Digital Commons Network^™

Development Of Optimal Cut Scores For Within-Normal-Limits Mmpi-2-Rf Profiles Of Sex Offenders, Ilona Iikhtman

Theses and Dissertations

Alleged and convicted sex offenders are generally required to undergo forensic evaluations that frequently include a psychological assessment to answer a wide range of psycho-legal questions. A critical component of the psychological assessment of sex offenders is the evaluation of personality and psychopathology. The Minnesota Multiphasic Personality Inventory (MMPI) and its subsequent editions have been the most widely used personality assessment measures in forensic evaluations, including sex offender evaluations, and in research conducted with sex offenders. The previous literature demonstrates that a subgroup of sex offenders often produce test scores reflective of the general population, which is referred to as …

The Risk Of Protection: Examining The Contextual Effects Of Child Protective Services On Child Maltreatment Fatalities In The U.S., Cosette Morgan Mccullough

Theses and Dissertations

Much research has been done in the field of child homicide. While child homicide is a statistically rare event, it is especially pervasive in the United States. A subsection of research in the child homicide literature is the topic of child maltreatment fatalities, defined as when a child is killed through the means of maltreatment, such as physical abuse or neglect. What has been less so researched, however, is the combination of factors that can affect a child’s fatality risk. The current study seeks to expand on the previous research using the 2019 Child File of the National Child Abuse …

Racial Equity Analysis: Access To Permanent Housing And The Vulnerability Index – Service Prioritization Decision Assessment Tool (Vi-Spdat), Mary Ann Priester

Theses and Dissertations

Purpose: This study aimed to replicate and extend national research within the local context of the Charlotte-Mecklenburg Continuum of Care by using propensity score methods to examine the relationships between race, program outcome, and housing prioritization among subpopulations of individuals experiencing homelessness.

Methods: This study used secondary data analysis and propensity score methods to examine deidentified client-level Homeless Management Information System (HMIS) data collected from January 1, 2016 – December 31, 2021 by the Charlotte-Mecklenburg Continuum of Care (CoC).

Results: Findings indicate that Whites are more likely to exit homeless services programs to temporary or institutional destinations vs. permanent housing …

The Association Between Civic Engagement Via Participatory Art And Adolescents’ Self-Esteem And Self-Efficacy, Michaela Ann Hayes

Theses and Dissertations

Civic engagement refers to actions taken by individuals to address issues of public concern, which can come in many forms including engagement in art. Participation in these activities can have positive impacts on the individual, including improved mental and physical health, as well as on the community through increased appreciation for differences and acquisition of values such as tolerance. The Bioecological Model suggests that an individual's participation in civic activities is influenced by the various levels of their environment. These experiences may be particularly impactful for adolescents. Indeed, adolescents who participated in civic engagement activities have been found to have …

Risk And Resilience: An Exploration Of Adverse Childhood Experiences, Protective Factors, And Internalizing Symptoms In Black Youth, Irene A. Jacobs

Theses and Dissertations

The study examines mechanisms of risk and resilience that influence the psychological well-being of Black youth. Previous literature has established a link between adverse childhood experiences (ACEs) and mental health outcomes in youth (Kerker et al., 2015; Thakur et al., 2020). A substantial amount of the ACEs literature solely focuses on risk factors (e.g., mental impairment, low SES, health risk behaviors) for poor outcomes associated with ACEs. Despite Black youth experiencing high rates of ACEs (Liu et al., 2019), the ACEs literature examining mechanisms of their resilience is sparse (Meeker et al., 2021). Given the state of the ACEs literature, …

Tele-Mental Health For Rural Children With Cancer And Their Families, Heather Adame

Theses and Dissertations

Youth and Families from rural areas face different circumstances and challenges when managing a pediatric cancer diagnosis. Challenges such as this include lower access to both physical and mental health care (Janicke & Davies, 2011; Wallings et al., 2019). There is a significant need to investigate how to implement best Telemental health for rural families with pediatric cancer (Ros-DeMarize et al., 2021; Timones, 2019). Due to the limited research on this topic, the purpose of this study was to explore expert opinions on best practices for Telemental health services in pediatric oncology settings and rural families living with pediatric cancer. …

The Use Of Dance And Movement For The Embodied Healing Of Interpersonal Trauma In Women And Girls: A Systematic Review, Catherine Xinyu Liang

Theses and Dissertations

Interpersonal trauma is a serious and devastating problem for women and girls from all walks of life. Research has shown that there are physiological consequences for experiencing trauma, and as such, treatment for trauma may need to target the body. Dance/Movement Therapy (DMT) has been emerging in the current literature as one body-oriented treatment approach that is effective in helping women and girls heal from interpersonal trauma. This review examines how practitioners are currently using DMT for this population, what treatment outcomes have been observed, and what the racial/ethnic identities and international contexts are for survivors who have benefited from …

Parent-Child Relationship Quality, Emotion Reactivity, And Suicide Ideation Among Adolescents, Deborah Schaeffer

Theses and Dissertations

The rate of teenage suicide has increased markedly in recent years, highlighting the need for greater understanding of the factors that underlie such behavior. While separate studies have established significant associations between the quality of the parent-child relationship and suicide ideation, and between emotion reactivity and suicide ideation, no prior research has examined the interaction of these variables. The current study used survey data collected from 111 youth recruited in emergency departments and inpatient units to measure parent-child relationship quality (the PACHIQ-R scale) and emotion reactivity (the ERS) as predictors of severity of suicide ideation at three months into the …

Empathy And Cultural Involvement As Pathways To Resilience In The Face Of Adverse Childhood Experiences Among Native American Indians, Joy Rodriguez

Theses and Dissertations

The purpose of this research study was to examine two specific pathways to resilience for Native American Indians (NAIs) that have experienced at least one adverse childhood experience (ACE) and are seeking behavioral health services on the Choctaw Indian reservation: empathy and cultural involvement. The study is an examination of the effects of empathy and cultural involvement on the resilience of NAIs with one or more ACEs. The researcher also investigated the type of ACEs reported among adult NAIs seeking behavioral health services on the Mississippi Band of Choctaw Indian (MBCI) Reservation. Lastly, the association between ACEs and resilience was …

Parent-Child Relationships And Parental Distress As Moderators Between Chronic Illness And Psychological Problems In Emerging Adults., Abigail Kukay

Theses and Dissertations

The current study aimed to better understand how parental functioning and parent-child relationships might moderate the effects of chronic illness on psychological problems in emerging adulthood. Three hypotheses were made: (1) the presence and severity of chronic illness would associate positively with emerging adult psychological problems, (2) parental distress would moderate the effects between chronic illness presence/severity and emerging adulthood psychological problems, and (3) parent-child relationship quality would moderate the effects between chronic illness presence/severity and emerging adult psychological problems. Data analysis consisted of testing interaction effects, pairwise parameter comparisons, and multiple group analysis. The three-way interaction between endorsing a …

Predicting Therapists’ Intentions To Use An Innovation: The Role Of Innovation-Specific, Individual, And Organizational Factors, Jonathan KuʻUhoaepilipono Ahuna

Theses and Dissertations

Understanding factors that contribute to an individual’s decision to use an innovation can increase the public health impact of innovations in children’s mental health services. Objective. This study examined whether and to what extent therapists’ innovation-specific judgements (e.g., innovation is easy to use, socially desirable) were associated with intentions to use an innovation using constructs from one of the most robust theories of innovation use–the Unified Theory of Acceptance and Use of Technology (UTAUT). Method. Two aims were addressed using data collected from 95 therapists and 28 supervisors who participated in a multi-site cluster randomized trial. Therapists used either a …

The Relationship Between Leadership Preference Of County Level Personnel Within University Of Missouri Extension And Their Level Of Employee Engagement, Jason C. Morris

Theses and Dissertations

The purpose of this study was to describe the perceived leadership style of the University of Missouri Extension Service county staff and their level of engagement and study the relationship between variables. Administrators with University of Missouri Extension Service can utilize this information to better serve Extension Staff and ultimately people throughout the state of Missouri.

The Vannsimpco Leadership Survey was used to measure the perceived leadership style of county level staff. The Utrecht Work Engagement Scale (UWES) was used to measure work engagement on three constructs: vigor, absorption, and dedication engagement. Demographic characterizes of county level staff was also …

An Evaluation Of A School Mental Health Program For Underserved Youth In Rural South Carolina, Tristan Collier

Theses and Dissertations

School, community, and youth-serving system partnerships can support implementing comprehensive school mental health (SMH) systems including services beyond direct therapy for students (i.e., multiple tiers of support). Utilizing a comprehensive approach to SMH allows clinicians to form stronger relationships with administrators, school staff, and most importantly, students who may need services. This comprehensive approach to SMH includes incorporating the SMH clinician into the culture and daily activities of the schools (e.g., helping direct students in the bus line), to increase the visibility of the clinician and services available as well as provide opportunities for direct outreach to students. One such …

Plugging Into A New Age: The Impact Of Social Media Use On Undergraduate Students’ Perceptions Of Production Agriculture And Consumer Decisions, Shannon K. Allen

Theses and Dissertations

Today, 84% of young adults between the ages of 18-29 use at least one social media site (Pew Research Center, 2020) and are in the stages of emerging adulthood where they are making independent decisions for the first time (Arnett, 2000). As society becomes more technologically advanced, we become further removed from agriculture (Powell & Agnew, 2011; Dale et al., 2017). Thus, resulting in a separation between consumer and producer (Wilson & Lusk, 2020; Holt & Cartmell, 2013). This leaves the opportunity for society to turn to social media for agriculture information leading to negative perceptions of agriculture (Eyck, 2000; …

Exploration Of The Role Of Neighborhood Residential Segregation By Race And Ethnicity In Obesity Risk Among School-Aged, Melissa L. Fair

Theses and Dissertations

Youth obesity prevalence remains high, despite decades of intervention. Grounded in the social ecological model, neighborhoods and schools are important settings in addressing the complex systems that influence obesity. Contributing to disparities, by race/ethnicity, Black and Hispanic youth are more likely to live in segregated neighborhoods and attend segregated schools, which are also more likely to have high rates of poverty and are less likely to have high quality nutrition and built environments. Leveraging data from local school district (district and state department of education) and national datasets (ACS, Childhood Opportunity Index 2.0), this study examined the associations between school …

Race, Racial Matching, And Cultural Understanding As Predictors Of Treatment Engagement In Youth Mental Health Services, Wendy Chu

Theses and Dissertations

Racially marginalized youth experience barriers that impact their ability to maximally benefit from mental health services; thus, efforts to identify strategies that support youth treatment engagement may address mental health and treatment disparities. This study examined the role of youth race, youth-therapist racial matching, and youthreported therapist cultural understanding on youth’s early treatment engagement in mental health services. The youth sample (n = 1159; M_age = 13.8 years, SD = 2.9; 52.1% female) comprised of 778 (67.1%) Latinx, 221 (19.1%) African American, 139 (12.0%) White, and 21 (1.8%) Asian American clients. The therapist sample (n = 126; Mage …

Placement Instability, Perceived Social Support, And Internalizing Symptoms In Youth In The Child Welfare System, Michelle Cusumano

Theses and Dissertations

High rates of youth in the child welfare system (CWS) experience placement instability, or frequent moves between household, institution, or placement (Fisher et al., 2013). Placement instability has been shown to predict subsequent internalizing symptoms regardless of the maltreatment type, severity, or frequency experienced by the child in foster care (McGuire et al., 2018). Frequent moves between biological parents, foster or kinship caregivers, or group homes may detrimentally affect youth’s social support networks, which are known to serve as a protective factor for maltreated children and adolescents (Folger & Wright, 2013). The current study aims to examine longitudinally whether perceived …

Social Attention And Memory In Youth With Asd, Adnp Syndrome, And Foxp1 Syndrome, Megan L. Braconnier-Krupa

Theses and Dissertations

The current study used eye tracking and behavioral measures to examine social attention and recognition memory in two rare genetic disorders commonly associated with autism spectrum disorder (ASD): ADNP syndrome and FOXP1 syndrome. Impairment in social functioning is considered a core deficit in ASD. Although individuals with ADNP syndrome and FOXP1 syndrome typically present with symptoms of ASD, research suggests several dissimilarities in symptom presence and severity between the groups. Thus, there is a need to clarify disorder-specific patterns of social attention and their relationships to observed social skills. A visual paired comparison eye tracking task was used to assess …

Caregiver Engagement In Treatment For Adolescent Behavior Problems: Construct And Predictive Validity, Nicole Piazza Porter

Theses and Dissertations

Identifying core elements of family therapy is a relatively new line of research that has the potential to increase the availability of family therapy in usual care by proving a flexible and accessible alternative to manualized treatment. The current study extends this line of research by exploring the psychometric properties of a Caregiver Engagement factor comprised of four caregiver engagement interventions grounded in family therapy theory and clinical expertise: Enhances Love and Commitment, Caregiver Collaboration, Caregiver Ecosystem, and Joins with Caregivers. The study sampled a total of 320 audio or video recorded sessions and outcome data from 152 cases treated …

Supporting The Mental Health Of Black Students: A Framework For Comprehensive School-Based Mental Health Systems, Shenita Williams

Theses and Dissertations

School-based mental health is plagued with two primary challenges: (a) design and (b) service delivery. The design of school-based mental health is often comprised of fragmented, individual programs and services, and the delivery of mental-health services and support are culturally insensitive. The purpose of this Delphi study, grounded in African-centered thought (Afrocentricity), was to identify essential components of a comprehensive school-based mental-health system necessary to adequately address and support the mental health of Black students in K–12 public school settings. Through the cultural lens of Black experts, the needs of Black students along a continuum of mental health was highlighted. …

Leaving Part Of Myself Outside The Door: An Exploration Of Pitfalls And Promising Practices For Black Millennial Survivors Of Racism, Sheriece L. Hooks

Theses and Dissertations

Experiences of racism and discrimination are a prominent concern within the Black community and often cause symptoms of stress or trauma for those who endure it. However, there are limited research studies which examine best practices and pitfalls for treating individuals of this population who struggle with race-based stress or trauma. This study uses a phenomenological approach to examine the therapy experiences of six clients, identifying as Black or African American, when discussing stress or trauma related to racism. Results identified several pitfalls, such as experiences of racism, color blindness, inattention, and countertransference, as well as promising practices, such as …

Challenges Among Latine Daca Recipients And Anxiety: A Systematic Meta-Analytic Review, Isis A. Garcia-Rodriguez

Theses and Dissertations

Immigrant-origin Latine young adults (ILYAs) face a challenge that is specific to their developmental period. As ILYAs transition from high school to beyond (e.g., workforce, college, etc.), they begin to grapple with participating in normative experiences for all young adults in the U.S. (e.g., obtaining a driver’s license, getting their first job at 16). The lives of ILYA, particularly those who are DACAmented or DACA eligible, are characterized by the legal and social contradiction that arises from growing up in the U.S. yet facing barriers to full participation in U.S. society. The nonexistent synthesis of the exponentially growing literature in …

Using Individual Determinants To Predict Behavioral Health Service Use In Integrated Pediatric Primary Care, Alfonso L. Floyd Jr.

Theses and Dissertations

Mental health problems (e.g., attention, externalizing, internalizing) are commonly observed in youth and are often associated with significant impairment and an increased need for mental health services. Conceptual frameworks, such as Andersen’s Behavioral Model of Health Service Utilization, have proposed that several individual determinants (e.g., predisposing, enabling, and need factors) may influence service use for mental health problems among youth. Despite the glaring need for mental health treatment among youth with mental health problems, studies indicate that many affected youths do not receive mental health care. Integrated pediatric primary care (IPPC) settings provide an ideal setting for youth and families …

Social-Motivational Influences On Physical Activity Engagement For Adolescent Girls, Mariajosé Jhamira Paton

Theses and Dissertations

Rates of youth physical activity (PA) drastically decrease during adolescence, with a steeper decline for adolescent girls (Belcher et al., 2010; CDC, 2010). Although afterschool programs (ASPs) have been identified as an ideal context for promoting youth PA, ASPs vary in quality with girls having the highest rates of inactivity (Zarrett et al., 2018). Theory and previous studies have identified social-motivational climate-based factors within ASPs that are critical for promoting adolescents’ PA (Basch, 2011; Eccles et al., 2002; Zarrett et al., 2013, 2015). The present study first examines gender differences in the social-motivational quality of middle school ASPs for promoting …

Are Websites Of Victim Service Organizations Representative Of Women Of Color? A Content Analysis, Loretta Addo-Danso

Theses and Dissertations

Intimate partner violence continues to be on the raise among women of color in the country. Many scholars have attributed this to the multiple factors such as race, class and sexual orientation that intersect to influence women of color’s experiences with intimate partner violence. Yet, there seems to be a gap in the services that are rendered to women of color who are survivors. To better understand how representative victim services are of women of color, a content analysis of victim service organizations’ websites nationwide was conducted to ascertain the extent to which the organizations are inclusive of survivors/victims of …

Transitioning To Housing First: Perceptions Of The Role Of The Rehabilitation Counselor In Serving Homeless Individuals With Disabilities In Puerto Rico, Ana Vanessa Serrano Garcia

Theses and Dissertations

Since the 1980s, the federal government has developed strategies to eradicate homelessness in the US and its territories. The introduction of evidence-based practices like the Housing First Model helped decrease the number of people living homeless. Still, it continues to be a public health problem, especially among chronically homeless individuals, defined broadly as people with disabilities and substance abuse problems experiencing homelessness. Rehabilitation counselors are professionals specialized in serving individuals with disabilities. However, their role in programs identified as Housing First was unclear.

Thus, the study aimed to identify service providers' views, opinions, knowledge, and experiences about the role of …

Changes In Youth Executive Function During Trauma-Focused Cognitive Behavioral Therapy: Associations With Ptsd Symptom Severity, Amy Hyoeun Lee

Theses and Dissertations

Youth with maltreatment and/or interpersonal trauma histories often demonstrate significant executive function difficulties, which may negatively affect self-regulation and represent a transdiagnostic risk factor for trauma-related psychopathology and impaired functioning across domains. Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) is an evidence-based treatment for posttraumatic stress disorder (PTSD) symptoms and other mental health sequelae among maltreated youth; however, the potential impact of impact of TF-CBT on youth executive function difficulties has not been examined despite emerging evidence that executive function may be related to PTSD symptom severity among trauma-exposed youth. The current study sought to evaluate caregiver-reported executive function as a treatment …

Breaking The Cycle: A Longitudinal Study Of Factors That Disrupt Peer Selection And Influence Processes Among Urban Youth, Kelly E. Oconnor

Theses and Dissertations

Having friends who engage in problem behavior (i.e., aggression, substance use, delinquency) has consistently been linked to adolescents’ own engagement in problem behavior. There are, however, several key gaps in the literature on peer influence. Few studies have considered the influence of friends’ prosocial behavior and there has been limited research to identify promotive factors that influence urban youths’ affiliation with peers who engage in problem and prosocial behavior across early adolescence, a time of heightened susceptibility to peer influence. The purpose of this study was to identify modifiable promotive factors that reduce adolescents’ problem behavior by decreasing exposure to …

Analysis Of Sex Offender Subgroups Using The Minnesota Multiphasic Personality Inventory- Second Edition- Restructured Form (Mmpi-2-Rf), Isabella Campanini

Theses and Dissertations

The current study aimed to expand the existing literature on sex offenders with regards to personality and psychological dysfunction, by comparing specific subgroups of sex offenders using the Minnesota Multiphasic Personality Inventory- Second Edition- Restructured Form (MMPI-2-RF). Archival data from a sample of N = 244 adult male sex offenders was grouped based on four characteristic variables: offense type (contact vs. noncontact), relationship to the victim (familial vs. nonfamilial), victim age (younger vs. older), and the presence or absence of a personality disorder diagnosis or features. MANOVA and ANOVA results demonstrated that contact offenders scored significantly higher than noncontact offenders …

Examining The Effectiveness Of The Junior Master Wellness Volunteer Program On Positive Youth Development Outcomes, Rocheryl Latrese Ware

Theses and Dissertations

The purpose of this study was to examine the effectiveness of the Junior Master Wellness Volunteer (JMWV) program on select positive youth development (PYD) outcomes among program participants. These outcomes included Competence in health literacy, Connection, Contribution, Character, and Confidence. Research questions were (1) Does participation in the JMWV program improve participants’ Competency in health literacy? (2) Does participation in the JMWV program improve participants’ perceived ability to Connect with and Contribute to their community? (3) Does participation in the JMWV program improve participants' perceived Character or ability to engage in and understand their community? (4) Does participation in the …