Social and Behavioral Sciences Commons^™

Identifying Supervision And Training Needs Within A Native American Reservation Co-Occurring Treatment Program, Jennifer Jones

Walden Dissertations and Doctoral Studies

Native American rural communities are not without substance abuse treatment needs; however, highly skilled mental health providers are often limited on a reservation, which leaves this population with clinicians with less experience and education. This project is a case study of a substance abuse treatment program within a Native American tribe in the western portion of the United States. The practice-focused research questions directly related to the training, certification, and education of staff in the addiction field, and to the ways in which the program evaluated the efficiency and effectiveness of the staff members. The purpose of this study was …

The Reconciliation Of Cognitive Dissonance Among Social Workers In Substance Use Treatment Settings, Miranda Ashley Kieler

Walden Dissertations and Doctoral Studies

Although harm reduction (HR) and abstinence-based treatment approaches are both useful in addiction treatment, the former is less accepted and integrated into practice. Social workers who embrace an HR approach but who work at substance abuse treatment facilities that are abstinence based may experience cognitive dissonance because they perceive their work role to be incompatible with social work practice values and education. Little was known regarding how practitioners with a Master of Social Work (MSW) degree experience and reconcile cognitive dissonance related to their HR education and abstinence-only practice in substance use treatment centers. To address this gap in the …

The Reconciliation Of Cognitive Dissonance Among Social Workers In Substance Use Treatment Settings, Miranda Ashley Kieler

Walden Dissertations and Doctoral Studies

Although harm reduction (HR) and abstinence-based treatment approaches are both useful in addiction treatment, the former is less accepted and integrated into practice. Social workers who embrace an HR approach but who work at substance abuse treatment facilities that are abstinence based may experience cognitive dissonance because they perceive their work role to be incompatible with social work practice values and education. Little was known regarding how practitioners with a Master of Social Work (MSW) degree experience and reconcile cognitive dissonance related to their HR education and abstinence-only practice in substance use treatment centers. To address this gap in the …

Identifying Supervision And Training Needs Within A Native American Reservation Co-Occurring Treatment Program, Jennifer Jones

Walden Dissertations and Doctoral Studies

Native American rural communities are not without substance abuse treatment needs; however, highly skilled mental health providers are often limited on a reservation, which leaves this population with clinicians with less experience and education. This project is a case study of a substance abuse treatment program within a Native American tribe in the western portion of the United States. The practice-focused research questions directly related to the training, certification, and education of staff in the addiction field, and to the ways in which the program evaluated the efficiency and effectiveness of the staff members. The purpose of this study was …

Perceptions Of Active Social Media Adults’ Mental Health After Participating Online With Uncivil Political Discourse With Out-Group Members, Bridgette Eastman

Walden Dissertations and Doctoral Studies

Online incivility that occurs in the comment sections of social media sites has become increasingly prevalent. Much of this incivility occurs in the context of political debate. Previous research has indicated that heated political debates online can lead to increased levels of emotional distress and that individuals have the capacity to become addicted to a variety of activities that take place on the internet. Using the theoretical lens of the social identity model of individuation effects, this study explored the impact of online political incivility on the mental health of individuals who engage in this type of behavior. This study …

Stigma Toward People With Opioid Use Disorder In Southwest Michigan, Kathy A. Carruthers

Walden Dissertations and Doctoral Studies

The opioid epidemic is one of the largest health problems in America. In one Southwest Michigan county, opioid overdose deaths increased from 36 deaths in 2008 to 104 deaths in 2017. In the same county, stigma was identified as the highest-ranked reason people do not seek opioid use disorder (OUD) treatment. The purpose of this study was to examine knowledge that social work practitioners have regarding stigma toward people who inject drugs with OUD in Southwest Michigan. The purpose aligned with social work values as people with OUD are marginalized and cannot advocate for themselves. The theoretical framework that guided …

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 …

Mothers’ Lived Experiences Of Parenting Classes And Maintaining Sobriety During Recovery, Christina Wolfe Rumford

Walden Dissertations and Doctoral Studies

AbstractA mother in recovery must have a solid grasp on coping skills, mental health, and the relationship with her children to maintain her sobriety. But it is not known how parenting classes for mothers in addiction treatment feature in these mothers’ recovery. The purpose of this qualitative phenomenological study was to understand the lived experiences of mothers in parenting classes during addiction treatment to prevent relapse. The theory for this study was Bandura’s social cognitive theory of substance abuse. The study examined the lived experiences of mothers with young children who have attended parenting classes as part of their recovery …

The Experience Of Therapists Working With Mexican American Children Of Substance Abusing Parents, Tracy M. Basile

Walden Dissertations and Doctoral Studies

AbstractThe need for culturally competent mental health providers and the Mexican American immigrant population in the United States are growing. This study focused on themes from therapists’ narratives that may help to comprehend the intricacy of difficulties facing Mexican American children living with substance-abusing parents. The firsthand knowledge and experiences of the therapists who have worked with this population provided a basic understanding of what to expect and which therapeutic interventions may work best for both the child and their parents. The purpose of this narrative inquiry was to qualitatively identify therapists’ lived experiences and understand how they interacted with …

The Relationship Between Distress Intolerance, Emotional Dysregulation, And Social Networking Site Addiction, Matthew Nozaki

Walden Dissertations and Doctoral Studies

The use of social networking sites (SNSs) continues to increase. SNS addiction refers to the maladaptive behaviors associated with addiction and the use of SNSs. The purpose of this study was to examine the association between emotional dysregulation and SNS addiction as well as investigate the association between distress intolerance and SNS addiction through emotional dysregulation. The social cognitive theory served as the theoretical framework. A total of 210 individuals completed an anonymous online survey through Qualtrics, which consisted of the Internet Addiction Test (IAT), Distress Tolerance Scale (DTS), and the Difficulties in Emotional Regulation Scale (DERS). Linear regression was …

Narratives Of Chronic Pain After Treatment In Adult Patients, Matthew Sebastian Vittucci

Walden Dissertations and Doctoral Studies

In the United States 100 million people live with pain and must negotiate complicated clinical decisions that lead to a variety of treatments to control pain, some of which are effective and some that are not. Social identity theory and attribution theory guided the development of the interview protocol and analysis plan. A qualitative study was conducted to explore the complex nature of living with chronic pain through the narratives of seventeen adults in chronic pain for at least 3 months. Structural and thematic approaches were used to analyze the data. The structural results revealed three groups of participants: those …

Social Workers’ Attitudes Toward Medication-Assisted Treatment For Opioid Use Disorder, William Tillman Spivey

Walden Dissertations and Doctoral Studies

Over the last decade, opioid misuse has emerged as a major problem in the United States. The extreme increase in overdose deaths affects both public health and social welfare in north central Florida. Social workers play a major role in the delivery of treatment for opioid misuse. Medication-assisted treatment for opioid use disorder has become widely used yet faces debate among social workers. The practice-focused research question for this project addressed the attitudes of social workers toward the use of medication-assisted treatment for opioid use disorder. Social learning theory was the theoretical framework used in this action research study. Data …

Gender Differences And Neurocognitive Function In Cocaine And Methamphetamine Addiction, Gwendolyn F. Royal-Smith

Walden Dissertations and Doctoral Studies

Abstract

Cocaine and methamphetamine-addicted women are more likely to suffer from personal life traumas that lead to persistent and committed drug abuse. In addition to social-psychological problems associated with drug abuse are neuropsychological processes involving specific regions of the brain responsible for working memory, decision-making, and impulse control. Classical and operant conditioning theories of learning provide a paradigm foundation for this quantitative, correlational study that utilized archival data from the National Institute on Drug Abuse (NIDA). I analyzed a randomly selected sample of 186 adults who voluntarily participated in an eight week treatment program for cocaine and methamphetamine (MA) addiction. …

Exploring Young Opioid Users’ Motivation To Seek Treatment For Substance Use Disorder, Patricia Gianotti-Avella

Walden Dissertations and Doctoral Studies

In the past 15 years, the nonmedical use of opioids in the United States has reached epidemic proportions, resulting in a 21% increase in overdose fatalities. This surge in opioid use and dependence represents a shift in the demographic from inner-city populations over the age of 40 to young adults between the ages of 20 and 34 who dwell in primarily white suburban neighborhoods. Research has identified physicians’ liberal prescribing practices as one cause of this epidemic and has documented the ineffectiveness of current interventions with young addicts. The purpose of this narrative study was to gain insight into what …

An Analysis Of The Spiritual Narratives Of Formerly Observant Jews In Recovery, Matthew Milstein

Walden Dissertations and Doctoral Studies

Addiction is a world-wide problem, and 12-step recovery programs are the most popular intervention, which incorporate a spiritual message in the recovery process. However, little research has explored how spirituality is experienced, and the meaning it has for individuals leading up to addiction, during active addiction, and in recovery using the 12-step model. Thus, this qualitative research study was conducted to explore the spiritual narratives of formerly observant individuals raised in the Orthodox Jewish community, who used a 12-step recovery program to recover from addiction and maintain sobriety. Cognitive dissonance theory and faith development theory were used to identify the …

Exploring The Dual Role Of Consumer And Provider In Substance Use Peer Support Workers, Christian Scannell

Walden Dissertations and Doctoral Studies

Peer support is built upon the premise that shared life experiences will benefit both the helper and the receiver. In the substance abuse field, this relationship has been linked to an increase in practical knowledge, empowerment, hope, and community connectedness. However, the research on peer support is primarily geared toward the effectiveness of the intervention for the consumer. Less is known about the role of this relationship in the recovery of the workers themselves. The purpose of this generic qualitative study was to explore the experience of recovery in substance abuse peer support workers. A recovery framework and the helper …

Modified Eye Movement Desensitization Therapy Protocol Treating Substance Abuse Disorders, Elise Von Tersch

Walden Dissertations and Doctoral Studies

Quality substance abuse treatment is needed to help fight the battle against drug addiction. This qualitative study was designed to explore some of the approaches to eye movement desensitization (EMDR) therapy that therapists trained in Parnell's adapted EMDR model use in conjunction with treatment for addictions. The purpose of this narrative inquiry was to investigate the experience of therapists who incorporate substance abuse treatment with Parnell's adapted EMDR model when treating trauma and substance use disorders. The population studied comprised licensed mental health therapists who had completed Parnell's EMDR training and implemented Parnell's modified EMDR protocol in their professional practice. …

Participant Experiences In Christian-Based Recovery, Joshua Mjolsness

Walden Dissertations and Doctoral Studies

Health care leaders are challenged with addressing addiction and the treatment of addiction. Many studies have been conducted around addiction treatment; however, no studies have been conducted on Christian-based recovery programs that use the same approach regardless of the addiction. The purpose of this phenomenological study was to explore the experiences of participants in a Christian-based recovery program that uses the same approach for all addictions. The social learning theory provided the framework for this study. Data were collected by interviewing participants of the Christian-based recovery program Free Grace Recovery (FGR). Eight participants selected had a variety of reasons for …

Waiting Times And Dwi, Court-Mandated Treatment Completion, Cailyn Florence Green

Walden Dissertations and Doctoral Studies

Drivers under the influence of alcohol cause nearly one third of all fatal motor vehicle accidents. Ambulatory outpatient alcohol abuse treatment has been clinically shown to increase abstinence, which could decrease the chance of subsequent DWI offences. A barrier to successful completion is extended waiting periods prior to treatment engagement. The theory of patient waiting supports the longer a patient waits to begin treatment the lower the likelihood of successful completion. By exploring the impact of waiting times on DWI court mandated clients, referral courts and treatment facilities can work together to create a successful completion strategy for offenders. The …

Social Workers' Perceptions Of Barriers To Substance Abuse Treatment In Mississippi, Catherine Pacher

Walden Dissertations and Doctoral Studies

Addiction is a national problem in the United States that impacts public health and social and economic welfare. The purpose of this case study was to identify barriers that impede treatment and hinder the success of client recovery from addiction. The research question focused on social work clinicians' perceptions of barriers to effective treatment with substance abuse clients in Coastal South Mississippi. The theoretical framework for this research was the reasoned action theory. Data was collected from a focus group, personal interviews, and the review of literature. Purposeful sampling was used to select 13 social workers for interviews and for …

Exploring Stages Of Recovery From Crack Cocaine Addiction, Zeb Stuart Regan

Walden Dissertations and Doctoral Studies

Crack cocaine users need efficacious treatment options to address triggers and cravings for the drug. The purpose of this qualitative, multiple case study was to explore the recovery narratives of 3 purposefully selected substance abuse counselors who were once addicted to crack cocaine and whether or not these narratives fit within the 5 stages of the transtheoretical model of change (TTM). The TTM was used in this study to explore the stages of change in those with prior addiction regarding the motivational strategies needed to promote change. Data collected in face to face interviews were organized using thematic content analysis …

Practicing Self-Efficacy And Transparency To Achieve Long-Term Recovery And Reduce Recidivism, Lisa Kent

Walden Dissertations and Doctoral Studies

There is limited data about the positive application of self-efficacy and the practice of transparency for individuals in recovery to achieve long-term recovery from substance addiction and criminal recidivism. The purpose of this qualitative phenomenological study was to gain more insight and knowledge about how the application of self-efficacy and the practice of transparency help individuals in recovery achieve long-term recovery from substance addiction and criminal recidivism for two or more years. The conceptual framework used to guide this study was Albert Bandura's self-efficacy theory. This study is significant because it explains that long-term recovery is not an easy task …

The Effect Of Gender And Narcotic Or Stimulant Abuse On Drug-Related Locus Of Control, Yolanda Rene Travis

Walden Dissertations and Doctoral Studies

Substance use disorders cause significant neurological damage, cognitive impairment, and maladaptive behaviors that negatively affect a person's quality of life. The purpose of this study was to explore the effect gender and primary drugs have on locus of control. Generalized expectancy theory helped to explain the behavior of patients diagnosed with substance use disorders and their inability to control ongoing drug use. The research question focused on to what extent drug-related locus of control scores differ by primary drug (narcotic vs. stimulant), gender (male vs. female), and their interaction. Data measuring locus of control from 553 participants provided a subset …

Differential Treatment Outcome Factors For Custodial And Noncustodial Mental Health Care Programs, Sheila Fay Waters

Walden Dissertations and Doctoral Studies

Researchers have suggested that jails and prisons in the United States are becoming the new mental health clinics, contributing to the phenomenon of mass incarceration and costing upwards of $15 billion per year in public revenue. The problem is no conclusive evidence exists that treatment in these custodial environments is more effective than that provided by noncustodial programs; especially for substance users. Additionally, the continuing incarceration of people with mental health problems by the hundreds of thousands poses a difficult ethical dilemma regarding why this population does not receive noncustodial or hospital treatment instead. The study addressed the research question …

Non Medical Prescription Drug Use In Rural Communities And Social Work, Izetta Mounice Briggs-Bolling

Walden Dissertations and Doctoral Studies

This study explored the roles and responsibilities of social workers providing services to nonmedical prescription drug users (NMPDU). Researchers have indicated NMPDU disproportionately affects people living in rural communities. The overarching research question sought to explore the concerns of social workers when providing services to patients coping with NMPDU in the rural community of Ulster County, New York. The intention was to examine systemic challenges facing rural social workers when attempting to decrease morbidity risks and increase the health of Ulster County residents. A total of 7 social workers participated in 3 focus groups to explore their ideas for defining, …

Mindfulness Meditation Practice By Individuals With Substance Dependent Behavior, Quyen Ho

Walden Dissertations and Doctoral Studies

Many people in the United States suffer from substance dependence, which leads to depression, anxiety, work impairment, difficulties in interpersonal relationships, crime, and health care problems. Mindfulness meditation has been applied in many aspects of mental health treatment and all belief systems. The purpose of this phenomenological study was to explore substance dependents' experiences related to their mindfulness meditation practice of at least 6 months and up to 3 years. A constructivist conceptual framework, which states that human beings create systems for understanding reality based on their individual beliefs, emotions, and interpretations, was used for this study. Research questions focused …

Referral And Treatment Settings For Pregnant Women, Linda D. O'Daniel

Walden Dissertations and Doctoral Studies

Drug and alcohol addiction in pregnant women is a significant public health issue. The purpose of this study was to assess drug and alcohol addiction in pregnant women and the setting in which they sought service or treatment to determine whether U.S. census regions and race data could predict the type of addiction service or treatment that pregnant addicts chose. The theories of self-efficacy, cognitive behavioral therapy, and rational emotive behavioral therapy were used as the theoretical framework for this study. The research questions were used to examine whether there was a relationship between the source of addiction treatment referral …

Predictors Of Treatment Outcomes Of Elderly Substance Abusers In Treatment Facilites, Renata Raye Bosek

Walden Dissertations and Doctoral Studies

Research in the late 1990s and early 2000s projected that the number of people aged 50 and older who needed treatment for illicit drug use and abuse of prescribed medications to increase from approximately 1.7 million in 2001 to approximately 4.4 million in 2020. The purpose of this study was to examine how gender, marital status, employment status, and primary referral source predicted treatment outcomes with this older population. Of interest was how these predictions could better prepare treatment providers to treat individuals born between 1946 and 1964 who are addicted to substances. This quantitative study used an archival database, …

A Phenomenological Study Of Methadone Treatment By Opiate-Dependent Individuals Ages 50-55 Years, Lamart Hightower

Walden Dissertations and Doctoral Studies

Today's methadone patients differ from those of the past due to increases in polydrug use, mental health issues, and medical needs. Patients requiring methadone treatment for their opiate addiction are now older than those who initially presented for treatment when methadone treatment first started. The number of older opiate users will continue to grow as the population continues to age. Although previous studies on opiate addiction focused on using methadone in treatment of younger adults, this study used phenomenological methodology to explore the lived experiences of opiate addicted methadone users between the ages of 50 to 55, an understudied population. …

Factors Associated With Harm Reduction Model Use Among Substance Abuse Counselors, Tiffany Madden

Walden Dissertations and Doctoral Studies

Drug overdose death rates in the United States have more than tripled since 1990 with more than 36,000 dying in 2008. In 2007 the estimated cost of drug use to U.S. society due to lost productivity, increased health care, and criminal justice costs was over $193 billion. Previous researchers have found that harm reduction is a viable treatment option within the field of addiction. The guiding premise in the harm reduction approach is that all people can achieve improved psychological and physiological health even if they are unable to be substance-free. However, there remains an important gap in the current …