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Reflections on Working via Telehealth with Bilingual Families Experiencing Trauma During the COVID-19 Pandemic
Get PDFEarly childhood trauma has been shown to have a significant impact on children’s development, including their long-term physical and mental health. Recent research has shown these experiences to be widespread, affecting significant numbers of people across all populations. The effects of trauma lead many families to seek mental health services for their children’s emotional and behavioral symptoms, in the hope of promoting their children’s recovery and resilience. However, Spanish-speaking or bilingual families often face additional obstacles to obtaining mental health treatment due to language needs. Emerging research has also begun to examine the impact of bilingualism on the therapeutic alliance and services. Additionally, due to the onset of the COVID-19 pandemic, many mental health services rapidly shifted to virtual services, also known as telemental health services, which have unique advantages and disadvantages for providing services to young children and families. This thesis will address the process of working via telemental health with bilingual families during the COVID-19 pandemic. It will also include two case studies from a children’s mental health clinic that illustrate these concepts and their intersections
Equitable Strategies: Broadening Opportunities for Students in Public Education
Get PDFIn 1954, the Supreme Court ruled that public education is a right which must be made available to all on equal terms. Despite the ruling, the American education system is still not equitable for all students. Children of color (Black, Latino, Native Americans) or of lower income are more likely to jump over several hurdles to get to the finish line. Meanwhile, white and wealthy children will cross the finish line without going through a single hurdle. The hurdles begin at early childhood and the final hurdle is college graduation. Some of these disparities include racial bias, the burden of poverty, funding differences, and school discipline. As teachers, we must find innovative solutions to ensure that students receive the customized services they need to be successful in their learning goal, which supports their lifelong careers and succes
Attitudes and Actions of Genetic Counseling Program Directors Regarding Standards for Accreditation of Genetic Counseling Training Programs
Get PDFAcademic accreditation is a common feature of higher education, with a moderate body of literature. Previous studies largely focus on factors that are crucial to the implementation or acceptance of standards. This study explored how education standards of genetic counseling are perceived and interacted with by program directors. We performed semi-structured interviews with current program directors, assistant directors, and associate directors to gain insight into their perspectives on current accreditation standards and the standards’ revision process. Interview transcripts were analyzed via thematic analysis to identify common themes related to program directors’ perceptions of the standards and accreditation as a whole. The major themes found were perception of accreditation, benefits of standards, challenges of standards, flexibility, clarity, implementation, revision process, and administration. Overall, program directors view accreditation favorably as a concept and find benefits in the current standards. Benefits included alignment of standards with institutional goals, mandated self-reflective approach to education, and standards as a bargaining chip. However, there are challenges that the directors face and concerns they have both about the standards and about aspects of the accrediting body. The challenges included resource drain, undue restrictions, and challenges born of geographical differences
Patient and Provider Response To A Prenatal Pre-Visit Chatbot
Get PDFChatbots are artificial intelligence programs designed to mirror human conversation via text or speech and have quickly been integrated in medicine, including genomics and genetic counseling. Much of the literature has primarily focused on participants\u27 experiences and attitudes on the use of chatbots, with limited knowledge surrounding the perspectives and opinions of providers. Geisinger and Invitae co-developed a HIPAA-compliant prenatal pre-visit educational chatbot that provides routine patient education on genetic principles and genetic tests that are performed during the first and second trimester of pregnancy. Thirteen out of 310 patients who completed the chatbot were consented and interviewed to explore patients’ experiences. Patients were all females, with an average of at least one live birth, and an average age of 31 years. Twelve out of 13 patients who completed the phone interview reported that they were in their first trimester of pregnancy. Qualitative analysis of transcripts revealed three main themes: (a) attitudes, (b) value of information, and (c) format. In addition, an electronic survey was developed and administered to 95 Geisinger OBGYN providers to assess their attitudes and opinions about the chatbot. Sixteen providers completed the electronic survey. The majority of patients and providers expressed favorable attitudes about the chatbot, recognizing it as an easy, quick, and user-friendly method to communicate important information about genetic testing. The accessible nature of chatbots offers a pragmatic and efficient approach for patients to receive important information about their genetic health
Psychiatric Professionals Believe Polygenic Risk Scores for Schizophrenia Have Future Clinical Utility: Reservations about Current Integration
No full textPsychiatric disorders are one of the main causes of disability worldwide(World Health Organization, 2008). However, detection, risk assessment, and treatment of these conditions can be challenging due to their multifactorial nature. Polygenic Risk Scores (PRS)appear to be a promising predictive tool with the ability to capture common variant-related inheritance,and ongoing discussions contemplate the possibility of integrating PRS into clinical practice. The success of such efforts would largely depend on psychiatrists’ understanding of PRS and their potential for clinical use.Our study aimed to evaluate the opinions of professionals working in the field of psychiatric genetics on their familiarity with PRS and its current and future clinical utility. A survey with primarily multiple-choice and knowledge-based questions was distributed to members of the International Society of Psychiatric Genetics (ISPG), a group projected to be knowledgeable about PRS and the genetic architecture of psychiatric disease.We hypothesized that the majority of respondents would be skeptical of the current clinical utility of PRS and ambivalent about its future potential. The general consensus among respondents was that PRS are not yet sufficiently robust for assessment of susceptibility for schizophrenia, with the low predictive power and lack of population diversity in such models described most frequently as the main obstacles.Nevertheless, the majority of survey participants were optimistic about the use of PRS in the next 10 years, suggesting that they believed current shortcomings could be addressed. Participants were overall less familiar about the potential societal, familial and public health implications of PRS in schizophrenia, therefore related educational initiatives would be valuable. Findings from this study shed light on the perceptions of psychiatric professionals with regard to PRS and could potentially allow for the establishment of guidelines that would advance and protect the interests of patients with psychiatric diseases and their families
The Importance of Visibility in Curriculum and Teaching Practice
Get PDFI am arguing that it is absolutely necessary for all teachers and administration to see the importance of making all children visible and valued and that they should include this idea into their curriculum plans and teaching practices. Despite the focus on representation, visibility in the curriculum is still lacking. I will detail how visibility is affected by the differences in how children learn, children who have experienced trauma and power dynamics and oppression.
This thesis will aim to express and display the value that all children should be made visible in the classroom. This includes all backgrounds and ethnicities and honors the individual stories of each child and their families. The research I have completed will describe what it looks like for all children to feel seen, valued, and understood through the power of emergent curriculum, the descriptive review process and lastly inclusive curriculum planning. This paper will give an overview of why it is important for all children to be visible inside of the classroom by their teachers and their peers. I will also dive into my own personal history with feeling invisible in school. And lastly, I will conclude with how I plan to create classrooms where all children are made visible
Liberation Through Sexualization: The Dichotomous Nature of Burlesque Performance
Get PDFBurlesque performance contains liberatory potential for the performer, by allowing them to engage with their body, sensuality, and identity. However, it is also a form that requires acquiescence to the male gaze. How can a form offer liberation while simultaneously engaging with objectification and sexualization? Through reflecting on her own work in burlesque, speaking to other burlesque dancers, examining the field through a historical and critical lens, and analyzing the process of building a solo show in burlesque forms, the author explores the extent to which liberation is viable through burlesque
