Psychiatric and Mental Health Commons^™

The Abortion Attitudes Of Counselor, Social Worker, And Nursing Trainees, Mary J. Ball

Dissertations

This study examined the similarities and dissimilarities in abortion attitudes among counselors (CTs, n = 51), social workers (SWTs, n = 42), and nurses in training (NTs, n = 78), based on profession, age, race, gender, and religion. Data were analyzed using analysis of variance and standard multiple regression. It was predicted that profession, religion, age, gender, and race would predict the abortion attitudes of CTs, SWTs, and NTs in training. It was also predicted that the attitudes of CTs and SWTs would be most similar, and that both of these groups would hold more positive abortion attitudes than NTs. …

Evaluation Of Medication Effects On Academic Performance, Sleep, And Core Adhd Symptoms In Children, Tina K. Head

Dissertations

Idiosyncratic effects of Vyvanse™ (lisdexamfetamine dimesylate) and placebo were evaluated in a double-blind alternating treatments experimental design in this 4-week study. Direct, objective measures were combined with traditional behavior ratings to provide data sets to assess whether or not the prescribed stimulant medication showed detectable therapeutic effects for a child whose positive response to medication was not obvious via traditional subjective methods. Effects of medication on core ADHD symptoms, academic performance, and sleep in four children ages 10-12 with attention deficit/ hyperactivity disorder. Potential side effects were also measured. Daily measures included parent rating scales, side effects checklist, sleep journal …

College Students Who Self-Injure: A Study Of Knowledge And Perceptions Of Self-Injury, Stacey Edwards Clinard

Masters Theses & Specialist Projects

Archived data was utilized for the present study which examined self-injurious behaviors in a college population. College students, who engage in non-suicidal self-injury, or NSSI, were expected to evidence a higher knowledge base for the behavior than those who do not. The demographic variables of gender and sexual orientation were predicted to be over represented in the NSSI group. Further, this study examines the perceived riskiness of the behavior in individuals who self-injure, as well as their perceptions of others who engage in NSSI. The survey consisted of four sections: demographics, knowledge ofNSSI, experience with NSSI, and perceptions ofNSSI. Individuals …

Dialectical Behavior Therapy In State Hospitals: Does It Work And What Moderates The Outcomes?, Amanda L. Collins

Department of Psychology: Dissertations, Theses, and Student Research

Dialectical Behavior Therapy (DBT) demonstrates effectiveness in the treatment of individuals diagnosed with Borderline Personality Disorder in an outpatient setting. DBT has also been adapted for inpatient settings and demonstrates effectiveness with this population. To date no published literature examines the effectiveness of the standard outpatient model implemented in an inpatient setting. Furthermore, the literature examining inpatient DBT is done on treatment units where DBT is the sole treatment modality. There is no published literature regarding the use of DBT in conjunction with another treatment program. Therefore, this study examines the effectiveness of the standard outpatient DBT model implemented in …

Computational Pharmacology: Simulating Circuits Of The Brain For Drug Development, Patrick D. Roberts

Systems Science Friday Noon Seminar Series

The pharmaceutical industry is approaching unsustainable research costs to develop new drug therapies for mental disease because of the high failure rate in clinical trials. These failures are due to limitations of pre-clinical studies in animal models that fail to predict the efficacy of new drugs in human subjects. The gap between pre-clinical trials and clinical trials is particularly difficult in complex mental diseases such as schizophrenia because of the complex dynamics of the brain and the multiple chemical pathways that drugs can affect.

However, many biological mechanisms associated with schizophrenia are now understood, and computational power and methods have …

Traveling Exhibit: The Lives They Left Behind: Suitcases From A State Hospital Attic, Laura J. Hall

Posters and Presentations

The Lives They Left Behind: Suitcases from a State Hospital Attic was a traveling exhibit that explored the stories of patients from the Willard Psychiatric Center in New York, whose personal belongings were discovered after the institution closed in 1995. The exhibit highlighted the intersection of mental health, poverty, and systemic failures in care. Through a series of public events including panel discussions on homelessness, health equity, and mental health policy, the exhibit aimed to raise awareness and promote dialogue on mental health issues. Curated locally by Laura J. Hall and funded by the New Mexico Humanities Council, it was …

Predictors Of Depressive Symptomatology In Family Caregivers Of Wom-En With Substance Use Disorders Or Co-Occurring Substance Use And Mental Disorders, David E. Biegel, Shari Katz-Saltzman, David Meeks, Suzanne Brown, Elizabeth M. Tracy

Social Work Faculty Publications

This study utilized a stress-process model to examine the impact of having a female family member with substance use or co-occurring substance use and mental disorders on family caregivers' depressive symptomatology. Participants were 82 women receiving substance abuse treatment and the family member providing the most social support for each woman. Greater caregiver depressive symptomatology was predicted by greater care recipient emotional problems, less care recipient social support, and poor caregiver health. Implications of findings for treatment and future research are discussed

Quality Of Life Of The Severely Mentally Ill As Described By Social Workers, Simonetta Fosci

Theses Digitization Project

The purpose of this study was to investigate the levels of the quality of life among severely mentally ill offenders residing at a psychiatric hospital in the United States as perceived by their social workers.

Exploring The Impact Of Race On Mental Health Service Utilization Among African Americans And Whites With Severe Mental Illness, Michelle Hampton, Linda Chafetz, Mary White

Faculty Publications

BACKGROUND: Disparities among African Americans and Whites with severe mental illness have been identified in numerous studies. Yet it remains unknown if disparities are associated with race or other vulnerabilities common to this population. OBJECTIVES: This study used the Behavioral Model for Vulnerable Populations to examine mental health service utilization among 155 African Americans and Whites with severe mental illness for 12 months after discharge from a residential crisis program. DESIGN: This cross-sectional study was a secondary analysis of data from a randomized trial. RESULTS: Race did not emerge as a significant predictor of mental health service utilization. Factors associated …

Major Depression : Diagnosis And Intervention, Lindsay Linck

Graduate Research Papers

This paper will be an analysis of the psychological disorder of major depression. First, the classification of this disorder using the DSM-IV-TR will be reviewed. The areas of etiology, differential diagnosis, and treatment will then be considered. Following, a theory-specific approach to the disease including theoretical framework, diagnosis and treatment, and outcomes of using this approach, will be examined. Finally a personal reflection on the subject of major depression, and lessons learned from this project, will be discussed.

The Medicalization Of Hyperactivity And Inattentiveness : A Social History And Theoretical Perspectives On Adhd, Justin Douglas Brock

Theses, Dissertations and Capstones

This study investigates the rise of the Attention-Deficit/Hyperactivity Disorder diagnosis. It approaches the topic from a medicalization perspective and frames it under the therapeutic state as proposed by Nicholas Kittrie in 1971. It asks three questions: how has society, and particularly, the medical community changed to allow the medicalization of hyperactivity and social control of active children? How has the continuing diagnosis of hyperactivity in children expanded to include attention deficit hyperactivity disorder in both children and adults? And what forces are behind the continuously inclusive diagnosis and why? In an attempt to answer these questions the history of the …

Comprehensive Evidence-Based Program Teaching Self-Management Of Auditory Hallucinations On Inpatient Psychiatric Units, Robin Buccheri, L Trygstad, M Buffum, K Lyttle, G Dowling

Nursing and Health Professions Faculty Research and Publications

Patients hearing command hallucinations to harm whose only self-management strategies are to obey these commands, can represent serious safety concerns on inpatient psychiatric units. A comprehensive evidence-based program teaching self-management of auditory hallucinations on inpatient psychiatric units is described that includes five components: suggestions for staff education; patient self-assessment tools; an interview guide and safety protocol; a course to teach strategies for managing distressing voices and commands to harm; suggestions to improve staff communication; and a plan to extend the program from inpatient care settings into the community by sharing materials with community case managers and caregivers when patients are …

Post-Traumatic Stress Disorder: Guiding Management With Careful Assessment Of Comorbid Mental And Physical Illness, Don Richardson, Diane Mcintosh, Murray B. Stein, Jitender Sareen

MacDonald Franklin OSI Research Centre

Post-traumatic stress disorder (PTSD) is a common and serious psychiatric condition in the civilian and veteran population. The lifetime prevalence of PTSD in the Canadian general population is 9.2%, which, surprisingly, is not significantly different from the 7.2% lifetime prevalence rate within the Canadian Regular Forces. In Canadian veterans pensioned with a medical condition the 1-month prevalence was 10.3%. Given the serious functional impairment and impaired quality of life associated with PTSD, careful assessment and treatment of PTSD is warranted. Due to the complex clinical presentation of PTSD, which can include symptoms across the continuum from adjustment disorder and subthreshold …

Denominational Support For Clergy Mental Health, Bobby L. Trihub, Mark R. Mcminn, William C. Buhrow, Thomas F. Johnson

Faculty Publications - Doctor of Psychology (PsyD) Program

To date, minimal research has addressed the actual services provided to maintain the mental health of leadership in the church. Three major Protestant denominations were consulted within this study, including a total of 434 pastors across the United States. Among these three denominations, a range of services are now being offered to support clergy, with services such as time off, prayer support groups, and clergy retreats among the most valued, adequately provided, and utilized. Still, clergy do not see the provision of services as fully adequate, and report a number of obstacles to utilizing services. Generally, the most highly rated …

Stigma Reduction Techniques/Campaigns For Practitioners In A Rural Community Mental Health Practice, Becky Mensing

All Graduate Theses, Dissertations, and Other Capstone Projects

The purpose of this project was to systematically review the literature on the negative effects of stigma on the therapy seeking clients of rural mental health centers. Also to provide information on anti-stigma campaign efforts. The goal of anti-stigma programs are to create awareness about how stigma affects people with mental illnesses, and to have participants develop a sense of what it means to walk in the shoes of a person with mental illness (Corrigan, 2004, p. 19). The research question was how do we help people from being victimized by the prejudice and discrimination that arises from stigma?

Early Psychosis Intervention In Oregon: Building A Positive Future For This Generation, Ryan P. Melton, Tamara Sale

Regional Research Institute for Human Services

The article focuses on the importance of early Schizophrenia intervention.

A Vignette Study Examining The Accuracy Of Diagnosis: The Role Of Patient And Practitioner Gender And Race Match, Kevin Johnson

Wayne State University Dissertations

ABSTRACT

DIAGNOSING MENTAL ILLNESS

By

KEVIN JOHNSON

2010

Advisor: Dr. Janet R. Hankin

Major: Medical Sociology

Degree: Doctor of Philosophy in Sociology

A convenience snowball sample of 228 mental health practitioners were surveyed and administered two vignettes of persons with mental illness and a 12-question survey that included occupational background and attitudinal questions about diagnosing mental illness. The gender and race of the patients were randomly altered, while the symptoms and characteristics of mental illness remained constant for each vignette. Each practitioner assigned a DSM-IV diagnostic label for axis I and axis II on both vignettes. The surveys were coded …

Computer Based Training: Understanding Schizophrenia, Elli Marie Bach

All Graduate Theses, Dissertations, and Other Capstone Projects

The purpose of this capstone project was to research, design and implement a computer based training module for staff who work with individuals experiencing mental illness. This training focused directly on schizophrenia, which is the most common mental health disorder treated at the Community Behavioral Health Hospital in St. Peter.

The Role Of Organizational Commitment In Practitioner Implementation Of Evidence-Based Practices In Substance Abuse Treatment Settings, Irene Teresa Manfredo

Legacy Theses & Dissertations (2009 - 2024)

Organizational commitment (OC) has been linked to different types of work-related behaviors including innovation implementation and professional behavior change but the influence of OC on technology transfer or research to practice processes is as yet unknown. Using a social exchange perspective, the study employed constructs derived from Klein & Sorra (1996) - perceived implementation climate and practitioner innovation-values fit - to understand the association between practitioner level OC and evidence-based practice implementation (EBP) in substance abuse treatment settings. Method: A secondary data analysis was conducted utilizing a 2008 cross-sectional survey of outpatient substance abuse practitioners in eastern New York State …

Internalized Stigma As A Barrier To Improvement In Vocational Functioning Among People With Schizophrenia-Spectrum Disorders, Philip T. Yanos, Paul Lysaker, David Roe

Publications and Research

We examined the relationship between internalized stigma and changes in vocational function. Persons with schizophrenia or schizoaffective disorder (n=78) were assessed at baseline and 5 months after vocational rehabilitation. Internalized stigma and cognitive–behavioral treatment predicted change in vocational functioning, supporting the view that internalized stigma compromises vocational outcomes.

Rational Understanding In Competency To Stand Trial: A Qualitative Study And Development Of An Assessment Instrument, Kenneth C. Cole Jr.

Antioch University Dissertations & Theses

Mental competency as a prerequisite for due process was established by the United States Supreme Court‟s Dusky decision (1960). The Court mandated that a defendant must possess reasonable levels of factual and rational understanding in order to competently participate in the adjudication process. The precise definitions of competence were not included in any of the Court‟s decisions regarding the concept of Competency to Stand Trial (CST). The original purpose of this research was to contribute knowledge regarding the psychological dimensions of CST and to suggest definitions of the psychological dimensions of CST and the standardization of the CST evaluation process. …

Personality Disorders And Moral Responsibility, Mike W. Martin

Philosophy Faculty Articles and Research

In “Personality Disorders: Moral or Medical Kinds—or Both?” Peter Zachar and Nancy Nyquist Potter (2010) reject any general dichotomy between morality and mental health, and specifically between character vices and personality disorders. In doing so, they provide a nuanced and illuminating discussion that connects Aristotelian virtue ethics to a multidimensional understanding of personality disorders. I share their conviction that dissolving morality–health dichotomies is the starting point for any plausible understanding of human beings (Martin 2006), but I register some qualms about their discussion of responsibility.

Filling The Gap In Crisis Intervention: Horizon Homes, Inc. Proposal For Sccbi Crisis Services, Ricki Pribyl

All Graduate Theses, Dissertations, and Other Capstone Projects

In late April 2010, the South Central Crisis Center operated in Mankato, MN under state operated services (SOS) closed its doors. The closing of the crisis center left a gap in mental health services, particularly for the ten counties it specifically served. Legislators in the Mankato area, specifically Kathy Sheran worked hard to put together a block grant through the Health and Human Services Act, which would allow additional funding for the reopening of the crisis center. Given that the grant went though, the operation of the new crisis center would be overseen by the South Central Community Based Initiative …

Investigating Compassion Fatigue And Burnout Rates Among Mental Health Professionals At Sioux Trails Mental Health Center, Lora Schoewe

All Graduate Theses, Dissertations, and Other Capstone Projects

The purpose of this research is to explore the existence of compassion fatigue and burnout among mental health professionals at Sioux Trails Mental Health Center, which is a community based mental health center in located in various rural communities in Southern Minnesota. The research also sought to identify what the professional and agency can do to reduce burnout rates.

Research Questions: Does compassion fatigue and burnout exist among the mental health professionals at Sioux Trails Mental Health Center? What professional and personal resources do the mental health professionals use to reduce the risk of compassion fatigue an burnout?

Evidence-Based Strategies And Techniques For Children With Asd, Tanya Walerius

All Graduate Theses, Dissertations, and Other Capstone Projects

To identify and research evidence-based Autism Spectrum Disorder strategies and techniques for working with children, particularly children aged 6 –10 years old, who receive In-Home Skills Services. Most therapeutic services are received through the school systems (Shapiro & Accardo, 2008), but Counseling Services of Southern Minnesota (CSSM) provides In-Home Skills Services that requires the Children’s Therapeutic Services and Supports (CTSS) staff to be knowledgeable and competent in the services they provide to clients.

The purpose of this project was to provide CSSM with specific strategies and techniques through a manual to be used by the CTSS workers. The information will …

Defining Exemplary Children's Mental Health Services In Minnesota's Rural Communities, Melanie Wurtzberger

All Graduate Theses, Dissertations, and Other Capstone Projects

Research shows that children’s mental health services in rural areas are not likely to meet all the qualities to be determined ‘exemplary’ with regards to diverse groups and at-risk populations due to: limited community resources, decreased funding and reimbursement rates, geographic distance from consumers, lack of collaborations from primary care physicians, and sparse number of adequately trained mental health (Fenell & Hovestadt, 2005; Gamm, Stone & Pittman, 2003; Moore et al., 2005; Powell & Dunlap, 2005) The purpose of the research was to define exemplary services as it applies to rural county children’s mental health services so as to assist …

Social And Family Support For Individuals With Mental Illness, Beth Filzen

All Graduate Theses, Dissertations, and Other Capstone Projects

Though the patient remains the primary focus throughout the hospital stay, family members of the patient play a crucial role in the patient’s healing process and in helping them to maintain independent living in the community following a hospital stay.

The purpose of this project is to provide family members of individuals hospitalized with information regarding mental illness that is concise and easy to understand. The information will also include resources and supports for family members as they continue to support their loved one.

Expanding The Sea Program: Course Conception, Rationale And A Plan For Implementation, Michelle Schulz

All Graduate Theses, Dissertations, and Other Capstone Projects

The Student Educational Adventures (SEA) Program was created in 1995 to help motivate youth with Emotional/Behavioral Disorders (E/BD) to view education as important as well as to assist with the graduation rate of students with E/BD. Using an experiential method of teaching, each of the four courses in the SEA Program are specifically designed to teach life-long skills, such as team building, decision making, service, leadership, conflict resolution, anger management, goal setting, and taking responsibility, to youth who typically struggle in those areas.

Due to the current financial state of SEA Program funders, the Goodhue County Education District seeks to …

The Latina/O Mental Health Paradox Or Racial/Ethnic Disparities? Depression Among New Immigrants To The U.S, Sandra Iveth Ramirez

Open Access Theses & Dissertations

The Latino/a Mental Health Paradox states that the foreign-born immigrants have better mental health outcomes when compared with native-born groups of various ethno-racial backgrounds, with the gap in mental stress minimizing overtime. The objective of this study is to examine whether Latina/os immigrants suffer an ethno-racial disparity in mental health or if they have favorable mental health outcomes as predicted by the Paradox. Expanding on the Latina/o Mental Health Paradox, rather than comparing Latina/o immigrants with native-born, this study will compare depression among recently legalized Latina/os with recent legalized European immigrants.

Role Of Extended Release Quetiapine In The Management Of Bipolar Disorders, Martha Sajatovic

Faculty Scholarship

Atypical antipsychotics have become a widely utilized component of the bipolar disorder treatment armamentarium, with approximately 45% of bipolar patients prescribed atypicals. Over the last decade all atypical drugs except for clozapine have received a Food and Drug Administration (FDA) bipolar indication. In October 2008, the FDA approved quetiapine XR monotherapy for the treatment of acute depressive episodes of bipolar disorder and acute manic or mixed episodes in bipolar I disorder based on two placebo-control trials. Quetiapine was also approved as adjunct therapy with lithium and divalproex for the treatment of acute manic or mixed episodes as well as maintenance …