Psychiatric and Mental Health Commons^™

Helping In The Home: Counselors’ Experiences Providing Clients With In-Home Services, Melissa Jane Franzen

Walden Dissertations and Doctoral Studies

Counseling is an essential service that helps individuals work through struggles and live their best lives. Such service now includes providing counseling in clients’ homes. Counselors may require specific training or education to prepare for counseling in a home environment. This need for training and education is due to a lack of knowledge of the lived experiences of counselors providing services in the home. Transcendental phenomenology was used to guide a qualitative exploration into the lived experiences of counselors providing services in clients’ homes. Participants were 7 professional counselors, 5 female and 2 male, having met minimum state licensure requirements …

Lived Experiences Of Pakistani American Women Who Sought Mental Health Treatment, Marriam Ashraf

Walden Dissertations and Doctoral Studies

AbstractDespite the research on how mental illness manifests in the United States, there is more to be known about mental health in the Pakistani American population. The goal of this qualitative phenomenological study was to understand the lived experiences of Pakistani American women who sought mental health treatment. Ecological theory provided the framework for the study. Data were collected from semi structured interviews with 10 participants via telephone and face-to-face conversations. Data were analyzed using managing, reading, memoing, describing, classifying, interpreting, representing, and visualizing techniques. Findings indicated that seeking help for mental health played a positive role in participants being …

Examining Clinicians' Perspectives Screening For Depression In Patients With Type 2 Diabetes Mellitus, Vickie Lavette Bland

Walden Dissertations and Doctoral Studies

The United States has a significant diabetes problem. This chronic disease affects the body physically and mentally. One of the emotional effects of diabetes is depression. Depression is often present in individuals with diabetes, chiefly in those with type 2 diabetes mellitus (T2DM). While depression is common in T2DM and can interfere with treatment adherence, clinician screening for depression in T2DM patients is low. The purpose of this study was to examine clinicians' attitudes, behaviors, and perceptions concerning screening patients with T2DM for depression. Through a qualitative case study approach centered on reasoned action theory, 3 physicians and 5 nurse …

Coping Skills, Emotional Intelligence, Attachment, And Resilience On Post-Traumatic Stress Disorder In Private Sector Emergency Medical Technicians, Brenda-Joyce Gonzales Orozco Markert-Green

Dissertations

Problem

Private sector Emergency Medical Technicians (EMTs) are first responders who respond to traumatic incident scenes along with firefighters and police officers. However, news agencies and the public do not acknowledge private sector EMTs with the same vigor or accolade as public sector EMTs, nor are the risks to life, health, and mental well-being recognized among this population. Thus, the research literature has been sparse regarding how private sector EMTs experience PTSD, and what unique risk factors and needs may be present.

Purpose Statement

The purpose of this study was to examine the relationship between PTSD symptoms and coping skills, …

Maternal Depression Trajectories And Child Bmi In A Multi-Ethnic Sample: A Latent Growth Modeling Analysis, Charlotte V. Farewell, Ryley Donohoe, Zaneta Thayer, James Paulson, Jacinda Nicklas, Caroline Walker, Karen Waldie, Jenn A. Leiferman

Psychology Faculty Publications

Background

Perinatal (antenatal and postpartum) depression impacts approximately 12% of mothers. Perinatal depression can impact everyday functioning for mothers, and the relationship with, and development of, their children. The purpose of this study was to investigate depression trajectories from the antenatal period through 54-months postpartum and associations with child body mass index at 54-months postpartum.

Methods

This study applied latent growth modeling to the Growing Up in New Zealand study, which is a longitudinal pregnancy cohort study that provides nationally representative-level data, to investigate associations between depression at three time points (antenatal, 9-months postpartum, 54-months postpartum) and child body mass …

The Strategically Broken System: A Grounded Theory Study Of The Clinical Implications Of Immigration Law, Policy, And Practice, Kelle Agassiz

Antioch University Dissertations & Theses

The majority of clinicians do not receive education pertaining to the legal aspects of immigration in their curriculum, training, or continuing education. In addition, the process of navigating the immigration system has been exacerbated in recent years due to rapid policy changes under the Trump administration, which has contributed to a hostile political climate, particularly for immigrants from Central America and Mexico. Using a classic grounded theory research approach, this study explored the relationship between the psychological implications of immigration and the legal challenges that immigrants face today, with a specific focus on immigration from Central America and Mexico. Through …

The Rise In Use Of Emotional Support Animals By College Students: The Impact Of Parenting Styles, Misty G. Smith, Samantha Ballard, Jill Willis

Journal of Higher Education & Student Affairs

As the generational context of higher education shifts, a rise of Emotional Support Animals (ESA) and mental health concerns are present for students on college campuses. While previous studies have aimed to address the relevancy and controversy of ESAs in higher education as well as their effectiveness in supporting individuals, less research has explored underlying factors that contribute to the use of an ESA. The purpose of this study was to explore the parenting behaviors of parents/caregivers of students with ESAs in comparison to parents/caregivers of students without ESAs. An embedded mixed methods design was used. Participants completed the Parenting …

Lived Experiences Of Former Commercialized Sex Workers Seeking Harm Reduction Services In Nevada, Arlynda Yvette Almond

Walden Dissertations and Doctoral Studies

Commercialized sex work has been considered a high-risk profession. Understanding the social context and application of services that foster wellbeing for this population is of research concern. There is a risk of ineffective service when programs are designed by providers who are not formerly of the profession and not familiar with the unique needs of this population. The problem is that commercialized sex workers who need but do not seek harm reduction services may experience ill-health and lack of wellbeing. The purpose of this qualitative phenomenological study was to explore the lived experiences of 10 commercialized sex workers who pursued …

Post-Conflict Mental Health Policy And Substance Use Among Liberian Adults, Ekua Amonoo-Lartson

Walden Dissertations and Doctoral Studies

AbstractThe objective of post-conflict countries after an extended period of war and trauma is to maintain peace and stability. However, the physical and psychological effects of substance use to cope with the devastation of war remains long after the crisis has ended. The purpose of this qualitative phenomenological study was to examine substance use among Liberian working-age adults, including their substance use habits, experiences with substance use, and access to mental health rehabilitative treatment. The access to medical care theoretical framework was used to guide the study. Data were collected from face-to-face semistructured interviews with 15 individuals regarding their experiences …

The Experience Of Recovery From Childhood Sexual Abuse Among Black Men, Zeneth Myrie

Walden Dissertations and Doctoral Studies

Childhood sexual abuse (CSA) can result in consequences that are devastating and long lasting. Differences in the nature of CSA for males and females potentially influence recovery and the role of moderating factors, such as spirituality. Studies of recovery from CSA, especially men's experiences of recovery, are relatively few indicating that this is an under researched area. This lack of studies is particularly evident for ethnic minority groups. While addressing the gap in the literature, the purpose of this study was to explore the lived experience of recovery from CSA among African, Caribbean, Black identified male survivors of CSA living …

Reducing The Rate Of Physical Interventions By Increasing Staff Confidence When Using Verbal De-Escalation Techniques, Elizabeth Pavlesich

Walden Dissertations and Doctoral Studies

When working with patients who have the potential to become physically aggressive, verbal de-escalation is an important technique that can defuse a dangerous situation. At the project site in the mental health emergency department (MHED), workplace violence was on the rise based on the reported use of physical interventions (rates of brief holds and physical restraint use). The purpose of this quality improvement evaluation project was to determine whether an educational training program on verbal de-escalation techniques would increase staff's confidence in the use of verbal de-escalation and decrease the rate of physical interventions used in the MHED. The change …

Previously Incarcerated Individuals' Perception Of Job Acquisition Post Transitional Program Participation, Arbutas Antinet Washington

Walden Dissertations and Doctoral Studies

AbstractTransitional programs prepare previously incarcerated individuals (PIIs) to re-enter society and acquire employment. However, many such programs have failed to offset the effects of prisonization, a process that affects the social skills needed for the job interview process and employment acquisition. The purpose of this generic qualitative research study was to explore the experiences and perceptions of PIIs after participation in a transitional program and a job interview. The theoretical foundation for the study included the theories of prisonization and self-efficacy. The research question concerned experiences and perceptions of 23 to 39-year-old PIIs regarding the job interview process after serving …

Understanding The Role That The Internet And Social Media Plays In Suicide Survivor Bereavement, Catherine Merle Perusse

Walden Dissertations and Doctoral Studies

Every year more than 47,000 individuals die by suicide in the United States, leaving behind numerous family and friends who become suicide survivors. While there are prodigious amounts of research on suicidal behavior, little research has focused on what the surviving family members, friends, and community members need after the loss. Many suicide survivors use social media to address their grief and pain in a very public manner. A constructionist social theory of grief and existential phenomenology provided the framework for this qualitative study to examine the use of the Internet and social media as a forum for those grieving …

The Systemic Experiences Of Social Workers In An Inpatient, State Psychiatric Hospital, Kesia Gwaltney

Walden Dissertations and Doctoral Studies

The National Alliance on Mental Illness surmised that 1 in 25 (9.8 million) adults in the United States are diagnosed with a serious mental illness annually. Of the 9.8 million people diagnosed, approximately 63% of them are psychiatrically hospitalized with repeat hospitalizations within 1 year of discharge. Social workers play a vital role in the treatment modalities of the patients they serve in the psychiatric hospital; however, there is no research that examined the professional systemic experiences of social workers in state, inpatient psychiatric hospitals and how these experiences may affect treatment outcomes of patients as it relates to frequent …

A Clinical Practice Guideline For Measuring Quality Of Life In Patients With Depression And Anxiety, Mary Fowaah Boateng

Walden Dissertations and Doctoral Studies

Mental health conditions affect various aspects of an individual’s quality of life (QOL). Patients with anxiety and depression have a greater risk of having a negative perception of QOL. The gap in practice was the lack of an assessment tool to measure QOL in patients with mental health disorders. The purpose of this Doctor of Nursing Practice project was to develop a clinical practice guideline (CPG) recommending the best evidence-based measurement tool for QOL in patients with anxiety and/or depression. The question that guided the CPG was: How should QOL be measured in patients with anxiety and/or depression in the …

Influence Of Parenting Style On Frequency Of Alcohol Consumption By Jewish Male And Female Emerging Adults, Thomas Gross

Walden Dissertations and Doctoral Studies

Abstract

The health hazards associated with young adults’ frequency of alcohol consumption have been well documented. It has been shown that 40.1% of emerging adults have been involved in binge drinking (i.e., consumption of more than five drinks in a row). The current prevalence rates of alcohol use among young male and female adults are 19% and 26%, respectively. The purpose of the study was to examine the influence of perceived parenting style (i.e., permissive, authoritarian, or authoritative/flexible) on the self-reported frequency of alcohol consumption of 138 U.S. Jewish male and female college students ages 19 to 27 years. The …

Adult Day Care Staff Education To Improve Communication And Behavioral Management Skills, Kathy Davis

Walden Dissertations and Doctoral Studies

AbstractIneffective communication and behavioral management skills are quality and safety issues that were identified at a local adult day care facility in the Southwest United States. Administrators at the facility identified a knowledge gap in communication and behavior management techniques for patients with cognitive impairment. An educational program, with a PowerPoint presentation and verbal feedback as key components, was developed and used to address the identified gap in practice related to individuals with cognitive impairments at the facility. The adult learning theory and the plan-do-study-act model provided supportive frameworks for program development and staff education. The project question explored whether …

Ambivalence Over Emotion Expression And The Effects Of Religious Coping In African American Christians, Anya Loraine Dobbs

Walden Dissertations and Doctoral Studies

African Americans are 10% more likely than non-Hispanic Whites to report having serious mental health issues from psychological stressors. Mental health concerns, such as depression and anxiety, that arise from psychological stressors, are more than likely to go untreated in African Americans. African Americans are more likely to turn to religion- their church, their pastors, and fellow parishioners to address these concerns. Religion and religious coping has influenced African Americans’ attitudes regarding help-seeking and mental health treatment, with the “Black Church” historically being a source of many things, including mental health care. Pargament’s theory of religious coping served as a …

Supervision Needs For Social Workers Providing Home-Based Treatment For Children And Families, Magda Demerritt

Walden Dissertations and Doctoral Studies

Social workers providing home-based therapy services for children and families face challenges that make it difficult to provide efficient and effective treatment. The purpose of this qualitative study was to explore the supervision needs of social workers who provide treatment using the home-based service delivery model. The leader-member exchange theory was used to guide the study. Data were collected from a focus group meeting with 10 master’s-level social workers in Miami-Dade County, Florida. Findings from coding and thematic analysis revealed that participants’ needs involved being educated on the value of the home-based model, receiving support and guidance related to their …

The Social Work Perspective Regarding The Underutilization Of Mental Health Services Among African American Families, Carissma Tempest Hughes

Walden Dissertations and Doctoral Studies

The underutilization of mental health services amongst African American families has been a long-standing concern in the African American community within large metropolitan cities in Texas. The metropolitan cities are Austin, Dallas/Fort Worth, Houston, San Antonio and McAllen. There remain experiences that impede families’ ability to engage in mental health services. These experiences involve the conflict between prayer and therapy, stigma, lack of awareness of local mental health services, and cultural competency. The purpose of this qualitative research study was to explore experiences of African American families and how those experiences affect mental health engagement, as well as how practicing …

Reducing Recidivism Of Psychiatric Inpatient Clients In Behavioral Health Facilities, Cottrell Jacobs

Walden Dissertations and Doctoral Studies

AbstractResearch shows readmitting clients to inpatient psychiatric facilities within 30 days to one year of discharge can be costly for an organization and may represent less than optimal quality care for clients. The purpose of this study was to obtain an in-depth understanding of practices and barriers to reducing inpatient readmissions by completing a qualitative case study of readmission reduction strategies used by a large inpatient psychiatric facility in the southern United States. The Baldrige excellence framework was used to guide the assessment of the organization. Data collection consisted of five semi-structured interviews with organizational leaders, evaluation of internal archival …

Improving Care Transitions For Individuals With Suicide Risk After Discharged From Acute Unit, Maureen Ndu

DNP Scholarly Projects

Background: Suicide is a public health problem and the 10th leading cause of death in the US. Suicide accounted for more than 47,5000 deaths in the US in 2017, translating to about 130 suicide deaths each day. An average of 20 veterans commits suicide each day compared to 93 suicides in the general population in the US. Individuals with suicide risks are 300 times at an increased rate of suicide death in the first week and 200 times in the first month of hospital discharge. Nurses are in a strategic position to improve the care transition of individuals with suicide …

The Experiences Of Women Who Have A Child Diagnosed With An Eating Disorder: A Narrative Inquiry, Jennifer Scarborough

Theses and Dissertations (Comprehensive)

Eating disorders (EDs) are serious, life-threatening illnesses that typically occur in adolescence. Immediate intervention is necessary in order to interrupt the associated behaviours. Typically, adolescents struggling with EDs minimize the severity the illness has on their psychological and physiological wellbeing. For this reason, family involvement in the intervention is strongly recommended. Additionally, family involvement has shown to increase the likelihood of better outcomes. Parents are typically tasked with the responsibility of making and monitoring meals and/or interrupting compensatory behaviours. These tasks often lead to high conflict. Despite the importance of parental involvement, predominantly, it is mothers who fulfill the intensive …

Evaluating The Relationship Between Confidence And Anxiety During The Covid-19 Pandemic, Althea M. Devereux

Honors Theses and Capstones

No abstract provided.

Anxiety, Depression And Insomnia During Covid-19 Pandemic Among The Public In Malaysia: The Association With Knowledge, Attitude And Practice (Kap), And Social Media Addiction, Lim Kuok Quan

Student Works (2020-2029)

Background: The COVID-19 pandemic caused severe distress to the government and the public. The community had to adapt to the movement control order, impacting social interaction, employment, and schooling. The public’s knowledge, attitude, and practice (KAP) of the pandemic and possibly frequent social media usage during sudden and prolonged social isolation might affect one’s mental health. Objectives: The study measured anxiety, depression and insomnia in the participants and its association with knowledge, attitude, practice (KAP) and social media usage during the pandemic. Methods: This cross-sectional online survey study was conducted between April 2020 and June 2020. The participants were from …

A Cross Sectional Study On Resilience And Coping Strategies Among Medical Officers During The Covid-19 Pandemic And It's Association With Depression And Anxiety, Rahul Yong Wern Kean

Student Works (2020-2029)

Introduction: The mental well-being of medical officers during the Covid-19 pandemic is becoming an increasing concern. The on-going pandemic has drastically increased work demands for doctors and this resulted in high levels of stress, depression and burnout among medical officers. Objectives: This study aims to determine the patterns of resilience and coping strategies of front-line medical officers during the Covid-19 pandemic, as well as their association with depression and anxiety. Study design: This is a single center, cross sectional study on Covid-19 front-line medical officers posted in medical wards in Hospital Tuanku Ja’afar, Seremban. The instruments used were a sociodemographic …

Mental Health Disorders Among Rohigya Refugees In Malaysia, Kushilpal Kaur Satwant Singh

Student Works (2020-2029)

Mental health disorders among refugees has been recognized as a major public health issue. However, to date, there is limited evidence on the prevalence of Mental health disorders among Rohingya refugees residing in transit countries such as Malaysia. This study aimed to examine the prevalence and associated factors of Major Depressive Disorder (MDD), generalized anxiety disorder (GAD) and post-traumatic stress disorder (PTSD) among Rohingya refugees in Malaysia. Adult Rohingya refugees residing in Selangor (n= 220) were randomly selected to participate in this cross-sectional study that was conducted from June to November 2019. Perceived social support, religious orientation, and food security …

As Time Goes By: Understanding Child And Family Factors Shaping Behavioral Outcomes After Traumatic Brain Injury, Charles S Cox

Faculty, Staff and Student Publications

Objective: To model pre-injury child and family factors associated with the trajectory of internalizing and externalizing behavior problems across the first 3 years in children with pediatric traumatic brain injury (TBI) relative to children with orthopedic injuries (OI). Parent-reported emotional symptoms and conduct problems were expected to have unique and shared predictors. We hypothesized that TBI, female sex, greater pre-injury executive dysfunction, adjustment problems, lower income, and family dysfunction would be associated with less favorable outcomes.

Methods: In a prospective longitudinal cohort study, we examined the level of behavior problems at 12 months after injury and rate of change from …

The Importance Of Nutrition Education As A Recovery Component For Individuals With Severe Mental Illnesses, Emily Martinez

Master's Projects and Capstones

In efforts to challenge the Western medicine’s determination of nutrition as a holistic approach, this paper represents the intent for mental health facilities in California to improve or implement nutrition education curriculum by enhancing interprofessional teams with dietitians as an important component of recovery for severe mental illness patients. There is concrete evidence proving that individuals who are in facilities recovering from mental illnesses have benefited from optimal nutrition consumption. Nutrition education has become a component among the toolbox of recovery options, but unfortunately it is not encouraged enough. Pharmaceutical companies advertise drug therapy as the most effective way to …

Mindfulness Based Stress Interventions In Physician Assistant Programs, Lucas Vance

Physician Assistant Capstones, 2020-current

Mindfulness based interventions (MBI) have been used successfully in a variety of venues from the treatment of chronic pain to reducing stress in the workplace. The benefits of MBI programs that have been studied range from self-reported anxiety, depression, and empathy levels to levels of cortisol¹ to amygdala changes seen on magnetic resonance imaging.² MBI programs have been studied in pre-medical, medical, and graduate schools, as well as, nursing programs, and generalized healthcare cohorts.