Social and Behavioral Sciences Commons^™

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 …

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 …

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 …

Juvenile Probation Officers’ Perspectives On The Success Factors Of Youth Diversion Programs, Kya Tanique Robertson

Walden Dissertations and Doctoral Studies

The goal of youth diversion programs includes reducing recidivism while granting opportunities for youth to refocus their paths. Although juvenile probation officers' role is vital to supervised probation in youth diversion programs, the problem is that there is a lack of literature that assesses the success of the factors of mentoring, education, and mental health treatment that directly connect youth with social services. The purpose of this qualitative case study was to explore the perceptions of juvenile probation officers on the success factors of youth diversion programs as they relate to mentoring, education, and mental health treatment. Becker's labeling theory …

Organizational Factors Contributing To Mental Health And Wellness In Behavioral Health Leaders, Julie Johnson

Walden Dissertations and Doctoral Studies

According to recent studies, a behavioral health leader’s (BHL’s) mental health and wellness is an important factor in an organization's ability to effectively provide mental healthcare. Mental health and wellness in BHLs lead to sustainability in their organization. Researchers have demonstrated that mental health and wellness in BHLs are factors contributing to an organization’s sustainability but have not established the factors contributing to mental health and wellness in BHLs. The purpose of this qualitative single case study was to examine the organizational factors contributing to the mental health and wellness in the BHL of the organization. The Baldrige excellence framework …

Examining Crying Frequency And Duration In African American Women Dealing With Racism, Anika Fonson

Walden Dissertations and Doctoral Studies

The research concerning adult crying is limited, and no studies have been conducted using African American women. The purpose of this quantitative non-experimental study was to explore if crying acts as a coping mechanism for African American women faced with racism and if crying is related to positive mental health outcomes. Past research has indicated that women experiencing racism may seek out support as described by the tend and befriend theory. Crying has been described as a form of release when people are in positions in which they find it hard to cope. A sample of 140 African American women …

Addressing Work-Induced Stress And Depressive Symptoms In Police Officers, Demetrius Markey Latham Jr

Walden Dissertations and Doctoral Studies

Police officers across the nation face a significant issue as it relates to work-induced stress and depressive symptoms. Specifically, the problem is the lack of preventative mental health services available to officers. This study aims to explore the perceived presence of work-induced stress and depressive symptoms in patrol officers employed by the Field Police Department (Pseudonym; FPD). To gather these data, the potential research participants were offered the ability to take an online anonymous survey. The results indicated that many of the survey participants were suffering from work-related stress and depressive symptoms. The research results further displayed many of the …

The Relationship Between Programming After Critical Incidents, Shootings, And Resilience In Police, Michelle Lise Vincent

Walden Dissertations and Doctoral Studies

AbstractThe purpose of this study was to examine whether there was a relationship between resilience, posttraumatic growth, and reintegration programming after a critical incident and/or line of duty shooting through the cognitive, self-efficacy and resiliency theoretical lenses. The research aimed to determine if police officers, who participated in reintegration programming, specifically in this study, Edmonton Police’s Reintegration After Critical Incident programming, produced higher scores in resilience as measured on the Connor-Davidson Resilience Scale (CD-RISC) and posttraumatic growth, as measured on the Post Traumatic Growth Inventory scale (PTGI), with Canadian police officers compared to police officers who do not participate in …

Service Providers' Perceptions Of Stigma And Its Impact On Mental Health Services, Arthur Gabriel Montes

Walden Dissertations and Doctoral Studies

Stigma is one of the most significant barriers to access and utilization of mental health services in the United States. Delays in receiving mental health services significantly contribute to health disparities and poor health outcomes. Social workers play an integral part in implementing best practices within health care settings and reducing health inequities impacting vulnerable populations. The purpose of this qualitative action research study was to explore social work service providers perceptions' toward stigma and how it affects mental health services among patients in California's Medicaid program. Stigma theory was applied to gain an understanding of how stigma interacts and …

Legacy Of Money: A Qualitative Analysis Of Attitudes Toward Treatment Of Intersex Individuals, Jane Truax Johnson

Walden Dissertations and Doctoral Studies

AbstractNo significant research exists that addresses mental health providers' attitudes toward the treatment of intersex individuals. The purpose and primary goal of this qualitative study was to provide insight into mental health providers’ attitudes toward an understanding of treatment of intersex individuals, including possible changes in attitudes over the past 25 years. Using the theoretical foundations of social constructivism and gender variant phenomenon, the guiding research questions sampled mental health providers’ views of attitudinal shifts in treatment of the intersex population over 25 years, their changing views toward intersex over the course of their careers, and what mental disorders they …

Barriers To Mental Health Services Related To Stigma In Northern California, Kandalena Ary

Walden Dissertations and Doctoral Studies

California Senate Bill 1041 recognized mental health as a contributing barrier for individuals struggling to achieve independence from aid through the California Work Opportunity and Responsibility to Kids (CalWORKs) program to meet the needs of the state's low-income families while reducing barriers to self-sufficiency. As mental health illnesses continue to increase, the engagement and utilization of services have not increased. The purpose of this study was to explore county policy infrastructure addresses making mental health services known, accessible, and increase participation to decrease barriers in utilization of available resources. The research questions were used to examine the effectiveness of processes …

Black Women's Voluntary Use Of Mental Health Services, Dr. Natasha Wright

Walden Dissertations and Doctoral Studies

According to the American Psychiatric Association, Black women engage in formal mental health services at a lower rate than White men and women. In addition, the issues faced by Black women engaging in mental health services are multiplicative, major, and often divisive. Much of the research to date has centered on the barriers to, and negative experiences of, Black women in mental health. Grounded in critical race theory and Black womanist thought, this study investigated the lived experiences of Black women who voluntarily engaged in mental health services. The study included a purposive sample of 6 Black women from 2 …

Examining The Efficacy Of A School-Based Mental Health Program In Iowa, Karen A. Rodriguez

Walden Dissertations and Doctoral Studies

Evidence shows that treating mental health issues positively impacts academic and other life outcomes for students. However, there remains a gap in knowledge specific to academic outcomes and to rural school districts. It is important for mental health providers, educators, and third-party payers to gain an understanding of how treating mental health in the school setting affects student performance. The purpose of this quantitative study, which had contribution analysis as its theoretical framework, was to examine the academic and behavioral outcomes of participating in a school-based mental health (SBMH) program in rural school districts in Iowa. The specific focus was …

Utilization And Impact Of Peer-Support Programs On Police Officers’ Mental Health, Beth A. Milliard

Walden Dissertations and Doctoral Studies

Police officer suicides rates hit an all-time high in the province of Ontario, Canada, in 2018. Sadly, this statistic is somewhat unsurprising, as research has shown that police officers suffer from higher rates of mental health disorder diagnoses compared the general public. One key reason for the elevated levels of suicide and other mental health issues among police officers is the stigma associated with seeking help. In an attempt to address these serious issues, Ontario’s police services have begun to create internal peer-support programs as a way of supporting their members. The present research explores the experiences of police officers …

Veterans' Perceptions Of Behavioral Health Services For Posttraumatic Stress, Larence Kirby

Walden Dissertations and Doctoral Studies

Behavioral health services exist for Operation Enduring Freedom (OEF)/Operation Iraqi Freedom (OIF) veterans diagnosed with posttraumatic stress disorder (PTSD); yet, untreated diagnoses may lead to the risk of compromised behavioral health. The purpose of this hermeneutic phenomenological study was to understand the lived experiences of OEF/OIF veterans regarding their decision to seek and retain behavioral health services for addressing PTSD. The research focus and questions were employed through the theoretical concepts of Heidegger’s hermeneutic phenomenological theory, Heider’s attribution theory, and Beck’s cognitive behavioral theory. In-person interviews were conducted to collect data from 8 OEF/OIF veterans who had encounters with behavioral …

Compassion Fatigue And Police Use Of Force, Amanda K. Devan

Walden Dissertations and Doctoral Studies

Compassion fatigue is a natural response to caring, where burnout and exhaustion result from helping professions which includes police officers. Exposure to trauma and stress increases the risk of developing compassion fatigue in helper professions and may have negative implications on overall mental health and physical well-being. However, not much is known about the behavioral effects of compassion fatigue among police officers during use-of-force incidents. The purpose of this study was to examine whether compassion fatigue in police officers is predictive of use-of- force incidents. The theoretical foundation was Figley’s theory of compassion satisfaction and compassion fatigue. Survey data were …

Age Differences In Effect Of Collaboration Of Care Activities On Student Behaviors, Ronda Lynn Stevens

Walden Dissertations and Doctoral Studies

Over 18 million children in the US have mental health problems and 70% receive the care in the education sector. The Collaboration of Care (CoC) approach is widely used to address these needs. However, the body of knowledge to date does not focus on relationships between the use of a CoC in a school environment nor examines school-based outcomes. This study examined a specific CoC, called the Collaboration of Services for Youth (COSY), to see if there was a positive association between participation in COSY and changes in attendance, behavior, and academic performance among 52 public-school students, ages 5-16, and …

Battered Women's Help-Seeking In The Rural Southwestern United States, Celina Gerese Bryant

Walden Dissertations and Doctoral Studies

Many victims of domestic violence who seek help are never able to break the cycle of abuse. Many studies address the stages and types of domestic violence, but few focus on successful recovery from abuse. The purpose of this study was to fill the gap in the literature concerning battered women's help-seeking processes in rural southwestern United States. The specific focus was on how victims and survivors of intimate partner violence seek help for domestic violence issues and whether their help-seeking processes determine successful recovery from domestic violence situations. This study was a qualitative case study based on symbolic interactionism …

Mental Health Service Providers' Engagement Experiences Of Homeless Individuals, Tarsha Thomas-Richardson

Walden Dissertations and Doctoral Studies

Limited literature exists regarding best engagement practices of mental health service providers in encouraging the homeless individuals to participate in clinical mental health services in New York City. New York City has a population of more than 8.5 million, and in 2017 more than 129,803 homeless individuals slept in shelters. The purpose of this phenomenological qualitative study was to gain more insight and knowledge about the best engagement practices and experiences of mental health service providers in encouraging homeless individuals to participate in clinical mental health services. The conceptual framework used to guide this study comes from Kearsley and Shneiderman's …

Self-Care Practices And Therapist Beliefs Among Home-Based Mental Health Professionals In Relation To Burnout, Heidi C. Myers

Walden Dissertations and Doctoral Studies

In 2012, research suggested that 21% to 67% of mental health professionals experience burnout. Burnout is described as a negative experience resulting in workplace stress that produces psychological, emotional, physical, and somatic symptoms. The purpose of this study was to examine a quantitative, correlational relationship between self-care practices and therapist beliefs in relation to burnout among home-based mental health therapists. The research question concerned whether there is a relationship between therapist beliefs, self-care, and burnout among home-based therapists. Equity theory was the base theory used for this project, indicating that reciprocity between therapist and client or therapist and supervisor may …

Social Workers' Experiences With Deaf And Hard Of Hearing People With Mental Illness, Makoto Ikegami

Walden Dissertations and Doctoral Studies

The social work practice problem for this study was a lack of knowledge about social workers' experiences of working with deaf and hard of hearing people with mental illness. This study was needed to fill a practice gap by increasing an understanding of the experiences of social workers to inform best practices and address the needs of deaf and hard of hearing population through culturally and linguistically competent mental health services. The research questions focused on the experiences and challenges of social workers working with deaf and hard of hearing people and best practices identified by these social workers. Ecological …

Assessing Perceptions Of Posttraumatic Stress Disorder Among A Cohort Of Noncontracted Rotc Cadets, Stephen P. Gontz

Walden Dissertations and Doctoral Studies

Stigmatization has shown to negatively impact service members with Posttraumatic Stress Disorder (PTSD). Published research has shown stigma to significantly affect service members through increased suicide, homicide, unemployment, homelessness, and criminal justice system interaction rates. Additionally, stigma also affects overall readiness and cohesion of the military organization. However, little research has focused on the perceptions of Reserve Officer Training Corps (ROTC) cadets about service members with a combat-related stress disorder in which they will eventually be charged with leading. The purpose of this quantitative study was to measure a cohort of ROTC cadets and determine their perceptions about service members …

Mental Health Service Providers' Engagement Experiences Of Homeless Individuals, Tarsha Thomas-Richardson

Walden Dissertations and Doctoral Studies

Limited literature exists regarding best engagement practices of mental health service providers in encouraging the homeless individuals to participate in clinical mental health services in New York City. New York City has a population of more than 8.5 million, and in 2017 more than 129,803 homeless individuals slept in shelters. The purpose of this phenomenological qualitative study was to gain more insight and knowledge about the best engagement practices and experiences of mental health service providers in encouraging homeless individuals to participate in clinical mental health services. The conceptual framework used to guide this study comes from Kearsley and Shneiderman's …

African American Christian Senior Pastor's Beliefs About Mental Health Treatment, Trinaa L. Copeland

Walden Dissertations and Doctoral Studies

In the African American community, the Black Church and its clergy have served as gatekeepers to formal mental health treatment. Little is known about the beliefs of African American Christian senior pastors about mental health treatment and their personal views influencing their counsel to congregants seeking support through the church. This transcendental phenomenological study explored the lived experiences of African American Christian senior pastors in relation to how they understand mental health treatment and provide it to their congregants. The research questions explored three areas: (a) the senior pastors' experiences in rendering mental health treatment, (b) the senior pastors' personal …

Perceptions Of Failed Foster Care, Nathaniel Mitchell

Walden Dissertations and Doctoral Studies

Abstract

The purpose of this action research study was to investigate social workers' perceptions of the problems that prevent successful family reunifications after foster care. The study explored social workers' perceptions of barriers that prevent family reunifications in central Mississippi. Using Bronfenbrenner's ecological theory as the framework, the research question explored the problem from multiple levels of practice including family, individual, institutional, and community. The focus group approach aligned with the project goal by allowing participants opportunities to share experiences and perspectives regarding family reunifications. The study used a purposive sample of 10 participants who were practicing licensed social workers …

Success And Failure Of Drug Rehabilitation: Pets Accompanying Clients To Treatment, Rikki Schwab

Walden Dissertations and Doctoral Studies

This research addresses the use of canine animals in substance abuse treatment. There is research that addresses the importance of animals regarding therapy and mental illness, as well as research on the comorbidity of severe mental illness and substance abuse disorder. However, there is no research that looks at utilizing canines in substance abuse therapy. The purpose of this research was to examine the utilization of canine animals in rehab for those with substance abuse issues. The theoretical foundation for this study is the theory of contextualism. This theory focuses on humans with animals. To address the gap in research, …

Lgb Help-Seeking For Mental Health And Substance Abuse Services In Rural Northern Michigan, Jennifer Towns

Walden Dissertations and Doctoral Studies

Lesbian, gay, and bisexual (LGB) individuals are often exposed to stressors based on their nonheterosexual status; they may have unique needs related to help-seeking for mental health in a rural area where more people identify as religious or as politically conservative. To date, there have been no studies on the mental health help-seeking experiences of LGB individuals in rural Northern Michigan. This qualitative, single case study was completed to explore the help-seeking experiences of 10 LGB individuals who were recruited through criterion and snowball sampling. In-depth, semi structured interviews were conducted. Transcribed interview data were entered into Nvivo software for …

Minority Stress And Mental Health Among Transgender Persons, Elizabeth Alice Sapareto

Walden Dissertations and Doctoral Studies

Transgender people, a minority population, are at increased risk for negative health and mental health consequences. Profound societal discrimination and stigmatization lead to systemic institutional barriers and lack of access to health care services. Research with lesbian, gay, and bisexual populations shows a strong association between minority stress and mental health; however, there is a gap in research for the transgender population. This study, based on theories of minority stress, positive psychology, the biopsychosocial model, and the transgender model, was conducted to clarify this relationship for the transgender population. Four research questions were proposed. A final sample of N = …

Length Of Pretrial Detainment For Inmates With Mental Illness, Maria Pereira-Sosa

Walden Dissertations and Doctoral Studies

There has been an increase in the number of individuals with mental illness being housed in correctional facilities over the last 50 years. In this study, the length of pretrial detention was compared for inmates who have a mental illness and are compliant with psychiatric medications, inmates who have a mental illness and are noncompliant or not prescribed psychiatric medication, and inmates with no mental illness. I also examined if inmates who have a mental illness have less severe charges and if there was a difference in the classification of mental health diagnoses for inmates who are and are not …

A Comparative Analysis Of Family Therapies On Youth With A Co-Occurring Disorder, Rochelle Henderson-Clark

Walden Dissertations and Doctoral Studies

There are approximately 1.3 million youth who have been diagnosed with a co-occurring disorder. The purpose of this study was to analyze the relationship between the type of therapy (brief strategic family therapy or family functional therapy), demographic factors (age, race, type of drug used), and therapy discharge status (successful or unsuccessful) in male youth with a co-occurring disorder of attention-deficit hyperactivity disorder and substance use disorder. A correlational research design of a cross-sectional nature was used for this study and secondary data were obtained from a mental health agency located in Hampton Roads Virginia. The theoretical basis for this …