Mental and Social Health Commons^™

The Provider Perspective On Behavioral Health Care For Transgender And Gender Nonconforming Individuals In The Central Great Plains: A Qualitative Study Of Approaches And Needs, Natalie Holt, Debra A. Hope, Richard Mocarski, Heather Meyer, Robyn King, Nathan Woodruff

Trans Collaborations Academic Papers

Purpose—Transgender and gender nonconforming (TGNC) individuals interact with mental health care systems at high rates and experience substantial barriers to care. Rural TGNC individuals face additional disparities in accessing appropriate mental health services. Little research has focused on the mental healthcare providers who work with TGNC individuals in underserved areas. The current study sought to describe the mental health care services delivered by providers perceived as affirming by TGNC community members in the Central Great Plains.

Methods—We conducted qualitative interviews with 10 providers to understand how providers seek cultural competency and conceptualize and work with their TGNC clients given the …

Covid-19 In Indigenous Communities: Five Protective Factors Of “Exercising” Sovereignty, Kelsey Leonard, Natalie Welch, Alisse Ali-Joseph

Faculty Publications

Indigenous Peoples have an inherent responsibility and right to “exercising” sovereignty - the practice of sport and physical activity in performance of our cultural, political, and spiritual citizenship (Ali-Joseph 2018). During the COVID-19 pandemic, access to and equity (inequity) in sport and physical activity has been felt (physically, spiritually, politically) within Indigenous communities. We implement an abundance-based Indigenous approach to understanding Indigenous Peoples’ responses to the coronavirus pandemic through sport and its far-reaching ramifications in Indian Country. In response to the COVID-19 pandemic we have seen Indigenous Peoples utilize social media such as Facebook and TikTok to reimagine Indigenous sport …

Awareness Of The Unaware: Anosognosia As A Comorbidity In Mental Health Conditions, Tiffany L. Baula

Honors Undergraduate Theses

The primary purpose of this integrative review of the literature is to describe healthcare provider’s recognition of anosognosia in individuals with comorbid mental health disorders, as a differentiating diagnosis needing preeminent early intervention. The secondary purpose is to examine how anosognosia influences outcomes in the population of individuals with severe mental illness. It is expected that early recognition by clinicians and implementation of additional interventions to address anosognosia as the most influential comorbidity of schizophrenia, will decrease exacerbations and improve treatment and patient outcomes.

A literature review exploring clinician’s acknowledgement of anosognosia was performed using various databases. Search terms included: …

Social Stigma, Public Health, And Addiction In Albania, Ediola Malkouari

Honors Undergraduate Theses

Drug use is considered in many countries the plague of today's society. Researchers from medical, psychological and sociological fields, as well as lawmakers, are interested in finding more answers to this widespread phenomenon. All over the world there are known conflicts related to drug producing, transportation routes and distribution, that harm the economy and social standing of the involved communities or countries. Policies towards drug use vary from country to country, but this research focuses on how stigma affects the lives of individuals suffering from substance use disorder (SUD) in Albania. Substance use disorder is not often considered a disease, …

The Relationship Between Parent And Child Health Behaviors In Youth With Autism Spectrum Disorder, Elise M. Arnold

Honors Undergraduate Theses

Previous studies found that children with ASD tend to participate in lower amounts of physical activity (PA), accumulate greater hours of screen time (ST), and have poorer sleep quality (SQ), compared to typically developing (TD) youth. Unfortunately, these poor health behaviors put youth with ASD at a high risk for developing obesity, as well as other obesity-related conditions (e.g. Type 2 diabetes). In order to reduce this risk, it is critical to understand the factors that affect activity levels and sleep in youth with ASD. Several studies have demonstrated that parents may have a large influence on social behaviors in …

Systematic Literature Review Of Cognitive Behavioral Treatments For Patients With Classical, Secondary, And Idiopathic Trigeminal Neuralgia, Linnea B. Herzog

Honors Undergraduate Theses

Trigeminal neuralgia is a painful neuralgia with a complicated pathology that is not clearly understood. Due to the ambiguity of the condition, patients often have to search for medical providers that specialize in trigeminal neuralgia, and even with the guidance of a specialist, some patients do not respond well to treatment.¹ Despite the uncertainty surrounding the specifics of the disease, there are treatments available that can provide some level of pain relief for patients suffering from this disorder. When a patient does not respond well to medical therapy, surgery can be the next appropriate step in patient care management. …

Sexual Identity And Alcohol, Cigarette, And E-Cigarette Use, Zoe H. Webster, Elizabeth K. Do Phd, Mph

IRBEH/Spit for Science Publications and Presentations

No abstract provided.

The Effects Of Emotional Distress On Substance Use In First Generation And Continuing Generation College Students, E. Noelle Rogers, Karen G. Chartier Phd, Msw

IRBEH/Spit for Science Publications and Presentations

No abstract provided.

Spiraling: Do Parents Help Lighten The Blow Of Trauma, Ruth Laryea, Marcia Winter Phd

IRBEH/Spit for Science Publications and Presentations

No abstract provided.

Worried About Being Un-Masked By Booze? Associations Between Psychopathy And The Fear Of Behavioral Disinhibition During Alcohol Misuse, Jenely J. Villegas, David S. Chester Phd

IRBEH/Spit for Science Publications and Presentations

No abstract provided.

Portrait Of A Novice Medical Family Therapist, Working In A Medical Setting With Head And Neck Cancer Patients Observed Through A Bowen Family Systems Theory’S Lens, Venetia Bennett

Department of Family Therapy Dissertations and Applied Clinical Projects

Each year, approximately 43,000 people in the United States, receive a diagnosis of cancer of the head and neck (American Cancer Society 2019). A diagnosis of cancer, regardless of its location can be overwhelming for patients, their caregivers, and their family system. Receiving such a diagnosis causes a reaction of heightened emotions and anxiety. With that, there is a growing need for medical familytherapists. Medical family therapy has been documented as an effective approach for aiding medical providers to increase the quality of care for patients. Traditionally, medical family therapy is associated withgeneral practitioners, pediatricians, and such medical environments. This …

Awareness Of The Use Of Self In Therapy: An Autoethnographic Inquiry Into The Training Experiences Of A Black, Single, Female Mft Doctoral Student, Phyllis Days

Department of Family Therapy Dissertations and Applied Clinical Projects

The "self" of the therapist is an essential factor in the therapeutic process (Baldwin, 2000) and is impacted by intersections of identities and prejudicial treatment, which creates unjust conditions for Black women in society and academia. Nonmembers of the predominant culture can find difficulties in navigating the "self" of the therapist, which reflects personal and social experiences. In academia, the Black woman's identity continues to face problems of exclusion and oppressive related situations, which can complicate the learning process (Ong, Wright, Espinosa, & Orfield, 2011). Several studies have explored the challenges ofAfrican-American students and faculty, in MFT graduate programs, who …

Utilization And Impact Of Peer-Support Programs On Police Officers’ Mental Health, Beth A. Milliard

Walden Dissertations and Doctoral Studies

Police officer suicides rates hit an all-time high in the province of Ontario, Canada, in 2018. Sadly, this statistic is somewhat unsurprising, as research has shown that police officers suffer from higher rates of mental health disorder diagnoses compared the general public. One key reason for the elevated levels of suicide and other mental health issues among police officers is the stigma associated with seeking help. In an attempt to address these serious issues, Ontario’s police services have begun to create internal peer-support programs as a way of supporting their members. The present research explores the experiences of police officers …

Does Maternal Methadone Dose Correlate With Severity Of Intrauterine Growth Restriction In Infants With Neonatal Abstinence Syndrome?, D. Friedman, J. Smith, M. Lafferty, Z. H. Aghai

Phase 1

Introduction : Previous studies demonstrate a relationship between maternal opioid use during pregnancy and smaller head circumference of infants with neonatal abstinence syndrome (NAS). The goal of this study is to correlate maternal methadone dose and severity of growth restriction in infants with NAS admitted to the neonatal intensive care unit (NICU).

Methods: This is a retrospective analysis of infants (≥35 weeks gestation) exposed to in utero methadone, born between August 2006 and May 2018, and admitted to a Philadelphia NICU for medical therapy for NAS. Growth parameters (birth weight, birth length, and birth head circumference) were compared between infants …

Basic Life Support And Opioid Overdose Management: Knowledge And Attitudes Among Students Matriculating Into Medical School - A Cross-Sectional Analysis To Inform Curricular Change, Nicholas Macdonald, Dimitrios Papanagnou, Md

Phase 1

Purpose: While Basic Life Support (BLS) skills are typically included in undergraduate medical education (UME) curricula, graduating students continue to demonstrate substandard skills retention. In the setting of the opioid epidemic, effective opioid overdose management (OOM) training should likewise take place during UME. To date, there is a paucity of literature that describes incoming medical students’ knowledge and attitudes on these topics prior to beginning their studies. The purpose of this study is to describe medical students’ knowledge and attitudes towards BLS and OOM prior to their medical training to inform curricular change in UME.

Methods: We conducted an observational, …

We Was Somebody, Kyle Rodgers, Abigail Kay, Md

Phase 1

As the number of people who inject drugs (PWID) in Philadelphia increases, more healthcare professionals find themselves treating patients suffering from IV drug addictions. Unfortunately, many of these busy healthcare professionals have little education on the biochemistry of addiction and obstacles between people who inject drugs (PWID) and their recovery. We Was Somebody, a fictional play inspired by the stories of PWID in Kensington, Philadelphia, aims to promote understanding and empathy for the complexity of addiction and ultimately improve the quality of healthcare provided to the human beings affected by it.

The content of the play comes from peer-reviewed …

The Impact Of Cooking Groups On One Individual's Transition To Independent Living, Alison Garcia

Occupational Therapy Doctorate Capstone Projects

The goal of occupational therapy in inpatient psychiatric settings is to develop independent living skills and restore normative life roles vital for leading a fulfilling life in the least restrictive environment. In one psychiatric hospital, cooking groups are an essential intervention and environment in which to develop these skills and roles. The purpose of this qualitative case study is to describe OT cooking group programing in one inpatient psychiatric setting, understand one client’s experience with cooking groups and illustrate how her participation in these groups led to a successful transition to independent living. This study was guided by the transformative …

Adult Attachment For African American Women Who Have Mothers With Borderline Personality Disorder, Elizabeth Uchechi Onyeali

Walden Dissertations and Doctoral Studies

The effects that borderline personality disorder (BPD) can have on the loved ones of those who suffer from the mental illness is significant and can be deleterious and enduring. Maternal BPD can adversely impact mother-daughter relationships by fostering abnormal connections and insecure attachment bonds. This is particularly the case for African American mothers, of whom research suggests that the early attachment bond between them and their daughters significantly shapes how their daughters behave, perceive themselves, and relate to others. The purpose of this qualitative transcendental phenomenological study was to explore how the experiences of being raised by a mother diagnosed …

Acknowledging And Addressing Adolescent Depression, Johnsie Burke Hughes

Walden Dissertations and Doctoral Studies

A family practice was found to inconsistently screen adolescents for depression even with the necessary Patient Health Questionnaire (PHQ) screening tools being readily available in their electronic medical record. The development of a practice guideline that offers a systematic approach to screening using the PHQ2 and the PHQ9 will potentially result in an increased guidance and provider willingness to screen for adolescent depression in the family practice setting. The purpose of this DNP project was to determine if an algorithmic practice guideline would increase provider willingness to assess for adolescent depression and identify any barriers to the use of the …

Job Satisfaction And Turnover Among Millennial Nurses In Public Hospitals, Gwen Mancuso

Walden Dissertations and Doctoral Studies

This study addressed turnover of millennial generation behavioral health nurses (MGBHNs). Because retention strategies mitigate the consequences of turnover, the purpose of this quantitative, correlational study was to examine job satisfaction (JS) and anticipated turnover (AT) intention among MGBHNs employed in U.S. public hospitals. Research questions were focused on determining what, if any, correlation exists between AT and JS. The theoretical frameworks were Herzberg’s theory and person in environment theory. A multiple linear regression and 5 Spearman’s rho correlation analyses were used to analyze data from a convenience sample of 65 MGBHNs to understand the relationship between the independent variables …