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Postpartum Depression Among African American Women In Montgomery, Alabama, Fightress Aaron

Selected Social Change Portfolios in Prevention, Intervention, and Consultation

Goal Statement: The goal of this social change portfolio is to address factors that contribute to postpartum depression among African American women and identify ways to increase prevention and treatment methods through assessment and culturally sensitive support.

Significant Findings: African American or Black women experience postpartum depression twice as much as white women. Historically and culturally, Black women are less likely to seek or participate in traditional mental health assessments and treatment. They instead seek counsel from religious leaders and church members. Secondly, Black women take on the burden of living with the symptoms of postpartum depression untreated due to …

Social Work Practice And Systemic Stigmatization Of Low-Income, African American, Single Mothers, Alfreda Dearing Williams

Walden Dissertations and Doctoral Studies

AbstractIn the United States, low-income, African American, single mothers meet with little success in financial stability and career and educational attainment because of difficulties in escaping systemic inequities that impede their socioeconomic well-being. The focus of this action research study was to examine how bachelor social workers (BSW) and master social workers (MSW) understand the impact of systemic stigmatization on the socioeconomic well-being of low-income, African American, single mothers. The theoretical framework that guided this study was stigma theory. A Zoom focus group was conducted with 5 social workers (i.e., BSW and MSW) who work with low-income, African American, single …

Counseling System Documentation And The Relationship Between Treatment Plans And Client Outcomes, Moraima N. Frangiosa

Walden Dissertations and Doctoral Studies

The purpose of this qualitative study was to provide a method for evaluating counseling services delivered to patients during treatment. The evaluation of the study required the use of methods that are repeatable and effective that would allow a clinic to continue using them over time to grow a database of valuable information about counseling and patient outcomes. The new database would allow the clinic to change counseling methods and approaches of delivery to promote organizational change. The evidence-based practice (EBP) for counseling therapy would encourage the connection between public administration and public policy in the health care system. Public …

The Occupational Experiences Of Social Workers In Corrections, Lissette Lucero Lopez

Walden Dissertations and Doctoral Studies

Social workers who practice in corrections settings are faced with dilemmas, burnout, contrasting values between their profession and organization, and a lack of educational training. However, because of the small percentage of social workers that practice in the correctional setting, there is a gap in knowledge of the occupational experiences of these social workers. The purpose of this qualitative study was to explore the occupational experiences of social workers in corrections using Niklas Luhmann’s system theory, which suggests that the world includes a system and its environment. Data were collected through phone interviews with 10 to 15 master’s level social …

Foster Parents’ Experience Of Placement Disruptions For Youths In Foster Care, Deyettea Kim Alexander

Walden Dissertations and Doctoral Studies

Placement disruptions for youths placed in foster care have been the focus of multiple studies due to the negative and long-lasting impacts on these vulnerable youths. The purpose of this interpretative phenomenological study was to explore the lived experience of placement disruptions from the foster parent’s perspective to gain further understanding of potential causes of placement disruptions and what may be helpful to prevent them. The study was based on the lens of attachment theory. Data were collected from interviews with six participants recruited on social media who were licensed in the State of Washington for at least 1 year …

African American Parents’ Experience Accessing Support Services For Their Autistic Child, Akisa S. Jones

Walden Dissertations and Doctoral Studies

The perspective of African American parents of an autistic child is vital to understanding the experiences and challenges of accessing autism support services for their child. The purpose of this qualitative, generic study was to explore the experiences that African American parents in Philadelphia County, PA had in accessing and maintaining autism services for their children. The behavioral health model and the resilience theory provided the conceptual framework for the study. Semistructured, in-depth interviews were conducted with 10 African American parents accessing autism support services in the Philadelphia County area. The data were analyzed using the six steps of thematic …

Lived Experiences Of Haitian Immigrants In The United States During The Trump Administration, Klaudya Phillips

Walden Dissertations and Doctoral Studies

Racism that is either blatant or perceived has contributed to all contemporary markings of group advantage and disadvantage along ethnic and racial lines, which includes differences in education, employment, housing, health, and health care. Understanding how these elements are impacting immigrants will be the key to helping this population overcome problems they might experience. One demographic whose emotional experiences have yet to be fully explored are Haitian immigrants. The purpose of this qualitative narrative study was to explore how the political climate under the Trump administration impacted the psychosocial lived experiences of Haitian immigrants who immigrated to the United States …

End-Stage Renal Disease Patients' Experience Of Anticipatory Grief, Felicia Nicole Speed

Walden Dissertations and Doctoral Studies

Although prior researchers have suggested that end-stage renal disease (ESRD) patients experience depression that impacts their adherence to treatment and quality of life, there is a lack of understanding of how ESRD patients experience anticipatory grief related to their mortality and loss. This lack of knowledge has made it challenging for social workers to address treatment adherence and palliative care issues during the care planning process. The purpose of this qualitative study was to explore perceptions of loss and grief of ESRD patients who were undergoing hemodialysis treatment. The conceptual framework was anticipatory grief, specifically how patients perceive their own …

Social Workers' Perspectives Of Depression In Baby Boomers Born Between 1946 And 1955, Karen Cohen

Walden Dissertations and Doctoral Studies

AbstractAs the leading-edge baby boomer (L-E boomer) cohort continues to age, demands of mental health services in treating diagnosed depression in this cohort are increasing. Licensed clinical social workers (LCSWs) are the most likely social workers to provide services to L-E boomers diagnosed with depression. LCSWs were the chosen participants for this generic qualitative study to gain knowledge of their perspectives of working with L-E boomers diagnosed with depression. Grounded in generational theory, this study used a generic qualitative approach allowing for nonrestrictive measures for capturing the data. NVIVO assisted in coding the data and identification of common themes, words, …

Positive Perceptions Of Mentoring Influences On African American Male Public High School Students, Jazzmea Houghton

Walden Dissertations and Doctoral Studies

Many African American males face challenges due to historical and current negative viewpoints of this population. However, urban communities also play a vital role in the obstacles encountered, which impacts this population’s well-being. The purpose of this project was to gain knowledge from mentors on how a mentoring program positively affected the cognitions, behaviors, and academic progress of African American, male, public high school students residing in urban communities and effective ways mentorships foster resilience. This qualitative research study used a cognitive behavioral theoretical framework and a resilience theory conceptual framework, and narrative semistructured interviews were conducted. The mentors’ positive …

Using Chess As An Intervention To Improve Executive Functioning Among Youth, Anandita Oberoi

Walden Dissertations and Doctoral Studies

Youth represent a vulnerable segment of the population and may have underdeveloped levels of executive functioning (EF), which is important in both daily life and is shown to have far-reaching effects. This research study aimed to decipher if lessons in the game of chess could be used as an efficacious intervention for accelerating EF development in youth. The three research questions focused on determining whether there was a difference in the chosen indices of EF before and after a 14-session chess intervention. The theoretical framework used for this study was Piaget’s cognitive development theory. This quantitative, single group pretest–posttest design …

The Pre-School Teacher Experience Of Social Skills For Early Education Success, Cheryl Dorsey

Walden Dissertations and Doctoral Studies

Abstract

Pre-school is foundational to future academic success, and social skills have been recognized as a critical component of that foundation. How pre-school teachers facilitate social skills development is an area requiring further study. The purpose of this research was to describe the experience of social skills development from the perspective of early educators. Attachment and social learning theories were used as theoretical frameworks to explore how early education teachers describe the social skills for early education success in young children and how early education teachers facilitate the development of important social skills. This study used a generic, qualitative design …

U.S. Southeastern Child Welfare Workers’ Challenges In Serving The Haitian Population, Cleane St Eloi

Walden Dissertations and Doctoral Studies

AbstractThe Haitian population has dramatically increased in the United States. Haitians face many challenges related to acculturation and adaptation, including discrimination, limited knowledge of the legal system, socioeconomic issues, and other environmental stressors that may impact family functioning. As a result of these challenges, Haitian families are at increased risk of being involved in the child welfare system. The purpose of this basic qualitative study was to explore the challenges child welfare workers face when working with the Haitian population, with a focus on workers’ understanding and perception of these challenges. Ecological systems theory was used to highlight environmental stressors …

African American Male Exonerees' Reintegrating Into The Spousal/Intimate Partner Role In The Family System, Loretta A. Jackson

Walden Dissertations and Doctoral Studies

Wrongfully convicted individuals are abruptly taken from their traditional roles and positioned in new roles prematurely. Without adequate preparation, exonerees struggle to reintegrate back into roles they once strived in. This study aimed to understand the experiences of African American male exonerees' reintegrating into the spouse/intimate partner role in the family. Schlossberg's transition theory served as the theoretical foundation to examine how exonerees might navigate these stages to promote successful reintegration in society and intimate relationships. The research questions sought to understand how African American male exonerees perceive their transition from an inmate role into an intimate role while trying …

The Perceptions And Practices Of Child Welfare Caseworkers And Decision-Making Related To Reunification, Sonja D. Ulrich

Walden Dissertations and Doctoral Studies

The child welfare system exists to support safe and healthy families. When children cannot remain safely with family, they are removed and often placed with nonrelatives. Only half of all of the children removed from their homes achieve reunification. In the current study, research questions examined the perceptions of caseworkers in determining whether or when a child could reunify with their family of removal, and how the perceptions of the caseworker affected their practice regarding reunification. Using social learning theory as a framework, a caseworker’s decisions were viewed as a balance between their work environment and their personal perceptions. Following …

The Efficacy Of Interpersonal Skills On Sales Production Among Pharmaceutical Salespeople, John Todd White

Walden Dissertations and Doctoral Studies

The pharmaceutical industry relies heavily on sales to stimulate growth, support research and development, and remain solvent. A review of the literature revealed there is limited insight on the impact of interpersonal skills on sales performance. This study addressed the role of interpersonal skills in a pharmaceutical salesperson’s performance in terms of total sales income, which includes salary, bonuses, and commissions. Gardner’s (1983) multiple intelligences theory, specifically interpersonal skills, served as the study’s framework. The Conversational Skills Rating Scale (CSRS) was used to assess interpersonal skill level. Additionally, the relationship between salesperson tenure and the number of sales meetings attended …

Experiences Of Social Workers In Outpatient Treatment With Young Mothers, Carla Rae Stewart

Walden Dissertations and Doctoral Studies

Young mothers suffering with opioid addiction are not a central emphasis of present-day treatment approaches. This research project explored perspectives of social workers who counsel young mothers suffering with opioid addiction. A qualitative research approach focused on systems theory and was designed to tell the story of individual experiences. Semi-structured questions were asked to a focus group consisting of six master’s level social workers to develop explanations and a better understanding of the problem. Systems Theory was the constant premise discussed throughout the focus group. Themes identified by the focus groups that directly impact this group of women were services, …

Witnessed Intimate Partner Abuse And Later Perpetration: The Maternal Attachment Influence, Kendra Lee Wiechart

Walden Dissertations and Doctoral Studies

Witnessing intimate partner abuse (IPA) as a child is linked to later perpetration as an adult. Questions remain regarding why some men who witnessed abuse go on to perpetrate, while others do not. The influence maternal attachment has on IPA perpetration after witnessed IPA has not been thoroughly researched. Maternal attachment is a complex variable grounded in attachment theory and may explain why some men fail to relate to their victimized mothers. The purpose of this study was to assess the influence maternal attachment has on men who witnessed IPA as a child and later perpetrated IPA as an adult. …

Canadian Policymaker Experiences On Reducing Syndemic Stigma For Hiv And Substance Use Disorder, Nickolas James Cherwinski

Walden Dissertations and Doctoral Studies

People living with HIV (PLWH) and substance use disorder (SUD) experience highly stigmatized lives fraught by influences such as criminal law and stigmatizing public policies. Despite free access to antiretroviral therapy (ART) and mental health services for all Canadian citizens, suboptimal adherence to ART and administratively cumbersome mental health interventions still exist. Many researchers have found the health services for both HIV and SUD to be dynamic, costly, and difficult to maintain; as such, the purpose of this study was to explore the knowledge gap related to the policy implications of syndemic stigma experienced by PLWH and SUD in Canada. …

Retention Of Case Managers Within The Metro District, Gabrielle Evette Jack

Walden Dissertations and Doctoral Studies

The United States has issues involving child abuse/neglect with children being abused and neglected every 47 seconds. In 2018, approximately 443,000 children in the country were in foster care. The purpose of this administrative study was to identify measures for reducing turnover and improving retention among case managers within a GA agency. Qualitative data were collected from 10 case managers through virtual interviews and analyzed using NVivo to identify key themes. The three key themes emerged from the data collected: case managers need support from leaders and supervisors to perform their daily obligations, second, the leaders’ unrealistic expectations make case …

Identifying Factors Associated With Rapid Readmissions In Behavioral Health Organizations, Glennisha Maxwell

Walden Dissertations and Doctoral Studies

Healthcare reform and changes to traditional reimbursement models have placed increasing pressure on healthcare industry leaders to identify ways of remaining competitive while responding to the challenge of reducing excessive costs. Behavioral health organizations are included in this systemic challenge, and rapid readmissions have been identified as one significant contributor to increasing and unsustainable costs. A qualitative case-study design was used to identify factors associated with rapid readmissions in an inpatient psychiatric hospital. The research problem centered on insufficient information about the rapid readmission population of the inpatient psychiatric hospital involved in the study. Methodological triangulation of data was achieved …

Integrating Tf-Cbt And Play Therapy: Promoting Resilience In Child Sexual Assault Survivors, Shayla Polk

Walden Dissertations and Doctoral Studies

Licensed social workers and counselors provide services to children who experience child sexual assault (CSA), which disrupt their normal childhood developmental processes. Trauma outcomes include symptoms related to somatization, inability to cope, feelings of helplessness, decreased self-esteem, difficulty expressing proper emotions, anxiety, depression, and posttraumatic stress disorder. Trauma-focused cognitive-behavioral therapy (TF-CBT) combined with play therapy can be helpful for CSA survivors. Still, it is not yet fully understood how therapists perceive the combined approach or how it fosters resiliency in children who experience sexual assault. The purpose of this action research study was (a) to explore the experiences and perspectives …

Social And Emotional Learning Program Implementation: Educators’ Perspectives Of Preparation And Support, Papani Saini

Walden Dissertations and Doctoral Studies

Teachers are not properly prepared and supported to implement social and emotional learning (SEL) programs in the United States. Teachers must be properly equipped to be successful throughout implementation, thereby allowing students to reap the benefits of SEL programming. The purpose of this basic qualitative study was to explore K-2 educators’ perspectives regarding the preparation and support they need to implement SEL programming. The conceptual framework for this study was based on Scheirer’s program implementation theory. The research questions focused on the perspectives of K-2 educators regarding the preparation and support they need for SEL program implementation. Purposeful sampling was …

Perspectives Of Physicians Mandated To Complete Cultural Competence Education, Wayne Mccarthy Boatwright

Walden Dissertations and Doctoral Studies

Perspectives of Physicians Mandated to Complete Cultural Competence Educationby Wayne M. Boatwright

Dissertation Submitted in Partial Fulfillment of the Requirements for the Degree of Doctor of Philosophy in Health Services

Walden University May 2021 Abstract Studies show that ethnic and racial disparities continue to exist in health care delivery. The economics of today’s multicultural world along with changing demographics and persistence of inequality in healthcare have challenged healthcare professionals to consider cultural competency (CC) training to assist in eliminating health disparities. The purpose of this study was to identify the perspectives of physicians who were mandated to complete CC education. …

Kingstonian Parents’ Perspectives On Discipline Using Corporal Punishment, Donnette Patrice Green

Walden Dissertations and Doctoral Studies

There is a thin line between discipline, corporal punishment and excessive corporal punishment which is reflected in the differences in disciplinary tactics used in various world cultures. In this regard, international law, such as the United Nations Declaration of the Rights of the Child of 1959 and local law such as Jamaica’s Child Care and Protection Act of 2004, serve to set the parameters of propriety in dealing with discipline as well as the excesses, which constitute corporal punishment. The purpose of this qualitative phenomenology study was to explore parents’ perspectives on using corporal punishment as a form of discipline …

Compassion Fatigue And Intersectionality In Human Service Practitioners: Latina Low-Wage-Earners Fighting Poverty, Marlo Greponne

Walden Dissertations and Doctoral Studies

Compassion fatigue, secondary traumatic stress, and vicarious trauma among professionals are well-documented within clinical settings. Human service practitioners working directly with people experiencing poverty and trauma, hunger, homelessness, victimization, and depression are considered at risk of experiencing compassion fatigue. Latina low-wage-earners may suffer compassion fatigue when handling cases mirroring their personal experiences with poverty. The purpose of this descriptive single case study was to explore marginalized workers’ experiences with compassion fatigue using intersectionality to understand what Latina low-wage-earning human service practitioners’ experiences with compassion fatigue were and what coping strategies they developed while serving people experiencing poverty. An intersectional approach …

Professional Values Of Corporate Nurses, Kasey Jeanne Sands

Walden Dissertations and Doctoral Studies

Healthcare is comprised of providers, who offer patient services, and payors, who manage the financial reimbursement of providers. Not much is known about registered nurses (RNs) in the corporate payor industry due to a lack of research. Strong professional values (PVs) are expected of all RNs, but research has shown this to vary across the field, meaning that RNs may require support in this area. As little is known about RNs in the payor industry, how these nurses sustain their PVs within the industry has not been evaluated, recognized, or supported. Therefore, the aims of this quantitative, descriptive, and correlational …

Stressors Of Special Education Teachers Working With Autistic Students With Behavioral Challenges, Malisa Anderson

Walden Dissertations and Doctoral Studies

In special education there are disabilities and health concerns teachers have to keep at the forefront when working with autistic students. The purpose of this hermeneutic phenomenological study was to gain knowledge and understanding regarding special education teachers’ perceptions of the stressors they experience when interacting with students diagnosed with autism spectrum disorder (ASD) and who also have behavioral challenges. This study was grounded in transactional theory. Six participants were included, and semi-structured interviews were conducted via social media calls and phone calls. The following themes emerged: Participants believed that autistic students, while having behavior challenges, were capable of calming …

Poststroke Depression And The Lived Experiences Of The Family Caregiver And Care Recipient Dyad, Tiffany Chere' Gurley-Nettles

Walden Dissertations and Doctoral Studies

AbstractPoststroke depression in stroke survivors is a more common occurrence than once believed as the survivor of stroke must contend with the loss of their former self and with residual physical, communicative, cognitive, and/or psychological changes. Family members who become informal caregivers, with minimal to no training in some cases, may experience stress from having to adjust to new family roles and responsibilities. Limited information is available on the lived experiences of the family caregiver and the survivor of stroke. The objective of this study was to explore the lived experiences of the survivor or stroke with poststroke depression and …

Social Work Practice And Childhood Obesity In Cumberland County In North Carolina, Patience Dione Ngalle

Walden Dissertations and Doctoral Studies

In 2018, approximately 20% of children aged 5 to 22 years in the United States suffered from childhood obesity, which results in long-term mental health needs. The purpose of this project was to better understand the effective strategies used by clinical social workers in addressing the mental health needs of obese children. Systems theory formed the conceptual framework for this study. The study also included a basic qualitative design. Six clinical social workers from six different practices based in Cumberland County, North Carolina, participated in this study. The results from computer-aided qualitative data analysis of the interview data that followed …