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Articles 1111 - 1140 of 25675
Full-Text Articles in Entire DC Network
Impact Of Religion On Mental Outcomes Among Racial/Ethnic And Sexual/Gender Minority Individuals, Braden J. Waugh, Michael E. Nielsen
Impact Of Religion On Mental Outcomes Among Racial/Ethnic And Sexual/Gender Minority Individuals, Braden J. Waugh, Michael E. Nielsen
College of Graduate Studies: Theses & Dissertations
Marginalized identities (Adams & Miller, 2022) are associated with elevated risks for negative outcomes (Ching et al., 2018; Kayode et al., 2024). Religion has been found to act as a protective and risk factor. Minority Stress Theory (Meyer, 2003) and Intersectionality Theory (Crenshaw, 1991) are used to examine the relationship between identity status and anxiety, prosocial tendencies (PT), and quality of life (QoL). One hundred fifty-two participants were primed with a religious or neutral stimulus, and then answered measures regarding these outcomes (GAD-7, Spitzer et al., 2006; PBIS, Baumsteiger & Siegel, 2019; WHOQOL-BREF, The Whoqol Group, 1998; IFS, Hammer & …
The Effect Of Complexity Of Expert Testimony And The Presence Of A Defensive Rebuttal On Jurors' Decisions In Criminal Trials, Shelby E. Madden
The Effect Of Complexity Of Expert Testimony And The Presence Of A Defensive Rebuttal On Jurors' Decisions In Criminal Trials, Shelby E. Madden
College of Graduate Studies: Theses & Dissertations
Forensic science plays a critical role in criminal trials, yet forensic techniques vary in their reliability. Expert testimony, often held in high regard by jurors, can be a decisive factor in verdicts, but its influence is complicated by factors such as technical complexity, adversarial bias, and heuristic processing. The present study examined how the complexity of prosecution expert testimony and the presence of a defensive rebuttal influenced jurors’ decisions when presented with faulty forensic evidence. Participants (N = 142) were randomly assigned to one of four conditions in a 2 (testimony complexity: high v. low) x 2 (defensive rebuttal …
Exploring Psychological Safety And Workforce Experiences Among Employees In Recovery Community Organizations In The Southern United States: A Qualitative Study, Claire-Lorentz Ugo-Ike
Exploring Psychological Safety And Workforce Experiences Among Employees In Recovery Community Organizations In The Southern United States: A Qualitative Study, Claire-Lorentz Ugo-Ike
College of Graduate Studies: Theses & Dissertations
This qualitative study explored how employees in Recovery Community Organizations (RCOs) in the Southern United States experience psychological safety and how these experiences shape employee well-being and their intentions to stay or leave their organizations. Guided by Edmondson’s Psychological Safety Theory and the Job Demands-Resources (JD-R) model, the study examined how leadership practices, workplace culture, and the emotional demands of recovery support work shape employees’ perception of safety, support, and sustainability in the workforce. Semi-structured interviews were conducted with 19 RCO employees working in various peer support roles. Thematic analysis identified five major themes: (1) leadership behaviors shape psychological safety …
Exploring Acculturation And Its Role In Substance Abuse Behaviors Among Refugee Populations In Bowling Green, Ky: An Interactive Learning Experience Through Provider’S Perspectives., Aishwarya Potluri
College of Graduate Studies: Theses & Dissertations
Substance use among refugee populations is an emerging public health concern shaped/influenced by cultural, social, and structural factors associated with resettlement. This qualitative study explored providers’ perspectives on substance use behaviors among refugees in Bowling Green, Kentucky. Using Health Behavior Theory with acculturation as a contextual construct, semi-structured interviews were conducted with 10 providers working with refugee-serving organizations. Data collected through the interviews was analyzed using thematic analysis in NVivo. The findings indicate that substance use is being influenced by peer exposure, occupational stress, and the increased availability of substances in the United States. Providers identified cultural stigma surrounding mental …
Embodied Tales Of Older Women And Their Relationship With Movement And Their Younger, Present And Future Selves, Valeria Varea, Robyne Garrett, Alfonso García-Monge, Gustavo González-Calvo
Embodied Tales Of Older Women And Their Relationship With Movement And Their Younger, Present And Future Selves, Valeria Varea, Robyne Garrett, Alfonso García-Monge, Gustavo González-Calvo
Research outputs 2022 to 2026
Ageing has been often seen as negative in Western cultures. Older bodies are frequently associated with decline, loss, dependency, illness and increasing incompetence. Significantly, this ‘decline model’ of ageing tends to ignore the diverse lived experiences of older adults. This paper draws on the theoretical concepts of embodiment and affect to explore the embodied experiences of a group of 17 older women, focussing on their relationship with movement and with their younger, present and future selves. We used a narrative analysis approach and creative nonfiction to represent the data. The findings are presented in composite narratives in the form of …
Racial Discrimination And Racial Identity Among Asian College Students: The Moderating Role Of Interdependent Self-Construal, Foong Yan Lee, Qianyi Wang, Eunseon Gong
Racial Discrimination And Racial Identity Among Asian College Students: The Moderating Role Of Interdependent Self-Construal, Foong Yan Lee, Qianyi Wang, Eunseon Gong
Journal of Higher Education & Student Affairs
The current study examined the moderating role of interdependent self-construal in the relationship between perceived racial discrimination and racial group identification among 130 Asian college students at a U.S. institution. Using moderation regression analyses, results indicated that perceived racial discrimination was associated with lower racial group identification, and this relationship was significantly moderated by interdependent self-construal. Specifically, racial discrimination was negatively associated with racial group identification among students reporting lower levels of interdependent self-construal, whereas this association was not significant among those with higher interdependent self-construal. These findings suggest that individual differences in self-construal shape how Asian college students interpret …
The Impact Of Belonging To Identity-Based Student Organizations On Minority Stress In A Midwestern Predominantly White University, Mallory Millet, Akanksha Das, Christian C. Garcia, Rose Marie Ward
The Impact Of Belonging To Identity-Based Student Organizations On Minority Stress In A Midwestern Predominantly White University, Mallory Millet, Akanksha Das, Christian C. Garcia, Rose Marie Ward
Journal of Higher Education & Student Affairs
Minoritized students are exposed to additional unique stressors due to the systematic devaluation of their identities (i.e., minority stress). Additionally, minoritized students report higher levels of mental health concerns than their peers (e.g., anxiety, depression). Identity-based student organizations can be one avenue that universities could use to support these students. These organizations, designed to build social connections among students with shared experiences, may reduce minority stress through fostering students’ sense of belonging. However, the relationship between sense of belonging, minority stress, and identity-based student organizations has yet to be studied. The present study used quantitative and qualitative methods to understand …
Harmonizing Hope: An Idea Of Music Therapy Interventions For Schizophrenia, Dominikus David Biondi Situmorang
Harmonizing Hope: An Idea Of Music Therapy Interventions For Schizophrenia, Dominikus David Biondi Situmorang
Buletin Konseling Inovatif
Schizophrenia is typified by a wide range of symptoms, such as delusions, hallucinations, cognitive decline, and social disengagement. Even with improvements in pharmaceutical and psychosocial therapy, many people with schizophrenia still require supplementary treatment methods due to their chronic symptoms and functional limitations. Utilizing music's therapeutic capacity to address a variety of symptoms and enhance general well-being, music therapy has emerged as a possible supplementary intervention for schizophrenia. In this study, the author used a literature review with a Critically Appraised Topic (CAT); this research is a summary of the best available evidence regarding the focused aims. This CAT looks …
Peace Counseling In The Scientific Spotlight: A Bibliometric Analysis Of Global Research Trends, Wahyu Nanda Eka Saputra
Peace Counseling In The Scientific Spotlight: A Bibliometric Analysis Of Global Research Trends, Wahyu Nanda Eka Saputra
Buletin Konseling Inovatif
This study aims to map global trends in peace counseling research using a bibliometric approach. Data were taken only from the Scopus database, focusing on publications containing keywords related to peace counseling, such as peace counseling, peace psychotherapy, and peacebuilding therapy. The analysis was conducted on 769 selected documents published between 1937 and 2025. The results showed a significant increase in publications since 2020, reflecting the growing need for counseling approaches that support peace and psychological well-being. Authors from various countries made different contributions, with the United States dominating the number of publications and citations, while developing countries such as …
Autistic Adults In-Session Experiences In Psychotherapy: A Qualitative Meta-Analysis Of Helpful And Harmful Factors From First-Person Perspectives, Elizabeth Kilgallon
Autistic Adults In-Session Experiences In Psychotherapy: A Qualitative Meta-Analysis Of Helpful And Harmful Factors From First-Person Perspectives, Elizabeth Kilgallon
Graduate Masters Theses
Autistic adults face heightened mental health needs yet encounter significant barriers in psychotherapy. Research on psychotherapy has often emphasized quantitative trials of specific modalities, while little attention has been paid to autistic adults’ own perspectives about in-session therapeutic processes. There is a need for clinical guidance that foregrounds autistic clients’ lived experiences of therapy, with emphasis on identifying what they find helpful or harmful, to inform accessible and affirming practice. In the present study, I conducted a qualitative meta-analysis that investigates autistic adults’ first-person accounts of psychotherapy. Thirty-three studies were included in the analysis. I used critical-constructivist grounded theory to …
Early Childhood Educators' Experiences With Autistic Students: A Qualitative Study Of Challenges And Strategies, Sarah Yang
Graduate Masters Theses
Early childhood education is a vital early learning context for children ages 2-5 years old, encompassing some of their most formative years of life. Autistic children, however, are expelled from early childhood education programs at disproportionately high rates—a troubling trend that points to a broader picture of how early education environments lack the support and structure that young autistic children need to succeed. Early childhood educators (ECEs) are fundamental in shaping these early education environments and autistic children’s experiences within them. However, while most ECEs want to include autistic children in their classrooms, past research indicates they feel like they …
How What We Feel Is Associated With What We Hear Early In Development: The Role Of Vision In Audio-Tactile Association, Shibo Cao
Graduate Doctoral Dissertations
Sound-shape correspondences, also known as bouba-kiki effect, is the preferential mapping of nonsense sound like “baluma” to rounded abstract shapes while mapping nonsense sound like “takete” to spiky abstract shapes. Such association was seen for auditory and visual stimuli (AV), and auditory and tactile stimuli, which are touched but not seen (AT). Literature comparing typically-developing and early-blind adults showed AT association differ as a function of level of visual experience, and similar finding was also found comparing typically-developing adult and children. Specifically, typically-developing younger children benefited from prior AV experience of abstract shapes and nonsense sounds. While these findings suggest …
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
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, …
Exploring The Concept Of Love-Bombing In Young Adult Filipino Lesbian Relationships, Marcus M. Paredes, Eyre Angelique L. Pasion, Chrisanne Margareth P. Dela Peña, Francois Louis T. Acosta, Chrizelle Villanueva
Exploring The Concept Of Love-Bombing In Young Adult Filipino Lesbian Relationships, Marcus M. Paredes, Eyre Angelique L. Pasion, Chrisanne Margareth P. Dela Peña, Francois Louis T. Acosta, Chrizelle Villanueva
Sinaya: A Philippine Journal for Senior High School Teachers and Students
The study explores how young adult Filipino lesbians define, experience, and interpret the phenomenon of love-bombing in their romantic relationships. Addressing the scarcity of local scholarly work, the study employed a phenomenological design with ten purposively selected self-identified lesbian key informants, aged 18 to 27, from the Philippines. Semi-structured interviews were conducted, and data were analyzed using Colaizzi’s descriptive phenomenological approach, which yielded nine themes organized into three overarching domains. The first domain focused on the experience of love-bombing, highlighting patterns of romantic intensification, emotional dependence, and blurred relational boundaries. The second domain surfaced responses to the experience, including emotional …
From Companionship To Grief: Lived Experiences Of Adolescent Dog Owners At De La Salle University, Dave Edrich Lao, Oel Bes, Zachariah Moscardon, Renzy Sabandal, Noel Bedia
From Companionship To Grief: Lived Experiences Of Adolescent Dog Owners At De La Salle University, Dave Edrich Lao, Oel Bes, Zachariah Moscardon, Renzy Sabandal, Noel Bedia
Sinaya: A Philippine Journal for Senior High School Teachers and Students
Pets have long been part of people’s lives, but today, they are often viewed as family, especially by adolescents who rely on them for comfort, support, and companionship. For many, the bond with a pet runs deep, making their loss emotionally devastating. However, the emotional and psychological impact of this grief, particularly among adolescents, remains largely overlooked in academic research despite growing recognition of the human-animal bond. This phenomenological study explores the lived experiences of seven adolescent dog owners (ages 18–23) from De La Salle University Manila, focusing on understanding how they form attachments to pets, navigate caregiving responsibilities, and …
Women's Social Roles And Alcohol Use Among Military-Connected Spouses, Sheila Kathleen Mccabe Nickerson
Women's Social Roles And Alcohol Use Among Military-Connected Spouses, Sheila Kathleen Mccabe Nickerson
Dissertations and Theses
Increases in women's alcohol use are an intensifying public health problem in the United States, contributing to a hidden epidemic of alcohol-related mortality. Women's alcohol consumption is often not openly discussed or recognized due to social stigma, the perception that women drink less than men, and the fact that women can experience negative health consequences from lower levels of alcohol consumption (relative to men), making the issue less visible than it actually is. A range of factors potentially influence women's drinking, including social roles (i.e., mother); yet, the literature is varied as to whether the combination of multiple-role demands/expectations fosters …
Book Review: Victim-Centred Peacemaking: Colombia’S Santos–Farc-Ep Peace Process, Patricia M. Rodriguez
Book Review: Victim-Centred Peacemaking: Colombia’S Santos–Farc-Ep Peace Process, Patricia M. Rodriguez
Genocide Studies and Prevention: An International Journal
No abstract provided.
Investigating The "Tend-And-Befriend" Stress Response As A Risk Factor For Sexual Victimization Among College Women, Emily Kathleen Presutti
Investigating The "Tend-And-Befriend" Stress Response As A Risk Factor For Sexual Victimization Among College Women, Emily Kathleen Presutti
Theses - ALL
Sexual victimization of college women is a significant public health concern on U.S. college campuses. Traditional research on the human stress response has focused on the "fight-or-flight" model, which may not adequately capture female-typical responses in stress-inducing situations. Using a mixed-methods design, we sought to determine whether the "tend-and-befriend" stress response serves as a potential correlate of sexual victimization among college women and examine whether it contributes additional variance beyond established correlates of sexual victimization such as alcohol use, history of sexual victimization, and involvement in campus party culture. The study was conducted in two phases. In Phase I, 128 …
Cultural Mistrust Framework Of Mental Help-Seeking And Internalized Model Minority Myth, Jin Zhao
Cultural Mistrust Framework Of Mental Help-Seeking And Internalized Model Minority Myth, Jin Zhao
Dissertations - ALL
Objective: Cultural mistrust can serve as an intermediary variable indirectly facilitating the association between racial microaggressions and unfavorable mental help-seeking attitudes. This study sought to broaden the cultural mistrust framework’s applicability to Asian and Asian American college students by (1) replicating the framework using a national multi-campus sample and (2) integrating internalized model minority myth (i.e., unrestricted mobility and achievement orientation) via a conditional process approach. Methods: This study used cross-sectional data from a national sample of Asian and Asian American college students (N = 180, Mage = 21.47 [SD=1.84]). Path models estimated indirect and direct associations, as well as …
Integration Of Afghan Refugee Professionals Into American Society, Khatera Bahrami
Integration Of Afghan Refugee Professionals Into American Society, Khatera Bahrami
Walden Dissertations and Doctoral Studies
This study explored the social and psychological challenges Afghan refugee professionals experienced when they entered the U.S. workforce after being forcibly displaced. Trauma, job loss, and cultural adjustment significantly impacted their mental health and reintegration. The study examined how social and psychological obstacles impacted their cultural adjustment, well-being, and capacity to deal with credentialing and professional demands. This research employed a qualitative phenomenological design, grounded in Conservation of Resources (COR) Theory and the Stress Appraisal Model, using 60-minute audio-only, semi-structured interviews with 10 Afghan refugee professionals. Using Reflexive Thematic Analysis (RTA), according to the findings, participants faced challenges relating to …
Building Relationships: Does Perceived Counselor Cultural Humility Improve Client Satisfaction Of Mental Health Services Within Therapeutic Dyads Of Dissimilar Identities?, Noah Schoch
Electronic Theses and Dissertations
A wealth of clinical research has uncovered the presence of mental health treatment disparities and a lack of treatment consistency when working with clients of dissimilar identities. The purpose of this dissertation study was to investigate potential causes for the observed disparities minoritized individuals have experienced and understand if cultural humility was a variable that affected mental health treatment satisfaction when counselor-client had dissimilar cultural identities. This was achieved through the following research questions: (1) What is the relationship between the extent of client perceived racial/ethnic similarity within the therapeutic dyad and client-rated mental health treatment satisfaction? (2) What is …
Examining The Effects Of Video Modeling To Enhance Culturally Specific Social Greeting Skills In Preschoolers With Asd In Saudi Arabia, Sarah Alzahrani
Examining The Effects Of Video Modeling To Enhance Culturally Specific Social Greeting Skills In Preschoolers With Asd In Saudi Arabia, Sarah Alzahrani
Electronic Theses and Dissertations
A lack of social communication skills, including initiation and responding, has been a prominent characteristic of children diagnosed with ASD (Kanner, 1943; Kroeger et al., 2007). Enhancing these skills in children with ASD during early childhood is crucial to their future relationships, friendships, participation in communal activities, and overall lowering the likelihood of adverse long-term effects, giving significance to this age as a pivotal period for enhancing various skills (Hart Barnett, 2018). Failure to provide interventions to address social communication in children with ASD, specifically in cultures that value this skill, can impede their integration into that society. Thus, this …
Hoarding And The Hoarded Home: A Phenomenological And Psychoanalytic Study, Brianna Stich
Hoarding And The Hoarded Home: A Phenomenological And Psychoanalytic Study, Brianna Stich
Electronic Theses and Dissertations
While research on hoarding tends to isolate hoarders from the homes they hoard and in which they live, the hoard and the hoarder share a life in the home. This study explores how hoarders live with and live through their hoard at home. It combines psychoanalysis and phenomenology within a unique methodological framework to provide a hermeneutic reading of the psychological significances of the hoarded home. In this study, the contemporary conceptualization of hoarding is historically situated and critiqued from a phenomenological perspective, and the view that hoarding is a single, behaviorally-defined syndrome that is explainable by a cognitive-behavioral model …
Creating A Radical Social Change Campaign To Restore Rational Thinking: A Theoretical Framework, John S. Long
Creating A Radical Social Change Campaign To Restore Rational Thinking: A Theoretical Framework, John S. Long
Student Theses and Dissertations
Rational thinking is a skill and mindset that is under siege in modern society, becoming increasingly endangered as we devolve into increasingly hyper-partisan communities rife with echo chambers and confirmation biases. The most basic processes of analyzing issues and facts to develop clearly thought-out and defendable positions have been abandoned in favor of a zealous devotion to toe the party line, no matter the evidence or implications. What we are witnessing firsthand is the fast-approaching culmination of the post-truth era.
One might assume that an issue with such far-reaching implications across our entire society would generate a significant amount of …
The Next Drug Epidemic Is Legal: The Nation's Kratom Problem Is More Complicated—And More Harmful—Than It Seems, Elizabeth Walsh
The Next Drug Epidemic Is Legal: The Nation's Kratom Problem Is More Complicated—And More Harmful—Than It Seems, Elizabeth Walsh
Capstones
This two-part health and science investigative piece reports how kratom and its offshoots have quietly fueled a lucrative and legal addiction epidemic for the last decade. While kratom’s derivative alkaloid 7-hyrdoxymitragynine made headlines this year and as the DEA is poised to ban the strong derivative, “natural” kratom and other kratom-derived products will remain. This piece tracks the history of the 'gas‑station opioid' crisis in the U.S. over ten years: what was thought to be an innocuous southeast Asian supplement has become multi-billion dollar industry built on gray‑area laws, marketed falsehoods, and regulatory loophooles.
Part 1: The ‘Gas Station Opioid’ …
Accepting Vs Understanding, Transgender Aliens And Alienation, Reyna G. Aliah
Accepting Vs Understanding, Transgender Aliens And Alienation, Reyna G. Aliah
English
Trans people have been the subject of intense discrimination in recent years, suffering dehumanization from right-wing and conservative groups. This dehumanization (and the fear resulting from it) parallels common attitudes in science fiction about actual aliens. Orson Scott Card’s Hierarchy of Foreignness classifies individuals and species into five categories, depending on their sentience; whether they are from the same city, nation, or planet; and whether communication is possible. This paper examines how transgender people can be classified according to this system on a societal level, with said class depending on the lens used to view them as well as the …
The Other Side Of The Wall: A Study On The Impact Of Paternal Incarceration On African American Children, Chance M. Wideman
The Other Side Of The Wall: A Study On The Impact Of Paternal Incarceration On African American Children, Chance M. Wideman
Electronic Theses and Dissertations
This qualitative dissertation explores the long-term psychological, relational, and systemic impacts of paternal incarceration on adult children. Guided by Adverse Childhood Experiences (ACE) Theory, Attachment Theory, and Family Process Theory, this study examines two research questions:
(1) What types of childhood trauma are associated with paternal incarceration?
(2) How does the childhood trauma associated with paternal incarceration impact one in adulthood?
The study draws on three in-depth narrative interviews with adults who experienced paternal incarceration in childhood. These interviews, framed as dialogic and reflexive spaces, illuminate the deep and layered consequences of incarceration across the lifespan.
Five central findings emerged: …
Trauma Severity And Religious Detachment In Women Who Have Experienced Intimate Partner Violence Within A Religious Context, Trevor Hulan, Trevor Glenn Hulan
Trauma Severity And Religious Detachment In Women Who Have Experienced Intimate Partner Violence Within A Religious Context, Trevor Hulan, Trevor Glenn Hulan
Student Scholar Symposium
Intimate partner violence is often a traumatic experience that impacts all aspects of a person’s life, including their spiritual well-being. The goal of this research is to study the intersection of psychology and religion. This study assesses the severity of trauma and religious detachment in women who have experienced intimate partner violence within a religious context. The study utilizes the PTSD Checklist (PCL-5) and the Spiritual Harm and Abuse Scale (SHAS) to examine the relationship between PTSD severity and religious detachment in participants. It is hypothesized that women who have experienced intimate partner violence within a religious context will score …
Emotions As Work Material: On Dancers' Refined Use Of Affectivity, Camille S. Buttingsrud
Emotions As Work Material: On Dancers' Refined Use Of Affectivity, Camille S. Buttingsrud
Duquesne Studies in Phenomenology
As part of their professional practice, dancers allow their affectivity to enhance their kinesthetic work. Their intentional and disciplined use of personal, emotional resources ensures both creativity, interpretation, absorption, and connections in ways that extend beyond the traditional phenomenological understanding of affectivity as pre-reflectively based. The affective regulations dancers employ can be seen as an “artistic epoché,” and their layered performance awareness corresponds with Edmund Husserl’s descriptions of “image-consciousness.” Through qualitative interviews with three professional dancers, phenomenological theory, and additional supportive literature, this article shows how affectivity can be experienced through high-order levels of Leib, constituting states of “bodily …
Exploring The Impact Of Inpatient Mental Health Care On Adolescents, Alexandria M. Mckahan
Exploring The Impact Of Inpatient Mental Health Care On Adolescents, Alexandria M. Mckahan
2025 Fall Honors Capstones Projects - Archive
Adolescent psychiatric hospitalizations continue to rise, yet there is limited research on which daily practices inside inpatient units genuinely support engagement and recovery. This project examined how structure, staff tone, and therapeutic programming influence adolescents’ participation and emotional stability within a real inpatient setting. The study focused on three questions: how structured routines affect recovery, what challenges staff face when supporting adolescents with complex needs, and how adolescents’ engagement patterns reflect their perception of care. Using a mixed-methods case study at Mesa Springs Behavioral Health Hospital, I conducted approximately twenty field observations, semi-structured staff interviews, and descriptive engagement tracking across …