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2022

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Caregiver Perceptions Of The Helping Families In Mental Health Crisis Act, Odinakachi Chigewe Jan 2022

Caregiver Perceptions Of The Helping Families In Mental Health Crisis Act, Odinakachi Chigewe

Walden Dissertations and Doctoral Studies

Caregivers often experience increased stress when raising children who have a mental illness. Awareness of the various challenges caregivers face enables the offering of improved support. The Helping Families in Mental Health Crisis Act of 2016 (HR2646) improves and raises the profile of mental health within the government chart. This qualitative phenomenological study was guided by questions aimed at identifying caregiver perceptions of The Act and understanding caregiver input and opinions on the impact of this policy. Howlett’s five stream framework of the policy process and Kingdon’s multiple streams model provide the theoretical framework for this study. Individual telephonic interviews …

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Experiences Of Mechanical Circulatory Support Patients With Primary Implant Education, Dawn Michelle Christensen Jan 2022

Experiences Of Mechanical Circulatory Support Patients With Primary Implant Education, Dawn Michelle Christensen

Walden Dissertations and Doctoral Studies

Advancement in mechanical circulatory support (MCS) device therapy has led to increased use in heart failure therapy and relies on optimized patient education for successful support. The purpose of this 3-manuscript study, guided by the Husserlian transcendental phenomenological method, was to explore the lived experiences of (a) patients with primary mechanical circulatory support education (PMCSE), (b) patients who undergo unplanned MCS implantation with PMCSE, and (c) patients who undergo planned MCS implantation with PMCSE. Eleven participants were recruited (eight planned, three unplanned) from MCS targeted social media sites and interviewed using a semistructured open-ended question format. Data were analyzed using …

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Physician Authentic Leadership As Health Care Managers And Its Impact On Subordinates’ Ethical Strength, Eddie M. Christian Jan 2022

Physician Authentic Leadership As Health Care Managers And Its Impact On Subordinates’ Ethical Strength, Eddie M. Christian

Walden Dissertations and Doctoral Studies

Physicians exercising the characteristics of authentic leaders may be better equipped to affect the ethical strength of health care staff and provide a vehicle for reducing corruption in the health care industry. This position suggests that physicians practicing with these particular qualities are more effective than those who are not genuine, transparent, or committed to maintaining emotional balance in their work relations. The purpose of this quantitative correlational study was to determine whether physician authentic leadership (AL) moderated the relationship between physician emotional intelligence (EI) and the moral potency of their billing and codes managers. Survey data were collected from …

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The Longevity Of A Law Enforcement Career Post Critical Incident, Alyce E. Clark Jan 2022

The Longevity Of A Law Enforcement Career Post Critical Incident, Alyce E. Clark

Walden Dissertations and Doctoral Studies

Law enforcement officers experience traumatic events that can have an impact on their health and their career. Regardless of the continued research on police and mental health, challenges persist. The stigma is that law enforcement officers are tough and keep their emotions to themselves; however, they are human, like the community they serve. Due to possible consequences related to officers discussing having mental health problems after critical incidents, police officers may be reluctant to seek help due to backlash. Interviews were completed in a two-tier format that led to follow-up questions with surveys specifically related to alcohol and burnout found …

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Work Engagement In A Changing Nonprofit Environment, Shukura Crevelle Jan 2022

Work Engagement In A Changing Nonprofit Environment, Shukura Crevelle

Walden Dissertations and Doctoral Studies

Employee engagement is defined as a positive, fulfilling, work-related state of mind and describes work team members who gain a sense of connection in what they do. This has an impact on the physical, mental, and emotional health of the employee and the health of the organization. There was a need to explore contributing factors to employee engagement in a changing remote organization because there was a current gap in the literature regarding employee engagement and organizational change. The purpose of this qualitative study was to explore causes to low engagement among employees in a nonprofit organization located in the …

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Parenting Style Influence On Future Criminal Behaviors Among Adopted Children In Mozambique, Neidi De Carvalho Jan 2022

Parenting Style Influence On Future Criminal Behaviors Among Adopted Children In Mozambique, Neidi De Carvalho

Walden Dissertations and Doctoral Studies

Adoption is the process by which an adult legally becomes the parent of a child. This results in the child having the protection of a family and the same rights as a biological child. In Mozambique, there is a lack of research concerning the parenting practices of adoptive parents. This study was conducted to identify the parenting styles of Mozambican adoptive parents to determine if these parenting practices affect the well-being of the adopted child. In this qualitative study, data were collected through virtual interviews with four adoptive parents. Interviews were transcribed manually, and participants confirmed the accuracy of the …

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Leadership Strategies To Motivate And Retain Employees In Small And Medium Enterprises, Shirley Jean Doescher Jan 2022

Leadership Strategies To Motivate And Retain Employees In Small And Medium Enterprises, Shirley Jean Doescher

Walden Dissertations and Doctoral Studies

Organizational leaders find it challenging to determine what leadership strategies motivate and retain employees in their company, especially during a pandemic. Not knowing which leadership strategies would successfully motivate employees leads to higher turnover, less profitability, and higher costs to replace employees. Grounded in transformational leadership theory, the purpose of this multiple case study was to explore strategies corporate leaders use to motivate and retain employees in small and medium businesses (SMEs) in southeastern Wisconsin (WI). Data were collected from semi-structured interviews with eight participants from eight SMEs of southeast WI, as well as analyzing company documents. Yin’s 5-step process …

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Strategies For Improving The Effectiveness Of Internal Control Processes In Nonprofit Organizations, Annie Selorm Dumoga Jan 2022

Strategies For Improving The Effectiveness Of Internal Control Processes In Nonprofit Organizations, Annie Selorm Dumoga

Walden Dissertations and Doctoral Studies

Some leaders of nonprofit organizations (NPOs) lack financial strategies to develop and implement effective internal controls for their financial health and the continuation of their organizations’ provision of humanitarian services. The failure of leaders in NPOs to implement adequate internal controls results in insolvency, the inability to pay off debts, and threatens the ability to provide needed social services. Grounded in the Committee of Sponsoring Organization's internal control integrated framework, the purpose of this qualitative multiple case study was to explore strategies NPO leaders used to develop and implement effective internal controls for their organization's financial health and ability to …

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A Qualitative Examination Of Single-Parent Matriarchal Homes’ Influence On Gang Membership, Darryl Edwards Jan 2022

A Qualitative Examination Of Single-Parent Matriarchal Homes’ Influence On Gang Membership, Darryl Edwards

Walden Dissertations and Doctoral Studies

There is a problem in the city of Chicago. Gangs are responsible for a substantial percentage of violent crimes in most jurisdictions. This study examined how and to what extent single-parent matriarchal households influenced African American men between 18 and 25 to join gangs in Chicago. This study’s theoretical foundations were matriarchal theory and critical race theory. This qualitative study’s research design is heuristic phenomenology design. An in-depth interview method was employed using purposeful and snowball sampling of 20 participants; in-depth interviews were conducted using telephone technology. This study, which investigated the connection between being raised in a single-parent matriarchal …

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The Correlation Between Staffing Hours And Nursing Home Resident Fall Rate, Nduka Ikpo Eke Jan 2022

The Correlation Between Staffing Hours And Nursing Home Resident Fall Rate, Nduka Ikpo Eke

Walden Dissertations and Doctoral Studies

AbstractHealthcare administrators and researchers have had the burden of determining best practice protocols that minimize falls among older adults living in nursing homes for several years. Several studies have investigated, and identified intrinsic and extrinsic factors that lead to falls among other adults and made recommendations along the lines of their findings. However, researchers are yet to establish the impact of staffing hours on nursing home resident fall rate. The purpose of this study was to determine the correlation if any, between nursing home residents fall rate and the staffing hours they receive daily from certified nursing assistants (CNAs), licensed …

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The Need For Belonging For Previously Incarcerated Probationers, Alaina Elam Jan 2022

The Need For Belonging For Previously Incarcerated Probationers, Alaina Elam

Walden Dissertations and Doctoral Studies

Research on offender rehabilitation has primarily focused on providing those who are incarcerated with programs and resources to mitigate the circumstances that would lead to recidivism. There is an absence of research on how the need for belonging could reduce recidivism in probationers. Recidivism remains a social problem for many U.S. communities, as those being released are not properly equipped for their transition. The purpose of this qualitative phenomenological study was to explore the lived experiences of probationers regarding their transition into their community, recidivism, and their need for belonging. As individual fulfillment and human motivation were examined, Maslow’s self-actualization …

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Organizational Barriers To Effective University Student Mental Health Services, Felicia Evans-Edwards Jan 2022

Organizational Barriers To Effective University Student Mental Health Services, Felicia Evans-Edwards

Walden Dissertations and Doctoral Studies

This study was focused on organizational barriers to effective university student mental health services access in the department of student resources (DSR) at a for-profit university in the northeastern United States. Once such barriers are addressed, faculty may be more successful in reaching out to students needing mental health services who are not self-identifying as needing these services. The Baldrige excellence framework guided this descriptive case study to examine the organizational barriers that prevent university leadership from creating clear policies and procedures for faculty to refer students to mental health services. Data sources included interviews with the behavioral health leader …

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Performance Strategies To Increase U.S. Federal Government Employees’ Productivity, Maurice Fluelling Jan 2022

Performance Strategies To Increase U.S. Federal Government Employees’ Productivity, Maurice Fluelling

Walden Dissertations and Doctoral Studies

The low productivity of U.S. federal government employees has a high cost. Performance management leaders who lack strategies to increase productivity in federal government employees witness significant goal failures in their organizations. Grounded in Deming’s total quality management, the purpose of this single-case study was to explore strategies federal government leaders used to increase employee productivity. The participants were three supervisors who worked in the U.S. federal government. Data were collected from semistructured interviews, annual reports, and publicly available data. Data were analyzed using thematic analysis, and four themes emerged: employee engagement, adaptable philosophies, changes in management, and continuous process …

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Why A Women’S Domestic Violence Long-Term Shelter Is Needed, Markquatt Ford Jan 2022

Why A Women’S Domestic Violence Long-Term Shelter Is Needed, Markquatt Ford

Walden Dissertations and Doctoral Studies

This qualitative project provided a content analysis of primary and secondary data to do a need assessment of how a short-term shelter, a home for victims of domestic violence in Kansas City, Mo, can turn into a long-term shelter for victims of domestic violence. This organization was a short-term shelter, a not-for-profit organization that works for the positive social change and rehabilitation of female victims of domestic violence in Kansas City, Mo. The organization followed a traditional organizational model with a short-term scope of action. A long-term shelter is supposed to provide the residents with sufficient programs for recovery to …

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Perceptions Of Support For Adult Students At A Community College, Holle Lynn Ford Jan 2022

Perceptions Of Support For Adult Students At A Community College, Holle Lynn Ford

Walden Dissertations and Doctoral Studies

Adult college students face unique challenges that can derail their dreams of completing a degree or certificate program. The problem addressed in this study was that, although postsecondary institutions in Tennessee have been tasked with equipping at least 55% of adult residents with a college degree or certificate by the year 2025, some college leaders were struggling with how to best support adult students. Guided by Maslow’s hierarchy of needs theory, the purpose of this qualitative case study was to better understand what supports were needed to best meet the needs of adult students who are completing a degree or …

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Strategies Mental Health Managers Use To Reduce Direct Care Employee Turnover, Theresa Foster Jan 2022

Strategies Mental Health Managers Use To Reduce Direct Care Employee Turnover, Theresa Foster

Walden Dissertations and Doctoral Studies

Direct care professionals assist people with intellectual and developmental disabilities with health care services in the consumer's home, community based residential setting, hospitals, and vocational settings. The high turnover rate of direct care professionals working in mental health organizations may jeopardize many services, including administrative, medical, and provisions for the individuals they serve. Retaining direct care professionals is vital due to the expected demand for direct care jobs in the future. Grounded in Herzberg’s two-factor theory, this qualitative multiple case study explored leadership strategies managers from mental health organizations use to retain direct care professionals. Participants were eleven managers from …

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The Childbirth Experiences And Perceptions Of Sierra Leonean Women Relating To Basic Maternal Rights, Francess Fornah Jan 2022

The Childbirth Experiences And Perceptions Of Sierra Leonean Women Relating To Basic Maternal Rights, Francess Fornah

Walden Dissertations and Doctoral Studies

Sierra Leone faces immense challenges in supporting good quality, woman-centered care, with one of the world's highest maternal mortality ratios of 717 per 100,000 live births. In countries with high maternal mortality, evidence of the fear of disrespect and abuse women usually confront in maternity care is a more solid deterrent to the use of skilled care than commonly recognized barriers, such as cost or distance. This qualitative phenomenological study aimed at understanding the childbirth experiences and perceptions of Sierra Leonean women relating to basic maternal rights. The ecological systems theoretical framework and the respectful maternity care charter conceptual framework …

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Strategies For Developing And Implementing Internal Controls For Mitigating Retail Consumer Fraud, Anna Marie Foye Jan 2022

Strategies For Developing And Implementing Internal Controls For Mitigating Retail Consumer Fraud, Anna Marie Foye

Walden Dissertations and Doctoral Studies

The lack of consumer fraud internal controls can destroy a small business. Small retail business owners who do not practice good internal controls are susceptible to early failure. Using the fraud triangle theory, the purpose of this qualitative multiple case study was to explore strategies small retail business owners use to develop and implement internal controls for mitigating retail consumer fraud. Participants consisted of four small retail business owners in the Southeastern United States who practiced effective internal controls. Data were collected from semistructured interviews and financial documents and analyzed using thematic analysis. Three themes emerged: financials, monitoring, and segregation …

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Barriers To Blood Availability Within The New Orleans Area, Tishawn Michelle Francis Jan 2022

Barriers To Blood Availability Within The New Orleans Area, Tishawn Michelle Francis

Walden Dissertations and Doctoral Studies

An adequate and reliable supply of blood and blood components is becoming an increasing public health concern. Over the past decade, researchers have indicated a continued decline in the collection of blood products. An insufficient blood supply may present a risk to both patients and reserves for emergencies and disasters. The purpose of this quantitative, cross-sectional study was to determine whether gender, age group, ethnicity, year, serological tests, and discard factors were associated with the availability of the donated blood supply throughout the New Orleans region. The donated blood supply chain model guided this study. Secondary data were retrieved from …

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Stakeholder Perceptions Regarding The Impact Of Creative Placemaking On Homelessness In Neighborhoods Experiencing Gentrification, Vanessa Renee Frazier Jan 2022

Stakeholder Perceptions Regarding The Impact Of Creative Placemaking On Homelessness In Neighborhoods Experiencing Gentrification, Vanessa Renee Frazier

Walden Dissertations and Doctoral Studies

Urban planning and community development scholars continue to be interested in creative placemaking, a process meant to facilitate strategic partnerships between public and private sectors, art and culture communities, and community sectors, and the role it plays within the displacement of residents living in gentrified neighborhoods. However, researchers have found that the implementation of creative placemaking results in gentrification-related outcomes. Researchers have found a connection between the lack of affordable housing and gentrification-related displacement when creative placemaking is implemented. Researchers have suggested that stakeholder decisions direct the outcomes related to the implementation of creative placemaking; however, there is a lack …

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Mental Health Providers’ Perspectives: The Link Between Childhood Trauma, Juvenile Delinquency And Long-Term Effects, Vanay Lashon Frederick-Ellis Jan 2022

Mental Health Providers’ Perspectives: The Link Between Childhood Trauma, Juvenile Delinquency And Long-Term Effects, Vanay Lashon Frederick-Ellis

Walden Dissertations and Doctoral Studies

Juvenile delinquency is an ongoing problem in society and is detrimental as many delinquents have mental and behavioral health issues. Delinquency is costly to society, and it was found that many delinquents have a traumatic past or adverse childhood experiences. They include child abuse and neglect, loss, separation/divorce of parents, witnessing domestic violence, parents who struggle with mental health and/or drug and substance abuse, parents who have their own trauma, death of a loved one, natural disaster, or other tragedies that are linked to an increase in the likelihood of juvenile delinquency. In this study, the relationship between juvenile delinquency …

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Predictors Of Radio Frequency Identification Adoption For Medication Administration In Hospitals, Sherita Freeman Jan 2022

Predictors Of Radio Frequency Identification Adoption For Medication Administration In Hospitals, Sherita Freeman

Walden Dissertations and Doctoral Studies

Medication administration challenges within the United States hospital system have led to adverse drug events from medication errors among patients, resulting in 1.3 million emergency room visits and 350,000 hospitalizations annually. Radio frequency identification (RFID) has been identified as a useful tool within hospital systems; however, this technology has been slow to be incorporated to manage medication administration processes, necessitating exploration of predicting factors of RFID adoption. This quantitative, cross-sectional study explored the contributing factors of United States hospital’s adoption of RFID for medication administration using the technology-organization-environment framework as a foundation and secondary data from the Health Information Management …

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Reporting Sexual Revictimization: The Decision-Making Process For Victims With Prior Reporting Experience, Jessica Paige Frye Holcomb Jan 2022

Reporting Sexual Revictimization: The Decision-Making Process For Victims With Prior Reporting Experience, Jessica Paige Frye Holcomb

Walden Dissertations and Doctoral Studies

It is widely known that sexual assault is a pervasive global health issue. Victims of sexual assault face a greater risk of later being sexually revictimized. Despite its prevalence, sexual assault is the most underreported of violent crimes. Existing research has explored rates of formal and informal sexual assault disclosure, barriers, and motivators to report as well as survivor experiences withing the criminal justice process. However, the deciding factors for sexual assault victims in reporting revictimization or how any prior experience making a report may impact their decision to report subsequent assaults have not been studied previously. The purpose of …

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Successful Strategies To Sustain Practice Changes In Healthcare, Erin Gable Jan 2022

Successful Strategies To Sustain Practice Changes In Healthcare, Erin Gable

Walden Dissertations and Doctoral Studies

Healthcare managers implement evidence-based practice to meet the growing needs of aging populations. However, many healthcare leaders fail to sustain newly implemented practices. Grounded in the promoting action on research implementation in health services conceptual framework, the purpose of this qualitative interpretative descriptive study was to explore strategies healthcare leaders use to sustain practice changes to meet increasing demands for quality care of the aging population. The participants included eight healthcare managers from Canada and the United States who led strategies to sustain practice change. The four themes that emerged using semistructured interviews and thematic analysis were staff buy-in, staff …

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Disciplinary Practices Among High School Administrators, Stephanie Ganaway-Pasley Jan 2022

Disciplinary Practices Among High School Administrators, Stephanie Ganaway-Pasley

Walden Dissertations and Doctoral Studies

School administrators are responsible for the safety and physical well-being of the students. Although school disciplinary policies are in place, there is a problem with school administrators' practices and decisions when administering discipline for students' inappropriate behavior. The purpose of this mixed-method study was to explore the disciplinary processes used by school administrators when administering student discipline to determine the relationship between levels of offenses and the gender and race of students. Guided by the theory of justice, this study investigated the relationship between the level of offenses and disciplinary processes that reflect the level of offenses, as described in …

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Perceptions Of School Counselors And Teachers Regarding The Communities In Schools Model, Amy M. Gates Jan 2022

Perceptions Of School Counselors And Teachers Regarding The Communities In Schools Model, Amy M. Gates

Walden Dissertations and Doctoral Studies

Lower graduation rates among Black, Latino, and low-income students negatively impact individuals, families, and communities. The Communities in Schools (CIS) model was widely used in urban school districts due to suggested positive outcomes butwas underrepresented in current independent research. Using Benet’s polarities of democracy as the theoretical framework, this qualitative case study allowed for the collection and analysis of perceptions of educators within the Atlanta Public Schools (APS). The results of this study suggested social change implications related to increasing manpower in urban high schools and the development and use of comprehensive student support services to reach more at-risk students. …

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Lived Experiences Of Crisis Counselors With Repeat Exposure To Mental Health Crises, Emily Genever Jan 2022

Lived Experiences Of Crisis Counselors With Repeat Exposure To Mental Health Crises, Emily Genever

Walden Dissertations and Doctoral Studies

Due to the potentially traumatic content that crisis counselors face, members of the counselor education community must understand the psychological implications of repeated exposure to mental health crises to fulfill their responsibility of properly training, supervising, and supporting crisis counselors. The purpose of this qualitative phenomenological study was to explore the lived experiences of crisis counselors who had worked full-time with a variety of mental health emergencies. A hermeneutic design and constructivist self-development theoretical lens allowed for the illumination of the perceived positive and negative consequences of crisis work. Purposive sampling strategies were employed to recruit seven crisis counselors for …

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Help-Seeking Behaviors For Depression Among Native Hawaiian Women In The Western Region Of The United States Mainland, Marlana Glover Jan 2022

Help-Seeking Behaviors For Depression Among Native Hawaiian Women In The Western Region Of The United States Mainland, Marlana Glover

Walden Dissertations and Doctoral Studies

Help-seeking for depression, as with other mental illnesses is contingent upon stigmas that one perceives. Although causes for depression differ among indigenous populations, native Hawaiians suffer from the Western acculturation and colonization of their homeland. With lack of trust in the U.S. healthcare system, many native Hawaiians are reluctant to seek help for depression. Furthermore, research has shown that most studies on native Hawaiians are conducted in their native environment when many Hawaiians relocate to the U.S. mainland. Because of the current depression crisis, it is critical to explore depression among native Hawaiians, particularly women on the mainland to see …

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Law Enforcement Officers' Experience Of Crisis Intervention Team (Cit) Training, Jessica Yolanda Goings Jan 2022

Law Enforcement Officers' Experience Of Crisis Intervention Team (Cit) Training, Jessica Yolanda Goings

Walden Dissertations and Doctoral Studies

AbstractThe decline in mental health services has led to an increased role of law enforcement officers (LEOs), who are often the first to respond to mental health crisis incidents. Despite the specialized training that officers receive, there continues to be a public consensus that LEOs lack proficiency when handling a mental ill individual and have a deficiency in communication skills. The purpose of the research was to explore the experience of Crisis Intervention Team (CIT) training for LEOs and then describe how their experience ensued once deployed to the field to handle mental health encounters. Evaluations of CIT training have …

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Continuity Of Care For Adult Offenders With Severe And Persistent Mental Illnesses: An Action Research Study, Lakeshia C. Gonzalez Jan 2022

Continuity Of Care For Adult Offenders With Severe And Persistent Mental Illnesses: An Action Research Study, Lakeshia C. Gonzalez

Walden Dissertations and Doctoral Studies

For decades, the representation of adults with severe and persistent mental illnesses (SPMI) in the criminal justice system has steadily grown despite public recognition and increased federal implementation of mental health courts and diversion programs. Though more is known about risk factors associated with psychiatric and criminal recidivism among this population, a gap in the literature remains on collaborative interventions and continuity of care between inpatient mental health and criminal justice facilities. Grounded in resilience theory, the purpose of this qualitative study was to examine challenges social workers faced when attempting to facilitate discharge planning between inpatient mental health facilities …

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