Digital Commons Network^™

Implementation Of Equine Therapy Into Treatment Programming For Adolescents With Substance Use Disorders, Gabrielle Rayfield

Dissertations, Theses, and Projects

Substance use disorders affect all populations. Adolescents are at greater risk of a substance use disorder when abuse begins at a young age. Over 50% of individuals with mental health diagnoses developed a substance use disorder before the age of 14 (Nebhinani et. al., 2022). [BJA1] Due to the tremendous growth that takes place during adolescence, and the profound impact substance use can have on development, it is imperative to provide early intervention. There are several evidenced-based approaches available in the treatment of adolescent substance use. Equine therapy has growing empirical support and will be the focus of this project. …

Using Expressive Arts Therapy To Develop Coping Mechanisms To Manage Substance Use, Zayna Mcdonald

Expressive Therapies Capstone Theses

This paper examines past and current usages of expressive arts therapy in developing coping mechanisms for substance use recovery and explores possibilities for further integration in the adolescent and young adult population around the world. Abundant information is available on the effects of drugs and other substances on mental health, but more research is needed on how the integration of expressive arts therapy can enhance substance abuse programs for these populations. According to the CDC, elevated adverse effects on mental health occurred during the COVID-19 pandemic in the US with young adults reporting increased substance use (Czeisler et al., 2020). …

Art Therapy And Internal Family Systems For Adolescents At A Therapeutic School: A Qualitative, Arts-Based Study, Emma Pici-D'Ottavio

Expressive Therapies Capstone Theses

Adolescence is an important developmental period marked by a search for identity and an increase in impulsive behaviors and intense emotions. The current study explored how a combined art therapy and Internal Family Systems (IFS) model is beneficial and appropriate for adolescents in a school setting. A brief art therapy group was facilitated with students at a therapeutic high school. The intervention integrated IFS approaches, including externalization and guided visualizations, with the goal of understanding parts and increasing self-compassion. Three main themes emerged based on observations of the sessions: 1) the concept of parts encouraged self-understanding and reduced shame; 2) …

Working With Students From Low Socioeconomic Families: What Can School Counselors Do?, Rachel S. Bluhm

Counselor Education Capstones

Poverty and low socioeconomic status (SES) in America negatively affect students in elementary, middle, and high school as they are still developing. It is crucial that school counselors and other helping professionals are aware of how to best support these students so they can achieve their highest as social support has been shown to be a protective factor for low SES in school. It is essential that school counselors and other staff in schools have effective training surrounding poverty and that they recognize how their social class affects their views and beliefs surrounding poverty and analyze those beliefs and practices. …

Effective Treatment Modalities, Recommendations, And Desired Outcomes For Adolescents With Co-Occurring Disorders, Madelynn J. Revord

Counselor Education Capstones

This Capstone Project analyzes and assesses recent research of different modalities of treatment for adolescents with co-occurring disorders. While conducting research on this topic, the common goal of effective treatment for adolescents with co-occurring disorders includes eliminating continued substance abuse, resolving conduct concerns, developing appropriate coping skills, correcting negative thoughts and/or behaviors, decreasing delinquency, and addressing reoccurring mental health symptoms. Multidimensional family therapy, cognitive behavioral therapy, motivational interviewing, group therapy, and individual therapy are compared to formulate effective clinical approaches for adolescents with co-occurring disorders. Adverse childhood experiences, risk and protective factors, suicidality, community involvement, parental education and early intervention, …

The Effects Of Social Media On Internalizing Disorders In Adolescents, Deziree Wiegmann

Counselor Education Capstones

This platforms capstone project paper is about the effects that social media or advanced technology platforms has on young individuals. Many articles were reviewed, which included research studies on the prevalence of social media usage by adolescents, along with its negative and positive effects on their development. This topic is important for counselors to review in order to treat young clients that struggle with depression, anxiety, self-esteem issues, etc. For counselors and other professionals who work with adolescents, it would be important to look at the data, which has helped derive what treatment approaches may be the most effective and …

Emergency Care For Youth Who Experience Suicidality And Identify As Lesbian Gay Bisexual Transgender Queer/Questioning (Lgbtq+): An Interpretive Phenomenology, Theresa Schultz

Electronic Theses and Dissertations

Purpose: Suicide is a leading cause of death in children; youth who identify as LGBTQ+ are at an exponentially higher risk of suicide. The purpose of this study was to explore the lived experiences of young adults who identify as LGBTQ+ and sought emergency care for suicidality when they were adolescents.

Methods: Heideggerian hermeneutics phenomenology is the research method used in this study. Youth, ages 18-25 years, who identify as LGBTQ+ and sought emergency treatment for suicidality when they were adolescents (13-17 years) were recruited to participate;fifteen youth enrolled. Individuals ranged in age from 20 to 25 years. Participants described …

Examining Consent Education As A Preventative Measure For Sexual Violence, Harassment, And Bullying In Adolescents, Alexis Olson

Counselor Education Capstones

This paper is an examination of consent education in K-12 schools in the United States. Each state determines its own consent education policies. Most states do not require consent education despite high rates of adolescent sexual activity and increasing rates of sexual violence in adolescents. This paper examines the integration of adolescent sexual violence, harassment, and bullying. Considerations of current research shows an increase in adolescent experiences of sexual violence and connections to sexual harassment and bullying. Additionally, this paper explores consent education through classroom guidance lessons and cross-curricular implementation. Examination of consent education as a preventative measure for sexual …

Children Of Divorce Parents Group Manual, Sheyenne Hokit

Dissertations, Theses, and Projects

Divorce is something that is, unfortunately, becoming a commonality for a lot of children, and due to the complexity of divorce, many children struggle when trying to understand divorce and how it affects them. Some effects of divorce are various emotional and behavioral issues such as increased anger and decreased emotion regulation. Social, health, and academic concerns were also found. Counseling interventions like narrative therapy, emotion-focused family therapy, emotion-focused therapy, and play therapy were found to be effective with this population (Hirschfeld & Wittenborn, 2016, Thomas & Gibbons, 2009). The identified interventions provide peer-based social support, education on the misconceptions …

The Impact Of Surviving Suicide Loss On Adolescent Psychosocial Development, Sophie Leonard

Counselor Education Capstones

There has been extensive research in the areas of the impact of suicide and human development over the past several decades. Researchers continue to examine the role that experiencing suicide loss plays in terms of the formation of a healthy identity and overall development. The purpose of this paper is to examine the impact of suicide loss on adolescent development. Specifically, this paper will address the potential impact of surviving a significant suicide loss on adolescent development during the identity versus role confusion stage of Erikson’s theory of development. Based on a thorough review of professional literature, the long-term effects …

Cognitive Behavioral Therapy Adaptations For Adolescents With Autism Spectrum Disorder And Co-Occurring Mental Health Disorders: Training For Mental Health Counselors, Zackary Hajjali

Dissertations, Theses, and Projects

Cognitive Behavioral Therapy (CBT) is a versatile therapeutic approach that can be utilized to treat various emotional disorders. Therefore, the effectiveness of CBT is conceptualized through a thorough examination of present literature and its use in treating various emotional disorders in adolescents. Literature reviewed includes meta-analyses, journals and articles. CBT proved to be a commonly used therapeutic approach, and demonstrated adaptability when necessary. A wide array of benefits from using CBT to treat emotional disorders were displayed across multiple sources. The training presented in this project will address the use of CBT adaptations for adolescent clients with autism spectrum disorder …

Effectiveness Of An Online Intervention Combating Mental Health Stigma On Adolescent Help-Seeking Behaviors, Chelsea Krayecki

Counselor Education Capstones

Mental health stigma has been shown to be a barrier to seeking help for mental health concerns. This is especially true for adolescents due to important developmental characteristics. According to the World Health Organization (WHO) (2021), depression is one of the major causes of mental health concerns and disability among adolescents. In addition, the WHO (2021) also states that mental health conditions account for 16% of global burden of illness in people ages 10-19-years-old. The current pandemic has only increased these concerns, as social, emotional, and mental well-being has been impacted by the pandemic (Centers for Disease Control and Prevention, …

Fostering Resilience: A Pilot Study For Mindful Yoga As An Intervention For Adolescents Exposed To Chronic Adversity, Michele Pinellas

Dissertations

The effects of ongoing stress can cause chronic affect dysregulation, destructive behavior against self and others, learning disabilities, dissociative problems, somatization, and distortions in concepts about self and others (Bessel van der Kolk, 1994, p. 259). There may be particular benefits for youth who live in urban, underserved populations as they have experienced social challenges such as poverty, violence, drugs, racism, and immigration. Given the historical tendency of youth to express their emotions externally as a coping strategy, there is rationale to support a physically based treatment, like yoga, as an intervention for this population (Beltran et al., 2016). This …

Investigating The Impact Of The Fava Well-Being Protocol On Perceived Stress And Psychological Well-Being With At-Promise High School Students, Renee L. Fensom

Counseling & Human Services Theses & Dissertations

An elevation in stress levels can be caused by many contributing factors, which can ultimately interfere with the learning of young people. Fortunately, an increase in well being can help promote resilience, creating a buffer to stress. Therefore, the current study investigated the influence of a positive psychology intervention aimed at lowering perceived stress and increasing well-being among at-promise students. The theoretical framework for this study was based on Ryff’s Model of Psychological Well-Being (PWB). The specific intervention used was the Well-being Therapy School Protocol developed by Fava and associates, based off of Carol Ryff’s Model of PWB (Fava, 2016). …

Art Therapy, Mass Media And Self-Acceptance With Adolescents: A Literature Review, Samantha Leary

Expressive Therapies Capstone Theses

This literature reviews provides a synopsis of art therapy its potential benefits in combating negative effects associated with social media and adolescents’ sense of self-acceptance. Using art therapy as a mode of self-expression is found to help negate negative effects of social media and provide adolescents with healthy tools to help them develop and grow. Social media provides a wealth of information that can be detrimental to the emotional growth of young adults. In this literature review lack of face to face connection, idealized beauty standards, instant gratification and social comparisons are correlated to depressive symptoms in adolescents. Through the …

Student Wellbeing And Open Studio Process In The School Curriculum, Maria Kim

Expressive Therapies Dissertations

This study aimed to explore whether Open Studio Process (OSP) increased wellbeing of middle and high school students when facilitated by teachers as a part of the regular art curriculum. It was hypothesized that OSP might increase the sense of wellbeing among middle and high school students as well as facilitating teachers. The research was conducted as a mixed methods study in South Korea where students need preventative interventions for their wellbeing. The researcher trained eight teachers to facilitate OSP and five of them implemented it with their classes for seven sessions. Quantitative data (K-YSR; pre- and posttest) were collected …

Art Therapy’S Supportive Role In Self-Esteem For Youth And Correlating External Factors, Jennifer Schott

Expressive Therapies Capstone Theses

The development of self-esteem in children and adolescents has been greatly influenced by the environment in which they have been exposed and nurtured. The external factors that have been present in an individual’s experiences shape the format and understanding in their perception of self, especially self-esteem. Correlations have been recognized between external factors and levels of self-esteem. With these external factors growing and evolving, research and various therapeutic interactions can support the positive growth of self-esteem. Art therapy has played an altering role in children and adolescents’ perceptions of self through exploration in empowerment and creative therapeutic skills. Art mediums …

Text Messaging Between School Counselors And Students: An Exploratory Study, Nicholas R. Gilly

Graduate Theses & Dissertations

This exploratory case study examines the impact of text messaging on mentoring relationships when used as an outreach between school counselors and high school students, where established relationships are lacking. An SMS gateway was used to mediate communication between school counselors (N=2) and students (N=5) over a three-month timeframe. The SMS gateway converted email, sent from counselors, to text messages, which were received on mobile devices of students and allowed students to respond back to counselors. Findings indicate that the use of text messaging may ease scheduling of face-to-face meetings between counselors and students, but evidence does not support any …

Emotional Regulation & Therapeutic Rapport With Adolescents: Exploring The Effectiveness Of The Expressive Therapies Continuum, Kasey Larsen

Expressive Therapies Capstone Theses

Art therapy is a beneficial service for adolescents who face obstacles connecting emotionally, behaviorally, and academically. Creative techniques and therapeutic rapport can facilitate connection with the self, focus, and emotional regulation. Teens, especially struggling with mental health, often have difficulty functioning in the average public-school setting. Research supports a positive correlation to art therapy services and effectiveness in a school setting. The intention of this capstone was to test the effectiveness of the expressive therapies continuum (ETC) in supporting emotional regulation with two high school girls in a therapeutic day school. The method of research includes a pre-, post-, and …

Influence Of Competitive Sports On Disordered Eating Behaviors In Young Female Athletes, Jill Bernstorf

Electronic Theses and Dissertations

The field of treating and learning about eating disorders in athletes is a growing field that continues to flourish as more knowledge is acquired. The purpose of this study is to examine the influence that length of time in the sport, age at which an individual starts a competitive sport, level of competitiveness, and type of sport (leanness vs. non-leanness focused) has on disordered eating behaviors. The participants were college students who were involved in at least one competitive sport in their life. They completed the EAT-26 questionnaire as well as a basic questionnaire. There was not enough data collected …

Integrating Digital App Technologies Within Traditional Expressive Arts Therapy For Children And Adolescents, Sarah Storjohann

Expressive Therapies Capstone Theses

In recent years, technology in the form of digital applications (apps) has emerged as a fundamental aspect of everyday life as well as a practical, convenient, and inexpensive tool for artistic self-expression, most notably amongst children and adolescents. Ninety-eight percent of U.S. households currently possess some form of mobile device (Rideout, 2017), with an estimated 95% of U.S. teenagers ages 13 to 17 owning a Smartphone (Anderson & Jiang, 2018). As digital natives, children and adolescents are more likely to identify with and connect to these arts-based methods. Clinician perspective concerning digital integration varies across a wide spectrum. Through a …

Digital Music Making: Developing A Method For Using Technology In Music Psychotherapy, Sangeetha Kavety

Expressive Therapies Capstone Theses

The use of technology, specifically digital songwriting and music making, in the context of psychotherapy is a subject that is not yet as well researched or practiced in the field of music therapy. The majority of the existing literature acknowledges the assistive function that technology such as tablets, smartphones, and computers can play in treatment of populations with cognitive and motor difficulties. However, there is little regarding the use of technology as the main means of creating music, and even less in the context of treatment of psychiatric disorders in children and adolescents in family settings. For this capstone project, …

The Impact Of Mental Health Issues On Academic Achievement In High School Students, Patricia Lea Sutherland

Electronic Theses, Projects, and Dissertations

An adolescent’s time in school is not merely academic; they are developing socially, physically, and emotionally. Prior research has demonstrated a correlation between a student’s poor academic performance and his/her need for emotional and mental health support. This research project sought to answer the following research questions: 1) Do mental health services in a high school setting help facilitate students’ academic achievement? and 2) Does a focus on mental health issues improve overall health and well-being in high school students? Participants for this study are 10 staff members (including teachers, administrators, counselors, and others) of a high school in San …

Therapeutic Theatre With Adolescents At-Risk Of School Dropout, Dan Summer

Expressive Therapies Dissertations

The aim of this study was to assess the effects of therapeutic theatre, a method of drama therapy, on resilience among adolescents at risk of high school dropout. A mixed method approach was employed to qualitatively examine participant perspectives on resilience and quantitatively measure change in resilience. Participants engaged in weekly after-school drama therapy groups to collaborate on developing themes and a script for a performance to be witnessed by an audience of family and community members. Qualitative and quantitative findings were triangulated and embedded to examine relationships. The Behavioral Assessment System for Children Second Edition (BASC-2) and Resilience Scale …

Mind-Body Approach To Treating Developmental Trauma In Adolescents: A Group Therapy Manual For Residential Treatment Facilities, Kayla Prosser

Dissertations, Theses, and Projects

Among the most traumatized youth are those placed in residential treatment centers. This population reports exposure to abuse and neglect at an alarming rate in comparison with the general population. These youth are often described as irritable and angry and characterized by antisocial, delinquent and problematic behaviors. As such, they are assigned diagnostic labels based on checklists of surface level symptoms while trauma histories and chronic stress are ignored or minimized. As a result, treatment focuses on management of disruptive behaviors as opposed to addressing the root cause of the dysfunction, the trauma. Developmental trauma impacts an individual in a …

Neuro-Cognitive Factors In Adolescent Psychotherapy, Jean F. Ndzana

Educational Specialist, 2009-2019

Cognitive and developmental differences between teenagers and adults must be overcome to ensure a level playing field in the process of counseling. Exploring the developmental factors involved, and discussing associated treatment interventions can help the counselor close this gap by improving client adherence to treatment and outcomes. This paper consists of a review of the current literature in neuropsychology, neuroscience, cognitive linguistics and counseling, as it relates to brain and cognitive developments in adolescence. These findings are referenced to show the many developmental changes that occur in adolescence, and how those changes can be a hindrance to successful participation in …

Coping And Africultural Adolescents, Britne R. Amos

Dissertations

The present study explored approaches to coping among Africultural, college students between the ages of 18 and 22 years. Coping strategies applied to Africultural adolescents and young adults have been studied from a majority culture, adult lens. In this context, Africultural is used to refer to people of self-identified African descent including and not limited to people who identify as African American (e.g., parent(s) were born in America, individual was born in America), of African descent and living in America (e.g., parents were born in Africa, individual was born in Africa), mixed African American and another ethnic group including Latino/a, …

Marginalized Sexuality And Masculinity: An Ethnographic Exploration Of Adolescent Homophobic Language In A Rural High School, Benjamin M. Bailey

Theses and Dissertations

Researchers have examined homophobic language (HL) with both qualitative and quantitative methods and have studied HL's relationship to multiple factors such as sexual prejudice, masculinity, and religiosity. However, our understanding of this language, while expanding, is still limited because the meaning of this evolving language varies depending on the context in which the language is used. In order to get a more in-depth and current understanding of this language, I conducted semi-structured interviews with 20 males who were high school seniors. I also conducted 102 hours of observations in their high school. I analyzed the interviews and observations with a …

The Impact Of A Group Counseling Intervention On Lesbian, Gay, Bisexual, Transgender, And Queer Older Adolescents' Levels Of Hope, Coping, And Suicidality, Catherine Lamb

Electronic Theses and Dissertations

This investigation examined the impact of an eight-week group counseling intervention on lesbian, gay, bisexual, transgender, and queer (LGBTQ+) older adolescents’ (aged 18-20) levels of hopefulness, coping skills, and suicidality. An experimental, randomized-controlledtrial research design was employed to identify differences between the intervention group and waitlist control group participants’ hopefulness, coping skills, and suicidality scores. In addition, the relationship between the LGBTQ+ participants’ outcome variables (hopefulness, coping skills, and suicidality) scores was examined. Furthermore, the impact of group therapeutic factors experienced by the LGBTQ+ participants in intervention group for the variables of hopefulness, coping skills, and suicidality was examined. Key …

The Impact Of A School-Based Cultural Awareness Program On Students' Ethnic Identity And Self-Esteem, Charley Alexandria Braswell

Electronic Theses and Dissertations

The purpose of this quantitative study was to examine the influences of a school-based cultural awareness program on ethnic identity and self-esteem in fifth grade early adolescents. The development and implementation of a school-based cultural awareness program was intended to offer students a basic foundation for the development and/or enhancement of ethnic identity and self-esteem. 106 fifth grade early adolescents participated in this study. All participants were recruited from one elementary school in the southeastern part of the United States. Participants completed a research packet including the Multigroup Ethnic Identity Measure (MEIM) and the Rosenberg Self-Esteem Scale (RSE) both before …