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A Qualitative Phenomenological Study Examining The Experiences Of Substance Use Disorder Clients Engaging In Adventure Therapy, Heather Cresswell Apr 2024

A Qualitative Phenomenological Study Examining The Experiences Of Substance Use Disorder Clients Engaging In Adventure Therapy, Heather Cresswell

Dissertations

Drug overdose deaths in the United States continue to rise. In 2019, over 70,000 drug overdose deaths were recorded, marking a 4% increase from the previous year (Centers for Disease Control and Prevention, 2021). More recent estimates suggest the death toll exceeded 100,000 in a twelve-month period ending in April 2021, indicating a significant rise (Johnson, 2021). The high mortality rate linked to addiction highlights the necessity for effective interventions for individuals diagnosed with SUD. The study presented focused on the impact of Adventure Therapy (AT) as an addition to the treatment of adults diagnosed with SUD. The chosen research …


Latino Men’S Barriers And Obstacles Towards Treatment Seeking Attitudes, Rebecca Gonzalez Aug 2023

Latino Men’S Barriers And Obstacles Towards Treatment Seeking Attitudes, Rebecca Gonzalez

Theses and Dissertations

There is a drastic difference in the number of Latino men utilizing mental healthcare as only 24 percent of Latino men with a severe mental illness ever receive treatment. Previous research has revealed stigma and attitudes are important factors in the help seeking process, but with limited Latino participants. The current study gathered survey data from Latino male university students about their levels of stigma, attitudes towards both tele – health and in person counseling, perceived barriers and benefits, treatment history, and current levels of depression. It was revealed that in contrast to previous studies, Latino men’s social stigma is …


Perceptions Of The Veterans Administration And Mental Health Treatment Seeking Intentions Among Veterans, Hilary Hines Jun 2023

Perceptions Of The Veterans Administration And Mental Health Treatment Seeking Intentions Among Veterans, Hilary Hines

Dissertations

Among the veteran population there is a trend of underutilizing mental health services despite the higher number of veterans with mental health diagnoses. Though previous research has examined barriers to mental health care such as stigma and a warrior mentality, there may be additional barriers that emanate from the system to which veterans are entitled and encouraged to use, the Veterans Administration (VA). This study examined the mediational relationships among perceptions of the VA, attitudes about seeking mental health treatment at the VA, and intentions to seek mental health treatment at the VA among veterans. Data from 96 veterans were …


Treatment Outcome From Cognitive Processing Therapy Examined Three Ways, Sophie Haven May 2023

Treatment Outcome From Cognitive Processing Therapy Examined Three Ways, Sophie Haven

Dissertations

Cognitive Processing Therapy (CPT), a Cognitive Behavioral Therapy for treating Post Traumatic Stress Disorder (PTSD), is an evidence-based treatment that has been demonstrated to be effective in treating PTSD. Nonetheless, CPT can have a high rate of treatment non-completion. Attrition from therapy has been operationally defined using multiple contrasting methods. Understanding attrition using a definition with the most clinical utility is essential to improving outcomes from efficacious treatments. Two clinically relevant definitions for attrition, session attendance and symptom improvement, are critical to understanding attrition. Combining information from both definitions, to create four separate groups, will provide more accurate information about …


Lack Of Counseling Services Among Adults Aged 50 And Greater, Madalyn Olson Mar 2023

Lack Of Counseling Services Among Adults Aged 50 And Greater, Madalyn Olson

Counselor Education Capstones

The geriatric population is increasing every year which may indicate a rising need for retirement and mental health counseling. It is essential for individuals aging out of the workforce to prepare for a life after work and know how to create a new identity. Counselors need to be aware of the different scales and assessments that are available to help determine one’s attitude towards retirement and willingness to seek counseling to prepare for retirement. Additionally, it is important to be aware that although there are counseling services available for mental health disorders and substance use disorders, these services are limited …


Finding Confidence, Balance, And Self-Acceptance: A Clinician’S Guide To Treating Involuntary Celibates, Brian Keller Jan 2023

Finding Confidence, Balance, And Self-Acceptance: A Clinician’S Guide To Treating Involuntary Celibates, Brian Keller

Psychology Doctoral Specialization Projects

Involuntary Celibates (incels) are a new and poorly understood population. In the field of psychology, very little research has been done on the population, and even fewer clinicians have successfully worked with clients from this group. This handbook was created in an attempt to outline the history, belief system, terminology, and common mental health problems of incels and their related groups. This information is distilled down and presented as a primer for anyone looking to understand this new population. Also, possible treatment recommendations are suggested and discussed in detail based on the particular psychological difficulties that incels often face.


Consideration Of Mindfulness Intervention For Hispanic Adolescents In A School Setting, Kierra Mcshine Gregory Jan 2023

Consideration Of Mindfulness Intervention For Hispanic Adolescents In A School Setting, Kierra Mcshine Gregory

Walden Dissertations and Doctoral Studies

Hispanic adolescents’ accessibility to treatment options for depression is met with limitations associated with financial barriers and cultural misalignment. This research study aimed to bring to light an alternative psychotherapy treatment through the foundations of mindfulness interventions. The goal was to understand the experience of Hispanic adolescents when engaging in mindfulness in a school setting. The purpose of this study was to gather information about the experiences of Hispanic adolescents using mindfulness to support mental health practitioners, school counselors, and behavioral interventionists to provide treatment options that are accessible and meet the needs of this culture group. This explanatory case …


Consideration Of Mindfulness Intervention For Hispanic Adolescents In A School Setting, Kierra Mcshine Gregory Jan 2023

Consideration Of Mindfulness Intervention For Hispanic Adolescents In A School Setting, Kierra Mcshine Gregory

Walden Dissertations and Doctoral Studies

Hispanic adolescents’ accessibility to treatment options for depression is met with limitations associated with financial barriers and cultural misalignment. This research study aimed to bring to light an alternative psychotherapy treatment through the foundations of mindfulness interventions. The goal was to understand the experience of Hispanic adolescents when engaging in mindfulness in a school setting. The purpose of this study was to gather information about the experiences of Hispanic adolescents using mindfulness to support mental health practitioners, school counselors, and behavioral interventionists to provide treatment options that are accessible and meet the needs of this culture group. This explanatory case …


The Impact Of Trauma On Exposure And Response Prevention (Ex/Rp) Treatment Outcomes For Obsessive-Compulsive Disorder, Lindsey Salerno Jan 2023

The Impact Of Trauma On Exposure And Response Prevention (Ex/Rp) Treatment Outcomes For Obsessive-Compulsive Disorder, Lindsey Salerno

PCOM Psychology Dissertations

Despite the high prevalence of trauma in treatment-seeking individuals with obsessive-compulsive disorder (OCD), the role of trauma in OCD treatment is under-studied. This study examined the relationship between trauma and treatment outcomes using a gold standard intervention for OCD—exposure and response prevention (Ex/RP) therapy. This study also investigated whether inherent traits (intolerance of uncertainty, anxiety sensitivity, emotion regulation, and perfectionism) act as mechanisms of change that mediate the relationship between trauma and Ex/RP treatment outcomes. Using data collected as part of a larger research study, analyses were performed for 76 adult patients with a primary diagnosis of OCD who completed …


Clinician Perceptions Of Female Sex Offender Treatment In Modern Society, Taylor J. Bryant Jan 2023

Clinician Perceptions Of Female Sex Offender Treatment In Modern Society, Taylor J. Bryant

Walden Dissertations and Doctoral Studies

Clinicians are starting to see a higher population of female sex offenders enrolled in their treatment facilities. Current research indicates that both society and clinical professionals struggle with viewing women as sex offenders due to gender stereotypes and minimization of sex crimes committed by women. The purpose of this qualitative study was to examine clinician perceptions of female sex offender treatment and how these perceptions may impact clinician engagement. The theoretical frameworks utilized in this study were the attachment theory and psychoanalytical theory. Data included clinician experiences with treating female sex offenders, exposure to professional trainings on this population, and …


Dating Violence In Latine Lgbtq+ Adolescent Relationships: Treatment Considerations, Tatiana Pinkley Jan 2023

Dating Violence In Latine Lgbtq+ Adolescent Relationships: Treatment Considerations, Tatiana Pinkley

Theses and Dissertations

According to the Centers for Disease Control and Prevention (CDC), violence-sexual and physical-within adolescent dating relationships has become a significant public health concern. This is especially true for sexual minority youth of color. As such, it is a prevalent and necessary topic in many therapeutic settings. However, many of the treatment protocols in place do not address or take into consideration various cultural identities of the clients in question. This study reviewed the scholarly literature regarding the prevalence of dating violence within the LGBTQ+ Latine community, the risk factors of intimate partner violence within this community, interventions that are available …


How Sleep Disturbances Affect Those With Borderline Personality Disorder And The Implications For Treatment, Molly L. Schmanke Jan 2023

How Sleep Disturbances Affect Those With Borderline Personality Disorder And The Implications For Treatment, Molly L. Schmanke

Regis University Student Publications (comprehensive collection)

This thesis argues that there is limited research on Borderline Personality Disorder’s comorbidity with sleep disorders, and by pointing out the gaps in knowledge this will encourage researchers and doctors to consider this topic as important in the health care field. Sleep disorders can be anything from reduced total sleep time, fragmented sleep, and changes in sleep architecture, and all of these can cause and be caused by disruption of the circadian clock. There are various ways in which circadian clock disruption can cause diseases, cancer, and mental disorders through genes, sleep, and the environment. Borderline Personality Disorder comorbid with …


Physical Intimate Partner Violence Of African American Women: Promising Practices And Pitfalls In Treatment, Melissa Erinn Duncan Jan 2023

Physical Intimate Partner Violence Of African American Women: Promising Practices And Pitfalls In Treatment, Melissa Erinn Duncan

Theses and Dissertations

Intimate partner violence is a serious health concern among African American women. It is estimated about 41% of African American women experience physical violence from an intimate partner. A number of risk factors, as well as cultural and contextual dynamics (e.g., gendered racism, low socioeconomic status, cultural norms, exposure to family violence, as well as cultural mistrust of the healthcare and legal systems), are associated with the high prevalence rate of African American women experiencing physical abuse. Due to the unique challenges that African American women survivors of partner violence often experience, there is a gap in the current literature …


An Updated Look At Mental Health Services In American Public And Private Prisons, Lieren E. Tyira Dec 2022

An Updated Look At Mental Health Services In American Public And Private Prisons, Lieren E. Tyira

Student Theses

People residing in American prisons have the legal right to mental health care while incarcerated (Justia, 2021). This is important, as the prevalence of mental disorders is high in this population (Prins, 2014), and incarceration is a psychologically damaging experience, which hinders a person’s success at rehabilitation. Numerous of issues related to the mental health services (MHSs) in both public and private prison facilities have been reported in recent years, which warrants systematic exploration. The little existing research comparing the presence of MHSs in these facilities has produced mixed results, it uses out-of-date datasets, and none has explored MHSs in …


A Pilot Feasibility Trial Of Mindfulness And Modification Therapy For Males Who Use Aggression, Jenny Mitchell Sep 2022

A Pilot Feasibility Trial Of Mindfulness And Modification Therapy For Males Who Use Aggression, Jenny Mitchell

Dissertations, Theses, and Capstone Projects

Physical aggression incurs substantial harm to victims and witnesses, particularly when it occurs within close relationships such as family, friendships, or intimate partnerships. Men who use aggression against partners and other adults frequently experience high levels of psychopathology, including depression, posttraumatic stress symptoms, anxious/insecure attachment, paranoia, bipolar disorder, intermittent explosive disorder, personality disorders, and substance abuse, which contribute to use of aggressive behaviors. However, existing treatments for aggression often do not address these symptoms. It is important that treatments for aggression are grounded in theoretical literature and backed by empirical support in order to increase treatment engagement and effectiveness. Treatments …


The Impacts Of Problematic Social Media Use On Youths: Evaluation And Treatment Recommendations, Carianne Archer Sep 2022

The Impacts Of Problematic Social Media Use On Youths: Evaluation And Treatment Recommendations, Carianne Archer

Dissertations

Youths’ frequency and time spent on social media continues to increase over the years parallel to the growing concern of the status of the mental health of youth. This critical literature review project focuses on the impacts that social media use has on youth (ages 8 to 18 years) and what methods of evaluation and treatment are being used clinically, with recommendations provided to clinicians based on the available literature. The questions that guided this review included: What are the impacts of social media on the self-concept and interpersonal functioning of youths?; What clinical presentations are associated with youths who …


The Effects Of Cannabidiol Isolate On Menstrual-Related Symptoms, Morgan L. Ferretti May 2022

The Effects Of Cannabidiol Isolate On Menstrual-Related Symptoms, Morgan L. Ferretti

Masters Theses, 2020-current

The current study aimed to examine the potential effects of CBD isolate for alleviating menstrual-related symptoms (MRS). Participants (N = 33, MAGE = 20.50, MBMI = 23.02)were assigned randomly to two open-label dosing groups (160mg, n = 17; 320mg, n = 16) and completed monthly surveys for four months that included MRS-related measures. We examined differences in MRS and related outcomes between baseline and three months of CBD administration. Results revealed reductions in MRS, irritability, anxiety, global impression, stress, and subjective severity scores with a small effect when comparing baseline to all three months of CBD administration. …


Predicting Sexual Offense Treatment Completion Through Specific Responsivity Factors, Blain Cameron Stumpf Jan 2022

Predicting Sexual Offense Treatment Completion Through Specific Responsivity Factors, Blain Cameron Stumpf

Doctor of Psychology (PsyD)

Sexual offending is a serious, harmful, and costly behavior that impacts the safety of a community (Barros et al., 2020; Peterson et al., 2017; Severson & Pettus-Davis, 2013). To improve community safety and reduce further harm, several specialized treatments have been developed to rehabilitate individuals convicted of a sexual offense (ICSO). Recent meta-analytic studies have suggested that specialized cognitive-behavioral treatments for ICSO do in fact lead to a reduction in sexual recidivism (Gannon et al., 2019; Harrison et al., 2020; Kim et al., 2016). To increase engagement with and completion of treatment programs, and subsequently to reduce the risk of …


Effects Of An Online Insomnia Intervention On Sleep And Alcohol Consumption, Justin Verlinden Jan 2022

Effects Of An Online Insomnia Intervention On Sleep And Alcohol Consumption, Justin Verlinden

Theses and Dissertations--Psychology

Alcohol use disorder (AUD) and insomnia are highly comorbid, due in part to the use of alcohol as a sleep aid among individuals with insomnia. Initial studies have shown that cognitive behavioral therapy for insomnia (CBT-I), the first-line treatment for insomnia, is moderately successful at improving both sleep and drinking outcomes in heavy drinkers with insomnia. However, CBT-I is expensive and not widely available. Online CBT-I could be a more accessible alternative. One online CBT-I program, Sleep Healthy Using the Internet (SHUTi), is especially promising due to its high efficacy in treating insomnia and its individualized and interactive platform. Here …


Tripping Over Trauma: A Proposal Of Psilocybin-Assisted Therapy For Comorbid Post-Traumatic Stress Disorder And Depression, Liam Paul Gomez Jan 2022

Tripping Over Trauma: A Proposal Of Psilocybin-Assisted Therapy For Comorbid Post-Traumatic Stress Disorder And Depression, Liam Paul Gomez

Senior Projects Spring 2022

Post-traumatic Stress Disorder (PTSD) is a widespread, often debilitating affliction that is only partially attenuated by current first-line treatment despite its heightened prominence in the sociopolitical arena. Since individuals with PTSD also experience high rates of depression comorbidity and resultant suicidality, it is essential that treatment is more holistically effective. A possible novel intervention, psilocybin-assisted therapy, has shown promising results for the improvement of depression, addiction, and other disorders; prospectively, when administered with non-directive therapy, it could prove to be an efficacious intervention for PTSD with comorbid depression. In the proposed study, there will be two participant groupings: the control …


Health Disparities And Psychosocial And Behavioral Interventions For Type 2 Diabetes Within Latinx Communities: A Systematic Review, Elisa Hernandez-Guerrero Smith Jan 2022

Health Disparities And Psychosocial And Behavioral Interventions For Type 2 Diabetes Within Latinx Communities: A Systematic Review, Elisa Hernandez-Guerrero Smith

Theses and Dissertations

As Hispanic adults are 70% more likely than non-Hispanic White adults to be diagnosed with diabetes (Centers for Disease Control and Prevention, 2022), there is an urgent need to provide culturally appropriate care to the people with diabetes of Latinx heritage. The purpose of this systematic review is to better understand the availability and effectiveness of psychosocial and behavioral interventions for T2DM within the Latinx population. Additional focus was given to the impact of health disparities and complexities within the Latinx population that have been diagnosed with, or are at risk of, T2DM. With a greater understanding of health disparities …


Mental Health Treatment In Juvenile Correctional Facilities: Utilizing Assessment To Inform Treatment, Sarah Riccio Dec 2021

Mental Health Treatment In Juvenile Correctional Facilities: Utilizing Assessment To Inform Treatment, Sarah Riccio

Dissertations

Youth in juvenile correctional facilities face a wide range of mental health difficulties. Over the years, the juvenile justice system has prioritized the need for providing appropriate and effective treatment services to youth throughout their detainment. Despite these ongoing efforts, treatment practices in juvenile correctional facilities continue to fall short. This study will first focus on assessment practices within these facilities and the impact current practices have on diagnosis and subsequent treatment. Emphasis will be placed on the importance of comprehensive evaluations for informing diagnosis and determining the individual treatment needs of detained youth. An integrated approach to assessment will …


Alterations To The Brain Following Traumatic Brain Injury, Jacqueline Mader Oct 2021

Alterations To The Brain Following Traumatic Brain Injury, Jacqueline Mader

Honors Projects

Traumatic brain injuries (TBIs) have been labeled as a modern-day epidemic, increasing exponentially with the advancement of technology and society. Gaining a better understanding of the cognitive paths, including the chemical and electrical signals of the brain, neural correlates, and possible interventions for TBI patients allows for the best possible outcome for every patient, and allows for the further advancement of care. By revising and reassessing the ways in which TBIs are categorized and described the prognosis for recovery paints a more realistic view for each individual patient case. The symptoms and impairments that may occur post-injury can be monitored …


Medication Assisted Treatment: Examining Enrollment And Demographic Factors Of Treatment, Antwana Letoya Drayton Sep 2021

Medication Assisted Treatment: Examining Enrollment And Demographic Factors Of Treatment, Antwana Letoya Drayton

Theses and Dissertations

Opioid Use Disorder (OUD) has been a long-standing epidemic concern related to the continuous growth of variations of the substance and its’ potency. Due to the versatility of the substance to be both an illicit drug and also a prescription medication, the interest in controlling and monitoring its’ use creates a greater public health concern. Treatment overtime has been revitalized to directly address the social, biological, and physiological difficulties of patients with OUDs. Medication Assisted Treatment (MAT) has been explored and has become one of the most widely used plans for treatment of Substance Use Disorders (SUDs) related to pain …


Exploration Of Patient Variables And Characteristics Best Suited For Medical Marijuana Treatment For Anxiety And Depressive Disorders, Corey Gazoo Aug 2021

Exploration Of Patient Variables And Characteristics Best Suited For Medical Marijuana Treatment For Anxiety And Depressive Disorders, Corey Gazoo

Dissertations

Individuals with posttraumatic stress, anxiety and depressive disorders are currently being prescribed medical marijuana as a treatment in many states across the United States. However, marijuana is still considered a schedule one narcotic by the Drug Enforcement Administration and federal government, which provides several barriers and challenges to conduct research such as approval from the U.S. Food and Drug Administration and following guidelines from the National Institute on Drug Abuse issued by the DEA. Additionally, individuals prescribed medical marijuana for mental health disorders are not always thoroughly instructed on the type of medical marijuana, the dosage, and how frequently to …


Changing Criminal Thinking: An Examination Of Heterogeneity In Treatment Effects In A Sample Of Justice-Involved Persons With Dual Diagnoses, Michael Lester Aug 2021

Changing Criminal Thinking: An Examination Of Heterogeneity In Treatment Effects In A Sample Of Justice-Involved Persons With Dual Diagnoses, Michael Lester

Dissertations

Recent studies have indicated variability in cognitive change for justice-involved persons with mental illness exposed to treatments for criminal thinking and psychiatric risk factors. Research suggests that proactive styles of criminal thinking may be more difficult to change than impulsive or reactive styles. To date, however, no studies have identified risk factors for a limited response or modeled observed disparities in responsivity to interventions aimed at reducing criminal thinking. Using an archival dataset comprising 206 probationers with a dual diagnosis who were exposed to active CBT-based treatment, a latent profile analysis modeled unobserved heterogeneity in treatment response per observed changes …


Understanding Service Gaps And Support Opportunities In The Treatment Of Childhood Anxiety, Chelsey R. Masson May 2021

Understanding Service Gaps And Support Opportunities In The Treatment Of Childhood Anxiety, Chelsey R. Masson

Electronic Thesis and Dissertation Repository

Globally, anxiety disorders represent the most prevalent mental health disorders in children and youth (Polanczyk et al., 2015), with an increasing number of individuals perceiving the need for professional help (Georgiades et al., 2019). It is unclear, however, where families are seeking help from, what barriers families are facing, and what services are being provided for effective management of symptoms. Two methods were used to investigate possible treatment support models; a questionnaire identified patterns in parental help-seeking behaviours and outlined perceived barriers to professional help, while a scoping review examined key components of parent/caregiver treatment models. Findings showed that parents …


Exploring The Role Of Core Positive Selves With Men Convicted Of Child Sexual Offenses: A Character Strengths Initiative, Tiffany A. Miner May 2021

Exploring The Role Of Core Positive Selves With Men Convicted Of Child Sexual Offenses: A Character Strengths Initiative, Tiffany A. Miner

Individual, Family, and Community Education ETDs

The aim of this study was to help men convicted of child sexual offenses learn to recognize and engage their character strengths over 12 months. Participants were six men convicted of contact and noncontact (internet) child sexual offenses. All participants were members of a community-based reintegration group for registered citizens. In the first weeks of the study, participants received the Values in Action Inventory of Strengths survey. The survey, containing 240 questions—10 items for each of the 24 character strengths outlined—helped participants identify their top character strengths. The study explored (a) how the men could use their character strengths to …


Origins And Perpetuation Of Stigma Against Mental Illness, Audrey K. Barkeloo-Carter, Kirsten A. Gonzalez Ph.D. May 2021

Origins And Perpetuation Of Stigma Against Mental Illness, Audrey K. Barkeloo-Carter, Kirsten A. Gonzalez Ph.D.

Chancellor’s Honors Program Projects

No abstract provided.


Quality Of Crisis Stabilization Units: Assessing The Treatment Of Adolescents With Co-Occurring Symptoms, Vincent Rodriguez Jan 2021

Quality Of Crisis Stabilization Units: Assessing The Treatment Of Adolescents With Co-Occurring Symptoms, Vincent Rodriguez

Walden Dissertations and Doctoral Studies

AbstractThe purpose of this quantitative quasi-experimental one-group pretest/posttest design study was to evaluate the effectiveness of Las Vegas Valley crisis stabilization units (CSU) in treating adolescents with comorbid mental health disorders. The specific problem entailed examining the efficacy of CSUs in addressing comorbidities among adolescents when dual-diagnosis symptoms were present. Scholarly evidence in this regard was lacking. The quantitative examination included patient data from the Cross-Cutting Symptom Measure (CCSM). Baseline and outcome CCSM scores of the test required determining whether a statistically significant difference in CCSM scores occurred between the baseline and outcome. The sample was 120 adolescent patients with …