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Treatment of Generalized Anxiety Disorder: A Case Study of a 17-Year-Old Female
Get PDFAn Empirically Supported Treatment Case StudyThe following is a de-identified case study that presents the treatment process and outcome for
Jenny, a 17-year-old female with a primary diagnosis of generalized anxiety disorder. Names and
other details of the case have been changed to ensure client confidentiality. Jenny is a high
school student residing in a midsize city in Midwest America. Jenny was seen at a community
mental health center for therapy and was occasionally accompanied to session by her adoptive
mother (who will be referred to as ‘mother’ henceforth). Jenny presented with moderately severe
anxiety symptoms that caused her significant distress. Jenny’s anxiety often manifested initially
in negative cognitions, followed by emotional outbursts, irritability, uncomfortable physiological
sensations, and avoidant behaviors. The therapist utilized Cognitive Behavioral Therapy (CBT),
an empirically supported and highly effective treatment of anxiety for adolescents. To best
conceptualize Jenny’s case and increase the likelihood of treatment progress, the therapist
reviewed relevant psychological literature and gathered information pertaining to Jenny’s
biological, psychological, social, and medical history. This case study reviews scholarly
literature relevant to Jenny’s case, and the processes of clarifying diagnosis, developing
treatment goals, applying interventions, and discussing barriers to treatment. A complete therapy
session transcription is included to illustrate client engagement and insight, as well as how the
therapist utilized CBT interventions in-session. The transcript is followed by a self-critique of
therapist’s strengths and areas for improvement. Jenny was engaged, cooperative, and compliant
with completing homework throughout her treatment. After eight sessions, Jenny’s self-reported
anxiety score on a validated measure showed decreased anxiety symptoms, and she reported
minimal life interference.Psychology Departmen
Treatment of Social Anxiety Disorder: A Case Study of a 14-Year-Old
Get PDFAn Empirically Supported Treatment Case StudyThe following is a de-identified case study that presents the treatment process and
outcome for a 14-year-old female with social anxiety disorder (SAD). To maintain
confidentiality “Emily” will be used in lieu of the client’s real name. Emily presented for
treatment after moving to a new state and struggling to make friends at her new school. Emily’s
goals for treatment were to feel more comfortable in social situations, increase motivation to
make friends, and learn coping skills for her anxiety. This case study reviews the scientific
literature to provide theoretically grounded conceptualizations of the etiology and maintenance
of SAD, reports psychometric properties of diagnostic assessments used in differential diagnosis
and to track treatment progress, and describes empirical evidence in support of using Cognitive
Behavioral Therapy (CBT) to treat SAD in adolescents. Following an overview of how the
elements of CBT are employed to treat SAD, the components of CBT used in Emily’s treatment
are discussed, which included multiple diagnostic assessments, psychoeducation, cognitive
restructuring, and exposure therapy. This case study concludes with a complete transcript of one
entire session, followed by a self-critique of this therapist’s strengths and weaknesses.Department of Psycholog
Influences of Telehealth Services on Appointment Attendance in Underserved Populations
Get PDFBackground/Problem: Accessibility barriers related to social determinants of health impact
appointment attendance rates in underserved, medically complex populations. Underserved
populations influenced by such barriers are at higher risk of poor health outcomes due to
inadequate chronic disease management. Complications of chronic disease can lead to negative
repercussions including higher rates of emergency room visits and hospitalizations.
Purpose: The purpose of this pilot project was to evaluate if the presence of on-site telehealth
services impact healthcare appointment attendance rates in an underserved, medically and
socially complex population, residing in public housing in Topeka, Kansas.
Methods: A telehealth access point was implemented within a public housing residence where
the project team conducted scheduled primary care visits at monthly intervals. Inclusion criteria
required residency within the public housing complex, 18 years of age or older, and an absence
of an established primary care provider or the desire to change providers. Interventions were
implemented in collaboration with the Topeka Housing Authority (THA), Pine Ridge Family
Health Center and concurrent pilot study by the Behavioral health Workforce Education for
Longitudinal Learning (BWELL). Simple descriptive statistics and qualitative data were utilized
to evaluate improvement in appointment attendance rates.
Conclusion: 71% of participants attended all recommended appointments offered by the project
team, indicating on-site telehealth services as a viable solution for healthcare access. Participants
reported the need for additional, ancillary services such as social work, mental health, and dental
services that provide further benefit to meet the population’s health needs and sustainability.School of Nursin
Integrating Primary Care and Behavioral Health in Remote Military Settings
Get PDFBackground: Active-duty military servicemembers experiencing mental illness while stationed at geographically remote bases may encounter barriers to behavioral health treatment. Purpose: This Defense Health Agency (DHA) Quadruple Aim Initiative-aligned quality improvement project sought to increase access to on-site mental health
services for active-duty personnel at remote bases by developing, implementing, and evaluating care processes to improve individual medical readiness, organizational readiness (availability of behavioral health appointments), quality of care, patient satisfaction, and efficiency. Methods: The project followed a pre- and post-implementation
design over three months at four military primary care clinics. Training curricula over primary care behavioral health (PCBH) screening and treatment were developed and implemented. Clinical staff also received training on PCBH screening and treatment resources. Primary care providers completed surveys measuring self-efficacy with PCBH.
Evaluated outcomes included patient satisfaction, cost, and individual and organizational readiness. Results: Nine providers completed pre- and post-implementation surveys. A paired samples t-test revealed clinically and statistically significant increased self-efficacy scores (t = -2.612, df = 8, p = 0.031), and Cohens d = 0.87, indicating a large effect size. Patient satisfaction scores remained unchanged at 100%. Individual readiness measures increased at one clinic and organizational readiness measures improved 8%. Behavioral health referrals, claims, and overall cost decreased 11%, 26%, and 19%, respectively. Conclusions: Changes in care processes were associated with significant increases in provider self-efficacy, organizational readiness, and cost savings. Limitations included loss to follow up from deployment, Covid-19 pandemic, and small sample size.School of Nursin
Income Tax Reform: The Central Great Plains Before and After
Get PDFThe Tax Cuts and Jobs Act (TCJA) was passed into law in 2017. Positioned as a step toward tax simplification for individual taxpayers, the tax law changes largely began to take effect in 2018. The key elements of the act which targeted simplification were increases in the standard deduction and additional limitations on itemized deductions. The act also eliminated tax exemptions for dependents and lowered tax rates for most individuals. The impact on taxpayers was immediate. This paper analyzes direct impacts of the TCJA on Central Great Plains States (Kansas, Nebraska, North Dakota and South Dakota) taxpayers by comparing taxpayer attributes before and after the law's implementation. The paper also analyzes other tax attribute changes during the period for the Central Great Plains States region which were unrelated to the TCJA. The paper concludes with an analysis and comparison of tax attributes for the Central Great Plains States and the nation as a whole after the effective date of the TCJA.Kaw Valley Ban
Growth and Credit Spreads as Determinants of Taxpayer Wealth and Total Federal Tax Revenue
Get PDFWe extend the research of Hull and Hull (2021) on taxpayer wealth and total federal tax revenue (TFTR) under a tax policy that shields retained earnings used for growth from federal taxes. First, we correct the procedure to get firm size adjustment factors used to adjust TFTR based on growth in taxpayer wealth. Second, we update the prior research using 2021 credit spreads. This update is important as credit spreads change over time causing taxpayer wealth and TFTR to change. Using federal tax rates under the Tax Cuts and Jobs Act, we show that switching from an interest tax shield to a retained earnings tax shield increases taxpayer wealth and TFTR together by nearly 9%, lowers the optimal debt-to-firm value ratio by over 8% thereby reducing bankruptcies, and decreases the disparity in ownership taxation without having any real impact on the weighted effective tax rate.Kaw Valley Ban
Treatment of Social Anxiety Disorder: A Case Study of a 31-Year-Old
Get PDFAn Empirically Supported Treatment Case StudyThe following is a de-identified case study that presents the assessment, diagnosis, and
treatment of Social Anxiety Disorder (SAD) utilizing Cognitive Behavioral Therapy (CBT).
Names and other identifying information have been changed to protect the client’s privacy with
the name “Lilly” used in lieu of the client’s real name. At the time of treatment, this 31-year-old
African American woman was struggling with building and maintaining friendships, maintaining
conversation, assertiveness, and a fear of public speaking. In addition, Lilly noted difficulty
being herself in social situations due to her social anxiety. Lilly was administered the Anxiety
Disorders Interview Schedule (ADIS-5) and various self-report measures to aid in diagnosis and
track treatment progress. A combination of a primary diagnosis of SAD with a secondary
diagnosis of Generalized Anxiety Disorder (GAD) was determined to most accurately capture the
client’s presenting symptoms. The client attended 20 treatment sessions involving assessment,
psychoeducation, self-monitoring, in-vivo exposures, grief and loss strategies, and termination.
Pre-to-post as well as ongoing assessment suggests Lilly experienced meaningful reductions in
symptom severity following treatment of SAD with CBT. Importantly, Lilly noted living a life
more consistent with her values (e.g., family and being herself) due to the reduction of SAD
symptoms and avoidance.Psychology Departmen
AACSB Accounting Accreditation and Faculty CPA Credentials
Get PDFThis study gathers information on accounting faculty at AACSB accounting-accredited universities and the types of accounting programs offered from the Accounting Faculty Directories compiled by James Hasselback. The percentage of faculty with CPA credentials is compared across the 11 years, beginning five years before the accreditation and continuing for five years after accreditation. The results of this study demonstrate an increase in the percentage of accounting faculty with a CPA credential from five years prior to accounting accreditation up to the year of accreditation with sustained levels of credentialing from that point on. Additional analysis looks at the impact on this basic finding based on distinctions between doctoral-granting and non-doctoral-granting institutions and based on the differences in credentialing trends between nontenure-track faculty and tenure and tenure-track faculty.Kaw Valley Ban
Uncertainty Threat, Integrated Threat, and Self-Esteem: A Mediation Model Predicting Ethnocentrism
Get PDFThe “lethal union” of the Uncertainty-Threat Model (UTM) and Integrated Threat Theory (ITT) are significant predictors of ethnocentrism or generalized prejudice (McFarland, 2010). Although discriminatory acts against minorities increase perpetrator self-esteem (Pratto, Sidanius, Stallworth, & Malle, 1994), less is known about the prediction of generalized prejudice by selfesteem. This prediction, mediated by UTM and ITT, was examined among 331 Amazon Mechanical Turk participants. Participants completed six surveys addressing self-esteem, generalized prejudice, social dominance orientation, uncertainty threat, right-wing
authoritarianism, and intergroup anxiety. Self-esteem significantly predicted generalized
prejudice, but this relationship was mediated by neither UTM nor ITT. Theoretical implications,
limitations, and future research directions are addressed