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Social and Behavioral Sciences Commons

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Full-Text Articles in Social and Behavioral Sciences

Policies That Support Emergency Department Staff In Providing Behavioral Health Care, Lizabeth Lepp Hennig Jan 2022

Policies That Support Emergency Department Staff In Providing Behavioral Health Care, Lizabeth Lepp Hennig

Walden Dissertations and Doctoral Studies

A significant portion of individuals with a behavioral health (BH) condition return to emergency departments (ED) seeking care, resulting in reduced quality of care, and contributing to disproportionate healthcare costs. Care can be improved and return visits to the ED reduced where behavioral health care and follow-up care planning are provided as part of their treatment. However, policies expected to create declines in ED use for behavioral conditions are typically in short duration or are difficult to use given other funding and policy constraints. With little known about how policy is supporting the engagement of ED staff who are critical …


Anxiety, Depression, And Sexual Minority Identity Among First Responders, Kayla Soohy Jan 2022

Anxiety, Depression, And Sexual Minority Identity Among First Responders, Kayla Soohy

Walden Dissertations and Doctoral Studies

Research indicates that first responders tend to experience high levels of anxiety and depression due to unique stressors associated with first responder employment. This increased risk level for mental health issues among first responders can be exacerbated by the addition of psychosocial stressors. The influence of interpersonal or intrapersonal factors, such as sexual minority identity, on the mental health issues experienced by first responders has remained relatively unexplored. The purpose of this research study was to explore the relationship between type of first responder, sexual identity, anxiety, and depression via a framework rooted in minority stress theory. Data were gathered …


Social Workers’ Perceptions On Partnering With Police To Address Violent Police Encounters Towards African Americans, Adrian Springfield Jan 2022

Social Workers’ Perceptions On Partnering With Police To Address Violent Police Encounters Towards African Americans, Adrian Springfield

Walden Dissertations and Doctoral Studies

Research documents the pervasiveness of violent police encounters towards African Americans in the United States and importance of a multidisciplinary approach between social workers and police to prevent police violence. However, little is known about social workers perceptions and experiences on partnering with police to address violent police encounters towards African Americans. Informed by Tuckman’s group formation theory and Bell’s critical race theory, the purpose of this generic qualitative inquiry study was to explore social workers in the United States perceptions and experiences on partnering with police to address violent police encounters toward African Americans. Using semistructured interviews, data was …


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 …


Death With Dignity: Barriers For Prisoners Suffering From Irreversible Mental Illness, Kymberli D. Mills Jan 2022

Death With Dignity: Barriers For Prisoners Suffering From Irreversible Mental Illness, Kymberli D. Mills

Walden Dissertations and Doctoral Studies

Overcrowded prison system conditions can significantly worsen mental illness. Compassionate prison segregation options required for substantive mental health care are lacking. Death with Dignity is not a current legal solution for terminal psychiatric illness in the United States. How mental health care providers in Washington State perceive psychiatric Death with Dignity for treatment-resistant, severely mentally ill prisoners has illuminated scholarly research. An anonymous, qualitative, online survey of 15 Washington State mental health care providers serving severe, persistent, mentally ill prisoners having expressed suicidality was conducted. The concept of discontinuing a mentally ill prisoner's psychiatric care was explored during data gathering. …


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. …


Influence Of Military Culture On Resilience In Survivors Of Military Sexual Trauma, Rebeka Athena Ives Jan 2022

Influence Of Military Culture On Resilience In Survivors Of Military Sexual Trauma, Rebeka Athena Ives

Walden Dissertations and Doctoral Studies

Military sexual trauma (MST) is a phenomenon that is in the spotlight currently. More and more service members are coming forward to report their MST stories. Experts have found that MST survivors endure numerous psychological, physical, emotional, and career challenges. Their symptoms have been found to be more severe than those of other types of combat-related trauma, and many end up taking their own lives due to the severity of their symptoms. Researchers have found that resilience varies from culture to culture, and understanding how research impacts an individual’s resilience is key in creating the best treatment possible. There is …


A Phenomenological Study Of Mental Health Providers' Cultural Sensitivity Towards Latinx Clients, Nohemi Vasquez Jan 2022

A Phenomenological Study Of Mental Health Providers' Cultural Sensitivity Towards Latinx Clients, Nohemi Vasquez

Walden Dissertations and Doctoral Studies

AbstractThis hermeneutic phenomenological study explored the lived professional experiences involving mental health providers’ cultural sensitivity towards Latinx clients in the context of mental health service delivery. Pedersen and Essadoh’s multiculturalism framework, known as the “fourth force” of psychology, was used as a guiding framework. Fifteen mental health providers were recruited. Data were collected using semi-structured interviews via Skype, in-person, or phone interviews with participants who had from two to over thirteen years of working experience with Latinx populations. Interviews were examined using an interpretive phenomenological analysis. Four themes emerged from participant responses. Findings revealed that cultural competence and cultural awareness …


Mental Health In The Military, Amy Jean Grasse Jan 2022

Mental Health In The Military, Amy Jean Grasse

Walden Dissertations and Doctoral Studies

The current qualitative research project explored the lived experiences of senior leaders who have worked with service members known to seek mental health treatment. Despite a large amount of research on the effects mental health has on military members, the scholarly community does not know the experiences individuals face when employing active-duty personnel with known psychological limitations. This phenomenological study aimed to identify senior leadership’s lived experiences to identify the barriers and facilitators they faced when employing service members known to have sought mental health treatment. The attribution theory and modified labeling theory were the theoretical frameworks chosen for this …