Digital Commons Network^™

Applying Supervision To Animal Assisted Therapy: Using The Integrative Development Model, Rachel W. Rachlinski, Kelli A. Mcfarland

Journal of Counselor Preparation and Supervision

A study conducted by Hartwig and Smelser (2018) reported 91.7% of clinicians being aware of animal assisted therapy (AAT) who agree it is a legitimate treatment model. However, 57% of respondents expressed interest in receiving AAT training. Although published standards and competencies published by ACA and IAHAIO indicate the requirement for clinical supervision when implementing AAT, research does not address supervision protocols for AAT. This manuscript suggests a protocol for supervising the implementation of AAT. The consequence of untrained supervisors is the potential harm to the well-being of the client as well as the clinician and the animal. As such, …

Counseling Program Advisory Committees: A Structural Recommendation, Allison K. Arnekrans, Ellen Armbruster, Leslie Neyland-Brown, Robin Dufresne

Journal of Counselor Preparation and Supervision

The 2024 CACREP accreditation standards now require counseling programs to assemble a program advisory committee to solicit feedback from stakeholders. While many programs have opted to establish advisory committees despite the lack of a requirement in the past, the inclusion of this new standard challenges programs to become more intentional and structured. The history and purpose of advisory committees will be reviewed, and a proposed structure is offered as a recommendation for programs.

Teaching Counselors To Work With Infants And Young Children: Why It Matters, Tricia Woodliff, Rachel Jacoby

Journal of Counselor Preparation and Supervision

Infant and Early Childhood Mental Health (IECMH) is a culturally informed, relationally focused area of clinical expertise which addresses the social-emotional needs of very young children and their families. At this time, although counselors are often providers of this type of clinical work, very little training exists in counselor education programs. This brief explores the integration of this work into counselor education by describing a seamless integration of the IECMH concepts into already existing course work.

A Pilot Study Of A Manualized Cognitive-Behavioral Intervention For Opioid Use Disorder Delivered In A Community-Based Public Health Organization, Michelle R. Lent, Denise Botcheos, Chad Gurdgiel, Hannah R. Callahan, Liam Gilroy

The Journal of Integrated Primary Care

This pilot study evaluated a previously untested cognitive-behavioral therapy (CBT) intervention designed specifically to treat opioid use disorder (OUD). Adults (N = 20) taking medication for OUD were recruited from a public health organization providing harm reduction and treatment services to people who use drugs in Philadelphia. Outcomes collected at baseline and 12 weeks included urinalysis-confirmed use of illicit drugs and surveys of mood (Patient Health Questionnaire-9; Generalized Anxiety Disorder-7), recovery capital (Brief Assessment of Recovery Capital-10), and cravings (Brief Substance Craving Scale). Feasibility and acceptability were assessed via retention rates, the Client Satisfaction Questionnaire-8, and the number of …

Trauma-Informed Family-Centered Care Training For Neonatal Intensive Care Nurses, Sonja A. Alli-Casella

Doctor of Nursing Practice (DNP) Projects

Background The neonatal intensive care unit (NICU) is a high-stress environment that can cause or exacerbate emotional trauma for parents of critically ill infants. While NICU nurses are trained in neonatal care and basic family-centered principles, they often receive limited education on supporting adults in acute emotional distress, leaving them unprepared to manage dysregulated behaviors. Local Problem At a Level IV NICU in a Southern California pediatric hospital, nurses may underestimate their influence on parental stress levels due to a lack of formal training in supporting emotionally distressed adults. Methods A comprehensive literature review informed an evidence-based practice (EBP) initiative …

Increasing Formation Of Advance Directives In Acute Care Through Staff Education, Piper E. Parres

Doctor of Nursing Practice Scholarly Project

In the acute care setting, the condition and stability of patients can change in an instant. Oftentimes, patients that were ambulatory, independent, and high functioning may be rendered critically ill and unable to communicate due to the rapid onset of an illness. When this happens, the care team must act quickly to stabilize the patient by any means necessary. With the wealth of medical knowledge and technology available in modern healthcare, life may be sustained indefinitely with the help of machinery such as ventilators, continuous renal replacement therapy, or extracorporeal membrane oxygenation. While some patients may welcome these interventions, others …

Holy Cross Magazine, ​​Vol. 59, No. 2, Spring/Summer 2025, College Of The Holy Cross

Holy Cross Magazine

What You Don’t Know About The Cornerstone of The College
Inside the storied spaces and architectural secrets of historic Fenwick Hall.
Feature by Meredith Fidrocki with Archives & Distinctive Collections
Photography by Michael Ivins

Discernment and Desire
Part two: How a nagging question can be a clarifying one.
Reflection by Rev. Keith Maczkiewicz, S.J.

Turning Cancer Into a Calling
Erin (Geddis) Cummings ’79 unites, supports and educates fellow Hodgkin lymphoma survivors and medical professionals on the later-in-life effects of youth cancer treatment.
Story by Carol Cool
Photography by David Welch

What Opera Taught Me About History
How the power of …

Not All Superheroes Wear Capes: Understanding The Lives Of Asian American Student Caregivers, Angela Ji

Educational Specialist, 2020-current

There exists an invisible army of children who sacrifice their childhoods and shoulder responsibilities expected of adults; these children are called young caregivers. Young caregivers provide significant assistance for their family on a regular basis. The existing literature shows that youth caregiving is associated with negative physical and mental health impacts that vary depending on the cultural background associated with families. It is also clear that the complexities and nuances of different ethnic groups influence the lived experiences of young caregivers. Unfortunately, there is limited information exploring racial and cultural implications of caregiving for children. This study sought to address …

Conversations And Educating People About Traumatic Experiences, Cynthia Ortega

Undergraduate University Honors Capstones

This Capstone project focused on writing a book for young adults about the different traumas people experience, including generational trauma, domestic violence, substance abuse, and mental health struggles. These difficult topics were often discussed, yet the goal was to encourage open conversations that helped individuals recognize trauma and learn about available resources. My mother, Theresa Preciado, experienced all these challenges, and sharing her story aimed to inspire others to speak up. Her journey reflected the struggles of many, offering relatability, education, and understanding. Readers were made aware that the book included emotionally heavy content. At its core, this project sought …

Independent- May 15, 2025, Leslie Lozada

The Independent (1988-present)

No abstract provided.

There’S A Crisis Brewing In Higher Education, Caroline M. Graham

Dissertations, 2020-current

This dissertation addresses the increasing need to enhance crisis preparedness among student affairs practitioners in higher education. With the growing frequency and complexity of campus crises—ranging from mental health emergencies to incidents of violence, the preparedness and self-efficacy of those in student support roles are paramount. This three-manuscript dissertation explores crisis intervention training, crisis self-efficacy, and the lived experiences of student affairs practitioners navigating campus crises. The first manuscript provides a conceptual overview of the gaps in current crisis intervention training within graduate programs, advocating for the integration of core competencies informed by accreditation standards and professional associations. The second …

Exploring Trauma Education And The Intersection Of Self-Efficacy, Ashlea Yearwood

Dissertations, 2020-current

Trauma education in counselor training programs is not only required for those accredited by the Council for Accreditation of Counseling and Related Educational Programs (CACREP), but a critical component in preparing counselors-in-training to work with clients who have been directly or indirectly impacted by a traumatic event. This three-article dissertation includes a conceptual manuscript, qualitative manuscript, and a quantitative manuscript regarding trauma education for counselors. The conceptual manuscript offers an approach to mitigating compassion fatigue through the utilization of attachment-based supervision when working with counselors-in-training. The qualitative manuscript aimed to utilize an interpretative phenomenological analysis to explore and understand what …

Lgbtqia+ Competency In Counseling: Understanding Current Trends, Educational Experiences, And Counselor Identity Implications, Tyler Puryear

Dissertations, 2020-current

This dissertation presents is made up of three manuscripts. The first is a systematized review that synthesizes current literature to better understand the definition, development, and gaps in LGBTQIA+ competency. Eleven major themes were identified: competency frameworks, cultural humility over competence, competence in practice, barriers, intersectionality, subgroups, advocacy, allyship, pedagogy, language, and counselor attitudes. Findings suggest the field must move beyond static competency models toward a cultural humility framework. The qualitative study used constructivist grounded theory (CGT) to explore how recent graduates from counseling programs experienced learning about LGBTQIA+ counseling topics. Five themes emerged: faculty influence on learning, experiential learning …

Burnout And Self-Efficacy: Exploring The Rewards And Challenges Faced By Crisis Counselors Working In Emergency Department Settings, Ellen Dotas

Dissertations, 2020-current

This dissertation explores burnout and self-efficacy in counselors who work with clients in crisis in emergency department settings. Mental health and emergency departments are two areas that tend to report higher levels of burnout than are reported in other occupational fields. While much research has been done on the topics of burnout and self-efficacy, limited information is available about counselors who work in these crisis roles. This dissertation follows a three-manuscript format and includes a conceptual, qualitative, and quantitative manuscript. The conceptual manuscript explores the nature of the crisis assessment itself, focusing on the area of risk assessment. The qualitative …

Exploring Clinical Social Workers' Challenges And Strategies For Co-Occurring Disorders In Private Practice Settings, Shakeena Y. Speller

Walden Dissertations and Doctoral Studies

Co-occurring mental health (MH) and substance use disorders (SUDs) pose a significant challenge for social work practice, especially for licensed clinical social workers (LCSWs) in private practice who often work with limited resources and support. The purpose of this basic qualitative study was to explore the service delivery, care coordination strategies, and challenges of LCSWs in private practice working with co-occurring MH and SUDs. Moore’s social work practice model of case management was used to explain how LCSWs in private practice settings manage complex cases within fragmented MH and SU care systems. Semistructured interviews were used to collect data from …

Navigating The Labyrinth: Transition Planning Process For Reintegration Of Inmates With Chronic Illnesses And Disabilities, Courtney Ashley Dean

Walden Dissertations and Doctoral Studies

Most offenders face challenges with successfully reintegrating, especially those living with chronic illness and/or disabilities. Transition interventions employed by mental health professionals are not universal and vary from facility to facility. While recidivism, community stigmatization, reoffending, and reconviction are explored in extant literature, little has been done to examine the difficulties faced by the professionals who work with this population as they get ready to plan for transitioning this disenfranchised group back into society. This study is an exploration of the role of professional counselors in facilitating successful transition planning for inmates living with chronic illnesses and/or disabilities. Guided by …

Unlv Department Of Physical Therapy And The Fine Arts Clinic For Health And Injury Prevention, Madeline Cosgrove, Ashton Johnson, Keith Lopez, Diana Nguyen

UNLV Theses, Dissertations, Professional Papers, and Capstones

At the collegiate of performing arts, those who participate in classes and performances will often be at risk for musculoskeletal injury due to repetition and specific patterns of their movements. The establishment of a pro-bono physical therapy clinic for students enrolled in undergraduate and graduate-level fine arts programs may improve healthcare access for this often underserved community. The goals of this service learning project were to provide injury-prevention screenings to dancers and administer specialized physical therapy (PT) services in the form of evaluations and treatments to all students in the UNLV (University of Las Vegas, Nevada) College of Fine Arts …

Grief As Slip: (How Little I Show) An Exploration In Clay, When Words Are Not Enough, Michelle A. Smith

Masters Theses, 2020-current

Grief as Slip (how little I show) implies that even as we acknowledge our mortality and the fleeting nature of life, we still only reveal a fraction of our true selves or our deeper realities. The ceramic artwork in this exhibition carries and conveys a journey through the present and remembered emotions of the artists’ personal narrative. By juxtaposing the tactile nature of clay with the ethereal quality of human experience, Smith contemplates the profound interplay between material transformation and emotional resilience. The exhibition’s intent is to translate the essence of complex emotional states into abstracted forms so they can …

Exploring The Application Of Complexity Theory And Interdisciplinary Study In Clinical Psychology, Iman Motlagh Arani

UNLV Theses, Dissertations, Professional Papers, and Capstones

This study explores the integration of complexity theory and interdisciplinary approaches in clinical psychology education and training. Responding to growing concerns about the fragmentation of knowledge and the limitations of reductionist models in mental health education, this qualitative research investigates how faculty and graduate students conceptualize and engage with complexity, systems thinking, ethics, culture, and curricular innovation. Using semi-structured interviews with clinical psychology professors and students, the study applies thematic analysis grounded in interpretive paradigms and educational philosophy. Findings reveal widespread epistemological fragmentation, varied familiarity with complexity theory, institutional resistance to interdisciplinary integration, and emerging calls for curricular transformation. Participants …

Teacher Perceptions Of Their Role In Aspiration Development With Diverse Students With Disabilities, Joseph Edward Simmons Jr.

UNLV Theses, Dissertations, Professional Papers, and Capstones

Aspirations stem from a humanistic perspective, emphasizing the person as a whole. They serve as a foundational and predictive component of an individual’s life. Teachers play a critical role in shaping the successes and challenges their students encounter (Zolkoski, 2019). Aspirations, as a cognitive process grounded in forward-thinking, are essential to personal development and evolve through experiences (Hart, 2016). However, students with disabilities often lack opportunities to explore their aspirations within schools. These students are frequently constrained by both teachers and systemic practices within the school environment (Gilmour et al., 2019). Aspiration exploration is crucial because children and youth need …

Qualitative Analysis Of The Influence Of Military Culture On The Resocialization Of Combat Veterans, Kyle N. Rodgers

UNLV Theses, Dissertations, Professional Papers, and Capstones

The researcher conducted in-depth interviews with 25 combat-experienced Veterans of the Global War on Terror who fit an operational definition of successful resocialization. How do successfully resocialized combat Veterans compare with combat Veterans who became involved with the criminal justice system? Utilizing a snowball method to identify each participant, the most significant finding from these interviews was that two factors seem to differentiate the civilian and military group styles the most, which were the overwhelming importance of purpose and tribe in the lives of combat Veterans. This confirmed the hypothesis that the most significant difference between the civilian and military …

Qualitative Analysis Of Clinical And Community Perinatal Providers’ Perceived Barriers To Equitable Care For Food Insecurity In Underserved Communities In Southern Nevada, Kaelia Lynn KeapomekuʻUaloha Saniatan

UNLV Theses, Dissertations, Professional Papers, and Capstones

Food insecurity is prevalent among underserved communities and contributes to increasing maternal-child health disparities. The perinatal period from pregnancy through one year postpartum provides a critical window of opportunity to identify and address food insecurity (FI). However, barriers such as inadequate staffing, lack of institutional and community resources have prevented perinatal providers from offering equitable care for FI, defined as providing screening, referrals, and follow-up services. The Social Ecological Model (SEM) is a framework that observes concepts at multiple levels, including (i) individual, (ii) interpersonal, (iii) institutional, (iv) community, and (v) policy. The objective of this study is to understand …

The Mindful Officer: Enhancing Officer Mental, Physical, And Social Wellness Through Resilience Training, Tanya Dudinskaya

UNLV Theses, Dissertations, Professional Papers, and Capstones

The issue of mental health among the U.S. population has gained national attention, with numerous wide-scale initiatives aimed at providing resources for the public. However, certain professional populations encounter unique challenges in their occupation and often lack specific support for their mental and physical health needs that stem from long-term exposure to unpredictable stressors. One population facing these issues is law enforcement. Police officers regularly experience chronic stress related to their job demands, as they manage high-pressure situations and exposure to significant trauma, all while being under increased public scrutiny in recent years. Previous research has highlighted the effects of …

Acquired Brain Injury Education: Utilizing Unfolding Case Studies To Improve Critical Thinking Skills In Occupational Therapy Students, Katherine Hathaway

UNLV Theses, Dissertations, Professional Papers, and Capstones

Acquired brain injuries (ABI), including traumatic brain injury, stroke, and anoxia, affect millions worldwide, and often result in long-term impairments in daily functioning. Despite the need for specialized, ongoing care, many individuals with ABI lack access to adequate long-term rehabilitation services, and families report substantial caregiver burden due to limited resources and poor care coordination. Occupational therapy plays a critical role in meeting the needs of this population; however, many entry-level practitioners feel underprepared to manage the complex challenges associated with ABI, largely due to limited training and exposure. This capstone project aimed to address this educational gap by implementing …

Planning And Facilitating Hybrid Meetings To Support Relationality During Coalition Building, Luettamae Lawrence, Maureen Boyle, Moira Ross

Utah Conference on Community Engagement

Hybrid events where communities are connected through both in person and online spaces have simultaneously grown in popularity and gotten a bad reputation. While hybrid events have been around for decades, they gained significant traction with the onset of the COVID-19 pandemic to increase accessibility for attendees to accommodate diverse needs. Although hybrid events can be beneficial to many, they are not simple to execute. With the increase in hybrid events has come frustration with the low quality interactions between in person and online attendees leading to isolation, technology challenges, and low productivity. We argue the positive affordances of hybrid …

Serving Minority Women Survivors Of Intimate Partner Violence, Consuelo Valentina Riso

Educational Specialist, 2020-current

Intimate partner violence (IPV) is a widespread public health concern that disproportionately affects women, particularly those belonging to minorities. In the United States, the prevalence of IPV among Latina women is influenced by intersecting factors such as immigration status, socioeconomic stressors, cultural values, and systemic barriers. Research and community initiatives addressing IPV among Latina women have included crisis hotlines, domestic violence shelters, advocacy programs, and bilingual services within community health centers. Research also highlights that culturally tailored services yield better outcomes than trauma-informed approaches alone.

Additionally, online interventions are emerging as promising tools to expand safe, accessible, and bilingual support, …

The Moderating Effect Of Political Ideology On The Relationship Between Locus Of Control And Covid-19-Related Anxiety And Stress, Sarah Boomhower

Walden Dissertations and Doctoral Studies

The COVID-19 pandemic created a mental health crisis within the United States. Previous research examining locus of control and mental health issues during the pandemic revealed that individuals with an external locus of control exhibited increased mental health symptoms. Research also found that political attitudes played a role regarding COVID-19 with liberal-leaning individuals and Democrats reporting higher levels of emotional distress during the pandemic. The purpose of this quantitative, nonexperimental, correlational study was to determine the extent to which political ideology moderates the relationship between locus of control and COVID-19-related anxiety and stress. Locus of control was the theoretical foundation …

Experiences Of Low-Risk, Low-Need Participants In A Gender-Neutral And Inclusive Domestic And Intimate Partner Violence Intervention Program, Kenneth W. Robison

Walden Dissertations and Doctoral Studies

Traditional batterer intervention programs often prioritize male-perpetrator-female-victim models, thereby overlooking diverse relationship contexts and marginalized populations. Understanding participants’ experiences is essential for researchers, policymakers, counselor educators, and practitioners to develop alternatives to one-size-fits-all gender- specific strategies, which aligns with the call for more robust evidence-based practices. The purpose of this hermeneutic phenomenological qualitative study, guided by van Manen’s framework, was to explore the lived experiences of low-risk, low-need participants who completed a gender-neutral and inclusive domestic and intimate partner violence intervention program. The research answered what essential themes emerged from the participants’ lived experiences. Data were collected from (n=8) participants …

"Bridging Research, Outreach, And Care: Advancing Community-Driven Cancer Solutions", Rachel M. Ceballos Phd​, Angie Fausett Agnp-C, Dnp​, Allison Foust Mha, Mches​

Utah Conference on Community Engagement

"This panel will provide an overview of Huntsman Cancer Institute’s (HCI) collaborative efforts to enhance cancer care through innovative community outreach and local treatment programs, with a specific focus on rural outreach and care. Panelists will discuss HCI’s approach to fostering partnerships with community champions, integrating regional outreach through initiatives like the Mountain West Cancer Collaborative (MWCC), and expanding local treatment options to increase accessibility and equity in care, especially in rural areas. By highlighting how these initiatives align with HCI’s mission to reduce cancer disparities, the panel will emphasize strategies for improving cancer prevention, treatment, and survivorship in underserved …

Experiential Learning Through Service Learning -- Integrating The Social Inequality Classroom, Mehmet Soyer, Mike Spence, Zach Johnson

Utah Conference on Community Engagement

This session explores the role of service-learning in social inequality education, highlighting an experiential learning assignment that engages students with local non-profits. Participants will learn how structured reflections and community engagement deepen students' understanding of inequality and civic responsibility. The session will provide practical insights into implementing service-learning to foster critical thinking and social change.