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Articles 1 - 17 of 17
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Clinician Perceptions Of Female Sex Offender Treatment In Modern Society, Taylor J. Bryant
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 …
Socioeconomic And Health Impact Of Opioid Overuse On Working-Age Population In Minnesota, Colette Ngum Ngwa
Socioeconomic And Health Impact Of Opioid Overuse On Working-Age Population In Minnesota, Colette Ngum Ngwa
Walden Dissertations and Doctoral Studies
Abstract The United States faces numerous challenges associated with the ongoing opioid crisis. Although the opioid epidemic is complex, opioid overuse affects users’ health and has a far-reaching impact on socioeconomic well-being. This study employed a quantitative cross-sectional design using secondary data from a 2018 national survey of working-age individuals ages 18 to 45. Multivariate regression analysis was used to examine the associations between opioid overuse and socioeconomic status, health status, and perceived need for substance abuse treatment. The addiction career concept and chronic illness model theory were used to analyze these correlations. The findings indicated that people with higher …
Understanding The Perspectives Of African American Gay And Bisexual Men Toward Hiv, Victor Onwezi , Ikechukwu Nwanguma
Understanding The Perspectives Of African American Gay And Bisexual Men Toward Hiv, Victor Onwezi , Ikechukwu Nwanguma
Walden Dissertations and Doctoral Studies
There is an urgent need to stop the HIV epidemic among African American gay and bisexual men in the United States. The purpose of this basic qualitative study was to identify the health issues responsible for the HIV epidemic among African gay and bisexual men. Two theoretical frameworks that guided the study were the transtheoretical model and the syndemic theory. The study's research involved understanding African American gay and bisexual men's perspective toward HIV infections and their understanding of possible reasons HIV rates appear to increase in their community. Semi-structured telephone interviews and field notes were used to collect primary …
Improving Patients' Engagement And Retention In Intensive Outpatient Substance Abuse Treatment, Leo W. Lavender
Improving Patients' Engagement And Retention In Intensive Outpatient Substance Abuse Treatment, Leo W. Lavender
Walden Dissertations and Doctoral Studies
Substance use disorder continues to be a major health crisis in the United States. Thousands of people die yearly due to substance use and related criminal activity. Substance abuse treatment is a remedy to the disorder and treatment centers admit thousands of patients yearly to address the dilemma. Throughout the years retention has been an ongoing barrier to successful treatment. This study explored significant obstacles to retention: motivation and engagement. The Baldrige Excellence Framework was utilized to assess the training, supervision, procedures, and leadership roles at an intensive outpatient substance abuse treatment center. This study utilized a qualitative approach case …
Factors Associated With Nonmedical Prescription Opioid Use And Prescription Opioid Misuse Among Rural Americans, Brittany Cox
Factors Associated With Nonmedical Prescription Opioid Use And Prescription Opioid Misuse Among Rural Americans, Brittany Cox
Walden Dissertations and Doctoral Studies
Opioid misuse is a rapidly evolving health epidemic in the United States, leading to opioid use disorders, overdose deaths, and disparities in treatment. The rural population may be more susceptible given socioeconomic status, less educational attainment, and lower income. The impact on specific populations is not well understood. The purpose of this study was to identify the association of nonmedical prescription opioid use (NPOU), prescription opioid misuse (POM), and treatment-seeking with race, age, sex, education, and insurance status among rural Americans. The social-ecological model (SEM) served as the theoretical framework. The SEM described the interplay between individual, relationship, community, and …
Reduced Recidivism In Drug Offenders By Treatment Involving Motivational Interviewing, Meleeka Clary
Reduced Recidivism In Drug Offenders By Treatment Involving Motivational Interviewing, Meleeka Clary
Walden Dissertations and Doctoral Studies
AbstractIncarcerated substance users frequently recidivate because of a lack of substance treatment; it was not known whether motivational interviewing (MI) significantly reduces recidivism among substance users. The purpose of this quantitative study was to evaluate the effectiveness of MI as a treatment method for reducing recidivism among incarcerated individuals with substance use disorders. Social cognitive and extrinsic motivation theories served as the theoretical foundation for the study. Motivation is an important factor in offender engagement with treatment and has been linked to improved treatment outcomes. The research questions asked whether the availability of MI in detention facilities was significantly related …
The Experience Of Conflicting Identities Amongst African American Law Enforcement Officers, Jeremy R. Jones
The Experience Of Conflicting Identities Amongst African American Law Enforcement Officers, Jeremy R. Jones
Walden Dissertations and Doctoral Studies
Law enforcement’s unjust treatment of African Americans is a worldwide concern but impacts the African American community in different ways, particularly African American law enforcement officers who are placed in conflicting positions. They aspire to see change and more conforming police treatment, compared to other racial populations, but work for the same organization that exhibits the biased treatment they desire to have abolished. The purpose of this qualitative research study was to explore African American law enforcement officers’ experiences of conflicting identities. The theoretical foundation was based on Turner’s theory of self-categorization (SCT). The key research questions addressed African American …
Florida’S Veteran Treatment Courts, John Rocco Capra
Florida’S Veteran Treatment Courts, John Rocco Capra
Walden Dissertations and Doctoral Studies
Following the terror attacks on the United States, an increasing number of veterans are returning to civilian life after having experienced service in active combat zones. As a result, many of these veterans are returning from their military service suffering from serious mental health issues and other injuries that include posttraumatic stress disorder, traumatic brain injury, and major depression. Since the early 1990s, several specialized therapeutic courts have been developed as part of an effort to address a specific population within the state criminal justice systems. One of these recent court systems is the Veterans Treatment Court (VTC), created first …
Exploring Young Opioid Users’ Motivation To Seek Treatment For Substance Use Disorder, Patricia Gianotti-Avella
Exploring Young Opioid Users’ Motivation To Seek Treatment For Substance Use Disorder, Patricia Gianotti-Avella
Walden Dissertations and Doctoral Studies
In the past 15 years, the nonmedical use of opioids in the United States has reached epidemic proportions, resulting in a 21% increase in overdose fatalities. This surge in opioid use and dependence represents a shift in the demographic from inner-city populations over the age of 40 to young adults between the ages of 20 and 34 who dwell in primarily white suburban neighborhoods. Research has identified physicians’ liberal prescribing practices as one cause of this epidemic and has documented the ineffectiveness of current interventions with young addicts. The purpose of this narrative study was to gain insight into what …
Examining The Efficacy Of A School-Based Mental Health Program In Iowa, Karen A. Rodriguez
Examining The Efficacy Of A School-Based Mental Health Program In Iowa, Karen A. Rodriguez
Walden Dissertations and Doctoral Studies
Evidence shows that treating mental health issues positively impacts academic and other life outcomes for students. However, there remains a gap in knowledge specific to academic outcomes and to rural school districts. It is important for mental health providers, educators, and third-party payers to gain an understanding of how treating mental health in the school setting affects student performance. The purpose of this quantitative study, which had contribution analysis as its theoretical framework, was to examine the academic and behavioral outcomes of participating in a school-based mental health (SBMH) program in rural school districts in Iowa. The specific focus was …
Clinicians' Attitudes Toward Sex Offender Treatment, Vallerie Hancock
Clinicians' Attitudes Toward Sex Offender Treatment, Vallerie Hancock
Walden Dissertations and Doctoral Studies
Clinician attitudes toward a client have a significant influence on outcomes for that client's treatment. Exploring the attitudes of clinicians toward sex offenders can provide additional insights into methods to improve treatments for this population. The purpose of this qualitative grounded theory study was to examine the attitudes of clinical professionals who work with sex offenders to identify the specific ways that these attitudes influenced professional behaviors and client interactions. Grounded theory was used to move beyond a general description of the issue to formulate a theory regarding clinician work with sex offenders and its implications. The sample comprised 10 …
Lived Experiences Of Women Receiving Substance Abuse Treatment From Male Counselors, Robert C. Bennett
Lived Experiences Of Women Receiving Substance Abuse Treatment From Male Counselors, Robert C. Bennett
Walden Dissertations and Doctoral Studies
The cost of the misuse of drugs is significant. The impact is felt across multiple systems across America and is covered mostly by federal, state, and local governments. Women comprise a significant portion of the persons using illicit drugs. Treatment is an effective way of reducing substance misuse. However, research into the efficacy of treatment for women lag that of men. The Substance Abuse and Mental Health Services Administration reported that women receiving substance abuse treatment from a man had shorter stays in treatment and poorer outcomes than those who had a female counselor while in treatment. Phenomenological and relational-cultural …
Positive Experiences Among Dui Offenders In Court-Mandated Substance Abuse Treatment, Katarzyna Blanka Pilewicz
Positive Experiences Among Dui Offenders In Court-Mandated Substance Abuse Treatment, Katarzyna Blanka Pilewicz
Walden Dissertations and Doctoral Studies
Driving under the influence (DUI) of alcohol and other drugs puts communities' and individuals' safety at tremendous risk. The excessive use of alcohol, illicit drugs, and/or some prescribed medications causes cognitive impairment and the physical incapability of operating a vehicle. The court system penalizes drunken driving behaviors by placing DUI offenders in a variety of mandated interventions to minimize the risk of reoffense. The purpose of this phenomenological study was to explore DUI offenders' positive experiences and perceptions derived from DUI programs and how they impacted well-being and commitment to positive change using Seligman's well-being theory as a conceptual framework. …
Differential Treatment Outcome Factors For Custodial And Noncustodial Mental Health Care Programs, Sheila Fay Waters
Differential Treatment Outcome Factors For Custodial And Noncustodial Mental Health Care Programs, Sheila Fay Waters
Walden Dissertations and Doctoral Studies
Researchers have suggested that jails and prisons in the United States are becoming the new mental health clinics, contributing to the phenomenon of mass incarceration and costing upwards of $15 billion per year in public revenue. The problem is no conclusive evidence exists that treatment in these custodial environments is more effective than that provided by noncustodial programs; especially for substance users. Additionally, the continuing incarceration of people with mental health problems by the hundreds of thousands poses a difficult ethical dilemma regarding why this population does not receive noncustodial or hospital treatment instead. The study addressed the research question …
How Heroin-Addicted Offenders Experience Sobriety Upon Release From Jail, Rebecca Lynn Foster
How Heroin-Addicted Offenders Experience Sobriety Upon Release From Jail, Rebecca Lynn Foster
Walden Dissertations and Doctoral Studies
Heroin addiction is a growing epidemic in the United States. The need for proper treatment programs accessible by heroin users who wish to or are mandated to participate in recovery programs is a growing need, and pathways to sobriety for ex-offenders have presented in literature as understudied. The purpose of this study was to examine heroin-addicted offenders' experiences prior to and after release on their paths to sobriety. This study followed a qualitative phenomenological approach based on the theory of personal causation, which posits that individuals see events in life as either driven by themselves or caused by others, both …
Professionals' Perspective On Mental Health Courts, Martha M. Amos
Professionals' Perspective On Mental Health Courts, Martha M. Amos
Walden Dissertations and Doctoral Studies
In recent years, the percentage of incarcerated individuals with mental illness has dramatically increased. It is very hard to provide treatment and care for these defendants in jails or prisons. Currently, there are more mentally ill individuals incarcerated than in psychiatric hospitals. Furthermore, as budget cuts are being decided, urban and rural communities in America are looking at ways to help the mentally ill by initiating a mental health court (MHC) or continuing to fund an already existing MHC. Guided by the therapeutic jurisprudence theory, the purpose of this study was to elicit the opinions from MHC professionals regarding the …
Comparison In Personality Profiles Between Child Abusers Versus Child Neglectors, Jodi R. Cuneo
Comparison In Personality Profiles Between Child Abusers Versus Child Neglectors, Jodi R. Cuneo
Walden Dissertations and Doctoral Studies
Children who suffered parental abuse or neglect can be returned home if their safety can be ensured following offender treatment. However, some caregivers will continue to abuse or neglect their children upon return home, leading to additional treatment, state involvement, and harm to the child. This study assessed personality differences between child abusers and neglectors who were caregivers by applying a binary logistical regression analysis to the Minnesota Multiphasic Personality Inventory, Second Edition (MMPI-2) scores sampled from archival data for 215 caregivers. Analysis showed that the abusers had statistically significant higher scores on the F Scale ('Faking Bad'), but significantly …