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Articles 91 - 120 of 139
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Employee Resistance To Change During The Implementation Of Trauma-Informed Care, Tara A. Chalakani
Employee Resistance To Change During The Implementation Of Trauma-Informed Care, Tara A. Chalakani
Walden Dissertations and Doctoral Studies
Employee resistance to change can impede organizational success. Resistance can occur when the proposed change is beneficial. Trauma-informed care requires a complete paradigm shift within a behavioral health organization to be executed successfully. This single-case study explored the leadership experience of employee resistance to change during the implementation of trauma-informed care in a large nonprofit behavioral health organization. Data were collected through semistructured interviews with 4 organizational leaders, and a thematic analysis was conducted on internal documents, including staff satisfaction surveys, exit interviews, meeting minutes, strategic plans, manuals, the organizational website, and information from the employee portal. Findings were validated …
Teachers' Perceptions Of Toxic Stress And Classroom Practices They Use With Young Children, Pamela Joyce Waddell
Teachers' Perceptions Of Toxic Stress And Classroom Practices They Use With Young Children, Pamela Joyce Waddell
Walden Dissertations and Doctoral Studies
AbstractYoung children experiencing toxic stress has negative consequences on their development. The purpose of this case study was to explore teachers' perceptions of toxic stress in young children and the classroom practices used to assist students experiencing toxic stress from two rural early childhood centers in an eastern state in the United States. The conceptual framework for this qualitative research included Bronfenbrenner's ecological model of human development, social constructivist theory, and information from The Center on the Developing Child at Harvard University. The research questions explored teachers' perceptions of toxic stress in young children and classroom practices being used in …
Effective Social Work Practice With Military Youth During Deployment, Christy Michelle Scholl
Effective Social Work Practice With Military Youth During Deployment, Christy Michelle Scholl
Walden Dissertations and Doctoral Studies
Since the beginning of the wars in Afghanistan and Iraq, more than 2 million military-connected children experienced separation from a parent due to a military deployment. The purpose of this study was to identify and build upon the tools and techniques used by social workers when providing services to military children during a parental deployment. Bowen’s family systems theory provided the conceptual framework for this study. Family systems theory relies on the belief that military families are interdependent of one another and to fully understand what may be happening with military youth; social workers must look at and understand the …
Bullying On A College Campus: A Qualitative Study, Arnita D. Walls-Pickett
Bullying On A College Campus: A Qualitative Study, Arnita D. Walls-Pickett
Walden Dissertations and Doctoral Studies
Bullying in higher education has become a global concern on college campuses and is occurring there in face-to-face encounters and through social media. Bullying contributes to hundreds of thousands of students dropping out of their higher education programs annually. This study brings more awareness to the uncivil behaviors occurring on college campuses. It uses for its conceptual framework the fourth of the Seven Vectors of Identity Development articulated by Chickering and Reisser: developing mature interpersonal relationships. This study's 2 guiding questions investigated whether bullying took place on a single college campus and how the bullying revealed itself. Further, this study …
Characteristics Of Young People Seen In The Emergency Department For Assault-Related Injuries, Robyn Coons
Characteristics Of Young People Seen In The Emergency Department For Assault-Related Injuries, Robyn Coons
Walden Dissertations and Doctoral Studies
Violence is among the most serious threats to the health and safety of young people between the ages of 10 and 24 in the United States. The purpose of this cross-sectional quantitative study using secondary data from the CDC's 2015 National Hospital Ambulatory Medical Care Survey (NHAMCS) data set was to examine the characteristics (age, sex, race and ethnicity, insurance or payer source, and housing status) of young people between the ages of 10 and 24 who seek medical care for assault-related injuries through the emergency department (ED). The social ecological model was used to examine the complex interplay between …
Mental Health Courts: Mental Illness, Diversion Programs And Recidivism, Michelle Blount
Mental Health Courts: Mental Illness, Diversion Programs And Recidivism, Michelle Blount
Walden Dissertations and Doctoral Studies
Many large urban juvenile probation departments have begun to utilize mental health courts to meet the demands of the increasing number of individuals who have mental health issues that end up in the juvenile justice system. Diversion programs are designed to keep youth in the community and out of the juvenile justice system, but it is not clear whether these programs keep individuals from re-offending. Therefore, this study was conducted to determine whether diversion programs used in the mental health courts are helping to decrease recidivism for juveniles identified with mental illness. This study was also aimed at identifying how …
Medication Adherence For Foster Children From The Perspective Of Foster Care Providers, Odette Boyd
Medication Adherence For Foster Children From The Perspective Of Foster Care Providers, Odette Boyd
Walden Dissertations and Doctoral Studies
In 2015, over 427,000 children were in foster care and the largest population were in California's system. Of those children, more than 9,400 were prescribed psychotropic medications. Increases of psychotropic medication use have led to investigations and findings of medication oversights in foster care. Medication oversights included medication nonadherence, which was linked to an increase of problematic behaviors in foster children. The purpose of this phenomenological study was to explore the issues of medication adherence for foster care providers who care for foster children of mild to chronic health concerns who were prescribed medications and experienced multiple placements. By utilizing …
Guardians' Experiences With Mental Health Care For Adolescents With Pediatric Bipolar Disorder, Saudia Y. George
Guardians' Experiences With Mental Health Care For Adolescents With Pediatric Bipolar Disorder, Saudia Y. George
Walden Dissertations and Doctoral Studies
Pediatric bipolar disorder (PBD) is a growing public health problem in the United States, especially among adolescent children. Despite awareness of the diagnosis and the effects that it has on the child, little attention has been given to the effects that PBD has on the guardian. The purpose of this qualitative phenomenological study was to explore the factors influencing guardians' experiences related to PBD. Penchansky and Thomas' Theory of Access and Family Systems Theory were used in this study to explore guardians lived experiences of PBD, its effects on the entire family system, and mental health service treatment. This approach …
A Quantitative Analysis Of Re-Offense Among Delinquent Foster Care Youth In Georgia, Brian Keith Jones
A Quantitative Analysis Of Re-Offense Among Delinquent Foster Care Youth In Georgia, Brian Keith Jones
Walden Dissertations and Doctoral Studies
Nationwide more than 2 million youth are placed in custody annually, approximately 80,000 children return home, and more than 70% have a diagnosable mental disorder. The purpose of this quantitative study was to examine the outcomes of 311 youth released from secure residential facilities in Georgia between January 2012 thru May 2017. In the dataset, 136 youth returned to regular homes, 128 returned to group homes (GC), and 47 returned to traditional foster homes (TFC). The goal of the study was to examine the differences in probation outcomes based on the type of placement. For the purpose of the study, …
Separated By The Child Welfare System: The Journey Of One Set Of Fraternal Twins, Jocelyne Coan Bond
Separated By The Child Welfare System: The Journey Of One Set Of Fraternal Twins, Jocelyne Coan Bond
Walden Dissertations and Doctoral Studies
This study explored the separation of twins in foster care and examined how their lived experiences relate to their interpersonal relationships as adults. Many researchers have studied the long-term impact of nontwin sibling separation in foster care, but little is known about the separation of twins, leaving a significant gap in existing literature. The purpose of this study was to examine the lived experiences twins who were separated in foster care as relates to their interpersonal relationships during adulthood. A qualitative, narrative approach was used to gather the lived experiences of one set of twins. The research questions examined how …
Intake Case Managers' Perspectives On Rural Veteran Homelessness, Amanda Eun Jee Webreck
Intake Case Managers' Perspectives On Rural Veteran Homelessness, Amanda Eun Jee Webreck
Walden Dissertations and Doctoral Studies
Homeless research has focused on the service-directed approach, but few qualitative studies have focused on the critical and sensitive nature of the intake process. Staff in rural and remote communities struggle to refer services and mainstream resources to homeless veterans. The purpose of this case study was to explore case managers' perspectives on intake procedures in rural Pennsylvania communities. Lewin's force field analysis was used as a theoretical basis to examine the rationale for behaviors and forces that impact an individual's state. Six case managers and 1 supervisor were selected for face-to-face interviews based on their experience, job duties, and …
Self-Care Practices And Therapist Beliefs Among Home-Based Mental Health Professionals In Relation To Burnout, Heidi C. Myers
Self-Care Practices And Therapist Beliefs Among Home-Based Mental Health Professionals In Relation To Burnout, Heidi C. Myers
Walden Dissertations and Doctoral Studies
In 2012, research suggested that 21% to 67% of mental health professionals experience burnout. Burnout is described as a negative experience resulting in workplace stress that produces psychological, emotional, physical, and somatic symptoms. The purpose of this study was to examine a quantitative, correlational relationship between self-care practices and therapist beliefs in relation to burnout among home-based mental health therapists. The research question concerned whether there is a relationship between therapist beliefs, self-care, and burnout among home-based therapists. Equity theory was the base theory used for this project, indicating that reciprocity between therapist and client or therapist and supervisor may …
Separated By The Child Welfare System: The Journey Of One Set Of Fraternal Twins, Jocelyne Coan Bond
Separated By The Child Welfare System: The Journey Of One Set Of Fraternal Twins, Jocelyne Coan Bond
Walden Dissertations and Doctoral Studies
This study explored the separation of twins in foster care and examined how their lived experiences relate to their interpersonal relationships as adults. Many researchers have studied the long-term impact of nontwin sibling separation in foster care, but little is known about the separation of twins, leaving a significant gap in existing literature. The purpose of this study was to examine the lived experiences twins who were separated in foster care as relates to their interpersonal relationships during adulthood. A qualitative, narrative approach was used to gather the lived experiences of one set of twins. The research questions examined how …
Adolescent Engagement In Home-Based Treatment: An Action Research Study, Krystal Finch
Adolescent Engagement In Home-Based Treatment: An Action Research Study, Krystal Finch
Walden Dissertations and Doctoral Studies
Adolescent engagement in home-based treatment is a challenge within the social work field. Studies have suggested that the foundation of clinical practice relies on the clinician's ability to understand the process of engaging adolescents in treatment, which may also include a period of adaptability, relatability, and connectedness within the treatment setting. The purpose of this study is to explore the clinical practice approaches, roles, and experiences utilized in home-based treatment to adolescents residing in a large city in northeastern United States. This study was grounded in the ecological systems theory which provides social workers with an opportunity to assess the …
Evidence-Based Child Welfare Screening And Assessment Practices, Melissa Hardin
Evidence-Based Child Welfare Screening And Assessment Practices, Melissa Hardin
Walden Dissertations and Doctoral Studies
The purpose of this action research project was to examine the screening and assessment behaviors of child welfare workers in the southwestern region of the United States. The study addressed whether social workers' knowledge of evidence-based practice influenced their implementation of evidence-based practice in child welfare screening and assessment, and whether the agency environment affects evidence-based practice implementation and use. The family systems theory was used to evaluate child welfare practitioner work and systems theory was used to evaluate the child welfare system in the region of the study. A focus group comprised of seven social workers practicing in the …
Comparing A General And Transitional Registered Nurse Orientation To Facilitate Quality Improvement, Kathryn R. Cortes
Comparing A General And Transitional Registered Nurse Orientation To Facilitate Quality Improvement, Kathryn R. Cortes
Walden Dissertations and Doctoral Studies
Most hospitals orient new graduate nurses and experienced nurses in the same generalized orientation programs. To address the cost of orientation to specialty units, a pediatric hospital developed a tailored transitional residency orientation program for experienced nurses. The purpose of this project was to describe, compare, and evaluate the existing generalized orientation program and the transitional orientation program to determine how the orientations differed in structure, process, and outcomes. Donabedian's model assessing quality of care services and Benner's novice-to-expert theoretical framework served as guides in evaluating the orientation outcomes. Qualitative data about residency classroom time, preceptor selection and time, mentor …
Successful Strategies Ministers Use To Obtain And Manage Foundation And Government Grants, Rebecca I. Payne
Successful Strategies Ministers Use To Obtain And Manage Foundation And Government Grants, Rebecca I. Payne
Walden Dissertations and Doctoral Studies
Ministers need a strategy for applying for the millions of dollars in grants available to churches for programs that will benefit communities. The purpose of this multiple case study was to explore the strategies that Christian ministers use to obtain and manage government and foundation grants. The conceptual frameworks were an emergent strategy and the ladder of accountability. Data were gathered from semistructured interviews with 4 Christian ministers in New York State and reviews of sample monthly and quarterly grant accountability reports. Selective coding was the data analysis process. The 3 major themes that emerged from the data analysis were …
The Use Of Performance Measurement Data In Nonprofit Organizational Sustainability, Helen S. Coy
The Use Of Performance Measurement Data In Nonprofit Organizational Sustainability, Helen S. Coy
Walden Dissertations and Doctoral Studies
In the United States, nonprofit organizations (NPOs) face a precarious future because of their heavy reliance on the financial support of government funding, other donor agencies, and philanthropic foundation resources. The purpose of this study is to understand how and to what extent leadership of NPOs can benefit from using funder-required performance data to improve organizational sustainability. Using Pfeffer and Salincik's resource dependency theory to explain organizational sustainability, this qualitative multiple case study of 10 NPOs in a northeastern U.S. state includes 14 interviews with NPO leadership, a document review of NPO 990 tax filings, annual performance reports, and board …
Therapists' Comfort Level In Providing Psychotherapy In Home-Based Therapy Settings, Jacqueline A. Ramirez
Therapists' Comfort Level In Providing Psychotherapy In Home-Based Therapy Settings, Jacqueline A. Ramirez
Walden Dissertations and Doctoral Studies
Home-based psychotherapy has expanded in the mental health community; however, little was known about the therapists' comfort level in a home-based venue. The purpose of this quantitative study was to assess therapists' comfort level (TCL) in providing psychotherapy in a home-based setting and how therapeutic competency (TC), therapeutic relationship (TR), and advanced therapeutic training (ATT) related to the comfort level. The social-ecological systems theory and the theory of comfort served as the theoretical frameworks. The present study used the Therapist Comfort Scale, Counseling Competencies Scale-Revised, the Scale to Assess Therapeutic Relationship in Community Mental Health Care-Clinician, and a demographic questionnaire. …
The Impact Of Length Of Stay On Therapeutic Effectiveness Of Multidimensional Treatment Foster Care, Dawn M. Breikss
The Impact Of Length Of Stay On Therapeutic Effectiveness Of Multidimensional Treatment Foster Care, Dawn M. Breikss
Walden Dissertations and Doctoral Studies
Youth who are placed in the Multidimensional Treatment Foster Care (MTFC) program come from families with multiple risk factors. The MTFC program is based on social learning theory, which posits that youth learn from modeling those in their environment. It is unclear whether motivation for social learning decreases over time. Past research has indicated that there is an efficacious time period for treatment in the MTFC program (6 to 9 months). The purpose of this quantitative study was to examine the behavior effects of remaining in treatment foster care for an extended length of time. This was measured through pre- …
Influence Of Poverty, Parental Substance Use, Ethnicity, And Employment On Reactivation Following Family Reunification, Judith Anne Cornell
Influence Of Poverty, Parental Substance Use, Ethnicity, And Employment On Reactivation Following Family Reunification, Judith Anne Cornell
Walden Dissertations and Doctoral Studies
The maltreatment of children impacts individuals, communities, states, and societies. One response to the problem is the removal of children from their families, which can cause significant trauma for all involved. Moreover, the financial, legal, and emotional costs increase exponentially when subsequent re-removal, known as reactivation, occurs. Nationwide, the rate of reactivation averages just over 6%; in Arizona, the rate is significantly higher, with 11% of children being reactivated within 2 years of initial reunification. The purpose of this quantitative, non-experimental study was to determine whether poverty, ethnicity, parental substance use, parental employment, marital status, and number of children in …
Exploring Possibilities With Professionals On Youth Aging Out Of Placement, Karen L. Garrett
Exploring Possibilities With Professionals On Youth Aging Out Of Placement, Karen L. Garrett
Walden Dissertations and Doctoral Studies
Homelessness with youth aging out the child welfare system has proportionally risen over the years. It is important that policy makers, professionals, and practitioners in the field of foster care understand the conditions youth find themselves in at the time of leaving placement. The purpose of this study was to describe problems that exist for youth aging out of foster care. Post placement outcomes have not generated results that suggest youth are thriving as they return to communities. Attachment Theory outlines relational bonds that form with caregivers when youth are entering and exiting placements. This qualitative study collected data from …
Trauma-Informed Education Toolkit For Screening Pediatric Victims Of Sexual Abuse And Maltreatment, Analena Michelle Lunde
Trauma-Informed Education Toolkit For Screening Pediatric Victims Of Sexual Abuse And Maltreatment, Analena Michelle Lunde
Walden Dissertations and Doctoral Studies
The complex challenges facing the sexual assault nurse examiners program in a midwest state are underreporting, late reporting, and poor coordination of care for pediatric victims of child maltreatment with sexual abuse. The main objective of this quality improvement project was the identification of necessary practice-related approaches to care to decrease barriers associated with reporting suspicions of abuse or neglect. An evidence-based, multidisciplinary assessment clinical toolkit that followed clinical components of trauma-sensitive, child-centered screenings triggering a coordinated response to conduct a forensic medical exam within 96 hours of the alleged incident was evaluated. During 3 rounds of surveys following the …
Effectiveness Of Practice Change From Risk Model To Safety Model At Dhs, Shirlana Norene Dash
Effectiveness Of Practice Change From Risk Model To Safety Model At Dhs, Shirlana Norene Dash
Walden Dissertations and Doctoral Studies
In 2012, the U.S. Department of Health and Human Services reported an estimated 686,000 victims of child abuse and neglect. Forty-nine states reported a total of 1,593 fatalities. This quantitative research study examined the relationship between the variables: age of child, gender of child, age of parent/caregiver, prior substantiated reports of abuse, and incidents of abuse in Philadelphia at the Department of Human Services using risk practice model (RPM) and safety practice model (SPM). Although child welfare practitioners have examined the relationship between family and societal factors that affect child abuse; few researchers have examined the correlation between service delivery …
Reunification Rates Of Mothers With Mental Illness, Substance Abuse, And Co-Occurring Disorders, Beth Coke
Reunification Rates Of Mothers With Mental Illness, Substance Abuse, And Co-Occurring Disorders, Beth Coke
Walden Dissertations and Doctoral Studies
Mental illness is a problem that affects many people; however, little to almost no research relates to mental illness and reunification rates for mothers who have had their children removed from them by the child welfare system. The purpose in this study was to assess and compare reunification rates between mothers with mental illness, those with substance abuse, and those with co-occurring substance abuse and mental illness. The conceptual framework for this study was the use of the structured decision making (SDM) assessment tool in child welfare. The research questions addressed the differences in reunification rates among mothers with mental …
Increasing Permanent Home Placements For Children With Diagnosed Disabilities In Foster Care, Adina Ekwerike
Increasing Permanent Home Placements For Children With Diagnosed Disabilities In Foster Care, Adina Ekwerike
Walden Dissertations and Doctoral Studies
In the United States, 397,000 children received foster care services in 2012. Some states successfully achieved permanent homes for children with diagnosed disabilities who exited care while others were less successful. Using change theory and social ecological theory as the foundations, the purpose of this study was to determine the impact that diagnosed disabilities had on permanent home placements among Pennsylvania's foster care children who were discharged and were between ages of 0 to 6 years in 2012. Hernandez's and Hodges's theory of change was used to evaluate the 1982 standards that license foster care agencies, while Stokol's ecological theory …
Relationship Between Mental Health Facilities' Pre-Intake Practices And Children's First Appointment Attendance Rates, Christine Marie De Santis-Collis
Relationship Between Mental Health Facilities' Pre-Intake Practices And Children's First Appointment Attendance Rates, Christine Marie De Santis-Collis
Walden Dissertations and Doctoral Studies
Between 20% and 57% of patients at community mental health centers miss their first mental health appointment, resulting in wasted resources and longer wait times for other patients. To date, only one peer-reviewed quantitative study examined the relationship between appointment reminder practices and children's and adolescents' first appointment attendance rates for community mental health centers. The purpose of this quantitative study was to examine the relationship between first appointment wait times, electronic appointment reminders, phone appointment reminders, and first appointment attendance for U.S. community mental health centers, along with the potential moderating effects of age, ethnicity, and gender. Blumer's symbolic …
Familial Factors Predicting Attitudes Toward Domestic Violence In African American Adolescents, Cassandra Clarke-Williams
Familial Factors Predicting Attitudes Toward Domestic Violence In African American Adolescents, Cassandra Clarke-Williams
Walden Dissertations and Doctoral Studies
Teen dating violence is more prevalent among African Americans than any other racial group in the United States leading to serious health consequences for victims. However, limited data exists on how African American adolescents' attitudes and perceptions regarding dating violence are formed, and whether they are influenced by family members. The purpose of this nonexperimental correlational study was to determine whether nonverbal or verbal communication from family members predicted adolescents' attitudes and perceptions toward dating violence. Survey data from 84 African American men and women ages 18 to 24 were collected using the Normative Beliefs About Aggression Scale, the Acceptance …
Attitudes And Perceptions Of Mental Health Treatment For Native American Clients, Beverly Elaine Johnson
Attitudes And Perceptions Of Mental Health Treatment For Native American Clients, Beverly Elaine Johnson
Walden Dissertations and Doctoral Studies
The need for mental health service is increasing in American Indian/Alaska Native (AI/AN) communities. While research has examined the availability, access, and effectiveness of provided services to the AI/AN, very little is known about the influence of the attitude and perceptions of both clinicians and clients in their therapeutic relationship in the treatment process. Using the frameworks of liberation, oppression, and trauma theory, this qualitative phenomenological study explored mental health service delivery and utilization issues within an AI/AN community. Data were collected through semistructured interviews with 14 clinician and client participants. The data were sorted into themes and subthemes and …
The Relationship Between Coping Strategies And Burnout For Caregivers Of Adjudicated Youth, Debra Marie Dix
The Relationship Between Coping Strategies And Burnout For Caregivers Of Adjudicated Youth, Debra Marie Dix
Walden Dissertations and Doctoral Studies
In the human services field little is known about the impact of coping strategies on the problem of burnout for primary caregivers of delinquent youth in placement. The purpose of this correlational research was to examine the relationship between coping strategies, youth psychopathology, and burnout. This study was based on Maslach's theory of burnout and Lazarus and Folkman's transactional model of stress and coping. To assess the prevalence of burnout and coping strategies, 82 primary caregivers of adjudicated youth in placement in the state of Michigan, completed self-report questionnaires: the Maslach Burnout Inventory, the Brief COPE Inventory, and the Child …