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Walden Dissertations and Doctoral Studies

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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 …

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Evangelical Families’ Experiences Of Mental Health Challenges, Elom Togbi-Wonyo Jan 2022

Evangelical Families’ Experiences Of Mental Health Challenges, Elom Togbi-Wonyo

Walden Dissertations and Doctoral Studies

Evangelical Christians with mental distress in the family face stigma, adverse psychological and physical health effects, and financial hardships. They often mistrust professional counselors, preventing them from accessing much-needed support. The purpose of this descriptive phenomenological study was to gain knowledge about Evangelical Christians’ everyday life with a family member experiencing mental distress and their perceptions of the faith community’s responses. After collecting accounts from eight participants through one-on-one interviews, Giorgi’s psychological phenomenological method was used for data analysis, resulting in the identification of seven themes and 19 subthemes. The results showed that living with a family member experiencing mental …

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Reading Teacher Perspectives On Classroom Behavior And Criteria Referral For Adhd Testing, Sharmaine Wilder Jan 2022

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 …

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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 …

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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 …

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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 …

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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 …

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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 …

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Experiences Of Rural Female Caregivers Of Loved Ones Diagnosed With Chronic Pain And Mental Health Care, Anne Banner Hatfield Jan 2022

Experiences Of Rural Female Caregivers Of Loved Ones Diagnosed With Chronic Pain And Mental Health Care, Anne Banner Hatfield

Walden Dissertations and Doctoral Studies

AbstractThe complex diagnosis of chronic pain can include both physiological and psychological symptoms resulting in a need for caregivers to assist their loved ones and become involved in their mental health care treatment. As the aging population and the number of individuals diagnosed with chronic pain increases, the number of caregivers who assist them also increases. Critical to addressing the psychological symptoms of chronic pain is knowing how caregivers experience their involvement in mental health treatment. This research addressed the need for an understanding of caregivers’ experiences of caregiving and involvement with health care providers of mental health treatment for …

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Staff Education On Psychosocial Rehabilitation Management Of Individuals Diagnosed With Severe Mental Health Illness, Evarist O. Oguguo Jan 2022

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 …

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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 …

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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 …

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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 …

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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 …

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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 …

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Development Of A Capacity Building Program To Promote Trauma-Informed Services, Juan Miguel Medina Jan 2022

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 …

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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. …

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Situation-Background-Assessment-Recommendation During Hand-Off In A Mental Health Nursing Unit, Renel Ramos Jan 2022

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. …

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Officers' Perceived Safety After A Law Enforcement Line Of Duty Death, Crystal Baird Jan 2022

Officers' Perceived Safety After A Law Enforcement Line Of Duty Death, Crystal Baird

Walden Dissertations and Doctoral Studies

Every year, several line of duty deaths occur among law enforcement personnel in the United States. Risk factors, community influences, types of violence, and diverse calls for service could affect an officer’s perception of safety. Given the number of line of duty deaths, officers’ perceived safety is an important avenue for further research. The purpose of this qualitative phenomenological study was to explore whether a line of duty death affected the perceived safety of officers in small, rural police departments in the state of Texas. A social constructivism perspective was used to understand the world in which the participating officers …

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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 …

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The Experience Of Providing Direct Care To Children Victims Of Boko Haram Insurgencies In Nigeria, Felicia Etuke Jan 2022

The Experience Of Providing Direct Care To Children Victims Of Boko Haram Insurgencies In Nigeria, Felicia Etuke

Walden Dissertations and Doctoral Studies

The insurgency of terrorism leaves lasting economic, social, academics, spiritual, religious, and psychological effects, but often children’s psychological welfare is neglected in the aftermath of terrorist attacks. Boko Haram’s presence in Nigeria has left many children orphaned, displaced, and impoverished. Thus, there is a need to highlight the importance of the role that care providers play in securing the psychological health of the child victims of Boko Haram insurgency. This qualitative, phenomenological study explored the experiences of care providers to the child victims of Boko Haram insurgency in Nigeria. Compassion fatigue theory was used as a theoretical framework for the …

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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 …

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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 …

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School Social Workers’ Perceptions Of Compassion Fatigue Syndrome, Gloria I. Collazo Cartagena Jan 2022

School Social Workers’ Perceptions Of Compassion Fatigue Syndrome, Gloria I. Collazo Cartagena

Walden Dissertations and Doctoral Studies

School social workers face domestic violence, trauma, social violence, and mental and emotional health problems in their work context. Indeed, compassion fatigue results from professionals’ continuous exposure to these problems. This study explored school social work professionals’ perceptions of compassion fatigue. For this, the following questions were explored:the perception of school social workers working for the Puerto Rico Department of Education about compassion fatigue.

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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 …

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How Social Workers Contribute To Outcomes Of Adolescent Participants In Wilderness Programs, Tracy Dockler Jan 2022

How Social Workers Contribute To Outcomes Of Adolescent Participants In Wilderness Programs, Tracy Dockler

Walden Dissertations and Doctoral Studies

The wilderness environment has become recognized as a viable treatment modality for addressing the psychosocial and behavioral needs of treatment-resistant adolescents. Even though social workers provide services in these specialized programs, little is known about how they perceive the contributions they make to the outcomes of the adolescent participants. The conceptual framework of wilderness treatment with a focus on the wilderness experience, as well as on the physical, social, and psychosocial aspects of participant functioning guided this study. In this qualitative study, a semistructured interview guide was used to elicit the thoughts of five master’s level social workers (MSWs) regarding …

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Adolescent Cyberbullying Program Experiences Of White Rural Males, Lonnie Lynn Erskine Jan 2022

Adolescent Cyberbullying Program Experiences Of White Rural Males, Lonnie Lynn Erskine

Walden Dissertations and Doctoral Studies

Technology has become a gateway to use aggression against others. Cyberbullying is an ongoing problem, often causing severe mental, physical, and emotional issues. The purpose of this generic qualitative study was to explore the experiences of White rural males between the ages of 18–30 who experienced cyberbullying prevention and intervention programs when they were between the ages of 15–18. The research question directly addressed this purpose. Prevention and intervention can be powerful if utilized correctly, providing adolescents with assistance, safety, and assurance to cope with cyberbullying effectively. Vygotsky’s social development theory guided this study. Eight individuals participated in semistructured interviews. …

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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 …

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Strategies Mental Health Managers Use To Reduce Direct Care Employee Turnover, Theresa Foster Jan 2022

Strategies Mental Health Managers Use To Reduce Direct Care Employee Turnover, Theresa Foster

Walden Dissertations and Doctoral Studies

Direct care professionals assist people with intellectual and developmental disabilities with health care services in the consumer's home, community based residential setting, hospitals, and vocational settings. The high turnover rate of direct care professionals working in mental health organizations may jeopardize many services, including administrative, medical, and provisions for the individuals they serve. Retaining direct care professionals is vital due to the expected demand for direct care jobs in the future. Grounded in Herzberg’s two-factor theory, this qualitative multiple case study explored leadership strategies managers from mental health organizations use to retain direct care professionals. Participants were eleven managers from …

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Lived Experiences Of Crisis Counselors With Repeat Exposure To Mental Health Crises, Emily Genever Jan 2022

Lived Experiences Of Crisis Counselors With Repeat Exposure To Mental Health Crises, Emily Genever

Walden Dissertations and Doctoral Studies

Due to the potentially traumatic content that crisis counselors face, members of the counselor education community must understand the psychological implications of repeated exposure to mental health crises to fulfill their responsibility of properly training, supervising, and supporting crisis counselors. The purpose of this qualitative phenomenological study was to explore the lived experiences of crisis counselors who had worked full-time with a variety of mental health emergencies. A hermeneutic design and constructivist self-development theoretical lens allowed for the illumination of the perceived positive and negative consequences of crisis work. Purposive sampling strategies were employed to recruit seven crisis counselors for …

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