Digital Commons Network^™

Natural Environment Associations With Mental Health And Obesity Status, Adam Edwin London

Walden Dissertations and Doctoral Studies

Mental health and obesity were ranked among the health priorities of the 2014 and 2017 Community Health Needs Assessments in Kent County, Michigan. Exposure to nature is correlated to improved health outcomes across a variety of morbidities including poor mental health and obesity. This cross-sectional study set within the frameworks of attention restoration theory, environmental health, and pathways to health benefits from nature assessed county survey data including self-reported nature exposures/interactions separated into 3 domain areas: access to nature, attitudes about nature, and physical activity in nature or in nature-based activities. Binary logistic regression analyses of the 653 respondents found …

Examining Police Officer Satisfaction With Mental Health Resources, Jessica Renee Burke

Walden Dissertations and Doctoral Studies

The purpose of this study was to determine the overall satisfaction officers experience with the mental health resources provided by their department. The research aimed to determine whether or not age had an impact on satisfaction levels of police officers. The results from this research would provide information for law enforcement agencies to use in evaluating their own mental health services. Archival survey data from the National Police Suicide Foundation (n = 48) was used for this study to examine the research question: how does age impact an officer's satisfaction in mental health resources. A linear regression was used to …

Effects Of Police-Mental Health Collaborative Services On Calls, Arrests, And Emergency Hospitalizations, Sean Russel-Jacque Zauhar

Walden Dissertations and Doctoral Studies

With the increasing amount of police calls involving persons experiencing a mental health crisis (PICs), agencies are looking for ways to reduce the overuse of emergency services and criminal confinement. Police-mental health collaborative (PMHC) programs were developed to utilize the expertise of both mental health and law enforcement practitioners to provide immediate linkage to psychiatric services in an effort to prevent unnecessary involvement in the criminal justice system. The theoretical framework for this study was built on the sequential intercept model (SIM) along with the theories of social network and social support. The SIM identifies 5 key points where PICs …

Effects Of Psychiatric Hospital Closures On Local Jail Administrators, Correctional Staff, And Inmates, Mark Christian Lasko

Walden Dissertations and Doctoral Studies

A series of psychiatric hospital closures has led to a movement of care for individuals with mental illness from state-run facilities to managed care centers. Many of the individuals who no longer reside in psychiatric hospitals have become ensnared in the criminal justice system. Correctional facilities have an increased burden to care for the needs of the mentally ill, but lack the training and facilities to do so adequately. In this study, the lived experiences of correctional staff who have experienced the process of a hospital closure were examined. Psychiatric rehabilitation and gatekeeper theories served as the theoretical framework for …

Los Angeles Community-Based Associate Social Workers' Understanding Of Culture And Therapy, Christine Cearfoss

Walden Dissertations and Doctoral Studies

Social workers have no clear professional guidelines about the application of culturally competent mental health service delivery. Without culturally competent mental health service delivery, clients from diverse cultures do not access needed mental health services and they experience less effective therapy treatment outcomes and overall disparity of service delivery throughout the therapeutic process. The purpose of this descriptive case study was to better understand how community-based social workers are delivering culturally competent services to clients. The theoretical framework for the study was multiculturalism and the primary research questions addressed how associate clinical social workers who provide in-home mental health services …

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 …

Examining Cultural Humility And Intersectionality In Mental Health Treatment, Sandra Y. Herrera-Spinelli

Walden Dissertations and Doctoral Studies

Cultural awareness is an ethical standard in the social work profession and, as the diversity in the United States continues to grow, it is a social work practice problem when cultural awareness is not implemented in mental health settings. The National Association of Social Workers revised the cultural awareness standards to include cultural humility and intersectionality as practice indicators. The purpose of this action research study was to examine how clinical social workers demonstrated cultural humility and intersectionality in mental health settings. Person-centered theory guided this study and a total of 17 clinical social workers in New Mexico participated in …

Social Workers' Perceptions Of The Effects On United States Soldiers Of Multiple Deployments, Cynthia Louise Wilson

Walden Dissertations and Doctoral Studies

Military personnel who have served during Operation Iraqi Freedom, Operation Enduring Freedom, and Operation New Dawn have experienced longer and more frequent deployments than U.S. personnel involved in any previous conflict. These multiple tours in combat zones have resulted in complex psychosocial needs for military personnel. The goal of this action research study was to understand social workers' perceptions and experiences of military personnel who experienced 3 or more deployments in a combat zone. The theoretical foundation for the study was narrative theory. Research questions sought to understand the social workers' perceptions of the psychosocial treatment needs of these veterans, …

Predicting Educational Attainment Based On Forensic Psychiatric Patients' Age At First Hospitalization, Malinda Marie Lawson

Walden Dissertations and Doctoral Studies

Education during recovery could impact a forensic psychiatric patient's community reintegration; however, individual education goals for patients can be difficult due to the lack of available parameters. The purpose of this study was to test whether age at first hospitalization is predictive of educational attainment among forensic psychiatric patients and to determine which ages of first hospitalization best predict 8 levels of educational attainment. Cattell's intelligence theory served as the theoretical framework for this study because mental illness requiring early hospitalization may affect education and learning. This quantitative, nonexperimental study involved a predictive design with data from the Canadian Institute …

Adult Character Strength Use And Its Relationship To Physical And Mental Health, Angela Beth Bergen

Walden Dissertations and Doctoral Studies

In this study, the use of human character strengths was evaluated as a component of mental and physical health. The majority of previous character strengths research has been limited to monotonic use of character strengths. This study evaluated subjective outcomes based on a new measure of how much adults reported underusing, optimally using, and overusing their character strengths. This exploratory study was theoretically grounded in the upward spiral model of lifestyle change. The underuse, optimal use, and overuse of character strengths were evaluated as predictors of physical and mental health status, health behaviors, and emotions. Using a convenience sample of …

Emergency Responders' Perceptions Of Mental Health Patients While Providing Care In Rural Areas, Cindy Perkinson Costilla

Walden Dissertations and Doctoral Studies

Prior research has shown a correlation between public stigma and emergency responders' perceptions of mental health patients while providing care. However, research examining public stigma and emergency responders' perceptions of mental health patients is limited in rural areas. The purpose of this study was to explore possible relationships between the dependent variable, public stigma, and the independent variables: social distance, blameworthiness, and fear of unpredictable behavior. Link's modified labeling theory was the theoretical framework for this study. A sample of 92 emergency responders obtained from Facebook completed a questionnaire that consisted of three Likert scales. A multiple regression showed little …

Strong Black Women, Depression, And The Pentecostal Church, Dawn E. Davis

Walden Dissertations and Doctoral Studies

Depression is a global health concern and among the top two causes of disability

and disease. African-Americans often seek help from the Black church, but

Pentecostal churches may fail to provide effective support due to doctrinal beliefs.

African-American women with depression struggle due to psychosocial implications

of the diagnosis. This research study used social constructionism and the

biopsychosocial model of health to explore the lived experiences of African-

American women suffering from self-reported depression while attending

Pentecostal churches in the Northeast United States. Fourteen women, ages

20 to 76, participated in this qualitative, phenomenological study. Data obtained

from the semistructured, …

Efficacy Of A Va Residential Treatment Program For Co-Occurring Disorders, Kathrin Hohenstern

Walden Dissertations and Doctoral Studies

The problem of co-occurring substance abuse and mental health disorders among the veteran population can impact numerous aspects of a veteran's life, including self-esteem, relationships, employment, and legal issues. The Mental Health Residential Rehabilitation Treatment Program (MH RRTP) at the Saint Cloud, Minnesota VA Healthcare System is a program that provides residential treatment for this population. Identifying practical and beneficial treatment methods promotes better coping mechanisms for veterans and impacts social change by providing timely and cost-efficient care for veterans, while also leading the way for overall changes and improvements in other VA residential treatment programs. This study identified how …

Increasing Clergy's Knowledge Of Mental Illness, Confidence, And Willingness To Refer, Suzan Mae Davis Merritt

Walden Dissertations and Doctoral Studies

Over 43 million Americans suffer from mental illness annually with 40% seeking support from clergy (Polson & Rogers, 2007) who claim to be ineffectively prepared (Farrell & Goebert, 2008). This study investigated if mental health training administered to clergy would increase their knowledge of various mental disorders, alter their opinion regarding helpful resources, grow their self-confidence to help individuals experiencing mental health issues, and increase clergy's willingness to refer out. The theoretical basis for this research was attribution theory that attempts to explain social perceptions (Mannarini & Boffo, 2013) and the struggle individuals (i.e. clergy) have regarding the causation of …

A Meta-Synthesis Of Adolescent Psychological Help-Seeking, Karen Barnes

Walden Dissertations and Doctoral Studies

Although adolescents experience psychological difficulty at a rate higher than any other age group, most do not get the support they need. The purpose of this study was to explore perceptions about barriers, facilitating factors, and help-seeking preferences for psychological support among adolescents. This study involved Best, Gil-Rodriguez, Manktelow, and Taylor’s conceptual framework pathways to online help-seeking to help explain adolescents’ perceptions of factors that influence them seeking support as well as identify pathways for support. A qualitative meta-synthesis design was used to synthesize findings of individual qualitative studies into themes around the central phenomenon of adolescent help-seeking. Data were …

Examining The Relation Of Psychological Distress To Shift Work In Firefighters, Lindsey Marie Lilly

Walden Dissertations and Doctoral Studies

Firefighters experience stressful job demands. Many of them work in shifts that can extend to 96-hour rotations. Firefighters also tend to suffer from poor sleep quality and psychological distress; however, there are conflicting findings on how these factors may relate to each other. The purpose of this quantitative survey study was to examine the relation between symptoms of depression, anxiety, posttraumatic stress disorder (PTSD), and alcohol abuse to shift duration in firefighters who work 24-hour shifts compared to those who work 48-hour shifts, with sleep quality as a mediating variable. The repair and restoration theory of sleep was the theoretical …

Evaluating The Frequencies Of Self-Reported Mental Health Conditions In Affluent Youth, Philip Bondurant

Walden Dissertations and Doctoral Studies

American youth are facing a mental health crisis. Rates of depression and suicide continue to rise among all children ages 12-17. While there is considerable research on the mental health of underserved children, much less is known about the mental health status of youth from affluent communities. The purpose of this study was to evaluate the effectiveness of community health assessment (CHA)-driven mental health interventions on the youth of affluent communities. Using a pre and post evaluation model, this study compared the frequencies of self-reported depression and suicide ideation for students in Grades 8, 10, and 12, and geographic location …

An Exploration Of Mental Health Practitioners' Perceptions Of Ethical Requirements And Self-Care As Means To Maintain Professional Competence, Ebony Denise Coleman

Walden Dissertations and Doctoral Studies

A mental health practitioner must refrain from partaking in any mental health work if personal problems interfere with his or her ability to provide services in a competent manner. The purpose of this qualitative study was to explore how mental health practitioners manage personal problems to stay ethically compliant. Previous research has indicated that a significant amount of literature has revealed the causes and damaging effects of burnout among mental health workers. However, there remains an important gap in the current literature that links burnout directly with competently providing quality care. Ethical compliance, self-care, and mental health practitioners' perceptions were …

Measuring Effects Of Childhood Adversity On Resilience Level Of Army Veterans, Stephanie Rausch

Walden Dissertations and Doctoral Studies

Veteran suicide is a public health issue that requires more research to understand the multidimensional factors, such as resilience, that lead someone to suicide. Adverse childhood events (ACEs), such as poverty and abuse, have affected how resilience is developed. This study examined the association between childhood factors of socioeconomic status, parental discipline, and being a military child, and adult resiliency level. Dienstbier's theory of mental toughness framed the study, which posits that a child who experiences mild ACEs and has time to recover between events, will be more resilient than children who experience serious ACEs, and children who experience little …

Psychosocial Differences In Far Right, Far Left, Islamic, And Single Issue Lone Extremists, Tamara Marie Lamontagne

Walden Dissertations and Doctoral Studies

Acts of lone extremism are on the rise, yet little is known about who commits these acts. Research in this area has failed to delineate by extremist subtype. This has led to the misconception these acts and actors present with such variance psychosocially that they cannot be predicted. The purpose of this research was to assess whether statistically significant relationships exist between lone extremist subtypes on the psychosocial variables of mental illness, substance use, and having radicalized friends or family members. The conceptual framework for this study was De La Corte's psychosocial principles of terrorism, which addressed the social and …