Minority mental health patients face many health inequities and inequalities that may stem from implicit bias and a lack of cultural awareness from their healthcare providers. I analyzed the current literature evaluating implicit bias among healthcare providers and culturally specific life traumas that Latinos and African Americans face that can impact their mental health. Additionally, I researched a current mental health assessments tool, the Child and Adolescent Trauma Survey (CATS), and evaluated it for the use on Latino and African American patients. Face-to-face interviews with two healthcare providers were also used to analyze the CATS for its’ applicability to Latino and African American patients. Results showed that these assessments were not sufficient in capturing culturally specific life traumas of minority patients. Based on the literature review and analysis of the interviews with healthcare providers, a novel assessment tool, the Culturally Traumatic Events Questionnaire (CTEQ), was created to address the gaps that currently make up other mental health assessment tools used on minority patients.

In a healthcare system already struggling with burnout among its professionals, the COVID-19 pandemic presented a barrage of personal and occupational strife to US healthcare workers. Structural and everyday discrimination contributed to the health inequities of people of color in the US, exacerbated by COVID-19-related racism and xenophobia. There is little research regarding the effects of COVID-19 and related and/or concurring discrimination upon minority nursing staff, despite their importance in supporting the diverse American patient population with culturally competent, tireless care amid the pandemic. This cross-sectional survey study aimed to examine 1) the relationships between discrimination, social support, resilience, and quality of life among minority nursing staff in the US during COVID-19, and 2) the differences of discrimination, social support resilience, and quality of life among minority nursing staff between different racial/ethnic groups during COVID-19. The sample (n = 514) included Black/African American (n = 161, 31.4%), Latinx/Hispanic (n = 131, 25.5%), Asian (n = 87, 17%), Native American/Alaskan Native (n = 69, 13.5%), and Pacific Islander (n = 65, 12.7%) nursing staff from 47 US states. The multiple regression results showed that witnessing discrimination was associated with a lower quality of life score, while higher social support and resilience scores were associated with higher quality of life scores across all racial groups. Furthermore, while participants from all racial groups witnessed and experienced discrimination, Hispanic/Latinx nursing staff experienced discrimination most commonly, alongside having lowest quality of life and highest resilience scores. Native American/Alaskan Native nursing staff had similarly high discrimination and low quality of life, although low resilience scores. Our findings suggest that minority nursing staff who have higher COVID-19 morbidity and mortality rates (Hispanic/Latinx, Native American/Alaskan Native) were left more vulnerable to negative effects from discrimination. Hispanic/Latinx nursing staff reported a relatively higher resilience score than all other groups, potentially attributed to the positive effects of biculturality in the workplace, however, the low average quality of life score suggests a simultaneous erosion of well-being. Compared to all other groups, Native American and Alaskan Native nursing staff’s low resilience and quality of life scores suggest a potential compounding effect of historical trauma affecting their well-being, especially in contrast to Hispanic/Latinx nursing staff. This study has broader implications for research on the lasting effects of COVID-19 on minority healthcare workers’ and communities’ well-being, especially regarding Hispanic/Latinx and Native American/Alaskan Native nursing staff.

This scoping review provides a synthesis of research which maps the literature on the topic of COVID-19 related impact on Undergraduate Student Mental Health and Baccalaureate Success. The purpose of this review was to identify existing literature pertaining to the psychological repercussions of COVID-19 on the undergraduate population, describe the range of successful interventions used to reduce stress and demand on the U.S. undergraduate population during a pandemic, and identify implications for future research. Due to the novelty of coronavirus and limited research on the given topic, this review provides a framework of available research by identifying types of available research, identifying how research is conducted on the topic, identifying and analyzing knowledge gaps, and clarifies key concepts in literature.

When the COVID-19 pandemic emerged on an international scale, the disruption of routine and social interactions caused challenges in mental health, as people began to self-isolate and confine themselves from the world. Although the sudden interruption of social interaction led to stress and anxiety, human-animal interactions have shown a decrease in stress, anxiety, depression, and feelings of loneliness and social isolation. The purpose of this thesis is to determine whether companion animals influence mental health, specifically depression and anxiety, in college-aged students who attended the Arizona State University Downtown Campus during the 2020-2021 academic school year.

This scoping review provides a synthesis of research which maps the literature on the topic of COVID-19 related impact on Undergraduate Student Mental Health and Baccalaureate Success. The purpose of this review was to identify existing literature pertaining to the psychological repercussions of COVID-19 on the undergraduate population, describe the range of successful interventions used to reduce stress and demand on the U.S. undergraduate population during a pandemic, and identify implications for future research. Due to the novelty of coronavirus and limited research on the given topic, this review provides a framework of available research by identifying types of available research, identifying how research is conducted on the topic, identifying and analyzing knowledge gaps, and clarifies key concepts in literature.

The goal of the descriptive, cross-sectional study was to collect and analyze data among minority nursing staff including 1) the relationships between quality of life, social support, discrimination, and coping during the COVID-19 pandemic, and 2) the differences between quality of life, social support, discrimination, and coping among different racial/ethnic groups during the COVID-19 pandemic. This paper is based on a secondary data analysis of the T1 data from a longitudinal study mentioned above and was performed by myself, while mentored by my committee, for completion of my thesis.