Psychiatry and Psychology Commons^™

Span Span Away! Creating One Unique Record For Overlapping Admissions And Discharges From Multiple Inpatient Hospital Stays, Shabnam Mehra, Robyn Spittle, Rebecca Larsen, Diane Haynes, Kathleen Dailey

Mental Health Law & Policy Faculty Publications

The Policy and Services Research Data Center (PSRDC) in the Department of Mental Health Law & Policy at The Louis de la Parte Florida Mental Health Institute performs research with a variety of secondary mental health datasets. The data format is often manipulated to accommodate our research objectives. One example of this manipulation is “span coding” using SAS^®. This code is specifically designed to transform overlapping inpatient hospital stays into one unique record by means of the admission and discharge dates. The techniques in this paper apply to health care agencies and the pharmaceutical industry but may easily …

Attachment Disorders And Personality Disorders : A Possible Connection, Jen Sacora

Graduate Research Papers

Researchers now propose that attachment theory can be applied beyond childhood. They believe attachment exists in adulthood and influences adult relationships. Possible connections between personality disorders and well-known approaches to personality development such as attachment theory have been made (Brennan & Shaver, 1998).

The purpose of this paper is to examine the relationships between parent-infant attachment which influence adult relationships and psychopathology. Theories of personality development as they relate to attachment will be explored as well as influence of early childhood experiences on personality. Finally, possible connections between attachment disorders and personality disorders will be speculated.

Reactive Attachment Disorder : Diagnosis, Assessment, And Treatment, Kimberly A. Rees

Graduate Research Papers

In recent years, there has been an increasing trend toward the use of Reactive Attachment Disorder (RAD) as a diagnosis to describe myriad problem behaviors and disturbed interactions between infants, young children and their caregivers. There is considerable disagreement about what RAD actually entails and, in particular, what types of assessments and treatment interventions to use with affected children and families (Hanson & Spratt, 2000). This paper is intended to clarify what the current research states about Reactive Attachment Disorder. It includes the definitions and diagnosis, importance of attachment, biological components, risk factors later in life, assessment, and treatment available …

Co-Occurring Disorders Problem Gambling Integrated Treatment Workbook, Kathleen Moore, Chad O. Matthews, W. Michael Hunt, Laura Pape

Mental Health Law & Policy Faculty Publications

In this stage (which will be discussed in Module 8 in more detail) the client has achieved abstinence for at least six months. As relapse of substance use and gambling disorders is common, one important goal is to help maintain an awareness that relapse is possible and to take steps to minimize the chan ces of relapse occurring. A second goal of this stage is to expand the client’s recovery to other areas of functioning such as social relationships and health. Comm on strategies include developi ng a relapse prevention plan, participating in self-help groups , and working on rehabilitation.

Co-Occurring Disorders Treatment Manual, Kathleen A. Moore, Chad Matthews, W. Michael Hunt, Laura Pape

Mental Health Law & Policy Faculty Publications

This manual was created over a period of several months through the efforts of a working group comprised of substance abuse treatment practitioners and researchers affiliated with the Tampa PIC/Suncoast Practice and Research Collaborative project. The manual was field tested in several treatment agencies in the Tampa Bay area, and was then refined through feedback received by practitioners and clients regarding the manual’s utility, ease of comprehension, and perceived relevance of the material to their needs.

This manual provides a guide for conducting treatment groups related to co-occurring substance use and mental health disorders. Counselors should feel free to adapt …

A School Psychologist's Role In Decreasing Eating Disorder Prevalence In School-Aged Children, Natalie Muth

Graduate Research Papers

Eating disorders have dramatically increased over the last 20 years, resulting in prevalence rates exceeding other high-incidence medical conditions treated in the educational setting. Chapter 2 presents a review of literature covering eating disorder identification, history, prevalence and epidemiological data. Theoretical perspectives, risk and protective factors, symptoms, and medical complications are also reviewed. Current assessment measures used for screening and diagnosing anorexia and bulimia is additionally presented along with a summary of school-based primary prevention programs. The second chapter concludes with a brief overview of eating disorder treatment.

A summary is presented in chapter 3 along with implications for school …

The Importance Of Behavioral Interventions And Stimulant Medication Effects On Reducing Attention Deficit Hyperactivity Disorder, Elizabeth Alvarez

Graduate Research Papers

Overall, various avenues of research state that ADHD is a complex disorder that requires treatment by multiple modalities. Most research states that a combination of medication and behavior therapy is necessary to resolve the symptoms. It should be noted that the dose of stimulant medication prescribed to a child with ADHD should be adjusted based on the child's response to a behavioral intervention, as well as the combination of the behavioral and pharmacological treatments. Rapport et al. (1982), as well as others, have found that medication alone will not "cure" ADHD. But with multiple methods of treatment the symptoms will …

Book Review Of Mental Disability In Victorian England: The Earlswood Asylum 1847-1901, Michael Ashley Stein

Faculty Publications

No abstract provided.

Refugee Experiences Of Trauma And Ptsd Effects On Psychological, Physical, And Financial Well-Being, Karen J. Cusack

Dissertations

No abstract provided.

State Mental Hospital Continuity Of Care Study: Addendum To Year One Report, Timothy Boaz, Keith Vossberg

Mental Health Law & Policy Faculty Publications

No abstract provided.

Analysis Of Factors Involved In Ratings Of Treatment Acceptability For Trichotillomania, Amy J. Elliott

Dissertations

Based on the literature, trichotillomania (or chronic hair pulling) appears to be responsive to behavioral interventions, with habit reversal as the most promising intervention. Habit reversal has been shown effective with children and adults of varying levels of severity, but some have questioned the generality and acceptability of the procedure. Little is known about the acceptability of interventions for habit disorders. These two research studies were designed to answer questions regarding the acceptability of behavioral and pharmacological interventions for trichotillomania and to expand the conceptual knowledge of treatment acceptability.

Study 1 compared the acceptability of four interventions targeting trichotillomania. The …

State Mental Hospital Continuity Of Care Study: Preliminary Report, Timothy Boaz, Keith Vossberg

Mental Health Law & Policy Faculty Publications

This study reports on the analysis of several existing administrative data sets to examine issues related to the continuity of care in the community for persons discharged from the Florida state mental health hospitals. The validity of conclusions based on such analysis is dependent on the adequacy of the existing data. While certain types of reporting errors can be identified and remediated (to a degree), other types of errors, particularly omission of reporting, often cannot be identified or remediated. Thus, the conclusions of this report need to be taken somewhat tentatively.

Psychoanalytic Praxis And The Truth Of Pain, William J. Richardson

Research Resources

William J. Richardson’s, “Psychoanalytic Praxis and the Truth of Pain” critically reviews Lacan’s conception of science, truth, and language above all. For Lacan, speaking of the “subject of science,” it is as if the entire scientific enterprise – its history, its institutions and all the virulence of its burgeoning power – may be conceived as the function of a single hypostasized, egoless subject: the “correlate” of science as such, taken as a whole. Reading Lacan’s essay “Science and Truth,” Richardson offers a philosophical outline of the strengths of Lacan’s analysis along with its limitations, including a discussion of Heidegger's aletheia …

Attention Deficit Hyperactivity Disorder : Is It A Behavior Disorder Or Active Childhood Behavior?, Larry G. Scheel

Graduate Research Papers

Although attention-deficit hyperactivity disorder constitutes 33 to 50% of mental health referrals for children, an increasing number of researchers has begun to question the validity of ADHD as a legitimate diagnosis. Eberstadt in her 1999 review stated, "Society has changed since the mid-1980s to view what may be normal childhood activity as lack of behavioral compliance" (p.1). Could the prevalence of ADHD simply be an increasingly active society's response to normal, active childhood behavior? The purpose of this paper is to examine the history of ADHD and explore assessment methods. Data from current literature and personal interviews with recognized professionals …

Anorexia Nervosa : A Psychological Perspective Of Etiology And Current Treatment Procedures, Arlene Lagary

Graduate Research Papers

Anorexia nervosa is a chronic and sometimes fatal illness characterized by physical and psychological complications. Although no etiology for this illness has been determined, this paper presents a psychological etiology based on a synthesis of both traditional and current literature. The influence of culture, the therapeutic alliance, and client resistance are also considered. Relapse is common and the illness may last for many years. The health care community has addressed the complexity and chronicity of this illness by using a multi-component approach that includes psychoeducation, cognitive-behavioral therapy, psychodynamic interventions, family therapy, and psychopharmacology.

Research Across Multiple Systems: Probabilistic Population Estimation (Ppe), Diane Haynes, Rebecca Larsen, Shabnam Mehra

Mental Health Law & Policy Faculty Publications

Today, social service administrators are examining client service utilization using cross system analysis, because often a client's needs require accessing governmentfunded services from multiple organizations. One technical problem that arises is that organizations do not share common unique identifiers from which to link one individual’s information together (i.e., system #1 uses Social Security Number (SSN) and system #2 uses Personal Identification Number (PIN)). Different methods have been employed to deal with the issue of working with information across data sets when there is no common unique identifier. Probabilistic Population Estimation (PPE), Caseload Segregation/Integration Ratio (C/SIR), and Probabilistic Population Matching (PPM) …

A Neuropsychological Perspective On The Efficacy Of Typical And Atypical Medication Treatment For Chronic Schizophrenia Regarding Executive Functioning, Eric Hart

Masters Theses

This study investigated the efficacy of current medication treatment procedures for chronic schizophrenics on neuropsychological measures. A total of twenty participants from the Coles County Mental Health Center, who met DSM-IV criteria for chronic schizophrenia, volunteered to be administered the Wisconsin Card Sorting Test (WCST)-64 card version as a means of assessing neuropsychological executive functioning. A total of twenty participants free of any diagnosable psychological disorder also volunteered to be administered the WSCT-64, which served as a control group. The staff psychiatrist at the Coles County Mental Health Center completed the Positive and Negative Syndrome Scale (PANSS) in order to …

Asian American Mental Health Clients: Effects Of Ethnic Match And Age On Global Assessment And Visitation, Richard H. Dana, Glenn Gamst, Aghop Der-Karabetian, Terry Kramer

Regional Research Institute for Human Services

Effects of client-counselor ethnic match (i.e., match, no match) and client age group (child, adult) on counselor-evaluated Global Assessment of Function (GAF) and visitation were investigated. The sample consisted of 253 Asian-American outpatient clients (24.9% children 75.1% adults) of a community mental health center. Unadjusted results indicated that ethnically matched clients had more positive GAF evaluations and more clinic visits than nonmatched clients. When adjusted for eight covariates, results showed ethnically matched clients continued to show higher levels of visitation. Analysis of separate diagnostic categories showed that ethnically matched mood-disorder clients had higher levels of visitation. Conversely, nonethnically matched anxiety …

Religious Faith And Mental Health Outcomes, Thomas G. Plante, Naveen K. Sharma

Psychology

In this chapter we review recent research regarding the relationship between religious faith/spirituality and mental health outcomes, as well as provide directions for future research and discussion. The specific aspects of mental health and illness that we focus on include well-being, depression, anxiety, substance abuse, and schizophrenia. We also briefly discuss research pertaining to religious faith and personality disorders, eating disorders, somatoform disorders, and bipolar disorder.

A Study Of Attempted Suicide Among Female Youths, Aini Omar

Student Works (2000-2009)

Worldwide, suicide is among the top five causes of mortality in the 15 to 19 year age group while majority of suicide attempts is among females (WHO, 2000). The purpose of this study is to identify youth that are likely to be suicidal, their feelings and thoughts and determine the underlying factors that instigate the intention so that remedial actions can be taken before the actual attempt. The questions arise for the research would include a) Who are the female youth that are inclined to suicidal acts? b) What are the causes, feelings and thoughts that prompt them to contemplate …

Trends. The Politics Of Psychopathology: Ritalin Conspiracy As Paranoia Or As Good Business?, Ibpp Editor

International Bulletin of Political Psychology

This article discusses the intersection of science, pharmaceuticals, and politics in the context of Ritalin and an alleged over-diagnosis of attention deficit disorder (ADD).

Prevalence And Risk Factors For Potentially Avoidable Hospitalization Of Medicaid-Enrolled Assisted Living Residents, Marion Becker, Timothy Boaz, Ross Andel, Joshua Digennaro

Mental Health Law & Policy Faculty Publications

No abstract provided.

Center-Based Prevalence Of Anxiety And Depression In Women Of The Northern Areas Of Pakistan, Sunita Dodani, Rukhsana Wamiq Zuberi

Department for Educational Development

Objective: To estimate the prevalence of anxiety and depression in women of the Northern areas. Methods: A cross-sectional center-based study was conducted at Singal Medical Center (SNIC), Gilgit, in the Northern Areas of Pakistan, using the Hospital Anxiety and Depression Scale (HADS).

Results: One hundred and twenty women, between the ages of 16 and 60, attended the SMC over a two month period and were included in the study. Using HADS, it was found that 50% of the women had anxiety and/or depression; 25% suffered only from anxiety, 8% from depression and 17% had features of both.

Conclusion: This study …

Oppositional Defiant Disorder (Odd) In Children And Adolescents, Maria J. Garlie

Graduate Research Papers

This paper is a review of the literature on Oppositional Defiant Disorder (ODD) in children and adolescents. Included in this review is information on the history of changes through which the diagnosis of ODD has gone, a comparison of children with ODD to "normal" children in terms of development, gender differences, co-morbidity, etiology, and treatment interventions.

Self-Mutilation : Using Pain To Cope, Wendy S. Cook

Graduate Research Papers

Self-mutilation is a serious mental and physical health problem that is often under-reported and misdiagnosed. The mutilation is a reaction to negative internal feelings, such as despair, anxiety, anger, or cognitive constriction. The goal of the self-mutilation is relief from emotional pain by using physical pain. The self-mutilator has low self-esteem, bouts of depression, difficulty forming intimate relationships, and usually suffered some type of trauma such as physical or sexual abuse. Pharmacological treatment for the self-mutilator has been experimental but has not been well researched. However, research seemed to indicate that individual and group therapy, specifically cognitive-behavioral therapy, is helpful …

Attention Deficit Hyperactivity Disorder : Developments In The Last Decade Concerning Causes And Treatments, Phyllis Damgaard

Graduate Research Papers

The last ten years have brought major advances in the fields of medicine and technology, advances that have illuminated many of the dark comers of Attention Deficit Hyperactivity Disorder (ADHD). This article seeks to pull together those illuminating advances, condensing the voluminous information available into comprehensive, but readable, pages. The causes of the disorder are discussed from both the scientific and psychological/social perspectives. The controversy resulting from medicating so many, so young is an integral part of this country's interest in ADHD, due largely to coverage by the popular media.

Research concerning successful treatment strategies is also discussed. Medication, behavior …

Secret Pain : Understanding And Treating Self-Injurious Behaviors In Women, Eva Schoen

Graduate Research Papers

This paper is an attempt to raise awareness of the presence of self-injury in Western societies. Causes, symptoms, related diagnoses, and treatment of self-injurious behaviors will be discussed. Most importantly, however, this paper is meant to challenge and, ultimately, decrease the stigma surrounding SD and increase empathy and compassion for the self-injuring person.

Due to constraints of this research paper, the author focuses on female self-injurers and excludes information on self-injury in mentally retarded individuals and prisoners.

Dissociative Identity Disorder : Features, Etiology, And Treatment, Gretchen Elizabeth Honsell

Graduate Research Papers

Dissociative Identity Disorder appears to be diagnosed more frequently in the current clinical arena. This may be connected to increased awareness of how people respond and cope with traumatic events, both singular and prolonged or serial. This increase in diagnoses may also correspond with new associations between childhood abuse and trauma, as well as research into how trauma is coded in memory.

Dissociation can be viewed as a natural phenomena that, when overly utilized as a defense against trauma and its impact, may develop in some persons into DID. Treatment of DID tends to progress through four phases: initial, middle, …

"Epidemic" Depression In School-Age Youth, Trudy L. Erickson

Graduate Research Papers

With the traditional image of children as happy and care-free, it has been troubling to think of them suffering the effects of major depression and dysthymia. Successful intervention for.depressive youth is complicated by failure to diagnose, limited referral or consuItation, and resolute parental denial.

The purpose of this paper is to inform the reader about depression in today's student population. Depression will be defined and described as it is manifested in youth. Typical symptoms and proposed etiologies will be discussed. Finally, suggested interventions will be addressed, although research concerning interventions for depressed youth, particularly children, has been sparse.

Bibliotherapy : The Use Of Books As An Intervention With Children And Adolescents, Jennifer R. Schmidt

Graduate Research Papers

Bibliotherapy is defined as "the use of literature and poetry in the treatment of people with emotional problems or mental illness" (Pardeck, 1994, p.421). The purpose of this paper is to explore bibliotherapy and to identify the advantages of using it with children and adolescents. Readers will gain an understanding of the stages of bibliotherapy, the goals of bibliotherapy, how to implement bibliotherapy into a counseling program, and the benefits and limitations of bibliotherapy. In addition, suggestions for working with specific client populations are given.