Digital Commons Network^™

Lgtbq+ Foster Youth Aging Out Of The Child Welfare System, Anna M. Gutierrez Chavez

Electronic Theses, Projects, and Dissertations

ABSTRACT

On the average time frame, former foster youth were reported homeless between 2012 and 2017. Equally important, is that nearly 39% of homeless youth identify as LGTBQ+.  This research will discuss disproportionality and disparities among youth who struggle with homelessness in the LGTBQ+ population. Research suggests that youth aging out of foster care are more likely to become homeless. Studies found that LGBTQ+ youth being discharged from care did not receive adequate support and guidance from the child welfare system to help them transition into adulthood, which may have led to homelessness.  This study will examine what services and …

Utilizing Self-Determination Theory In Therapy For Veterans With Substance Use And Mental Health Disorders, Carlos A. Tinoc

Electronic Theses, Projects, and Dissertations

Substance use disorder (SUD) has increasingly affected U.S. veterans, with rising misuse of alcohol and opioids. Many veterans also confront mental health issues, including Post-Traumatic Stress Disorder (PTSD). To explore this issue further, the researcher will investigate the effectiveness of Self-Determination Theory (SDT) in addressing substance use and mental health disorders (dual diagnosis) among veterans. Previous research on the implementation of SDT for dual-diagnosis patients has not sufficiently addressed the veteran population. The researcher will review existing systematic literature reviews on the topic of SDT implementation in the treatment of SUDs and mental health disorders among both civilian and veteran …

Healing Beyond Bars: Integrated And Sustainable Recovery Models For Post-Incarcerated Women, Patricia A. Nunez, Jonathan Solomon

Electronic Theses, Projects, and Dissertations

Substance Use Disorders (SUDs) significantly impact the re-entry process for formerly incarcerated individuals, particularly Latina/x women, who face unique cultural, social, and economic challenges in accessing effective treatment. The purpose of this study is to explore the effectiveness of substance use disorder treatment programs in support of successful reentry outcomes for Latina/x women post-incarceration. Previous research on SUD treatment for this population remains limited despite growing awareness of the need for gender-responsive and culturally informed interventions. Qualitative research with an exploratory design within an interpretive research paradigm will be utilized to investigate the lived experiences of Latina/x women who have …

The Impact Of Implicit Bias On The Therapeutic Dyad: A Study Of Clients' Perceptions, Nicholas Taylor Walsh

Electronic Theses, Projects, and Dissertations

This study explores the influence of implicit bias on the therapeutic dyad, focusing on how clients perceive its impact in their therapeutic process. Using a qualitative research approach, in-depth interviews will be conducted with Black clients of White clinicians to capture their perspectives on therapist bias, particularly its subtle, unconscious manifestations and their perceived impact on treatment. It is hypothesized that the findings will reveal that implicit biases related to race can subtly affect the therapeutic alliance, communication dynamics, and overall treatment outcomes. This study seeks to illuminate how clients perceive and navigate implicit bias within the therapeutic relationship, ultimately …

Analyzing Social Implications Of The Gender Wage Gap, Jessie A. Clarke

Electronic Theses, Projects, and Dissertations

The researcher seeks to understand the gender wage gap in the United States. The research question studied is “Why do women in the United States on average earn less income than men?” Women gain less power and resources as they earn less income than men. The researcher explores the phenomenon in this paper. This research proposal utilizes qualitative methods via interviews, and analysis through coding. In previous research, there is a lack of inclusion on the gender wage gap regarding various identities such as sexual orientation, other gender identities, and race/ethnicity. The researcher hopes to fill in these gaps in …

Disproportionate Use Of Behavioral Restraint In Schools A Descriptive Study Of The K-12 System In California, Samuel F. Deck

Electronic Theses, Projects, and Dissertations

Behavioral restraint is widely used in California schools with the stated purpose of ensuring safety, despite being an unsafe intervention that can exacerbate unsafe behaviors. Certain student demographics and school district policies are associated with disproportionate behavioral restraint risk; however, these disproportionalities have not been systematically examined at the district level within California in a way that directly benefits affected students. This study aims to examine which student identifying factors were associated with the disproportionate use of behavioral restraints in California school districts during the 2023-2024 school year. Using the Positive Behavioral Intervention Supports (PBIS) framework, this research will calculate …

Intimate Partner Violence In Immigrant Communities: A Qualitative Study, Melina Ruiz-Reyes

Electronic Theses, Projects, and Dissertations

Intimate partner violence (IPV) is an important issue affecting immigrant women, specifically those from collectivistic cultures, due to social norms that can make them highly vulnerable. This study investigates the underlying causes of IPV in these communities, focusing on cultural, legal, and systemic factors. Despite the prevalence of IPV, immigrant women face unique barriers to seeking help, including stigma, legal vulnerabilities, and economic dependence. Previous research has mainly focused on specific ethnic groups, missing a broader, intersectional understanding of IPV across diverse immigrant communities. This study employs a qualitative approach, utilizing semi- structured interviews based on the Danger Assessment for …

Utilizing A Social-Ecological Approach To Understand Healthcare Professional's Ability To Identify Child Sexual Exploitation, Vanessa Gudiel, Alyssa Fierro

Electronic Theses, Projects, and Dissertations

Commercially sexually exploited children (CSEC) are an underrecognized population who face barriers when receiving healthcare services in emergency settings. A common theme that prevents them from receiving services is the healthcare professionals' (HP) inability to recognize warning signs and engage with victims. This stems from an absence of CSEC-focused curriculum in institutional settings, leading to a lack of education and confidence in identifying CSEC. CSEC screenings are not mandatory in most healthcare settings, leaving the discretion to the HP and enabling the continued missed opportunity to identify victims. The proposed study will utilize an exploratory design to conduct qualitative interviews …

Success Rate Of Batterers Intervention Programs, Brittney Perez, Manuel Mercado

Electronic Theses, Projects, and Dissertations

The success rate of men completing the Batterer’s Intervention Program (BIPs) using the Duluth Model remains a significant concern in domestic violence prevention. The Duluth Model, designed to challenge patriarchal beliefs and promote nonviolent behavior, has shown mixed results. Factors such as program length, financial barriers, and prior offense influence completion rates. While some research suggests reduced recidivism among program completers, high drop out rates undermine overall effectiveness. This study aims to assess the success rates of men completing BIPs using the Duluth Model, focusing on factors influencing program completion, recidivism, dropout rates, and long-term behavioral change over two to …

The Hidden Cost Of Students With Dependents In The California State University System, Sandra Serrano, Christina Gonzales

Electronic Theses, Projects, and Dissertations

This study explores the hidden costs faced by students with dependents in the California State University (CSU) System. Although students with dependents make up a significant population within the California student population, data on student with dependents is limited, their needs and struggles remain underreported making efforts to address their needs effectively harder. Despite the passage of California’s Assembly Bill 2881, which mandates that all community colleges and Cal State systems do more for this population, compliance remains low, citing a lack of reliable data. This study takes on a mixed-methods approach to investigate the hidden costs associated with being …

Contributing Factors To Child Maltreatment In The United States: A Systematic Review, Klarissa Sedillo, Ashlee Garcia

Electronic Theses, Projects, and Dissertations

This proposal will highlight the contributing factors of child maltreatment, specifically focusing on intimate partner violence and parental substance use. The purpose of this topic is to highlight the risks and lifelong impact that family substance abuse and intimate partner violence (IPV) are main factors when it comes to contributing factors to child maltreatment in the United States. These factors often co-occur, creating a risk for children in affected households. Families that have been involved in child maltreatment cases often have a history of abuse or neglect in their own childhood that tend to cause struggles with addiction and violence …

Overcoming Obstacles: Exploring Mental Health Service Barriers For Immigrants And The Impact Of Acculturation, Mallory Manahan, Joyce Guevara

Electronic Theses, Projects, and Dissertations

Immigrants are faced with various challenges as they adjust to a new life in a foreign country and undergo acculturation. The acculturative stressors experienced by immigrants increase the risk of mental health issues like depression and anxiety. Yet, mental health services are underutilized by the immigrant population despite a high need for mental health support. The underutilization of mental health services can be attributed to barriers like stigma, language barriers, and a lack of culturally competent care. This study explores the acculturation impacts on immigrant mental health and identifies the barriers to accessing mental health services to gain a deeper …

Examining Distrust Marginalized Populations Experience Within Healthcare In The Us, Mikela Jennings, Marco Ramos, Estrella Garcia

Electronic Theses, Projects, and Dissertations

Background: In the United States (US), Black and Brown individuals experience a significant amount of distrust towards medical professionals in the healthcare field. This distrust often results in an ongoing underutilization of medical care due to fears surrounding the quality of treatment Black and Brown individuals receive within the healthcare system. Previous research on this issue has identified many factors that contribute to the severity of medical distrust. Objective: This proposed quantitative study seeks to describe and examine the commonalities Black and Brown individuals have in association with medical distrust towards the healthcare system in the US. Methods: …

Examining The Effectiveness Of Head Start Programs, Leanne Libas

Electronic Theses, Projects, and Dissertations

Head Start is a federally funded program created in the 1960s by President Lyndon B. Johnson. The program helps low-income families and children with early childhood education and support. Its goal is to empower low-income families to succeed and improve their livelihoods. Although Head Start has existed for over six decades, the program’s effectiveness must be explored. Previous research showed various results on the academic success of former students. Some studies have demonstrated that former students have continued to excel academically. Other studies have shown that the effects of Head Start wane after former students enter kindergarten. The researcher will …

Increasing Mental Health Providers' Confidence When Treating Clients Engaging In Nonsuicidal Self-Injury, Alejandro Quezada Lechuga

Electronic Theses, Projects, and Dissertations

Non-suicidal self-injury (NSSI) is a significant health concern disproportionately affecting the LGBTQIA population and system-involved youth with a prevalence as high as 20% and increasing. Historically, treatment has been inadequate, as interventions were designed to treat borderline personality disorder (BPD), depression, or suicidality. Patients consistently report negative stigma, contributing to poor treatment outcomes and consequently failing to seek professional help or cease treatment. Mental health professionals report experiencing bicurious trauma, increasing the likelihood of burnout. This study aims to evaluate the effects of online self-paced NSSI training on clinical social workers’ confidence when treating clients who engage in NSSI. The …

Building Resilience: How Protective Factors Mitigate Acculturative Stress In The Latinx Immigrant Community, Andres I. Delgado, Jamie Tierrablanca

Electronic Theses, Projects, and Dissertations

This literature underscores the vital role of protective factors in reducing

acculturative stress among Latinx immigrants. Key factors such as social

support, religious affiliation, familism, and physical activity help contribute to

mitigating the negative effects of acculturation. The Latinx community can

significantly benefit from integrative, culturally responsive interventions informed

by social work frameworks such as ecosystems theory and critical race theory

(CRT) as they are essential in addressing the mental health needs of this

population. Despite existing research, gaps remain in understanding the full

scope of the Latinx immigrant experience, suggesting a need for further

exploration. The expected findings will …

Beyond The System: A Critical Analysis Of Child Welfare Placement Practices For Children With Autism, Lauren Scott, Nicole Navarro

Electronic Theses, Projects, and Dissertations

Autism Spectrum Disorder (ASD) is a neurological condition that affects an individual’s communication, social interactions, and behavior. Approximately 1.7% of children in the United States are diagnosed with ASD. Families raising children with ASD face significant challenges, including limited support systems, caregiver fatigue, and financial strain. These difficulties increase the likelihood of maltreatment, leading to higher rates of children with ASD being referred to Child Welfare Agencies. Once involved in the system, children with ASD often encounter difficulties in finding appropriate long-term foster or kinship placements, which can result in high rates of placement instability. This research seeks to identify …

Juvenile Custody Severity And Adult Mental Health Outcomes Among Black Men: The Role Of Trauma Informed And Culturally Responsive Care, Leslie Moreno, Tammy Monique Borunda

Electronic Theses, Projects, and Dissertations

Black young men are overrepresented in the juvenile justice system, yet limited research has examined how severe custody experiences are related to mental health in adulthood. This study will examine how the severity of juvenile custody experiences is related to adult mental health outcomes among Black men who have been released from custody for at least two years. Being able to understand these long-term outcomes is important for addressing disparities in mental health and access to care. This research will utilize the principles of trauma theory and will use a quantitative cross-sectional design. The study will use a purposive snowball …

Impact Of Social Worker Bias On African American Fathers With Open Children Family Services Cases, Jenna Espinosa, Cecil Perry, Jasmine Alvarado, Jennifer Garcia, Lacrietia Grate-Dixson

Electronic Theses, Projects, and Dissertations

Systemic barriers and biases within institutions and policies affect how African American fathers engage with Children and Family Services (CFS). According to research, social worker bias, whether overt or covert, can influence case decision-making, affecting fathers' access to resources and overall involvement in their children’s lives. This study aims to quantitatively assess the impact of social worker bias on African American fathers' engagement by evaluating service completion rates at the .21e hearing. A quantitative research design will be utilized by implementing a validated survey to measure social worker bias and case file reviews to assess service completion. Statistical analyses, including …

Eating Patterns Among College Athletes, Sarah Sanchez

Electronic Theses, Projects, and Dissertations

The purpose of this cross-sectional study was to examine eating patterns among college athletes attending a minority-serving, urban institution where commuting is highly prevalent to assess potential risks of disordered eating, nutrient deficiencies, and food insecurity. A total of 189 students [M age (SD) = 20.29 + 1.46 years] from a mid-sized university in the U.S. responded to an anonymous online survey. The survey consisted of questions regarding food security, hydration/beverage status, demographics, disordered eating attitudes and behaviors, and food consumption patterns. Findings indicated a low prevalence of severe disordered eating behaviors within this sample. However, attitudes about disordered eating …

Reducing Hospital Readmissions Through Pharmacist-Led Medication Reconciliation At Discharge, Ambreen Moazzam

Electronic Theses, Projects, and Dissertations

One of the ancient problems of the healthcare systems in the world is hospital readmission, which leads to increased costs, morbidity, and an unwarranted load on medical resources. One evidence-based intervention that can address this problem and improve medication accuracy and continuity of care is pharmacist-led medication reconciliation at discharge. The proposed project will identify the impact of pharmacist involvement in discharge pharmacy reconciliation on patient outcomes and readmission. The present paper is quantitative, descriptive study, where retrospective and prospective information was used to estimate medication discrepancies, readmission, and patient compliance in adult inpatients. The evidence substantiates pharmacist-led medication reconciliation …

Examining Physical Activity Behaviors And Associated Health Indicators In College Students, Elizabeth A. Reyes

Electronic Theses, Projects, and Dissertations

Background: Physical activity (PA) is a critical determinant of both physical and mental health, yet many individuals fail to meet recommended guidelines. College students face increasing challenges related to physical inactivity, elevated stress levels, and poor sleep quality, all of which negatively impact their overall health and academic success. College students who fail to meet recommended PA guidelines are at an increased risk of chronic diseases. This study aimed to examine patterns of PA among college students and explore associations with sleep quality and perceived stress.

Methods: A cross-sectional design was employed using a self-administered questionnaire that included items on …

Gender Disparities Among General Surgeons: A Comprehensive Review, Julie Holihan, Devi Bavishi, Kush Brahmbhatt, Rebecca Franks, Zuhair Ali, Karla Bernardi, Christine Castillo, Mike Liang, Rachel Wong, Michele Loor

Faculty, Staff and Student Publications

Background: Unlike in-house call, the Accreditation Council for Graduate Medical Education (ACGME) does not require a postcall day for "home call" shifts. Despite this, we hypothesize that on-call residents are still in the hospital for the majority of their shift despite having the luxury of home call and, thus, are not protected by ACGME postcall duty hour regulations.

Methods: A prospective single center survey study was conducted by surveying junior and senior residents who completed overnight call shifts from January 2023 to April 2023 at one of the busiest level 1 trauma centers in the United States. Data include number …

Factors Associated With Postpartum Depression Symptoms Following Antepartum Hospitalization, Alison N Goulding, Daniel Palacios, Sukru Aras, Hu Chen, Sasidhar Pasupuleti, Marika Toscano, Nicole Cirino, Israel C Christie, Zhandong Liu, Emily S Miller, Terri L Fletcher

Duncan NRI Faculty and Staff Publications

Background: Hospitalized antepartum patients are at increased risk for postpartum depression (PPD). Developing approaches to identify those at highest risk for PPD would enable timely and targeted intervention.

Objective: We aimed to identify factors associated with the development of PPD symptoms in hospitalized antepartum patients and to assess their predictive utility.

Study design: This retrospective cohort study included pregnant individuals hospitalized in a regional referral center due to medical or obstetric complications between 2012 and 2025. Data were extracted from the electronic health record, including demographics, medical and obstetric history, hospitalization characteristics, and postpartum Edinburgh Postnatal Depression Scale (EPDS) scores …

Ground Penetrating Radar Spiral Antenna Transient Response Based On Target Radar Cross Section, David Rohde

Theses and Dissertations

This dissertation presents a significant advancement in Ground Penetrating Radar (GPR) detection technology through the development of a novel method for the detection and classification of buried conductive objects using custom-designed Archimedean spiral antennas. The research demonstrates that the transient electromagnetic response of an Archimedean spiral antenna is strongly correlated with the Radar Cross Section (RCS) characteristics of buried objects operating within the radar resonance scattering, or Mie, region. By leveraging this relationship, the proposed approach enables not only the detection of buried objects, but also generalized classification based on object geometry and size.A primary contribution of this work is …

Bridging Culture And Education To Enhance Cherokee Student Health And Wellness, Lindsey Hammer

Theses and Dissertations

Indigenous populations face ongoing health disparities, often worsened by a lack of culturally relevant and Indigenous-led programs and interventions. This dissertation in practice was inspired by the need for community-driven, culturally grounded approaches that address these disparities for Cherokee Nation in Northeastern Oklahoma. Each of the three products are inspired by and aligned with the principles of Community-Based Participatory Research (CBPR), the Cherokee value of gadugi, and the concept of relationality, offering a holistic approach to community health and well-being. Not every product represents a fully implemented CBPR process but rather a CBPR-informed approach. Future stages will emphasize more meaningful …

Comprehensive Analytical Approaches To Biophysical And Hard Matter Systems, Carlos Munoz

Theses and Dissertations

In this work we define the methods and experimental techniques that are used in the synthesis, characterization, and development of biophysical and hard matter systems. These efforts encompass six principal areas: Comprehensive characterization of pathogenic bacteria, development of novel chemical methods for probing binding affinities in cellular systems, understanding the electronic properties of silicon/silicon dioxide interfaces, characterization of catalytic perovskite oxide materials, and lastly, heteroepitaxial growth of vanadium nitride thin films on the silicon nitride surface.The Lyme disease spirochete Borrelia burgdorferi (B. burgdorferi) causes an infection with diverse clinical outcomes, which can include arthritis as well as cardiac and neurological …

Student Engagement As A Predictor Of Stem Student Success, Mosab Shaher Abu Al Foul

Theses and Dissertations

This quantitative study investigates factors influencing engagement, persistence, and degree completion among underrepresented minority (URM) students in science, technology, engineering and math (STEM). Guided by Tinto’s Interactionist Model (1975) and Bandura’s Self-Efficacy Theory(1977), it examines how institutional practices and socioeconomic conditions contribute to inequities in student outcomes. Using a non-experimental, correlational design, the study analyzes National Survey of Student Engagement (NSSE) data and institutional records from a Midwestern Research 2 university (N = 620; URM subsample n = 52). Binary logistic regression, MANOVA, and t-tests were used to assess relationships among High-Impact Educational Practices (HIEPs), engagement indicators, faculty interaction, pre-college …

Self-Talk In Esports: Extending Sport Psychology Frameworks To Digital Competition, Brett Anne Thompson Machamer

Theses and Dissertations

Self-talk is a key mechanism underlying performance, confidence, and emotional regulation, yet its use in esports remains underexplored. This study examined self-talk patterns among esports players, focusing on associations with hours played, self-talk type and valence, and contextual and motivational factors influencing its use. Esports players (N = 102; M = 18.53 hours/week, SD = 13.74) across a range of competitive levels completed an online questionnaire assessing self-talk type, valence, and contextual use. Greater hours played were associated with increased use of strategic self-talk, while self-talk valence was not significantly related to time spent playing. Participants most frequently reported using …

Reactive-Fluid-Transport Controls On Co2-Eor Applications In The Upper Red River Carbonate Reservoir, Abdelmalek Abes

Theses and Dissertations

Reactive-transport phenomena during CO2 injection in carbonate reservoir were examined in detail. Three core samples from the primary producing units of North Dakota’s Upper Red River Formation (U2-H055, U4-H069, and U6-H009) were used to experimentally investigate geochemical reactions and petrophysical alterations, impacting carbon dioxide enhanced-oil-recovery (CO2-EOR) and geologic-carbon-storage (GCS) projects. During corefloods using a CO2/brine mixture, two samples demonstrated early permeability increases followed by declines, whereas the third sample demonstrated an early decrease; all samples gradually recovered at a later stage. Nuclear magnetic resonance (NMR) measurements revealed slight porosity increases due to dissolution-induced wormholes, while the pore-size distribution (PSD) shifted …