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Influence Of Staffing Shortages On Safety And Communication In Behavioral Health, Raven Brittany Robinson Jan 2023

Influence Of Staffing Shortages On Safety And Communication In Behavioral Health, Raven Brittany Robinson

Walden Dissertations and Doctoral Studies

At the selected behavioral health organization (BHO), leaders desire to improve patient safety and staff communication to provide quality mental health services. They need strategies to achieve these goals. The Baldrige Excellence Framework was used to identify the workforce challenges and practices that facility leaders can potentially use to improve performance to help achieve success, sustainability, and the mission of the BHO. The data sources consisted of (a) semistructured interviews with the CEO, the leader of the intake department, an intake therapist, an intake coordinator, and an RN and (b) reviews of the BHO’s website, and pertinent academic literature. Data …


Mental Health In Black Women With Endometriosis-Related Symptoms During Covid-19, Anjanette Jaye Blunt Jan 2023

Mental Health In Black Women With Endometriosis-Related Symptoms During Covid-19, Anjanette Jaye Blunt

Walden Dissertations and Doctoral Studies

Endometriosis is an incurable chronic illness impacting 190 million women worldwide. Despite the prevalence of this painful disease, research addressing how it affects Black women in the United States was limited. Research addressing this phenomenon during the COVID-19 pandemic was further limited. The purpose of this qualitative study employing an interpretative phenomenological analysis was to understand the mental health of Black women with endometriosis-related symptoms during the COVID-19 pandemic and how having the illness during the pandemic might have impacted individuals in this population. The strong Black woman schema and biopsychosocial model were the theoretical foundations for the study. Data …


Occupational Burnout Factors Among Correctional Mental Health Providers, Morgan Gruhot Jan 2023

Occupational Burnout Factors Among Correctional Mental Health Providers, Morgan Gruhot

Walden Dissertations and Doctoral Studies

Burnout rates of correctional employees are higher than employees in the general public. The purpose of this study was to identify how occupational factors impact burnout rates among correctional mental health workers. Grounded in the job-demands theoretical model, this study compared burnout rates among mental health staff within county jails and state prisons. Burnout was measured using the Maslach Burnout Inventory and Occupational factors were measured using the Areas of Work life Survey and Pandemic Experience and Perception Survey. Data was analyzed using IBM SSPS software to address multiple a priori directional research questions. Research questions considered how occupational factors …


Perceived Factors Of Intimate Partner Violence On Women Diagnosed With Post-Traumatic Stress Disorder, Angela M. Halcovich Jan 2023

Perceived Factors Of Intimate Partner Violence On Women Diagnosed With Post-Traumatic Stress Disorder, Angela M. Halcovich

Walden Dissertations and Doctoral Studies

Post-Traumatic Stress Disorder (PTSD) is a prevalent diagnosis, and many human and social services professionals strive to understand its components, to ensure that they serve the population properly. However, little is known about how PTSD may influence women’s vulnerabilities to and future experiences of intimate partner violence (IPV). Emphasizing relationship coaching, which provides tools to foster healthy relationships, within the therapeutic curricula on rehabilitation for women with PTSD may result in reduced chances to experience IPV as women integrate back into their everyday life after being diagnosed and treated for PTSD. The purpose of this generic qualitative study was to …


Appropriated Racial Oppression As A Moderator Of Sexual Satisfaction Among Black Women, Jillian Rochelle Watts Jan 2023

Appropriated Racial Oppression As A Moderator Of Sexual Satisfaction Among Black Women, Jillian Rochelle Watts

Walden Dissertations and Doctoral Studies

Researchers have named pleasure as a form of justice: a reclamation of the body and striving for happiness. For Black women, cultural messaging and lived experiences have led to sexual shame that can impact how individuals experience sexual satisfaction. This quantitative cross-section correlational study was conducted to assess the relationship between sexual shame and sexual satisfaction, the relationship between appropriated racial oppression and sexual satisfaction, and whether appropriated racial oppression moderated the relationship between sexual shame and sexual satisfaction in Black women. Moderating regression analysis was used to examine and understand the relationships between sexual shame and sexual satisfaction and …


False Advertising And Young Girls’ Self Esteem, Caitlin Bohannon Jan 2023

False Advertising And Young Girls’ Self Esteem, Caitlin Bohannon

Walden Dissertations and Doctoral Studies

It is becoming impossible to recognize the level of photoshop on advertisements. However, little is known how continuous exposure to such images can negatively impact the short- and long-term psyche of young girls aged 6 to 14 years old. The study’s theoretical framework was Benet’s polarities of democracy, emphasizing freedom and authority and human rights and communal obligations. The research question focused on the negative impacts false advertising has on young girls and what public policies could assist in mitigating these short- and long-term impacts. A general qualitative design, with semistructured interviews of seven adult participants with relevant insight on …


The Correlation Between Laura’S Law And The Incarceration Of The Mentally Ill In A Southwestern State, Aaron Alarcon-Bowen Jan 2022

The Correlation Between Laura’S Law And The Incarceration Of The Mentally Ill In A Southwestern State, Aaron Alarcon-Bowen

Walden Dissertations and Doctoral Studies

Assisted outpatient treatment and involuntary outpatient treatment laws refer to the power of the court system to order community-based treatment without hospitalization to individuals with a mental illness diagnosis. Studies have linked these laws to a decrease in the use of incarceration among this population. The effectiveness of the assisted outpatient treatment law in a Southwestern state, known as Laura’s Law, has not been studied. With a theoretical foundation based on the social contract and multiple streams analysis theories, a quantitative, casual, comparative study using an independent t test was centered on determining whether the mean numbers of incarcerated individuals …


Bullying, Participation In Violence, Suicidal Ideation, And Behavior Among African American Youth, Kierystan Lorquoyea Johnson Jan 2022

Bullying, Participation In Violence, Suicidal Ideation, And Behavior Among African American Youth, Kierystan Lorquoyea Johnson

Walden Dissertations and Doctoral Studies

Suicide is the second leading cause of death among adolescent, teens, and young adults. Suicidal ideation is a predictor of suicide attempts. Guided by the integrated motivational-volitional model and social cognitive theory, Youth Risk Behavior Surveillance Survey data were used to investigate whether traditional bullying, cyberbullying, and participation in physically violent behavior (independent variables) were associated with suicidal ideation and behavior (dependent variables) among African American high school aged youth controlling for age, gender, physical, and sexual abuse. It was found that experiencing traditional bullying increased suicidal ideation significantly, as there is an 82% increase in likelihood. There was also …


A Comparison Of Treatment Outcomes Among Pediatric Hispanic Clients Using And Not Using Language Interpretation Services, Mohamed Khalif Jan 2022

A Comparison Of Treatment Outcomes Among Pediatric Hispanic Clients Using And Not Using Language Interpretation Services, Mohamed Khalif

Walden Dissertations and Doctoral Studies

Many families immigrating to the United States come fleeing adverse conditions in their home countries. Conditions such as war, political oppression, and economic hardship frequently result in a need for mental health services. This includes not only the adults in the family but also the children. However, because of their limited English proficiency, their access to mental health services frequently requires the use of interpretive services (IS). The body of knowledge on the use of IS in counseling is limited. The use of IS must be seen from a cultural perspective, hence Ridley et al.’s process model of multicultural counseling …


Generational-Cohorts And Mental Health Help-Seeking Behavior Intentions In Law Enforcement Officers, Victoria Mccann Jan 2022

Generational-Cohorts And Mental Health Help-Seeking Behavior Intentions In Law Enforcement Officers, Victoria Mccann

Walden Dissertations and Doctoral Studies

Law enforcement is a high-stress, high-risk occupation that can lead to mental health issues. These issues can affect law enforcement officers and the level of service they provide to the public. Traditionally, officers have been found to be resistant to seeking help for their mental health. It was hypothesized that generational turnover may be impacting this positive change found in recent research. The purpose of this quantitative study was to explore the effect of generational cohorts on officers' mental health help-seeking behaviors. The core concepts of the Theory of Planned Behavior (attitudes, subjective norms, internal perceived behavioral control, external perceived …


Evangelical Families’ Experiences Of Mental Health Challenges, Elom Togbi-Wonyo Jan 2022

Evangelical Families’ Experiences Of Mental Health Challenges, Elom Togbi-Wonyo

Walden Dissertations and Doctoral Studies

Evangelical Christians with mental distress in the family face stigma, adverse psychological and physical health effects, and financial hardships. They often mistrust professional counselors, preventing them from accessing much-needed support. The purpose of this descriptive phenomenological study was to gain knowledge about Evangelical Christians’ everyday life with a family member experiencing mental distress and their perceptions of the faith community’s responses. After collecting accounts from eight participants through one-on-one interviews, Giorgi’s psychological phenomenological method was used for data analysis, resulting in the identification of seven themes and 19 subthemes. The results showed that living with a family member experiencing mental …


Experiences Of Rural Female Caregivers Of Loved Ones Diagnosed With Chronic Pain And Mental Health Care, Anne Banner Hatfield Jan 2022

Experiences Of Rural Female Caregivers Of Loved Ones Diagnosed With Chronic Pain And Mental Health Care, Anne Banner Hatfield

Walden Dissertations and Doctoral Studies

AbstractThe complex diagnosis of chronic pain can include both physiological and psychological symptoms resulting in a need for caregivers to assist their loved ones and become involved in their mental health care treatment. As the aging population and the number of individuals diagnosed with chronic pain increases, the number of caregivers who assist them also increases. Critical to addressing the psychological symptoms of chronic pain is knowing how caregivers experience their involvement in mental health treatment. This research addressed the need for an understanding of caregivers’ experiences of caregiving and involvement with health care providers of mental health treatment for …


Factors That Affect Anxiety And Acculturation In Syrian Emigrants, Thomas H. Anderson Jan 2022

Factors That Affect Anxiety And Acculturation In Syrian Emigrants, Thomas H. Anderson

Walden Dissertations and Doctoral Studies

Since the Syrian civil war began in 2011, more than 6 million Syrians have registered as refugees. Many displaced Syrians suffer myriad mental health disorders, including anxiety, which become a burden as they attempt to acculturate into a foreign culture. Research to understand the Syrian refugees has been conducted since the conflict began; however, the findings are inconsistent. Existing academic research does not adequately capture the depth of anxiety of Syrian emigrants, nor does it present an accurate picture of the challenges of acculturation. The purpose of this quantitative study was to examine the differences in anxiety and acculturation based …


School Social Workers’ Perceptions Of Compassion Fatigue Syndrome, Gloria I. Collazo Cartagena Jan 2022

School Social Workers’ Perceptions Of Compassion Fatigue Syndrome, Gloria I. Collazo Cartagena

Walden Dissertations and Doctoral Studies

School social workers face domestic violence, trauma, social violence, and mental and emotional health problems in their work context. Indeed, compassion fatigue results from professionals’ continuous exposure to these problems. This study explored school social work professionals’ perceptions of compassion fatigue. For this, the following questions were explored:the perception of school social workers working for the Puerto Rico Department of Education about compassion fatigue.


The Longevity Of A Law Enforcement Career Post Critical Incident, Alyce E. Clark Jan 2022

The Longevity Of A Law Enforcement Career Post Critical Incident, Alyce E. Clark

Walden Dissertations and Doctoral Studies

Law enforcement officers experience traumatic events that can have an impact on their health and their career. Regardless of the continued research on police and mental health, challenges persist. The stigma is that law enforcement officers are tough and keep their emotions to themselves; however, they are human, like the community they serve. Due to possible consequences related to officers discussing having mental health problems after critical incidents, police officers may be reluctant to seek help due to backlash. Interviews were completed in a two-tier format that led to follow-up questions with surveys specifically related to alcohol and burnout found …


The Experience Of Providing Direct Care To Children Victims Of Boko Haram Insurgencies In Nigeria, Felicia Etuke Jan 2022

The Experience Of Providing Direct Care To Children Victims Of Boko Haram Insurgencies In Nigeria, Felicia Etuke

Walden Dissertations and Doctoral Studies

The insurgency of terrorism leaves lasting economic, social, academics, spiritual, religious, and psychological effects, but often children’s psychological welfare is neglected in the aftermath of terrorist attacks. Boko Haram’s presence in Nigeria has left many children orphaned, displaced, and impoverished. Thus, there is a need to highlight the importance of the role that care providers play in securing the psychological health of the child victims of Boko Haram insurgency. This qualitative, phenomenological study explored the experiences of care providers to the child victims of Boko Haram insurgency in Nigeria. Compassion fatigue theory was used as a theoretical framework for the …


Chronic Kidney Disease And Depressive Disorders Among Adult Non-Hispanic African Americans And Whites In Georgia, Omatola Gordon-Rose Jan 2022

Chronic Kidney Disease And Depressive Disorders Among Adult Non-Hispanic African Americans And Whites In Georgia, Omatola Gordon-Rose

Walden Dissertations and Doctoral Studies

Chronic kidney disease (CKD), depressive disorders, and mental health are significant health issues in the United States. The purpose of this study was to examine the association of CKD and depressive disorders and days of poor mental health in adults living in Georgia, controlling for race/ethnicity, socioeconomic status, gender, age, diabetes mellitus status, high blood pressure status, marital status, and number of adults in the household. The study was a descriptive, quantitative, cross-sectional design with secondary data analysis, and the framework used was Wilson and Cleary health-related quality of life measures. The 2019 Behavioral Risk Factor Surveillance System Survey weighted …


Law Enforcement Officers' Experience Of Crisis Intervention Team (Cit) Training, Jessica Yolanda Goings Jan 2022

Law Enforcement Officers' Experience Of Crisis Intervention Team (Cit) Training, Jessica Yolanda Goings

Walden Dissertations and Doctoral Studies

AbstractThe decline in mental health services has led to an increased role of law enforcement officers (LEOs), who are often the first to respond to mental health crisis incidents. Despite the specialized training that officers receive, there continues to be a public consensus that LEOs lack proficiency when handling a mental ill individual and have a deficiency in communication skills. The purpose of the research was to explore the experience of Crisis Intervention Team (CIT) training for LEOs and then describe how their experience ensued once deployed to the field to handle mental health encounters. Evaluations of CIT training have …


Moral Distress Experienced By Behavioral Health Clinicians Who Have Worked With Maternal, Opioid-Using Clients, Jill Lee-Hubble Jan 2022

Moral Distress Experienced By Behavioral Health Clinicians Who Have Worked With Maternal, Opioid-Using Clients, Jill Lee-Hubble

Walden Dissertations and Doctoral Studies

Moral distress (MD) is a concept that has been well studied in nursing and other medical fields as a precursor to provider burnout. Understanding how MD impacts behavioral health (BH) clinicians provides insights for counselor educators and supervisors to identify clinical situations that often lead to MD. This qualitative phenomenological study explored how MD was experienced by five BH clinicians who have worked in residential and hospital settings providing counseling to maternal, opioid-using clients. Interpretive phenomenological analysis (IPA) informed the research methodology and data analysis. Substance use during pregnancy is highly stigmatized in society; thus, a feminist conceptualization was integrated …


The Perceptions And Experiences Of Intensive In-Home Counselors Regarding Vicarious Trauma, Tara Ross Jan 2022

The Perceptions And Experiences Of Intensive In-Home Counselors Regarding Vicarious Trauma, Tara Ross

Walden Dissertations and Doctoral Studies

The purpose of the study was to explore intensive in-home counselors’ perceptions and experiences with vicarious trauma when providing in-home services to children. The constructivist self-development theory was used to explain how helpers develop vicarious trauma after exposure to traumatic stories of clients. A generic qualitative inquiry was the methodology for this study because it focused on illuminating the participants’ experiences, and offered a highlighted description of the participants’ awareness, consciousness, and understanding, which explored those personal experiences. The study consisted of 10 adults between the ages of 31 and 62. The participants were all African American. Semi structured interviews …


Clinical Practice Guideline For Treating Depression In Lgbtq+ Patients In Primary Care, Shantrice Bernice Nichols-Bates Jan 2022

Clinical Practice Guideline For Treating Depression In Lgbtq+ Patients In Primary Care, Shantrice Bernice Nichols-Bates

Walden Dissertations and Doctoral Studies

The lesbian, gay, bisexual, transgender, and queer/questioning (LGBTQ+) population is at increased risk for depression, poor mental health outcomes, and higher instances of suicidality and reluctance to seek care for mental health issues in comparison to their non-LGBTQ+ peers. The identified gap in practice was the need for an evidence-based clinical practice guideline (CPG) for managing mild to moderate depressive disorder in the LGBTQ+ patient at a primary care clinic located in the southeastern United States. The purpose of this project was to develop a CPG to aid primary care providers in screening for, identifying, and managing mild to moderate …


Predictors Of Perceived Anxiety Disorder Stigma In Adults With Anxiety Disorders, Dr. Shawn Nabors Jan 2022

Predictors Of Perceived Anxiety Disorder Stigma In Adults With Anxiety Disorders, Dr. Shawn Nabors

Walden Dissertations and Doctoral Studies

Licensed professional counselors strive to eliminate systemic barriers to mental health treatment. Perceived anxiety disorder stigma may be a barrier to mental health treatment for those who are affected by this type of stigma. This quantitative correlational study examined whether factors such as age, gender, and level of education predict perceived anxiety disorder stigma in a population of adults in the U.S. who had been diagnosed with anxiety disorders as measured by the Generalized Anxiety Stigma Scale (GASS). Goffman's theory of social stigma served as the theoretical framework for this study. An existing data set of 82 adults diagnosed with …


Experiences Of African American Female Offenders On Parole And Under Community Supervision, Shirley Lawson Jan 2022

Experiences Of African American Female Offenders On Parole And Under Community Supervision, Shirley Lawson

Walden Dissertations and Doctoral Studies

African American female offenders on parole under community supervision reenter communities as convicted felons and face the challenges of intersectionality and collateral consequences. The purpose of this descriptive phenomenological qualitative study was to explore the experiences of African American female offenders active on parole and under community supervision. General strain theory was used to explore the experiences of African American female offenders on parole and under community supervision. Data were collected through semi-structured telephone interviews with a purposive sample of 10 African American female offenders, ages 18 and above who were on parole and under community supervision. Colaizzi’s seven-step method …


Health Educator Experience: Recommendations For Physical Activity For Mental Health In Women, Patricia Schneider Jan 2022

Health Educator Experience: Recommendations For Physical Activity For Mental Health In Women, Patricia Schneider

Walden Dissertations and Doctoral Studies

Mental health issues, specifically anxiety and depression, continue to be a public health crisis in the United States. Despite the established therapies of pharmacology and cognitive behavioral therapy, not all patients seek or find relief using these methods. Therefore, other treatment strategies need to be studied. The purpose of this basic qualitative study was to understand the experiences of health educators who use physical activity as a strategy for anxiety and depression management among middle-aged women as well as their own attitudes, norms, and perceived behavioral controls. The theory of planned behavior (TPB) was leveraged as the theoretical foundation for …


Crisis Intervention Team Training On Autism Among Female Cit-Trained Police Officers, Julie Hall Jan 2022

Crisis Intervention Team Training On Autism Among Female Cit-Trained Police Officers, Julie Hall

Walden Dissertations and Doctoral Studies

The problem addressed in this qualitative case study was the lack of documentation that supports the perceptions and experiences of crisis intervention team (CIT) trained female police officers related to their encounters with persons with mental illness (PwMI) with autism. Using Giles’s communicative accommodation theory (CAT), the purpose of this study examined the perceptions of CIT-trained female police officers of PwMI with autism during encounters. Giles’s CAT was aligned closest with the teachings of CIT training. Seven participants provided data which comprised of completed questionnaires and transcribed interviews. The method of analysis used was a combination of inductive coding and …


Grief Experiences Of Mothers After A Child’S Death From A Drug Overdose, Shonetesha L. Quail Jan 2022

Grief Experiences Of Mothers After A Child’S Death From A Drug Overdose, Shonetesha L. Quail

Walden Dissertations and Doctoral Studies

AbstractResearch on young adult deaths primarily focuses on other causes of death such as homicide, suicide, and accidents. There is very little research surrounding maternal bereavement when the cause of death is from a drug overdose. The purpose of this phenomenological study was to explore the perceptions, attitudes, and lived experiences of grieving mothers who had a biological, adopted, or stepchild die from a drug overdose when the decease’s age was between 18 and 25. Guided by Le Poi Devin’s multidimensional grief theory, the study sought a better understanding to assist mental health and other healthcare providers in developing individualized …


African American Youth Decline To Extend Foster Care Despite Their Needs, Rhonda Flowers-Corpening Jan 2022

African American Youth Decline To Extend Foster Care Despite Their Needs, Rhonda Flowers-Corpening

Walden Dissertations and Doctoral Studies

AbstractIn the United States, African American children are disproportionately placed in foster care and experience a myriad of problems, including physical and emotional abuse. As a result, negative post-discharge outcomes are revealed in existing literature, such as substance abuse, unemployment, homelessness, sexual promiscuity, and mental health issues. The purpose of this generic qualitative inquiry was to explore the foster care experience from the perspective of African American foster care alumni. The goal was to understand why the decision is made not to extend foster care services, despite their ongoing needs for support and lack of preparation for adulthood. Ecological Systems …


The Lived Experiences Of Group Practice Ownership By Female Licensed Professional Counselors, Ashley Garrett Jan 2022

The Lived Experiences Of Group Practice Ownership By Female Licensed Professional Counselors, Ashley Garrett

Walden Dissertations and Doctoral Studies

The U.S. counseling profession is mostly female, with many practitioners interested in starting their own business. However, little is known about women’s lived experiences of owning a group counseling practice. An interpretative phenomenological analysis approach was used to explore the lived experiences of six female licensed professional counselors who have owned a group counseling practice for at least 5 years. Phenomenology and feminist theory provided a framework for the study. Eight themes emerged from the study: (a) factors associated with the decision to create a group practice, (b) a continuum of preparatory engagement for group practice ownership, (c) the influence …


Help-Seeking Behaviors For Depression Among Native Hawaiian Women In The Western Region Of The United States Mainland, Marlana Glover Jan 2022

Help-Seeking Behaviors For Depression Among Native Hawaiian Women In The Western Region Of The United States Mainland, Marlana Glover

Walden Dissertations and Doctoral Studies

Help-seeking for depression, as with other mental illnesses is contingent upon stigmas that one perceives. Although causes for depression differ among indigenous populations, native Hawaiians suffer from the Western acculturation and colonization of their homeland. With lack of trust in the U.S. healthcare system, many native Hawaiians are reluctant to seek help for depression. Furthermore, research has shown that most studies on native Hawaiians are conducted in their native environment when many Hawaiians relocate to the U.S. mainland. Because of the current depression crisis, it is critical to explore depression among native Hawaiians, particularly women on the mainland to see …


Continuity Of Care For Adult Offenders With Severe And Persistent Mental Illnesses: An Action Research Study, Lakeshia C. Gonzalez Jan 2022

Continuity Of Care For Adult Offenders With Severe And Persistent Mental Illnesses: An Action Research Study, Lakeshia C. Gonzalez

Walden Dissertations and Doctoral Studies

For decades, the representation of adults with severe and persistent mental illnesses (SPMI) in the criminal justice system has steadily grown despite public recognition and increased federal implementation of mental health courts and diversion programs. Though more is known about risk factors associated with psychiatric and criminal recidivism among this population, a gap in the literature remains on collaborative interventions and continuity of care between inpatient mental health and criminal justice facilities. Grounded in resilience theory, the purpose of this qualitative study was to examine challenges social workers faced when attempting to facilitate discharge planning between inpatient mental health facilities …