Digital Commons Network^™

Strategies To Retain Employees In The Mental Health Workplace, Chauncey Janielle Strange

Walden Dissertations and Doctoral Studies

Employee turnover continues to be an issue in the mental health community as mental health business leaders lack strategies to retain employees. Retention strategies are essential to promote continuity, funding, and profitability for mental health agencies and quality service care for patients. Grounded in Bass’s transformational leadership theory, the purpose of this qualitative single case study was to explore strategies mental health business leaders use to retain employees. Participants comprised three mental health center managers from a state agency in northern Louisiana who contributed to employee retention. Data were collected using semistructured interviews and a review of organization performance evaluations, …

An Examination Of Counselor Turnover And Its Impact On Quality Behavioral Health Services, Leslie M. Beale

Walden Dissertations and Doctoral Studies

Behavioral health organizations often face the challenge of high employee turnover rates, which can critically affect their ability to treat mental illnesses successfully. High counselor turnover at one such organization, BHOX, threatens the provision of timely access to quality mental care. This qualitative case study examined counselor turnover and its impact on the quality of behavioral health services. The Baldrige Excellence Framework was used to guide this descriptive case study of a nonprofit behavioral health organization on the East Coast of the United States, which serves men and women struggling with mental health disorders and substance abuse addictions. The data …

Clinical Social Workers’ Perceptions And Experiences Of Parental Alienation, Martinek Evans

Walden Dissertations and Doctoral Studies

This qualitative research study aimed to explore clinical social workers’ perceptions and experiences of parental alienation (PA). Using Bowen’s family system theory as the framework, the research questions examined the problem from multiple levels of practice, including individual, family, institutional, and systematic. The individual interview approach aligned with the study goal by allowing participants opportunities to share their perspectives and experiences working with PA. The study used a purposive and snowball sampling of eight participants who were licensed social workers in the United States. Individual interview responses were transcribed and coded. Thematic content analysis was also used to analyze the …

Perceptions Of Women Of Color Improving Patient Outcomes Through Hospital Leadership Advancement, Benita A. Mclarin

Walden Dissertations and Doctoral Studies

Women of color have been underrepresented in hospital leadership positions and face challenges in advancing their careers. The benefit to hospitals providing women of color with training and support to move into leadership positions may be improved patient outcomes. Grounded in the interactional model of cultural diversity framework, the purpose of this basic qualitative study was to explore the perceptions of women of color advancing in leadership roles in hospitals and their impact on patient outcomes. The study participants included 16 women of color in leadership positions from hospitals in a western U.S. state. Data were collected through semi structured …

Cultural Humility As A Predictor Of Intention To Leave Moderated By Authentic Leadership, Dennis Whitfield

Walden Dissertations and Doctoral Studies

The problem addressed in this research was the inappropriate treatment of multicultural individuals by their immediate supervisors and the need for a thorough examination of cultural humility in organizational settings. This quantitative study used linear regression and moderation analyses to examine the relationship between cultural humility and intention to leave moderated by authentic leadership to determine how the participants’ perception of cultural humility in their immediate supervisor predicted their intention to leave. Another purpose was to examine whether authentic leadership moderated the relationship with intention to leave. The theoretical framework for this study included cultural humility, authentic leadership, and intention …

Human Service Professionals’ Experience With Vicarious Trauma, Saundra Mcglothan

Walden Dissertations and Doctoral Studies

The purpose of this generic qualitative study was to explore the vicarious trauma (VT)experiences of nonlicensed human service professionals (HSPs) between the ages of 30 and 65 from Central Texas who work with male intimate partner violence (IPV) victims. The conceptual framework that guided this study was the constructivist self-development theory. A purposive sample of 11 HSPs who experienced VT because of working with male IPV victims was obtained through flyers posted on social media. Huberman and Miles’s approach to thematic analysis was used to analyze the data and create codes, categories, and themes. The 13 themes that were identified …

Mental Health Impacts Of Covid-19 And Clinical Services In Elementary Schools, Dr.Hannah Cobb

Walden Dissertations and Doctoral Studies

AbstractThe COVID-19 pandemic has negative effects on children, adolescents, and adults. Despite these effects, information about the nature of mental health concerns and services provided to address these concerns by elementary school counselors is unknown. The purpose of this generic qualitative study was to examine mental health concerns elementary school counselors observed among kindergarten through fourth grade students in urban Oklahoma during the COVID-19 pandemic, how they described clinical services provided to address these concerns, and how they decided to provide these services. The study was grounded in Bronfenbrenner’s ecological systems theory and Erikson’s theory of psychosocial development to explore …

Clinical Counseling Supervisors’ Perspectives Of Gatekeeping During Prelicense Supervision, Marquita R. Garrett

Walden Dissertations and Doctoral Studies

AbstractThis interpretive phenomenology qualitative study explored the clinical counseling supervisors’ perceptions of gatekeeping during the supervision of postgraduate prelicense counselor trainees, specifically around problems of professional competence (PPC). This study aimed to address a gap in research surrounding gatekeeping relative to the specific needs of postgraduate prelicense counselor trainees. Exploring the gaps in gatekeeping, specifically around PPC regarding ethics and multiculturalism in clinical supervision, might increase the necessity for professionalism and recommendations for continuity across state lines. Data were collected from nine participants through Zoom interviews and analyzed using an interpretive phenomenological approach. Selection criteria included clinical counseling supervisors with …

How Supervisors Describe The Development Of Competence In Trainee School Counselors, Suen Yan Leung

Walden Dissertations and Doctoral Studies

AbstractSchool counselors serve an important role in providing frontline counseling services to students in local school districts. Professional associations and educational institutions emphasize the importance of professional competence. However, research on professional competence is fragmented, outdated, and unintegrated. This qualitative study explored the development of competence in trainee school counselors during supervision, from the supervisors’ perspectives. Using the conceptual frameworks of self-efficacy and professional identity development, 16 experienced supervisors were interviewed and asked to describe the development of competence in trainee school counselors and how they instructed the development of competence. Thorne’s interpretive description method was combined with a reality-testing …

Faculty-Student And Student-Student Connections Amidst The Covid-19 Pandemic, Fatma Ouled Salem

Walden Dissertations and Doctoral Studies

The COVID-19 pandemic expedited the shift toward distance education by forcing institutions to adapt to the limitations of social distancing mandates. This resulted in a general sense of disconnection and isolation, compounding the other adverse effects of the pandemic. Since faculty-student and student-student connections are consistently identified as best practices in distance counselor education, the aim of this descriptive phenomenological study was to describe the lived experiences of counselor educators during the COVID-19 pandemic relating to faculty-student and student-student connections. A phenomenological framework was used to suspend presuppositions of the phenomenon and to describe the lived experiences of participants. In-depth …

Behavioral Health Leadership Strategies To Increase Telehealth Engagement, Ramona Singletary-Robertson

Walden Dissertations and Doctoral Studies

One of the challenges brought on by the recent COVID-19 pandemic has been the promotion and use of telehealth services. While recent data from Medicare has depicted an increase in this new service delivery modality (over 4,000%), there has been a stark disparity in the use of telehealth services in lower socioeconomic demographics, such as rural and underrepresented communities, and among Medicare recipients. Equitable, consistent, and optimal service expansion of the telehealth modality requires therapists and leaders of behavioral health organizations to develop and deploy creative tactics to remedy this disparity. In this case study, leaders of Miss Emma's Behavioral …

Incorporating Mind-Body Therapies In Behavioral Health To Improve Patient Outcomes, Silvia Stark

Walden Dissertations and Doctoral Studies

AbstractMental health disorders are a global epidemic that continue to drain society of money, resources, and overall human life expectancy. The purpose of this qualitative case study was to analyze how a behavioral health organization that provides mind body therapies, such as yoga and meditation, in conjunction with clinical interventions to treat mental health disorders contributed to providing quality care and better patient outcomes. Currently, the behavioral health organization included mind body therapies within a clinical session and their goal was to separate yoga and meditation from a clinical session as reimbursable and evidence-based treatment for individuals with mental health …

Moral Injury Themes Involving Criminal Recklessness Among Adults With Alcohol Use Disorder, Sandra Starch

Walden Dissertations and Doctoral Studies

Moral injury (MI) can emerge following transgressive acts against one’s deeply held moral beliefs. Its symptomology involves individual psychological, spiritual, behavioral, and social spheres. It has primarily been studied within the military and in a few select civilian populations. This descriptive phenomenological study involved exploring MI themes among adults with alcohol use disorder (AUD) who had engaged in criminally reckless acts. Data collected from semi-structured interviews with eight participants were coded and analyzed, leading to six major themes revealing the symptomology of MI. Responses from study participants supported Festinger’s theory of cognitive dissonance via their descriptions of alcohol abuse cycles …

Strategies To Reduce Turnover Among Black Home Healthcare Aides, Diane Allen Tate

Walden Dissertations and Doctoral Studies

AbstractMany individuals prefer to remain in their homes as they age instead of entering a long-term care facility. As the proportion of older Americans rapidly grows, the demand for delivery of nonmedical services by home healthcare aides (HHAs) is expected to increase. However, the national and local supply of HHAs is insufficient and must be rectified to meet a projected increase of older Americans by 2050. This research study involved exploring this problem for one small home healthcare organization in the Maryland suburbs outside of Washington, DC with an HHA workforce that was comprised predominantly of Black/African American and African …

An Evaluation Of A Community-Based Children’S Bereavement Group Using A Resilience Model, Ada Terry Denone Terry

Walden Dissertations and Doctoral Studies

The death of a loved one can be an extremely painful process that can have detrimental consequences on the emotional well-being of individuals if they don’t receive grief intervention support. When it specifically comes to the emotional eudaemonia of children and teens experiencing the death of a loved one, research is limited on empirical-based bereavement intervention support to enhance their coping skills. Utilizing the theoretical framework of resilience theory, the purpose of this quantitative secondary research study was to evaluate the Sutter Sacramento Children’s Bereavement Art Group (CBAG) ten- week intervention for children and teens ages 5-12. The first question …

Career Progression: Narrative Study Of Impediments Affecting Army Female Officer Advancement From Major To Lieutenant Colonel, Jeremia M. Van

Walden Dissertations and Doctoral Studies

AbstractQualitative narrative inquiry was used to understand the accounts and experiences of female officers in the United States Army that were once stationed in South Korea, who did not advance to the rank of lieutenant colonel. In today’s military, female officers still face many challenges during their advancement from Major to Lieutenant Colonel, relative to their male counterparts. The specific problem is the underrepresentation of female majors in the Army who compete for promotion to the lieutenant colonel rank. The researcher explored the experiences of 14 female Army officers that served in South Korea and sought out promotions from the …

The Experiences And Perspectives Of Documented Hispanic Immigrants Dealing With Survivor’S Guilt, Fallon Victoria Wall

Walden Dissertations and Doctoral Studies

Hispanic immigrants are understudied and underserved; this is a population that continues to battle injustices and discriminatory actions due to immigration policy. The Hispanic population struggles with immigration stress and deportation, which contributes to difficulties such as psychological distress, physical health problems, acculturative stress, employment difficulties, and decreased access to support and services. In this study, a generic qualitative design was utilized to explore immigration stress and the experiences of documented Hispanic immigrants dealing with survivor’s guilt as it relates to the deportation of their loved ones. Relational cultural theory as used in the study to explore the Hispanic population, …

Exploring Social Workers And Self-Care, Justyna Wawrzonek

Walden Dissertations and Doctoral Studies

First responder social workers are exposed to a stressful work environment, which puts them at risk for burnout. Burnout increases turnover rates, which negatively impacts both social workers and the clients they serve. The use of self-care practices mitigates the harmful effects of burnout. Because first responder social workers in southern California have an average turnover rate of 6 to 12 months after hire, this study explored southern California first responder social workers’ experiences with self-care practices. A basic qualitative design using semistructured interviews was applied through the purposeful sampling of eight first responder social workers. The study was grounded …

How Behavioral Health Leaders Overcome Barriers To Perinatal Mental And Psychoeducation, Jaime Lorraine Bailey

Walden Dissertations and Doctoral Studies

Behavioral health supportive services are increasingly becoming integrated into primary care settings. This study focused on strategies to strengthen the knowledge of behavioral health leaders and address the barriers to perinatal mental health support in primary care. A case study was designed to explore the obstacles behavioral health leaders faced managing the limited access to perinatal mental health care, along with the lack of provider psychoeducation on perinatal mental health, in integrated care settings in primary care. This study sought to provide options for better access and quality of care to perinatal patients and increase provider psychoeducation on perinatal mental …

The Barriers Social Workers Face During The Discharge Of Hospital Patients, Nykke Flaum

Walden Dissertations and Doctoral Studies

This study investigated the psychosocial barriers hospital patients face that would delay their discharge. A delay in discharge can stop new patient admissions, cause further illness to the patient, and cost the hospital money, amongst other issues. Social workers are there as part of the multidisciplinary team to reduce the barriers and length of stay. One of the ways to do this is to detect the psychosocial issue early on in a patient’s admission so that it does not delay the discharge. Social workers investigate these issues during the discharge planning process and while conducting assessments. This study utilized structured …

Understanding The Barriers Of Lgbtq Youth Aging Out Of The Foster Care System, Quadasha Mcilwaine

Walden Dissertations and Doctoral Studies

Historically, there have been significant barriers experienced by youths aging out of the foster care system. A new area of focus highlights youths that identify as lesbian, gay, bisexual, transgender, and queer (LGBTQ). In this study, the opinions of LGBTQ youths who have aged out of the foster care system in North Carolina were explored and the barriers these youths may encounter as they transition into adulthood were illuminated. Bronfenbrenner’s ecological systems theory is the framework that was used to guide this study. A basic qualitative approach was used with semistructured interviews of 10 LGBTQ aged-out youths in North Carolina. …

Perceptions Of Hiv-Positive Patients Towards Faith-Based Community Support In A Rural Setting, James D. Rollins

Walden Dissertations and Doctoral Studies

Studies have demonstrated different perspectives on faith-based organizations (FBOs). Various quantitative studies have been performed for many years; however, there is minimal qualitative research literature investigating the phenomenon of attitudes of HIV-positive patients in a faith-based structure. The purpose of this study was to examine the lived experiences of a sample of 7 participants aged 18-65 from rural areas of a southern U.S. state who have lived with HIV and have sought community support. The focus was on various interventions by rural religious community support programs. Patients’ perceptions and experiences regarding the possible improvement of their quality of life were …

Social Workers’ Perspectives On Why Stepparents Kill, Laquitta Daniella Simms

Walden Dissertations and Doctoral Studies

The term accidental filicide refers to the death of a child that occurs inadvertently due to abuse or neglect. In this category of child homicides, death was not the intended outcome. Stepparents outnumber biological parents as the primary perpetrators of accidental filicide based on data collected nationwide. There is limited research on how child protection social workers perceive the risk and safety associated with accidental filicide by stepparents. The objective of this study was to investigate the safety and risk factors related to accidental filicide and the perceived barriers through the lens of child protection social workers who investigated allegations …

Social Worker Perspectives Of Working With Aging African Americans With Depressive Disorders, Sherian Waite

Walden Dissertations and Doctoral Studies

Although there is a greater proportion of people living with depressive disorders within the African American older adult population compared to their White counterparts, fewer African Americans are engaging in mental health treatment when compared to the Caucasian community. The purpose of this qualitative study was to explore the experiences and practices of social workers who are providing mental health care treatment to African American older adult patients (aged 65 and over) living with a depressive disorder. The study was framed using both the health belief model and critical race theory. To address the research questions, a generic qualitative design …

Strategies For Sustaining Success In Small Businesses In Nigeria, Mina Johnson-Hart

Walden Dissertations and Doctoral Studies

Enterprise owners in Nigeria who need more entrepreneurial skills and an understanding of the business environment may need help sustaining their market share. Nigerian small business owners are concerned with the need for entrepreneurial growth strategies because it could reduce business profitability sustainability and lead to entity failure. Grounded in the entrepreneurial orientation theory, the purpose of this qualitative multiple case study was to explore strategies Nigerian small business owners implement for sustaining success beyond 5 years. The participants were three small business owners in the professional services sector who developed strategies for sustaining success beyond 5 years. Data were …

The Counselor’S Perspective: Exploring The Influence Of The Strong Black Woman Identity On Sexually Traumatized Female Adolescents, Jillian Mahatha

Walden Dissertations and Doctoral Studies

AbstractThe Counselor’s Perspective: Exploring the Influence of the Strong Black Woman Identity on Sexually Traumatized Female Adolescents by Jillian Mahatha

MS, Capella University, 2012BS, Kaplan University, 2006

Dissertation Submitted in Partial Fulfillment of the Requirements for the Degree of Doctor of Philosophy Counselor Education and Supervision

Walden University November 2023

Gendered Racial Microaggressions’ Cumulative Effects On Black Women’S Psychological Well-Being, Melva Dorsey

Walden Dissertations and Doctoral Studies

Black women living in North America experience gendered racial microaggressions injurious confrontations in every social setting due to simultaneous discrimination involving race and gender. This basic qualitative research study aimed to explore the perceptions of Black women in this society with gendered racial microaggressions to discover how they perceive the cumulative effects of this phenomenon on their psychological well-being by utilizing intersectionality as the study's conceptual framework. Data collection occurred via interviews with a sample size of five Black women ages 51 and older who were born and raised in North America that self-reported experiencing gendered racial microaggressions. Participants were …

The Reconciliation Of Cognitive Dissonance Among Social Workers In Substance Use Treatment Settings, Miranda Ashley Kieler

Walden Dissertations and Doctoral Studies

Although harm reduction (HR) and abstinence-based treatment approaches are both useful in addiction treatment, the former is less accepted and integrated into practice. Social workers who embrace an HR approach but who work at substance abuse treatment facilities that are abstinence based may experience cognitive dissonance because they perceive their work role to be incompatible with social work practice values and education. Little was known regarding how practitioners with a Master of Social Work (MSW) degree experience and reconcile cognitive dissonance related to their HR education and abstinence-only practice in substance use treatment centers. To address this gap in the …

Caucasian Social Workers’ Cultural Competence Regarding Advance Care Planning Among Southern African Americans, Lisa Mitchell

Walden Dissertations and Doctoral Studies

Caucasian social workers who work in healthcare and implement advance care planning (ACP) may not be competent regarding African Americans’ reluctance to complete advance directives. Research is lacking on how Caucasian social workers in Louisiana are increasing their cultural competence regarding the interplay of historical trauma, past medical mistrust, and spiritual beliefs on African Americans’ use of ACP. This study explored how Caucasian social workers are increasing their cultural competence regarding the interplay of historical trauma, past medical mistrust, and spiritual beliefs on African Americans’ use of ACP. The conceptual framework that guided this study was the cultural competence model. …

The Experiences Of Female Sexual Minority Service Members After 2013, Ada I. Rivera

Walden Dissertations and Doctoral Studies

In 2010, the United States Armed Forces ended the policy Don’t Ask, Don’t Tellthat excluded sexual minorities from being able to serve openly in the military. Full military benefits were extended to them and their family members in 2013. Despite these changes, victimization, stigma, and discrimination have continued to impact the lives of service members who identify as a sexual minority, as the result of microaggressions due to their sexual orientation. Past literature has examined experiences of sexual minorities, but little research has focuses on sexual minority women whose minority gender identity creates greater risk to experience micro assaults with …