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Case Manager Perspectives On Transition Services For Youth With Intellectual Disabilities, Alecha Davis Jan 2023

Case Manager Perspectives On Transition Services For Youth With Intellectual Disabilities, Alecha Davis

Walden Dissertations and Doctoral Studies

Youth with intellectual disabilities have poorer outcomes during the transition period from school to adulthood. Very few studies were found that examine the perspective of the human service case manager. The perspectives of human service case managers were examined regarding the services that are needed to help youth with intellectual disabilities transition effectively. The study's purpose was to determine the services available and those needed to help support the transition from school to work, college, or in living independently for youth with intellectual disabilities. The theoretical framework for this study was Bronfenbrenner’s ecological systems theory used to explore the errors …


The Examination Of Servant Leadership Style On Employee Empowerment And Employee Resistance, Michael J. Ojeda Jan 2023

The Examination Of Servant Leadership Style On Employee Empowerment And Employee Resistance, Michael J. Ojeda

Walden Dissertations and Doctoral Studies

There is little known about the impact of servant leadership style on organizations and limited research examining social exchange theory related to employees’ perceptions. The purpose of this quantitative, correlational research study was to examine social exchange theory related to employees’ perceptions of servant leadership style, employee empowerment, and employee resistance within small businesses. The general management problem is employees' perceptions of servant leadership style, employee empowerment, and employee resistance that these perceptions could decrease employee engagement in small businesses. Because influencing employees’ perceptions could lead to positive work outcomes and attitudes, this study addressed the relationship between employees’ perceptions …


Effective Succession Planning And Organizational Development For Behavioral Health Leadership, Amanda Brown Jan 2023

Effective Succession Planning And Organizational Development For Behavioral Health Leadership, Amanda Brown

Walden Dissertations and Doctoral Studies

High turnover rates can challenge an organization's ability to provide quality care to clients, maintain a safe environment, and achieve strategic goals. Effective retention strategies can allow the organization to grow and develop to continue to provide services for those in need. The focus of this study was identifying how an organization can improve its retention strategies, create succession plans, and decrease turnover to encourage organizational growth. The Baldrige Excellence Framework was used to guide the study, focusing on leadership, workforce, operations, and management. Data were collected through multiple sources. Semi structured interviews were used to gather data through open-ended …


Social Work's Unremitting Identity Crisis: Can The Dsw Provide Answers?, Debra Joyce Hall Jan 2023

Social Work's Unremitting Identity Crisis: Can The Dsw Provide Answers?, Debra Joyce Hall

Walden Dissertations and Doctoral Studies

AbstractThis study is centered on a long-standing professional identity dilemma that poses potential problems for the future of the field of social work. Current literature points to specific shortcomings in the field that threaten the future of the profession. Some researchers also suggest that the reemergence of the Doctorate of Social Work (DSW) may be used to solve some of the identity concerns with the profession. The study further asserts that practicing licensed clinical social workers (LCSW) have not been a part of the conversation regarding the identity issues or the remedies that the field is considering. Using both a …


A Leadership Perspective On Preventing Counselor Burnout In A Behavioral Health Setting During Covid-19, Claudia P. De La Torre Jan 2023

A Leadership Perspective On Preventing Counselor Burnout In A Behavioral Health Setting During Covid-19, Claudia P. De La Torre

Walden Dissertations and Doctoral Studies

During the COVID-19 pandemic, there was a high need for mental health services, which resulted in a shortage of mental health clinicians. This shortage of mental health clinicians then resulted in a high burnout rate due to client intake. This doctoral case study was grounded in the Baldrige Excellence Framework and focused on how a behavioral health organization in South Texas managed burnout in clinicians during the COVID-19 pandemic. This study aimed to help behavioral health leaders find a solution to preventing burnout during a high demand pandemic. This doctoral study had several data sources, including semistructured interviews with three …


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 …


Examining Mental Health Literacy As A Predictor Of Mental Health Service Utilization Among Florida Foster Parents, Adam Johnson Jan 2023

Examining Mental Health Literacy As A Predictor Of Mental Health Service Utilization Among Florida Foster Parents, Adam Johnson

Walden Dissertations and Doctoral Studies

The focus of this study was to examine mental health literacy as a predictor of the mental health service utilization of foster parents after controlling for age. There is an absence of research addressing variables that contribute to the use of mental health services by foster parents. In this nonexperimental study, survey data were collected in an electronic format. Statistical analysis was performed through use of a logistic regression. A mental health literacy conceptual framework was the theoretical foundation of the study. The sample consisted of 42 foster parents from the northwest panhandle of Florida. The study yielded findings indication …


The Effect Of Federal And State-Level Policy On Undocumented Childhood Arrivals, Kim Kaczmarowski Jan 2023

The Effect Of Federal And State-Level Policy On Undocumented Childhood Arrivals, Kim Kaczmarowski

Walden Dissertations and Doctoral Studies

Deferred Action for Childhood Arrivals (DACA) provides a 2-year reprieve from deportation and a work permit for eligible undocumented childhood arrivals. It does not provide a pathway to citizenship or confer rights or protections enjoyed by those with permanent legal status leaving recipients in a constant state of legal limbo. State-level policy can mitigate or exacerbate obstacles faced by this population. The purpose of this generic qualitative study was to explore how federal and state-level policy in a conservative location shaped experiences of membership or exclusion. Responses were examined using segmented assimilation theory to identify layered contexts of reception. The …


Moral Injury Themes Involving Criminal Recklessness Among Adults With Alcohol Use Disorder, Sandra Starch Jan 2023

Moral Injury Themes Involving Criminal Recklessness Among Adults With Alcohol Use Disorder, Sandra Starch

Walden Dissertations and Doctoral Studies

Moral injury (MI) can emerge following transgressive acts against one’s deeply held moral beliefs. Its symptomology involves individual psychological, spiritual, behavioral, and social spheres. It has primarily been studied within the military and in a few select civilian populations. This descriptive phenomenological study involved exploring MI themes among adults with alcohol use disorder (AUD) who had engaged in criminally reckless acts. Data collected from semi-structured interviews with eight participants were coded and analyzed, leading to six major themes revealing the symptomology of MI. Responses from study participants supported Festinger’s theory of cognitive dissonance via their descriptions of alcohol abuse cycles …


Structural Empowerment Of Nurse Leaders In New York State During The Covid-19 Pandemic, Tracey Braithwaite Jan 2023

Structural Empowerment Of Nurse Leaders In New York State During The Covid-19 Pandemic, Tracey Braithwaite

Walden Dissertations and Doctoral Studies

The current phenomenological study explored the lived experience of Acting Chief Nursing Officers, Chief Nursing Officers, Chief Nursing Executives (henceforth CNOs) at hospitals in New York State who were charged with responding to executive orders while maintaining quality of patient care despite staffing constraints, inadequate supplies, or lack of additional support for the duties associated with their role. Their experience of structural empowerment in relation to the COVID-19 pandemic was also studied. The theoretical framework was Kanter’s theory of structural empowerment that addressed organizational behavior in the context of employee empowerment. The research question addressed how the CNOs perceived their …


Professional Discretion Of Child Protective Services Investigators In Foster Care Placements, Leonard Fikes Jan 2023

Professional Discretion Of Child Protective Services Investigators In Foster Care Placements, Leonard Fikes

Walden Dissertations and Doctoral Studies

Families of color in North Carolina have been disproportionately affected in the child welfare system, particularly in the foster care system. The purpose of this qualitative research study examined the discretionary powers of Child Protective Services (CPS) investigators and how they interpreted and applied child welfare policies that disproportionally impacted African American families from marginalized, underrepresented communities. Guided by Wallander and Molander’s professional discretion as the framework, this research expanded the current literature and increased awareness of racial disproportionality and the continued disproportionality of African American children in the child welfare system, especially foster care placements. The central research question …


Organizational Strategies For Improving The Present State Of A Behavioral Health Center Within A Historically Black College And University, Tonya Channell Cleveland Jan 2023

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

Walden Dissertations and Doctoral Studies

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


The Perceived Impact Of Effective Leadership On Employee Engagement And Compliance, Ayana Gilham Jan 2023

The Perceived Impact Of Effective Leadership On Employee Engagement And Compliance, Ayana Gilham

Walden Dissertations and Doctoral Studies

The focus of this study was the perceived impact of effective leadership on employee engagement and compliance. The Baldridge Excellence Framework was used as a guide for this qualitative case study of a behavioral health organization (BHO) located in the southeastern region of the United States. Research questions were used to examine the definition of effective leadership, the impact effective leadership has on employee engagement and compliance, and training needed to implement effective leadership practices. Data sources were semi-structured interviews with the organization’s Vice President of Operations and Clinical Director, the organization’s website, government websites, archival data provided by the …


Social Worker Perspectives On Implementation Of Harm Reduction Into Abstinence-Based Substance Abuse Programs, Susan Woomer Jan 2023

Social Worker Perspectives On Implementation Of Harm Reduction Into Abstinence-Based Substance Abuse Programs, Susan Woomer

Walden Dissertations and Doctoral Studies

Opioid addiction is a growing epidemic in the United States and was declared a public health emergency by the Department of Health and Human Services in October of 2017. There is a growing recognition that the current treatment for heroin and opioid addiction, abstinence-based treatment programs, is not readily available and has minimal success in addressing the epidemic. Harm reduction therapy is recognized as an effective way to address the opioid epidemic. This study aimed to develop further insight and understanding of how to integrate harm reduction therapy in abstinence-based treatment programs. The theoretical framework for this study was the …


I’M Ok: Black Women’S Perceptions Of Vulnerability And Coping, Bridget Lewis Jan 2023

I’M Ok: Black Women’S Perceptions Of Vulnerability And Coping, Bridget Lewis

Walden Dissertations and Doctoral Studies

Within the social work profession, there has been limited understanding of tailoring treatment and coping strategies specific to Black women. The parallelism of Black women and strength has created a generational, internal conflict with maintaining the cultural label known as the strong Black woman (SBW) and stigma related to seeking help to improve mental health. The stigma associated with seeking help has hindered Black women from communicating thoughts or behaviors that categorize vulnerability. Grounded in the SBW collective theory and Black womanist theory, this study explored how the SBW stereotype impacts the communication on vulnerability and coping strategies Black women …


Challenges In Discharge Planning For Adults Transitioning From An Inpatient Psychiatric Level Of Care Experiencing Homelessness, Deanna` R. Mccaskill Jan 2023

Challenges In Discharge Planning For Adults Transitioning From An Inpatient Psychiatric Level Of Care Experiencing Homelessness, Deanna` R. Mccaskill

Walden Dissertations and Doctoral Studies

Mental illness and the homeless population are a growing concern in the United States. Homeless individuals utilize emergency rooms and acute inpatient stays more than those with housing. Social workers play a vital role in discharge planning, starting on the first day of admission. This action research study explored the challenges of social workers developing discharge plans for adults transitioning from an inpatient psychiatric level of care experiencing homeless. The theoretical framework implemented in this study was systems theory. Data were collected from 12 purposively selected master’s level social workers in the format of individual and focus group interviews. Eight …


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 …


Effect Of Family Engagement On The Behavioral Health Of Mentally Ill Offenders, Jessica Rae Horn Jan 2023

Effect Of Family Engagement On The Behavioral Health Of Mentally Ill Offenders, Jessica Rae Horn

Walden Dissertations and Doctoral Studies

In the United States, 40% of incarcerated individuals have been diagnosed with a mental health disorder, but they often lack the support system needed to navigate their incarceration. This study addressed ways to understand how family engagement opportunities can improve the behavioral health of mentally ill offenders. Specifically, five research questions were used to explore the degree to which the practice of family engagement was understood as a method for providing support to mentally ill incarcerated individuals. The study followed the Baldrige Framework of Excellence to identify current organizational leadership and management issues that can help reach its goals, improve …


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 …


Stress And Wellness Among Correctional Officers In The State Of Oregon, Dewayne Hendrix Jan 2023

Stress And Wellness Among Correctional Officers In The State Of Oregon, Dewayne Hendrix

Walden Dissertations and Doctoral Studies

It remained unknown if the effects of the employee wellness policy implemented in Oregon in 2018 were reducing stress and improving the health of correctional officers which if it does may benefit the local communities to help enhance social stability. The purpose of this study was to explore the effects of the employee wellness policy, as implemented in the state of Oregon in 2018, in reducing stress and improving the health of correctional officers. This study was guided by the perceived organizational support theory, which holds that employees develop existential views about how much their employer values their contributions and …


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 …


The Experiences Of Latina Police Officers In Patrol, Jasmine Ivonne Reilly Jan 2023

The Experiences Of Latina Police Officers In Patrol, Jasmine Ivonne Reilly

Walden Dissertations and Doctoral Studies

The purpose of this research was to describe the experiences of Latina police officers working in a patrol function. Latina officers working in law enforcement agencies must contend with an agency that is traditionally male and White, leaving these officers with the need to navigate territory that has, historically, not taken their needs into account. In an age where police agencies are attempting to better serve the public, the need for officers that fit minority demographic characteristics is necessary if police agencies are to continue legitimizing their space in modern American society. This research addressed some of the issues that …


Identifying Supervision And Training Needs Within A Native American Reservation Co-Occurring Treatment Program, Jennifer Jones Jan 2023

Identifying Supervision And Training Needs Within A Native American Reservation Co-Occurring Treatment Program, Jennifer Jones

Walden Dissertations and Doctoral Studies

Native American rural communities are not without substance abuse treatment needs; however, highly skilled mental health providers are often limited on a reservation, which leaves this population with clinicians with less experience and education. This project is a case study of a substance abuse treatment program within a Native American tribe in the western portion of the United States. The practice-focused research questions directly related to the training, certification, and education of staff in the addiction field, and to the ways in which the program evaluated the efficiency and effectiveness of the staff members. The purpose of this study was …


Firefighters' Perceptions And Experiences Of Seeking Mental Health Treatment Services, Kimberly Whitman Jan 2023

Firefighters' Perceptions And Experiences Of Seeking Mental Health Treatment Services, Kimberly Whitman

Walden Dissertations and Doctoral Studies

Firefighters are repeatedly exposed to trauma on the job, which could result in the need for mental health services; however, many firefighters experience barriers that impede their access to available resources. Additional research is needed from a qualitative lens on firefighters' help-seeking behaviors to inform the development of treatment interventions. The purpose of this study was to explore firefighters’ perceptions and experiences of seeking professional mental health treatment services. A generic qualitative approach and interpretive lens were used for the investigation. Twelve active U.S. firefighters with a minimum of 2 years on the job participated in semistructured interviews. Thematic analysis …


Modus Operandi And Target Selection Criteria Of Child Sexual Predators In Protestant Churches, Joshua K. White Jan 2023

Modus Operandi And Target Selection Criteria Of Child Sexual Predators In Protestant Churches, Joshua K. White

Walden Dissertations and Doctoral Studies

Although there has been much media focusing on child sexual abuse in the Catholic Church, in many cases Protestant church leaders who committed child sexual abuse were held to no level of accountability. The purpose of this qualitative phenomenological study was to explore the modus operandi of child sexual predators and their target selection criteria in Protestant churches. Hickey’s relational paraphilic attachment theory provided the framework for the study. Fifteen cases from the United States were analyzed using inductive coding to identify six themes: (a) Leaders from Protestant churches who were convicted of sexually abusing minors possessed gross psychological immaturity, …


A Clinical Practice Guideline For Managing Behavioral Problems In Persons With Dementia, Ken J. Brinker Jan 2023

A Clinical Practice Guideline For Managing Behavioral Problems In Persons With Dementia, Ken J. Brinker

Walden Dissertations and Doctoral Studies

AbstractAs the baby boom generation ages, the demand for effective nursing care for patients diagnosed with dementia has greatly increased. The challenges associated with dementia include a patient’s inability to focus, pay attention, and follow conversations. Patients often become forgetful, angry, frustrated, and aggressive with family members and caregivers. The medical providers and administrators at a long-term care facility needed assistance in developing a clinical practice guideline for managing behaviors demonstrated by patients with dementia. The project question centered on the identification of current evidence supporting a clinical practice guideline for nursing practice for unpredictable behaviors demonstrated by residents diagnosed …


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 …


Challenges In Discharge Planning For Adults Transitioning From An Inpatient Psychiatric Level Of Care Experiencing Homelessness, Deanna` R. Mccaskill Jan 2023

Challenges In Discharge Planning For Adults Transitioning From An Inpatient Psychiatric Level Of Care Experiencing Homelessness, Deanna` R. Mccaskill

Walden Dissertations and Doctoral Studies

Mental illness and the homeless population are a growing concern in the United States. Homeless individuals utilize emergency rooms and acute inpatient stays more than those with housing. Social workers play a vital role in discharge planning, starting on the first day of admission. This action research study explored the challenges of social workers developing discharge plans for adults transitioning from an inpatient psychiatric level of care experiencing homeless. The theoretical framework implemented in this study was systems theory. Data were collected from 12 purposively selected master’s level social workers in the format of individual and focus group interviews. Eight …


Firefighters' Perceptions And Experiences Of Seeking Mental Health Treatment Services, Kimberly Whitman Jan 2023

Firefighters' Perceptions And Experiences Of Seeking Mental Health Treatment Services, Kimberly Whitman

Walden Dissertations and Doctoral Studies

Firefighters are repeatedly exposed to trauma on the job, which could result in the need for mental health services; however, many firefighters experience barriers that impede their access to available resources. Additional research is needed from a qualitative lens on firefighters' help-seeking behaviors to inform the development of treatment interventions. The purpose of this study was to explore firefighters’ perceptions and experiences of seeking professional mental health treatment services. A generic qualitative approach and interpretive lens were used for the investigation. Twelve active U.S. firefighters with a minimum of 2 years on the job participated in semistructured interviews. Thematic analysis …


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 …