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Trauma Informed Care And Secondary Traumatic Stress Experienced By Counselors In Community Mental Health, Rebecca Renee Cameron-Hernandez Feb 2024

Trauma Informed Care And Secondary Traumatic Stress Experienced By Counselors In Community Mental Health, Rebecca Renee Cameron-Hernandez

Walden Dissertations and Doctoral Studies

Secondary traumatic stress (STS) is prevalent in counselors working with clients with trauma. Clients seeking services in community mental health (CMH) settings often have a higher prevalence of traumatic experiences and are unable to access services outside of CMH settings. Counselors working in these settings also generally face high caseloads, less pay, and often less experience in the field. Trauma informed care (TIC) has been shown to increase positive outcomes for clients and counselors providing services to clients. This quantitative survey study focused on the relationship between counselor attitudes related toward TIC and the severity of STS experienced by counselors. …


Gender Transitioning In Childhood: A Hermeneutic Study Of Parental Reactions, Ashley Rosenberg Jan 2023

Gender Transitioning In Childhood: A Hermeneutic Study Of Parental Reactions, Ashley Rosenberg

Walden Dissertations and Doctoral Studies

The visibility of the transgender community has grown in recent years. The purpose of the hermeneutic phenomenological study was to understand and provide context to the experiences of parents whose children have transitioned from their assigned birth sex to their authentic gender identity. The theoretical framework used was Kubler Ross’ “Five Stages of Grief.” Participants were interviewed by using semi structured interviews on Zoom. A total of 6 people participated in my study. Common themes emerged as a result of my study, which parallel previous research studies. These themes included shock and denial, a sense of grief and loss, feelings …


Perceptions Of African Americans Toward Premarital Counseling, Kimberly A. Brown Jan 2023

Perceptions Of African Americans Toward Premarital Counseling, Kimberly A. Brown

Walden Dissertations and Doctoral Studies

AbstractResearch regarding premarital counseling programs has shown that premarital counseling can help individuals enhance the quality of their relationship and lower the likelihood of divorce after marriage. The research problem addressed in this study was that couples who do not participate in premarital counseling have lower relationship satisfaction and higher rates of divorce, and Black couples participate in premarital counseling less often compared to White couples. Using a generic qualitative research design, data was collected by conducting semi-structured interviews with five African American married couples who had not participated in premarital counseling to find out their perceptions as these were …


Microaggressions Against Ethnic Individuals From Minorities In Counseling, Joan Morton Jan 2023

Microaggressions Against Ethnic Individuals From Minorities In Counseling, Joan Morton

Walden Dissertations and Doctoral Studies

AbstractEven though the current literature addresses racial microaggressions among ethnic minority people and implications for counseling, no qualitative research that included the voices of ethnic minority individuals was found. Researchers have not fully addressed the prevalence of racial microaggressions in counseling sessions. The purpose of this qualitative narrative study was to explore the lived encounters of ethnic minorities concerning racial microaggressions in counseling. The study issue was analyzed through the lens of critical race theory. Four participants were recruited from the Walden University participation pool. Data were selected through semi-structure interviews and narrative analysis was used to analyze data to …


An Exploration Of The Lived Experiences Of Individuals Living With Hiv/Aids In Rural Uganda, Godfrey Ddungu Jan 2023

An Exploration Of The Lived Experiences Of Individuals Living With Hiv/Aids In Rural Uganda, Godfrey Ddungu

Walden Dissertations and Doctoral Studies

HIV/AIDS is the most stigmatized health condition globally, yet there are limited studies that have examined the needs of rural Ugandans diagnosed with HIV/AIDS. At a time when Ugandan voices could assist in the development and implementation of prevention and intervention strategies to reduce the spread of the virus, these voices remain unheard and silenced. The purpose of this phenomenological study was to describe the lived experiences of HIV-positive men and women in rural Uganda. A transcendental phenomenological approach provided the framework and design. This research used eight participants who were attending an AIDS health care center in Uganda. In-depth …


Microaggressions Against Ethnic Individuals From Minorities In Counseling, Joan Morton Jan 2023

Microaggressions Against Ethnic Individuals From Minorities In Counseling, Joan Morton

Walden Dissertations and Doctoral Studies

AbstractEven though the current literature addresses racial microaggressions among ethnic minority people and implications for counseling, no qualitative research that included the voices of ethnic minority individuals was found. Researchers have not fully addressed the prevalence of racial microaggressions in counseling sessions. The purpose of this qualitative narrative study was to explore the lived encounters of ethnic minorities concerning racial microaggressions in counseling. The study issue was analyzed through the lens of critical race theory. Four participants were recruited from the Walden University participation pool. Data were selected through semi-structure interviews and narrative analysis was used to analyze data to …


An Exploration Of The Lived Experiences Of Individuals Living With Hiv/Aids In Rural Uganda, Godfrey Ddungu Jan 2023

An Exploration Of The Lived Experiences Of Individuals Living With Hiv/Aids In Rural Uganda, Godfrey Ddungu

Walden Dissertations and Doctoral Studies

HIV/AIDS is the most stigmatized health condition globally, yet there are limited studies that have examined the needs of rural Ugandans diagnosed with HIV/AIDS. At a time when Ugandan voices could assist in the development and implementation of prevention and intervention strategies to reduce the spread of the virus, these voices remain unheard and silenced. The purpose of this phenomenological study was to describe the lived experiences of HIV-positive men and women in rural Uganda. A transcendental phenomenological approach provided the framework and design. This research used eight participants who were attending an AIDS health care center in Uganda. In-depth …


Forgiveness Therapy And Complex Trauma: Secular Therapists’ Perspectives, Andrea Hardman Jan 2022

Forgiveness Therapy And Complex Trauma: Secular Therapists’ Perspectives, Andrea Hardman

Walden Dissertations and Doctoral Studies

Treatment-seeking survivors of complex trauma pursue normality and resiliency in their everyday lives. Forgiveness therapy is one treatment modality for such trauma. However, studies linking complex trauma and forgiveness therapy are minimal. The purpose of this generic qualitative inquiry was to improve treatment interventions of secular therapists’ use of forgiveness therapy, specifically, Worthington’s REACH forgiveness model with complex trauma clients. Two research questions guided this study: “What are secular therapists’ perspectives on the use of forgiveness therapy with complex trauma clients” and “What are secular therapists’ perspectives on the use of Worthington’s REACH forgiveness model with complex trauma clients.” For …


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 …


Experiences Of Counselors Who Provide Services To African American Men With Repeated Domestic Violence Abuse Reports, Miselene Kruer Jan 2022

Experiences Of Counselors Who Provide Services To African American Men With Repeated Domestic Violence Abuse Reports, Miselene Kruer

Walden Dissertations and Doctoral Studies

Domestic violence has been a major concern in the United States. To effectively work with domestic violence offenders, counselors must have the skills and knowledge needed. The purpose of this qualitative phenomenological study was to understand lived experiences of counselors who provide in-home counseling services to African American men who are repeat domestic violence offenders and received a subsequent abuse report within 6 months after in-home services were discontinued. The goal was to try to develop an understanding of experiences of counselors who provide services to these men. Interviews were used to collect data. I used Otter to transcribe all …


Black Women, Mental Health Treatment, And Spiritual Healing: A Transcendental Phenomenological Study, Grace M. Abraham Lewis Jan 2022

Black Women, Mental Health Treatment, And Spiritual Healing: A Transcendental Phenomenological Study, Grace M. Abraham Lewis

Walden Dissertations and Doctoral Studies

Counselor educators are ill-equipped to train counselors to prepare to meet the needs of Black Christian Pentecostal Women (BCPW) because there is a lack of information on this population. To increase cultural competency, counselors need to be more aware of the experiences of this population. The purpose of this study was to explore the lived experiences of BCPW who sought community mental health counseling concurrent with deliverance practices through the church. Using Edmund Husserl’s transcendental phenomenological approach as the conceptual framework, semi-structured interviews via zoom were conducted with 4 BCPW who were active members of the Christ Throne International Ministries …


Therapists’ And Teachers’ Experiences Of Children With Aggression: A Children’S Partial Hospitalization Program, Kimberlee Joy Dunlap Jan 2022

Therapists’ And Teachers’ Experiences Of Children With Aggression: A Children’S Partial Hospitalization Program, Kimberlee Joy Dunlap

Walden Dissertations and Doctoral Studies

Aggression is an indicator of future criminal behavior. It can be a result of trauma, substance-abusing parents, or executive functioning. Research has shown that aggression in childhood often creates criminal behavior later in life, thus researchers suggest that more studies are conducted on programs that help children with aggression. The purpose of this qualitative study was to examine the experiences of therapists who work with aggressive children in a children’s partial hospitalization program, and those teachers who have had these children in class before entering the program and upon discharge from the program. The qualitative study was done using semi-structured …


Moral Distress Among Master’S Counseling Students Attending A Cacrep Accredited Counselor Training Program, Matthew Stevens Jan 2022

Moral Distress Among Master’S Counseling Students Attending A Cacrep Accredited Counselor Training Program, Matthew Stevens

Walden Dissertations and Doctoral Studies

Moral distress, an understudied phenomenon among the counseling profession, has been defined as an experience of knowing the right thing to do but being institutionally prevented from doing what is believed to be right. This phenomenon often occurs in hierarchical relationships, such as those between student and teacher or supervisor and supervisee, and may lead to psychological impairment, deviation from ethical standards, and professional burnout, which threatens the ability of professional counselors to initiate and maintain healthy professional relationships. The purpose of this descriptive, phenomenological study was to explore the lived experiences of six master’s level students attending counselor training …


Stress, Resiliency, And Burnout Among Leaders In The Counseling Profession, Adriana Bovee Jan 2022

Stress, Resiliency, And Burnout Among Leaders In The Counseling Profession, Adriana Bovee

Walden Dissertations and Doctoral Studies

Leaders in the counseling profession face many demands. The purpose of this quantitative regression analysis study was to determine if there was a predictive relationship between the independent variables of stress and resiliency and dependent variables of burnout, emotional exhaustion, depersonalization, and personal accomplishment among leaders in the counseling profession. Transformational leadership theory and resilience theory were applied as the theoretical framework of this study. A cross-sectional data collection method was used, and data were collected through anonymous online surveys from a purposive sample of 75 counseling leaders. Data analyses methods included descriptive statistics and multiple linear regressions. Results indicated …


Strategies Nonprofit Organization Leaders Use To Increase Human And Financial Resources, Karen Linyard Jan 2021

Strategies Nonprofit Organization Leaders Use To Increase Human And Financial Resources, Karen Linyard

Walden Dissertations and Doctoral Studies

Some nonprofit organization leaders have limited access to the resources needed to manage the organization's day-to-day needs. Nonprofit leaders without effective strategies to increase human and financial resources may lack the resources to address the mission, sustain, and effectively grow as a successful organization. Grounded in the stakeholder theory, the purpose of this qualitative single case study was to explore the strategies leaders of a nonprofit organization used to increase human and financial resources needed to sustain and effectively grow as a successful organization to address their mission. The participants comprised three leaders from one nonprofit organization in the southern …


The Lived Experience Of Black Women With Weight Loss And Counseling Post Bariatric Surgery, Cynthia Williams Jan 2021

The Lived Experience Of Black Women With Weight Loss And Counseling Post Bariatric Surgery, Cynthia Williams

Walden Dissertations and Doctoral Studies

AbstractStudies have shown that bariatric surgery can assist obese individuals to both lose a significant amount of weight rapidly and improve or resolve health comorbidities associated with obesity. This weight loss, however, can be considerably less for the obese Black woman. While reasons for this difference appears multifactorial entailing dietary, genetics, and environmental factors, limited research concerning the lived experiences of obese or formerly obese Black women with weight loss and post bariatric counseling have been conducted. The primary objective of this interpretative phenomenological study was to increase the understanding of the lived experiences of obese or formerly obese Black …


Counseling System Documentation And The Relationship Between Treatment Plans And Client Outcomes, Moraima N. Frangiosa Jan 2021

Counseling System Documentation And The Relationship Between Treatment Plans And Client Outcomes, Moraima N. Frangiosa

Walden Dissertations and Doctoral Studies

The purpose of this qualitative study was to provide a method for evaluating counseling services delivered to patients during treatment. The evaluation of the study required the use of methods that are repeatable and effective that would allow a clinic to continue using them over time to grow a database of valuable information about counseling and patient outcomes. The new database would allow the clinic to change counseling methods and approaches of delivery to promote organizational change. The evidence-based practice (EBP) for counseling therapy would encourage the connection between public administration and public policy in the health care system. Public …


The Social Work Perspective Regarding The Underutilization Of Mental Health Services Among African American Families, Carissma Tempest Hughes Jan 2021

The Social Work Perspective Regarding The Underutilization Of Mental Health Services Among African American Families, Carissma Tempest Hughes

Walden Dissertations and Doctoral Studies

The underutilization of mental health services amongst African American families has been a long-standing concern in the African American community within large metropolitan cities in Texas. The metropolitan cities are Austin, Dallas/Fort Worth, Houston, San Antonio and McAllen. There remain experiences that impede families’ ability to engage in mental health services. These experiences involve the conflict between prayer and therapy, stigma, lack of awareness of local mental health services, and cultural competency. The purpose of this qualitative research study was to explore experiences of African American families and how those experiences affect mental health engagement, as well as how practicing …


Relationship Between Perceived Social Support, Phase Of Program, And General Health In Phd Ces Students, Sara Moubayed Jan 2021

Relationship Between Perceived Social Support, Phase Of Program, And General Health In Phd Ces Students, Sara Moubayed

Walden Dissertations and Doctoral Studies

Counselor education and supervision (CES) doctoral students face various challenges throughout their doctoral journey. A quantitative, correlational study was conducted to determine if there is a predictive relationship between the independent variables of perceived social support and phase of program (core courses, internship, or dissertation) and dependent variables general health, somatic symptoms, anxiety/insomnia, social dysfunction, and severe depression in PhD CES students (N = 73). The goal of the study was to contribute to a greater understanding of the general health of CES PhD students. Self-Determination theory and basic psychological need theory were applied as the theoretical framework of this …


Integrating Tf-Cbt And Play Therapy: Promoting Resilience In Child Sexual Assault Survivors, Shayla Polk Jan 2021

Integrating Tf-Cbt And Play Therapy: Promoting Resilience In Child Sexual Assault Survivors, Shayla Polk

Walden Dissertations and Doctoral Studies

Licensed social workers and counselors provide services to children who experience child sexual assault (CSA), which disrupt their normal childhood developmental processes. Trauma outcomes include symptoms related to somatization, inability to cope, feelings of helplessness, decreased self-esteem, difficulty expressing proper emotions, anxiety, depression, and posttraumatic stress disorder. Trauma-focused cognitive-behavioral therapy (TF-CBT) combined with play therapy can be helpful for CSA survivors. Still, it is not yet fully understood how therapists perceive the combined approach or how it fosters resiliency in children who experience sexual assault. The purpose of this action research study was (a) to explore the experiences and perspectives …


Pharmacy Manager Strategies For Reducing Financial Losses From Adverse Drug Events By Polypharmacy Patients, Francis Rudden Jan 2020

Pharmacy Manager Strategies For Reducing Financial Losses From Adverse Drug Events By Polypharmacy Patients, Francis Rudden

Walden Dissertations and Doctoral Studies

Every year over 100,000 deaths occur in the U.S. from adverse drug events derived from medication errors. Medication errors account for an annual cost of $100 to $200 billion. Healthcare pharmacists lack strategies to reduce adverse drug events and medication errors from taking place. Grounded in complex adaptive system theory, the purpose of this qualitative multiple case study was to explore strategies to reduce advere drug events and medication errors. The participants were 5 pharmacist managers in a county in central Florida. These pharmacists were from different community pharmacies, and each had a minimum of 5 years’ experience in the …


Experiences Of Low Income African American Grandparents Raising Their Grandchildren, James Agboola Abolarin Jan 2020

Experiences Of Low Income African American Grandparents Raising Their Grandchildren, James Agboola Abolarin

Walden Dissertations and Doctoral Studies

AbstractLow-income African American grandparents raising their grandchildren are faced with multiple challenges psychologically, financially, and emotionally. Four out of five African American custodial grandparents live below the poverty line and with mental problems, such as bipolar disorder, anxiety, schizophrenia, and depression. The main research question focused on the experiences of low income African American custodial grandparents, living with diagnosed mental health issues while raising their grandchildren, and dealing with a restricted access to mental health counseling services. Bowen family system theory was adopted as the theoretical framework, and a phenomenological-hermeneutic methodology was used. A total of seven low income, custodial …


Experiences Of Jamaican Adult College Students In Counseling, Pamela Victoria Gray Jan 2020

Experiences Of Jamaican Adult College Students In Counseling, Pamela Victoria Gray

Walden Dissertations and Doctoral Studies

Since the introduction of counseling services in Jamaica in the 1960s, young adults continue to encounter obstacles in utilizing the services made available to them. Some significant factors impacting how individuals use the professional counseling services are (a) the clients’ historical and political background, (b) the ill-treatment of people with mental illness, (c) cultural practices and values, (d) the stigma toward mental illness, and (e) knowledge deficiency concerning psychological issues and psychosis. This qualitative, hermeneutic phenomenological research describes the experiences of Jamaican adult college students in counseling with counseling professionals. Seven participants volunteered through the networking sample method from universities …


Black Women's Voluntary Use Of Mental Health Services, Dr. Natasha Wright Jan 2020

Black Women's Voluntary Use Of Mental Health Services, Dr. Natasha Wright

Walden Dissertations and Doctoral Studies

According to the American Psychiatric Association, Black women engage in formal mental health services at a lower rate than White men and women. In addition, the issues faced by Black women engaging in mental health services are multiplicative, major, and often divisive. Much of the research to date has centered on the barriers to, and negative experiences of, Black women in mental health. Grounded in critical race theory and Black womanist thought, this study investigated the lived experiences of Black women who voluntarily engaged in mental health services. The study included a purposive sample of 6 Black women from 2 …


An Investigation Of The Help-Seeking Attitudes Of African American Christian Churchgoers, Kristi Madison Jan 2019

An Investigation Of The Help-Seeking Attitudes Of African American Christian Churchgoers, Kristi Madison

Walden Dissertations and Doctoral Studies

The Black Church has been a powerful support system for African Americans, providing economic, and psychological support in addition to meeting spiritual and religious needs. African American church leaders continue to provide a multitude of services to the community; however, research has shown that African American Protestant Christian churchgoers'€™ preference for informal supports may exacerbate some symptoms of mental illness as people may postpone seeking formal help. Utilizing a nonexperimental, cross-€sectional design, this study examined the relationship between these churchgoers'€™ attitudes toward religious help-€seeking and attitudes toward professional help-€seeking. One hundred four African American Protestant Christian churchgoers in the mid-Atlantic …


An Exploration Of The Experiences Of Equine Therapy Specialists, Jaime Lyn Battestella-Williams Jan 2019

An Exploration Of The Experiences Of Equine Therapy Specialists, Jaime Lyn Battestella-Williams

Walden Dissertations and Doctoral Studies

Horses have been an integral part of human history and progress for centuries. Horses and humans have united in diverse ways, including farming, war, construction, racing, and other areas of sports. Researchers have indicated that the use of horses for mental health and wellness is a growing trend that continues to lack strong, empirical evidence. Currently, there is limited research available on the experiences of certified equine specialists incorporating horses into mental health and wellness. It is essential to gain further insight into the incorporation of horses into psychology and counseling for therapists, as well as potential clients, interested in …


Mental Health Counselors’ Experiences In Personal Counseling, Torrie Gilden Jan 2019

Mental Health Counselors’ Experiences In Personal Counseling, Torrie Gilden

Walden Dissertations and Doctoral Studies

In various aspects of the counseling profession, instructors, supervisors, and colleagues often recommended that their fellow counselors engage in personal counseling for professional development and personal wellness. However, the existing literature has yet to explore the lived experiences of mental health counselors in personal counseling. The purpose of this transcendental phenomenological study was to explore the lived experiences of mental health counselors in personal counseling. Purposeful sampling was used to select 7 licensed mental health counselors in a Northwestern state. Data collection methods included semistructured interviews in person and via Zoom, an online video conferencing format. Interpretive phenomenological analysis was …


School Counselors' Lived Experiences Supporting Students With Mental Health Concerns, Linda F. Peterson Jan 2019

School Counselors' Lived Experiences Supporting Students With Mental Health Concerns, Linda F. Peterson

Walden Dissertations and Doctoral Studies

Mental health in schools is a growing concern for many school counselors, educators and communities. School counselors are in key roles in the school setting to support students with mental health concerns. This research was done to gain a deeper understanding of the experiences, beliefs, and attitudes of school counselors supporting students with mental health diagnoses. This hermeneutic phenomenology research used n=4 participants school counselors and each has worked in their field for over 6 years. Additionally, each participant worked in the same school building for a minimum of 3 years or more. Semi structured interviews were used to collect …


Experiences Of High School Noncompleters With Emotional And Psychological Challenges, Christine M. Park Jan 2019

Experiences Of High School Noncompleters With Emotional And Psychological Challenges, Christine M. Park

Walden Dissertations and Doctoral Studies

High school noncompleters are those who did not earn a high school diploma. Before their early departure from high school, noncompleters often struggled with challenges (poverty, mental health, addiction, and emotional and physical abuse). Some enter remedial education to earn their equivalency credential. However, in this setting, they experience additional challenges, such as increased responsibility, stress, and anxiety. The problem surrounding the experiences of noncompleters has implications for counseling due to the limited use of and access to counseling as well as the disproportionate amount of mental health concerns and adversity among noncompleters. Current literature informs of the challenges noncompleters …


Demographic And Symptomology Differences Among Sexually Assaulted Children With Posttraumatic Stress Disorder, Kathleen Bethel-Pracht Jan 2019

Demographic And Symptomology Differences Among Sexually Assaulted Children With Posttraumatic Stress Disorder, Kathleen Bethel-Pracht

Walden Dissertations and Doctoral Studies

Trauma due to sexual assault becomes a life changing event during a child's critical developmental years. Bronfenbrenner's ecological systems theory outlines the process of understanding an individual's environment and how disruptions in one level may affect other levels. This study determined if gender and ethnicity among sexually traumatized children diagnosed with post-traumatic stress disorder (PTSD) predict symptom severity as measured by the Trauma Symptom Checklist for Children (TSCC) after controlling for the socioeconomic level and home environment. The population consisted of 126 children aged 8 through 16 with at least a second-grade reading level. Multiple regression examined whether male and …