Digital Commons Network^™

Alive And Thriving: Ancestral Wisdom Usage Among Us Based Latine Clinical Social Workers In Psychotherapy Practice, Yaneth Lombana

Dissertations, Theses, and Capstone Projects

At a time when the United States is rolling back protections to vulnerable communities, this dissertation investigates experiences of Latine clinical social workers in New York and New Jersey as it relates to the intersection of ancestral wisdom and their profession. It addresses how Latine clinical social workers, who incorporate ancestral wisdom in their practice determine when, with which clients and with which methods to do so. This work advances current scholarship on how clinical social workers can combat racism and white supremacy. It highlights resistance practices that have been critical in keeping people indigenous to colonized lands alive and …

Empowering Healing And Recovery: Adverse Childhood Experiences Screening In A Cognitive Behavioral Therapy Intensive Outpatient Program, Serena C. Lee

Doctor of Nursing Practice Final Manuscripts

Purpose: This evidence-based practice project implemented Adverse Childhood Experiences (ACEs) screening in an adult Cognitive Behavioral Therapy Intensive Outpatient Program (COG IOP) at San Diego's largest behavioral health hospital to identify ACE exposure, deliver supportive interventions, and enhance clinician competency in trauma-informed care.

Background: ACEs are potentially traumatic experiences occurring before age 18 that are associated with toxic stress and worsening health outcomes. Despite evidence linking ACEs to adverse outcomes and substantial healthcare costs, routine ACE screening is not standardized in behavioral health settings.

Methods: Guided by the San Diego 8A's Evidence-Based Practice model, eligible patients were offered ACEs screening …

Narrative Roots - What We Inherit, What We Tell, What We Become: Intergenerational Storytelling, Meaning-Making, And Mental Health, Adam Sholder

Critical and Creative Thinking Capstones Collection

This capstone synthesis explores how the family stories we inherit and the stories we tell across generations shape who we become, with particular attention to their impact on identity and mental health. Drawing on narrative identity theory, reflective practice, and relational understandings of family life, it introduces the Recursive Narrative Integration Model, which positions intergenerational storytelling as both a method of inquiry and a mechanism of meaning-making. Informed by a recursive process of creative and reflective writing, this synthesis approaches storytelling not only as an object of study, but as a lived and generative practice through which experience and narrative …

The Importance Of Career And Retirement Services For Student Athletes, Vincent R. Giuliano

Masters Projects

There are hundreds of thousands of collegiate student-athletes competing in organized sports in the NCAA. Research shows the different resources that are available to them during their time competing, as well as how sports can open different opportunities for them during their competitive years. However, once this is over, an individual may realize they spent their time becoming an athlete and not enough time on their holistic well-being and professional development due to time constraints, identity engulfment, etc. While institutions do well in nurturing students during their competitive years, they lack in considering the retirement of these student-athletes. This project's …

Using Wellbys To Demonstrate The Social Value Of Social Prescribing At A National Level: Evidence From Green Social Prescribing In England, C Dayson, Ian Wilson, D Leather, A Foster, R Jaques, A Haywood, R Garside, C Harris, H Hunt, E Holding, Kerryn Husk, Rebecca Lovell, Katie Shearn, J Dobson, J Thompson

Peninsula Medical School

Social prescribing is a health policy initiative that aims to create closer links betweenhealth services and community activities. Despite its rapid adoption there are concernsabout efficacy and value for money. We used a WELLBY (Wellbeing Adjusted Life Year)approach to identify the social value created through a national mental health-focussedgreen social prescribing (GSP) programme in England (2021-23). We found that GSP canlead to significant wellbeing benefits for people experiencing mental ill-health, with asocial return on investment (SROI) of between £2.38-£5.90. However, we argue that theWELLBY approach should not be used uncritically. In our study WELLBYs proved to be aneffective social value …

Predictive Models Of Student Mental Health: The Correlation Between Academic Burnout And Depression In The Higher Education Environment, Hyejoon Song

Masters Theses

Importance: Over 80% of U.S. college students report significant emotional difficulties, and 58% endorse academic burnout as a persistent concern, yet institution-specific data at faith-integrated universities such as Liberty University remain scarce, limiting evidence-based programmatic response.

Objective: To examine the correlation between academic burnout and depressive symptomatology at Liberty University, identify the most predictive individual burnout item via Random Forest machine learning, and characterize distinct student risk profiles via KMeans clustering. Design, Setting, Participants: Cross-sectional survey (IRB-FY24-25-1491, Exempt) of 236 Liberty University students (mean age 36.9 ± 14.3 years; 84.0% female; 61.0% graduate-level), 2025–2026 academic year.

Main Outcome and Measures: …

Bridging The Gap: Teacher's Perspectives On Trauma-Informed Care And It's Implementation In Schools, Alyssa Erika Jimenez

Doctoral Dissertations and Projects

Childhood trauma exposure is a profound public health concern with significant impacts on overall development and long-term physical and mental health. However, a critical gap remains in understanding how these experiences manifest in school settings. The purpose of this qualitative phenomenological study was to gain an understanding of teacher perspectives on trauma and trauma-informed care approaches in school settings and level of competence and support by administration when encountering potential trauma-induced behaviors in the classroom. Data were collected utilizing semi-structured audio-recorded interviews and open-ended questionnaires from four educators who had some form of experience with trauma-informed care practices. Thematic analysis …

Canine And Equine Behaviors In Therapy: An Exploratory Multiple Case Study, Sarah E. Montano

Doctoral Dissertations and Projects

Animal-assisted therapy (AAT) utilizes animals in the treatment of clients with mental health disorders. Dogs and horses are often used in this modality, but studies have not explored the use of these two types of animals in AAT to discover if there are similarities and differences in the behaviors the animals display during therapeutic sessions. The present study utilized interviews with clinicians providing canine-assisted therapy or equine-assisted therapy to investigate similarities and differences. The interviews were audio and video recorded and transcribed verbatim. Thematic analysis was used to identify key themes regarding the behaviors of the animals. The analysis showed …

Returning To The Third Place: For Mental And Spiritual Well-Being, Angela M. Creason

Masters Theses

This study investigates the impact of Generation Z’s (Gen Z’s) digital immersion and post-COVID lifestyle patterns on their interpersonal relationships. The literature shows that anxiety, continuous online connectivity, and pseudo-relationships developed through social media hinder their ability to form and maintain face-to-face connections. Using case studies, visual analyses, and research-grounded graphic design, the project examines how Gen Z utilizes coffee shops as a hybrid space for work and selective social interaction. The analysis shows that this generation is open to in-person engagement when environments feel convenient, low-pressure, and aligned with their values. These findings inform the development of Percolate, a …

Spiritual Fortitude And Foster Care, Alesha R. Leonard

Doctoral Dissertations and Projects

In 2022, over 200,000 American children exited foster care settings, with many reporting feeling underprepared to face the demands of adulthood (Children’s Bureau, 2023; Haggman-Laitila et al., 2018). Adults with foster care backgrounds are more prone to struggle with cognitive, emotional, and behavioral development, which may hinder brain development throughout emerging adulthood years (Avery & Freundlich, 2009). This study introduced spiritual fortitude as a potential protective factor against poor transitions to adulthood and against mental health struggles among adults with foster care backgrounds. Spiritual fortitude involves development and practice of spiritual coping mechanisms to build resilience (Van Tongeren et al., …

Perceptions Of The Effects Of Launch Control Center Environmental Exposures And Alert Schedules Among Missile Operations Officers: A Mixed Methods Phenomenological Study, Dawnie Rae Ramie

Doctoral Dissertations and Projects

This mixed methods hermeneutic phenomenological study focused on an investigation of the perceptions of missile operations alert duty and the effects on health and sleep hygiene among Air Force missile operations officers. Questionnaires, interviews, and surveys were all used to gather data on subjects’ experiences and perspectives, including methods to mitigate the effects of poor sleep. Driving questions of research included how missile alert schedules affect sleep habits, as well as how missileers perceived alert duties may impact their health. Data was collected through a web-based Qualtrics Likert questionnaire (N=139), open-ended interviews with purposively selected subjects (N=17), and web-based Qualtrics …

Baseline Moderators Of A Transdiagnostic Adolescent Sleep And Circadian Health Intervention's Effectiveness At Improving Circadian Sleep Health: A Pilot Investigation, Jamon M. Jex

Theses and Dissertations

The current study examined whether baseline demographic and clinical characteristics moderate the effectiveness of the Transdiagnostic Sleep and Circadian (TSC) intervention in improving adolescent circadian sleep health. Using an integrative data analysis approach, data from three independent adolescent samples (N = 134; ages 10-18) were pooled to evaluate changes across multidimensional sleep outcomes defined by the RU-SATED model of sleep, including regularity, satisfaction, alertness, timing, efficiency, and duration. Linear mixed-effects models were used to assess pre-to-post intervention changes and test moderation by age, sex, family income, and clinical status. Results indicated significant improvements in sleep satisfaction following TSC, with greater …

Gender And Stress: Challenges Faced By Women Principal Operators In Agriculture In The United States, Bernadette Marson, Roxanne Bruce

Journal of International Women's Studies

Working in agriculture is demanding and complex, which can lead to stress-induced health and mental health problems, including suicide. There is limited scholarly literature on the topic of women and stress in the agricultural industry, so this research study aims to fill this gap by reporting on the challenging lived experiences of women working in agriculture—a frequently overlooked population. We used a phenomenological design to perform semi-structured interviews exclusively with women (at least eighteen years old) who work in agriculture as principal operators—the primary decision-makers of their enterprise. A thematic analysis was conducted with the data from the twenty-five women …

What Shapes Maternal Well-Being? A Feminist Conceptualization Using Walker And Avant’S (2019) Concept Analysis Framework, Huyen Thi-Thanh Nguyen, Van H. Le, Keiichi Ogawa, Manh T. Ta

Journal of International Women's Studies

Despite extensive scholarship on maternal well-being, the concept remains theoretically underdeveloped and lacks a coherent interdisciplinary definition. This study uses Walker and Avant’s (2019) concept analysis framework to clarify maternal well-being as a feminist, role-anchored construct. We conducted a systematic review of literature in PubMed, Web of Science, and Google Scholar from 2005 to 2025, focusing on studies of married mothers who had given birth to and were raising at least one child. Through content analysis, we identified three defining attributes: (1) vitality and positive affect; (2) life satisfaction and meaning grounded in autonomy and competence within the maternal role; …

Evaluating An Educational Intervention On Screen-Time And Behavior Change: A Pilot Study, Kayla L. Sweeney

UNLV Theses, Dissertations, Professional Papers, and Capstones

Background: Excessive screen time among adolescents has been associated with negative health outcomes, including sleep disturbances, anxiety, and depression. Despite growing awareness, many parents lack sufficient understanding of these risks and their impact on adolescent well-being. This project evaluated whether a brief educational intervention improved parents’ knowledge of the health effects of excessive screen time. Methods: A pre-and post-survey design was used to assess changes in parents’ understanding following an educational video intervention. The educational intervention consisted of evidence-based content highlighting the impact of screen time on mental health and sleep. The survey measured knowledge, beliefs, behavioral intentions, and strategies …

Barriers And Bridges: Exploring Factors That Shape Mental Health Service Utilization In Rural America, Margaret Wiwuga

Educational Specialist, 2020-current

Despite disproportionately higher suicide mortality rates and comparable prevalence of mental illness across urban and rural communities in the United States, rural populations across the nation experience significantly lower access to and utilization of mental health services, naturally leading to worse comprehensive outcomes. This literature review examines multifaceted factors shaping mental health service use in rural America, taking note of both barrier and enabling factors that impede or enable these unique populations’ willingness and ability to access and use mental health services. Ten articles published prior to September 9, 2025, were selected from the James Madison University Libraries’ Psychology and …

From Exploitation To Healing: Mental Health And Resilience Among Native American Survivors Of Sex Trafficking, Katelin A. Stoebner

Honors Thesis

The mental health impacts of sex trafficking on Native American survivors and pathways to resilience are important to understanding healing. Native Americans are disproportionately affected by sex trafficking due to systemic inequities, historical trauma, and socioeconomic vulnerability. Using interviews with 47 Native survivors conducted as part of a larger Office on Violence Against Women project, this study analyzes the mental health challenges and recovery strategies identified by participants. Findings reveal that survivors commonly experience significant psychological effects, including post-traumatic stress disorder (PTSD), depression, and anxiety. Among participants, PTSD emerged as the most frequently reported condition, followed by depression and anxiety, …

Mental Health Screening For The Military Spouse: Prevention In Practice, Lura Allison Mcgrath

Doctor of Nursing Practice (DNP) Translational and Clinical Research Projects

Abstract

In recent years, a focus on mental health has moved to the forefront of healthcare. This is especially true when caring for United States military service members. The military spouses of these service members also struggle and suffer from mental health disorders. However, the mental health needs of military spouses often receive insufficient attention. Research shows military spouses are at an increased risk of developing mental health disorders and/or suffering from mental illness. A large contributor is the impact of the military lifestyle and its challenges for these spouses. However, research also reveals there has been minimal effort put …

Left Out And At Risk: Post-Pandemic Continuation Of Organizational Service Reduction In Metropolitan New York City Coincides With Rise In Opiate Use And Mental Health Problems For Latinos, Ruth Lin Campbell, Smita Ekka Dewan

Publications and Research

Increasing opiate use and mental health problems among younger and older Latinos in urban US contexts prompted this investigation into the organizational resources that facilitate help-seeking efforts of Latinos in New York State (NYS). Guided by a Vulnerability Model and a framework of organizational enabling resources, this study used complementary longitudinal and cross-sectional designs. The longitudinal component examined changes in levels of organizational facilitators for Latino substance use disorder (SUD) help-seeking in Downstate NYS across three time periods, while the cross-sectional component compared post-pandemic facilitator levels across service types and regions. A convenience sample of 241 SUD clinicians participated in …

Posttraumatic Symptoms As Predictors Of Engagement With A Mobile App For Coping After Military Sexual Trauma: Public Usage Data Analysis Study, Shilpa Hampole, Shannon Mccaslin-Rodrigo, Valerie Carr, David Schuster, Sofia Reyes, Sarah Senti, Kelly M. Ramsey, Jason E. Owen, W. Christopher Skidmore, Amy E. Street, Katherine Taylor, Margaret Anne Mackintosh

Faculty Research, Scholarly, and Creative Activity

Background: Military sexual trauma (MST) can have significant adverse effects on mental health and well-being, often leading to posttraumatic stress disorder (PTSD) symptoms and maladaptive beliefs. Although effective psychotherapies exist, stigma, confidentiality concerns, and systemic barriers often hinder help-seeking among service members and veterans. Mobile mental health apps offer an accessible and anonymous support alternative, potentially addressing such barriers. However, app effectiveness depends on user engagement and emerging evidence suggests that engagement may be shaped by symptom severity. Objective: This retrospective observational study aimed to explore the relationship between posttraumatic symptom severity and user engagement with Beyond MST (US Department …

Understanding Myself As A Helping Professional, Mia Duncan

Dissertations, Theses, and Projects

This paper reflects on my own personal experiences that have shaped the person I am both personally and professionally. The purpose of this paper is to showcase the emotional, mental, and physical events I have gone through as well as the work I have done to overcome these challenging events to better serve my future students and clients. I have identified pivotal relationships in my life, therapeutic approaches that have worked for my own development, as well as what I use to help my students as a school counselor, and what my plans are after I graduate to continue as …

What Are The Effects Of Exposure To Green Spaces On Attention, Adhd Symptoms, Depression, And Overall Mental Health?, Emily Marie Hackett

Rowan-Virtua Research Day

This poster is a literature review examining the relationship between green space exposure and mental health outcomes. Examples of green spaces include nature, hiking trails, city parks, tree cover, and gardens. This literature review finds that green space exposure has positive effects on the symptoms of ADHD, depression, and anxiety. Nature exposure may serve as a complementary intervention to improve patient well-being.

Effect Of Pcos Treatment On Mental Health Outcomes, Audriti Mazumder, Aubrey Olson

Rowan-Virtua Research Day

Abstract (250 words)

Polycystic ovary syndrome (PCOS) is a common endocrine disorder associated with a range of physical symptoms, including hirsutism, acne, weight gain, insulin resistance, and infertility. While its metabolic and reproductive manifestations are well characterized, the impact of PCOS on mental health remains underexplored. This study aims to evaluate the relationship between PCOS and mental health outcomes, with a particular focus on changes in symptoms following treatment and the influence of demographic factors.

A survey-based study was conducted using a Qualtrics questionnaire distributed via QR code and social media platforms. Questions were modeled after validated screening tools, including …

Beyond Coping In High School: An Emergent Mindfulness Practice Towards Embodied Wisdom, Mel A.V. Voulgaris

Journal of Contemplative and Holistic Education

Mindfulness practice is trending in schools. Within secondary education, it is oftentimes introduced as meditation for present-moment awareness of the self to support academic concerns. However, mindfulness practice in its original conception is a holistic way of cultivating human well-being towards flourishing. It is a practice that aims for awareness to the entirety of human subjective and intersubjective experiencing as it is emerging. In doing so, mindfulness evolves from a coping tool into a rich contemplative practice. This paper will make the case that mindulness as a contemplative practice facilitates the cultivation of embodied wisdom and that such a practice …

The Role Of Paraprofessionals In The Mental Health Structure Of India, Amy Abraham, Kimberly D. Becker, Wendy Chu

Caravel Undergraduate Research Journal

The mental health treatment gap in India is part of a growing public health crisis, with over 95% of those in need of services never receiving them. Over 197 million Indians suffer from at least one diagnosable mental health disorder, and this number continues to grow given the treatment gap. The treatment gap is a result of four major factors: lack of government support, stigma, limited treatment facilities, and dearth of professionals able to provide treatment. The current study aimed to analyze several factors of paraprofessional-led mental health interventions including setting, treatments delivered, treatment models, and client outcomes. A narrative …

Predator Or Prey: The Analysis Of Gender And Race On The Perception Of Black Men As Sexual Assault Victims, Jordyn Livingston, Dr. Florencia Cornet

Caravel Undergraduate Research Journal

Men sexual assault victims have gained more attention in recent years. Despite the growing sociological literature on violence against men, previous research provides little acknowledgment of Black men sexual assault victims. In this manuscript, I analyze emerging literature in the socio-medical sciences to explore how gender and race affects the perceptions of Black men as sexual assault victims. Specifically, I utilize intersectionality as a theoretical framework to synthesize literature on blackness and masculinity in sexual assault victims to conclude that there is an intersectional point that disadvantages Black males, portraying them as sexual predators. In so doing, I provide research …

Connected Pastors: The Importance Of Having Safe Support Systems In Ministry, Karin A. Hines

Senior Honors Theses

Pastors minister to broken people, but sometimes they need help themselves. Many pastors do not seek help or do not have anyone safe to go to, often for fear of losing their influence or job. This thesis argues that sharing one’s life with safe people is essential, especially for those who are in high-stress professions. It explores pastoral support systems, examines comparable stigmas against seeking help in other fields, analyzes the science of sharing and isolation and their effects on the brain and body, and considers the Bible’s instructions on living in community for one’s personal well-being. Pastors require intentional, …

How Nutrition And Physical Activity Shape Your Well-Being, Stacy Phillips

EFNEP

This publication will explore the link among nutrition, physical activity, physical health, and mental health and how it impacts whole-body well-being. Understanding how multiple aspects of a person's lifestyle can affect an individual's overall well-being is essential to providing better education on how to make better choices to improve their well-being.

The Intersection Between Adolescent Pregnancy, Mental Health Concerns, Stigma, And Sex Education, Madelon Cox

Honors Program: Senior Projects (Public)

This thesis discusses research from the past two decades focused on factors contributing to an increased risk of adolescent pregnancy and the lasting impact of that pregnancy. The consequences of being a pregnant adolescent can be compounded by race, gender, socioeconomic class, and access to education. Adolescent pregnancy also carries significant physical and mental health risk for the adolescent and the child. Awareness and various interventions can help pregnant adolescents or those who may be at risk for adolescent pregnancy to support them, prevent isolation, and reduce further negative mental health conditions, such as depression and anxiety.

Implementing An Online Mental Health Intervention For Educators, Angela Cheney

Doctor of Nursing Practice Scholarly Project

The primary objective of this project was to assess the impact of the New Directions Behavioral Health Employee Assistance Program, an online intervention, on teacher stress and well-being. Teacher participation was recruited through email, flyers, and in-person discussions. The study used a mixed-method design, including pre- and post-project surveys of the Perceived Stress Scale (PSS) to measure changes in stress, and the System Usability Scale (SUS) to evaluate the ease of use of online intervention. The intervention aimed to increase teachers’ self-awareness of stress and anxiety, provide strategies for prevention and early intervention, and support overall mental wellbeing. Paired-samples t …