Implementation Of Mental Health Services In Conflict And Post-Conflict Zones: Lessons From Syria, Mohammad Khalid Hamza, Madelyn J. Hsiao-Rei Hicks
Open Access Publications by UMMS Authors
Objective: We describe the challenges confronted and lessons learned in implementing mental healthcare during the Syrian war to inform effective services for conflict-affected Syrian populations.
Materials and Methods: We searched the academic and gray literature. We draw on the experiences of Syrian-American mental health professionals with nine years of experience providing clinical and programmatic mental healthcare in combat settings, siege, internally displaced person camps, and refugee camps.
Results: Collaboration with nonprofessional personnel was essential due to the shortage of formally trained mental healthcare professionals in Syria. The use of psychological and diagnostic terms increased stigma, whereas asking about the patient ...
Effectiveness Of Two Frequently Used Screening Tools In Identifying Depression And Anxiety In Collegiate Athletes, 2021 Maine Medical Partners
Effectiveness Of Two Frequently Used Screening Tools In Identifying Depression And Anxiety In Collegiate Athletes, Adriana C. Isacke Do, Amy Haskins Phd, Christina Holt Md, Msc, Williams Dexter Md, Facsm
Journal of Maine Medical Center
Introduction: To determine whether the Electronic Pre-participation Physical Examination (EPPE), a proprietary and frequently used tool, is an effective method for depression and anxiety screening in the collegiate athlete population as compared to the Patient Health Questionnaire-4 (PHQ-4).
Methods: College athletes at a Division III university completed PHQ-4 questionnaires and a proprietary EPPE. Positive reponse rates to depression and/or anxiety for both questionnaires were collected and analyzed with a kappa (κ) statistic.
Results: Among 420 students, we found that 9 (2%) reported depression and/or anxiety via the EPPE. Of the 26 students (6%) who answered positively on the ...
Spreading Encouragement To Seniors In A Pandemic, 2021 University of St. Augustine for Health Sciences
Spreading Encouragement To Seniors In A Pandemic, Bonnie L. Rogulj, Lashia Hicks
Physical Therapy Collection
This brief note describes a "virtual calendar" project created by students of the University of St. Augustine for Health Sciences. The calendar of images and poetry was shared with older adult community members to reduce loneliness and increase mental health and wellness in this population during the COVID-19 pandemic.
More Than A Myth: The Benefits Of Incorporating Holistic Healing Methods From Native American And Mexican Cultures To Approach Opioid Use Disorder (Oud) Treatment, Juliana Favela
CMC Senior Theses
Opioid Use Disorder (OUD) is a substance use disorder that characterizes a dependence on and an addiction to opioids. Opioids attack the prefrontal cortex, the dopaminergic reward system, and the hypothalamic-pituitary-adrenal (HPA) axis which is responsible for the body’s stress response. Opioids constantly shift one’s “set point” to the point where normal actions that cause joy and excitement no longer cause those feelings, resulting in craving and dependence. The opioid epidemic is currently ravaging the United States and has disproportionately affected Native American populations specifically in the rural areas (Tipps, et.al, 2018). The current methods for addressing ...
Anxiety Screening In Children & Adolescents With Type 1 Diabetes Using The Gad-7 Tool, 2021 University of Kentucky
Anxiety Screening In Children & Adolescents With Type 1 Diabetes Using The Gad-7 Tool, Allison B. Reynolds
BACKGROUND: Children and adolescents with type 1 diabetes (T1DM) can encounter a variety of factors that affect proper management of their diabetes, including mental health. Youth with diabetes have significantly higher rates of depression, anxiety, and mental health problems compared to the general population. Anxiety is especially prevalent. PURPOSE: The objective of this project was to evaluate anxiety screening of children and adolescents with T1DM during their routine diabetes visits. Specifically, to assess for any trends in anxiety levels and patient characteristics including demographics, insulin regimen and A1C levels. METHODS: A cross- sectional, retrospective review of ambulatory electronic health records ...
Long-Term Mental Health And Quality Of Life Outcomes Of Neonatal Insults In Kilifi, Kenya, 2021 Amsterdam Public Health Research Institute
Long-Term Mental Health And Quality Of Life Outcomes Of Neonatal Insults In Kilifi, Kenya, Dorcas N. Magai, Hans M. Koot, Charles R. Newton, Amina Abubakar
Institute for Human Development
We examined the mental health and quality of life (QoL) outcomes and their correlates of school-aged survivors of neonatal jaundice (NNJ), hypoxic-ischemic encephalopathy (HIE), and a comparison group. The Child Behavior Checklist and the Pediatric Quality of Life Inventory were administered to assess the mental health and QoL of 375 children (134 with NNJ, 107 with HIE, and 134 comparison group) aged 6 to 12 years [Median age 9 (interquartile range 7 to 11)]. The results showed that survivors of NNJ and HIE have mental health problems and QoL similar to the comparison group. Maternal mental health was the predominant ...
The Effects Of Music Therapy On Older Adults With Dementia: A Systematic Review, 2021 The University of Akron
The Effects Of Music Therapy On Older Adults With Dementia: A Systematic Review, Sydney Swogger, Kahli Throckmorton
Williams Honors College, Honors Research Projects
Older adults with dementia experience difficulties throughout the progression of the disease, including decreased quality of life and mental health (Weise et al., 2018). Nonpharmacological interventions, such as music therapy and music listening, may be one solution to affect mental health outcomes in this population. The two authors seek to answer the following PICOT formatted question: In older adults, ages 65 and older, with dementia, how does music therapy, compared with treatment as usual, affect depression and anxiety? Twenty primary sources, published from 2014 to 2019, were reviewed and critically appraised. The sources were diverse with regards to country of ...
A Systematic Review Of Culturally Sensitive Interventions For Ethnic Minority Elders With Mental Illness, 2021 The University of Akron
A Systematic Review Of Culturally Sensitive Interventions For Ethnic Minority Elders With Mental Illness, Sarah Littlefield, Rosalinda Villareal
Williams Honors College, Honors Research Projects
Honors Research Proposal
Goals and Objectives
Our systematic review asks the question: In ethnic minority elders with mental illness, how does culturally sensitive care, compared to current practices, affect patient outcomes? Our project goal is identifying evidence based practice with the goal of improving patient outcomes for ethnic minority elders with mental illnesses.
We will compile evidence from 20 current peer-reviewed studies. These studies will be selected from the CINAHL Plus med database, and key search terms will include: culturally sensitive care, culture, ethnic, mental health, intervention. All selected articles will be current within the last five years.
Social Media And Mental Health In Adolescents And Young Adults: A Systematic Review, 2021 The University of Akron
Social Media And Mental Health In Adolescents And Young Adults: A Systematic Review, Dawn Ritter, Kimberly Ray, Celia Keefe
Williams Honors College, Honors Research Projects
The goal of our project is to increase understanding of the link between social media use and mental illness in teens and young adults. Our objective is to write a systematic review of the literature to answer the PICOT questions: (1) In teens and adults, younger than 25 years, what is the relationship between social media use and mental illness? (2) In teens and adults, younger than 25 years, what is the effect of interventions, such as social media as a resource, on mental health promotion and well-being? The motivation for our project comes from the increased use of social ...
The Impact Of Social Isolation And Cognitive Decline In Older Adults: A Systematic Literature Review, 2021 Minnesota State University, Mankato
The Impact Of Social Isolation And Cognitive Decline In Older Adults: A Systematic Literature Review, Jody L. Doll-Wilhelm
All Graduate Theses, Dissertations, and Other Capstone Projects
Background: During the COVID-19 pandemic, deaths of Alzheimer’s Disease (AD) and dementia patients surged. Increased social isolation and decreased activity levels in older adults have been suggested as contributing factors to accelerating AD and dementia. However, assessment tools to gauge interventions and outcomes of cognitive decline are variable among the literature.
Objective: Examine the impact of social engagement versus social isolation, like that experienced with the COVID-19 pandemic, on cognitive decline/dementia in older adults (greater than 60 years of age).
Method: A systematic search for studies evaluating the relationship between social isolation and social activity in cognitive function ...
The Efficacy Of Combination Of Psychosocial Interventions And Pharmacotherapeutic Intervention Compared To Standard Care In Patients Age 16-40 Diagnosed With Schizophrenia When Looking At Functional Capacity, 2021 Arcadia University
The Efficacy Of Combination Of Psychosocial Interventions And Pharmacotherapeutic Intervention Compared To Standard Care In Patients Age 16-40 Diagnosed With Schizophrenia When Looking At Functional Capacity, Lisa Roth
Introduction: Schizophrenia is a complex mental illness that arises from a combination of genetic factors, brain chemistry, substance use and environmental factors that affects the way a person behaves, thinks, and perceives. Schizophrenia has no cure, but it has several options for treatment including antipsychotic medications, psychotherapy, and education. Medication is frequently prescribed, and there is little evidence of how often psychotherapy is practiced to properly treat negative symptoms. The combination of these symptoms can have an impact on the functional capacity of an individual; this means that they may have less of an ability to proceed in a typical ...
The Harm In Seeking Care: Assessing The Relationship Between Healthcare Discrimination And Healthcare Avoidance Behaviors In The Past Year And Since The Start Of The Coronavirus Pandemic In A Transgender And Gender Independent Sample, 2021 Virginia Commonwealth University
The Harm In Seeking Care: Assessing The Relationship Between Healthcare Discrimination And Healthcare Avoidance Behaviors In The Past Year And Since The Start Of The Coronavirus Pandemic In A Transgender And Gender Independent Sample, Kyle L. Mason
Theses and Dissertations
Background: Gender minorities encounter a myriad of barriers to accessing general and gender affirming healthcare. Financial disparities impacting affordability of healthcare costs and insurance-based denials for gender-affirming care are among prominent barriers discussed. Considerations of the prevalence of stigma, discrimination, and erasure of gender minority identities must not be neglected when seeking to understand healthcare accessibility and utilization in this population. Previous researchers have examined gender minority patients’ experiences of discrimination in healthcare settings and delaying care due to fear of discrimination. There is a dearth of knowledge about the relationship between lifetime exposure to varied forms of healthcare discrimination ...
Efficacy Of Behavioral Therapy Compared To Pharmacotherapy As A First Line Treatment For Adhd In Prepubescent Patients Between 5-12 Years Old, Toby Hoskins
Attention Deficit Hyperactivity Disorder (ADHD) is a chronic psychiatric illness that is commonly diagnosed in children and is characterized by attention problems and hyperactive tendencies. Patients with ADHD have multiple treatment options including behavioral therapy and psychostimulants. There is some evidence that clinicians have started to prescribe stimulants at a much higher rate. The results of this critical analysis were varied, but all studies concluded that behavioral therapy is a successful treatment modality for ADHD patients.
Opioid Use Disorder: The Timeline For Medication Assisted Therapy, 2021 Arcadia University
Opioid Use Disorder: The Timeline For Medication Assisted Therapy, Alexander Cristofori
Opioid Use Disorder is patterns of opioid use leading to withdrawal, giving up important life events in order to use opioids, and excessive time spent using opioids, to name a few diagnostic criteria. The clinical progression of the disorder involves periods of acute exacerbation and remission that are cyclic in nature. Treatment is most effective when it includes both pharmacological and psychosocial modalities, referred to as medication assisted therapy (MAT). Three drugs used commonly in MAT-based treatment for OUD from oldest to newest include Methadone, Buprenorphine-naloxone, and Naltrexone. Treatment program models that prioritize total abstinence from the addictive substance attached ...
Naloxone/Buprenorphine, Methadone, Naltrexone And Their Role In Medication Assisted Treatment, 2021 Arcadia University
Naloxone/Buprenorphine, Methadone, Naltrexone And Their Role In Medication Assisted Treatment, Robert Barrett
Opioid use disorder (OUD) is an increasingly common diagnosis that has drastically increased in the last 5 years. Though multiple treatment modalities exist for treating OUD (naltrexone, buprenorphine, methadone), few studies have compared treatment outcomes in adults on long term therapy. This is an important topic to understand as providers as we will undoubtedly come into contact with patients either actively abusing opioid antagonists or in recovery from opioid abuse. Since the introduction of Oxycontin and subsequent over prescription of opioid analgesics, opioid overdoses have increased by over twelve-fold. Once providers began to realize a widespread pattern of abuse ...
Comparing The Trends Of Postpartum Depression Screening Scores During And Before The Covid-19 Pandemic, 2021 The University of Texas Rio Grande Valley
Comparing The Trends Of Postpartum Depression Screening Scores During And Before The Covid-19 Pandemic, Elif S. Duran, Dung Dang, Tony Ogburn
MEDI 9331 Scholarly Activities Clinical Years
Postpartum depression includes major and minor depressive disorders affecting women in the time period after childbirth. The studies reviewed in our literature found that the COVID-19 pandemic has increased the risk of postpartum depression for women. Our study location, the Rio Grande Valley is one of the hardest-hit locations by the COVID-19 pandemic in the United States. Our patient population is also one with the higher risk factors for postpartum depression. As such, we are expecting the psychological impact of the pandemic to be even more magnified, and thus, actions need to be taken to support the vulnerable population ...
Helping In The Home: Counselors’ Experiences Providing Clients With In-Home Services, 2021 Walden University
Helping In The Home: Counselors’ Experiences Providing Clients With In-Home Services, Melissa Jane Franzen
Walden Dissertations and Doctoral Studies
Counseling is an essential service that helps individuals work through struggles and live their best lives. Such service now includes providing counseling in clients’ homes. Counselors may require specific training or education to prepare for counseling in a home environment. This need for training and education is due to a lack of knowledge of the lived experiences of counselors providing services in the home. Transcendental phenomenology was used to guide a qualitative exploration into the lived experiences of counselors providing services in clients’ homes. Participants were 7 professional counselors, 5 female and 2 male, having met minimum state licensure requirements ...
Health Screening For Individuals Diagnosed With Mental Illness Within A Housing-First Organization, 2021 University of Vermont
Health Screening For Individuals Diagnosed With Mental Illness Within A Housing-First Organization, Jennifer J. Chamberlin
College of Nursing and Health Sciences Doctor of Nursing Practice (DNP) Project Publications
Background: Individuals with serious mental illness are a high-risk population that need improved access to physical health care. Many have negative experiences with the healthcare system and need support in accessing it. A housing-first organization in Vermont offers wrap-around services to these individuals but does not have a standardized way to assess for client healthcare needs or to communicate with primary care provider offices.
Purpose: The project aimed to: 1. Identify the current processes used to assess client health needs; 2. Change organizational workflow to include comprehensive and standardized health protocols. 3. Instruct staff to increase knowledge to identify and ...
Improving Care Transitions For Individuals With Suicide Risk After Discharged From Acute Unit, 2021 University of New Hampshire
Improving Care Transitions For Individuals With Suicide Risk After Discharged From Acute Unit, Maureen Ndu
DNP Scholarly Projects
Background: Suicide is a public health problem and the 10th leading cause of death in the US. Suicide accounted for more than 47,5000 deaths in the US in 2017, translating to about 130 suicide deaths each day. An average of 20 veterans commits suicide each day compared to 93 suicides in the general population in the US. Individuals with suicide risks are 300 times at an increased rate of suicide death in the first week and 200 times in the first month of hospital discharge. Nurses are in a strategic position to improve the care transition of individuals with ...
African American Mothers’ Experience In The Neonatal Intensive Care Unit, 2021 Walden University
African American Mothers’ Experience In The Neonatal Intensive Care Unit, Lauren Magruder
Walden Dissertations and Doctoral Studies
Black/African American (B/AA) mothers struggle disproportionately with problems related to childbirth. B/AA mothers have higher rates of premature births, infant death prior to age one, and death during childbirth. The purpose of this research was to add to present knowledge regarding B/AA mothers who have had a baby in the Neonatal Intensive Care Unit (NICU). Womanist theory was selected as a framework for the study because it focuses on the intersection of gender and race in relation to B/AA women. The experience of B/AA women in U.S. society is unique, in that it ...