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Barriers, Challenges &Successes Among Human Service Professionals Stigma Reduction Treatment Among People With Mental Illness, Maureen Epps Jan 2023

Barriers, Challenges &Successes Among Human Service Professionals Stigma Reduction Treatment Among People With Mental Illness, Maureen Epps

Walden Dissertations and Doctoral Studies

According to the National Alliance on Mental Illness, over 9 million people in the United States suffer from a mental illness (MI). Although human service professionals seek the best practices to treat people with MI, people with MI sometimes struggle to seek treatment because of stigma. The purpose of this generic qualitative study was to explore the barriers and challenges of human service professionals who experienced using a stigma reduction treatment on a person with MI. The mental illness stigma framework and Goffman’s stigma theory provided the conceptual framework for the study. Data were collected through semistructured interviews with eight …

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Ambiguous Loss Feelings Amongst Caregivers Of Operation Enduring Freedom Veterans, Stephanie T. Spann Jan 2023

Ambiguous Loss Feelings Amongst Caregivers Of Operation Enduring Freedom Veterans, Stephanie T. Spann

Walden Dissertations and Doctoral Studies

This quantitative study compares the possible relationship between ambiguous loss and the stress level of caregivers of Operation Enduring Freedom (OEF) veterans who served in combat. Injured servicemembers need caregivers to assist them in caring for their physical and mental health needs. This study examined whether there is a relationship between the perceived ambiguous loss among caregivers of OEF injured veterans and the stress level experienced by caregivers. The theoretical framework for this study is the ambiguous loss theory. The methodology used to test the hypothesis is a quantitative correlational design to compare ambiguous loss variables amongst caregivers of injured …

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Strategies Used To Mitigate Voluntary Employee Turnover In Holistic Wellness Centers, Traci N/A Eisenberg-Rayburn Jan 2023

Strategies Used To Mitigate Voluntary Employee Turnover In Holistic Wellness Centers, Traci N/A Eisenberg-Rayburn

Walden Dissertations and Doctoral Studies

High voluntary employee turnover rates can be expensive for businesses since more than half of the U.S. workforce changed jobs or left their employers in 2020. Owners of holistic wellness centers who experience high voluntary turnover can experience issues involving maintaining workloads, keeping patients satisfied, and maintaining a competitive edge. Grounded in Herzberg’s two-factor theory, the purpose of this qualitative multiple-case study was to explore strategies for holistic wellness center owners in the northeastern region of the U.S. to decrease voluntary employee turnover. Data were collected from semistructured interviews with three holistic wellness center owners and analyzed using thematic analysis. …

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College Experiences Of Female Students With Posttraumatic Stress Disorder, Cleo Patrick Jan 2023

College Experiences Of Female Students With Posttraumatic Stress Disorder, Cleo Patrick

Walden Dissertations and Doctoral Studies

AbstractThis study, using feminist trauma theory as the conceptual framework, addressed a gap in the literature about female university students’ experiences with posttraumatic stress disorder (PTSD) related to the academic and social supports needed for college success and degree completion. Nearly 30% of college students will drop out during their 1st year in school. Research suggests that personal histories of simple and complex traumas may be influential factors contributing to dropout rates. There are limited programs or resources in colleges and universities to address the needs of students struggling with past traumas aside from routine student counseling. The purpose of …

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Caucasian Social Workers’ Cultural Competence Regarding Advance Care Planning Among Southern African Americans, Lisa Mitchell Jan 2023

Caucasian Social Workers’ Cultural Competence Regarding Advance Care Planning Among Southern African Americans, Lisa Mitchell

Walden Dissertations and Doctoral Studies

Caucasian social workers who work in healthcare and implement advance care planning (ACP) may not be competent regarding African Americans’ reluctance to complete advance directives. Research is lacking on how Caucasian social workers in Louisiana are increasing their cultural competence regarding the interplay of historical trauma, past medical mistrust, and spiritual beliefs on African Americans’ use of ACP. This study explored how Caucasian social workers are increasing their cultural competence regarding the interplay of historical trauma, past medical mistrust, and spiritual beliefs on African Americans’ use of ACP. The conceptual framework that guided this study was the cultural competence model. …

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Effective Revenue Planning For Small Minority-Owned Mental Health Organizations, Beonko Alejandro Sampson Jan 2023

Effective Revenue Planning For Small Minority-Owned Mental Health Organizations, Beonko Alejandro Sampson

Walden Dissertations and Doctoral Studies

AbstractRevenue planning for minority-owned organizations is vital for sustainability. This is a significate concern for behavioral health practitioners who must deal with the changing landscape of mental health and the financial worries of sustaining a successful organization. This case study examined effective revenue planning for a minority-owned behavioral health organization located in the mideastern part of the United States. The organization provides several different behavioral treatment services for children, adolescents, and adults. The Baldrige excellence framework for healthcare guided a system-based approach to assessing the minority-owned organization. The systems approach identified noted organizational components of leadership, strategy, and operations. Themes …

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Vicarious Trauma And Elementary School Counselors, Erin M. Duduit Jan 2023

Vicarious Trauma And Elementary School Counselors, Erin M. Duduit

Walden Dissertations and Doctoral Studies

Vicarious trauma has been a focus of scholars for many years and demonstrates that vicarious trauma effects professional behaviorally, personally, and physiologically. This quantitative cross-sectional study explored the relationship between vicarious trauma and occupational exposure (caseload size) disrupting the cognitive structures of empathy, control, and esteem. The theoretical framework for this study was the constructivist self-development theory, which described how helping professionals develop vicarious trauma after exposure to traumatic stories. The social cognitive theory was also used for this study, explaining how elementary school counselors can increase their capacity for empathizing through modeling and experiencing empathy from others. The study …

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Perceived Multicultural Self-Efficacy As A Predictor Of Competency In Social Justice Advocacy Among U.S. School Counselors, Damon D. Chambers Jan 2023

Perceived Multicultural Self-Efficacy As A Predictor Of Competency In Social Justice Advocacy Among U.S. School Counselors, Damon D. Chambers

Walden Dissertations and Doctoral Studies

School counselors who engage in advocacy work may experience barriers when attempting to challenge oppression; hence, they need specific skills to advocate efficiently and effectively. Despite the trend in conceptual articles surrounding school counselor advocacy, little is known about how school counselors’ multicultural self-efficacy predicts school counselors’ social justice advocacy practices. This study addressed this gap in the literature by exploring factors related to school counselor social justice advocacy; that is, multicultural self-efficacy. Multicultural self-efficacy and advocacy competence have had an integral role in fostering school counselors’ abilities to identify and support the needs of diverse student populations within the …

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Experiences And Perceptions Of Hospital Social Workers Regarding Discharge Planning And Readmission, Kenshara Cravens Jan 2023

Experiences And Perceptions Of Hospital Social Workers Regarding Discharge Planning And Readmission, Kenshara Cravens

Walden Dissertations and Doctoral Studies

The Centers for Medicare and Medicaid Services created the Hospital Readmission Reduction Program in 2010 to decrease the problem of hospital readmissions. This program reduces hospital reimbursements from Medicare or Medicaid when patients with specific diagnoses are readmitted within 30 days of discharge. This generic qualitative study explored hospital social workers’ experiences and perceptions of the impact of discharge planning on hospital readmission. Meleis’s transitions theory provided the conceptual framework for this study. Data were collected from semistructured interviews with 10 female medical social workers. Data analysis entailed categorizing and classifying the data into emerging themes to answer the research …

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Strategies For Emotional Intelligence Training For Improving Employee Performance, Dale Elizabeth Laing-Hall Jan 2023

Strategies For Emotional Intelligence Training For Improving Employee Performance, Dale Elizabeth Laing-Hall

Walden Dissertations and Doctoral Studies

The nursing home industry's lack of emotional intelligence (EI) can negatively impact patient satisfaction and performance. Nursing home leaders who lack strategies to apply EI training to increase job satisfaction, reduce employee turnover, and improve interpersonal skills risk financial loss and business failure. Grounded in the EI framework, the purpose of this multiple qualitative case study was to explore strategies nursing home leaders use to apply EI training to reduce employee turnover, increase job satisfaction, and improve interpersonal skills for performance improvement. The participants comprised four nursing home leaders from multiple nursing homes in Florida who implemented strategies to reduce …

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Correlates Of Mental Health Clinician Self-Awareness And Insight Of Attitudes Toward Older Adults, Susan L. Mcinvale Jan 2023

Correlates Of Mental Health Clinician Self-Awareness And Insight Of Attitudes Toward Older Adults, Susan L. Mcinvale

Walden Dissertations and Doctoral Studies

AbstractOlder adults (ages 65 and older) are expected to increase in the United States by over 70 million by the year 2030. The older adult population requires specialized medical and mental health services to address the needs related to aging. Mental health clinicians trained to address these needs may help older adults to utilize mental health counseling. Self-awareness of attitudes, insight, and knowledge may be skills that affect the attitudes of mental health clinicians toward older adults. Previous research has found that mental health clinicians who engage in self-awareness during a counseling session may improve counseling competency; however, little research …

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Public-School Superintendents’ Perceptions Of Trauma-Informed School Assumptions And Principles, Denise Gay Presnell Jan 2023

Public-School Superintendents’ Perceptions Of Trauma-Informed School Assumptions And Principles, Denise Gay Presnell

Walden Dissertations and Doctoral Studies

Research shows that trauma-informed practices in schools can increase student performance and well-being. School social workers are well-suited to bring these practices to their system but are most successful when partnering with public-school superintendents. The purpose of this generic qualitative study was to understand public-school superintendents’ perceptions of trauma-informed school assumptions and principles. The study was guided by four assumptions for trauma-informed care, six principles for trauma-informed schools, ecological systems theory, and empowerment theory. Research questions were designed to ask participants about their experiences of trauma in their schools, their perceptions of the assumptions and principles, the benefits and challenges …

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The Experiences Of Female Sexual Minority Service Members After 2013, Ada I. Rivera Jan 2023

The Experiences Of Female Sexual Minority Service Members After 2013, Ada I. Rivera

Walden Dissertations and Doctoral Studies

In 2010, the United States Armed Forces ended the policy Don’t Ask, Don’t Tellthat excluded sexual minorities from being able to serve openly in the military. Full military benefits were extended to them and their family members in 2013. Despite these changes, victimization, stigma, and discrimination have continued to impact the lives of service members who identify as a sexual minority, as the result of microaggressions due to their sexual orientation. Past literature has examined experiences of sexual minorities, but little research has focuses on sexual minority women whose minority gender identity creates greater risk to experience micro assaults with …

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Perceptions And Experiences Of The Benefits Of Premarital Counseling Among African American Couples, Evelyn N. Roberts Jan 2023

Perceptions And Experiences Of The Benefits Of Premarital Counseling Among African American Couples, Evelyn N. Roberts

Walden Dissertations and Doctoral Studies

Researchers have conducted studies on the benefits of premarital counseling. However, little was known about the experiences of African American couples. The purpose of this generic qualitative study was to explore African American couples’ perceptions and experiences concerning the benefits of premarital counseling. Social learning theory provided the framework for the study. Data were collected from semistructured interviews with eight heterosexual African American couples. Colaizzi’s seven-step method of coding was used to analyze participants’ responses. Four themes emerged: couples’ expectations of premarital counseling, influences regarding participation, quality and structure of sessions, and overall experience. Findings could impact social change by …

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Sub-Saharan African Immigrants’ Experiences In Utilizing Mental Health Services In Baltimore, Helen Tanwani Jan 2023

Sub-Saharan African Immigrants’ Experiences In Utilizing Mental Health Services In Baltimore, Helen Tanwani

Walden Dissertations and Doctoral Studies

AbstractMental illness is associated with poor quality of life evidenced by unemployment, homelessness, and substance abuse. Despite the adverse effects of mental illness, research has indicated that mental health-seeking behaviors and experiences in accessing mental health services among immigrants from sub-Saharan Africa are under-researched. The purpose of this qualitative study was to explore the experiences of sub-Saharan African immigrants in accessing mental health services in Baltimore, Maryland. To achieve the objective of this study, a descriptive research study was conducted utilizing semistructured one-on-one in-depth interviews with eight sub-Saharan African immigrants in Baltimore. Braun and Clarke’s six-step thematic data analysis approach …

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Social Workers’ Growth, Identity, And Professional Quality Of Life After Adverse Childhood Experiences, Hope Beavers Jan 2023

Social Workers’ Growth, Identity, And Professional Quality Of Life After Adverse Childhood Experiences, Hope Beavers

Walden Dissertations and Doctoral Studies

Adverse childhood experiences (ACEs) have been linked to long-term impairments involving neurobiological and epidemiological functions and increased risk for mental and physical health challenges. Many social workers have experienced a high number of ACEs, which increases risks for problems involving wellness, employment instability, and secondary traumatic stress (STS). However, the impact of total ACEs on social workers’ identity, growth, and professional quality of life (PQL) is less known. Using a correlational cross-sectional design, this quantitative study involved examining the impact of total ACEs on posttraumatic growth (PTG), event centrality, and PQL (in terms of burnout, STS, and compassion satisfaction) for …

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Understanding Experiences Of Racial Microaggressions Among African American Women In Cross-Racial Supervision, Nicole Daley Jan 2023

Understanding Experiences Of Racial Microaggressions Among African American Women In Cross-Racial Supervision, Nicole Daley

Walden Dissertations and Doctoral Studies

Racial microaggressions are statements that occur in everyday life that are regarded as instances of subtle or unintentional discrimination against members of a racial or ethnic minority. For African Americans, racial microaggressions are feelings of denigration and exclusion. Racial aggressions experienced by African American women in clinical counseling profession (counseling, psychology, social work, mental health) supervision have not been well-studied. Interpretative phenomenological analysis was used in this qualitative study to explore African American women supervisees' experience of racial microaggressions in cross-racial supervision. Intersectionality theory and identity negotiation theory were used to guide the development and analysis plan. Semistructured, audio-recorded interviews …

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The Lived Experiences Of Homelessness Of Former Foster Youth Navigating Their Way Into Adulthood, Debra B. Hampton Jan 2023

The Lived Experiences Of Homelessness Of Former Foster Youth Navigating Their Way Into Adulthood, Debra B. Hampton

Walden Dissertations and Doctoral Studies

AbstractYouth exiting the U.S. foster care system can experience a complicated process as well as lack of support and resources to help in their transition. Also, despite federal policies in place, these youth can face socioeconomic challenges that lead to homelessness. The purpose of this qualitative, hermeneutic, phenomenological study was to explore the lived experiences of homelessness of adults who age out of the foster care system without continued support when they turn 18. Social capital theory provided a theoretical foundation for the study. Participants were 10 individuals 18 years of age and over who exited out of foster care …

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Perceptions Of Leadership Effectiveness: An Exploratory Case Study Of Three Cameroonian School Principals, Prudence Avwontom Kono Jan 2023

Perceptions Of Leadership Effectiveness: An Exploratory Case Study Of Three Cameroonian School Principals, Prudence Avwontom Kono

Walden Dissertations and Doctoral Studies

This study explored the school principal selection process in Cameroon where the political appointment of school principals with no plan for formal training was practiced. The purpose of this exploratory multiple case study was to explore and describe school principal perceptions of leader behaviors in urban Cameroon schools. Goldring’s learner-centered leadership approach was the conceptual framework that guided this study. Research questions were focused on school principals’ perceptions of behaviors, standards, and cultures that they believed are critical to effective leadership in urban Cameroon schools. A multiple case study design was used to capture insights and perceptions of three purposely …

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Utilization Of Mental Health Services For Caregivers Of Hemophiliacs, Anna Maria Bell Jan 2023

Utilization Of Mental Health Services For Caregivers Of Hemophiliacs, Anna Maria Bell

Walden Dissertations and Doctoral Studies

The utilization of mental health services for caregivers of hemophiliacs is an underserved area. Andersen’s behavioral model of utilization was the conceptual framework in this generic qualitative study. I used surveys and semi-structured interviews to obtain 20 participants’ information for nonprobability sampling, specifically purposive sampling. Narrative analysis was used as the foundation of the coding process The study findings revealed seven themes: cultural impact/stigma of mental health services; normalizing mental health services in the hemophilia community (national impact); inconsistencies in hemophilia treatment centers’ (HTCs’) service delivery; clarity of the role of the HTC social worker; member organizations emphasis on mental …

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Patterns Of Parent Behavior Related To Childhood Physical And Mental Abuse, Cassondra J. Widrick-Phillips Jan 2023

Patterns Of Parent Behavior Related To Childhood Physical And Mental Abuse, Cassondra J. Widrick-Phillips

Walden Dissertations and Doctoral Studies

The issue of child abuse is a growing concern in society. However, the limited amount of research available on parent–child relationships poses a challenge in terms of developing effective prevention strategies. The aim of the study was to analyze the connection between a parent who is abusive and their child who is being abused. The main objective of the study was to identify if the gender of the parent had a relationship with abusing the child of the same or different gender. Bowen’s family systems theory was used to support the study because of the assumption that family relationships are …

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Perceptions Of Female Naval Officers On Combat Role Policy And Career Advancement, Cheryl Dudley Jan 2023

Perceptions Of Female Naval Officers On Combat Role Policy And Career Advancement, Cheryl Dudley

Walden Dissertations and Doctoral Studies

Women were officially allowed to serve in combat positions when the 1993 Combat Exclusion Policy was lifted in 2013. There was little research to date on how these changes may have influenced the recruitment, retention, and promotion of female naval officers. The purpose of this study was to explore female naval officers' perceptions on how lifting the combat exclusion policy impacted the factors of recruitment, retention, and promotion within the military. A generic qualitative study supported exploring perceptions of female naval officers who experienced combat duty regarding these issues. Using feminist security studies as the conceptual framework, this study focused …

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Clinical Social Workers’ Perceptions And Experiences Of Parental Alienation, Martinek Evans Jan 2023

Clinical Social Workers’ Perceptions And Experiences Of Parental Alienation, Martinek Evans

Walden Dissertations and Doctoral Studies

This qualitative research study aimed to explore clinical social workers’ perceptions and experiences of parental alienation (PA). Using Bowen’s family system theory as the framework, the research questions examined the problem from multiple levels of practice, including individual, family, institutional, and systematic. The individual interview approach aligned with the study goal by allowing participants opportunities to share their perspectives and experiences working with PA. The study used a purposive and snowball sampling of eight participants who were licensed social workers in the United States. Individual interview responses were transcribed and coded. Thematic content analysis was also used to analyze the …

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The Reconciliation Of Cognitive Dissonance Among Social Workers In Substance Use Treatment Settings, Miranda Ashley Kieler Jan 2023

The Reconciliation Of Cognitive Dissonance Among Social Workers In Substance Use Treatment Settings, Miranda Ashley Kieler

Walden Dissertations and Doctoral Studies

Although harm reduction (HR) and abstinence-based treatment approaches are both useful in addiction treatment, the former is less accepted and integrated into practice. Social workers who embrace an HR approach but who work at substance abuse treatment facilities that are abstinence based may experience cognitive dissonance because they perceive their work role to be incompatible with social work practice values and education. Little was known regarding how practitioners with a Master of Social Work (MSW) degree experience and reconcile cognitive dissonance related to their HR education and abstinence-only practice in substance use treatment centers. To address this gap in the …

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Job Stress, Anxiety, And Depression In Mental Health Professionals: An Examination Of Experienced Vicarious Trauma And Gender Differences, Irma Perez Jan 2023

Job Stress, Anxiety, And Depression In Mental Health Professionals: An Examination Of Experienced Vicarious Trauma And Gender Differences, Irma Perez

Walden Dissertations and Doctoral Studies

AbstractMental health professionals are susceptible to an increased risk of job stress, anxiety, and depression based on the very nature of their work. The study was quantitative, focusing on profile analysis. A two-way MANOVA was performed utilizing the independent variables of gender and vicarious trauma, and three dependent variables of job stress, anxiety, and depression. The population size was 88 mental health professionals with a Bachelor’s degree or higher who work in the behavioral health field, directly servicing clients in the capacity of supervision, case management, social work, counseling, or therapy. Participants completed four self-reported questionnaires: General Work Stress Scale …

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Job Stress, Anxiety, And Depression In Mental Health Professionals: An Examination Of Experienced Vicarious Trauma And Gender Differences, Irma Perez Jan 2023

Job Stress, Anxiety, And Depression In Mental Health Professionals: An Examination Of Experienced Vicarious Trauma And Gender Differences, Irma Perez

Walden Dissertations and Doctoral Studies

AbstractMental health professionals are susceptible to an increased risk of job stress, anxiety, and depression based on the very nature of their work. The study was quantitative, focusing on profile analysis. A two-way MANOVA was performed utilizing the independent variables of gender and vicarious trauma, and three dependent variables of job stress, anxiety, and depression. The population size was 88 mental health professionals with a Bachelor’s degree or higher who work in the behavioral health field, directly servicing clients in the capacity of supervision, case management, social work, counseling, or therapy. Participants completed four self-reported questionnaires: General Work Stress Scale …

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Perceptions And Experiences Of The Benefits Of Premarital Counseling Among African American Couples, Evelyn N. Roberts Jan 2023

Perceptions And Experiences Of The Benefits Of Premarital Counseling Among African American Couples, Evelyn N. Roberts

Walden Dissertations and Doctoral Studies

Researchers have conducted studies on the benefits of premarital counseling. However, little was known about the experiences of African American couples. The purpose of this generic qualitative study was to explore African American couples’ perceptions and experiences concerning the benefits of premarital counseling. Social learning theory provided the framework for the study. Data were collected from semistructured interviews with eight heterosexual African American couples. Colaizzi’s seven-step method of coding was used to analyze participants’ responses. Four themes emerged: couples’ expectations of premarital counseling, influences regarding participation, quality and structure of sessions, and overall experience. Findings could impact social change by …

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Incorporating Mind-Body Therapies In Behavioral Health To Improve Patient Outcomes, Silvia Stark Jan 2023

Incorporating Mind-Body Therapies In Behavioral Health To Improve Patient Outcomes, Silvia Stark

Walden Dissertations and Doctoral Studies

AbstractMental health disorders are a global epidemic that continue to drain society of money, resources, and overall human life expectancy. The purpose of this qualitative case study was to analyze how a behavioral health organization that provides mind body therapies, such as yoga and meditation, in conjunction with clinical interventions to treat mental health disorders contributed to providing quality care and better patient outcomes. Currently, the behavioral health organization included mind body therapies within a clinical session and their goal was to separate yoga and meditation from a clinical session as reimbursable and evidence-based treatment for individuals with mental health …

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An Examination Of Counselor Turnover And Its Impact On Quality Behavioral Health Services, Leslie M. Beale Jan 2023

An Examination Of Counselor Turnover And Its Impact On Quality Behavioral Health Services, Leslie M. Beale

Walden Dissertations and Doctoral Studies

Behavioral health organizations often face the challenge of high employee turnover rates, which can critically affect their ability to treat mental illnesses successfully. High counselor turnover at one such organization, BHOX, threatens the provision of timely access to quality mental care. This qualitative case study examined counselor turnover and its impact on the quality of behavioral health services. The Baldrige Excellence Framework was used to guide this descriptive case study of a nonprofit behavioral health organization on the East Coast of the United States, which serves men and women struggling with mental health disorders and substance abuse addictions. The data …

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Employee Development And Workforce Engagement In A Behavioral Health Organization, Lakisha R, Brimage Jan 2023

Employee Development And Workforce Engagement In A Behavioral Health Organization, Lakisha R, Brimage

Walden Dissertations and Doctoral Studies

Ongoing training at the targeted behavioral health organization is necessary to improve employee knowledge, skills, and abilities to drive engagement and overall organizational performance. The purpose of this case study was to determine what leadership practices and strategies are currently in place and what training modules improve employee development for the purpose of improving workforce engagement. The Baldrige Excellence Framework was used to guide the qualitative case study of the nonprofit organization, which provides social services to low-income families in the United States. Data sources included semistructured interviews with two behavioral health leaders at the organization and reviews of organizational …

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