This document provides an overview of epidemiology and discusses its importance in studying mental health outcomes. It defines key epidemiological concepts like incidence and prevalence rates. It also summarizes several major epidemiological studies that estimate the prevalence of various mental illnesses in populations globally and in the US. These studies find that anxiety disorders are among the most common illnesses. The document stresses that epidemiological research can help identify at-risk groups, understand the costs of mental illness, and inform health policies and resource allocation.
Assignment 2 Defining the Problem and Research MethodsSecdesteinbrook
Assignment 2: Defining the Problem and Research Methods
Sections 1 and 2 of Major Assessment 7: Using an Epidemiological Approach to Critically Analyze a Population Health Problem
How do culture and environment influence health? What role does personality play in health outcomes? How do stressful life events influence disease? As a health care professional, you have most likely witnessed the influence of psychosocial factors on individual health. These factors also have a significant impact on population health. Chronic conditions such as high blood pressure and heart disease, as well as degenerative diseases, can be studied at the population level through the use of epidemiologic methods (Friis, 2014). The insights gained from this type of research can then positively impact health outcomes locally, nationally, and globally.
As you continue working on Assignment 2, which is due
by Thursday 04/05/2018 Day 5 of this week
, consider how psychosocial factors influence your population and population health issue.
To complete:
In 5–6 pages, APA format with a minimum of five (5) scholarly references (see list of required readings below), write the following sections of your paper:
Section 1: The Problem
1) Introduction (ending with a purpose statement: “the purpose of this paper is…)
2) A brief outline of the environment you selected (i.e., home, workplace, school)
3) A summary of your selected population health problem in terms of person, place, and time, and the magnitude of the problem based on data from appropriate data resources (Reference the data resources you used.)
4) Research question/hypothesis (same as the one in assignment 1. I’m including an attachment of assignment 1 you did for me).
Section 2: Research Methods
1) The epidemiologic study design you would use to assess and address your population health problem
2) Assessment strategies (i.e., if you were conducting a case-control study, how would you select your cases and controls? Regarding the methods and tools, you would use to make these selections, how is it convenient for you as the researcher or as the investigator to use this tool?)
3) Summary of the data collection activities (i.e., how you would collect data—online survey, paper/pen, mailing, etc.)
4) Conclusion of the whole paper.
Required Readings
Friis, R. H., & Sellers, T. A. (2014). Epidemiology for public health practice (5th ed.). Sudbury, MA: Jones & Bartlett.
Chapter 10, “Data Interpretation Issues”
Chapter 15, “Social, Behavioral, and Psychosocial Epidemiology”
Appendix A – Guide to the Critical Appraisal of an Epidemiologic/Public Health Research Article
In Chapter 10, the authors describe issues related to data interpretation and address the main types of research errors that need to be considered when conducting epidemiologic research, as well as when analyzing published results. It also presents techniques for reducing bias. Chapter 15 features psychosocial, behavioral, ...
Advancing Suicide Prevention Research With Rural American Indian a.docxdaniahendric
Advancing Suicide Prevention Research With Rural American Indian and Alaska Native Populations
| Lisa Wexler, PhD, Michael Chandler, PhD, Joseph P. Gone, PhD, Mary Cwik, PhD, Laurence J. Kirmayer, MD, Teresa LaFromboise, PhD, Teresa Brockie, PhD, Victoria O'Keefe, MA, John Walkup, MD, and James Allen, PhD
As part of the National Action Alliance for Suicide Prevention's American Indian and Alaska Native (AI/AN) Task Force, a multidisciplinary group of AI/AN suicide research experts convened to outline pressing issues related to this subfield of suicidology. Suicide disproportionately affects Indigenous peoples, and remote Indigenous communities can offer vital and unique insights with relevance to other rural and marginalized groups. Outcomes from this meeting include identifying the central challenges impeding progress in this subfield and a description of promising research directions to yield practical results. These proposed directions expand the alliance's prioritized research agenda and offer pathways to advance the field of suicide research in Indigenous communities and beyond. (Am J Public Health. 2015;105:891-899. doi:10.2105/AJPH.2014. 302517)
Although the Surgeon General published a call to action to prevent suicide in 1999,1 national rates of suicide have shown little improvement, and from 2002 to 2010 suicide moved from the 11th to the 10th leading cause of death in the United States2,3 National suicide rates are consistently higher among White men aged 65 years and older than in younger age groups.3 However, suicide remains one of the top 5 causes of death for American adults younger than 45 years and one of the top 3 for adolescents and young adults.2 Although suicide is clearly an important public health priority for all Americans, it is an especially critical issue for American Indians and Alaska Natives (AI/ANs). North America’s Indigenous peoples have disproportionately high rates of suicide deaths, attempts, and ideation, and suicide deaths are approximately 50% higher for AI/AN people than for White people.1,3 However, AI/AN elder suicides are quite rare. Suicide is the second leading cause of death among AI/AN adolescents and young adults, and their rate of suicide is 2.5 times as high as the national average across all ethnocultural groups.2 AI/AN young men are particularly vulnerable4; the Centers for Disease Control and Prevention has reported that AI/AN youths aged 10 to 24 years have the highest suicide rates of all ethnocultural groups
in the United States, at 31.27 per 100 000 among male youths and 10.16 per 100 000 among female youths. To eliminate this health disparity, research identifying the unique factors contributing to AI/AN suicide is essential to tailor interventions to fit the particular cultural and situational contexts in which they occur.1 Driven by the pressing need to better understand and reduce AI/AN suicide, the AI/AN Task Force of the National Action Alliance for Suicide Prevention (NAASP) crea ...
Clients Presentation Your client can make up whatever they want.WilheminaRossi174
Clients Presentation: Your client can make up whatever they want. They can be as dramatic as they want to be. Have fun with it!
Subjective Data (4 points): (Review History questions in power point and on page 534-535 of text.)
Objective Data (4 points):
Inspection: What is the shape and size of the abdomen? Any masses or pulsations upon inspection? Skin smooth? Striae, scars, lesions?
Auscultation: Bowel Sounds Present in all 4 quadrants? Hypoactive, Normoactive, etc. Any bruits upon auscultation?
Percussion: Tympany in all 4 quadrants?
Palpation: Abdomen soft, firm? Any enlarged organs? Masses? Tenderness?
Any other objective data you found important to document?
Describe 2 Actual/Potential Risk Factors (2 points):
CHAPTER 15
15.1 INTRODUCTION
Although in some cases behavioral and psychiatric/mental are grouped under the same broad
category, behavioral health problems are generally effectively treated on an outpatient basis with
combination psychotherapy and pharmacotherapy (medications). Behavioral health professionals
are licensed by the state in which they reside to practice, and they collaborate on the management
of clients’ behavioral problems. These professionals include psychiatrists, psychologists,
psychiatric nurse practitioners, social workers, family counselors, and drug/alcohol and mental
health counselors (Parker, 2002). Such chronic problems as dementia and mental retardation are
considered psychiatric/mental problems rather than behavioral.
There is a distinct interconnectedness between mental health and health in general. The WHO
defines health as, “a state of complete physical, mental, and social well-being, and not merely the
absence of disease and infirmity” (WHO, 2001b, p. 1). Mental health on the other hand is defined
as, “a state of well-being in which the individual realizes his or her own abilities, can cope with the
normal stress of life, can work productively and fruitfully, and is able to make a contribution to his
or her community … it is determined by socioeconomic and environmental factors and it is linked
to behavior” (WHO, 2001a, p. 1; WHO 2010, p. 1). For example, people are generally resilient
enough ...
Assignment 2 Defining the Problem and Research MethodsSecdesteinbrook
Assignment 2: Defining the Problem and Research Methods
Sections 1 and 2 of Major Assessment 7: Using an Epidemiological Approach to Critically Analyze a Population Health Problem
How do culture and environment influence health? What role does personality play in health outcomes? How do stressful life events influence disease? As a health care professional, you have most likely witnessed the influence of psychosocial factors on individual health. These factors also have a significant impact on population health. Chronic conditions such as high blood pressure and heart disease, as well as degenerative diseases, can be studied at the population level through the use of epidemiologic methods (Friis, 2014). The insights gained from this type of research can then positively impact health outcomes locally, nationally, and globally.
As you continue working on Assignment 2, which is due
by Thursday 04/05/2018 Day 5 of this week
, consider how psychosocial factors influence your population and population health issue.
To complete:
In 5–6 pages, APA format with a minimum of five (5) scholarly references (see list of required readings below), write the following sections of your paper:
Section 1: The Problem
1) Introduction (ending with a purpose statement: “the purpose of this paper is…)
2) A brief outline of the environment you selected (i.e., home, workplace, school)
3) A summary of your selected population health problem in terms of person, place, and time, and the magnitude of the problem based on data from appropriate data resources (Reference the data resources you used.)
4) Research question/hypothesis (same as the one in assignment 1. I’m including an attachment of assignment 1 you did for me).
Section 2: Research Methods
1) The epidemiologic study design you would use to assess and address your population health problem
2) Assessment strategies (i.e., if you were conducting a case-control study, how would you select your cases and controls? Regarding the methods and tools, you would use to make these selections, how is it convenient for you as the researcher or as the investigator to use this tool?)
3) Summary of the data collection activities (i.e., how you would collect data—online survey, paper/pen, mailing, etc.)
4) Conclusion of the whole paper.
Required Readings
Friis, R. H., & Sellers, T. A. (2014). Epidemiology for public health practice (5th ed.). Sudbury, MA: Jones & Bartlett.
Chapter 10, “Data Interpretation Issues”
Chapter 15, “Social, Behavioral, and Psychosocial Epidemiology”
Appendix A – Guide to the Critical Appraisal of an Epidemiologic/Public Health Research Article
In Chapter 10, the authors describe issues related to data interpretation and address the main types of research errors that need to be considered when conducting epidemiologic research, as well as when analyzing published results. It also presents techniques for reducing bias. Chapter 15 features psychosocial, behavioral, ...
Advancing Suicide Prevention Research With Rural American Indian a.docxdaniahendric
Advancing Suicide Prevention Research With Rural American Indian and Alaska Native Populations
| Lisa Wexler, PhD, Michael Chandler, PhD, Joseph P. Gone, PhD, Mary Cwik, PhD, Laurence J. Kirmayer, MD, Teresa LaFromboise, PhD, Teresa Brockie, PhD, Victoria O'Keefe, MA, John Walkup, MD, and James Allen, PhD
As part of the National Action Alliance for Suicide Prevention's American Indian and Alaska Native (AI/AN) Task Force, a multidisciplinary group of AI/AN suicide research experts convened to outline pressing issues related to this subfield of suicidology. Suicide disproportionately affects Indigenous peoples, and remote Indigenous communities can offer vital and unique insights with relevance to other rural and marginalized groups. Outcomes from this meeting include identifying the central challenges impeding progress in this subfield and a description of promising research directions to yield practical results. These proposed directions expand the alliance's prioritized research agenda and offer pathways to advance the field of suicide research in Indigenous communities and beyond. (Am J Public Health. 2015;105:891-899. doi:10.2105/AJPH.2014. 302517)
Although the Surgeon General published a call to action to prevent suicide in 1999,1 national rates of suicide have shown little improvement, and from 2002 to 2010 suicide moved from the 11th to the 10th leading cause of death in the United States2,3 National suicide rates are consistently higher among White men aged 65 years and older than in younger age groups.3 However, suicide remains one of the top 5 causes of death for American adults younger than 45 years and one of the top 3 for adolescents and young adults.2 Although suicide is clearly an important public health priority for all Americans, it is an especially critical issue for American Indians and Alaska Natives (AI/ANs). North America’s Indigenous peoples have disproportionately high rates of suicide deaths, attempts, and ideation, and suicide deaths are approximately 50% higher for AI/AN people than for White people.1,3 However, AI/AN elder suicides are quite rare. Suicide is the second leading cause of death among AI/AN adolescents and young adults, and their rate of suicide is 2.5 times as high as the national average across all ethnocultural groups.2 AI/AN young men are particularly vulnerable4; the Centers for Disease Control and Prevention has reported that AI/AN youths aged 10 to 24 years have the highest suicide rates of all ethnocultural groups
in the United States, at 31.27 per 100 000 among male youths and 10.16 per 100 000 among female youths. To eliminate this health disparity, research identifying the unique factors contributing to AI/AN suicide is essential to tailor interventions to fit the particular cultural and situational contexts in which they occur.1 Driven by the pressing need to better understand and reduce AI/AN suicide, the AI/AN Task Force of the National Action Alliance for Suicide Prevention (NAASP) crea ...
Clients Presentation Your client can make up whatever they want.WilheminaRossi174
Clients Presentation: Your client can make up whatever they want. They can be as dramatic as they want to be. Have fun with it!
Subjective Data (4 points): (Review History questions in power point and on page 534-535 of text.)
Objective Data (4 points):
Inspection: What is the shape and size of the abdomen? Any masses or pulsations upon inspection? Skin smooth? Striae, scars, lesions?
Auscultation: Bowel Sounds Present in all 4 quadrants? Hypoactive, Normoactive, etc. Any bruits upon auscultation?
Percussion: Tympany in all 4 quadrants?
Palpation: Abdomen soft, firm? Any enlarged organs? Masses? Tenderness?
Any other objective data you found important to document?
Describe 2 Actual/Potential Risk Factors (2 points):
CHAPTER 15
15.1 INTRODUCTION
Although in some cases behavioral and psychiatric/mental are grouped under the same broad
category, behavioral health problems are generally effectively treated on an outpatient basis with
combination psychotherapy and pharmacotherapy (medications). Behavioral health professionals
are licensed by the state in which they reside to practice, and they collaborate on the management
of clients’ behavioral problems. These professionals include psychiatrists, psychologists,
psychiatric nurse practitioners, social workers, family counselors, and drug/alcohol and mental
health counselors (Parker, 2002). Such chronic problems as dementia and mental retardation are
considered psychiatric/mental problems rather than behavioral.
There is a distinct interconnectedness between mental health and health in general. The WHO
defines health as, “a state of complete physical, mental, and social well-being, and not merely the
absence of disease and infirmity” (WHO, 2001b, p. 1). Mental health on the other hand is defined
as, “a state of well-being in which the individual realizes his or her own abilities, can cope with the
normal stress of life, can work productively and fruitfully, and is able to make a contribution to his
or her community … it is determined by socioeconomic and environmental factors and it is linked
to behavior” (WHO, 2001a, p. 1; WHO 2010, p. 1). For example, people are generally resilient
enough ...
Running Head ADVANCE NURSING RESEARCH 1 .docxtoddr4
Running Head: ADVANCE NURSING RESEARCH
1
ADVANCE NURSING RESEARCH 2
Week #6 Assignment 1: The Details of Your EBP Project.
EBP Project Proposal Draft
Research topic
To assess the role of stigma towards mental health patients in help seeking.
Research problem
Most studies have shown that stigmatization towards mental health patients have been present throughout history and even despite the evolution in modern medicine and advanced treatment. Stigmatization have resulted from the belief that those with mental problem are aggressive and dangerous creating a social distance (Szeto et al., 2017). Also, mental health-related stigma has become of major concern as it creates crucial barriers to access treatment and quality care since it not only influences the behaviour of the patients but also the attitude of the providers hence impacting help-seeking. Most studies have identified stigma as a barrier that is of significance to care or help seeking while the extent to which it still remains a barrier have not been reviewed deeply. Therefore, this study will assess the role contributed by stigma in help seeking in depth.
Research purpose
The intention of the research study is to review the association between stigma, mental illness and help seeking in order to assess in depth the role that mental-health stigma contribute in help seeking.
Research objectives
a) To review the background history of mental-health related stigma and mental problem or illness
b) To explore the impacts of stigma
c) To assess an association between the contributing factors of stigma to help seeking
d) To assess the extent in which these factors of stigma contribute to help seeking.
e) To assess the risk factors influencing help seeking with regard to stigma
Research questions
a) What is the association between stigma towards mental health patients and help-seeking?
b) To what degree does stigma constitute a barrier to the search for help among mental health patients?
c) Are there populations that are more deterred from seeking help due to stigma?
Research Hypothesis
Ho: stigma towards mental health patients have a significant role in influencing help seeking
Ha: the extent to which stigma influences help seeking is not significant
Theoretical framework
Stigma has been described as a negative effect of a label and the product of disgrace that makes a person to be apart from others (Henderson et al., 2013). It is built upon distinct constructs prejudice, discrimination, and stereotypes (Henderson et al., 2013). For example, believing that those people diagnosed with mental illness is stereotype. Also, agreeing with the fact that those with mental problem are indeed dangerous with a resultant fear or anger is prejudice while discrimination is the total avoidance to those with mental conditi.
Running Head ADVANCE NURSING RESEARCH 1 .docxhealdkathaleen
Running Head: ADVANCE NURSING RESEARCH
1
ADVANCE NURSING RESEARCH 2
Week #6 Assignment 1: The Details of Your EBP Project.
EBP Project Proposal Draft
Research topic
To assess the role of stigma towards mental health patients in help seeking.
Research problem
Most studies have shown that stigmatization towards mental health patients have been present throughout history and even despite the evolution in modern medicine and advanced treatment. Stigmatization have resulted from the belief that those with mental problem are aggressive and dangerous creating a social distance (Szeto et al., 2017). Also, mental health-related stigma has become of major concern as it creates crucial barriers to access treatment and quality care since it not only influences the behaviour of the patients but also the attitude of the providers hence impacting help-seeking. Most studies have identified stigma as a barrier that is of significance to care or help seeking while the extent to which it still remains a barrier have not been reviewed deeply. Therefore, this study will assess the role contributed by stigma in help seeking in depth.
Research purpose
The intention of the research study is to review the association between stigma, mental illness and help seeking in order to assess in depth the role that mental-health stigma contribute in help seeking.
Research objectives
a) To review the background history of mental-health related stigma and mental problem or illness
b) To explore the impacts of stigma
c) To assess an association between the contributing factors of stigma to help seeking
d) To assess the extent in which these factors of stigma contribute to help seeking.
e) To assess the risk factors influencing help seeking with regard to stigma
Research questions
a) What is the association between stigma towards mental health patients and help-seeking?
b) To what degree does stigma constitute a barrier to the search for help among mental health patients?
c) Are there populations that are more deterred from seeking help due to stigma?
Research Hypothesis
Ho: stigma towards mental health patients have a significant role in influencing help seeking
Ha: the extent to which stigma influences help seeking is not significant
Theoretical framework
Stigma has been described as a negative effect of a label and the product of disgrace that makes a person to be apart from others (Henderson et al., 2013). It is built upon distinct constructs prejudice, discrimination, and stereotypes (Henderson et al., 2013). For example, believing that those people diagnosed with mental illness is stereotype. Also, agreeing with the fact that those with mental problem are indeed dangerous with a resultant fear or anger is prejudice while discrimination is the total avoidance to those with mental conditi ...
More than 1 in 5 people in conflict areas experience mental health issuesΔρ. Γιώργος K. Κασάπης
New estimates from the WHO find that some 22% of people in conflict areas around the world suffer from a mental health problem. Here’s more from the report:
•By disease type: 13% of people experienced mild forms of depression, PTSD, and anxiety, while some 5% of people experienced severe forms of those disorders.
•By age: Those over the age of 70 in conflict zones experienced the highest rates of depression and anxiety compared to the general population and those of other ages in conflict areas.
•A takeaway: The global estimates are higher than previously thought, according to the authors, who stress the need for mental health care and intervention in conflict-affected countries.
10 Strategic Points
My Degree: Ph.D.
Program Emphasis: Industrial & Organizational Psychology
Ten Strategic Points
Comments or Feedback
Broad Topic Area Final Topic
Factors Affecting Utilization of Mental Health in Southern Texas
Factors Influencing Individuals' Decision to Utilize Mental Health in South Texas
Lit Review
(Theoretical Framework (Theory)
Gaps
Themes
All Citations
Gaps
A. De Luca, Blosnich, Hentschel, King, & Amen (2016). The authors indicate that mental health has emerged as one of the critical areas of focus in recent times, and for a long time, it had been sidelined. However, with the realization that most health conditions are related in one way or another to a mental disorder, this area is now been studied extensively, and more attention has been given to patients.
B. Mental health professionals point to insufficient mental healthcare resources in the United States as one of the major factors contributing to the rising suicide rate in the country. Nevertheless, these professionals noted that emergency providers paly major role at forefront of the problem and may also play significant role in its prevention. The experts reiterated the necessity for providers to possess the skills required for managing patients at lower suicide risk levels, especially in settings in which such patients do not enough access to behavioral healthcare providers and that the providers need to be accustomed to suicide risk, especially when there are widely publicized high-profile instances of suicide.
https://lopes.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=131266532&site=eds-live&scope=site.
C. According to Kohn, et. al, (2018), emphasize the gap in mental health treatment in the American Region when examined through the prevalence of mental health disorders, use of mental health services, and the global burden of disease. Statistical data from community-based surveys of mental disorders in the various countries in America including Argentina, Brazil, Canada, Chile, and the United States etc. were utilized. The World Mental Health Survey published data were used in estimating professional the treatment gap. For Canada, Chile, and Guatemala, the treatment gap was calculated from data files. The mean, median, and weighted treatment gap, and the 12-month prevalence by severity and category of mental disorder were estimated for the general adult, child-adolescent, and indigenous populations. Disability-adjusted Life Years and Years Lived with Disability were calculated from the Global Burden of Disease study. Mental and substance use disorders accounted for 10.5% of the global burden of disease in the Americas (Kohn, Ali, Puac-Polanco, Figueroa, López-Soto, Morgan, & Vicente, 2018).
D. Wang, & Xie, (2019) Emphasizes the need to eliminate the prevalence of mental health service utilization among many adults in the United States. The authors exam ...
Newristics is the first company to provide market research & message optimization services based on behavioral science & artificial intelligence. Our AI models are trained on more than 660 known heuristics.
the-impact-of-social-media-on-mental-health.pdfNewristics USA
This whitepaper explores the decision heuristics that lead to completely irrational user behaviors, pertaining to the consumption and internalization of social media and its constant barrage of perfectly filtered photos, exaggerated lifestyles, and skewed validations.
How-did-medical-errors-becaome-the-cause-of-death-in-the-us.pdfNewristics USA
It's scary to think that your Healthcare may kill you. But that indeed is the unfortunate truth for tens of thousands of Americans, whose deaths are direct results of medical errors. While the issue is multi-faceted and involves several stakeholders, mitigating medical errors requires a closer look at the behavioral drivers involved.
This research is based on general practice in the psychiatric institutions. It involves a qualitative research method that that uses three peer-reviewed journal article containing information about the scope of psychiatry, emerging issues in accommodating patients and highlight on medication of mental illness
ADVANCED NURSING RESEARCH
1
ADVANCED NURSING RESEARCH 2
Evidence Based Practice Grant Proposal
Table of Contents
3
4
5
6
6
7
8
8
9
9
9
11
11
11
11
12
12
13
14
14
19
19
21
32
34
Grant Proposal-Assessing the role of stigma towards mental health patients in help seeking
Study problem
There are several studies that have shown that stigmatization towards mental health patients have been present throughout history and even despite the evolution in modern medicine and advanced treatment. For example, Verhaeghe et al., (2014), captures in a publication in reference to a study that he conducted that stigmatization towards mental health patients has been there even as early is in the 18th Century. People were hesitant to interact with people termed or perceived to have mental health conditions.
Stigmatization has resulted from the belief that those with mental problem are aggressive and dangerous creating a social distance (Szeto et al., 2017). Also, mental health-related stigma has become of major concern as it creates crucial barriers to access treatment and quality care since it not only influences the behaviour of the patients but also the attitude of the providers hence impacting help-seeking. Timmermann, Uhrenfeldt and Birkelund (2014), have identified stigma as a barrier that is of significance to care or help seeking while the extent to which it still remains a barrier have not been reviewed deeply. Therefore, this study will assess the role contributed by stigma in help seeking in depth. 1. Purpose
The intention of the research study is to review the association between stigma, mental illness and help seeking in order to formulate ways in which the stigma that is around mental health is done away with to enable as many people suffering from mental health complications to seek medical help.2. Background
Mental health is crucial in every stage of life. It is defined as the state of psychological well-being whereby the individual realizes a satisfactory integration instinctual drive acceptable to both oneself and his or her social setting (Ritchie & Roser, 2018). The status of mental health influences physical health, relationships, and most importantly day-to-day life. Mental health problems arise when there is a disruption in mental well-being.
The risk factors to mental health problems are not limited and therefore everyone is entitled to the problem irrespective of gender, economic status, and ethnic group. For example, data shows that in America one out of five individuals experience mental health problems annually; with mental disorders being recognized as the leading cause of disability not only in the United States but also globally (Ritchie & Roser, 2018). Mental health disorders are seen to be complex and of many forms such as anxiety, mood, and schizophren.
Lesson 11 Mental Health StigmaReadings Please note that th.docxSHIVA101531
Lesson 11: Mental Health Stigma
Readings: Please note that the Corrigan article in the syllabus has been replaced with the Collins and Corrigan articles below:
Required
Collins, R. L., Wong, E. C., Cerully, J. L., Schultz, D., & Eberhart, N. K. (2012). Interventions to reduce mental health stigma and discrimination. http://calmhsa.org/wp-content/uploads/2011/12/Literature-Review_SDR_Final01-02-13.pdf
Corrigan, P., Morris, S., Michaels, P.J., Rafacz, J.D. & Rusch, N. (2012). Challenging the public stigma of mental illness: A meta-analysis of outcome studies. Psychiatric Services 63(10). doi: 10.1176/appi.ps.201100529. http://ps.psychiatryonline.org/article.aspx?articleid=1372999&RelatedWidgetArticles=true
Link, B., Phelan, J. Bresnahan, A.S. & Persosolido, B., (1999). Public conceptions of mental illness: Labels, causes, dangerousness and social distance. American
Journal of Public Health (89), 1328-1333.
http://ajph.aphapublications.org/cgi/reprint/89/9/1328.pdf
Swanson, J.W., Holzer, C.E., Ganju, V. K., Jono, R.T. (1990). Violence and psychiatric disorder in the community: Evidence from the Epidemiologic Catchment Area surveys. Hospital & Community Psychiatry,
41(7), 761-770.
http://www.bing.com/videos/search?q=Mental+Health+Stigma+Video&FORM=VIRE7#view=detail&mid=102935613330F098A046102935613330F098A046
http://www.bing.com/videos/search?q=Mental+Illness+Stigma&Form=VQFRVP#view=detail&mid=EC031B624F71269702CDEC031B624F71269702CD
https://www.youtube.com/watch?v=Zn6yw2KUIwc&feature=youtu.be
Optional
Pettigrew, L. R. & Tropp, T.F. (2005). Relationships between intergroup contact and prejudice among minority and majority status groups. Psychological Science (16)12, 951-957.
Summary
Introduction
As many of you have noted in your discussion posts, mental health stigma is a pervasive problem that profoundly affects the lives of those suffering from mental illness. Aided by newspapers, books, movies and television, persons with mental illness have been portrayed and perceived as persons with bad character, demonically possessed, weak, unpredictable, and violent. As a result, many people have separated themselves from those with mental illness out of “distrust, stereotyping, fear, embarrassment, anger and/or avoidance.” (Surgeon General’s Report, 1999).
While some progress has been made in the past 50 years, stigma (often referred to as discrimination) continues to be a significant barrier to persons with mental illness. As we have seen in our readings, several recent documents have given prominence to the issue of stigma. In SAMSHA’s 2011 strategic plan “Leading Change: A Plan for SAMHSA’s Roles and Actions, 2011-2014”, Goal 4.3.2 is to “create a behavioral health awareness campaign focused on decreasing discrimination and improving employment outcomes for persons with mental and substance use disorders.” (p. 59). SAMHSA’s most recent strategic plan: Leading the Change 2.0: Advancing the Behavioral Health of the Nation 2 ...
This is the summary text of a presentation at the Vatican addressing: "The Question of the Use of Pharmaceuticals in Pediatrics." This presentation covers the clinical trial evidence and offers prescription guidelines
For each of the learning objectives, provide an analysis of how thShainaBoling829
For each of the learning objectives, provide an analysis of how the course supported each objective.
1. Discriminate among the mechanisms of action for the major classes of drugs/medications
2. Critique evidence that supports proposed pharmacotherapeutic protocols for appropriateness of application across the lifespan
3. Integrate the teaching-learning needs of clients across the lifespan when proposing pharmacotherapies
4. Propose prescriptive therapies for selected clients evaluating safety factors while utilizing knowledge of how current health status, age, gender, culture, genetic factors, ethical concerns and prescriptive authority impact decision making
Explain how the material learned in this course, based upon the objectives, will be applicable to professional application.
Provide evidence (citations and references) to support your statements and opinions.
All references and citations should in APA format.
14
Mental Health and Social Work
Shanae Hampton
Cal Baptist University
Introduction
How well a person is able to live a full life, build and maintain relationships and pursue their education, profession or other pursuits requires them to maintain their well-being ranging from physical to mental health. When assisting others to achieve good and self-motivated changes, social workers draw on their relationship-based abilities and emphasize personalization and rehabilitation. A key issue is, "What components and obstacles of an assessment are there in order to reach these outcomes?" When it comes to health promotion and public involvement, social workers are well-suited for this role since primary care is all about these things. Social workers who deal with mental health have unique challenges in assessment, which necessitates them learning and using psychiatric principles. Identifying the need for mental health care requires an understanding of assessment principles.
For this research, the focus is on urban youth's increase in mental health cases which is more influenced by lack of access to mental health care as a result of poverty that affects many children and families in the US. Young people are the most impacted by poverty, accounting for 33% of the total number of individuals in poverty. Children who live in "high risk neighborhoods" are more likely to lack access to the mental health supports they need to manage their symptoms. Stabilization, individual treatment, and symptom management are all important aspects of aftercare for children who have been hospitalized for behavioral difficulties by the time they are six years old (Hodgkinson, 2017).
Literature Review
Inequality based on race and class has been shown to be associated with a variety of negative health outcomes, including poor mental health. Increased financial disparity is associated with an increase in the prevalence of mental illness along a social gradient in mental health. However, psychiatric and psychological approaches have dominated ment ...
Answer the following questions in a minimum of 1-2 paragraphs ea.docxSHIVA101531
Answer the following questions in a minimum of
1-2 paragraphs
each. Be sure to explain your answers and give reasons for your views.
When you talk about the meaning of life, which sense of the term do you use-- external meaning or internal meaning?
What bearing, if any, does the ephemeral nature of our existence have on the question of whether life has meaning? Does the fact that we die negate the possibility of meaning in life?
Is Schopenhauer right about the meaninglessness of life? Does the wretchedness of our existence show that life has no meaning?
Note:
All journal entries must be submitted as attachments (
in Microsoft Word format
) in order to generate an originality report.
.
Answer the following questions using scholarly sources as references.docxSHIVA101531
Answer the following questions using scholarly sources as references. Add references at the end of the page.
Answer each question with at least 300 words counter.
1.What is your assessment of Frantz Fanon's argument that “The wealth of the imperialist nations is also our wealth”? Do you believe "developed nations" owe some form of reparations to colonized peoples?
2.How would you account for revolutionaries in Spain such as the CNT and FAI having more success than in other European countries leading up to 1936?
3.How you can you account for the outcome of the Russian Revolution?
4.Why do you think that acts of violence against tyrannical leaders in the era did not inspire the masses to rise up in revolution?
.
More Related Content
Similar to Lesson 3 Epi emiologyof Readings Predictors for the Daily Value.docx
Running Head ADVANCE NURSING RESEARCH 1 .docxtoddr4
Running Head: ADVANCE NURSING RESEARCH
1
ADVANCE NURSING RESEARCH 2
Week #6 Assignment 1: The Details of Your EBP Project.
EBP Project Proposal Draft
Research topic
To assess the role of stigma towards mental health patients in help seeking.
Research problem
Most studies have shown that stigmatization towards mental health patients have been present throughout history and even despite the evolution in modern medicine and advanced treatment. Stigmatization have resulted from the belief that those with mental problem are aggressive and dangerous creating a social distance (Szeto et al., 2017). Also, mental health-related stigma has become of major concern as it creates crucial barriers to access treatment and quality care since it not only influences the behaviour of the patients but also the attitude of the providers hence impacting help-seeking. Most studies have identified stigma as a barrier that is of significance to care or help seeking while the extent to which it still remains a barrier have not been reviewed deeply. Therefore, this study will assess the role contributed by stigma in help seeking in depth.
Research purpose
The intention of the research study is to review the association between stigma, mental illness and help seeking in order to assess in depth the role that mental-health stigma contribute in help seeking.
Research objectives
a) To review the background history of mental-health related stigma and mental problem or illness
b) To explore the impacts of stigma
c) To assess an association between the contributing factors of stigma to help seeking
d) To assess the extent in which these factors of stigma contribute to help seeking.
e) To assess the risk factors influencing help seeking with regard to stigma
Research questions
a) What is the association between stigma towards mental health patients and help-seeking?
b) To what degree does stigma constitute a barrier to the search for help among mental health patients?
c) Are there populations that are more deterred from seeking help due to stigma?
Research Hypothesis
Ho: stigma towards mental health patients have a significant role in influencing help seeking
Ha: the extent to which stigma influences help seeking is not significant
Theoretical framework
Stigma has been described as a negative effect of a label and the product of disgrace that makes a person to be apart from others (Henderson et al., 2013). It is built upon distinct constructs prejudice, discrimination, and stereotypes (Henderson et al., 2013). For example, believing that those people diagnosed with mental illness is stereotype. Also, agreeing with the fact that those with mental problem are indeed dangerous with a resultant fear or anger is prejudice while discrimination is the total avoidance to those with mental conditi.
Running Head ADVANCE NURSING RESEARCH 1 .docxhealdkathaleen
Running Head: ADVANCE NURSING RESEARCH
1
ADVANCE NURSING RESEARCH 2
Week #6 Assignment 1: The Details of Your EBP Project.
EBP Project Proposal Draft
Research topic
To assess the role of stigma towards mental health patients in help seeking.
Research problem
Most studies have shown that stigmatization towards mental health patients have been present throughout history and even despite the evolution in modern medicine and advanced treatment. Stigmatization have resulted from the belief that those with mental problem are aggressive and dangerous creating a social distance (Szeto et al., 2017). Also, mental health-related stigma has become of major concern as it creates crucial barriers to access treatment and quality care since it not only influences the behaviour of the patients but also the attitude of the providers hence impacting help-seeking. Most studies have identified stigma as a barrier that is of significance to care or help seeking while the extent to which it still remains a barrier have not been reviewed deeply. Therefore, this study will assess the role contributed by stigma in help seeking in depth.
Research purpose
The intention of the research study is to review the association between stigma, mental illness and help seeking in order to assess in depth the role that mental-health stigma contribute in help seeking.
Research objectives
a) To review the background history of mental-health related stigma and mental problem or illness
b) To explore the impacts of stigma
c) To assess an association between the contributing factors of stigma to help seeking
d) To assess the extent in which these factors of stigma contribute to help seeking.
e) To assess the risk factors influencing help seeking with regard to stigma
Research questions
a) What is the association between stigma towards mental health patients and help-seeking?
b) To what degree does stigma constitute a barrier to the search for help among mental health patients?
c) Are there populations that are more deterred from seeking help due to stigma?
Research Hypothesis
Ho: stigma towards mental health patients have a significant role in influencing help seeking
Ha: the extent to which stigma influences help seeking is not significant
Theoretical framework
Stigma has been described as a negative effect of a label and the product of disgrace that makes a person to be apart from others (Henderson et al., 2013). It is built upon distinct constructs prejudice, discrimination, and stereotypes (Henderson et al., 2013). For example, believing that those people diagnosed with mental illness is stereotype. Also, agreeing with the fact that those with mental problem are indeed dangerous with a resultant fear or anger is prejudice while discrimination is the total avoidance to those with mental conditi ...
More than 1 in 5 people in conflict areas experience mental health issuesΔρ. Γιώργος K. Κασάπης
New estimates from the WHO find that some 22% of people in conflict areas around the world suffer from a mental health problem. Here’s more from the report:
•By disease type: 13% of people experienced mild forms of depression, PTSD, and anxiety, while some 5% of people experienced severe forms of those disorders.
•By age: Those over the age of 70 in conflict zones experienced the highest rates of depression and anxiety compared to the general population and those of other ages in conflict areas.
•A takeaway: The global estimates are higher than previously thought, according to the authors, who stress the need for mental health care and intervention in conflict-affected countries.
10 Strategic Points
My Degree: Ph.D.
Program Emphasis: Industrial & Organizational Psychology
Ten Strategic Points
Comments or Feedback
Broad Topic Area Final Topic
Factors Affecting Utilization of Mental Health in Southern Texas
Factors Influencing Individuals' Decision to Utilize Mental Health in South Texas
Lit Review
(Theoretical Framework (Theory)
Gaps
Themes
All Citations
Gaps
A. De Luca, Blosnich, Hentschel, King, & Amen (2016). The authors indicate that mental health has emerged as one of the critical areas of focus in recent times, and for a long time, it had been sidelined. However, with the realization that most health conditions are related in one way or another to a mental disorder, this area is now been studied extensively, and more attention has been given to patients.
B. Mental health professionals point to insufficient mental healthcare resources in the United States as one of the major factors contributing to the rising suicide rate in the country. Nevertheless, these professionals noted that emergency providers paly major role at forefront of the problem and may also play significant role in its prevention. The experts reiterated the necessity for providers to possess the skills required for managing patients at lower suicide risk levels, especially in settings in which such patients do not enough access to behavioral healthcare providers and that the providers need to be accustomed to suicide risk, especially when there are widely publicized high-profile instances of suicide.
https://lopes.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=131266532&site=eds-live&scope=site.
C. According to Kohn, et. al, (2018), emphasize the gap in mental health treatment in the American Region when examined through the prevalence of mental health disorders, use of mental health services, and the global burden of disease. Statistical data from community-based surveys of mental disorders in the various countries in America including Argentina, Brazil, Canada, Chile, and the United States etc. were utilized. The World Mental Health Survey published data were used in estimating professional the treatment gap. For Canada, Chile, and Guatemala, the treatment gap was calculated from data files. The mean, median, and weighted treatment gap, and the 12-month prevalence by severity and category of mental disorder were estimated for the general adult, child-adolescent, and indigenous populations. Disability-adjusted Life Years and Years Lived with Disability were calculated from the Global Burden of Disease study. Mental and substance use disorders accounted for 10.5% of the global burden of disease in the Americas (Kohn, Ali, Puac-Polanco, Figueroa, López-Soto, Morgan, & Vicente, 2018).
D. Wang, & Xie, (2019) Emphasizes the need to eliminate the prevalence of mental health service utilization among many adults in the United States. The authors exam ...
Newristics is the first company to provide market research & message optimization services based on behavioral science & artificial intelligence. Our AI models are trained on more than 660 known heuristics.
the-impact-of-social-media-on-mental-health.pdfNewristics USA
This whitepaper explores the decision heuristics that lead to completely irrational user behaviors, pertaining to the consumption and internalization of social media and its constant barrage of perfectly filtered photos, exaggerated lifestyles, and skewed validations.
How-did-medical-errors-becaome-the-cause-of-death-in-the-us.pdfNewristics USA
It's scary to think that your Healthcare may kill you. But that indeed is the unfortunate truth for tens of thousands of Americans, whose deaths are direct results of medical errors. While the issue is multi-faceted and involves several stakeholders, mitigating medical errors requires a closer look at the behavioral drivers involved.
This research is based on general practice in the psychiatric institutions. It involves a qualitative research method that that uses three peer-reviewed journal article containing information about the scope of psychiatry, emerging issues in accommodating patients and highlight on medication of mental illness
ADVANCED NURSING RESEARCH
1
ADVANCED NURSING RESEARCH 2
Evidence Based Practice Grant Proposal
Table of Contents
3
4
5
6
6
7
8
8
9
9
9
11
11
11
11
12
12
13
14
14
19
19
21
32
34
Grant Proposal-Assessing the role of stigma towards mental health patients in help seeking
Study problem
There are several studies that have shown that stigmatization towards mental health patients have been present throughout history and even despite the evolution in modern medicine and advanced treatment. For example, Verhaeghe et al., (2014), captures in a publication in reference to a study that he conducted that stigmatization towards mental health patients has been there even as early is in the 18th Century. People were hesitant to interact with people termed or perceived to have mental health conditions.
Stigmatization has resulted from the belief that those with mental problem are aggressive and dangerous creating a social distance (Szeto et al., 2017). Also, mental health-related stigma has become of major concern as it creates crucial barriers to access treatment and quality care since it not only influences the behaviour of the patients but also the attitude of the providers hence impacting help-seeking. Timmermann, Uhrenfeldt and Birkelund (2014), have identified stigma as a barrier that is of significance to care or help seeking while the extent to which it still remains a barrier have not been reviewed deeply. Therefore, this study will assess the role contributed by stigma in help seeking in depth. 1. Purpose
The intention of the research study is to review the association between stigma, mental illness and help seeking in order to formulate ways in which the stigma that is around mental health is done away with to enable as many people suffering from mental health complications to seek medical help.2. Background
Mental health is crucial in every stage of life. It is defined as the state of psychological well-being whereby the individual realizes a satisfactory integration instinctual drive acceptable to both oneself and his or her social setting (Ritchie & Roser, 2018). The status of mental health influences physical health, relationships, and most importantly day-to-day life. Mental health problems arise when there is a disruption in mental well-being.
The risk factors to mental health problems are not limited and therefore everyone is entitled to the problem irrespective of gender, economic status, and ethnic group. For example, data shows that in America one out of five individuals experience mental health problems annually; with mental disorders being recognized as the leading cause of disability not only in the United States but also globally (Ritchie & Roser, 2018). Mental health disorders are seen to be complex and of many forms such as anxiety, mood, and schizophren.
Lesson 11 Mental Health StigmaReadings Please note that th.docxSHIVA101531
Lesson 11: Mental Health Stigma
Readings: Please note that the Corrigan article in the syllabus has been replaced with the Collins and Corrigan articles below:
Required
Collins, R. L., Wong, E. C., Cerully, J. L., Schultz, D., & Eberhart, N. K. (2012). Interventions to reduce mental health stigma and discrimination. http://calmhsa.org/wp-content/uploads/2011/12/Literature-Review_SDR_Final01-02-13.pdf
Corrigan, P., Morris, S., Michaels, P.J., Rafacz, J.D. & Rusch, N. (2012). Challenging the public stigma of mental illness: A meta-analysis of outcome studies. Psychiatric Services 63(10). doi: 10.1176/appi.ps.201100529. http://ps.psychiatryonline.org/article.aspx?articleid=1372999&RelatedWidgetArticles=true
Link, B., Phelan, J. Bresnahan, A.S. & Persosolido, B., (1999). Public conceptions of mental illness: Labels, causes, dangerousness and social distance. American
Journal of Public Health (89), 1328-1333.
http://ajph.aphapublications.org/cgi/reprint/89/9/1328.pdf
Swanson, J.W., Holzer, C.E., Ganju, V. K., Jono, R.T. (1990). Violence and psychiatric disorder in the community: Evidence from the Epidemiologic Catchment Area surveys. Hospital & Community Psychiatry,
41(7), 761-770.
http://www.bing.com/videos/search?q=Mental+Health+Stigma+Video&FORM=VIRE7#view=detail&mid=102935613330F098A046102935613330F098A046
http://www.bing.com/videos/search?q=Mental+Illness+Stigma&Form=VQFRVP#view=detail&mid=EC031B624F71269702CDEC031B624F71269702CD
https://www.youtube.com/watch?v=Zn6yw2KUIwc&feature=youtu.be
Optional
Pettigrew, L. R. & Tropp, T.F. (2005). Relationships between intergroup contact and prejudice among minority and majority status groups. Psychological Science (16)12, 951-957.
Summary
Introduction
As many of you have noted in your discussion posts, mental health stigma is a pervasive problem that profoundly affects the lives of those suffering from mental illness. Aided by newspapers, books, movies and television, persons with mental illness have been portrayed and perceived as persons with bad character, demonically possessed, weak, unpredictable, and violent. As a result, many people have separated themselves from those with mental illness out of “distrust, stereotyping, fear, embarrassment, anger and/or avoidance.” (Surgeon General’s Report, 1999).
While some progress has been made in the past 50 years, stigma (often referred to as discrimination) continues to be a significant barrier to persons with mental illness. As we have seen in our readings, several recent documents have given prominence to the issue of stigma. In SAMSHA’s 2011 strategic plan “Leading Change: A Plan for SAMHSA’s Roles and Actions, 2011-2014”, Goal 4.3.2 is to “create a behavioral health awareness campaign focused on decreasing discrimination and improving employment outcomes for persons with mental and substance use disorders.” (p. 59). SAMHSA’s most recent strategic plan: Leading the Change 2.0: Advancing the Behavioral Health of the Nation 2 ...
This is the summary text of a presentation at the Vatican addressing: "The Question of the Use of Pharmaceuticals in Pediatrics." This presentation covers the clinical trial evidence and offers prescription guidelines
For each of the learning objectives, provide an analysis of how thShainaBoling829
For each of the learning objectives, provide an analysis of how the course supported each objective.
1. Discriminate among the mechanisms of action for the major classes of drugs/medications
2. Critique evidence that supports proposed pharmacotherapeutic protocols for appropriateness of application across the lifespan
3. Integrate the teaching-learning needs of clients across the lifespan when proposing pharmacotherapies
4. Propose prescriptive therapies for selected clients evaluating safety factors while utilizing knowledge of how current health status, age, gender, culture, genetic factors, ethical concerns and prescriptive authority impact decision making
Explain how the material learned in this course, based upon the objectives, will be applicable to professional application.
Provide evidence (citations and references) to support your statements and opinions.
All references and citations should in APA format.
14
Mental Health and Social Work
Shanae Hampton
Cal Baptist University
Introduction
How well a person is able to live a full life, build and maintain relationships and pursue their education, profession or other pursuits requires them to maintain their well-being ranging from physical to mental health. When assisting others to achieve good and self-motivated changes, social workers draw on their relationship-based abilities and emphasize personalization and rehabilitation. A key issue is, "What components and obstacles of an assessment are there in order to reach these outcomes?" When it comes to health promotion and public involvement, social workers are well-suited for this role since primary care is all about these things. Social workers who deal with mental health have unique challenges in assessment, which necessitates them learning and using psychiatric principles. Identifying the need for mental health care requires an understanding of assessment principles.
For this research, the focus is on urban youth's increase in mental health cases which is more influenced by lack of access to mental health care as a result of poverty that affects many children and families in the US. Young people are the most impacted by poverty, accounting for 33% of the total number of individuals in poverty. Children who live in "high risk neighborhoods" are more likely to lack access to the mental health supports they need to manage their symptoms. Stabilization, individual treatment, and symptom management are all important aspects of aftercare for children who have been hospitalized for behavioral difficulties by the time they are six years old (Hodgkinson, 2017).
Literature Review
Inequality based on race and class has been shown to be associated with a variety of negative health outcomes, including poor mental health. Increased financial disparity is associated with an increase in the prevalence of mental illness along a social gradient in mental health. However, psychiatric and psychological approaches have dominated ment ...
Similar to Lesson 3 Epi emiologyof Readings Predictors for the Daily Value.docx (20)
Answer the following questions in a minimum of 1-2 paragraphs ea.docxSHIVA101531
Answer the following questions in a minimum of
1-2 paragraphs
each. Be sure to explain your answers and give reasons for your views.
When you talk about the meaning of life, which sense of the term do you use-- external meaning or internal meaning?
What bearing, if any, does the ephemeral nature of our existence have on the question of whether life has meaning? Does the fact that we die negate the possibility of meaning in life?
Is Schopenhauer right about the meaninglessness of life? Does the wretchedness of our existence show that life has no meaning?
Note:
All journal entries must be submitted as attachments (
in Microsoft Word format
) in order to generate an originality report.
.
Answer the following questions using scholarly sources as references.docxSHIVA101531
Answer the following questions using scholarly sources as references. Add references at the end of the page.
Answer each question with at least 300 words counter.
1.What is your assessment of Frantz Fanon's argument that “The wealth of the imperialist nations is also our wealth”? Do you believe "developed nations" owe some form of reparations to colonized peoples?
2.How would you account for revolutionaries in Spain such as the CNT and FAI having more success than in other European countries leading up to 1936?
3.How you can you account for the outcome of the Russian Revolution?
4.Why do you think that acts of violence against tyrannical leaders in the era did not inspire the masses to rise up in revolution?
.
Answer the following questions about this case studyClient .docxSHIVA101531
Answer the following questions about this case study:
Client with Pneumonia
Mr Edwards is a 75 yr old man who has a history of chronic obstructive pulmonary disease for the last two years. He continues to smoke ½ pack of cigarettes a day and does not participate in any exercise regimen and must do self-care activities slowly because of fatigue. He does not see any reason to increase his fluid intake. Presently, he is admitted for right upper lobe pneumonia and reports having an intermittent cough that produces thick, yellow sputum. He has more episodes of coughing when lying flat. He is married and his wife, Kathy is at his bedside.
Assessment
Mr Edwards SpO2 ranges from 78%-84%, and currently this am is 84%. His other vital signs are T 101.4F, HR 102/min, RR 30/min, BP 130/90mmHg. He is chilled and has had some diaphoresis. He reports that his ribs are sore and that his mouth is dry. Upon inspection, Mr Edwards mucous membranes are dry, as is his skin. Crackles are auscultated in the lower lobes bilaterally. His sputum is thick, and a yellow to yellow green in color. His health care provider has told him that if he gradually increases his exercise, drinks more fluids and stops smoking, his respiratory status will improve. He is lying in a semi-fowlers position in bed.
What relevant assessment data would you cluster to support a nursing diagnosis?
What priority nursing diagnosis would you identify for this patient? List five and give both Problem focused and Risk for nursing diagnoses.
What short term goal would you identify for the priority nursing diagnosis you identified? What long term goal would you identify?
List all the nursing interventions that you would perform for identified goals and nursing diagnosis. Give a rationale for each.
If you implemented all of the identified interventions, how would you evaluate that your interventions were successful and that the goals were met?
.
Answer the following questions using art vocabulary and ideas from L.docxSHIVA101531
Answer the following questions using art vocabulary and ideas from Lectures 2, 3, & 4 and Chapter 2 in your textbook. Please make
sure each answer is thoughtful, edited for grammar and spelling errors, and
at least
4-5
COMPLETE
sentences. Also, be as
specific as possible and
use examples to support EVERY statement. Write your answers in your own words (not taken
directly from your readings or outside resources).
A grading rubric is attached to this assignment.
**When answering the questions/prompts below,
write in PARAGRAPH FORM
(while making sure each question is addressed in your paragraph).
**Copy the photos of the artworks and the questions BEFORE each paragraph answer.
PROMPTS
:
1.
-Is Henri Matisse's 1947 print,
Icarus
,
an example of Representational Art, Abstracted Art, or Non-Representational Art? Explain your reasoning.
-Describe the use of
SHAPE
in Henri Matisse's 1947 print,
Icarus
. Are the shapes organic or geometric? Which ones? Describe how the shapes interact, or "touch" each other. Are the edges of the shapes soft or hard? Do they bump, blend, or overlap?
-Which theme(s) best describe the content of Matisse's
Icarus
?
Support your answers with specific examples from the painting.
2.
-Is Kathe Kollwitz' 1903 etching,
Mother with Dead Child
an example of Representational Art, Abstracted Art, or Non-Representational Art? Explain your reasoning.
-Describe the use of
LINE
in this print. What types of line (geometric, organic, implied) are present? What do you believe these lines express? Are there any contour lines? Hatching or cross-hatching? Where? In what direction(s) do the lines move?
-Which theme(s) best describe the content of Kollwitz'
Mother with Dead Child?
Support your answers with specific examples from the etching.
3.
-Is the
Colossal 8-feet-tall Olmec Head
(1500-300 BCE) an example of Representational Art, Abstracted Art, or Non-Representational Art? Explain your reasoning.
-Describe the
FORM/MASS
of the Olmec Head. Address the size, density, material(s) used, and how it may have interacted with it's original location.
-Is the sculpture an example of
Closed Form
or
Open Form
? Explain your answer.
-Which theme(s) best describe the content of the Olmec Heads? Support your answers with specific examples from the sculpture.
4.
-Is Jan van Eyck's 1434 oil painting,
The Arnolfi Portrait
,
an example of Representational Art, Abstracted Art, or Non-Representational Art? Explain your reasoning.
-Discuss the use of
TEXTURE
in van Eyck's painting. Does the work have actual/tactile texture, visual/simulated texture, or a combination of both? Explain your answer.
-Which theme(s) best describe the content of van Eyck's
The Arnolfi Portrait
? Support your answers with specific examples from the painting.
5.
Is George Caleb Bingham's 1845 painting,
Fur Traders Descending the Missouri
, an example of Representational Art, Abstracted Art, or Non-Represen.
Answer the following questions in a total of 3 pages (900 words). My.docxSHIVA101531
Answer the following questions in a total of 3 pages (900 words). My budget is between $50-60. Deadline is 5 hours
What, in your opinion, are the salient attributes of indigenous African religious cultures?
Do you feel western scholars were justified in tagging negative labels on African religions?
Would you say African religions are polytheistic because of the belief in numerous deities?
Describe the Core Elements of Yoruba or Fon Cosmology
.
Answer the following questions No single word responses (at lea.docxSHIVA101531
Answer the following questions: No single word responses (at least 70+ words in each response)
Give the questions some thought and answer honestly
1. What is happening?
2. What issues does it raise?
3. What emotions come to your awareness?
4. What implications does it have for how we practice?
.
Answer the following questions based on the ethnography Dancing Skel.docxSHIVA101531
Answer the following questions based on the ethnography Dancing Skeletons. It is not necessary to write
an essay, but do engage the questions at a thoughtful level. Be sure to answer the question thoroughly as
each has several parts and use examples from the ethnography.
1. Why is it important for an anthropologist to be able to speak the local language? What
advantages did the author enjoy because of her language ability? What difficulties ensue when a
researcher is not able to speak the local language? If all contact with the population is through an
interpreter, what sorts of bias might arise in the data collection?
2. What was the outcome of the author’s visit to #104’s compound? What had happened to the
child since her last visit several years earlier? Why did the author use numbers to refer to people
in her study, instead of their names? Do you think it was right for Dettwyler to intervene in the
case of child #104, or should anthropologists just study people in other cultures and endeavor to
have as little impact on them as possible? Is it possible to conduct anthropological research
without having some effect on the people you study?
3. How do the medical resources of Magnambougou compare to those available in the United
States? What are the main diseases children in Mali must contend with?
4. Using female circumcision as the focus, discuss the concept of cultural relativism as used by
anthropologists. Even though we may understand the beliefs behind the practice, does cultural
relativism compel us to approve of female circumcision? What are some of the rationales
provided by cultures that practice female circumcision? What was Agnes’s attitude (Chapter 3)
when she found out that neither the author nor her daughter had been, or where intending to be
circumcised?
5. Aminata’s parents could see that she was very skinny even though she ate a lot of food.
“Everyone knows that you can eat a lot and still be skinny” (Dettwyler 1994: 44). How do
observations such as these contribute to the belief among some Malians that food intake and
health are not related?
Essay and Homework Requirements:
• Minimum of 2 typed pages of your writing (not including heading or prompt)
• 12 point font size
• 1 inch margins on all sides
• Double-spaced throughout
• Spell-checked, grammar-checked
.
Answer the following questions to the best of your ability1) De.docxSHIVA101531
Answer the following questions to the best of your ability:
1) Describe Native America societies prior to European contact. What are some examples of how their civilizations varied by region across North and South America?
2) What was the Columbian Exchange? Give at least 5 examples,
(be specific with details)
. What are some effects this had on both the Old and New Worlds?
3) Briefly describe the relationship between Powhatan and the English colonists of Virginia Colony in the 17thcentury. How did they help one another? How did they oppose one another?
4) Refer to the website below on the
Mayflower Compact, 1620
. What do the writers claim their purpose was in founding a colony (Plymouth)? What do the writers claim is their purpose in establishing this charter?
*copy/paste into your browser to answer the questions above:
https://avalon.law.yale.edu/17th_century/mayflower.asp
5) What was the major cash crop of the English colonies around the Chesapeake Bay (e.g., Virginia and Maryland)? What unfree laborers primarily worked that crop for wealthier landowners in the 17th century? What unfree laborers were the predominant labor force on plantations as the 18th century wore on?
6) Describe the First and Second Great Awakenings. What were some similarities between those movements? What were some differences?
7) What are at least 4 factors that led to the American Revolution? Briefly describe each one.
8) Describe the influence of Enlightenment ideals on the Constitution? What were three (3) major compromises that were necessary to gain enough support to ratify the Constitution
(describe them)
?
9) What was the “Revolution of 1800” and why is it important, even today?
10) What was the Louisiana Purchase? Give three examples of long-term consequences of the US acquiring that territory?
11) Throughout the 17th, 18th, and 19th centuries, what are some of the ways in which American Indian peoples interacted with European (and later, American) settlers? What were some of the strategies which American Indian tribes used to navigate European and US expansion?
12) Describe the difference between northern and southern states in the US between 1800 and 1850. What were some of their defining characteristics?
13) What factors prompted the South to secede from the United States in 1860/1861? What was Pres. Lincoln’s response? What were 3 consequences of the Civil War?
14) Describe Reconstruction. Did it work (how and/or how not)?
.
Answer the following questionDo you think it is necessary to .docxSHIVA101531
Answer the following question:
Do you think it is necessary to create a different law to serve minors who violate the law or should they be processed in the same way that adults are processed? Explain.
**Arguments in response to the question must be supported by at least two academic sources.**
Essay ( 1-3 pages)
.
Answer the following question. Use facts and examples to support.docxSHIVA101531
Answer the following question. Use facts and examples to support your answer. Use APA style for any references.
Due June 14, 11:59 p.m. EST
Using Figure 5.4 as the target architecture, who are the threat agents who will be most interested in attacking Web applications created through AppMaker?
.
Answer the bottom questions in apa format and decent answer no shor.docxSHIVA101531
Answer the bottom questions in apa format and decent answer no short answer please.
Subaru's Sales Boom Thanks to the Weaker Yen For the Japanese carmaker Subaru, a sharp fall in the value of yen against the U.S. dollar has turned a problem—the lack of U.S. production—into an unexpected sales boom. Subaru, which is a niche player in the global auto industry, has long bucked the trend among its Japanese rivals of establishing significant manufacturing facilities in the North American market. Instead, the company has chosen to concentrate most of its manufacturing in Japan in order to achieve economies of scale at its home plants, exporting its production to the United States. Subaru still makes 80 percent of its vehicles at home, compared with 21 percent for Honda. Back in 2012, this strategy was viewed as something of a liability. In those days, one U.S. dollar bought only 80 Japanese yen. The strong yen meant that Subaru cars were being priced out of the U.S. market. Japanese companies like Honda and Toyota, which had substantial production in the United States, gained business at Subaru's expense. But from 2012 onward, with Japan mired in recession and consumer prices falling, the country's central bank repeatedly cut interest rates in an attempt to stimulate the economy. As interest rates fell in Japan, investors moved money out of the country, selling yen and buying the U.S. dollar. They used those dollars to invest in U.S. stocks and bonds where they anticipated a greater return. As a consequence, the price of yen in terms of dollars fell. By December 2015, one dollar bought 120 yen, representing a 50 percent fall in the value of the yen against the U.S. dollar since 2012. For Subaru, the depreciation in the value of the yen has given it a pricing advantage and driven a sales boom. Demand for Subaru cars in the United States has been so strong that the automaker has been struggling to keep up. The profits of Subaru's parent company, Fuji Heavy Industries, have surged. In February 2015, Fuji announced that it would earn record operating profits of around ¥410 billion ($3.5 billion) for the financial year ending March 2015. Subaru's profit margin has increased to 14.4 percent, compared with 5.6 percent for Honda, a company that is heavily dependent on U.S. production. The good times continued in 2015, with Subaru posting record profits in the quarter ending December 31, 2015. Despite its current pricing advantage, Subaru is moving to increase its U.S. production. It plans to expand its sole plant in the United States, in Indiana, by March 2017, with a goal of making 310,000 a year, up from 200,000 currently. When asked why it is doing this, Subaru's management notes that the yen will not stay weak against the dollar forever, and it is wise to expand local production as a hedge against future increases in the value of the yen. Indeed, when the Bank of Japan decided to set a key interest rate below zero in early February 2016, the yen .
Answer the following below using the EXCEL attachment. chapter 5.docxSHIVA101531
Answer the following below using the EXCEL attachment.
chapter 5's Exercise questions 9, 10, 11, 12, and post at least 2 points that he/she has learned from them and at least 2 questions that he/she may have.
chapter 5 appendix Exercise question 4
.
Answer the following prompts about A Germanic People Create a Code .docxSHIVA101531
Answer the following prompts about “A Germanic People Create a Code of Law” on pgs. 104-108 from the
Sources of
World Societies: Volume 1: To 1600
book. your answer should include one original question that you have about the readings.
1. Compare and contrast this law code with the Twelve Tables and the Code of Hammurabi.
2. Where do you see major similarities, and differences?
3. Of the three codes, which would you prefer to live under, and why?
.
Answer the following discussion board question below minumun 25.docxSHIVA101531
Answer the following discussion board question below: minumun 250 words in total.
[1] How did the attempted impeachment of President Clinton come about? What do you think about this attempt at impeachment and the surrounding controversies and circumstances?
[2] What parallels, if any, do you see between the impeachment efforts against President Clinton and those today against President Trump? Are they comparable or completely different, in your view? Explain.
.
Answer the following questions about IT Project Management. What.docxSHIVA101531
Answer the following questions about IT Project Management.
What is a project, and what are its main attributes? How is a project different from what most people do in their day-to-day jobs? Discuss the importance of top management commitment and the development of standards for successful project management. Provide examples to illustrate the importance of these items based on your experience on any type of project. Discuss the unique challenges that an IT project presents.
.
Answer the following in at least 100 words minimum each1.Of.docxSHIVA101531
Answer the following in at least 100 words minimum each:
1.Often times we will see data that goes up and down and doesn’t appear to be moving at a steady rate in either direction. Can we draw any conclusion from data like that?
2.
Time series and future prediction of value is something that many of you likely deal with at work. You may see the type of future prediction in a retirement or investment account on a personal level. When would this type of analysis be important in your industry?
.
Answer the following questions(at least 200 words) and responses 2 p.docxSHIVA101531
Answer the following questions(at least 200 words) and responses 2 posts(not word limitation):
Should the federal, state, or local governments pass legislation that requires organizations to offer voluntary benefits? Why or why not?
You need to find a source and make reference
.
Answer the following questions in a Word document and upload it by M.docxSHIVA101531
Answer the following questions in a Word document and upload it by March 19. Answers should be one paragraph each.
1. What arguments can you provide to show there is or is not political bias in the media?
2. Do you feel that the existence of Wikileaks helps or undermines America's national security?
3. Why do you feel that polling errors occur in gathering data on Presidential elections?
4. Do you feel the Fairness Doctrine was justified, or do you feel it was right to repeal it?
5. Is the rise of digital citizenship a good or bad thing for the media?
.
Answer the following questions in complete sentences. Each answer sh.docxSHIVA101531
Answer the following questions in complete sentences. Each answer should be roughly one or two paragraphs. Use examples and/or quotes from the textbook to support your answers. Type in the answers directly below each question.
1. How did communism emerge in Russia and China? What were the similarities and differences between these two processes?
2. What were the main economic policies pursued by communist regimes? In what ways were they successful and in what ways did they fail?
.
ANSWER THE DISCUSSION QUESTION 250 WORDS MINDiscussion Q.docxSHIVA101531
**ANSWER THE DISCUSSION QUESTION 250 WORDS MIN**
Discussion Questions:
How should the United States government deal with the heightened concern about homegrown violent extremism and the growing concern for the preservation of civil liberties? What are the political and constitutional consequences of counter-terrorism? Lastly, how do we assess the tradeoffs between freedom and security?
***REPLY TO EACH POST 100 WORDS MIN EACH***
1. The United States government will always have to face the homegrown violent extremist because with the internet alone people are able to research just about anything and find their answers. The civil liberties are being violated because you have FBI and CIA looking into what people on doing on the webs. I personally believe that you gave up the right when you decided to goggle whatever it is you’re looking up. It’s also like social media site take Facebook for example people are willing to give up their rights so they can be on Facebook and be able to look or post whatever they want. But just like ever website the owner of that site has a right to delete what they don’t want on it as well. So why can’t the FBI/CIA look into and potentially stop a homegrown extremist from attacking the nation or even just attacking schools, churches, and retail stores like the mall or Wal-Mart. All these locations have had attacks from violent extremist when if they were being watched or monitored those attacks could have been stopped or at least less death could have occurred. From a political and constitutional stand point, consequences of counter-terrorism can vary. I political stand is to protect and preserve the freedom for the people. Protecting one’s Constitutional rights depends on what the politician’s plans on policies and procedures that could begin to take away those civil rights that were granted and give people the sense of freedom that the nation is built on. Policies and procedures can change everything take the mask wearing and social distancing for Covid-19, you have the people that are okay with it all and are following the rules but then you have the ones that have been protesting or fighting people over the fact that they don’t want to wear a mask. To me personally it’s simple to wear a mask but to others it’s a reason of rights being taken away by mandating it. Working for the military and DHS I personally don’t see freedom and security as a tradeoff. If agencies do their jobs correctly and protect the United States and National Security then freedom wouldn’t be at stake. I believe in freedom but the security measures in place are to help protect that freedom, without the security measures the nation would be under attack like 9/11 or worse.
2. The internal terrorist threat in the United States is operational and complicated, with continuing threats from extreme left- and right-wing extremist groups and radicalization and recruitment efforts by international terrorist groups. Since Sept/11, our.
Operation “Blue Star” is the only event in the history of Independent India where the state went into war with its own people. Even after about 40 years it is not clear if it was culmination of states anger over people of the region, a political game of power or start of dictatorial chapter in the democratic setup.
The people of Punjab felt alienated from main stream due to denial of their just demands during a long democratic struggle since independence. As it happen all over the word, it led to militant struggle with great loss of lives of military, police and civilian personnel. Killing of Indira Gandhi and massacre of innocent Sikhs in Delhi and other India cities was also associated with this movement.
The French Revolution, which began in 1789, was a period of radical social and political upheaval in France. It marked the decline of absolute monarchies, the rise of secular and democratic republics, and the eventual rise of Napoleon Bonaparte. This revolutionary period is crucial in understanding the transition from feudalism to modernity in Europe.
For more information, visit-www.vavaclasses.com
Biological screening of herbal drugs: Introduction and Need for
Phyto-Pharmacological Screening, New Strategies for evaluating
Natural Products, In vitro evaluation techniques for Antioxidants, Antimicrobial and Anticancer drugs. In vivo evaluation techniques
for Anti-inflammatory, Antiulcer, Anticancer, Wound healing, Antidiabetic, Hepatoprotective, Cardio protective, Diuretics and
Antifertility, Toxicity studies as per OECD guidelines
The Roman Empire A Historical Colossus.pdfkaushalkr1407
The Roman Empire, a vast and enduring power, stands as one of history's most remarkable civilizations, leaving an indelible imprint on the world. It emerged from the Roman Republic, transitioning into an imperial powerhouse under the leadership of Augustus Caesar in 27 BCE. This transformation marked the beginning of an era defined by unprecedented territorial expansion, architectural marvels, and profound cultural influence.
The empire's roots lie in the city of Rome, founded, according to legend, by Romulus in 753 BCE. Over centuries, Rome evolved from a small settlement to a formidable republic, characterized by a complex political system with elected officials and checks on power. However, internal strife, class conflicts, and military ambitions paved the way for the end of the Republic. Julius Caesar’s dictatorship and subsequent assassination in 44 BCE created a power vacuum, leading to a civil war. Octavian, later Augustus, emerged victorious, heralding the Roman Empire’s birth.
Under Augustus, the empire experienced the Pax Romana, a 200-year period of relative peace and stability. Augustus reformed the military, established efficient administrative systems, and initiated grand construction projects. The empire's borders expanded, encompassing territories from Britain to Egypt and from Spain to the Euphrates. Roman legions, renowned for their discipline and engineering prowess, secured and maintained these vast territories, building roads, fortifications, and cities that facilitated control and integration.
The Roman Empire’s society was hierarchical, with a rigid class system. At the top were the patricians, wealthy elites who held significant political power. Below them were the plebeians, free citizens with limited political influence, and the vast numbers of slaves who formed the backbone of the economy. The family unit was central, governed by the paterfamilias, the male head who held absolute authority.
Culturally, the Romans were eclectic, absorbing and adapting elements from the civilizations they encountered, particularly the Greeks. Roman art, literature, and philosophy reflected this synthesis, creating a rich cultural tapestry. Latin, the Roman language, became the lingua franca of the Western world, influencing numerous modern languages.
Roman architecture and engineering achievements were monumental. They perfected the arch, vault, and dome, constructing enduring structures like the Colosseum, Pantheon, and aqueducts. These engineering marvels not only showcased Roman ingenuity but also served practical purposes, from public entertainment to water supply.
June 3, 2024 Anti-Semitism Letter Sent to MIT President Kornbluth and MIT Cor...Levi Shapiro
Letter from the Congress of the United States regarding Anti-Semitism sent June 3rd to MIT President Sally Kornbluth, MIT Corp Chair, Mark Gorenberg
Dear Dr. Kornbluth and Mr. Gorenberg,
The US House of Representatives is deeply concerned by ongoing and pervasive acts of antisemitic
harassment and intimidation at the Massachusetts Institute of Technology (MIT). Failing to act decisively to ensure a safe learning environment for all students would be a grave dereliction of your responsibilities as President of MIT and Chair of the MIT Corporation.
This Congress will not stand idly by and allow an environment hostile to Jewish students to persist. The House believes that your institution is in violation of Title VI of the Civil Rights Act, and the inability or
unwillingness to rectify this violation through action requires accountability.
Postsecondary education is a unique opportunity for students to learn and have their ideas and beliefs challenged. However, universities receiving hundreds of millions of federal funds annually have denied
students that opportunity and have been hijacked to become venues for the promotion of terrorism, antisemitic harassment and intimidation, unlawful encampments, and in some cases, assaults and riots.
The House of Representatives will not countenance the use of federal funds to indoctrinate students into hateful, antisemitic, anti-American supporters of terrorism. Investigations into campus antisemitism by the Committee on Education and the Workforce and the Committee on Ways and Means have been expanded into a Congress-wide probe across all relevant jurisdictions to address this national crisis. The undersigned Committees will conduct oversight into the use of federal funds at MIT and its learning environment under authorities granted to each Committee.
• The Committee on Education and the Workforce has been investigating your institution since December 7, 2023. The Committee has broad jurisdiction over postsecondary education, including its compliance with Title VI of the Civil Rights Act, campus safety concerns over disruptions to the learning environment, and the awarding of federal student aid under the Higher Education Act.
• The Committee on Oversight and Accountability is investigating the sources of funding and other support flowing to groups espousing pro-Hamas propaganda and engaged in antisemitic harassment and intimidation of students. The Committee on Oversight and Accountability is the principal oversight committee of the US House of Representatives and has broad authority to investigate “any matter” at “any time” under House Rule X.
• The Committee on Ways and Means has been investigating several universities since November 15, 2023, when the Committee held a hearing entitled From Ivory Towers to Dark Corners: Investigating the Nexus Between Antisemitism, Tax-Exempt Universities, and Terror Financing. The Committee followed the hearing with letters to those institutions on January 10, 202
Francesca Gottschalk - How can education support child empowerment.pptxEduSkills OECD
Francesca Gottschalk from the OECD’s Centre for Educational Research and Innovation presents at the Ask an Expert Webinar: How can education support child empowerment?
Introduction to AI for Nonprofits with Tapp NetworkTechSoup
Dive into the world of AI! Experts Jon Hill and Tareq Monaur will guide you through AI's role in enhancing nonprofit websites and basic marketing strategies, making it easy to understand and apply.
Read| The latest issue of The Challenger is here! We are thrilled to announce that our school paper has qualified for the NATIONAL SCHOOLS PRESS CONFERENCE (NSPC) 2024. Thank you for your unwavering support and trust. Dive into the stories that made us stand out!
Embracing GenAI - A Strategic ImperativePeter Windle
Artificial Intelligence (AI) technologies such as Generative AI, Image Generators and Large Language Models have had a dramatic impact on teaching, learning and assessment over the past 18 months. The most immediate threat AI posed was to Academic Integrity with Higher Education Institutes (HEIs) focusing their efforts on combating the use of GenAI in assessment. Guidelines were developed for staff and students, policies put in place too. Innovative educators have forged paths in the use of Generative AI for teaching, learning and assessments leading to pockets of transformation springing up across HEIs, often with little or no top-down guidance, support or direction.
This Gasta posits a strategic approach to integrating AI into HEIs to prepare staff, students and the curriculum for an evolving world and workplace. We will highlight the advantages of working with these technologies beyond the realm of teaching, learning and assessment by considering prompt engineering skills, industry impact, curriculum changes, and the need for staff upskilling. In contrast, not engaging strategically with Generative AI poses risks, including falling behind peers, missed opportunities and failing to ensure our graduates remain employable. The rapid evolution of AI technologies necessitates a proactive and strategic approach if we are to remain relevant.
Macroeconomics- Movie Location
This will be used as part of your Personal Professional Portfolio once graded.
Objective:
Prepare a presentation or a paper using research, basic comparative analysis, data organization and application of economic information. You will make an informed assessment of an economic climate outside of the United States to accomplish an entertainment industry objective.
Instructions for Submissions thorugh G- Classroom.pptxJheel Barad
This presentation provides a briefing on how to upload submissions and documents in Google Classroom. It was prepared as part of an orientation for new Sainik School in-service teacher trainees. As a training officer, my goal is to ensure that you are comfortable and proficient with this essential tool for managing assignments and fostering student engagement.
Lesson 3 Epi emiologyof Readings Predictors for the Daily Value.docx
1. Lesson 3: Epi emiologyof
Readings Predictors for the Daily Value of Bitcoins
Required
enta Health
Frank, R.G., & Glied, S.A. (2009). Better but not Best: Recent
trends in the well-being of
the mentally ill. Health Affairs, 28(3), 637-648.
Kessler, R.C., McGonagle, K.A .. Zhao, S., Nelson, C.B.,
Hughes, M., Eshleman, S.,
Wittchen, H.U., & Kendler, K.S. (1994). Lifetime and 12-month
prevalence of
DSM-III-R psychiatric disorders in the United States: Results
from the National
Comorbidity Survey. Archives a/General Psychiatry 51,8-19.
National Survey on Drug Use and Health: Mental Health
Findings
hl:-rJ.
Pages 9-74 (skim).
WHO World Mental Health Survey Consortium (2004).
Prevalence, severity, and unmet
need for treatment of mental disorders in the World Health
Organization World
Mental Health Surveys. Journal a/the American Medical
Association, 291(21),
2581-90. -r
1
2. shapeType75fBehindDocument1pWrapPolygonVertices8;8;(214
98,0);(0,0);(0,21496);(11281,21496);(11281,13329);(6219,1332
9);(6219,10632);(21498,10632)posrelh0posrelv0pib
shapeType75fBehindDocument1pWrapPolygonVertices8;6;(215
00,0);(13467,0);(13467,7682);(0,7682);(0,21500);(21500,21500
)posrelh0posrelv0pib
Statistics are human faces with
the tears wiped off.
What is epidemiology and why is it important?
115.4 percent of American adults have a serious mental
illness" (Kessler et ol., 1998)
"Suicide is the 2nd leading cause of death among men 25-34 in
the United States" (Centers for Disease Contro!,2014)
"Serious mental illnesses cost society $193.2 billion in lost
earnings per year" (Kessler et al., 2008)
"Mental and behavioral disorders, such as depression, anxiety,
and drug use, are the primary drivers of disability worldwide
and caused over 40 million years of disability in 20- to 29-
year-olds" (WHO Organization, 2004)
Broadly speaking, epidemiology is the study of health and
illness in human populations
(Kleinbaum, Kupper & Morgenstern, 1982). More specifically,
epidemiology can fall
into two general areas. Descriptive epidemiological studies
examine the incidence and
prevalence of different health-related outcomes.
• Incidence rate: The rate at which new cases occur in a
population during a
specific period. For example:
2
o Missouri has the 18'h highest rate of suicide in the nation
among youth
10-2-1 year o Ids. In 2013, the rate was 18 higher than the
national
3. average (9.6-1 compared to 8.15 per 100,000 nationally).
(Centers for
Disease Control and Prevention, 2013).
• Prevalence rate: The proportion of a case that exists in a
population at a point
in time (usually expressed by a percentage). For example:
o "5.4 of all American adults have a serious mental illness"
(Kessler
et al., 1998)
Descriptive epidemiology also examines the occurrence of a
disease or health outcome
for different populations, such as age, gender, race, culture,
economic status, education,
occupation, etc. Descriptive epidemiological questions might
include:
1) What mental illnesses (including substance abuse) are most
common in the U.S.?
Internationally? Are there differences in the prevalence of these
illnesses
globally?
2) What mental illnesses are most common among children?
Adolescents? The
elderly?
3) What is the cost and burden of mental illness to society?
Are there differences
based upon the type of illness?
4) Do characteristics such as wealth, culture/race, occupation
or education affect a
person's mental health?
Analytic epidemiological studies explore the relationship
between risk factors and
antecedent conditions to health outcomes. These studies might
examine the effects of
parenting, school achievement, alcohol and drug use, exposure
to trauma, genetics,
religious upbringing or a host of other factors on a mental
4. health outcome. These studies
can be used to identify risk factors and assess the relative
strength of association of each
of these risk factors to the mental health outcome of interest
(also called correlational
research).
Examples of conclusions that might be reached as a result of an
analytic epidemiological
study might include:
1) Positive teacher-student relationships are strongly
correlated with low substance
use among adolescents (Missouri Student Survey. 2014)
2) Prior suicide attempts are among the strongest risk factors
for completed suicide"
(Moscicki, 1997)
3) Maternal prenatal poverty may be a risk factor for
schizophrenia (Cohen, 1993).
Questions to be answered in an analytic epidemiological study
might include:
1) Are some mental illnesses inherited? Environmentally
related? Induced by stress?
2) What is the impact of war on mental health? What is the
impact of natural
disasters on mental health?
3) Is mental health stigma more prevalent within certain
demographic groups?
3
4) What risk factors are related to suicide? Are there different
risk factors for those
who attempt suicide compared to those who complete suicide?
5) Are some people more resilient than others in their ability
to resist using alcohol
or other drugs? What characteristics make them more resilient?
6) Is there a relationship between schizophrenia and
violence?
Altogether, information from epidemiological studies can be
5. used to understand the
burden of disease and its associated costs, assess the health
needs of particular
populations, advocate and provide treatment to populations most
at risk, develop health-
care policies and allocate resources.
Study Quality
Because study and data quality can vary considerably depending
on a myriad of factors,
there are certain things to watch for when examining
epidemiological data. Some
questions to be considered in reviewing studies might include:
(1) Who funded the study? Did the funder have a vested
interest in the
outcomes (e.g., a drug company, an advocacy group, a political
party)?
(2) How were data collected? Were there procedures in
place to assure that
the data were reliably collected? How much documentation is
available on
the quality of the data collection process?
(3) How and by whom were the data analyzed?
(4) Were the studies peer reviewed? Cited by others?
(5) How long ago was the study conducted? How would
time gaps affect the
validity of the data?
(6) Was the data being used drawn randomly from a
population or is it a
convenience sample?
(7) How were data collected? Were there any flaws in the
data collection
process that would affect the study findings?
(8) Was the sample size large enough to be able to make
general statement
about a population?
(9) (For randomized or quasi-experimental control
6. designs) Were the
individuals in the study selected at random? Do they reflect the
population of interest?
Some Interesting Statistics
This week's readings include an extensive array of
epidemiological findings from major
studies that have been conducted over the past 20 years. There
are a few studies that
need to be highlighted.
First, the Epidemiologic Catchment Area (EDC) study in the
1980's and the National
Comorbidity Study in the early 1990's both surveyed the U.S.
adult population to assess
the prevalence of mental illness according to DSM-III and
DSM-III-R categorizations.
When taken together, they estimate that around 20 of the U.S.
population is affected by
mental illness in a given year, 3 percent have both mental and
substance abuse disorders,
6 percent have substance use disorders alone. Anxiety disorders
(phobia, generalized
4
anxiety disorder, panic disorder, OCD and PTSD) were most
prevalent (16.4) followed
by mood disorders (major depressive disorder, dysthymia, and
bipolar disorder)(7.1 ),
antisocial personality disorder (2.1 ) and schizophrenia (1.3).
From 2001 to 2003, the NCS was administered again, (the
National Comorbidity Survey
Replication [NCS-R]). Prevalence estimates based on several
analyses of these data
yielded different estimates. One estimated that 26.2 of adults
had a mental illness in a
twelve-month period (Kessler et aI., 2005). Another analysis of
CS-R data estimated
7. the 12-month prevalence of mental illness to be 32.4 among
adults. Differences in
estimates may be due to different analytical techniques, with the
higher estimate the
result of different weighting methods. Both estimates include
substance use. More
specific data from these studies are in your readings for this
week, or in the reference
section below.
In 2004, the World Health Organization (WHO) conducted a
global survey of mental
illness with a sample size of 60,463 (unfortunately, the WHO
has not updated these data
as of2014). As shown on the table below, in the U.S., anxiety
disorders were most
prevalent (16.4), followed by mood disorders (9.6), impulse
control disorders (6.8),
and substance use disorders (3.8). Mental illness was higher in
the U.S. than in any
other country surveyed.
Table 2. Twelve-Month Prevalence of World Mental Health
Composite lnternauonal Oragnosnc Interview/Diagnostic and
Steusticst Manual 01
Mentill Disorders. fourth t.dtuon
0/0 (95 Conftd~nce Int~rva~
Country
Anxi~ty
Mood
trnpulse-Controt
Substance
Any
Arne-cas
CoIcmba
·C.O·S.c·l· .7)
08113.0·7 T'
11. Years Lost to Disability (YLD). YLD is the equivalent years of
healthy life lost
through time spent in a state of less than full health. When all
the years of life with
reduced capability for all the sufferers of each condition are
added up and weighted by
the disability weight, a total of YLD for each condition is
obtained.
Globally, unipolar depression accounts for the highest number
of years lost to disability
for both males and females. It is estimated that 41.0 million
years are lost to disability
among women worldwide and 24.3 million years among men.
Alcohol use is the 2nd
leading YLD among males. Schizophrenia is 5th and 6th among
men and women
respectively.
Leading global causes of YLD by sex, 2004
(Global Burden of Disease Report, 2004)
Males
Females
Unipolar depression
24.3
Unipolar depression
41.0
Alcohol use
19.9
Refractive errors
14.0
Hearing loss
14.1
Hearing loss, adult onset
13.3
13. statistics, mortality data, child abuse and neglect data, etc.).
In addition to published articles and reports, there are data sets
that you can access on-
line if you want to do your own research with existing data.
Here is a website that has a
large list of national. state and local public health data sets and
we strongly encourage
you to explore them and see the extent to which they include
mental health related data.
In Missouri, there are several places you can go to get state-
specific data. Here is a
summary of some of the major datasets that might be of interest
that related to mental
health:
Years Lost to Disability (YLD). YLD is the equivalent years of
healthy life lost
through time spent in a state of less than full health. When all
the years of life with
reduced capability for all the sufferers of each condition are
added up and weighted by
the disability weight, a total of YLD for each condition is
obtained.
Globally, unipolar depression accounts for the highest number
of years lost to disability
for both males and females. It is estimated that 41.0 million
years are lost to disability
among women worldwide and 24.3 million years among men.
Alcohol use is the 2nd
leading YLD among males. Schizophrenia is 5th and 6th among
men and women
14. respectively.
Leading global causes of YLD by sex, 2004
(Global Burden of Disease Report, 2004)
Males
Females
Unipolar depression
24.3
Unipolar depression
41.0
Alcohol use
19.9
Refractive errors
14.0
Hearing loss
14.1
Hearing loss, adult onset
13.3
Refractive errors
13.8
Cataracts
9.9
Schizophrenia
8.3
Osteoarthritis
9.5
Cataracts
7.9
Schizophrenia
8.0
Bipolar disorder
7.3
Anaemia
7.4
15. COPO
6.9
Bipolar disorder
7.1
Asthma
6.6
Birth asphyxia and birth trauma
6.9
Falls
6.9
Alzheimer and other dementias
5.8
Taken together, these data sources stress the importance of
treating mental health issues
to improving quality of life worldwide.
Data Sources for Epidemiological Research
Data for epidemiological studies come from a variety of
sources, including population
surveys and censuses, randomized control trials, cost studies,
existing records (e.g., crime
statistics, mortality data, child abuse and neglect data, etc.).
In addition to published articles and reports, there are data sets
that you can access on-
line if you want to do your own research with existing data.
Here is a website that has a
large list of national, state and local public health data sets and
we strongly encourage
you to explore them and see the extent to which they include
mental health related data.
http: ph ~
In Missouri, there are several places you can go to get state-
16. specific data. Here is a
summary of some of the major datasets that might be of interest
that related to mental
health:
You can also visit the MICA data set housed in Missouri's
Department of Health and
Senior Services. They have statistics for births, deaths, disease
and illnesses to name a
few. nt.
6
Assignment and Group Discussion
The readings for this lesson are essential for anyone interested
in understanding the
prevalence of mental illness nationally and worldwide. In the
first part of this lesson,
four questions in the Descriptive Epidemiology section and six
questions in the Analytic
Epidemiology section were presented. Pick one of these
questions, and drawing from at
least two of the readings and other articles you may already be
familiar with, provide a
response. You must incorporate data from at least one dataset of
your choice (global,
national, state, etc.) into your discussion post. Discuss the
degree to which you think the
data you are citing are reliable and valid. Remember your
response should be posted to
Blackboard by Friday evening at 11 :00 p.m. and subsequent
discussion posts by Sunday
at 11 :00 p.m.
1) Are some mental illnesses inherited? Environmentally
related? Induced by stress?
References
Centers for Disease Control and Prevention, National Center for
Injury Prevention and
Control (2013). Web-based Injury Statistics Query and
17. Reporting System
(WISQARS) [online]. Available from URL:
Cohen, C. I. (1993). Poverty and the course of schizophrenia:
Implications for research
and policy. Hospital and Community Psychiatry, 44, 951-958.
Kessler, R.C., Heeringa, S., Lakoma, M.D., Petukhova, M.,
Rupp, A.E., Schoenbaum,
M., Wang, P.S., Zaslavsky. A.M. (2008). The individual-level
and societal-level
effects of mental disorders on earnings in the United States:
Results from the
National Comorbidity Survey Replication. American Journal of
Psychiatry 165,
703-711.
Kessler, R.C., Chiu, W.T., Denier, O. & Waters, E.E. (2005).
Prevalence. Severity, and
Comorbidity of Twelve-month DSM-IV Disorders in the
National Comorbidity
Survey Replication (NCS-R),Archives of General Psychiatry,
62(6), 617-627.
Kleinbaum, D.G., Kupper, L.L., Morgenstern, H. (1982).
Epidemiologic research:
principles and quantitative methods. Belmont; Lifetime
Learning Publications.
Missouri Student Survey (2014). Missouri Institute of Mental
Health report to the
Missouri Department of Mental Health.
Moscicki, E.K. (1997). Identification of suicide risk factors
using epidemiologic studies.
Psychiatric Clinics of North America, 20, 499-517.
7
