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Articles 361 - 385 of 385
Full-Text Articles in Psychiatric and Mental Health
Law Enforcement Officers' Experience Of Crisis Intervention Team (Cit) Training, Jessica Yolanda Goings
Law Enforcement Officers' Experience Of Crisis Intervention Team (Cit) Training, Jessica Yolanda Goings
Walden Dissertations and Doctoral Studies
AbstractThe decline in mental health services has led to an increased role of law enforcement officers (LEOs), who are often the first to respond to mental health crisis incidents. Despite the specialized training that officers receive, there continues to be a public consensus that LEOs lack proficiency when handling a mental ill individual and have a deficiency in communication skills. The purpose of the research was to explore the experience of Crisis Intervention Team (CIT) training for LEOs and then describe how their experience ensued once deployed to the field to handle mental health encounters. Evaluations of CIT training have …
Continuity Of Care For Adult Offenders With Severe And Persistent Mental Illnesses: An Action Research Study, Lakeshia C. Gonzalez
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 …
Chronic Kidney Disease And Depressive Disorders Among Adult Non-Hispanic African Americans And Whites In Georgia, Omatola Gordon-Rose
Chronic Kidney Disease And Depressive Disorders Among Adult Non-Hispanic African Americans And Whites In Georgia, Omatola Gordon-Rose
Walden Dissertations and Doctoral Studies
Chronic kidney disease (CKD), depressive disorders, and mental health are significant health issues in the United States. The purpose of this study was to examine the association of CKD and depressive disorders and days of poor mental health in adults living in Georgia, controlling for race/ethnicity, socioeconomic status, gender, age, diabetes mellitus status, high blood pressure status, marital status, and number of adults in the household. The study was a descriptive, quantitative, cross-sectional design with secondary data analysis, and the framework used was Wilson and Cleary health-related quality of life measures. The 2019 Behavioral Risk Factor Surveillance System Survey weighted …
Christian U.S. Army Female Combat Veterans Diagnosed With Ptsd Experiencing A Moral Injury Of War, Kathaleen Graham-Young
Christian U.S. Army Female Combat Veterans Diagnosed With Ptsd Experiencing A Moral Injury Of War, Kathaleen Graham-Young
Walden Dissertations and Doctoral Studies
Warzone exposure potentially impacts the mental and physical health of veterans who receive a diagnosis of PTSD. There is limited research addressing the adjustments of the potentially morally injurious event(s) (PMIEs) experienced by Christian U.S. Army female combat veterans diagnosed with PTSD who returned home from Iraq and Afghanistan warzones post - 9/11. To better understand the impact of PMIEs experienced by the target population, a study of the integration of the transpersonal-existential meaning-based model was used. A general qualitative research design was selected to understand the complex social phenomena. In-depth telephone interviews were conducted to gather viable data. These …
Intersectional Invisibility Of Black Lgbtqia+ Client Strategies For Bias And Discrimination Prevention, Dr. Tonya Y. Griffith
Intersectional Invisibility Of Black Lgbtqia+ Client Strategies For Bias And Discrimination Prevention, Dr. Tonya Y. Griffith
Walden Dissertations and Doctoral Studies
Abstract Those who identify as members of lesbian, gay, bisexual, transgender, queer or questioning, intersex, and asexual (LGBTQIA+) communities have been victims of bias and prejudicial attitudes. Because LGBTQIA+ people embody all cultures, races, religious convictions, and socioeconomic statuses, this creates additional barriers for some community members who identify as both Black and LGBTQIA+. The purpose of this qualitative study was to explore social workers’ perceptions of intersectional invisibility when working with Black LGBTQIA+ clients and the strategies that social workers identify as beneficial in averting discrimination and bias when working with this community. Implicit bias theory and intersectionality theory …
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 …
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 …
Using Integrated Staff Education To Increase Medication Adherence In A Mentally Ill Population, Tiffany Dawn Burke-Lott
Using Integrated Staff Education To Increase Medication Adherence In A Mentally Ill Population, Tiffany Dawn Burke-Lott
Walden Dissertations and Doctoral Studies
Failure to adhere to medication regimens is a serious problem that affects both the patient and the health care system. Psychiatric patients have the lowest rates of adherence, as low as 24%. The evidence shows that nonadherence to medication is a global challenge in the field of mental illness and is linked with a poor prognosis. Patients who are nonadherent to medications experience exacerbations of their mental illness, which can lead to rehospitalization, poor psychosocial outcomes, relapse of symptoms, reduced effectiveness of subsequent treatment, wastage of limited health care resources, increased substance abuse, poor quality of life, and increased risk …
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 …
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 …
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 …
Experiences Of African American Female Offenders On Parole And Under Community Supervision, Shirley Lawson
Experiences Of African American Female Offenders On Parole And Under Community Supervision, Shirley Lawson
Walden Dissertations and Doctoral Studies
African American female offenders on parole under community supervision reenter communities as convicted felons and face the challenges of intersectionality and collateral consequences. The purpose of this descriptive phenomenological qualitative study was to explore the experiences of African American female offenders active on parole and under community supervision. General strain theory was used to explore the experiences of African American female offenders on parole and under community supervision. Data were collected through semi-structured telephone interviews with a purposive sample of 10 African American female offenders, ages 18 and above who were on parole and under community supervision. Colaizzi’s seven-step method …
Evaluation Of A Public School District Nutrition Education Program In Southern California’S San Diego County, Donielle Cohen
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 …
The Lived Experiences Of Group Practice Ownership By Female Licensed Professional Counselors, Ashley Garrett
The Lived Experiences Of Group Practice Ownership By Female Licensed Professional Counselors, Ashley Garrett
Walden Dissertations and Doctoral Studies
The U.S. counseling profession is mostly female, with many practitioners interested in starting their own business. However, little is known about women’s lived experiences of owning a group counseling practice. An interpretative phenomenological analysis approach was used to explore the lived experiences of six female licensed professional counselors who have owned a group counseling practice for at least 5 years. Phenomenology and feminist theory provided a framework for the study. Eight themes emerged from the study: (a) factors associated with the decision to create a group practice, (b) a continuum of preparatory engagement for group practice ownership, (c) the influence …
Clinical Practice Guideline For Treating Depression In Lgbtq+ Patients In Primary Care, Shantrice Bernice Nichols-Bates
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 …
Mental Health Counselors’ Use Of Complementary And Alternative Approaches For Treating Individuals With Anxiety Disorders, Jane Rose Simmons
Mental Health Counselors’ Use Of Complementary And Alternative Approaches For Treating Individuals With Anxiety Disorders, Jane Rose Simmons
Walden Dissertations and Doctoral Studies
Anxiety disorders are one of the most prevalent mental health disorders worldwide. Traditional counseling approaches do not address the evolving needs of individuals with anxiety disorders, and information is scarce regarding counselors’ use of complementary and alternative approaches in treating anxiety disorders. The purpose of this quantitative survey study was to investigate whether counselors’ knowledge, perceptions, intentional practices, and openness predicted their use of complementary and alternative approaches in counseling individuals with anxiety disorders. The integrative mental health model for the conceptual framework guided this study. The research questions examined how five variables—spirituality, specialization, types of anxiety disorders treated, training, …
Black Women, Mental Health Treatment, And Spiritual Healing: A Transcendental Phenomenological Study, Grace M. Abraham Lewis
Black Women, Mental Health Treatment, And Spiritual Healing: A Transcendental Phenomenological Study, Grace M. Abraham Lewis
Walden Dissertations and Doctoral Studies
Counselor educators are ill-equipped to train counselors to prepare to meet the needs of Black Christian Pentecostal Women (BCPW) because there is a lack of information on this population. To increase cultural competency, counselors need to be more aware of the experiences of this population. The purpose of this study was to explore the lived experiences of BCPW who sought community mental health counseling concurrent with deliverance practices through the church. Using Edmund Husserl’s transcendental phenomenological approach as the conceptual framework, semi-structured interviews via zoom were conducted with 4 BCPW who were active members of the Christ Throne International Ministries …
Factors That Affect Anxiety And Acculturation In Syrian Emigrants, Thomas H. Anderson
Factors That Affect Anxiety And Acculturation In Syrian Emigrants, Thomas H. Anderson
Walden Dissertations and Doctoral Studies
Since the Syrian civil war began in 2011, more than 6 million Syrians have registered as refugees. Many displaced Syrians suffer myriad mental health disorders, including anxiety, which become a burden as they attempt to acculturate into a foreign culture. Research to understand the Syrian refugees has been conducted since the conflict began; however, the findings are inconsistent. Existing academic research does not adequately capture the depth of anxiety of Syrian emigrants, nor does it present an accurate picture of the challenges of acculturation. The purpose of this quantitative study was to examine the differences in anxiety and acculturation based …
The Tragedy Of Caspian: C. S. Lewis And His Trauma, Chandler Hanton
The Tragedy Of Caspian: C. S. Lewis And His Trauma, Chandler Hanton
College of Graduate Studies: Theses & Dissertations
This thesis reconsiders C.S.Lewis’ The Chronicles of Narnia as a type of scriptotherapy that enabled Lewis to process and come to terms with a life full of serious and significant traumatic events. Trauma theory offers a vehicle for us to consider the alignments and connections between Lewis himself and his fictional creation, Caspian. In the specifics of both characterization and incident, Lewis mirrors the events and relationships that instilled and healed the trauma in his own life. In situating Caspian as his alter-ego, Lewis allowed his writing to function as a gender-specific therapeutic process for addressing the effects of his …
An Exploration On The Barriers To Accessing Mental Health Services Among South Asian Youth, Oeishi Faruquzzaman
An Exploration On The Barriers To Accessing Mental Health Services Among South Asian Youth, Oeishi Faruquzzaman
Theses and Dissertations (Comprehensive)
Research in Canada and the United States has found that South Asians routinely underutilize mental health services, however research on the barriers experienced by South Asians is limited, especially research regarding the experiences of South Asian youth (Inman et al., 2014; Islam et al., 2017; Karasz et al., 2016). Through a series of semi-structured interviews (N=20) with South Asian youth between the ages 16 to 27 in the Greater Toronto Area, the present study explores South Asian youths’ experiences accessing mental health services and the impact of COVID-19 on mental health and service use. Thematic analysis of interview data reveal …