Black Maternal Mental Health: Counseling Considerations For Prenatal Depression And Anxiety, Morgan Renee Williams

Educational Specialist, 2020-current

The maternal mortality rate of Black women in the United States is four times higher than white women (Centers for Disease Control and Prevention, 2020). The CDC defines a maternal death as “the death of a woman while pregnant or within 42 days of termination of pregnancy… but not from accidental or incidental causes” (Centers for Disease Control and Prevention, 2024, para. 1). This statistic is a consequence of the inequality within and outside of the American healthcare system (National Academies of Sciences, Engineering, and Medicine, 2020). For the purposes of this research, Black women are defined as any women …

Neurodiversity In Counseling: Counseling Strategies For Supporting Neurodiverse Clients, Emily R. Plowright

Educational Specialist, 2020-current

Neurodiversity recognizes the natural differences in human functioning, including the unique ways that individuals think, learn, and process information. The neurodiversity movement views these differences as valuable, challenging historical beliefs that label them as deficits. Despite growing awareness of neurodiversity, counseling research and practice have largely overlooked the unique needs of neurodiverse clients, resulting in barriers to accessing mental health care. This paper addresses the concept and models of disability to provide context for understanding neurodiversity. Neurodiverse identities, such as attention-deficit/hyperactivity disorder (ADHD), autism spectrum disorder (ASD), specific learning disorders (SLDs), and tic disorder, are explored through their diagnostic criteria …

Cultivating Trauma Competency: Counselor Development Through Education And Experience, Kayla Bryant

Dissertations, 2020-current

This dissertation explored the development of trauma competency. Considering the prevalence of trauma and the ethical demand for counselors to work within their scope of competence, it is necessary they have skills to work with trauma. The intent of this dissertation was to contribute to the literature by providing strategies for counselor educators aiming to support counselors-in-training in their trauma development. Grounded in attachment theory, these articles acknowledge the personal lived experiences of counselors and their professional needs. The first article, a conceptual manuscript, provides strategies for counselor educators to integrate trauma competencies at the master’s level. Using both experiential …

Exploring Play: Counselor Education Strategies, Online Community Fantasy Play, And Sexuality In The Counseling Space, Nattalie Wolff-Tseng

Dissertations, 2020-current

This dissertation examines the ways that play is constructed and understood in a variety of settings. Using Relational Cultural Theory as a guiding theoretical influence, each portion examines how play influences relationships and how engagement in play and conversations about play can enhance student–teacher relationships, social connection, and the therapeutic relationship. The first section of this dissertation, the conceptual article, explores how play can support counselor education as it encourages creative engagement and discourages perfectionism, which is often noticeable in novice counselors. Play may take many forms in the classroom and offers counselor educators the opportunity to tailor activity to …

Quality Care For Neurodivergent Youth, Emily V. Bogaev

Dissertations, 2020-current

Neurodivergent youth are becoming increasingly present in counseling settings, yet many counseling approaches have historically been shaped by deficit-oriented frameworks that conceptualize neurodivergence as something to be corrected. These perspectives may overlook the lived experiences and strengths of neurodivergent individuals. The purpose of this dissertation was to examine neurodivergence in counseling through three complementary manuscripts addressing conceptual foundations, youth perspectives, and counselor preparation. The first manuscript is a conceptual article that explores neurodivergent-affirming counseling and contrasts affirming frameworks with traditional deficit-based approaches. The second manuscript utilized a qualitative narrative inquiry design to explore neurodivergent youths’ perceptions of neurodivergence and the …

Professional Dispositions In Counselor Education: Building Consensus, Examining Lived Experience, And Advancing Relational Gatekeeping, Jina Yang

Dissertations, 2020-current

The purpose of this dissertation is to investigate how Council for Accreditation of Counseling and Related Educational Programs (CACREP)-accredited programs identify, implement, and assess essential professional dispositions among master’s-level counselors-in-training (CITs). The dissertation includes three components that examine conceptual, experiential, and consensus-based perspectives on professional dispositions within counselor education. The first component presents a conceptual framework for implementing gatekeeping practices that reflect the values of the counseling profession. Drawing on Relational-Cultural Theory (RCT), the article proposes gatekeeping strategies that emphasize mutuality and connection while accounting for sociocultural contextual factors and fostering psychological safety within the hierarchical dynamics inherent in evaluative …

Enhancing Access Through Integrated Behavioral Healthcare: Expanding Counselor Identity And Social Determinants Of Health Competency, Tiffany N. Snow

Dissertations, 2020-current

Abstract

The counseling profession has historically differentiated its identity by emphasizing a wellness-oriented approach. However, this has often led to the exclusion of counselors from integrated behavioral healthcare (IBH). With the 2024 enactment of the Mental Health Access Improvement Act, counselors now have unprecedented opportunities to serve as behavioral health providers in federal medical settings. This three-manuscript dissertation explores the intersection of counselor professional identity, social determinants of health (SDoH) competency, and interprofessional collaboration within IBH.

Manuscript 1 presents a conceptual framework for reconciling traditional counselor identity with the "medical model" of Primary Care Behavioral Health (PCBH), arguing that this …

Early Adolescent Intervention: A Therapy Group For Girls, Madelyn A. Ohm

Educational Specialist, 2020-current

As mental health concerns are on the rise, especially among adolescents, it is important to consider promoting early intervention. Paying attention to the nuances surrounding personal identity and interpersonal relationships during adolescence is crucial. Dialectical-Behavior Therapy (DBT) skills encompass just what is needed to address said nuances, including interpersonal effectiveness skills, emotion regulation skills, distress tolerance, and mindfulness. Thus, the proposed DBT group and therapeutic manual designated for adolescent girls summarizes and explores suggestions for early intervention of mental health services. This, alongside the careful attention to the population’s specific needs and noted modules, allows for the exploration of mental …

Perspectives Of Clients And Counselors Regarding Premature Dropout And Unsuccessful Long-Term Therapy: Similarities And Differences In Perspectives, Danilo Salli

Educational Specialist, 2020-current

Whether it manifests as premature dropout from therapy or unsuccessful long-term treatment, psychotherapy does not work for everybody who engages in it. The current paper aimed to synthesize and compare information regarding premature dropout and treatment failure from the perspectives of the two parties who participate in psychotherapeutic treatment: therapists and clients. Eight main studies were used in the literature review, each focusing on either/both therapist’s and/or client’s perspectives of the reasons for premature dropout or treatment failure. The current paper concluded that communication between therapists and clients is key to reducing unsatisfactory results in psychotherapy and presented a list …

There’S A Crisis Brewing In Higher Education, Caroline M. Graham

Dissertations, 2020-current

This dissertation addresses the increasing need to enhance crisis preparedness among student affairs practitioners in higher education. With the growing frequency and complexity of campus crises—ranging from mental health emergencies to incidents of violence, the preparedness and self-efficacy of those in student support roles are paramount. This three-manuscript dissertation explores crisis intervention training, crisis self-efficacy, and the lived experiences of student affairs practitioners navigating campus crises. The first manuscript provides a conceptual overview of the gaps in current crisis intervention training within graduate programs, advocating for the integration of core competencies informed by accreditation standards and professional associations. The second …

Unmasking Masculinities In Counseling: From Conformity To Connection, Kyle R. Rose

Dissertations, 2020-current

This dissertation explored the entanglements of professional counseling and masculinities across three manuscripts, to contribute to (1) healthier forms of gender expression within and beyond the spectrum of masculinities for individuals, (2) the counseling profession’s role in transforming hegemonic masculinity within communities, and (3) larger movements to subvert the patriarchy throughout society. The first manuscript is a conceptual article that presented the Relational Cultural Privileged Identity Counseling (RCPIC) model, an integrative framework designed to help counselors address hegemonic masculinity within the therapeutic relationship. Drawing from Relational-Cultural Theory (RCT) and Privileged Identity Exploration (PIE), this model provided a roadmap for compassionate …

Exploring Trauma Education And The Intersection Of Self-Efficacy, Ashlea Yearwood

Dissertations, 2020-current

Trauma education in counselor training programs is not only required for those accredited by the Council for Accreditation of Counseling and Related Educational Programs (CACREP), but a critical component in preparing counselors-in-training to work with clients who have been directly or indirectly impacted by a traumatic event. This three-article dissertation includes a conceptual manuscript, qualitative manuscript, and a quantitative manuscript regarding trauma education for counselors. The conceptual manuscript offers an approach to mitigating compassion fatigue through the utilization of attachment-based supervision when working with counselors-in-training. The qualitative manuscript aimed to utilize an interpretative phenomenological analysis to explore and understand what …

Ethics And Clinical Supervision: Understanding The Needs Of Counselors In Training And Self-Efficacy Development In Clinical Supervisors, Brooke Carroll

Dissertations, 2020-current

This dissertation examines foundational principles of ethics, clinical supervision, and clinical supervisor ethical decision-making self-efficacy development. Counselors-in-training, those who have completed their degrees but are not yet licensed, are profoundly impacted by their experience in clinical supervision. Therefore, it is imperative for the clinical supervisors who are leading this new generation of counselors to embody the highest respect and execution of ethical practice and ethical decision making. To do this, clinical supervisor ethical decision-making self-efficacy must be tended to, developed, and understood. When mastered, these clinical supervisors are better equipped to assist their supervisees through ethical dilemmas and critical incidents. …

Lgbtqia+ Competency In Counseling: Understanding Current Trends, Educational Experiences, And Counselor Identity Implications, Tyler Puryear

Dissertations, 2020-current

This dissertation presents is made up of three manuscripts. The first is a systematized review that synthesizes current literature to better understand the definition, development, and gaps in LGBTQIA+ competency. Eleven major themes were identified: competency frameworks, cultural humility over competence, competence in practice, barriers, intersectionality, subgroups, advocacy, allyship, pedagogy, language, and counselor attitudes. Findings suggest the field must move beyond static competency models toward a cultural humility framework. The qualitative study used constructivist grounded theory (CGT) to explore how recent graduates from counseling programs experienced learning about LGBTQIA+ counseling topics. Five themes emerged: faculty influence on learning, experiential learning …

Burnout And Self-Efficacy: Exploring The Rewards And Challenges Faced By Crisis Counselors Working In Emergency Department Settings, Ellen Dotas

Dissertations, 2020-current

This dissertation explores burnout and self-efficacy in counselors who work with clients in crisis in emergency department settings. Mental health and emergency departments are two areas that tend to report higher levels of burnout than are reported in other occupational fields. While much research has been done on the topics of burnout and self-efficacy, limited information is available about counselors who work in these crisis roles. This dissertation follows a three-manuscript format and includes a conceptual, qualitative, and quantitative manuscript. The conceptual manuscript explores the nature of the crisis assessment itself, focusing on the area of risk assessment. The qualitative …

Clinician Training, Support, And Self-Efficacy In Supporting Patients With Severe Persistent Mental Illness, Jaclyn Sharkey

Dissertations, 2020-current

Abstract

Severe and Persistent Mental Illness (SPMI) has existed long before the contemporary definitions that prevail in the present day. However, traditional perspectives and treatment of SPMI illness have been influenced primarily by the medical model of treatment, resulting in a diagnosis that feels demoralizing and inhibitive for the individual suffering, particularly if they do not share in this belief. The expansion of community-based programs for SPMI patients has provided many opportunities for counselors to work with these clients, however, training and research on how to address population-specific needs is severely lacking within counseling programs and counselor research. As the …

Exploring Ecowellness And Attachment Dynamics: Understanding Parental Experiences, Youth Perceptions, And Counseling Implications, Katelyn Dolieslager

Dissertations, 2020-current

This dissertation investigated the way in which EcoWellness and Attachment Theory implications interact, specifically emphasizing how integrating these components can enhance clinical practice with caregivers and youth. The first component of the dissertation explored how EcoWellness principles could be applied to strengthen child attachment through family engagement in outdoor activities. The conceptual article discussed how shared outdoor play and recreation offer families the opportunity to bond, improve communication, and develop secure attachments. It provides a framework for clinicians to use EcoWellness to help children recognize their connection to the broader natural world, which fosters emotional growth and attachment. The second …

Serving Minority Women Survivors Of Intimate Partner Violence, Consuelo Valentina Riso

Educational Specialist, 2020-current

Intimate partner violence (IPV) is a widespread public health concern that disproportionately affects women, particularly those belonging to minorities. In the United States, the prevalence of IPV among Latina women is influenced by intersecting factors such as immigration status, socioeconomic stressors, cultural values, and systemic barriers. Research and community initiatives addressing IPV among Latina women have included crisis hotlines, domestic violence shelters, advocacy programs, and bilingual services within community health centers. Research also highlights that culturally tailored services yield better outcomes than trauma-informed approaches alone.

Additionally, online interventions are emerging as promising tools to expand safe, accessible, and bilingual support, …

Counselor Educator Attitudes And Beliefs Toward Psychedelics And Pat, Kimberly Hughes

Educational Specialist, 2020-current

The psychedelic renaissance of the past two decades has introduced a new era of acceptability of and curiosity in historically maligned psychedelic compounds. With increasing positive evidence-based support, psychedelics and psychedelic-assisted therapies (PAT) are being embraced as legitimate psychotherapeutic mechanisms. The uptick in interest, acceptability, and use means that encountering psychedelics in the counseling room is not a question of if but when. As leaders within the field and educators of future generations of clinicians, counselor educators are uniquely poised to influence the field’s relationship with psychedelics. While no current studies have explicitly examined the attitudes and beliefs of counselor …

Let’S Get Creative: Using Creative Arts Interventions To Address Trauma Experiences, Ashley Oginz-Wilson

Educational Specialist, 2020-current

Trauma as a theme in counseling work is something that mental health clinicians are commonly exposed to. While there are standard practices and therapeutic modalities to address trauma in counseling, it is important to maintain flexibility as a clinician to best meet the individual needs of the client. This literature review explores ways to embrace creative counseling interventions in support of clients with trauma experiences. Creative counseling interventions could include art, music, dance and movement, nature, humor, drama, and play. The premise of such interventions is that they offer clients a new way to express their feelings, memories, stories, etc. …

Wellbeing In The Caribbean: Exploring Wellness In Afro-Caribbean Populations, Lynnquell S. Gardiner

Dissertations, 2020-current

Research on Caribbean individuals’ mental health and wellness is scarce in the literature, especially for those residing in Caribbean regions. The purpose of these studies was to examine local definitions of wellness and explore the role of nature for Afro-Caribbean (AC) individuals who make up most of the Caribbean’s population. Using two popular wellness models, relevance of application was explored for use with AC women participants. Interpretative phenomenological analysis (IPA) was further used to explore participants definitions of wellness, existing strengths, and challenges in maintaining balance as it relates to wellness. Family connection, rest, and being in nature were significant …

The Complexities Of The Counselor Identity Amid Mental Health Crisis Response In Higher Education: An Examination Of Ethical And Moral Challenges, Burnout And Support, Shayna Finn

Dissertations, 2020-current

Supporting faculty and students in crisis response on higher education campuses is of growing importance in light of the rising mental health issues that students are experiencing. The focus of this dissertation is to gain an understanding of the experiences of counselor educators due to their unique identities: those of a counselor and educator. The format is a 3-style article dissertation with the first 2 articles being data driven (1 quantitative and 1 qualitative study) and the third article is a conceptual piece. Manuscript 1 focuses on moral injury and burnout for those who identify as a counselor in higher …

Addressing Youth Mental Health Through School Counseling, Advocacy, And Student Voice, Elizabeth Dinwiddie

Dissertations, 2020-current

Youth mental health concerns, both diagnosed and undiagnosed, are a global public health concern. These concerns inevitably manifest in school settings, where K-12 youth are spending significant portions of their time. While schools, districts, and state and federal policies are working to expand mental health support in school settings, school counselors are still the most consistently/universally present mental health professionals in school settings across the United States. The combination of school counselor placement in school settings and training to identify and support youth mental health make them incredible assets in this work. Despite this, school counselors have historically managed inconsistent …

Revolutionizing Counselor Education Through Cultural Humility: A Critical Examination Of Pedagogical Practices, Educators’ Experiences, And Determining Factors, Renee L. Haskins

Dissertations, 2020-current

This dissertation addresses the need for counselor educators and supervisors to cultivate cultural humility to adequately prepare their students and supervisees for the complexities of working with diverse client populations. Emphasizing the ongoing need for self-reflection and the evaluation of biases within multicultural contexts, this series highlights the dynamic nature of competency development in counseling. Through an exploration of personal experiences and perspectives, counselors at all career stages are encouraged to engage in continuous growth, thereby enhancing their capacity to navigate diverse cultural landscapes and serve clients effectively. The first manuscript provides a conceptual exploration, focusing on the pedagogical approach …

Exploring The Intersection Of Mental Health, Self-Advocacy, And Sense Of Belonging Among Rural, First-Generation College Students, Sarah Johnson

Dissertations, 2020-current

This dissertation delves into the intersections of social and cultural capital, self-advocacy, sense of belonging, and the experiences of mental health help-seeking among rural, first-generation college students. Rural, first-generation college students face unique challenges throughout their academic journey, this dissertation aims to contribute to the literature by examining the experiences and support mechanisms that are crucial for this population to be successful in higher education. This dissertation follows a triple-manuscript style, including a conceptual manuscript, quantitative manuscript, and a qualitative manuscript. The conceptual manuscript examined how college counselors can build contextual social and cultural capital among rural, first-generation college students …

Lived Experiences Of Korean Immigrant Women In The U.S., Jinok Lim

Dissertations, 2020-current

Korean immigrant women encounter distinct challenges during and after the immigration process, yet there is a noticeable scarcity of research focusing on this demographic. Immigration, often perceived as a traumatic experience, exerts a profound impact on various facets of immigrants' lives. Despite trauma's potential to yield diverse negative consequences, there exists acknowledgment of positive transformations following such experiences, commonly referred to as posttraumatic growth. This research endeavors to scrutinize the phenomenon of posttraumatic growth in Korean immigrant women. The initial investigation employs a quantitative approach to explore the correlation between immigration-related factors—such as age at immigration, English proficiency, acculturation level, …

The Lived Experience Of Counseling Students In Natural Disaster, Amy M. Sirocky-Meck

Dissertations, 2020-current

After natural disaster, survivors may experience moderate to severe signs and symptoms of emotional distress which may subside or worsen as time passes (Substance Abuse and Mental Health Services Administration, 2022). Adults pursuing higher education when natural disaster strikes experience an additional array of unique issues which may exacerbate symptoms of emotional distress (Wilkinson et al.,2013). To create and improve curricular and co-curricular structures that meet the needs of their students, educators in many health and mental health disciplines can draw from a variety of quantitative and qualitative studies, particularly those focused on how their disciplines’ students navigate the experience …

Affirmative And Integrative Counseling For Lgbtqia+ Individuals, Allison De Blois

Educational Specialist, 2020-current

Counselors are ethically obligated to serve LGBTQIA+ clientele and therefore should strive to integrate an affirmative approach to counseling. A counselor may say that they are providing affirming care, however it is important to reflect on what affirming counseling is in application. To better serve LGBTQIA+ clientele, counselors may grow their affirmative counseling approach by being knowledgeable of historical considerations, evidenced-based approaches to implement, clinical recommendations for a counselor to implement, and considerations on advocacy practices and resources.

You Have Every Right To Be Angry: Impacts Of The Angry Black Woman Stereotype And Counseling Considerations For Helping Black Women Honor Their Anger, Jenelle Francis

Educational Specialist, 2020-current

The Angry Black Woman (ABW) stereotype depicts Black women as hostile and aggressive. It is rooted in slavery and functions to silence and invalidate Black women. The ABW stereotype perpetuates racist ideology and is used to control the narrative of Black women and justify their mistreatment. Black women are faced with the impacts of the ABW stereotype throughout different areas of their life, beginning in childhood. Because of the risk of being negatively and inaccurately perceived, Black women have had to filter themselves to not be labeled as aggressive, hyperemotional, and/or the “angry” Black woman. This paper explores the history …

Affectionately Attached: The Impact Of Attachment Styles On Sexual Self-Concept Among Adults Who Identify As Lgbtgeqiap+, Karli M. Fleitas

Dissertations, 2020-current

The aim of this quantitative research study was to investigate the interplay between attachment orientation and subscales of sexual self-concept among an exclusively LGBTGEQIAP+ adult sample. A Pearson’s correlation coefficient was computed to examine attachment anxiety and avoidance with four subscales of sexual self-concept including, sexual motivation, sexual satisfaction, sexual consciousness, and sexual monitoring. The purpose of this study was two-fold—to compare findings with non-LGBTGEQIAP+ samples and provide new data. The relationships between attachment insecurity (i.e., anxious and avoidant attachment) and sexual motivation and satisfaction were compared to prior findings in the literature. Each test was statistically significant and negatively …