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Articles 61 - 90 of 427
Full-Text Articles in Mental and Social Health
The Rural Inpatient Behavioral Health Delivery System’S Challenges To Access, Catherine L. Williams
The Rural Inpatient Behavioral Health Delivery System’S Challenges To Access, Catherine L. Williams
Walden Dissertations and Doctoral Studies
Readmissions occurring in rural areas are an operational problem for administrators of state-owned facilities. The number of state-owned psychiatric beds have decreased by more than 96% nationwide. Georgia has 954 state-owned psychiatric beds (9.3 beds per 100,000 people) and ranks 48th in the United States. This is important as health administrators must ensure quality care for patients. The purpose of this study was to understand the relationship between readmission rate, discharge disposition, and rural access for patients who were admitted to an inpatient state-owned behavioral health center with a diagnosis indicating the patient is seriously mentally ill. The theoretical framework …
Sub-Saharan African Immigrants’ Experiences In Utilizing Mental Health Services In Baltimore, Helen Tanwani
Sub-Saharan African Immigrants’ Experiences In Utilizing Mental Health Services In Baltimore, Helen Tanwani
Walden Dissertations and Doctoral Studies
AbstractMental illness is associated with poor quality of life evidenced by unemployment, homelessness, and substance abuse. Despite the adverse effects of mental illness, research has indicated that mental health-seeking behaviors and experiences in accessing mental health services among immigrants from sub-Saharan Africa are under-researched. The purpose of this qualitative study was to explore the experiences of sub-Saharan African immigrants in accessing mental health services in Baltimore, Maryland. To achieve the objective of this study, a descriptive research study was conducted utilizing semistructured one-on-one in-depth interviews with eight sub-Saharan African immigrants in Baltimore. Braun and Clarke’s six-step thematic data analysis approach …
Parents’ Perceptions Of The Traits, Characteristics, And Circumstances Of Modern-Day Mass Shooters, Matt Talbot
Parents’ Perceptions Of The Traits, Characteristics, And Circumstances Of Modern-Day Mass Shooters, Matt Talbot
Walden Dissertations and Doctoral Studies
There is little research on parents’ perceptions about the traits, characteristics, and circumstances ascribed to mass shooters and the sources of information shaping these perceptions. Understanding parents’ beliefs about mass shooters and mass shootings can serve to inform approaches to training and education and recommendations for media reporting on such events. Evidence-based knowledge helps parents become more equipped to serve as early interventionists for those who may be moving along a pathway of violence. Application of Gerbner’s cultivation theory frames the process by which media sources shape perceptions. In this phenomenological qualitative study, semi structured interviews were conducted with 19 …
Appropriated Racial Oppression As A Moderator Of Sexual Satisfaction Among Black Women, Jillian Rochelle Watts
Appropriated Racial Oppression As A Moderator Of Sexual Satisfaction Among Black Women, Jillian Rochelle Watts
Walden Dissertations and Doctoral Studies
Researchers have named pleasure as a form of justice: a reclamation of the body and striving for happiness. For Black women, cultural messaging and lived experiences have led to sexual shame that can impact how individuals experience sexual satisfaction. This quantitative cross-section correlational study was conducted to assess the relationship between sexual shame and sexual satisfaction, the relationship between appropriated racial oppression and sexual satisfaction, and whether appropriated racial oppression moderated the relationship between sexual shame and sexual satisfaction in Black women. Moderating regression analysis was used to examine and understand the relationships between sexual shame and sexual satisfaction and …
Nursing Staff Education Program On Using The Ask Suicide-Screening Questions Tool Kit, Camarita Titang
Nursing Staff Education Program On Using The Ask Suicide-Screening Questions Tool Kit, Camarita Titang
Walden Dissertations and Doctoral Studies
The absence of adequate knowledge, skills, and competencies in screening for suicide risk in adolescent and young adult patients is a significant problem facing nurses in outpatient settings. An evaluation of the project site facility’s main performance metrics revealed shortcomings in locating patients who pose a serious risk of self-harm and suicide. Staff dealing with the patients may, as a result, overlook preemptive measures that could stop a suicide event. The project aimed to create a training program to introduce the ask suicide-screening questions (ASQ) tool kit, an evidence-based suicide screening tool, to ambulatory nurses. The goal of the project …
Lived Experiences Of Non-Licensed African American Pastors Providing Counseling For Race-Related Mental Health Issues To Their Parishioners, Brian Sutton
Walden Dissertations and Doctoral Studies
It is important to understand treatment practices of clergy members due to their influence on the treatment seeking behavior for professional counseling services among African American parishioners. The purpose of this qualitative study was to explore and describe African American pastors’ experiences of providing counseling for race-related mental health issues to their parishioners. The conceptual framework for this study was critical race theory. The research design included a descriptive phenomenological study with semi structured interviews with five non-licensed pastors and clergy members. The results of data analysis revealed three main themes and nine subthemes related to the participants’ experiences. The …
The Perceived Impact Of Childbirth Related Ptsd And Maternal Bonding, Sheila Baez
The Perceived Impact Of Childbirth Related Ptsd And Maternal Bonding, Sheila Baez
Walden Dissertations and Doctoral Studies
AbstractChildbirth has been increasingly viewed as a potentially traumatic event and process impacting both mother and infant. Previous research on childbirth has concentrated on the development of postpartum depression and its impact; research on posttraumatic stress disorder (PTSD) after childbirth has been limited. However, the results of this research study suggested that the development of childbirth-related PTSD may be a far more common phenomenon than previously suggested. Bowlby’s attachment theory and Ainsworth’s further development and expansion of the theory served as a framework which investigated the experiences of 10 biological females, aged 21 and over previously diagnosed with PTSD after …
The Human-Canine Bond: Levels Of Stress Among Military Spouses During Deployments, Angela L. De Leon-Muniz
The Human-Canine Bond: Levels Of Stress Among Military Spouses During Deployments, Angela L. De Leon-Muniz
Walden Dissertations and Doctoral Studies
Previous research has found that deployment may impact military spouses’ emotional wellbeing and attachment with family members. There remains a critical gap in the literature regarding difference in stress levels between military spouses who own canines and those who do not. The theoretical foundations for this study were Bowlby’s attachment theory and Bowen’s family systems theory. Research questions included exploring the relationships between (a) pet canine ownership, deployment length of time, and military spouses’ stress levels, and (b) pet canine owners’ pet attachment and stress experienced, when their significant others are deployed. The sample comprised 82 spouses with deployed military …
Experience Of Established Mental Health Counselors Working With Adults Who Have Intellectual Disabilities, Margarete Denk
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 …
Mothers Of Children With Disabilities: Perceptions Of Online Peer Mentoring Support, April S. Felder
Mothers Of Children With Disabilities: Perceptions Of Online Peer Mentoring Support, April S. Felder
Walden Dissertations and Doctoral Studies
There has been a trend of increased diagnoses of childhood disabilities in the United States. Mothers who care for a child diagnosed with disabilities typically experience increased parental obligations and maternal mental health deficits that often go undiagnosed or untreated, resulting in adverse events. Researchers found that peer mentoring is an effective, nonclinical resource for addressing these mothers’ intervention needs but have not established alternative ways to increase access and delivery. The purpose of this generic, qualitative study was to explore how mothers of children with disabilities perceive online peer mentoring as an intervention resource for stress and coping. Lazarus’s …
Perceived Factors Of Intimate Partner Violence On Women Diagnosed With Post-Traumatic Stress Disorder, Angela M. Halcovich
Perceived Factors Of Intimate Partner Violence On Women Diagnosed With Post-Traumatic Stress Disorder, Angela M. Halcovich
Walden Dissertations and Doctoral Studies
Post-Traumatic Stress Disorder (PTSD) is a prevalent diagnosis, and many human and social services professionals strive to understand its components, to ensure that they serve the population properly. However, little is known about how PTSD may influence women’s vulnerabilities to and future experiences of intimate partner violence (IPV). Emphasizing relationship coaching, which provides tools to foster healthy relationships, within the therapeutic curricula on rehabilitation for women with PTSD may result in reduced chances to experience IPV as women integrate back into their everyday life after being diagnosed and treated for PTSD. The purpose of this generic qualitative study was to …
The Perceived Impact Of Childbirth Related Ptsd And Maternal Bonding, Sheila Baez
The Perceived Impact Of Childbirth Related Ptsd And Maternal Bonding, Sheila Baez
Walden Dissertations and Doctoral Studies
AbstractChildbirth has been increasingly viewed as a potentially traumatic event and process impacting both mother and infant. Previous research on childbirth has concentrated on the development of postpartum depression and its impact; research on posttraumatic stress disorder (PTSD) after childbirth has been limited. However, the results of this research study suggested that the development of childbirth-related PTSD may be a far more common phenomenon than previously suggested. Bowlby’s attachment theory and Ainsworth’s further development and expansion of the theory served as a framework which investigated the experiences of 10 biological females, aged 21 and over previously diagnosed with PTSD after …
Experience Of Established Mental Health Counselors Working With Adults Who Have Intellectual Disabilities, Margarete Denk
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 …
Discipline Without Punishment For African American Male Juveniles: From The Eyes Of A Mental Health Professional, Mia Nichole Lee
Discipline Without Punishment For African American Male Juveniles: From The Eyes Of A Mental Health Professional, Mia Nichole Lee
Walden Dissertations and Doctoral Studies
Juvenile rehabilitation and incarceration among African Americans are not equal and up to the standards and recommendations of society. This study focused on identifying the differences between the juvenile rehabilitation and incarceration punishment among African American offenders, with the goal of helping improve the way that the society looks at African Americans. The paper followed qualitative research methodology, which provided social evidence and helped in breaking down information. Data were collected from focus groups, observations, questionnaires, and interviews. The research highlights issues regarding juvenile rehabilitation and incarceration of African Americans, which can encourage change.
Generalized Anxiety Disorder Symptoms Stratified By Age In Primary Care, Robin E. Mccoy
Generalized Anxiety Disorder Symptoms Stratified By Age In Primary Care, Robin E. Mccoy
Walden Dissertations and Doctoral Studies
Little is known as to the age-related presentation of somatic complaints of those diagnosed with generalized anxiety disorder in primary care settings. A retrospective medical records review sought to identify the affective symptoms of generalized anxiety disorder (GAD) by age as recorded by primary care providers and to test the association of these symptoms by age. Guided by Engle’s (1977) biopsychosocial (BPS) model, a large administrative claim database system was used to derive a sample of 1,336, including 500 patients diagnosed with generalized anxiety disorder between 2018 to 2021. Binary logistics regression, one-way ANOVA, chi-square, correlation, and logistical regression with …
Occupational Burnout Factors Among Correctional Mental Health Providers, Morgan Gruhot
Occupational Burnout Factors Among Correctional Mental Health Providers, Morgan Gruhot
Walden Dissertations and Doctoral Studies
Burnout rates of correctional employees are higher than employees in the general public. The purpose of this study was to identify how occupational factors impact burnout rates among correctional mental health workers. Grounded in the job-demands theoretical model, this study compared burnout rates among mental health staff within county jails and state prisons. Burnout was measured using the Maslach Burnout Inventory and Occupational factors were measured using the Areas of Work life Survey and Pandemic Experience and Perception Survey. Data was analyzed using IBM SSPS software to address multiple a priori directional research questions. Research questions considered how occupational factors …
Thirty-Second Mindful Body Scan Meditation For Bedside Nurses, Shruti Balwalli-Udyawer
Thirty-Second Mindful Body Scan Meditation For Bedside Nurses, Shruti Balwalli-Udyawer
Walden Dissertations and Doctoral Studies
Compassion fatigue, or secondary traumatic stress, is a state of physical and mental exhaustion caused by an inability to cope with the everyday environment that reduces the ability of the nurse to provide high-quality health care to a patient. The purpose of this staff education project, guided by Selye’s general adaption syndrome , was a 6-week, 30-second mindfulness exercise program to promote stress reduction for cardiac step-down and medical-surgical nurses. In this quantitative, pre- and posttest study, the Perceived Stress Scale was completed by a sample of 24 nurses who met the inclusion criteria. The practice focused whether educating nurses …
Effect Of Family Engagement On The Behavioral Health Of Mentally Ill Offenders, Jessica Rae Horn
Effect Of Family Engagement On The Behavioral Health Of Mentally Ill Offenders, Jessica Rae Horn
Walden Dissertations and Doctoral Studies
In the United States, 40% of incarcerated individuals have been diagnosed with a mental health disorder, but they often lack the support system needed to navigate their incarceration. This study addressed ways to understand how family engagement opportunities can improve the behavioral health of mentally ill offenders. Specifically, five research questions were used to explore the degree to which the practice of family engagement was understood as a method for providing support to mentally ill incarcerated individuals. The study followed the Baldrige Framework of Excellence to identify current organizational leadership and management issues that can help reach its goals, improve …
Behavioral Health Leadership Strategies To Increase Telehealth Engagement, Ramona Singletary-Robertson
Behavioral Health Leadership Strategies To Increase Telehealth Engagement, Ramona Singletary-Robertson
Walden Dissertations and Doctoral Studies
One of the challenges brought on by the recent COVID-19 pandemic has been the promotion and use of telehealth services. While recent data from Medicare has depicted an increase in this new service delivery modality (over 4,000%), there has been a stark disparity in the use of telehealth services in lower socioeconomic demographics, such as rural and underrepresented communities, and among Medicare recipients. Equitable, consistent, and optimal service expansion of the telehealth modality requires therapists and leaders of behavioral health organizations to develop and deploy creative tactics to remedy this disparity. In this case study, leaders of Miss Emma's Behavioral …
Hardships, Motivations, And Resiliency: Case Study Of Health Implications Of 2022 Russian Invasion On Ukrainian Resistance Members, Jessi Hanson-Defusco
Hardships, Motivations, And Resiliency: Case Study Of Health Implications Of 2022 Russian Invasion On Ukrainian Resistance Members, Jessi Hanson-Defusco
Journal of Social, Behavioral, and Health Sciences
The 2022 Russian full-scale invasion of Ukraine caused millions of Ukrainians to flee. Yet most citizens continue to reside in the country, playing critical roles in the Ukrainian resistance. Today the Ukrainian fighting force includes trained military and police as well as citizens who either were conscripted or volunteered to take part in national war efforts. This mixed-method study conducted in Spring 2022 presents data collected from 79 respondents in a semistructured survey, using snowball sampling. Data analysis examined individual self-reported motivations, attitudes toward the conflict, resilience, quality-of-life hardships, and scaled perceived stress. Results indicated that Ukrainian resistance members face …
Mental Health, Chronic Disease, And Substance Use: Findings From Rural Texas, Subi Gandhi, Ryan Glaman, Elizabeth Wachira, Muna Bashir, Sushma Sharma, Chelsea Mowles, Jasmine Luttrell
Mental Health, Chronic Disease, And Substance Use: Findings From Rural Texas, Subi Gandhi, Ryan Glaman, Elizabeth Wachira, Muna Bashir, Sushma Sharma, Chelsea Mowles, Jasmine Luttrell
Journal of Social, Behavioral, and Health Sciences
There are vital links among mental health conditions, chronic diseases, and substance use disorders. Simultaneous examination of the relationship among these three conditions is essential for providing well-integrated care to rural residents who have limited resources and for representing medically underserved areas. We aimed to assess the burden of behavioral health conditions and chronic diseases from a rural Texas community to garner context-specific insights and inform effective health promotion strategies in similar communities. We conducted a cross-sectional study among 181 residents from various zip codes in a rural Texas county. A self-administered, 18-item health-needs questionnaire was used to collect data …
Tell Me More: Parent–Child Sexual Talk And Young Adult Sexual Communication Satisfaction With Romantic Partners, Kelsi N. Wilson, Jakob Jensen, Sharon Ballard, Alan Taylor
Tell Me More: Parent–Child Sexual Talk And Young Adult Sexual Communication Satisfaction With Romantic Partners, Kelsi N. Wilson, Jakob Jensen, Sharon Ballard, Alan Taylor
Journal of Social, Behavioral, and Health Sciences
Young adults (18–30) tend to show insufficient levels of communication about sex with their romantic partners, despite its many benefits to relationships among this age group. Learned sexual shame and guilt can play a role in inhibiting sexual communication with partners, and early messages about sex from parents stemming from narrow cultural boundaries of communication may play a role in fostering sexual shame and guilt from a young age, potentially influencing later sexual communication patterns with partners. We sought to identify whether a significant relationship existed between the sexual communication participants received from parents while growing up and their current …
The Impact Of Staff Sexual Misconduct On U.S. Federal Prison Inmates’ Mental And Physical Health, Wanwisa Grover
The Impact Of Staff Sexual Misconduct On U.S. Federal Prison Inmates’ Mental And Physical Health, Wanwisa Grover
Walden Dissertations and Doctoral Studies
Prison staff sexual misconduct is an ongoing issue in the United States, but little is known about how inmates’ perceptions of staff sexual misconduct influence their mental and physical health. The purpose of this quantitative research study was to examine the relationship between staff sexual misconduct with federal prison inmates and prisoner mental health and rates of injury, and why inmates are not reporting sexual misconduct encounters. Ecological theory provided the theoretical foundation. The three research questions were designed to examine the relationships between nonconsensual sexual misconduct of prison inmates with prison staff and (a) serious mental health illnesses and …
Educational Level As A Moderator Between Stress And Suicidal Ideation Among Law Enforcement Officers, Sittipong Permsookjit
Educational Level As A Moderator Between Stress And Suicidal Ideation Among Law Enforcement Officers, Sittipong Permsookjit
Walden Dissertations and Doctoral Studies
Law enforcement officers are exposed to occupation-related stress at a level greater than any other occupation, save war combatants, such stress can lead to suicidal ideation. There is a growing trend of suicidal ideation among law enforcement officers. This trend will threaten the stability of society if it is allowed to continue. Educational level has been shown to improve quality of life and is considered a quantitative resource. Using the theoretical framework of appraisal theory, this study’s purpose was to examine the moderating effects of educational level on stress and suicidal ideation among law enforcement officers. A total of 72 …
A Comparison Of Treatment Outcomes Among Pediatric Hispanic Clients Using And Not Using Language Interpretation Services, Mohamed Khalif
A Comparison Of Treatment Outcomes Among Pediatric Hispanic Clients Using And Not Using Language Interpretation Services, Mohamed Khalif
Walden Dissertations and Doctoral Studies
Many families immigrating to the United States come fleeing adverse conditions in their home countries. Conditions such as war, political oppression, and economic hardship frequently result in a need for mental health services. This includes not only the adults in the family but also the children. However, because of their limited English proficiency, their access to mental health services frequently requires the use of interpretive services (IS). The body of knowledge on the use of IS in counseling is limited. The use of IS must be seen from a cultural perspective, hence Ridley et al.’s process model of multicultural counseling …
A Behavioral Health Organizational Perspective On Eliminating Restrictive Interventions, Malisa Santana Shuler
A Behavioral Health Organizational Perspective On Eliminating Restrictive Interventions, Malisa Santana Shuler
Walden Dissertations and Doctoral Studies
To manage difficult behaviors and ensure the safety of clients and staff, behavioral health organizations have often relied on restrictive interventions such as seclusion and restraint. Although organizational leaders are increasingly seeking alternatives, there is very little literature or organizational practice knowledge addressing this issue. The purpose of this qualitative study was to explore, from an organizational leader’s perspective, sustainable best practices after the leaders of a behavioral health organization in the Southeastern region of the United States adopted a statewide initiative to reduce and eliminate restrictive intervention by transitioning to a no seclusion policy. The Baldrige Excellence Framework was …
The Perceptions And Experiences Of Intensive In-Home Counselors Regarding Vicarious Trauma, Tara Ross
The Perceptions And Experiences Of Intensive In-Home Counselors Regarding Vicarious Trauma, Tara Ross
Walden Dissertations and Doctoral Studies
The purpose of the study was to explore intensive in-home counselors’ perceptions and experiences with vicarious trauma when providing in-home services to children. The constructivist self-development theory was used to explain how helpers develop vicarious trauma after exposure to traumatic stories of clients. A generic qualitative inquiry was the methodology for this study because it focused on illuminating the participants’ experiences, and offered a highlighted description of the participants’ awareness, consciousness, and understanding, which explored those personal experiences. The study consisted of 10 adults between the ages of 31 and 62. The participants were all African American. Semi structured interviews …
The Connection Between Positive Coping Skills And Cutting For Young Adults In Adolescence, Nicoletta Weide
The Connection Between Positive Coping Skills And Cutting For Young Adults In Adolescence, Nicoletta Weide
Walden Dissertations and Doctoral Studies
According to recent studies, the instances of non-suicidal self-injury (NSSI) in adolescents have sharply risen in recent years. Cutting is the most prevalent form of NSSI in adolescence which leads to scarring, social stigma, and an increased risk of suicide. NSSI and cutting are considered maladaptive coping skills. The purpose of this general qualitative study is to explore how positive coping skills and self-regulation impacted their instances of cutting. Self-regulation theory was used to analyze if having positive alternative skills was enough to regulate the behavior and have an impact on their instances of cutting. This general qualitative research study …
Mental Health Professionals And Family Burden: Ways To Improve Training And Treatment, Johnnie Lee Jenkins, Iii
Mental Health Professionals And Family Burden: Ways To Improve Training And Treatment, Johnnie Lee Jenkins, Iii
Walden Dissertations and Doctoral Studies
During deinstitutionalization, schizophrenia treatment shifted from state facilities to communities and families. This change stressed families. This study investigated mental health professionals' (MHPs) knowledge and training about this stress also called family burden (FB). The study had three research questions. These addressed MHPs’ view of FB, what barriers exist in treating FB, can multiple viewpoints define FB, and if these views influence MHPs to reduce it. This grounded theory study used 22 MHPs in seven focus groups (FGs). The participant recruitment process included email, list serves, phone calls, and one state conference. The participants were MHPs licensed for 3 years …
Role Of Social Media In Adolescent-Parent Relationships Among At-Risk Youths, Jennifer Davis
Role Of Social Media In Adolescent-Parent Relationships Among At-Risk Youths, Jennifer Davis
Walden Dissertations and Doctoral Studies
Social media has been linked to online crimes and cyberbullying among 88% of teens. The purpose of this study was to understand the role of adolescent and parent social media use on adolescents reported at-risk behaviors, as well as the role of social media among at-risk youths and their parents using the attachment theory. An interpretive phenomenological analysis design was used in this study to describe relationships between adolescents and their parents involving social media use and reported at-risk behaviors. Semi-structured interviews were performed with a total of six pairs of individuals resulting in 12 total participants. There were four …