Digital Commons Network^™

Clinical Supervision In Local County Jails: The Descriptive Experiences Of Mental Health Supervisors, Vanessa Qualls

Walden Dissertations and Doctoral Studies

The overrepresentation in correctional settings of persons who are seriously mentally ill and/or challenged with addiction has necessitated the presence of qualified mental health professionals. Implementation of quality mental health treatment in correctional settings has been met with various barriers, such as limited resources, physical space constraints, and safety concerns. While these barriers are present in most correctional settings, jails are more likely to encounter individuals who are experiencing acute symptoms related to mental illness and addiction, aggression, and crisis. Mental health counselors make up a significant portion of the mental health workforce in jail settings and may assume clinical …

Student Study Teams For Child Find: Identifying Barriers In A Rural School District, Malynda Ivory

All Graduate Reports and Creative Projects, Fall 2023 to Present

This project explores the challenges associated with the teacher referral process for students at risk of academic and behavior difficulties in a rural school. The Student Study Team (SST) plays an important role in identifying and supporting students; yet, teacher engagement with the referral process is inconsistent in my K-4 school. Teacher participation in our school is low.  Referrals mostly occur after parent-teacher conferences, and teacher participation in the lower grades (K-2) is noticeably lower than referrals from our 3^rd and 4^th grade teachers. Many factors, including limited understanding of the SST’s purpose, time constraints, and perceived effectiveness …

Implementing Functional Communication Training Through Paraprofessional Preparation In A Self-Contained Elementary Special Education Classroom, Cece Afatasi

All Graduate Reports and Creative Projects, Fall 2023 to Present

Students with significant cognitive disabilities often experience difficulty communicating their wants, needs, and emotions. When students are unable to communicate effectively, they may rely on challenging behaviors such as aggression or self-injurious behavior to meet their needs. Because paraprofessionals provide much of the daily instructional and behavioral support in self-contained special education classrooms, they play a critical role in implementing evidence-based communication interventions.

The purpose of this professional portfolio was to explore the implementation of Functional Communication Training (FCT) through two related projects. The first focused on preparing paraprofessionals to implement FCT using Behavioral Skills Training (BST), while the second …

Music And Middle School Mathematics, Cheryl L. Hawkins

All Graduate Reports and Creative Projects, Fall 2023 to Present

The purpose of this project was to see if music playing in the background while learning essential mathematics skills would make a difference in the learning process of middle school students. For nine weeks I collected data on the scores of the special education students relearning skills they had been previously taught in a general education mathematics class. The students took a baseline assessment, then had 30-40 minutes of instruction spread across two days. They then took another assessment to see what the change was. During the lessons and assessments there was one of three conditions happening, one was silence, …

Evolving Roles: School Counselors Addressing Mental Health In Pk-12 Education, Evin Daines

All Graduate Theses and Dissertations, Fall 2023 to Present

A significant number of children and youth are currently experiencing poor mental health. School counselors work with all students and are in a position to provide support to students experiencing mental health challenges. School counselors can also identify what may hinder children and youth from accessing mental health resources in their communities. This study explores how many school counselors engage in mental health counseling, how school counselors view their roles in addressing student mental health, and what barriers they perceive as keeping children and youth from accessing mental health and behavior services.

Comparing Error Correction Strategies In Discrete Trial Training For Children With Autism, Rachael Litchford

All Graduate Theses and Dissertations, Fall 2023 to Present

Children diagnosed with Autism Spectrum Disorder (ASD) often require structured, evidence-based teaching methods to promote skill acquisition. Discrete Trial Training (DTT) is one such approach widely used in Applied Behavior Analysis (ABA) to teach skills through repeated learning opportunities. However, limited research has compared the efficiency of specific error correction procedures within DTT. This study examined the comparative effectiveness of two error correction strategies, Active Student Response (ASR) and Model-Only, when acquiring tacting skills for children ages 2-10 with ASD. An alternating treatments design (ATD) was used to evaluate each strategy’s impact on skill acquisition, as measured by the percentage …

Using A Prerequisite Skills Assessment To Identify Effective Communication Modalities For Mand Training, Christine White

All Graduate Theses and Dissertations, Fall 2023 to Present

Many children with Autism Spectrum Disorder (ASD) need support to learn how to communicate their wants and needs. This study examined three different ways to teach children to request preferred items or activities: using sign language, exchanging pictures, and speaking. We compared how three children learned each communication method to determine whether their existing skills influenced which method was most effective. No clear relationship was found between children's existing abilities and how well they learned each communication method. These findings suggest that selecting the most effective communication approach may require considering each child's individual strengths and learning history rather than …

Asynchronous Intervention For Students With Disabilities On Career Awareness, Erica Rood

All Graduate Theses and Dissertations, Fall 2023 to Present

Historically, students with disabilities have fewer opportunities to prepare for post-high school life, and this is especially true when it comes to getting a job. This is also true for those students with complex support needs (i.e., autism spectrum disorder, intellectual disability, other health impairment). One way to help individuals with disabilities have greater success after high school is to teach them about different careers.

This study was for high school students with disabilities who have complex support needs. It focused on helping them learn about different careers through online modules. The study looked at whether this type of learning …

A Comparison Of The Effectiveness Of Teacher-Led And Student-Supported Variations Of The Good Behavior Game, Patrick Wells

All Graduate Theses and Dissertations, Fall 2023 to Present

This project examined the effectiveness of two variations of the Good Behavior Game (GBG) intervention: the traditional teacher-led and a student-supported variation. The traditional intervention has been shown to be an effective intervention for reducing disruptive classroom behaviors. Despite its effectiveness, proper implementation does require additional effort from the teacher—effort that may better be directed toward improving instruction. A student-supported variation of the intervention has the potential to reduce the effort required of teachers who wish to implement the intervention in their classroom. We utilized a nonconcurrent, multiple baseline design with alternating treatment to compare the effectiveness of both versions …

Improving Teacher Adherence To Greeting And Attendance Routines Through Performance And Graphed Feedback, Caitlin Huppi

All Graduate Theses and Dissertations, Fall 2023 to Present

Schools establish expectations for teachers to create safe, organized, and welcoming environments, but teachers may not consistently follow these expectations throughout the school year. This study examined whether brief feedback could help four high school teachers more consistently greet students and scan IDs for attendance during passing periods. Teachers received graphs showing their performance and brief weekly feedback. All four teachers increased greeting behavior, and three increased attendance scanning. Teachers also rated the intervention as acceptable, feasible, and helpful. These findings suggest that brief feedback may be a practical way for school leaders to support consistent teacher implementation of school-wide …

The Use Of A Novel Decision Making Tool To Support Educators' Use Of Classroom Management Practices, Emma C. Preston

All Graduate Theses and Dissertations, Fall 2023 to Present

We examined the impacts of a novel classroom management evaluation tool that includes a decision-making feature to involve teachers in the selection of a strategy to improve their utilization of classroom management strategies titled the Behavioral Observation and Teacher Support System (BOTSS). We evaluated teacher praise-to-corrective statement ratios and teacher opportunities to respond, as well as student disruptive behavior and teacher social validity. We found that two independent observers scored teacher behavior similarly using the BOTSS, and that the BOTSS process produced moderate effects on teacher behavior. We did not observe an impact on student disruptive behavior. Teachers reported positively …

Perceptions Of Situational Leadership Styles On The Behavioral Intervention Skills Of General Educators, Kendall Jordan Baethge

Electronic Theses and Dissertations

The researcher conducted the following study to describe the lived experiences and perceptions of general educators employed in a rural, central Texas school district. The study specifically inquired about the perceptions of leadership styles and strategies to successful behavior intervention strategies for inclusive general education classrooms. The problem addressed within the study was the growing diversity in general education classrooms ensuring inclusive opportunities to students with disabilities who exhibit challenging behaviors. The purpose of the study was to better understand those leadership styles currently being used and styles that are most appropriate to develop perceived self-efficacy and proficiency in behavior …

Care Without Barriers: Dei And Cultural Competency In Athletic Training Education Programs, Sydney Hotz

Graduate Theses, Dissertations, and Capstones

In the field of athletic training, cultural competency is a topic that is highly under-researched. Athletic trainers (ATs) are healthcare professionals who provide care in a variety of settings, including secondary schools, where their patient population often includes student-athletes experiencing adverse social determinants of health and barriers to healthcare access. Only since 2022 has the governing body of athletic training education mandated that programs include cultural competency and DEI education in their programs, and to this day does not require programs to report adherence and methods of implementation. A quantitative, cross-sectional analysis was conducted to assess the relationship between cultural …

Dissertation: Exploring Asian Mental Health Counselors’ Views Of Their Education After Studying Abroad, Linda Ai Kuramoto

Walden Dissertations and Doctoral Studies

No abstract provided.

Unbottling The Truth: A Study Of Alcohol Rehabilitation Access And Outcomes In Kentucky, Kendall Pierce

Honors Theses

Alcohol use disorder (AUD) remains a significant public health concern in the United States, with disproportionately higher rates in Kentucky. Despite the availability of various treatment modalities, barriers to access and perceptions of treatment effectiveness continue to influence recovery outcomes. This study examines the accessibility and perceived success of alcohol rehabilitation programs in Kentucky through qualitative focus groups with individuals with lived experience of AUD (n = 9). Using an inductive thematic analysis approach, four major themes were identified: individual readiness for recovery, social support and resource navigation, structural barriers within the treatment system, and perceived characteristics of …

Examining Professional Self-Doubt And Professional Quality Of Life Among Licensed Professional Counselors In Texas, Celia A. Ramos

Theses and Dissertations

Licensed Professional Counselors (LPCs) in Texas frequently navigate emotionally demanding work, including high caseloads, complex client needs, and sustained exposure to client distress. Over time, these professional demands can contribute to stress, emotional fatigue, and job strain, increasing vulnerability to burnout and reducing professional quality of life (Bardhoshi & Um, 2021; Maor & Hemi, 2021; McCarthy et al., 2010; Thompson et al., 2014). This quantitative research study examined the professional quality of life of LPCs in Texas using the Professional Quality of Life Scale (ProQOL) based on gender, ethnicity, age, licensure type, years of experience, does work setting induce compassion …

The Phoenix Project: A Self-Regulation Approach To Improving Credit Recovery Outcomes, Janice Smith

All Graduate Reports and Creative Projects, Fall 2023 to Present

Graduation from high school is a critical milestone that leads to better job opportunities, higher education, and a lifetime of economic stability, which is why improving graduation rates is a critically important focus. However, many students who attend alternative schools face significant barriers to graduation, including inconsistent attendance, academic deficits, and personal challenges. The purpose of this creative project is to develop a self-determination intervention to support students when working on credit recovery. This creative project includes (1) a description of relevant research used to inform this project, (2) a description of the intervention and how it worked for students, …

Check-In/Check-Out Implementation Across Grade Levels For Improving Unexcused Absences In A High School Setting, Otis C. Bitsuie

All Graduate Reports and Creative Projects, Fall 2023 to Present

Chronic absenteeism may contribute to declining graduation rates for many students with disabilities. Students with disabilities face challenges with academic and emotional behaviors. Chronic absenteeism causes students to fall behind with classroom materials, and they are unable to utilize instructional supports, emotional supports, or assistance with transitions. Students with disabilities who miss class often tend to drop out of school, which leads to difficulties with navigating post-high school life. Students who do not obtain a school diploma often experience high unemployment rates, homelessness, and incarceration. Students facing chronic absenteeism need interventions that will improve problem behaviors amongst students. I will …

Designing Effective Writing Instruction For Learners With Complex Support Needs, Makayla Lyn Norton

Undergraduate Honors Capstone Projects

Writing is a composite skill that is a prerequisite to academic, social, and employment success. Only 5% of students with disabilities demonstrated proficiency in writing in the 2010 National Assessment of Education Progress. Effective writing interventions for learners with Complex Support Needs (CSN) are limited. This Honors Capstone focused on designing an effective writing curriculum for this population of students. The developed curriculum was designed to incorporate explicit systematic instruction to reach behavioral fluency in writing simple sentences the describe a series of images. The final project includes a literature review on effective writing instruction for students with (CSN), a …

Effects Of Training And Self-Monitoring On Paraeducators' Use Of Behavior Specific Praise, Camille J. Lopez

All Graduate Theses and Dissertations, Fall 2023 to Present

Paraeducators support students with disabilities in special education classrooms but often receive limited training in effective behavior support strategies. This study examined whether training combined with self-monitoring increased paraeducators’ use of positive, specific praise and reduced the use of reprimands during instruction. Paraeducators were trained to use and track their own praise while working with students. Results showed increased use of positive praise and decreased reprimands following the intervention. These findings suggest that brief, low-cost training and self-monitoring can improve paraeducator instructional practices and support positive classroom environments for students with disabilities.

Enhancing Evidence-Based Practice Decision-Making Among Practitioners In Adult Disability Service Settings, Aubrey Vance

All Graduate Theses and Dissertations, Fall 2023 to Present

Board Certified Behavior Analysts (BCBA®s) working in adult disability services often face challenges such as high caseloads, limited oversight, and restricted resources, which can make it difficult to use individualized, research-supported interventions. Although evidence-based practice (EBP) is central to applied behavior analysis, many practitioners receive little training on how to integrate research evidence, client values, and clinical judgment into their decision-making. This study examined whether BCBAs could be effectively trained to use a structured decision-making framework based on the EBP model by Slocum et al. (2014). Using a multiple baseline design, we evaluated the effects of Behavioral Skills Training (BST) …

Decreasing Inappropriate Student Behavior Using Interdependent Group Contingency: Students With Intellectual Disabilities, Shelby Craig

All Graduate Theses and Dissertations, Fall 2023 to Present

Students with intellectual disabilities have the right to participate in the same educational activities as their peers while receiving appropriate supports. Many schools implement Positive Behavior Interventions and Supports (PBIS) to promote appropriate behavior through structured reinforcement systems, including group contingencies. This study examined the effectiveness of a group contingency intervention, the Caterpillar Game, in reducing inappropriate behaviors among six students with intellectual disabilities. Results indicated a consistent decrease in inappropriate behaviors following implementation of the intervention.

The Physiology Of The Work: Chronic Stress, Allostatic Load, And Faculty Wellness In Counselor Education, Ajayla S. Evins

Counseling & Human Services Theses & Dissertations

Counselor educators embody multifaceted professional roles across teaching, supervision, research, leadership, and service, exerting a profound influence on the formation of counselors and the ongoing development of the profession (CACREP, 2024; Calley & Hawley, 2008). While wellness is recognized as a core professional value in counseling (ACA, 2014), research has focused almost exclusively on emotional and psychological dimensions, leaving the physiological consequences of chronic stress largely underexplored (Bovee, 2024; Faheem et al., 2025; Lewis et al., 2022). In neighboring fields, such as public health and medicine, chronic stress has been linked to dysregulation in cardiovascular, neuroendocrine, immune inflammatory, and metabolic …

Engaging Clinical Teams Through Leadership, Workplace Culture, And Job Satisfaction, Garidanielle Matsey

Walden Dissertations and Doctoral Studies

Current literature does not adequately address the factors that lead to and prevent burnout and poor work performance among inexperienced clinicians and clinical supervisors working in group private practice. Exploring supervision experiences, specifically leadership style, employee engagement, and internal communication, may provide insight into the experiences of novice mental health professionals and their supervisors in addressing burnout and enhancing work performance. Through a qualitative single-case study design informed by interpretative phenomenological principles, data were collected in semistructured interviews with five behavioral health leaders from a two-location group private practice who hold dual roles as clinicians and supervisors. The interview data …

College Students' Barriers To Mental Health Support Services: A Practitioner's Perspective, Rebecca C. Johnson

Dissertations, Theses, and Projects

The purpose of this study was to identify barriers to accessing mental health support for college students from the perspective of college faculty counselors. In 2022, research indicated that over 60% of college students met the criteria for one or more mental health conditions (Lipson et al., 2022), though data published in the same year revealed that practitioners employed at colleges and universities are only supporting an average of 12.2% of the student population (Bruns et al., 2023). While college counseling centers have reported increasing usage rates, there remains a gap in the number of students utilizing services versus those …

Relational Efficacy Beliefs In Supervision Of Master’S Level Counseling Trainees As Predictors Of Counseling Interests And Goals, Taylor Karnilaw

Electronic Theses & Dissertations (2024 - present)

Master's level counseling trainees have condensed training periods before making career-related decisions and are often placed in settings with high rates of burnout and turnover. Supervision has been shown to be a protective factor for burnout and has the potential to be a source of self-efficacy, which has been linked with career-related outcomes like occupational interests and goals (Lent et al., 2018; O’Connor et al., 2018). Moreover, within the context of close relationships, like supervision, efficacy beliefs are believed to be shaped by a network of beliefs, including relation-inferred self-efficacy, self-efficacy, and other-efficacy (Lent & Lopez, 2002). The current study …

Instructional Systems Design In Lesson Planning For Substance Use Treatment Groups: A Mixed Methods Exploratory Study, Michelle Robin Gould

Theses and Dissertations

This study explored lesson planning for substance use disorder (SUD) treatment groups, investigating the presence of components from the ADDIE (Analysis, Design, Development, Implementation, Evaluation) instructional systems design (ISD) process in routine facilitator lesson planning practices. Using an exploratory mixed-methods convergent parallel design, data were collected via an online survey featuring closed- and open-ended questions regarding self-reported planning activities and perceived effectiveness. Quantitative analysis confirmed that SUD facilitators perform tasks associated with all five ADDIE phases. Qualitative findings showed that facilitators perceive themselves as effective planners despite logistical and organizational constraints. However, facilitators do not appear to conceptually link instructional …

Evaluation And Identification Of Risk Factors For Stress Among Maquiladora Workers Based On The Mexican Official Standard 035 Survey Tool, Andrea Baca Melendez

Open Access Theses & Dissertations

Background and significance: Occupational psychosocial risk factors are workplace conditions that can trigger physiological, emotional, cognitive, and behavioral changes. They are strongly associated with mental health issues such as anxiety and depression, as well as non-mental health conditions like myocardial infarction, stroke, and occupational injuries. Analyzing these risks from a sociodemographic perspective provides valuable insights for improving work environments and workers’ well-being. Purpose: This study aimed to identify and determine the levels of occupational psychosocial risk factors among workers in a manufacturing company in Cd. Juárez, Chihuahua, and to examine their relationship with sociodemographic variables to inform future interventions in …

An Evaluation Of Virtual Reality Modeling To Improve Accuracy Of Physical Education Skills In Teenage Students With Disabilities, Kristen Lee

All Graduate Theses and Dissertations, Fall 2023 to Present

Virtual Reality (VR) technology is becoming more common in schools, especially for teaching and training. In this study, researchers explored how VR can help teenagers with disabilities improve their physical education skills, specifically push-ups, lunges, and jumping jacks. The participants all showed an increase in their skills and reached a high level of accuracy on every skill. The results showed that adding feedback was also necessary for some participants. Additionally, participants enjoyed using the VR equipment and showed high levels of happiness throughout the study. These findings suggested that using VR technology can be an effective way to support teenagers …

Hispanic Academic Leadership In The Health And Human Services, Gabriela Elizabeth Rangel

Theses and Dissertations

In the United States, there are 63.7 million Hispanics (U.S. Census Bureau, 2023), making them the largest racial or ethnic minority in the country. National data from 2019 indicates that only 6% of tenured faculty in the U.S. were Hispanic, highlighting a significant underrepresentation of leaders in academia (NCES, 2024). This study employed a phenomenological approach with purposeful sampling, utilizing semi-structured interviews with ten participants who had leadership experience in academia within Health and Human Services (H&HS). The interviews served to explore various aspects, such as what were their aspirations to become leaders, their perceptions of the characteristics and qualities …