Cynthia M. Stuhlmiller

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OBJECTIVE To evaluate a training course for ED staff aiming to improve knowledge and skills in working with mental health and drug/alcohol patients attending EDs. METHODS Pre- and postcourse questionnaires assessed attitudes and self-ratings of confidence, knowledge and skills in working with these patients. Follow-up interviews assessed if new skills or(More)
PURPOSE To better understand a diagnosis corresponding to mental distress and sleep disturbance associated with seasonal change known as seasonal affective disorder (SAD). DESIGN This ethnographically guided investigation, conducted from 1993 through 1995 in Tromsøo, Norway at a latitude of 69 degrees north describes how the residents experience extreme(More)
Desperate times call for creative solutions. The mental health workforce shortage has created an opportunity to rethink current and future education and training needs in order to prepare competent and compassionate practitioners to meet the changing demands of consumers and their carers requiring mental heath treatment and support. This article urges(More)
BACKGROUND The University of New England (UNE), Australia decided to develop innovative placement opportunities for its increasing numbers of nursing students. Extensive community and stakeholder consultation determined that a community centre in rural New South Wales was the welcomed site of the student-led clinic because it fit the goals of the project-to(More)
On 17 October 1989, an earthquake measuring 7.1 on the Richter scale struck the San Francisco Bay Area, causing the collapse of .76 miles of a double-decker roadway (known as the Cypress Street Viaduct), resulting in the death of 42 people. A study examined the effects of rescue work at 6 and 20 months after the event, among 42 people including: military(More)
Cognitive-behavioral therapy (CBT) is the most effective nonpharmacological treatment for almost all mental disorders, especially anxiety and depression. The treatment is time limited, encourages self-help skills, is problem focused, is inductive, and requires that individuals develop and practice skills in their own environment through homework. However,(More)
Using Quality Improvement project methodology, complex organisational and clinical practice change was brought about to improve services for people with co-existing mental health and alcohol and drug misuse. The project describes local uptake and adaptation of national and state policy to achieve change that is sustainable within existing resources.(More)