Digital Commons Network^™

Experience Of Established Mental Health Counselors Working With Adults Who Have Intellectual Disabilities, Margarete Denk

Walden Dissertations and Doctoral Studies

Individuals with disabilities make up the largest minority population in the United States. Individuals with intellectual and developmental disabilities (I/DD) make up a significant portion of this population, yet there are limited studies addressing counseling with the I/DD population. The Council for Accreditation of Counseling and Related Educational Programs has addressed the need for disability competence in their upcoming 2024 standards. The purpose of the phenomenological study was to describe lived experiences of established counselors working with adult clients diagnosed with an I/DD. A descriptive phenomenological approach was used along with the social model of disability. The study involved six …

The Intersection Between Harm Reduction And Social Work, Sydney Biondi

UROP Posters

This qualitative study explores the intersection of harm reduction and social work. Social workers who practice harm reduction were recruited to participate in interviews. In the field of social work, harm reduction is seen as a promising practice, but we do not know very much about what it looks like in practice. The purpose of this research study is to find out how the perceptions of social workers of harm reduction aid or inhibit community harm reduction efforts. We think that the geographical location of a social worker impacts the perceptions and experiences of harm reduction, because of the resources …

Reimagining Business Education Through University-Community Microenterprise Collaborations, Kevin G. Guerrieri, Aarti S. Ivanic, Diana Hannasch-Haag, Julieta Gonzalez

Spanish: Faculty Scholarship

Business education must evolve. Traditionally, it has been narrowly focused, siloed, and often reflective of the transactional nature of business through the lens of maximizing shareholder wealth. The triumph of market fundamentalism over the last five decades has coincided with increasing social inequality, the concentration of corporate power, and a weakening of many forms of social solidarity. There are calls for institutions of higher education to reaffirm their commitment to their public purposes and the common good and to leverage their economic resources as anchor institutions. Schools of business have enormous potential to contribute to these efforts by integrating into …

’We Didn’T Think It Would Be Well Received’: The Gay Alliance Of Students’ Legal Victory Over Virginia Commonwealth University, 1974–1976, Michael S. Hevel, Timothy Reese Cain

Rehabilitation, Human Resources and Communication Disorders Faculty Publications and Presentations

In 1974, a group of college students attempted to undertake the simple act of registering an official student organization at Virginia Commonwealth University (VCU). In contrast to every other student group that had sought such status, the group, the Gay Alliance of Students (GAS), was denied registration. They were denied because the group was composed of LGBTQI+ students who wanted to promote the well-being and understanding of themselves and other LGBTQI+ individuals on campus. This article examines the founding, experience, and legal battles of GAS, an important organization in both the history of LGBTQI+ students and the history of LGBTQI+ …

Screening For Social Determinants Of Health In Children With Attention-Deficit/Hyperactivity Disorder, Sarah L. Carter Msn, Aprn, Cpnp-Pc, Ronald Espinal Md, Toni Whitaker Md, Sally Humphrey Dnp, Aprn, Cpnp-Pc

Doctor of Nursing Practice Projects

Purpose/Background

Increased social determinants of health (SDoH) are associated with poorer health outcomes and decreased treatment compliance. Addressing SDoH can be associated with increased treatment compliance, although currently there is no standard for completing SDoH screening. The WE CARE screening tool is a validated screen that asks about 6 SDoH and whether the family is interested in assistance if the screen is positive. The purpose of this project was to implement the use of the WE CARE screening tool for patients with attention deficit hyperactivity disorder (ADHD) at follow-up visits.

Methods

From October 17, 2022 through November 22, 2022, charts …

Principles And Philosophies For Speech And Language Therapists Working With People With Primary Progressive Aphasia: An International Expert Consensus, A. Volkmer, J. Cartwright, L. Ruggero, A. Beales, J. Gallée, S. Grasso, M. Henry, R. Jokel, J. Kindell, R. Khayum, M. Pozzebon, E. Rochon, C. Taylor-Rubin, R. Townsend, F. Walker, S. Beeke, Deborah Hersh

Research outputs 2022 to 2026

Purpose:

Primary progressive aphasia (PPA) is a language-led dementia associated with Alzheimer’s pathology and fronto-temporal lobar degeneration. Multiple tailored speech and language interventions have been developed for people with PPA. Speech and language therapists/speech-language pathologists (SLT/Ps) report lacking confidence in identifying the most pertinent interventions options relevant to their clients living with PPA during their illness trajectory.

Materials and methods:

The aim of this study was to establish a consensus amongst 15 clinical-academic SLT/Ps on best practice in selection and delivery of speech and language therapy interventions for people with PPA. An online nominal group technique (NGT) and consequent focus …

Mute Eloquence: A Gallery Of Contracting Emojis, Courtney Leon

Cardozo Arts & Entertainment Law Journal

The increasing use of emojis in electronic communications, exacerbated by the COVID-19 pandemic, has introduced complexity into contract law due to the lack of standardized interpretation. Courts are encountering disputes over emoji meanings, highlighting the need for a uniform framework. The proposed Emoji Codebook aims to address this by categorizing emojis and providing consistent interpretations, aligning with existing laws like the UCC and E-SIGN Act to facilitate clearer contract formation and mitigate misunderstandings.

Employee Development And Workforce Engagement In A Behavioral Health Organization, Lakisha R, Brimage

Walden Dissertations and Doctoral Studies

Ongoing training at the targeted behavioral health organization is necessary to improve employee knowledge, skills, and abilities to drive engagement and overall organizational performance. The purpose of this case study was to determine what leadership practices and strategies are currently in place and what training modules improve employee development for the purpose of improving workforce engagement. The Baldrige Excellence Framework was used to guide the qualitative case study of the nonprofit organization, which provides social services to low-income families in the United States. Data sources included semistructured interviews with two behavioral health leaders at the organization and reviews of organizational …

Improving Veteran’S Care Outcomes With The Implementation Of Care Coordination, Katrina Ann Canady

Walden Dissertations and Doctoral Studies

AbstractAstute care coordination is essential to eliminating fragmented care, duplication of services, medication errors, and unnecessary emergency rooms visits. This Doctor of Nursing practice project was a quality improvement (QI) initiative that addressed the gap in practice regarding RN care managers who were not consistently performing care coordination as outlined by the office of community care at the project site. The purpose of the project was to evaluate the effectiveness that an educational intervention had on the RN care managers’ abilities to perform care coordination. The care coordination model (CCM) served as the project framework because it provides a systematic …

An Exploration Of The Mental Health Experiences Of Young Women With Diminished Ovarian Reserve, Brittany M. Woods

All ETDs from UAB

Infertility is a reproductive disease resulting in the inability to conceive. One in six individuals will experience infertility in their lifetime. Diminished ovarian reserve (DOR) reduces the quantity and/or quality of a female's oocyte pool and is a known cause of infertility. Although this occurs during normal ovarian aging in the late 30s and early 40s, DOR can also impact younger women, increasing their risk for psychological distress from an unexpected diagnosis. The purpose of this dissertation is to develop a deeper understanding of the mental health experiences of young women with DOR through the generation of three manuscripts. Manuscript …

Introducing Sonhr-Reporting Guidelines For Social Networks In Health Research, Douglas A. Luke, Edward Tsai, Bobbi J. Carothers, Sara Malone, Beth Prusaczyk, Todd B. Combs, Mia T Vogel, Jennifer Watling Neal, Zachary P. Neal

2020-Current year OA Pubs

OBJECTIVE: The overall goal of this work is to produce a set of recommendations (SoNHR-Social Networks in Health Research) that will improve the reporting and dissemination of social network concepts, methods, data, and analytic results within health sciences research.

METHODS: This study used a modified-Delphi approach for recommendation development consistent with best practices suggested by the EQUATOR health sciences reporting guidelines network. An initial set of 28 reporting recommendations was developed by the author team. A group of 67 (of 147 surveyed) experienced network and health scientists participated in an online feedback survey. They rated the clarity and importance of …

Differential Response And The Reduction Of Child Maltreatment And Foster Care Services Utilization In The U.S. From 2004 To 2017, Michelle Johnson-Motoyama, Donna K. Ginther, Rebecca Phillips, Oliver W.J. Beer, Lisa Merkel-Holguin, John Fluke

School of Health Professions

By 2014, the majority of U.S. states had implemented differential response (DR), a system policy that seeks to serve families of low-to moderate-risk for child maltreatment through family engagement, diversion from formal child protective services investigations, and service provision. However, the effects of DR programs on child welfare dynamics have yet to be evaluated nationally using causal methods. Using a quasi-experimental study design with data drawn from the National Child Abuse and Neglect Data System from 2004 to 2017, we found states with DR programs had approximately 19% fewer substantiated reports, 25% fewer children substantiated for neglect, and a 17% …

Development Of A Social And Environmental Determinants Of Health Informatics Maturity Model, Juan C Espinoza, Shruti Sehgal, Jimmy Phuong, Neil Bahroos, Justin Starren, Adam Wilcox, Daniella Meeker

2020-Current year OA Pubs

INTRODUCTION: Integrating social and environmental determinants of health (SEDoH) into enterprise-wide clinical workflows and decision-making is one of the most important and challenging aspects of improving health equity. We engaged domain experts to develop a SEDoH informatics maturity model (SIMM) to help guide organizations to address technical, operational, and policy gaps.

METHODS: We established a core expert group consisting of developers, informaticists, and subject matter experts to identify different SIMM domains and define maturity levels. The candidate model (v0.9) was evaluated by 15 informaticists at a Center for Data to Health community meeting. After incorporating feedback, a second evaluation round …

Evaluating The Implementation Of A ‘Child First’ Approach Within Plymouth’S Youth Justice Multi-Agency Diversion Scheme., Emma Taylor, Patricia Gray, Katie Mcbride, Zoe James

School of Law, Humanities and Social Sciences

This is the final report from the evaluation of the Plymouth Youth Justice Service (PYJS) multi-agency ‘child first’ diversion scheme, known as Outcome 22. Baselineand first-year interim reports have also been produced, with this final evaluation aiming to examine the effectiveness of this diversion scheme in reducing first time entrants and recidivism in the city of Plymouth, whilst adhering to a Child First approach

Adapting An Intervention To Support Young Caregivers Of Cancer Survivors: A Study Protocol, Janet Njelesani, Melinda S. Kavanaugh, Jean Hunleth

2020-Current year OA Pubs

INTRODUCTION: Of the family members providing care, in the United States over 5.4 million are young people (<18 years of age) and they are the caregivers receiving the least support overall. Given the need to support cancer survivors through a family-centered practice approach, this lack of support and intervention for young caregivers represents a substantial gap in cancer care. In this study, we will adapt a young caregivers intervention, YCare, with young caregivers in families affected by cancer in order to advance support for families in cancer settings. YCare is an intervention that improves the support young caregivers provide through a peer-engaged, multidisciplinary model but has previously not been studied in the cancer care setting.

METHODS: Guided by the updated Consolidated Framework for Implementation Research (CFIR) we will engage stakeholders (i.e., young caregivers, cancer survivors, health care providers) using qualitative (i.e., one-on-one semi-structured interviews) and arts-based methods. Stakeholders will be recruited via cancer registries and community partners. Data will be analyzed descriptively using deductive (e.g., CFIR domains) and inductive (e.g., cancer practice settings) approaches.

DISCUSSION: The results will indicate the critical components for adapting the YCare intervention to the cancer practice context including new intervention elements and …

Situating Implementation Science (Is) In Res(Is)Tance: A Conceptual Frame Toward The Integration Of Scholarship From The Black Radical Tradition, Cory D Bradley, Whitney C Irie, Elvin H Geng

2020-Current year OA Pubs

This manuscript undertakes a disciplinary self-critique of the field of implementation science, a field which attempts to bridge the gap between evidence-based interventions and their practical application. Despite the heightened emphasis on health equity and racial disparities, the field's current discourse is limited by key epistemic shortcomings. First, even though prevalence of implementation gaps between racialized groups in the United States necessitates a comprehensive understanding of the systems perpetuating these disparities, the field does not operate with a general explanation for disparities not as a failure of systems, but a system historically and structural designed to produce disparities. Second, the …

Preincarceration Collaborative Religious Coping Strategies Of Black Males With A History Of A Criminal Offense, Pearlette E. Springer

Walden Dissertations and Doctoral Studies

African Americans are 56% of the incarcerated population in the United States. Black males spend an average of 13.4% of their working lives incarcerated and 82.6% of their working lives addressing the stigma and restrictions associated with incarceration. The purpose of this study was to address a gap in research by exploring the preincarceration collaborative religious coping strategy experiences of Black males with a history of criminal offenses. Pargament’s theory of collaborative religious coping strategy guided the research, interview questions, and data analysis. The qualitative narrative approach with purposeful and snowball sampling was used to recruit and collect data from …

Strategies To Retain Employees In The Mental Health Workplace, Chauncey Janielle Strange

Walden Dissertations and Doctoral Studies

Employee turnover continues to be an issue in the mental health community as mental health business leaders lack strategies to retain employees. Retention strategies are essential to promote continuity, funding, and profitability for mental health agencies and quality service care for patients. Grounded in Bass’s transformational leadership theory, the purpose of this qualitative single case study was to explore strategies mental health business leaders use to retain employees. Participants comprised three mental health center managers from a state agency in northern Louisiana who contributed to employee retention. Data were collected using semistructured interviews and a review of organization performance evaluations, …

Intimate Partner Violence: The Silent Enemy Among African Immigrant Women, Omoniyi Anne Bello

Walden Dissertations and Doctoral Studies

Intimate partner violence among immigrant and minority groups remains a social and health problem that has garnered little attention. African immigrant women particularly face intersectional challenges (e.g., language barriers, unemployment, and lack of access to health care, resources, and services) that heighten their vulnerability to partner violence. Yet, knowledge about their experiences remains elusive in empirical research. Examining the nature and extent of their experience can provide valuable insights that could enhance research and practice on partner violence. The purpose of this generic qualitative study was to explore the experiences of African immigrant women survivors of partner violence in Edmonton, …

Social Workers’ Philosophical Attitudes Towards Harm Reduction Services In Housing First Organizations, John Gay Woolley

Walden Dissertations and Doctoral Studies

AbstractOver the past three decades, harm reduction has gradually become more prevalent among social workers and is now viewed as an instrumental approach in treating people with drug and alcohol problems. Although there have been several studies that described how harm reduction approaches were applied in Housing First (HF) settings, there are few studies that have described social workers’ perspectives of their philosophical attitudes regarding harm reduction in HF settings. The purpose of this study was to understand social workers’ perspectives of their philosophical attitudes toward harm reduction services and how those attitudes were apparent in their interactions with substance-using …

How Behavioral Health Leaders Overcome Barriers To Perinatal Mental And Psychoeducation, Jaime Lorraine Bailey

Walden Dissertations and Doctoral Studies

Behavioral health supportive services are increasingly becoming integrated into primary care settings. This study focused on strategies to strengthen the knowledge of behavioral health leaders and address the barriers to perinatal mental health support in primary care. A case study was designed to explore the obstacles behavioral health leaders faced managing the limited access to perinatal mental health care, along with the lack of provider psychoeducation on perinatal mental health, in integrated care settings in primary care. This study sought to provide options for better access and quality of care to perinatal patients and increase provider psychoeducation on perinatal mental …

Exploring The Reasons People Abuse Animals, Barbara Bittinger

Walden Dissertations and Doctoral Studies

The research on animal abuse has grown over the years which has led to studies that determine the psychological implications of animal cruelty in relation to various societal and environmental agents. From these studies, researchers have addressed animal abuse and cruelty in general but have not established the cause of the behavior or reasons why people abuse animals. The purpose of this qualitative study was to explore the reasons motivating human beings to abuse animals. Using the qualitative method, this study used snowball sampling to interview a total of 10 professionals who work in the fields of veterinary medicine (veterinarians …

Structural Empowerment Of Nurse Leaders In New York State During The Covid-19 Pandemic, Tracey Braithwaite

Walden Dissertations and Doctoral Studies

The current phenomenological study explored the lived experience of Acting Chief Nursing Officers, Chief Nursing Officers, Chief Nursing Executives (henceforth CNOs) at hospitals in New York State who were charged with responding to executive orders while maintaining quality of patient care despite staffing constraints, inadequate supplies, or lack of additional support for the duties associated with their role. Their experience of structural empowerment in relation to the COVID-19 pandemic was also studied. The theoretical framework was Kanter’s theory of structural empowerment that addressed organizational behavior in the context of employee empowerment. The research question addressed how the CNOs perceived their …

Lived Experiences Of Employees Working With Homeless Veterans In Transitional Housing Programs In New Jersey, Ieshia C. Davis

Walden Dissertations and Doctoral Studies

Homelessness among veterans has been a widespread concern for over three decades. Individuals employed in transitional housing settings play a pivotal role in helping veterans overcome homelessness. There is a lack of qualitative studies that explores the experiences of these employees, which limits understanding of what is needed to help homeless veterans regain their place back in society and the ability to develop and implement better programs for the population. In this phenomenological study, semi-structured interviews were used to help understand and describe the lived experiences of employees who work directly with the homeless veteran population in transitional housing settings …

Strategies For Clinical Managers To Reduce Nosocomial Infections, Samisha Lynn Davis

Walden Dissertations and Doctoral Studies

Increasing nosocomial infection rates threaten patient safety when approximately 100 million patients annually acquire at least one nosocomial infection during their hospital stay. Some clinical managers lack strategies to reduce the incidence and costs of nosocomial infections. Clinical managers need training in proactive infection control guidelines that may reduce infection rates and increase profitability. Grounded in adaptive leadership theory, the purpose of this qualitative multiple case study was to explore successful strategies that clinical managers used to reduce incidence and costs associated with nosocomial infections. The participants were four clinical managers employed by health care organizations in the Southeast Texas …

Barriers, Challenges &Successes Among Human Service Professionals Stigma Reduction Treatment Among People With Mental Illness, Maureen Epps

Walden Dissertations and Doctoral Studies

According to the National Alliance on Mental Illness, over 9 million people in the United States suffer from a mental illness (MI). Although human service professionals seek the best practices to treat people with MI, people with MI sometimes struggle to seek treatment because of stigma. The purpose of this generic qualitative study was to explore the barriers and challenges of human service professionals who experienced using a stigma reduction treatment on a person with MI. The mental illness stigma framework and Goffman’s stigma theory provided the conceptual framework for the study. Data were collected through semistructured interviews with eight …

Professional Discretion Of Child Protective Services Investigators In Foster Care Placements, Leonard Fikes

Walden Dissertations and Doctoral Studies

Families of color in North Carolina have been disproportionately affected in the child welfare system, particularly in the foster care system. The purpose of this qualitative research study examined the discretionary powers of Child Protective Services (CPS) investigators and how they interpreted and applied child welfare policies that disproportionally impacted African American families from marginalized, underrepresented communities. Guided by Wallander and Molander’s professional discretion as the framework, this research expanded the current literature and increased awareness of racial disproportionality and the continued disproportionality of African American children in the child welfare system, especially foster care placements. The central research question …

The Barriers Social Workers Face During The Discharge Of Hospital Patients, Nykke Flaum

Walden Dissertations and Doctoral Studies

This study investigated the psychosocial barriers hospital patients face that would delay their discharge. A delay in discharge can stop new patient admissions, cause further illness to the patient, and cost the hospital money, amongst other issues. Social workers are there as part of the multidisciplinary team to reduce the barriers and length of stay. One of the ways to do this is to detect the psychosocial issue early on in a patient’s admission so that it does not delay the discharge. Social workers investigate these issues during the discharge planning process and while conducting assessments. This study utilized structured …

The Lived Experiences Of Homelessness Of Former Foster Youth Navigating Their Way Into Adulthood, Debra B. Hampton

Walden Dissertations and Doctoral Studies

AbstractYouth exiting the U.S. foster care system can experience a complicated process as well as lack of support and resources to help in their transition. Also, despite federal policies in place, these youth can face socioeconomic challenges that lead to homelessness. The purpose of this qualitative, hermeneutic, phenomenological study was to explore the lived experiences of homelessness of adults who age out of the foster care system without continued support when they turn 18. Social capital theory provided a theoretical foundation for the study. Participants were 10 individuals 18 years of age and over who exited out of foster care …

Stress And Wellness Among Correctional Officers In The State Of Oregon, Dewayne Hendrix

Walden Dissertations and Doctoral Studies

It remained unknown if the effects of the employee wellness policy implemented in Oregon in 2018 were reducing stress and improving the health of correctional officers which if it does may benefit the local communities to help enhance social stability. The purpose of this study was to explore the effects of the employee wellness policy, as implemented in the state of Oregon in 2018, in reducing stress and improving the health of correctional officers. This study was guided by the perceived organizational support theory, which holds that employees develop existential views about how much their employer values their contributions and …