Digital Commons Network^™

Depressive Symptoms Predict Cannabis Initiation Among Mexican American Young Adults, Srishty Arora, Caroline North, C. Nathan Marti, Seth J. Schwartz, Bara S. Bataineh, Liza Talavera-Garza, Alexandra Loukas, Anna Wilkinson

Psychological Science Faculty Publications

Background: Factors contributing to cannabis initiation among Hispanic young adults remain understudied. Methods: We examined the independent and interactive roles of depressive symptoms, family cohesion, and family conflict on cannabis initiation one year later among 616 18-29-year-old cannabis-naïve Mexican American college students in Texas. Results: Mixed-effects logistic regressions indicated that greater depressive symptoms predicted cannabis initiation one year later. Neither family cohesion nor family conflict moderated the depressive symptoms-cannabis initiation association. Conclusion: Mexican American young adults experiencing depressive symptoms may initiate cannabis use to cope with emotional distress. Additional research should examine the factors that drive cannabis initiation in this …

The Politics Of Remembering: Reconfiguring The Diorama Of Monas As Augmented Living Document, Suprayitno Suprayitno, Zulfatun Sofiyani, Rahmi Rahmi

Proceedings from the Document Academy

This paper examines the Monas diorama as a central apparatus in Indonesia’s politics of remembering, whose narrative consolidation during the New Order rendered it a state-authored monument of national memory. Drawing on Foucault’s distinction between monument and document, Ferraris’s ontology of documentality, and Perret’s concept of document design as projective epistemology, the study reframes the diorama as a documentary assemblage shaped by inscription, power, and institutionalized forgetting. Through diachronic, synchronic, comparative, and experimental analyses, the paper diagnoses failures across the physical, social, and cognitive dimensions of Monas as a document, revealing narrative authoritarianism, representational rigidity, and the absence of plural …

The Disproportionate Impact Of Hiv On Young Women In Durban: Exploring Gendered Vulnerabilities And Socioeconomic Barriers, Adrian A. Nolasco

Capstone Collection

South Africa has a high rate of HIV, with young women in Durban especially affected due to social, economic, and cultural challenges. This study looks at the experiences of young women living with HIV and the views of healthcare professionals caring for them in KwaZulu-Natal. Using a qualitative, phenomenological approach, semi-structured interviews were conducted with five women and three medical professionals to explore how HIV affects their lives, the challenges they face, and how they cope.

The findings show that both structural and personal barriers make it hard for young women to stick to treatment. Long waits at clinics, limited …

A Reflection On What Pharmacists In Different Countries Can Learn From One Another, Aaryaman Khurana, Patricia Darbishire

Purdue Journal of Service-Learning and International Engagement

What would be the first words that come to mind if you were asked about the US health care system? I asked that question to several of my friends and pharmacy peers and received mixed responses such as “expensive,” “confusing,” “hard to navigate,” and “best in the world.” This was not surprising considering the many options and the varying quality of medical procedures, medical devices, and pharmaceuticals available. I wondered how responses might differ if I posed the same question about their health care to those in a third-world country. So, I asked the same question of friends and family …

Ethical Decision-Making And Modification Of Service Delivery: Social Workers In Connecticut During Covid, Marie Elana Hollingsworth

Walden Dissertations and Doctoral Studies

Social work professionals often experience demanding and intense situations while facing organizational restructuring during crisis situations. The purpose of this generic qualitative study was to explore the viewpoints of frontline social workers regarding their ethical decision-making processes in response to the mandatory modifications of the service delivery protocol during the COVID-19 pandemic. Enck’s biomedical and ethical decision-making framework grounded the study. Data were collected from semi-structured interviews with 10 frontline social workers in Connecticut who had been employed with a social service agency for at least 3 years, but no more than ten. Findings from coding and thematic analysis yielded …

The Relative Importance Of Cultural Competence And Compassion Fatigue In Predicting Nurse Prescribing Self-Efficacy, Debarah Lane Jowett-Gordon

Walden Dissertations and Doctoral Studies

As a result of the growing diversity among citizens requiring medical care, there has been a substantial increase in immigrants globally and in the United States. In the U.S. healthcare system, nurse practitioners (NPs) have been facing increased cultural challenges. The purpose of this quantitative study was to determine the relative importance of cultural competence and compassion fatigue in predicting nursing prescribing self-efficacy. Cultural competence served as the theoretical framework, as it focuses on how NPs can effectively communicate with patients from diverse backgrounds by understanding and respecting cultural differences, thereby building trust, improving patient outcomes, and providing quality healthcare. …

Perceptions Of Former Inmates’ Mental Health And Substance Abuse Treatment Received During Incarceration, Garla Kathleen Snapp-Hart

Walden Dissertations and Doctoral Studies

Access to effective behavioral treatment is critical for the imprisoned population and newly released individuals to reduce reentry into the penitentiary system. Social workers within correctional facilities can determine the need for treatment, how often treatment is required, what specific treatment is necessary, and what resources will be needed to provide those treatments. A qualitative exploratory design was used in this study. I explored the quality of behavioral health treatment provided to the incarcerated population. Systems theory was used as the theoretical framework this study. There were 17 participants in this study who had been incarcerated in a Kentucky prison …

The Impact Of Cultural Competence On Patient Outcomes In The Bahamas, Erinique Denise E. Ingraham

Walden Dissertations and Doctoral Studies

In The Bahamas, the quality of care received by culturally diverse patients remains generally poor, highlighting an inability to adapt to the changing climate and adopt culturally responsive practices. The purpose of this quantitative causal-comparative study was to examine the relationship between perceived cultural competence of healthcare providers in The Bahamas and its impact on patient outcomes for the non-Bahamian patients they treat. The tripartite model of cultural competence grounded this study. The participants comprised 49 non-Bahamian patients from the public and private sectors. They completed the patient-reported physician cultural competency measure, self-efficacy for managing medications and treatments, and the …

Comments On Treasury Notice 2025-68, Jin Huang, Michael Sherraden

Center for Social Development Research

In December 2025, the U.S. Treasury Department and the Internal Revenue Service announced their intent to issue regulations concerning Trump Accounts (also known as 530A accounts), requesting public comments on the intended regulations and related provisions. This testimony presents comments submitted in response to that request. In it, Jin Huang and Michael Sherraden summarize evidence from the SEED for Oklahoma Kids experiment (SEED OK), Maine’s My Alfond Grant, and Rhode Island’s CollegeBound Baby on the effectiveness of automatic enrollment in policy. They discuss the use of Social Security numbers, a centralized clearing fund, and a designated custodian network as tools …

Children And Youth With Special Health Care Needs (Cyshcn) Regional Support Centers (Rsc): A Framework For Effectively Engaging Stakeholders, Jenna Lequia, Susan Burlazzi, Abby Beer, Miriam Franco, Kathleen Mcgrath, Angel Morales, Joanne Siegel, Susan Hetherington, Tricia Patrick

Developmental Disabilities Network Journal

The three University Centers for Excellence in Developmental Disabilities (UCEDDs) in New York served as Children and Youth with Special Health Care Needs (CYSHCN) Regional Support Centers (RSC). The RSCs aimed to increase the capacity of local CYSHCN programs to connect with and support CYSHCN and their families in their community. RSCs conducted activities in the areas of family engagement, training and educational materials development, and technical assistance. RSCs engaged in ongoing dialogue with CYSHCN and their families to learn about experiences to inform systemic improvements through focus groups, interviews, and surveys. This article describes a statewide framework to serve …

From Strain To Strength: A Narrative Review Of Wellness Dimensions In Caregiving, Valerie Perkoski

Developmental Disabilities Network Journal

This narrative review investigates the positive aspects of being a family caregiver for individuals with developmental disabilities (DDs) using the National Wellness Institute’s Six Dimensions of Wellness (Emotional, Physical, Intellectual, Occupational, Spiritual, and Social). While much research has traditionally focused on “caregiver burden,” this review highlights the often-overlooked beneficial outcomes of caregiving. Emotional wellness is enhanced through gratitude and resilience. Physical wellness is discussed through interventions like physical activity, which can reduce caregiver distress. Intellectual wellness emphasizes personal growth and self-actualization, helping caregivers find fulfillment in their roles. Occupational wellness shows that employment and community engagement can reduce anxiety among …

Secondary Students’ Mental Health And Absenteeism Post-Covid-19: School Social Workers’ Perspectives, Tiffany Hines Sutton

Walden Dissertations and Doctoral Studies

School social workers practice in a post-COVID-19 educational context where anxiety, depression, and emotional dysregulation are closely associated with chronic absenteeism among middle school students. This practice problem is central to clinical social work because distress-based avoidance is often misinterpreted as defiance, resulting in punitive responses that intensify disengagement. The purpose of this doctoral project was to explore how school social workers perceive and respond to the interconnected dynamics of student mental health and chronic absenteeism following COVID-19. Bronfenbrenner’s ecological systems theory guided the inquiry. A qualitative descriptive design was employed using semi-structured interviews with 10 middle school social workers …

Impact Of Suicide Literacy In Hispanic/Latinx Communities, Denisse Centeno Lamas

Walden Dissertations and Doctoral Studies

No abstract provided.

Mitigating Vicarious Traumatization From Exposure To Human Trafficking For Human Services Professionals, Andrea T. Charles-Alleyne

Walden Dissertations and Doctoral Studies

Human trafficking is a devastating form of exploitation that not only has detrimental impacts to its victims but also the human services practitioners charged with and committed to their service provision. The secondary impact for professionals is not to be underestimated, as repeated exposure to the traumatic experiences of their clients can potentially lead to physical as well as emotional symptoms such as vicarious trauma, compassion fatigue, and burnout. Often, practitioners prioritize the needs of their clients with a relentless focus on advocacy and the overall well-being of those they serve. The purpose of this qualitative action research study was …

Left Behind In Lockdown: A Scoping Review Of Covid-19’S Impact On The Lives Of Transition-Age Foster Youth, Johanna K P Greeson, Sarah Wasch, John Gyourko, Antonio R. Garcia, Hannah Bennett, Kate Greco, Liya Cha

Faculty Scholarship

This scoping review asked: What is known about the scope and nature of research on the COVID-19 pandemic and its effects on older youth with foster care experience in the United States, including the types of studies, samples and outcomes examined? Guided by the Joanna Briggs Institute framework and PRISMA-ScR, we searched 11 databases and grey literature sources (October2024 to January 2025). Eligible studies were United States based, published from 2020 onward and included primary data on foster youth or relevant professionals. Thirty-two studies met inclusion criteria. Most studies were descriptive or cross-sectional, reflecting early phases of the pandemic. Mapping …

Roles And Strengths Of Therapeutic Recreation Professionals In Service Provision: A Strengths-Based Approach, M. Rebecca Genoe, Linda Ostryzniuk, Kathy Park, Sherri Nelson, Douglas G. Cripps, Donna Boser

The Qualitative Report

Therapeutic Recreation professionals work in healthcare and community-based settings where they utilize recreation and leisure to improve quality of life. Despite their contributions, Therapeutic Recreation often goes unrecognized as an important component of the healthcare team. The purpose of this study was to explore the strengths and successes of Therapeutic Recreation professionals. We aimed to explore how Therapeutic Recreation professionals identify and perceive their roles, and what strengths they use within their roles. Data was collected through 19 individual interviews and eight focus groups with Therapeutic Recreation professionals and analyzed thematically. The theme of “nurturing well-being through leisure” was generated …

Teaching Multicultural Counseling: A Phenomenological Exploration Of Counselor Educators’ Voices, Cameka Hazel, Paul Leheste, Raymond Blanchard

Journal of Counselor Preparation and Supervision

This study explored the perceptions of counselor educators who taught the graduate level multicultural counseling course. Six participants shared experiences, leading to four themes: personal and professional rewards, who is fit to teach? dealing with resistance and difficult conversations and limited time and class size. Implications for counselor education are discussed.

Counselors’ Experiences Of The Alliance In Videoconference Supervision: The Role Of Nonverbals, John E. Trenery, Azra Karajic Siwiec, Randall L. Astramovich

Journal of Counselor Preparation and Supervision

The role of nonverbal immediacy and intimacy in shaping the supervisory alliance during videoconference-based clinical supervision is understudied. Using a generic qualitative research design, data were collected from 15 practicing counselors through semi-structured interviews. Thematic analysis identified six primary themes, highlighting both the perceived barriers and the essential role of nonverbal cues, as well as the need for amplified behaviors in video-based interactions. The findings point to significant gaps in telesupervision training and introduce a novel framework to strengthen telepresence in videoconference supervision. This study offers actionable insight for educational institutions and governing bodies, emphasizing the importance of targeted curricula …

Dismantling Racism In The Classroom: Recommendations For White Male Counselor Educators, Jason L. Vannest, Rebecca J. Vannest, Lorise D. Grey

Journal of Counselor Preparation and Supervision

In response to the historical tradition of Eurocentrism and Whiteness in counseling programs in the United States, the American Counseling Association (ACA) and the Association for Counselor Education and Supervision (ACES) have challenged their members to confront implicit bias, become allies with Black Indigenous People of Color (BIPOC), and commit to challenging racism and implicit bias. Despite these robust calls to disrupt racism and implicit bias, counselor educators - specifically White male counselor educators (WMCEs) - may wonder how to effectively take action due to their own racial identity. Several factors may contribute to WMCEs' reticence to deconstruct racism and …

The Feminist Impostor Phenomenon Approach (Fipa): A Feminist Approach To Addressing Impostor Phenomenon In Novice Counselors, Isabel Springer, Kelly Emelianchik-Key

Journal of Counselor Preparation and Supervision

Impostor Phenomenon (IP) is known to affect new professionals in health professions, yet there is little to no academic literature available on how it affects early career counselors and how it can be addressed. Novice counselors (NC) frequently experience extreme anxiety and feelings of fraudulence around their professional performance. Feminist mentorship and interventions can help alleviate IP and foster self-efficacy and confidence in new counseling professionals. The Feminist Impostor Phenomenon Approach (FIPA) consists of a three-hour workshop educating participants through a feminist lens about IP and relevant coping strategies, and subsequent weekly consciousness-raising groups where coping strategies are reinforced, and …

We Got You Sis: Body Mapping As An Embodied Pedagogical Approach To Sexual And Reproductive Justice Studies, Renata J. Hall

Feminist Pedagogy

No abstract provided.

Adolescent Math Anxiety: Teachers' Grouping Approach At The Intersection Of Multiple Student Identities, Dara Shifrer, Hannah Sean Ellefritz, David Hernandez-Saca, Allison Roda, Karla Santana Martinez

Sociology Faculty Publications and Presentations

Math anxiety represents a substantial barrier to many students’ math learning. In this paper, we apply interdisciplinary perspectives to data on over 13,200 ninth graders and their math teachers from the High School Longitudinal Study. Results suggest that being perceived as dis/abled relates to heightened math anxiety regardless of adolescents’ gender, or race and ethnicity. Our intersectional approach reveals that adolescents’ expressions of math anxiety do not always correspond with gender, racial, and ethnic stereotypes, with Black girls, Black boys, and Latine boys expressing relatively low levels of math anxiety. Finally, consistent with the principles of inclusion and universal design, …

Under The Guardianship: Experiences Of Mothers In Egypt’S El Nayaba El Hesbaya, Hana Khayry

Theses and Dissertations

This thesis explores the intersectional lived experience of El Nayaba El Hesbaya in Egypt. El Nayaba El Hesbaya, operating under Law 119/1952, is the administrative and judicial body responsible for overseeing the financial and legal affairs of minors whose father or mother had passed. Hundreds of thousands of mothers in Egypt have (had) children under the guardianship of El Nayaba El Hesbaya. This research delves into the experience of mothers whose children are or were under the guardianship of El Nayaba El Hesbaya, examining how it shape(s/d) their everyday life as women, mothers, widows or ex-wives, citizens, and legal subjects. …

Integrating Future Factory-To-Factory (F2f) Manufacturing Through System Of Systems Engineering (Sose): A Framework For Capability Beyond Constituent Systems, Polinpapilinho F. Katina, Hengtao Tang Ph.D., Anouar Hallioui

Faculty Publications

System of Systems Engineering (SoSE) is an emerging discipline focused on the design, integration, and evolution of metasystems—composed of multiple autonomous yet interdependent systems. These systems of systems (SoS) offer capabilities that exceed those of any individual constituent systems by enabling synergistic coordination, interoperability, and dynamic adaptation across diverse operational contexts. This study pursued three primary objectives: (i) to examine the role of integration in enabling emergent capabilities beyond those of individual systems, (ii) to explore SoSE as a framework for orchestrating Future Factory-to-Factory (F2F) Manufacturing, and (iii) to assess the implications of SoSE to address volatile, uncertain, complex, and …

Navigating Care And Self-Care: Understanding Latina Caregivers’ Prioritization And Engagement In Self-Care Practices, Denise A. Longoria, John M. Gonzalez, Romeo Escobar, Nelda Rodriguez

School of Social Work Faculty Publications

Introduction: Latina caregivers face significant physical and mental health risks due to the demands of caregiving. The decision to become a caregiver is often influenced by various factors including cultural values such as familismo and marianismo. It is essential that caregivers recognize the importance of self-care to prevent burnout. Without self-care, caregivers face an increased risk of stress, which can negatively affect physical and emotional health.

Methods: A qualitative approach using focus groups to explore Latina caregivers’ understanding and engagement in self-care.

Results: Findings suggested that participants understand the need for self-care; however, family and cultural needs were prioritized. When …

Teaching Politics In An Age Of Democratic Erosion, Lauren Balasco, Emmanuel Balogun, Janet Lawler, Anna Kapambwe Mwaba

Government: Faculty Publications

Democratic erosion in the United States, and the global decline of support for democratic values and institutions, obliges us to reflect on how we introduce politics to undergraduate students in this challenging era. Recent attacks on democratic rights and academic freedoms on college campuses, as well as the undermining of rule of law and democratic norms in the United States and abroad, compels us to reconsider and reflect on how we introduce politics and civic engagement in the classroom to our students. In this essay, we reflect on how current global and national trends in populism and authoritarianism require us …

Measuring Depression, Anxiety, Stress And Burnout In Paramedics, Dispatchers, And Call Takers Of Western Canada, Nahum Chi Heng Ip

Doctoral Dissertations and Projects

The following dissertation examines depression, anxiety, stress, and burnout in dispatchers and paramedics of Western Canada. This study is meant to bridge a research gap in mental health among emergency health workers in British Columbia, Canada. The samples were collected through two self-reporting surveys, the Depression, Anxiety, and Stress Scale (DASS-21) and the Maslach Burnout Index (MBI), both of which are strongly validated and widely used in similar research. Of the 948 dispatchers and paramedics who participated, 771 (81.3%) responses qualified to be included. The data was entered into the Intellectus software where a variety of tools were utilized to …

School Social Workers In Practice: A Transcendental Phenomenological Study On Understanding Role Navigation And Providing Mental Health Support In Educational Settings, Jennifer J. Bowers

Doctoral Dissertations and Projects

This transcendental phenomenological study examined the lived experiences of school social workers as they navigated their professional roles in supporting student mental health within educational settings. Grounded in Organizational Role Theory and Ecological Systems Theory, the study explored the meanings participants assigned to their roles, the challenges they encountered, and factors that supported or hindered their work. Purposeful sampling was used to recruit 11 licensed and unlicensed school social workers employed in the South Florida Tri-County area. Data were collected through in-depth, semi-structured interviews and analyzed using epoché, horizontalization, and thematic clustering. Findings revealed four interrelated themes: navigating roles and …

Navigating Analytical Challenges In Clinical Trials Using The Multiverse Approach, Alexander O. Crenshaw, Nicole Pukay-Martin, Anne Wagner

Faculty Articles

Making decisions regarding data processing and analysis are crucial steps toward extracting insights from data in clinical trials. Trial registries like clinicaltrials.gov promote transparency about these decisions and encourage making them in advance. However, clinical studies often face decisions with multiple reasonable options outside the bounds of preregistration, such as when studies conduct post hoc analyses, deviate from preregistered plans, or simply were not preregistered. Additionally, even a priori decisions often have multiple reasonable options from which to choose. Methods that maximize transparency and minimize bias in such situations are needed. This paper advocates for applying a “multiverse” approach to …

Survivors Of Sexual Trauma: Abortion Experiences Of Black Women In The Southern United States, Katie Grace Geter

Walden Dissertations and Doctoral Studies

Women who experience both sexual trauma and abortion within their lifetime are highly likely to struggle with serious mental health symptoms; however, social work students and practitioners lack education and knowledge on how to serve these women. Recent events, including the uprising of gender and race related movements, COVID-19, heightened political division, and increased governmental control on abortion rights also impact social-work practice. Acknowledging intersectionality, the purpose of this qualitative study was to explore the experiences of abortion for Black women in the Southern United States who have a history of sexual trauma. The experiences of 6 Black women with …