Mental and Social Health Commons^™

Optimizing Wellness In Academic Emergency Medicine, Kristen E. Nordenholz, Al'ai Alvarez, Michelle D. Lall, Christine Stehman, Cindy C. Bitter, Emily L. Hirsh, Rita Manfredi, Rosanna D. Sikora, Dave W. Lu, Leon D. Sanchez, Matthew L. Wong, Steven Bird, Andra L. Blomkalns

Journal of Wellness

Introduction

Academic Emergency Physicians (EPs) face additional unique challenges in optimizing wellness compared to community EPs.

Objective

Our objective was to explore specific individual and systems challenges that academic EPs encounter that affect their wellbeing and professional fulfillment in emergency medicine (EM).

Methods

An expert group of academic EPs convened in 2019 at the annual meeting of the Society of Academic Emergency Medicine to investigate the overall causes of burnout in healthcare providers, the effects of burnout on the healthcare system, specific causes of burnout in EM, and the distinct challenges facing academic emergency physicians.

Results

We outline specific causes …

Meeting Minutes, Wku Council Of Academic Deans

Council of Academic Deans

Meeting regarding South Central Workforce Development Board, capital allocations, faculty handbook, full year scheduling, search processes/protocols, faculty mental health & burnout and post-Thanksgiving office staffing.

Evaluation Of An Immunomodulatory Probiotic Intervention For Veterans With Co-Occurring Mild Traumatic Brain Injury And Posttraumatic Stress Disorder: A Pilot Study, Lisa A. Brenner, Jeri E. Forster, Kelly A. Stearns-Yoder, Christopher E. Stamper, Andrew J. Hoisington, Diana P. Brostow, Merideth Mealer, Hal S. Wortzel, Teodor T. Postolache, Christopher A. Lowry

Faculty Publications

Background: US military Veterans returned from Operation Enduring Freedom/Operation Iraqi Freedom/Operation New Dawn (OEF/OIF/OND) with symptoms associated with mild traumatic brain injury [mTBI; i.e., persistent post-concussive (PPC) symptoms] and posttraumatic stress disorder (PTSD). Interventions aimed at addressing symptoms associated with both physical and psychological stressors (e.g., PPC and PTSD symptoms) are needed. This study was conducted to assess the feasibility, acceptability, and safety of a probiotic intervention, as well as to begin the process of evaluating potential biological outcomes.

Clinical Approach To A Request For Phentermine-Topiramate In A Young Woman With A History Of High-Risk Eating Behavior, Erin Spencer

Clinical Research in Practice: The Journal of Team Hippocrates

A clinical decision report appraising Safer DL, Adler S, Dalai SS, et al. A randomized, placebo-controlled crossover trial of phentermine-topiramate ER in patients with binge-eating disorder and bulimia nervosa. Int J Eat Disord. 2019;(September):1-12. https://doi.org/10.1002/eat.23192 to inform the clinical decision of whether or not to prescribe phentermine-topiramate to an overweight 27-year-old woman who endorses risky eating behaviors.

Medication Assisted Treatment With Buprenorphine/Naloxone Or Methadone: Comparitive Outcomes In Patients With An Opioid Addiction, Deepti Shanbhag

Clinical Research in Practice: The Journal of Team Hippocrates

A clinical decision report appraising Hser YI, Evans E, Huang D, et al. Long‐term outcomes after randomization to buprenorphine/naloxone versus methadone in a multi‐site trial. Addiction. 2016;111(4):695-705. https://doi.org/10.1111/add.13238 for a patient with addiction to prescription opioids.

Healing The Mind And Soul With Art And Music, Jennifer K. Fortuna

The Open Journal of Occupational Therapy

Gracie Fisher, an artist and composer based in Santa Barbara, California, provided the cover art for the Fall 2020 edition of The Open Journal of Occupational Therapy (OJOT). “The Fruit of Spirit” is a 16” x 20” oil painting on canvas. When a rare neurologic condition left Gracie paralyzed from the neck down, art and music helped to heal her mind and soul. Upon returning home from the hospital, Gracie’s wish was to create an inclusive environment where children of all abilities could engage in art and music. She founded the Grace Fisher Foundation so others could experience the healing …

A National Study On The Physical And Mental Health Of Intersex Adults In The U.S., Amy Rosenwohl-Mack, Suegee Tamar-Mattis, Arlene B. Baratz, Katharine B. Dalke, Alesdair Ittelson, Kimberly Zieselman, Jason D. Flatt

Environmental & Global Health Faculty Research

Objectives: To describe the health of intersex adults (people with differences of sex development) in the U.S. using community-based research methods. Methods: In July–September 2018, we conducted a national health study of intersex adults aged 18 and older in the U.S., using a survey hosted on Qualtrics. The study describes the physical and mental health experiences of intersex adults, including differences by age (18 to 39 vs. 40 and older). Questions were derived from national (Behavioral Risk Factor Surveillance System) and intersex-related health studies. Results: A non-probability sample of 198 intersex adults completed the survey over three months. Over 43% …

Mindfulness Therapy Is An Effective Adjunctive Treatment For Adolescents Living With Hiv, Samantha Rea

Clinical Research in Practice: The Journal of Team Hippocrates

A clinical decision report appraising Webb L, Perry-Parrish C, Ellen J, Sibinga E. Mindfulness instruction for HIV-infected youth: a randomized controlled trial. AIDS Care. 2018;30(6):688–695. https://doi.org/10.1080/09540121.2017.1394434

Reaching Out Handbook, Boise State University

Rebuilding the Launchpad: Serving Students During Covid Resource Library

The Reaching Out Handbook has been created for the purpose of providing you with information about Counseling Services, about other campus resources, and how to most effectively assist individuals in distress.

Our goal is to help you recognize some of the symptoms of individual distress, as well as provide some specific options for intervention and for referral to campus resources. We are available to assist you with problem situations and to consult with you on whether to intervene with a particular individual and when to refer.

Guidelines are offered but each individual will need to consider what is appropriate in …

Supporting Academic Primary Care Teams Serving Refugees: A Qualitative Study, Gabrielle Waclawik Md Mph, Fabiana Kotovicz, Devin Walsh-Felz Md Mph, Savitri Tsering Mssw, Nancy Pandhi Md Mph Phd

Journal of Refugee & Global Health

Introduction: Primary care providers continue to experience significant challenges when caring for refugee patients, yet they are often refugees’ initial point of contact with the U.S. health care system. The purpose of this qualitative study is to expand our understanding of the experiences of academic primary care team members during clinical encounters with refugee patients.

Methods: This multi-perspective, qualitative study included physicians (faculty and residents), nurse practitioners, pharmacists, nurses, and medical assistants (n=10), who have been working with refugee patients for at least one year at two family medicine residency clinics and/or a community health center. Semi-structured in-person interviews were …

Legal And Ethical Approaches To Impaired Capacity: Balancing Autonomy And Non-Maleficence, Gregory Brown

Psychiatry & Behavioral Health Faculty Research

Goals and Objectives:

1. Articulate the two primary ethical principles in conflict when considering an assessment of capacity.
2. Define the legal authority provided under an L2K hold within the state of Nevada and the authority not granted under that form of detainment.
3. Clarify the difference between specific decision making capacity versus global impairment of cognition.
4. Differentiate the pros and cons of a “sliding scale” of competence model.
5. Apply the concept of an alternative decision maker legally in clinical care setting.

Comparison Study: Trauma-Focused Cognitive Behavioral Therapy And Acceptance And Commitment Therapy For Trauma, Colleen Marie Kirsch Hiltz White

Dissertations

There is a need for more evidenced based treatments for adolescents with trauma related disorders. Currently, Trauma Focused Cognitive Behavioral Therapy (TF CBT) is the gold standard, but clients and clinician need the ability to choose between effective treatments. This study completed a direct comparison between six weeks of treatment in Acceptance and Commitment Therapy for Trauma and TF CBT via telehealth during the COVID-19 pandemic. Treatments were measured using the Clinician Administered PTSD Scale and the Child PTSD Symptom Scale. Both treatments were found to be effective in reducing trauma related symptoms in two 12-year-old females.

The Social Value Of Zero Balancing, David Laden

Journal of Transformative Touch

Does Zero Balancing have a social value? Does it in some way contribute to the betterment of society? Does it really have the capacity to make the world a better place? These are questions I started asking myself years ago when I was going through a period of soul searching - investigating my own feelings of powerlessness - feelings of not doing enough in the larger sphere of “making the world a better place”.

Interim Evaluation Report By The Independent Evaluator For The New Hampshire Delivery System Reform Incentive Payment (Dsrip) Program, Mary Lindsey Smith Phd, Deborah Thayer, Katie Rosingana Ba, Catherine Mcguire, Rachel M. Gallo Mph, Evelyn Ali, Olivia Dooley Mpa, Carolyn Gray Mph, Tom Merrill Ma, Karen Pearson Mlis, Ma,, Mark Richards Bs

Substance Use Research & Evaluation

Delivery System Reform Incentive Payment (DSRIP) programs are part of the broader Center for Medicare & Medicaid Services (CMS) Section 1115 Waiver programs and provide states with significant funding to support system transformation efforts. CMS approved New Hampshire’s five-year Building Capacity for Transformation Section 1115(a) Medicaid Demonstration Waiver in 2015. The overall goal of the DSRIP Demonstration is to improve the care for New Hampshire’s Medicaid Beneficiaries with behavioral health disorders by addressing workforce and infrastructure shortages, improving care transitions, and integrating physical and behavioral health.

Penerapan Sistem Attachment Pada Anak Melalui Gawai, Dwi Amalia Chandra Sekar, Aqilatul Layyinah

Jurnal Ilmu Kesejahteraan Sosial

Attachment between mother and child is an affective bond that is important to maintain in a family. For working mothers, the device is one solution to maintain attachment to their children. This research aims to describe the attachment system in children aged 2-3 years through the device and the application of the attachment system to fulfill the developmental tasks of the child. The articles are arranged based on qualitative research with descriptive methods. Although the attachment system that was built was adapted to the use of the device, but working mothers always maintain the quality of their relationship by interacting …

Individualize Outcome Evaluation Program Rehabilitasi Sosial Anak Berkonflik Hukum (Abh) Di Brsampk Rumbai., Rieza Satifa, Isbandi Rukminto Adi

Jurnal Ilmu Kesejahteraan Sosial

This study aims to individually evaluate the impact (Outcomes) of a social rehabilitation program for Children in Legal Conflict (ABH) in BRSAMPK Rumbai. One of the programs available is the Rumah Antara that is intended for ABH who have already been or are undergoing legal proceedings. By using a qualitative approach, this research evaluated ABH who have carried out social rehabilitation and have resumed life in their communities, so that they can provide a pattern and input to the Balai and the justice system in handling child with criminal cases. Past conditions cause the family to be more possessive to …

Fungsi Badan Usaha Milik Desa Dalam Meningkatkan Kesejahteraan Masyarakat : Studi Bumdes Serang Makmur Sejahtera, Desa Serang, Kabupaten Purbalingga, Rojaul Huda, Bambang Shergi Laksmono

Jurnal Ilmu Kesejahteraan Sosial

One of the efforts to reduce poverty and improve community welfare is through entrepreneurship. Village owned enterprises (BUMDes) are one of the places for entrepreneurial learning for rural communities. Likewise, what happened at BUMDes Serang Makmur Sejahtera in Serang Village, Karangreja District, Purbalingga Regency. The research objective is to gather information about the function of BUMDes in improving the welfare of the community in rural areas. This article uses a qualitative research method with a descriptive type. Data were collected by observation and in-depth interviews with BUMDes managers, village officials, and village communities. Based on this research, it is found …

The Role Of Paraprofessionals In The Mental Health Structure Of India, Amy Abraham

Senior Theses

The mental health treatment gap in India is part of a growing public health crisis, with over 95% of those in need of services never receiving them. Over 197 million Indians suffer from at least one diagnosable mental health disorder, and this number continues to grow given the treatment gap. The treatment gap is a result of four major factors: lack of government support, stigma, limited treatment facilities, and the dearth of professionals able to provide treatment. The current study aimed to analyze several factors of paraprofessional led mental health interventions including setting, treatments delivered, treatment models, and client outcomes. …

Effects Of A Physical Activity Intervention On The Stress Reduction Of Underserved Adolescent Youth, Gwenyth C. Asbury

Senior Theses

Stress levels of American teenagers are rising. Studies show that teens are reporting higher stress levels than what they perceive to be healthy and that these levels are higher than the levels of perceived stress reported by adults (APA, 2013). In addition to reporting unhealthy levels of stress, adolescents are reporting feeling overwhelmed and depressed due to their stress (APA, 2013). These findings are especially true for underserved adolescents who are more likely to have exposure to violence, discrimination, racism and conditions of poverty in addition to experiencing the typical stressors associated with adolescence (American Academy of Child and Adolescent …

The Experience Of Family Therapists Providing An In-Person Group Intervention, Responding To The Covid-19 Pandemic, And Attempting To Continue With A Comparable Intervention In A Virtual Setting, Miranda R. Gab

University Honors Theses

Group interventions are widely used in mental health and educational settings. Studies have shown that these groups can be conducted in either in-person or virtual settings with success, though there is limited research on the delivery of synchronous, online group interventions, particularly an in-person group intervention that abruptly transitioned to telehealth delivery due to the coronavirus. This observational research aims to tell the story of how two family therapists, who served as co-facilitators for an in-person parenting intervention, transitioned to deliver the same content virtually due to the restrictions of the COVID-19 pandemic. Drawing upon previous and present research in …