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Full-Text Articles in Leadership Studies

Counselors’ Lived Experience Treating Patients Utilizing Methadone: The Intersection Of Culture, Policy, And Stigma, Kathryn Floyd Eggert Jan 2023

Counselors’ Lived Experience Treating Patients Utilizing Methadone: The Intersection Of Culture, Policy, And Stigma, Kathryn Floyd Eggert

Antioch University Full-Text Dissertations & Theses

The United States continues to experience unprecedented deaths related to the opioid epidemic. Efforts to address the epidemic remain hampered by war-on-drugs policies that stigmatize people who use drugs and create barriers to accessing evidence-based treatments, particularly methadone maintenance treatments (MMT). Despite 50 years of research regarding MMT, it remains highly regulated, and arguably the most stigmatized treatment. The punitive regulatory structure of MMT remained unchanged until emergency waivers were initiated during the COVID-19 pandemic. The study used an exploratory, critical phenomenological approach to examine the intersection of culture and regulation on the lived experiences of 26 addiction counselors who …


A Case Study On Factors Influencing Retention Of Mental Health Clinicians In A New Hampshire Community Mental Health Center, William E. Keating Jan 2023

A Case Study On Factors Influencing Retention Of Mental Health Clinicians In A New Hampshire Community Mental Health Center, William E. Keating

Antioch University Full-Text Dissertations & Theses

This study examined the perspectives of master-level clinical mental health providers and members of leadership at a Community Mental Health Center (CMHC) in New Hampshire, to understand clinician and leadership perspectives as to why master-level providers choose to continue working at CMHCs. Most prior research on turnover in such organizations has focused on why so many leave their positions, however this study instead focuses on factors related to the decision to stay at a specific CMHC in an urban area of New Hampshire. A single case study method was utilized to focus on masters-level mental health care providers with additional …


Landscaping Wellness At Work: A Participatory Model For Worker-Centered Health, Anya Helena Piotrowski Jan 2023

Landscaping Wellness At Work: A Participatory Model For Worker-Centered Health, Anya Helena Piotrowski

Antioch University Full-Text Dissertations & Theses

This study contributes to a body of scholarship that demonstrates the benefits and need of employee-driven and defined wellness at work processes. This participatory action research study brought together a team of employees within a remote-work, start-up organization to define and design a process for implementing wellness at work for their organization. Through a participatory process that allowed outcomes to emerge from the group, employees identified opportunities to foster embodied wellness in their organization in three core areas: organizational, personal, and cross-boundary initiatives. Through a reflective collaboration, employees generated ideas and developed a plan to address employee-identified priorities that will …


Amplifying Community Voice In Multi-Sector Health Collaboration: Case Study Exploring Meaningful Inclusion, Rachel Lucy Jan 2021

Amplifying Community Voice In Multi-Sector Health Collaboration: Case Study Exploring Meaningful Inclusion, Rachel Lucy

Antioch University Full-Text Dissertations & Theses

There has been recognition in a consistent and long-term way that the most complex health issues of our time cannot be solved by one sector alone. Actions of funders and new policy spanning the last two decades have successfully attracted a diversity of sectors into planning circles. Many multi-sector collaborations (MSCs) aiming to improve community health have the desire to include the voices of those with lived experience in collaborative efforts, but they are challenged by conditions that are inevitably disengaging because of continued power imbalances, excessive bureaucratic process, and lack of action for change. A collaboration operating in the …


Self-Concept, Healthcare, And Leadership: Understanding The Lived Experiences Of Physician Leaders In Urban Community Healthcare Centers, Eric James Charlton Jan 2021

Self-Concept, Healthcare, And Leadership: Understanding The Lived Experiences Of Physician Leaders In Urban Community Healthcare Centers, Eric James Charlton

Antioch University Full-Text Dissertations & Theses

Reducing disparities in health services delivery and outcomes is a continued challenge. The consistence of healthcare disparities, despite advances in medical technology and increased awareness of the problem, poses an ongoing test to the nation. There is a growing body of work that demonstrates providing access to good primary care may be the most effective intervention at hand. For over 40 years, community health centers have been providing quality, comprehensive primary care focusing on reducing health outcome disparities. Increased awareness is now emphasizing primary care elimination of health disparities within disadvantaged, underserved populations. A major failing of the system that …


Servant Leadership Characteristics And Empathic Care: Developing A Culture Of Empathy In The Healthcare Setting, Mark Anthony Martin Jan 2019

Servant Leadership Characteristics And Empathic Care: Developing A Culture Of Empathy In The Healthcare Setting, Mark Anthony Martin

Antioch University Full-Text Dissertations & Theses

The purpose of this study was to assess the degree to which servant leadership characteristics are exhibited in medical group practices, and the degree to which servant leadership characteristics correlated with measures of empathic care. This study featured an explanatory mixed methods research design embedded in appreciative inquiry. A total of 189 mid-level practitioners consisting of nurse practitioners, physician assistants, and practice mangers responded to a 32-item scale survey that featured a six-point Likert scale to measure servant leadership items and a 10-point continuous scale to assess measures of empathic care. The servant leadership items were based on the seven …


Is It Who Am I Or Who Do You Think I Am? Identity Development Of Adolescents With Substance Use Disorders, Danielle N. Treiber Jan 2019

Is It Who Am I Or Who Do You Think I Am? Identity Development Of Adolescents With Substance Use Disorders, Danielle N. Treiber

Antioch University Full-Text Dissertations & Theses

The purpose of this study was to unearth how adolescents with substance use disorders achieve the task of identity formation and the construction of self-concept in the midst of the drug culture and society that exists. It sought to uncover the social constructs designed to ignore and/or remove human complexities and allow an intersectional approach to be brought to a study on this population. Historically, there has been a failure to investigate the underlying social attitudes and behaviors that impact the very delicate and vulnerable process of finding self. Psychosocial and relational adjustment are strongly influenced by the extent to …


Journeys Through Rough Country: An Ethnographic Study Of Blind Adults Successfully Employed In American Corporations, Kirk Adams Jan 2019

Journeys Through Rough Country: An Ethnographic Study Of Blind Adults Successfully Employed In American Corporations, Kirk Adams

Antioch University Full-Text Dissertations & Theses

Blind and visually impaired people in the United States face a dire employment situation within professional careers and corporate employment. The purpose of this research study was to gain insights into the phenomenon of employment of blind people through analyzing the lived experience of successfully employed blind adults through ethnographic interviews. Previous research has shown that seven out of ten blind adults are not in the workforce, that a large percentage of those who are employed consider themselves underemployed, and that these numbers have not improved over time. Missing from previous research were insights into the conditions leading to successful …


Creating Space For An Indigenous Approach To Digital Storytelling: "Living Breath" Of Survivance Within An Anishinaabe Community In Northern Michigan, Brenda K. Manuelito Jan 2015

Creating Space For An Indigenous Approach To Digital Storytelling: "Living Breath" Of Survivance Within An Anishinaabe Community In Northern Michigan, Brenda K. Manuelito

Antioch University Full-Text Dissertations & Theses

As Indigenous peoples, we have a responsibility to our global community to share our collective truths and experiences, but we also deserve the respect to not be objectified, essentialized, and reified. Today, we are in a period of continual Native resurgence as many of us (re)member our prayers, songs, languages, histories, teachings, everyday stories and our deepest wisdom and understanding as Indigenous peoples--we are all “living breath” and we are “all related.” For eight years, Carmella Rodriguez and I have been nDigiStorytelling across the United States and have co-created over 1,200 digital stories with over 80 tribes for Native survivance, …


Navigating The Health Care Labyrinth: Portraits Of The Socioeconomically Disadvantaged, Thomas C. Crawford Phd Jan 2014

Navigating The Health Care Labyrinth: Portraits Of The Socioeconomically Disadvantaged, Thomas C. Crawford Phd

Antioch University Full-Text Dissertations & Theses

In 2010, an estimated population of the 311,212,863 Americans generated approximately 1,014,688,290 physician office encounters (Moore, 2010). The frequency and number of professional interactions between caregivers and patients/family members in medical office settings equated to a staggering 1,931 visits per minute. Based on the massive volume of interactions that occurred between patients of different races, ethnicities, genders, sexual orientations, and socioeconomic standings that generated an average household income of $49,445 in 2010 (United States Census Bureau, 2010a) with a physician workforce that the Association of American Medical Colleges (2010) captured as being 75% White that earned (primary care specialties) in …


The Role Of Agency In Community Health Outcomes: Local Health Departments And Childhood Immunization Coverage Rates, James Anthony Ransom Jan 2013

The Role Of Agency In Community Health Outcomes: Local Health Departments And Childhood Immunization Coverage Rates, James Anthony Ransom

Antioch University Full-Text Dissertations & Theses

Organizational culture is defined as a system of shared meaning held by members of an organization that distinguishes it from other organizations. How organizational culture is experienced in the public sector, particularly local health departments (LHDs), is not well understood. The purpose of this study was to determine whether LHD organizational culture impacts childhood immunization coverage rates. I used a modified organizational culture survey tool, the Organizational Management Survey, to quantify organizational culture and determine whether an LHD's organizational culture helps explain variations in childhood immunization coverage rates. In addition, qualitative data from an earlier study of LHD immunization staff …