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Articles 91 - 120 of 427

Full-Text Articles in Mental and Social Health

The Relationship Between Types Of Workplace Trauma Exposure, Burnout, And Ptsd In Mental Health Workers, Armando Dominguez Jan 2022

The Relationship Between Types Of Workplace Trauma Exposure, Burnout, And Ptsd In Mental Health Workers, Armando Dominguez

Walden Dissertations and Doctoral Studies

Work-related traumatic exposure has been studied but has not been concisely defined in the widest range of research studying trauma exposure. Specifically, it is not known from previous research whether direct, indirect, and vicarious trauma exposure predict burnout and PTSD in acute care mental health care workers. The emotional processing theory was used as theoretical foundation informing this study as the habituation of response to stress and trauma has been shown to occur incidentally and cumulatively; the theory supports the concept of dichotomous and continuous type of trauma exposure over time. The purpose of this study was to use a …


Bullying, Participation In Violence, Suicidal Ideation, And Behavior Among African American Youth, Kierystan Lorquoyea Johnson Jan 2022

Bullying, Participation In Violence, Suicidal Ideation, And Behavior Among African American Youth, Kierystan Lorquoyea Johnson

Walden Dissertations and Doctoral Studies

Suicide is the second leading cause of death among adolescent, teens, and young adults. Suicidal ideation is a predictor of suicide attempts. Guided by the integrated motivational-volitional model and social cognitive theory, Youth Risk Behavior Surveillance Survey data were used to investigate whether traditional bullying, cyberbullying, and participation in physically violent behavior (independent variables) were associated with suicidal ideation and behavior (dependent variables) among African American high school aged youth controlling for age, gender, physical, and sexual abuse. It was found that experiencing traditional bullying increased suicidal ideation significantly, as there is an 82% increase in likelihood. There was also …


Generational-Cohorts And Mental Health Help-Seeking Behavior Intentions In Law Enforcement Officers, Victoria Mccann Jan 2022

Generational-Cohorts And Mental Health Help-Seeking Behavior Intentions In Law Enforcement Officers, Victoria Mccann

Walden Dissertations and Doctoral Studies

Law enforcement is a high-stress, high-risk occupation that can lead to mental health issues. These issues can affect law enforcement officers and the level of service they provide to the public. Traditionally, officers have been found to be resistant to seeking help for their mental health. It was hypothesized that generational turnover may be impacting this positive change found in recent research. The purpose of this quantitative study was to explore the effect of generational cohorts on officers' mental health help-seeking behaviors. The core concepts of the Theory of Planned Behavior (attitudes, subjective norms, internal perceived behavioral control, external perceived …


Intimate Partner Violence Education In An Outpatient Setting, Juddy Morgan Jan 2022

Intimate Partner Violence Education In An Outpatient Setting, Juddy Morgan

Walden Dissertations and Doctoral Studies

Intimate partner violence/domestic violence (IPV/DV) has been a widely recognized yet preventable public health concern. Despite the increased attention to IPV/DV, there has been a lack of knowledge in recognizing its symptoms and referring victims to appropriate community services by staff in a mental health outpatient clinic. The purpose of this project was to provide the clinic staff with the knowledge to recognize symptoms of IPV/DV victims and refer them to appropriate services within the community. The educational intervention was designed to increase the clinic staff’s knowledge of recognizing victims of IPV/DV; becoming familiar with the Hurt, Insult, Threaten, Scream …


Evaluation Of A Public School District Nutrition Education Program In Southern California’S San Diego County, Donielle Cohen Jan 2022

Evaluation Of A Public School District Nutrition Education Program In Southern California’S San Diego County, Donielle Cohen

Walden Dissertations and Doctoral Studies

The prevalence of obesity among children and adolescents has markedly increased in several developed countries in recent years. Researchers have examined different factors that contribute to overweight and obesity in children and adolescents but have not fully explored the psychological impact of obesity on this population. The effectiveness of nutrition education programs in addressing the effects of obesity is also understudied. The primary purpose of this evaluative case study was to examine the impact of the Harvest of the Month nutritional educational program, which was adopted by San Diego County public schools in 2005, on the nutritional habits and psychosocial …


Clinical Practice Guideline For Treating Depression In Lgbtq+ Patients In Primary Care, Shantrice Bernice Nichols-Bates Jan 2022

Clinical Practice Guideline For Treating Depression In Lgbtq+ Patients In Primary Care, Shantrice Bernice Nichols-Bates

Walden Dissertations and Doctoral Studies

The lesbian, gay, bisexual, transgender, and queer/questioning (LGBTQ+) population is at increased risk for depression, poor mental health outcomes, and higher instances of suicidality and reluctance to seek care for mental health issues in comparison to their non-LGBTQ+ peers. The identified gap in practice was the need for an evidence-based clinical practice guideline (CPG) for managing mild to moderate depressive disorder in the LGBTQ+ patient at a primary care clinic located in the southeastern United States. The purpose of this project was to develop a CPG to aid primary care providers in screening for, identifying, and managing mild to moderate …


The Longevity Of A Law Enforcement Career Post Critical Incident, Alyce E. Clark Jan 2022

The Longevity Of A Law Enforcement Career Post Critical Incident, Alyce E. Clark

Walden Dissertations and Doctoral Studies

Law enforcement officers experience traumatic events that can have an impact on their health and their career. Regardless of the continued research on police and mental health, challenges persist. The stigma is that law enforcement officers are tough and keep their emotions to themselves; however, they are human, like the community they serve. Due to possible consequences related to officers discussing having mental health problems after critical incidents, police officers may be reluctant to seek help due to backlash. Interviews were completed in a two-tier format that led to follow-up questions with surveys specifically related to alcohol and burnout found …


Role Of Social Media In Adolescent-Parent Relationships Among At-Risk Youths, Jennifer Davis Jan 2022

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 …


Examining Clinical Behaviors That Demonstrate Intersectionality And Cultural Humility In Mental Health Treatment, Loretta Kosi Okeke Jan 2022

Examining Clinical Behaviors That Demonstrate Intersectionality And Cultural Humility In Mental Health Treatment, Loretta Kosi Okeke

Walden Dissertations and Doctoral Studies

AbstractCultural humility is an ethical standard within the social work profession. As the United States becomes more diverse, there are increasing rates of failure to implement cultural humility in social work practice in mental health settings. The purpose of this generic qualitative study was to examine how clinical social workers demonstrate cultural humility and intersectionality in mental health settings. The theoretical basis on which the research was conducted includes the person-centered theory and the feminist theories, which provided a strong framework for understanding the influences of cultural dynamics and intersectionality on the quality of patient outcomes in mental health care. …


Educational Level As A Moderator Between Stress And Suicidal Ideation Among Law Enforcement Officers, Sittipong Permsookjit Jan 2022

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 …


The Effects Of Acculturative Stress On The Physical/Mental Health Of Immigrant Mexican Women, Maria Del Carmen Mendoza Griego Jan 2022

The Effects Of Acculturative Stress On The Physical/Mental Health Of Immigrant Mexican Women, Maria Del Carmen Mendoza Griego

Walden Dissertations and Doctoral Studies

AbstractImmigrants may experience acculturative stress as they adapt to their host country's dominant culture, which previous research has indicated may affect their physical and mental health. The purpose of this quantitative study utilizing a random sample was to examine the effect of acculturative stress and age on the mental and physical health of adult women of Mexican origin living in the United States, considering the moderation of perceived discrimination. The theoretical framework of acculturation by John W. Berry guided this study. The three research questions involved understanding whether immigrant Mexican women experienced a negative effect on their mental and physical …


The Sustained Effects Of Mindfulness-Based Interventions On Distress Symptoms In Female Breast Cancer Patients, Candace K. Sprouse Jan 2022

The Sustained Effects Of Mindfulness-Based Interventions On Distress Symptoms In Female Breast Cancer Patients, Candace K. Sprouse

Walden Dissertations and Doctoral Studies

The purpose of this study was to illuminate the magnitude and prevalence of distress symptoms among female breast cancer patients and help identify best social work practices for treating distress symptoms in cancer patients. Using the social cognitive model of restorative well-being, the sustained effects of mindfulness-based interventions on distress symptoms female breast cancer patients experienced were examined in this study. Grounded in social cognitive theory, this model facilitated understanding of the recovery of well-being after an emotional setback. This quantitative experimental study included analysis of secondary data with pre- and post testing with multiple follow ups to measure the …


A Behavioral Health Organizational Perspective On Eliminating Restrictive Interventions, Malisa Santana Shuler Jan 2022

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 …


Continuity Of Care For Adult Offenders With Severe And Persistent Mental Illnesses: An Action Research Study, Lakeshia C. Gonzalez Jan 2022

Continuity Of Care For Adult Offenders With Severe And Persistent Mental Illnesses: An Action Research Study, Lakeshia C. Gonzalez

Walden Dissertations and Doctoral Studies

For decades, the representation of adults with severe and persistent mental illnesses (SPMI) in the criminal justice system has steadily grown despite public recognition and increased federal implementation of mental health courts and diversion programs. Though more is known about risk factors associated with psychiatric and criminal recidivism among this population, a gap in the literature remains on collaborative interventions and continuity of care between inpatient mental health and criminal justice facilities. Grounded in resilience theory, the purpose of this qualitative study was to examine challenges social workers faced when attempting to facilitate discharge planning between inpatient mental health facilities …


Staff Education Program On Postpartum Depression Screening, Pamela Barstow Jan 2022

Staff Education Program On Postpartum Depression Screening, Pamela Barstow

Walden Dissertations and Doctoral Studies

AbstractPostpartum depression (PPD) in the US is a serious health concern that negatively impacts an average of 11.5% of women, with 13.36% of women in Virginia in 2018 reporting PPD symptoms. Mothers experiencing PPD may have trouble bonding with their infants, which may negatively impact childhood growth and development. However, fewer than one-half of pediatricians screen mothers of infants for PPD. Literature supports staff education on PPD to promote the wellbeing of postpartum mothers and their infants. Using the analysis, design, development, implementation, and evaluation model of instructional design, the purpose of this Doctor of Nursing Practice project was to …


Childhood Anxiety And Roles Of Parents, Educators, And Pediatric Healthcare Providers In Addressing Protective Factors, Gabriela Zamora-Ahlstrom Jan 2022

Childhood Anxiety And Roles Of Parents, Educators, And Pediatric Healthcare Providers In Addressing Protective Factors, Gabriela Zamora-Ahlstrom

Walden Dissertations and Doctoral Studies

AbstractChildhood anxiety affects over 32% of youth in the United States, and when left untreated, contributes to poor school performance, social difficulties, truancy, school dropout rates, juvenile delinquency, substance abuse, and family and community difficulties. Preventing childhood anxiety by implementing effective protective factors for children can eliminate many of these outcomes. Using the biopsychosocial theory and social work systems theories, this study involved exploring the beliefs and attitudes of parents, educators, and pediatric healthcare providers in an affluent suburban community of Detroit (Rochester/Rochester Hills, MI), regarding their roles in providing protective factors against childhood anxiety. A generic qualitative research design …


Looking Upstream For Factors Influencing Mental Illness In A Low-Resource Setting, Adewole Adebola Adefalu Jan 2022

Looking Upstream For Factors Influencing Mental Illness In A Low-Resource Setting, Adewole Adebola Adefalu

Walden Dissertations and Doctoral Studies

An investigation into the upstream determinants of mental disorders could provide insight into pathways by which these risk factors could relate to different groups of mental illness. The study was a quantitative inquiry using constructs within the Rothman’s sufficient and component cause framework to examine the pathways existing between upstream risk factors for schizophrenic and mood disorders. The study population was drawn from a convenience sample of clients accessing services at the psychiatry departments of a secondary mental health institution in North-Central Nigeria. The mean age of the participants in this study was 35.5years. The majority were males (53.4%), single …


The Correlation Between Laura’S Law And The Incarceration Of The Mentally Ill In A Southwestern State, Aaron Alarcon-Bowen Jan 2022

The Correlation Between Laura’S Law And The Incarceration Of The Mentally Ill In A Southwestern State, Aaron Alarcon-Bowen

Walden Dissertations and Doctoral Studies

Assisted outpatient treatment and involuntary outpatient treatment laws refer to the power of the court system to order community-based treatment without hospitalization to individuals with a mental illness diagnosis. Studies have linked these laws to a decrease in the use of incarceration among this population. The effectiveness of the assisted outpatient treatment law in a Southwestern state, known as Laura’s Law, has not been studied. With a theoretical foundation based on the social contract and multiple streams analysis theories, a quantitative, casual, comparative study using an independent t test was centered on determining whether the mean numbers of incarcerated individuals …


Relationship Of Mindfulness To Worldview Defense When Mortality Is Salient, Blake Ausmus Jan 2022

Relationship Of Mindfulness To Worldview Defense When Mortality Is Salient, Blake Ausmus

Walden Dissertations and Doctoral Studies

Humans value self-preservation, and therefore that which is perceived to threaten survival should cause stress. However, humans have also developed the understanding of their own mortality, meaning that they cognitively understand that death is inevitable. The conflict arising from these opposing constructs holds the potential to cause anxiety. Interestingly, this anxiety is not easily observed in most. Terror management theory posits that there are buffer systems in place that help to keep death anxiety at bay so that humans are able to continue to function in their daily lives. These buffers include becoming more stringent to one’s worldviews and less …


Crisis Intervention Team Training On Autism Among Female Cit-Trained Police Officers, Julie Hall Jan 2022

Crisis Intervention Team Training On Autism Among Female Cit-Trained Police Officers, Julie Hall

Walden Dissertations and Doctoral Studies

The problem addressed in this qualitative case study was the lack of documentation that supports the perceptions and experiences of crisis intervention team (CIT) trained female police officers related to their encounters with persons with mental illness (PwMI) with autism. Using Giles’s communicative accommodation theory (CAT), the purpose of this study examined the perceptions of CIT-trained female police officers of PwMI with autism during encounters. Giles’s CAT was aligned closest with the teachings of CIT training. Seven participants provided data which comprised of completed questionnaires and transcribed interviews. The method of analysis used was a combination of inductive coding and …


Organizational Barriers To Effective University Student Mental Health Services, Felicia Evans-Edwards Jan 2022

Organizational Barriers To Effective University Student Mental Health Services, Felicia Evans-Edwards

Walden Dissertations and Doctoral Studies

This study was focused on organizational barriers to effective university student mental health services access in the department of student resources (DSR) at a for-profit university in the northeastern United States. Once such barriers are addressed, faculty may be more successful in reaching out to students needing mental health services who are not self-identifying as needing these services. The Baldrige excellence framework guided this descriptive case study to examine the organizational barriers that prevent university leadership from creating clear policies and procedures for faculty to refer students to mental health services. Data sources included interviews with the behavioral health leader …


Moral Distress Among Master’S Counseling Students Attending A Cacrep Accredited Counselor Training Program, Matthew Stevens Jan 2022

Moral Distress Among Master’S Counseling Students Attending A Cacrep Accredited Counselor Training Program, Matthew Stevens

Walden Dissertations and Doctoral Studies

Moral distress, an understudied phenomenon among the counseling profession, has been defined as an experience of knowing the right thing to do but being institutionally prevented from doing what is believed to be right. This phenomenon often occurs in hierarchical relationships, such as those between student and teacher or supervisor and supervisee, and may lead to psychological impairment, deviation from ethical standards, and professional burnout, which threatens the ability of professional counselors to initiate and maintain healthy professional relationships. The purpose of this descriptive, phenomenological study was to explore the lived experiences of six master’s level students attending counselor training …


Educating Providers About Integrated Treatment For Individuals With Co-Occurring Disorders, Ihuarulam Chidiebere Okoroji Jan 2022

Educating Providers About Integrated Treatment For Individuals With Co-Occurring Disorders, Ihuarulam Chidiebere Okoroji

Walden Dissertations and Doctoral Studies

AbstractThe problem identified by this staff education project was the providers’ lack of knowledge on integrated treatment for individuals with co-occurring disorders (CODs). Integrated treatment is the gold standard for working with individuals with CODs. Providers knowledge gap and barriers were addressed by educating them on integrated treatments. This project used the analysis, design, development, implementation, and evaluation (ADDIE) model in planning, implementation, and evaluation. The participants were 20 providers in a residential addiction treatment facility which include one physician, three nurse practitioners, eight counselors, one registered nurse, and seven licensed practical nurses. This project used a pretest to determine …


Experiences Of Maritally Satisfied Black American Couples Serving In Law Enforcement, Amanda Davis-Buie Jan 2022

Experiences Of Maritally Satisfied Black American Couples Serving In Law Enforcement, Amanda Davis-Buie

Walden Dissertations and Doctoral Studies

The purpose of this hermeneutic phenomenological study was to explore the lived experiences of maritally satisfied Black American couples when at least one partner is serving in law enforcement. Members of law enforcement, Black American couples, and members of the counseling profession can gain knowledge from the answering of the research question. A family strengths perspective was used to provide a framework to study the phenomenon of marital satisfaction from a positive perspective. Six Black American couples, who are satisfied in their marriage and employed in law enforcement for a period of a least 6 months during their marriage, participated …


Mental Health Professionals And Family Burden: Ways To Improve Training And Treatment, Johnnie Lee Jenkins, Iii Jan 2022

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 …


Mental Health-Medical Crisis Team Impact On First Responder Outcomes On Persons With Mental Illness, Mary Josephine Lakey Jan 2022

Mental Health-Medical Crisis Team Impact On First Responder Outcomes On Persons With Mental Illness, Mary Josephine Lakey

Walden Dissertations and Doctoral Studies

Persons with mental illness (PMIs) are 16 times more likely to experience harm when interacting with police than individuals without mental illness. This inequity has recently become prominent in American discourse due to the ubiquitous use of cell phones and social media, where videos of incidents between police and PMIs circulate. In this generic qualitative research, members of a collaborative mental health and emergency medical service professionals (EMSPs) team in an urban area were interviewed to assess the team members’ perceptions of the impact of the program on frequency of adverse outcomes during interactions with PMIs. The theoretical framework for …


The Relationship Between Housing/Living Arrangement And Admission To Drug Treatment Centers In Virginia, Odessa Ochoa Jan 2022

The Relationship Between Housing/Living Arrangement And Admission To Drug Treatment Centers In Virginia, Odessa Ochoa

Walden Dissertations and Doctoral Studies

Homeless veterans with substance use disorders are among the most vulnerable and inaccessible populations in Virginia, which is evident by the lack of state and local resources. This cross-sectional study was conducted to present a retrospective assessment of the Treatment Episode Data Set (TEDS) to develop an understanding of the impact of housing arrangements on admission to long-term drug treatment centers among veterans in Virginia. To guide the study, the socioecological model was selected as the theoretical framework to better examine and understand the relationship between housing/living arrangement and admission to drug treatment centers among Virginia veterans. The aim of …


How Being Aware Of Military Culture Influences Social Work Practice With Female Military Personnel, John Raymond Gonzalez Jan 2022

How Being Aware Of Military Culture Influences Social Work Practice With Female Military Personnel, John Raymond Gonzalez

Walden Dissertations and Doctoral Studies

Active-duty women in the military seek help through the Family Advocacy Program (FAP) on military bases from social workers with a master’s degree in social work (MSW) who are hired by the federal government or by firms that contract with social workers to serve military personnel. Most of those social workers have no military background per se, which brings into question how being aware of the military culture might influence their practice with female military personnel. Grounded in self-awareness theory, which places focus on one's awareness relative to one's culture and environment at any time, the purpose of this action …


Exploring The Behavioral Health Clinician Shortage At A Rural Midwestern U.S. Agency, Tracy L. Wilson Jan 2022

Exploring The Behavioral Health Clinician Shortage At A Rural Midwestern U.S. Agency, Tracy L. Wilson

Walden Dissertations and Doctoral Studies

Behavioral health clinician shortages are a significant and ongoing problem in the United States, especially in rural areas, which have higher rates of homelessness, suicide, substance use, and violence rates than urban areas. The purpose of this qualitative case study was to explore factors contributing to the behavioral health clinician shortage in a rural midwestern U.S. public health department. The goal was to gain a better understanding of this shortage and explore strategies and solutions for recruiting and retaining behavioral health clinicians at the agency’s facilities. The Baldrige excellence framework undergirded the investigation. Data sources included interviews with three administrative …


Adolescents’ Perspective On Social Media Contributing To Suicidal Ideations And Attempts, Shavon Mariah Brooks Jan 2022

Adolescents’ Perspective On Social Media Contributing To Suicidal Ideations And Attempts, Shavon Mariah Brooks

Walden Dissertations and Doctoral Studies

Social media has become mainstream over the past decade, with new applications that adolescents can download to stay in consistent contact with their peers. Though social media can enhance the ability for communication, it seems to also have the ability to alienate, burden, and exacerbate depression and potential self-harm. The purpose of this qualitative study is to explore five adolescent’s perspective on social media contributing to suicide ideations and attempts. The theoretical research was built upon Joiner’s interpersonal theory of suicide. Two research questions were explored in this study, which were the adolescent’s perspective on social media triggering suicidal ideations …