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Social and Behavioral Sciences Commons™
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Articles 1 - 12 of 12
Full-Text Articles in Social and Behavioral Sciences
Community Resilience In Vermont After The 2023 Flooding Event, Alex Poniz
Community Resilience In Vermont After The 2023 Flooding Event, Alex Poniz
Family Medicine Clerkship Student Projects
Between July 10th-11th 2023 Vermont experienced catastrophic flooding after receiving prolonged heavy rainfall of up to 9” over 48 hrs. Damage from the 2023 event rivals the historic destruction of Hurricane Irene in 2011 and is exceeded only by the Great Vermont Flood of 1927, an event predating modern flood controls. We collected oral histories from Vermonters to better understand their lived experience of the flood and its impacts, and identifed common themes related to community and individual resilience.
Is There An App For That? Introducing Self-Guided Therapy-Based Mental Health Apps In A Primary Care Setting, Althea Jem Darbin Tapales
Is There An App For That? Introducing Self-Guided Therapy-Based Mental Health Apps In A Primary Care Setting, Althea Jem Darbin Tapales
Family Medicine Clerkship Student Projects
The prevalence of mental health disorders in Vermont continues to be an economic burden, especially in Addison County. The Addison County, VT Community Health Improvement Plan 2022-2025 identified “Access to Mental Health Services” as the top priority with a general concern regarding the affordability and demand of such services, and shortage of providers in the general community. Consequently, the shortage of mental health services along with the coronavirus pandemic resulted in a mental illness epidemic which led to an accelerated growth of self-guided therapy-based mental health apps. Most apps are affordable, accessible, and prioritize patient privacy which overcomes barriers to …
Approach To Providing Culturally Sensitive Gynecologic And Obstetric Care For Somali Women, Izabella Ostrowski
Approach To Providing Culturally Sensitive Gynecologic And Obstetric Care For Somali Women, Izabella Ostrowski
Family Medicine Clerkship Student Projects
Many refugees have fled Somalia over the past 30 years due to political instability and civil war. Since 1980, over 8,000 refugees have settled in Vermont, with about 9% of refugees being from Somalia. Community Health Centers of Burlington (CHCB) provides prenatal and primary care to many Somali women in the community. There are known gynecologic and obstetric health disparities for Somali women, such as significantly lower completion rates of mammography and pap smears than non-Somali patients. Research has shown that an understanding of cultural health beliefs and values are crucial for creating tailored prevention programs for refugee women. This …
Cbt In Primary Care, Brianna J. Spano
Cbt In Primary Care, Brianna J. Spano
Family Medicine Clerkship Student Projects
This is a community improvement project designed to address the growing need for and shortage of mental health care in Vermont. The project focuses on creating a brief training tool and guide for primary care physicians to be able to incorporate cognitive behavioral therapy in their practice.
Screening And Monitoring Social Determinants Of Health For Migrant Workers In Vermont, Richard Brach
Screening And Monitoring Social Determinants Of Health For Migrant Workers In Vermont, Richard Brach
Family Medicine Clerkship Student Projects
No abstract provided.
Onecare Vermont Aco Quality Metric Evaluation, Alexander Braun
Onecare Vermont Aco Quality Metric Evaluation, Alexander Braun
Family Medicine Clerkship Student Projects
This project explores OneCare Vermont ACO quality metrics and how they can be used to improve patient care and reimbursement in a Vermont family medicine practice. Perspectives of physicians within the practice and others familiar with OneCare Vermont operations are shared. Several metrics were identified as areas for improvement within the practice by comparing ACO metrics with patient data.
What's In Your Cup? Increasing Transparency And Confidence In Alcohol Use Screening And Brief Intervention, Dylan C. Koundakjian
What's In Your Cup? Increasing Transparency And Confidence In Alcohol Use Screening And Brief Intervention, Dylan C. Koundakjian
Family Medicine Clerkship Student Projects
19% of Vermonters report drinking alcohol at levels which puts their health at risk, but many healthcare providers do not feel confident in addressing their patients' usage. This can stem from lack of experience with alcohol use, worries about stigma, and time constraints. However, data has shown that even 5-15 minute interventional conversations can significantly reduce a patient's risky drinking. This project aims to provide real-world, practical advice for having conversations around alcohol, and provides a conversion chart converting popular alcoholic beverages into standard drink equivalents.
Out-Of-Pocket Cost For Individuals Being Treated For Opioid Dependence In Rutland County, Vermont, Christopher T. Veal
Out-Of-Pocket Cost For Individuals Being Treated For Opioid Dependence In Rutland County, Vermont, Christopher T. Veal
Family Medicine Clerkship Student Projects
Each day more than 140 Americans die from drug overdoses, 91 specifically due to opioids. In Vermont, more than 50 people die each year from opioid poisoning. With insurance coverage being a critical component of Opioid Dependence Recovery, many people seeking treatment are unaware of the financial barriers to recovery- namely the out-of-pocket costs associated with treatment. This study sought to provide insight on the financial impact of Opioid Dependence Treatment on the patient, and provide financial assistance information to the Rutland County community.
The Aging Lgbtq Population, John P. Corbett
The Aging Lgbtq Population, John P. Corbett
Family Medicine Clerkship Student Projects
Although being LGBTQ is more accepted than it was in previous times, there are still barriers that exist which keep some LGBTQ people from accessing quality healthcare. In the middle-age and older LGBTQ population, there are further issues that arise. Health care providers should be aware of some of these issues so that they can be addressed during an office visit if necessary.
Intimate Partner Violence In Immigrant/Refugee Populations, Lisa H. Wang
Intimate Partner Violence In Immigrant/Refugee Populations, Lisa H. Wang
Family Medicine Clerkship Student Projects
Intimate partner violence (IPV) is the most common type of violence affecting women. Globally, Central Africa and South Asia have some of the highest rates of IPV. In Vermont, the majority of refugees are from these regions. Individual, interpersonal, and especially cultural values play critical roles in the definition/appraisal and decision to seek help in these women. This study examines ways to mitigate challenges that healthcare professionals have in identifying women who need help and barriers preventing these women from seeking help.
Identification Of Barriers To Organ Donation: A Primary Care Interventional Approach, Brittany L. Rocque Msc
Identification Of Barriers To Organ Donation: A Primary Care Interventional Approach, Brittany L. Rocque Msc
Family Medicine Clerkship Student Projects
Organ transplantation provides a potentially life saving intervention for patient with end-organ failure as well as substantial cost-benefit with relation to Medicare expenditure. Despite the advantages of transplantation, deceased organ donors are in short supply and many patients die or lose quality years while awaiting transplantation. Registered organ donor rates are relatively low in our opt-in system being 52% nationwide and only 44% in Vermont, which is below the >50% per state goal. Non-organ donor patients were given and informational brochure and surveyed regarding their attitudes and beliefs toward organ donation.
Creating A Welcoming Clinical Environment For Lgbt Patients, Samy S. Ramadan
Creating A Welcoming Clinical Environment For Lgbt Patients, Samy S. Ramadan
Family Medicine Clerkship Student Projects
The aim of this project was to develop a welcoming clinical environment for Lesbian, Gay, Bisexual, and Transgender (LGBT) patients at Northern Counties Health Care (NCHC) and to serve as a model for community health centers across the nation that want to provide their LGBT communities with patient centered care that is affordable, compassionate and accessible. This was achieved by revising non-discrimination policies and new patient forms to be more inclusive of sexual orientations and gender identities, incorporating LGBT health learning modules into yearly provider and staff mandatories, and adding LGBT inclusive material into all waiting and exam rooms. The …