Psychiatric and Mental Health Commons^™

The Feasibility And Utility Of Harnessing Digital Health To Understand Clinical Trajectories In Medication Treatment For Opioid Use Disorder: D-Tect Study Design And Methodological Considerations, Lisa A. Marsch, Ching-Hua Chen, Sara R. Adams, Asma Asyyed, Monique B. Does, Saeed Hassanpour, Emily Hichborn, Melanie Jackson-Morris, Nicholas C. Jacobson, Heather K. Jones, David Kotz, Chantal A. Lambert-Harris, Zhiguo Li, Bethany Mcleman, Varun Mishra, Catherine Stanger, Geetha Subramaniam, Weiyi Wu, Cynthia I. Campbell

Dartmouth Scholarship

Introduction: Across the U.S., the prevalence of opioid use disorder (OUD) and the rates of opioid overdoses have risen precipitously in recent years. Several effective medications for OUD (MOUD) exist and have been shown to be life-saving. A large volume of research has identified a confluence of factors that predict attrition and continued substance use during substance use disorder treatment. However, much of this literature has examined a small set of potential moderators or mediators of outcomes in MOUD treatment and may lead to over-simplified accounts of treatment non-adherence. Digital health methodologies offer great promise for capturing intensive, longitudinal ecologically-valid …

Long-Acting Antipsychotic Injectables Vs. Oral Antipsychotics: Comparing Compliance, Relapse, And Re-Hospitalization Rates, Latoria Boyland Bsn, Rn, Kara Darretta Bsn, Rn, Ansley Geno Bsn, Rn, Keevia Porter Dnp, Np-C, Rn

Doctor of Nursing Practice Projects

Purpose/Background Psychosis is a psychiatric disorder characterized by hallucinations and delusions. These symptoms not only negatively impact a patient’s quality of life but can also make treatment compliance difficult. This lack of treatment compliance ultimately leads to higher relapse and re-hospitalization rates among this population. Thus, it is imperative that effective treatments are developed, utilized, and made readily available for patients. Antipsychotics are medications that block dopamine D2 receptors. These medications are used for psychosis to help to improve patient outcomes. Currently, two routes of antipsychotic administration are available, oral antipsychotics or long-acting antipsychotic injections (LAIs). Oral antipsychotic administration requires …

An Exploration Of Psychological Trauma And Positive Adaptation In Adults With Congenital Heart Disease During The Covid-19 Pandemic, Liza Morton Dr, Calum Calderwood, Nicola Cogan, Claire Murphy, Evan Nix, Jacek Kolacz Dr

Patient Experience Journal

The growing population of adults with congenital heart disease (CHD) often have lifelong experience of dealing with potentially traumatic health crises and medical uncertainty whilst facing increased vulnerability to post-traumatic stress disorder (PTSD). The COVID-19 pandemic presents additional challenges for this population including increased risk of health complications, shielding and strict social distancing, changes to medical care provision and social stigma. Despite such challenges, adults with CHD have the potential to also experience positive changes, yet little is known as to what helps cultivate positive adaptation and post-traumatic growth (PTG) within this context. The current study comprised a cross-sectional, anonymous, …

Consumer Experience Of Mental Health Services During The Covid-19 Pandemic: Evidence From An Australian Mental Health System, Sarah Kelshaw, Jason Boyd, Irene Gallagher, Grant Sara

Patient Experience Journal

COVID-19 has increased the need for mental health care but disrupted its delivery. We examined impacts of the first year of the COVID-19 pandemic on consumer experience of NSW hospital and community mental health services, compared to their pre-COVID baseline. We also examined whether increased telehealth use was associated with changes in the quantity or experience of community mental health care. Data were 73,488 Your Experience of Service (YES) surveys from state mental health services in New South Wales (NSW), Australia, grouped into three periods: pre-COVID (January 2018 to March 2020), early-COVID (April to June 2020) and stable-COVID (July to …

The Women Of Owen Clinic And Their Impact On Rural Mental Health, Mallory Stanley

Manuscripts

The mid-1900s was a pivotal moment in reforming mental health treatment in American Psychiatry. This movement becomes particularly clear when examining the championing work of two women, Dr. Thelma V. Owen and Dr. M. G. Stemmermann, at a rural mental health facility located in Huntington, WV: Owen Clinic Institute. While mental health stigma was at an extreme high among the general population, many factors aligned to allow for a new era of mental health care, including deinstitutionalization, World War II, and the advocation of professionals in the field. In West Virginia, no two people were more outspoken and active in …

Evaluating The Use Of Long-Acting Injectables As A Method To Improve Treatment Adherence In Patients With Schizophrenia: A Scoping Review, Britney Michelle Holton Msn, Fnp-Bc, Patricia Rena Jones-Purdy Msn, Cnrn, Margaret Harvey Phd, Aprn, Acnp-Bc, Chfn

Doctor of Nursing Practice Projects

Purpose/Background Medication adherence is a major issue for patients suffering from schizophrenia and medication non-adherence can lead to psychiatric morbidity. Although long-acting injectable (LAI) antipsychotics have been shown to improve treatment adherence, most clinicians continue to rely on oral therapies to manage schizophrenia. This scoping review will assess evidence-based literature to determine the relationship between the use of LAIs and medication adherence in patients with schizophrenia.

Methods A literature review was conducted between August 2020 and January 2021 to find studies that have evaluated medication adherence with the use of long-acting injectables in patients with schizophrenia. Relevant literature initially selected …

The State Of Mental Health In The Mountain West, Olivia K. Cheche, Kristian Thymianos, Katie M. Gilbertson

Undergraduate Research Symposium Podium Presentations

How do the Mountain West states (Arizona, Colorado, Nevada, New Mexico, and Utah) perform in the quality of mental health care services? How prevalent are mental health issues in the Mountain West? How accessible is the mental health workforce to adults and youth?

The Effectiveness Of Using Motor Imagery As An Alternative To Exercise For Improving Mental Health, Madelyn Colbert

Undergraduate Research Symposium Podium Presentations

Exercise shown to improve mental health in variety of health histories. MIT shown to improve physical health in a variety of conditions when tested alone. Mental health problems and SUD have high comorbidity rates. Exercise shown to be effective recovery therapy for SUD.

Is There An App For That? Social Support, Depression, And Anxiety Among Users Of A Digital Mental Health App, Bryce V. Brown, Teresa J. Walker, Christine Guardian, Matthew Schurr

Undergraduate Research Symposium Posters

Perceived social support has been associated with mental health. Social distancing guidelines due to COVID-19 heavily shifted social engagement to digital formats. It is important to understand the role of digital mental health interventions in mental health outcomes.

Who Is Gonna See The Shrink? Anxiety And Depression's Relationship To Openness And Willingness To Engage In Weekly Psychotherapy, Bryce V. Brown, Teresa J. Walker, Christine Guardian, Matthew Schurr

Undergraduate Research Symposium Posters

Digital mental health interventions may offer an alternative to in-person psychotherapy. It is important to understand attitudes about traditional in-person psychotherapy among app users to contextualize treatment seeking and better understand treatment options.

The Relationship Between Misophonia Sensitivity And Musicality, Mae Ling Catayong, Sarah Uganiza, William Smithers, Aileen Corral, Sivan Barashy, Solena Mednicoff, Destiny Gonzales

Undergraduate Research Symposium Posters

Misophonia is a condition characterized by negative emotional reactions to certain everyday sounds. Musicality involves Active Musical Engagement (AE), Self-reported Perceptual Abilities (PA), Musical Training (MT), Self-reported Singing Abilities (SA), Sophisticated Emotional Engagement with Music (EM), and General musical sophistication (GM). Numerous active musicians have self-reported having misophonia, while anecdotal reports have shown that music can help treat misophonia symptoms.

Misophonia Sensitivity Is Related To Enhanced Responsiveness To Misophonia, Asmr And Musical Frisson, Alexis Rice, Kiara O'Keefe, Kacey Chang, Sivan Barashy, Solena Mednicoff, Destiny Gonzales

Undergraduate Research Symposium Posters

Misophonia: a condition in which specific everyday sounds (e.g., chewing, breathing) trigger an atypical, negative emotional response.

ASMR: a sensory phenomenon triggered by stimuli that induce a state of relaxation, positive feelings, and tinging sensations that spread from the head to the rest of the body.

Musical frisson: typically characterized by positive affect and strong physiological reactions, such as shivering, goosebumps, and teary-eyes in response to highly pleasurable music.

You Never Walk Alone: How Bts Supports Army Mental Health And Well-Being, Melissa Le

Undergraduate Research Symposium Posters

BTS is a seven-membered South Korean boyband with a fandom named "ARMY." Music is generally associated with increased mental health, but not all types of music genres have been studied yet. With the current rise of Korean popular music (K-pop), it is important to understand what makes this genre popular and why fans claim it has improved their mental health. As BTS is currently the most popular K-pop group globally, they provide a unique look at how their music can help fans with depression and anxiety.

A New Narrative: Freeing Pediatricians From A Single Story, Tanya Scott, Tanya Scott

DNP Qualifying Manuscripts

An adolescent pediatric patient who presents with psychiatric and medical conditions is subject to a pediatrician's diagnostic acuity, experience with pediatric psych patients, and existing constraints on providing an appropriate course of care. Too often, the psychiatric DRG becomes the pediatrician's single story of the patient, accompanied by subtexts of aggressive behavior, and the pediatrician's own biases about psychiatric patients. The novelist Chimamanda Adichie warns of the dangers of a single story. As a child in Nigeria, Adiche devoured stories. The children were fair-skinned and blue-eyed in the books available to her. As Adiche began to write her own stories, …

Running Head: Ses, Food Literacy And Security, And Eating Disorders, Kendra Rigney

Masters Theses & Specialist Projects

Eating disorders have one of the highest mortality rates among all mental health conditions in terms of suicide rate and overall mortality rate, with college students reporting higher rates than the general population (Arcelus et al., 2011; Badrasawi & Zidan, 2019; Eisenberg et al., 2013; Perryman et al., 2018). The current literature has shown a relationship between binge-eating and bulimia symptoms and socioeconomic status, food literacy, and food security (Becker et al., 2017; Darling et al., 2017; Ferreira et al., 2021; Knesebeck et al., 2012; Rogers et al., 1997). The goal of the current study was to examine how perceived …

The Impact Of Outcomes On Depression Literacy In School-Age Children Who Received Depression Education, Loretta Q. Smith Aprn, Pnp-Bc, Bobby Bellflower Dnsc, Nnp-Bc, Faanp

Doctor of Nursing Practice Projects

Purpose/Background Recognizing mental illness is crucial in adolescence. It is the second leading cause of suicide and death in children 10-19 years of age. Early identification and recognition of signs and symptoms could prevent progressive mental health illness in early childhood and adulthood. We are seeking to answer the PICO question: In adolescents between 10 and 19 years of age who are enrolled in school (P), how does receiving education on depression awareness (I) compared to not receiving education on depression awareness (C) affect depression scores (O)?

Methods This review was conducted on articles about adolescent children. These articles were …

Protocol For An Ehub As An Systemic Intervention For Homeless Shelter Staff And Resident Psychosocial And Behavioral Needs, Celeste Sangiorgio, Cory Crane, Cassandra Berbery, Caroline Easton

Frameless

Homeless shelter performance is presently operationalized as shelter success in linking homeless individuals to housing; however, there is a cluster of individuals with co-occurring serious mental health issues who engage in chronic and episodic re-entry into homeless shelters. Persistent and chronically mentally ill individuals who re-enter shelters increase demands on staff, who are inadequately trained to de- escalate, manage their internal distress, and connect these homeless residents to appropriate services. This protocol outlines an alternative intervention mechanism for shelters that targets a key, untreated pathway where staff and resident symptoms and skills are linked to shelter performance. We propose that …

Designing A Digital Interactive Emotion Measure (Diem) For Digital Media: Theoretical Foundations And Validation Protocols, Celeste Sangiorgio, Cassandra Berbary, Cory Crane, Caroline Easton

Frameless

Awareness of emotions is often a treatment target in psychotherapy, but it is difficult to assess emotions due to ambiguity in measurement or scale design. Lack of clarity in scale design may increase risk that participant interpretations of scale items may not align with emotion constructs those scales were designed to capture. Furthermore, emphasis on verbal or written cues leads to low scientific representation of patients who cannot read emotion scales (e.g., low literacy). Touch-screen applications provide a unique opportunity to create a visual emotion measure which has low barriers but can be used to assess a high level of …

Affirmative Counseling With Lgbqqia Individuals: A Training And Resource Manual For Mental Health Counselors, Tena Prestidge

Dissertations, Theses, and Projects

This article is a review of literature related to issues associated with working with LGBQQIA clients. Although not an exhaustive review, the literature provides evidence of the need for additional training to improve the confidence and competence of counselors working with this population. Further, information is provided on what makes a counselor competent to work with LGBQQIA clients and evidence-based practices that have been shown to be effective in working with them. Following this review, a training and education manual is presented to help fill the need of additional training related to working with this population.

Substance Use Disorders, Cognitive Dysfunction, And Neurodivergence In Emerging Adulthood, David Posada, Jordyn Hebert

Symposium of Student Scholars

Substance Use Disorders, Cognitive Dysfunction, and Neurodivergence in Emerging Adulthood

Posada, D., Herbert, J., Weingast, L., Holliday, E.

Cognitive functioning in college students with substance use disorders (SUD) has been widely researched, however, discussions have largely concentrated on executive functions (EF) such as working memory, flexible thinking, and self-control. Literature on the relationship between cognitive dysfunction and SUD has largely underreported the influence of Attention Deficit/Hyperactivity Disorders (ADD/ADHD) and other neurodivergent characteristics. The current review explores the state of the literature on the relationship between neurodivergence, cognitive dysfunction, and SUD in emerging adulthood. More specifically, it speculates whether college students …