Medicine and Health Sciences Commons^™

An Exploratory Factor Analysis Examining Experiences And Perceptions Of Campus Safety For International Students, Sonia H. Ramrakhiani

Counseling & Human Services Theses & Dissertations

Although international students make up a significant percentage of the college population and contribute to higher education institutions in multiple ways, a lack of attention is paid to their safety needs. This dissertation examined the experiences and perceptions of campus safety among international college/university students in the United States. The researcher sampled participants from different institutions around the country, who self-identified as international students. A researcher-developed 53-item Likert scale questionnaire, International Students’ Safety Questionnaire (ISSQ), was administered to the sample. Findings from the exploratory factor analysis (EFA) provided evidence for the four-factor solution for the 26-item ISSQ accounting for 48.65% …

Examining Changes In College Counseling Clients’ Symptomology And Severity Over An Eight Year Span, Caroline Lee Bertolet

Counseling & Human Services Theses & Dissertations

The current college counseling literature has conflicting findings regarding the extent to which the severity of mental health symptoms has increased for college students. Some researchers claim that over time student’s mental health symptoms have become more complex rather than more severe. This study examined archival data to analyze both the severity and complexity of symptoms in an eight year time span. The study also examined how disruptiveness and treatment demand have changed over the eight year period. The data were analyzed using multiple regression. The results of the study supported perspectives found in the current literature indicating little increase …

The Relationship Between Counselors' Multicultural Counseling Competence And Poverty Beliefs, Madeline Elizabeth Clark

Counseling & Human Services Theses & Dissertations

The relationship between increased levels of poverty and decreased levels of psychological wellbeing and overall wellness is well documented. Although poverty clearly impacts mental health and wellness, little research in counseling has been conducted exploring the poverty attitudes of counselors. This study explored the relationship between professional counselors’ multicultural counseling competence (MCC), poverty beliefs, and select demographic factors (i.e. counseling specialty, gender, age, ethnocultural identity, poverty counseling experience, and personal poverty experience). Data were collected using survey-based methods from professional counselors of all specialties. Results of a hierarchical linear regression indicate that increased MCC, adjusted for select demographic factors, is …

A Phenomenological Investigation Of Wellness And Wellness Promotion In Counselor Education Programs, Brett Kyle Gleason

Counseling & Human Services Theses & Dissertations

This phenomenological investigation explored the lived wellness experiences and perceptions of wellness promotion of doctoral level counseling trainees enrolled in CACREP-accredited programs. Participants included a national heterogeneous sample of 12 doctoral level counselor trainees currently enrolled in CACREP-accredited counseling programs. Semi-structured individual interviews were conducted to provide a textural-structural description of doctoral students' lived wellness experiences and perceptions of wellness promotion while enrolled in a CACREP-accredited counseling program. Three structural codes includingcomponents of wellness, program culture, and recommendations were identified along with 13 textural codes throughout participant interviews. The findings of this study provide insight into wellness …

An Exploration Of Health Providers' Responses To Intimate Partner Violence (Ipv) In Malaysia, Kee Pau

Counseling & Human Services Theses & Dissertations

This grounded theory study aimed to examine factors that influence Malaysian health providers' attitudes, knowledge, and responses to IPV survivors, including health providers' perceptions of IPV, factors that influenced the ways they work with IPV survivors, factors they perceived toward influencing IPV survivors' help-seeking behaviors, and their recommendations for improving IPV training. Seventeen (N = 17) participants were recruited using snowball sampling and theoretical sampling was utilized to ensure the data was saturated. The results found nine superordinate themes that highlights health providers' perceptions of IPV in general, conceptualization of IPV, institutional factors, health providers' personal factors, sociocultural factors, …

A Grounded Theory Of Suicidality In Children Ten And Younger, Katherine Angela Heimsch

Counseling & Human Services Theses & Dissertations

Once every two days in the United States, a child aged 5 to 14 years old dies by suicide (World Health Organization, 2010). When viewed on a spectrum that includes suicidal ideation, verbalizations, behaviors, and attempts, the problem of youth suicidality is actually far greater than the numbers of completed suicides suggest (Cheng, Tao, Riley, Kann, Ye, Tian...Hu, 2009). This study examined suicidality in children ages 10 and younger, and included the characteristics of suicidal children, factors that influence childhood suicidality, and treatment implications. The researcher conducted 12 semi-structured qualitative interviews with experienced treatment providers and performed a content analysis …

College Health And Mental Health Outcomes On Student Success, Daniel Joseph St. John

Counseling & Human Services Theses & Dissertations

This study explores the relationship between college students' utilization of university counseling services and university health services, and student academic performance. Data was collected using an archival data set including university counseling center records, health center records, and academic reports from institutional research at a large, public southeastern university. The primary variables of this study included: number of sessions in the university counseling center and/or university health center, instances of new initiated contacts, treatment variables, GPA, and degree completion. The overarching hypothesis of this study is that students who receive mental health services are significantly more likely to experience student …

Role Ambiguity Of Counseling Supervisors, Aaron Gabriel Shames

Counseling & Human Services Theses & Dissertations

Supervisors often find themselves in the midst of ambiguity seeking clarity of their role and professional identity within the counseling field. Supervisors wear many hats, the most prominent ones being educator, counselor, and gatekeeper for the profession. Counseling supervisors are expected to establish and maintain a complex blend of professional, educational, and therapeutic relationships with their supervisees. This process involving multiple roles often presents conflicts. One such conflict experienced by supervisors has been termed role ambiguity. The purpose of this phenomenological inquiry was to explore what experiences counseling supervisors have with role ambiguity and how they experience role ambiguity. Themes …

Development Of The Profession Of Counseling In Kenya, Uganda, And Tanzania: A Grounded Theory Study, Mueni Joy Maweu Mwendwa

Counseling & Human Services Theses & Dissertations

The positive mental health of a country's population has a direct correlation to that country's economic and social advancement. As a result, the development of the counseling profession is critical. Even though fewer than half of African member states have an existing mental health policy in place, initiatives to establish mental health policies and develop the counseling profession are underway across the African continent. In general, there is a significant deficit of counseling literature, and specifically, research on the development of the counseling profession in Africa. This grounded theory study sought to explore the experiences of counseling leaders related to …

Experiences Of Resident Assistants With Potentially Suicidal Students: Identification, Referral, And Expectations, Katherine M. Bender

Counseling & Human Services Theses & Dissertations

Resident Assistants (RAs), living on campus and tasked with advising students while keeping them safe, are in a position to identify and refer students who may be at risk for suicide or other mental health issues. This study examined RA ability to identify students at risk for suicide, RA comfort in working with students at risk for suicide, RA actions taken when working with students who may be at risk for suicide, and RA expectations for shared information about students the RAs have referred for counseling because they may be at risk for suicide. The study found that RAs report …

Investigating Similarities And Differences As Measured By The Durel And Gsq Between Three Subgroups Attending A Local Aa Meeting To Develop A Profile Of Long Term Attendees, Keesha Masean Kerns

Counseling & Human Services Theses & Dissertations

Alcoholics Anonymous groups are growing in popularity due to their cost effectiveness and history of dependability. Although the program clearly has the numbers to support its popularity, skeptics continually analyze its claims of effectiveness through research. While research pertaining to AA is diverse, very little is presented concerning factors that contribute to retention in the program. The primary purpose for this quantitative study was to investigate the similarities and differences in the various stages of participants of a sample attending a local AA program, identify variables that contribute to retention in the AA sample, and to use Grounded Theory to …

The Development And Validation Of The Preference For Adherence To Theoretical Orientation Scale, Tiffinee S. Hamilton

Counseling & Human Services Theses & Dissertations

One of the most common criticisms of undergraduate and master's level graduate programs is that students lack the ability to define their view of human nature. One effective means of assisting students in their desire to identify their preference in orientation is the use of a validated psychometric instrument developed for mental health trainees. Thus, the purpose of this study is to develop and initially validate a new assessment tool, the Preference for Adherence to Theoretical Orientation Scale (PATOS). PATOS provides a theoretically grounded method for assessing a counselor's preference for a particular orientation(s) as well as adherence to a …

Treating Trauma Survivors With Neurofeedback: A Grounded Theory Study Based On The Practices Of Experienced Mental Health Professionals, Christine L. Currie

Counseling & Human Services Theses & Dissertations

Neuroscience, the mental health field, and the concept of trauma as an underlying factor in mental and physical disorders have been inextricably linked since the inception of the mental health professions. Numerous quantitative studies have indicated that neurofeedback may be effective in ameliorating trauma symptoms; however, there is a paucity of research exploring the factors that produce those positive outcomes. The purpose of this qualitative grounded theory study was to explore the factors and processes that influence treatment outcomes when neurofeedback is used with trauma survivors. Thirty interviews were completed with ten experienced mental health and neurofeedback professionals identified through …

Conditions For Empathy In Medicine: A Grounded Theory Study, Hannah Barnhill Bayne

Counseling & Human Services Theses & Dissertations

Previous research in the medical setting has credited empathy with improving treatment outcomes and patient satisfaction, though operational definitions of the concept are widely varied and indicate inconsistencies in conceptualization and subsequent assessment. The purpose of this grounded theory study was to examine the role of empathy in the medical setting. A model of conditions for empathy in medicine was developed through in-depth interviews with 21 healthcare professionals, utilizing their professional experiences and perspectives to structure the multi-level model. The seven levels of the model indicate the layers of complexity inherent in facilitating optimal empathy in medicine and add to …

The Effectiveness Of Counselors As Care Managers In Improving Self-Management And Medical Outcomes In Persons With Poorly Controlled Diabetes, Ularisi Rebecca Green

Counseling & Human Services Theses & Dissertations

This study investigated whether providing counselors as care managers to individuals who were having difficulty managing their Type II diabetes improved their self-management, health, and functioning. Counselors used the Motivational Interviewing Model and met weekly over a six month period with patients who had Type II diabetes who had been identified as not functioning well in managing their disease. The success of the intervention was determined by a number of measures including physical symptoms of patients; patients' perceptions of the care they received; and patients' self-efficacy in managing their diabetes. The results of this study suggested that providing counselors as …

The Association Between Parental Perceptions Of Children's Residential Mental Health Treatment And The Parent-Child Relationship, Susanne Elizabeth Preston

Counseling & Human Services Theses & Dissertations

Residential mental health treatment for children as an intervention for children is increasing, potentially affecting the relationship within families. The purpose of this study was to examine the parental perspectives of the associations between the parent-child relationship and children's residential mental health treatment. This study explored parental perspectives of specific aspects of the parent-child relationship: parental support, satisfaction with parenting, parental involvement, communication, and limit setting-and the association between these aspects and the child's residential mental health treatment. Paired samples t-tests were conducted; resulting in statistically significant changes on all scales measured, with varying effect sizes. Results indicated parents …

Inpatient Group Psychotherapy: Predicting Attendance And Participation, Sharon E. Silverberg

Counseling & Human Services Theses & Dissertations

Inpatient group psychotherapy is one of the primary talk therapy interventions offered to patients necessitating acute psychiatric treatment. Research indicates that patients who attend and participate in group psychotherapy sessions while admitted to psychiatric hospitals have a lower rate of recidivism and are more successful in the community utilizing lower levels of psychiatric care. Unfortunately, not all patients attend group psychotherapy while admitted to a psychiatric facility and therefore do not benefit, possibly contributing to non-compliance with community-based treatment and readmissions to inpatient psychiatric institutions for stabilization and safety. This lack of participation in group psychotherapy deprives the patient the …

Reflective Visual Journaling During Art Therapy And Counseling Internships, Sarah P. Deaver

Counseling & Human Services Theses & Dissertations

Visual journaling is thought to promote students' critical reflection upon their previous learning, their current experiences, and their ongoing professional growth. Research supports the value of written journals as educational tools that encourage reflection, but the potential for visual journaling to facilitate reflection has not been explored through systematic inquiry until now.

This qualitative multiple case study explored four art therapy students' and four counseling students' responses to visual journaling during their internships. They maintained their journals throughout one 15-week academic semester, and were interviewed four times over the course of the study. Data consisted of transcribed interviews and photographs …

Traumatic Stress As A Predictor Of Suicidality, Sherry Malana Todd

Counseling & Human Services Theses & Dissertations

Suicide is a deliberate act of annihilation against one's self due to a crisis of problem solving. Far too many youth are dying by their own hands resulting in suicide being the third leading cause of death for 10-19 year olds (CDC, 2005). Suicide is particularly problematic for adolescents due to the impulsivity inherent in adolescent development. Since 1980, the national suicide rate of African American youth has increased by 114 percent (CDC). Suicidality has been positively correlated with depression and posttraumatic stress disorder (PTSD; Kessler et al., 1999). Suicidality is more prevalent when a person experiences a tragic or …