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Equity In Maternal Journeys: Maternal Health Care Experiences Among Black Mothers In South Carolina, Julisa Grace Tindall

Theses and Dissertations

Black women in the United States experience disproportionately adverse maternal health outcomes, particularly in the Southeast. This dissertation examines the maternal health care experiences and resilience strategies of Black mothers in South Carolina through a qualitative study grounded in critical race theory, Black feminist thought, resilience theory, and ecological systems theory. It highlights the pervasive influence of structural racism while amplifying the resourcefulness and agency of Black mothers. The first manuscript develops a conceptual framework to explore the structural, social, and interpersonal mechanisms influencing Black maternal health care experiences. The second manuscript employs grounded theory to investigate Black mothers’ lived …

Intimate Partner Violence In Post-Conflict Communities: The Case Of Peru, Karen Eliana León Negreiros

Theses and Dissertations

Intimate partner violence (IPV) is a major public health issue worldwide and the most common type of violence experienced by women. In the last decade, a growing number of studies have evidenced that situations of civil conflict, post-conflict, and displacement can significantly exacerbate IPV and increase the likelihood of experiencing IPV later in life. This study expands on the literature by taking a Geographic Information System (GIS) mapping approach to understand how civil conflict violence in Peru (1980-2000) is associated with IPV rates in the country, 4 years (2004) and 19 years (2019) after the conflict. Study results evidence the …

Healing Histories: Implementing Trauma-Informed Care Practices In Libraries To Support Resilience And Recovery, Cearra Harris

Theses and Dissertations

This dissertation investigated the impact of public library closure on the Edgewood community in Columbia, South Carolina, an area with a rich history and significant ties to the two nearby historically Black Colleges and Universities (HBCUs), Benedict College and Allen University. It explored the intergenerational effects of historical trauma through the lens of collective memory, as documented in oral histories from community members and public library staff. The research aimed to understand the implications of the library's absence in a marginalized community context, emphasizing how such closures can exacerbate existing vulnerabilities. Through oral histories, questionnaires, and interviews, the findings reveal …

Child-Caregiver Relational Closeness And Child Mental Health In Nonparental Care Settings, Amanda Stafford Mcrell

Theses and Dissertations

This dissertation examines child-caregiver relational closeness and child mental health within nonparental care systems in Low- and Middle-Income countries (LMICs). Five key factors impacting the well-being of orphaned, separated, and vulnerable children in LMICs are explored using the Positive Outcomes for Orphans (POFO) dataset: child maltreatment, social support, child-caregiver relationships, and nonparental care systems. First, I examined the relationship between maltreatment, social support, and mental well-being. Findings showed that maltreatment was associated with lower mental well-being, where social support (emotional support, tangible support, positive social support) was associated with greater mental well-being, even in the concurrent presence of maltreatment. Second, …

Mind Matters: Investigating The Impact Of Mental Health First Aid Training On High School Staff, Sarah Jo O'Neill

Theses and Dissertations

This dissertation, titled Mind Matters: Investigating the Impact of Mental Health First Aid Training on High School Staff, examines whether Mental Health First Aid (MHFA) training equips high school personnel with the necessary tools to identify and support students in crisis. Conducted over six weeks during a series of Kitchen Table Conversations, the study involved eight high school staff members who participated in a structured MHFA training program. Qualitative data collected from participant discussions revealed that while the current MHFA training format is a good start, it lacks school-specific contextualization. More importantly, the opportunity to discuss and process the material …

Investigating The Risk And Protective Factors Of Internet Addiction Among Adolescents Through The Lens Of Cognitive Behavioral Theory: A Cross-Sectional Study, Noura Shaltout

Theses and Dissertations

—Introduction: The Internet has become a central part of modern life, enhancing education, providing means of global communication, and facilitating access to information and entertainment. However, an attendant risk of excessive Internet use is becoming unconsciously addicted to virtual online activities, especially when large tech companies design their products in a way that makes them addictive to users. These companies have the tools and knowledge that allow them to manipulate and transform the behavior of their target audience. Thus, this study aimed to investigate the potential risk and protective factors for Internet addiction among adolescents. Methodology: This cross-sectional study employed …

Integrated Agricultural Interventions And Women’S Empowerment\ A Case Study Of “She Feeds The World” – “Aysheen Bekhirha” Program In Egypt, Pakinam Shibl

Theses and Dissertations

“She Feeds the World” program is a program that empowers women in farming communities by integrating them into the agricultural value chain. With increased access to essential resources such as land, seeds, water, and technical training, women are expected to actualize their full potential and generate more income. This paper explores the intersection of societal mobilization and economic development through a case study of the “Aysheen Bekhirha” program. By drawing on primary sources, the researcher aims to provide insights into the program’s multifaceted approach and its impact on economic and social outcomes. The analysis focuses on the significance of women’s …

The Role Of Social Support In Protecting Against Perinatal Depression Among Egyptian Women, Radwa Raafat Abdelshafi

Theses and Dissertations

Perinatal Depression (PND) is a global public health issue affecting many women as they transition to motherhood, and carrying detrimental consequences for both mothers and infants. Research in low and middle-income countries shows higher PND prevalence rates than in high-income and Western countries. In addition, social support has been shown to strongly protect or reduce the impact of PND. This study aimed to address a gap in research on PND in Egypt, and to build an understanding of the social support ecological system of new mothers. A survey was conducted with 81 first-time middle-class mothers living in Greater Cairo between …

Art As Resistance: Challenging Colonial Legacies Through The Eyes Of South Asian Diasporic Women, Sofina Tanni

Theses and Dissertations

This thesis explores how South Asian diasporic women artists in New York utilize art to resist colonial legacies and express their multifaceted identities. Through ethnographic research, it highlights how themes of nostalgia, preservation, community, and activism shape their work, fostering collective resistance and transformative decolonial pathways.

Predictors Of Mental Health Clinic Staff Self-Efficacy In Recognizing And Responding To Suicide Risk, Hannah Ritz

Theses and Dissertations

Staff self-efficacy is critical to suicide prevention, yet its predictors within Zero Suicide initiatives are not well understood. Among 1,038 CCBHC staff, perceived organizational support, response-focused training, and lower suicide myth endorsement most strongly predicted self-efficacy. Clinical role and prior experiences contributed modestly, highlighting multilevel influences on workforce readiness.

An Ethnographic Survey Of Hispanic Parental Experiences With Special Education, Leila Fox Goldsmith

Theses and Dissertations

This study explored Spanish-speaking parents' involvement, perception, and experience with Committee on Special Education (CSE) meetings. This study also sought to gauge knowledge and understanding of special education law. Special education law explicitly states that parents should be active participants in CSE meetings and have a role in creating their child's Individualized Education Program (IEP). Schools are mandated to abide by special education laws and conduct meetings in which every parent has a fair opportunity to collaborate and discuss the child's educational program. Previous research shows there may be a disconnect between Spanish-speaking parents and their children's educators. This study …

The Moderating Effect Of Age Group On Patterns Of Change In Ptsd Symptom Clusters During Trauma-Focused Cognitivebehavioral Therapy, Alyssa Nicole Williamson

Theses and Dissertations

The Diagnostic and Statistical Manual of Mental Disorders—5th Edition (DSM-V) includes four symptom clusters that compose Posttraumatic Stress Disorder (PTSD)-- Re-Experiencing, Avoidance, Negative Alterations in Cognitions and Mood ("Cognitive Mood"), and Hyperarousal (American Psychological Association, 2013). In response to findings that PTSD often presents differently in children and adolescents than in adults, the DSM-V now includes developmental considerations for diagnosis (e.g., Cohen et al., 2010; Scheeringa et al., 2012). As research on pediatric PTSD has grown, Trauma-Focused Cognitive-Behavioral Therapy (TF-CBT; Cohen et al., 2016) has emerged as the most empirically supported intervention for reducing PTSD symptoms, anxiety, depression, and behavioral …

Historical Loss, Negative Emotions, And Ambulatory Blood Pressure Among An Urban Sample Of American Indians And Alaska Natives, Milena Valentina Tutiven Alarcón

Theses and Dissertations

Since the 16th century, American Indians/Alaska Natives have faced significant traumatic events including loss of tribal lands and forced removal of family; these events are historical trauma exposure. Historical trauma can be assessed through historical loss thinking, a potential sequela from historical trauma. Historical loss thinking is the frequency of thoughts about communal loss (e.g., land and language loss) and has been consistently associated with negative psychological outcomes including negative emotions (i.e., depression/sadness, anger, anxiety/nervousness), substance use, and suicidality (Edinoff et al., 2024; Gone et al., 2019; Smallwood et al., 2021; Whitbeck et al., 2004). Though historical loss thinking is …

An Examination Of Assessment Practices For Emotional Disturbance In Schools: A Systematic Review, Christie Mulligan

Theses and Dissertations

School Psychologists are tasked with providing an array of evidence-based practices, though research has found that 50% of school psychologists’ time is spent in assessment (Benson et al., 2019). Although school psychologists are not solely making decisions based on assessment data, their evaluations are important and at the forefront of committee decisions within Special Education (Sullivan et al., 2019). Assessment plays a vital role in a struggling child’s educational track; therefore, it is imperative to consider what assessment practices and factors are informing crucial eligibilities and data-based decisions. A particularly challenging category within assessment in special education is determining ED. …

Lost In The System: Child Sex Trafficking In Foster Care, Jennifer L. Monaghan

Theses and Dissertations

“The true character of society is revealed in how it treats its children.” – Nelson Mandela Human trafficking has always existed. It spans the globe and has always been an epidemic. It is often referred to as a crime hidden in plain sight. The sexual exploitation of children in foster care is a topic within the field of sex trafficking that has not been explored enough in research. This research study focuses on the question, “How can placing a child in foster care make them susceptible to becoming a victim of child sex trafficking?” This research study has 132 female …

Predictors Of Treatment Completion In Alternatives For Families: A Cognitive Behavioral Therapy, Katharine Murphy

Theses and Dissertations

Child maltreatment is linked to a range of adverse outcomes, including posttraumatic stress disorder (PTSD), anxiety and mood disorders, and behavioral and interpersonal problems (Copeland et al., 2007; McLaughlin et al., 2013; Silverman et al., 2008). Children subjected to abuse by caregivers have the highest risk of PTSD onset (Alisic et al., 2014). To mitigate these effects, Alternatives for Families: A Cognitive Behavioral Therapy (AF-CBT; Kolko, et al., 2011) was developed to improve caregiver-child relationships. AF-CBT has proven effective in reducing family conflict, improving child symptomatology, and minimizing the potential for child abuse (Kolko, 1996a, 1996b; Swenson & Brown, 1999). …

Associations Between Psychoeducation And Measures Of Treatment Engagement In Trauma-Focused Cognitive Behavioral Therapy, Shari Lieblich

Theses and Dissertations

Despite the efficacy of TF-CBT, its effectiveness is compromised by high premature dropout or attrition rates. Psychoeducation, the first component of TF-CBT, provides both a rationale for engagement in treatment and normalizes symptoms to instill hope in youth and their caregivers. This component has been minimally examined as a predictor of later-phase symptom outcomes, mostly in adult trauma treatments, with mixed results. The goal of the current study is examine the influence of psychoeducation on participation-related variables in TF-CBT. Results indicate a positive association between the percentage of sessions of with psychoeducation and attrition and negative association with percentage session …

The Relationship Between Psychotherapist Self-Disclosure And Occupational And Emotional Variables, Kay Nikiforova

Theses and Dissertations

The effect of therapist self-disclosure practices on patients and the therapeutic relationship has long been debated. The historical trend of viewpoint toward self-disclosure began from predicting a negative, therapy-interfering stance to a growing openness towards the consideration that therapists sharing about themselves in session can have a positive effect on the patient. Evidence exists for both potential patient benefit and harm from therapists engaging in self-disclosure. Still, there is an increasing body of evidence that demonstrates that therapist self-disclosure benefits the therapeutic process, increases patient disclosure, and provides a more positive view of the therapeutic relationship. However, at present, there …

Why People Stay: Factors Contributing To Staff Retention In Community Mental Health Clinics, Brianna D. Boggs

Theses and Dissertations

The current behavioral health crisis is exacerbated by a crisis in the behavioral health workforce. Recruiting and retaining workers in behavioral health has become a challenge, making access to services for those needing them even more difficult. This study aimed to examine which factors have the strongest influence on an employee’s work engagement and decision to remain employed at their current organization. This study used Aarons et al.’s multilevel, multiphase implementation model (2011), with a focus on inner contextual factors as a means to help inform potential interventions to address the factors and improve retention. This study also applied the …

“You’Re Only As Good As Your Resources”: Exploring Virginia Police Chiefs’ And Sheriffs’ Decisions As Public Administrators To Engage In Community Collaborations With Domestic And Sexual Violence Agencies, Christine E. Wengloski

Theses and Dissertations

The collaborations between domestic and sexual violence victim-serving agencies (DSVAs) and law enforcement agencies help connect victims of crime to needed services. To maximize the benefits of these victim-serving initiatives in Virginia, it is imperative that victim-serving agencies understand the perceptions and factors that influence the decision-making of law enforcement administrators. In this study, I first present a theoretical framework of Herbert Simon’s Decision-Making Theory as a guide to understanding police chiefs and sheriffs as public administrators. A review of the literature demonstrates gaps in existing scholarship around chiefs’ and sheriffs’ decision-making about domestic and sexual violence victim-serving initiatives. Next, …

Housing Quality For Whom? Housing Quality As A Form Of Housing Insecurity And Housing Inequality For Black Women Renters, Jenee Lee

Theses and Dissertations

Housing quality is an often overlooked but critical aspect of housing insecurity that often impacts one’s well-being physically, mentally, and socially. As a compromise for affordable housing, some individuals reside in substandard conditions, often lacking essential safety measures and amenities needed for a comfortable and secure living environment. Consistent with broader patterns of housing disparities, Black women renters are disproportionately affected by housing insecurity and more likely to live in substandard housing. Although previous literature has explored the impact of poor-quality housing and its characteristics, there is a gap in understanding how Black women renters uniquely perceive and experience housing …

A Qualitative Exploration Of The Employment Experiences And Coping Strategies Among Transgender Women In Medellín, Colombia., Paola Marcela Roldan

Theses and Dissertations

Transgender individuals face disproportionate employment discrimination, with unemployment rates five times higher than the general population. Despite growing awareness of workplace diversity, transgender women continue to experience systemic barriers to economic security and professional fulfillment. This dissertation examines the employment experiences and coping strategies of transgender women in Medellín, Colombia, a city characterized by both progressive policies and persistent challenges. Using an exploratory-descriptive qualitative design, this study employed reflexive thematic analysis of in-depth interviews with 18 transgender women. Two theoretical frameworks—Puwar's "Bodies Out of Place" and Minority Stress Theory—guided the analysis of how transgender women navigate predominantly cisgender employment environments. …

Enhancing Data Wrangling Efficiency Using Ai, Prajakta K. Pohare

Theses and Dissertations

Data wrangling is an important step in transforming raw data into the right format for the right analysis. Unfortunately, using the manual method can be drudgery and unreliable, not to mention error prone, especially with complex data sets. This study examines the role of AI in planning and organizing data wrangling tasks in the form of a Work Breakdown Structure (WBS) using an AI prioritizing tool. The research looks at how well and with how much breadth and flexibility the approach performs to deliver WBS prioritized tasks compared to a manually generated WBS prioritized tasks and deploy and test a …

Fueling The Fire! How Black Students Make Sense Of Their Experiences With Youth Development Programs And Their Roles In Post-Secondary Transition And Success, Erica Austin

Theses and Dissertations

In this dissertation, I used a phenomenological research design to explore how Black students make sense of their experiences with Youth Development Programs (YDPs)and how the program components contributed to their transition and success in postsecondary education. An analysis of the interview data gathered from ten black students through the lens of Social Identity Theory revealed three themes: (a) YDPs help students feel prepared and supported by equipping them with essential academic and life skills, mentorship, and leadership opportunities; (b) Representation within YDPs fosters self-efficacy and aspiration, as mentors and role models who share students’ cultural backgrounds inspire confidence and …

The Impact Of Ableist Microaggressions On The Supervisory Relationship And The Influence Of Burnout And Self-Efficacy, Berenice Contreras

Theses and Dissertations

Disabled graduate students often report experiences of ableist microaggressions in their training environment, as disability-affirming practices tend to be overlooked in higher education institutions (Kattari et al., 2019; Lund et al., 2020). Ableist microaggressions are verbal, nonverbal, and/or environmental messages that relay derogatory messages toward individuals with disabilities and normalize everyday forms of discrimination enacted toward them (Annamma et al., 2013; Kattari et al., 2019). Studies demonstrate that disabled graduate students in health psychology graduate programs report higher exposure to ableist experiences during pre internship training and supervision compared to other stages of graduate training (Lund et al., 2014; Lund …

A Qualitative Inquiry Into The (In)Visibility Of Black Women Leaders In Social Work, Jere Murry

Theses and Dissertations

Black women are vital contributors and innovators within the American workforce yet remain underrepresented in executive leadership roles in most employment settings. Despite the contributions Black women have made, our continued marginalization is a direct result of systemic oppression and institutionalized racism, which persistently deny Black women opportunities for leadership ascension (Beckwith et al., 2016; Collins, 2000; Crenshaw et al., 1995; Wilkerson, 2020). This qualitative narrative approach explores the stories of Black women leaders employed in the child welfare and foster care system, illuminating the challenges, including systemic barriers, limited mentorship, and inequitable career advancement practices. This study examines the …

Addressing Barriers To Preventive Healthcare Access Through Community Outreach In Underserved Populations, Deneisha Sparks

Theses and Dissertations

Access to preventive healthcare is a significant public health challenge, particularly for underserved populations in Muscogee County, Georgia. This project addresses systemic barriers such as transportation, limited health education, and economic constraints, which contribute to health disparities and reliance on emergency room services. Guided by the Social Determinants of Health (SDOH) framework and the Health Belief Model (HBM), the project aims to enhance access to preventive care, improve health literacy and identify barriers to healthcare access.

This program evaluation report examined a community-based initiative that utilized a mobile health unit to improve access to preventive healthcare in underserved areas of …

How Do School Counselors And School Social Workers Support High School Bullying Victims: A Qualitative Exploratory Case Study, Dalentina N. Robertson

Theses and Dissertations

Bullying and student aggression are increasing in public high schools. Bullying and cyberbullying are a safety concern, and victims of bullying have shown a decline academically and emotionally. Additionally, high schools need increased support with bullying behaviors. The purpose of this exploratory case study was to explore school counselors’ and school social workers’ insights and perspectives regarding the support they provided to bullying victims in two school districts in rural Georgia. Bronfenbrenner’s Ecological Systems Theory was the framework used to focus research on understanding how environmental systems influence an individual’s development. Semi-structured interviews were conducted from a purposeful sample of …

The Relationship Of Preschool Variables To Kindergarten Early Literacy Skills, Michele Davis Thomason

Theses and Dissertations

This dissertation examines the impact of Pre-K experiences on kindergarten early literacy skills in Alabama. A convergent parallel mixed-methods research design was utilized to analyze assessment data from My Teaching Strategies AlaKiDS and Renaissance STAR Early Literacy for kindergarten students in a rural Alabama district. The students were divided into three groups for comparison: students who attended Alabama First Class Pre-K, those in private programs using the Abeka curriculum, and students with no formal Pre-K experience. The dissertation utilized Vygotsky’s constructivist theory to assess the influence of early educational environments on the cognitive development through scaffolding and the Zone of …

Psychopathology, Symptomology, And Treatment In Offspring Of Holocaust Survivors: An Integrative Systematic Review, Lauren Grace Escobar

Theses and Dissertations

This systematic review aimed to evaluate the symptomatology, psychopathology, and treatment of offspring of Holocaust survivors (OHS). A comprehensive search was conducted in PsycINFO, PILOTS/PTSD, and Scopus for studies published between 1990 and 2024. Inclusion criteria required peer-reviewed studies, reports, books, literature reviews, and meta-analyses written or translated into English that reported on symptomatology and treatment for OHS. From an initial yield of 2,532 articles, 119 studies met the inclusion criteria. The findings suggest that OHS demonstrate significantly higher levels of symptomatology and psychopathology reported in nine clinical classifications. Psychodynamic treatment was the most commonly found treatment modality for OHS, …