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Articles 31 - 60 of 390
Full-Text Articles in Psychiatric and Mental Health
Challenges In Discharge Planning For Adults Transitioning From An Inpatient Psychiatric Level Of Care Experiencing Homelessness, Deanna` R. Mccaskill
Challenges In Discharge Planning For Adults Transitioning From An Inpatient Psychiatric Level Of Care Experiencing Homelessness, Deanna` R. Mccaskill
Walden Dissertations and Doctoral Studies
Mental illness and the homeless population are a growing concern in the United States. Homeless individuals utilize emergency rooms and acute inpatient stays more than those with housing. Social workers play a vital role in discharge planning, starting on the first day of admission. This action research study explored the challenges of social workers developing discharge plans for adults transitioning from an inpatient psychiatric level of care experiencing homeless. The theoretical framework implemented in this study was systems theory. Data were collected from 12 purposively selected master’s level social workers in the format of individual and focus group interviews. Eight …
Organizational Strategies And Best Practices For Telehealth Delivery During Covid-19, Maria D. Mejia
Organizational Strategies And Best Practices For Telehealth Delivery During Covid-19, Maria D. Mejia
Walden Dissertations and Doctoral Studies
Organizational Strategies and Best Practices for Telehealth Delivery during COVID-19
Moral Injury Themes Involving Criminal Recklessness Among Adults With Alcohol Use Disorder, Sandra Starch
Moral Injury Themes Involving Criminal Recklessness Among Adults With Alcohol Use Disorder, Sandra Starch
Walden Dissertations and Doctoral Studies
Moral injury (MI) can emerge following transgressive acts against one’s deeply held moral beliefs. Its symptomology involves individual psychological, spiritual, behavioral, and social spheres. It has primarily been studied within the military and in a few select civilian populations. This descriptive phenomenological study involved exploring MI themes among adults with alcohol use disorder (AUD) who had engaged in criminally reckless acts. Data collected from semi-structured interviews with eight participants were coded and analyzed, leading to six major themes revealing the symptomology of MI. Responses from study participants supported Festinger’s theory of cognitive dissonance via their descriptions of alcohol abuse cycles …
Screening For Depression In Immigrants In Their Host Country, Hortense Bissila
Screening For Depression In Immigrants In Their Host Country, Hortense Bissila
Walden Dissertations and Doctoral Studies
AbstractThe initial need for care for depression is greater for immigrants, who encounter linguistic, cultural, structural, and attitudinal hurdles to mental health care that render them more susceptible to increased levels of depressive symptoms compared to populations of hosting country. The aim of this Doctor of Nursing Practice project was to educate frontliners in the community on how to assess for depression in immigrants in culturally congruent ways. This project addresses gap in mental health care practice that needs urgent redress in promoting self-cultural competence and raising awareness to assess for depression on immigrants. To meet the aims of the …
Clinicians' Perceptions Of Telehealth Services During The Covid-19 Pandemic In Virginia, Johnetta Hill Guishard
Clinicians' Perceptions Of Telehealth Services During The Covid-19 Pandemic In Virginia, Johnetta Hill Guishard
Walden Dissertations and Doctoral Studies
The onset of COVID-19 introduced unprecedented changes to how U.S. public health services were delivered. Many public and private agencies faced mandatory closures, social distancing mandates, and rapid transitions to telehealth interventions and treatment. Mental health clinicians witnessed disruptions in continuity of care and an increase in mental health risks overall. Although some studies have been conducted to survey clinicians’ perceptions of the usefulness and ease of use of technology-based interventions, knowledge about mental health clinicians’ experiences and perceptions in Virginia was sparse. The purpose of this generic qualitative study was to explore how mental health clinicians in Virginia described …
Relationship Between Screentime And Depressive Symptoms And Associated Mediators For African American Adolescents In The United States, Brittney Jones
Relationship Between Screentime And Depressive Symptoms And Associated Mediators For African American Adolescents In The United States, Brittney Jones
Walden Dissertations and Doctoral Studies
The prevalence of adolescent depression in the United States is increasing as adolescents’ use of electronic screen devices increases. Some studies have found associations between screentime and adolescent depression, and other researchers have posited that screentime is not intrinsically harmful. High screentime in African American adolescents may place them at risk for worse depressive symptom outcomes, but the relationship between screentime and depressive symptoms for this population is unknown. The three research questions of this study addressed whether there is a relationship between screentime and depressive symptoms in African American adolescents, and whether sleep duration and the frequency of physical …
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.
Challenges In Discharge Planning For Adults Transitioning From An Inpatient Psychiatric Level Of Care Experiencing Homelessness, Deanna` R. Mccaskill
Challenges In Discharge Planning For Adults Transitioning From An Inpatient Psychiatric Level Of Care Experiencing Homelessness, Deanna` R. Mccaskill
Walden Dissertations and Doctoral Studies
Mental illness and the homeless population are a growing concern in the United States. Homeless individuals utilize emergency rooms and acute inpatient stays more than those with housing. Social workers play a vital role in discharge planning, starting on the first day of admission. This action research study explored the challenges of social workers developing discharge plans for adults transitioning from an inpatient psychiatric level of care experiencing homeless. The theoretical framework implemented in this study was systems theory. Data were collected from 12 purposively selected master’s level social workers in the format of individual and focus group interviews. Eight …
Influence Of Staffing Shortages On Safety And Communication In Behavioral Health, Raven Brittany Robinson
Influence Of Staffing Shortages On Safety And Communication In Behavioral Health, Raven Brittany Robinson
Walden Dissertations and Doctoral Studies
At the selected behavioral health organization (BHO), leaders desire to improve patient safety and staff communication to provide quality mental health services. They need strategies to achieve these goals. The Baldrige Excellence Framework was used to identify the workforce challenges and practices that facility leaders can potentially use to improve performance to help achieve success, sustainability, and the mission of the BHO. The data sources consisted of (a) semistructured interviews with the CEO, the leader of the intake department, an intake therapist, an intake coordinator, and an RN and (b) reviews of the BHO’s website, and pertinent academic literature. Data …
Association Between Psychosocial, Obstetric, And Lifestyle Factors And Antenatal Depression, Tomnema Xiong
Association Between Psychosocial, Obstetric, And Lifestyle Factors And Antenatal Depression, Tomnema Xiong
Walden Dissertations and Doctoral Studies
Antenatal depression, or depression during pregnancy, is a mental health concern in the United States that impacts mothers and their infants. This study examined the associations between psychosocial, obstetric, lifestyle factors, and antenatal depression. This study was guided by social cognitive theory, specifically the reciprocal determinism construct. Secondary data from the 2007–2018 National Health and Nutritional Examination Survey (NHANES) were used in this quantitative cross-sectional study. Every participant of the NHANES completed the Patient Health Questionnaire-9 depression screening form. The study sample consisted of 274 women who were pregnant at the time of participating in the NHANES, approximately 28.8% of …
Help-Seeking Behaviors And Employment Hope Among Depressed Black Male Foster Care Alumni, Vanessa Jennings
Help-Seeking Behaviors And Employment Hope Among Depressed Black Male Foster Care Alumni, Vanessa Jennings
Walden Dissertations and Doctoral Studies
Traumatic depression is a system of experiences where the mind, heart, and gut track happenings lingering among systemic models of prevention and intervention and personal stories. This nonexperimental correlational study aimed to provide insights into mental help-seeking and employment hope among depressed Black/African American foster care male alums. The central research question was to what degree, if any, a positive relationship exists between employment hope and seeking access to mental health-related services among male foster care alums who identify with depression. It was hypothesized that a statistically significant relationship exists. The social cognitive career theory and theory of planned behavior …
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 …
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 …
African American Women And Social Support Networks To Overcome The Strong Black Woman Schema And Depression, Teia Jelisia D. Clements
African American Women And Social Support Networks To Overcome The Strong Black Woman Schema And Depression, Teia Jelisia D. Clements
Walden Dissertations and Doctoral Studies
Mental illness disorders within the United States are on the rise. Researchers have indicated that African Americans are less likely to seek mental health compared to European Americans. The purpose of this basic qualitative study was to understand how social support networks influence African American women between the ages of 25 and 50 in addressing the strong Black woman (SBW) schema and depression. A conceptual framework consisting of the SBW collective theory guided the study. A purposive sample of 16 African American women who use social support networks to address the SBW schema and depression was obtained through flyers posted …
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 …
Help-Seeking Behaviors And Employment Hope Among Depressed Black Male Foster Care Alumni, Vanessa Jennings
Help-Seeking Behaviors And Employment Hope Among Depressed Black Male Foster Care Alumni, Vanessa Jennings
Walden Dissertations and Doctoral Studies
Traumatic depression is a system of experiences where the mind, heart, and gut track happenings lingering among systemic models of prevention and intervention and personal stories. This nonexperimental correlational study aimed to provide insights into mental help-seeking and employment hope among depressed Black/African American foster care male alums. The central research question was to what degree, if any, a positive relationship exists between employment hope and seeking access to mental health-related services among male foster care alums who identify with depression. It was hypothesized that a statistically significant relationship exists. The social cognitive career theory and theory of planned behavior …
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 …
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 …
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 …
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 …