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Examining Mental Health Literacy As A Predictor Of Mental Health Service Utilization Among Florida Foster Parents, Adam Johnson
Examining Mental Health Literacy As A Predictor Of Mental Health Service Utilization Among Florida Foster Parents, Adam Johnson
Walden Dissertations and Doctoral Studies
The focus of this study was to examine mental health literacy as a predictor of the mental health service utilization of foster parents after controlling for age. There is an absence of research addressing variables that contribute to the use of mental health services by foster parents. In this nonexperimental study, survey data were collected in an electronic format. Statistical analysis was performed through use of a logistic regression. A mental health literacy conceptual framework was the theoretical foundation of the study. The sample consisted of 42 foster parents from the northwest panhandle of Florida. The study yielded findings indication …
The Effect Of Federal And State-Level Policy On Undocumented Childhood Arrivals, Kim Kaczmarowski
The Effect Of Federal And State-Level Policy On Undocumented Childhood Arrivals, Kim Kaczmarowski
Walden Dissertations and Doctoral Studies
Deferred Action for Childhood Arrivals (DACA) provides a 2-year reprieve from deportation and a work permit for eligible undocumented childhood arrivals. It does not provide a pathway to citizenship or confer rights or protections enjoyed by those with permanent legal status leaving recipients in a constant state of legal limbo. State-level policy can mitigate or exacerbate obstacles faced by this population. The purpose of this generic qualitative study was to explore how federal and state-level policy in a conservative location shaped experiences of membership or exclusion. Responses were examined using segmented assimilation theory to identify layered contexts of reception. The …
Moral Injury Themes Involving Criminal Recklessness Among Adults With Alcohol Use Disorder, Sandra Starch
Moral Injury Themes Involving Criminal Recklessness Among Adults With Alcohol Use Disorder, Sandra Starch
Walden Dissertations and Doctoral Studies
Moral injury (MI) can emerge following transgressive acts against one’s deeply held moral beliefs. Its symptomology involves individual psychological, spiritual, behavioral, and social spheres. It has primarily been studied within the military and in a few select civilian populations. This descriptive phenomenological study involved exploring MI themes among adults with alcohol use disorder (AUD) who had engaged in criminally reckless acts. Data collected from semi-structured interviews with eight participants were coded and analyzed, leading to six major themes revealing the symptomology of MI. Responses from study participants supported Festinger’s theory of cognitive dissonance via their descriptions of alcohol abuse cycles …
Structural Empowerment Of Nurse Leaders In New York State During The Covid-19 Pandemic, Tracey Braithwaite
Structural Empowerment Of Nurse Leaders In New York State During The Covid-19 Pandemic, Tracey Braithwaite
Walden Dissertations and Doctoral Studies
The current phenomenological study explored the lived experience of Acting Chief Nursing Officers, Chief Nursing Officers, Chief Nursing Executives (henceforth CNOs) at hospitals in New York State who were charged with responding to executive orders while maintaining quality of patient care despite staffing constraints, inadequate supplies, or lack of additional support for the duties associated with their role. Their experience of structural empowerment in relation to the COVID-19 pandemic was also studied. The theoretical framework was Kanter’s theory of structural empowerment that addressed organizational behavior in the context of employee empowerment. The research question addressed how the CNOs perceived their …
Professional Discretion Of Child Protective Services Investigators In Foster Care Placements, Leonard Fikes
Professional Discretion Of Child Protective Services Investigators In Foster Care Placements, Leonard Fikes
Walden Dissertations and Doctoral Studies
Families of color in North Carolina have been disproportionately affected in the child welfare system, particularly in the foster care system. The purpose of this qualitative research study examined the discretionary powers of Child Protective Services (CPS) investigators and how they interpreted and applied child welfare policies that disproportionally impacted African American families from marginalized, underrepresented communities. Guided by Wallander and Molander’s professional discretion as the framework, this research expanded the current literature and increased awareness of racial disproportionality and the continued disproportionality of African American children in the child welfare system, especially foster care placements. The central research question …
Organizational Strategies For Improving The Present State Of A Behavioral Health Center Within A Historically Black College And University, Tonya Channell Cleveland
Organizational Strategies For Improving The Present State Of A Behavioral Health Center Within A Historically Black College And University, Tonya Channell Cleveland
Walden Dissertations and Doctoral Studies
This study aimed to explore the perceptions of university behavioral health counselors and other healthcare professionals relevant to the funding strategies and initiatives they used to help college students access the high-quality behavioral health services they need. On-campus counseling centers are valuable resources that benefit student well-being, including academic performance and retention. Understanding what factors create barriers for students who desire to seek counseling can help higher education professionals work to improve access to counseling. This qualitative case study focused on a university counseling center at a Southern Historically Black College and University serving a population of majority African American …
The Perceived Impact Of Effective Leadership On Employee Engagement And Compliance, Ayana Gilham
The Perceived Impact Of Effective Leadership On Employee Engagement And Compliance, Ayana Gilham
Walden Dissertations and Doctoral Studies
The focus of this study was the perceived impact of effective leadership on employee engagement and compliance. The Baldridge Excellence Framework was used as a guide for this qualitative case study of a behavioral health organization (BHO) located in the southeastern region of the United States. Research questions were used to examine the definition of effective leadership, the impact effective leadership has on employee engagement and compliance, and training needed to implement effective leadership practices. Data sources were semi-structured interviews with the organization’s Vice President of Operations and Clinical Director, the organization’s website, government websites, archival data provided by the …
Social Worker Perspectives On Implementation Of Harm Reduction Into Abstinence-Based Substance Abuse Programs, Susan Woomer
Social Worker Perspectives On Implementation Of Harm Reduction Into Abstinence-Based Substance Abuse Programs, Susan Woomer
Walden Dissertations and Doctoral Studies
Opioid addiction is a growing epidemic in the United States and was declared a public health emergency by the Department of Health and Human Services in October of 2017. There is a growing recognition that the current treatment for heroin and opioid addiction, abstinence-based treatment programs, is not readily available and has minimal success in addressing the epidemic. Harm reduction therapy is recognized as an effective way to address the opioid epidemic. This study aimed to develop further insight and understanding of how to integrate harm reduction therapy in abstinence-based treatment programs. The theoretical framework for this study was the …
I’M Ok: Black Women’S Perceptions Of Vulnerability And Coping, Bridget Lewis
I’M Ok: Black Women’S Perceptions Of Vulnerability And Coping, Bridget Lewis
Walden Dissertations and Doctoral Studies
Within the social work profession, there has been limited understanding of tailoring treatment and coping strategies specific to Black women. The parallelism of Black women and strength has created a generational, internal conflict with maintaining the cultural label known as the strong Black woman (SBW) and stigma related to seeking help to improve mental health. The stigma associated with seeking help has hindered Black women from communicating thoughts or behaviors that categorize vulnerability. Grounded in the SBW collective theory and Black womanist theory, this study explored how the SBW stereotype impacts the communication on vulnerability and coping strategies Black women …
Challenges In Discharge Planning For Adults Transitioning From An Inpatient Psychiatric Level Of Care Experiencing Homelessness, Deanna` R. Mccaskill
Challenges In Discharge Planning For Adults Transitioning From An Inpatient Psychiatric Level Of Care Experiencing Homelessness, Deanna` R. Mccaskill
Walden Dissertations and Doctoral Studies
Mental illness and the homeless population are a growing concern in the United States. Homeless individuals utilize emergency rooms and acute inpatient stays more than those with housing. Social workers play a vital role in discharge planning, starting on the first day of admission. This action research study explored the challenges of social workers developing discharge plans for adults transitioning from an inpatient psychiatric level of care experiencing homeless. The theoretical framework implemented in this study was systems theory. Data were collected from 12 purposively selected master’s level social workers in the format of individual and focus group interviews. Eight …
Effective Revenue Planning For Small Minority-Owned Mental Health Organizations, Beonko Alejandro Sampson
Effective Revenue Planning For Small Minority-Owned Mental Health Organizations, Beonko Alejandro Sampson
Walden Dissertations and Doctoral Studies
AbstractRevenue planning for minority-owned organizations is vital for sustainability. This is a significate concern for behavioral health practitioners who must deal with the changing landscape of mental health and the financial worries of sustaining a successful organization. This case study examined effective revenue planning for a minority-owned behavioral health organization located in the mideastern part of the United States. The organization provides several different behavioral treatment services for children, adolescents, and adults. The Baldrige excellence framework for healthcare guided a system-based approach to assessing the minority-owned organization. The systems approach identified noted organizational components of leadership, strategy, and operations. Themes …
Effect Of Family Engagement On The Behavioral Health Of Mentally Ill Offenders, Jessica Rae Horn
Effect Of Family Engagement On The Behavioral Health Of Mentally Ill Offenders, Jessica Rae Horn
Walden Dissertations and Doctoral Studies
In the United States, 40% of incarcerated individuals have been diagnosed with a mental health disorder, but they often lack the support system needed to navigate their incarceration. This study addressed ways to understand how family engagement opportunities can improve the behavioral health of mentally ill offenders. Specifically, five research questions were used to explore the degree to which the practice of family engagement was understood as a method for providing support to mentally ill incarcerated individuals. The study followed the Baldrige Framework of Excellence to identify current organizational leadership and management issues that can help reach its goals, improve …
Perceptions Of Female Naval Officers On Combat Role Policy And Career Advancement, Cheryl Dudley
Perceptions Of Female Naval Officers On Combat Role Policy And Career Advancement, Cheryl Dudley
Walden Dissertations and Doctoral Studies
Women were officially allowed to serve in combat positions when the 1993 Combat Exclusion Policy was lifted in 2013. There was little research to date on how these changes may have influenced the recruitment, retention, and promotion of female naval officers. The purpose of this study was to explore female naval officers' perceptions on how lifting the combat exclusion policy impacted the factors of recruitment, retention, and promotion within the military. A generic qualitative study supported exploring perceptions of female naval officers who experienced combat duty regarding these issues. Using feminist security studies as the conceptual framework, this study focused …
Stress And Wellness Among Correctional Officers In The State Of Oregon, Dewayne Hendrix
Stress And Wellness Among Correctional Officers In The State Of Oregon, Dewayne Hendrix
Walden Dissertations and Doctoral Studies
It remained unknown if the effects of the employee wellness policy implemented in Oregon in 2018 were reducing stress and improving the health of correctional officers which if it does may benefit the local communities to help enhance social stability. The purpose of this study was to explore the effects of the employee wellness policy, as implemented in the state of Oregon in 2018, in reducing stress and improving the health of correctional officers. This study was guided by the perceived organizational support theory, which holds that employees develop existential views about how much their employer values their contributions and …
Public-School Superintendents’ Perceptions Of Trauma-Informed School Assumptions And Principles, Denise Gay Presnell
Public-School Superintendents’ Perceptions Of Trauma-Informed School Assumptions And Principles, Denise Gay Presnell
Walden Dissertations and Doctoral Studies
Research shows that trauma-informed practices in schools can increase student performance and well-being. School social workers are well-suited to bring these practices to their system but are most successful when partnering with public-school superintendents. The purpose of this generic qualitative study was to understand public-school superintendents’ perceptions of trauma-informed school assumptions and principles. The study was guided by four assumptions for trauma-informed care, six principles for trauma-informed schools, ecological systems theory, and empowerment theory. Research questions were designed to ask participants about their experiences of trauma in their schools, their perceptions of the assumptions and principles, the benefits and challenges …
The Experiences Of Latina Police Officers In Patrol, Jasmine Ivonne Reilly
The Experiences Of Latina Police Officers In Patrol, Jasmine Ivonne Reilly
Walden Dissertations and Doctoral Studies
The purpose of this research was to describe the experiences of Latina police officers working in a patrol function. Latina officers working in law enforcement agencies must contend with an agency that is traditionally male and White, leaving these officers with the need to navigate territory that has, historically, not taken their needs into account. In an age where police agencies are attempting to better serve the public, the need for officers that fit minority demographic characteristics is necessary if police agencies are to continue legitimizing their space in modern American society. This research addressed some of the issues that …
Identifying Supervision And Training Needs Within A Native American Reservation Co-Occurring Treatment Program, Jennifer Jones
Identifying Supervision And Training Needs Within A Native American Reservation Co-Occurring Treatment Program, Jennifer Jones
Walden Dissertations and Doctoral Studies
Native American rural communities are not without substance abuse treatment needs; however, highly skilled mental health providers are often limited on a reservation, which leaves this population with clinicians with less experience and education. This project is a case study of a substance abuse treatment program within a Native American tribe in the western portion of the United States. The practice-focused research questions directly related to the training, certification, and education of staff in the addiction field, and to the ways in which the program evaluated the efficiency and effectiveness of the staff members. The purpose of this study was …
Firefighters' Perceptions And Experiences Of Seeking Mental Health Treatment Services, Kimberly Whitman
Firefighters' Perceptions And Experiences Of Seeking Mental Health Treatment Services, Kimberly Whitman
Walden Dissertations and Doctoral Studies
Firefighters are repeatedly exposed to trauma on the job, which could result in the need for mental health services; however, many firefighters experience barriers that impede their access to available resources. Additional research is needed from a qualitative lens on firefighters' help-seeking behaviors to inform the development of treatment interventions. The purpose of this study was to explore firefighters’ perceptions and experiences of seeking professional mental health treatment services. A generic qualitative approach and interpretive lens were used for the investigation. Twelve active U.S. firefighters with a minimum of 2 years on the job participated in semistructured interviews. Thematic analysis …
Modus Operandi And Target Selection Criteria Of Child Sexual Predators In Protestant Churches, Joshua K. White
Modus Operandi And Target Selection Criteria Of Child Sexual Predators In Protestant Churches, Joshua K. White
Walden Dissertations and Doctoral Studies
Although there has been much media focusing on child sexual abuse in the Catholic Church, in many cases Protestant church leaders who committed child sexual abuse were held to no level of accountability. The purpose of this qualitative phenomenological study was to explore the modus operandi of child sexual predators and their target selection criteria in Protestant churches. Hickey’s relational paraphilic attachment theory provided the framework for the study. Fifteen cases from the United States were analyzed using inductive coding to identify six themes: (a) Leaders from Protestant churches who were convicted of sexually abusing minors possessed gross psychological immaturity, …
A Clinical Practice Guideline For Managing Behavioral Problems In Persons With Dementia, Ken J. Brinker
A Clinical Practice Guideline For Managing Behavioral Problems In Persons With Dementia, Ken J. Brinker
Walden Dissertations and Doctoral Studies
AbstractAs the baby boom generation ages, the demand for effective nursing care for patients diagnosed with dementia has greatly increased. The challenges associated with dementia include a patient’s inability to focus, pay attention, and follow conversations. Patients often become forgetful, angry, frustrated, and aggressive with family members and caregivers. The medical providers and administrators at a long-term care facility needed assistance in developing a clinical practice guideline for managing behaviors demonstrated by patients with dementia. The project question centered on the identification of current evidence supporting a clinical practice guideline for nursing practice for unpredictable behaviors demonstrated by residents diagnosed …
Employee Development And Workforce Engagement In A Behavioral Health Organization, Lakisha R, Brimage
Employee Development And Workforce Engagement In A Behavioral Health Organization, Lakisha R, Brimage
Walden Dissertations and Doctoral Studies
Ongoing training at the targeted behavioral health organization is necessary to improve employee knowledge, skills, and abilities to drive engagement and overall organizational performance. The purpose of this case study was to determine what leadership practices and strategies are currently in place and what training modules improve employee development for the purpose of improving workforce engagement. The Baldrige Excellence Framework was used to guide the qualitative case study of the nonprofit organization, which provides social services to low-income families in the United States. Data sources included semistructured interviews with two behavioral health leaders at the organization and reviews of organizational …
Challenges In Discharge Planning For Adults Transitioning From An Inpatient Psychiatric Level Of Care Experiencing Homelessness, Deanna` R. Mccaskill
Challenges In Discharge Planning For Adults Transitioning From An Inpatient Psychiatric Level Of Care Experiencing Homelessness, Deanna` R. Mccaskill
Walden Dissertations and Doctoral Studies
Mental illness and the homeless population are a growing concern in the United States. Homeless individuals utilize emergency rooms and acute inpatient stays more than those with housing. Social workers play a vital role in discharge planning, starting on the first day of admission. This action research study explored the challenges of social workers developing discharge plans for adults transitioning from an inpatient psychiatric level of care experiencing homeless. The theoretical framework implemented in this study was systems theory. Data were collected from 12 purposively selected master’s level social workers in the format of individual and focus group interviews. Eight …
Firefighters' Perceptions And Experiences Of Seeking Mental Health Treatment Services, Kimberly Whitman
Firefighters' Perceptions And Experiences Of Seeking Mental Health Treatment Services, Kimberly Whitman
Walden Dissertations and Doctoral Studies
Firefighters are repeatedly exposed to trauma on the job, which could result in the need for mental health services; however, many firefighters experience barriers that impede their access to available resources. Additional research is needed from a qualitative lens on firefighters' help-seeking behaviors to inform the development of treatment interventions. The purpose of this study was to explore firefighters’ perceptions and experiences of seeking professional mental health treatment services. A generic qualitative approach and interpretive lens were used for the investigation. Twelve active U.S. firefighters with a minimum of 2 years on the job participated in semistructured interviews. Thematic analysis …
An Examination Of Counselor Turnover And Its Impact On Quality Behavioral Health Services, Leslie M. Beale
An Examination Of Counselor Turnover And Its Impact On Quality Behavioral Health Services, Leslie M. Beale
Walden Dissertations and Doctoral Studies
Behavioral health organizations often face the challenge of high employee turnover rates, which can critically affect their ability to treat mental illnesses successfully. High counselor turnover at one such organization, BHOX, threatens the provision of timely access to quality mental care. This qualitative case study examined counselor turnover and its impact on the quality of behavioral health services. The Baldrige Excellence Framework was used to guide this descriptive case study of a nonprofit behavioral health organization on the East Coast of the United States, which serves men and women struggling with mental health disorders and substance abuse addictions. The data …
Improving Veteran’S Care Outcomes With The Implementation Of Care Coordination, Katrina Ann Canady
Improving Veteran’S Care Outcomes With The Implementation Of Care Coordination, Katrina Ann Canady
Walden Dissertations and Doctoral Studies
AbstractAstute care coordination is essential to eliminating fragmented care, duplication of services, medication errors, and unnecessary emergency rooms visits. This Doctor of Nursing practice project was a quality improvement (QI) initiative that addressed the gap in practice regarding RN care managers who were not consistently performing care coordination as outlined by the office of community care at the project site. The purpose of the project was to evaluate the effectiveness that an educational intervention had on the RN care managers’ abilities to perform care coordination. The care coordination model (CCM) served as the project framework because it provides a systematic …
Social Workers’ Philosophical Attitudes Towards Harm Reduction Services In Housing First Organizations, John Gay Woolley
Social Workers’ Philosophical Attitudes Towards Harm Reduction Services In Housing First Organizations, John Gay Woolley
Walden Dissertations and Doctoral Studies
AbstractOver the past three decades, harm reduction has gradually become more prevalent among social workers and is now viewed as an instrumental approach in treating people with drug and alcohol problems. Although there have been several studies that described how harm reduction approaches were applied in Housing First (HF) settings, there are few studies that have described social workers’ perspectives of their philosophical attitudes regarding harm reduction in HF settings. The purpose of this study was to understand social workers’ perspectives of their philosophical attitudes toward harm reduction services and how those attitudes were apparent in their interactions with substance-using …
The Effect Of Federal And State-Level Policy On Undocumented Childhood Arrivals, Kim Kaczmarowski
The Effect Of Federal And State-Level Policy On Undocumented Childhood Arrivals, Kim Kaczmarowski
Walden Dissertations and Doctoral Studies
Deferred Action for Childhood Arrivals (DACA) provides a 2-year reprieve from deportation and a work permit for eligible undocumented childhood arrivals. It does not provide a pathway to citizenship or confer rights or protections enjoyed by those with permanent legal status leaving recipients in a constant state of legal limbo. State-level policy can mitigate or exacerbate obstacles faced by this population. The purpose of this generic qualitative study was to explore how federal and state-level policy in a conservative location shaped experiences of membership or exclusion. Responses were examined using segmented assimilation theory to identify layered contexts of reception. The …
Clinicians' Perceptions Of Telehealth Services During The Covid-19 Pandemic In Virginia, Johnetta Hill Guishard
Clinicians' Perceptions Of Telehealth Services During The Covid-19 Pandemic In Virginia, Johnetta Hill Guishard
Walden Dissertations and Doctoral Studies
The onset of COVID-19 introduced unprecedented changes to how U.S. public health services were delivered. Many public and private agencies faced mandatory closures, social distancing mandates, and rapid transitions to telehealth interventions and treatment. Mental health clinicians witnessed disruptions in continuity of care and an increase in mental health risks overall. Although some studies have been conducted to survey clinicians’ perceptions of the usefulness and ease of use of technology-based interventions, knowledge about mental health clinicians’ experiences and perceptions in Virginia was sparse. The purpose of this generic qualitative study was to explore how mental health clinicians in Virginia described …
Identifying Supervision And Training Needs Within A Native American Reservation Co-Occurring Treatment Program, Jennifer Jones
Identifying Supervision And Training Needs Within A Native American Reservation Co-Occurring Treatment Program, Jennifer Jones
Walden Dissertations and Doctoral Studies
Native American rural communities are not without substance abuse treatment needs; however, highly skilled mental health providers are often limited on a reservation, which leaves this population with clinicians with less experience and education. This project is a case study of a substance abuse treatment program within a Native American tribe in the western portion of the United States. The practice-focused research questions directly related to the training, certification, and education of staff in the addiction field, and to the ways in which the program evaluated the efficiency and effectiveness of the staff members. The purpose of this study was …
Discipline Without Punishment For African American Male Juveniles: From The Eyes Of A Mental Health Professional, Mia Nichole Lee
Discipline Without Punishment For African American Male Juveniles: From The Eyes Of A Mental Health Professional, Mia Nichole Lee
Walden Dissertations and Doctoral Studies
Juvenile rehabilitation and incarceration among African Americans are not equal and up to the standards and recommendations of society. This study focused on identifying the differences between the juvenile rehabilitation and incarceration punishment among African American offenders, with the goal of helping improve the way that the society looks at African Americans. The paper followed qualitative research methodology, which provided social evidence and helped in breaking down information. Data were collected from focus groups, observations, questionnaires, and interviews. The research highlights issues regarding juvenile rehabilitation and incarceration of African Americans, which can encourage change.