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Predictors Of Substance Abuse Counselor Self-Efficacy When Working With Dually Diagnosed Clients, Nievel Stanisclaus

Walden Dissertations and Doctoral Studies

Previous studies have demonstrated the predictive value of counselor self-efficacy and professional development in mental health counselors, career counselors, school counselors, and other professions. However, there has been a gap in literature regarding substance abuse counselor self-efficacy. The purpose of this quantitative cross-sectional study, guided by Bandura’s social cognitive theory, was to determine whether years of work experience, level of education, and possessing a license or certification predicted substance abuse counselor self-efficacy when working with dually diagnosed clients. The research question addressed this purpose. Data were collected using an online survey consisting of the counselor activity self-efficacy scale and a …

Pain Assessment Strategies For People With Cognitive Impairment In Nursing Home Settings, Meskelo Tsegaye Bobo

Walden Dissertations and Doctoral Studies

Assessment of pain in patients with a diagnosis of dementia or cognitive impairment continues to be underdiagnosed as there are no objective ways of assessing their pain. Available evidence also indicates that these patients are not receiving satisfactory pain management. Due to a lack of self-reporting of pain, accurate assessments of pain are challenging. This systemic review aimed to find a pain assessment strategy effective in identifying pain in patients with a diagnosis of dementia. Kolcaba's theory of comfort was used as the theoretical framework for the study. The databases of Medline, Cochrane Database of Systematic Reviews, Embase, and Cumulative …

A Multiple Case Study Of School Administrators On Use Of Disciplinary Measures, Michele L. Jones-Pace

Walden Dissertations and Doctoral Studies

Disproportionately high rates of out-of-school suspension and expulsion of African American children represent an ongoing issue in the U.S. public school system. Bronfenbrenner’s ecological theory was used as the theoretical framework for this multiple case study. The research question focused on the perceptions, perspectives, and experiences of a purposeful sample of 7 high school principals and what they believed were the reasons for persistently high rates of out-of-school suspension for African American students. The principals represented Title I and non-Title I schools located in urban, rural, and suburban regions of a southern state. Data from individual interviews and archival data …

Court Intervention And Recurrence Of Child Maltreatment, Steven Wayne Luke

Walden Dissertations and Doctoral Studies

The problem of child maltreatment recurrence is both complex and pervasive, affecting nearly every nationality and culture worldwide. The current body of research consistently contains reports of a gap due to the lack of input from the families served that may be resolved through the application of intergroup contact theory. The purpose of this study was to determine if the presence of an attorney representing parents in child maltreatment intervention predicted lower recurrence in child maltreatment as opposed to when those attorneys are absent from the process. While much of the practice of social work is based on ecological systems …

Abc County’S Welfare-To-Work (Wtw) Program Participation Rate, Alberto Banuelos

Walden Dissertations and Doctoral Studies

Welfare-to-work (WTW) programs are an essential part of societal assistance made available to families in need. In ABC County, CA, problems have been found with the implementation and success rates of their WTW program: Temporary Assistance to Needy Families (TANF). Even with funds allotted for the program, ABC County has not been able to design a WTW program that meets the TANF program work participation requirement of 50% of active TANF recipients in a WTW activity. The purpose of this study was to address this need as it related to the TANF program specifically. A qualitative, exploratory, single case study …

Canadian Postsecondary Leaders’ Understanding And Promotion Of Social Justice And Educational Equity, Pamela Jacqueline Cawley

Walden Dissertations and Doctoral Studies

Canadian universities are educating an increasingly diverse student body and have a role in rectifying inequities and educating students to contribute to a democratic and inclusive society, but little is known about how mainstream leaders understand such leadership. The purpose of this study was to examine how mainstream Canadian postsecondary leaders in Canada describe and understand their leadership related to social justice and educational equity. Critical social theory and applied critical leadership theory guided this study. This basic qualitative study using semistructured interviews explored how 11 mainstream postsecondary leaders have understood and promoted social justice and educational equity. Data analysis …

The Impact Of Sex Offender Registration Laws On Offenders’ Reintegration Into Society, Stephanie Rose

Walden Dissertations and Doctoral Studies

Information related to the experiences of sex offenders required to register under the Sex Offender Registration and Notification Act of 2006 is predominantly based on quantitative data, and the majority of information relates to the factors that contribute to sexual offenses, recidivism rates, and public opinion of the sex offender registry. There is a lack of research on the lived experience of sex offenders who are required to register, specifically those in rural Pennsylvania. Research is also lacking on how sex offenders and the professionals with whom they interact perceive the registry. Therefore, the purpose of this phenomenological study was …

Difficulties Social Workers Face When Working With Youth Exposed To Technology Without Parental Supervision, Dorothy Williams

Walden Dissertations and Doctoral Studies

There has been a significant increase in behavioral issues in the home and school environments of youth ages 13-17 years in the state of Georgia who have constant access to technology through internet-connected devices over the past years. Due to constant evolution and advancements of technology, mental health professionals are now noticing that when youth are overly consumed with technology, it tends to correlate with problematic behaviors. The social work practice problem and purpose is understanding the difficulties social workers face when working with youth exposed to technology without parental supervision. This study is important within the context of clinical …

Strengthening Mental Health Awareness Of University Students Using An Online Training Module, Lavern Rosemarie Bourne

Walden Dissertations and Doctoral Studies

Canadian youth pursuing postsecondary education are facing a major mental health crisis. There are substantial gaps between the diagnosis and treatment of mental illnesses. The purpose of this study was to evaluate whether a web-based mental health educational intervention was an effective tool with which to increase mental health awareness and help-seeking behaviors of university students. The theory of planned behavior, the help-seeking model, and the technology acceptance model were the theories that guided this study. Using a quantitative quasi-experimental research design, data were collected from 329 undergraduate students in the Faculty of Health Sciences at a university in Eastern …

Child Welfare Workers' Perceptions Of The Effective Black Parenting Program, Kharmynn M. Bullock

Walden Dissertations and Doctoral Studies

The child welfare system (CWS) serves around half a million families each year in America. Of those, in Texas, hundreds of thousands of African American families represent the greatest percentages of families in the CWS when compared with their respective numbers in the general population. In 2013, African American children made up about 13.9% of the overall population of children in the United States; however, these children represented close to 26% (or 101,938) African American children in the system with CWS. Child Protective Services (CPS) has various programs and services, including parent education referrals to social services agencies that carry …

The Lived Experiences Of Rural Clinical Social Workers In North Carolina, Sarah Horne

Walden Dissertations and Doctoral Studies

Rural clinical social workers face unique challenges when providing services to members of rural communities. To face these challenges and deliver culturally competent services, clinical social workers in rural communities must be specifically prepared for rural clinical social work. This study addressed issues of preparedness for rural clinical social work centered around rural clinical social work supervision in the context of the systems theory. The phenomenological design allowed for the exploration of the lived experiences of rural clinical social workers. Study participants who volunteered for study after being contacted via information provided to the North Carolina Social Work Board were …

Supervisor Experiences Mentoring Therapists-In-Training On Issues Related To Religion/Spirituality Among Lgbt Clients, Stephanie Kolhei

Walden Dissertations and Doctoral Studies

There are known issues related to religion and spirituality (R/S) among the lesbian, gay, bisexual, and transgender (LGBT) population, such as identity struggles, religious abuse, and internalized homonegativity. Many therapists are uncomfortable incorporating R/S into therapy, with poor training and supervision identified as a possible rationale. The purpose of this study was to explore supervisors’ experiences mentoring therapists-in-training on issues related to R/S among LGBT clients as well as supervisors’ level of preparation to mentor this area. The integrated affirmative supervision model (IAS) and multiple dimensions of cultural competence (MDCC) conceptual frameworks drove the development of this study. A generic …

Effects Of Government Regulations And Reimbursement Policies On Home Health Administration In Illinois., Sally Nwafor

Walden Dissertations and Doctoral Studies

Recent changes in government regulations and reimbursement policies threaten the financial viability and the ability of home health agencies to provide the necessary services. There is a gap in knowledge about the effect of the changes in healthcare policies on the administration of home health businesses in Illinois. The purpose of this study was to bridge the knowledge gap by investigating the effect of the regulatory and policy changes on home health administration in Illinois. The research question focused on the challenges that home health administrators face due to the changes in government regulation and reimbursement policies, and the strategies …

Social Workers’ Perceptions Of The Impact Of Trauma On Police Officers, Amber Leigh Copeland

Walden Dissertations and Doctoral Studies

AbstractPolice officers experience trauma in their roles as first responders. Although there are resources to address the psychological and physical impact on police officers, these resources are underutilized. Police officers in active duty endure traumatic events regularly but fail to seek assistance for their physical and mental health symptoms. Officers interact with individuals from multiple disciplines throughout their daily encounters, including social workers. Despite the professional relationship between officers and social workers, some officers remain guarded and minimize their mental health needs. For this project, a focus group was conducted with 9 social workers who have worked with police officers …

Age Differences In Effect Of Collaboration Of Care Activities On Student Behaviors, Ronda Lynn Stevens

Walden Dissertations and Doctoral Studies

Over 18 million children in the US have mental health problems and 70% receive the care in the education sector. The Collaboration of Care (CoC) approach is widely used to address these needs. However, the body of knowledge to date does not focus on relationships between the use of a CoC in a school environment nor examines school-based outcomes. This study examined a specific CoC, called the Collaboration of Services for Youth (COSY), to see if there was a positive association between participation in COSY and changes in attendance, behavior, and academic performance among 52 public-school students, ages 5-16, and …

Resources Needed By Transitional Participants For Independent Living, Odell Jonathan Cole

Walden Dissertations and Doctoral Studies

A lack of resources for youth making the transition from foster care into independent living is a significant issue in the United States. However, this lack of resources may be overcome through successful career pathway programs. The purpose of this case study was to explore which career pathway strategies are useful for an organization attempting to help young people make a transition into independence. During the developmental planning stage of the program, plans were put in place for a program to help young people find guidance in a career field as they learn to live on their own and become …

Role Of Social Workers In Psychiatric Patient-Centered Care With U.S. Veterans, Alesia Michelle Noce-Owen

Walden Dissertations and Doctoral Studies

Social workers play an important role in the implementation of patient-centered care (PCC) within an interdisciplinary treatment team in an inpatient psychiatric unit. The PCC approach can become overwhelming and stressful for interdisciplinary team members because the definition of PCC varies across disciplines. The purpose of this qualitative action research study was to explore social workers’ perceptions of their role within an interdisciplinary team, including barriers to social work inclusion and PCC. Ecological systems theory provided the framework for the study. Interview data were collected from 2 focus groups containing a total of 10 purposively selected social workers. A grounded …

Minority Women Experiencing Postpartum Depression In Colorado, Heather Schunke

Selected Social Change Portfolios in Prevention, Intervention, and Consultation

One of the most common complications associated with childbirth is pregnancy-related depression. Postpartum Depression (PPD) affects a new mother’s ability to bond with and take care of their baby. When left untreated PPD not only impacts the mother’s health but can also cause behavioral, eating, and sleeping issues for the baby (CDC, 2020). New mothers experiencing PPD have reported feeling stressed, worried, and anxious about their children. New mothers also reported having doubts about their ability to be a good mother. Almost half of the new mothers experiencing PPD will not seek treatment. Minority women are even less likely to …

E-Cigarette Use Among Youth In Iowa, Miranda Kieler

Selected Social Change Portfolios in Prevention, Intervention, and Consultation

Electronic cigarettes or electronic nicotine delivery products are battery-operated, heating elements that individuals use to inhale nicotine products rather than traditional cigarettes or cigars (Center for Disease Control and Prevention (CDC), 2020). E-cigarettes can also be used to inhale illicit drugs such as marijuana. Electronic cigarettes can resemble traditional cigarettes, cigars, or pipes, while other products may look like pens, USB sticks, or mods (larger tanks) (CDC, 2020). The e-cigarettes have an atomizer or heating element that helps individuals inhale liquid nicotine vapors. Electronic cigarettes were developed as a potential health tobacco cessation product and thought to reduce the health …

How To Reduce Mental Health Crises By Improving Training And Education For Law Enforcement First Responders, Ashley Shulski

Selected Social Change Portfolios in Prevention, Intervention, and Consultation

This writer chose to focus her social issue on creating an improved 911 system staffed with trained mental health emergency workers who respond to mental health emergencies, and crisis calls concurrently with law enforcement officers. This method will help law enforcement officers ascertain the correct level of care for a person experiencing a mental health crisis. The same would be considered a prevention effort to reduce persons being revictimized by being arrested by uniformed police officers or providing appropriate mental health services at the time of crisis. There are advanced trained law enforcement officers competent to deal with behavioral health …

Substance Use In Pender County, North Carolina., Khristine Winstead

Selected Social Change Portfolios in Prevention, Intervention, and Consultation

This portfolio explores substance use in Pender County, NC. Recent data from the community health opinion survey indicates that substance use in Pender County is the number one community issue (Pender County Health Department, 2018). From 2012 through 2016, the number of Pender County resident babies hospitalized with drug withdrawal syndrome per 1,000 was 20. To contrast, as a whole, the state of North Carolina recorded 9 per 1,000 (Pender County Health Department, 2018). To date, the local management entity (LME) in Pender County responsible for managing state and federally funded services, including substance use disorders, is Trillium Health Resources. …

Nurse Practitioner-Led Education Program For Heart Failure Patients, Shay Felecia Clarke

Walden Dissertations and Doctoral Studies

Heart failure (HF) affects 5.7 million Americans and continues to be a leading cause of hospitalizations and deaths in the United States, posing an enormous burden on patients, families, and the health care system. Readmission rates for HF within 30 days post hospital discharge at small rural acute care facility in the southeast are consistently higher than the national average. The gap in nursing practice was the lack of up to date patient education postdischarge guidelines on HF for the socioeconomically disadvantaged, culturally diverse patient population located in this small rural town. The purpose of this project was to use …

African American Women’S Use Of Spirituality To Cope With Intimate Partner Violence, Vanessa S. Barnes Bey

Walden Dissertations and Doctoral Studies

Intimate partner violence (IPV) is a widespread public health problem in the United States (U.S.) linked to physical, mental, emotional, and psychological problems for women who experience it. Previous researchers indicated that African American (AA) women in the U.S. experience more severe effects from IPV than women in other ethnic groups in the U.S. The purpose of this transcendental phenomenological study was to identify and report AA women’s lived experiences of using spirituality to cope with IPV who were not actively engaged in organized religious practices during the time of the abuse. Semi-structured audiotaped phone and face-to-face interviews were used …

Examining Burnout In Community Mental Health Clinicians From A Job Demands-Resource Perspective, Michelle Hill

Walden Dissertations and Doctoral Studies

Mental health clinicians employed in a public mental health setting are at an increased risk of experiencing burnout, which contributes to undesirable consequences. Examining burnout using the job demands-resources (JDR) theory allows for the examination of job demands and job resources as both separate independent variables or interactively, which provides for a model with the ability to better predict organizational outcomes. The purpose of this quantitative cross-sectional, predictive survey study was to use the JDR perspective to examine the extent of the relationship, if any, between job demands, job resources, job satisfaction, and burnout of mental health clinicians working in …

Aligning Counseling Center Behavioral Health Outcomes With Overall College Outcomes, Lorrie Ann Spivey

Walden Dissertations and Doctoral Studies

College counseling service departments report an increase in the demand for mental health services. Simultaneously, college counseling centers are reporting a shortfall in budgets to meet the increased demands. Furthermore, they are not prepared for the severity of the presenting problems found in today’s student population. Behavioral health leaders on college campuses must find a balance between meeting the student population’s immediate needs and meeting organizational outcomes, such as retention and student success. This qualitative case study focused on a College Counseling Service Department at a Midwest college serving a diverse population of college students. The strategies behavioral health leaders …

Exploring The Role Of Social Workers In Substance Abuse Treatment, Robert Ogueri Unegbu

Walden Dissertations and Doctoral Studies

Alcohol and drug addiction are conditions that require professional treatment, but few social workers identify addictions as their primary area of practice, leaving it to nonprofessionals, those without degrees, knowledge, and skills required to provide this specialized practice. Thus, this action research project, guided by ecological systems theory, was focused on exploring the roles, perceptions, and experiences of social workers treating individuals with a substance abuse problem using evidence-based practices. A focus group of 10 substance abuse professionals was recruited from social workers providing services to individuals receiving substance abuse treatment in northeast Texas. Focus group data were audio taped …

Educating Staff On The Benefits Of Vitamin D Therapy For Multiple Sclerosis, Cheniece Harris

Walden Dissertations and Doctoral Studies

Clinical competency is an important factor when delivering care to those with chronic conditions such as multiple sclerosis. Vitamin D therapy through diet, supplements, and sunlight may decrease physical complications. The gap in practice this doctoral project addressed is the lack of education provided to healthcare professionals to promote the benefits of vitamin D. The project examined whether registered nurses who are provided education on the benefits of vitamin D therapy can apply the knowledge into the plan of care for patients with MS within 6 months versus those provided no education. Paradigms and models that were used include the …

Promoting The Recognition Of Depression In The Geriatric Population, Rose L. Hodge

Walden Dissertations and Doctoral Studies

Depression is a chronic condition that has both physical and mental consequences, complicating the elderly’s health status and interfering with daily functioning. Depression is not a normal part of aging and the elderly frequently seek mental health care in outpatient clinical settings where there is need for effective screening and prompt recognition leading to decreased morbidity and mortality. It is critical for psychiatric care settings to provide the most effective screening tools for recognizing depression as quickly as possible. This Doctoral Nursing Project quality improvement (QI) evaluation project resulted from observation of lack of a tool for recognizing depression in …

Inpatient Psychiatric Readmissions And Social Work Practice In Nevada, Taneisha J. Graves

Walden Dissertations and Doctoral Studies

In the social work profession, there is a lack of understanding related to increasingly rapid readmission rates at inpatient psychiatric units. Medical social workers have a vital role in the discharge planning process. Clients readmitted to an inpatient facility within 30 days of discharge have a significant impact on the social work profession. The research question examined medical social workers’ perceptions of the risk factors and challenges associated with rapid psychiatric readmission and how effective discharge planning could address the risk factors and challenges. The purpose for this action research study was to obtain social workers’ perspectives into risk factors …

Experiences Of Long-Term Stay Among Homeless Millennials In New York City Shelters, Xellex Z. Rivera

Walden Dissertations and Doctoral Studies

The number of homeless millennials seeking shelter in New York City (NYC) increases

nightly. Aside from seeking shelter services, millennial adults are also staying in shelters longer than the time allotted by the city. Their extended stay places a burden on city resources and taxpayers. Although there is research on the millennial generation and homelessness in NYC, more research is needed on the experiences of single, millennial adults who stay in shelters for extended periods of time. The purpose of this qualitative, multiple case study was to explore the experiences of 4 long-term-stay millennials, 25 to 34 years of age, …