Digital Commons Network^™

Improving Staff Retention In Adolescent Psychiatric Residential Treatment Facilities, Tasha C. Moses

Walden Dissertations and Doctoral Studies

AbstractHigh direct care staff (DCS) turnover in psychiatric residential treatment facilities presents significant organizational challenges. Insufficient DCS levels and high turnover rates can undermine an organization’s ability to provide quality care to residents who have acute psychiatric symptoms, maintain a safe environment, and achieve strategic goals. This case study was grounded in the Baldrige Excellence Framework and focused on the DCS retention challenges experienced by a psychiatric residential treatment facility in the southeastern United States. Sources of data included semi structured interviews with seven organizational leaders, a review of organizational archival records, and an academic literature review. Thematic content analysis …

Changing The Narrative For Lgbtq Adolescents: A Literature Review And Call For Research Into Narrative Therapy To Improve Family Acceptance Of Lgbtq Teens, Felicia Jordan

Counseling and Family Therapy Scholarship Review

A large body of existing research has demonstrated the importance of family acceptance as a protective factor for LGBTQ youth facing increased risks of low self-esteem, depression, suicidal ideation, and other mental-health problems. However, little research has been done on therapeutic interventions for families specifically to address stigma and discrimination against LGBTQ adolescents. In particular, narrative therapy, with its focus on deconstructing and re-storying oppressive cultural narratives, seems a natural fit, but little to no quantitative research has been done on family-based narrative therapy for LGBTQ adolescents, and only a handful of qualitative studies have been published. Therefore, the paper …

Pediatric Bullying Education In Arkansas Baccalaureate Nursing Programs, Jasmine Jackson

McNair Scholars Research

Over the years, there has been an ever-increasing spotlight on the issue of bullying among adolescents. Nurses are another adult-figure, in addition to parents and teachers, that can help identify and address bullying if educated properly. The purpose of this study was to examine pediatric bullying education in Arkansas baccalaureate nursing programs. Through the use of a mixed-method approach, the newly created survey was to be completed by one faculty member from each of the 12 BSN programs in Arkansas (12 participants; 6 respondents). The paper describes the quantitative and qualitative data analysis from this non-experimental descriptive pilot study. Results …

"People Think It's Easy Because I Smile, But It's Not Easy" : A Phenomenological Study Of Single Parents/Guardians Raising An Adolescent Who Is Enrolled In Special Education And Engaging In Risk Behaviors, Shaniqua J. Bradley

Theses, Dissertations and Culminating Projects

Grounded in Resilience Theory (Masten et al., 1990; Masten, 2001; Walsh, 1996; Walsh, 2002; Walsh 2003a, Walsh 2003b) with a specific focus on parental resilience (Gavidia-Payne et al., 2015), this qualitative phenomenological study explored the lived experiences of low-income single parent families (FASP) with at least one adolescent aged 11 through 21 who was enrolled in special education classes in school and was engaging in risk behaviors. Two central research questions were addressed. The first focused on the lived experiences of FASP and the second focused on their perspectives on how schools can better support these families. Data for this …

Ntchs© Health Literacy Intervention Pilot Study, Genevieve Evenhouse

Doctoral Projects

This pilot study explored the effectiveness of a validated curriculum called, “Navigating the Health Care System” (NTHCSÓ) in improving the health literacy of high school-aged adolescents in response to the national call to promote knowledge and skills in all ages, and socio-economic and cultural groups to achieve healthier lives. Low health literacy has been shown to greatly affect the quality of lives, health outcomes, and health spending of individuals with and without health conditions across social demographics. High school-aged adolescents are the population of interest of this study due to their developmental milestones which allows for knowledge and skill building …

Neighborhoods And Mental Health: Understanding The Social, Environmental And Structural Factors To Better Support Our Youth And Communities, Meghan Murtagh

Community Engagement Student Work

The social, structural and environmental characteristics of neighborhoods can have a significant impact on the social, emotional, behavioral and cognitive development of children and adolescents. The Center for Disease Control reports every 1 out of 5 children (22%) living below 100% of the federal poverty level have a mental, behavioral and/or developmental disorder (CDC, 2019). Through the utilization of ecological frameworks and a “place” based framework called The Social Determinates of Health, research was conducted to examine the link between neighborhoods and health outcomes in children and adolescents. These findings were then shared through a workshop with the target audience …

Is It Getting Better? A Program Of Research Evaluating Health Equity For Lgbtq Youth In Western Canada, Elizabeth M. Saewyc

International Nursing Research Congress (INRC)

Lesbian, gay, bisexual, transgender, queer/questioning (LGBTQ) adolescents experience stigma, discrimination, and related health disparities. In Canada, LGBTQ human rights laws and societal attitudes have improved; using new methods to evaluate trends in disparities and population-based interventions, we will share trends in health equity among LGBTQ young people.

A Population-Based Study On The Correlates Of Trauma And Non-Suicidal Self-Injury Behaviors Among Adolescents Aging Out Of Foster Care., Jennifer Artis

Electronic Theses and Dissertations

Children in foster care are confirmed victims of maltreatment who may suffer from chronic trauma. These adverse childhood experiences will often increase the risk of physical and psychological adversities such as self-harm (SH), substance abuse, anxiety, post-traumatic stress disorder (PTSD), heart disease, depression, etc. Based on previous and current research studies, youth in foster care are less likely to receive adequate treatment for their self-harm behaviors and mental health needs. Failing to provide proper treatment could lead to harmful activities such as deliberate self-harm and potential suicide. This population-based study focuses on the prevalence of SH among youth in foster …

Digital Music Making: Developing A Method For Using Technology In Music Psychotherapy, Sangeetha Kavety

Expressive Therapies Capstone Theses

The use of technology, specifically digital songwriting and music making, in the context of psychotherapy is a subject that is not yet as well researched or practiced in the field of music therapy. The majority of the existing literature acknowledges the assistive function that technology such as tablets, smartphones, and computers can play in treatment of populations with cognitive and motor difficulties. However, there is little regarding the use of technology as the main means of creating music, and even less in the context of treatment of psychiatric disorders in children and adolescents in family settings. For this capstone project, …

Disrupting Adultism: Practices That Enable Or Constrain Intergroup Contact Between Youth And Adults, Heather K. Kennedy

Electronic Theses and Dissertations

Background: The systematic subordination of young people who have little access to goods, resources, and power to make decisions is called adultism (Dejong & Love, 2015). Adultism has three components: attitudinal, institutional, and internalized. Attitudinal adultism, which is the focus of this dissertation, relates to adult's negative attitudes and beliefs regarding young people. Adultism intersects with other forms of oppression in after-school programs and likely impacts outcomes. Youth participatory action research (YPAR) is an orientation to knowledge production in which youth are positioned as experts in their own lives and work collectively with adults to identify an issue, collect data, …

Bullying Of Linguistically Diverse Learners: Results From The Youth Risk Behavior Survey, Jenna Woodarek

Electronic Theses and Dissertations

Bullying is a serious phenomenon yielding significant consequences for youth who are victimized, often targeted due to their perceived level of difference from their peers. This “otherness” can often be amplified in minoritized populations, especially those which have multiple, cooccurring vulnerabilities to be targets of bullying. After a period of bullying rates decreasing in the US, special interest group inquiries found bullying rates to be on the rise again and reportedly motivated by ethnicity or race, immigrant status, and proficiency in the English language. The present research study aims to expand upon the existing pertinent literature base specific to the …

Portraits Of Adolescents As They Navigate The Competitive, College-Going, And Affluent Culture, Kathleen L. Grant

Theses, Dissertations and Culminating Projects

A growing body of literature has documented the elevated rates of anxiety, depression, and substance use in adolescents who live in upper-middle class communities. The competitive college preparation and admissions process is seen as a contributor to student stress. This study endeavored to gain understanding of the lived experience of adolescents in upper-middle class communities as they navigate the competitive, achievement-oriented, and college-going culture. Using Sara Lawrence-Lightfoot’s portraiture method, the participants’ narratives illuminated the ways these students accepted, struggled with, challenged, and resisted dominant cultural messages that were transmitted to them through their experiences as they prepared for college. The …

Creating Settings For Undergraduate Students’ Involvement In Engaged Learning: The Case Of The Michigan State University Adolescent Project, Leigh Rauk, Sean Hankins, William S. Davidson

Collaborations: A Journal of Community-Based Research and Practice

The Michigan State University Adolescent Project (MSUAP) is an experiential learning opportunity, which teaches students to work with adolescent youth and their families through referrals from the juvenile justice system. Through its engaged learning approach, students are taught to emphasize assets, build relationships, and recognize the context which influence social problems. The MSUAP is a two semester course where undergraduates receive 10 weeks of manual based training followed by assignment to work with a youth one on one. The student works with the youth for eight hours per week in the community setting. This article will describe the evolution of …

The Power Of P.E.: Evaluating A P.E. Program For An Urban Middle School, Matthew Tarape

Master's Projects and Capstones

This research study was aimed at developing an evaluation survey tool to measure the effects of physical activity and physical education on middle school students’ physical, mental, emotional, and social health and well-being. This study was conducted in a middle school in the challenging, underserved Tenderloin neighborhood of San Francisco, California in April to June 2018. Data for this research was obtained by questionnaires distributed electronically to students. The questionnaire, sent to the students in the month of April and June, had them select the response that best described how they felt on the days they had P.E. and days …

Adolescent Moral Development: Effects Of Engaging Youth In The Critical Appraisal Of Theological Content, Joann D. Long, Steven Bonner, Samara C. Silva, Hope A. Cimino

International Nursing Research Congress (INRC)

Research suggest an acceleration of adolescent physical maturity and a slowing of psychological and behavioral development compared to prior decades. This project reports the effects of engaging youth in the critical appraisal of theological content on adolescent moral development as a strategy to promote adolescent well-being and health.

Adolescent Engagement In Home-Based Treatment: An Action Research Study, Krystal Finch

Walden Dissertations and Doctoral Studies

Adolescent engagement in home-based treatment is a challenge within the social work field. Studies have suggested that the foundation of clinical practice relies on the clinician's ability to understand the process of engaging adolescents in treatment, which may also include a period of adaptability, relatability, and connectedness within the treatment setting. The purpose of this study is to explore the clinical practice approaches, roles, and experiences utilized in home-based treatment to adolescents residing in a large city in northeastern United States. This study was grounded in the ecological systems theory which provides social workers with an opportunity to assess the …

Understanding The Unique Nature Of The Adolescent Study Abroad Experience, Mat D. Duerden, Eric Layland, Michael Petriello, Amanda Stronza, Mary Dunn, Shelby Adams

Faculty Publications

Despite rising numbers of adolescents traveling abroad each year, the majority of study abroad research focuses on emerging adults. This study represents an effort to expand our understanding of the study abroad experience from the adolescent perspective. Qualitative data were drawn from interviews and focus groups with, and observations of, participants in the program. Results indicate preparing for and then sharing the experience with like-minded peers, coupled with exposure to a new culture and direct interaction with locals, facilitated a process of reflection and growth with both perceived short-term and potential long-term impacts.

Mindful Classroom: Developing And Testing Strategies For Resilience Among Urban 7th Grade Students, Alyssa Santos

Master's Projects and Capstones

Introduction: A growing body of research suggests mindfulness-based classroom interventions are an effective, low cost approach to reducing the effects of toxic stress among youth. The purpose of this project was to identify key sources of stress among urban 7th grade students at De Marillac Academy and develop and test mindfulness techniques to actively engage and potentially improve stress management skills among students.

Methods: Five focus groups with students were conducted to assess the most prominent sources of stress inside and outside of school as well as current self-management strategies. Additionally, anonymous online surveys were distributed to 7th grade parents, …

Understanding The Relation Between Profiles Of Adolescent Peer Conflict, Socio-Demographic Factors, And Type 1 Diabetes Adaptation, Gabrielle Gipson Banks

Electronic Theses and Dissertations Archive

Peer conflict and socio-demographic variables are differentially associated with Type 1 Diabetes (T1D) outcomes in adolescents. The present study determined empirical patterns of the context (friend versus non-friend) and content (diabetes specific versus general) of peer conflict within a broader framework of socio-demographic factors and adolescents’ diabetes related adherence, quality of life, and glycemic control. Data were collected from 178 youth with T1D, ages 12-18, receiving treatment in a Mid-Southern outpatient endocrinology clinic. Patients reported adherence and quality of life using the Self-Care Inventory and PedsQL-Diabetes module, respectively. Glycemic control (HbA1c values) and illness duration were obtained from medical chart …

Evaluating The Pilot Implementation Of A Culturally Responsive Dialectical Behavior Therapy Skills Intervention For Binge Eating Behaviors Among Adolescents, Rebecca Catherine Kamody

Electronic Theses and Dissertations Archive

The affect regulation model conceptualizes episodes of emotional overeating and binge eating as an attempt to regulate or change one’s emotions. Dialectical behavior therapy, an evidence-based treatment for individuals with severe emotion dysregulation, has shown promise as an effective treatment for individuals with eating disorders, including binge eating disorder. Dialectical behavior therapy has also been identified and supported as an effective treatment for adolescents with severe emotion dysregulation. Research has only begun to explore the application of dialectical behavior therapy as an evidence-based treatment for adolescent binge eating and related behaviors; however, use of a condensed dialectical behavior therapy skills …

Health Care Transitions For Adolescents And Young Adults With Special Health Care Needs: Where Are We Now?, Nicole Mubanga, Dennis J. Baumgardner, Jessica J. F. Kram

Journal of Patient-Centered Research and Reviews

Eventually, all adolescents must “graduate” from pediatric-oriented to adult-oriented health care. This transition, most often occurring during young adulthood, is especially important for adolescents with special health care needs and involves not only primary care physicians, but also both pediatric and adult subspecialists. Several studies support the benefit of transitional programs for adolescents and young adults with special health care needs. Additionally, the American Academy of Pediatrics named transitional care as one of its top priorities. However, transitional programs have yet to become an established norm among hospitals and providers, specifically outside of children’s hospitals. This topic synopsis aims to …

Juvenile Justice Research To Policy And The Case Of Fines, Alex R. Piquero

Nevada Law Journal

No abstract provided.

Mixed Signals: Examining Ethnic Affirmation As A Factor In The Discrimination-Depression Relationship With Multiracial And Monoracial Minority Adolescent Girls, Linda A. Oshin

Master's Theses

Multiracial adolescents are a growing segment of our population, but not much is known about their ethnic-racial identity development. The current study examined ethnic affirmation, a dimension of ethnic-racial identity, and race socialization and their influence in the relationship between perceived group discrimination and depressive symptoms among multiracial (n = 42) and monoracial minority Black (n = 29) and Latina (n = 95) adolescents (M=15.4 years). Results showed that there were no mean differences between multiracial and monoracial adolescents in ethnic affirmation, maternal race/ethnic socialization, or depressive symptoms. Multiracial adolescents reported significantly less perceived discrimination. …

Adolescents’ Perception Of The Psychosocial Factors Affecting Sustained Engagement In Sports And Physical Activity, James Gavin, Madeleine Mcbrearty, Kit Malo, Michael Abravanel, Tatiana Moudrakovski

International Journal of Exercise Science

International Journal of Exercise Science 9(4): 384-411, 2016. The purpose of this study was to explore adolescents’ perceptions of psychosocial influences – personal characteristics, environmental factors and behavioural undertakings – influencing their prolonged involvement in sports and physical activity (PA). A qualitative approach was adopted wherein 16 adolescents (8 boys, 8 girls; mean age 15.9 years), who had been physically active for at least the last 8 years, and sixteen adults identified as their ‘parents’ or ‘guardians’ participated in semi-structured interviews. Interviews were transcribed verbatim and coded using the HyperRESEARCH software. Data were analysed using thematic analysis procedures. Four main …

Exploring The Relationships Between Social Skills, Mental Health And Behavior In A Child Welfare Involved Population, Megan Anne Feely

Arts & Sciences Graduate Student Theses and Dissertations

Promoting child well-being is one of the three primary goals of the child welfare system. In contrast to safety and permanency, the other two primary goals, that are precisely defined in the federal statute, well-being remains undefined and poorly understood. Recently, the Administration on Children Youth and Families (ACYF) highlighted one facet of child well-being -- social and emotional well-being -- as a particular focus of the agency. These categories, i.e. behavior, emotional development and social functioning collectively are referred to as social and emotional well-being. The relationship between these constructs is unknown although it is likely that they are …

Recommendations To Practitioners For Adolescent Clients With A History Of Trauma, Keiko L. Heitman

Counselor Education Capstones

Children and adolescents who are exposed to traumatic events are at higher risk for developing mental health disorders over their lifetime. Therefore, this paper explores the effects of abuse and trauma in children and youth and aims to promote implementation of trauma-informed care principles with practitioners who work with at-risk youth. Specifically, this paper identifies the barriers that affect clients with a history of trauma and provides recommendations such as Positive Youth Development, Mentoring, and Day Treatment to practitioners who work with this population. In addition, the impact that day treatment programs have on degree of impairment and functioning for …

The Impact Of Foster Care On Depression: An Examination Of Placement Type And Mental Health Service Utilization Among Children And Adolescents, Kisha Cummings

Dissertations, Theses, and Capstone Projects

Background: Children and adolescents in foster care with a history of complex trauma such as neglect, emotional, physical, and sexual abuse have a greater odds of being clinically diagnosed with depression in adulthood compared to children and adolescents without such a history. The current study examines the prevalence of depression in a national sample of children and adolescents aged 7 to 17 years. This study asks whether a) foster care is associated with a greater prevalence of depression among children and adolescents in foster care compared to children and adolescents not in foster care; b) there is an association between …

Sexual Minority (Lgbtq) Youth And Role Of Health Care Provider, Mandakini Sadhir, Stephanie J. Stockburger, Hatim A. Omar

Pediatrics Faculty Publications

Adolescence is a time period of physical, psychological and cognitive changes. It is an important phase for an individual to discover who they really are (self-identity), how they are perceived (social identity) and how they fit into the environment they live in.¹ One of the major tasks of adolescence is sexual maturation and sexual and /or gender identity development.² Adolescents who are developing as gay, lesbian, bisexual or transgender face a tremendous challenge of establishing their identity which is often complex.³ They cope with the feelings of being different and are in constant dilemmas about revealing their …

An Evaluation Of The Validity Of A Script-Driven Imagery Procedure Among Traumatic Event Exposed Adolescents, Emily Renae Mischel

Graduate Theses and Dissertations

Extensive research suggests script-driven imagery procedures employed with traumatic event-exposed adults produce reliable reactions that map onto contemporary models of posttraumatic stress, including increased physiological (Carson et al., 2000; Orr et al., 1998; Ramón et al., 2006) and negative affective (Pitman et al., 1987) responses to trauma scripts. Therefore, such procedures can be utilized in a controlled, laboratory-based setting, supporting mechanism-oriented research designed to better understand the nature, correlates, and consequences of traumatization and posttraumatic stress symptoms (PTSS). Unfortunately, only one study has begun to evaluate the validity of script-driven imagery procedures for use with youth, making further investigation of …

Exploring Deployment And Resilience Through The Experiences Of Army National Guard Youth, Kerrie Joy Rosheim

College of Education and Human Sciences: Dissertations, Theses, and Student Research

The Global War on Terror utilized Army National Guard soldiers at unprecedented rates, drastically changing their reserve role and the lifestyle of their families. This qualitative study explored what the adolescent children of Army National Guard soldiers experienced during the deployment of a parent and how they conceptualized and demonstrated resilience. Through individual interviews with nine participants, who collectively have experienced over 17 years of deployment during adolescence, and email survey results of their primary caregivers, the following three themes emerged to capture the essence of deployment for Army National Guard youth. Deployment can be viewed as “a mixed bag” …