Digital Commons Network^™

Animal-Assisted Therapy: An Exploration Of The Utilization Of Animal-Assisted Therapy, Ashleigh R. Perry

Doctoral Dissertations and Projects

Animal-assisted therapy (AAT) has been increasingly incorporated into professional counseling practice, yet limited research has examined the factors associated with counselors’ reported utilization of animal-assisted interventions (AAI). Guided by the Theory of Planned Behavior-informed framework, this quantitative, nonexperimental correlational study examined whether subjective norms predicted counselors’ reported AAI utilization, with attitudes and perceived behavioral control included as covariates. Multicultural competence was examined first as an overall mediator and then through the parallel mediating pathways of multicultural awareness, knowledge, and skills. Following data screening, 28 participant responses were retained for the primary analysis. Multiple regression and mediation analyses using PROCESS Model …

Musical Methods For Nonverbal Emotional Expression, Carrie Uddenberg

Music: Student Scholarship & Creative Works

No abstract provided.

Social Prescribing For Refugee Populations: A Rapid Realist Review Of International Evidence, Victoria Touzel, Doreen Reifegerste, Luisa Bartz, Anna-Lena Esser, Kerryn Husk

Peninsula Medical School

BackgroundSocial prescribing offers potential for addressing social determinants of health and supporting health equity among disadvantaged groups. However, evidence for refugee populations remains limited, despite this group facing profound social and systemic barriers. This rapid realist review synthesizes social prescribing and comparable social-capital based intervention evidence to address this gap.MethodsWe conducted a RAMESES-compliant rapid realist review supported by an expert advisory board. Searches across six databases (2014–2024) were supplemented by grey literature and citation chasing strategies. Eligible studies included refugee, asylum-seekers and forcibly displaced populations engaged in either formal social prescribing or comparably operationalized social-capital interventions. Synthesis developed Context-Mechanism-Outcome configurations …

Exploring The Impact Of Inpatient Mental Health Care On Adolescents, Alexandria M. Mckahan

2025 Fall Honors Capstones Projects - Archive

Adolescent psychiatric hospitalizations continue to rise, yet there is limited research on which daily practices inside inpatient units genuinely support engagement and recovery. This project examined how structure, staff tone, and therapeutic programming influence adolescents’ participation and emotional stability within a real inpatient setting. The study focused on three questions: how structured routines affect recovery, what challenges staff face when supporting adolescents with complex needs, and how adolescents’ engagement patterns reflect their perception of care. Using a mixed-methods case study at Mesa Springs Behavioral Health Hospital, I conducted approximately twenty field observations, semi-structured staff interviews, and descriptive engagement tracking across …

Mirrors & Windows: A Phenomenological Study On Narrative Group Therapy With Adults Survivors Of Childhood Interpersonal Trauma, Bethany Walker

Doctoral Dissertations and Projects

The purpose of this phenomenological study is to describe adult survivors of childhood interpersonal trauma's lived experiences with group narrative therapy in Texas. Three theories serve as the base for this study: Terr's childhood trauma theory, Vygotsky's social constructivism, and Fisher's narrative theory. Social constructivism informs the study by suggesting that group therapy fosters meaning making through shared narratives. Narrative theory informs this study with the concept participants of narrative group therapy can not only create, examine, and reauthor their stories but find connection with others and empowerment in sharing their stories. Participants in this study completed an interview and …

The Natural Agent Of Change: The Therapeutic Power Of Play To Children Who Have Experienced Aces And Trauma, Jingyu Chen

Orphans and Vulnerable Children Senior Capstone

The power of play lies in its natural expression which children speak. When engaged in safe play, children are allowed to explore, comprehend, connect, and communicate in a developmentally appropriate way without criticism. Yet those who are impacted by ACEs (Adverse Childhood Experience) often find play foreign as they are stuck in survival mode, missing the developmental benefits of safe play. This paper examines the role of play in childhood development, explains the relationship between ACEs, trauma and play, and suggests that play is a natural agent of change that carries therapeutic power. The paper supports play as a medium …

Assistive And Accessible User Interaction Mechanisms For Ai-Powered Art, Alex Olwal, Shaun Kane

Defensive Publications Series

Artists with motor disabilities can face significant challenges in expressing their creativity using traditional art tools and methods. This disclosure describes techniques that leverage generative AI (GenAI) with assistive input devices to make creative drawing and painting accessible to artists with disabilities, empowering them to translate their artistic vision into reality. Examples of assistive input devices include eye-trackers, game controllers, MIDI (musical instrument digital interface) controllers, etc. The techniques enable artists with motor disabilities to create art by interpreting their inputs and by generating corresponding visual outputs, fostering creative exploration and artistic expression. Two example implementations, one based on web …

Art, Play, And Neuroplasticity: Advancing Dementia Care Through Art-Enriched Environments, Piper Hutson, James Hutson

Faculty Scholarship

Dementia represents a global public health crisis, characterized not only by progressive memory loss but by a pervasive decline in cognitive flexibility, social functioning, and overall quality of life. Traditional therapeutic modalities, often limited to pharmacological management and cognitive training, have yielded only modest gains in symptom mitigation and patient well-being. Recent advances in neuroscience have illuminated the brain‘s capacity for neuroplasticity—its inherent ability to adapt, reorganize, and form new neural connections even in advanced age and the presence of neurodegenerative conditions. This emerging understanding invites a critical re-evaluation of dementia care strategies, highlighting the potential of non-pharmacological interventions to …

The Effectiveness Of Using Art Therapy In The Treatment Of Individuals With Ptsd, Alexander Jones, Josh Phillips, Jacinto Magallan-Campuzano

NURS 464: Evidence-Based Nursing Capstone

Art therapy is a form of expressive therapy that uses a creative process to explore

emotions. It has gained recognition as a potential treatment for PTSD. Studies suggest that art therapy can help adults process traumatic experiences by expressing their feelings and reducing symptoms of distress and anxiety (Haeyen & Wanten, 2024). Working in a trauma-informed care environment, one must understand the role of art therapy, as it can be essential in offering holistic, patient-centered care. Investigation of the effectiveness of art therapy could lead to a more inclusive and diverse treatment option for adults with PTSD. In this paper, …

The Inspired Minds Expansion: The Effectiveness Of A Functional Support Group On The Mood Of Clients With Neurological Impairments, Molly Elaine Manning

OTD DEx Reports - College of Pharmacy and Health Sciences

"The purpose of this mixed methods research was to assess the effectiveness of a functional support group on the mood of clients with neurological impairments. An acquired brain injury (ABI) is an insult to the brain that is not hereditary, congenital, or degenerative. An acquired brain injury encompasses all types of brain injuries (Biausa, 2022). The population included 16 clients with acquired brain injuries at The Resource Center through the Mental Health Association, recruited by use of convenience sampling. Data was collected through a researcher- developed 5-question survey utilizing face scales and open-ended questions. This survey, delivered once at the …

The Effect Of Music On Spiritual Well Being Among Hospice Patients, Mathai Abraham

Doctoral Dissertations and Projects

The life expectancy of a hospice patient is approximately six months or less. Hospice care is not for the cure of the disease. It is the care provided to the patients for the symptom management of the disease. Hospice care, known as end-of-life care, is very important for a comfortable and peaceful passage. Holistic care for the hospice patient is the goal of the hospice care plan. A hospice patient’s spiritual well-being can be maintained by spiritual support through a spiritual presence and spiritual conversation; all hospice care institutions' disciplines can provide adequate spiritual aid through their interaction with patients, …

Comparing The Effectiveness Of Mother-Focused Interventions To That Of Mother-Child Focused Interventions In Improving Maternal Postpartum Depression Outcomes: A Systematic Review, Divya Kumar, Waqas Hameed, Bilal Iqbal Avan

Community Health Sciences

Background: Most empirically researched interventions for postpartum depression (PPD) tend to target mothers' depression alone. Harmful effects of PPD on physical and mental health of both mother and child has led researchers to investigate the impact of interventions on PPD and child outcomes together. So far, the evidence is limited regarding how these interventions compare with those focusing only on mothers' depression. This review compares the effectiveness of PPD-improving interventions focusing only on mothers with those focusing on mother and child together.
Methods: Nine electronic databases were searched. Thirty-seven studies evaluating mother-focused (n = 30) and mother-child focused interventions (n …

An Analysis Of Sex Trafficking Support Services In Mental Health Care For Survivors, Darian Marie Alexandria Auge

Graduate Research Papers

This study is an examination of the current mental health care services for sex trafficking survivors. Sex trafficking is a growing epidemic in the United States and the need for mental health care for survivors is growing. This study examines the mental health disorders and consequences survivors face due to prolonged trauma. This study also examines current shortterm and long-term interventions that are suggested in the literature for care for sex trafficking survivors. Additionally, this study explores any current mental health treatments and programs and looks at any current resources available to sex trafficking survivors. This study examines options for …

Anna Magee’S Vision 100 Years Past 1923-2023!, Christopher Formal, John F. Ditunno Jr.

Department of Rehabilitation Medicine Faculty Papers

Anna Magee's vision of Magee Rehabilitation Hospital has been realized in three phases. The first spanned the writing of her will until groundbreaking of the new hospital. This was followed by the early years as an entirely independent institution. The third phase began with its association with Thomas Jefferson University, and continues to this day with integration into a complete system of patient care, education, and research. Magee owes its existence to the philanthropy of Anna Magee and it continues to fortify her legacy and fulfill her vision of an institution where patients whose acute illness has passed can receive …

S8 E3: Inclusive Impact With Andrea Piazza, Rebecca Hines, Lisa Dieker

Practical Access Transcripts

In today's episode, Drs. Lisa Dieker and Rebecca Hines have a conversation with Andrea Piazza. Andrea Piazza graduated from the University of Central Florida with a Master's Degree in Clinical Mental Health Counseling. She is passionate about working with underserved communities such as individuals with special needs, eating disorders, complex trauma, and members of the LBGTQIA+ community. Andrea has served as a substance use counselor and therapeutic movement practitioner for individuals with special needs, in addition to her experience as a psychotherapist in many settings throughout the Central Florida area. Andrea uses a combination of trauma-informed therapeutic and has dedicated …

Evaluating The Use Of Poetry To Reduce The Signs Of Depression, Anxiety, And Stress In Veterans, Misty Pearl Ely

Doctoral Dissertations and Projects

A veteran is anyone who has served on active duty in one of the five branches of the military, regardless of peacetime or combat exposure. Currently, veterans make up 2.2 million of our nation’s population and the rates of mental health concerns are continually on the rise due to the prolonged nature of Operations Enduring Freedom, Iraqi Freedom, and New Dawn. With the drawdown of forces, the military is smaller than usual and yet must maintain the safety and security of the world at the same standard. Therefore, these service members are recycled over and over to deployments abroad and …

Theatre As A Form Of Healing, Stephen Contreras

Undergraduate Honors Theses

This research project expands upon existing methods in the field of Psychodrama to enhance awareness and utilization of theatre as a form of healing. This topic is an important distinction, as we continue to implement the arts to be more applicable, and meaningful throughout society. Upon researching the foundation and upbringing of theatre, I discovered theatre has been used as a form of entertainment for centuries and is now emerging as a healing tool. By continuing to expand on ideas such as psychodrama and other methods that express the usefulness of the arts in an enlightening new point of view, …

A Phenomenological Study Of Trauma, Creativity, Resilience, And Artistic Inspiration, James William Teachenor Ii

Doctoral Dissertations and Projects

The purpose of this phenomenological study was to understand the perceived resilience of creativity derived from childhood trauma for professional creatives employed in the Nashville music industry. The theories guiding this study were Masten’s resiliency theory and Vygotsky’s theory of creativity as they informed the literature on my topic by understanding the link early childhood, especially trauma, had on creativity and the link trauma had on resilience and the life courses of individuals. The qualitative design of this study was hermeneutical phenomenology. The purposive sample consisted of 10 participants who qualified from a purposive sample pool of 117 occupational creatives …

The Effects Of Self-Compassion On Body Image In Pageant Contestants, Amanda Dolce Powers

Doctoral Dissertations and Projects

Self-compassion has been found to provide individuals with important tools for facing personal adversity and struggles. These strengths are increasingly beneficial to individuals faced with both internal and external criticism. Studies exploring these benefits for those in highly public and critiqued fields are limited. Pageantry has the ability to amplify such criticism, but research for the population is limited. A group of twenty female previous and current pageant contestants were recruited to explore the effects of self-compassion. This study will explore, in detail, the effects of self-compassion on personality and body image in this population. This study will utilize creative …

Utilizing The Behavioral System Model For Adolescent Depression In The School Setting, Megan Mcguiness

Theoretical Foundation in Advanced Practice Nursing

No abstract provided.

Use Of Behaviour Change Techniques By Direct Support Professionals To Support Healthy Lifestyle Behaviour For People With Moderate To Profound Intellectual Disabilities, Annelies Overwijk, Annette A.J. Van Der Putten, Cees P. Van Der Schans, Mariël Willems, Thessa I.M. Hilgenkamp, Aly Waninge

Physical Therapy Faculty Research

Background: Behaviour change techniques (BCTs) can be employed to support a healthy lifestyle for people with intellectual disabilities. The aim of this study is to determine whether and which BCTs are used by direct support professionals (DSPs) for supporting healthy lifestyle behaviour of people with moderate to profound intellectual disabilities. Method: Direct support professionals (n = 18) were observed in their daily work using audio-visual recordings. To code BCTs, the Coventry Aberdeen London Refined (CALO-RE-NL) taxonomy was employed. Results: Direct support professionals used 33 BCTs out of 42. The most used BCTs were as follows: ‘feedback on performance’, ‘instructions on …

Creative Exposure Intervention – Group Version For Social Anxiety: A Mixed Methods Replication Study, Michael Todd Trexler

Doctoral Dissertations and Projects

College counseling centers struggle to accommodate the number of students seeking mental health services today. For the last decade, the leading problem among college students has been anxiety, including social anxiety. Studies indicate that group counseling is a practical solution to address these concerns. This mixed methods replication study explored the use of the Creative Exposure Intervention – Group Version (CEI-GV) with social anxiety. The CEI-GV is a brief, integrative approach that incorporates art with anchoring skills, cognitive-behavioral interventions, and mindfulness with self-compassion. Descriptive statistics, a paired t test, and Moustakas’s methods were used to analyze the data in this …

Art Therapy In The Time Of Covid-19, Mallory Braus, Brenda Morton

Faculty Publications - College of Education

We are fighting two invisible enemies: COVID-19 and mental health challenges due to unmitigated stress and trauma as we follow directions to avoid the spread of the virus. To address the mental health challenges, art therapy is offered as a tool to support individuals during periods of isolation. Art therapy is a wonderful self-care activity that can benefit individuals throughout the life span.

Ethics Renewal: Moral Principles, Boundaries, Value Studies, And More!, Mercedes Ter Maat

Faculty Proceedings, Presentations, Speeches and Lectures

This presentation is intended to go beyond mandatory ethics to raise participants’ self-awareness to practice clinical mental health counseling. It fulfills 1 hour of ethics CEU requirements toward licensure renewal in a fun and interactive way. Participants will engage in active discussions and activities regarding personal beliefs and values, boundary dilemmas, moral principles, and ethical decision-making processes to promote client welfare. HIPAA, FERPA, and other key legislation will be discussed with emphasis on confidentiality.

Art Therapy For Trauma Survivors, Mercedes Ter Maat

Faculty Proceedings, Presentations, Speeches and Lectures

Interested in incorporating art-making into your clinical practice with trauma survivors? This presentation addresses the power of art in recalling the traumatic event and accessing trauma-related emotions in a non-threatening way. Learn how art assists trauma survivors in identifying, expressing, and containing emotions by engaging in a process that creates a safe distance from painful feelings while providing a concrete vehicle to explore potentially volatile emotions. Artwork will be shown to illustrate this process.

Perfectionism And The Eating Disorder: Harnessing One’S Desire For High Achievement While Quieting Their Inner Critic, Andrea Barbian-Shimberg

Faculty Publications and Presentations

Often with eating disorders, an underlying aspect of perfectionism is seen. While there are benefits of being a high achiever, it can be detrimental. This session will build upon the basic understanding of eating disorders and specific treatment strategies focused on the multidimensional constructs seen with perfectionism and disordered eating.

Digital Harassment: Online Threats To Counselor, Educator, Client, And Student Well-Being, David Brown, David Jones

Faculty Publications and Presentations

As digital threats become increasingly commonplace, the potential for harm also increases. Newer types of cyberbullying and digital harassment have the potential to negatively affect anyone at any time in any location. This presentation will identify emerging digital threats and their impact and discuss recommendations for prevention and intervention.

Re-Evaluating Learning Styles: Practical Implications For School Counselors, Vasti Holstun

Faculty Publications and Presentations

Recent research has found little evidence to justify the actual effectiveness of learning styles into the classrooms. To improve student academic success, school counselors need to provide evidence-based support. This presentation will consider different factors that impact student success while providing alternative practical skills that can be used to support students’ learning.

Building Hope In Students Affected By Adverse Childhood Experiences (Aces), Summer Kuba, Capri Brooks, Kristy Ford

Faculty Publications and Presentations

Adverse Childhood Experiences (ACEs) are experienced by many of our students throughout the country. Come learn about the prevalence of these unfortunate situations, what a trauma-sensitive school counseling program looks like, and how to instill a sense of action-oriented hope for students across the K-12 environment.

Playing Tag: Strategies To Help Close The Trauma Achievement Gap (Tag), Richard Albright

Faculty Publications and Presentations

This presentation will review research which reveals that students who have experienced trauma are particularly at-risk for poor school performance. The session will then review empirically supported interventions, which can be used by school counselors to support students developing the strength and resiliency to overcome their academic disadvantages