Counseling Commons^™

Perspectives On Care Coordination For Youth With Tbi: Moving Forward To Provide Better Care, Jennifer P. Lundine, Erika Hagen, Susan C. Davies

Counselor Education and Human Services Faculty Publications

BACKGROUND: Care coordination aligns services and optimizes outcomes for children with traumatic brain injury (TBI), yet numerous obstacles can impede effective care coordination following a TBI.

OBJECTIVE: The goal of this work is to identify barriers and facilitators to care coordination from the perspective of individuals who care for young people impacted by TBI.

METHODS: Twenty-one care providers participated in semi-structured interviews to gather their perspectives on systems of care coordination for youth with TBI and potential areas for improvement. Using reflexive thematic analysis, researchers identified key themes across interviews.

RESULTS: Three themes were identified: 1) gaps in knowledge; 2) …

The Strong Black Woman Schema: A Proactive Approach To Conceptualizing And Providing Mental Health Treatment For Black Women Who Identify With The Strong Black Woman Schema, Kendra Mulder

DSW Capstone Projects

The Strong Black Woman Schema is the ideology that Black women should display mental and physical strength, stoicism, and nurturer traits. While Black women who identify with this schema typically associate this term with a positive identity, there are adverse outcomes that stem from this identification. Black women who identify with the Strong Black Woman schema experience higher rates of depression, anxiety, and psychological distress. No treatment modality has been determined to treat Black women who identify with the Strong Black Woman Schema. This capstone presentation will present a systematic literature review that discusses how the Strong Black Woman Schema …

Attitudes Of Therapists Surrounding Sand Tray Therapy With Adults, Madalyn Cooke

Theses and Dissertations--Family Sciences

Sand tray therapy provides a unique experience for adults and children to interact with their experiences and feelings from a distance. However, it is not used as frequently as talk therapy techniques in adult therapeutic treatment. The following thesis explores therapists’ attitudes about using sand trays with adults. A qualitative thematic analysis suggests that while some therapists deem sand trays as helpful with treatment, especially for clients who have a history of trauma, there are barriers for therapists to overcome in order to incorporate sand trays more frequently into practice with adult clientele.

An Investigation Of Healthcare Professionals' Perspectives On The Tasks Of Mental Health Counselors In Hospital Settings, Suelle Micallef Marmara, Gülşah Kemer

Counseling & Human Services Faculty Publications

In this study, we attempted to understand what other healthcare professionals considered mental health counselors’ (MHCs) tasks in their hospital setting to facilitate medical and mental health services and enhance patients’ well-being. Using an exploratory sequential mixed-methods design (concept mapping), we obtained 3 regions of MHCs’ tasks (i.e., Overarching Roles and Responsibilities of MHCs in the Hospital Setting, MHCs’ Specific Roles in the Hospital Setting, and MHCs’ Roles and Responsibilities as a Multidisciplinary Team Member) represented in 11 clusters. We discussed the results with implications for MHCs, healthcare professionals, counselor educators, and researchers, along with the current study's limitations.

Didactic Recommendations For Teaching About Integrated Care In Human Services Addiction Education, Kristy Carlisle, Mary Mccloskey

Counseling & Human Services Faculty Publications

This article presents didactic activities and recommendations to implement in human services addiction education that uses Transformative Learning Theory to teach about integrated care approaches that are associated with improved client outcomes. Authors discuss learners’ attitudes and beliefs towards addiction and evidence-based treatment exploring traditional, evidence-based, and holistic treatment practices and experiential learning and reflection. The innovative goal of this article is to advocate for addiction education that expands learners’ belief systems so that they are more open to integrated care options that cater to each individual they treat.

"Teamwork Makes The Dream Work": Infusing Interprofessional Education Into Human Services Curriculum And Training, Nicholas Schmoyer, Kristy Carlisle

Counseling & Human Services Faculty Publications

Given the provision of health and wellness services is shifting towards an interdisciplinary framework, human services professionals may be in a unique position to collaborate with various professionals in the pursuit of client welfare. To competently engage in interprofessional care, interprofessional education (IPE) in human services training programs is necessary. This paper points to the alignment between human services organizations, values, and practice with the Interprofessional Education Collaborative’s competencies and makes recommendations for the didactic infusion of IPE into human services programs, curricula, coursework, and experiences.

"I'M Just Very Open To Trying New Things": Past Sexual Experiences And Sexual Curiosity In Bisexual Women, Rosalyn Zacarias

UNF Graduate Theses and Dissertations

Bisexuals make up a large percentage of the LGBTQ+ community. Despite this, they remain invisible in the literature. Sexual curiosity is also a concept with limited and confusing literature. The purpose of the study is to look past sexual experiences and their influence on sexual curiosity in bisexual women. The contribution of this study aims to better understand how bisexual women make meaning out of their experiences and highlight the importance of sexual health research. Data was gathered with a sample of 6 bisexual women ranging from 19-29 years old using semi-structured interviews. Three superordinate themes and five subordinate themes …

The Relationship Between Religiosity And Tobacco Use In A Mexican Spanish Speaking Sample In The United States, Lauren Hales

Master's Theses

To address disparities in minority mental health access and treatment, this study examined the relationship between tobacco use and religiosity, focusing on a Mexican Spanish speaking sample. Based on past research, it was hypothesized that religiosity would act as a protective factor against tobacco use characteristics. Participants were recruited through Amazon’s M*Turk survey platform. The sample included 144 adults aged 18+, currently residing in the US, who speak Mexican Spanish, have had an interaction with a medical provider in the last six months, and have used tobacco daily at some point in the last six months. Along with demographic information, …

Contributions To Professional School Counselors Entering And Remaining In The Profession: A Grounded Theory, Kathryn Babb

Electronic Theses and Dissertations, 2020-2023

As the mental health needs of children and adolescents have reached a crisis level, the need for trained mental health professionals in the field is as important as ever. However, many states are currently experiencing a shortage of educators, including school counselors. Therefore, the purpose of this study is to understand the factors that contribute to school counselors selecting their career, as well as understanding what elements lead to the retention of professional school counselors. As there are no existing theories related to understanding the career choice of professional school counselors, nor pertaining to the supports leading to the retention …

Predictors Of Burnout For Immigrant Mental Health Professionals In The United States, Rakesh K. Maurya, Isabel C. Farrell, Dareen Basma, Amanda C. Dediego, Kara M. Hurt-Avila

UNF Faculty Research and Scholarship

Mental health professionals who identify as immigrants encounter personal and professional barriers that can impact overall wellbeing. The current study conducted a survey of 108 licensed mental health professionals who identify as immigrants practicing in the United States. The survey included demographics as well as assessments of burnout, social support, and migratory grief and loss. The results of this study highlighted that a combination of higher migratory grief and lower perceived social support significantly predicted higher levels of burnout in mental health professionals. Implications for mental health programs, supervisors, and mentors and suggestions for future research are provided.

Professional Counseling/Psychotherapy And Its Influence On Emotional Intelligence And Authentic Leadership Development: A Qualitative Participatory Inquiry Research Study, Jenny Lee Broaddus

Dissertations

The authentic leadership theory acknowledges that leaders must advance their introspection to gain self-awareness, balanced processing, internal moral perspective, and relational transparency. Leaders may desire to lead effectively, yet modern leaders lack emotional intelligence, authenticity, and a vehicle to acquire (Northouse, 2019). Like authentic leadership, emotional intelligence is favored in leaders to include self awareness, emotional management, empathy, and relationship management (Goleman, 1995). Much research surrounds emotionally intelligent competencies in leadership, but limited research targets behaviors for development. A look at psychology and counseling revealed that self-awareness, a standard competency in authentic leadership and emotional intelligence, is also the primary …

Characteristics Of Effective Postsecondary Advising: How Often To Meet And What To Focus On, Grace Pai, Melissa De Feo

Journal of College Access

Using data from a large-scale senior exit survey administered at public high schools in New York City, this study aims to parse out what quantitative and qualitative characteristics of postsecondary advising are most influential in predicting students’ likelihood to attend college. We apply a broader conceptual framework for postsecondary advisement that includes school-based college advising as well as parental advisement on college and career planning. Results from logistic regression analyses show receiving help in completing college applications, along with talking to a counselor and parents/guardians at least 3 times in their senior year, to be salient predictors of college-going.

Lusting After God : Sexual Struggle As A Catalyst For Spiritual Intimacy And Healing, David L. Janvier

ATS Dissertations

No abstract provided.

Magnetic Hallway Huddles: Attract And Retain High-Quality Professionals, David Wolff, Carissa Gober, Donna Zerr

Open Educational Resources - Teaching and Learning

This presentation was conducted for a national conference about mentoring. The authors discussed Tinto’s Model of Institutional Departure and Schlossberg’s Model for Analyzing Human Adaptation to Transition as theoretical frameworks to explain the transition and retention of university professors. The focus on the study was the three authors who transitioned to the same university during the 2022-2023 academic year. Authors discussed their experiences of the transition and found themes related to the mentoring process that that acclimated them to the institution and influenced their retention.

District-Level Supervisors: Leaders And Advocates For School Counseling, Thomas M. Mitchell

Theses and Dissertations

All school counselors are expected to serve as leaders and advocates in their school communities. However, many are underprepared for the work after they complete graduate-level training. The present study explored the experiences of district- level school counseling supervisors in facilitating leadership development with professional school counselors. District-level supervisors are ideally placed to support school counselors in their leadership development and advocacy work. Through a semi- structured interview process, eight district-level school counseling supervisors provided information about their leadership development experiences. Data analysis yielded four themes in this descriptive phenomenological study involving social justice, role advocacy, barriers to effective leadership, …

Exploring Polyamorous Relationship Experiences Of Lesbian, Gay, Bisexual, And Pansexual Individuals, Jiale Man

Theses and Dissertations

Polyamory is a type of relationship under the consensual non-monogamy relationship umbrella that assumes the possibility, validity, and worthwhileness of maintaining romantic, sexual, and intimate relationships with multiple people simultaneously. In Western society, the prevalence and domination of mononormativity have led to the marginalization of relationships alternative to monogamy (i.e., polyamory). As a result, individuals in polyamorous relationships continue to experience bias, stigma, and discrimination at varying levels. With a rise in public interest in CNM in the past two decades, scientists and researchers have slowly started to examine various topics related to CNM, including its prevalence, public attitudes toward …

Initial Psychometric Evaluation Of An Observer-Rated Measure Of Shared Decision Making Practices In Youth Psychotherapy, Jennifer Lc Herbst

Theses and Dissertations

SDM is a process by which clinicians and clients collaboratively make treatment decisions; this process may improve the alliance and clinical outcomes. SDM in youth psychotherapy is understudied, and a critical gap in the field is the paucity of established measures designed to assess SDM practices in youth psychotherapy. This project aimed to fill this gap by examining the score reliability and validity of a novel observer-rated measure of SDM designed for youth psychotherapy—the Shared Decision Making Practices in Youth Mental Health scale (SDM-YMH)—and using the measure to investigate linkages between SDM practices, the alliance, and clinical outcomes. Therapy tapes …

Family-Based Support As Social Determinants Of Health Protective Factor On Depression Of Parents Of Children With Autism Spectrum Disorder, Bisola E. Duyile

Theses and Dissertations

All parents experience challenges in their caregiving roles (Barańczuk & Pisula, 2020). However, parents raising a child/children with disabilities experience different social barriers (Oliver, 1996) that may also contribute to additional stressors in their caregiving role (Tomeny, 2016). Although these parents, on average, have reported greater symptoms of depression than parents of typically developing children, research shows that parents who reported receiving social support had lower symptoms of depression and stress (Das et al., 2017; Singh et al., 2017). Through the social determinants of health (SDOH) framework (ODPHP, 2022), the present study investigated informal/family-based support and its protective impact on …

The Effects Of Relational Poverty: Healing Our Culture, Jenet Erickson

Issues in Religion and Psychotherapy

One of the most vexing challenges of our day is a profound hunger for connection, evidenced by an epidemic of loneliness, violence, relational poverty, and increasing mental health challenges. We are born to be in deep connection with others. As German analyst Frieda Fromm-Reichman wrote, “The longing for interpersonal intimacy stays with every human being from infancy through life, and there is no human being who is not threatened by its loss.” A radical cultural focus on autonomy with the associated ruptures in family stability, decreased religiosity and community engagement have increased loneliness in spite of the seeming “connectivity” of …

Secondary Traumatic Stress Is An Occupational Hazard For Pet Hospice Support Staff: Psychoeducational Support Groups Provide The Cure, Kari Hayden

DSW Capstone Projects

There are three separate yet interrelated products presented in this final capstone product. The completed product is focused on pet hospice veterinary support staff and the need for an evidence-based social work intervention to combat secondary traumatic stress. This capstone uses the andragogical approach to adult learning theory as the foundation to construct a psychoeducational peer support group specific to this population. Implications for clinical social work in veterinary medicine are presented within this project.

The first scholarly product presented is the Systematic Literature Review (SLR). The SLR utilizes a scoping review process in an attempt to locate prior research …

Treatment Of Borderline Personality Disorder: Re-Envisioned To Mitigate Stigma And Enhance Treatment Effectiveness, Abigail Lorraine Steinkamp

DSW Capstone Projects

Borderline personality disorder (BPD) and the characteristics that define it are often viewed negatively by therapists and other mental health providers. Terms to describe these clients commonly include “manipulative”, “attention-seeking”, and “always in crisis.” Because of this jargon, there is a deep-set stigma that surrounds the disorder. Therapists and treating clinicians base their decisions and treatment protocol on hearsay of the disorder and already have an image of their prospective BPD client before the client enters their office. This capstone project seeks to inform clinicians about the present stigma and provides tools that are proposed to reduce stigmatizing beliefs within …

Non-Traditional Adult Learners After Covid-19: Applying National Standards For Online Teaching In Human Service Education, Chaniece Winfield, Kathryn Hughes, Jessica L. Huffman

Counseling & Human Services Faculty Publications

After the COVID-19 pandemic, the field of higher education increased its attention on quality distance learning for traditional and non-traditional adult learners. While the world saw an increase in online education enrollment as a result of the pandemic, non-traditional adult learners have historically relied on this method of education delivery to support their success in the collegiate setting. As the field of human service education supports the offering of distance learning instruction, it is vital for human service educators to consider the National Standards for Quality Online Teaching when educating adult learners. The authors of this article provide an overview …

A Constructivist Grounded Theory Analysis Of Seven Medical Provider Perspectives On Major Barriers To Prescribing Buprenorphine To Youth With Opiold Use Disorder In Outpatient Medical Settings: "We Should Be Providing Them With What We Know To Be The Gold Standard Of Care"., Maeve O'Leary Sloan

Antioch University Dissertations & Theses

This study utilized Primary Care Provider (PCP) perspectives to unveil major barriers to prescribing buprenorphine to youth (ages 16-25) with opioid use disorder (OUD). Semi-structured interviews were conducted with seven PCPs recruited through convenience and snowball sampling. Interviews were conducted and recorded via Zoom video conferencing. Transcripts were generated and analyzed for themes using a Constructivist Grounded Theory (CGT) approach. The CGT of the present study describes four major barriers that limit PCP prescription of buprenorphine to youth: 1) PCPs Feel Overwhelmed, 2) PCPs Feel Ill Equipped to Treat Youth Patients with OUD, 3) PCPs Hold and Observe Stigma toward …

How Is Obsessive-Compulsive Disorder Taught In Graduate Counseling Programs?, Laura Smestad

Antioch University Dissertations & Theses

The purpose of this study was to investigate how OCD is taught in graduate counseling programs. A quantitative approach with a qualitative element was used to explore the experiences of master’s-level counseling students learning about OCD as well as to examine specific information taught about OCD in graduate counseling programs. Participants completed the OCD Counselor Education Questionnaire to assess how OCD was taught in their diagnosis coursework. Quantitative survey questions were analyzed using a frequency analysis, and qualitative answers were analyzed using thematic analysis. Findings revealed significant gaps in graduate counseling curriculum related to OCD symptomology, misdiagnosis, and evidence-based treatments, …

How Cultural Believes Support And Perpetuate Relational Violence: A Delphi Study For Violence Prevention, Alisha D. Guthery

Antioch University Dissertations & Theses

This study solicited experts in relational violence across the United States using the Delphi methodology and grounded theory. This research was conducted in two phases and designed to answer two primary questions: (1) What cultural beliefs are involved in relational violence in the United States? And (2) How are the beliefs about relational violence maintained? The findings showed agreement from the experts on the societal beliefs that hold relational violence, the specific beliefs held by the abuser, and the impacts of these beliefs on the survivor. The experts offered ideas for intervention and prevention, which are important contributions to professional …

Ukrainian Women Refugees In Italy And Their Risk Of Sexual Violence: An Interview With Luisanna Porcu, Lepa Mladjenović

Dignity: A Journal of Analysis of Exploitation and Violence

No abstract provided.

An Experiential Qualitative Analysis Exploring The Sexual Identity Experiences Of Latino Caribbean Cisgender Gay Men, Starlin Astacio

Antioch University Dissertations & Theses

This qualitative study aims to explore the unique experiences and challenges faced by Latino Caribbean cisgender gay men within their cultural and social contexts. Using focus group and thematic analysis, the researcher examines the narratives and perspectives of a diverse sample of Latino Caribbean cisgender gay men (n = 6) to gain insights into their sexual identity process, cultural influences, family dynamics, and support systems utilizing Interpretative Phenomenological Analysis (IPA) as the methodological framework. The researcher’s findings highlight the themes of Awareness of Sexual Identity, Visibility Management, Spanish Caribbean Families' Influences, Being True to Oneself, and Positive Experiences & Role …

An Exploration Of Quality Of Life Perceptions Of Cochlear Implant Recipients And Their Frequent Communication Partners, Jessica L. Bishop, Ashley G. Flagge

Ashley Flagge Publications

Purpose: Quality of life (QoL) after cochlear implantation has been investigated using a variety of QoL questionnaires. However, few studies have examined the perceived QoL of cochlear implant (CI) recipients compared between the recipient and a frequent communication partner (FCP) using both hearing-related (hearing-specific), and health-general (health-general) measures.

Method: For this multiple case study, five participant pairs were recruited, consisting of five adult recipients who were implanted at least six months prior to the time of evaluation, and five adult frequent communication partners who lived with the recipient at the time of evaluation. All ten participants (five pairs) completed a …

Cultural Competence With Humility Using Interprofessional Multicultural Learning Activities: Student Perceptions, Michele L. Tilstra, Cara A. Berg-Carramusa, Tiffany J. Peets, Karen M. Keptner

Journal of Occupational Therapy Education

This study examined students’ perceptions of interprofessional multicultural learning activities used to develop cultural competence with humility (CCH). Limited research exists on student perceptions of learning activities for CCH in entry-level occupational therapy educational programs. This exploratory, mixed methods study used an anonymous online survey, the Learning Activities Survey (LAS), to collect student quantitative ratings and qualitative feedback about CCH learning activities and their experience within the Counselors and Occupational Therapists Professionally Engaged in the Community (COPE) program. A deductive thematic approach was used by two investigators for qualitative analyses of COPE learning activities by alignment …

Inclusive Practices In Catholic Education: A Restorative Realignment, Carla Vellutini

University of the Pacific Theses and Dissertations

Catholic schools need to examine the barriers to, benefits of, and interventions needed when implementing inclusive practices into their institutions. Catholic schools are experiencing an increase in enrolled students identified with learning and behavioral needs; however, they frequently lack resources and expertise to provide the necessary support for these students and their families to succeed. Research studies identify teacher attitudes and perceptions regarding inclusive practices as vital factors to create successful culture change.

A single group pretest-posttest design, incorporated into this action research study, measured the attitudes and stress of teachers before and after a 14-week long intervention for eight …