Digital Commons Network^™

A Policy Analysis Of Higher Education Support For Foster Youth In The Colorado Child Welfare System, Krystal Robles

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

This policy analysis examines how two Colorado laws, House Bill 22-1374 (Foster Care Success Act), and Senate Bill 22-008 (Higher Education Support for Foster Youth), aim to improve educational outcomes and long-term stability for youth who age out of the foster care system. Critical Policy Analysis (CPA) and Resilience Theory are used in this paper to examine how these policies address systemic inequities, promote resilience, and offer protective factors that support educational attainment. Using policy review, state policy comparison, stakeholder interviews, and community perspectives, I evaluated how the implementation, effectiveness, and limitations of these bills shape real-world impact. The findings …

Reflections In Practice, Joshua William Erickson

Graduate Student Portfolios, Professional Papers, and Capstone Projects

This portfolio narrative documents my professional development through the Master of Social Work program at the University of Montana. It discusses how I've developed my skills through practicum sites at Youth Villages and the Program of All-Inclusive Care for the Elderly (PACE) at Cambridge Health Alliance (CHA) as well as coursework spanning from clinical practice, policy analysis, program evaluation, and community organizing. Using the Five Elements of Advanced Integrated Practice and all ten CSWE competencies as an organizing structure, clinical skills with adolescents, families, and older adults are reflected on. Growth in macro-level practice, program evaluation, and interdisciplinary leadership is …

Intergenerational Trauma And Grief Among The Latine Community: Proposed Interventions And Treatment Considerations, Alexandra M. Johnson

Dissertations

The intersectionality of bereavement, trauma, and culture has many clinical considerations, including the impact on individuals and families. Traumatic events can impact an individual directly, collectively, and intergenerationally. The Latine community is one of the largest cultural groups in the United States, and mental health treatment often includes several cultural considerations. This critical literature review examined how the Latine community has been impacted by intergenerational trauma, specifically through experiences of grief and loss, to inform clinical focus, case conceptualization, and identify gaps in the literature. The first chapter provides a brief history of the intersectionality of intergenerational trauma and bereavement, …

A Pilot Randomized Clinical Trial Examining The Efficacy Of Group-Based Parent-Child Interaction Therapy (Pcit) For Autistic Youth: A Mixed-Method Design, Julia L. Kiefer

Graduate Theses and Dissertations

Caregivers of autistic children experience a myriad of barriers when seeking psychotherapy for their children including a lack of family-based treatment options, lengthy waitlists, and limited access to specialized therapists. As the demand for both accessible and affordable mental healthcare for autistic youth increases, group-based interventions may be a useful alternative to more time intensive individual treatment options – allowing for multiple clients to be seen at once. The present study examined the efficacy of an adapted evidence-based intervention, Parent-Child Interaction Therapy, to be delivered in a brief, group-based format with families of autistic youth. Driven by input from a …

Satisfaction With Caseworker Services And Child Outcomes For Youth In The Foster Care System, Taira Masuda

Master's Theses

Currently, there are approximately 400,000 children involved in the U.S. foster care system (U.S. Department of Health and Human Services, 2023). Youth involved in foster care experience challenges such as trauma, disruptions to their support system, academic disruptions, and additional public system involvement (Emerson & Lovitt, 2003; Fawley-King et al., 2017; Masuda & Helm, 2024; Modrowski et al., 2023). Considering this context, it is essential to increase efforts to reduce added distress and bolster supportive contexts for youth. Caseworkers are essential service providers for youth in foster care. Caseworkers provide support to youth and families through assessing needs, connecting families …

Growing Through Systemic Adversity: Evaluation Of Developmental Trauma Assessment Among Black And/Or Latiné Adolescents With Adhd, Victoria Grant O'Daniel

Master's Theses

Black and Latiné youth are disproportionately impacted by targeted harm and trauma exposure, which is further exacerbated by stigma, biases, and punitive actions towards youth with attention deficit/hyperactive disorder (ADHD). This presents an urgent public health concern, as frequent exposure to trauma across development can lead to difficulties with behavior regulation, interpersonal relationships, impulse control, emotion regulation, and attention and cognition. Developmental trauma disorder (DTD) was proposed to capture the adverse developmental outcomes experienced by youth exposed to chronic trauma; however, there is a dearth of research on how to assess DTD. Thus, the current study aimed to establish support …

Pubertal Timing, Physical Activity, And Internalizing Symptoms In Adolescent Girls, Kirby Knapp

Master's Theses

Puberty brings marked changes in physical appearance, biological functioning, psychological well-being, and behavior, making it one of the most pivotal transitions in adolescence. Those who experience puberty earlier than their same-aged peers are at an elevated risk of psychological disorders and physical inactivity. Research shows that there are links between physical activity and psychological disorders, yet few have examined the directional relations between physical activity and internalizing symptoms or whether a certain amount of physical activity is necessary to prevent internalizing symptoms. Therefore, the current study examined (1) the directional relations between internalizing symptoms and physical activity, (2) the degree …

Client And Self-Advocacy In Coordinated Entry: A Qualitative Case Study Of King County, Washington’S Coordinated Entry For All, Ugochinyere Onyeukwu

Theses and Dissertations from DePaul University

Despite policy attempts to address homelessness, it remains a societal concern. One such policy effort was the U.S. Department of Housing and Urban Development’s mandated implementation of Coordinated Entry (CE) systems, a streamlined, equitable approach to match individuals to the appropriate housing intervention based on need and housing vulnerability. However, research indicates that CE may not produce the desired outcomes. There is limited research identifying factors that may interfere with effective need-based housing allocation. Thus, this qualitative study aimed to gain insight into advocacy in CE as a potential factor influencing implementation. This study used Qualitative Content Analysis to explore …

Associations Between Cognitive Scripts Of Insecure And Anomalous Attachment And Psychopathology Symptoms In A Normative-Risk Community Sample, Andrea “Andie” Youniss M.S.

Selected Full Text Dissertations, 2011-

Adult insecure and disorganized attachment representations have been shown to be consistently associated with internalizing and externalizing symptoms in adulthood. A recently validated coding system (Groh & Haydon, 2024) was developed to assess insecure (i.e., deactivating and hyperactivating) and disorganized (i.e., anomalous) scripted attachment representations via the Attachment Script Assessment (ASA; Waters & Waters, 2006) – a word prompt task traditionally designed to assess secure base script knowledge. Deactivating scripts reflect minimized or ignored attachment-relevant problems; hyperactivating scripts entail exacerbated attachment-relevant issues; and scripts with anomalous content contain disorganized or contradictory attachment-relevant concerns that shape how caregiving interactions are expected …

Longitudinal Association Between Sleep Disturbance And Disordered Eating In Adolescents: The Mediating Role Of Emotion Dysregulation, Antonia Louise Hamilton

Theses - ALL

Accruing evidence suggests a significant relationship between sleep disturbances and disordered eating. Early adolescence is a period of heightened vulnerability for sleep disturbances and disordered eating. However, the longitudinal relationship between sleep disturbance and disordered eating remains unclear in early adolescent samples. The current study aims to examine if sleep disturbance longitudinally predicts disordered eating in early adolescents three years later, how the odds of having clinically significant disordered eating change per each unit increase in sleep disturbance, and if emotion dysregulation mediates these relationships. It is hypothesized that baseline sleep disturbance will predict greater disordered eating at follow-up, and …

Youth And Parent Knowledge And Perceptions Of Spina Bifida: Associations With Neurocognitive Factors, Self-Management, And Quality Of Life, Olivia Emery Clark

Dissertations

Spina bifida (SB) is a common congenital birth defect with multiple and varied medical, physical, and psychological impacts. The objective of these studies is to examine youth and parent condition-related knowledge in the context of SB and associations with executive function, quality of life, and medical self-management. Collectively, these studies examine both qualitative and quantitative multi-informant data from youth with SB, their parents, and their teachers. The first study used growth analyses to examine changes in condition-related knowledge over time, predicted by executive dysfunction and inattention, and predictive of medical self-management skills. The second study used qualitative coding methods to …

Contributions Of Adverse Childhood Experiences, Racism, Therapy And Health Habits To Cardiovascular Health In African American Adults, Tahra Chaunice Nobles

Doctoral Dissertations

This dissertation explores the impact of Adverse Childhood Experiences (ACEs), racism, health habits, and therapy engagement on cardiovascular disease (CVD) among Black adults. This study builds on the Biopsychosocial Model and Allostatic Load Theory to examine how trauma, racism, and health habits influence cardiovascular health outcomes in the African American population. Through a quantitative analysis, this study investigates whether ACEs, experiences of racism, engagement in health habits, and participation in therapy contribute to the development or mitigation of CVD in Black adults. A total of 83 participants were included in the study, with data collected on ACEs, the frequency of …

Feasibility And Effectiveness Of A Mindfulness Stress Reduction Intervention, Diana Guadalupe Marin

Loma Linda University Electronic Theses, Dissertations & Projects

Health disparities in low-resource communities lead to poor physical and mental health outcomes. To reduce health disparities, the United States has looked to global health initiative and is starting to rely on lay health workers more consistently as a promising and sustainable force. Community Health Worker (CHWs) work alongside the local health care system to connect vulnerable populations to needed care. However, the demand of their role puts CHWs at risk for stress, burnout, and vicarious trauma. Mindfulness-Based Stress Reduction (MBSR) is a stress reduction intervention that has been empirically supported to reduce stress and burnout in numerous populations. To …

Family-Based Health Promotion To The Early Phases Of Pediatric Acute Lymphoblastic Leukemia Treatment: A Qualitative Review, Anna Van Asselt, Renee Gilbert, Hide Okuno, Ann M. Davis, Keith J. August, Carolyn R. Bates, Robert C. Gibler

Research Days

Introduction: Excessive weight gain during early phases of Acute Lymphoblastic Leukemia (ALL) treatment elevates risk for long-term morbidities, late effects, and secondary cancers. Behavioral factors including physical inactivity and poor diet quality play a significant role in weight outcomes. Existing health behavior and obesity interventions do not address challenges that children and families face during cancer treatment. The current study qualitatively investigated caregiver, child, and multi-disciplinary expert perspectives on health behavior engagement and intervention content for the future adaptation of NOURISH-ALL.

Method: Caregivers (N=11) and youth with ALL (N=6) in the first year of treatment completed semi-structured interviews …

Embedded Roots: Exploring Healing Through Digital Storytelling: Application And Training, Joselyn M. Carvalho

Expressive Therapies Theses

This review examines digital and expressive storytelling in a clinical, community-based health center, focusing on its impact and relationship with trauma. Existing research has explored how digital storytelling serves as an intervention for addressing intergenerational trauma, trauma transmission, identity development, and social systems affecting youth. This community engagement project integrates these ideas with reflections from clinicians, exploring how clinicians' involvement in digital storytelling may influence care, confidence, and cultural understanding. Theories central to this research include Bronfenbrenner's ecological systems theory and systems-based awareness maps, which help examine the broader systems that influence youth as they develop their narratives. The transmission …

Does Resilience Moderate The Relation Between Caregiver Behaviors And Post-Traumatic Symptoms In Young Adults?, Akila Uma Gopalkrishnan

Master's Theses

Exposure to a potentially traumatic event (PTE) is not an uncommon experience for children and adolescents. After exposure to adverse events, youth may experience significant maladjustment and posttraumatic stress symptoms (PTSS). As such, researchers continue investigating potential risk and protective factors contributing to youth post-trauma adjustment. Considering their critical role in children’s development, caregivers likely play a key role in youth post-trauma adjustment. However, the field lacks studies on caregiver behaviors following youth PTE exposure and on factors, such as resilience, that could influence how children respond to stress and caregiver environments. I aimed to evaluate: (a) how perceived caregiver …

Parental Stress, Child Negative Affect, And A Mediating Relationship With Negative Talk, Olivia Goodman

Masters Theses & Specialist Projects

This study aimed to establish if a relationship existed between parenting stress and their child’s depression, anxiety and somatization, referred to as negative affect. Alongside establishing this relationship, this study investigated if parent negative talk, as seen in Parent-Child Interactive Therapy (PCIT) sessions, affected that relationship. It was hypothesized that parenting stress would negatively impact their children’s negative affect, and that parenting stress would lead to increased negative talk towards their children, in turn negatively impacting their children’s negative affect. A total of 47 families from archival PCIT video sessions created the data set. Results found that there was no …

Associations Between Psychoeducation And Measures Of Treatment Engagement In Trauma-Focused Cognitive Behavioral Therapy, Shari Lieblich

Theses and Dissertations

Despite the efficacy of TF-CBT, its effectiveness is compromised by high premature dropout or attrition rates. Psychoeducation, the first component of TF-CBT, provides both a rationale for engagement in treatment and normalizes symptoms to instill hope in youth and their caregivers. This component has been minimally examined as a predictor of later-phase symptom outcomes, mostly in adult trauma treatments, with mixed results. The goal of the current study is examine the influence of psychoeducation on participation-related variables in TF-CBT. Results indicate a positive association between the percentage of sessions of with psychoeducation and attrition and negative association with percentage session …

Pediatric Anxiety Disorders: Therapy Process Predictors Of Response To Cbt, Samantha Baker

PCOM Psychology Dissertations

CBT is moderately effective in the treatment of youth anxiety, yet there remains a sizeable number of youth who remain nonresponsive at posttreatment, and less than half achieve remission. Various patient-level variables have been examined concerning differential treatment outcomes for anxious youth, but fewer studies have examined therapy process variables. Using archival data, this study aimed to identify predictors of treatment response in youth with primary anxiety disorders who completed 16-weeks of CBT at a university-based clinic. Four samples of anxious youth, aged 7-17 were included in the analysis. Regression analyses revealed that increased skill acquisition and greater change in …

Resilience As A Protective Factor For Parents Of Young Children With Adverse Childhood Experiences And Socioeconomic Challenges, Hennys Torrealba

Honors Undergraduate Theses

The impact of adverse childhood experiences (ACEs) and socioeconomic challenges can be related to mothers’ and fathers’ ability to parent their children effectively. Subsequently, these factors are related to children’s emotional and behavioral functioning. Children from families who have experienced these challenges are more likely to display behavior problems. Another important factor to consider is parents’ resilience, which can equip parents with the ability to better navigate through challenges. Parents who are resilient can provide a nurturing environment for their children despite challenges and use protective factors (e.g., effective coping strategies) more effectively. The current study examined the relationships among …

Examining Mental Health Providers’ Differential Sensitivity To Youth And Caregiver Treatment Engagement Problems By Studying Clinical Decision-Making Behaviors, Wendy Chu

Theses and Dissertations

Clinical decision-making is a systematic process of collecting and using information to guide action regarding client care. Across frameworks of clinical decision-making, there is an emphasis on the assessment of a problem – which involves considering, identifying, and selecting a problem – as it directly informs intervention. In youth mental health services, problems related to treatment engagement or the ability to meaningfully participate in services are important to assess given their association with premature termination and poor outcomes. However, research suggests that assessment of engagement problems may be challenging, and one potential reason pertains to providers’ ability to assess across …

Investigating The Pathways Between Social Factors, Physical Activity, And Mental Health On Cognitive Efficiency In Young Adults, Emma Hurston-Gates

Masters Theses

Cognitive health is important across the life span and cognitive functions, particularly executive functions, are positively correlated with subjective well-being and success in adulthood (Loprinzi, 2013). The present study aimed to investigate how social factors, mental health, and physical activity impacts cognition in young adults. Young adults aged 18-30 (N = 134) answered questionnaires regarding levels of physical activity, social support, social participation, anxiety, depression, and overall well-being. Participants completed Trail Making Tasks A and B to measure their cognitive efficiency (i.e., combined processing speed, psychological flexibility, visual search, and attention). Across all samples, one of the most consistent …

Examining Effects Of A Cultural And Family Resilience Program On Improving Physical Activity And Eating Behaviors Among Overweight Black Adolescents, Mary Quattlebaum

Theses and Dissertations

Black adolescents have higher rates of physical inactivity, lower quality dietary intake, and fewer family meals compared to their White peers. These health inequities place Black adolescents at greater risk for overweight and obesity, as well as long-term health consequences, including chronic disease and early mortality. However, few health promotion programs have been successful in improving health behaviors among Black adolescents and families. Elevated rates of chronic stress, namely racial stress, among Black families may be a prominent obstacle for engagement in and effectiveness of health promotion initiatives. Limited family-based health promotion programs with Black families have incorporated cultural and …

Resilience And Grit In Children And Adolescents With Autism Spectrum Disorder, Danielle Oehring

College of Graduate Studies: Theses & Dissertations

Resilience is the way in which an individual positively adapts to challenging or difficult life experiences. This process is marked by adjustments to external and internal demands through mental, emotional, and behavioral flexibility. Grit is perseverance and passion for long-term goals. Although grit and resilience have been researched in children and adolescents, there is a gap in the literature for how these variables relate to developmental disorders, like autism spectrum disorder, in children and adolescents. This study aimed to explore the relationship between autism spectrum disorder and internalizing and externalizing symptoms and whether grit and resilience moderates these relationships. Based …

Understanding Stress, Strengths, And Strategies To Support Immigrant Youth: A Bundled Dissertation, Sarah Jolie

Dissertations

In the study of child development and mental health of Latine and immigrant and refugee youth, it is necessary to understand their cultural experiences and stress experiences in the U.S. The present project aims to address culture, stress, and the development of internalizing outcomes among Latine, immigrant, and refugee youth across two important stages of development: middle childhood and adolescence. The first study provides a comprehensive review of Latine children’s immigration experiences, the effects of exposure to multiple stressors, cultural factors, and intervention implications. The second study provides a focused examination of the impact of two culturally relevant stressors among …

Associations Between Neighborhood Factors And Adherence In Youth With Spina Bifida: The Mediating Role Of Parental Stress And Youth Internalizing Symptoms, Breana Lyn Bryant

Master's Theses

Spina bifida (SB) is a birth defect that impacts physical, medical, and neuropsychological functioning. Physical complications like hydrocephalus and bladder dysfunction require daily adherence to complex medical regimens. Additionally, youth with SB are more likely to have symptoms of anxiety and depression which can impact their ability to master their regimens. Evidence in other pediatric populations have examined the impact of family factors, like parental stress, and individual-level predictors of self-management outcomes, yet few have examined how the broader context, like neighborhoods, impact outcomes. Therefore, the current study examined (1) the level of the neighborhood vulnerability and acute healthcare services …

An Exploration Of Adult Children’S Attachment To Their Parents Across Two Cultural Groups: Indians In India And Indians Who Immigrated To The United States, Vilasini Meenakshi Arun

Doctoral Dissertations

Typically, attachment theory has been studied and explored with western populations. Individuals seeking mental health treatment within the United States include western and nonwestern cultural groups and research, theories and interventions that apply to diverse populations are necessary. Attachment relationships are often a part of, or reasons for clients to seek therapy either overtly or covertly, thus allowing research on attachment to better inform treatment plans and practice. An attachment relationship between a parent and child can be influenced by several factors and may change over the course of development, but little is known about this process among Indians …

Is Telehealth Equivalent To In-Person Intervention? A Replication And Extension Of Peers For Adolescents, Elyse Jeannine Adler

Dissertations (1934 -)

One commonly requested area of support for autistic youth centers around teaching and maintaining social skills, as social communication differences are a core feature of autism spectrum disorder. During the COVID-19 pandemic, many healthcare services transitioned to telehealth, and some caregivers were concerned about if telehealth services were efficacious. There is a growing body of literature supporting the effectiveness of in-person social skills interventions, however research on telehealth administration of social skills intervention is more limited. This study aimed to evaluate if the telehealth version of PEERS for Adolescents has similar effects for autistic youth as the originally developed in-person …

Measuring Evidence Application In Routine Mental Health Settings: Testing A Coding System And Providing A Proof Of Concept, Eleanor Wu

Theses and Dissertations

Over the past 25 years, there have been increasing calls to advance the application of evidence in routine mental health settings for youth and families. Methods in the field for characterizing evidence application have played a critical role in shaping these efforts, which, to-date, have largely focused on measuring providers’ adherence to practices from evidence-based programs in treatment sessions. While this program-centric paradigm for characterizing evidence application has supported the widespread implementation of evidence-based programs in public mental health settings, it is limited in scope and applicability for characterizing all the ways that evidence may be applied across a service …

Altered Sensory Processing And Pain In Youth With Sickle Cell Disease: Risk Factors And Moderators, Julia Johnston

Theses and Dissertations

Introduction: Youth with sickle cell disease (SCD) experience recurrent pain and increased risk for chronic pain. Neuropathic pain, characterized by alterations to the central and/or peripheral nervous systems, is not well understood among youth with SCD. Based on our current understanding of pain systems and existing literature on pain in SCD, this study aimed to elucidate psychosocial correlates of altered sensory processing (ASP) and neuropathic pain, determine biomedical risk factors contributing to the development of ASP among youth with SCD, and identify how sensory processing and biopsychosocial factors collectively influence pain experiences by assessing two plausible models. Methods: Thirty-five youth …