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Improving	Mental	Wellness	through	
Expressive	Arts	Therapy	based	Social	
Support
-Expressive	Arts	Therapy	Literature	Review
iDASH internship	symposium
Aug	05,	2016
12016	summer	internship	program	funded	by	NIH	U54HL108460
Project	Team
» Mentor:	Jina Huh,	PhD
» Ella	Qiongyu Meng
• 2nd year	masters	student	from	University	of	Michigan,	
majoring	in	Health	informatics.
22016	summer	internship	program	funded	by	NIH	U54HL108460
Objective
32016	summer	internship	program	funded	by	NIH	U54HL108460	
Expressive	
Arts	Therapy
Social	
Media
College	
Students
Expressive	Arts	Therapy
42016	summer	internship	program	funded	by	NIH	U54HL108460	
The	expressive	arts	combine	the	visual	arts,	
movement,	drama,	music,	writing	and	other	creative	
processes	to	foster	deep	personal	growth	and	
community	development.	
-International	Expressive	Arts	Therapy	Association
Expressive	Arts	Therapy
52016	summer	internship	program	funded	by	NIH	U54HL108460
Beauty	Spots
62016	summer	internship	program	funded	by	NIH	U54HL108460
Social	Media
72016	summer	internship	program	funded	by	NIH	U54HL108460
College	Students
82016	summer	internship	program	funded	by	NIH	U54HL108460	
Research	conducted	by	the National	Alliance	on	Mental	
Illness on	mental	health	on	college	campuses	shows	
that:
- One	in	four	students	have	a	diagnosable	mental	illness
- 40%	do	not	seek	help
- 80%	feel	overwhelmed	by	their	responsibilities
- 50%	have	been	so	anxious	they	struggled	in	school
http://www.bestcolleges.com/resources/top-5-mental-health-problems-facing-college-students/
Objective
92016	summer	internship	program	funded	by	NIH	U54HL108460	
Expressive	
Arts	Therapy
Social	
Media
College	
Students
Expressive	Arts	Therapy	Literature	Review
102016	summer	internship	program	funded	by	NIH	U54HL108460
14	Queries/	Keyword	Combinations
112016	summer	internship	program	funded	by	NIH	U54HL108460	
“art	therapy”	AND	“college	counseling” “Journal	of	College	Student	Psychotherapy”	AND	
“college	counseling”
“art	therapy”	AND	“higher	education” “The	Arts	in	Psychotherapy”	AND	“college	counseling”
“art	therapy”	AND	“higher	education	counseling” “Journal	of	College	Counseling”	AND	“art	therapy”
“art	therapy”	AND	“group	counseling”	AND	
“students”
[Publication]Journal	of	College	Student	
Psychotherapy
"art"	OR	"expressive"
“art	therapy”	AND	“group	counseling”	AND	“college” [Publication]The	Arts	in	Psychotherapy/	and	Arts	
and	Psychotherapy
“students”	OR	“adolescents”	OR	“millennials”	OR	
"emerging	adults"
“expressive	art	therapy”	AND	“college	counseling” [Publication]Art	Therapy:	Journal	of	the	American	
Art	Therapy	Association
“students”	OR	“adolescents”	OR	“millennials”	OR	
"emerging	adults"
“expressive	arts”	AND	“college	counseling” [Publication]Journal	of	Creativity	in	Mental	Health
“students”	OR	“adolescents”	OR	“millennials”	OR	
"emerging	adults"
Methods	
122016	summer	internship	program	funded	by	NIH	U54HL108460	
6875	records	identified	
through	Google	Scholar,	
PubMed,	JSTOR,	and	ACM
Methods	
132016	summer	internship	program	funded	by	NIH	U54HL108460	
6875	records	identified	
through	Google	Scholar,	
PubMed,	JSTOR,	and	ACM
1520 records	screened	as	a	
result,	256	records	meet	the	
inclusion	and	exclusion	
criteria
Inclusion	criteria:
1. Any	kinds	of	expressive	arts	
therapy
2. Expressive	arts	therapy	is	
used/tested	among	children,	
adolescents,	merging	adults,	
millennials,	young	adults,	or	
college	students.
Exclusion	criteria:
1. Thesis	or	books
2. Not	written	in	English
3. Expressive	arts	therapy	is	not	
used	as	an	intervention
Relevant	
results
n	>=1
Relevant	
result	
n	=	0
Relevant	
results
n	>=1
Relevant	
result	
n	=	0
Stop
Based	on	Google	Scholar	
ranking,	screened	the	
title	and	abstract	of	the	
top/next	20	results
Screened	
next	20	
results
Methods	
142016	summer	internship	program	funded	by	NIH	U54HL108460	
6875	records	identified	
through	Google	Scholar,	
PubMed,	JSTOR,	and	ACM
1520 records	screened	as	a	
result,	256	records	meet	the	
inclusion	and	exclusion	
criteria
Relevant	
results
n	>=1
Relevant	
result	
n	=	0
Relevant	
results
n	>=1
Relevant	
result	
n	=	0
Stop
Based	on	Google	Scholar	
ranking,	screened	the	
title	and	abstract	of	the	
top/next	20	results
Screened	
next	20	
results
23	duplicates	removed
233	included	for	qualitative	
synthesis
Inclusion	criteria:
1. Any	kinds	of	expressive	arts	
therapy
2. Expressive	arts	therapy	is	
used/tested	among	children,	
adolescents,	merging	adults,	
millennials,	young	adults,	or	
college	students.
Exclusion	criteria:
1. Thesis	or	books
2. Not	written	in	English
3. Expressive	arts	therapy	is	not	
used	as	an	intervention
Methods
152016	summer	internship	program	funded	by	NIH	U54HL108460
Results/	Current	Status
162016	summer	internship	program	funded	by	NIH	U54HL108460
Results/	Current	Status
172016	summer	internship	program	funded	by	NIH	U54HL108460	
Location	 93%	in	the	U.S.
Intervention	Period 2-12	weeks
Session	Period 0.5	- 3	hours
Sample	Size 1-93
Study	Design	
50%	single	group	
50%	with	control	group	
Outcome
86%	significant	difference/	improvement
14%	no	significant	difference/no	improvement
Examined	14	out	of	233
Summary	and	Future	Directions
182016	summer	internship	program	funded	by	NIH	U54HL108460
Project	Timeline
192016	summer	internship	program	funded	by	NIH	U54HL108460	
IRB	
Application
Literature	
Review
Focus	Group	
Interviews
Personas	&	
Scenarios
Design	Online	
Support	Group
Usability	Test	
&	Refine
Implement	Online	
Support	Group
CAPS’	Data	
Analysis
Approved
Revising
Acknowledgments
• Mentor:	Jina Huh,	PhD
• Collaborators:	Hyeoneui Kim,	PhD,	UCSD	
Counseling	and	Psychological	Services	(CAPS)	
(Sam	Park,	PhD;	Kevin	Ramotar,	PhD),	and	the	
Expressive	Arts	Institute	(Judith	Greer	Essex,	
Ph.D;	Wes Chester,	MA)
• All	Professors	and	staff	and	Interns
• iDASH and	DBMI
• NIH
2016	summer	internship	program	funded	by	NIH	U54HL108460	 20

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