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Description
Sexual trafficking, the commercial sexual exploitation of individuals for profit, is reported to occur around the world. Tens of thousands of women and children are reported to be trafficked into the United States each year. Reports indicate a negative impact on an individual’s physical, mental, and interpersonal health. Presently, therapeutic

Sexual trafficking, the commercial sexual exploitation of individuals for profit, is reported to occur around the world. Tens of thousands of women and children are reported to be trafficked into the United States each year. Reports indicate a negative impact on an individual’s physical, mental, and interpersonal health. Presently, therapeutic models have been proposed but not yet formalized. Current training programs are not focused on developing therapeutic skills. The primary researcher developed the present study to discern an understanding of the lived experience of mental health professionals who have provided therapy with this population. Moreover, the primary researcher sought to understand how these mental health professionals view current preparation programs.

The present study used qualitative inquiry to examine the experience of practitioners in this field. Constructivism was used to center upon each interviewees’ description of their lived experience. Inductive thematic analysis was conducted to analyze the data generated within each interview. Thematic structures were intricately linked to the data generated by focusing on the internal elements of the interview rather than a pre-conceived structure. Validation was employed through analytic memo writing and audits.

Findings were consistent with core components of therapy; however, analysis yielded some themes specific to therapy with survivors of sexual trafficking. Interviewees shared a common practice of conceptualizing each client and a motivation to build a safe and collaborative relationship, provide focused therapeutic structure, and support their clients beyond the average boundaries of therapy. Interviewees reported a minimal amount of interaction with training programs due to scarcity.

The findings suggest an increased need for training programs to prepare professionals to provide therapy with this population. Interviewees described a need for sensitive and specific trauma therapy training, consistent with suggestions in the literature. Future research may include further investigation into training programs when more have been developed. Interdisciplinary teams were a common desire among interviewees. Future research may explore the efficacy of interdisciplinary teams with this population. Finally, interviewees indicated advocacy work as an intricate part of their role as a therapist with this population and future research could investigate how this may impact the therapeutic relationship.
ContributorsBarclay, Ryan (Author) / Pereira, Jennifer (Thesis advisor) / Kinnier, Richard (Thesis advisor) / Koro-Ljungberg, Mirka (Committee member) / Arizona State University (Publisher)
Created2018
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Description
The purpose of this study was to examine swallowing patterns using ultrasound technology subsequent to the implementation of two therapeutic interventions. Baseline swallow patterns were compared to swallows after implementation of therapeutic interventions common in both feeding therapy (FT) and orofacial myofunctional therapy (OMT). The interventions consist of stimulation of

The purpose of this study was to examine swallowing patterns using ultrasound technology subsequent to the implementation of two therapeutic interventions. Baseline swallow patterns were compared to swallows after implementation of therapeutic interventions common in both feeding therapy (FT) and orofacial myofunctional therapy (OMT). The interventions consist of stimulation of the tongue by z-vibe and tongue pops. Changes in swallowing patterns are described, and similarities of interventions across the two professions are discussed. Ultrasound research in the realm of swallowing is sparse despite having potential clinical application in both professions. In using ultrasound, this study outlines a protocol for utilization of a hand-held probe and reinforces a particular protocol described in the literature. Real-time ultrasound recordings of swallows for 19 adult female subjects were made. Participants with orofacial myofunctional disorder are compared to a group with typical swallowing and differences in swallowing patterns are described. Three stages of the oral phase of the swallow were assigned based on ultrasonic observation of the tongue shape. Analysis involves total duration of the swallow, duration of the three stages in relation to the total duration of the swallow, and the number of swallows required for the bolus to be cleared from the oral cavity. No significant effects of either intervention were found. Swallowing patterns showed a general trend to become faster in total duration subsequent to each intervention. An unexpected finding showed significant changes in the relationship between the bolus preparation stage and the bolus transportation stage when comparing the group classified as having a single swallow and the group classified as having multiple swallows.
ContributorsMckay, Michelle Diane (Author) / Weinhold, Juliet (Thesis director) / Scherer, Nancy (Committee member) / Department of Speech and Hearing Science (Contributor) / Sanford School of Social and Family Dynamics (Contributor) / Barrett, The Honors College (Contributor)
Created2016-05
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Description

The purpose of this project was to research the expression of Autism Spectrum Disorder in children and create a children’s book that can help the peers of individuals with a diagnosis to understand what the disorder entails and potentially gain a new sense of empathy for peers of all levels

The purpose of this project was to research the expression of Autism Spectrum Disorder in children and create a children’s book that can help the peers of individuals with a diagnosis to understand what the disorder entails and potentially gain a new sense of empathy for peers of all levels of physical and mental abilities. The research component includes interviews with individuals deemed knowledgeable about ASD, including occupational therapists, behavioral analysts, and parents, as well as a literature review of research studies on the expression of Autism in children. This written portion of the project may also serve as a manual for individuals who have little to no knowledge of ASD, as it dives deeper into the content of the book and research, while remaining easily understandable and clear to those without any prior knowledge or experience with ASD. It could prove especially useful for those in professions that come into contact with individuals with Autism, but do not necessarily require psychology courses or training as a prerequisite for the role, such as teachers and some health professionals.

ContributorsSigna, Hope (Author) / Nelson, Elizabeth (Thesis director) / Spinrad, Tracy (Committee member) / Department of Psychology (Contributor) / Sanford School of Social and Family Dynamics (Contributor) / Barrett, The Honors College (Contributor)
Created2021-05
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Description

Due to the Covid-19 pandemic, healthcare professionals including occupational therapy practitioners (OTPs) were required to transition to working utilizing an online-service delivery model called telehealth. The use of telehealth for occupational therapy (OT) sessions was limited prior to the pandemic, and this shift required OTPs to provide services in ways

Due to the Covid-19 pandemic, healthcare professionals including occupational therapy practitioners (OTPs) were required to transition to working utilizing an online-service delivery model called telehealth. The use of telehealth for occupational therapy (OT) sessions was limited prior to the pandemic, and this shift required OTPs to provide services in ways many had never experienced. The purpose of this study was to identify how the transition to telehealth impacted OTPs and their ability to provide proper care to the pediatric population via telehealth. The final analytic sample included 32 female OTPs who worked with the pediatric population. Results from qualitative and quantitative analyses showed that OTPs had positive feelings toward using telehealth and that the telehealth modality had a moderate impact on their job performance. The areas that pediatric OTPs want to be addressed included technology and internet issues, lack of parent involvement, decreased quality of care, inaccessibility of materials, decreased attention span and increased distractions, and lack of general knowledge about telehealth among clients, parents, and professionals. Despite these drawbacks, a positive theme emerged that the telehealth model is good for current circumstances. The results show telehealth is a positive experience for OTPs and allows OT to be more accessible to their clients. Implications for increasing education for healthcare professionals, clients, and parents/guardians to make telehealth accessible to clients on a large scale are discussed.

ContributorsMulvaney, Kaitlin Marie (Author) / Bryce, Crystal (Thesis director) / Seeley, Bridget (Committee member) / Sanford School of Social and Family Dynamics (Contributor) / Department of Psychology (Contributor) / Barrett, The Honors College (Contributor)
Created2021-05
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Description
Posttraumatic stress disorder is a psychiatric disorder that can develop after exposure to a traumatic event, and it can cause affected individuals to relive the associated event through flashbacks or nightmares. This project centers around the prevalence of PTSD in parents of infants admitted to the neonatal intensive care unit.

Posttraumatic stress disorder is a psychiatric disorder that can develop after exposure to a traumatic event, and it can cause affected individuals to relive the associated event through flashbacks or nightmares. This project centers around the prevalence of PTSD in parents of infants admitted to the neonatal intensive care unit. Past research has shown that these parents are at increased risk of developing traumatic stress symptoms, with affliction rates as high as 53% in mothers and 33% in fathers (Hua et al., 2018). With this statistic as a catalyst, the present text has a variety of aims, all hinging on the goal of easing the NICU journey for parents. This thesis explores the different types of therapy used in the treatment of traumatic stress, with a focus on trauma-focused cognitive behavioral therapy (TF-CBT) and eye movement desensitization and reprocessing (EMDR) as these were shown to be the most effective in past research. A compilation of resources was also gathered that can now be distributed to NICU parents, including information on PTSD, how to access a therapist, and other helpful articles. An additional component of this project included the administration of a survey to NICU parents to gain a better understanding of their stress levels, what resources were most helpful to them, what barriers limited their ability to seek help, and their thoughts on a text-messaging resource service. Institutional IRB approval was received for this survey. The survey indicated that parents were very stressed when admitted to the NICU, but their stress levels tend to decrease over time. Parents also faced a variety of barriers, with the need to return to work or maintain a busy schedule being the most pervasive. Additionally, an analysis was completed on federal legislation relating to healthcare and the NICU experience. Furthermore, special considerations for limited English proficient (LEP) families were also considered. The paper concludes with steps that should be taken, in both research and action, to improve on the NICU experience for at-risk parents. The implementation of a text-messaging resource service for NICU parents was desired by survey respondents and is a recommended next step. Changes in policy surrounding insurance reform and longer, paid family leave would also be beneficial. Training of NICU staff on how to provide resources and communicate sensitively and effectively with parents is also crucial if the current situation is to be improved. There are definitive steps that should be taken immediately to ease the journey and provide comfort for NICU parents.
ContributorsBryant, Tyler (Co-author) / Beck, Kelsey (Co-author) / Puruhito, Krista (Thesis director) / Visconti, Kari (Committee member) / Historical, Philosophical & Religious Studies (Contributor) / School of Politics and Global Studies (Contributor, Contributor) / Sanford School of Social and Family Dynamics (Contributor) / Barrett, The Honors College (Contributor)
Created2020-05
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Description
Given the severity of risks that accompany the current COVID-19 pandemic, many are experiencing negative psychological effects, such as increased symptoms of depression and anxiety (i.e., mental health distress). As the COVID-19 pandemic continues to impress upon society, it is pertinent to assess the ways in which COVID-19 may be

Given the severity of risks that accompany the current COVID-19 pandemic, many are experiencing negative psychological effects, such as increased symptoms of depression and anxiety (i.e., mental health distress). As the COVID-19 pandemic continues to impress upon society, it is pertinent to assess the ways in which COVID-19 may be impacting first responders; many of which who are responsible for tending to the safety and wellbeing of communities during this time. However, little is known about how medical first responders may be experiencing COVID-19 related stress, whether this impacts their experience with symptoms of mental health distress, and furthermore whether this stress is different for those in different countries. As such, the present study sought to assess the association between COVID-19 related stress and symptoms of mental health distress in medical first responders for those living in Australia and the United States. Further, given the positive effects romantic relationships have on an individual’s interpersonal functioning, the potential moderating effect of perceived relationship commitment was examined. A total number of 79 participants completed the study. Contrary to hypotheses, results showed that there was no significant association between COVID-19 related stress and symptoms of distress, nor was relationship commitment found to moderate symptoms of distress. Implications of this study have the potential to guide mental health professionals working with medical first responders who are experiencing symptoms of distress, particularly in times of crises similar to that of COVID-19.
ContributorsEvers, Jessie Marie (Author) / Randall, Ashley K. (Thesis advisor) / Pereira, Jennifer (Committee member) / Warner, Cheryl (Committee member) / Arizona State University (Publisher)
Created2021