Digital Commons Network^™

Self-Care At The Organizational Level, Rosa Gallegos-Valades, Viviana Hummel

Electronic Theses, Projects, and Dissertations

Self-care in the social work profession is commonly framed as an individual responsibility; however, organizational environments play a critical role in shaping workers’ ability to engage in sustainable self-care practices. This study will focus on understanding how workplace environments influence professional self-care among social workers. Much of the existing literature emphasizes personal coping strategies while overlooking structural and organizational supports that enable or constrain self-care. Previous research has largely failed to address the importance of professional self-care at the organizational level, which can unintentionally place responsibility solely on individuals and contribute to feelings of inadequacy when self-care is difficult to …

Social Media’S Impact On School-Aged Children's Mental Symptoms, Tiffany Espinoza

Electronic Theses, Projects, and Dissertations

With the increased usage of social media among individuals, this has raised concerns about its impact on the mental health symptoms of the younger population. Previous research has shown the impact of social media on adolescents' depression and anxiety; however, there is limited research showing the impact on younger school-aged children. The purpose of this study will be to examine the relationship between social media use and mental health symptoms among school-aged children from kindergarten through twelfth grade. The proposed research study will seek to address gaps in previous research by analyzing a wider age range and more diverse subgroups …

Centering Lgbtqia2s+ Voices: A Proposed Needs Assessment Of Unhoused Adults In California’S Inland Empire, Karina L. Martinez, Sade D. De La Espriella

Electronic Theses, Projects, and Dissertations

LGBTQIA2S+ homelessness remains a critical yet underexamined issue within California’s Inland Empire. While existing research has documented elevated rates of homelessness among LGBTQ+ populations in major urban centers, particularly among transition-age youth (TAY), there is limited understanding of the specific service needs of unhoused LGBTQIA2S+ adults, including older adults, within this region. This research proposal outlines a community-based needs assessment designed to address this gap. The proposed study will utilize trauma-informed, fully structured interviews with standardized, closed-ended questions administered to LGBTQIA2S+ adults who are currently experiencing or have recently experienced homelessness across the Inland Empire. The instrument will assess barriers …

Tips For Health Care Practitioners: A Guide For Adolescent Obesity, Regina Santana

Electronic Theses, Projects, and Dissertations

Adolescent obesity continues to be a significant public health concern that is associated with long term physical consequences. The purpose of this project was to develop an evidence based, user friendly guidebook that supports healthcare professionals in the education of adolescents with obesity and their families. A structured literature review development process was used to inform the current development of the guidebook. The guidebook includes components of obesity management such as nutrition and physical activity recommendations. The validity of the content was established through the evaluation of five healthcare professionals that include registered dietitians and licensed therapists. The guidebook was …

Investigating Fentanyl-Xylazine Interactions: Implications For Opioid-Induced Hyperalgesia And Affective Dysregulation In Rats, Alejandra R. Lujan

Electronic Theses, Projects, and Dissertations

The growing prevalence of fentanyl adulterated with xylazine presents a major public health concern, yet the behavioral and physiological effects of this combination remain poorly characterized. This study examined the effects of acute fentanyl administration, alone and in combination with xylazine, on opioid-induced hyperalgesia, affective behavior, and mortality in male and female Sprague-Dawley rats (n=80). Rats received four fentanyl injections (60 µg/kg) administered at 15-minute intervals, with or without xylazine (0, 0.1, 0.333, or 1.0 mg/kg), as well as a saline control condition. Pain sensitivity was assessed using a hot plate assay at 6.5, 12, 24, and 48 hours post-injection. …

Understanding The Impact Of Childhood Trauma On Recidivism Among Justice-Involved Youth, Jasmine Valencia, Karina V. Garcia, Genaro Fabela

Electronic Theses, Projects, and Dissertations

Adverse Childhood Experiences (ACEs) are especially common among youth involved in the juvenile justice system, and research has consistently linked these early traumatic experiences to a variety of negative behavioral and developmental outcomes. Still, we do not fully understand how strongly cumulative ACE exposure predicts whether detained youth will reoffend, or whether trauma-informed rehabilitation programs can help reduce that risk. This proposed quantitative study explores the relationship between ACE scores and recidivism among youth ages 11–18 detained at the San Bernardino County Juvenile Detention Center. Grounded in trauma theory and ecological systems theory, the study focuses on two primary questions: …

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 …

The Effects Of Administration Policies On Patient Care Quality And Healthcare Service Costs, Rajveer Kaur

Electronic Theses, Projects, and Dissertations

This study examines how administrative policies in U.S. healthcare systems affect patient care quality and service costs. It addresses a gap by analyzing the combined effects of policy, leadership, and technology on both clinical outcomes and financial performance. Using a qualitative descriptive approach guided by the PRISMA protocol, the study systematically identified and analyzed eighteen peer-reviewed articles. The findings show that value-based purchasing policies relate to improved patient safety indicators. Standardized clinical protocols and workforce competency initiatives strengthen care consistency and reduce hospital readmissions. The use of digital health technologies, such as telehealth and predictive analytics, helps optimize resources and …

Easy Travel-Friendly Snack Recipes For College Students To Support Mental Well-Being, Lidia Vides

Electronic Theses, Projects, and Dissertations

College is a pivotal period in life of a young adult, marked by newfound independence, increased responsibilities, heightened academic pressure, and significant changes in daily routine. While this transition can often be exciting for a young adult, it also presents many different challenges. As a result, many students experience increased levels of stress, anxiety, and depression. Nutrition plays a powerful yet often overlooked role in supporting mental and physical health. Current research studies show that a balanced diet rich in whole food ingredients can help regulate mood and promote emotional well-being through multiple biological pathways. However, despite this knowledge, convenient, …

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 …

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 …

The Effects Of Excessive Smartphone Use On Interpersonal Relationships, Lisa M. Whitesell

Electronic Theses, Projects, and Dissertations

Smartphones are integral to daily life, generating a propensity for overuse that raises concerns about the potentially adverse effects on social connections and communication. Previous research is primarily quantitative, focused on male subjects outside the United States, and has not explored the impact of smartphone use on relationships from the perspective of close friends and family. This study addresses the gap by applying qualitative methodologies using a more balanced gender sample in the United States. Semi-structured interviews will capture participants’ experiences and perceptions of how excessive smartphone use affects their interpersonal relationships. Open-ended questions will explore smartphone use patterns, the …

Exploring Resilience Factors And Interventions Among Transition-Age Youth Facing Homelessness, Sandy Flores

Electronic Theses, Projects, and Dissertations

This study will explore the resilience factors and interventions that promote positive outcomes among transition-age youth (18–24 years old) experiencing homelessness in Southern California. Youth homelessness is a critical issue linked to systemic barriers and limited resources. This research will address the gap in understanding how resilience mechanisms enable youth to overcome challenges and navigate support systems. Using a qualitative approach, semi-structured interviews will be conducted with 20 participants located in San Diego County to examine their coping strategies, social networks, and experiences with interventions. Thematic analysis will be used to identify key resilience factors, barriers, and facilitators, providing insights …

Barriers To Healthcare In Lgbtq+ Baby Boomers, Kellie Jones, Alexandra Lomeli, Bryant Vargas

Electronic Theses, Projects, and Dissertations

LGBTQ+ Baby Boomers have experienced decades of discrimination, societal suppression, and exclusion from equitable healthcare. Despite advancement in recent years, healthcare disparities persist, and past experiences of discrimination may contribute to present-day barriers in accessing quality care. Existing research often neglects the intersectionality of aging, sexual orientation, and identity, leaving a gap in understanding the long-term effects of historical trauma on healthcare access for this population.

This quantitative study seeks to answer the question: How does the historical trauma experienced by the LGBTQ+ Baby Boomer population impact the healthcare barriers they face? This study proposes to examine the relationship of …

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 …

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 …

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: …

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 …

Mental Health Stigma And Barriers Among The Latino Community, Noemi Toraya

Electronic Theses, Projects, and Dissertations

Being faced with a lack of awareness of mental health in the Latino community has brought much attention to the reasons why Latinos lack treatment or choose not to get treated. In Latino culture, mental health is a construct of society, a label applied to justify not being able to function, work, or be present. For many Latinos who experience mental health problems, getting treatment is critical. However, there are several obstacles to overcome, one of which is the stigma associated with mental health and how it is viewed in the Latino community. In Latino communities, stigma sometimes involves associating …

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 …

Anti- Intellectualism, Authenticity, And Intellectual Authority In Short-Form Digital Discourse, Mariaisabel Sandoval

Electronic Theses, Projects, and Dissertations

This thesis examines how anti-intellectualism, authenticity, and credibility intersect in digital discourse. In contemporary online environments, expertise is increasingly treated with suspicion, while relatability, emotional immediacy, and personal conviction often function as alternative markers of trustworthiness. Under these conditions, intellectual expression may become socially risky, particularly in spaces where speakers must appear authentic without seeming overly serious, pretentious, or out of touch. This study asks how credibility and authority are performed, negotiated, and contested in short-form digital discourse, and how sincerity is reshaped when authenticity itself becomes a rhetorical performance.

This project is grounded in scholarship on anti-intellectualism, platform culture, …

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 …

What Is Transitional Care And Its Role In Reducing Readmissions, Decia Rodriguez

Electronic Theses, Projects, and Dissertations

Thirty-day readmissions to hospitals creates significant clinical and financial burdens in healthcare systems and worsens patient outcomes. This project reviews transitional care programs as strategic interventions to minimize preventable readmission with a specific focus on pharmacist-led medication reconciliation. Due to the extensive literature review, this work proves that structured transitional care is effective in closing the gaps between acute hospital care and home-based recovery because it coordinates medication management, patient education, and follow-up care. As it has been shown, pharmacists are in a central position to minimize medication errors and enhance compliance, especially in chronic patients such as those with …

Evaluation And Treatment Of Pediatric Pre-Eruptive Intracoronal Resorption, Sophia Rosen, Robin Onikul, Neena Patel, Jenna Sparks, Amy Burleson

Posters

Pre- eruptive intracoronal resorption (PEIR), also known as “pre-eruptive caries,” is a dental condition characterized by the resorption of dental tissue prior to the eruption of the tooth.1PIER is typically found adjacent to the dentin-enamel junction, within the occlusal dentin of the tooth.2PIER may be referred to as “occult” or hidden caries due to the presence of sound enamel and is often an incidental finding on routine radiographs.3PEIR is often misinterpreted as traditional caries due to its radiographic appearance,3however requires careful evaluation for determination of treatment and long term success. Case report: This case report details a 13 year old …

“Better Late Than Never” – Exploring The Challenges And Triumphs From Late-Diagnosed Autistic Women, Angela C. Altomare

Electronic Theses and Dissertations

The diagnostic process for adult autistic women is a transformative experience that reshapes identity, their histories, and self-understandings. This study examines the impact of a late-in-life autism diagnoses on women through the examination of narratives from the Reddit community r/AutismInWomen, and autoethnography.

Drawing on personal experience as a late-diagnosed autistic researcher, and the shared stories within r/AutismInWomen, the research demonstrates the challenges experienced, such as navigating stigma, negotiating identity, and seeking support.

The research reveals that online platforms serve as critical spaces for stigma negotiation, identity validation, self-advocacy, and community building among autistic women. Furthermore, these narratives underscore …

On The Paleontology Of Belize, Alson Ovando

Electronic Theses and Dissertations

Paleontology can be considered an underrepresented and emerging area of science in Belize. A primary aim of this thesis is to provide a background of paleontology in Belize and present the first comprehensive study of Quaternary vertebrate fossils known from the country. Quaternary fossil sites across Belize include caves, rivers, and sinkholes. In addition to reviewing and assessing material from known sites, this thesis presents new information and discoveries that were made while investigating Belize’s Quaternary fossil record. This thesis also includes a geospatial model depicting ecoregions in Belize during the last glacial maximum. Overall, the results presented here demonstrate …

Addressing Substance Use Disorder In Rural Appalachia: Improving Access And Treatment Outcomes For Justice-Involved Individuals, Jessica Muldowney

Electronic Theses and Dissertations

Background: Opioid use disorder (OUD) represents a critical public health crisis disproportionately affecting justice-involved (JI) populations, with approximately 65% of incarcerated individuals having substance use disorders (James & Beatty, 2006). Rural Appalachian communities face compounded challenges due to limited healthcare access, provider shortages, and cultural stigma surrounding addiction treatment. Despite evidence demonstrating that medication-assisted treatment (MAT) reduces recidivism and overdose deaths, only 20% of correctional facilities offer these services (Klein & Seppala, 2019).

Objective: This mixed-methods study evaluated organizational readiness and infrastructure capacity for implementing evidence-based OUD interventions, specifically MAT programs across three rural counties in northwestern North Carolina.

Methods: …