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Decision-Making Of Adult Children Not Using Schedule I Substances Like Their Parents, Deanna Alberta Mccloe
Decision-Making Of Adult Children Not Using Schedule I Substances Like Their Parents, Deanna Alberta Mccloe
Walden Dissertations and Doctoral Studies
No abstract provided.
Therapists’ Perspectives On Female Patients’ Recovery From Sexual Violent Trauma Committed By Familiar Offenders, Lauren S. Doran
Therapists’ Perspectives On Female Patients’ Recovery From Sexual Violent Trauma Committed By Familiar Offenders, Lauren S. Doran
Walden Dissertations and Doctoral Studies
A mental health therapist is a licensed professional who is trained to identify any barriers or regression during the recovery process with their female patients’ psychological experiences from sexual violent trauma (SVT) perpetrated by a degree of familiar offenders. In this study, the therapists’ perceptions identified the impact of the SVT committed by a familiar offender toward the female victim’s recovery process. The theoretical foundation included betrayal trauma theory, moral injury, and victimology. The research question addressed how therapists described the psychological recovery of female patients who experienced sexual violence by a familiar offender. The research design was data collection …
Empowering Nurses To Save Lives: Suicide Prevention Education And Training For Outpatient Nurses In Prince George’S County, Maryland, Oludoyin O. Ajala
Empowering Nurses To Save Lives: Suicide Prevention Education And Training For Outpatient Nurses In Prince George’S County, Maryland, Oludoyin O. Ajala
Walden Dissertations and Doctoral Studies
Suicide remains a significant public health concern, with increasing prevalence across diverse populations. Outpatient nurses frequently encounter individuals at risk for suicide; however, many report limited confidence and inconsistent use of evidence-based assessment tools, contributing to missed opportunities for early intervention. The purpose of this Doctor of Nursing Practice staff education project was to implement a structured suicide prevention education program to improve nurses’ knowledge, confidence, and ability to identify and manage suicide risk. The practice-focused question examined whether implementing a structured suicide prevention education program for outpatient nurses would increase knowledge and confidence in identifying and intervening with patients …
A Grounded Theory Approach To Explaining Leadership And Leadership Processes Among Oncology Social Workers, Larmender Amia Davis
A Grounded Theory Approach To Explaining Leadership And Leadership Processes Among Oncology Social Workers, Larmender Amia Davis
Walden Dissertations and Doctoral Studies
The absence of comprehensive field-specific leadership theories leaves oncology social work leaders insufficiently equipped to navigate organizational challenges such as policy shifts, financial pressures, and workforce dynamics. The purpose of this qualitative grounded theory study was to generate an explanatory theory of leadership grounded in the experiences of social work leaders practicing in oncology settings. The grounded theory and a conceptual framework on leadership processes, ethical identity, and organizational context guided this study. Data were collected through semistructured interviews with 12 oncology social work leaders in the United States. Five categories emerged and were analyzed using the constant comparative method: …
Perceived Influence Of Childhood Domestic Violence Exposure On Intimate Relationships Among Heterosexual African American Men, Ronnie Lyman
Perceived Influence Of Childhood Domestic Violence Exposure On Intimate Relationships Among Heterosexual African American Men, Ronnie Lyman
Walden Dissertations and Doctoral Studies
Childhood exposure to domestic violence (DV) remains a significant and underexplored issue within clinical social work, particularly as it pertains to African American men. This doctoral project involved addressing limited understanding of how heterosexual African American men who were exposed to DV in childhood perceived these early experiences in terms of shaping their emotional wellbeing and intimate partner relationships in adulthood. Guided by the intergenerational transmission of violence theory, this study involved exploring reflective narratives of men who experienced such exposure. Via a basic qualitative research design, data were collected through semi-structured interviews with seven purposefully selected participants who were …
Prenatal Care Access And Pregnancy Outcomes Among Black Women Ages 15–44 In Cook County, Illinois, Deandrea Heggins
Prenatal Care Access And Pregnancy Outcomes Among Black Women Ages 15–44 In Cook County, Illinois, Deandrea Heggins
Walden Dissertations and Doctoral Studies
Maternal health disparities affecting Black women in the United States remain a persistent public health concern due to inequities in prenatal care access and adverse birth outcomes. Prior research has shown that socioeconomic conditions, insurance coverage, and systemic barriers influence prenatal care utilization and maternal outcomes; however, limited research has examined how Medicaid coverage, household income, preterm birth, and birth weight are collectively associated with prenatal care access among Black women in Cook County, Illinois. The purpose of this quantitative correlational study was to examine the relationships among these factors and access to prenatal care among Black women ages 15–44 …
Human Service Professionals’ Perceptions Culturally Competent Resources For Transracial Adoption, Rachelle Tau-Stewart
Human Service Professionals’ Perceptions Culturally Competent Resources For Transracial Adoption, Rachelle Tau-Stewart
Walden Dissertations and Doctoral Studies
Transracial adoption continues to increase in the United States, particularly in states with predominantly White populations; yet, culturally competent preparation and postadoption resources remain limited. The lack of structured cultural socialization and race-responsive supports places transracially adopted youth at increased risk for identity disruption, mental health challenges, and experiences of racism and microaggressions. The purpose of this qualitative action research study was to explore human service professionals’ perceptions of the services needed to provide culturally competent resources for transracial adoption in Washington State. Guided by the Transracial Adoption Parenting Series framework developed by the Coalition for Children, Youth, and Families, …
Occupational Stressors Correlated With Depression And Burnout Among Criminal Defense Attorneys, Fay Frances Spence
Occupational Stressors Correlated With Depression And Burnout Among Criminal Defense Attorneys, Fay Frances Spence
Walden Dissertations and Doctoral Studies
No prior studies have compared occupational stressors of criminal defense lawyers by practice setting (public defender, court-appointed, or retained). In this mixed-method study, the goal was to identify occupational stressors perceived by criminal defense lawyers in different settings and to determine if those stressors were correlated with depression, anxiety, and burnout, using Maslach’s burnout-engagement continuum as the theoretical framework. Based on stressors identified in semistructured interviews with 15 criminal defense lawyers, the Criminal Defender Stress Survey (CDSS) was created to measure the frequency and perceived intensity of identified stressors. The CDSS was incorporated into an online survey, along with the …
K–8 Teachers' Perceptions Of The Barriers To Educating Chronically Absent Homeless Youth, Daniel James Pangrazio
K–8 Teachers' Perceptions Of The Barriers To Educating Chronically Absent Homeless Youth, Daniel James Pangrazio
Walden Dissertations and Doctoral Studies
Abstract The problem that was addressed through this study is that kindergarten through eighth-grade homeless students experience higher rates of chronic absenteeism and lower educational outcomes than their housed peers in California. Grounded in Bronfenbrenner’s ecological systems theory, the purpose of this study was to explore K–8 teachers’ perceptions of the barriers they face in educating chronically absent homeless youth. For this basic qualitative design, semistructured interviews were conducted with 10 K–8 teachers from one California school district. Creswell and Guetterman’s five-stage coding process was used for data analysis. Four themes emerged: Teachers discussed (a) barriers to addressing student academic …
Male Teachers' Experiences On The Gender Imbalance In Early Education, Erika White
Male Teachers' Experiences On The Gender Imbalance In Early Education, Erika White
Walden Dissertations and Doctoral Studies
Diversity in the ECE workforce has been shown to have a positive social and academic influence on children and families within the ECE setting. The problem addressed in this study was that in an urban eastern school district (UESD), there was an educator gender imbalance in early childhood education (ECE). Grounded in Smith’s rational choice theory, the purpose of this basic qualitative study was to explore the experiences of male preschool and kindergarten (P—K) teachers in UESD. Data were collected through semistructured interviews with 13 male P—K teachers working in the UESD. Thematic analysis using inductive coding indicated male educators: …
The Effect Of Burnout On Intention To Resign Among Adult Protective Services Investigators, Derek Frank Wachter
The Effect Of Burnout On Intention To Resign Among Adult Protective Services Investigators, Derek Frank Wachter
Walden Dissertations and Doctoral Studies
Adult Protective Services (APS) workers play a crucial role in providing care, support, and services to older and adult clients with special needs. There was a lack of empirical data on the long-term retention of APS investigators and on how burnout affects their intentions to resign. Departments consistently rely on a cycle of using newer, less experienced investigators who may not know about community and state services or department policies and procedures to connect clients. The purpose of this quantitative correlational study was to examine the relationship between personal, work-related, and client-related burnout and APS investigators’ intention to resign. Data …
Social Workers’ Views On Students With Developmental Disabilities In Charter And Private Schools In Idaho, Branden Smalley
Social Workers’ Views On Students With Developmental Disabilities In Charter And Private Schools In Idaho, Branden Smalley
Walden Dissertations and Doctoral Studies
Idaho private and charter schools are experiencing increased enrollment, including students who are developmentally delayed. Such an increase in the population of developmentally delayed students presents challenges for school social workers in providing needed therapeutic services. This study addressed the limited therapeutic services for students with developmental disabilities in Idaho’s private and charter schools, as perceived by school social workers. The purpose was to examine school social workers’ perceptions of the barriers and challenges they encounter when supporting students with developmental disabilities in private or charter schools in Idaho. Participant eligibility criteria included holding a minimum of a bachelor’s degree …
Leadership Strategies To Reduce Burnout Among Physicians In Academic Medical Centers In The State Of California, Navdip Kaur Hothi
Leadership Strategies To Reduce Burnout Among Physicians In Academic Medical Centers In The State Of California, Navdip Kaur Hothi
Walden Dissertations and Doctoral Studies
Physician burnout in academic medical centers remains a persistent healthcare administration challenge, with nearly half of U.S. physicians reporting symptoms of burnout in recent years. The issue threatens workforce sustainability, patient safety, and organizational financial stability, particularly in California’s academic medical centers, were physicians face complex clinical, academic, and operational demands. The integrative review examines leadership strategies that reduce physician burnout in California’s academic medical centers, aiming to lower rates from about 45% to under 30%. Transformational Leadership Theory guided the examination of leadership-driven organizational and system level approaches to burnout reduction. Twenty-seven sources were appraised using the Johns Hopkins …
Exploring The Role Of Family Engagement In Youth Behavioral Health Programs, Jordon R. Washington-Trahan
Exploring The Role Of Family Engagement In Youth Behavioral Health Programs, Jordon R. Washington-Trahan
Walden Dissertations and Doctoral Studies
The behavioral health leaders at Organization X do not have a clear and practical way to engage family members in youth behavioral health programs. When caregivers are not actively involved in youth behavioral health treatment, youth may disengage from missed appointments and discontinue treatment prematurely. The present case study focused on Organization X, a small behavioral health organization located in the Southeastern United States. The Baldrige Framework of Excellence was the conceptual framework for this study, with a focus on consumer engagement and workforce operations. Semi structured and structured interviews were conducted with three behavioral health leaders. Data were collected …
Exploring The Black Church’S Role In The Black Man’S Experience With Depression: A Qualitative Inquiry, Terry Edwards Jr.
Exploring The Black Church’S Role In The Black Man’S Experience With Depression: A Qualitative Inquiry, Terry Edwards Jr.
Walden Dissertations and Doctoral Studies
Black men experience disproportionate mental health disparities, particularly in relation to depression, yet remain less likely to engage in formal mental health treatment due to cultural stigma and barriers to care. The Black church, a historically trusted institution within the Black community, may influence how depression is understood and managed. The purpose of this generic qualitative study was to explore how Black men in Inkster, Michigan perceive the role of the Black church in influencing their understanding and management of depression. The Health, Illness, Men, and Masculinities (HIMM) framework guided this study. Data were collected through semi-structured interviews with 10 …
Burnout And Secondary Traumatic Stress Experiences In Mental Health Professionals Working With Military Veterans, Megan Carter
Burnout And Secondary Traumatic Stress Experiences In Mental Health Professionals Working With Military Veterans, Megan Carter
Walden Dissertations and Doctoral Studies
Burnout among mental health professionals has been a long-standing phenomenon when working with trauma individuals resulting in increased job turnover rates and decreased quality of care for patients. The job demands- resourced model and constructivist self- development theory were used to guide this study. The purpose of this research study was to explore how mental health professionals working with the military veteran population experience burnout and secondary traumatic stress. A descriptive qualitative design was used with purposive and snowball sampling to attain 10 mental health professionals from various facilities serving military veterans. Data were collected from semistructured interviews and were …
Strategies To Address Employee Shortages In Allied Health, John O. Delozier
Strategies To Address Employee Shortages In Allied Health, John O. Delozier
Walden Dissertations and Doctoral Studies
Continuing shortages of allied health (AH) workers have become a critical business challenge for health care organizations, driven by an aging population, rising service demand, and the lasting effects of the COVID 19 pandemic. AH leaders remain concerned about meeting essential staffing requirements, as persistent recruitment and retention difficulties threaten the delivery of high-quality health care. Grounded in Herzberg’s two-factor theory, the purpose of this qualitative pragmatic inquiry was to explore strategies successful health care leaders used to recruit and retain skilled AH employees. The participants were seven Maryland health care leaders with experience successfully implementing recruitment and retention strategies …
Exploring The Connection Between Cultural Humility And The Hexaco 60 Pi-R Among Licensed Professional Counselors In The United States, Debbie Franzen Franzen-Lang
Exploring The Connection Between Cultural Humility And The Hexaco 60 Pi-R Among Licensed Professional Counselors In The United States, Debbie Franzen Franzen-Lang
Walden Dissertations and Doctoral Studies
Cultural humility is essential to effective counseling across diverse populations, yet its dispositional foundations remain unclear, limiting the development of evidence based, personality informed training strategies in counselor education. Grounded in Foronda’s Cultural Humility theory, this quantitative, nonexperimental study examined the relationship between personality traits and cultural humility among licensed professional counselors in the United States. The participants included 125 licensed professional counselors who completed the HEXACO PI R 60-item inventory and Foronda’s Cultural Humility Scale. The results of a multiple linear regression were statistically significant for the overall model, F(6,118) = 6.165, p < .001, R² = .239, accounting for 23.9% of the variance in cultural humility. Openness to experience was a significantly negative predictor (B = –.519, p < .001), indicating that higher openness scores were associated with lower cultural humility; honesty-humility was not statistically significant (p = .052), and the remaining traits also were not significant predictors. These findings complicate assumptions about the dispositional roots of cultural humility and suggest potential implications for counselor education, including experiential learning, reflective supervision, and skills-based training that may support cultural humility development. The results suggest that personality traits may play a role in cultural humility and may have implications for integrating personality-related insights into multicultural frameworks, conceptualizing humility as a dynamic construct influenced by both traits and context.
Single Custodial Fathers And The Challenges To Receiving Services, Oriesha Anyah Peña
Single Custodial Fathers And The Challenges To Receiving Services, Oriesha Anyah Peña
Walden Dissertations and Doctoral Studies
Single fathers are an increasing population in the United States and worldwide. However, the literature and programs that guide human services professionals supporting single fathers’ parenting experience are limited in Anne Arundel County, Maryland. There is a need to further study the varied challenges these fathers experience so that professionals in social support organizations and agencies can implement appropriate services, support, programs, and resources into practice and ensure access to support their families and parenting. This qualitative study includes a force field analysis as part of a formative program needs assessment to explore human services professionals' perceptions of service needs, …
Justice-Involved Adults’ Perspectives On Multidisciplinary Treatment Teams During Community Re-Entry, Monique D. Brown Wellons
Justice-Involved Adults’ Perspectives On Multidisciplinary Treatment Teams During Community Re-Entry, Monique D. Brown Wellons
Walden Dissertations and Doctoral Studies
Adults with mental illnesses have been disproportionately represented in the criminal justice system, often due to limited access to timely mental health treatment and fragmented community-based support. When continuity of care was inadequate, justice involvement frequently replaced coordinated interventions designed to promote stabilization and recovery. This qualitative study was guided by the sequential intercept model and the risk-need-responsivity model to examine how multidisciplinary treatment teams influenced rehabilitation and reoffending outcomes among formerly incarcerated adults diagnosed with mental illness. Data was collected through semi-structured interviews with justice-involved adults who described their experiences with multidisciplinary support during their reentry process and analyzed …
Exploring Identity Development Of Therapeutic Boarding School Alumni, Travis Philipsen
Exploring Identity Development Of Therapeutic Boarding School Alumni, Travis Philipsen
Walden Dissertations and Doctoral Studies
Research on therapeutic boarding schools (TBS) has largely focused on treatment experiences and immediate adolescent outcomes, with limited attention to identity development after program discharge. The purpose of this qualitative descriptive study was to examine identity development during emerging adulthood in TBS alumni aged 18-24 and to explore how internal strengths and external supports influenced participants’ developmental experiences after leaving TBS. Positive youth development was the guiding theoretical framework, emphasizing the bidirectional relationship between a person and the external ecological assets they access. Semistructured interviews were conducted with six alumni, and data were analyzed using reflexive thematic analysis within a …
Psychologists’ And Psychiatrists’ Views On Criminal Behavior, Fetal Alcohol Spectrum Disorder, And Federally Sentenced Indigenous Women In The Prairie Region And British Columbia, Rina Asghar
Walden Dissertations and Doctoral Studies
The overrepresentation of federally sentenced Indigenous women in Canada reflects longstanding structural and systemic injustices within the criminal justice system. Constituting approximately 5% of the female population, Indigenous female offenders are disproportionately represented, especially in maximum security facilities and structured intervention units. This qualitative study examined psychologists’ and psychiatrists’ perspectives on the potential role of fetal alcohol spectrum disorder (FASD) related neurocognitive impairments in increasing justice system involvement among Indigenous women in Western Canada. Guided by the multidimensional Indigenous developmental framework, which integrates historical trauma theory and attachment theory, nine psychologists and one psychiatrist were interviewed in semi-structured interviews. The …
Food Insecurity’S Influence On Obesity, Hypertension, And Diabetes In Rural Vermont And Adirondack New York, Lindsay Morse
Food Insecurity’S Influence On Obesity, Hypertension, And Diabetes In Rural Vermont And Adirondack New York, Lindsay Morse
Walden Dissertations and Doctoral Studies
Food insecurity (FI) is a persistent public health challenge in the United States and disproportionately affects rural communities. Guided by syndemic theory, this quantitative cross-sectional study examined associations between FI and chronic disease outcomes among rural residents of Vermont and the Adirondack region of New York. Social determinants of health screenings and electronic medical records from 35 rural primary care sites were analyzed. Secondary data from n = 72,505 adults were used to evaluate these relationships. Binary logistic regression models assessed obesity, hypertension (HTN), and diabetes (DM), and a multinomial logistic regression model evaluated the combined presence of obesity and …
Emergent Patterns In Individual Perceptions Of Domestic Violence Among African Immigrants, Annah Ezuma
Emergent Patterns In Individual Perceptions Of Domestic Violence Among African Immigrants, Annah Ezuma
Walden Dissertations and Doctoral Studies
Domestic abuse continues to be a prevalent and intricate matter within society, frequently concealed by silence. The comprehension of individuals’ perceptions of abuse is of utmost importance in the advancement of efficacious interventions and support systems. Among African immigrants in the United States, perceptions of domestic violence were often influenced by several factors like religion and migration stressors. Despite increasing concerns about abuse within this population, limited research has explored how they interpret abuse and how these perceptions shape help seeking behaviors and disclosure. The gap was significant because of the cultural transition and many immigrant experiences. This qualitative study …
School-Based Human Service Professionals’ Perceptions Of The Relationships Between Black Families And Southern Schools, Vanessa Faye Barnhill
School-Based Human Service Professionals’ Perceptions Of The Relationships Between Black Families And Southern Schools, Vanessa Faye Barnhill
Walden Dissertations and Doctoral Studies
The experiences that Black parents had in school have been found to influence how they view and interact with schools and the challenges and barriers related to their child’s education attainment. It is important to understand school-based human service professionals’ perceptions about the relationship that Black families have with Southern schools and suggestions these professionals have about promoting better communication and understanding with Black families. The purpose of this qualitative generic study was to examine school human service professionals’ perceptions about the relationship that Black families have with schools and to gather suggestions about how they could promote communication and …
Relationships Between Resource Utilization And Relapse In Rural Areas, Shane Sneddon
Relationships Between Resource Utilization And Relapse In Rural Areas, Shane Sneddon
Walden Dissertations and Doctoral Studies
In the United States, over 100,000 deaths were attributed to drug overdose in 2021. Relapse rates are higher in rural communities than in urban communities due to sociocultural barriers such as employment, limited entrainment activities, and peer pressure during social events. Previous research did not indicate whether the increase or decrease of Daily Living Assessment (DLA-20) scores have a correlation between community resource utilization and relapse. Using systems theory as the research lens, this study examined the correlation between use of community engagement resources and relapse as manifested by scores on the DLA-20. Data were collected from 100 individuals enrolled …
Internal Family Systems Therapy For Trauma Recovery And Addiction In Sexual And Gender Minorities, Walter Saunders
Internal Family Systems Therapy For Trauma Recovery And Addiction In Sexual And Gender Minorities, Walter Saunders
Walden Dissertations and Doctoral Studies
Sexual and gender minorities (SGM) experience disproportionately high rates of substance use disorders linked to trauma exposure, minority stress, and barriers to affirming behavioral health care. Although trauma-informed approaches have expanded, little is known about how SGM individuals experience and make meaning of their engagement in internal family systems (IFS) therapy for trauma and addiction. Guided by Schwartz’s theory of the multiplicity of the mind and minority stress theory, the purpose of this qualitative phenomenological study was to explore how SGM individuals describe and interpret their engagement in IFS therapy within the context of trauma and addiction. Interpretative phenomenological analysis …
Child Protection Workers’ Perceptions Of Burnout And Work Dissatisfaction, Ashley-Camille Jackson
Child Protection Workers’ Perceptions Of Burnout And Work Dissatisfaction, Ashley-Camille Jackson
Walden Dissertations and Doctoral Studies
Child protection workers work in a stressful and demanding occupation, subject to high staff turnover and inexperienced staff. This situation has created problems for child protection workers in doing their jobs effectively—for example, handling their daily tasks and caseload—leading to potential burnout and work dissatisfaction. Existing literature has explained how burnout begins to develop as a response to chronic exposure to job-related stressors, to a point of emotional exhaustion and reduced personal accomplishment. Researchers have found that work-related conditions have contributed to the development of burnout, especially when attempting to define how one could be overworked and how much labor …
Former Foster Youth Lack The Understanding And Training In How To Access Medical And Preventative Care Benefits, Gloria Harrison
Former Foster Youth Lack The Understanding And Training In How To Access Medical And Preventative Care Benefits, Gloria Harrison
Walden Dissertations and Doctoral Studies
The purpose of this qualitative action research study was to explore Dallas, Texas, human services professionals’ perceptions of the services that former foster youth need to ensure that they have access to medical and preventative care benefits when they age out of the system. The conceptual framework of Aday and Andersen’s health behavior model provided a structure for the lack of medical care access, the need for improvement, and the desire to use services for various marginalized at-risk populations. The action research design was chosen to help solve real-life healthcare problems that directly affect participants within their community. A purposeful …
Exploring The Perceptions Of Religious Trauma Among Former Members Of The Church Of Jesus Christ Of Latter-Day Saints Who Identify As A Sexual Minority, Samuel Clemens
Walden Dissertations and Doctoral Studies
This qualitative study explored the perceived experiences of religious trauma among formerly active members of The Church of Jesus Christ of Latter-day Saints (LDS) who identify as sexual minorities. Religious trauma, characterized by psychological, emotional, and social harm, arises from interactions with religious institutions and teachings. For sexual minorities within the LDS Church, strict adherence to heteronormative principles and rigid gender roles often results in identity suppression, emotional distress, and social isolation. Utilizing a generic qualitative inquiry approach, this study investigated how participants interpret their experiences of religious trauma and its perceived effects on their lives. Twelve participants aged 20–74 …