Availing Reasonable Accommodations for College Students With Psychiatric Disabilities: Findings From a Qualitative Study

2020 ◽  
Vol 34 (4) ◽  
pp. 275-283
Author(s):  
Patrick Corrigan ◽  
Lindsay Sheehan ◽  
Katherine Nieweglowski ◽  
Sang Qin ◽  
Gary Walley ◽  
...  
Keyword(s):  
College Students ◽  
Mental Illness ◽  
Qualitative Interviews ◽  
Psychiatric Disabilities ◽  
Self Advocacy ◽  
Advocacy Training ◽  
Promising Tool ◽  
Reasonable Accommodations ◽  
Negative Social Reactions

PurposeAs many as half of all college students meet DSM-5 criteria for a mental illness; less than 5% report the ability to successfully navigate and complete their degrees. This is in part due to the lack of knowledge of reasonable accommodations for psychiatric disabilities.MethodIn the current study, we conducted qualitative interviews with students and faculty to identify types of reasonable accommodations students receive for their mental illness and factors that influence their ability to avail these accommodations.ResultsFactors included lack of awareness of accommodations, achieving fairness between students, and using accommodations as a disclosure tool.ConclusionsHigher education institutions should better support the awareness training on accommodations for both faculty and staff. Self-advocacy training is recommended to help students in disclosing mental illness, requesting accommodations, and managing negative social reactions. Perhaps in vivo coaching is a promising tool to accommodate emotional and interpersonal disabilities.

scholarly journals Reasonable Accommodation at the Workplace for Professionals with Severe Mental Illness: A Qualitative Study of Needs

2020 ◽  
Vol 42 (5) ◽  
pp. 445-450
Author(s):  
Subhashini K Rangarajan ◽  
Krishna Prasad Muliyala ◽  
Prabhu Jadhav ◽  
Sharad Philip ◽  
Hareesh Angothu ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Severe Mental Illness ◽  
Mental Health Professionals ◽  
Psychiatric Rehabilitation ◽  
Qualitative Interviews ◽  
Reasonable Accommodation ◽  
Successful Implementation ◽  
Persons With Disabilities ◽  
Reasonable Accommodations

Background: Professionals with Severe Mental Illness (PwSMI) often face challenges in obtaining and retaining employment. For equal and effective participation, they may require reasonable workplace adjustments. The recently legislated Rights of Persons With Disabilities Act 2016 in India defines such adjustments as reasonable accommodations. Methods: In-depth qualitative interviews were conducted with 15 consenting PwSMI availing psychiatric rehabilitation services at a tertiary mental health institute in India, five mental health professionals, and five employers. The audio-recorded interviews were transcribed and coded manually by two independent investigators. Inductive content analysis approach was used for qualitative analysis. Results: The detected themes included modifications in work schedule, supports to improve work efficiency, modifications in the work environment, modifications in the work-related appraisal, supportive employer policy, and integration of services. The participants described the term “undue burden” to be ambiguous. Conclusions: The reported reasonable accommodations are non-structural and mainly dependent on human assistance. Vocational rehabilitation and job reintegration efforts can focus on guided negotiations between employers and PwSMI. This is dependent on at least some degree of disclosure. Awareness regarding reasonable accommodation and stigma reduction is necessary for successful implementation.

“I Get My Therapy From Work”

2016 ◽  
Vol 60 (3) ◽  
pp. 175-184 ◽  
Author(s):  
Marjorie F. Olney ◽  
Deborah S. Emery-Flores
Keyword(s):  
Mental Illness ◽  
Action Plan ◽  
Psychiatric Disabilities ◽  
Structured Interviews ◽  
Self Advocacy ◽  
Employment Success ◽  
Working Age ◽  
Services Effectiveness ◽  
The Impact ◽  
The Relationship

Although the Wellness Recovery Action Plan (WRAP) has been studied in the context of recovery from mental illness, peer-led services, effectiveness, and improving self-advocacy skills of clients, the relationship between employment success and WRAP has not yet been examined. The objective of the study was to explore the impact of WRAP on employment and how individuals with psychiatric disabilities utilized WRAP strategies for employment success. Ten working-age individuals who completed WRAP training and subsequently worked for at least 90 days engaged in semi-structured interviews about their experiences with WRAP and employment. Transcripts of the interviews were analyzed and three themes emerged from the study: (a) Then and Now, (b) Strategies for Wellness, and (c) Toward Employment Success. Findings showed that WRAP strategies facilitated success in employment and that employment was an important component of recovery from mental illness.

College students with disabilities redefine activism: Self-advocacy, storytelling, and collective action.

2016 ◽  
Vol 9 (3) ◽  
pp. 245-260 ◽  
Author(s):  
Ezekiel W. Kimball ◽  
Adam Moore ◽  
Annemarie Vaccaro ◽  
Peter F. Troiano ◽  
Barbara M. Newman
Keyword(s):  
College Students ◽  
Collective Action ◽  
Students With Disabilities ◽  
Self Advocacy ◽  
College Students With Disabilities

scholarly journals Magnetic Nanodiscs—A New Promising Tool for Microsurgery of Malignant Neoplasms

Nanomaterials ◽  
2021 ◽  
Vol 11 (6) ◽  
pp. 1459
Author(s):  
Tatiana N. Zamay ◽  
Vladimir S. Prokopenko ◽  
Sergey S. Zamay ◽  
Kirill A. Lukyanenko ◽  
Olga S. Kolovskaya ◽  
...  
Keyword(s):  
Magnetic Field ◽  
Remote Control ◽  
Tumor Cells ◽  
Biological Effects ◽  
Malignant Neoplasms ◽  
Rotating Magnetic Fields ◽  
Magnetic Structures ◽  
Promising Tool

Magnetomechanical therapy is one of the most perspective directions in tumor microsurgery. According to the analysis of recent publications, it can be concluded that a nanoscalpel could become an instrument sufficient for cancer microsurgery. It should possess the following properties: (1) nano- or microsized; (2) affinity and specificity to the targets on tumor cells; (3) remote control. This nano- or microscalpel should include at least two components: (1) a physical nanostructure (particle, disc, plates) with the ability to transform the magnetic moment to mechanical torque; (2) a ligand—a molecule (antibody, aptamer, etc.) allowing the scalpel precisely target tumor cells. Literature analysis revealed that the most suitable nanoscalpel structures are anisotropic, magnetic micro- or nanodiscs with high-saturation magnetization and the absence of remanence, facilitating scalpel remote control via the magnetic field. Additionally, anisotropy enhances the transmigration of the discs to the tumor. To date, four types of magnetic microdiscs have been used for tumor destruction: synthetic antiferromagnetic P-SAF (perpendicular) and SAF (in-plane), vortex Py, and three-layer non-magnetic–ferromagnet–non-magnetic systems with flat quasi-dipole magnetic structures. In the current review, we discuss the biological effects of magnetic discs, the mechanisms of action, and the toxicity in alternating or rotating magnetic fields in vitro and in vivo. Based on the experimental data presented in the literature, we conclude that the targeted and remotely controlled magnetic field nanoscalpel is an effective and safe instrument for cancer therapy or theranostics.

In vivo efficacy of microbiota-sensitive coatings for colon targeting: A promising tool for IBD therapy

2015 ◽  
Vol 197 ◽  
pp. 121-130 ◽  
Author(s):  
Y. Karrout ◽  
L. Dubuquoy ◽  
C. Piveteau ◽  
F. Siepmann ◽  
E. Moussa ◽  
...  
Keyword(s):  
Colon Targeting ◽  
In Vivo Efficacy ◽  
Promising Tool

Cardiovascular Responding during Anger and Fear Imagery

1982 ◽  
Vol 50 (1) ◽  
pp. 219-230 ◽  
Author(s):  
Richard J. Roberts ◽  
Theodore C. Weerts
Keyword(s):  
College Students ◽  
Blood Pressure ◽  
Heart Rate ◽  
Systolic Blood Pressure ◽  
Diastolic Blood Pressure ◽  
Scene Change ◽  
Emotional Responding ◽  
Analysis Of Change ◽  
Screening Interview

This study was designed to determine if visualization of anger- and fear-provoking scenes produced differential physiological patterns similar to those produced by in vivo manipulations. Normotensive college students were selected on the basis of their responses to newly developed Anger and Fear/Anxiety questionnaires and for their ability to construct arousing scenes during a screening interview. In a 2 × 2 design (intensity × emotion), four scenes (high and low anger, high and low fear) were constructed individually for each of 16 subjects to imagine. Diastolic blood pressure, systolic blood pressure, and heart rate were monitored during visualization of each scene. Change in diastolic blood pressure was significantly greater for high anger than for high fear as predicted. Analysis of change in heart rate and systolic blood pressure showed significant effects for intensity only. These results provide further support for the concept of physiological differentiation in human emotion and suggest the utility of imagery for systematic study of human emotional responding.

scholarly journals Skills-based intervention to enhance collaborative decision-making: systematic adaptation and open trial protocol for veterans with psychosis

2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Emily B. H. Treichler ◽  
Borsika A. Rabin ◽  
William D. Spaulding ◽  
Michael L. Thomas ◽  
Michelle P. Salyers ◽  
...  
Keyword(s):  
Decision Making ◽  
Mental Illness ◽  
Service Delivery ◽  
Serious Mental Illness ◽  
Qualitative Interviews ◽  
Skills Training ◽  
Mental Illnesses ◽  
Open Trial ◽  
Collaborative Decision Making ◽  
Collaborative Decision

Abstract Background Collaborative decision-making is an innovative decision-making approach that assigns equal power and responsibility to patients and providers. Most veterans with serious mental illnesses like schizophrenia want a greater role in treatment decisions, but there are no interventions targeted for this population. A skills-based intervention is promising because it is well-aligned with the recovery model, uses similar mechanisms as other evidence-based interventions in this population, and generalizes across decisional contexts while empowering veterans to decide when to initiate collaborative decision-making. Collaborative Decision Skills Training (CDST) was developed in a civilian serious mental illness sample and may fill this gap but needs to undergo a systematic adaptation process to ensure fit for veterans. Methods In aim 1, the IM Adapt systematic process will be used to adapt CDST for veterans with serious mental illness. Veterans and Veteran’s Affairs (VA) staff will join an Adaptation Resource Team and complete qualitative interviews to identify how elements of CDST or service delivery may need to be adapted to optimize its effectiveness or viability for veterans and the VA context. During aim 2, an open trial will be conducted with veterans in a VA Psychosocial Rehabilitation and Recovery Center (PRRC) to assess additional adaptations, feasibility, and initial evidence of effectiveness. Discussion This study will be the first to evaluate a collaborative decision-making intervention among veterans with serious mental illness. It will also contribute to the field’s understanding of perceptions of collaborative decision-making among veterans with serious mental illness and VA clinicians, and result in a service delivery manual that may be used to understand adaptation needs generally in VA PRRCs. Trial registration ClinicalTrials.gov Identifier: NCT04324944

NIMG-52. RADIOGENOMICS SIGNATURES IN KEY DRIVER GENES IN GLIOBLASTOMA EVALUATED WITH AND WITHOUT THE PRESENCE OF CO-OCCURRING MUTATIONS

2021 ◽  
Vol 23 (Supplement_6) ◽  
pp. vi141-vi141
Author(s):  
Anahita Fathi Kazerooni ◽  
Hamed Akbari ◽  
Spyridon Bakas ◽  
Erik Toorens ◽  
Chiharu Sako ◽  
...  
Keyword(s):  
Gabor Wavelet ◽  
Egfr Mutations ◽  
Driver Gene ◽  
Significant Heterogeneity ◽  
Driver Genes ◽  
Targeted Next Generation Sequencing ◽  
Promising Tool ◽  
Key Driver ◽  
In Vivo Characterization

Abstract PURPOSE Glioblastomas display significant heterogeneity on the molecular level, typically harboring several co-occurring mutations, which likely contributes to failure of molecularly targeted therapeutic approaches. Radiogenomics has emerged as a promising tool for in vivo characterization of this heterogeneity. We derive radiogenomic signatures of four mutations via machine learning (ML) analysis of multiparametric MRI (mpMRI) and evaluate them in the presence and absence of other co-occurring mutations. METHODS We identified a retrospective cohort of 359 IDH-wildtype glioblastoma patients, with available pre-operative mpMRI (T1, T1Gd, T2, T2-FLAIR) scans and targeted next generation sequencing (NGS) data. Radiomic features, including morphologic, histogram, texture, and Gabor wavelet descriptors, were extracted from the mpMRI. Multivariate predictive models were trained using cross-validated SVM with LASSO feature selection to predict mutation status in key driver genes, EGFR, PTEN, TP53, and NF1. ML models and spatial population atlases of genetic mutations were generated for stratification of the tumors (1) with co-occurring mutations versus wildtypes, (2) with exclusive mutations in each driver gene versus the tumors without any mutations in the pathways associated with these genes. RESULTS ML models yielded AUCs of 0.75 (95%CI:0.62-0.88) / 0.87 (95%CI:0.70-1) for co-occurring / exclusive EGFR mutations, 0.69 (95%CI:0.58-0.80) / 0.80 (95%CI:0.61-0.99) for co-occurring / exclusive PTEN mutations, and 0.77 (95%CI:0.65-0.88) / 0.86 (95%CI:0.69-1) for co-occurring / exclusive TP53 cases. Spatial atlases revealed a predisposition of left temporal lobe for NF1 and right frontotemporal region for TP53 in mutually exclusive tumors, which was not observed in the co-occurring mutation atlases. CONCLUSION Our results suggest the presence of distinct radiogenomic signatures of several glioblastoma mutations, which become even more pronounced when respective mutations do not co-occur with other mutations. These in vivo signatures can contribute to pre-operative stratification of patients for molecular targeted therapies, and potentially longitudinal monitoring of mutational changes during treatment.

scholarly journals Influence of Demographic Variables on Suicidal Tendency among Arts and Science College Students

2016 ◽  
Vol 4 (1) ◽  
Author(s):  
Anusuya ◽  
Dr. M. Senthil ◽  
Dr. S. Barani Daran
Keyword(s):  
College Students ◽  
Mental Illness ◽  
Family Income ◽  
Demographic Variables ◽  
Family Type ◽  
Age Group ◽  
Monthly Income ◽  
Suicidal Tendency ◽  
Science College ◽  
History Of

Introduction: Suicidal tendency is common among college students as a result of various factors like academic pressure, family problems, love failure, etc. It is presumed that there would be influence of demographic variables (i.e. age, gender, department, family type, family income and history of previous mental illness) on suicidal tendency among college students. Aim: The aim of this research study was to assess the influence of selected demographic variables (i.e. age, gender, department, family type, family income and history of previous mental illness) on suicide tendency among arts and science college students. Materials and Methods: The sample comprised of 84 respondents of arts and science students and Simple random sampling by lottery method was used. The following questionnaire was used to collect the data 1) Demographic variables: It includes respondents‟ age, gender, department, class, family income, type of family, residence area and history of mentally illness of the respondent. 2) Suicidal tendency scale. Results: 33.3% of the respondents were up to 18 years of age, 32.1% of the respondents were in the age group of 19 years, 20% of the respondents were in the age group of 20 years of age, 10.7% of the respondents were above 21 years of age, 2.4% of the respondents were in the age group of 22 years of age and 1.2% of the respondents were above 17 years of age. 56% of the respondents were males and 44% of the respondents were females. 50% of the respondents belong to sociology department and 50% of the respondents belong to psychology department. 72.2% of the respondents belong to nuclear family and 23.8% of the respondents belong to joint family. 53.3% of the respondents have monthly income above Rs. 5000-10000, 31% of the respondents have monthly income above Rs. below 5000 and 15.5% of the respondents have monthly income up to Rs. Above 10000.  97.6% of the respondents had no previous mental illness in the family and only 2.4 percent of the respondents had previous mental illness in the family. Conclusion: This research study found that there was a significant impact of age and family income with respect to suicidal tendency among the respondents.

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