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- All Subjects: Mental Health
Description
This study investigates how the patient-provider relationship between lesbian, gay, and bisexual women and their healthcare providers influences their access to, utilization of, and experiences within healthcare environments. Nineteen participants, ages 18 to 34, were recruited using convenience and snowball sampling. Interviews were conducted inquiring about their health history and their experiences within the healthcare system in the context of their sexual orientation. The data collected from these interviews was used to create an analysis of the healthcare experiences of those who identify as queer. Although the original intention of the project was to chronicle the experiences of LGB women specifically, there were four non-binary gender respondents who contributed interviews. In an effort to not privilege any orientation over another, the respondents were collectively referred to as queer, given the inclusive and an encompassing nature of the term. The general conclusion of this study is that respondents most often experienced heterosexism rather than outright homophobia when accessing healthcare. If heterosexism was present within the healthcare setting, it made respondents feel uncomfortable with their providers and less likely to inform them of their sexuality even if it was medically relevant to their health outcomes. Gender, race, and,socioeconomic differences also had an effect on the patient-provider relationship. Non-binary respondents acknowledged the need for inclusion of more gender options outside of male or female on the reporting forms often seen in medical offices. By doing so, medical professionals are acknowledging their awareness and knowledge of people outside of the binary gender system, thus improving the experience of these patients. While race and socioeconomic status were less relevant to the context of this study, it was found that these factors have an affect on the patient-provider relationship. There are many suggestions for providers to improve the experiences of queer patients within the healthcare setting. This includes nonverbal indications of acknowledgement and acceptance, such as signs in the office that indicate it to be a queer friendly space. This will help in eliminating the fear and miscommunication that can often happen when a queer patient sees a practitioner for the first time. In addition, better education on medically relevant topics to queer patients, is necessary in order to eliminate disparities in health outcomes. This is particularly evident in trans health, where specialized education is necessary in order to decrease poor health outcomes in trans patients. Future directions of this study necessitate a closer look on how race and socioeconomic status have an effect on a queer patient's relationship with their provider.
ContributorsRajan, Sindhu (Co-author) / Bradley, Arianna (Co-author) / Larson, Michelle (Co-author) / Alvarado, Aimee (Co-author) / Ingram-Waters, Mary (Thesis director) / Arnold, Michelle (Committee member) / School of Molecular Sciences (Contributor) / School of Social Transformation (Contributor) / T. Denny Sanford School of Social and Family Dynamics (Contributor) / College of Public Service and Community Solutions (Contributor) / School of Human Evolution and Social Change (Contributor) / School of Historical, Philosophical and Religious Studies (Contributor) / School of Life Sciences (Contributor) / Barrett, The Honors College (Contributor)
Created2016-05
Description
This paper explains what factors influence mental health issues and what type of care is provided in various countries. The countries in this study will include the United States, Japan, Ethiopia and South Africa, all of which have varying degrees of ethnic diversity, economic status and understanding of mental health issues. It discusses the specific healthcare systems in each country, as well as the attitudes and problems associated with depression and schizophrenia, two prevalent mental health disorders. This paper examines the different ways that a diagnosis is reached for schizophrenia and major depression in these different countries, as well as what methods are used for treating individuals with these disorders. It will also examine the prominent notion that schizophrenia has better outcomes in developing countries than in places that have wider medical care available. It then discusses what treatments are available in each country, as well as social constructs that exist regarding those treatments in order to understand the ways that treatments can be expanded to improve outcomes. This paper will then examine the different outcomes of these mental health disorders that are common in each country, and conclude with ideas on how to make global mental health a reality.
ContributorsOlsen, Rachel Lindsay (Author) / Gaughan, Monica (Thesis director) / Wood, Reed (Committee member) / Barrett, The Honors College (Contributor) / School of Politics and Global Studies (Contributor) / School of Human Evolution and Social Change (Contributor) / Department of Psychology (Contributor)
Created2015-05
Description
Maternal health and mental health have recently become globally recognized as critical areas of focus. The continued research into the relationship between maternal health and mental health—in particular, how they are affected by public policy and infrastructure—is vital to the improvement of general health outcomes. An investigation of literature, current health landscape and indicators, gray literature, and the current policy landscape in an exemplar country (Australia), Bangladesh and Nepal was done. Bangladesh and Nepal were chosen due to the recent amounts of change seen in each country’s maternal health status. Both Bangladesh and Nepal are severely lacking in official mental health services, facilities, and personnel. The analysis revealed flaws and disparities in each country’s current policy landscape. Despite these disparities it should be recognized that policies and programs are being implemented – just in a very piecemeal manner, and not entirely by each country’s respective government. Integration of maternal health services and mental health services is recommended to improve functionality of already existing services. The addition of minimal but necessary components to health systems is recommended.
ContributorsCiampaglio, Kaitlyn Rae (Author) / Gaughan, Monica (Thesis director) / Hagaman, Ashley (Committee member) / Barrett, The Honors College (Contributor) / School of Human Evolution and Social Change (Contributor) / School of Sustainability (Contributor)
Created2015-05
Description
This paper describes a mixed methods investigation of undergraduate mental health support practices at Arizona State University (ASU), as well as an outside look at peer and other leading institutions. Methods employed in this study include: ASU undergraduate student survey to assess perception of resources provided by ASU and the likelihood to disclose physical and mental health conditions, key informant interviews to understand ASU mental health support from the perspective of those who implement support measures, participant observation of study abroad events that provide resources to prospective and pre-departure students, and a document review of the study abroad website from peer and other institutions. The target population of this study is undergraduate students who participate or plan to participate in study abroad programs across the United States. The sample population for the undergraduate student survey is undergraduate students at ASU, as well as sixteen institutions for the document review. Significant findings from the research include student concerns about financial and academic barriers to study abroad, as well as a greater likelihood to disclose physical health conditions rather than mental health conditions due to fear of stigma or of being a burden to program coordinators. Additionally, it was found that there is a separation between available resources and student awareness and use of these resources. ASU can work to remedy this disconnect by explicitly presenting easily accessible resource information on the website and in pre-departure materials, as well as addressing mental health awareness abroad in an inclusive manner towards all students in addition to those with pre-existing mental health conditions. Overall, more work should be done to fulfill the vision of comprehensive mental health support at ASU.
ContributorsThuraisingam, Aryanna Devi (Author) / Gaughan, Monica (Thesis director) / Henry, Adam (Committee member) / Hart, Dan (Committee member) / School of Human Evolution and Social Change (Contributor) / Barrett, The Honors College (Contributor)
Created2018-05
Description
In 2014, we are seeing change on social issues such as same-sex marriage and marijuana legalization at a rate that is visibly faster than major social issues of the past. Statistics show that these issues are fan-favorites with the millennial generation, while also showing that this same group overwhelmingly dominates popular online platforms, a major tool that social issues of the past lacked. This study aims to examine whether or not there is a correlation between the online presence of millennials, the coverage by the media, and the policy-making decisions by legislators. With that idea in mind, perhaps we can prove that millennials have the ability to set the stage for social change. The instantaneous supply and demand of the Internet has created a climate where responses to our questions and ideas are expected faster than ever. By better understanding the dynamics of the relationships between these three groups, perhaps we can find solutions for creating change faster and more effectively.
ContributorsAndersen, Kelly Carina (Author) / Lodato, Mark (Thesis director) / Brown, Aaron (Committee member) / Barrett, The Honors College (Contributor) / Walter Cronkite School of Journalism and Mass Communication (Contributor) / School of Human Evolution and Social Change (Contributor)
Created2014-05
Description
Climate change presents a significant threat to human health, both mental and physical; as a result, it has become one of the most commonly discussed phenomena of the 21st century. As many people are aware, a wide range of social and physical factors affects mental health. However, many people fail to realize that these increases global temperatures also have a significant impact on mental health as a result of increased vulnerability that is often manifested through one's emotions. By analyzing perceptions of people across the globe, in the United Kingdom, New Zealand, and Fiji, we were able to pinpoint these emotions and trace them individual's feelings of worry, distress, and hope that resulted from their perceived impacts on climate change. Overall, we found that people tend to have overall more negative emotional reaction when it comes to the perceived effects of climate change. Of the respondents, more men than women expressed concern regarding the various negative implications. Finally, those in the United Kingdom exhibited a stronger emotional response, followed by those in New Zealand and Fiji, respectively.
ContributorsSmith, Austin Lee (Author) / Wutich, Amber (Thesis director) / du Bray, Margaret (Committee member) / Department of Psychology (Contributor) / Sanford School of Social and Family Dynamics (Contributor) / School of Life Sciences (Contributor) / School of Human Evolution and Social Change (Contributor) / Barrett, The Honors College (Contributor)
Created2017-05
Description
A comprehensive review of the managed retreat literature reveals mixed feelings towards the legality, practicality and cost of the policy action as a way to react to rising sea level and coastal erosion. Existing research shows increasing costs of severe storm damage borne to insurance companies and private citizens, furthering the need for long-term policy actions that mitigate the negative effects of major storms. Some main policy actions are restricting development, strategically abandoning infrastructure, funding buyout programs, utilizing rolling easements, and implementing a variety of protective structures. These policy actions face various problems regarding their feasibility and practicality as policy tools, including wavering public support and total costs associated with the actions. Managed retreat specifically faces public scrutiny, as many coastal property owners are reluctant to retreat from the shore. This paper will use examples of managed retreat in other countries (Netherlands, Belgium, and France) to develop plans for specific municipalities, using their models, costs and successes to generate in-depth policy plans and proposals. When observing Clatsop County, Oregon and assessing its policy options, its established that the best policy option is a combination of beach nourishment and Controlled Reduced Tides. This paper analyzes several features of the county, such as the importance of its coastal economic activity and its geographical makeup, to decide what policy actions would be best to mitigate its risk from sea level rise and flood damages. The process used to determine the best course of action for Clatsop County can be replicated in other municipalities, although the resulting policies will obviously be unique to the area.
ContributorsBarry, Matthew John (Author) / Wells, David (Thesis director) / Bennett, Ira (Committee member) / School of Public Affairs (Contributor) / Department of Economics (Contributor) / Barrett, The Honors College (Contributor)
Created2017-05
Description
This study is a systematic review of the current literature surrounding intergenerational trauma in Southeast Asian (SEA) immigrant/refugee families. This review was guided upon using the 2020 PRISMA criteria and framework. After a parallel search across several databases, 14 articles were qualified for inclusion after reviewing exclusion criteria. Across these articles, five main aims were examined: the effect of trauma on parent mental health, the effect on child mental health, the effect on parenting, the effect on family dynamics/relationship, and an exploratory aim on current recommended interventions. The literature indicated that negative mental health outcomes were often present in parents and affected the quality of parenting. Child mental health was negatively affected through close interactions with the parent. Certain parenting behaviors and styles were associated with traumatized parents, which led to the development of attachment issues in children. Family dynamics and relationships were impacted by conflicting cultures and beliefs they were raised with in the United States and the ones taught at home by their parents. Current recommendations for interventions involve therapy, understanding culture and context of trauma, and as well as utilizing the support and influence of the community. There are many gaps in current research and more examination of intergenerational trauma amongst SEA populations is needed to better understand this complex issue in order to improve the relationship between parents, children, and overall family suffering from the effects of intergenerational trauma. Further recommendations for research, gaps in literature, and implications for this study are explored.
ContributorsCao, Christina (Author) / Cruz, Rick (Thesis director) / Tran, Giac-Thao (Committee member) / Barrett, The Honors College (Contributor) / School of Public Affairs (Contributor) / Department of Psychology (Contributor)
Created2023-05
Description
This thesis examines the current state of intervention in developing countries that are suffering from human rights abuses, mass killings, and/or politicide. The first part of this thesis will be a brief examination of present-day United States intervention efforts in order to understand the decision making and reconstruction process within the status quo. This will also be done by looking at the global community´s preferred form of intervention and how the United States aligns with these standards such as those represented in the Responsibility to Protect. Secondly, this thesis aims to remodel the reconstruction process in order to conceptualize the addition of mental health first aid. This will be presented by first analyzing the importance of mental health aid and then looking at the specific diagnoses that concatenate with trauma. This thesis argues that current reconstruction efforts are insufficient without the implementation of psychological aid. Without adding psychological aid, countries are more likely to return to cycles of violence that were present pre-intervention. Public policy should change to include aiding civilians, not only physically, economically, or militarily, but also by including psychological aid. Implementing behavior health specific aid in developing countries may potentially be the missing component to lasting change that countries need in order to sustain political sovereignty and support community efforts to rebuild. This research, therefore, aims to bridge important gaps between United States intervention efforts, public policy and mental health.
ContributorsSior, Destinee (Author) / Thomas, George (Thesis director) / Ripley, Charles (Thesis director) / School of Politics and Global Studies (Contributor) / School of Public Affairs (Contributor) / Barrett, The Honors College (Contributor)
Created2019-05
Description
This study examines the intersectionality of mental health and education, with an emphasis on resources and awareness for elementary school teachers. It starts with a review of mental health awareness in society, particularly in regard to social stigma and its associated effects. I then discuss the existing resources, teaching methods, and third party interventions which address mental health awareness and care within elementary schools. Within this context, the research supports the strong influence of teachers’ behaviors and perceivable attitudes on students. However, despite the identification of teachers playing a significant role in the availability of mental health resources for students, existing studies rarely addresses the necessity of mental health awareness and care to optimize teacher capacity and counteract occupational stress. The study examines the current approach and challenges of an elementary school that has expressed interest in creating a culture of care, characterized by mental health awareness and resources that support teachers within the school environment. After identifying the key mental health concerns of the school’s stakeholders, I propose a custom program of self-care and mental health awareness to support the current work culture. The study concludes with examination of implementation strategies for the school, as well as implications for future mental health awareness in similar settings.
ContributorsGiles, Emma (Author) / Johnston, Erik W., 1977- (Thesis director) / Hinrichs, Margaret (Committee member) / Desch, Timothy (Committee member) / Dean, W.P. Carey School of Business (Contributor, Contributor) / School of Public Affairs (Contributor) / Department of Management and Entrepreneurship (Contributor) / Barrett, The Honors College (Contributor)
Created2019-05