Digital Commons Network^™

Women Residential Substance Use Treatment Program: A Quantitative Study Measuring Treatment Perceptions And Spiritual Experience Across Multiple Demographics., Michelle Davidson

Doctor of Social Work Capstone Projects

ABSTRACT

WOMEN RESIDENTIAL SUBSTANCE USE TREATMENT PROGRAM: A QUANTITATIVE STUDY MEASURING TREATMENT PERCEPTIONS AND SPIRITUAL EXPERIENCE ACROSS MULTIPLE DEMOGRAPHICS

Michelle Davidson, LCSW

March 24, 2025

Substance use disorders (SUD) present complex challenges that necessitate comprehensive and personalized treatment approaches, particularly for women. Historically, SUD treatments have been predominantly driven by male treatment approaches, often neglecting the unique needs and experiences of women. This cross-sectional quantitative survey study explores the relationship between the variables of client treatment perceptions and spiritual experiences among women in residential treatment for their SUDs. This study utilizes the Treatment Perception Survey and Spiritual Experience Index-Revised to …

Gatekeeping As An Online Adjunct Clinical Instructor In Counselor Education, Bernadet Dejonge, Deborah J. Rubel, Yun Shi

Journal of Counselor Preparation and Supervision

Abstract

This interpretative phenomenological analysis study examined how adjunct instructors teaching online clinical counseling courses experienced gatekeeping in the context of the university system. The research question was: How do online, adjunct instructors teaching master’s level clinical counseling courses experience their university interactions as a part of gatekeeping? The participants described five experiential themes. These were: a) Balancing marginalization in the system with advocacy for the profession; b) Maneuvering through dependency on the system in gatekeeping; c) Finding consultation while navigating gatekeeping interactions; d) Managing the intensity of clinical courses; and e) Navigating the steep learning curve of learning how …

Parallel Journeys: Supporting Wounded Healers In Counselor Education, Susannah C. Coaston

Journal of Counselor Preparation and Supervision

Much has been written about the motivations for wounded healers to pursue work in the helping professions. Those with painful life experiences can have a unique ability to understand the pain of others, and through their recovery, they may gain insight and understanding to benefit others. The counselor development process can be fraught with challenges that may have a detrimental impact on wounded healers. As such, counselor educators can benefit from amending their approaches to ensure that wounded healers gain the skills necessary to support their mental health and well-being, effectiveness, and personal and professional development. This article introduces a …

Duty And Inequality: A Thematic Analysis Of Muslim Sexual Trauma Counselors, Mitchell Waters, Waleed Sami

Journal of Counselor Preparation and Supervision

In this qualitative study, the experiences of four practicing Muslim counselors who specialize in the treatment of sexual trauma were examined. By collecting data with semi-structured interviews, three distinct themes emerged: a) embodied inequality, b) theodicy and ambivalence, and c) Islamic integration and the therapeutic relationship. The findings of this study highlight the inequalities many Muslim counselors embody while balancing engagement in traditional counseling work. Implications for counselor educators and supervisors that enhance multicultural competence and improve counseling outcomes are provided.

The Impact Of Covid-19 Pandemic On The Mental Health Of Frontline Workers Of Toronto Homeless Shelters (Csws), Isiaka Omotosho Akande

Doctoral Dissertations and Projects

The objective of this phenomenological research is to understand the impact of COVID-19 on the mental health of the client service workers (CSWs) in Toronto homeless shelters. Kolcaba's theory of comfort guides this study. This theory holds that being comfortable is one of the fundamental necessities for relief after stressful health care events or incidents. Comfort boosts health-seeking behaviors for patients, clients, and workers. In the context of the City of Toronto’s homeless shelters, Kolcaba’s theory of comfort suggests that if client service workers are given adequate resources to balance their health and mental needs, thus stabilizing their comfortabilities, then …

Voices From The Field: Mental Health Therapists' Perceptions Of Collaboration With Child Protective Services Workers, Tamara P. Fields

Electronic Theses and Dissertations

The child welfare system in the United States requires collaboration across various agencies in the provision of services. Although collaboration between mental health therapists and state agencies is fundamental when the goal is to provide quality care and achieve positive outcomes for families involved with Child Protective Services (CPS), the system is characterized as complicated and fragmented. Using Bronstein’s 2003 model of interprofessional collaboration to understand the dynamics of collaboration between mental health therapists and CPS workers in Texas, this qualitative descriptive research study described mental health therapists’ perceptions of collaborating with CPS workers in delivering therapy services to CPS-involved …

Site Supervisor Roles And Responsibilities: Counseling Programs’ Written Expectations, Justin D. Lauka, Amanda Mccarthy, Steven Moody, Minna Yoo

Teaching and Supervision in Counseling

Site supervisors play a vital role in training clinical mental health counseling (CMHC) students during their field work. While clear roles and responsibilities for site supervision is a professional and ethical requirement, the scope of these expectations remains ambiguous. This article provides baseline empirical data on the expectations of sites and site supervisors communicated through field experience handbooks of CACREP-accredited CMHC programs. The authors completed a qualitative content analysis that resulted in three key categories including Site and Site Supervisor Administrative Expectations, Clinical Supervision, and Site/Program Interaction. Implications for counseling programs and future research are discussed.

Grief Education In Accredited Counseling Programs: Tools For Integrating Grief Counseling Concepts Into The Cacrep Foundational Counseling Curriculum, Nicole A. Stargell, Emily T. Smith, Gary W. Mauk

Teaching and Supervision in Counseling

Counselors working in a wide variety of settings should be competent in providing grief counseling. The current CACREP (2024) standards include grief education under lifespan development, but grief education can be woven throughout all eight domains of the foundational counseling curriculum. This article explains the foundational grief counseling concepts of attachment theory, the dual process model of grief, meaning-making theory, and adaptive grieving styles. Included in this article are suggestions for infusing these foundational grief counseling concepts into each of the eight CACREP foundational counseling curriculum areas.

Investigating The Correlation Between Racially Based Trauma And The Imposter Phenomenon In High-Achieving Black Women, Tarra Lynn Winfield Ray

Doctoral Dissertations and Projects

This study investigates the imposter phenomenon, racially based trauma, and how the two correlate among high-achieving Black women. High achieving for this writing refers to Black women who attend college or graduate school, those in professional positions that require a degree, advanced degree, or professional licensure (i.e., corporate executives, medical doctors, attorneys, mental health clinicians, etc.), and entrepreneurs. Many current studies have focused on the unique and complex experiences that high-achieving Black women face while working to achieve goals and gain success. Many of these women have experienced racially based trauma, and many endorse the simultaneous experiencing of the imposter …

Adverse Childhood Experiences: Healing Through Storytelling And Mindful Narrative Therapy, Julie Kemp

Mindfulness Studies Theses

This study presents research about the nature and prevalence of adverse childhood experiences (ACEs), the mental and physical impacts to individuals exposed to ACEs, and incorporating mindfulness practices into therapeutic approaches to treating them, particularly Mindfulness-Based Narrative Therapy (MBNT). It is important because ACEs have become a global crisis, with the potential for interfering with psychological and physical development, early mortality, and other harmful life outcomes. This thesis provides critical information for mindfulness teachers and practitioners, therapists, educators, regulators, parents, and individuals subjected to ACEs.

The methodology includes extensive literature searches for narrative therapy and mindfulness-based interventions (MBIs) in peer-reviewed …

Cohesive Model Of Supervision: An Empirically Based Approach, Gülşah Kemer

Counseling & Human Services Faculty Publications

Supervision models are fundamental to our supervision practices and criticized for lacking empirical support. As a data-driven approach based on research with expert supervisors, Cohesive Model of Supervision unifies existing models’ central premises in a meaningful manner and emphasizes the understated areas of supervision practice.

Behavioral Health Training For Integrated Behavioral Health: A Delphi Study, Nicholas Schmoyer, Lisa Corbin, Jessica Huffman, Gülşah Kemer

Counseling & Human Services Faculty Publications

Using a classical Delphi design, the authors used an interdisciplinary panel of behavioral health experts in integrated behavioral health (IBH) to identify foundational skills and knowledge counselor educators need to teach clinical mental health counselors for IBH practice. Eighty-eight statements were identified. Implications are provided for counseling and other behavioral health educators.

Confidentiality In Addiction Treatment: Navigating 42 Cfr Part 2 Within Human Services, Chaniece Winfield, Jessica Huffman

Counseling & Human Services Faculty Publications

Recent federal legislation, including the Mental Health Parity and Addiction Equity Act (MHPAE) and the Comprehensive Addiction and Recovery Act (CARA), has placed greater emphasis on quality integrated health care, with a focus on access, treatment options, and evidence-based practices. Changes to Federal 42 CFR privacy protections also impact individuals seeking substance use disorder treatment, either as a primary diagnosis or comorbidity. Human service professionals, as generalists in the behavioral health field, provide vital treatment, recovery, and prevention services for individuals with substance use and addictive disorders. This paper explores the implications of these legislative changes, particularly regarding privacy protections …

Navigating Recovery: Insights From Distance Learning Human Services Students' Abstinence Experience, Chaniece Winfield, Jill Kivikoski, Catalina Kraft

Counseling & Human Services Faculty Publications

With the rise in overdose and problematic drug use in the United States, it is crucial to develop competent human service practitioners in addiction treatment and recovery settings. This qualitative study explores the virtual abstinence experience of distance learning human services students, using Mezirow’s transformative learning theory to examine how a 21-day experiential abstinence prompts critical reflection and perspective transformation. The study investigates the socio-emotional and physiological factors influencing participants' progress toward sobriety, including cravings, withdrawal, isolation, and relapse triggers. Findings highlight how participants' critical reflection leads to a deeper understanding of addiction and recovery, as well as an enhanced …

Gatekeeping As An Online Adjunct Clinical Instructor In Counselor Education, Bernadet Dejonge, Deborah J. Rubel, Yun Shi

Counselor Education Faculty Publications and Presentations

This interpretative phenomenological analysis study examined how adjunct instructors teaching online clinical counseling courses experienced gatekeeping in the context of the university system. The research question was: How do online, adjunct instructors teaching master’s level clinical counseling courses experience their university interactions as a part of gatekeeping? The participants described five experiential themes. These were: a) Balancing marginalization in the system with advocacy for the profession; b) Maneuvering through dependency on the system in gatekeeping; c) Finding consultation while navigating gatekeeping interactions; d) Managing the intensity of clinical courses; and e) Navigating the steep learning curve of learning how to …

The Invisible Struggle: Unveiling The Realities Of Living With Ehlers-Danlos Syndrome, Maura A. Stewart

Social Work Theses - Archive

Ehlers-Danlos Syndrome (EDS) is a group of rare connective tissue disorders that impact multiple systems of the body and are frequently misunderstood or misdiagnosed. This thesis explores the lived experiences of adults with EDS, focusing on the physical, emotional, and systemic challenges they face in daily life and healthcare. Using a mixed-methods survey, data were collected from 83 participants across the United States and beyond. The results revealed common themes of delayed diagnosis, medical dismissal, mental health struggles, and lack of access to knowledgeable providers. While chronic pain and fatigue were the most frequently reported symptoms, participants also described emotional …

Resilience And Reality: Exploring The Lived Experiences Of People Living With Hiv In Texas During The Covid-19 Pandemic – A Qualitative Study., Ahmed F. Alanazi

Social Work Dissertations - Archive

This study investigated the lived experiences of individuals living with HIV (PLWH) in the Dallas-Fort Worth (DFW) area of Texas during the COVID-19 pandemic, using an Interpretative Phenomenological Analysis (IPA) framework. The research examined the intersection of health, social dynamics, and psychological resilience among PLWH, who faced compounded vulnerabilities due to systemic inequities and the dual public health crises of HIV and COVID-19. Through semi-structured interviews with ten participants from diverse backgrounds, the study captured the profound impacts of disrupted healthcare systems, heightened stigma, and social isolation on this marginalized population. The findings reveal that the pandemic exacerbated existing inequities …

Factors Affecting The Joy Of Life In Old Age: A Scale Development Study, Yalçın Karagöz, Yusuf Karaşi̇n, Mustafa Filiz, Mehmet Ateş

Adultspan Journal

This study aims to introduce a measurement tool into the literature that can reveal the factors affecting the joy of life in older adulthood. Participants included 266 individuals aged 55 and over living in Izmir, Turkey. The process of developing the scale includes the following stages: problem identification, item pool creation, expert opinion, form shaping, pilot application, and finalizing the scale. The exploratory factor analysis revealed that the scale consists of 6 different dimensions, and the variance explained by these dimensions was found to be 65.184%. The acceptable values for the scale's fit indicators are as follows: χ²/df0.90, IFI > 0.90, …

The Application Of 4e Cognition To Counseling And The Intersectional Experiences Of Black Individuals With Disabilities, A. Albright, Clarence K. Bumpas, Jeff Moe

Counseling & Human Services Faculty Publications

Black Americans with disabilities experience a range of inequities including barriers to access, social stigmatization, and health outcomes that are greater than both their White and their nondisabled peers. This conceptual article explains in detail these inequities. The authors provide an overview of the existing models of disability used in counseling, healthcare, research, and educational settings, as well as a rationale for why they are limited. The authors then suggest a 4E cognitive framework rooted in cognitive sciences, philosophy of mind, and neuroscience. The authors explain why a 4E cognitive framework may be better suited than existing models to conceptualize …

School Counseling District Leaders' Experiences With Anti-Dei Laws And Policies: A Phenomenological Investigation, Emily Goodman-Scott, Darrell J. Sampson, Kaprea F. Johnson, Dehaven Sawyer-Mays

Counseling & Human Services Faculty Publications

School counseling district leaders (SCDLs) are instrumental in shaping district policy, supporting school counselors, and interfacing with both internal and external constituents; as such, their systemic lens is of particular importance, given the K-12 pushback on diversity, equity, and inclusion (DEI) occurring at the state- and district-levels. As a result, we conducted a critical application of Husserl’s phenomenology to understand the collective experience of a sample of SCDLs (N = 10) working in locations with anti-DEI laws and/or policies, specifically those restricting Black, indigenous, and people of color and lesbian, gay, bisexual, transgender, and queer/questioning rights and topics. Through the …

The Nohs 2024 Code Of Ethics Update, Kevin C. Snow, Christian Williams, Ed Neukrug, Kristin Barker, Kristin Ballard, Braxton A. Morrison, Leslie C.M. Mcclane, Meghan N. Morgan, Stephanie Collins

Counseling & Human Services Faculty Publications

The NOHS Ethics committee engaged in a revision of the Ethical Standards for Human Services Professionals (2024). This update focused on significant changes in the field of human services as they relate to a broad group of human services professionals. The article explores interviews with key members of the revision committee sharing their thoughts on the necessity for the current revision and the ever-present importance for human service professionals to understand and engage with the NOHS ethics code as an essential living document for the benefit of client well-being, to promote the integrity of the human services profession, and to …

The Long-Term Psychological Effects Of Violent Crime On Victims: A Review Of Evidence And Supportive Interventions, Jayden E. Oleksyn-Lamb

Graduate Theses/Dissertations

This study utilizes anonymous survey data collected from 26 mental health professionals in various regions of Canada to understand which psychological disturbances are the most prevalent among victims of violent crime as well as which psychological interventions are most beneficial for treating violent crime victims. The data revealed that Post-Traumatic Stress Disorder (PTSD), Major Depressive Disorder (MDD), Generalized Anxiety Disorder (GAD), anger, guilt, self-blame, and shame are each highly prevalent. Findings also revealed that certain therapeutic methods including Eye Movement Desensitization Reprocessing (EMDR), Supportive Counselling (SC), Progressive Relaxation (PR), Cognitive Reprocessing Therapy (CPT) and Cognitive Restructuring (CR) are associated with …

Engaging African American Families: Suggestions To Improve Treatment Utilization For Opioid Use Disorders, Martina S. Moore, Tanya J. Middleton

2025 Faculty Bibliography

Substance use disorders have been considered a “family disease,” and the impact of opioid use in African American communities is evident. African American overdose-related deaths now exceed that of White Americans in the United States. Despite the need, they engage in treatment at lower rates than White Americans. Research has called for more culturally responsive approaches to improve treatment outcomes. However, efforts to consider family and the community are not robust. This article reviews the impact of opioid use in the African American community while offering suggestions for counselors and therapists working with families to improve engagement.

Exploring The Use Of Somatic Skills And Techniques In Clinical Supervision, Areka D. Foster

Antioch University Dissertations & Theses

This study explores the lived experiences of clinical supervisors who engage in somatically oriented supervision. Informed by relational-cultural theory and polyvagal theory, the research employs a grounded theory methodology to investigate the potential development of a somatic supervision framework. Eleven participants completed semi-structured interviews and data were analyzed using both thematic analysis and grounded theory techniques. Eleven core themes emerged: (a) conceptualizations of somatic supervision, (b) integration of somatic techniques in supervisory practice, (c) theoretical foundations for somatic supervision, (d) attunement to countertransference, (e) the supervisory relationship, (f) trauma-informed approaches, (g) somatic techniques and practices, (h) initiating and structuring somatic …

What Works In Telehealth Play Therapy? An Appreciative Heuristic Inquiry, Veronica Ann Ball

Dissertations

With the onset of coronavirus disease 2019 (COVID-19) in the United States in March 2020 (World Health Organization, 2020), professional counselors providing traditional in-person play therapy found themselves in a quandary regarding the delivery of services during a global pandemic (Evans, 2022; Mitchell, 2020; Whaibeh et al., 2020). Online counseling proffered a means to prevent the disruption of services, respond to the need for emerging counseling services, and comply with social restrictions (Evans, 2022). Prior to the pandemic, telehealth play therapy was used sparingly (Haslam & Harris, 2011; Smith et al., 2021), and many child-serving mental health professionals lacked training …

What About The Children? An Exploration Of Family Counselors' Play Therapy Training And Preparedness To Integrate Children Into Family Counseling, Patricia J. Walker Monical

Dissertations

Children are an important part of families, yet family counselor education programs often do not incorporate training for including children in family counseling. At some point in their careers, family counselors and therapists will encounter clients who have children 3–12 years old. The problem is that since these professionals often receive little to no training in play therapy and thus do not typically include young children in family therapy, these younger family members are often overlooked. Research has confirmed that, due to a lack of sufficient training and supervision in play therapy, many family therapists report feeling unprepared to work …

Exploring The Ethics Of Social Media In The Counseling Field, Kaitlynn Cornell-Mullane

Antioch University Dissertations & Theses

Social media has become deeply integrated into both personal and professional lives, yet the use by counseling professionals remains underexplored. This study investigated how various roles within the counseling field experience and utilize social media in their professional development, identity formation, and ethical practice. A qualitative online survey was utilized to collect data from counseling professionals (N = 20). Findings revealed 6 themes: (a) Conflicting Perspectives on Client Social Media Use and Engagement, (b) Personal Discomfort and Ethical Ambiguity, (c) Counselors’ Varied Approaches of Social Media Use, (d) Social Media Use for Professional Development, (e) Mixed Perspectives on Social Media …

Start From Zero: Reimagining Creative Arts Therapy Education In An International Context, Ling Cheun Bianca Lee

Antioch University Dissertations & Theses

This qualitative dissertation examines how Hong Kong-based art therapists trained in Western graduate programs adapt their educations to the cultural, institutional, and sociopolitical realities of their local contexts. Using photovoice methodology informed by decolonial, liberatory, and trauma-informed frameworks—referred to as stir fry praxis—the study centers the experiences of 11 participants navigating professional reentry, identity formation, and systemic constraints. Seven interrelated themes emerged: The evolving and precarious landscape of art therapy in Hong Kong; the dual role of practitioners as therapists and educators; the impact of sociopolitical forces, including self-censorship and limited access to care; the limitations of Western-centric education; grassroots …

Bisexuality: An Individual's Direction Is Society's Detour, Madisyn J. Roberts

Antioch University Dissertations & Theses

This dissertation explores the lived experiences of self-identified bisexual adults through a qualitative, narrative inquiry approach that centers how folx construct their story of sexuality and individual meaning making capacities based on held intersections of identity. Using Queer theory and intersectionality as a theoretical framework, this study investigates and advocates that sexual orientation is not validated or invalidated by its fluidity but aims to understand how bisexuality is an integrative part of an individual’s identity. This dissertation explores how society’s tendency to view sexuality as divided between heterosexuality and homosexuality erases the complexity and spectrum of sexual orientations that exist …

Intersectional Opportunities For Drama Therapy And Counseling, Erica Craig-Mann

Antioch University Dissertations & Theses

The purpose of this study was to explore the intersectional possibilities between the fields of drama therapy and mental health counseling through the lens of transformative learning theory. Specifically, the research sought to understand the lived experiences of professionals trained in both disciplines to identify how these fields might mutually inform, strengthen, and enhance one another through collaboration and/or dual training. Data were collected through a qualitative online survey and analyzed using thematic analysis. Five themes emerged: (a) Theoretical and Practical Overlaps and Distinctions; (b) Drama Therapy-Informed Counseling: Embodiment, Creativity, and Experiential Practice; (c) Counseling-Informed Drama Therapy: Frameworks for Practice, …