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Medication Adherence For Foster Children From The Perspective Of Foster Care Providers, Odette Boyd

Walden Dissertations and Doctoral Studies

In 2015, over 427,000 children were in foster care and the largest population were in California's system. Of those children, more than 9,400 were prescribed psychotropic medications. Increases of psychotropic medication use have led to investigations and findings of medication oversights in foster care. Medication oversights included medication nonadherence, which was linked to an increase of problematic behaviors in foster children. The purpose of this phenomenological study was to explore the issues of medication adherence for foster care providers who care for foster children of mild to chronic health concerns who were prescribed medications and experienced multiple placements. By utilizing …

Caregivers' Experience In Wraparound: A Qualitative Study, Mackenzie Soniak

Antioch University Dissertations & Theses

A large number of youth in the United States suffer from a severe emotional disturbance (SED). Due to a number of factors (e.g., lack of access to services, siloed service providers), many of these children have unmet severe emotional and behavioral health needs. Wraparound has been identified as a care philosophy and intervention to meet the needs of these youth. Wraparound programs aim to provide individualized, comprehensive, community-based care for children and their families. Although this intervention is widely spread across the United States, research findings on the efficacy of the approach are mixed. Previous research aimed to identify and …

Identifying Youth At Risk For Problematic Absenteeism Using Nonparametric Modeling: The Impact Of Youth Psychopathology And Family Environment Risk Factors, Mirae Fornander

UNLV Theses, Dissertations, Professional Papers, and Capstones

The best cutoff to differentiate problematic school absenteeism from nonproblematic school absenteeism has yet to be identified in the literature (Lyon & Cotler, 2007). Contemporary classification systems, including Multi-Tiered Systems of Support (MTSS), depend upon cutoffs to clearly define the various tiers (Jimerson, Burns, & VanDerHeyden, 2016). The current study aimed to inform the MTSS approach while also contributing to early identification, assessment, and intervention methods for those youth and families at the highest risk of problematic school absenteeism and its negative consequences. The current study identified subgroups of youth at the highest risk of problematic absenteeism, defined as equal …

It's Not Just A Dog: The Role Of Companion Animals In The Family's Emotional System, Cassandra Leow

College of Education and Human Sciences: Dissertations, Theses, and Student Research

Past studies have looked into the role of companion animals in families. This study intended to explore the role of companion animals in the family’s emotional system through the lens of Bowen Family Systems Theory. Data from a study on companion animal loss and grief were used. A qualitative phenomenological approach was adopted to analyze the data from interviews. Three primary themes emerged from the data: balanced family emotional system, response to relational anxiety and role of the absence companion animal. The first theme suggested that human family members and companion animals developed a balanced family emotional system through companion …

The Predictors Of Juvenile Recidivism: Testimonies Of Adult Students 18 Years And Older Exiting From Alternative Education, La Toshia Palmer

Dissertations

Purpose: The purpose of this descriptive, qualitative study was to identify and describe the importance of the predictors of juvenile recidivism and the effectiveness of efforts to prevent/avoid juvenile recidivism as perceived by previously detained, arrested, convicted, and/or incarcerated adult students 18 years of age and older exiting from alternative education in Northern California. A second purpose was to explore the types of support provided by alternative schools and the perceived importance of the support to avoid recidivism according to adult students 18 years of age and older exiting from alternative education.

Methodology: This qualitative, descriptive research design identified …

The Impact Of Sociodemographic Factors On Health-Related, Neuropsychological, And Psychosocial Functioning In Youth With Spina Bifida, Jaclyn Lennon Papadakis

Dissertations

Objective: There is a lack of research on the impact of sociodemographic factors on youth with spina bifida (SB). This is concerning given the pervasive health disparities that exist in pediatric chronic illness groups. The aims of this study were to examine: (1) differences in health-related, neuropsychological, and psychosocial functioning among youth with SB based on sociodemographic risk; (2) cumulative risk as a predictor of youth outcomes, as moderated by age; (3) SB-related family stress as a mediator of the associations between sociodemographic/cumulative risk and youth outcomes, longitudinally. Methods: Participants (M age = 11.43, 53.6% female) were recruited as part …

Therapists' Comfort Level In Providing Psychotherapy In Home-Based Therapy Settings, Jacqueline A. Ramirez

Walden Dissertations and Doctoral Studies

Home-based psychotherapy has expanded in the mental health community; however, little was known about the therapists' comfort level in a home-based venue. The purpose of this quantitative study was to assess therapists' comfort level (TCL) in providing psychotherapy in a home-based setting and how therapeutic competency (TC), therapeutic relationship (TR), and advanced therapeutic training (ATT) related to the comfort level. The social-ecological systems theory and the theory of comfort served as the theoretical frameworks. The present study used the Therapist Comfort Scale, Counseling Competencies Scale-Revised, the Scale to Assess Therapeutic Relationship in Community Mental Health Care-Clinician, and a demographic questionnaire. …

Influence Of Poverty, Parental Substance Use, Ethnicity, And Employment On Reactivation Following Family Reunification, Judith Anne Cornell

Walden Dissertations and Doctoral Studies

The maltreatment of children impacts individuals, communities, states, and societies. One response to the problem is the removal of children from their families, which can cause significant trauma for all involved. Moreover, the financial, legal, and emotional costs increase exponentially when subsequent re-removal, known as reactivation, occurs. Nationwide, the rate of reactivation averages just over 6%; in Arizona, the rate is significantly higher, with 11% of children being reactivated within 2 years of initial reunification. The purpose of this quantitative, non-experimental study was to determine whether poverty, ethnicity, parental substance use, parental employment, marital status, and number of children in …

Developing A Measure Of Empowerment In Schools, Abby Albright Bode

Theses and Dissertations

Youth empowerment is widely defined as youth being actively involved in and influencing their environment in such a way as to foster positive developmental trajectories. Youth empowerment is fostered by such external aspects as positive relationships with adults, having a safe and supportive environment, and being included as meaningful contributors to teams. Given these aspects that enhance empowerment, schools are poised to provide a natural context for fostering youth empowerment. Relatedly, there is a national movement toward more comprehensive school mental health (SMH) programs and services, and building youth empowerment within this field is a logical and needed step, but …

Child Maltreatment And Psychosocial Functioning In The Context Of Foster Care: Self-Concept As A Mediator And A Moderator, Grace Jhe Bai

Dissertations

Youth in foster care experience high prevalence rates of emotional and behavioral problems (Burns et al., 2004; Clausen et al., 1998; Fernandez, 2009; Orton et al., 2009; see McWey et al., 2010; see Pilowsky, 1995) due to a range of risk factors they encounter. Exposure to maltreatment can generally lead to increased internalizing problems (e.g., Avery et al., 2000; Carlson et al., 1997; see McWey et al., 2010), externalizing behaviors (e.g., Prino & Peyrot, 1994; McWey et al., 2010), social problems (e.g., Bolger & Patterson, 2001; Bolger et al., 1998), and poor self-perceptions or self-worth (see Arata et al., 2005; …

Treatment Satisfaction And Adult Mental Health Outcomes Of Childhood Sexual Abuse Survivors, Tarila Abbott

Theses and Dissertations

In the current study, we examined the impact of trauma-specific treatment and treatment satisfaction to determine if receiving treatment had an impact on the adult mental health outcomes of childhood sexual abuse survivors. One hundred ninety-four participants completed a series of self-report measures that captured their experience of childhood sexual abuse, possible enrollment in treatment, experience in treatment, and current PTSD, Depression, Alcohol Abuse, and Experiential Avoidance levels. MANOVAs were conducted to identify and examine any relationships between treatment groups. It was hypothesized that participants who received therapy specific to their childhood sexual abuse would endorse lower levels of PTSD, …

Indicators Of Client Engagement In A University Psychotherapy Training Clinic, Katie L. Randall-Sungar

Antioch University Dissertations & Theses

A retrospective research study evaluated archival data on client engagement from a program evaluation project implemented at the Psychological Services Center at Antioch University New England. Student researchers from the Center for Behavioral Health Innovation (formerly Center for Research of Psychological Practices) partnered with the Antioch University Psychological Services Center (PSC) to investigate the impact of client early engagement on drop-out rates and therapy outcomes of mental health clients. Potential participants were administered a brief questionnaire, prior to the first session via phone call, to assess their readiness, expectations of therapy, potential barriers to seeking treatment, and their initial impression …

Nami Nh Youth Suicide Prevention Initiative: Most Significant Changes, Catherine E. Mayhew

Antioch University Dissertations & Theses

In 2013, the National Alliance for Mental Illness New Hampshire (NAMI NH) was awarded the Garrett Lee Smith (GLS) grant to develop and implement grassroots suicide prevention initiatives in key regions of the State housing high proportions of at-risk youth. I investigated the effectiveness of this work by gathering stories of significant change from key grant affiliates who implemented the interventions and then verifying and enriching those stories with others who had experienced them. Below, I describe the need for suicide prevention interventions in NH youth—both at the time the grant was awarded, as well as at present. I outline …

Whether Or Not 'It Gets Better'…Coping With Parental Heterosexist Rejection, Cara Herbitter

Graduate Masters Theses

Lesbian, gay, and bisexual (LGB) people face the burden of additional stressors as a result of their experiences of stigma and discrimination regarding their sexual minority status. Parental rejection of LGB people in the context of heterosexism serves as a powerful minority stressor associated with poorer mental health (e.g., Bouris et al., 2010; Ryan, Huebner, Diaz, & Sanchez, 2009). Few contemporary theories exist to describe the experience of parental rejection. In addition, the extant empirical research has focused primarily on youth experiences among White and urban LGB samples, signaling the need for research across the lifespan investigating more diverse samples. …

Relationship Between Mental Health Facilities' Pre-Intake Practices And Children's First Appointment Attendance Rates, Christine Marie De Santis-Collis

Walden Dissertations and Doctoral Studies

Between 20% and 57% of patients at community mental health centers miss their first mental health appointment, resulting in wasted resources and longer wait times for other patients. To date, only one peer-reviewed quantitative study examined the relationship between appointment reminder practices and children's and adolescents' first appointment attendance rates for community mental health centers. The purpose of this quantitative study was to examine the relationship between first appointment wait times, electronic appointment reminders, phone appointment reminders, and first appointment attendance for U.S. community mental health centers, along with the potential moderating effects of age, ethnicity, and gender. Blumer's symbolic …

Social Support And Well-Being Among Foster Care Youth: Self-Concept As A Mediator, Anne Kathleen Fuller

Dissertations

Youth in the child welfare system frequently undergo a variety of adverse experiences, including maltreatment, living in poverty, placement changes, school changes, and relationship disruptions. As a group, these youth exhibit poorer psychosocial functioning (e.g., elevated rates of mental health difficulties, poorer social and academic competence) than their peers, yet there is also evidence that a number of youth in foster care are functioning relatively well and can be perceived as demonstrating resilience. The present study examined self-concept as a mediator of hypothesized associations between social support and four domains of psychosocial functioning: internalizing problems, externalizing problems, social competence, and …

The Effects Of Session And Outcome Rating Scales Used In A Wraparound Setting, Alexandra Giatrelis

Antioch University Dissertations & Theses

This study investigated the usefulness of session and outcome rating scales within a wraparound program in New England. The extensive needs of youth with serious emotional disturbance (SED) categorizations and their families require highly coordinated systems of care that not only deliver adequate services, but contend with the momentum of often contentious and unsuccessful relationships these families have typically experienced with social service systems. Outcome and session rating scales, along with measures of fidelity, hold the potential to provide rapid feedback on both outcome (outside of sessions) and working alliance (within sessions), as well as the consumers’ perspective on the …

Examining Differences Between Foster Parents Who Continue To Foster Children And Those Who Do Not, Jacqueline L. Farris

Walden Dissertations and Doctoral Studies

Foster parents are often not equipped to address the difficulties and challenges they face with their foster children. Research has identified the importance of providing foster children with a safe and secure environment. Guided by the theory of adoption and attachment, the purpose of this study was to identify the differences between foster parents who continue with foster child placements and those who do not by examining their perceptions of foster parenting behaviors and their foster parent/child relationships. Participants were recruited using online foster parent forums and foster care agencies. A total of 31 foster parents participated: 13 licensed and …

Symptom Changes In Children And Adolescents With Internalizing Conditions During Treatment, Rachel Samantha Bertelson

Walden Dissertations and Doctoral Studies

Mental health conditions, such as internalizing disorders, in children and adolescents have been attributed to higher than expected levels of high school dropouts, juvenile crimes, and suicide. Previous research studies provide limited information on factors influencing treatment success for children and adolescents diagnosed with internalizing disorders. This study utilized a nonequivalent comparison group design gathered from an archived data set from a sample of children and adolescents (N = 215) who participated in an intensive outpatient managed mental health care treatment program. Self-report data were retrieved from previous responses to the Children's Depression Inventory and Revised Children's Manifest Anxiety Scale …

Ptsd From Childhood Trauma As A Precursor To Attachment Issues, Christy Owen

Fidei et Veritatis: The Liberty University Journal of Graduate Research

The past 20 years have been turbulent regarding Reactive Attachment Disorder (RAD), with conflicting research about its causes, effects, treatment, and prognosis. The current diagnostic criteria in the DSM-5 fails to adequately address this disorder. A number of deviant and maladaptive behaviors common amongst children with RAD are not even mentioned in the diagnostic criteria. As such, the diagnostic definition is almost unidentifiable or incompatible with real-life conduct manifestations of the disorder. Rather, this author contends that RAD is foundationally a unique and extreme form of Posttraumatic Stress Disorder (PTSD) from Early Childhood Trauma. The child endured unspeakable neglect and/or …

Academic Risk And Protective Factors Of Latinos Of Undocumented Status: A Narrative Approach, Claudio Rivera

College of Science and Health Theses and Dissertations

There are currently 11 million immigrants of undocumented status in the United States, with over 80% comprising of Latinos. Latinos attain less education than other racial/ethnic groups, and immigrants of undocumented status face additional barriers to a higher education, such as being ineligible for federal financial aid. Using a resiliency framework, this study sought to identify the academic risk and protective factors affecting young Latinos of undocumented status in the United States. In-depth qualitative interviews were conducted with 20 Latinos of undocumented status; eligible participants were between the ages of 16 and 30 who immigrated to the United States without …

Maternal History Of Neglect, Mind-Mindedness, And The Cycle Of Neglect, Karin N. Belser

Dissertations, Theses, and Capstone Projects

Although links between history of maltreatment, attachment security, and maltreatment perpetration have been established, support for the intergenerational cycle of maltreatment remains weak due to definitional and methodological issues. In addition, less severe forms of child neglect that do not result in Child Protective Services (CPS) involvement have not been extensively studied. In order to expand our understanding of the cycle of neglect, the present study examined a model linking maternal mind-mindedness, maternal history of neglect, subthreshold neglect and child outcomes (physical, socioemotional, and intellectual).

Methods. The study participants were 96 mother-child dyads assessed at child ages of 4, 8, …

Predicting Sexual Revictimization In Childhood And Adolescence: A Prospective Examination Using Ecological Systems Theory, Samantha L. Pittenger

Department of Psychology: Dissertations, Theses, and Student Research

Child sexual abuse is a prevalent problem in the United States and is associated with revictimization: a victimization episode perpetrated by a different individual and occurring subsequent to initial abuse experiences (Barnes, Noll, Putnam, & Trickett, 2009). While evidence shows that 20-39% of sexual abuse victims report revictimization within childhood or adolescence, much of the research to date has focused on its occurrence in adulthood. Thus, there is a limited understanding of the pathways to revictimization and its associated outcomes for youth. The present study examined predictors of sexual revictimization within childhood and adolescence using ecological theory, which includes individual, …

Biopsychosocial Models Of The Development Of Childhood Disruptive Behaviors, Anne Bernard Arnett

Electronic Theses and Dissertations

Hyperactivity/attention problems (HAP) and conduct problems (CP) are common and impairing disruptive behaviors in childhood and adolescence. Previous research has established that HAP and CP are highly comorbid, and that outcomes are worse for youth exhibiting both symptom clusters relative to youth with only one disruptive behavior type. Despite ample evidence that HAP and CP share common etiological factors and maladaptive outcomes, the nature of their developmental association remains unclear. This dissertation clarifies three important characteristics of comorbid HAP and CP development, in two replicate, longitudinal, population samples of youth. First, I test the theory that within-person variation in HAP …

Getting To Outcomes® In Clinical Practice An Empirical Exploration Of A Framework That Supports Quality For Graduate Student Therapy Training, Jennifer Castellow

Theses and Dissertations

Getting To Outcomes® in Clinical Practice is an innovation being developed and disseminated in a clinical training center for psychology doctoral students. The innovation is a step-wise framework posited to enhance clinical practice by supporting the planning, implementation, and evaluation of specific evidence-based practices in psychology. The current study introduces and defines the innovation and uses a multiple case study, mixed method analysis to evaluate current innovation use behaviors as well as attitudes about the innovation. The guiding research themes for this study include: (1) innovation use behaviors, (2) attitudes about the innovation, and (3) influential contextual factors that impact …

The Relation Of Exposure To Community Violence To Self- Efficacy Based On Neighborhood, Family, And School Effects In A Community Sample Of Latino-American Youth, Arie Zakaryan

Dissertations

Community violence is considered a “public health epidemic” in the US. Latino youth and families are a burgeoning population in the United States, and many of whom live in neighborhoods exposed to community violence. Multiple contexts should be assessed identifying developmental assets youth use to adjust positively when exposed to violence. This study examines how different environmental contexts, i.e., home, school, neighborhood and acculturation, influence the relationship between exposure to community violence and self-efficacy for Latino youth. The current study uses an archival dataset of a larger longitudinal study (Project on Human Development in Chicago Neighborhoods). A confirmatory factor analysis …

Parenting-Related Stress, Parental Distress, And Youth Health-Related Quality Of Life In Families Of Youth With Spina Bifida: Parenting Behaviors As Mediators, Colleen F. Bechtel

Master's Theses

Research has shown that youth with spina bifida (SB) have poorer psychosocial outcomes, including health-related quality of life (HRQOL), compared to typically developing youth. Demographic and illness-severity factors that may affect HRQOL have been identified, but modifiable factors affecting HRQOL have not yet been identified in this population. Potential modifiable factors include parent factors. In fact, in other pediatric populations, parent factors have been found to impact HRQOL above and beyond illness-severity. This impact may be especially salient for youth with SB, as these youth are more socially isolated and depend on parents for both medical and non-medical caregiving needs. …

The Influence Of Client-, Family-, And Therapist-Level Pretreatment Characteristics On Therapist Delivery Of Youth Psychotherapy Treatments, Adriana Rodriguez

Theses and Dissertations

The purpose of this exploratory study was to examine the extent to which pretreatment characteristics influence therapist treatment adherence by using data sampled from a randomized effectiveness trial and an efficacy study. Research suggests that youth-, family-, and therapist-level pretreatment characteristics influence therapist behavior; however, this area is underdeveloped as most studies have focused on externalizing problem areas, family-based approaches, and the use of parent or therapist report to assess for therapist adherence. To date, no research has examined this question with anxiety as the target problem, individual-focused CBT, and with observational therapist adherence data. An observational coding measure, Cognitive-Behavioral …

The Impact Of Sports Dropout On Adolescent Functioning, Brittany Skiles Cook

Theses and Dissertations

Sports is the most commonly participated in extracurricular activity during adolescence. Aligned with the Positive Youth Development theoretical framework, previous research has shown that sports participation offers youth a context rich in resources found to promote positive adjustment into adulthood. However, around one third of the youth participating in sports drop out each year, and little research has examined the impact of sports dropout on indicators of youth adjustment. This study examines the relation between sports dropout and academic achievement, self-esteem, depression, perceived school climate, perceived support from adults in school, and alcohol use. The moderating effect of sports engagement …

An Evaluation Of The Validity Of A Script-Driven Imagery Procedure Among Traumatic Event Exposed Adolescents, Emily Renae Mischel

Graduate Theses and Dissertations

Extensive research suggests script-driven imagery procedures employed with traumatic event-exposed adults produce reliable reactions that map onto contemporary models of posttraumatic stress, including increased physiological (Carson et al., 2000; Orr et al., 1998; Ramón et al., 2006) and negative affective (Pitman et al., 1987) responses to trauma scripts. Therefore, such procedures can be utilized in a controlled, laboratory-based setting, supporting mechanism-oriented research designed to better understand the nature, correlates, and consequences of traumatization and posttraumatic stress symptoms (PTSS). Unfortunately, only one study has begun to evaluate the validity of script-driven imagery procedures for use with youth, making further investigation of …