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Articles 91 - 120 of 150
Full-Text Articles in Entire DC Network
Understanding Refugee Mental Health And Employment Issues: Implications For Social Work Practice, Lindsey Disney, Jane Mcpherson
Understanding Refugee Mental Health And Employment Issues: Implications For Social Work Practice, Lindsey Disney, Jane Mcpherson
Journal of Social Work in the Global Community
Resettled refugees have high rates of some mental health disorders, such as PTSD and MDD, largely due to trauma histories and current resettlement stressors. Resettled refugees also have employment struggles that are unique to their status as refugees. This article provides overviews of refugee mental health and refugee employment issues with a specific focus on how these factors are interrelated in U.S. resettled refugee populations. The article describes prevalence rates of mental health disorders among refugees, barriers that limit refugees’ access to mental health treatment, and evidence-based mental health. Additionally, prevalence rates of refugee unemployment and underemployment are reported, along …
Predictive Factors Of Risky Sexual Behaviors Of Emerging Adult Women, Corey Dabney
Predictive Factors Of Risky Sexual Behaviors Of Emerging Adult Women, Corey Dabney
Walden Dissertations and Doctoral Studies
This study offered a predictive model to better understand the social dynamics of risky sexual behavior through examining how reproductive coercion, self-esteem, and peer relationships that present with risky sexual behaviors correlate to unintended pregnancy. The participants were 104 emerging adult women between the ages 18-25 who resided in the United States and were proficient in the English language. Using the theoretical lens of reciprocal determinism, direct logistic regression was performed to assess the likelihood that the variables reproductive coercion, peer relationships, and self-esteem would impact unintended pregnancy. The full model containing all predictors was statistically significant, indicating that the …
Behavioral Health Leadership Perspectives On The Transition To Medicaid Managed Care, Cynthia Lyn Gee
Behavioral Health Leadership Perspectives On The Transition To Medicaid Managed Care, Cynthia Lyn Gee
Walden Dissertations and Doctoral Studies
Healthcare and behavioral healthcare reform are sweeping across the United States to improve health outcomes, increase client satisfaction, and to decrease healthcare expenditures through statewide transitions to Medicaid managed care (MMC). Leaders of behavioral health organizations face significant challenges when implementing wide scale organizational change. A case study design was used to explore senior leaders’ experiences with transitioning from a fee for service environment to MMC at a behavioral health organization, which operates in the Northeastern region of the United States. The Baldrige excellence framework was used as a conceptual lens to assess the organization’s effectiveness in key factors. Senior …
Sexually-Abused Adolescent Females Versus Nonsexually-Abused Adolescent Females Regarding Rorschach Inkblot Assessments, Angela D. Jones
Sexually-Abused Adolescent Females Versus Nonsexually-Abused Adolescent Females Regarding Rorschach Inkblot Assessments, Angela D. Jones
Walden Dissertations and Doctoral Studies
This study explored differences between female adolescents who experienced sexual abuse as children and those who experienced other forms of trauma or abuse. There is no previous research assessing the differences between these two groups. Some female adolescent victims of sexual abuse are sexually revictimized, sex trafficked, and exhibit delinquent behaviors. If differences are determined, a more tailored and appropriate intervention could be introduced to reduce these youths' revictimization and minimize adult sexual risk. This study was quantitative in nature and assessed the clinical profiles of 27 female adolescents involved in the juvenile justice system for being sex trafficked or …
Leadership Strategies For Reducing Turnover Within Child Welfare Departments, Lace Shelise Whitten
Leadership Strategies For Reducing Turnover Within Child Welfare Departments, Lace Shelise Whitten
Walden Dissertations and Doctoral Studies
Employee turnover costs companies billions of dollars annually and can damage business sustainability. Childcare managers who lack leadership strategies may struggle to reduce employee turnover. Grounded in the motivation-hygiene theory, the purpose of this qualitative single case study was to explore leadership strategies childcare managers in Polk County, Florida, use to reduce employee turnover. Data were collected through semistructured face-to-face interviews with 5 purposively selected childcare managers who have used leadership strategies to reduce employee turnover. Data were also collected via field notes, observations, and company documents. Four themes emerged from the thematic analysis of the data: open communication, feedback …
Posttraumatic Stress Disorder Rates Among Children In Foster Versus Family Kinship Care, Rashanda Allen
Posttraumatic Stress Disorder Rates Among Children In Foster Versus Family Kinship Care, Rashanda Allen
Walden Dissertations and Doctoral Studies
Children in foster care represent a highly traumatized population. However, trauma researchers studying this population have focused primarily on maltreatment rather than the full spectrum of posttraumatic stress disorder (PTSD) attributes and symptoms for children living in nonkinship foster homes versus kinship foster homes. The purpose of this study was to address this gap in the literature, as well as examine the benefits and limitations of children placed in kinship and nonkinship foster homes. Attachment theory was the theoretical framework. The research questions centered on the prevalence of specific types of posttraumatic stress symptoms for a sample of children living …
Child Welfare Workers' Perceptions Of The Effective Black Parenting Program, Kharmynn M. Bullock
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 …
Community-Based Counselors’ Experiences Counseling Female Adjudicated Youth: A Basic Qualitative Study, Ericka Pinckney
Community-Based Counselors’ Experiences Counseling Female Adjudicated Youth: A Basic Qualitative Study, Ericka Pinckney
Walden Dissertations and Doctoral Studies
Licensed professional counselors (LPCs) have encountered difficulties engaging at-risk youth in meaningful treatment. Youth who faced great stress such as abuse, neglect, truancy, family problems, homelessness, and traumatic events have presented with challenging behaviors. Literature suggested adjudicated youth engaged in relational and physical aggression; these behaviors increased the risk for out-of-home placement. Research on community based LPCs’ professional experiences in working with adjudicated female youth is scarce. The purpose of this basic qualitative study was to explore community-based counselors' experiences treating female adjudicated youth. Professional counselors' techniques and strategies were explored. The relational-cultural theory provided the conceptual lens through which …
Employee Resistance To Change During The Implementation Of Trauma-Informed Care, Tara A. Chalakani
Employee Resistance To Change During The Implementation Of Trauma-Informed Care, Tara A. Chalakani
Walden Dissertations and Doctoral Studies
Employee resistance to change can impede organizational success. Resistance can occur when the proposed change is beneficial. Trauma-informed care requires a complete paradigm shift within a behavioral health organization to be executed successfully. This single-case study explored the leadership experience of employee resistance to change during the implementation of trauma-informed care in a large nonprofit behavioral health organization. Data were collected through semistructured interviews with 4 organizational leaders, and a thematic analysis was conducted on internal documents, including staff satisfaction surveys, exit interviews, meeting minutes, strategic plans, manuals, the organizational website, and information from the employee portal. Findings were validated …
Teachers' Perceptions Of Toxic Stress And Classroom Practices They Use With Young Children, Pamela Joyce Waddell
Teachers' Perceptions Of Toxic Stress And Classroom Practices They Use With Young Children, Pamela Joyce Waddell
Walden Dissertations and Doctoral Studies
AbstractYoung children experiencing toxic stress has negative consequences on their development. The purpose of this case study was to explore teachers' perceptions of toxic stress in young children and the classroom practices used to assist students experiencing toxic stress from two rural early childhood centers in an eastern state in the United States. The conceptual framework for this qualitative research included Bronfenbrenner's ecological model of human development, social constructivist theory, and information from The Center on the Developing Child at Harvard University. The research questions explored teachers' perceptions of toxic stress in young children and classroom practices being used in …
Effective Social Work Practice With Military Youth During Deployment, Christy Michelle Scholl
Effective Social Work Practice With Military Youth During Deployment, Christy Michelle Scholl
Walden Dissertations and Doctoral Studies
Since the beginning of the wars in Afghanistan and Iraq, more than 2 million military-connected children experienced separation from a parent due to a military deployment. The purpose of this study was to identify and build upon the tools and techniques used by social workers when providing services to military children during a parental deployment. Bowen’s family systems theory provided the conceptual framework for this study. Family systems theory relies on the belief that military families are interdependent of one another and to fully understand what may be happening with military youth; social workers must look at and understand the …
Bullying On A College Campus: A Qualitative Study, Arnita D. Walls-Pickett
Bullying On A College Campus: A Qualitative Study, Arnita D. Walls-Pickett
Walden Dissertations and Doctoral Studies
Bullying in higher education has become a global concern on college campuses and is occurring there in face-to-face encounters and through social media. Bullying contributes to hundreds of thousands of students dropping out of their higher education programs annually. This study brings more awareness to the uncivil behaviors occurring on college campuses. It uses for its conceptual framework the fourth of the Seven Vectors of Identity Development articulated by Chickering and Reisser: developing mature interpersonal relationships. This study's 2 guiding questions investigated whether bullying took place on a single college campus and how the bullying revealed itself. Further, this study …
Characteristics Of Young People Seen In The Emergency Department For Assault-Related Injuries, Robyn Coons
Characteristics Of Young People Seen In The Emergency Department For Assault-Related Injuries, Robyn Coons
Walden Dissertations and Doctoral Studies
Violence is among the most serious threats to the health and safety of young people between the ages of 10 and 24 in the United States. The purpose of this cross-sectional quantitative study using secondary data from the CDC's 2015 National Hospital Ambulatory Medical Care Survey (NHAMCS) data set was to examine the characteristics (age, sex, race and ethnicity, insurance or payer source, and housing status) of young people between the ages of 10 and 24 who seek medical care for assault-related injuries through the emergency department (ED). The social ecological model was used to examine the complex interplay between …
Mental Health Courts: Mental Illness, Diversion Programs And Recidivism, Michelle Blount
Mental Health Courts: Mental Illness, Diversion Programs And Recidivism, Michelle Blount
Walden Dissertations and Doctoral Studies
Many large urban juvenile probation departments have begun to utilize mental health courts to meet the demands of the increasing number of individuals who have mental health issues that end up in the juvenile justice system. Diversion programs are designed to keep youth in the community and out of the juvenile justice system, but it is not clear whether these programs keep individuals from re-offending. Therefore, this study was conducted to determine whether diversion programs used in the mental health courts are helping to decrease recidivism for juveniles identified with mental illness. This study was also aimed at identifying how …
Medication Adherence For Foster Children From The Perspective Of Foster Care Providers, Odette Boyd
Medication Adherence For Foster Children From The Perspective Of Foster Care Providers, Odette Boyd
Walden Dissertations and Doctoral Studies
In 2015, over 427,000 children were in foster care and the largest population were in California's system. Of those children, more than 9,400 were prescribed psychotropic medications. Increases of psychotropic medication use have led to investigations and findings of medication oversights in foster care. Medication oversights included medication nonadherence, which was linked to an increase of problematic behaviors in foster children. The purpose of this phenomenological study was to explore the issues of medication adherence for foster care providers who care for foster children of mild to chronic health concerns who were prescribed medications and experienced multiple placements. By utilizing …
Guardians' Experiences With Mental Health Care For Adolescents With Pediatric Bipolar Disorder, Saudia Y. George
Guardians' Experiences With Mental Health Care For Adolescents With Pediatric Bipolar Disorder, Saudia Y. George
Walden Dissertations and Doctoral Studies
Pediatric bipolar disorder (PBD) is a growing public health problem in the United States, especially among adolescent children. Despite awareness of the diagnosis and the effects that it has on the child, little attention has been given to the effects that PBD has on the guardian. The purpose of this qualitative phenomenological study was to explore the factors influencing guardians' experiences related to PBD. Penchansky and Thomas' Theory of Access and Family Systems Theory were used in this study to explore guardians lived experiences of PBD, its effects on the entire family system, and mental health service treatment. This approach …
A Quantitative Analysis Of Re-Offense Among Delinquent Foster Care Youth In Georgia, Brian Keith Jones
A Quantitative Analysis Of Re-Offense Among Delinquent Foster Care Youth In Georgia, Brian Keith Jones
Walden Dissertations and Doctoral Studies
Nationwide more than 2 million youth are placed in custody annually, approximately 80,000 children return home, and more than 70% have a diagnosable mental disorder. The purpose of this quantitative study was to examine the outcomes of 311 youth released from secure residential facilities in Georgia between January 2012 thru May 2017. In the dataset, 136 youth returned to regular homes, 128 returned to group homes (GC), and 47 returned to traditional foster homes (TFC). The goal of the study was to examine the differences in probation outcomes based on the type of placement. For the purpose of the study, …
Separated By The Child Welfare System: The Journey Of One Set Of Fraternal Twins, Jocelyne Coan Bond
Separated By The Child Welfare System: The Journey Of One Set Of Fraternal Twins, Jocelyne Coan Bond
Walden Dissertations and Doctoral Studies
This study explored the separation of twins in foster care and examined how their lived experiences relate to their interpersonal relationships as adults. Many researchers have studied the long-term impact of nontwin sibling separation in foster care, but little is known about the separation of twins, leaving a significant gap in existing literature. The purpose of this study was to examine the lived experiences twins who were separated in foster care as relates to their interpersonal relationships during adulthood. A qualitative, narrative approach was used to gather the lived experiences of one set of twins. The research questions examined how …
Intake Case Managers' Perspectives On Rural Veteran Homelessness, Amanda Eun Jee Webreck
Intake Case Managers' Perspectives On Rural Veteran Homelessness, Amanda Eun Jee Webreck
Walden Dissertations and Doctoral Studies
Homeless research has focused on the service-directed approach, but few qualitative studies have focused on the critical and sensitive nature of the intake process. Staff in rural and remote communities struggle to refer services and mainstream resources to homeless veterans. The purpose of this case study was to explore case managers' perspectives on intake procedures in rural Pennsylvania communities. Lewin's force field analysis was used as a theoretical basis to examine the rationale for behaviors and forces that impact an individual's state. Six case managers and 1 supervisor were selected for face-to-face interviews based on their experience, job duties, and …
Self-Care Practices And Therapist Beliefs Among Home-Based Mental Health Professionals In Relation To Burnout, Heidi C. Myers
Self-Care Practices And Therapist Beliefs Among Home-Based Mental Health Professionals In Relation To Burnout, Heidi C. Myers
Walden Dissertations and Doctoral Studies
In 2012, research suggested that 21% to 67% of mental health professionals experience burnout. Burnout is described as a negative experience resulting in workplace stress that produces psychological, emotional, physical, and somatic symptoms. The purpose of this study was to examine a quantitative, correlational relationship between self-care practices and therapist beliefs in relation to burnout among home-based mental health therapists. The research question concerned whether there is a relationship between therapist beliefs, self-care, and burnout among home-based therapists. Equity theory was the base theory used for this project, indicating that reciprocity between therapist and client or therapist and supervisor may …
Separated By The Child Welfare System: The Journey Of One Set Of Fraternal Twins, Jocelyne Coan Bond
Separated By The Child Welfare System: The Journey Of One Set Of Fraternal Twins, Jocelyne Coan Bond
Walden Dissertations and Doctoral Studies
This study explored the separation of twins in foster care and examined how their lived experiences relate to their interpersonal relationships as adults. Many researchers have studied the long-term impact of nontwin sibling separation in foster care, but little is known about the separation of twins, leaving a significant gap in existing literature. The purpose of this study was to examine the lived experiences twins who were separated in foster care as relates to their interpersonal relationships during adulthood. A qualitative, narrative approach was used to gather the lived experiences of one set of twins. The research questions examined how …
Assessing The Relational Nature Of Child Physical Abuse And Neglect Among 12-Year-Old Girls, Corrine Ann Dale
Assessing The Relational Nature Of Child Physical Abuse And Neglect Among 12-Year-Old Girls, Corrine Ann Dale
Journal of Social, Behavioral, and Health Sciences
Child maltreatment is a historical and current problem in the United States. Children are exposed to physical abuse, neglect, and sexual abuse in alarming numbers. In 2014, state agencies found an estimated 702,000 victims of child maltreatment. With two thirds of this group representing child neglect victims, research studies and effective interventions are needed for this group in particular. This study examined the relational nature of child neglect versus child physical abuse. The sample population consisted of 68 girls aged 12 years old at the Midwest site of the Longitudinal Studies of Child Abuse and Neglect research project. The secondary …
Adolescent Engagement In Home-Based Treatment: An Action Research Study, Krystal Finch
Adolescent Engagement In Home-Based Treatment: An Action Research Study, Krystal Finch
Walden Dissertations and Doctoral Studies
Adolescent engagement in home-based treatment is a challenge within the social work field. Studies have suggested that the foundation of clinical practice relies on the clinician's ability to understand the process of engaging adolescents in treatment, which may also include a period of adaptability, relatability, and connectedness within the treatment setting. The purpose of this study is to explore the clinical practice approaches, roles, and experiences utilized in home-based treatment to adolescents residing in a large city in northeastern United States. This study was grounded in the ecological systems theory which provides social workers with an opportunity to assess the …
Evidence-Based Child Welfare Screening And Assessment Practices, Melissa Hardin
Evidence-Based Child Welfare Screening And Assessment Practices, Melissa Hardin
Walden Dissertations and Doctoral Studies
The purpose of this action research project was to examine the screening and assessment behaviors of child welfare workers in the southwestern region of the United States. The study addressed whether social workers' knowledge of evidence-based practice influenced their implementation of evidence-based practice in child welfare screening and assessment, and whether the agency environment affects evidence-based practice implementation and use. The family systems theory was used to evaluate child welfare practitioner work and systems theory was used to evaluate the child welfare system in the region of the study. A focus group comprised of seven social workers practicing in the …
Comparing A General And Transitional Registered Nurse Orientation To Facilitate Quality Improvement, Kathryn R. Cortes
Comparing A General And Transitional Registered Nurse Orientation To Facilitate Quality Improvement, Kathryn R. Cortes
Walden Dissertations and Doctoral Studies
Most hospitals orient new graduate nurses and experienced nurses in the same generalized orientation programs. To address the cost of orientation to specialty units, a pediatric hospital developed a tailored transitional residency orientation program for experienced nurses. The purpose of this project was to describe, compare, and evaluate the existing generalized orientation program and the transitional orientation program to determine how the orientations differed in structure, process, and outcomes. Donabedian's model assessing quality of care services and Benner's novice-to-expert theoretical framework served as guides in evaluating the orientation outcomes. Qualitative data about residency classroom time, preceptor selection and time, mentor …
Successful Strategies Ministers Use To Obtain And Manage Foundation And Government Grants, Rebecca I. Payne
Successful Strategies Ministers Use To Obtain And Manage Foundation And Government Grants, Rebecca I. Payne
Walden Dissertations and Doctoral Studies
Ministers need a strategy for applying for the millions of dollars in grants available to churches for programs that will benefit communities. The purpose of this multiple case study was to explore the strategies that Christian ministers use to obtain and manage government and foundation grants. The conceptual frameworks were an emergent strategy and the ladder of accountability. Data were gathered from semistructured interviews with 4 Christian ministers in New York State and reviews of sample monthly and quarterly grant accountability reports. Selective coding was the data analysis process. The 3 major themes that emerged from the data analysis were …
The Use Of Performance Measurement Data In Nonprofit Organizational Sustainability, Helen S. Coy
The Use Of Performance Measurement Data In Nonprofit Organizational Sustainability, Helen S. Coy
Walden Dissertations and Doctoral Studies
In the United States, nonprofit organizations (NPOs) face a precarious future because of their heavy reliance on the financial support of government funding, other donor agencies, and philanthropic foundation resources. The purpose of this study is to understand how and to what extent leadership of NPOs can benefit from using funder-required performance data to improve organizational sustainability. Using Pfeffer and Salincik's resource dependency theory to explain organizational sustainability, this qualitative multiple case study of 10 NPOs in a northeastern U.S. state includes 14 interviews with NPO leadership, a document review of NPO 990 tax filings, annual performance reports, and board …
Therapists' Comfort Level In Providing Psychotherapy In Home-Based Therapy Settings, Jacqueline A. Ramirez
Therapists' Comfort Level In Providing Psychotherapy In Home-Based Therapy Settings, Jacqueline A. Ramirez
Walden Dissertations and Doctoral Studies
Home-based psychotherapy has expanded in the mental health community; however, little was known about the therapists' comfort level in a home-based venue. The purpose of this quantitative study was to assess therapists' comfort level (TCL) in providing psychotherapy in a home-based setting and how therapeutic competency (TC), therapeutic relationship (TR), and advanced therapeutic training (ATT) related to the comfort level. The social-ecological systems theory and the theory of comfort served as the theoretical frameworks. The present study used the Therapist Comfort Scale, Counseling Competencies Scale-Revised, the Scale to Assess Therapeutic Relationship in Community Mental Health Care-Clinician, and a demographic questionnaire. …
The Impact Of Length Of Stay On Therapeutic Effectiveness Of Multidimensional Treatment Foster Care, Dawn M. Breikss
The Impact Of Length Of Stay On Therapeutic Effectiveness Of Multidimensional Treatment Foster Care, Dawn M. Breikss
Walden Dissertations and Doctoral Studies
Youth who are placed in the Multidimensional Treatment Foster Care (MTFC) program come from families with multiple risk factors. The MTFC program is based on social learning theory, which posits that youth learn from modeling those in their environment. It is unclear whether motivation for social learning decreases over time. Past research has indicated that there is an efficacious time period for treatment in the MTFC program (6 to 9 months). The purpose of this quantitative study was to examine the behavior effects of remaining in treatment foster care for an extended length of time. This was measured through pre- …
Influence Of Poverty, Parental Substance Use, Ethnicity, And Employment On Reactivation Following Family Reunification, Judith Anne Cornell
Influence Of Poverty, Parental Substance Use, Ethnicity, And Employment On Reactivation Following Family Reunification, Judith Anne Cornell
Walden Dissertations and Doctoral Studies
The maltreatment of children impacts individuals, communities, states, and societies. One response to the problem is the removal of children from their families, which can cause significant trauma for all involved. Moreover, the financial, legal, and emotional costs increase exponentially when subsequent re-removal, known as reactivation, occurs. Nationwide, the rate of reactivation averages just over 6%; in Arizona, the rate is significantly higher, with 11% of children being reactivated within 2 years of initial reunification. The purpose of this quantitative, non-experimental study was to determine whether poverty, ethnicity, parental substance use, parental employment, marital status, and number of children in …