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Examining Reframing Behavior Implementation: Teacher Perspectives And Discipline Patterns In Middle School, Francisco J. Hidalgo

Theses and Dissertations

This applied dissertation examined teacher-reported implementation of the Reframing Behavior (RB) Initiative at a middle school in North Central Florida. The districtwide training occurred in the 2024-2025 school year. The RB Initiative provides educators with opportunities to reframe how they address disruptive behaviors among students perceived as problematic, who may receive numerous disciplinary actions. Disciplinary actions can affect students’ academic and social lives. Using a convergent mixed methods design, the study addressed four research questions and examined implementation fidelity, teacher perceptions, school-wide discipline patterns, and teacher experiences with RB implementation.

The researcher surveyed 19 teachers and interviewed four teachers. The …

Does Integrating Parental Involvement In Therapy Improve Behavior In Children With Attention Deficit Hyperactivity Disorder?, Pamela Lassiter

Theses and Dissertations

The research problem was the lower success rate of interventions for children with attention deficit hyperactivity disorder (ADHD) because of the exclusion of parents in the counseling process. The purpose of the research was to explore if integrating parent involvement in therapy improved the behaviors in children with ADHD. The study occurred at a private mental health facility that used cognitive behavior therapy and behavior interventions with the children.

The study was guided by the phenomenological qualitative research design. Ten single parents of male children, ages 4 to 10 with ADHD, participated in this study. Parents were selected using a …

Beyond The Diagnosis: A Qualitative Exploration Of Men Living With Hiv, David R. Romanelli

Antioch University Dissertations & Theses

This qualitative study explored the lived experiences of men (18+ years old) living with HIV to better understand how they navigate identity, mental health, relationships, and healthcare systems after diagnosis. The method included a qualitative thematic analysis with 10 participants. Eight themes emerged from the data: (1) reactions, reflections, and meaning-making after diagnosis; (2) managing medication, treatment, and co-occurring conditions; (3) stigma, disclosure, and negotiation of identity; (4) substance use, housing instability, and socioeconomic stressors; (5) navigating the changing HIV landscape; (6) experiences with family and intimate relationships; (7) implications for mental health counseling; and (8) the role of community …

Accessing Campus Mental Health Services In A Nigerian Southwestern University: Barriers To Academic Success, Caroline Dada

Electronic Theses and Dissertations

Mental health disorders are a significant health concern among higher education institutions in sub-Saharan Africa, including Nigeria. A substantial treatment gap exists in the Nigerian healthcare system, and this gap is further worsened by cultural and religious barriers, which reinforce stigma that discourages students from seeking professional help. This qualitative narrative inquiry explored the barriers students encountered when accessing mental health services at a university in Southwestern Nigeria, to increase service access. Qualitative semistructured interviews were conducted with seven professional mental health providers at a university counseling center between March and April 2025. Inductive thematic analysis was used to identify …

Financial Stress And Academic Disruption Among U.S. Postsecondary Students: The Mediating Role Of Anxiety, Tania Akter

Journal of Higher Education & Student Affairs

Given the growing mental health challenges among students in the United States, this study examines how financial stress is associated with anxiety and assesses whether anxiety mediates the relationship between financial stress and academic disruption among U.S. postsecondary students. Data from the 2023–2024 Healthy Minds Study were analyzed using survey-weighted linear regression models to assess the association between financial stress and anxiety, and a generalized structural equation model (GSEM) to test whether anxiety mediates the relationship between financial stress and academic disruption. Results showed that financial stress was significantly associated with anxiety. Mediation analysis indicated that anxiety significantly mediated the …

Prevalence And Determinants Of Diabetes-Related Psychological Distress In A Tertiary Care Setting In Tamil Nadu: India: Cross-Sectional Study, Rohit Shankar, Samuel Tromans

Peninsula Medical School

BackgroundDiabetes distress, whereby people with diabetes experience distressing psychological symptoms associated with living with their condition, is an emerging problem in India. Diabetes distress leads to self-care deficits, suboptimal glycaemic control (which can lead to increasing risks of complications) and impaired quality of life.AimsTo determine the burden of diabetes distress and its associated factors in an Indian tertiary care centre in Trichy, Tamil Nadu, India, covering a population of 1.25 million.MethodThis prospective observational study involved a structured questionnaire covering demographic and clinical details, which was given to patients. The Diabetes Distress Scale 17 (DDS-17) was used to assess diabetes distress …

Mental Health And Beliefs About Abortion Access Following Changes To Reproductive Healthcare Laws In 2022: Findings From Oklahoma, Munjireen Sifat, Laili K. Boozary, Tina N. Le, Julia Mcquoid, Brittany Zaring-Hinkle, Sarah Tonkin, Lizbeth Benson, Bingjing Mao, Motolani Ogunsanya, Ruosi Shao, Amy M. Cohn, Allyson Shortle, Darla E. Kendzor

Department of Medical Oncology Faculty Papers

INTRODUCTION: A secondary analysis of cross-sectional survey data was conducted to characterize beliefs about abortion access in Oklahoma, measure stress associated with the overturn of Roe vs. Wade (2022), and evaluate the potential relationship between post-Roe stress (PR stress) and mental health.

METHODS: From August through September 2022, adult Oklahomans (N = 1793) were surveyed about their sociodemographic characteristics, beliefs about abortion access, frequency of past-month stress related to the overturn of Roe vs. Wade, and mental health. Beliefs about abortion access were characterized overall and within sociodemographic groups. The relationship between PR stress and mental health was evaluated, and …

Replanteando Wash: Vías Innovadoras Para Abordar El Agua, La Salud Y La Pobreza, Erica L. Jensen, Emma Indart, Faith Manchester, Sebastian Dorantes, Isabelle Stoddard

Journal of Nonprofit Innovation

El acceso al agua potable y a un saneamiento adecuado (WASH) es un tema fundamental para la salud global y la dignidad humana, pero millones de personas aún carecen de estos servicios esenciales (National Geographic Society, 2025). En 2024, UNICEF estimó que aproximadamente tres cuartas partes de la población mundial tienen acceso a servicios de agua potable "gestionados de forma segura", dejando a unas 2,100 millones de personas sin agua potable confiable(UNICEF, 2025). La cobertura de saneamiento está aún más rezagada, ya que aproximadamente 3,400 millones de personas carecen de servicios de saneamiento gestionados de forma segura y 1,700 millones …

Rethinking Wash: Innovative Pathways To Address Water, Health, And Poverty, Erica L. Jensen, Emma Indart, Faith Manchester, Sebastian Dorantes, Isabelle Stoddard

Journal of Nonprofit Innovation

No abstract provided.

A Pilot Qualitative Study To Better Understand The Factors Related To Suicides And Inform Public Health Action Across A Predominantly Coastal And Rural Area: Cornwall, Southwest Of England: International Journal Of Environmental Research And Public Health, Paula Chappell, Jane Horrell, Kerryn Husk, Beth Simons, Richard A. Sharpe

Peninsula Medical School

Background: Better understanding factors leading to suicide and prevention opportunities is a global public health priority. This qualitative pilot study tested whether reviewing inquest recordings could generate insights during COVID-19 and inform public health prevention programmes across a predominantly rural and coastal area where there are significant health inequalities. Methods: Fifty-five inquest recordings reached a suicide conclusion between March 2020 and January 2021. Stratified sampling was used to obtain two samples from each month. Template analysis was employed to thematically analyse data from 30 inquests. Results: Risk factors during this period were social isolation, anxiety, difficulty in routine creation and …

Mapping Research Trends On Mental Health Literacy Among University Students: A Bibliometric Systematic Review, Eko Pramudya Laksana, Muslihati Muslihati, Arbin Janu Setiyowati, Salsabila Kholifahtun Nisa, Muhammad Nur Hudha, Margaret Kehinde Soetan

Jurnal Kajian Bimbingan dan Konseling

Mental health is a global issue that has received increasing attention, particularly among university students. Mental health literacy (MHL) is an important factor in promoting students' psychological well-being through knowledge, attitudes, and the ability to recognize and address mental health problems. This study aims to map the developmental trends of MHL research among university students in order to provide a comprehensive overview of the direction and focus of studies in this field. This research employed a bibliometric literature review approach by analyzing 48 journal articles indexed in the Scopus database and published between 2021 and 2025. The findings indicate that …

The Influence Of Perceived Social Support On Mental Health During Injury In Female Gaa Athletes., Clodagh M. O’Connor, Samantha Glynn Kelly

SURE Journal: Science Undergraduate Research Experience Journal

Injury recovery in sport involves not only physical rehabilitation but also significant psychological challenges, particularly for female athletes in amateur and elite environments. This study aimed to explore the perceived social support received by injured female Gaelic Athletic Association (GAA) athletes and the effect it had on their mental health during injury. A qualitative research design was employed to gain an in-depth understanding of the experiences of injured female athletes. Data were collected through semi-structured, one-on-one interviews, allowing for open-ended responses and the exploration of individual perspectives. The sample consisted of 10 female athletes aged between 18 and 32 years, …

The Kids Aren’T Alright, Amy B. Levin

Arkansas Law Review

It is not new that students struggle in law school. Research has shown for decades that, while students generally begin law school with healthy well-being, the competitive nature of law school combined with the stress of the Bar and securing post-Bar employment causes increased anxiety, depression, isolation, and related symptoms among students, especially women and underrepresented groups. What is new is the sheer number of law students struggling with serious mental health challenges today—a number that has reached crisis proportions.

This Article is divided into four parts. In Part I, I explore the mental health landscape for high school, college, …

Creating A Collaborative And Impactful Research Environment: Community Partner Reflections On The Destress-Ii Study, Jane Horrell, Alison Mcloughlin, Felicity Thomas, Kathryn Berzins, Susanne Hughes, Keith Guppy, Phillip Perkins, Ralph Corkhill, Debbie Sherlock, Saiqa Ahmed, Saima Gul, Keith Holt, Karen Coombes, Farheen Yameen, Oliver Hamer, Katrina Wyatt

Peninsula Medical School

Background: Patient and public involvement and engagement can improve the relevance and impact of research yet ‘impact’ is often framed narrowly around study findings rather than the experiences of those involved. Understanding how involvement affects individuals is important, particularly in areas such as mental health where there is significant potential for power differentials within the research process. The DeStress-II project co-developed a training resource to help primary care practitioners support people experiencing poverty-related mental distress. Community Partners with lived experience were integral to the project, contributing to training delivery, online resource co-production, and implementation analysis. This paper explores what supported …

Exploring K-Pop Fandom As A Space Of Support: The Case Of Lgbtq+ Fans From Australia And The Philippines During The Covid-19 Pandemic, Thomas Baudinette, Kelsey Scholes

Kritika Kultura

This article draws upon qualitative interviews with seventeen LGBTQ+ individuals to explore the role of K-pop fandom in providing support to queer communities during the COVID-19 pandemic. The article adds a new critical perspective into academic and journalistic accounts of K-pop fandom to insist on K-pop consumption as a practice that fundamentally improves fans’ mental health. Beginning by establishing how K-pop fandom spaces, particularly on social media, were considered to already support LGBTQ+ fans’ attempts to make sense of their gendered and sexual identities under societal heteronormativity, the article details specific benefits that LGBTQ+ fans experienced with regard to their …

Mind The Gap: Intergenerational Perspectives On Mental Illness Within Ghanaian American Communities, Ama Danso-Ayesu

Electronic Theses and Dissertations

This research explores attitudes toward mental illness among Ghanaian immigrants and

first-generation Ghanaian Americans, with particular focus on factors that influence

stigma. Guided by Bronfenbrenner’s Bioecological Model, the study utilized the

Community Attitudes Toward Mental Illness (CAMI) Scale to measure four dimensions

of stigma, including authoritarianism, benevolence, social restrictiveness, and community

mental health ideology. A comparative, cross-sectional design was employed to examine

differences between immigrant and American-born participants. The findings revealed

generational differences where Ghanaian immigrants reported higher levels of

authoritarian and socially restrictive beliefs, while first-generation Ghanaian Americans

demonstrated more benevolent and inclusive attitudes. Interpreted through the ecological

systems …

Is Ai Replacing Human Mental Health Professionals?, Michiko Ueda

Population Health Research Brief Series

An increasing number of people are turning to generative artificial intelligence (AI) tools and AI-assisted chatbots to manage mental health concerns. This data slice presents findings from a national survey of U.S. adults aged 18-49 (N = 1,805) conducted in October 2025. Among respondents, 35.2% reported using AI tools more than once a week for mental health support. Among those who had ever seen a human mental health professional, 28.4% reported visiting human providers less often since beginning to use AI for the same purpose. The findings suggest that a subset of users may be using AI to replace, rather …

The Impact Of The Covid-19 Pandemic On Middle School Educators And The Need For Healthy Coping Techniques: A Transcendental Phenomenological Study, Dionne E. Mitchell

Doctoral Dissertations and Projects

In this transcendental phenomenological study, the researcher investigated how the Coronavirus Disease (COVID-19) pandemic impacted public middle school educators’ mental health and well-being (MHWB) and how they developed effective coping strategies in response. Using Lazarus and Folkman’s transactional stress and coping theory model and the social support theory as frameworks, the study explored the lived experiences of ten middle school instructors from the southeastern United States who taught during the COVID-19 pandemic. Semi-structured interviews, a focus group, and reflective diary entries were implemented as data collection methods. Thematic analysis identified several significant findings. Teachers faced professional challenges as they adapted …

Nurturing Mature Adolescents: An Advanced Psycho-Educational Program Exploring The Effectiveness Of Social-Emotional Competence Among Adolescent Middle School Students- Phase I Action Research Pilot Study, Nkeiruka M. Maduike

Doctoral Dissertations and Projects

Adolescence is a critical period marked of development marked by increased emotional and social challenges that shapes adolescents’ future well-being. This Phase I qualitative action research pilot study examined the effectiveness of the Nurturing Mature Adolescents (N.M.A.) psychoeducational program in enhancing emotional regulation and interpersonal skills among middle school students. Guided by Bandura’s Social Learning Theory, nine participants aged 11–14 engaged in a four-week intervention featuring structured lessons, observational learning, and self-efficacy strategies. Pre- and post-interviews and demographic surveys were analyzed using descriptive, In Vivo, process, emotion, and evaluation coding methods. Findings revealed consistent improvements in emotional awareness, self-regulation, communication, …

The Invisible Struggle: Exploring The Experiences Of African American Women Diagnosed With Polycystic Ovary Syndrome (Pcos) And Their Interactions With Healthcare Providers, Trulissa L. Moore

Doctoral Dissertations and Projects

The purpose of this phenomenological study was to understand the lived experiences of African American women diagnosed with PCOS, focusing on their interactions with medical providers, perception of healthcare, and overall well-being. The cultural competence framework guided this study, and the patient-centered care model is a theory that operated within the broader cultural competence framework. The cultural competence framework and patient-centered care model took into consideration the systemic and individual issues that affect African American women diagnosed with Polycystic Ovary Syndrome. This study examined the difficulties African American women diagnosed with PCOS faced in healthcare, as well as their mental …

Dance Movement For Wounded Warriors With Mental Health Diagnoses: A Phenomenology, Amelia Ann Forsmo

Doctoral Dissertations and Projects

The purpose of this phenomenological study will be to understand how dance movement can improve the psychological health of military veterans who are experiencing a mental health disorder such as posttraumatic stress disorder. The theories guiding this study are Carl Rogers’ humanistic perspective, Schlossberg’s transition theory, and the post-traumatic growth theory. A purposive sample of 12 to 15 veterans will be selected for participation in this study. Each veteran will have different military backgrounds, various battle wounds, and unique experiences with dance movement or dance movement therapy. For this reason, these perspectives allow each participant to be prioritized and heard. …

Effect Of Spirituality On The Mental Health Of Adults Who Experienced Bullying In Their Childhood, Celiana Rodriguez-Gonzalez

Doctoral Dissertations and Projects

Bullying experiences in childhood have been found to significantly affect mental health in adulthood, particularly through depression and anxiety. Spirituality has been identified as a protective factor for mental health, contributing to quality of life, satisfaction, and purpose. It may also buffer the effects of violence and bullying. This correlational study examined the relationships among childhood bullying, spirituality, and adult mental health in a sample of individuals from Puerto Rico (N=124). Specifically, whether spirituality moderates the relationship between childhood bullying and adult mental health outcomes. Results indicated that childhood bullying was moderately associated with higher levels of anxiety and depression, …

Integrating Peer Specialists In Primary Care: Narrative Review With Illustrative Examples, And Pragmatic Recommendations To Support Implementation, Emily M. Johnson, Christina Shook, Kimberly Barrie, Kyle Possemato

The Journal of Integrated Primary Care

Behavioral health peer support specialists, peers, are health care system employees with lived experience of mental health or substance use concerns who are trained and hired to support others with behavioral health concerns in behavioral health clinics and medical settings. Peer-delivered services have a long history and research consistently demonstrates evidence of varied benefits for a wide range of patients. Peers are increasingly being hired to work within primary care settings to support the needs of primary care patients with behavioral health concerns and enhance the interdisciplinary nature of integrated primary care teams. However, integration of peers into this new …

A Program Evaluation Of Universal Screening For Depression In The Primary Care Setting, Samantha W. Burns

Doctoral Projects

Depression is a chronic condition affecting millions of Americans annually and is often associated with poor clinical outcomes, multiple co-morbidities, a negative economic impact, and an increased mortality rate. Many primary care settings have implemented universal depression screening programs following the recommendations of governing healthcare entities such as the United States Preventive Services Task Force (USPSTF) and Center for Medicare and Medicaid Services (CMS). Due to positive benefit, universal depression screenings have now been included as a quality measure in the Merit-based Incentive Payment System (MIPS) to increase organizational reimbursement. The Patient Health Questionnaire-9 (PHQ-9) is a widely used screening …

Fake News Y Redes Sociales: Cómo El Algoritmo En Torno A La Migración Afecta La Salud Mental, Maria F. Alarcon

Capstones

Las redes sociales son la principal fuente de información para migrantes latinos en Estados Unidos, pero también son un terreno fértil para fake-news que afectan la salud mental y desinforman.

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.

From Digital Distress To Wellness: Counseling Implications Of Social Media Use In Adolescents And Emerging Adults, Anna K. Owens, Arantxa Mascarenas

Faculty Articles

The pervasive use of social media among secondary and post-secondary students has raised significant concern regarding its impact on mental health and academic success. Excessive social media use (SMU) has been linked to anxiety, depression, social comparison, body image concerns, disrupted sleep, and diminished academic focus. These risks highlight the urgent need for counselors to integrate social media considerations into both clinical and educational practice. This article reviews evidence-based interventions that address the psychological and emotional consequences of SMU, including Cognitive Behavioral Therapy (CBT) to challenge distorted beliefs, mindfulness strategies to improve emotional regulation, digital detox programs to recalibrate online …

Making Space For Learning: Textile Based Learning Resources For Material Reuse, Mary-Evelyn Mcconkie Howell

Instructional Psychology and Technology Graduate Student Projects

This paper outlines two textile-based learning resources that I created for Making Space Thrift (MST), a community-focused creative thrift store in Utah. MST expressed a need for instructional materials that promote intentional material use, support customer well-being, and strengthen ties with their community. To address these needs, I conducted interviews with stakeholders and local textile hobbyists to understand what learning resources would benefit MST. As a result, I created two projects. The first is called Making Peace with Materials, an interactive, decision-based digital experience housed on the MST website. This resource helps learners navigate the emotional, practical, and sustainable …

Towards A Typology Of Mental Health Crisis Care Services For Children And Young People In England And Wales: A Cross-Sectional Survey And Analysis Of Implementation Practices, Clare Bennett, Claire Fraser, Ben Hannigan, Leanne Sawle, Jessy Williams, Aled Jones, Steven Pryjmachuk, Mair B. Elliott, Martin Elliott, Nicola Bennett, Euan Hails, Iain Mcmillan, Rachael Vaughan

School of Nursing and Midwifery

Background: The mental health and wellbeing of children and young people is a global concern. Alongside approaches emphasising mental health promotion in schools, communities and in the home, many countries are also investing in crisis services. These aim to meet the needs of young people experiencing acute psychosocial distress. A recent synthesis of the international evidence found a paucity of research in this area. This study sought to address this gap while simultaneously situating the findings within the international context and drawing out implications for policymakers and practitioners. Methods: A cross-sectional study aiming to describe and map approaches to the …

Asian College Students' Well-Being During A Period Of Rising Anti-Asian Sentiment, Kyuhan Choi, Ying Shi, Maria Zhu

Center for Policy Research

We use a large survey of students in U.S. colleges to study the distinct ways in which the COVID-19 pandemic and accompanying anti-Asian rhetoric shaped the experiences of Asian and Pacific Islanders (APIs). Using a difference-in-differences approach, we find that the pandemic led to Asian students experiencing more discrimination, feeling less safe during the day, and using fewer mental health services compared to White peers. The increase in discrimination and the perceived lower safety are concentrated among East and Southeast Asians, while South Asians were not affected. Despite these effects, we detect no relative deterioration in severe psychological distress or …