Digital Commons Network^™

Exploring The Impact Of Inpatient Mental Health Care On Adolescents, Alexandria M. Mckahan

2025 Fall Honors Capstones Projects - Archive

Adolescent psychiatric hospitalizations continue to rise, yet there is limited research on which daily practices inside inpatient units genuinely support engagement and recovery. This project examined how structure, staff tone, and therapeutic programming influence adolescents’ participation and emotional stability within a real inpatient setting. The study focused on three questions: how structured routines affect recovery, what challenges staff face when supporting adolescents with complex needs, and how adolescents’ engagement patterns reflect their perception of care. Using a mixed-methods case study at Mesa Springs Behavioral Health Hospital, I conducted approximately twenty field observations, semi-structured staff interviews, and descriptive engagement tracking across …

Healing, Together, Courtney Cleek

Graduate Student Portfolios, Professional Papers, and Capstone Projects

This portfolio reviews the topics of mutual rehabilitation and the human animal bond (HAB) as a holistic approach to addressing topics of mental health, suicide prevention, and innovative services. Displaying work through the Ten Specialization Year Competencies and the Five Elements of Advanced Integrative Practice, we examine ways to expand social justice, amplify voices, and promote healing within our communities.

Mirrors & Windows: A Phenomenological Study On Narrative Group Therapy With Adults Survivors Of Childhood Interpersonal Trauma, Bethany Walker

Doctoral Dissertations and Projects

The purpose of this phenomenological study is to describe adult survivors of childhood interpersonal trauma's lived experiences with group narrative therapy in Texas. Three theories serve as the base for this study: Terr's childhood trauma theory, Vygotsky's social constructivism, and Fisher's narrative theory. Social constructivism informs the study by suggesting that group therapy fosters meaning making through shared narratives. Narrative theory informs this study with the concept participants of narrative group therapy can not only create, examine, and reauthor their stories but find connection with others and empowerment in sharing their stories. Participants in this study completed an interview and …

The Natural Agent Of Change: The Therapeutic Power Of Play To Children Who Have Experienced Aces And Trauma, Jingyu Chen

Orphans and Vulnerable Children Senior Capstone

The power of play lies in its natural expression which children speak. When engaged in safe play, children are allowed to explore, comprehend, connect, and communicate in a developmentally appropriate way without criticism. Yet those who are impacted by ACEs (Adverse Childhood Experience) often find play foreign as they are stuck in survival mode, missing the developmental benefits of safe play. This paper examines the role of play in childhood development, explains the relationship between ACEs, trauma and play, and suggests that play is a natural agent of change that carries therapeutic power. The paper supports play as a medium …

Assistive And Accessible User Interaction Mechanisms For Ai-Powered Art, Alex Olwal, Shaun Kane

Defensive Publications Series

Artists with motor disabilities can face significant challenges in expressing their creativity using traditional art tools and methods. This disclosure describes techniques that leverage generative AI (GenAI) with assistive input devices to make creative drawing and painting accessible to artists with disabilities, empowering them to translate their artistic vision into reality. Examples of assistive input devices include eye-trackers, game controllers, MIDI (musical instrument digital interface) controllers, etc. The techniques enable artists with motor disabilities to create art by interpreting their inputs and by generating corresponding visual outputs, fostering creative exploration and artistic expression. Two example implementations, one based on web …

The Potential For Improv As A Therapeutic Tool In The Context Of Dialectical Behavior Therapy: Suggestions For Dbt Clinicians, Jocelyn Borden

University Honors Theses

This thesis explores the theoretical and practical intersections between improvisational theater and Dialectical Behavior Therapy (DBT), proposing that the core tenets of improv closely align with the philosophical foundation and therapeutic goals of DBT. Aimed at mental health professionals, this work provides a conceptual framework and praxis for incorporating improv-based activities into DBT skills training to enhance client engagement, experiential learning, and emotional resilience. Through an examination of improv theory, parallels with DBT principles, and practical suggestions for integration, the thesis outlines how applied improvisation can be used as a supplemental tool in traditional DBT treatment. The final section includes …

Art, Play, And Neuroplasticity: Advancing Dementia Care Through Art-Enriched Environments, Piper Hutson, James Hutson

Faculty Scholarship

Dementia represents a global public health crisis, characterized not only by progressive memory loss but by a pervasive decline in cognitive flexibility, social functioning, and overall quality of life. Traditional therapeutic modalities, often limited to pharmacological management and cognitive training, have yielded only modest gains in symptom mitigation and patient well-being. Recent advances in neuroscience have illuminated the brain‘s capacity for neuroplasticity—its inherent ability to adapt, reorganize, and form new neural connections even in advanced age and the presence of neurodegenerative conditions. This emerging understanding invites a critical re-evaluation of dementia care strategies, highlighting the potential of non-pharmacological interventions to …

How Does An Art Therapist Build Rapport With Socially Isolated Older Adults?, Elizabeth L. Levering

Expressive Therapies Theses

This study was done to explore the fundamental aspects that are woven into the report-building process and the therapeutic alliance with socially isolated older adults. Research has been done on the effects that social isolation and loneliness have on this underserved population, however report building is less researched and can be translated into the mental health field. Person-centered therapy, developmental stages of older adults, and the growing field of art therapy and its benefits are also well documented. This qualitative arts-based study takes the intersectionality of these topics by observing three sessions with two separate residents and analyzing the results. …

How Can Tattoos Be Understood As Intermodal Expressive Arts Therapy?: Integrating Visual Art, Personal Narrative, And Embodied Experience: Development Of A Method, Rachel S. Hall

Expressive Therapies Theses

This paper explores the inherent intermodal nature of tattoos through the lens of expressive arts therapy, demonstrating how tattoos integrate visual art, personal narrative, and embodied experience. A group intervention was designed and implemented in an outpatient setting, drawing on existing literature and the Expressive Therapies Continuum (ETC) to examine how tattoos function as therapeutic tools that support identity formation, emotional healing, and self-expression. The intervention guided participants through an intermodal process that began with reflective writing on identity-forming experiences, followed by visual art-making and somatic engagement. This approach illuminated the transformative potential of tattoo conceptualization within a therapeutic context, …

Multimodal Dance/Movement Therapy For Children With Autism, Riley K. Cornacchini

Expressive Therapies Theses

This literature review examines the potential of creative arts therapies, particularly multimodal approaches, in improving social connection and communication for children with autism spectrum disorder (ASD). The review explores how expressive arts therapy, including dance/movement, music, art, and drama therapy, engages children with ASD in non-verbal and emotionally expressive ways. Emphasizing early intervention, it highlights how these therapies promote emotional regulation, social and motor skills, and self-expression, enabling children to connect with others and navigate their social worlds. Drawing on both research and personal experience, the review illustrates how creative arts therapy can provide flexible, individualized interventions to meet the …

To Bear Witness: Analyzing Dmt As An Effective Trauma-Informed Approach For Treating Youth & Adolescents: A Critical Review Of The Literature, Jade Dennis

Expressive Therapies Theses

This literature review proposes dance/movement therapy (DMT) as a trauma-informed intervention for children and adolescents who have experienced psychological, emotional, or physical trauma. The project, inspired by internship experiences with young trauma survivors, explores the ways in which trauma manifests in the body, indicating that DMT may offer effective pathways toward healing. Many children exposed to potentially traumatic events exhibit emotional dysregulation, insecure attachment patterns, and behavioral or somatic symptoms that are not easily addressed through traditional talk therapy. As a body-based expressive arts modality, DMT engages the sensory, emotional, and relational aspects of trauma by supporting nonverbal expression, self-regulation, …

Developing Art Resources To Reduce Stress And Increase Well-Being For Healthcare Professionals, Elisabeth Ruth Baird

Theses - ALL

This study explored how art-based wellness resources can support healthcare professionals who provide direct patient care in hospital settings. A focus group of these providers shared their experiences with stress and burnout, identifying key challenges and needs. Based on their feedback, a Mini Wellness Manual was developed with practical, research-based art activities designed to help reduce stress and promote well-being. In a second focus group, participants reviewed the manual and provided feedback on its usefulness and accessibility. Findings showed that self-care interventions often place the burden on individuals rather than addressing the larger systemic issues that contribute to burnout, highlighting …

Beyond Stigma: Role Theory And Drama Therapy In Reentry And Rehabilitation, Mackenzee Donham-Stradling

Expressive Therapies Theses

To be system-impacted often means facing stigmatization. The experience of incarceration is profoundly dehumanizing, eroding self-worth and identity. This thesis examines the application of a 3-week drama therapy method for formerly incarcerated women residing in a transitional facility with co-occurring mental health and substance use disorders. This project integrated a drama therapy framework with Robert Landy’s Role Theory to create a method aimed at assisting formerly incarcerated clients in expanding their role repertoire and discarding those roles that perpetuate their disempowerment. This thesis begins with a literature review of role in drama therapy, the experiences of incarcerated women in the …

Abracadabra: Empowering Trans And Gender Nonconforming Adolescents’ Identities Through Integrated Narrative Expressive Arts Therapy: A Literature Review, Alexandra Douglas-Deutsch

Expressive Therapies Theses

This literature review is an exploration of how a blended narrative and expressive arts therapeutic framework can be utilized to best suit the mental health needs of transgender and gender non-conforming adolescents as they develop their identities. Areas of research include an examination and analysis of the established bodies of research that pertain to transgender and gender nonconforming (TGNC) populations, adolescent identity development, relevant critical sociocultural theories, narrative and expressive arts therapy frameworks, and future directions of mental health counseling with TGNC youth as it pertains to identity.

It is this author’s intention to scaffold the areas of research in …

Adolescents And Addictions: An Expressive Arts Therapy Prevention Intervention In India – Development Of A Method, Ravtesh Kaur

Expressive Therapies Theses

This thesis aims to propose an expressive arts therapy prevention intervention for substance use among adolescents in India. Adolescence is a period defined by many physiological and psychological changes and is considered to be a time of high-risk for the initiation of substance use. The prevalence of substance use amongst Indian adolescents is growing every year, with most adolescents engaging in frequent use of alcohol, tobacco, cannabis, and inhalants. This thesis intends to develop and implement an expressive arts therapy prevention intervention for adolescents. The current research was conducted in a private school in Punjab, India with 50 students of …

Power Word Queer: Using Tabletop Role-Playing Games As Expressive Art Therapy For The Queer Community: A Literature Review, Aliza King

Expressive Therapies Capstone Theses

At a time when homophobia and transphobia are on the rise, and hard-won rights are being taken away, the Queer community needs heroes, magic, and hope. Tabletop role-playing games have become increasingly popular, particularly in the Queer community (Diamond, 2022). This literature review examines the existing research regarding TTRPGs as a psychological intervention, with particular focus on their value as an expressive art therapy intervention for Queer clients, using a socio-ecological model of Queer mental health (Mink et al., 2014) and drawing from core expressive arts theories. The results suggest that TTRPGs show promise as an effective tool for growth …

The Effectiveness Of Using Art Therapy In The Treatment Of Individuals With Ptsd, Alexander Jones, Josh Phillips, Jacinto Magallan-Campuzano

NURS 464: Evidence-Based Nursing Capstone

Art therapy is a form of expressive therapy that uses a creative process to explore

emotions. It has gained recognition as a potential treatment for PTSD. Studies suggest that art therapy can help adults process traumatic experiences by expressing their feelings and reducing symptoms of distress and anxiety (Haeyen & Wanten, 2024). Working in a trauma-informed care environment, one must understand the role of art therapy, as it can be essential in offering holistic, patient-centered care. Investigation of the effectiveness of art therapy could lead to a more inclusive and diverse treatment option for adults with PTSD. In this paper, …

Breaking The Cycle: Creating Safe Spaces For Youth To Overcome Adversity In North Minneapolis, Anthony Vergara Gonzalez

Architecture Theses

This thesis investigates how architecture can foster community cohesion and provide refuge for youth impacted by gang affiliation, gun violence, and crime. By offering an empowering alternative through sports, academics, trades training, donation, and mental health support, the design becomes a catalyst of change. Rooted in the philosophy of otherness and edges, the spatial arrangement separates selective and collective zones, unifying them in a central space that embodies the flesh concept, a reconciliation of division and unity. An accompanying artefact projects dual community narratives of struggle and resilience onto a suspended canvas, inviting viewers to confront the edge between alienation …

Performance Art Is Ripe For Layering: Performance Art As A Therapeutic Intervention, Nur Greene

Expressive Therapies Capstone Theses

Performance art is an artform which benefits Expressive Arts Therapy (ExAT), the field of expressive therapies, and the mental health profession itself. For the purposes of this literature review, performance art is defined as any expression which attempts to be transformative, is witnessed by self or other, matching at least two modes of creative expression, often interacting with those witnessing, and which offers some element of experiment. Expressive Arts Therapy, a modality of therapy within the expressive therapies aimed to move (transfer) creative expression from one artform to another and develop a connection between different artistic representations and one’s psyche, …

Combining Internal Family Systems Therapy And Dance Movement Therapy To Treat Survivors Of Sexual Assault, Tierney O'Keefe

Scripps Senior Theses

The mammalian nervous system is primed to connect with loved ones, flee from danger, and shut down when overwhelmed. The nervous system frequently enters a state of chronic dysregulation after a traumatic event, such as a sexual assault. In order to properly heal from such trauma, treatment must address both the body and the mind. Internal family systems therapy and dance movement therapy provide two frameworks to address nervous system dysregulation and restore balance to the system as a whole. This study combines both therapies into a hybrid therapy treatment as an attempt to address the somatic nature of stored …

Creative Psychotherapy, Including Art. A Module For Pluralistic Identities And A Case Study From An Artist's Perspective., Amani Alsaad

School of Art, Design and Architecture Theses

This thesis investigates the complexities of pluralistic identities, focusing on Arab Muslims in non-Muslim countries and Westerners residing in the Arabian Gulf. Grounded in the author’s dual heritage as an Arab Muslim artist and psychological practitioner, this study offers a distinctive perspective informed by lived experience. The author’s unique background, shaped by a Saudi Arabian birthplace and upbringing in the United Kingdom, serves as a foundation for this multidisciplinary research.The study aims to develop a creative psychotherapy module integrating art-making as a therapeutic technique to address the mental health challenges faced by individuals with pluralistic identities. These challenges, arising from …