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2021

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Staff Education Program On Smoking Cessation In Patients With Cardiovascular Disease, Jennifer Shipp Jan 2021

Staff Education Program On Smoking Cessation In Patients With Cardiovascular Disease, Jennifer Shipp

Walden Dissertations and Doctoral Studies

Cigarette smoking in the United States constitutes a public health crisis, with millions of people having cigarette-related diseases and comorbidities. Although there is an increased prevalence of uncontrolled smoking among patients with cardiovascular diseases, many healthcare facilities, including the project site, lack adequate screening for tobacco use among cardiovascular patients. The 5As (asking, advising, assessing, assisting, and arranging) model of behavioral change provided the framework for the project. The practice-focused question for this project addressed whether a staff education program specifically designed to instruct healthcare providers on using the 5As intervention with cardiovascular patients would increase their knowledge of smoking …

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Leadership Strategies Of Successful Women-Owned Businesses In Cameroon, Henry Ntoko Ajieh Jan 2021

Leadership Strategies Of Successful Women-Owned Businesses In Cameroon, Henry Ntoko Ajieh

Walden Dissertations and Doctoral Studies

Lack of leadership skills in women-led businesses can result in high business failure rates. Women business owners who do not know how to improve their leadership skills could face difficulties succeeding in business. Grounded in the transformational leadership theory, the purpose of this multiple case study was to explore strategies that women business owners in the events planning business use to improve leadership skills to succeed in business beyond 5 years. The participants included five women in the events planning business in Cameroon, Central Africa, who successfully developed strategies to improve leadership skills to succeed in business beyond 5 years. …

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Reluctance To Seek Mental Health Treatment Among African Americans Living In Generational Poverty, Myisha Boulware Jan 2021

Reluctance To Seek Mental Health Treatment Among African Americans Living In Generational Poverty, Myisha Boulware

Walden Dissertations and Doctoral Studies

African Americans are 20% more likely to experience mental health issues but are the least likely group to seek professional mental health treatment. In addition, African Americans are more likely to experience severe mental health conditions than other races due to a greater risk of homelessness and being exposed to violence. This research study used a phenomenological qualitative methodology to explore the attitudes and lived experiences of 10 African Americans living in generational poverty in inner-city Chicago. The participants provide detailed accounts of their lived experiences with generational poverty, mental health, and the attitudes their family lineage had shared with …

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Strategies For Implementing A Successful Customer Relationship Management System, Samuel Adebayo Jan 2021

Strategies For Implementing A Successful Customer Relationship Management System, Samuel Adebayo

Walden Dissertations and Doctoral Studies

Customer relationship management (CRM) software implementation fails in thepackaging industry because of ineffective CRM implementation strategies. Effective strategies for CRM software implementation are essential to CRM managers for improving CRM project success rates. Grounded in Kano’s customer satisfaction theory, the purpose of this qualitative multiple case study was to explore the strategies CRM managers in the packaging industry used to operate a profitable business. Data were collected through semi-structured interviews and documents of CRM strategies. Participants were four CRM managers located in Illinois who had a minimum of 10 years of successfully managing CRM systems with high success rates. Data …

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Parents’ Decision Making And Uptake Of Human Papillomavirus Vaccination Among Adolescent Males, Franklyn Penn Jan 2021

Parents’ Decision Making And Uptake Of Human Papillomavirus Vaccination Among Adolescent Males, Franklyn Penn

Walden Dissertations and Doctoral Studies

Human papillomavirus (HPV) infections account for most oropharyngeal, anal, and penile cancers among men. Two vaccines have been recommended for boys 11 years of age or older to prevent HPV infection, but HPV vaccination rates are far below the Healthy People 2030 target goal. Some research indicates the role of the parent is vital in HPV vaccine uptake, but to what extent is unclear. Through quantitative secondary data analysis of the National Immunization Survey-Teen 2016 (NIS-Teen) data set (n = 43,271) that was grounded in the health belief model, chi-square, and logistic regression analyses revealed three key findings. First, male …

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Exploring Formerly Incarcerated African American Males' Relationship With Their Children, Najjiyya Christine Arnold Jan 2021

Exploring Formerly Incarcerated African American Males' Relationship With Their Children, Najjiyya Christine Arnold

Walden Dissertations and Doctoral Studies

The purpose of this qualitative phenomenological study was to explore formerly incarcerated African American fathers’ perceptions on reestablishing relationships with their children. Prior to this study, little or no research had been conducted to examine how formerly incarcerated parents build relationships with their children. Data were collected through one-to-one, semi-structured interviews with 11 African American fathers 18 years and older who were formerly incarcerated and had one or more children under the age of 18 years while incarcerated. The theoretical frameworks for this study included Attachment Theory and African American Male Theory. These data were analyzed using the thematic analysis …

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Teachers’ Perceptions Of Literacy Instruction With Autistic Students During The Covid-19 Pandemic, Heather Ann Marzenski Jan 2021

Teachers’ Perceptions Of Literacy Instruction With Autistic Students During The Covid-19 Pandemic, Heather Ann Marzenski

Walden Dissertations and Doctoral Studies

AbstractFamilies and educators have voiced concerns about the literacy skills of students with autism spectrum disorder (ASD), and the COVID-19 pandemic has amplified the situation. Pandemic era studies have demonstrated the ramifications that students with ASD have faced, including regression of literacy skills, lower grades, lack of support services, and subpar instruction. Teachers' perceptions remained unexamined in the pandemic era studies. The purpose of this basic qualitative dissertation was to examine teachers’ perceptions about the materials and strategies used to deliver literacy instruction during the pandemic for students with ASD. The conceptual frameworks that underpinned this study were self-determination theory …

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Sociodemographic Influence On Pregnancy Among Adolescent Girls In Nigeria, Christian Otado Mbulu Jan 2021

Sociodemographic Influence On Pregnancy Among Adolescent Girls In Nigeria, Christian Otado Mbulu

Walden Dissertations and Doctoral Studies

Adolescent pregnancy is a phenomenon that affects the entire world. The effect can be apparent at the individual, family, and societal levels. In 2013, the rate of adolescent pregnancy in Nigeria was 149 per 1,000 aged 10 to 19 years. In this cross-sectional quantitative study, the association between adolescent pregnancies, type of place of residence, household head age, and household head gender was examined for Nigerian adolescent girls aged 15 to 19 years who participated in the 2013 Nigeria Demographic and Health Survey. The framework for this study was the Socioecological Model (SEM). Three research questions were analyzed using univariate, …

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Operational Strategies For Nigerian Refineries’ Business Sustainability, Nosa Omorodion Jan 2021

Operational Strategies For Nigerian Refineries’ Business Sustainability, Nosa Omorodion

Walden Dissertations and Doctoral Studies

AbstractInefficient operations strategies can negatively impact refinery operations output. Refinery senior leaders who struggle to achieve operations efficiency are at high risk of failure. Grounded in Ulrich’s model of competency, the purpose of this qualitative multiple case study was to explore operations strategies leaders of oil and gas refineries in Nigeria used for business sustainability. The participants comprised five senior leaders in five refineries in Nigeria who demonstrated success in using operational strategies for business sustainability in oil and gas refineries. Data were collected from semistructured interviews and company documents consisting of the annual business plan, strategy document, and financial …

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Community College Students' Experiences Of Successfully Completing Developmental Mathematics Option, Gracie Otin Jan 2021

Community College Students' Experiences Of Successfully Completing Developmental Mathematics Option, Gracie Otin

Walden Dissertations and Doctoral Studies

AbstractOnly 41% of first-time college students at a community college in the southwestern United States passed developmental mathematics (DM). To improve the success rate, the state’s higher education coordinating board proposed a corequisite model supporting non-course competency-based options (NCBO). The purpose of this basic qualitative study was to explore the lived experiences of community college students who successfully completed the DM NCBO sequence. Tinto’s theory of student integration and retention informed the study. The research questions for this basic qualitative study addressed the perceptions of participants regarding the DM NCBO intervention program, conditions participants identified as influencing success of DM …

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African American Freshman Students’ Perceptions Of Student Persistence At A Historically Black College, Callie Taylor Herd Jan 2021

African American Freshman Students’ Perceptions Of Student Persistence At A Historically Black College, Callie Taylor Herd

Walden Dissertations and Doctoral Studies

The problem addressed in this study was the low retention of African American freshmen at a private Historically Black College. The purpose of this basic qualitative study was to learn what factors influence an at-risk freshman student’s decision to persist or leave college so that interventions related to positive change can be proposed. Tinto's student integration model and Bean’s causal model of student attrition were the conceptual frameworks that grounded this study. The research question focused on African American freshman students’ experiences that influenced their ability to persist. Semistructured interviews were conducted with 12 purposely selected participants representing first-year students …

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Corruption In Togo's Land Registration And Its Impact On Real Estate Development, Gbati Kakaye Jan 2021

Corruption In Togo's Land Registration And Its Impact On Real Estate Development, Gbati Kakaye

Walden Dissertations and Doctoral Studies

Abstract:Researchers have asserted that following malaria and AIDS, land-related conflict, exacerbated by rampant real estate corruption, is the third-largest problem and leading cause of death in Togo. The current study provided a means of gaining better understanding of the impact of corruption on real estate development in Togo by addressing the following research questions: How is corruption manifested in Togo’s land registration process and how has corruption in land registration process impacted real estate development? Theoretically, the study was underpinned by the cultural and neo-institutional economics framework. Data were collected through individual interviews and a focus group discussion with 15 …

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Meaningful Use Criteria And Staff Accountability In An Office Setting, Marcia Ionie Pender Jan 2021

Meaningful Use Criteria And Staff Accountability In An Office Setting, Marcia Ionie Pender

Walden Dissertations and Doctoral Studies

Proper documentation for meaningful use (MU) criteria within electronic health records (EHRs) was identified as an issue for office staff at a local primary care office in a metropolitan area of Central Florida. The project question addressed the local gap in knowledge about MU standards necessary to ensure correct documentation of EHRs. The purpose of this doctoral project was to provide an educational program for staff to ensure compliance with the HITECH Act of 2009. Lewin’s Change Theory and Knowles Theory of Adult learning were the conceptual foundations for the educational program. The project question was to determine whether a …

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The Lived Experiences Of Black Youth Who Recidivate In Diversion Programs, Justin Richards Jan 2021

The Lived Experiences Of Black Youth Who Recidivate In Diversion Programs, Justin Richards

Walden Dissertations and Doctoral Studies

There are high rates of recidivism among U.S. Black youth when compared to other races, such as Whites and Hispanics. The purpose of the study was to examine the lived experiences of Black youth in the juvenile justice system and in diversion programs. Using a phenomenological qualitative method, twelve Black adults between the ages of 18 to 40 were interviewed about their lived experiences while participating in mental health courts and in-home probation as youth. The conceptual framework of the study was based on the risk, need, and responsivity model. The primary research question examined the lived experiences and perceptions …

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Relationship Between Religious Beliefs And Systems, Educational Levels, And Victim Blaming, Frances Runyon Jan 2021

Relationship Between Religious Beliefs And Systems, Educational Levels, And Victim Blaming, Frances Runyon

Walden Dissertations and Doctoral Studies

Sexual assault and victim blaming are a severe problem. Being sexually assaulted increases the risk of physical and mental health issues for the victims. When the victims are blamed for being sexually assaulted, their physical and mental health issues increase substantially. Many victims do not seek help or support services because of the fear of being blamed. People believe in a just world, and blame the victims because it is more difficult to accept that bad things happen to good people. When people admit that bad things can happen to good people, they acknowledge that these things can happen to …

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An Integrated Approach To Hand Hygiene, Tarsha Renee Stewart Jan 2021

An Integrated Approach To Hand Hygiene, Tarsha Renee Stewart

Walden Dissertations and Doctoral Studies

AbstractHealthcare-associated infections (HCAIs) threaten the quality and safety of the services provided. HCAIs are infections that occur while a patient is receiving treatment for another condition in any type of healthcare. The Centers for Disease Control estimates that approximately one in every 20 inpatients will become infected with an HCAI during their hospital stay. Proper hand hygiene is the most significant intervention in preventing HCAIs. Despite hand hygiene's effectiveness, evidence suggests that only 50% of healthcare workers are compliant with proper hand hygiene techniques. The purpose of this project is to increase nurse’s knowledge the via education. Kotter's eight-step change …

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The Implementation Of David’S Law To Address Cyberbullying In Texas Public School Districts, Helene Marie Topping Jan 2021

The Implementation Of David’S Law To Address Cyberbullying In Texas Public School Districts, Helene Marie Topping

Walden Dissertations and Doctoral Studies

AbstractSince the advent of the internet and the proliferation of social media in recent decades, a new form of bullying, cyberbullying, has emerged with serious repercussions for the physical and mental health of many persons, especially youth. In response, legislation was passed in all 50 states, including Texas, where the mandate to address all bullying, including cyberbullying, behaviors in schools was formalized by David’s Law in 2017. This law requires that policy and procedures be put in place in Texas public school districts. The problem is that it has not been determined whether David’s Law has been implemented in all …

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Reimbursement Of Mental Health Service For Individuals Seeking Services At Primary Care Facilities, Keith Avant Jan 2021

Reimbursement Of Mental Health Service For Individuals Seeking Services At Primary Care Facilities, Keith Avant

Walden Dissertations and Doctoral Studies

The purpose of this quantitative study was to explore the relationship between primary care services, mental health services, patient visits, and insurance reimbursement for individuals with a mental health diagnosis who visit primary care facilities. The theoretical integrated theory of health behavior changes has been vital in identifying the contributing factors to the relationship between primary care, mental health services, and insurance reimbursement. The research questions explored whether any relationship existed between mental health diagnosis and office visits, outpatient versus inpatient, the amount paid for treatment, and reimbursement of services. This study used a quantitative approach along with a Pearson …

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Perceived Level Of Neurodiversity-Based Methodologies In Support Programs For Post-Secondary Autistic Students, Gwendolyn Barnhart Jan 2021

Perceived Level Of Neurodiversity-Based Methodologies In Support Programs For Post-Secondary Autistic Students, Gwendolyn Barnhart

Walden Dissertations and Doctoral Studies

Autistic students often face stigmatization surrounding their autism diagnosis, especially in academia, which can cause depression, lower self-esteem, or suicidal ideation and lead to lower academic success. The problem of insufficient research-based effective practices to guide support services for autistic students in their post-secondary education was addressed in this study. The purpose of this qualitative case study was to understand the degree to which neurodiversity-based methodologies are utilized in special education post-secondary support services. The diffusion of innovation framework was used to explore perceptions of 19 staff members who worked in academic support services. The research questions were focused on …

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The Effect Of Acupuncture On The Stress Levels Of Patients With Posttraumatic Stress Disorder In Ghana, Derrick Tettey Dicker Jan 2021

The Effect Of Acupuncture On The Stress Levels Of Patients With Posttraumatic Stress Disorder In Ghana, Derrick Tettey Dicker

Walden Dissertations and Doctoral Studies

Around the world, the use of acupuncture is increasingly becoming a common alternative treatment for the symptoms often associated with posttraumatic stress disorder (PTSD). However, the treatment of acupuncture appears to be lacking in Ghana because mental health professionals, patients, and the government representatives are largely unaware of its potential efficacy. The purpose of this study was to examine the effect of acupuncture treatment on patients with PTSD in Ghana. The study was conducted through the lens of psycho-physiological trauma. A research question was formulated to investigate the association between the independent variable, acupuncture treatment, and the dependent variable, the …

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Understanding The Clery Act Compliance Team Policy Instrument Using Contextual Interaction Theory, Shanieka S. Jones Jan 2021

Understanding The Clery Act Compliance Team Policy Instrument Using Contextual Interaction Theory, Shanieka S. Jones

Walden Dissertations and Doctoral Studies

The Jeanne Clery Disclosure of Campus Security Policy and Campus Crime Statistics Act is a consumer-protection law solely applicable to higher education institutions participating in student financial aid programs. This study addressed the perceived lack of sustainable institutional implementation efforts, which have become the focus of federal program reviews, subjecting campuses to civil penalties and public scrutiny. A quantitative sequential multimethod study using a survey and content analysis was used to address whether Bressers’s contextual interaction theory (CIT) could explain relationships between group dynamics, interdepartmental collaboration, and Clery Act compliance within higher education institutions. Correlational and regression analyses tested connections …

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Adult Canadian Disordered Gambling And Poor Physical Or Mental Health, Pilar Lane Jan 2021

Adult Canadian Disordered Gambling And Poor Physical Or Mental Health, Pilar Lane

Walden Dissertations and Doctoral Studies

Disordered gambling has become the first recognized nonsubstance addiction. Low- and moderate-level gamblers have been found to be more likely to suffer health consequences. The purpose of this quantitative, cross-sectional, comparative study was to explore whether and to what extent being a disordered gambler in Canada increases the likelihood of having a concurrent physical or mental health problems (i.e., heart disease, diabetes and/or suicidal ideation or attempts). The research questions were whether there was a significant difference in having heart disease, diabetes, or suicidal ideations or attempts between Canadian adults who are and who are not disordered gamblers. The theoretical …

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Exploring Citizen Security In The Nigeria Federated State: Lagos State Neighbourhood Safety Agency In Perspective, Adesoji Olaitan Ogunsanya Jan 2021

Exploring Citizen Security In The Nigeria Federated State: Lagos State Neighbourhood Safety Agency In Perspective, Adesoji Olaitan Ogunsanya

Walden Dissertations and Doctoral Studies

AbstractThe research problem of this study was centered on the state of insecurity in Lagos State and the intervention of the Lagos State Neighbourhood Safety Agency. Evidence from previous studies supported the use of community policing, police reform, training of security personnel, and collaboration amongst security agencies as measures to address issues of insecurity in Lagos State. The purpose of this qualitative research was to examine the impact of the Lagos Neighbourhood Safety Agency on the security challenges of the state and generate additional discourse. Institutional theory was used as the theoretical foundation for this research with a purposive sampling …

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Health Literacy Staff Education For Heart Failure Management, Ifeoma Onyeiwu Jan 2021

Health Literacy Staff Education For Heart Failure Management, Ifeoma Onyeiwu

Walden Dissertations and Doctoral Studies

Heart failure (HF) is a chronic disease with progressive deterioration that occurs over years or decades. There is a need for individuals affected by HF to be educated regarding this complex disease. Health literacy, an integral part of health and wellness, is one's ability to understand and use health information. Ninety million adults in America have difficulty understanding and using health information, resulting in higher rates of hospitalization and use of emergency services among patients. Limited health literacy may lead to billions of dollars in avoidable healthcare costs. This DNP project addressed health literacy as it relates to medication adherence …

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Juvenile Probation Officers’ Perspectives On The Success Factors Of Youth Diversion Programs, Kya Tanique Robertson Jan 2021

Juvenile Probation Officers’ Perspectives On The Success Factors Of Youth Diversion Programs, Kya Tanique Robertson

Walden Dissertations and Doctoral Studies

The goal of youth diversion programs includes reducing recidivism while granting opportunities for youth to refocus their paths. Although juvenile probation officers' role is vital to supervised probation in youth diversion programs, the problem is that there is a lack of literature that assesses the success of the factors of mentoring, education, and mental health treatment that directly connect youth with social services. The purpose of this qualitative case study was to explore the perceptions of juvenile probation officers on the success factors of youth diversion programs as they relate to mentoring, education, and mental health treatment. Becker's labeling theory …

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Male Graduates' Experiences Following An Alternatives Sentencing Program In Grenada, Wendy Margaret Romain Jan 2021

Male Graduates' Experiences Following An Alternatives Sentencing Program In Grenada, Wendy Margaret Romain

Walden Dissertations and Doctoral Studies

AbstractJuveniles in many countries around the world were incarcerated during the 1980s and 1990s due to countries’ legislating tough-on-crime policies against juveniles. Community-based alternative sentencing options have since been found to be more effective than prisons for developmental and rehabilitative needs of juveniles. However, there is a dearth of research on how these programs have impacted the lives of their graduates. In this study, five male graduates of an alternative sentencing program on the island of Grenada were interviewed to examine how they applied skills and knowledge gained from the program. The theory of change model based upon Prochaska’s Transtheoretical …

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Misuse Of Prescription Pain Relievers Among Pregnant Women In The United States, Winnie Chebet Rono Jan 2021

Misuse Of Prescription Pain Relievers Among Pregnant Women In The United States, Winnie Chebet Rono

Walden Dissertations and Doctoral Studies

The non-medical use of prescription pain relievers has increased remarkably, posing social and public health concerns particularly in developed countries such as the United States. The management of pain experienced by pregnant women poses a challenge to clinicians considering the effects of the regimen on unborn babies. Guided by the health belief model, which aims to predict health-related behavior in terms of certain health beliefs and explain change and behavior maintenance as well as to guide health behavior interventions, this cross-sectional study aimed to understand the associations between misusing pain relievers and social determinants of health such as education level …

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An Interpretative Phenomenological Analysis Of Singapore Ex-Addict Prisoners’ Motivation To Remain Drug Free After Release, Chee Kin Steven Tham Jan 2021

An Interpretative Phenomenological Analysis Of Singapore Ex-Addict Prisoners’ Motivation To Remain Drug Free After Release, Chee Kin Steven Tham

Walden Dissertations and Doctoral Studies

Reducing recidivism for drug offenders has been a challenge in Singapore since the late 1990s, when there was a spike in reentry into the system. In the year 2000, resources were invested in rehabilitation and reintegration programs to bring a reduction to the recidivism rate, but the interventions have been unsatisfactory in preventing relapse and reincarceration. This study’s purpose was to describe and interpret the lived experience of male ex-addicts who were in prison in Singapore and how they made sense of their motivation to stay drug free after their incarceration. Motivation is an important predictor of reduction and abstinence …

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Issues Facing Community-Based Social Workers When Providing Female Offenders With Reunification Services, Karen N. Vertti Jan 2021

Issues Facing Community-Based Social Workers When Providing Female Offenders With Reunification Services, Karen N. Vertti

Walden Dissertations and Doctoral Studies

AbstractThe goal with this action research project was to understand how community-based social workers (CBSWs) could address female offenders’ and their children’s needs while striving to reintegrate them into the community of Central Los Angeles County, California. Postrelease female offenders with children suffer from a variety of issues related to housing, employment, and personal childhood trauma. The trauma exacerbates the risk of revictimization and recidivism. CBSWs play a pivotal role in helping female offenders overcome barriers to successful reentry and reunify with their children. This study incorporated Bronfenbrenner’s ecological systems theory which provided a systems lens to this project. The …

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The Impact Of Family Dynamics And Treatment Times For Adhd Children, Margaret Wilson Jan 2021

The Impact Of Family Dynamics And Treatment Times For Adhd Children, Margaret Wilson

Walden Dissertations and Doctoral Studies

Attention deficit hyperactivity disorder (ADHD) is a serious mental health condition that affects many of children. Studies show that 42-77% of children with ADHD may not be receiving treatment. Factors such as parent ethnicity, race, preference for treatment, socioeconomics, and child gender have been studied but do not account for the high numbers of untreated children. Differences between parents has been shown to effect ADHD treatment, the potential effects of family dynamics, children living in single or dual parent families, on ADHD treatment has not been studied. This secondary analysis finds there is a relationship between family dynamics, with the …

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