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Articles 91 - 120 of 427
Full-Text Articles in Mental and Social Health
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 …
Mental Health-Medical Crisis Team Impact On First Responder Outcomes On Persons With Mental Illness, Mary Josephine Lakey
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 …
Improving Patients' Engagement And Retention In Intensive Outpatient Substance Abuse Treatment, Leo W. Lavender
Improving Patients' Engagement And Retention In Intensive Outpatient Substance Abuse Treatment, Leo W. Lavender
Walden Dissertations and Doctoral Studies
Substance use disorder continues to be a major health crisis in the United States. Thousands of people die yearly due to substance use and related criminal activity. Substance abuse treatment is a remedy to the disorder and treatment centers admit thousands of patients yearly to address the dilemma. Throughout the years retention has been an ongoing barrier to successful treatment. This study explored significant obstacles to retention: motivation and engagement. The Baldrige Excellence Framework was utilized to assess the training, supervision, procedures, and leadership roles at an intensive outpatient substance abuse treatment center. This study utilized a qualitative approach case …
Moral Distress Experienced By Behavioral Health Clinicians Who Have Worked With Maternal, Opioid-Using Clients, Jill Lee-Hubble
Moral Distress Experienced By Behavioral Health Clinicians Who Have Worked With Maternal, Opioid-Using Clients, Jill Lee-Hubble
Walden Dissertations and Doctoral Studies
Moral distress (MD) is a concept that has been well studied in nursing and other medical fields as a precursor to provider burnout. Understanding how MD impacts behavioral health (BH) clinicians provides insights for counselor educators and supervisors to identify clinical situations that often lead to MD. This qualitative phenomenological study explored how MD was experienced by five BH clinicians who have worked in residential and hospital settings providing counseling to maternal, opioid-using clients. Interpretive phenomenological analysis (IPA) informed the research methodology and data analysis. Substance use during pregnancy is highly stigmatized in society; thus, a feminist conceptualization was integrated …
Examining Health Care Utilization Among Adult Heart Disease Patients With Self-Reported Depressive Symptoms, Courtney R. Lockett
Examining Health Care Utilization Among Adult Heart Disease Patients With Self-Reported Depressive Symptoms, Courtney R. Lockett
Walden Dissertations and Doctoral Studies
Health care costs are most commonly concentrated among small groups of high-cost patients, or high utilizers. Many of these patients receive unnecessary and ineffective care and often critical health care needs can go unmet, even when substantial care from multiple sources is received. Thus, there is a need to look into high utilizing patients for not only quality improvement but also effective resource allocation. The operational problem for health care administrators is managing resources and improving quality of care by targeting specific medical conditions that may be high utilizers of medical resources. The purpose of this study was to identify …
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 …
Reading Teacher Perspectives On Classroom Behavior And Criteria Referral For Adhd Testing, Sharmaine Wilder
Reading Teacher Perspectives On Classroom Behavior And Criteria Referral For Adhd Testing, Sharmaine Wilder
Walden Dissertations and Doctoral Studies
According to the Center for Disease Control and Prevention (CDC) and other researchers, the prevalence of Attention Deficit and Hyperactivity Disorder (ADHD) diagnoses among school-aged children has gained the attention of researchers. Due to the large amount of time children spend in the school context, researchers have found that teachers play a vital role as valuable resources to early identification of children needs of services. The purpose of this qualitative study was to expand knowledge about the in-depth experiences of third grade reading teachers when referring for behavioral health services. Bronfenbrenner’s (1979) bioecological model the was theoretical framework for this …
Exploring The Behavioral Health Clinician Shortage At A Rural Midwestern U.S. Agency, Tracy L. Wilson
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 …
Childhood Anxiety And Roles Of Parents, Educators, And Pediatric Healthcare Providers In Addressing Protective Factors, Gabriela Zamora-Ahlstrom
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 …
Adolescents’ Perspective On Social Media Contributing To Suicidal Ideations And Attempts, Shavon Mariah Brooks
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 …
Fall Clinical Practical Guideline In A Psychiatric Hospital, Wendy Carroll Smith
Fall Clinical Practical Guideline In A Psychiatric Hospital, Wendy Carroll Smith
Walden Dissertations and Doctoral Studies
Psychiatric hospitals are a unique environment and therefore pose unique challenges in preventing falls. Current evidence suggests that multidisciplinary committees to update clinical practice guidelines (CPG) will reduce falls and improve patient care in the acute inpatient psychiatric setting. The purpose of this study was to examine current evidence and develop new CPG with a goal to decrease falls in an inpatient psychiatric hospital. The Iowa model collaborative was used as a framework to develop the CPG to promote quality care and serve as an implementation model that supports the training of evidence-based practice. The methodology, design, and data analysis …
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 …
Crisis Intervention Team Training On Autism Among Female Cit-Trained Police Officers, Julie Hall
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 …
Development Of A Capacity Building Program To Promote Trauma-Informed Services, Juan Miguel Medina
Development Of A Capacity Building Program To Promote Trauma-Informed Services, Juan Miguel Medina
Walden Dissertations and Doctoral Studies
Wichita County, Texas experienced decreased academic performances of elementary level children in 24 out of 45 communities. Higher numbers of traumatic experiences increase a child's risk of not meeting developmental benchmarks. The purpose of this capstone project is to support the development of a trauma-informed capacity-building program. Ungar's resiliency theory was used to understand the factors related to building resilience in children to prevent trauma. Using action research, the researcher explored how developing program content may improve an agency's system readiness to deliver effective trauma-informed care. Data were collected from a focus group with local social workers. Content analysis was …
Staff Education On Psychosocial Rehabilitation Management Of Individuals Diagnosed With Severe Mental Health Illness, Evarist O. Oguguo
Staff Education On Psychosocial Rehabilitation Management Of Individuals Diagnosed With Severe Mental Health Illness, Evarist O. Oguguo
Walden Dissertations and Doctoral Studies
Serious mental illness (SMI) is common in America and is associated with behavioral and emotional conditions that can lead to serious functional impairment and interfere with a person's decision making and general life activities, negatively impacting themselves and their caregivers, families, and communities. Psychosocial rehabilitation (PSR) is one evidence-based, person-centered approach known to be effective in helping individuals diagnosed with SMI manage their symptoms and improve their daily functioning. To effectively participate in providing PSR, caregivers must have special PSR knowledge. A staff education program was developed to educate and increase staff knowledge about PSR. The purpose of the project …
Educating Providers About Integrated Treatment For Individuals With Co-Occurring Disorders, Ihuarulam Chidiebere Okoroji
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 …
Adverse Childhood Experiences And Hiv Risk Behaviors Among Transgender Populations, Linda Baggio
Adverse Childhood Experiences And Hiv Risk Behaviors Among Transgender Populations, Linda Baggio
Walden Dissertations and Doctoral Studies
Adverse childhood experiences (ACEs) have a negative impact on health and have created a social challenge in managing HIV risk behavior in the transgender population. The aim of this study was to determine the association between ACEs and HIV risk behavior among the transgender population and identify the association between ACE score (1, 2, 3, 4, or more) and HIV risk behavior among the transgender population. This involved a quantitative methodology using a Behavioral Risk Factor Surveillance System (BRFSS) questionnaire to obtain data from 323 transgender participants. Multivariable regression analyses were conducted to determine the association between ACEs and HIV …
Staff Education Program On Postpartum Depression Screening, Pamela Barstow
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 …
Stress, Resiliency, And Burnout Among Leaders In The Counseling Profession, Adriana Bovee
Stress, Resiliency, And Burnout Among Leaders In The Counseling Profession, Adriana Bovee
Walden Dissertations and Doctoral Studies
Leaders in the counseling profession face many demands. The purpose of this quantitative regression analysis study was to determine if there was a predictive relationship between the independent variables of stress and resiliency and dependent variables of burnout, emotional exhaustion, depersonalization, and personal accomplishment among leaders in the counseling profession. Transformational leadership theory and resilience theory were applied as the theoretical framework of this study. A cross-sectional data collection method was used, and data were collected through anonymous online surveys from a purposive sample of 75 counseling leaders. Data analyses methods included descriptive statistics and multiple linear regressions. Results indicated …
The Relationship Between Types Of Workplace Trauma Exposure, Burnout, And Ptsd In Mental Health Workers, Armando Dominguez
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 …
Therapists’ And Teachers’ Experiences Of Children With Aggression: A Children’S Partial Hospitalization Program, Kimberlee Joy Dunlap
Therapists’ And Teachers’ Experiences Of Children With Aggression: A Children’S Partial Hospitalization Program, Kimberlee Joy Dunlap
Walden Dissertations and Doctoral Studies
Aggression is an indicator of future criminal behavior. It can be a result of trauma, substance-abusing parents, or executive functioning. Research has shown that aggression in childhood often creates criminal behavior later in life, thus researchers suggest that more studies are conducted on programs that help children with aggression. The purpose of this qualitative study was to examine the experiences of therapists who work with aggressive children in a children’s partial hospitalization program, and those teachers who have had these children in class before entering the program and upon discharge from the program. The qualitative study was done using semi-structured …
African American Youth Decline To Extend Foster Care Despite Their Needs, Rhonda Flowers-Corpening
African American Youth Decline To Extend Foster Care Despite Their Needs, Rhonda Flowers-Corpening
Walden Dissertations and Doctoral Studies
AbstractIn the United States, African American children are disproportionately placed in foster care and experience a myriad of problems, including physical and emotional abuse. As a result, negative post-discharge outcomes are revealed in existing literature, such as substance abuse, unemployment, homelessness, sexual promiscuity, and mental health issues. The purpose of this generic qualitative inquiry was to explore the foster care experience from the perspective of African American foster care alumni. The goal was to understand why the decision is made not to extend foster care services, despite their ongoing needs for support and lack of preparation for adulthood. Ecological Systems …
Bullying, Participation In Violence, Suicidal Ideation, And Behavior Among African American Youth, Kierystan Lorquoyea Johnson
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 …
The Correlation Between Laura’S Law And The Incarceration Of The Mentally Ill In A Southwestern State, Aaron Alarcon-Bowen
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
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 …
Examining Clinical Behaviors That Demonstrate Intersectionality And Cultural Humility In Mental Health Treatment, Loretta Kosi Okeke
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
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 …
Grief Experiences Of Mothers After A Child’S Death From A Drug Overdose, Shonetesha L. Quail
Grief Experiences Of Mothers After A Child’S Death From A Drug Overdose, Shonetesha L. Quail
Walden Dissertations and Doctoral Studies
AbstractResearch on young adult deaths primarily focuses on other causes of death such as homicide, suicide, and accidents. There is very little research surrounding maternal bereavement when the cause of death is from a drug overdose. The purpose of this phenomenological study was to explore the perceptions, attitudes, and lived experiences of grieving mothers who had a biological, adopted, or stepchild die from a drug overdose when the decease’s age was between 18 and 25. Guided by Le Poi Devin’s multidimensional grief theory, the study sought a better understanding to assist mental health and other healthcare providers in developing individualized …
Situation-Background-Assessment-Recommendation During Hand-Off In A Mental Health Nursing Unit, Renel Ramos
Situation-Background-Assessment-Recommendation During Hand-Off In A Mental Health Nursing Unit, Renel Ramos
Walden Dissertations and Doctoral Studies
AbstractCommunication failures, especially inadequate hand-off communication, in U.S. hospitals has accounted for 30% of malpractice claims, resulting in 1,744 deaths over 5 years. This prompted the Joint Commission to recommend utilizing standardized communication tools to reduce the number of medical errors related to miscommunication. The Situation-Background-Assessment-Recommendation (SBAR) Communication Tool has been used to improve the effectiveness of communication among health care providers. The partner organization noted failures to communicate patient-care-related information between psychiatric mental health nurses (PMHN) during hand-off, given the absence of standardized communication. This project aimed to develop a program to educate PMHNs on the SBAR Communication Tool. …
How Being Aware Of Military Culture Influences Social Work Practice With Female Military Personnel, John Raymond Gonzalez
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 …