An exploratory descriptive design was used to investigate older healthy Hispanic women's beliefs about breast cancer. A secondary analysis of a database from a larger study dealing with Hispanic and Anglo women's knowledge of breast cancer and use of breast cancer screening was conducted. Using Orem's theory of self-care and self-care deficit as the framework, and content analysis, data were obtained from a two part question of the original 63 item questionnaire. A major finding was that hopelessness/powerlessness received the largest number of responses, especially from the youngest subjects, 50 to 69 years old. The seventy year olds had the largest number of responses in the acceptance category, while the eighty year olds had the largest in the denial category. The results supported the importance of culturally relevant and sensitive nursing practice. Reasons for older healthy Hispanic women's beliefs about breast cancer are discussed as well as recommendations for nursing practice and future research.

<p> This study focused on the perspectives of ten licensed mental health practitioners regarding the resilience of African American women survivors of intimate partner violence (IPV) who permanently leave male perpetrators. A generic qualitative methodology guided the exploration using individual face-to-face interviews. Data collection included individual semi-structured interviews using open-ended questions, which harmonized with the postmodern worldview and constructivist-interpretive paradigm that undergirded the study. After multiple cycles of data analysis cycles, five major themes emerged. The emergent themes were hope, family influence, self-concept, empowerment, and turning points. Maslow's hierarchy and Bronfenbrenner's bio-ecological theory provided the theoretical framework for the analysis of the themes. The study presented a discussion of the implications of the themes for understanding the resilience traits of African American women IPV survivors. Such implications are relevant to researchers, policy-makers, counselors, counselor educators, health care workers, and other human services professionals who affect the treatment of this cohort.</p>

<p> The purpose of this project was to create program to identify funding sources, and write a grant to fund a support group for veterans who suffer from Post Traumatic Stress Disorder (PTSD) at the Department of Veterans Affairs of, Long Beach. The literature allowed this write to find the main causes of PTSD in this case being exposed to combat, Traumatic Brain Injury (TBO), and the consequences to PTSD (substance abuse, commit suicide, experience family conflicts). This writer also found Cognitive Processing Therapy (CPT), Prolonged Exposure Therapy (PET), and Eye Movement Desensitization and Reprocessing (EMDR) to be effective intervention in treating veterans with PTSD. The proposed program is aimed at providing psychoeducation to veterans and to help improve the lives of our service men and women who suffer from PTSD. The program includes group counseling, and individual counseling for veterans, family counseling. Providing the proper training will help social worker better assess and serve our veterans who return from combat with PTSD. Actual submission and/or funding of the grant were not required for the completion of this project.</p>

<p> Natural disasters and catastrophic events have devastated hundreds of thousands of individuals worldwide. While governmental and disaster relief agencies attempt to respond as quickly as possible, individuals can be cut off from resources and services for extended periods, increasing stress and health complications. Individuals with mental illnesses are even more vulnerable in the aftermath of a disaster when they are cut off from vital medications and therapeutic services. Disaster preparedness promotes resilience and empowers individuals to take personal responsibility for their safety. The purpose of this project was to identify potential funding sources and write a grant proposal that funds the development and implementation of disaster preparedness classes for individuals living in the community with mental illnesses. Actual submission and/or funding of this grant was not a requirement for the successful completion of this project.</p>

<p> The proposed support group was designed for older Cambodian refugees who suffer from any mental health conditions primarily from the Khmer Rouge regime. Although the genocide occurred three decades ago, many refugees still suffer from posttraumatic stress disorder (PTSD), depression, anxiety, and other mental illnesses, especially among the older generation. The support group will consist of older Cambodian refugees who had lived through the Cambodian genocide (1975-1979), are 55 year of age or older, are currently residing in the Long Beach community and suffer from any mental health condition diagnosed for more than 1 year. The goal of the proposed group is to strengthen the support and connection among the Cambodian refugee elders. The actual submission and/or funding of the grant were not a requirement for the successful completion of this project.</p>

<p> Media accounts have influenced public opinion about the insanity defense and have given rise to misperceptions about its purpose and rate of usage. This study hypothesizes that the public is more likely to implicate mental illness in irrational crimes and that the more media exposure given to the case, the more likely the public is to implicate mental illness. This study also seeks to establish current public opinion of the utility and prevalence of the insanity defense. The results of this research do not conclusively indicate that amount of media attention can be used to predict the public's tendency to implicate mental illness as a motive for crime, thus, hypothesis one was only partially supported. Meanwhile, hypothesis two, participants will be more likely to implicate mental illness in crime that they perceive to be irrational was not supported by this study. The third hypothesis, participants will be more likely to give a verdict of NGRI if they implicated mental illness as the motive for the crime, was only partially supported by this study. With the ever-growing media attention devoted to implicating mental illness in high-profile crimes, results from this study suggest that the public does not correlate the amount of media attention dedicated to high-profile cases with mental illness.</p>

The main premise of this study was the possibility that for some divorcing families, the Florida law presuming shared parental responsibility provides the essential ingredients for pragmatic paradox, a double bind which provides the contradictory circumstance underlying pathogenic communications evidenced as post-divorce litigation. Systems and communications theories were applied to the family and court process of divorce resulting in a recursive model which predicted the potential for post-divorce litigation. / The proposed model was partially supported and revised in response to the findings from the eleven hypotheses. While family structure elements such as age of oldest child, numbers of children, and parental disappearance or default were not associated with litigation, the family process elements of negotiating parental agreements or requesting court orders did affect the potential for litigation. Similar frequencies of litigation were found for families with either court orders or parental agreements of parenting, but families with shared parenting were more likely to litigate than families with sole parenting. When court process was examined according to parenting style, it was found that families with court orders were much more likely to litigate if they were ordered to shared parenting than those ordered to sole parenting. Families with parental agreements for either shared or sole parenting were similar in their litigation. / While the process of family and court did not initially show differences in litigation related to judicial assignment, further examination of the data indicated some judges were much more likely to order shared parenting than others. This increased ordering of shared parenting led to the associated, increased litigation. Finally, a discussion of the findings related this research to previous research. Implications were identified for further research, for the judicial system, for family therapists, and for working with children of divorce. / Source: Dissertation Abstracts International, Volume: 50-11, Section: B, page: 5300. / Major Professor: Carol A. Darling. / Thesis (Ph.D.)--The Florida State University, 1989.

acase@tulane.edu

Objective. To examine differences in women who choose to participate in a randomized child abuse prevention trial from those who do not. To examine if the intervention impacts depression or partner violence prenatally and postnatally Methods. First time pregnant women, less than 28 weeks gestation, and below 133% of the federal poverty level were eligible. Consenting women were randomized to one of two intervention groups or a control group. The intervention consisted of home visits by a public health nurse beginning during pregnancy until the child reaches age two. Data were collected prenatally (Research Visit 1) and at six to eight months postpartum (Research Visit 2). All eligible women were asked to complete a Potential Participant Form. Depression was measured using the Beck Depression Inventory and partner violence was measured using the Partner Violence Inventory. Multivariable logistic regression was used to analyze the participation data. Analysis of variance and chi-square tests were used to analyze the depression and partner violence data. In addition, paired t tests were used to analyze partner violence over time Results. Fifty-three percent of eligible women were randomized. Women were more likely to enroll if they were recruited by a program nurse, were African American, were less than 13 weeks gestation, and from St. Martin parish. When Passive Consentors were recoded as Non-Consentors, receiving a greater number of social services and having an unplanned pregnancy also increased the likelihood of enrollment. Prenatally, 26% of the study population was classified as depressed. The intervention groups combined had a lower number of depressed women than the control group (p < .02). At Research Visit 2, 11% of women were classified as depressed although there were no group differences. Prenatally, 17% of women reported being victims of current partner violence and 21% reported that they had perpetrated current partner violence. At Research Visit 2, 11% reported current violence and 5% perpetrated current violence. Reports of current partner violence increased in the control group from the prenatal to the postpartum period, although this difference was not statistically significant Conclusion. Recruitment efficiency can be improved by increasing the recruiting nurses' knowledge of the program, identifying women early in the pregnancy, and targeting women that are not taking advantage of available social services. More mental health services are needed to address the high prevalence of prenatal and postpartum depression and partner violence / acase@tulane.edu

acase@tulane.edu