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Impact Of Traditional (Non-Affirming) Black Church Affiliation On Exploration Of Sexual Identity For Black Assigned Female At Birth Lgbq+ Individuals And The Associated Mental Health Risk, Aurielle J. Sutton

Doctoral Dissertations

This dissertation explored the impact of Black traditional church upbringing on the sexual and religious identity development, including the subsequent mental health risk, for Black assigned female at birth (AFAB) LGBQ+ individuals. Studies conducted on Black AFAB LGBQ+ individuals are limited, especially in terms of  assessing their experiences in sexual identity development based on religious upbringings. Studies have overlooked the experience of LGBQ+ Black AFAB individuals navigating sexual orientation development and religious and racial identities. Studies have greatly favored Black gay men and supported health risks such as HIV. In the present study, twelve Black AFAB Queer individuals participated in …

Childhood Emotional Maltreatment And Its Associations With Internalizing And Externalizing Symptoms In Emerging Adults, Amira C. Wallace

Undergraduate Theses and Capstone Projects

This study examines how childhood emotional maltreatment influences mental health symptoms among college students aged 18 to 25, specifically exploring its association with increased prevalence and severity of depression, anxiety, hyperactivity, and aggression symptoms in emerging adulthood. The relationship between childhood emotional maltreatment and internalizing and/or externalizing mental health symptoms will be assessed using questionnaires. This study aims to provide recommendations for the development of supportive and inclusive academic environments that facilitate informed conversations and interventions regarding childhood maltreatment. Findings could provide valuable information about students with histories of childhood maltreatment to academic institutions, which could in turn be used …

How Can Egypt’S Technical And Vocational Education System Be Adapted To Improve The Employability Of Autistic Youth And Adults?, Miriam A. Menkarious

Theses and Dissertations

This thesis provides original qualitative evidence on autism, employability, and TVET in an LMIC context, focusing on Egypt’s ongoing TVET reforms. The research investigated barriers and facilitators to employment for autistic youth and adults in Egypt, with a particular focus on technical and vocational education and training (TVET) as a potential pathway into work, and explored stakeholder perspectives on the potential, barriers, and conditions for adapting the Egyptian TVET system to improve their employability. Using the International Classification of Functioning, Disability, and Health (ICF) framework, this qualitative study relied on 20 semi-structured in-depth interviews with autistic youth and adults, parents …

Shadow Garments: Costume Creation For Integrating Alienated Parts Of The Self, Mega M. Galvin

Art Therapy | Master's Theses

This study explores costume creation as a narrative-based intervention for integrating "shadow" parts, or aspects of the self that are repressed or alienated due to shame, trauma, or social pressure. Grounded in Jungian analytic psychology, narrative therapy, and expressive arts theory, the research addresses the limitations of traditional talk therapy in accessing somatic memory and proposes costume making as a pathway for externalization and re-authorship. Using a qualitative, participatory study inspired by Pat B. Allen’s Open Studio Process, four adult participants engaged in a three-session workshop to design, construct, and wear costumes representing their identified shadow aspects. Data was collected …

Restorative Environments And Therapeutic Artmaking: A Strengths-Based Art Gallery Workshop To Enhance Well-Being In Emerging Adults, Jeannine Case

Art Therapy | Master's Theses

Emerging adults aged 18 to 29 face increased mental health risks yet encounter considerable barriers to traditional care, which highlights the need for accessible, preventive alternatives. This mixed-methods pilot study investigated whether an art gallery environment could serve as a supportive setting for a strengths-based, positive art therapy-informed wellness workshop aimed at promoting well-being for this population. Six participants between the ages of 20 and 27, all enrolled in post-secondary education, took part in this study. Five identified as female and one as male. Three participants (50%) identified as Hispanic/Latino, one as Asian, one as White, and one as Hispanic/Latino …

Breaking The Silence: Investigating The Impact Of Stigma On Help-Seeking Behaviors Among Adults With A History Of Adverse Childhood Experiences In Ghana, Deborah Amoako-Atta

West Chester University Graduate Theses, Dissertations, and Final Projects

In Ghana, cultural beliefs often silence open discussion about mental health. Many view emotional struggles as spiritual weakness, leading to stigma and avoidance of care. For adults who experienced Adverse Childhood Experiences (ACEs), this silence can worsen the long-term impact of trauma. While Western research links stigma to reduced help-seeking and shows that trauma knowledge can promote openness, little is known about how these relationships function within Ghana’s cultural context. This cross-sectional study examined how stigma and trauma knowledge influence help-seeking behaviors among 103 Ghanaian adults (ages 19-62, M = 30.0; 49% women) with childhood adversity histories. Participants completed anonymous …

Mental Well-Being Of Parents Who Have A Child With A Disability, Miracle Denae Adkins

Walden Dissertations and Doctoral Studies

Parents of children with developmental disabilities often experience elevated levels of stress and emotional burden associated with caregiving responsibilities, which can affect their mental health and overall well-being. The purpose of this generic qualitative study was to explore the perceptions, experiences, and decision-making processes of parents of children with developmental disabilities regarding the use of resources to support their own mental health. Data were collected through semistructured interviews, and data were analyzed using thematic analysis. The findings revealed that parents’ decisions to seek and use mental health resources were influenced by multiple factors, including accessibility and availability of services, financial …

Social Workers’ Experiences Navigating And Facilitating Advance Directives In Healthcare Settings, Shanice Kelley

Walden Dissertations and Doctoral Studies

Advance care planning and advance directives are essential to patient-centered healthcare; however, limited research has examined how social workers facilitate advance directive documentation in healthcare environments. The purpose of this generic qualitative study was to explore how social workers describe and navigate the facilitation of advance directive documentation, including medical power of attorney, living wills, and out-of-hospital do-not-resuscitate orders, within healthcare settings. Guided by ecological systems theory, this study examined how procedural, relational, and contextual factors across interacting systems influence social workers’ facilitation practices. Data were collected through semi structured one-on-one interviews with eight licensed social workers with direct experience …

Access And Utilization Of Counseling For People With Sexual Offense Histories, Darrell Antonio Jones Jr.

Walden Dissertations and Doctoral Studies

There is a gap in understanding the low rate of utilization of mental health support services among adult men and women with criminal sex offense histories, which worsened mental health challenges for this population. The purpose of this qualitative action research study was to explore human services professionals’ perceptions and recommendations about access and utilization of mental health counseling for formerly incarcerated adults with sexual offense histories. Grounded in the good lives model of offender rehabilitation, the research question was: How do human services professionals perceive access to and utilization of mental health, holistic, and wellness counseling for formerly incarcerated …

Perspectives Of Trauma Among Licensed Trauma Therapists: A Concept Mapping Study, Sean W. Bullock

Master's Theses

To address gaps between research and psychotherapeutic intervention for trauma and trauma-related issues, the current study elicited and analyzed the perspectives of licensed trauma therapists via a concept mapping process. A literature review was conducted to explore the history and limitations of trauma’s current medical use as outlined by Criterion A of posttraumatic stress disorder in the DSM-5-TR. To answer the research question regarding how practitioners understand trauma, the researcher recruited licensed trauma therapists (n = 17) to participate in concept mapping. Participants generated 126 unique statements, which they then sorted based on similarity and rated individually on importance. Hierarchical …

Quality Improvement Project: Improving Nurse Discharge Competency Through Standardized Education And Discharge Tools In An Inpatient Behavioral Health Hospital, Valina Williams

Doctor of Nursing Practice Projects

Inconsistent discharge education and variable use of structured discharge tools can affect the consistency of transitions from inpatient behavioral health care. The purpose of this Doctor of Nursing Practice quality improvement project was to improve nurse discharge competency by implementing standardized discharge education and reinforcing use of a structured discharge tool in a rural inpatient behavioral health hospital. A quantitative, quasi-experimental one-group pretest-posttest design was used over 12 weeks with 16 eligible registered and licensed practical nurses. Organizational readiness was assessed at baseline, and nurse self-efficacy was measured before and after implementation. Discharge-tool adherence and 30-day readmissions were also evaluated. …

Staff Education To Improve 7-Day Post-Discharge Psychiatric Follow-Up, Michael Curtis Kwashie

Walden Dissertations and Doctoral Studies

Too many psychiatric patients leave the hospital without a follow-up appointment, a gap that may cost lives. Research has consistently shown that the days immediately after discharge from psychiatric inpatient or emergency care are among the most dangerous in a patient’s trajectory, marked by elevated suicide risk, relapse, and avoidable readmission. Yet, across behavioral health settings, completion of outpatient follow-up within 7 days of discharge remains inconsistent; typically, standardized processes are often missing. This doctoral project in staff education was created to fill that gap and examined whether implementing a standardized discharge transition protocol, supported by targeted, interdisciplinary staff education, …

Clinicians’ Perceptions Of Mental Health Care Access For Middle-Aged, Black Women Post-Sexual Assault, Monica Latrice Bolton

Walden Dissertations and Doctoral Studies

No abstract provided.

Human Service Professionals’ Support And Practice-Informed Strategies For Uninsured And Underinsured Adults Needing Mental Health-Related Services In Brazoria County, Texas, Henry Palacios

Walden Dissertations and Doctoral Studies

Access to mental health-related services has remained a significant human services concern for uninsured and underinsured adults in Brazoria County, Texas, where financial, transportation, provider-capacity, and service-coordination barriers affected access and continuity of care. The purpose of this qualitative modified action research study was to explore how human service professionals supported uninsured and underinsured adults needing mental health-related services and to identify practice-informed strategies to improve access, coordination, and continuity of care. Lewin’s change theory provided the theoretical framework. The research question explored how human service professionals supported this population and identified strategies to strengthen access, coordination, and continuity of …

Enhancing Housing Stability Among Homeless Lgbtq+ Youth, Chaunita Lotoya Johnson

Walden Dissertations and Doctoral Studies

Studies on LGBTQ+ youth homelessness, specifically concerning causes, health outcomes, and barriers to access, have garnered increased attention from social scientists in human services. Applying Ecker’s work, this study addressed how intersectionality impacts homelessness among LGBTQ+ youth, highlighting disparities related to race, poverty, and identified gender. This study also explored the question of whether family rejection is a significant cause of housing insecurity among LGBTQ+ youth. The methodology featured collaboration with service providers and generating recommendations informed by empirical research and professional practices. A semi-structured interview protocol was used to collect data for this study, ensuring comprehensive findings while providing …

Debt And Quality Of Life Among Older Adults After Retirement, Josephine Morrow Seegars

Walden Dissertations and Doctoral Studies

Understanding debt and the quality of life in older adults after retirement is an important area of concern. Many older adults are forced by escalating debt to reduce spending on essential needs, such as health care, nutrition, and housing, and their physical and mental health is thereby directly compromised. These essential needs represent core social determinants of health, and their erosion under financial strain can have effects on older adults' overall well-being. The purpose of this generic qualitative study was to explore the experiences and perceptions of human services practitioners who were actively assisting older adults struggling with debt in …

Exploring Former Foster Parents’ Perspectives On The Resignation Process And Returning To Foster Care, David Michael Wermuth

Walden Dissertations and Doctoral Studies

The foster care system faces a persistent challenge in retaining foster parents, resulting in adverse outcomes for foster children. The literature identifies multiple reasons for foster parent attrition (e.g., foster agency dissatisfaction, life changes, and lack of resources and support). This study explored former foster parents’ narratives of exiting foster care. I illuminated how foster care agencies treat foster parents who exit the system and how this affects their attitude about the foster care system. General systems theory (GST) was used to guide the analysis. The research design was basic qualitative, and purposive and snowball sampling were used to recruit …

Practitioners’ Perceptions: Evidence-Based Practices And Evidence-Based Interventions To Reduce Burnout In Third-Sector Organizations, Elizabeth Riley

Walden Dissertations and Doctoral Studies

Third-sector organizations (TSOs) face challenges providing effective evidence in reducing stress and burnout for human services professionals (HSPs) to remain in the field. Burnout is a social phenomenon that has received much attention in the helping professions for the past 50 years, due to the nature of the work that HSPs perform. Researchers have confirmed that HSPs are at critical risk of burnout, which affects not only their health and work performance, but also their delivery of service. Current literature lacks studies on what supports HSPs’ need in TSOs to reduce their stress and burnout to remain in the field. …

Understanding The Unequal Access Of Social Services Programs From The Perspectives Of Single African American Fathers, Bobby Alexander Evans

Walden Dissertations and Doctoral Studies

Understanding the Unequal Access of Social Services Programs from the Perspectives of Single African American Fathers by Bobby A. Evans MBA, Strayer University, 2013 BA, University of Maryland at Baltimore County, 1993 Dissertation Submitted in Partial Fulfillment of the Requirements for the Degree of Doctor of Philosophy Human and Social Services Program Walden University August 2026

Protective Factors Among African American Offspring Of Teen Parents, Janelle Ewing

Walden Dissertations and Doctoral Studies

Adolescent pregnancy remains a major public health and social issue, but research has primarily focused on risk factors and not the protective factors that contribute to resilience among those who successfully break the cycle. This qualitative study explored protective factors that African American adult offspring of teenage parents identified as supporting them in avoiding teenage pregnancy and parenthood. The study was theoretically grounded in Bronfenbrenner’s ecological systems theory, which was used to explore the role of influence across environmental systems in participants’ developmental outcomes. The primary research question was “How do African American adult offspring of teenage parents describe the …

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 …

Examining The Impact Of Social Support On Academic Self-Efficacy In Black Doctoral Students In Psychology, Asia A. Hall

Dissertations

This study examined the relationship between perceived social support and academic self-efficacy, or academic confidence, among Black doctoral students in psychology programs at predominantly White institutions (PWIs). Grounded in self-efficacy theory, the study was designed to explore whether perceived social support was associated with and predictive of students’ academic confidence. A quantitative, cross-sectional design was used, and data were collected using adapted versions of the Multidimensional Scale of Perceived Social Support (MSPSS) and the Academic Self-Efficacy (ASE) scale. The sample consisted of 60 Black doctoral students enrolled in psychology programs at PWIs across the United States. Descriptive statistics indicated the …

New York City Women’S Experiences With Perinatal Depression Inquiries, Diagnosis, And Treatment Initiation, Caterina Pisciotta

Dissertations, Theses, and Capstone Projects

Perinatal depression represents a significant public health concern, yet many women who experience depression symptoms during the perinatal period (either during pregnancy and/or after birth) do not receive treatment. Initiatives, such as ThriveNYC, were designed to address these gaps by screening and treating perinatal women for maternal depression, integrating screening into routine perinatal care and strengthening pathways to treatment. Using representative survey data collected between 2016 and 2021 via the Center for Disease Control and Prevention’s Pregnancy Risk Assessment Monitoring System (PRAMS), this study examined trends in perinatal depression inquiries (a proxy for “screening”) and postpartum diagnosis, as well as …

The Low Participation Of Women In The Truck Driving Industry, Aurora Floodine

Electronic Theses and Dissertations

Women remain underrepresented in the United States trucking industry, particularly in leadership roles, despite ongoing efforts to increase workforce diversity and address persistent driver shortages. This qualitative phenomenological study explored the lived experiences of female trucking professionals who began their careers as truck drivers and later advanced into leadership positions. The study examined the strategies that facilitated women’s progression into leadership and the systemic barriers that may limit their advancement within the trucking industry. Semistructured interviews were conducted with 11 female trucking professionals, and the resulting data were analyzed using thematic analysis. Six themes emerged from the findings: (a) independence, …

Genomic Based Environmental Health Assessment: Vieques, Puerto Rico, Valeria Hernandez Talavera

Graduate Doctoral Dissertations

From 1941 to 2003, the United States Navy and North Atlantic Treaty Organization (NATO) used Vieques, Puerto Rico, for military training, which led to long-term pollution from metals, organic chemicals, explosives, and per- and polyfluoroalkyl substances (PFAS). While earlier research found these contaminants in the environment and in living organisms, their combined effects on local ecosystems remain poorly understood.

This dissertation used a Genomic-Based Environmental Health Assessment (GEHA) framework to study the ecological risks from past military pollution in Vieques. The approach combined sediment toxicity tests, chemical analysis, gene expression studies, microbial community analysis, and community-based research. The four main …

U.S. Rural And Frontier Stakeholders’ Use Of Storytelling To Advocate For Competency Development, Aliza Ruby Quinlan

Walden Dissertations and Doctoral Studies

Although rural advocacy is widely recognized as important to community change, the experiences of rural and frontier advocates, particularly in regard to their use of storytelling to support skill acquisition, relational trust, and asset-focused advocacy competencies, have been understudied. The purpose of this constructivist grounded theory qualitative study was to understand how rural and frontier community advocates describe their experiences and how sharing lived experiences may inform advocacy competency development. Semistructured interviews were conducted with nine advocates across the Pacific Northwest region of the United States, including caregivers, health care professionals, educators, nonprofit leaders, and individuals with lived experience working …

Cultural Responsiveness: Examining Assessments Of Therapists For Ethical And Clinical Outcomes (Create Clout), Tsotso T. Ablorh

Graduate Doctoral Dissertations

The Multicultural Counseling Competencies (MCC) and Multicultural and Social Justice Counseling Competencies (MSJCC) are well-researched and supported counseling practices for decreasing microaggressions in therapy and consequent attrition, lack of satisfaction, and maltreatment (Ratts et al., 2016; Sue et al., 1982). However, scholars critique existing methods for measuring therapists’ cultural responsiveness for being disconnected from therapeutic process and outcomes (Hays, 2020; Wilcox et al., 2020). This study examined which MSJCC measures associated with variables clinically and ethically relevant to better treatment outcomes and lower microaggressive, neglectful, and stereotypical treatment for hypothetical Black, female clients by White therapists. 62 White psychologists in …

The Negotiated Identities Of Refugee-Background Women During Resettlement, Iuliia Fakhrutdinova

Graduate Doctoral Dissertations

Refugee-background women experience unique challenges while resettling in the U.S. as they navigate complicated transnational gender roles, education gaps, migration trauma, learning a new language, and literacy in the adaptation process during resettlement, which can derail the productive paths they are on. Therefore, ignoring refugee-background women’s unique experiences and failing to understand their identities prevents our society from doing social justice and creating a space for a smooth adaptation to the new context. Language plays a paramount role in identity formation, as it moves away from the belief that identity is an essential concept. For refugee-background women during resettlement, their …

Resilience Ain’T Free: Surviving And Resisting While Navigating Well-Being As Black School Social Workers In California’S Bay Area, Ashley Lynnette Bonton

Doctoral Dissertations

The well-being of school-based mental health professionals is critical to the functioning of educational systems, yet the experiences of Black school social workers remain largely absent from existing research. Black school social workers often navigate complex professional demands while also confronting racialized expectations, systemic inequities, and emotional labor within predominantly white educational institutions. This qualitative study examines how Black school social workers in the San Francisco Bay Area navigate their personal and professional well-being within these conditions. Guided by Ecological Systems Theory and Critical Race Theory, this study explores how multiple environmental contexts and racialized institutional dynamics shape their experiences. …

“When I’M Not Heard, I Feel Like I Don’T Matter”: Advancing Equity In Disability Policy Through Critical Participatory Action Research With People With Intellectual Disability, Cris Marchionne

Student Theses

People with intellectual disability deserve a system that offers flexible, timely, and person-centered support — one that is innovative, sustainable, and holistic in enabling them to live fulfilling lives. This qualitative study, grounded in Critical Participatory Action Research (CPAR), examines how people with intellectual disability experience participation in decision-making within New York State's disability service system. By centering lived experience, the study identifies factors that facilitate or hinder participation in decision-making and examines structural, social, and policy-related barriers that limit agency. Through six focus groups and a Photovoice project with self-advocates receiving OPWDD services, participants described systemic barriers that limited …