their Adolescence: A Mixed Method Study, Vinita Sharma

USF Tampa Graduate Theses and Dissertations

Background: Adverse mental health outcomes have been previously reported among survivors of natural disasters. Available studies mostly focus on risk factors and not resilience. In 2015, a series of earthquakes caused massive loss of lives and livelihood in Nepal. Epidemiological data pertaining to youth mental health in Nepal is limited. Information about the post-earthquake mental health of youth who were exposed to earthquakes during their adolescence in Nepal is scarce.

Purpose: The purpose of this study was to address risk and resilience factors related to mental health among college-attending Nepali youth (18-20 years) exposed to the 2015 earthquake during their …

Understanding The Implementation Of Integrated Care For People Living With Hiv, Vickie A. Lynn

USF Tampa Graduate Theses and Dissertations

Introduction: The integration of physical and behavioral health services is an innovative method of delivering health care services for persons dual or triply diagnosed with HIV, mental health and/or substance use disorders. Reducing the fragmented delivery of health services by integrating services into one setting is essential to providing holistic patient-centered care and address the complex health needs of this population. Although research shows integrated care improves health outcomes, little is known about the implementation of integrated care in real-world settings because the perspectives and experiences of those delivering and receiving integrated health and social services are underrepresented in the …

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 …

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. …

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 …

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 …

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.

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 …

A Heartfulness Meditation Intervention In University Students Using Mixed Methodology, Dipta Amatya

Health and Kinesiology Theses

Objective: This is a mixed methods study in which Heartfulness meditation was introduced to university students. The objective of this study was to demonstrate a link between Heartfulness meditation and mental health as well as a link between Heartfulness meditation and Emotional Intelligence. The study also explored the experiences of the students after the meditation practice.

Background: College students have greater levels of stress and psychopathology now than at any other time in the nation’s history. Increases in mental distress can lead to serious mental health disorders in the future so there is a need for self-care skills for students …

Digital Music Making: Developing A Method For Using Technology In Music Psychotherapy, Sangeetha Kavety

Expressive Therapies Capstone Theses

The use of technology, specifically digital songwriting and music making, in the context of psychotherapy is a subject that is not yet as well researched or practiced in the field of music therapy. The majority of the existing literature acknowledges the assistive function that technology such as tablets, smartphones, and computers can play in treatment of populations with cognitive and motor difficulties. However, there is little regarding the use of technology as the main means of creating music, and even less in the context of treatment of psychiatric disorders in children and adolescents in family settings. For this capstone project, …

Expressive Mindfulness: A Trauma-Sensitive Expressive Arts Therapy Group Method, Meghan Daly

Expressive Therapies Capstone Theses

Mindfulness and expressive arts therapy are both supportive of directing attention in a manner that promotes integration and function of a person. In this paper, a trauma-sensitive method was created for use in a day treatment setting for adults with severe and persistent mental illness (SPMI). This method utilized expressive movement, visual art making with three different materials, and creative writing to encourage mindful, non-judgmental acceptance of the present moment; a sense of relaxation; and an overall increase in quality of life. During development of the method arts-based research informed the choice of materials, music, and structure of the group. …

A Laughing Matter: Transforming Trauma Through Therapeutic Humor And Expressive Arts Therapy, Alison M. Landoni

Expressive Therapies Capstone Theses

Humor and trauma share two characteristics: they are both perspectival in nature and hold incongruity at their core, however, their impacts are profoundly different for the perceiver. As humor and laughter open one’s psyche and invite positive social exchanges, trauma produces more dissociative, dysregulated and dysfunctional interactions. While fundamental to interpersonal experiences, there has been limited research about the use of humor and laughter as essential tools within the mental health therapeutic alliance. Neurological research and case studies have shown that humor and laughter can have hormonal, physiological and psychological benefits. Due to the perspectival nature of humor and trauma, …

Experiences Of Single-Session Improvisational Group Music Therapy: Therapist And Patient Reflections From Inpatient Psychiatry, Yu-Ying Chen

Expressive Therapies Dissertations

The purpose of this study was to explore therapists’ and patients’ experiences in order to draw a composite picture of single-session improvisational group music therapy. This phenomenological study included ten therapist participants and nine patient participants. Each participant engaged with a single-session group musical improvisation and verbal discussion in a pre-designed protocol. The data analysis was conducted in three stages. In the first analysis stage, participants’ verbal feedback and discussion were analyzed using Moustakas’s (1994) method, yielding key words with quotations. In the second stage, Moustakas’s (1994) method of analysis was also adapted for an analysis of the music, yielding …

Visual Art Therapy, Attachment, And The Adoption Constellation: A Literature Review, Caitlin Woodstock

Expressive Therapies Capstone Theses

The following literary review is intended to synthesize existing data pertaining to art therapy and its application within adoption informed therapy. The adoption experience will be explored, and the basic tenants of trauma and attachment will be outlined. Current modes of trauma-informed therapy will be introduced and their compatibility with art therapy will be explored. The author will introduce a variety of art therapy interventions as presented through an assortment of theoretical lenses. These applications will be subdivided into their application with individual constellation members, families, groups, and will extend to immigrants and displaced individuals likely to enter into the …

Mental Sensorium, Brittany Adkins

Bachelor of Architecture Theses - 5th Year

According to ADAA, nearly one-half of those diagnosed with depression are also diagnosed with an anxiety disorder. Anxiety disorders are highly treatable but only 36.9% are receiving any kind of treatment. Anxiety disorders develop based on a set of factors including genetics, brain chemistry, personality, and life events. Many do not realize but our environment, especially the built environment we inhabit every day can have a positive or negative effect on our mental well-being. Architecture should not just focus on the physical needs of their inhabitants but the mental health needs as well.

The built environment has a considerable impact …

Intrusive Thoughts - Guitar, Voice, & String Quintet, Joseph M. Young

Theses and Dissertations

This four-movement song addresses mental health, specifically that of Obsession Compulsive Disorder and the symptom of intrusive thoughts that are often associated. From the point of view of an individual suffering from OCD, each movement describes the disorder and portrays different stages of dealing with and managing emotions and relationships.

Affective Disturbance In Mild Cognitive Impairment, Jason Greenhagen, Emily Matusz, Sheina Emrani, David Libon, Sherry Pomerantz

Rowan-Virtua Research Day

Mild cognitive impairment (MCI) is an identifiable, prodromal stage of cognitive impairment and has been further defined into subtypes: amnestic, language, executive functioning, and multi domain/mixed MCI (Jak et al. 2009 ). The purpose of this study is to (1) examine the differences in depression, anxiety, and apathy between MCI subtypes; and (2) assess the relationship between the neurocognitive domains (executive functioning, language, and memory and affective symptoms. We hypothesize that apathy will be greater in dysexecutive/mixed MCI (dys/mixed MCI) and be more highly correlated to neurocognitive deficits compared to depression or anxiety. This is a retrospective study of 113 …

Survey Of Primary Care Physicians’ And Pediatricians’ Competency In Identifying Prodromal Symptoms In Schizophrenia And Psychotic Disorders, Mark Shephard, Joanna Petrides

Rowan-Virtua Research Day

• To address whether primary care physicians and pediatricians are equipped to recognize the prodromal symptoms of psychotic disorders

• Patients of primary care physicians exhibited increased help seeking behaviors prior to schizophrenia diagnosis [1]

• Primary care physicians in numerous countries have shown a lack of sufficient knowledge related to diagnosing and treating schizophrenia [2,3,4,5,6]

• Unclear if primary care physicians in the United States are adequately trained and prepared to recognize prodromal signs of schizophrenia, and diagnose and treat a variety of psychotic disorders

Mental Health Symptom Severity In Cannabis-Using And Non-Using Veterans With Probable Ptsd, Matthew J. Johnson, John D. Pierce, Shahrzad Mavandadi, Johanna Klaus, Diana Defelice, Erin Ingram, David W. Oslin

Rowan-Virtua Research Day

BACKGROUND:

Posttraumatic Stress Disorder (PTSD) is a disabling illness suffered by many veterans returning from war. Some veterans believe that cannabis may be therapeutic for PTSD. The purpose of this study was to better understand the association between cannabis use and PTSD symptoms.

METHODS:

The study was a matched case-control cross-sectional evaluation of the psychiatric and sociocultural associations of cannabis use in veterans with probable PTSD. Patient self-report measures were examined comparing cannabis users (cases) to non-users (controls) who were case-matched on age and gender.

RESULTS:

Results indicated that there were no significant differences between cases and controls in mean …

Omt For The Treatment Of Depression And Anxiety, Zachary Winchell

Rowan-Virtua Research Day

Osteopathic manipulative therapy (OMT) fundamentally aims to remedy somatic dysfunction through the manipulation of the patient. In this regard, OMT is a particularly viable non-pharmacological adjunct for patients with depressive and generalized anxiety disorder (GAD).

In both of these disorders, the hypothalamic-pituitary-adrenal axis has an interdependent relationship with physiological stress that feed one another to both increase symptomology and leave patients vulnerable to negative life events. Additionally, pro-inflammatory cytokines acting on the brain over long periods of time can lead to exacerbation of disease and the development of depression in susceptible individuals. Altered cytokine balance has also been found in …

Depiction And Function Of Madness In Elizabethan And Jacobean Literature, Yeiji Seo

Young Historians Conference

Since the ancient times of Israel, Greece, and Rome, people with mental illnesses have been regarded as different from others in society. This paper aims to analyze the motives of authors of medical and dramatic texts of Elizabethan and Jacobean literature in regards to mental illness by specifically observing William Shakespeare’s King Lear and Robert Burton’s The Anatomy of Melancholy. This paper also considers the views of other scholars of the field to compose a complete insight on Shakespeare and Burton’s goals in depicting mental illness and finally advocates further research and understanding to positively contribute towards disability reform today.

Importance Of Social Support In Athletics As It Relates To Injury Recovery And Preparedness To Return To Play, Haleigh Gray

Graduate Theses

Background: Recent studies have evaluated the physical problems as well as the psychological complications that arise from sport injuries. However, little research has been done on techniques to address or mitigate these psychological issues. Objective: The purpose of this study was to investigate how social support was perceived during the injury rehabilitation process and how it influenced return to play preparedness. Setting: National Collegiate Athletic Association (NCAA) Division I mid-major university. Participants: A total of 21 previously injured student-athletes participated in the study. Methods: Through this mixed method study, each student-athlete completed a validated social support survey that evaluated perceived …

A Deep Learning Approach To Diagnosing Schizophrenia, Justin Barry

Electronic Theses and Dissertations

In this article, the investigators present a new method using a deep learning approach to diagnose schizophrenia. In the experiment presented, the investigators have used a secondary dataset provided by National Institutes of Health. The aforementioned experimentation involves analyzing this dataset for existence of schizophrenia using traditional machine learning approaches such as logistic regression, support vector machine, and random forest. This is followed by application of deep learning techniques using three hidden layers in the model. The results obtained indicate that deep learning provides state-of-the-art accuracy in diagnosing schizophrenia. Based on these observations, there is a possibility that deep learning …