Open Access. Powered by Scholars. Published by Universities.®

Education Commons

Open Access. Powered by Scholars. Published by Universities.®

Articles 1 - 30 of 128

Full-Text Articles in Education

Proposal: How Does The Total Sugar Intake Impact Cognitive Function In Children 10 Years Of Age?, Andrew O. Laidlaw, Camila Arrieta, Shoshana Yachnes Apr 2024

Proposal: How Does The Total Sugar Intake Impact Cognitive Function In Children 10 Years Of Age?, Andrew O. Laidlaw, Camila Arrieta, Shoshana Yachnes

Department of Nutrition Student Projects

The effects that high sugar intake has on cognitive function is an ongoing topic in research today. Although most studies point to a negative relationship between the variables, the evidence is not conclusive enough to be able to confirm its true effect. While evidence finds an association between high sugar intake and chronic diseases, its impact on cognitive function is yet to be determined. The purpose of this proposed research study is to examine how total sugar intake impacts the cognitive function in children. Fifty children, age 10, will be randomly chosen from schools in South Florida for a cross-sectional …


Determining The More Effective Behavior Analytic Intervention For Children With Autism Who Exhibit Pica Behaviors, Jennifer J. Lanham Jan 2024

Determining The More Effective Behavior Analytic Intervention For Children With Autism Who Exhibit Pica Behaviors, Jennifer J. Lanham

Theses and Dissertations

Abstract

Determining the More Effective Behavior Analytic Intervention for Children With Autism Who Exhibit Pica Behaviors. Jennifer J. Lanham, 2024: Applied Dissertation, Nova Southeastern University, Abraham S. Fischler College of Education and School of Criminal Justice. Keywords: autism, pica, eating disorders, intervention, applied behavior analysis

This dissertation was designed to determine which behavior analytic intervention was more effective in the treatment and reduction of mouthing non-nutritive substances in children diagnosed with autism. This study included four participants in an A-B-A reversal design with a component analysis across four intervention phases. The study participants were enrolled in a center-based treatment environment …


Spouse Violence In Case Of Police Officers In Puerto Rico: Violence In Police Families, Jorge Ismael Suarez Jan 2024

Spouse Violence In Case Of Police Officers In Puerto Rico: Violence In Police Families, Jorge Ismael Suarez

Theses and Dissertations

This applied dissertation was designed to explore the relationship between factors related to police work and whether these factors help predict domestic violence in a sample of officers of the Puerto Rico Police. The following factors were explored in this study: external burnout, alcohol abuse, department withdrawal, and authoritarian spillover. This study was based on a previous study by Johnson et al. (2005), which revealed that violence exposure and domestic violence among police officers are linked according to four mediation chains. The mediation chain was a model implemented by the authors to determine the influence of burnout, authoritarian spillover, alcohol …


Strength In Numbers: An Exploratory Case Study On The Impact Of Conflict In Multi-Institutional Higher Education Collaborations, Michele Robyn Dinicola Jan 2023

Strength In Numbers: An Exploratory Case Study On The Impact Of Conflict In Multi-Institutional Higher Education Collaborations, Michele Robyn Dinicola

Department of Conflict Resolution Studies Theses and Dissertations

The higher education landscape is changing. Students seeking access to college are increasinglydiverse, geographically dispersed, socioeconomically challenged, and will require higher education administrators to closely examine their models to ensure they are well-suited to serve the needs of these students. Responding to these shifts will require higher education administrators to shed traditional approaches in favor of innovative, cost-effective, flexible models of education delivery. Many institutions address this challenge through a reliance on higher education consortia and collaborations. In Maryland, one approach to collaboration takes the form of multi-institutional Regional Higher Education Centers (RHEC) like the largest of them, the Universities …


Living A Nightmare: A Study On The Reluctance Of Native American Women To Report Violent Crimes To Police, Misty Marie Neal Jan 2023

Living A Nightmare: A Study On The Reluctance Of Native American Women To Report Violent Crimes To Police, Misty Marie Neal

Theses and Dissertations

To address this problem, this study will explore, if at all, the differences and relationships between Native American women’s reluctance to report a violent crime to the police with their perception of police, previous interactions with police, prior victimization, tribal affiliation, and specific demographic factors. The population for this research will be Native American women from federally recognized tribes between 18 and 55 years of age. In addition, the participant's marital status, sexual affiliation, religion, level of education, and geographic location will be examined. From this population, a sample size of 500 - 600 participants will be constructed for this …


State Attorneys’ Perceptions On The Role Of Racial Disparities In The Juvenile Justice System, Allison Cohen Jan 2023

State Attorneys’ Perceptions On The Role Of Racial Disparities In The Juvenile Justice System, Allison Cohen

Theses and Dissertations

This dissertation was prepared to offer a scholarly investigation on the justice officials’ consideration of race in making decisions for sanctions and sentencing of African American juveniles. The research provided an extreme review of the justice system to place in context the differential treatment of Black youths. African American juveniles’ cumulative experience of discrimination and racial disparities in the juvenile justice system and adult criminal justice system. An examination of the overrepresentation of African Americans in the justice system. A journey from juvenile delinquency to adult criminality. An early destination starts at arrest to intake to juvenile court then transfer …


The Lived Experiences Of 911 Telecommunicators: Life Outside Of The Call Center, Mary's Dariela Martinez Jan 2023

The Lived Experiences Of 911 Telecommunicators: Life Outside Of The Call Center, Mary's Dariela Martinez

Theses and Dissertations

911 operators are tasked with solving the caller's problem by promptly and efficiently decoding a cry for help, collecting pertinent information, quickly deciding its priority level, and dispatching the appropriate assistance. These employees are responsible for what happens on that line, internalizing their problems to solve those of the callers, which often result in stress disorders, trauma, and personal, professional, and social issues. Their job duties are extensive, the responsibility is vast, and the overall environment can be overwhelming. Aside from the environmental stressors, the details of each critical incident leave the employee susceptible to various risk factors and other …


Competencies Of Ombuds In Higher Education, Alicia Booker Jan 2023

Competencies Of Ombuds In Higher Education, Alicia Booker

Department of Conflict Resolution Studies Theses and Dissertations

This study aimed to deepen the understanding of ombuds (i.e., ombudsman, ombudsperson) who practice in higher education settings by exploring what ombuds consider the critical competencies to fulfill a variety of professional functions, how ombuds acquired those competencies, and how ombuds are assessed and self-assess. The purpose of this qualitative case study was to make an empirically researched recommendation for an ombuds in higher education competency model. The researcher gathered data from 23 ombuds in the United States working in institutions of higher education. The researcher analyzed the data gathered from semi-structured interviews using descriptive coding in the first coding …


The Decline Of Union Membership And The Resulting Conflicts, Cynthia Cushman Jan 2023

The Decline Of Union Membership And The Resulting Conflicts, Cynthia Cushman

Department of Conflict Resolution Studies Theses and Dissertations

The purpose of this quantitative study was to examine how private-sector union members and union leaders viewed the changes in organized labor in the United States over the past ten years. This study explored the impact of union membership decline in the United States labor force through the perceptions of union members and union leaders. There were four macro-level factors examined in this study: a move in dominant occupations from manufacturing to service-orientated work; changes in federal and state regulation; the ability, flexibility, and success of union leadership; and the aggressive counter-union moves of business management. This study was constructed …


Cause For Complaint: A Case Study Exploring Office For Civil Rights Complaints And Resolutions Related To Digital Accessibility At Public Colleges And Universities, Helen Gema Muñiz Bermudez Jan 2023

Cause For Complaint: A Case Study Exploring Office For Civil Rights Complaints And Resolutions Related To Digital Accessibility At Public Colleges And Universities, Helen Gema Muñiz Bermudez

Department of Conflict Resolution Studies Theses and Dissertations

As the number of students with disabilities pursuing postsecondary opportunities continues to grow, along with an increase in digital educational content and technology, the issue of digital accessibility becomes increasingly urgent - both as a matter of equity and access for disabled students and as a matter of social and fiscal responsibility for postsecondary institutions. When postsecondary institutions fail to meet the requirements of disability legislation, the U.S. Department of Education’s Office for Civil Rights (OCR) is the federal entity responsible for enforcement and complaint investigations, handling hundreds of complaints related to digital accessibility at postsecondary institutions since 2013. There …


Medical Imaging Professionals Experiencing Workplace Interprofessional Conflict: A Phenomenological Study, Robert Carroll Moody Jan 2023

Medical Imaging Professionals Experiencing Workplace Interprofessional Conflict: A Phenomenological Study, Robert Carroll Moody

Department of Conflict Resolution Studies Theses and Dissertations

Workplace interprofessional conflict in hospitals presented serious concerns regardingpatient care delivery and hospital efficiency at the systemic level. Literature evaluating conflict in hospitals inconsistently defined interprofessional conflict and oversampled nurses and physicians in research studies. An unknown systemic factor was likely influencing interprofessional conflict between healthcare professionals. Complex systems theory, the theory of professions, and social conflict theories were utilized to organize the literature review and guide research design targeting allied health professionals and their lived experiences with interprofessional conflict. Medical imaging professionals were selected as a purposeful sample within the larger population of allied health. Interpretive phenomenology was used …


Learning From The Lived Experiences Of African American Senior Executives In Fortune 500 Organizations: A Transcendental Phenomenological Study Of Black Corporate Trailblazers, Otis G. Jarvis Jan 2023

Learning From The Lived Experiences Of African American Senior Executives In Fortune 500 Organizations: A Transcendental Phenomenological Study Of Black Corporate Trailblazers, Otis G. Jarvis

Department of Conflict Resolution Studies Theses and Dissertations

African American Senior Executives (AASE) exist as a group of American citizens who hold senior management roles in Fortune 500 organizations. AASE members are responsible for decision-making in a diverse number of industries but represent a small group of leaders in Fortune 500 organizations. The purpose of this qualitative transcendental phenomenological study was to examine the lived experiences of AASE in a Fortune 500 organization in the United States. The qualitative study examined through semi-structured interviews the experiences of eleven senior executives in Fortune 500 organizations in the United States. This phenomenological study examined how the lived experience of each …


Conflict And Conflict Resolution In The Workplace: The Cost Of Neglect And Mismanagement, Tina Ann Collins Jan 2023

Conflict And Conflict Resolution In The Workplace: The Cost Of Neglect And Mismanagement, Tina Ann Collins

Department of Conflict Resolution Studies Theses and Dissertations

AbstractWorkplace conflict has become part of our everyday work life for many years, from retail shops to office buildings, and it can occur for many different reasons. Research has shown that employees spend most of their lifetime in the workplace and that unsolved conflict is one of the costliest aspects of an organization. These conflicts should be addressed and resolved promptly by management. With the rise of workplace conflict, the literature suggests that a more powerful attack to resolve that conflict is warranted. This Interpretative Phenomenological Analysis (IPA) study explored the experiences of workers and the effect the conflict had …


The Digital Footprint Effect: A Grounded Theory On The Influence Of Social Media On Human Resource Managers’ Hiring Decisions, Tanya Pawlowski Jan 2023

The Digital Footprint Effect: A Grounded Theory On The Influence Of Social Media On Human Resource Managers’ Hiring Decisions, Tanya Pawlowski

Department of Conflict Resolution Studies Theses and Dissertations

For over a decade, the Society for Human Resource Management (SHRM) has reported the increasing practice of hiring managers accessing social media profiles to screen job applicants (Bates, 2008). This qualitative research study investigated the role of social media in organizational hiring practices and what factors may influence human resource hiring managers’ decisions. A grounded theory methodology was applied to interview 21 human resource hiring managers with open-ended structured questions. Based on the researcher’s data collection and grounded theory data analysis, the findings showed that social media profiles play a crucial role in organizational hiring decisions when a human resource …


State Level Mental Health Education Compared To Suicide-Related Behavior In Adolescents, 2019, Sonia Rao Jan 2023

State Level Mental Health Education Compared To Suicide-Related Behavior In Adolescents, 2019, Sonia Rao

Honors Theses

Objective: Determining correlations between state level mental and emotional health (M&E) education and suicide prevention (SP) education to suicide-related behaviors (I.e. feeling sad or hopeless, suicide ideation, making a suicide plan, suicide attempt, suicide attempt treated by medical personnel, and death by suicide) within high school adolescents aged 15-19 within the United States in 2019.

Methods: State level education policies, M&E and SP, were retrieved from the National Association of State Boards of Education (NASBE). Self-reported adolescent suicide related behaviors were retrieved from the 2019 Youth Risk Behavior Surveillance System (YRBSS). Data on deaths by suicide of youth aged 15-19 …


Behavioral Skills Training For Reducing Challenging Behaviors In Students With Down Syndrome With Or Without Co-Occurring Autism Spectrum Disorder, Jacqueline Tudor Jan 2023

Behavioral Skills Training For Reducing Challenging Behaviors In Students With Down Syndrome With Or Without Co-Occurring Autism Spectrum Disorder, Jacqueline Tudor

Theses and Dissertations

This applied dissertation was designed to improve the effectiveness of professional educators in using the methodology of functional behavior assessment (FBA) and function assessment-based intervention (FABI) to reduce challenging behaviors exhibited by students with Down syndrome (DS), or a dual diagnosis of Down syndrome and autism spectrum disorder (DS-ASD). Educators often rely on traditional classroom management methods which curtail disruptive behaviors without determining the reason why the behavior is occurring. The study examined the effects of utilizing a behavioral skills training program of instruction, modeling, rehearsal, and feedback in the methodology of FBA and FABI.

The research was conducted using …


Evaluating The Effects Of Video Modeling And Visual Supports On Preschoolers’ Compliance With Dental Procedures, Karly L. Orsi-Cordova Jan 2023

Evaluating The Effects Of Video Modeling And Visual Supports On Preschoolers’ Compliance With Dental Procedures, Karly L. Orsi-Cordova

Theses and Dissertations

Individuals with autism are reported to visit the dentist infrequently. Infrequent visits to the dentist may result in a higher occurrence of caries, and it is, therefore, imperative for children with autism to visit a pediatric dental practice routinely. Some basic behaviormanagement techniques, such as live modeling and reinforcement strategies, have been used with patients with autism. The addition of techniques derived from applied behavior analysis, such as video modeling and visual supports, may increase patients’ compliance with dental procedures. Specifically, the use of visual supports and video modeling warranted further investigation on the efficacy of improving behavior during dental …


Perceptions Of Florida Victim Advocates During The Covid-19 Pandemic, Katarina Renee Hamburg Jan 2023

Perceptions Of Florida Victim Advocates During The Covid-19 Pandemic, Katarina Renee Hamburg

Theses and Dissertations

In December of 2019, a new virus known as COVID-19 emerged out of Wuhan, China. COVID-19 is a respiratory virus which is highly contagious and, in some cases, lethal. By January 20th, 2020, the United States reported its first case of COVID-19. Between January and December of 2020 there were 18.7 million cases and 329,000 deaths in the United States alone. Globally, during that time frame, there were 79.8 million cases and 1.75 million deaths. Due to the highly contagious and dangerous nature of COVID-19, countries across the world have attempted to promote public health by enacting social distancing measures. …


The Lived Experience And Perceived Challenges Of Child Protective Investigators Who Place Children In Foster Care, Elizabeth Presume Jan 2023

The Lived Experience And Perceived Challenges Of Child Protective Investigators Who Place Children In Foster Care, Elizabeth Presume

Theses and Dissertations

This applied dissertation examined the difficulties and coping mechanisms associated with child welfare professionals’ interactions with vulnerable children who provide vulnerable populations with emotional, physical, mental, and psychological support. This responsibility impacts their personal life and professional performance since their regular involvement with the children and the following aspects, such as case resolution, in-depth discussions about trauma, and home visits, are emotionally and mentally taxing. The researcher conducted a phenomenological study with nine child protective investigators via an asynchronous online focus group on the Google Groups platform. The participants were all employed in the United States child welfare department, held …


Multilevel Modeling Of Academic Self-Concept And Moderation Of The Big-Fish-Little-Pond Effect In Math And Science For Timss 2019 Participating Countries, Heather Marie Spangler Jan 2023

Multilevel Modeling Of Academic Self-Concept And Moderation Of The Big-Fish-Little-Pond Effect In Math And Science For Timss 2019 Participating Countries, Heather Marie Spangler

Theses and Dissertations

Self-concept is an important construct across a variety of disciplines as a facilitator of a full range of human potential. Big Fish Little Pond Effect (BFLPE) results have confirmed global generalizability for the negative effects of school- and country- averaged achievement on students’ academic self-concept based on social comparisons with implications that generally discredit ability grouping, streaming or tracking. However, few studies have identified variables that ameliorate the negative effects of BFLPE. Accordingly, this study applied hierarchical linear modeling (HLM) in HLM 8.2 software to examine the effects of student, school, and country-level moderators of both school- and country-level BFLPE …


Preferred Practices To Retain Black Female Caseworkers Employed In Child Welfare, Anna Koehle Jan 2023

Preferred Practices To Retain Black Female Caseworkers Employed In Child Welfare, Anna Koehle

Theses and Dissertations

The problem addressed by this study was that the turnover rate among social workers has been highest for Black female child-welfare caseworkers. The purpose of this qualitative phenomenological study was to understand the experiences of Black female child-welfare caseworkers and effective strategies for retention. Ten experienced Black female caseworkers in child welfare were interviewed; participants represented five U.S. states. Participants were asked about mentorship programs, preservice training, financial incentives, major concerns related to retention, and recommendations for retention initiatives to specifically address the needs of Black female caseworkers. Themes emerged related to Black female caseworkers in child welfare. Mentorship programs …


Law Enforcement Training On Suicide By Cop: Implications Of Mental Health Crisis And Encounters With Those Individuals Who Want To Die, Juan C. Garcia Jan 2023

Law Enforcement Training On Suicide By Cop: Implications Of Mental Health Crisis And Encounters With Those Individuals Who Want To Die, Juan C. Garcia

Theses and Dissertations

There is a high prevalence of suicide in people who engage in Suicide by Cop (SbC), a method of suicide that involves provoking law enforcement into fatal use of force. This research study aimed to examine the changes in knowledge about SbC, self-efficacy when dealing with SbC offenders, and empathy toward SbC offenders in response to law enforcement officers’ (LEO) participation in a 30-minute SbC intervention training. This dissertation first introduced information about defining features and prevalence of suicide as a whole and SbC in particular. SbC factors include SbC intent, mental health history, noncompliance with LEO commands, and multiple …


An Analysis On The Effects Of Melodic Based Communication Therapy On Verbal Behavior In Children With Autism Spectrum Disorder, Meghan Kathleen Casperson Jan 2023

An Analysis On The Effects Of Melodic Based Communication Therapy On Verbal Behavior In Children With Autism Spectrum Disorder, Meghan Kathleen Casperson

Theses and Dissertations

This applied dissertation was designed to analyze the effect Melodic Based Communication Therapy has on minimally verbal children diagnosed with Autism Spectrum Disorder, particularly tact responses and their generalization in the natural environment. MBCT is a replicable protocol for pairing melodies with target words to elicit speech in children with neurodevelopmental and language impairment. There is a call for the MBCT’s replication to widen the research on this approach in natural settings and across children with ASD and other developmental disabilities.

A multiple baseline design across participants was used to determine the impact MBCT has on the tact responding in …


Targeting Parental Behavior: Contingency Contracting To Increase Parental Competence And Adherence, Sara Clasky Richardson Jan 2023

Targeting Parental Behavior: Contingency Contracting To Increase Parental Competence And Adherence, Sara Clasky Richardson

Theses and Dissertations

The purpose of this study was to investigate the impact of using behavior contracts specifically targeting parental behavior and providing reinforcing consequences for the parent’s behavior on parental adherence in implementing behavior contracts to address their child’s behavior problems. Parents used identical procedures to implement behavior contracts with their children to address their child’s noncompliance and associated problem behavior. A secondary purpose of this study was to determine parent perceptions about the impact their use of behavior contracts had on the behavior of their children.

This study used a multiple baseline across participants design to measure the effectiveness of a …


Examining Campus Crime At Massachusetts’ Colleges And Universities, Kimberly Beskalo Stewart Jan 2023

Examining Campus Crime At Massachusetts’ Colleges And Universities, Kimberly Beskalo Stewart

Theses and Dissertations

This study was designed to examine the predictors of campus crime. College campuses are not immune to crime, and as such, campus crime is a concern not only for those students who reside and attend classes on the campus, but also for those who work on the campus and for the parents of the college students. The attention to crime on college campuses has increased in the recent past. This is due to events that have occurred on college campuses including the events at both Virginia Tech and Northern Illinois that resulted in the deaths of students and faculty/staff. To …


Cultural Diversity In Education: Examining The Challenges And Issues Of Lgbtq Students Enrolled In A Tertiary Education Institution In The Bahamas, Terry Laverne Rolle Jan 2023

Cultural Diversity In Education: Examining The Challenges And Issues Of Lgbtq Students Enrolled In A Tertiary Education Institution In The Bahamas, Terry Laverne Rolle

Theses and Dissertations

This research study examined the challenges and issues faced by LGBTQ students attending a tertiary education institution in The Bahamas. Utilizing a phenomenological analytical process, seven individuals gave information regarding their lived experiences in a tertiary institution in The Bahamas. Data for this research study were collected through two 60-minute in-depth interview sessions. This qualitative study was guided by the theoretical frameworks of the planned approach to change and the theory of resilience, both of which were used to inform the elements of the research. Many research studies have been conducted in regard to the experiences faced by LGBTQ students …


Evaluating Higher Education In Prison Effectiveness By Modality Through Student Success And Retention Rates In California Community Colleges, Peter Michael Fulks Jan 2023

Evaluating Higher Education In Prison Effectiveness By Modality Through Student Success And Retention Rates In California Community Colleges, Peter Michael Fulks

Theses and Dissertations

There is a strident body of empirical research evidence that Higher Education in Prison (HEP) has a direct impact on reducing recidivism. Additionally for participants, it also increases the economic mobility and employability post-release. However, the ability to conduct randomly controlled trials with a distal measurement of recidivism is hindered due to the inconsistent industry definitions of recidivism. Considering the implementation of credit bearing college programs from California Community Colleges since Senate Bill 1391 in 2014, the study conducts statistical analysis through independent and paired t tests to determine which modality of delivery, face-to-face (F2F) or correspondence (COR), to provide …


Using Behavior Skills Training To Promote Self-Advocating Behaviors: A Single Subject Research Design To Examine The Effectiveness Of Behavior Interventions Among Teachers, Clarence Cooper Nov 2022

Using Behavior Skills Training To Promote Self-Advocating Behaviors: A Single Subject Research Design To Examine The Effectiveness Of Behavior Interventions Among Teachers, Clarence Cooper

Theses and Dissertations

Using Behavioral Skills Training to Promote Self-Advocating Behaviors: A Single-Subject Research Design to Examine the Effectiveness of Behavior Interventions Among Teachers. Clarence Cooper, 2022: Applied Dissertation, Nova Southeastern University, Abraham S. Fischler College of Education and School of Criminal Justice. Keywords: applied behavior analysis, behavioral skills training, inclusion, individual education plan, operant conditioning, prompting, reinforcer, self-advocacy, accommodation

This applied dissertation utilized the behavioral skills training to train teachers on how to prompt, identify, and reinforce self-advocacy behaviors among students with learning disabilities. In applying behavioral analytic interventions to strengthen desired outcomes, a one- day intervention that was grounded in a …


Composition, Computers, And Covid-19: The Roles Of Multimodal Composition And Digital Technology In The Covid-19 Pandemic., Michael P. Lynn Apr 2022

Composition, Computers, And Covid-19: The Roles Of Multimodal Composition And Digital Technology In The Covid-19 Pandemic., Michael P. Lynn

All HCAS Student Capstones, Theses, and Dissertations

The shift toward remote and online learning brought on by the COVID-19 pandemic has had a significant impact on teaching multimodal composition at all levels. Part of this shift towards rethinking multimodal composition came from the challenges of moving what would be in person classes online. Drawing on the New London Group’s definition of multimodality (1996), this thesis examines the relationship between remote learning throughout the pandemic and the modalities and technologies used by composition instructors and students in first-year writing. Using interviews with six first-year writing instructors from a private university, this project explores how instructors encouraged students to …


Conflict Within Special Education For Mothers Of Children With Invisible Disabilities: A Case Study, Nicole R. Quint Jan 2022

Conflict Within Special Education For Mothers Of Children With Invisible Disabilities: A Case Study, Nicole R. Quint

Department of Conflict Resolution Studies Theses and Dissertations

In the United States, children with disabilities receive special education services under the Individuals with Disabilities Education Act (IDEA), which provides free appropriate public education (FAPE) in the least restrictive environment (LRE). Evidence shows that parents of children who receive special education (SPED) experience conflict within the school system. Invisible disabilities (NVD) are unseen but affect learning or behavior in school, include attention deficit hyperactivity disorder and learning disabilities, are eligible for special education. There is evidence that parents of children with NVD experience conflict while accessing the system and receiving services and mothers are often the primary advocate for …