Social and Behavioral Sciences Commons^™

A Qualitative Phenomenological Study Examining The Experiences Of Substance Use Disorder Clients Engaging In Adventure Therapy, Heather Cresswell

Dissertations

Drug overdose deaths in the United States continue to rise. In 2019, over 70,000 drug overdose deaths were recorded, marking a 4% increase from the previous year (Centers for Disease Control and Prevention, 2021). More recent estimates suggest the death toll exceeded 100,000 in a twelve-month period ending in April 2021, indicating a significant rise (Johnson, 2021). The high mortality rate linked to addiction highlights the necessity for effective interventions for individuals diagnosed with SUD. The study presented focused on the impact of Adventure Therapy (AT) as an addition to the treatment of adults diagnosed with SUD. The chosen research …

Perceptions Of The Veterans Administration And Mental Health Treatment Seeking Intentions Among Veterans, Hilary Hines

Dissertations

Among the veteran population there is a trend of underutilizing mental health services despite the higher number of veterans with mental health diagnoses. Though previous research has examined barriers to mental health care such as stigma and a warrior mentality, there may be additional barriers that emanate from the system to which veterans are entitled and encouraged to use, the Veterans Administration (VA). This study examined the mediational relationships among perceptions of the VA, attitudes about seeking mental health treatment at the VA, and intentions to seek mental health treatment at the VA among veterans. Data from 96 veterans were …

Treatment Outcome From Cognitive Processing Therapy Examined Three Ways, Sophie Haven

Dissertations

Cognitive Processing Therapy (CPT), a Cognitive Behavioral Therapy for treating Post Traumatic Stress Disorder (PTSD), is an evidence-based treatment that has been demonstrated to be effective in treating PTSD. Nonetheless, CPT can have a high rate of treatment non-completion. Attrition from therapy has been operationally defined using multiple contrasting methods. Understanding attrition using a definition with the most clinical utility is essential to improving outcomes from efficacious treatments. Two clinically relevant definitions for attrition, session attendance and symptom improvement, are critical to understanding attrition. Combining information from both definitions, to create four separate groups, will provide more accurate information about …

The Impacts Of Problematic Social Media Use On Youths: Evaluation And Treatment Recommendations, Carianne Archer

Dissertations

Youths’ frequency and time spent on social media continues to increase over the years parallel to the growing concern of the status of the mental health of youth. This critical literature review project focuses on the impacts that social media use has on youth (ages 8 to 18 years) and what methods of evaluation and treatment are being used clinically, with recommendations provided to clinicians based on the available literature. The questions that guided this review included: What are the impacts of social media on the self-concept and interpersonal functioning of youths?; What clinical presentations are associated with youths who …

Mental Health Treatment In Juvenile Correctional Facilities: Utilizing Assessment To Inform Treatment, Sarah Riccio

Dissertations

Youth in juvenile correctional facilities face a wide range of mental health difficulties. Over the years, the juvenile justice system has prioritized the need for providing appropriate and effective treatment services to youth throughout their detainment. Despite these ongoing efforts, treatment practices in juvenile correctional facilities continue to fall short. This study will first focus on assessment practices within these facilities and the impact current practices have on diagnosis and subsequent treatment. Emphasis will be placed on the importance of comprehensive evaluations for informing diagnosis and determining the individual treatment needs of detained youth. An integrated approach to assessment will …

Eye Movement Desensitization Reprocessing As A Complimentary Treatment For Clients With Addiction And Comorbid Trauma, Joann Kutsukos

Dissertations

Objective: The purpose of this study is to investigate eye movement desensitization reprocessing for those with substance use disorders and comorbid trauma. The research question is, how does the addition of eye movement desensitization reprocessing intervention assist treatment of those diagnosed afflicted with addiction and comorbid trauma as opposed to the treatment without eye movement desensitization reprocessing? Method: A quantitative study consisted of 24 participants consisting of 12 men and 12 women ages 18 years and older diagnosed with substance use disorder and comorbid trauma. Participants were recruited from an outpatient treatment substance use disorder facility where they were randomly …

Changing Criminal Thinking: An Examination Of Heterogeneity In Treatment Effects In A Sample Of Justice-Involved Persons With Dual Diagnoses, Michael Lester

Dissertations

Recent studies have indicated variability in cognitive change for justice-involved persons with mental illness exposed to treatments for criminal thinking and psychiatric risk factors. Research suggests that proactive styles of criminal thinking may be more difficult to change than impulsive or reactive styles. To date, however, no studies have identified risk factors for a limited response or modeled observed disparities in responsivity to interventions aimed at reducing criminal thinking. Using an archival dataset comprising 206 probationers with a dual diagnosis who were exposed to active CBT-based treatment, a latent profile analysis modeled unobserved heterogeneity in treatment response per observed changes …

Exploration Of Patient Variables And Characteristics Best Suited For Medical Marijuana Treatment For Anxiety And Depressive Disorders, Corey Gazoo

Dissertations

Individuals with posttraumatic stress, anxiety and depressive disorders are currently being prescribed medical marijuana as a treatment in many states across the United States. However, marijuana is still considered a schedule one narcotic by the Drug Enforcement Administration and federal government, which provides several barriers and challenges to conduct research such as approval from the U.S. Food and Drug Administration and following guidelines from the National Institute on Drug Abuse issued by the DEA. Additionally, individuals prescribed medical marijuana for mental health disorders are not always thoroughly instructed on the type of medical marijuana, the dosage, and how frequently to …

Barriers And Facilitators To Opioid Use Treatment And Recovery Services During Pregnancy, Loralie Woods

Dissertations

Purpose: To identify barriers and facilitators to opioid use treatment and recovery services among pregnant and nonpregnant women who misuse opioids.

Background: Over 130 Americans die daily after overdosing on opioids. Women have not been immune from opioid use disorders (OUDs), with a 4-fold increase from 1999-2010. The prevalence of opioid use among pregnant women increased from 1.5 per 1,000 hospital deliveries to 6.5. Although the annual National Surveys on Drug Use and Health (NSDUH) has provided information on risk factors for OUD related to socioeconomic and demographic factors, no studies using this data have identified barriers to opioid use …

Functional Assessment And Treatment Of Elopement Occasioned By Transitions, Denice Rios Mojica

Dissertations

Elopement is a dangerous behavior in children with developmental disabilities because it greatly increases the risk of accidents that lead to serious injury or death. The dangers of elopement are especially high during transitions because these situations increase the chance that a child will gain unsupervised access outside, where the most serious accidents typically occur. Despite its severity, assessment methodologies that specifically evaluate the contextual variables found during transitions are not available. Additionally, treatment for elopement during transitions typically involves antecedent interventions which do not address function. Continued research on effective and efficient means for the assessment and treatment of …

Exploration Of Atheism As A Diversity Issue And Its Implications For Best Practice In Psychotherapy: Trajectories And Strengths, Justin Michael Lampert

Dissertations

The conceptualization of Atheism has transformed considerably over the past century, making a transition from the taboo to a new movement of outspoken activism underlined by a strong self-identification with systemic nonbelief and sense of pride. Psychological literature has only begun to reflect the larger societal changes in perception and value over the past decade. As such, research has yet to adequately examine Atheism from a cultural perspective, creating an injustice in the psychotherapist’s ability to properly understand and treat patients in a comprehensive manner. Through the examination of trajectories leading to an Atheistic belief set, the application of a …

Treatment Considerations For Adoption-Related Complex Trauma, Jessica Reyka

Dissertations

The western culture holds many assumptions related to adoption; however, it is clear based on the research provided that adoption and the circumstances leading up to being adopted often leave the child traumatized. Many adopted individuals and adoptive families seek mental health services in order to help address some of the symptoms that have manifested through traumatic events. However, the services they are receiving are reportedly lacking in basic knowledge related to adoption and have, at times, done more harm than good. As clinicians, it is important to acknowledge one's scope of clinical competence and to only treat individuals that …

Evaluating Recommendations Versus Utilization Of Essential Components Of A Functional Analysis Procedure, Alissa Conway

Dissertations

Functional behavior assessment (FBA) has been identified as an essential process for behavior analytic practitioners to identify the variables maintaining challenging behaviors (BACB Professional and Ethical Compliance Code for Behavior Analysts (PECC), 3.01ab, 2014). FBAs include a range of strategies, including indirect measures (e.g., interviews and questionnaires) and direct measures of behavior (descriptive and experimental strategies). Functional analysis (FA) is typically considered the most sophisticated of the options subsumed under FBAs in that it involves both direct measures of behavior and experimental manipulation of hypothesized controlling variables to identify controlling variables for challenging behaviors. The results of FAs allow practitioners …

The Effectiveness Of Treatment As Policy For Sex Offenders, Brooke Mayfield

Dissertations

The public’s perception of individuals who commit sexual offenses is much different than for other types of offenders. This can be seen in the passing of legislation targeting interventions specific to this population as a way to protect the public and reduce recidivism. In some states, sex offenders are required to participate in treatment as a condition for early release from prison. The impact of this policy is not well understood, and mandatory treatment is growing in popularity. This dissertation explores the impact of mandatory treatment for individuals incarcerated for sexual offenses on their recidivism over time. Missouri statute establishes …

Assessing U.S. Veterans' Work Role Functioning: Influences Of Posttraumatic Stress, Sense Of Coherence, And Vocational Identity, Lauren Kelly Osborne

Dissertations

Since beginning military operations in Iraq and Afghanistan following the September 11, 2001 terrorist attacks that now characterize the Operation Iraqi Freedom (OIF) and Operation Enduring Freedom (OEF) combat eras, unique stressors and conditions have faced service members. Advancements in military medicine have resulted in greater survival rates of combat veterans, but have also increased rates of chronic psychological distress (Schnurr, Lunney, Bovin, & Marx, 2009). Research regarding these concerns has increased as these service members are now returning home and re-entering civilian life and many studies show the detrimental effects on psychosocial functioning following combat including employment difficulties. As …

The Role Of Spirituality/Religion As A Coping Mechanism During Treatment For Disordered Eating, David Franczyk

Dissertations

The purpose of this study was to investigate the role of spirituality/religion used as a coping mechanism during treatment for disordered eating. Given the mixed outcome results of current therapeutic and pharmacological treatment methods for disordered eating, it is important to investigate other factors which may influence the treatment process. This study evaluated the role of spirituality/religion used as a coping mechanism among 61 patients who were admitted into an eating disorder treatment program and then discharged over a period of 15 months. In this quantitative study, the Brief RCOPE measure was self-administered at admission to determine the levels of …

The Impact Of Treating Major Depression During Pregnancy On The Postpartum Phase, Jamie Kent

Dissertations

Major depression during pregnancy is a risk factor for postpartum depression (PPD). Medically acceptable treatments for depression during pregnancy and postpartum are limited and many women are turning to complementary and alternative treatments. The current project examined whether treatment of major depression during pregnancy reduced the risk for PPD and explored predictors of PPD in this high-risk sample. One hundred twenty women were clinically assessed using the Hamilton Rating Scale for Depression (HRSD17), the Beck Depression Inventory (BDI-II), and the Structured Clinical Interview for DSM-IV (SCID) at ten weeks, six months, and nine months postpartum following random assignment to one …

A Systematic Review And Meta-Analysis Of The Effectiveness Of Child-Parent Interventions For Children And Adolescents With Anxiety Disorders, Kristen Brendel

Dissertations

Anxiety disorders are the most prevalent psychiatric disorders in childhood (Walkup & Ginsburg, 2002; Hirshfeld-Becker & Biederman, 2002), occuring in approximately twenty percent of the population (APA, 2000; Langley Lindsey, Bergaman & Piacentini, 2002). Children and adolescents with anxiety disorders often experience many detrimental effects such as low-self esteem, issues with social and family relationships, and a decrease in overall functioning, including academic performance. In addition, if left untreated or unrecognized, anxiety disorders in childhood often lead to more severe symptoms in adulthood including depression, substance abuse, suicidal ideation, and other comorbid anxiety disorders. Evidence suggests that anxiety disorders are …

Negotiating The Boundaries Of Mental Health And Illness: A Study Of Recovery In Permanent Supportive Housing, Dennis P. Watson

Dissertations

Current sociological understandings of the effect that mental health services on consumers' daily lives are still heavily informed by research conducted during the era of institutional treatment. This is problematic considering that changes to mental health care have shifted the locus of treatment to community settings for the majority of those living with serious and persistent mental illness (SPMI). With this shift there has been a greater focus on consumer-centered recovery in mental health care. The current study addresses this gap in the research by studying the recovery process for formerly chronically homeless individuals with dually diagnosed serious and persistent …