Digital Commons Network^™

Predicting Confidence In Performing Mental Health Actions Among Allied Professionals., Jean Marie Zelenko

Electronic Theses and Dissertations

One in five young people before the age of 25 exhibit onset of symptoms of an emotional or behavioral disorder (Kessler et al., 2005). Up to 80% of depressed youth do not receive services (Kataoka, 2002) and less than 50% of the time youth seek help for suicidal ideation and/or self-harm (Michelmore & Hindley, 2012). This high prevalence of mental health distress and low frequency of help-seeking among youth require examination of factors influencing youths’ likelihood of seeking help. One factor that increases the likelihood of help-seeking is encouragement from others to seek mental health services (Cusack et al., 2004). …

Exploring Spatial Arrangements And Smart Technology To Manage Cognitive Load In Kitchens For Aging In Place, Monique Chabot

Full-Text Theses & Dissertations

Older adults undergo natural physiological changes in various physical and cognitive functions, including balance, strength, memory, attention, and executive functioning. Memory, attention, and executive functioning integrate to form functional cognition, a skill that allows people to safely and efficiently complete daily tasks. Functional cognition is integral to the ability to age in place and is sensitive to demands in the environment. While a decline in some cognitive functions is expected with age, it is not typically observable except in the presence of pathological conditions or situations of cognitive overload from complex tasks or high environmental demands.

Older adults have identified …

Depression, Anxiety, And Suicide Among Adolescents: Sex Differences And Future Perspectives, Giovana V.R. Toro, Paula Arias, Alejandro De La Torre-Luque, Jonathan B. Singer, Natalia Lagunas

Social Work: School of Social Work Faculty Publications and Other Works

Depression and anxiety are two disorders that significantly increase the risk of suicidal behavior. The disparity between females and males in the prevalence of these disorders becomes more pronounced from adolescence onwards. Specifically, risk factors associated with suicidal behavior in adolescent females are often linked to anxiety and depression, whereas in males, these behaviors are more frequently associated with other types of disorders, such as disruptive behavior. Furthermore, there are notable sex differences in the efficacy and acceptance of treatments aimed at preventing suicidal behavior. This review examines the sex differences in the relationship between depression, anxiety disorders, and suicidal …

Creating A Trauma-Informed Youth Ministry, Rodney Palmer

Journal of Adventist Youth and Young Adult Ministries

Trauma is an event or experience that surpasses an individual’s coping capacity, often manifesting in response to various situations such as abuse, neglect, violence, natural disasters, or loss. Trauma, especially during one’s formative years, can have long-lasting and far-reaching effects on an individual’s physical, emotional, psychological, and spiritual well-being. Consequently, it is vital to provide a safe and supportive environment for youth who have experienced such trauma. This article provides a guide on creating a safe space, emphasizing key elements such as being welcoming and non-judgmental, using positive language, setting clear boundaries, promoting autonomy, addressing triggers, and fostering healthy relationships. …

An Exploration In Using Aesthetic Creative Modalities In Professional Supervision, Linda Young

Doctor of Ministry Theses and Dissertations

This project examines the integration of aesthetic and creative modalities into professional supervision, traditionally dominated by conversation-based methods. Drawing on over thirty years of experience in education, ministry, and supervision, it addresses the need for more creative, diverse, expressive, and reflective tools to be used in professional supervision practice. The study proposes a theoretically and theologically grounded curriculum to equip supervisors in postgraduate training with creative approaches that enrich learning, insight, and practice within the evolving landscape of professional supervision in Australia.

Telling Their Stories: Contextualizing The Narrative, Legal Atmosphere, And Need For Individualized Care For Human Trafficking Victims, Joy M. Brown

Undergraduate Honors Thesis Collection

Though known in name, human trafficking is a silent plague that often goes unseen. Its prevalence is rendered invisible by both the circumstances in which trafficking occurs and the correlation it possesses with other criminal matters. Human trafficking is a deeply individual crime that is multi-layered, and thus is one that requires unique legislation. This essay seeks to ignite clarity as to what prevention, rehabilitation, and healing look like for victims of human trafficking via interviews with providers of legal and social services for survivors. Building on the content of these interviews and my own experience as a direct-care volunteer …

Is There A Limit? Honor Ideology And Perceptions Of Extremely Violent Responses To Threat, Alexandria Elise Archer

Undergraduate Honors Thesis Collection

Honor ideology revolves around the idea that men must obey strict masculine norms including toughness, bravery, and a lack of showing one’s emotions. These expectations contribute to stigma against mental illness and help seeking behavior due to perceptions that these behaviors are “unmanly”. Research has failed to examine who men who act in an honor consistent way (i.e., aggressive response to threat) but also struggle with mental health issues may be perceived within the framework of honor ideology. For this reason, we explored whether masculine honor ideology predicted differing perceptions of a man with schizophrenia versus a man without mental …

A Texas-Sized Problem: Abortion Policy And Public Perception On The Border, Sabrina Bustillos

Open Access Theses & Dissertations

The present study is an examination of the impacts Texas' abortion restrictions have had on residents of El Paso, Texas. As of 2022, virtually all instances of abortion are illegal in the state of Texas. Despite the complete overturn of Roe V. Wade, in addition to Texas' passage of the "Texas Heartbeat Act", lawmakers have continued to propose and enact laws that encourage the intimidation, investigation, and punishment of anyone suspected of aiding and abetting an abortion, regardless of whether it occurred outside of state lines. These policies are ever-changing and impact millions of Texans, whether they know it or …

Fostering Positive Bonds: Exploring Key Influences On Foster Youth-Foster Parent Relationships, Maria Baldivid, Karen Cedano

Electronic Theses, Projects, and Dissertations

Each year, thousands of children enter the U.S. foster care system and spend a significant amount of time in out-of-home care. Unfortunately, many of these children face placement instability, exacerbating the stress and trauma they undergo in addition to the inherent challenges of being in foster care. Recognizing the pivotal role of the foster youth-foster parent relationship due to the prolonged time spent in foster homes, this study aimed to explore influential factors in developing positive relationships from the perspective of former foster youth. Employing a qualitative research design, the study conducted individual virtual interviews, and subsequent data analysis identified …

Sources Of Foster Parents’ Confusion In The Child Welfare System, Wyatt Marlboro Earp

Electronic Theses, Projects, and Dissertations

Background: Foster parents are a critical part of the child welfare system responsible for half the children in the child welfare. Despite this a literature gap exists when it comes to understanding foster parent experiences with the child welfare system that serves them. Objective: The aim of this proposal is to create a study that attempts to understand what areas of the child welfare system are confusing to foster parents. For the purposes of the study the child welfare system will be broken down into three parts: Foster family agencies, the dependency court system, and county child welfare agencies. …

Domestic Violence Among African American Women, Tamika Palmer

Electronic Theses, Projects, and Dissertations

This study explored how well social service providers understood barriers and racial differences in domestic violence among African American women. This study raised the need to examine further social service providers' knowledge of cultural competency and systemic challenges. This study consisted of a qualitative study that gathered seven social service provider's perspective through an interview guide. Thematic analysis data gathered during interviews was used in this study to identify the adverse effects within this population. The findings of this research study contribute to social work practice by providing insight into racial challenges within the support systems that may affect African …

Unintended Consequences: How Direct Cash Payments To Families Experiencing Poverty Lowered Child Poverty Rates In The United States, Wayne Dunn

Electronic Theses, Projects, and Dissertations

Child poverty has adverse effects for the children who experience it and it has long term social and economic consequences into adulthood. This policy analysis looks at the policy choices America has made in addressing child poverty and what effects, if any, those policies have had. After reviewing traditional in-kind policy options for addressing child poverty, this article focuses on the decreases in the child poverty rate that occurred with the passage of pandemic era legislation that provided direct cash assistance to all Americans. Because the assistance programs only happened in two consecutive years and were terminated at the end …

A Qualitative Study Of Intimate Partner Violence (Ipv) Within American Indigenous Communities, Jaclyn Caldwell

Electronic Theses, Projects, and Dissertations

This study aimed to provide a better understanding of the causes of increased rates of IPV within Indigenous communities, what services have best served Indigenous communities in the past, and what types of IPV services Tribal communities would like to see in the future. Using a qualitative research design, the researcher interviewed professionals who had worked with Tribes or Tribal members within the last three years. The study utilized a snowball sampling method to interview and obtain participants’ observations on the needs for IPV services with Indigenous communities. Through data analysis, the research identified five themes: demographics, service availability, Tribal …

Mental Health Impact Of Student Loan Debt On College Students, Melissa Diaz

Electronic Theses, Projects, and Dissertations

This is a proposed study regarding student loan debt and mental health. This study would impact social work practice and education by understanding the mental health status of those continuing to pay off student loan debt. Student loan debt has become an enormous issue in the United States, with the average student carrying $37,000 in debt. Students are impacted financially and emotionally, and their overall well-being is compromised because higher education has become unaffordable for many without the assistance of student loans. Students need to understand the short and long-term implications of student loan debt, such as mental health issues …

The Impact Of Maternal Problematic Drinking On Daughter's Mental Health: A Systematic Review, Indianna Bouch, Alexzandria Haro

Electronic Theses, Projects, and Dissertations

Background: Parental alcohol use is a widespread issue and is known to have negative impacts on children's mental health. However, research on parent-child dyads concerning parental problematic alcohol use and child mental health outcomes has much less research. Objective: This systematic review aims to examine recent literature on the impact of mothers’ problematic drinking on daughter(s) mental health. Methods: The following databases were used: EBSCOhost Academic Search Premier, PsycINFO, and Google Scholar. The keywords included “mother”, “AUD”, “maternal AUD”, “impact on daughters”, “female COA”, “female ACOA”, “mothers with an AUD”, “problematic drinking”, “maternal alcoholic”, “impact on relationships”, …

Planning To Pivot: Employment Lessons From A Military Spouse, Jennifer Barnhill, Rosalinda Maury, Jeanette Harvie

Institute for Veterans and Military Families

This narrative profile is part of a companion series to the Reimagining Military Spouse Employment research initiative. While the data briefs provide statistical analysis of employment patterns, industries, and outcomes, this series puts a human face on the data by following military spouses through the career pivots the research describes.

The profile follows a new military spouse as she navigates early career disruptions, PCS moves, and the compounding effects of short-term decisions on long-term career outcomes. It is written for a dual audience: military spouses seeking practical insight, and employers and policymakers looking to understand the lived experience behind the …

A Qualitative Method Study On Serious Mental Illnesses Seeing In Homelessness, Samantha Ruiz

Electronic Theses, Projects, and Dissertations

Homelessness is a serious social problem influenced by various factors, specifically serious mental illnesses (SMI’s). Based on past studies, there is limited research that explains the quality of mental health services for individuals who are unhoused with SMI’s. The purpose of this research was to explore mental health services among the unhoused population who have serious mental illnesses (SMI’s) (from the perspective of social service providers). The study was a qualitative method design which provided a rich in-depth description through interviews. The study answered the following research questions: What is the perception of mental health services among homeless groups in …

Addressing The Needs Of Children With Autism Spectrum Disorder In Desert Cities Of Southern California: A Qualitative Study, Amber R. Shupe

Electronic Theses, Projects, and Dissertations

Autism Spectrum Disorder (ASD) is a condition that affects millions of children in the United States. However, there is a lack of services to meet the needs of children with ASD, especially in desert areas. The purpose of this study is twofold: 1) identify factors associated with the lack of services for children with ASD in desert cities of Southern California and 2) explore ways to address the needs of children with ASD in the desert cities of Southern California. This qualitative study used semi-structured interviews with families that have one or more children diagnosed with ASD and service providers …

Examining The Transmission Of Paternal Trauma Across Generations And Its Effects On Offspring’S Developmental Outcomes, Brianna R. Montano, Margarita Balderas Barbosa

Electronic Theses, Projects, and Dissertations

Background: Adverse Childhood Experiences (ACEs) are linked to a wide range of developmental, behavioral, and emotional difficulties across the lifespan. While significant research has examined the impact of maternal ACEs, limited attention has been given to the role of paternal trauma in shaping child development. Objective: This study proposes to use a quantitative descriptive design to examine the relationship between parental, particularly paternal, ACEs and developmental outcomes in children aged 0 to 5 years. Guided by social learning theory and the National Child Traumatic Stress Network’s (NCTSN) core concepts of trauma, the study explores how trauma-related behaviors and coping mechanisms …

Examining Support Systems For Youth With Type-1 Diabetes In Foster Care, Garrett Copeland

Electronic Theses, Projects, and Dissertations

Chronic illnesses such as type 1 diabetes can be hard diagnoses for children to understand and are a detriment to their mental and physical health. Evaluating current support systems for this interest group is necessary to make sure that they are receiving the best resources possible. Questioning type 1 diabetics who have grown out of the system, adults involved with T1D care, and social workers are included in the research design. Reviewing the ratings for each question allowed researchers to see where resources are lacking and what needs to be improved or implemented. Social workers should see the importance of …

Evaluating The Effects Of Parental Serious Mental Illness On Life Functioning Of Adult Offspring: A Longitudinal Study, Lena E. Leyva

Electronic Theses, Projects, and Dissertations

Background: Parental mental illness greatly impacts a child’s development by posing great risks to their physical and mental health, academic success, and overall functioning (Naughton et al., 2019; Adjej et al., 2023). It remains clear that exposure to parental mental illness has short-term implications. However, long-term impacts on offspring while entering and managing adulthood has not been thoroughly examined. Objective: This longitudinal study proposes to determine the effects of parental mental illness on life functioning of adult offspring at baseline and then occur every two years over the course of eight years. Method: Quantitative data will be collected from 120 …

Effectiveness Of Mental Health Interventions Amongst Parents With Child Welfare Involvement, Clarisa Grano

Electronic Theses, Projects, and Dissertations

This study explores the effectiveness of mental health interventions provided by child welfare agencies to parents involved in the child welfare system. By employing a mixed-methods approach, the research aims to assess intervention outcomes, identify barriers to service utilization, and provide qualitative insights into parents' experiences with mental health services. The quantitative component will gather data on mental health outcomes through structured surveys, while the qualitative component will explore the lived experiences of parents through semi-structured interviews. Findings from this study will contribute to the development of culturally competent interventions and inform policy changes that address systemic inequities in mental …

Effective Interventions For Women With Post-Traumatic Stress Disorder, Kathryn Antoinette Gonzales

Electronic Theses, Projects, and Dissertations

Women diagnosed with post-traumatic stress disorder (PTSD) often undergo powerless treatment interventions according to research. Institutionalized inequalities among service systems challenge women to receive access, begin, engage, and complete mental health services for PTSD. This mixed-methods systematic review sought to determine interventions that are effective for treating this client population. The preferred reporting items for systematic reviews and meta-analysis (PRISMA) tool was used to screen four different electronic databases: PsycINFO, Google Scholar, EBSCO, and OneSearch to identify peer-reviewed articles under a purposive sampling method strategy. Of the 159 studies screened, 15 met the inclusion criteria for this review (n =15). …

A Comprehensive Literature Review Of Barriers And Facilitators To Alcohol Use Disorder Screening And Treatment, Lizette M. Orihuela

Capstone Experience: Master of Public Health

Background: Alcohol Use Disorder (AUD) remains a significant public health issue with extensive personal, societal, and economic impacts. Recent studies indicate that no amount of alcohol consumption is entirely safe, linking it directly to increased chronic disease risks, including cancer. Despite well-documented negative health outcomes, clear guidance on what constitutes AUD through diagnostic criteria provided by the DSM-5, AUD continues to be underdiagnosed and undertreated.

Objectives: This comprehensive literature review explores the key barriers and facilitators influencing AUD screening and treatment engagement.

Methods: A comprehensive literature review was conducted, gathering from various databases including, PubMed, PsycINFO, Scopus, Google Scholar, and …

Barriers To Medication-Assisted Treatment For Opioid Use Disorder In Prisons And Jails In The United States: A Comprehensive Literature Review, Amy C. Smith

Capstone Experience: Master of Public Health

Background: The American Society for Addiction Medicine guidelines state that all FDA-approved medication for opioid use disorder should be available for all patients (CDC, 2024). Medication-assisted treatments for opioid use disorders, also known as medication for opioid use disorder (MOUD), are treatments that help diminish the physical symptoms of addiction to opioids. Currently, there are three FDA-approved medications to treat opioid use disorder: buprenorphine, methadone, and naltrexone (FDA, 2024). Despite being at an increased risk for opioid misuse and overdose, incarcerated individuals in the U.S. often do not have access to MOUD. This comprehensive literature review aimed to determine the …

The Price Of Profit: A Literature Review On Private Equity's Impact On Patient Care And Healthcare Costs, Sahil Shrimankar

Finance Undergraduate Honors Theses

In healthcare, private equity (PE) firms have rapidly expanded their presence across sectors, acquiring and consolidating providers. They typically operate on short investment cycles and employ strategies like heavy debt financing, roll-ups of fragmented practices, and aggressive cost-cutting to maximize returns. This expansion has sparked debate: supporters argue PE provides needed capital and efficiency to struggling providers, while critics contend that profit-driven ownership risks compromising care quality and access. This literature review synthesizes current evidence on how PE’s profit-driven approach affects patient care and healthcare costs. Overall, the findings suggest that PE ownership often raises costs—through higher prices and increased …

Fentanyl Test Strip Use And Overdose Risk Reduction Behaviors Among People Who Use Drugs, Rachel A Vickers-Smith, Kitty H Gelberg, Janet E Childerhose, Denise C Babineau, Redonna Chandler, James L David, Lauren D'Costa, Megan Dzurec, Barry Eggleston, Amanda Fallin-Bennett, Laura C Fanucchi, Soledad Fernandez, Jace Gilbert, Louisa Gilbert, Megan E Hall, Brooke E Hiltz, Michael W Konstan, Kathryn E Lancaster, Beth Linas, Katherine R Marks, Nichole Michaels, Jennifer Miles, Fernando Montero, Haley J Ramsey Harden, Carter Roeber, Mary R Russo, Rachel Taylor, Melissa A Theis

Epidemiology and Environmental Health Faculty Publications

IMPORTANCE: Illegal fentanyl is driving overdose mortality, and fentanyl test strips (FTS) can be used to test drugs for fentanyl at the point of consumption. Evidence on whether FTS use is associated with overdose risk reduction behaviors is encouraging, but largely limited to smaller, single-site studies.

OBJECTIVE: To determine whether self-reported baseline FTS use among people who use drugs (PWUD) was associated with overdose risk reduction behaviors and nonfatal overdose over a 28-day follow-up.

DESIGN, SETTING, AND PARTICIPANTS: Multisite, observational cohort study of PWUD conducted from May to December 2023 as an ancillary study of the HEALing Communities Study, which …

The Impact Of Covid-19 During The First Two Years: Giving Voice To Pediatric Nurses, Karen S. Gralton, Kathryn J. Malin, Eileen Sherburne, Danielle Smith, Stacy Wenner, Julie Averbeck, Amy Newman, Anita Norton, Genesee Hornung, Karen Kavanaugh

College of Nursing Faculty Research and Publications

Purpose

The purpose of this study was to describe the experiences of pediatric nurses providing direct care in a variety of settings during the first two years of the COVID-19 pandemic.

Design and methods

This was a qualitative descriptive study. Donabedian's Quality Framework for the Evaluation of Healthcare was used to guide the design. Purposive sampling was used to recruit 24 direct care nurses from inpatient and outpatient settings within one healthcare system. Semi-structured, audio-recorded interviews were conducted in-person or via a virtual platform from November 2021 through March 2022.

Results

Four major themes were determined across all settings and …

Breaking The Chains: Challenging Antiblackness In Social Work Education And Practice: A Qualitative Study, Brandon Rothschild

PhD of Social Work

This dissertation critically examines the pervasive effects of anti-Blackness within social work education, focusing on how these experiences influence the development of Black identity among social work faculty. Situated within a historical context of systemic exclusion, marginalization, and racial discrimination, the study investigates the strategies employed by Black social work educators to navigate and construct their professional identities. The central research question explores how anti-Blackness within social work members. The study's findings are organized into five key themes: recognition of systemic racism, challenging dominant narratives, amplifying counter-narratives, intersectionality and complex identities, and advocacy for systemic change. These themes highlight the …

The Critical Ecosocial Framework: A Constructivist Grounded Theory Integrating Ant-Racist, Anti- Oppressive, And Ecosocial Work Practice, Georgianna Dolan-Reilly

PhD of Social Work

The social work profession has an ethical obligation to address racism, oppression, and environmental injustices. However, multilevel resistance and challenges to acknowledging and confronting these interconnected issues persist both within the profession and throughout broader society. By neglecting to integrate environmental justice and Anti-Racism and Anti-Oppression (ARAO) into practice, the social work profession remains complicit in the very cycles of oppression (white supremacy, colonialism, ableism, sexism etc.) that we seek to dismantle. Presently, no research broadly examines the use of ARAO by social workers engaged in environmental, climate change, environmental disasters, or other place and nature-based topics (ecosocial workers). Further, …