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Barriers To The Use Of Injectable Naltrexone In An Outpatient Setting, Heather Schultz
Barriers To The Use Of Injectable Naltrexone In An Outpatient Setting, Heather Schultz
Walden Dissertations and Doctoral Studies
The opioid epidemic is a public health concern that impacts thousands of individuals across the United States. There was a lack of clear understanding of what leads opioid addicts to decline use of medication-assisted treatment (MAT) with injectable extended release naltrexone (XR-NTX). The purpose of this quantitative cross-sectional correlational study was to examine the relationships between past XR-NTX status and demographic factors (gender, age, race, education level, time sober in days, and employment status) and the attitudes about encouragement from providers about engaging in MAT, as well as perceptions about MAT in individuals currently in a MAT who chose not …
Black Social Workers Use Of Racial Identity And Self Concept In The Workplace, Shielah Monique Deblanc
Black Social Workers Use Of Racial Identity And Self Concept In The Workplace, Shielah Monique Deblanc
Walden Dissertations and Doctoral Studies
Navigating the Black professional identity in U.S. work environments poses challenges for social workers, with limited research addressing racial salience, power dynamics, and self-concept within their specific workplace contexts. Using self-concept theory, and the multidimensional model of racial identity as theoretical and conceptual frameworks, the purpose of this research was to examine Black social workers’ attitudes about self-concept using racial salience, power distance, and employee tenure as predictors. Using web-based surveys to collect data, a purposive sample of 77 participants were used to complete demographic information, a measure of centrality to gauge racial salience Multidimensional Inventory of Black Identity, a …
Training And Supporting Early Childhood Providers In Inclusive Settings, Kimberly K. Bennett
Training And Supporting Early Childhood Providers In Inclusive Settings, Kimberly K. Bennett
Walden Dissertations and Doctoral Studies
Early childhood providers care for infants and toddlers with developmental delays and special needs in their programs and classrooms. This study addressed the problem that there is insufficient professional development (PD) training for early childhood providers working with infants and toddlers with special needs in inclusive settings. The purpose of this basic qualitative study was to understand what training early childhood providers report they have had, and what training early childhood providers perceive that they need to support infants and toddlers with special needs in inclusive settings. Using the whole teacher approach as the conceptual framework, the research questions explored …
Strategies To Reduce Turnover And Increase Retention Among Therapists And Case Managers In Community Mental Health, Genice Mae Harvey
Strategies To Reduce Turnover And Increase Retention Among Therapists And Case Managers In Community Mental Health, Genice Mae Harvey
Walden Dissertations and Doctoral Studies
The issue of employee turnover has been widely recognized. High turnover and poor retention of clinicians, specifically therapists and case managers, in the community mental health arena of behavioral health impact not only an organization, but also the consumers it serves. The subject of this qualitative case study was a state contracted provider of the community mental health authority. Semistructured interviews were held with five behavioral health leaders of this organization in addition to a review of organizational records. The Baldridge Performance Program was the conceptual framework that grounded this study. A thematic qualitative analysis of the interviews in addition …
Social Workers, Positive Behavior Interventions Supports, And Exclusionary Discipline Of Black Males, Jacqueline Binion
Social Workers, Positive Behavior Interventions Supports, And Exclusionary Discipline Of Black Males, Jacqueline Binion
Walden Dissertations and Doctoral Studies
School social workers play an instrumental role in providing school faculty members with skills and interventions to facilitate positive outcomes in both schools and the community at large. It is not known what role social workers play in the suspension and exclusion of Black male high school students. The research questions for this generic qualitative study explored the perspective of high school teachers and social workers from various South Mississippi counties perceptions of the roles social workers play in the implementation of positive behavior interventions and supports (PBIS) and social workers’ impact on the exclusion of Black male students from …
Trauma Informed Care And Secondary Traumatic Stress Experienced By Counselors In Community Mental Health, Rebecca Renee Cameron-Hernandez
Trauma Informed Care And Secondary Traumatic Stress Experienced By Counselors In Community Mental Health, Rebecca Renee Cameron-Hernandez
Walden Dissertations and Doctoral Studies
Secondary traumatic stress (STS) is prevalent in counselors working with clients with trauma. Clients seeking services in community mental health (CMH) settings often have a higher prevalence of traumatic experiences and are unable to access services outside of CMH settings. Counselors working in these settings also generally face high caseloads, less pay, and often less experience in the field. Trauma informed care (TIC) has been shown to increase positive outcomes for clients and counselors providing services to clients. This quantitative survey study focused on the relationship between counselor attitudes related toward TIC and the severity of STS experienced by counselors. …
School Counseling Site Supervisors’ Lived Experience Of Supervision Preparedness, Erin Augustine
School Counseling Site Supervisors’ Lived Experience Of Supervision Preparedness, Erin Augustine
Walden Dissertations and Doctoral Studies
U.S. counseling programs accredited by the Council for Accreditation of Counseling and Related Educational Programs mandate specific supervision requirements for counselors-in-training, in all specialty areas. Supervising school counselors-in-training (SCITs) differs due to the unique responsibilities of school counselors, which encompass crisis response, curriculum development, consultation, data management, small group and individual counseling, leadership, and student advocacy. The purpose of this hermeneutic phenomenological study was to explore the lived experiences of preparedness levels of school counselor site supervisors. Data collection involved semistructured interviews with six participants who had all served or were currently serving as a school counseling site supervisor. The …
Nonprofit Leadership Strategies For Maintaining Tax-Exempt Status, Joelander Wheeler
Nonprofit Leadership Strategies For Maintaining Tax-Exempt Status, Joelander Wheeler
Walden Dissertations and Doctoral Studies
Nonprofit organizations (NPOs) have benefited communities by providing goods and services not filled by government and private organizations. Noncompliance with operational requirements imposed on tax-exempt organizations can cause NPOs to lose their tax-exempt status and hinder their ability to provide much-needed services to underserved communities. Grounded in general systems theory, the purpose of this qualitative multiple-case was to explore strategies some NPO leaders use to ensure compliance with the state and federal regulations required to maintain tax-exempt status. The participants were leaders from three NPOs in Tennessee who implemented plans to ensure adherence to local, state, and federal laws to …
The Lived Experience Of Transformation In Cam Providers Trained In Trauma-Informed Care, Alane Lucht
The Lived Experience Of Transformation In Cam Providers Trained In Trauma-Informed Care, Alane Lucht
Walden Dissertations and Doctoral Studies
Public and professional awareness of the nature and consequences of psychological trauma has resulted in a greater interest in becoming trauma informed. Complementary and alternative medicine (CAM) providers have begun to incorporate trauma-informed care in their practices. However, there is a lack of research exploring how training in trauma-informed care (TIC) personally and professionally transforms CAM providers. This descriptive phenomenological study explored the lived experience of transformation in CAM providers who participated in TIC training. Transformative learning theory (TLT) was used as the conceptual framework. Nine participants were interviewed, and their experiences of personal and professional transformation were analyzed using …
Evidence-Based Leadership Practices Of Reentry Program Leaders To Reduce Recidivism Among African American Women, Mabrey Raymond Duff
Evidence-Based Leadership Practices Of Reentry Program Leaders To Reduce Recidivism Among African American Women, Mabrey Raymond Duff
Walden Dissertations and Doctoral Studies
The rate of recidivism among African American women is disproportionately higher than among European American or Latino women in a southeastern state. The problem identified was the high prevalence of recidivism among African American women despite undergoing reentry programs. The purpose of this basic qualitative study was to explore the practices of reentry program leaders in a southeastern state that reduce recidivism among formerly incarcerated African American women. Evidence-based leadership development provided a conceptual framework for assessing the results of practices in the reentry program. Current reentry program leaders in a southeastern state were asked to describe the leadership practices …
Elementary Educators' Experiences Implementing Mandatory Child Sexual Abuse Prevention Curricula, Latonsha Diane Pridgen
Elementary Educators' Experiences Implementing Mandatory Child Sexual Abuse Prevention Curricula, Latonsha Diane Pridgen
Walden Dissertations and Doctoral Studies
Child sexual abuse (CSA) is a recognized public health problem with lasting adverse impacts on survivors, their families, and society, and three million children are affected by CSA. School-based CSA prevention education is the primary prevention method most commonly used to address this social problem. As such, legislators in 28 U.S. regions have enacted laws requiring CSA prevention curricula be administered in public schools. Although several researchers have studied the efficacy of school-based CSA prevention curricula, there has been limited research exploring the experiences of educators implementing the curricula. The goal of this generic qualitative study was to examine the …
Implementing Motivational Interviewing To Improve Medication Adherence: A Staff Education Project, Marlon Medina
Implementing Motivational Interviewing To Improve Medication Adherence: A Staff Education Project, Marlon Medina
Walden Dissertations and Doctoral Studies
Medication nonadherence is a major health issue among psychiatric patients as studies show a significantly high rate of medication nonadherence among psychiatric patients. This impacts the health outcomes of patients taking psychotropic medications. Psychiatric nurses have a major role to play in implementing strategies to improve medication adherence among patients. This project proposes the implementation of psychoeducation based on motivational interviewing to improve medication adherence among psychiatric patients. An educational workshop was provided to four nurses over 4 weeks to improve the knowledge, skills, and attitudes of staff members at an outpatient care clinic, ultimately, to improve the patients’ medication …
African American Family Structure Of Caring For A Member With Alzheimer's Disease And Dementia, Sherry Lane Perry
African American Family Structure Of Caring For A Member With Alzheimer's Disease And Dementia, Sherry Lane Perry
Walden Dissertations and Doctoral Studies
Alzheimer’s disease and related dementia (ADRD) affect African Americans (AA) more than other ethnic or racial groups. It is common for AA diagnosed with ADRD to be cared for in the home. Historically, family members that provide care consist of significant others, relatives, and extended family. The United States Census Bureau showed an increase in Americans aged sixty and older from 55.7 million to 74.6 million. Due to the increase in the AA elderly population, the need for family caregivers will increase for this minority group. This study explored how AA family caregivers described their experiences and unique family structure …
Impact Of Case Management Models On Congestive Heart Failure Patients’ Length Of Stay And Readmissions, Kyleigh Camp Lesson
Impact Of Case Management Models On Congestive Heart Failure Patients’ Length Of Stay And Readmissions, Kyleigh Camp Lesson
Walden Dissertations and Doctoral Studies
Length of stay (LOS) and readmissions are two metrics that are often at the center of improvement efforts for health care systems. There is a lack of evidence regarding the optimal case management model needed to reduce LOS and readmissions for coronary heart failure (CHF) patients. One initiative that has become nationally recognized as a method to improve LOS and readmissions is effective discharge planning. Discharge planning is conducted by case managers whose primary role is navigating patients’ complex social, physical, and psychological issues. The purpose of this quantitative study focused on CHF patients and compared two case management models …
Lived Experiences Of Young Adults Raised With A Sibling With Autism, Lamika Demitris Thomas
Lived Experiences Of Young Adults Raised With A Sibling With Autism, Lamika Demitris Thomas
Walden Dissertations and Doctoral Studies
When a child has autism spectrum disorder (ASD), the family structure is affected. Although researchers have documented increased stress and depression among parents of children with ASD, they have not adequately explored siblings’ perspectives on the emotional, physical, and/or psychological implications of having a brother or sister with ASD. The purpose of this qualitative phenomenological study was to explore siblings’ lived experiences of growing up in a household with a sibling with ASD. The conceptual framework for this study was grounded in the siblings embedded systems framework (SESF), which helps contextualize siblings’ experiences, including interacting factors, and how these experiences …
Relational Health, Minority Stress, And Psychological Well-Being Among Sexual Orientation And Gender Minority Counseling Students, Jinnelle V. Powell
Relational Health, Minority Stress, And Psychological Well-Being Among Sexual Orientation And Gender Minority Counseling Students, Jinnelle V. Powell
Walden Dissertations and Doctoral Studies
Sexual orientation and gender minority (SGM) counseling students in the United States are exposed to minority stress, which has been linked to psychological distress, during counselor training. There is an expectation that counseling students are well so that it does not interfere with their helping role. Scholarship in other disciplines shows that a sense of belonging and community can serve as protective factors against minority stress for SGM individuals. The purpose of this quantitative, correlational study was to investigate the influence of minority stress and relational health (in counselor education and broader communities) on SGM counseling students’ psychological well-being, a …
Public Benefits Access And Use Among Low-Income Individuals In Dover, Delaware, Kofoworola Lawal
Public Benefits Access And Use Among Low-Income Individuals In Dover, Delaware, Kofoworola Lawal
Walden Dissertations and Doctoral Studies
No abstract provided.
Social Workers’ Education In Identifying Victims Of Human Trafficking, Simmone Lafette Jones
Social Workers’ Education In Identifying Victims Of Human Trafficking, Simmone Lafette Jones
Walden Dissertations and Doctoral Studies
No abstract provided.
The Experience Of The Stigma Of Divorce For Christian Women In Violent Marriages, Sonya L. Cowart
The Experience Of The Stigma Of Divorce For Christian Women In Violent Marriages, Sonya L. Cowart
Walden Dissertations and Doctoral Studies
No abstract provided.
Human Services Professionals’ Perceptions Of Messaging From Administration About Serving Diverse Clients, Tina Cheree Martin
Human Services Professionals’ Perceptions Of Messaging From Administration About Serving Diverse Clients, Tina Cheree Martin
Walden Dissertations and Doctoral Studies
No abstract provided.
Practitioners’ Perceptions Of New Jersey's Chapter 28 Mandate For Funding Substance Use Disorder Treatment, Alanna Rose D'Avanzo-Horberg
Practitioners’ Perceptions Of New Jersey's Chapter 28 Mandate For Funding Substance Use Disorder Treatment, Alanna Rose D'Avanzo-Horberg
Walden Dissertations and Doctoral Studies
No abstract provided.
The Relationship Between South Texas Latino High School Graduation And Acculturative Stressors, Selmo Cristo
The Relationship Between South Texas Latino High School Graduation And Acculturative Stressors, Selmo Cristo
Walden Dissertations and Doctoral Studies
No abstract provided.
School Experiences And Cannabis Blunt Use Among African American Youth, Kenneth Dale Woodson, Jr
School Experiences And Cannabis Blunt Use Among African American Youth, Kenneth Dale Woodson, Jr
Walden Dissertations and Doctoral Studies
No abstract provided.
Intimate Partner Relationships And Infidelity Among Female Adult Survivors Of Child Sexual Abuse, Kellyanne Rodriguez
Intimate Partner Relationships And Infidelity Among Female Adult Survivors Of Child Sexual Abuse, Kellyanne Rodriguez
Walden Dissertations and Doctoral Studies
No abstract provided.
Racial/Ethnic Differences In The Association Between Health Literacy And Quality Of Life Among Breast Cancer Survivors, Tenesia D. Carey
Racial/Ethnic Differences In The Association Between Health Literacy And Quality Of Life Among Breast Cancer Survivors, Tenesia D. Carey
Walden Dissertations and Doctoral Studies
No abstract provided.
Influence Of Leaders’ Conflict Management Skills On Multicultural Team Management, Nicolas Lundula
Influence Of Leaders’ Conflict Management Skills On Multicultural Team Management, Nicolas Lundula
Walden Dissertations and Doctoral Studies
No abstract provided.
Perceptions Of Competence Development In The Field Of Gerontology And Dementia, Janice Braxton
Perceptions Of Competence Development In The Field Of Gerontology And Dementia, Janice Braxton
Walden Dissertations and Doctoral Studies
No abstract provided.
Seventh-Day Adventist Caribbean Pastors’ Experiences In Addressing Their Parishioners’ Mental Health Consultations, Donnet Ivorine O'Connor
Seventh-Day Adventist Caribbean Pastors’ Experiences In Addressing Their Parishioners’ Mental Health Consultations, Donnet Ivorine O'Connor
Walden Dissertations and Doctoral Studies
No abstract provided.
Fire Department Personnel Perspectives On Avoidable Emergency Medical Services Calls And Emergency Department Visits, Nathanial Render
Fire Department Personnel Perspectives On Avoidable Emergency Medical Services Calls And Emergency Department Visits, Nathanial Render
Walden Dissertations and Doctoral Studies
No abstract provided.
A Multidisciplinary Approach To Managing Financial Toxicity In Oncology Patients, Katelin Muse
A Multidisciplinary Approach To Managing Financial Toxicity In Oncology Patients, Katelin Muse
Walden Dissertations and Doctoral Studies
Patients with a cancer diagnosis are counseled at length about the standard of care treatment options, which may include surgery, radiation, anticancer medications, and chemo/immunotherapy through an informed consent process. Unfortunately, the potential economic burden and the accompanying psychological burden is seldom discussed up front. There is a significant need for routine screening and a multidisciplinary approach to the prevention of financial toxicity for the oncology patient. The purpose of this doctoral project was to lead an interprofessional team in the development of a clinical practice guideline for routine financial screening using the Comprehensive Score for Financial Toxicity (COST) tool …