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Use Of Medical Care And Suicide Among Veterans, Wyatt Edward Meriwether Jan 2019

Use Of Medical Care And Suicide Among Veterans, Wyatt Edward Meriwether

Walden Dissertations and Doctoral Studies

Due to rising veteran suicide rates, the veteran population has become a focus of practitioners, research scientists, and policymakers. Although researchers have studied the relationship between suicidality and the environment, more research is required to evaluate how suicidal behavior, suicidal ideation, and suicide risk are associated with a veteran's use of medical care services within the Veterans Health Administration (VHA). Therefore, this study focused on environmental variables (medical care usage and rurality), and their relationship with suicidal behavior (Manuscript 1), suicidal ideation (Manuscript 2), and suicide risk (Manuscript 3). The social ecological model was used to better understand the interaction …

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Telehealth Integration Influencing Success And Sustainability, Melissa Jean Miller Jan 2019

Telehealth Integration Influencing Success And Sustainability, Melissa Jean Miller

Walden Dissertations and Doctoral Studies

Telehealth initiated a transformation in the realm of innovative strategies to meet the demands of an ever-changing health care system. Adapting provisions to new delivery care models such as telehealth is one way to improve access to care. The purpose of this project was to explore evidence of best practices in telehealth through an extensive, systematic literature review. The practice-focused question focused on identifying advantages of and barriers to the use of telehealth for improving patient satisfaction and quality of care. The plan-do-study-act cycle served as a model for accelerating quality improvement through improved systems of practice, and the Critical …

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Self-Care Practices And Therapist Beliefs Among Home-Based Mental Health Professionals In Relation To Burnout, Heidi C. Myers Jan 2019

Self-Care Practices And Therapist Beliefs Among Home-Based Mental Health Professionals In Relation To Burnout, Heidi C. Myers

Walden Dissertations and Doctoral Studies

In 2012, research suggested that 21% to 67% of mental health professionals experience burnout. Burnout is described as a negative experience resulting in workplace stress that produces psychological, emotional, physical, and somatic symptoms. The purpose of this study was to examine a quantitative, correlational relationship between self-care practices and therapist beliefs in relation to burnout among home-based mental health therapists. The research question concerned whether there is a relationship between therapist beliefs, self-care, and burnout among home-based therapists. Equity theory was the base theory used for this project, indicating that reciprocity between therapist and client or therapist and supervisor may …

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Employee Commitment Among Direct Care Professionals In An Intermediate Health Care Facility, Sharron Theresa Nicholson-Mccall Jan 2019

Employee Commitment Among Direct Care Professionals In An Intermediate Health Care Facility, Sharron Theresa Nicholson-Mccall

Walden Dissertations and Doctoral Studies

Lack of employee commitment affects the overall practice in healthcare organizations and can cause a disruption in the lives of people with intellectual disabilities who are receiving care. Researchers have demonstrated that increasing employee commitment and decreasing employee turnover are related to employee commitment in healthcare organizations. The purpose of this single case study was to explore strategies that leaders of an intermediate care facility for individuals with intellectual disabilities in the northwestern United States used to enhance employee commitment. Meyer and Herchovitch's model of employee commitment was the conceptual framework for this study. Data were collecting from semistructured interviews …

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Interpreting Belonging In People With Developmental Disabilities: A Case Study, Photovoice Exploration, Tullio Orlando Jan 2019

Interpreting Belonging In People With Developmental Disabilities: A Case Study, Photovoice Exploration, Tullio Orlando

Walden Dissertations and Doctoral Studies

In this qualitative study, the social construct of community citizenship as perceived in the worldviews of adults with developmental disabilities living in a large eastern city was explored. While authors report government-sponsored institutionalization and custodial care is no longer as common, the voices of people with developmental disabilities are still to be heard on what they think about being participating members of their communities rather than segregated as they once were. This study provided a group of adults with developmental disabilities an opportunity to help others better understand their thoughts about belonging. A combined case study and photovoice research approach …

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The Impact Of Prison-Based Therapeutic Community Programs On Motivation For Treatment, Jessica Tabor Jan 2019

The Impact Of Prison-Based Therapeutic Community Programs On Motivation For Treatment, Jessica Tabor

Walden Dissertations and Doctoral Studies

The sentencing and use of mandated treatment policies throughout the country have heightened the number of inmates incarcerated for drug related offenses. The purpose of this quasi-experimental, archival, correlational descriptive study was to determine whether motivation changes during therapeutic community (TC) treatment among a group of incarcerated adult male offenders, as measured by differences in pre and post levels of motivation. The hypothesis that was tested was that there would be significant differences between levels of motivation as measured upon entry and discharge from treatment. The theoretical framework that guided the study was the stages of change theory. Data were …

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Evidence-Based Care In Urgent Care Centers, Kelly Wagner Jan 2019

Evidence-Based Care In Urgent Care Centers, Kelly Wagner

Walden Dissertations and Doctoral Studies

Concussions are brain injuries--also called mild traumatic brain injuries--that affect the function of the brain temporarily or permanently. The purpose of this doctoral project was to develop an education module for staff at an urgent care center to address the lack of knowledge and low level of comfort regarding the care for patients with a head trauma. This project introduced and educated the clinical staff on an evidence-based protocol for the treatment and management of a patient with a concussion. The Rosswurm and Larrabee model for evidence-based change was used as a foundation for refining the practice question, gathering evidence, …

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Perceptions Of Factors That Contribute To Employee Retention Of It Project Managers, Julie Ann Wiebell Jan 2019

Perceptions Of Factors That Contribute To Employee Retention Of It Project Managers, Julie Ann Wiebell

Walden Dissertations and Doctoral Studies

The low retention rate of information technology (IT) project managers from a region in the southeastern United States has increased an organization's operational costs and decreased the organization's global competitiveness. The conceptual foundation for this study was the resource-based theory of competitive advantage. This multiple case study explored IT project managers' perceptions of the factors that contributed to their retention. Participants in the study included 10 IT project managers with at least 5 years of experience who were also members of a chapter of the Project Management Institute (PMI). Semistructured interviews were conducted via teleconference to collect data that were …

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Attention Deficit Hyperactivity Disorder And Psychopathy In The General Adult Population, Kathryn Richelle Wilson Jan 2019

Attention Deficit Hyperactivity Disorder And Psychopathy In The General Adult Population, Kathryn Richelle Wilson

Walden Dissertations and Doctoral Studies

Attention deficit hyperactivity disorder (ADHD) is one of the fastest growing mental disorders in the United States. More children are being diagnosed than ever before, and many of these individuals are finding that at least one other emotional, behavioral, or mental disorder often accompanies ADHD (including psychopathy). The number of individuals in the prison population with both ADHD and psychopathy is on the rise. Because of these increases, including what is being seen in the prison population, this study aimed to identify if there was a relationship between ADHD and psychopathy in the general population, and if there were specific …

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Effects Of Police-Mental Health Collaborative Services On Calls, Arrests, And Emergency Hospitalizations, Sean Russel-Jacque Zauhar Jan 2019

Effects Of Police-Mental Health Collaborative Services On Calls, Arrests, And Emergency Hospitalizations, Sean Russel-Jacque Zauhar

Walden Dissertations and Doctoral Studies

With the increasing amount of police calls involving persons experiencing a mental health crisis (PICs), agencies are looking for ways to reduce the overuse of emergency services and criminal confinement. Police-mental health collaborative (PMHC) programs were developed to utilize the expertise of both mental health and law enforcement practitioners to provide immediate linkage to psychiatric services in an effort to prevent unnecessary involvement in the criminal justice system. The theoretical framework for this study was built on the sequential intercept model (SIM) along with the theories of social network and social support. The SIM identifies 5 key points where PICs …

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A Magnet System Implementation Of The Hester Davis Fall Reduction Program, Debra Ann Bauer Jan 2019

A Magnet System Implementation Of The Hester Davis Fall Reduction Program, Debra Ann Bauer

Walden Dissertations and Doctoral Studies

A Magnet-recognized academic hospital system experienced an increase in patient falls and patient falls with injury after transitioning to a new electronic health record. The purpose of the project was to evaluate the effectiveness of a system-wide quality improvement practice change. The practice-focused question addressed a Magnet model implementation of a standardized, system-wide, evidence-based Hester Davis Scale (HDS) fall risk assessment and intervention tool and the impact on the nursing-sensitive indicators of patient fall rates and fall rates with injury. Successful implementation and sustained, correct use of the HDS fall risk assessment and targeted fall-prevention-intervention tools added to the evidence …

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Strategies For Reducing Nurses' Turnover In Specialty Care Clinics, Lawrence Benjamin Jan 2019

Strategies For Reducing Nurses' Turnover In Specialty Care Clinics, Lawrence Benjamin

Walden Dissertations and Doctoral Studies

The nursing shortage and high turnover rates are a problem in Canada and the world over. The purpose of this single case study was to explore leadership strategies that nurse leaders in specialty care clinics in Canada use to reduce nurse turnover. The participants were 7 nurse leaders from a single organization with specialty care clinics across Canada who all had above average nurse retention rates when compared to the case organization's average nurse retention rate. The authentic leadership theory was the conceptual framework. Data sources for this study were company documents, participants' semistructured interview responses, member checking of the …

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Association Between Substandard Housing And Asthma In African-American Children, Sharmanita Davis Jan 2019

Association Between Substandard Housing And Asthma In African-American Children, Sharmanita Davis

Walden Dissertations and Doctoral Studies

An improved understanding of the role of housing in asthma prevalence among African-American children is essential to addressing the issues associated with asthma and housing that perpetuate racial and ethnic health disparities. This study was conducted to examine the influence of substandard housing on the odds of asthma among low-income African-American children. The social ecological model was used as the theoretical framework for this study, that allowed consideration of the housing environment where African-American children live as an influential determinant of respiratory health. A cross-sectional research design using data obtained from the 2012 National Health Interview Survey and Comprehensive Housing …

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Employer Strategies For Improving Employee Work-Life Balance, Vernessa Lashawn Johnson-Hoffman Jan 2019

Employer Strategies For Improving Employee Work-Life Balance, Vernessa Lashawn Johnson-Hoffman

Walden Dissertations and Doctoral Studies

Senior leaders who fail to implement work-life balance strategies may experience reduced profits and sustainability challenges. This single case study explored employers' strategies for improving employee work-life balance. The population for the study included 4 senior leaders of a hospice care agency in North Carolina who successfully implemented employee work-life balance strategies. Data were collected from semistructured interviews and from the review of company documents, website, and social media pages. The conceptual framework for the study was the transformational leadership theory. The trustworthiness of interpretations was supported by member checking. Four themes emerged from inductive analysis of the data: a …

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Strategies To Identify And Reduce Workplace Bullying To Increase Productivity, Dr. Marvalene King Jan 2019

Strategies To Identify And Reduce Workplace Bullying To Increase Productivity, Dr. Marvalene King

Walden Dissertations and Doctoral Studies

Workplace bullying caused business owners to lose about 80 million employees' workdays each year. Workplace bullying can cost an organization up to $300 billion for increased medical claims, lost productivity, and employee turnovers, and up to $23 billion in additional expenses, such as costs for employee absenteeism and legal costs. The purpose of this single case study was to explore successful strategies to address workplace bullying used by 7 human resource (HR) managers and executives in 1, small-to-medium-sized organization in Central Florida. The HR managers and executives had 5 or more years of HR experience. The risk management framework and …

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School Personnel Perspectives On Supporting Teachers Of Students With Social-Emotional And Academic Needs, Ana Elisa Lee Jan 2019

School Personnel Perspectives On Supporting Teachers Of Students With Social-Emotional And Academic Needs, Ana Elisa Lee

Walden Dissertations and Doctoral Studies

Thirty percent of elementary schools that serve underprivileged students in a Texas school district are considered low-performing according to state standards in the 2016 2017 school year. Little is known about the perspectives on the support teachers need while teaching students with high social-emotional and academic needs. The purpose of this general qualitative study was to examine perspectives on principal support for teachers who teach these populations. Data were collected through interviewing 9 teachers, 3 principals, 3 counselors, 3 instructional coaches, and 1 district academic leader. Social cognitive theory, role theory, and cognitive evaluation theory constituted the conceptual framework. Individual …

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Project Managers' Capacity-Planning Practices For Infrastructure Projects In Qatar, Emmanuel Opeyemi Ojo Jan 2019

Project Managers' Capacity-Planning Practices For Infrastructure Projects In Qatar, Emmanuel Opeyemi Ojo

Walden Dissertations and Doctoral Studies

Infrastructure project delays and cost overrun are caused by ineffective use of organizational skills, processes, and resources by project managers in the construction industry. Cost overrun and schedule delay in Qatari infrastructure projects have had damaging effects on the national economy by way of claims and litigation, contractual disputes, delays in dependent projects, and project abandonment. The purpose of this qualitative case study was to explore the perceptions of project managers regarding how they utilize capacity-planning practices to mitigate project schedule delay and cost overrun in government-funded infrastructure projects in Qatar. This study was framed by three conceptual models developed …

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Educating Staff On The Family Caregiver Needs Of Brain Injury Patients, Carrie Maloney Robertshaw Jan 2019

Educating Staff On The Family Caregiver Needs Of Brain Injury Patients, Carrie Maloney Robertshaw

Walden Dissertations and Doctoral Studies

Acute rehabilitation hospitals assist brain injury patients and families who face a life- changing event to achieve greater independence and quality of life. During the acute rehabilitation phase of recovery, care is focused on the patient; however, there is a nationwide movement to implement patient- and family-centered care because caregivers experience grief and uncertainty about how to care for their loved one during hospitalization and upon discharge. The purpose of this staff education project was to educate rehabilitation staff on how to identify and to meet the needs of family members of brain injury patients in an acute rehabilitation center …

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Educational Plan For Correctional Officers To Increase Awareness Of Diabetes Mellitus Among Inmates, Zaheerah Yasmeen Shareef Jan 2019

Educational Plan For Correctional Officers To Increase Awareness Of Diabetes Mellitus Among Inmates, Zaheerah Yasmeen Shareef

Walden Dissertations and Doctoral Studies

In the United States, approximately 30.3 million or 9.4% of the population have been diagnosed with diabetes mellitus. Of these, 8.3 million remain undiagnosed. There are approximately 2 million people incarcerated in detention centers, jails, and prisons across the United States with approximately 80,000 inmates living with diabetes. Correctional officers are not educated to identify and respond to inmates with evolving medical complications, such as low or high blood glucose, which can lead to preventable adverse events, including permanent injury or death. The purpose of this project was to develop an evidence-based education module to teach correctional officers how to …

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Implementation Of A Staff Education Project For A Robotics Education Program In The Operating Room, Doreen A. Sicotte Jan 2019

Implementation Of A Staff Education Project For A Robotics Education Program In The Operating Room, Doreen A. Sicotte

Walden Dissertations and Doctoral Studies

Nurses who provide care in robotic surgery must have sufficient special training in the operation of the da Vinci robot to perform their roles with knowledge and confidence that can yield optimal patient outcomes. The local nursing practice problem in the project facility, and the focus of this doctoral project, was the lack of an evidenced-based robotics education program for registered nurses who participate in robotic surgery. The gap in practice was nurses' lack of knowledge, which interfered with the care provided to the robotic surgical population. The purpose of this project was to develop a staff robotics education program …

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Using The Identity Capital Model To Understand Master's Counseling Students' Program Retention, Tammison Rene Smith Jan 2019

Using The Identity Capital Model To Understand Master's Counseling Students' Program Retention, Tammison Rene Smith

Walden Dissertations and Doctoral Studies

Master's education is a quickly growing area of higher education that provides students higher lifetime earnings and lower levels of unemployment. Despite the benefits, the little research conducted over the past 20 years, using institutional, programmatic, and sociological student factors (e.g., age, race, and financial status) has had minimal success creating a universal model to understand what promotes the retention and graduation of master's students. C�t�'s identity capital model (ICM) holds that interactions of both sociological and agentic capital aid in the development of an individual's identity. While cultural capital is essential for building the foundation of identity, it is …

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Clinical Practice Guidelines For Home Management Of Intravenous Immunoglobulin Therapy, Rosemary Taylor Jan 2019

Clinical Practice Guidelines For Home Management Of Intravenous Immunoglobulin Therapy, Rosemary Taylor

Walden Dissertations and Doctoral Studies

The infusion of intravenous immunoglobulin therapy in the home setting requires a critical nursing assessment and interventions aimed at managing and preventing the escalation of adverse events. Some patients experience side effects that necessitate a rapid response by field nurses, requiring standing orders for nursing administration and the availability of essential medications to alleviate symptoms in the patient's home. The clinical practice issue was that the home health agency did not have a uniform clinical practice nursing guideline to assist field nurses in providing rapid responses for managing infusion-related reactions. The purpose of this project was to develop an evidence-based …

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Modified Eye Movement Desensitization Therapy Protocol Treating Substance Abuse Disorders, Elise Von Tersch Jan 2019

Modified Eye Movement Desensitization Therapy Protocol Treating Substance Abuse Disorders, Elise Von Tersch

Walden Dissertations and Doctoral Studies

Quality substance abuse treatment is needed to help fight the battle against drug addiction. This qualitative study was designed to explore some of the approaches to eye movement desensitization (EMDR) therapy that therapists trained in Parnell's adapted EMDR model use in conjunction with treatment for addictions. The purpose of this narrative inquiry was to investigate the experience of therapists who incorporate substance abuse treatment with Parnell's adapted EMDR model when treating trauma and substance use disorders. The population studied comprised licensed mental health therapists who had completed Parnell's EMDR training and implemented Parnell's modified EMDR protocol in their professional practice. …

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Esl Teachers' Perceptions Academic Performance Among Hispanic El Students Of Deported/Immigrant Parents, Osiris Ciminera Jan 2019

Esl Teachers' Perceptions Academic Performance Among Hispanic El Students Of Deported/Immigrant Parents, Osiris Ciminera

Walden Dissertations and Doctoral Studies

The sudden removal of immigrant parents by deportation can have lasting effects on children's overall wellbeing. While many studies demonstrate the impact parental deportation has on the child development, more research has been called for on how deportation and the removal of parents by deportation can affect school performance among ESL students. The purpose of this quantitative study was to examine the student factors that predict 5 domains of school performance among ELS students of undocumented parents as perceived by their ESL teachers. Sewell's duality of structures served as the theoretical framework. A quantitative correlational design using an online survey …

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The Experience Of Founder's Syndrome In Nonprofit Organizations Founded By Women, Coutanya Moultry Coombs Jan 2019

The Experience Of Founder's Syndrome In Nonprofit Organizations Founded By Women, Coutanya Moultry Coombs

Walden Dissertations and Doctoral Studies

Gaps exist in the literature on knowledge of how founder behavior affects volunteers and employees in nonprofit organizations. Through exploration of founder relationships with volunteers and employees, this study fills some of those gaps and adds to the body of knowledge of how those relationships are perceived by founders, volunteers, and employees. The purpose of this narrative study was to address the question of the impact of founder behavior on founders, employees and volunteers in nonprofit women's organizations founded by African American and Caucasian women. The theory of psychological ownership was used as the framework to understand founder behavior. The …

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Informal Caregivers' Lived Experiences Caring For A Black Man Receiving Hemodialysis, Tanikka Joy Greene Jan 2019

Informal Caregivers' Lived Experiences Caring For A Black Man Receiving Hemodialysis, Tanikka Joy Greene

Walden Dissertations and Doctoral Studies

Numerous quantitative studies have assessed caregiver burden in multiple chronic diseases, but an identified gap and underrepresentation exists in the literature regarding studies using an inductive approach that allow informal caregivers to describe the lived experiences of caring for Black men receiving hemodialysis. The transactional model of stress and coping and the stress process model guided this study. The key research questions centered on the experiences, psychological, physical, and financial limitations associated with caregiving. This phenomenological study used a purposive sample of 15 unpaid primary caregivers over the age of 18 caring for a Black male on hemodialysis from Mecklenburg …

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Strategies For Achieving Patient-Centered Healthcare And Cost Containment, Quincy Von Handy Jan 2019

Strategies For Achieving Patient-Centered Healthcare And Cost Containment, Quincy Von Handy

Walden Dissertations and Doctoral Studies

Implementing successful value-centered care strategies that support patient-centeredness while reducing cost is a significant challenge for healthcare leaders. In 2001, the Committee on Quality of Healthcare in America and the Institute of Medicine identified patient-centeredness as 1 of 6 improvement goals to improve quality of care for the 21st century. The purpose of this multiple case study was to explore patient-centered strategies that healthcare managers used to reduce the cost of healthcare for elderly patients without reducing the quality of patient care. The conceptual framework that grounded this study was patient-centered care, and the opposing theory was the primary care …

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Educational Intervention On Metabolic Syndrome For Psychiatric Providers, Chika Emelda Okafor Jan 2019

Educational Intervention On Metabolic Syndrome For Psychiatric Providers, Chika Emelda Okafor

Walden Dissertations and Doctoral Studies

Statistics show a high prevalence of metabolic syndrome (MetS) in patients with mental illness receiving second-generation antipsychotic medications. MetS is associated with elevation of obesity, truncal obesity, blood pressure, cholesterol, and fasting glucose. The purpose of this project was to educate psychiatric providers about the importance of MetS screening, early detection, management, and referral for better treatment and management. The project was guided by Lewin's theory of change model. The project inquired if educational intervention on MetS improved providers' knowledge and intent to adopt MetS guidelines. A literature review and established guidelines of the American Psychiatric Association and American Diabetic …

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Parents' And Teachers' Perceptions Of Parental Involvement, Sebrina Rochell Patton Jan 2019

Parents' And Teachers' Perceptions Of Parental Involvement, Sebrina Rochell Patton

Walden Dissertations and Doctoral Studies

Lack of parental involvement is an issue in the educational system because parents and teachers do not understand each other's views. Research has shown that when parents and teachers provide students with support, student achievement increases. The problem of teachers' and parents' lack of common understanding of parental involvement was addressed in this study. Epstein's model of parental involvement and the theory of planned behavior served as the theoretical framework of this qualitative, exploratory, phenomenological study to explore the perceptions of 5 teachers and 10 parents who were purposefully sampled. The research questions were focused on parents' and teachers' perceptions …

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Correctional Social Work Practice With Female Offenders In A Midwestern State, Veronica Labrell Smith Jan 2019

Correctional Social Work Practice With Female Offenders In A Midwestern State, Veronica Labrell Smith

Walden Dissertations and Doctoral Studies

A women's prison in the midwestern region of the United States experienced an increase of female inmates. Incarcerated women have reported higher rates of substance abuse problems, prior victimization, and mental illness than their male counterparts. Clinical social workers are often the primary service providers in criminal justice settings. The purpose of this action research project was to explore the challenges faced by social workers in a midwestern state when providing clinical treatment services to female offenders. Postmodern feminist theory and pathways theory provided a framework for understanding the factors related to female offending. The practice-focused research question explored the …

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