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The Effects Of Psychiatric And Physical Cannabis Use Motivational Categories On The Development Of Cannabis Use Disorder, Kassidy B. Jacques

Honors Undergraduate Theses

The legalization of cannabis is increasing across the United States, for both recreational and medical use. This has resulted in a change in public opinion regarding the risks of cannabis use. This is particularly true for the current generation of older adults, which experiences a greater prevalence of cannabis use than previous members of this cohort. Due to decreased perception of risk and medical or emotional issues associated with old age, older adults increasingly use cannabis to cope with their psychiatric and medical symptoms. Current studies provide evidence of an association between using cannabis for medical symptoms and the development …

Trauma-Informed Behavioral Health Leadership And Employee Engagement At A Child Advocacy Center, Andrew Krantz

Walden Dissertations and Doctoral Studies

Employee engagement is essential for an organization to meet its mission and vision. When employees are not engaged, there are higher levels of turnover, secondary traumatic stress, and burnout. Furthermore, when employees are not engaged, there is a decrease in the quality of patient care. Behavioral health leaders can positively impact employee engagement by engaging in trauma-informed behavioral health leadership. This qualitative case study reviews the impact of trauma-informed behavioral health leadership on employee engagement at a large Child Advocacy Center in the northeastern United States who was struggling with low levels of employee engagement and high levels of turnover …

Organizational Strategies For Improving The Present State Of A Behavioral Health Center Within A Historically Black College And University, Tonya Channell Cleveland

Walden Dissertations and Doctoral Studies

This study aimed to explore the perceptions of university behavioral health counselors and other healthcare professionals relevant to the funding strategies and initiatives they used to help college students access the high-quality behavioral health services they need. On-campus counseling centers are valuable resources that benefit student well-being, including academic performance and retention. Understanding what factors create barriers for students who desire to seek counseling can help higher education professionals work to improve access to counseling. This qualitative case study focused on a university counseling center at a Southern Historically Black College and University serving a population of majority African American …

Admission Timing, Age, Sex, Pain, And Disability As Outcome Predictors Of Short-Term Pain Programs, Nanesha Courtney

Walden Dissertations and Doctoral Studies

Researchers have found that age, sex, education level, and pretreatment pain levels may be significant predictors of patient outcomes; however, it remained unknown whether the timing of treatment predicts pain and disability after a multidisciplinary short-term intensive pain treatment program. The purpose of this quantitative nonexperimental study was to use archival data to examine whether the timing of entry into a multidisciplinary short-term intensive pain treatment program predicted pain and functioning levels at posttreatment. Glasser’s choice theory was used to examine whether the combined effect of pretreatment pain, occupational disability level, age, sex, education level, and time of entrance predicted …

An Exploration Of The Lived Experiences Of Individuals Living With Hiv/Aids In Rural Uganda, Godfrey Ddungu

Walden Dissertations and Doctoral Studies

HIV/AIDS is the most stigmatized health condition globally, yet there are limited studies that have examined the needs of rural Ugandans diagnosed with HIV/AIDS. At a time when Ugandan voices could assist in the development and implementation of prevention and intervention strategies to reduce the spread of the virus, these voices remain unheard and silenced. The purpose of this phenomenological study was to describe the lived experiences of HIV-positive men and women in rural Uganda. A transcendental phenomenological approach provided the framework and design. This research used eight participants who were attending an AIDS health care center in Uganda. In-depth …

Experience Of Established Mental Health Counselors Working With Adults Who Have Intellectual Disabilities, Margarete Denk

Walden Dissertations and Doctoral Studies

Individuals with disabilities make up the largest minority population in the United States. Individuals with intellectual and developmental disabilities (I/DD) make up a significant portion of this population, yet there are limited studies addressing counseling with the I/DD population. The Council for Accreditation of Counseling and Related Educational Programs has addressed the need for disability competence in their upcoming 2024 standards. The purpose of the phenomenological study was to describe lived experiences of established counselors working with adult clients diagnosed with an I/DD. A descriptive phenomenological approach was used along with the social model of disability. The study involved six …

Experience Of Established Mental Health Counselors Working With Adults Who Have Intellectual Disabilities, Margarete Denk

Walden Dissertations and Doctoral Studies

Individuals with disabilities make up the largest minority population in the United States. Individuals with intellectual and developmental disabilities (I/DD) make up a significant portion of this population, yet there are limited studies addressing counseling with the I/DD population. The Council for Accreditation of Counseling and Related Educational Programs has addressed the need for disability competence in their upcoming 2024 standards. The purpose of the phenomenological study was to describe lived experiences of established counselors working with adult clients diagnosed with an I/DD. A descriptive phenomenological approach was used along with the social model of disability. The study involved six …

Examining The Relationship Of Race On Students’ Perceptions Of Safety And Concealed Campus Carry On A University Campus, Whitney H. Mascaro

Graduate Theses, Dissertations, and Problem Reports (ETD)

Previous literature suggests that students who feel unsafe in their academic settings experience harmful academic, social, and psychological ramifications. With an alarming increase in school shootings, violence, and media coverage, the political discourse surrounding gun violence and strategies to ensure safety on college campuses has become increasingly polarized. States like Texas, Georgia, and Colorado have passed bills allowing students to carry concealed handguns on university campuses. At the time of this study, the state legislature in West Virginia passed a similar bill known as the Campus Self-Defense Act (Senate Bill 246, 2021). College students who identify as Black, Indigenous, People …

Relationships Among Racism, Dental Care-Related Fear/Anxiety And Dental Care Utilization Among Black And African American Women In Appalachia, Kalo Sokoto

Graduate Theses, Dissertations, and Problem Reports (ETD)

This dissertation is a study of the implications of racism in oral health care settings for dental care-related fear/anxiety, and dental care utilization. One in five adults in the US have experienced discrimination while receiving health care. Even though racism is the most reported type of discrimination in health care, little is known about its impact on dental outcomes. There is a paucity of prior studies measuring experiences of racism in dental settings. The current study proposed the application of Krieger’s Ecosocial Theory of Health Equity to explore relationships among racism in oral health care settings, dental care-related fear/anxiety, and …

Adverse Childhood Experiences And Intimate Partner Violence In Gender Minority Populations, Claire Mason Mccown

Graduate Theses, Dissertations, and Problem Reports (ETD)

Childhood adversity has been linked to numerous health and mental health concerns in adulthood (Felitti et al., 1998). Among the many outcomes associated with adverse childhood experiences (ACEs), victimization and perpetration of intimate partner violence (IPV) remains a public health crisis. Research has found that those identifying as gender minority individuals are disproportionately impacted by IPV (Messinger, 2017; Peitzmeier et al., 2020). Further, gender minority individuals experience equivalent, if not higher, rates of ACEs when compared to their cisgender counterparts (Baams, 2018; Juárez-Chávez et al., 2018; Schnarrs et al., 2019; Tobin & Delaney, 2019). While many factors contribute to the …

Internalized Heterosexism, Shame Proneness, And Disclosure In Clinical Supervision Among Sexual Minority Supervisees, Christian Joseph Carey

Graduate Theses, Dissertations, and Problem Reports (ETD)

Sexual minority supervisees face unique struggles including prejudice, discrimination, and heterosexism, which may impact their psychological well-being and development within the supervisory experience through shame proneness and reduced disclosure. This study aims to explore the challenges facing sexual minority trainees and contribute to the empirical knowledge of multicultural supervision. Thus, this study proposes two mediation models for the hypothesized relationships among internalized heterosexism, shame-related withdrawal, shame-related negative self-evaluation, and disclosure in supervision. A total of 170 supervisees identifying as sexual minorities completed an online survey. The primary analysis included a three-step linear regression and confirmatory analysis for mediation. The results …

Evaluation Of A Three-Hour Cross Disciplinary Internship Site Supervisor Training Session, Leigh Ann Tipton Fisler, Emily Jo Hernandez, Elina Saeki, Deborah Ribera, Roxanna N. Pebdani

Journal of Counselor Preparation and Supervision

Given the importance of supervision in the counseling fields for facilitating trainee growth, the frequency, type, and delivery of supervision varies widely and can be limited or nonexistent (Pearson, 2004). Thus, a supervisor in any counseling profession must have strong supervisory skills that match the needs of the trainee, even if their professional skills and background differ (Davies et al., 2004). This study examined the effectiveness of a professional development training for school counseling, rehabilitation counseling and school psychology site supervisors. Results demonstrated significant improvements in participant confidence in Managing Supervision as well as general improvements in self-reported self-efficacy. Future …

Professional Perspectives On Bilingualism In Persons With Autism Spectrum Disorder: A Pilot Study, Rosa N. Benavidez Saldivar, Jessica R. Stewart, Ruth Crutchfield, Roy K. Chen, Lily Puente

Internet Journal of Allied Health Sciences and Practice

Purpose: The present study examined the perspectives of professionals regarding bilingualism and ASD. Methods: A total of 27 professionals participated in this study. Data was collected via an online survey. The survey was designed based on a literature review and consultation with a team of experts in the field of ASD. Information relating to demographic information, professional practice information, and perspectives of bilingualism and ASD was collected. Results: Professionals participating in the present study were most likely to agree with the statement, “A child with ASD from a bilingual household is able to understand both languages” and least likely to …

Assessing Companion Animal Attachment Among Future Latino Human Services Professionals, Yuleinys A. Castillo, Roy K. Chen

Journal of Social, Behavioral, and Health Sciences

As the population of individuals from minoritized ethnic background continues to grow in the United States, the relationship between humans and their companion animals can provide valuable information for human services professionals. Attachment to companion animals can play a significant part in clients’ emotional well-being, family dynamics, and quality of life. This study aimed to examine the associations between human attachment with companion animals and their educational training and attitudes about animals. Analysis revealed that relational attachment was significant among Latino students in the study, and particpants’ positive attitudes and beliefs about animals significantly predicted their level of attachment to …

Mock Jurors' Recommended Sentences For Perpetrators Who Have Traumatic Experiences, Katherine West

Electronic Theses and Dissertations

Experiencing trauma can result in neurological and biological changes, precipitating long-term damage to the brain and body. A considerable proportion of incarcerated persons have reported that they have experienced some type of trauma (Stensrud, Gilbride, & Bruinekool, 2018). Using scenarios of hypothetical crimes of varying degrees of seriousness, this study explores whether disclosure of the perpetrator’s traumatic childhood experiences has an influence on the severity of the sentence that mock jurors would recommend for that perpetrator. The mock jurors’ trait empathy, Belief in a Just World, and their own traumatic experiences were assessed to determine whether these characteristics could account …

The Impact Of Psychological Distress Due To Covid-19 On College Student Career Development, Sara Driver, Emily Bullock-Yowell

Faculty Publications

The COVID-19 pandemic has been an ongoing public health crisis and continues to create a variety of challenges (Centers for Disease Control and Prevention, 2020). Since the challenges of COVID-19 seem to be particularly salient for traditional college-age students (Kujawa et al., 2020) and career development is a corner stone of development at this stage, the current study investigated what impact the COVID-19 pandemic-related stress has on the psychological distress, career-development self-efficacy, and career decidedness of a sample of college students. Three hundred one students from a southeastern United States university participated in the study. We hypothesize 1) Impacts from …

Refugees In Counseling Journals: A 20-Year Content Analysis, Mina Attia, Hanyun Li, Yuquing Qiu, Shiyu Tang

Journal of Counseling Research and Practice

This article is a 20-year content analysis of counseling journals exploring refugees and refugee issues from 1998-2018. The investigation intended to identify publication trends in counseling journals and the field’s responsiveness to the refugee crisis and global climate. An exhaustive analysis of American Counseling Association (ACA) and ACA division journals was conducted. Themes of the publishing trends, gaps in the literature, and recommendations for future research are presented for the counseling field.

Impact Of Covid-19 Pandemic On Women Interpersonal Violence Survivors, Melissa Fernandez

Theses and Dissertations

Women have a significant risk of experiencing interpersonal violence over the course of their lifetime. There has been some suggestion that this risk has been exacerbated by the isolation experienced during the COVID-19 pandemic. The proposed study will evaluate levels of stress associated with interpersonal violence during the COVID-19 pandemic. Depression, coronavirus anxiety, Posttraumatic symptoms, and COVID-19 stress levels will be evaluated. It is hypothesized that participants who experienced interpersonal violence (childhood abuse, physical assault, unwanted sexual experiences, and/or intimate partner violence) will endorse higher levels of COVID-19 stress, Posttraumatic symptoms, depression. These outcomes would be mediated by experiential avoidance. …

Encounters Between The Elderly And Law Enforcement

Contemporary Southern Psychology

The elderly population is growing dramatically throughout the world. Out of this growth comes an increase in the number of encounters between the aged and law enforcement. These encounters occur because of a variety of factors including mental illnesses and addictions. Furthermore, older adults may be victims as evidenced in different forms of abuse such as physical, emotional, or financial abuse. Sadly, some documentation exists that older adults are committing more crimes. Multiple reasons have been postulated for these crimes including poverty, jealousy, and boredom. All of these different situations with the aged have created an increase in the number …

Disability And Health In African Americans: Population Research And Implications For Occupational Therapy Community-Based Practice, Emily Schulz, Debarchana Ghosh, Eddie M. Clark, Beverly R. Williams, Randi Williams, Lijing Ma, Crystal L. Park, Cheryl L. Knott

The Open Journal of Occupational Therapy

Background: Population-based research and community-based interventions are integral to occupational therapy’s scope of practice, yet they are underdeveloped in actual implementation. Therefore, this paper focuses on some health challenges facing the African American population, guided by the Person-Environment-Occupation-Performance Model.

Method: Using data from an observational cross-sectional nationwide telephone survey of African American adults, we examined differences between African Americans who are receiving disability payments (RDP) and those who are employed full time (FTE) on several physical health behaviors and psychosocial health indicators. We further compared the differences between African Americans RDP versus those FTE on those physical health …

Plea To Professors: A Passionate Approach To Controversy In The Classroom, Adrianna Meredith

Intuition: The BYU Undergraduate Journal of Psychology

Scholars have warned of a student-driven movement to turn campuses into comfort zones free from any material that may be seen as controversial (Lukianoff & Haidt, 2015). Despite this movement, the notion that professors ought to shelter their students as opposed to exposing them to challenging ideas is anti-intellectual and counterproductive to the development of critical thinking (American Association of University Professors, 2014). If the goal of education is indeed to foster critical thinking, it is crucial for professors to be willing to discuss controversial subjects (Schneider, 2013). Such openness in the classroom requires students to analyze the origin and …

Mapping Sex Therapy Across The United States: An Exploratory Study, Frances L. Mcclain, Dylan M. Amlin

Journal of Counseling Sexology & Sexual Wellness: Research, Practice, and Education

The primary purpose of this study was to determine what someone who was interested in obtaining a provider for sex therapy would find if they simply searched for sex therapy using the Google search engine. The goal was to ascertain how someone might access providers in each state, what types of information someone seeking treatment for sexuality issues might find on provider websites, who is providing the services, what types of services are being provided, and whose services might appeal to given the content of the website. Once all of the data was compiled, the resulting data would include a …

The Transition From Service Member To Veteran Student, Charles Daniel Ensminger

Walden Dissertations and Doctoral Studies

Colleges may not be prepared to support veteran students transitioning from the military to higher education, resulting in more significant attrition levels for veteran students struggling to adapt to their new surroundings. This qualitative phenomenological study examined the experiences of post-9/11 veteran students as they transitioned from the military to higher education and their involvement and interaction with cocurricular, extracurricular, and nonacademic programs during their first year of college. The research questions focused on how veterans-students described the transition from the military and into their first year of college. The theoretical framework was a combination of Bridges's transitional model, Astin's …

Complicated Grief: Counseling Considerations And Techniques, Loretta Bradley, Nicole Noble, Kumudu Witanapatirana

Adultspan Journal

This article presents a case study about a fictional client’s experience of complicated grief. This article differentiates between complicated grief and normal (adaptive) grief. It also distinguishes between bereavement, grief, and mourning. The counseling process is described using developmental theory and narrative reconstruction to illustrate how to implement creative techniques.

The Development Of Social Competence In Children With Disabilities, Soo-Young Hong, Elizabeth A. Steed, Lori E. Meyer, İbrahim H. Acar

Department of Child, Youth, and Family Studies: Faculty Publications

Children with disabilities experience unique challenges in developing social skills critical to achieve their social goals. Although there are individual differences, children with delays and disabilities may struggle to communicate with others, understand gestures, and take other people’s viewpoints. These differences may prevent children with disabilities from initiating and sustaining social interactions and, in turn, from developing high levels of social competence (Hebbeler & Spiker, 2016).

To support social development of children with disabilities, it is important to promote positive relationships within the family system as well as the teaching of social skills in inclusive early learning environments (Mahoney et …

Organizational Commitment As A Mediator Between Organizational Climate And Employee Silence, Jennifer Sherer

Walden Dissertations and Doctoral Studies

Unethical organizational behavior negatively impacts organizations, and despite the benefits of whistleblowing, some employees are hesitant to report employee misconduct. The specific research problem examined factors that influence employee silence when confronted with employee misconduct. Prior researchers have explored how organizational climate and organizational commitment can contribute to or inhibit the decision to report misconduct. What remained unclear is how these factors may interact on their influence on employee silence. The purpose of this study was to examine whether organizational commitment mediated the relationship between organizational climate and employee silence. The theoretical foundations for this study were the social information …

Rehabilitation Counselor Competency When Working With Sci And Physical Disabilities, Denise M. Anderson

Walden Dissertations and Doctoral Studies

The purpose of this qualitative phenomenological study was to address the gap in knowledge of the perceived competency of rehabilitation counselors when working with patients with a spinal cord injury (SCI) and/or a physical disability. The factors that influence the mental health needs of person with SCI and the understanding of how rehabilitation counselors view their competency levels with supporting this population were explored. Selection criteria included licensed or certified rehabilitation counselors actively providing care for persons with SCI and/or a physical disability applying a theoretical framework. A qualitative descriptive phenomenological approach was used to address the central research question …

Educational Level As A Moderator Between Stress And Suicidal Ideation Among Law Enforcement Officers, Sittipong Permsookjit

Walden Dissertations and Doctoral Studies

Law enforcement officers are exposed to occupation-related stress at a level greater than any other occupation, save war combatants, such stress can lead to suicidal ideation. There is a growing trend of suicidal ideation among law enforcement officers. This trend will threaten the stability of society if it is allowed to continue. Educational level has been shown to improve quality of life and is considered a quantitative resource. Using the theoretical framework of appraisal theory, this study’s purpose was to examine the moderating effects of educational level on stress and suicidal ideation among law enforcement officers. A total of 72 …

Athlete Attachment Style With Coaches As A Predictor Of Athlete Disordered Eating And Body Image Anxiety, Taylor Allen

Graduate Theses, Dissertations, and Problem Reports (ETD)

The coach-athlete relationship has been established as an important and significant relationship within athletes’ lives (Davis & Jowett, 2010; Jowett, 2008). There is also literature that demonstrates the impact of the sport culture environment and the quality of the coach-athlete relationship on disordered eating and body image anxiety in athletes (Galli et al., 2011; Petrie & Greenleaf, 2012; Reel et al., 2010; Shanmugam et al., 2013). However, much of the current literature does not examine this significant coach-athlete relationship from an attachment framework. Current literature supports the significance of the coach-athlete relationship and more recent research supports viewing coaches as …

First Responders’ Assumptions: An Exploration Of Emergency Medical Technicians’ Secondary Traumatic Stress And Perceptions Of Substance Users, Glenn Noble

Graduate Theses, Dissertations, and Problem Reports (ETD)

Emergency medical technicians (EMT) and firefighters respond to critical incidents and provide emergent care. As the opioid crisis continues and drug overdose rates increase, first responders administer first aid to substance users, including Naloxone, more frequently. This study examined the influence of repeated exposure to drug-related critical incidents and provision of care to substance users on EMTs' and firefighters' secondary traumatic stress (STS) level, world assumptions, and substance use stigma. First responders' world assumptions, STS, burnout, and exposure to drug-related overdoses were analyzed for their power in predicting substance use stigma. Results suggest that occupational burnout, rather than STS, is …