Digital Commons Network^™

Integrating Clinical Reasoning Into Mental Health Diagnosis: A Conceptual Framework For Counseling Practice, Ashley F. Waddington, Alexander M. Fields, Haley Ault

Journal of Human Services Scholarship and Interprofessional Collaboration

Clinical reasoning has long guided diagnostic accuracy in nursing and medical fields, but its application in mental health counseling remains limited. This paper presents a conceptual diagnostic decision-making (DDM) process to embed clinical reasoning into the diagnostic process for counselors, incorporating two vital constructs: counselor self-efficacy and counselor bias (implicit and explicit). Grounded in Bandura’s theory of self-efficacy (1977) and Carvalho et al.’s (2017) clinical reasoning model, the framework highlights the cognitive, behavioral, and contextual factors that shape diagnostic decision-making in early-career counselors, including counselor biases. The paper calls for reform in counselor training, emphasizing curriculum enhancements as pathways to …

Counseling And The Neurodiversity Paradigm: A Call To Action, Emily Goodman-Scott, Rawn Boulden, Aaron Albright, Jenna Alvarez, Betsy M. Perez

Counseling & Human Services Faculty Publications

The counseling profession is rooted in prevention, wellness, mental health, and a critical social justice approach to serving historically marginalized communities, including people with disabilities. The overarching construct of disability comprises subtypes, such as neurodivergence. Given the prevalence of neurodivergent individuals worldwide (approximately 15%-20%), the counseling profession must be prepared to support this community. At the same time, there is a dearth of peer-reviewed literature on neurodiversity specifically for the counseling profession. In this article, we address a timely topic in the profession. We discuss utilizing a critical counseling lens and centering marginalized identities, such as people with disabilities; prominent …

Financial Stress And Academic Disruption Among U.S. Postsecondary Students: The Mediating Role Of Anxiety, Tania Akter

Journal of Higher Education & Student Affairs

Given the growing mental health challenges among students in the United States, this study examines how financial stress is associated with anxiety and assesses whether anxiety mediates the relationship between financial stress and academic disruption among U.S. postsecondary students. Data from the 2023–2024 Healthy Minds Study were analyzed using survey-weighted linear regression models to assess the association between financial stress and anxiety, and a generalized structural equation model (GSEM) to test whether anxiety mediates the relationship between financial stress and academic disruption. Results showed that financial stress was significantly associated with anxiety. Mediation analysis indicated that anxiety significantly mediated the …

Ethical And Legal Aspects Of Ai Use For Self-Care For Counselor Educators And Counselors, Jessica Ellen Kuehne, Jody Vernam

Faculty Publications and Presentations

This presentation explores the ethical and legal implications of using AI to support the self-care of counselors and counselor educators. While counselor self-care has been studied, the use of AI as a tool to promote this professional obligation remains largely unexamined. Counselor educators must consider how to navigate AI-generated self-care recommendations they may disagree with and how to maintain professional autonomy when AI offers guidance or predictions based on current behaviors. Identifying these challenges is essential for developing tools and innovations that reduce emerging ethical and legal risks in counseling and higher education. The session will examine these issues through …

Retirement: Broaching Intersectional Identities And Aging, Nichole Tiggs Angieri, Ericka Cables, Mary Martha Abernathy

Adultspan Journal

Broaching intersectional identities in retirement is a crucial counseling skill that fosters trust and connection with older adults as they navigate this major life transition. Using Person-Centered, Trauma-Informed (PCTI) and Relational-Cultural Theory (RCT) as complements to broaching, these theories provide both relational and cultural attunement to facilitate healing and well-being in this specialized population. Through didactic information and case studies, the purpose of this conceptual paper is to provide counselors and counselor educators with insight into broaching intersectional identities in retirement and to advocate for further research on aging and identity. The implications for clinical practice include providing an integrated …

Retirement As A Psychosocial Transition: A Social Determinants Of Mental Health Framework For Counseling Practice, Janelle L. Jones, Lauren Robins, Melanie Calhoun, Aaliyah Bond-Richardson, Latesha S. Holloman, Zoe N. Stuckey

Adultspan Journal

Retirement is commonly framed as a normative and voluntary developmental milestone; however, access to a psychologically healthy retirement is unevenly shaped by social, economic, and structural conditions. This conceptual article applies a social determinants of mental health (SDMH) framework to retirement, conceptualizing it as a complex psychosocial transition involving identity change, shifts in purpose and meaning, relational adjustment, and emotional variability. Drawing on interdisciplinary scholarship, the manuscript examines how socioeconomic status, race and ethnicity, gendered work histories, caregiving responsibilities, health status, and access to benefits influence both the ability to retire and the experience of retirement itself. Particular attention is …

Unseen To Unstoppable: Critically Redefining Care For Rural Women With Alcohol Use Disorders, Nicole Gerace

DSW Capstone Projects

Research reveals that rural women with alcohol use disorders (AUDs) are up to 90% less likely to seek treatment than men or urban women. This Doctor of Social Work capstone project brings together a systematic literature review (SLR), a conceptual paper, and a practice application paper to examine the clinical social work practice problem of rural women with AUDs underutilizing treatment. Collectively, these products investigate factors contributing to these disparities, identify gaps in care, and propose more equitable and responsive approaches to treatment for these women. This project began with an SLR (2020–2025) that investigated clinical treatment interventions that demonstrated …

Asynchronous Lgbtq+ Affirming Counseling Training With Early Career Counselors: A Mixed Methods Program Evaluation, Amber L. Pope, Kelli Hartzell, Matt B. Siroty, Jeff Moe, Noelle St. Germain-Sehr, Bianca R. Augustine, Amanda St. Germain-Sehr, Tai Lexumé

Counseling & Human Services Faculty Publications

A growing body of research shows that training in LGBTQ+ affirming counseling (LGBTQ+ AC) positively impacts counselors’ perceived knowledge and skills in providing mental health services to LGBTQ+ communities. Existing program evaluations of LGBTQ+ AC, however, have primarily used synchronous delivery formats and cultural competency models for the training design. This study is part of an action research agenda to develop an introductory training in LGBTQ+ AC, using asynchronous online delivery and cultural humility as the conceptual framework for the training design. We used a fixed convergent parallel mixed methods quasi-experimental design to examine the impact of our LGBTQ+ AC …

Contemporary Approaches To Group Psychotherapy Supervision, Michelle A. Collins-Greene (Ed.), Molyn Leszcz, Nina W. Brown, Ellen Wright, Scott Giacomucci, Les R. Greene, Susan P. Gantt, Leah M. Niehaus, Francis Kaklauskas, Tony L. Sheppard

Counseling & Human Services Faculty Publications

This chapter captures the work of contemporary supervisors of group psychotherapy, all of whom have practiced many years and have trained and supervised innumerable group leaders. They demonstrate the diversity of settings and theoretical orientations that are prominent in the current era. Their essays speak for themselves and provide wonderful illustrations and models for supervisors-in-training and consultation to emulate. They also talk about who influenced, mentored, and supervised them.

From Prompt To Practice: Designing Custom Ai Bots For Interpersonal Skill Development, Alaina Michelle Schrader

2026 Scholarly Teaching Conference: Concurrent Session Papers

Developing strong interpersonal, leadership, and professional communication skills is foundational in counselor and education preparation programs (Fecke et al., 2023; Lateef, 2010; Stamer et al., 2023). Despite this reality, students often have limited opportunities for repeated, low-stakes practice before engaging with real clients, students, families, administrators, and other stakeholders (Lateef, 2010; Maurya, 2024; Stamer et al., 2023). This session describes a teaching practice that uses custom AI bots as simulated clients, parents, group members, and school administrators to create realistic, structured practice environments where students can rehearse counseling skills, consultation conversations, advocacy, boundary-setting, and professional decision-making without the pressure or …

A Third Way: An Unlikely Professional Portfolio, Sami C. Pack-Toner

Graduate Student Portfolios, Professional Papers, and Capstone Projects

No abstract provided.

“My Voice Is Trauma, My Voice Is Healing:” A Feminist, Trauma-Informed Embodied Study On The Impact Of Gender-Based Violence In Classical Music Communities, Sarah Pearson

Theses and Dissertations (Comprehensive)

This Social Work doctoral dissertation explores the impact of gender-based violence (GBV) in classical music communities on survivor-artists. This is an intersectional feminist, trauma-informed, embodied study that draws on these three theoretical concepts to conceive of classical music as an institution of both colonial patriarchal power and a site of spirituality and meaning-making. The issue of systemic GBV in the performing arts has been a focus of headline news and sensational celebrity stories in the last decade following the MeToo hashtag and is slowly gaining some attention in academic research.

For this qualitative study, the sample consisted of 14 participants …

School-Based Mental And Emotional Support For Urban Students Experiencing Traumatic Loss, Britney Daniel-Harris

West Chester University Graduate Theses, Dissertations, and Final Projects

This study explores the perception of educational staff members on school-based mental and emotional resources for urban students experiencing traumatic loss. With increased levels of research centered on enhancing training protocols to educate teachers on identifying, supporting, and guiding traumatic care through evidence-based resources, there is an opportunity to understand their experiences by hearing their voices through a narrative inquiry qualitative research design. The Substance Abuse and Mental Health Services Administration (SAMHSA) has six principles of a trauma-informed environment, which were utilized to analyze participant stories. Five teachers, one social worker, and one special education leader participated in one-on-one interviews …

The Complex Decision-Making Processes Of Rural Emerging Adults: Counseling Beyond Dualism, Donna M. San Antonio Dr.

Faculty Scholarship

Rural adolescents approach the transition out of high school with individual concerns about making an emotionally or financially expensive “mistake,” family concerns about young people leaving home, and national and local concerns about declining rural economies and out-migration. The literature concerning this topic considers factors that influence youth aspirations in rural areas, such as economic barriers, the way higher education is valued, and perceptions of rural places as lacking in opportunity. However, there has been little study of the myriad interpersonal, emotional, and self-identity inputs that are part of the decision-making processes of rural emerging adults, and little is known …

(Critical) Hope As An Arrow: A Mixed Methods Study On Student-To-School Counselor Ratios And Student Outcomes In High-Poverty School Districts, Hien Pham

University of the Pacific Theses and Dissertations

School counselors serve on the front line of student support in K-12 public school settings. However, not all school districts are adequately resourced nor require school counselors as essential members of the school team. Review of extant literature found that school counselors’ service delivery is affected by issues related to role clarity, program evaluation and existing policy. A lack of understanding of school counselors’ work and inconsistent training in program evaluation hinders the implementation of a comprehensive school counseling program, with high student-to-school counselor ratios remaining the status quo. In California, the Local Control Funding Formula (LCFF) legislation holds local …

Navigating Mental Wellness: A Peer-Led Journey Into Adult Services, Kristin G. Haberek

DSW Capstone Projects

Students with severe emotional disturbances (SED) occupy one of the most underserved intersections in American education and mental health care. As they age out of children’s services, they face abrupt service discontinuation, disrupted therapeutic relationships, and adult systems ill-equipped to meet their needs. These vulnerabilities, including heightened risks of crisis, hospitalization, homelessness, and justice involvement, constitute a central practice problem. This capstone addresses these transitions across three scholarly products: a systematic literature review, a theoretical concept paper, and a practical application paper, tracing a unified arc from diagnosing structural failures to proposing an evidence-informed, equity-oriented clinical response. Synthesizing key findings …

The Impact Of Medicaid Policy Limitations On Access To Eating Disorder Treatment: Uncovering The Consequences Of A System Built To Fail, Meghan Frost

DSW Capstone Projects

Individuals who rely on Medicaid face major barriers when trying to access eating disorder (ED) treatment, reflecting broader patterns of structural disadvantage in publicly funded health care. Research shows delayed diagnosis, limited access to ED specialists, and frequent denials for recommended services. These gaps occur because Medicaid policies do not match the needs of evidence based ED care, resulting in delayed or incomplete care for many individuals with eating disorders.

This issue is highly relevant to social work practice because the policies shaping these barriers are complex and difficult for clients and ED providers to navigate. Social workers across clinics, …

You Are Your Ancestors’ Wildest Dreams: A Journey Beyond The Lens Blueprinting The Influence And Impact Of Media And Podcast Pedagogy On Black And Brown Creatives In Higher Education And Beyond, Diamond N. Morgan Dr.

West Chester University Graduate Theses, Dissertations, and Final Projects

Explores the influence and impact of media and podcast pedagogy on Black and Brown creatives (BBC) in higher education. Grounded in Critical Race Theory (CRT), the Black Creative Educational Experience (BCEEs) framework, and the conceptual lenses of sociological and public podcasting, this study examines how podcasting functions as a transformative pedagogical and sociocultural tool for storytelling, identity development, creative expression, and community building within collegiate environments. Utilizing a convergent parallel mixed methods design, the study integrates quantitative survey data from 65 participants with qualitative focus group discussions to provide a holistic understanding of participant experiences across personal, professional, academic, social, …

The Effects Of Meditation On Compassion And Cultural Humility In Mental Health Professionals, Jamie Kostek

Antioch University Dissertations & Theses

The purpose of this study was to examine the effects of a brief, secular, Buddhist-inspired meditation program on self-compassion, compassion for others, and cultural humility on mental health professionals. Using a single-group pretest-posttest design, licensed clinicians (N = 13) participated in a five-week Anytime Anywhere Meditation (Tergar International, 2024) program. Results indicated statistically significant increases in mindfulness, self-compassion, and cultural humility. Additionally, strong positive correlations were found between mindfulness and self-compassion, and between self-compassion and compassion for others. Findings suggest that brief, secular meditation programs rooted in traditional Buddhist practices may support both clinician well-being and culturally responsive practice.

Between Self, Family, And Becoming: Mindfulness And The Transition Experiences Of Latinx Clinical Counseling Graduate Students, Orlando R. Alvarez

Antioch University Dissertations & Theses

Latinx graduate students transitioning into their first semester of clinical counseling master’s programs often navigate substantial challenges as they embark on their academic journeys. While transitions into any new role can be difficult, the changes that accompany the beginning of a graduate program have been associated with increased role and identity strain, anxiety, depression, and feelings of fraudulence and imposterism, negatively impacting student success, performance, and attrition rates (Halladay et al., 2019; Murphy, 2021; Vidic & Cherup, 2019). Although mindfulness practices provide benefits for graduate student wellbeing, there is no current scholarship that has examined how mindfulness practices support Latinx …

Illuminating Secrets Of Harmful Supervision: A Narrative Inquiry Into The Lived Experiences Of Marriage And Family Therapy Supervisees Of Color During Clinical Supervision And The Effects On Their Personal And Professional Identity, Danielle Garcia Gomez

Antioch University Dissertations & Theses

Harmful supervision is a critical yet often underexamined issue for supervisees of color (SOC), whose lived experiences are underrepresented in clinical supervision literature. Given the hierarchical and evaluative nature of clinical supervision, power dynamics are placed at the center of professional training, thereby creating conditions where unchecked supervisory power can lead to harm. Within Marriage and Family Therapy (MFT), research on harmful supervision is limited, despite the profession’s emphasis on relational dynamics. This qualitative study aimed to amplify the voices of SOC victim-survivors of harmful supervision and to answer the research question: How have harmful supervision experiences affected the personal …

The Amanah Project: A Pilot Educational Intervention Addressing Intimate Partner Violence In Muslim Communities In The United States, Tamara Makki

Graduate Studies Theses and Dissertations 2026

This study is a two-part manuscript dissertation that addresses the need for culturally and faith-based responsive interventions for intimate partner violence (IPV) within the Muslim community in the United States (U.S). The first manuscript is a conceptual and literature-based paper that examines IPV within the Muslim community in the U.S. and explores the intersection of religion, culture, patriarchy, and systemic barriers influencing survivors’ help-seeking experiences. Particular attention is given to issues of accessibility, including the limited availability of culturally and religiously responsive IPV services for Muslim survivors. This manuscript argues for the development of culturally responsive, faith-integrated approaches that improve …

Academic Satisfaction Of Graduate Students In Mental Health Professions: Mediating Roles Of Burnout And Engagement, Yu Ying Li

Electronic Theses & Dissertations (2024 - present)

Academic satisfaction for students is as critical to their retention and well-being as job satisfaction for working adults; however, it has received limited empirical attention particularly among graduate students in mental health-related programs. One of the barriers to mental health trainees’ satisfaction with their academic training is burnout. The current study evaluated the applicability of Study Demands-Resources (SD-R) framework (Lesener et al., 2020) to trainees. Specifically, this study examined the relations between study demands (i.e., perceived stress), study resources (i.e., supervisory alliance and social support), student burnout, student engagement, and academic satisfaction. It also tested if student burnout and engagement …

An Innovative, Interdisciplinary Intervention For Justice-Involved Emerging Adults, Courtney M. Holmes, Jeff Ciak, Marianne Lund, Zehra Sahin Ilkorkor, Grace Kye, Miguel King, Karen Akom, Sarah Jane Brubaker, Molly Hyer, Gary Cuddeback

Teaching and Supervision in Counseling

Interdisciplinary collaboration is an effective training model for counselors in training. As it is becoming increasingly likely that counselors will work in multidisciplinary teams post-graduation, engagement in clinical and research intervention teams is essential to promote learning. Benefits for counseling students include the development of self-efficacy, cultural humility, research skills, counseling skills, and interdisciplinary communication and collaboration skills. This article will discuss a federally funded, interdisciplinary intervention for justice-involved emerging adults that provides supported employment, trauma-informed mental health counseling, and peer support interventions. We will outline the interventions, structure of the project, as well as research and assessment outcomes. Future …

Role-Playing For Rehabilitation: Enhancing Empathy Among Juveniles In Correctional Facilities, Nina Permatasari, Muhammad Arsyad, Muhammad Andri Setiawan, Hendro Yulius Suryo Putro, Muhammad Fajar Riva’I, Wiwik Widyanti

Buletin Konseling Inovatif

This study examines the effectiveness of role-playing-based counseling services in enhancing empathy among children at Juvenile Rehabilitation Center Class I Martapura. Employing a quantitative approach, the research utilized a one-group pre-test post-test experimental design to measure changes in empathy levels before and after the intervention. A total of 32 children participated in the study. Data were collected using two instruments: the Empathy Scale and the Role-Playing Engagement Questionnaire. The intervention consisted of structured role-playing sessions designed to improve both cognitive and affective components of empathy. Data analysis using paired sample t-tests revealed a statistically significant increase in empathy scores, with …

Choices, Challenges, And Considerations: Exploring College Application Experiences Of De La Salle University Manila Senior High School Students To The Big Four Universities, Samantha Elise F. Bago, Argie Joseph F. Geronimo, Zenaida Victoria Alejandra M. Ilao, Kimberly Cassandra G. Jose, April Rose C. Gonzales

Sinaya: A Philippine Journal for Senior High School Teachers and Students

Most Filipino students strive to secure successful applications to universities such as the University of the Philippines (UP), Ateneo de Manila University (ADMU), De La Salle University (DLSU), and the University of Santo Tomas (UST). Known as the Big Four Universities, they are recognized for their high rankings, strong academic programs, scholarship opportunities, campus resources, strategic locations, alumni networks, and overall prestige. However, applying to these institutions is not without challenges, especially as senior high school (SHS) students balance their academic demands with application requirements. These narratives are often overlooked, overshadowed by the success or failure of the applications. Thus, …

Conflict Resolution Styles In Intimate Relationships Of College Students With Adverse Childhood Experiences, Huijuan Li, David K. Duys, Byeolbee Um

Trauma Counseling and Resilience

Adverse childhood experiences (ACEs), as potentially traumatic early-life experiences, can influence how individuals relate to others, often leading to challenges in intimate relationships. During the transition to adulthood, college students engage in identity development while also navigating the critical skill of conflict resolution necessary for fostering and maintaining intimate relationships. In this study, we collected data from 434 college students at a Midwest university regarding their ACEs and conflict resolution styles using the 10-item ACEs questionnaire and the Conflict Resolution Styles Inventory (CRSI). Results showed significant differences in ACEs scores based on demographic factors such as gender, race/ethnicity, and sexual …

Positive Psychology Interventions For Posttraumatic Stress Disorder (Ptsd) Among Earthquake Survivors In Nepal, Niusha Karki, Melissa C. Henry, Mark M. Leach

Trauma Counseling and Resilience

Natural disasters produce both community and individual trauma; Nepal’s 2015 and 2023 earthquakes exemplify this enduring impact. Previous literature has discussed the effects of PTSD and other mental health concerns post-disasters, providing some context to the difficulties in providing counseling services to those in need. However, little is known about unique psychological, cultural, and contextual factors in Nepal and how their influence and understanding may result in modifying traditional PTSD counseling interventions found in much of the existing professional literature. The purpose of this conceptual paper is to propose a culturally responsive, strengths-based framework that integrates positive psychology interventions, positive …

Mapping Research Trends On Mental Health Literacy Among University Students: A Bibliometric Systematic Review, Eko Pramudya Laksana, Muslihati Muslihati, Arbin Janu Setiyowati, Salsabila Kholifahtun Nisa, Muhammad Nur Hudha, Margaret Kehinde Soetan

Jurnal Kajian Bimbingan dan Konseling

Mental health is a global issue that has received increasing attention, particularly among university students. Mental health literacy (MHL) is an important factor in promoting students' psychological well-being through knowledge, attitudes, and the ability to recognize and address mental health problems. This study aims to map the developmental trends of MHL research among university students in order to provide a comprehensive overview of the direction and focus of studies in this field. This research employed a bibliometric literature review approach by analyzing 48 journal articles indexed in the Scopus database and published between 2021 and 2025. The findings indicate that …

Supervising School Counselors Through Student Suicide, Alexander T. Becnel, Joseph W. Pistorius

Teaching and Supervision in Counseling

This phenomenological study explored the experiences of 11 school counselor supervisors whose supervisees were exposed to student suicide. We found five themes: prioritizing emotional support, suicide self-efficacy, supervisors’ reaction to suicide, identifying systemic issues in schools, and school counseling professional identity issues. Implications for counselor educators and supervisors are discussed.