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Articles 1 - 30 of 40
Full-Text Articles in Medicine and Health Sciences
Consideration Of Mindfulness Intervention For Hispanic Adolescents In A School Setting, Kierra Mcshine Gregory
Consideration Of Mindfulness Intervention For Hispanic Adolescents In A School Setting, Kierra Mcshine Gregory
Walden Dissertations and Doctoral Studies
Hispanic adolescents’ accessibility to treatment options for depression is met with limitations associated with financial barriers and cultural misalignment. This research study aimed to bring to light an alternative psychotherapy treatment through the foundations of mindfulness interventions. The goal was to understand the experience of Hispanic adolescents when engaging in mindfulness in a school setting. The purpose of this study was to gather information about the experiences of Hispanic adolescents using mindfulness to support mental health practitioners, school counselors, and behavioral interventionists to provide treatment options that are accessible and meet the needs of this culture group. This explanatory case …
Consideration Of Mindfulness Intervention For Hispanic Adolescents In A School Setting, Kierra Mcshine Gregory
Consideration Of Mindfulness Intervention For Hispanic Adolescents In A School Setting, Kierra Mcshine Gregory
Walden Dissertations and Doctoral Studies
Hispanic adolescents’ accessibility to treatment options for depression is met with limitations associated with financial barriers and cultural misalignment. This research study aimed to bring to light an alternative psychotherapy treatment through the foundations of mindfulness interventions. The goal was to understand the experience of Hispanic adolescents when engaging in mindfulness in a school setting. The purpose of this study was to gather information about the experiences of Hispanic adolescents using mindfulness to support mental health practitioners, school counselors, and behavioral interventionists to provide treatment options that are accessible and meet the needs of this culture group. This explanatory case …
Experience Of Established Mental Health Counselors Working With Adults Who Have Intellectual Disabilities, Margarete Denk
Experience Of Established Mental Health Counselors Working With Adults Who Have Intellectual Disabilities, Margarete Denk
Walden Dissertations and Doctoral Studies
Individuals with disabilities make up the largest minority population in the United States. Individuals with intellectual and developmental disabilities (I/DD) make up a significant portion of this population, yet there are limited studies addressing counseling with the I/DD population. The Council for Accreditation of Counseling and Related Educational Programs has addressed the need for disability competence in their upcoming 2024 standards. The purpose of the phenomenological study was to describe lived experiences of established counselors working with adult clients diagnosed with an I/DD. A descriptive phenomenological approach was used along with the social model of disability. The study involved six …
Experience Of Established Mental Health Counselors Working With Adults Who Have Intellectual Disabilities, Margarete Denk
Experience Of Established Mental Health Counselors Working With Adults Who Have Intellectual Disabilities, Margarete Denk
Walden Dissertations and Doctoral Studies
Individuals with disabilities make up the largest minority population in the United States. Individuals with intellectual and developmental disabilities (I/DD) make up a significant portion of this population, yet there are limited studies addressing counseling with the I/DD population. The Council for Accreditation of Counseling and Related Educational Programs has addressed the need for disability competence in their upcoming 2024 standards. The purpose of the phenomenological study was to describe lived experiences of established counselors working with adult clients diagnosed with an I/DD. A descriptive phenomenological approach was used along with the social model of disability. The study involved six …
Differences In Phq-9 Depression Severity Between Adults Receiving Ketamine Or Ketamine-Assisted Psychotherapy, Sophie Lake Oswin
Differences In Phq-9 Depression Severity Between Adults Receiving Ketamine Or Ketamine-Assisted Psychotherapy, Sophie Lake Oswin
Walden Dissertations and Doctoral Studies
Treatment-resistant depression (TRD) affects roughly 2.8 million or 1.1% of the United States population. Many traditional treatments of mental disorders including various types of psychotherapy and pharmacotherapy do not provide adequate symptom reduction for clients, and many clients diagnosed with TRD seek out nontraditional treatments such as ketamine and psychedelics for their antidepressant effects. Due to the dissociative nature of psychedelic medication wherein resistance is reduced, and a trance-like state is induced, ketamine-assisted psychotherapy (KAP) has great potential as an adjunct to ketamine therapy. Procedures of KAP have been in development for the last 7 years and a consensus on …
Differences In Phq-9 Depression Severity Between Adults Receiving Ketamine Or Ketamine-Assisted Psychotherapy, Sophie Lake Oswin
Differences In Phq-9 Depression Severity Between Adults Receiving Ketamine Or Ketamine-Assisted Psychotherapy, Sophie Lake Oswin
Walden Dissertations and Doctoral Studies
Treatment-resistant depression (TRD) affects roughly 2.8 million or 1.1% of the United States population. Many traditional treatments of mental disorders including various types of psychotherapy and pharmacotherapy do not provide adequate symptom reduction for clients, and many clients diagnosed with TRD seek out nontraditional treatments such as ketamine and psychedelics for their antidepressant effects. Due to the dissociative nature of psychedelic medication wherein resistance is reduced, and a trance-like state is induced, ketamine-assisted psychotherapy (KAP) has great potential as an adjunct to ketamine therapy. Procedures of KAP have been in development for the last 7 years and a consensus on …
Mental Health Counselors’ Use Of Complementary And Alternative Approaches For Treating Individuals With Anxiety Disorders, Jane Rose Simmons
Mental Health Counselors’ Use Of Complementary And Alternative Approaches For Treating Individuals With Anxiety Disorders, Jane Rose Simmons
Walden Dissertations and Doctoral Studies
Anxiety disorders are one of the most prevalent mental health disorders worldwide. Traditional counseling approaches do not address the evolving needs of individuals with anxiety disorders, and information is scarce regarding counselors’ use of complementary and alternative approaches in treating anxiety disorders. The purpose of this quantitative survey study was to investigate whether counselors’ knowledge, perceptions, intentional practices, and openness predicted their use of complementary and alternative approaches in counseling individuals with anxiety disorders. The integrative mental health model for the conceptual framework guided this study. The research questions examined how five variables—spirituality, specialization, types of anxiety disorders treated, training, …
The Experience Of Providing Direct Care To Children Victims Of Boko Haram Insurgencies In Nigeria, Felicia Etuke
The Experience Of Providing Direct Care To Children Victims Of Boko Haram Insurgencies In Nigeria, Felicia Etuke
Walden Dissertations and Doctoral Studies
The insurgency of terrorism leaves lasting economic, social, academics, spiritual, religious, and psychological effects, but often children’s psychological welfare is neglected in the aftermath of terrorist attacks. Boko Haram’s presence in Nigeria has left many children orphaned, displaced, and impoverished. Thus, there is a need to highlight the importance of the role that care providers play in securing the psychological health of the child victims of Boko Haram insurgency. This qualitative, phenomenological study explored the experiences of care providers to the child victims of Boko Haram insurgency in Nigeria. Compassion fatigue theory was used as a theoretical framework for the …
Moral Distress Experienced By Behavioral Health Clinicians Who Have Worked With Maternal, Opioid-Using Clients, Jill Lee-Hubble
Moral Distress Experienced By Behavioral Health Clinicians Who Have Worked With Maternal, Opioid-Using Clients, Jill Lee-Hubble
Walden Dissertations and Doctoral Studies
Moral distress (MD) is a concept that has been well studied in nursing and other medical fields as a precursor to provider burnout. Understanding how MD impacts behavioral health (BH) clinicians provides insights for counselor educators and supervisors to identify clinical situations that often lead to MD. This qualitative phenomenological study explored how MD was experienced by five BH clinicians who have worked in residential and hospital settings providing counseling to maternal, opioid-using clients. Interpretive phenomenological analysis (IPA) informed the research methodology and data analysis. Substance use during pregnancy is highly stigmatized in society; thus, a feminist conceptualization was integrated …
Experiences Of Maritally Satisfied Black American Couples Serving In Law Enforcement, Amanda Davis-Buie
Experiences Of Maritally Satisfied Black American Couples Serving In Law Enforcement, Amanda Davis-Buie
Walden Dissertations and Doctoral Studies
The purpose of this hermeneutic phenomenological study was to explore the lived experiences of maritally satisfied Black American couples when at least one partner is serving in law enforcement. Members of law enforcement, Black American couples, and members of the counseling profession can gain knowledge from the answering of the research question. A family strengths perspective was used to provide a framework to study the phenomenon of marital satisfaction from a positive perspective. Six Black American couples, who are satisfied in their marriage and employed in law enforcement for a period of a least 6 months during their marriage, participated …
Stress, Resiliency, And Burnout Among Leaders In The Counseling Profession, Adriana Bovee
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 …
Educating Providers About Integrated Treatment For Individuals With Co-Occurring Disorders, Ihuarulam Chidiebere Okoroji
Educating Providers About Integrated Treatment For Individuals With Co-Occurring Disorders, Ihuarulam Chidiebere Okoroji
Walden Dissertations and Doctoral Studies
AbstractThe problem identified by this staff education project was the providers’ lack of knowledge on integrated treatment for individuals with co-occurring disorders (CODs). Integrated treatment is the gold standard for working with individuals with CODs. Providers knowledge gap and barriers were addressed by educating them on integrated treatments. This project used the analysis, design, development, implementation, and evaluation (ADDIE) model in planning, implementation, and evaluation. The participants were 20 providers in a residential addiction treatment facility which include one physician, three nurse practitioners, eight counselors, one registered nurse, and seven licensed practical nurses. This project used a pretest to determine …
The Sustained Effects Of Mindfulness-Based Interventions On Distress Symptoms In Female Breast Cancer Patients, Candace K. Sprouse
The Sustained Effects Of Mindfulness-Based Interventions On Distress Symptoms In Female Breast Cancer Patients, Candace K. Sprouse
Walden Dissertations and Doctoral Studies
The purpose of this study was to illuminate the magnitude and prevalence of distress symptoms among female breast cancer patients and help identify best social work practices for treating distress symptoms in cancer patients. Using the social cognitive model of restorative well-being, the sustained effects of mindfulness-based interventions on distress symptoms female breast cancer patients experienced were examined in this study. Grounded in social cognitive theory, this model facilitated understanding of the recovery of well-being after an emotional setback. This quantitative experimental study included analysis of secondary data with pre- and post testing with multiple follow ups to measure the …
Educating Providers About Integrated Treatment For Individuals With Co-Occurring Disorders, Ihuarulam Chidiebere Okoroji
Educating Providers About Integrated Treatment For Individuals With Co-Occurring Disorders, Ihuarulam Chidiebere Okoroji
Walden Dissertations and Doctoral Studies
AbstractThe problem identified by this staff education project was the providers’ lack of knowledge on integrated treatment for individuals with co-occurring disorders (CODs). Integrated treatment is the gold standard for working with individuals with CODs. Providers knowledge gap and barriers were addressed by educating them on integrated treatments. This project used the analysis, design, development, implementation, and evaluation (ADDIE) model in planning, implementation, and evaluation. The participants were 20 providers in a residential addiction treatment facility which include one physician, three nurse practitioners, eight counselors, one registered nurse, and seven licensed practical nurses. This project used a pretest to determine …
Helping In The Home: Counselors’ Experiences Providing Clients With In-Home Services, Melissa Jane Franzen
Helping In The Home: Counselors’ Experiences Providing Clients With In-Home Services, Melissa Jane Franzen
Walden Dissertations and Doctoral Studies
Counseling is an essential service that helps individuals work through struggles and live their best lives. Such service now includes providing counseling in clients’ homes. Counselors may require specific training or education to prepare for counseling in a home environment. This need for training and education is due to a lack of knowledge of the lived experiences of counselors providing services in the home. Transcendental phenomenology was used to guide a qualitative exploration into the lived experiences of counselors providing services in clients’ homes. Participants were 7 professional counselors, 5 female and 2 male, having met minimum state licensure requirements …
Understanding The Role That The Internet And Social Media Plays In Suicide Survivor Bereavement, Catherine Merle Perusse
Understanding The Role That The Internet And Social Media Plays In Suicide Survivor Bereavement, Catherine Merle Perusse
Walden Dissertations and Doctoral Studies
Every year more than 47,000 individuals die by suicide in the United States, leaving behind numerous family and friends who become suicide survivors. While there are prodigious amounts of research on suicidal behavior, little research has focused on what the surviving family members, friends, and community members need after the loss. Many suicide survivors use social media to address their grief and pain in a very public manner. A constructionist social theory of grief and existential phenomenology provided the framework for this qualitative study to examine the use of the Internet and social media as a forum for those grieving …
African American Mothers’ Experience In The Neonatal Intensive Care Unit, Lauren Magruder
African American Mothers’ Experience In The Neonatal Intensive Care Unit, Lauren Magruder
Walden Dissertations and Doctoral Studies
Black/African American (B/AA) mothers struggle disproportionately with problems related to childbirth. B/AA mothers have higher rates of premature births, infant death prior to age one, and death during childbirth. The purpose of this research was to add to present knowledge regarding B/AA mothers who have had a baby in the Neonatal Intensive Care Unit (NICU). Womanist theory was selected as a framework for the study because it focuses on the intersection of gender and race in relation to B/AA women. The experience of B/AA women in U.S. society is unique, in that it involves several pervasive stereotypes and controlling images. …
The Long-Term Biopsychosocial Effects Of Children Reared In Blended Families, Kerene T. Brown
The Long-Term Biopsychosocial Effects Of Children Reared In Blended Families, Kerene T. Brown
Walden Dissertations and Doctoral Studies
Family dynamics have experienced an immense transformation in the last 4 decades. Children are less likely to live in a 2-parent household with parents that are both biologically related to them due to various factors. Blended families (especially the children) face many adversities during the initial stages of formation and rarely receive specialized intervention when compared to nuclear families. The purpose of this basic qualitative study was to understand the long-term biopsychosocial effects experienced by young adults who lived in a blended family household. In addition, what services or interventions were offered to newly established blended family systems were also …
Treatment Interventions For Tobacco Cessation At An Inpatient Mental Health Facility, Stephanie Marie Stansell
Treatment Interventions For Tobacco Cessation At An Inpatient Mental Health Facility, Stephanie Marie Stansell
Walden Dissertations and Doctoral Studies
Tobacco use is the leading cause of preventable death and disease in the United States. According to the Centers for Disease Control and Prevention, 36.5% of adults with any mental illness use tobacco compared to 25.3% of adults without a mental illness; however, there are limited data to determine the best approaches for tobacco cessation among the mentally ill. The purpose of this quantitative, quasi-experimental study was to investigate the differences among 1-on-1 counseling versus group counseling in tobacco cessation rates among psychiatric patients aged 18 years old and older who were identified as a tobacco user upon admission to …
Mental Health Care Practitioners, Self-Care, And Men Who Are Postincarcerated, Aduke Mccoy
Mental Health Care Practitioners, Self-Care, And Men Who Are Postincarcerated, Aduke Mccoy
Walden Dissertations and Doctoral Studies
Mental health practitioners often suffer physical exhaustion, burnout, and increased stress from providing care to postincarcerated men with elevated mental illness. When working in these high environments, helping professionals, may neglect self-care when caring for clients under stressful conditions. Neglected self-care can have adverse implications for both the patient and the mental health professional. The research question aligned with the purpose of this study was to understand what grounded theory that explains how mental health practitioners manage self-care while providing services to postincarcerated men with elevated mental illness. Self-care theory was used as a conceptual framework for this qualitative grounded …
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 …
Experiences Of African American Mothers Raising Gifted Children, Keisha Kavon Mcgill
Experiences Of African American Mothers Raising Gifted Children, Keisha Kavon Mcgill
Walden Dissertations and Doctoral Studies
Equality in educational access has long been an area of concern for U.S. educators, policy makers, and advocates. Congress issued a mandate in 1969 to identify the needs of gifted students and to ensure that those needs were being met. However, the needs of gifted minority students were not specifically addressed. Little is known about how African American mothers are affected by the demands of raising and advocating for their gifted child. The purpose of this hermeneutic phenomenological qualitative inquiry was to explore the lived experiences of African American mothers raising gifted children. The theory of womanism was used to …
The Lived Experiences Of Adult Male Trauma Survivors With Dance Movement Therapy, Jeanne Langston
The Lived Experiences Of Adult Male Trauma Survivors With Dance Movement Therapy, Jeanne Langston
Walden Dissertations and Doctoral Studies
In the United States, approximately 7.7 million individuals are affected by posttraumatic stress disorder (PTSD) at any given time. Though women are likelier to develop PTSD symptoms, men are exposed to more traumatic events in their lifetimes. Empirically- supported PTSD options exist, however clinical application of these treatments may not consistently culminate in beneficial outcomes. Dance Movement Therapy (DMT) has demonstrated positive treatment outcomes for a variety of mental and physical disorders. Nonetheless, there is a lack of robust research related to the treatment experiences of men who have participated in DMT for trauma-related symptoms. The purpose of this phenomenological …
Spiritual Wellness As A Predictor For Moral Injury In Combat Veterans, Steve Zappalla
Spiritual Wellness As A Predictor For Moral Injury In Combat Veterans, Steve Zappalla
Walden Dissertations and Doctoral Studies
Many combat veterans face difficulties coping with their personal lives, relationships, and families when they leave the service and return to civilian life. Most studies examining the effects of combat on veterans focus on posttraumatic stress disorder (PTSD) as well as a collection of related consequences. Interest in the term moral injury of military veterans as a related mental health construct has grown. Researchers have investigated the effects of spiritual wellness of combat veterans. However, there is a paucity of counseling literature on the relationship between spiritual wellness and moral injury when combat veterans return to civilian life. Investigating the …
The Novice Licensed Professional Counselor's Perceived Preparedness To Use Self-Disclosure, Nicole Pfaff
The Novice Licensed Professional Counselor's Perceived Preparedness To Use Self-Disclosure, Nicole Pfaff
Walden Dissertations and Doctoral Studies
Self-disclosure is used by feminist, humanistic, client-centered, and a variety of other counselors to build therapeutic alliances with clients. However, little research has been conducted on counselors' perceptions of their preparedness to use self-disclosure. This exploratory multiple-case study used attachment theory as a framework to explore the perceptions of novice licensed professional counselors' preparedness to use self-disclosure. The 12 participants who participated in face-to-face interviews practiced as licensed professional counselors in Delaware, New Jersey, or Pennsylvania. The participants described how they learned, practiced, and used self-disclosure. After analyzing interview data through cycle coding and peer review, themes emerged showing participants' …
Exploring The Multicultural Pedagogy Of Ces Faculty Through An Intersectional Lens, Jenae D. Thompson
Exploring The Multicultural Pedagogy Of Ces Faculty Through An Intersectional Lens, Jenae D. Thompson
Walden Dissertations and Doctoral Studies
Counselor education and supervision (CES) faculty members are responsible for adequately preparing counselors-in-training (CIT) for their work with diverse populations. Current literature explains traditional multicultural counseling education in this way; however, little research is available exploring faculty members' personal and professional experiences with intersectionality and how those experiences contribute to their pedagogy. In this dissertation, CES faculty members' experiences with intersectionality theory and how they could use this theory in their multicultural pedagogy were explored. Research questions exploring CES faculty use of intersectionality in their multicultural coursework, how their personal experiences contribute to their pedagogy, and their experiences with privilege …
A Comparative Analysis Of Family Therapies On Youth With A Co-Occurring Disorder, Rochelle Henderson-Clark
A Comparative Analysis Of Family Therapies On Youth With A Co-Occurring Disorder, Rochelle Henderson-Clark
Walden Dissertations and Doctoral Studies
There are approximately 1.3 million youth who have been diagnosed with a co-occurring disorder. The purpose of this study was to analyze the relationship between the type of therapy (brief strategic family therapy or family functional therapy), demographic factors (age, race, type of drug used), and therapy discharge status (successful or unsuccessful) in male youth with a co-occurring disorder of attention-deficit hyperactivity disorder and substance use disorder. A correlational research design of a cross-sectional nature was used for this study and secondary data were obtained from a mental health agency located in Hampton Roads Virginia. The theoretical basis for this …
Intensive Outpatient Treatment Program For Patients With Depressive Disorder: A Parental Perspective, Emmanuel Akpan
Intensive Outpatient Treatment Program For Patients With Depressive Disorder: A Parental Perspective, Emmanuel Akpan
Walden Dissertations and Doctoral Studies
Psychosocial support from family is important in outpatient treatment programs for individuals with depressive disorder. The purpose of this phenomenological study was to explore the lived experiences and perceptions of parents of patients with depressive disorder regarding intensive outpatient treatment. The research question was what are the experiences and perceptions of parents of patients with depression regarding their role as caretakers in intensive outpatient treatment? The conceptual framework was a biopsychosocial framework and family systems theory. Content analysis was used to analyze data provided from interviews with parent participants (n = 8). Many participants reported high levels of involvement with …
Black Individuals' Lived Experiences With Racial Microaggressions And Implications In Counseling, Letitia V. Browne-James
Black Individuals' Lived Experiences With Racial Microaggressions And Implications In Counseling, Letitia V. Browne-James
Walden Dissertations and Doctoral Studies
The problem of racial microaggressions in the United States has important implications for counseling due to the mental and physical health concerns individuals who experience them may develop. Although the current literature addresses racial microaggressions among Black individuals and implications for counseling, no qualitative studies that included the voices of Black individuals using relational cultural theory were found. Therefore, the purpose of this study was to explore the lived experiences of Black individuals who have encountered racial microaggressions and learn their perspectives on what counselors can do to help them in counseling. Adding this perspective will help fill this gap …
Experiences Of Parents Of Self-Harming Adolescent Children, Sheila Nicole Russell
Experiences Of Parents Of Self-Harming Adolescent Children, Sheila Nicole Russell
Walden Dissertations and Doctoral Studies
Adolescent self-harm is a growing epidemic in the United States with thousands of adolescent children being treated in hospitals every year. Despite awareness that self-harm impacts the family unit, little attention has been given to the full impact that self-harm has on parents. Due to this lack of knowledge, counselor educators and supervisors are not equipped to train counselors to work with parents of self-harming adolescent children leaving counselors feeling unprepared to work with parents. The purpose of this phenomenological study was to explore the lived experiences of parents who have self-harming adolescent children. Family systems theory was used to …