Dissertations / Theses on the topic 'Universal Mental Health Screening'
To see the other types of publications on this topic, follow the link: Universal Mental Health Screening.
Create a spot-on reference in APA, MLA, Chicago, Harvard, and other styles
Consult the top 50 dissertations / theses for your research on the topic 'Universal Mental Health Screening.'
Next to every source in the list of references, there is an 'Add to bibliography' button. Press on it, and we will generate automatically the bibliographic reference to the chosen work in the citation style you need: APA, MLA, Harvard, Chicago, Vancouver, etc.
You can also download the full text of the academic publication as pdf and read online its abstract whenever available in the metadata.
Browse dissertations / theses on a wide variety of disciplines and organise your bibliography correctly.
1
Minderman, Jared L. "Universal screening of mental health: An investigation of procedures and barriers to implementation." Miami University / OhioLINK, 2019. http://rave.ohiolink.edu/etdc/view?acc_num=miami1564753713199529.
2
Storey, Elizabeth. "Relationship between Teacher Characteristics and Accuracy in Identifying Middle School Students with Symptoms of Anxiety and Depression." Scholar Commons, 2016. http://scholarcommons.usf.edu/etd/6404.
Abstract:
As a universal screening method, teacher nominations have been found to both miss and misidentify a substantial proportion of students with internalizing disorders such as anxiety and depression (Cunningham & Suldo, 2014; Gelley, 2014; Moor et al., 2007). Although some research has explored the accuracy of teacher nominations when used to identify students with anxiety and depression, no research examined the teacher characteristics that are potentially related to accuracy. The current study conducted a secondary analysis of an archival dataset (Gelley, 2014) to determine which characteristics of teachers (N= 19) are more closely related to accuracy in identifying middle school students (N = 233) with elevated levels of anxiety or depression. Teacher characteristics examined include: teacher self-efficacy beliefs in identifying students with anxiety and depression, teacher acceptance of the general method of asking teachers as a whole to identify students with anxiety and depression, teacher gender, years teaching, and subject taught. Multiple regression analyses were used to examine the relationships between the aforementioned teacher characteristics and teacher accuracy, defined by the conditional probability indices sensitivity, specificity, positive predictive value (PPV), and negative predictive value (NPV). The combined predictors explained 38 to 69% of the variance in those indicators of accuracy. Results indicated that in predicting sensitivity, being a language arts or math teacher (as compared to being a social studies teacher), having fewer years of professional experience, and reporting greater acceptance of method may predict higher sensitivity rates. In regards to specificity, higher teacher self-efficacy, being a social studies teacher, being male, and having fewer years of professional experience predicted higher specificity rates. In terms of PPV, having higher acceptance of method and more self-efficacy may explain higher PPV rates. Finally, in terms of NPV, having fewer years of professional experience may explain higher NPV rates. Results from this study may be used to guide collaboration and consultation with teachers in universal screenings, and may inform teacher training programs aimed to increase teacher knowledge and confidence identifying students experiencing emotional distress at school.
3
Konishcheva, Kseniia. "Novel strategies for identifying and addressing mental health and learning disorders in school-age children." Electronic Thesis or Diss., Université Paris Cité, 2023. http://www.theses.fr/2023UNIP7083.
Abstract:
The prevalence of mental health and learning disorders in school-age children is a growing concern. Yet, a significant delay exists between the onset of symptoms and referral for intervention, contributing to long-term challenges for affected children. The current mental health system is fragmented, with teachers possessing valuable insights into their students' well-being but limited knowledge of mental health, while clinicians often only encounter more severe cases. Inconsistent implementation of existing screening programs in schools, mainly due to resource constraints, suggests the need for more effective solutions. This thesis presents two novel approaches for improvement of mental health and learning outcomes of children and adolescents. The first approach uses data-driven methods, leveraging the Healthy Brain Network dataset which contains item-level responses from over 50 assessments, consensus diagnoses, and cognitive task scores from thousands of children. Using machine learning techniques, item subsets were identified to predict common mental health and learning disability diagnoses. The approach demonstrated promising performance, offering potential utility for both mental health and learning disability detection. Furthermore, our approach provides an easy-to-use starting point for researchers to apply our method to new datasets. The second approach is a framework aimed at improving the mental health and learning outcomes of children by addressing the challenges faced by teachers in heterogeneous classrooms. This framework enables teachers to create tailored teaching strategies based on identified needs of individual students, and when necessary, suggest referral to clinical care. The first step of the framework is an instrument designed to assess each student's well-being and learning profile. FACETS is a 60-item scale built through partnerships with teachers and clinicians. Teacher acceptance and psychometric properties of FACETS are investigated. Preliminary pilot study demonstrated overall acceptance of FACETS among teachers. In conclusion, this thesis presents a framework to bridge the gap in detection and support of mental health and learning disorders in school-age children. Future studies will further validate and refine our tools, offering more timely and effective interventions to improve the well-being and learning outcomes of children in diverse educational settingsThe prevalence of mental health and learning disorders in school-age children is a growing concern. Yet, a significant delay exists between the onset of symptoms and referral for intervention, contributing to long-term challenges for affected children. The current mental health system is fragmented, with teachers possessing valuable insights into their students' well-being but limited knowledge of mental health, while clinicians often only encounter more severe cases. Inconsistent implementation of existing screening programs in schools, mainly due to resource constraints, suggests the need for more effective solutions. This thesis presents two novel approaches for improvement of mental health and learning outcomes of children and adolescents. The first approach uses data-driven methods, leveraging the Healthy Brain Network dataset which contains item-level responses from over 50 assessments, consensus diagnoses, and cognitive task scores from thousands of children. Using machine learning techniques, item subsets were identified to predict common mental health and learning disability diagnoses. The approach demonstrated promising performance, offering potential utility for both mental health and learning disability detection. Furthermore, our approach provides an easy-to-use starting point for researchers to apply our method to new datasets. The second approach is a framework aimed at improving the mental health and learning outcomes of children by addressing the challenges faced by teachers in heterogeneous classrooms. This framework enables teachers to create tailored teaching strategies based on identified needs of individual students, and when necessary, suggest referral to clinical care. The first step of the framework is an instrument designed to assess each student's well-being and learning profile. FACETS is a 60-item scale built through partnerships with teachers and clinicians. Teacher acceptance and psychometric properties of FACETS are investigated. Preliminary pilot study demonstrated overall acceptance of FACETS among teachers. In conclusion, this thesis presents a framework to bridge the gap in detection and support of mental health and learning disorders in school-age children. Future studies will further validate and refine our tools, offering more timely and effective interventions to improve the well-being and learning outcomes of children in diverse educational settings
4
Storey, Elizabeth D. "Early Identification Of Students In Accelerated Curricula With Signs Of Academic And Emotional Risk: Working With Teachers To Identify At-Risk Students." Scholar Commons, 2018. https://scholarcommons.usf.edu/etd/7579.
Abstract:
As part of a comprehensive, multi-tiered system of support for students’ emotional, academic, and behavioral success, effective universal screenings are essential to identify students who may benefit from early intervention and targeted prevention services (Strein, Kuhn-McKearin, & Finney, 2014). Although many screening procedures and methods have been developed and evaluated for general education populations, more research is needed on screening procedures designed for one traditionally underserved population in school-based mental health services—students in accelerated curricula (namely, students in Advanced Placement classes or in the International Baccalaureate program; AP/IB). When teachers are involved in universal screening procedures, regardless of student population served, training strategies to improve teacher accuracy in identifying students at-risk have resulted in gains in teacher knowledge of mental health disorders, but not improvements in accuracy (Deacon, 2015; Moor et al., 2007; Veira et al., 2014). This study examined prevalence of academic and emotional risk among 352 9th grade AP/IB students (enrolled in AP Human Geography or IB Inquiry Skills) in seven schools. Within a subgroup of 245 students (from five schools) who also participated in a teacher nomination procedure, this study also examined the accuracy of teachers (N = 6) in identifying the students who demonstrate signs of risk academically (defined by low grade in class or overall GPA) or emotionally (defined by high levels of perceived stress and low school satisfaction). Almost one in four students (24.17%) were designated as at-risk academically for either low course grades or GPA, and almost one in three students in the sample (28.88%) met at-risk criteria for emotional risk for either low school satisfaction or high perceived stress. In terms of teacher accuracy, teachers were found to have a high sensitivity and specificity identifying students with academic risk (90% sensitivity and 90.32% specificity across all 6 teachers). Mirroring previous research, teacher accuracy identifying students at-risk emotionally was lower (42.42% sensitivity and 76.14% specificity across all 6 teachers). The study also explored patterns in at-risk students missed by teachers, based on student characteristics such as gender, race, socio-economic status, risk severity, and risk type. Due to a low sample size of teachers, analyses were unable to detect differences in the rate of students missed across different student variables. Finally, the study advanced and evaluated the effects of a brief teacher training and feedback intervention intended to increase accuracy in identifying students at-risk. Low sample sizes again precluded identification of meaningful statistical differences. Although statistical findings were limited, quantitative and qualitative acceptability measures indicated high participant acceptability and feasibility for the new intervention. Conclusions from the study may be used within a population-based framework of student mental health services, to best inform early identification methods of students in accelerated curricula at-risk for diminished academic and emotional success, and working with teachers in screening efforts. Further, future research points to continued need to evaluate the brief teacher intervention with larger sample sizes to evaluate any possible intervention effects.
5
Lochan, Alicia Ruth. "E-Mental Health - Developing a general screening tool for Mental Disorders." Thesis, Uppsala universitet, Institutionen för informatik och media, 2010. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-133427.
Abstract:
Mental health care is critical and while governments are trying to increase awareness of the problem the available resources is not sufficient to confront the growing problem. The thesis proposes a design theory, using Gregor and Jones’s (2007) ‘Anatomy of a Design Theory’ framework, for the current mental illness dilemma that all societies are facing. The proposed solution is one of using information systems, together with domain knowledge and conventional instruments from the field of psychology to create a general screening tool. The design theory takes an ontological approach to defining the domain’s knowledge, using the MINI instrument along with expert knowledge to form the basis of the artifact. The artifact consists of four main entities: Background Information, Screening Questions, Pre-Requisite Questions and Other Questions. The thesis discusses the theoretical rationale for the screening took and then presents an instantiation of the artifact. This tool would be able to screen any person (with the exception of the mentally handicapped) to ascertain if they have a mental disorder as defined in the DSM-IV.
6
Dulaney, Kristina. "Perinatal Mental Health: Screening, Integrated Practice, and Community Resources." Digital Commons @ East Tennessee State University, 2020. https://dc.etsu.edu/etsu-works/8858.
7
Seedat, Farah. "Universal antenatal screening for group B streptococcus colonisation in the UK." Thesis, University of Warwick, 2017. http://wrap.warwick.ac.uk/103062/.
Abstract:
Background: Group B Streptococcus (GBS) is the leading cause of neonatal sepsis and meningitis. Currently, the UK recommends against universal antenatal screening to prevent early-onset GBS disease (EOGBS, < 7 days). Key gaps around GBS natural history, harms from screening and a lack of high-quality data to prove screening effectiveness make it difficult to ensure the benefits of GBS screening outweigh the harms. There is also a wider gap on policy-making processes for screening. The overall aim of this thesis is to address these gaps and examine whether the UK should introduce universal GBS screening as a result. Methods: In addition to a literature review, I used two approaches: systematic review/metaanalysis and ecological trend analysis. The systematic reviews synthesised evidence on the screening policy-making processes, mechanisms of EOGBS and adverse events from intrapartum antibiotic prophylaxis (IAP) to prevent EOGBS. In the absence of RCTs, I combined ecological data on the benefits and harms of GBS screening, then analysed their trends across time compared with other prevention strategies in regression analyses adjusting for context differences. Results: Evidence from 17 countries showed that most GBS screening recommendations were not developed by screening organisations and it is not known whether screening principles and the likely unseen harms of GBS screening were considered. Seventeen studies revealed that we do not fully understand the natural history of why some mothers, but not others, transmit GBS to their neonates, or which neonates will develop EOGBS. There was consistent evidence that heavy bacterial load was associated with transmission and progression to EOGBS. Neonates colonised with serotype III were also twice as likely to develop EOGBS compared with serotype Ia and II. However, the evidence was old and at high risk of bias. The selective culture test at 35 to 37 weeks gestation is not an accurate predictor of EOGBS and at least 99% of screen-positive and treated mothers (and their neonates) would be over-treated. Seventeen observational studies and 13 RCTs showed a wide range of potential harms from IAP, including cerebral palsy, functional impairment and antibiotic resistance. However, there was little high-quality and applicable evidence to quantify the frequency of adverse events. The three ecological trend analyses combining data from 59 geographical areas showed that EOGBS incidence decreased by approximately 0.02 per 1,000 livebirths per year in areas that most recently reported GBS screening, whereas it increased by approximately 0.01 to 0.02 per 1,000 livebirths in areas most recently reporting risk-based prevention. Areas that recently did not have GBS prevention displayed conflicting EOGBS trends. By contrast, there was no evidence that screening impacted annual early-onset sepsis trends compared with other, or no prevention strategies; however, this study did not have a sufficient sample size. The was no harmful impact of GBS screening on LOGBS trends compared with other, or no prevention. There was also no evidence that screening increased early-onset E. coli incidence and the percentage of GBS cases resistant to clindamycin and erythromycin, compared with risk-based or no prevention; again, these analyses did not have a sufficient sample size. The findings of these studies must be treated with caution as some results may be due to low statistical power and others were unstable across analyses. The findings also contain numerous limitations as covariates were poorly collected in most countries. Therefore, the evidence on the benefits and harms of universal GBS screening remains inconclusive. Conclusion: GBS infection is an important health condition and its persistence, poor screening tests and the IAP harms stress the need for a better understanding of the natural history of GBS and more effective prevention. Evidence on the harms and benefits of GBS screening is limited, therefore, screening should not be introduced in the UK. Ecological trend analysis was not an adequate method to inform GBS screening decisions, however, it may be useful for screening decisions on other conditions.
8
Davis, Meagan Chase. "Adolescent Depression Screening in Primary Care Practice." Thesis, The University of Arizona, 2019. http://pqdtopen.proquest.com/#viewpdf?dispub=13864970.
Abstract:
Purpose: The purpose of this DNP quality improvement project was to increase primary care provider knowledge about indications for adolescent depression screening.
Background: Approximately 13.3% of adolescents experienced depression in the past year. In Oklahoma alone, rates are increasing, with depression totaling 60% of all mental health illness among adolescents. Primary care providers see approximately 75% of adolescents; however, mental health conditions are missed 84% of the time. Current clinical guidelines recommend screening for adolescent depression during wellness visits or when risk factors are present.
Methods: The providers of interest were nurse practitioners, physicians, and physician assistants providing primary care to children between the ages of 12 and 17 in a private pediatric practice group consisting of three clinics. The Model for Improvement guided the process of developing, implementing, and evaluating an educational intervention through use of a pre-test/post-test quantitative design. An email invited participants to complete an anonymous pre-test survey to evaluate knowledge and beliefs surrounding adolescent depression, then view an educational presentation on adolescent depression and screening guidelines, then complete a post-survey to evaluate any changes in knowledge and intention to screen. Results were shared with clinic representatives to help refine the education for future testing cycles and other clinic sites.
Results: Data collection took place over one week. Five providers completed both the pre-test and post-test surveys. Provider knowledge scores significantly increased 29% after participating in the education and self-reported knowledge on screening increased.
Conclusions: DNP quality improvement projects like this help develop strategies to increase best practices, leading to improved patient outcomes. Nurse-led improvement programs like this contribute to healthcare literature and the advancement of the nursing profession by developing patient-centered interventions applicable to a wide variety of providers. Results may be used to develop strategies to increase and align provider practices with best standards to help promote early identification and treatment of adolescents with depression.
9
Diaz, de Leon Cassandra, and de Leon Cassandra Diaz. "Toddler Mental Health Screening for the Nurse Family Partnership Program." Diss., The University of Arizona, 2018. http://hdl.handle.net/10150/626649.
Abstract:
Background: Research has shown that attachment has a powerful impact on the developing brain of a child (Lieberman, 2004). Prevention focusing on the earliest signs of mental illness has the greatest potential for decreasing the risk of mental issues in later life (Ammitzbell et al., 2016).
Purpose: The purpose of this project was to train nurses working at the Easter Seals Blake Foundation Nurse Family Partnership Program on the Child Behavior Checklist. The study focused on identification of children who are at risk of mental health problems, largely based on attachment problems, and provide early interventions.
Design: The initial step of this study consisted of training home visiting Nurses working at a Nurse Family Partnership Program site in Pima County on the Child Behavior Checklist. The Child Behavior Checklist was meant to be implemented into the program as a secondary mental health screening tool if a child who was 18- or 24-months old was found to be “at-risk” using the Ages and Stages Questionnaire-Social and Emotional Tool. The Child Behavior Checklist, served as a more detailed screening tool if a child was found “at-risk.”
Results: During this project, a training on the Child Behavior Checklist was performed. Seven nurses participated in the initial survey, which assessed their thoughts on the current protocols at the Nurse Family Partnership Program. Then their client charts were reviewed to determine if the Child Behavior Checklist was utilized. Lastly, a post survey was sent out to inquire about their thoughts and potential for implementing the Child Behavior Checklist.
Implications: From the post survey, it was determined that most nurses thought the Child Behavior Checklist is a great, detailed tool to use if a child is found to be “at-risk.” However, most nurses also stated they did not need to use it due to lack of children having an “at-risk” score using the Ages and Stages Questionnaire-Social and Emotional tool.
10
Dulaney, Kristina, Diana Morelen, Matthew Tolliver, and Gayatri Jaishankar. "Integrating Perinatal Mental Health Screening into the Primary Care Setting." Digital Commons @ East Tennessee State University, 2019. https://dc.etsu.edu/etsu-works/8856.
11
Goans, Christian. "Universal Suicide Risk Screening in the Parkland Health and Hospital System: Evaluation of the Parkland Algorithm for Suicide Screening." Thesis, University of North Texas, 2019. https://digital.library.unt.edu/ark:/67531/metadc1538660/.
Abstract:
Suicide is a significant public health issue in the US. Despite national and international prioritization since 1996, little definitive progress has been made in terms of identification and intervention in cases of elevated suicide risk. Forty percent of those who died by suicide attended an emergency department within a year of death. Therefore, universal suicide risk screening in emergency departments could prove a vital component to a national suicide prevention strategy. The present study empirically evaluated the universal suicide risk screening program recently implemented at Parkland Health and Hospital System. The sample consisted of patients over 18 years of age (N=333,855; Mage=42.7, 32% male) screened as part of routine clinical care from May 4th, 2015, through November 3rd, 2015. The Parkland Algorithm for Suicide Screening (PASS) is part of a clinical decision support system for responses to Columbia - Suicide Severity Rating Scale Clinical Practice Screener (C-SSRS) items, leading to an automated clinical response via three suicide risk stratification levels: no action for no risk identified, psychiatric social worker assessment for moderate risk identified, and psychiatrist/psychologist interview for high risk identified. The present study used receiver operating characteristic (ROC) curve analysis, which found the PASS predicted disposition (z=30.46, p<.001, AUC=.78, CI95=.77, .81). This study also evaluated the cutpoints separating suicide risk stratification and levels of clinical response. The results supported the first cutpoint and highlighted a need for additional data to address the second cutpoint. The results of the present study suggest that the universal suicide risk screening program at Parkland Health and Hospital System is an important step toward addressing suicide prevalence in the US.
12
van, Vliet Helen E. Psychiatry Faculty of Medicine UNSW. "Mental health prevention: design and evaluation of an internet-delivered universal program for use in schools with adolescents." Awarded by:University of New South Wales. School of Psychiatry, 2007. http://handle.unsw.edu.au/1959.4/31899.
Abstract:
This research describes the design and evaluation of an internet-based universal program for use in schools with adolescent students to prevent common mental disorders and promote mental health. The research began in response to investigations that showed that rates of mental illness in Australian children, teenagers and adults were high, that these illnesses caused significant burden to individuals and society, and that there were insufficient services to treat. When current interventions are unable to alleviate disease burden it is important to focus on prevention. Mental health prevention should target youth before disorders cause disability and restriction of life choices. A review of the mental health prevention literature supported a universal cognitive behavioural approach in schools. Internet delivery was used to maintain content integrity, enable access to people living in regional and remote areas, and to appeal to young people. Internet delivery makes universal prevention cost effective and feasible. The Intervention Mapping approach was used to direct the design of the program. A feasibility study was conducted to gain opinions from students and teaching staff. Changes were made in light of results from this study and 463 students were then exposed to the program in an effectiveness trial. The effectiveness trial was a before-after design with no control group. Results from this trial provided evidence that the program was acceptable and effective for use by teachers in the intervention schools. Also student behaviour and mood changed in beneficial ways after program administration. Specifically, student reported significantly increased knowledge about stress and coping, use of help-seeking behaviours, and life satisfaction, and significantly decreased use of avoidance behaviours, total difficulties and psychological distress. The study design allows causal inferences to be surmised concerning exposure to the intervention and changes in behaviour and mood, but further evidence is needed before firm conclusions about effectiveness can be posited and generalizations made concerning different populations, settings and times. In conclusion, this thesis provides evidence that a computerised, cognitive behavioural mental health prevention program delivered to adolescent school students by teachers can potentially change student coping behaviours and mood in beneficial ways.
13
Salway-Jensen, Barbara Kay, and Barbara Kay Salway-Jensen. "Culturally Sensitive Technology-Enhanced Mental Health Screening in Integrated Primary Care." Diss., The University of Arizona, 2016. http://hdl.handle.net/10150/621823.
Abstract:
The integration of primary care and mental health care is a requirement of the Patient Protection and Affordable Care Act of 2010 and has challenged primary care providers to address gaps in the quality of care provided for patients with mental health issues. Vulnerable populations, such as the American Indian people experience gaps in quality health care, especially communication gaps and language barriers. This quality improvement project used a survey design to explore the potential for primary care providers to adopt a culturally sensitive electronic mental health, screening tool to bridge communication gaps and language barriers. Primary care providers recruited from the Northern Arizona University (NAU) Campus Health Services clinic evaluated the concept of a touch screen iPad technology to implement the Patient Health Questionnaire-9 (PHQ-9), which screens for depression using audio options in English and in the Navajo language to accommodate American Indian patients. A PowerPoint overview of the iPad technology was sent via email to the NAU providers and included; the PHQ-9 screening results, which are to be immediately accessible in the patient's electronic health record along with a screening report. The screening report included the PHQ-9 depression score, interpretation of the score, best treatment choices, and a graph for monitoring patient progress. This survey results concluded providers perceive the iPad technology for mental health screening to be useful in their integrated primary care clinic. A modified Technology Acceptance Model (Davis, 1989) was used to evaluate the providers' perception of the iPad Technology, and the University of Arizona's Qualtrics survey system provided data analysis of the survey results.
14
Girio, Erin L. "Kindergarten Screening and Parent Engagement to Enhance Mental Health Service Utilization." Ohio University / OhioLINK, 2010. http://rave.ohiolink.edu/etdc/view?acc_num=ohiou1283178607.
15
Cragun, Deborah Le. "Universal Tumor Screening for Lynch Syndrome: Identification of system-level implementation factors influencing patient reach." Scholar Commons, 2013. http://scholarcommons.usf.edu/etd/4658.
Abstract:
Lynch syndrome (LS) is the most prevalent cause of hereditary colorectal cancer (CRC) and confers high risks for several other types of cancer. Universal tumor screening (UTS) of all newly diagnosed patients with CRC can improve LS identification and decrease associated morbidity and mortality among patients and family members. However, for UTS to be effective, patients who screen positive must pursue genetic counseling and confirmatory germline testing (i.e., high patient reach). The purposes of this study were to characterize UTS programs, identify barriers and facilitators to implementation, document whether there have been negative outcomes, and determine institutional and implementation conditions that are associated with high and low patient reach.
Using two conceptual frameworks, RE-AIM and Consolidated Framework for Implementation Research, a baseline survey was conducted of 25 representatives from different institutions performing UTS. Descriptive statistics were used to illustrate similarities and differences among programs. A multiple-case study was then conducted by extracting data from surveys and interviews of representatives from 15 different institutions where UTS programs had been operational for over 6 months and where aggregated patient outcome data were available. Qualitative comparative analysis was performed to make systematic cross-case comparisons and identify conditions uniquely associated with high or low patient reach. Data were triangulated to create models explaining how UTS implementation and system-level factors influence patient reach.
Few patient concerns or negative outcomes were reported. UTS procedures and patient reach were highly variable. All 5 high-reach (H-R) centers have genetics professionals disclose positive screening results and either do not require a referral from another health care provider or have streamlined the referral process. Although 2 of the 5 mid-reach (M-R) centers also share these conditions, they have a less automated follow-up procedure and report difficulty contacting patients as a barrier. Both of the academic institutions with low patient reach (L-R) did not receive patient information that would allow them to follow-up on positive screening results. The three non-academic L-R institutions reported a high proportion of challenges to facilitators during implementation and did not have genetic professionals disclose positive screening results to patients.
Implementing a combination of procedures to streamline UTS protocols and procedures, eliminate barriers to patient follow-through after a positive tumor screen, and incorporate a high level of involvement of genetic professionals in contacting patients and disclosing screening results are expected to lead to improvement in patient reach
16
Smith, Stephanie Lynn. "Clinical Practice Guideline: Posttraumatic Stress Disorder Screening Tool for Patients." ScholarWorks, 2019. https://scholarworks.waldenu.edu/dissertations/7750.
Abstract:
The National Institute of Health has estimated that over 1 million new cancer cases will occur yearly. Posttraumatic stress disorder (PTSD) is commonly associated with near death experiences or traumatic events, such as cancer diagnosis and treatment. There is a lack of knowledge and awareness by healthcare professionals in identifying PTSD in cancer patients. In this population, PTSD symptoms often contribute to anxiety, and there is no standardized protocol being used to screen these individuals for the trauma they are facing or have faced. The purpose of this project was to develop a clinical practice guideline for screening cancer patients for PTSD in a clinic population serving cancer patients. The stress theory developed by Lazarus and Folkman guided this project. The project questions were to identify the most appropriate screening tool for PTSD in cancer patients and recommend a clinical practice guideline to the clinic healthcare providers. Five widely used PTSD screening tools were reviewed. Based on the project question the Clinician Administered PTSD Scale was identified as the most appropriate for this clinic setting and patient population. An expert panel consisting of 3 experienced psychiatric nurse practitioners reviewed the proposed guideline using the AGREE II tool. Using a scale of 1 (strongly disagree) to 7 (strongly agree), the team members agreed with a score of 5 or higher in each domain with the proposed guideline. Utilization of this guideline will promote a positive social change towards mental health awareness and improve the quality of life for these patients and their families.
17
Sebastian, Paige Dement. "Examining the Use of Mental Health Screening in Rural Primary Care Settings." Xavier University Psychology / OhioLINK, 2020. http://rave.ohiolink.edu/etdc/view?acc_num=xavier1588687699173069.
18
Lewis, Gwen. "Validating the CORE-10 as a mental health screening tool for prisoners." Thesis, Cardiff University, 2016. http://orca.cf.ac.uk/95008/.
Abstract:
Background: Few mental health screening tools have been validated with prisoners and existing tools, do not assess severity of need in line with contemporary stepped care service models. Aims: The current research aims to assess the CORE-10’s psychometric reliability, validity and predictive accuracy as a screening tool for common (primary care) and severe (secondary care) mental health problems in prisoners. Method: Cross –sectional study of 150 prisoners. All participants completed the CORE-10, Mini International Neuropsychiatric Interview version 6.0 (MINI) and the GHQ-12. Eighty-one participants repeated the CORE-10 and GHQ-12 two weeks later to assess re-test reliability. Clinical judgment data concerning referral for primary or secondary mental health services in prison were retrieved for each participant. Correlational, ROC and confirmatory factor analysis were utilised to assess the psychometric properties of the CORE-10 in comparison to the MINI, GHQ-12 and clinical judgment. Results: Significant positive correlations were identified between the CORE-10 and all other measures of mental health. ROC analysis on the CORE-10 against the MINI 6.0 revealed significant areas under the curve for predicting both primary (AUC .85) and secondary care (AUC .76) level needs. At cut points of >6 for primary care and >10 for secondary care sensitivity was .88 and .83, with specificity of 64 and .61 respectively. Sensitivity and specificity of the CORE-10 was superior to current clinical judgment and the GHQ-12. Internal reliability (α .84-.89) was good and two-week re-test reliability (ICC=.83) moderate. Confirmatory factor analysis confirmed the CORE-10’s original six-factor model to be a good fit. Conclusions: The CORE-10 is an accurate screen for common and severe mental health problems in prisoners. The CORE-10 is a psychometrically robust tool for use with prisoners demonstrating convergent, discriminate and construct validity as well as good internal and retest reliability.
19
Farthing, Dasa. "Validation of the Hayes Ability Screening Index (HASI) for intellectual disabilities among federal inmates in Quebec." Thesis, McGill University, 2011. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=104885.
Abstract:
Background: Researchers and clinicians have stressed the importance of indentifying individuals with an intellectual disability (ID) in the criminal justice system, yet there is a lack of convenient instruments available for early screening of ID by non-professionals. Objectives: The goal of the present study was to assess the predictive validity of a screening measure for ID, the Hayes Ability Screening Index (HASI), in a correctional setting. Methods: This cross-sectional study of 324 male offenders recruited from Quebec's Regional Reception Centre of the Correctional Service of Canada compared results of the HASI with two screening subscales of the Wechsler Adult Intelligence Scale (WAIS-III), the full WAIS-III and with the Adaptive Behavioural Assessment System (ABAS-II). Results: Despite a relatively good result of the ROC analysis (AUC. 0.702), consideration of high false negative rates is necessary for interpretation of the results. Results of HASI in predicting WAIS-III (IQ≤70) categorization indicated a high false negative rate (sensitivity 48%, specificity 87%) and also high false negative rate for the prediction of the ABAS-II (sensitivity=30%, specificity=84%) categorization. Conclusions: The results are discussed from a practical point of view in terms of limitations of HASI resulting in many false negatives. However, the importance of such screening tools is highlighted, as is the need for more research at different stages of the criminal justice process.Motivation: Malgré l'insistance des chercheurs et des cliniciens sur l'importance d'identifier dans le système judiciaire pénal, les personnes qui présentent une déficience intellectuelle (DI), on constate qu'il manque des instruments pratiques propres au dépistage de la DI. Objectif: L'étude proposée vise à valider un instrument de dépistage de la DI, intitulé Hayes Ability Screening Index (HASI), pour usage en milieu correctionnel. Méthode: Cette étude transversale de 324 délinquants recrutés au Centre Régional de Réception du Service Correctionnel du Canada a comparé les résultats obtenus au HASI aux deux sous-échelles de dépistage de la Wechsler Adult Intelligence Scale (WAIS-III), à l'évaluation complète du WAIS-III et à l'Adaptive Behavioural Assessment System (ABAS-II). Résultats: En dépit d'un résultat relativement bon aux analyses ROC (AUC 0.702), il est nécessaire de considérer le taux élevé de faux négatifs dans l'interprétation des résultats. Les résultats du HASI dans la prévision de la catégorisation au WAIS-III (QI≤70) indiquent un taux élevé de faux négatifs (sensibilité=48%; spécificité=87%) ainsi qu'un taux élevé de faux négatifs dans la prévision de la catégorisation à l'ABAS-II (sensibilité=30%; spécificité=87%). Conclusions: Les résultats sont discutés d'un point de vue pratique, considérant le haut pourcentage de faux négatifs que le HASI génère. Néanmoins, l'importance d'un tel instrument de dépistage est soulignée ainsi que la nécessité de poursuivre la recherche sur les différents stades du processus de justice criminelle.
20
Xenopoulos, Agnes A. "Screening for cognitive impairment following stroke : Rasch analysis of the Mini-Mental State Exam." Thesis, McGill University, 2005. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=111927.
Abstract:
Stroke is a leading cause of disability for adults. Several studies confirm cognitive impairment in persons following stroke. Every stroke patient should have rapid access to cognitive screening and evaluation. In this study, Rasch analysis was used to determine the suitability of the telephone version of the Mini-Mental State Examination (MMSE) in screening for cognitive impairment in persons with stroke. The specific objectives were to determine the range of difficulty represented by the items of the telephone version of the MMSE, to identify the hierarchy of item difficulty and to compare the French and English versions of the test. Rasch analysis was conducted on data obtained from 267 persons with first-ever stroke who completed the telephone version of the MMSE at 1 month post stroke. Results indicated that the telephone version of the MMSE did not target the full range of the persons' cognitive ability, especially for those with 'higher' cognitive ability. The item difficulty ranged from (-3.258 to 2.585 logits), and the average person mean (2.351 logits) was greater than the average item mean set at 0. The test was easy for most persons; the majority were situated above the mean item difficulty. Fit of the items to the Rasch model is discussed with alternate scoring methods suggested.
21
Romer, Natalie, and Natalie Romer. "Mental Health Screening Within a Tiered Model: Investigation of a Strength-Based Approach." Thesis, University of Oregon, 2012. http://hdl.handle.net/1794/12447.
Abstract:
This study examined the utility of a brief, strength-based approach to mental health screening. A strength-based based approach to mental health screening focuses on the social and emotional competencies taught and supported by the school context. As such, a strength-based approach to mental health screening is aligned with a three-tiered response to intervention model aimed at maximizing the effectiveness of universal supports and early detection of students who may benefit from additional intervention.
22
Pham, Lily. "Pharmacist-delivered perinatal mental healthcare: exploring stakeholder perspectives and training needs." Thesis, The University of Sydney, 2022. https://hdl.handle.net/2123/29870.
Abstract:
Perinatal depression (PND) affects 1 in 5 Australian women with potentially long-term consequences on women and their families. PND screening enables identification of at-risk women for referral and support. Pharmacists are accessible primary care providers who interact regularly with perinatal women and may assist existing PND care providers in screening delivery. The aim of this thesis is to build the evidence base surrounding potential roles for pharmacists in perinatal mental healthcare.
A systematic review was conducted to identify international PND screening recommendations. Interviews with Australian medical, pharmacy and nursing program providers explored the extent of Mental Health First Aid (MHFA) training and assessment in curricula. Interviews with perinatal women explored their acceptability towards pharmacist-delivered PND care.
The systematic review identified that the majority of recommendations supported PND screening. Generic terms, including ‘clinicians’ and ‘healthcare professionals’, were often used when referring to the providers responsible for PND screening. Pharmacy program providers were more likely to implement MHFA training than their medicine and nursing counterparts. Addressing barriers to integration of MHFA training including cost, time and staffing availability may facilitate training delivery. Perinatal women’s experience with existing PND services, patient-pharmacist relationships, knowledge of pharmacists’ roles and pharmacists’ visibility in PND care were factors influencing perinatal women’s acceptability of pharmacist-led PND screening.
Although pharmacists are not widely recognised as PND screening providers, mental health training is increasingly embedded in pharmacy curricula and women are accepting of pharmacist-delivered PND screening, indicating the potential to expand pharmacists’ roles in this area. Further research is required to explore the development and evaluation of pharmacist-specific PND screening training.
23
Green, Desiree. "An Examination of Convergent Validity in a Broad Mental Health Screener for Primary Care: The Adult Wellbeing Survey." Xavier University / OhioLINK, 2018. http://rave.ohiolink.edu/etdc/view?acc_num=xavier1535616998002287.
24
Mondal, Sourabh. "A self-assessment screening tool to prioritize patients with mental disorders." Thesis, Uppsala universitet, Informationssystem, 2018. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-363135.
Abstract:
Due to the continuous growth of patients with mental disorders, it has been a strenuous job to look after each patient and tailor the appropriate treatments for them on time. The thesis proposes a design science framework in the form of an IT artefact to prioritize the patients with mental disorders, considering the severity of the situation. The IT arte-fact will be using expert’s knowledge to design a self-assessment screen-ing tool that will evaluate the criticality of a patient’s mental health. This tool will also incorporate the psychometric scale DSM-5 Self-Rated Level 1 Cross-Cutting Symptom Measure, Adult electronically to de-termine what will be the next stage in the process of patients’ treat-ments. The process of prioritizing patients is prolonged and remains to be tedious at the hospital and also there is always a possibility of miss-ing some information while carrying out the job manually. The self-assessment system will serve two goals. It will shorten the initial screen-ing process and also the likelihood of any human error. The system is not meant to replace healthcare professionals but to build a bridge be-tween the patients and the doctors to make everyone’s life more orga-nized. The results indicate that it is possible to create a framework and the relevant prototype with the help of expert’s knowledge that can prioritize patients with mental disorders. It also demonstrates that the system can digitalize DSM-5 Self-Rated Level 1 Cross-Cutting Symp-tom Measure, Adult scale to determine possible problem domains for further diagnosis.
25
Molecavage, Juliann. "Relationship Between Remission of Symptoms and Screening for Depression." ScholarWorks, 2018. http://scholarworks.waldenu.edu/dissertations/4713.
Abstract:
Depression is the leading cause of disability in the United States. Insufficient evidence is available about the types of follow-up care that may be most effective. The purpose of this quantitative, retrospective cohort study was to determine whether remission of depression symptoms was associated with recommended follow-up care when controlling for age, gender, and number of previous episodes of depression, and whether symptom reduction was more likely for those who completed a course of treatment from a mental health specialist in comparison to those who were treated by their primary care providers (PCPs) when controlling for the same variables. The theoretical framework for this study was Reingold's theory of outbreak investigations. Existing was retrieved from Geisinger Health System's electronic health record. The following covariates were evaluated for their effects on the re
lationship between positive depression screening and follow-up care: baseline (initial) depression screening score, date of service, age, gender, consecutive depression screening score, date of consecutive depression screening, outcomes, and documented previous history of depression. Retrospective cohort data from 1,246 patients were collected from the study site and analyzed using descriptive statistics, t tests, ANOVAs, and multiple linear regression. Findings showed that PCP-initiated medication change and referral to community health were significantly associated with successful intervention. Findings may be used to encourage routine depression screening and increase positive health outcomes for patients with depression.
26
Kean, Jacob. "The accuracy and validity of a new screening tool for delirium in acquired brain injury." [Bloomington, Ind.] : Indiana University, 2008. http://gateway.proquest.com/openurl?url_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:dissertation&res_dat=xri:pqdiss&rft_dat=xri:pqdiss:3321120.
27
Gardiner, Kelly L. "Barriers to Colorectal Cancer Screening in People Obtaining Care From Community Mental Health Agencies." ScholarWorks, 2016. https://scholarworks.waldenu.edu/dissertations/2653.
Abstract:
Barriers to Colorectal Cancer Screening in People Obtaining Care
From Community Mental Health Agencies
by
Kelly Gardiner
MSN, Wayne State University, 1997
BSN, Wayne State University, 1988
Dissertation Submitted in Fulfillment
of the Requirements for the Degree of
Doctor of Philosophy
Public Health
Walden University
August 2016
Despite being highly treatable with early intervention and preventative screenings, the overall mortality rate of colorectal cancer is substantially higher in participants with a preexisting mental disorder. Variables affecting the likelihood of completing screening for those with mental illnesses were unknown in people who obtain services from a Community Mental Health agency. Using the Health Belief Model, the proposed study investigated the effects of access to transportation, referral to screening, physical ability to complete the colonoscopy prep, type of procedure, awareness of the purpose of screening, anxiety, embarrassment, gender, race, and age to determine which affect completion of colorectal cancer screening. Significant relationships existed between embarrassment, fear of pain, fear of cancer, anxiety, physical ability to do testing, awareness of screening at age 50, FOBT vs Scope procedures, age of first screening, being told to get screening, knowing someone who had screening, and completion of colorectal cancer screening. In the binary logistic model Anxiety was negatively correlated and being told to get screening was positively correlated to completion of colorectal cancer screening and those choosing Scope were more likely to complete than those choosing FOBT. The results of this study may effect positive social change by providing healthcare providers with an increased understanding of variables that influence colorectal cancer screening completion among persons with a diagnosed mental illness, resulting in a changing agenda for effective mental and physical health care in this population.
28
Baah-Binney, Victoria. "The Mental Wellness of Liberated Trokosi Women." University of Cincinnati / OhioLINK, 2021. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1623250850976973.
29
Larsen, Jack, Bruce Winegar, Jesse Gilreath, and Sarah Hewitt. "Does a Single Item Alcohol Screening Test Improve Rates of Diagnosis/Referral of Alcohol Use Disorder in a Medicare Population with Diagnosis of Depression or Anxiety?" Digital Commons @ East Tennessee State University, 2021. https://dc.etsu.edu/asrf/2021/presentations/73.
Abstract:
Screening, Brief Intervention, and Referral to Treatment (SBIRT) for alcohol use has been shown to reduce rates of alcohol use across multiple clinical settings, and is routinely recommended by the United States Preventative Services Task Force (USPSTF). In 2005 the National Institute on Alcohol Abuse and Alcoholism (NIAAA) recommended implementing a single item screening question (SISQ) for this purpose. Since then the SISQ has been well validated compared to other tools, such as the Alcohol Use Disorders Identification Test (AUDIT). It has not, however, been well studied in particular populations, such as those with comorbid anxiety and/or depressive disorders. Medicare Annual Wellness Visits present a unique opportunity to study the SISQ because while they do inquire about alcohol use, they do not routinely include a SISQ. Our study seeks to investigate the efficacy of implementation of a SISQ during Medicare Annual Wellness Visits in a residency clinic population with anxiety and/or depressive disorders. Data collection is ongoing and will measure rates of referral to treatment before and after the SISQ is implemented, as well as rates of brief interventions given.
30
Ravens-Sieberer, Ulrike, Nora Wille, Michael Erhart, Susanne Bettge, Hans-Ulrich Wittchen, Aribert Rothenberger, Beate Herpertz-Dahlmann, et al. "Prevalence of mental health problems among children and adolescents in Germany." Saechsische Landesbibliothek- Staats- und Universitaetsbibliothek Dresden, 2013. http://nbn-resolving.de/urn:nbn:de:bsz:14-qucosa-106412.
Abstract:
Background: Over the past decades the public health relevance of mental health conditions in children and adolescents has been of growing concern. However, so far no detailed epidemiological data has been available for a representative national sample in Germany.
Objectives: The present paper reports prevalence rates of general and specific mental health problems among children and adolescents in Germany and describes the link between symptoms and impairment as well as the treatment situation.
Methods: The mental health module (BELLA study) examines mental health problems in a representative sub-sample of 2,863 families with children aged 7–17 from the National Health Interview and Examination Survey among Children and Adolescents (KiGGS). Mental health problems were determined using the extended version of the strengths and difficulties questionnaire (SDQ). Further standardised screening measures were employed to screen for anxiety disorders (SCARED), conduct disorder (CBCL), attention deficit-/ hyperactivity disorder (FBBHKS, Conners’ Scale) and depressive disorders (CES-DC). Furthermore, substance abuse and suicidal tendencies were assessed. Health-related quality of life (HRQoL) and health care use were determined. Results Overall, 14.5% of the children and adolescents aged 7–17 fulfilled the criteria for at least one specific mental health problem associated with impairment, or had an overall mental health problem indicated by an abnormal SDQ score and present impairment. However, high comorbidity was found in the children concerned. Symptoms of overall mental health problems were present in 8.6% of the children and 6.6% of the adolescents. This number was reduced to prevalence rates of 6.3 and 4.9% when additional impairment was taken as a criterion. Irrespective of the type of disorder, fewer than half of the children affected were reported as receiving treatment. However, for those suffering from mental health problems, large impairments in HRQoL were observed.
Conclusions: The observed prevalence of mental health problems as well as their large impact on well-being and functioning calls for early prevention. This is especially important with regard to the large decrease in HRQoL in the children and adolescents affected.
31
Martin, Michael. "Detection and Treatment of Mental Illness Among Prison Inmates: A Validation of Mental Health Screening at Intake to Correctional Service of Canada." Thesis, Université d'Ottawa / University of Ottawa, 2017. http://hdl.handle.net/10393/36479.
Abstract:
Mental health screening is frequently recommended to facilitate earlier detection of mental illness in prisons. For this goal to be achieved: (1) the screening process must be accurate; (2) appropriate follow-up treatment must be provided; (3) the treatment must lead to improved outcomes. The current thesis aimed to evaluate mental health screening in relation to these three criteria by studying 13, 281 prisoners admitted to Correctional Service of Canada. Screening achieved comparable accuracy to tools that have been studied internationally and many inmates received at least some treatment. However, interruptions in treatment were frequent and long-term treatment was rare. There was weak evidence that treatment led to reduced rates of institutional incidents of suicide, self-harm, victimization and violence. While screening remains widely endorsed, further study of its impacts is needed to maximize its value. This could include considering alternatives to screening itself, or as follow-up for those who screen positive.
32
Seviour, Rosann. "From paper to practice: An evaluation of the impact of the 1989 NACI guidelines for universal hepatitis B screening in pregnancy." Thesis, University of Ottawa (Canada), 1996. http://hdl.handle.net/10393/9959.
Abstract:
The development and release of clinical practice guidelines continue unabated. Yet the question remains: do practice guidelines guide practitioners? This study examines the implementation of guidelines published by Canada's National Advisory Committee on Immunization (NACI) on hepatitis B screening in pregnancy. Hepatitis B is transmitted to infants from their chronic carrier mothers during the perinatal period. Asymptomatic HBsAg positive mothers are at risk of transmitting their infection to their newborns at a rate of 20 to 30%. Mothers who are also HBeAg positive transmit the infection at a rate of 70-90%. Ninety percent of infants infected in the perinatal period will become chronic carriers. Such infants have an increased risk for chronic active hepatitis, cirrhosis and hepatocellular carcinoma. Twenty-five percent will die of chronic liver disease in early adulthood. The use of hepatitis B immune globulin and vaccine after birth can prevent up to 90% of hepatitis B infections in infants. Successful immunoprophylaxis of an infant requires that her carrier mother be identified prior to giving birth. In 1989, after years of recommending screening on a selective high risk basis, NACI recommended screening all pregnant women for hepatitis B surface antigen (HBsAg). If testing was not done during pregnancy it was to be done at the time of delivery.
33
Miesner, Michael T. "Mental Health Referral in Primary Care: Influence of a Screening Instrument and a Brief Educational Intervention." Digital Commons @ East Tennessee State University, 2014. https://dc.etsu.edu/etd/2398.
Abstract:
Although less than half of all patients with mental disorders seek mental health treatment per se, approximately 80% of all people will visit their primary care physician (PCPs) within a year (Strosahl, 1998). However, it is not well understood how to best handle patients presenting with mental health issues in primary care practices. The purpose of this project was to implement an intervention involving a screening measure for anxiety and mood disorders in a primary care setting to increase the volume of anxiety and mood disorder screening, to increase the accuracy of disorder detection, and to also enhance PCPs patterns of referral to mental health professionals (MHPs). Though starting with a quantitative design, difficulties encountered throughout the project eventually led to a largely qualitative analysis, which did yield useful information.
A pilot project demonstrated anxiety and mood disorders were commonly noted in patients’ medical charts (46%), but also found referrals were rarely made for mental health services (7%), despite colocation of a licensed psychologist and licensed clinical social worker within the practice. This indicated that services available to provide comprehensive integrated total health care may not be have been used to their full potential.
In the main project, 59 participants from a family medicine clinic and 20 PCPs from that clinic participated. The My Mood Monitor (M3) was administered to the patients and became part of their Electronic Medical Records (EMR). The M3 screens for anxiety, depression, and bipolar disorders within primary care settings. In 2 separate noon conferences, PCPs were trained on diagnostic criteria for anxiety disorders and mood disorders, interpretation of M3 results, and the internal Mental Health Professional referral process.
The project was hampered by a full-scale switch from paper-based medical records to an EMR and accompanying lack of user experience with EMR functions, lack of efficient transfer of M3 results into the EMR, and an unforeseen switch of psychologists mid-way through the study. However, results were obtained that showed relatively low levels of PCP review of M3 results, potentially high rates of anxiety disorders and mood disorders within the setting, relatively high levels of PCP knowledge of diagnostic criteria for anxiety and mood disorders, and that patients may not prefer a ‘warm handoff’ model of mental health referral. These findings are couched within a number of important caveats, but future directions for research were clearly implied.
34
Spotts, Jennifer Lynn. "Utility of the Modified Mini Screen (MMS) for screening mental health disorders in a prison population." Diss., University of Iowa, 2008. https://ir.uiowa.edu/etd/462.
Abstract:
The rate of incarcerated individuals in the United States continues to grow. At midyear 2005 the Nation's prisons and jails incarcerated 2,186,230 persons. (Bureau of Justice 1). Prison systems are in need of a brief mental health-screening tool that rapidly and readily identifies mental illness and co-occurring substance abuse in inmates to improve the approach to mental health diagnosis and treatment throughout an offender's incarceration. This study was designed to assess whether the Modified Mini Screen (MMS) is a valid screening measure for identifying mood disorders, anxiety disorders, and psychotic disorders in newly admitted inmates during the intake and reception process in prisons. For this study, 130 individual's MMS scores were compared with results from the Brief Symptom Inventory to determine the proportion in each group with mental illness.
Findings show concurrent validity for age, ethnicity, level of education, and history of substance abuse and mental health. Concurrent validity of the MMS with the BSI was better for females than for males for. Results suggest that the sensitivity of the MMS is somewhat weak, as it only has a 55% chance of correctly identifying a mentally ill individual as being mentally ill. For females, the sensitivity of MMS was 87.5%, while the specificity was 100%. Moreover, for males, the sensitivity of MMS was 46.9%, while the specificity was 95.6%. These results suggest that the concurrent validity of the MMS with the BSI was better for females than for males for in this study sample.
35
Seidu, Mari. "Initiating a perinatal depression screening protocol in a community-based hospital." NSUWorks, 2016. https://nsuworks.nova.edu/hpd_con_stuetd/38.
Abstract:
Background: According to the World Health Organization (WHO), perinatal depression (PD) is the most common childbirth complication. About 10% of pregnant women and about 13% of postpartum women experience a mental health disorder, primarily depression (WHO, 2016). One of the WHO (2015 a) goals for maternal mental health includes providing strategies for the promotion of psychosocial well-being and prevention of mental disorders of mothers during and after delivery. Purpose: The purpose of this performance improvement project was to establish a perinatal depression risk screening protocol and improve nursing knowledge on PD at a community-based hospital in Miami. Theoretical Framework: Beck’s postpartum depression theory Method: The project gained support and buy-in from the administration and management team of the healthcare institution. It included a comprehensive literature review used as a guide to establishing a perinatal depression screening protocol. Finally, staff nurses received education on PD, followed by an assessment for improved knowledge and retention of information. Result: A paired-samples t-test was conducted to compare pretest and posttest results for Registered nurses after receiving education on perinatal depression, N = 70. The results suggested improved knowledge and retention of new information. Conclusion: The perinatal depression screening protocol provided a framework for the assessment and first-line management for perinatal depression. There was evidence of improved nursing knowledge and retention of information on maternal mood disorders, especially perinatal depression.
36
Elangovan, Saravanan, Ashley Brown, Molly Harman, Shannon Bramlette, and Diana Wilson. "Examining the Effectiveness of Training Protocols of Universal Newborn Hearing Screeners in the Appalachia region of the United States." Digital Commons @ East Tennessee State University, 2019. https://dc.etsu.edu/asrf/2019/schedule/164.
Abstract:
Universal Newborn Hearing Screenings have largely been successful since the National Institute if Health Consensus Development recommended, in 1996, that all infants should receive a newborn hearing screening prior to hospital discharge. Currently, the implementation of newborn hearing screening programs is varied across states and hospitals in the U.S. Due to this high variability, it is the responsibility of each individual hospital to formulate and consistently maintain a protocol for their newborn hearing screening program. This can create a great burden among hospitals as they must obtain the appropriate equipment, as well as employ and train screeners. However, national medical groups may be utilized to alleviate this burden. These medical groups supply the equipment, and more importantly, employ and train the screeners. This not only alleviates the burden on hospitals, but also provides a degree of standardization across newborn hearing screening programs which may reduce lost-to-follow-up statistics. Hospitals who do not utilize a national medical group may not have the expertise to formulate a comprehensive newborn hearing screening protocol. Our study is interested in examining if birthing hospitals that utilize a national medical group have more standardized medical protocols and have better (lower) lost-to-follow-up statistics. A survey was administered to current universal newborn hearing screeners employed at five hospitals across the eastern region of Tennessee. The survey examined various aspects of a typical newborn hearing screening program including training protocols and requirements, screening equipment, data recording and tracking, and methods of delivery of test results. In our presentation, we will be sharing the results of this study and interpret the data in light of determining best practices for newborn hearing screenings.
37
Hill, Sarah K. "Perceived Barriers and Facilitators to Mental and Behavioral Health Screening and Treatment in Primary Care for Women in Northeast Tennessee." Digital Commons @ East Tennessee State University, 2013. https://dc.etsu.edu/etd/2267.
Abstract:
Between one quarter and one third of all primary care patients meet criteria for at least one mental disorder. However, many women are not screened for mental disorders as recommended by the literature. Some studies suggest even lower rates of screening and treatment in rural areas. This researcher sought to identify barriers and facilitators to mental and behavioral health screening and treatment for women in primary care and solicit feedback on how to ameliorate perceived barriers. Given the limited extant data describing rural Appalachian women’s perceptions of barriers and facilitators to receiving mental health services an exploratory qualitative analysis was conducted. Eighteen individual interviews with female primary care patients were conducted. Results identified stigma, lack of support, and lack of patient education around mental health as major barriers; facilitators included integrated care and positive experiences with providers. Directions for future research and implications for behavioral health practice in rural primary care are discussed.
38
Dwyer, Sarah Blyth. "Identifying children at risk of developing mental health problems : screening for family risk factors in the school setting." Thesis, Queensland University of Technology, 2002. https://eprints.qut.edu.au/15903/1/Sarah_Dwyer_Thesis.pdf.
Abstract:
Children's mental health problems are a significant public health concern. They are costly to society in both human and financial terms. This thesis contributes to the 'science of prevention' by examining issues related to the identification of children at risk of mental health problems. In particular, it was of interest to determine whether 'at-risk' children could be identified before the development of significant behavioural or emotional problems. Three areas were explored: family risk factors that predict the development of children's mental health problems, teachers' ability to identify family risk factors, and parent- and teacher-report screening methods.
Data were collected from the parents and teachers of over 1000 children in preschool to Year 3 as part of the Promoting Adjustment in Schools (PROMAS) Project. Parents and teachers each completed two questionnaires at two time points, one year apart. Parents completed the Family Risk Factor Checklist - Parent (FRFCP) and the Child Behaviour Checklist (CBCL) and the equivalent instruments for teachers were, respectively, the Family Risk Factor Checklist - Teacher (FRFC-T) and the Teacher Report Form (TRF). The FRFC-P and FRFC-T were original to the current research and were designed to assess children's exposure to multiple family risk factors across five domains: adverse life events and instability (ALI), family structure and socioeconomic status (SES), parenting practices (PAR), parental verbal conflict and mood problems (VCM), and parental antisocial and psychotic behaviour (APB).
Paper 1 investigated the psychometric properties of the FRFC-P and the
potential for its use at a population-level to establish community risk factor profiles
that subsequently inform intervention planning. The FRFC-P had satisfactory test-retest reliability and construct validity, but modest internal consistency. Risk assessed
by the PAR domain was the most important determinant of mental health problem
onset, while the PAR, VCM, and APB domains were the strongest predictors of
mental health problem persistence. This risk factor profile suggests that, for the
studied population, the largest preventive effects may be achieved through addressing
parenting practices.
Paper 2 examined teachers' knowledge of children's exposure to family risk factors using the FRFC-T. While teachers had accurate knowledge of children's exposure to risk factors within the ALI and SES domains, they had poor knowledge of children's exposure to risk factors within the PAR, VCM, or APB domains - the types of risk factors found in Paper 1 to be the most strongly related to children's mental health problems. Nevertheless, teachers' knowledge of children's exposure to risk factors within the ALI and SES domains predicted children's mental health problems at one year follow-up even after accounting for children's behaviour at the first assessment.
Paper 3 investigated the potential of both the FRFC-P and FRFC-T for identifying individual, at-risk children. The accuracy of the FRFC in predicting internalising versus externalising disorders was compared against behavioural and simple nomination screening methods. For both parents and teachers, the behavioural screening methods were superior, however, the simple nomination method also showed promise for teachers. Both parents and teachers were more accurate at identifying children at risk of externalising mental health problems than children at risk of internalising problems. The performance of the FRFC and simple nomination methods in identifying children for selective interventions, before the development of significant behavioural or emotional problems, was also tested. Both the FRFC and simple nomination methods showed only modest predictive accuracy for these children.
Combined, the results suggest that while on the one hand, the FRFC is useful for population level screening to inform intervention planning, on the other hand, it falls short of achieving good predictive accuracy for individual children. Future research should investigate ways to optimise predictive accuracy for individual children, particularly those at risk of developing internalising disorders. One option may be to use the FRFC in conjunction with behavioural screening methods. The challenge is to develop accurate screening methods that remain practical to complete at a population level. Finally, this body of research provides insight into the feasibility of offering selective preventive interventions within the school setting. While significant obstacles remain, there were several promising indications that using screening methods such as FRFC-T or simple nomination, teachers may be able to identify children earlier on the developmental pathway, before significant behavioural or emotional symptoms have developed.
39
Dwyer, Sarah Blyth. "Identifying Children At Risk Of Developing Mental Health Problems : Screening For Family Risk Factors In The School Setting." Queensland University of Technology, 2002. http://eprints.qut.edu.au/15903/.
Abstract:
Children's mental health problems are a significant public health concern. They are costly to society in both human and financial terms. This thesis contributes to the 'science of prevention' by examining issues related to the identification of children at risk of mental health problems. In particular, it was of interest to determine whether 'at-risk' children could be identified before the development of significant behavioural or emotional problems. Three areas were explored: family risk factors that predict the development of children's mental health problems, teachers' ability to identify family risk factors, and parent- and teacher-report screening methods. Data were collected from the parents and teachers of over 1000 children in preschool to Year 3 as part of the Promoting Adjustment in Schools (PROMAS) Project. Parents and teachers each completed two questionnaires at two time points, one year apart. Parents completed the Family Risk Factor Checklist - Parent (FRFCP) and the Child Behaviour Checklist (CBCL) and the equivalent instruments for teachers were, respectively, the Family Risk Factor Checklist - Teacher (FRFC-T) and the Teacher Report Form (TRF). The FRFC-P and FRFC-T were original to the current research and were designed to assess children's exposure to multiple family risk factors across five domains: adverse life events and instability (ALI), family structure and socioeconomic status (SES), parenting practices (PAR), parental verbal conflict and mood problems (VCM), and parental antisocial and psychotic behaviour (APB). Paper 1 investigated the psychometric properties of the FRFC-P and the potential for its use at a population-level to establish community risk factor profiles that subsequently inform intervention planning. The FRFC-P had satisfactory test-retest reliability and construct validity, but modest internal consistency. Risk assessed by the PAR domain was the most important determinant of mental health problem onset, while the PAR, VCM, and APB domains were the strongest predictors of mental health problem persistence. This risk factor profile suggests that, for the studied population, the largest preventive effects may be achieved through addressing parenting practices. Paper 2 examined teachers' knowledge of children's exposure to family risk factors using the FRFC-T. While teachers had accurate knowledge of children's exposure to risk factors within the ALI and SES domains, they had poor knowledge of children's exposure to risk factors within the PAR, VCM, or APB domains - the types of risk factors found in Paper 1 to be the most strongly related to children's mental health problems. Nevertheless, teachers' knowledge of children's exposure to risk factors within the ALI and SES domains predicted children's mental health problems at one year follow-up even after accounting for children's behaviour at the first assessment. Paper 3 investigated the potential of both the FRFC-P and FRFC-T for identifying individual, at-risk children. The accuracy of the FRFC in predicting internalising versus externalising disorders was compared against behavioural and simple nomination screening methods. For both parents and teachers, the behavioural screening methods were superior, however, the simple nomination method also showed promise for teachers. Both parents and teachers were more accurate at identifying children at risk of externalising mental health problems than children at risk of internalising problems. The performance of the FRFC and simple nomination methods in identifying children for selective interventions, before the development of significant behavioural or emotional problems, was also tested. Both the FRFC and simple nomination methods showed only modest predictive accuracy for these children. Combined, the results suggest that while on the one hand, the FRFC is useful for population level screening to inform intervention planning, on the other hand, it falls short of achieving good predictive accuracy for individual children. Future research should investigate ways to optimise predictive accuracy for individual children, particularly those at risk of developing internalising disorders. One option may be to use the FRFC in conjunction with behavioural screening methods. The challenge is to develop accurate screening methods that remain practical to complete at a population level. Finally, this body of research provides insight into the feasibility of offering selective preventive interventions within the school setting. While significant obstacles remain, there were several promising indications that using screening methods such as FRFC-T or simple nomination, teachers may be able to identify children earlier on the developmental pathway, before significant behavioural or emotional symptoms have developed.
40
Kerrins, Ryan, and Jean Hemphill. "Screening, Brief Intervention and Referral to Treatment (SBIRT): Process Improvement in a Nurse-Managed Clinic Serving the Homeless." Digital Commons @ East Tennessee State University, 2019. https://dc.etsu.edu/asrf/2019/schedule/12.
Abstract:
Purpose
The Johnson City Downtown Day Center (JCDDC) provides integrated inter-professional primary care, mental health, and social work case management services to homeless and under-served persons who have difficulty accessing traditional systems. Because of the exponential rise in substance abuse in the Appalachian region, the JCDDC providers and staff initiated SBIRT as recommended standard of care, as endorsed by SAMHSA, United States Public Health Services Task Force, and the National Institute on Alcohol Abuse and Alcoholism. The JCDDC has two mechanisms by which patients can choose to participate in substance abuse treatment: SMART Recovery, and psychiatric nurse practitioner (NP) referrals. The purpose of the project evaluates use of SBIRT at the JCDDC by determining process of (1) referral and (2) follow-up rates of those who received SBIRT; analyzing outcomes by measuring numbers of: (1) screens administered; (2) brief interventions; (3) positive screens; (4) referrals to either SMART Recovery or to the psychiatric NP; (5) participation in one follow-up.
Review of Literature:
Approximately 6.4 million people, or 2.4% of the U.S. population 12 years and older, currently misuse prescription medications. There is an undeniable and tangible correlation between the chronic disease of substance use disorder and unstable housing or homelessness (de Chesnay & Anderson, 2016). Similarly, substance use disorder was found to be much more common in people facing homelessness than in people who had stable housing (National Coalition for the Homeless, 2009). Substance Abuse and Mental Health Services Administration (SAMHSA) has been the most significant funding source for SBIRT proliferation in the United States. Despite a demonstrated need for substance abuse services among this vulnerable population, people who are homeless have substantially greater barriers to obtaining treatment and often go without.
Summary of Innovation or Practice
The current SBIRT process includes use of DAST-10 and AUDIT tools. Evaluating clinic processes and outcomes in vulnerable populations who have inconsistent erratic follow-up is challenging. However, new ways of understanding patterns and incremental outcomes is essential to addressing clinic practice that can impact outcomes in vulnerable groups.
Implications for NPs
The heterogeneity of the homeless population is often precipitated by a host of complicating factors including co-occurring mental illness, multiple chronic conditions, unstable income, and lack of transportation. Therefore, the importance of finding effective, cost-conscious processes that are population specific and patient-centered is essential for future research and policy. The inter-professional model of care also informs future practice by evaluating the feasibility of administering all of the elements of SBIRT in a single facility.
41
Warner, John Richard. "THE EFFICACY AND REPEATABILITY IN OTOACOUSTIC EMISSIONS SCREENING BY NON-AUDIOLOGY PROFESSIONALS." Miami University / OhioLINK, 2003. http://rave.ohiolink.edu/etdc/view?acc_num=miami1051146726.
42
Cunningham, Jennifer. "Accuracy of Educator Nominations in Identifying Students with Elevated Levels of Anxiety and Depression." Scholar Commons, 2011. http://scholarcommons.usf.edu/etd/3719.
Abstract:
Internalizing disorders, specifically depression and anxiety, affect up to 18% and 33% of youth, respectively (Costello, Egger, & Angold, 2005b). Schools have become a major provider of mental health services to children, primarily in attempts to overcome barriers to receiving community services (Farmer, Burns, Philip, Angold, & Costello, 2003). As such, it is important that schools have effective mechanisms in place to accurately identify students who may be in need of such services. The current study examined the accuracy of one such method, educator nominations (including from both teachers and school-based mental health professionals) in identifying students who self-report elevated levels of anxiety and/or depression. Participants were 238 fourth and fifth grade students within a large, urban school district in a southeastern state; 26 classroom teachers of these youth; and 7 mental health professionals who served the two schools that the student participants attended. Regarding sensitivity, teachers identified 40.74% and 50% of students who repeatedly reported clinically elevated levels of anxiety and depression, respectively. Teachers falsely identified as symptomatic 17.54% and 16.2% of students with typical levels of anxiety and depression, respectively. As a team, school-based mental health professionals identified 66.67% of students with elevated anxiety symptoms, and 45.45% of children who self-reported depressive symptoms. The team misidentified 31% and 35% of students as depressed and anxious, respectively. Individual school-based mental health professionals were less accurate (as compared to ix the team as a whole) in identifying students who self-reported symptoms of depression. Taken together, findings suggest educators can accurately identify approximately half to two-thirds of youth who experience clinical levels of anxiety and children, but substantial misidentification rates underscore the need for further follow-up assessment of students identified during educational nomination procedures. Implications for practice, contributions to the literature, and future directions for research are discussed.
43
Ustad, Karen L. (Karen Lee). "Assessment of Malingering in a Jail Referral Population : Screening and Comprehensive Evaluation." Thesis, University of North Texas, 1997. https://digital.library.unt.edu/ark:/67531/metadc278712/.
Abstract:
Psychological assessment of mentally disordered offenders requires a systematic consideration of response styles, including malingering and defensiveness. Important components of these evaluations are standardized diagnostic interviews. However, the ability of offenders to feign mental disorders on such measures to achieve such external incentives as treatment, placement on safer units, or possible release from jail remains uninvestigated. With a known-groups comparison with the data from the Structured Interview of Reported Symptoms as a criterion, 24 suspected malingerers were compared to 64 genuine patients on the Schedule of Affective Disorders and Schizophrenia (SADS), the abbreviated SADS-C, the Suicide Probability Scale, and the Referral Decision Scale.
44
Ravens-Sieberer, Ulrike, Nora Wille, Michael Erhart, Susanne Bettge, Hans-Ulrich Wittchen, Aribert Rothenberger, Beate Herpertz-Dahlmann, et al. "Prevalence of mental health problems among children and adolescents in Germany: Results of the BELLA study within the National Health Interview and Examination Survey." Technische Universität Dresden, 2008. https://tud.qucosa.de/id/qucosa%3A26672.
Abstract:
Background: Over the past decades the public health relevance of mental health conditions in children and adolescents has been of growing concern. However, so far no detailed epidemiological data has been available for a representative national sample in Germany.
Objectives: The present paper reports prevalence rates of general and specific mental health problems among children and adolescents in Germany and describes the link between symptoms and impairment as well as the treatment situation.
Methods: The mental health module (BELLA study) examines mental health problems in a representative sub-sample of 2,863 families with children aged 7–17 from the National Health Interview and Examination Survey among Children and Adolescents (KiGGS). Mental health problems were determined using the extended version of the strengths and difficulties questionnaire (SDQ). Further standardised screening measures were employed to screen for anxiety disorders (SCARED), conduct disorder (CBCL), attention deficit-/ hyperactivity disorder (FBBHKS, Conners’ Scale) and depressive disorders (CES-DC). Furthermore, substance abuse and suicidal tendencies were assessed. Health-related quality of life (HRQoL) and health care use were determined. Results Overall, 14.5% of the children and adolescents aged 7–17 fulfilled the criteria for at least one specific mental health problem associated with impairment, or had an overall mental health problem indicated by an abnormal SDQ score and present impairment. However, high comorbidity was found in the children concerned. Symptoms of overall mental health problems were present in 8.6% of the children and 6.6% of the adolescents. This number was reduced to prevalence rates of 6.3 and 4.9% when additional impairment was taken as a criterion. Irrespective of the type of disorder, fewer than half of the children affected were reported as receiving treatment. However, for those suffering from mental health problems, large impairments in HRQoL were observed.
Conclusions: The observed prevalence of mental health problems as well as their large impact on well-being and functioning calls for early prevention. This is especially important with regard to the large decrease in HRQoL in the children and adolescents affected.
45
PITTS, STACIE A. "SURVEY OF NEWBORN HEARING SCREENING AND GENETIC TESTING PRACTICES IN STATES AND HOSPITALS IN THE UNITED STATES." University of Cincinnati / OhioLINK, 2005. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1115987400.
46
Woodson, Joshua A. "Assessing the Reliability of Scores Produced by the Substance Abuse Subtle Screening Inventory (SASSI)." Digital Commons @ East Tennessee State University, 2008. https://dc.etsu.edu/etd/1945.
Abstract:
The fundamental principle that reliability is a property of scores and not of instruments provides the foundation of a meta-analytic technique called reliability generalization (RG). RG studies characterize the reliability of scores generated by a given instrument and identify methodological and sample characteristics that contribute to the variability in the reliability of those scores. The present study is an RG of the Substance Abuse Subtle Screening Inventory (SASSI). Reliability estimates were obtained from 19.8% of studies using the SASSI. Bivariate correlations revealed strong, positive correlations between SASSI score reliability and score variability of the Subtle Attributes (r = .877, p < .05) and Family History (r = .892, p < .05) subscales and between score reliability and ethnicity for both the Family History (r = .683, p < .05) and Tendency to Involvement in Correctional Setting (r = .76, p < .05) subscales.
47
Hall, Erika L. "Evaluation of Post-Deployment PTSD Screening of Marines Returning From a Combat Deployment." ScholarWorks, 2015. http://scholarworks.waldenu.edu/dissertations/1498.
Abstract:
The purpose of this quantitative study was to examine whether the post-deployment screening instrument currently utilized to assess active-duty Marines for symptoms of PTSD upon their return from a combat deployment can be solely relied upon to accurately assess for PTSD. Additionally, this study sought to compare the number of Marines who have sought trauma-related mental health treatment based on their answers on the Post-Deployment Health Assessment (PDHA) to the number who have sought trauma-related mental health treatment based on their answers on their PTSD Checklist â?? Military Version (PCL-M). The participants in this study were comprised of a sample of active-duty Marines that had recently returned from a combat deployment. A quantitative secondary data analysis used Item Response Theory (IRT) to examine the answers provided by the participants on both the PDHA and PCL-M. Both instruments proved to be effective when assessing symptoms of PTSD and the participants identified as having symptoms of PTSD were referred for mental health services as required. According to the results, more Marines were identified as having symptoms of PTSD using both assessment instruments (PDHA and PCL-M) compared to those identified using just the PDHA. The result was a better understanding of predictors of Marines who may later develop PTSD. The results of this study can also assist the Marine Corps with its post-deployment screening for symptoms of PTSD which in turn can provide appropriate mental health referrals for Marines if deemed appropriate.
48
Watson, Gloria Marcia. "Women's Perspectives on Adequacy of Screening and Treatment for Postpartum Depression." ScholarWorks, 2015. https://scholarworks.waldenu.edu/dissertations/1593.
Abstract:
Postpartum depression affects some 10% to 20% of mothers. Its impact on the health and well-being of mothers and their infants is well documented. If not identified and addressed early, it can result in emotional burden, costly hospitalization and treatment, and, at worst, suicide and or infanticide. Empowerment theory was the conceptual framework for this hermeneutic phenomenological study. The purpose was to understand the lived experiences of the screening and treatment processes of 10 women from New York City experiencing postpartum depression and their perceived adequacy of the treatment received. In-depth interviews were used to investigate participants' lived experiences of the screening and treatment processes for their postpartum depression and to explore the extent to which they percieved that their emotional needs were met. From the responses to the interview questions, 6 themes emerged: crying and stress during and after pregnancy, inadequate assessment, feeling bad or unlike oneself, lack of understanding, needing to cope, and prayer was essential for recovery. Participants had tearfulness that began during pregnancy and intensified during the postpartum period, were ineffectively assessed, exhibited bizarre behaviors that could not be explained, had little understanding of what they were experiencing, and were sometimes misunderstood by others. Further, participants at times sought treatment on their own in order to cope. Some reported that prayer was central to the restoration of their mental health. Insights gained through this study can be utilized to foster positive social change by heightening awareness and assisting health care providers in planning appropriate screening and treatment to meet the individual needs of women with postpartum depression.
49
Spirito, Katheryn M. "Best practice suicide screening/assessment tools for the emergency department." ScholarWorks, 2019. https://scholarworks.waldenu.edu/dissertations/7433.
Abstract:
Patients presenting to the emergency department (ED) often suffer from more than physical ailments when seeking care and treatment. Some of these patients have emotional ailments and suicidal ideation when they come to the local ED. The lack of recognition of at-risk patients by health care providers can lead to poor patient outcomes and death. The focus of this project was to understand which valid and reliable suicide assessment tools described in the literature were considered the best evidence-based instruments to identify ED patients who were at risk for suicide. Peplau's theory of interpersonal relations guided this project. A systematic review of the literature was conducted to assess tools that were used for the identification of at-risk patients. Analysis of the included literature was conducted using Melnyk's levels of evidence and a preferred reporting items for systematic reviews and meta-analyses tool to catalog the articles retrieved. Ten articles were included in the study. Final analysis of the articles identified the need for 100% of patients to be assessed for suicide risk upon arrival at the ED. The instrument identified to meet the need for the local organization was the Columbia-Suicide Severity Rating Screening tool. The findings of this project might promote social change by providing insights into best practice assessment tools to support improved assessment of suicide risk for ED patients.
50
Levinson, Courtney M. D. "Social-Emotional Problems Among Low Income Preschool-Aged Children and Potential Factors Affecting Early Intervention." University of Cincinnati / OhioLINK, 2011. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1307126740.