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Full-Text Articles in Development Studies

“When I’M Not Heard, I Feel Like I Don’T Matter”: Advancing Equity In Disability Policy Through Critical Participatory Action Research With People With Intellectual Disability, Cris Marchionne Aug 2026

“When I’M Not Heard, I Feel Like I Don’T Matter”: Advancing Equity In Disability Policy Through Critical Participatory Action Research With People With Intellectual Disability, Cris Marchionne

Student Theses

People with intellectual disability deserve a system that offers flexible, timely, and person-centered support — one that is innovative, sustainable, and holistic in enabling them to live fulfilling lives. This qualitative study, grounded in Critical Participatory Action Research (CPAR), examines how people with intellectual disability experience participation in decision-making within New York State's disability service system. By centering lived experience, the study identifies factors that facilitate or hinder participation in decision-making and examines structural, social, and policy-related barriers that limit agency. Through six focus groups and a Photovoice project with self-advocates receiving OPWDD services, participants described systemic barriers that limited …


Reflections In Practice, Joshua William Erickson Aug 2026

Reflections In Practice, Joshua William Erickson

Graduate Student Portfolios, Professional Papers, and Capstone Projects

This portfolio narrative documents my professional development through the Master of Social Work program at the University of Montana. It discusses how I've developed my skills through practicum sites at Youth Villages and the Program of All-Inclusive Care for the Elderly (PACE) at Cambridge Health Alliance (CHA) as well as coursework spanning from clinical practice, policy analysis, program evaluation, and community organizing. Using the Five Elements of Advanced Integrated Practice and all ten CSWE competencies as an organizing structure, clinical skills with adolescents, families, and older adults are reflected on. Growth in macro-level practice, program evaluation, and interdisciplinary leadership is …


The Legacy, Importance, & Impact Of Lend: Evidence And Personal Stories, Emily Zalimeni, Emma Stone, Alexa Fortier, Leia Getchell, Nataliya Kloyzner, Asha Abdullahi, Elizabeth Barkoudah, Meghan Chapman, Meredith Close, Heather Engholm, Melissa Levin, Aanchal Sharma, Sarah Sparks, Patricia Rissmiller, Amy Szarkowski, Jason M. Fogler Jul 2026

The Legacy, Importance, & Impact Of Lend: Evidence And Personal Stories, Emily Zalimeni, Emma Stone, Alexa Fortier, Leia Getchell, Nataliya Kloyzner, Asha Abdullahi, Elizabeth Barkoudah, Meghan Chapman, Meredith Close, Heather Engholm, Melissa Levin, Aanchal Sharma, Sarah Sparks, Patricia Rissmiller, Amy Szarkowski, Jason M. Fogler

Developmental Disabilities Network Journal

Leadership Education in Neurodevelopmental and related Disabilities (LEND) programs offer an interdisciplinary/interprofessional training opportunity for medical and allied health professionals, and individuals impacted by disability, including family members and self-advocates. Toward the aim of advocating for the enduring need of LEND and similar training programs, this article centers the voices of a subset of our alumni who have advanced the rights and improved the lives of persons with intellectual and developmental disabilities. These stories are intended to illustrate the key lessons and principles of LEND training, including attending to disability issues in education, growing skills within and between individuals working …


Who Is A Good Kid: Perceived Parenting Styles And Altruism, Brianna Guinigundo Jul 2026

Who Is A Good Kid: Perceived Parenting Styles And Altruism, Brianna Guinigundo

Undergraduate Scholarship and Creative Works

The purpose of this research was to evaluate the correlation, if any, between perceived parenting styles and altruism scores among students at the University of Central Florida (UCF). The quasi–independent variable, perceived parenting styles, refers to how an individual personally believes their relationship with their parent to be. The four types of parenting styles include negligent, permissive, authoritarian, and authoritative. The classification of one’s perceived parenting style was based on their scores for parental control (i.e. how overbearing they believed their parent to be) and parental responsiveness (i.e. how warm and engaged they felt their parent was). The quasi-dependent variable …


The Growing Needs For Young Adults’ Behavioral Health Services In Oregon And Pathways For Sustainable Service Deliveries, Anis Zaman Jul 2026

The Growing Needs For Young Adults’ Behavioral Health Services In Oregon And Pathways For Sustainable Service Deliveries, Anis Zaman

Hatfield Graduate Journal of Public Affairs

Recent OHA data indicate a significant surge in behavioral health cases among young adults ages 17-26 across Oregon. Every year in Oregon, the total number of young adults receiving medical treatment includes a significant number of them who have behavioral health challenges. This large group of young adults with mental health conditions is vulnerable to suicidal ideation and substance overdose. Despite sincere efforts by the Oregon Health Authority (OHA), the young adult mental health state of Oregon remains a concern. Therefore, there is a need for a comprehensive action plan for the sustainable delivery of mental health services to young …


Independent Living Skills For The Aging Population Of Adults With Disabilities, Sara K. Fetter Otd, Otr, Jennifer L. Martin Otd, Otr, Cht, Clt, Michele L. Mccarroll Phd, Faacvpr, Acsm-Ccep, Ccrp, Lssbb Jun 2026

Independent Living Skills For The Aging Population Of Adults With Disabilities, Sara K. Fetter Otd, Otr, Jennifer L. Martin Otd, Otr, Cht, Clt, Michele L. Mccarroll Phd, Faacvpr, Acsm-Ccep, Ccrp, Lssbb

Developmental Disabilities Network Journal

Adults with intellectual disability (ID) are living longer and increasingly outlive family caregivers. Strengthening independent living and vocational skills has therefore become a critical public-health priority. Occupational therapy (OT) can address this need through person-centered, community-based programming. This paper describes the co-design, delivery, and preliminary outcomes of a short occupation-based curriculum intended to enhance autonomy and work readiness in aging adults with ID. In partnership with a Dallas, Texas nonprofit, the authors conducted a needs assessment and created an 8-session course rooted in the Independent Living Model and the Occupational Competence Model. The curriculum addressed four domains (physical health, financial …


Beyond Emergency: Charting Pathways To Sustainable Development In Fragile And Conflict-Affected Settings: A Case Study Of Yemen, Sharif Abdurabu Salem Farid Alsahbool Jun 2026

Beyond Emergency: Charting Pathways To Sustainable Development In Fragile And Conflict-Affected Settings: A Case Study Of Yemen, Sharif Abdurabu Salem Farid Alsahbool

Theses and Dissertations

For nearly a decade, Yemen's eastern governorates of Hadramawt, Shabwah, and Al‑Mahrah have been relatively stable, yet the international aid system has kept delivering short‑term humanitarian relief like food baskets and water trucking instead of shifting to sustainable development that could rebuild people's lives, create jobs, fix infrastructure, and strengthen local government. This thesis investigates why this transition has taken so long. Based on 21 interviews with government officials, international NGO staff, and local NGO managers in these three governorates, the study develops a new way of understanding the problem. It introduces three ideas: the 'emergency mentality', which is a …


Engaging Immigrant Families Of Children With Disabilities: Recommendations For Practitioners, Robai N. Werunga, John William Mckenna, Rocio Rosales Jun 2026

Engaging Immigrant Families Of Children With Disabilities: Recommendations For Practitioners, Robai N. Werunga, John William Mckenna, Rocio Rosales

Developmental Disabilities Network Journal

Family involvement is essential for positive school outcomes. Yet research suggests that family engagement for students with disabilities may be marked by conflict. Furthermore, creating an environment that promotes active engagement for immigrant families may be challenging. In this paper, we synthesize existing research, legal guidance, and community-engaged insights to present four practice-oriented recommendations for educators and practitioners working with immigrant families of children with disabilities. Grounded in Hans and Love’s stages of immigrant family engagement, these recommendations aim to support meaningful and culturally responsive participation in special education processes.


Building Capacity And Inspiring Change: The Impact Of Louisiana’S Ucedd Across The Lifespan, Alicia Kowitz, Constance Alphonse, Phil Wilson, Maria Blanco May 2026

Building Capacity And Inspiring Change: The Impact Of Louisiana’S Ucedd Across The Lifespan, Alicia Kowitz, Constance Alphonse, Phil Wilson, Maria Blanco

Developmental Disabilities Network Journal

The Louisiana State University Health Sciences Center Human Development Center (HDC), as the state’s University Center for Excellence in Developmental Disabilities (UCEDD), serves as a catalyst for inclusive systems change through interdisciplinary training, community engagement, and evidence-based service delivery. This manuscript highlights the breadth and impact of HDC’s initiatives across early childhood, education, transition, and community inclusion. Through programs such as Inclusive Practices in Early Childhood, PAYCheck, and LEND, HDC builds capacity among professionals, empowers individuals with disabilities and their families, and strengthens systems to be more responsive and equitable. The stories and outcomes shared illustrate how intentional, collaborative efforts …


The Efficacy Of Emotional Reframing As An Intervention To Promote Adult Transformational Growth, Linda Rossetti May 2026

The Efficacy Of Emotional Reframing As An Intervention To Promote Adult Transformational Growth, Linda Rossetti

Educational Studies Dissertations

This study investigates the underexplored relationship between adult developmental growth and emotions. Developmental growth requires an individual to respond to self-concept instability by adopting new meaning structures and navigating oppositional emotions. This quantitative study examined the relationship between an emotional reframing intervention and perspective shifts, an indicator of developmental progression. Data collected on three college campuses in the 2024-2025 academic year revealed a strong positive relationship between the intervention and perspective shifts, as evidenced by differences in pre- and post-assessment responses within the studied population, both in aggregate and in specific use cases. The findings contribute to three academic arenas: …


Evaluating Computer-Based Instruction To Improve Teacher Competence In Function-Based Antecedent Strategy Implementation, Valentina Arias May 2026

Evaluating Computer-Based Instruction To Improve Teacher Competence In Function-Based Antecedent Strategy Implementation, Valentina Arias

Seton Hall University Dissertations and Theses (ETDs)

Teachers often manage challenging student behaviors without formal training in behavior analysis, which can increase stress and reduce instructional time. This study evaluated whether computer-based instruction (CBI) is an effective and cost-effective way to train early education teachers to understand why challenging behaviors occur and how to prevent them, using antecedent strategies. Ten general education teachers working in a private, neurodiverse-inclusive school participated. They completed a brief training delivered through computer modules developed in PowerPoint that taught them how to identify functions of behavior and select functionally equivalent antecedent strategies to decrease challenging behaviors. Learning was measured using pre/post tests …


Comparing Two Emergent Literacy Screeners: The Reading House And Star Early Literacy In A Florida Voluntary Pre-Kindergarten (Vpk) Program, Jaime D. Swenbeck May 2026

Comparing Two Emergent Literacy Screeners: The Reading House And Star Early Literacy In A Florida Voluntary Pre-Kindergarten (Vpk) Program, Jaime D. Swenbeck

Honors Theses

No abstract provided.


Gender Norms, Socio-Organizational Ergonomics, And Female Labor Force Participation In South Asia, Huma Maqsood, Nor Fatimah Che Sulaiman, Suriyani Muhamad, Nor Aizal Akmal Binti Rohaizad, Sana Mukhtar Mar 2026

Gender Norms, Socio-Organizational Ergonomics, And Female Labor Force Participation In South Asia, Huma Maqsood, Nor Fatimah Che Sulaiman, Suriyani Muhamad, Nor Aizal Akmal Binti Rohaizad, Sana Mukhtar

The Qualitative Report

Socio-organizational ergonomics encompasses workplace social and cultural factors that influence inclusion, performance, and well-being. Gender-based socio-organizational ergonomics has both microeconomic and macroeconomic implications. In this context, underutilization of women’s economic potential, evidenced by low female labor force participation, emerges as a critical factor that compromises sustainable growth in developing countries. To study the phenomenon, we examined the impact of gender norms on socio-organizational ergonomics and female labor force participation in South Asia. Qualitative data from in-depth interviews with 20 female participants are thematically analyzed using Braun and Clarke’s TA framework. Our findings highlight that socio-organizational ergonomics in South Asia is …


Transformational Leadership In Higher Education, Dr. Jewel Hale, Jr., Kristi Apostel Mar 2026

Transformational Leadership In Higher Education, Dr. Jewel Hale, Jr., Kristi Apostel

Tapestry: Journal of Research in Education

A crisis can highlight the critical need for resilient leadership within higher educational settings. Educational leaders encounter extraordinary difficulties, ranging from different learning options to prioritizing the well-being of both staff and students, necessitating flexible and innovative methods. By exploring how school leaders apply transformational techniques in actual educational environments, this article addresses the impact of the four I’s of transformational leadership, idealized influence, inspirational motivation, intellectual stimulation, and individualized consideration, on building educator resiliency, sustaining school effectiveness, and promoting student achievement in higher education.


Silent Detonations: Redirecting Focus, Preserving Identity, And Leading Under The Weight Of Microaggressions, Ray Lavan Mar 2026

Silent Detonations: Redirecting Focus, Preserving Identity, And Leading Under The Weight Of Microaggressions, Ray Lavan

Tapestry: Journal of Research in Education

African American educational leaders consistently navigate racial microaggressions that challenge their focus, identity, and well-being. This study explores how these leaders deploy attention to manage the emotional weight of microaggressions in K-12 public school settings. Using Gross’s emotion regulation theory and Sue’s taxonomy of racial microaggressions, this qualitative phenomenological study examines how attentional deployment serves as both a shield and constraint. Data from the African American leaders reveal that silence, background processing, selective focus, and redirection to professional goals are common strategies to sustain composure. These strategies protect leaders in the moment but create emotional strain, identity conflict, and cumulative …


Fierce Leadership-Perspectives Of Black Women Educational Leaders: A Transcendental Phenomenological Study, Janice Taylor, Dianne Reed Mar 2026

Fierce Leadership-Perspectives Of Black Women Educational Leaders: A Transcendental Phenomenological Study, Janice Taylor, Dianne Reed

Tapestry: Journal of Research in Education

The authors of this transcendental phenomenological study aimed to describe the lived experiences of Black women based on their perceptions, values, and beliefs about the complexities of leadership and the kind of leadership required to succeed in their respective roles, as educational leaders. This study was framed by the adaptive leadership theory. Adaptive leadership recognizes the need for leaders to stay flexible and resilient in fast-paced environments (Nelson & Squires, 2017). The three Black women leaders in this study were fierce adaptive leaders. The information acquired from this study is significant and highlights how Black women educational leaders developed the …


Being-Their-Ship: A Presence-Based Model Of Human-Centered Leadership, Ricky J. Martinez Mar 2026

Being-Their-Ship: A Presence-Based Model Of Human-Centered Leadership, Ricky J. Martinez

Tapestry: Journal of Research in Education

Being-Their-Ship describes a presence-based approach to leadership grounded in lived experience rather than positional status. Developed over years of service in rural education, the framework highlights leadership as a relational practice grounded in steadiness, quiet support, and a willingness to take responsibility for others. Drawing from autoethnography and narrative inquiry, the framework articulates four interconnected dimensions: Caring-Ship, Loving-Ship, Load-Ship, and Being-There-Ship, that define leadership not through authority but through consistent action and cultural trust. Each dimension reflects how leadership emerges when individuals become a stabilizing presence, absorb burdens that others would otherwise carry, and remain committed to a community through …


Research Literacy And Research Production Skills As Core Competencies In Leaders, Kk O'Byrne Mar 2026

Research Literacy And Research Production Skills As Core Competencies In Leaders, Kk O'Byrne

Tapestry: Journal of Research in Education

No abstract provided.


Evaluating The Impact Of A Lend-Based Family Mentorship Program For Pre-Service Professionals, Matthew Bogenschutz, Sarah Lineberry, Jackie Robinson Brock, Flip Grey, Kathryn Flinn Mar 2026

Evaluating The Impact Of A Lend-Based Family Mentorship Program For Pre-Service Professionals, Matthew Bogenschutz, Sarah Lineberry, Jackie Robinson Brock, Flip Grey, Kathryn Flinn

Developmental Disabilities Network Journal

Family-led pre-professional mentoring programs have been shown in past literature to have multiple positive outcomes, including better provider communication, increased sensitivity to the needs and contributions of family members in clinical settings, and better understanding of disability policy contexts among professionals. Yet there have been relatively few examples of exemplary programs that have developed successful models for family mentoring of pre-service professionals. Using qualitative evaluative data from one such program, a component of a Leadership Education in Neurodevelopmental and Related Disabilities (LEND) program, this study shares the experiences of both families and trainees. Common themes shared between these two groups …


Parents’ Lived Experiences With Competitive Integrated Employment For Children With Intellectual And Developmental Disability, Dr. Aisha J. Omar Feb 2026

Parents’ Lived Experiences With Competitive Integrated Employment For Children With Intellectual And Developmental Disability, Dr. Aisha J. Omar

Developmental Disabilities Network Journal

This phenomenological qualitative study explores the lived experiences of Kentucky parents seeking Competitive Integrated Employment (CIE) for their children with intellectual and developmental disabilities (I/DD). Guided by the research questions—How do parents experience this process, and what barriers or supports do they encounter?—the study highlights systemic challenges despite legislative efforts such as the Americans with Disabilities Act and the Workforce Innovation and Opportunity Act. In-depth interviews with five parents revealed three themes: (a) parental transformation and the pursuit of meaningful work, (b) systemic challenges in accessing CIE, and (c) overcoming protective instincts: navigating fear, independence, and self-advocacy. Findings suggest a …


From Strain To Strength: A Narrative Review Of Wellness Dimensions In Caregiving, Valerie Perkoski Feb 2026

From Strain To Strength: A Narrative Review Of Wellness Dimensions In Caregiving, Valerie Perkoski

Developmental Disabilities Network Journal

This narrative review investigates the positive aspects of being a family caregiver for individuals with developmental disabilities (DDs) using the National Wellness Institute’s Six Dimensions of Wellness (Emotional, Physical, Intellectual, Occupational, Spiritual, and Social). While much research has traditionally focused on “caregiver burden,” this review highlights the often-overlooked beneficial outcomes of caregiving. Emotional wellness is enhanced through gratitude and resilience. Physical wellness is discussed through interventions like physical activity, which can reduce caregiver distress. Intellectual wellness emphasizes personal growth and self-actualization, helping caregivers find fulfillment in their roles. Occupational wellness shows that employment and community engagement can reduce anxiety among …


The Indispensable Role Of The Sister Disability Agencies: Safeguarding Progress And Enhancing Outcomes Through Collaboration, Lesley Cottrell, Susan Given, Christina E. Wiseman Jan 2026

The Indispensable Role Of The Sister Disability Agencies: Safeguarding Progress And Enhancing Outcomes Through Collaboration, Lesley Cottrell, Susan Given, Christina E. Wiseman

Developmental Disabilities Network Journal

This manuscript emphasizes the critical importance of having a Disability Network of services—including University Centers for Excellence in Developmental Disabilities (UCEDDs), State Councils on Developmental Disabilities, and Protection & Advocacy organizations - in promoting systemic innovation and improved outcomes for individuals with developmental disabilities. Highlighting a case study from West Virginia, where collaboration between West Virginia University’s Center for Excellence in Disabilities, Disability Rights of West Virginia, and the West Virginia Developmental Disabilities Council has resulted in cost-effective, sustainable improvements, this paper underscores the urgent need to protect and expand these programs amidst current policy threats. The evidence underscores that …


Increasing Participation Through Online Focus Groups With Adults With Intellectual Disabilities, Emily L. Cary, Chris A. Taylor, Susan Havercamp, Andrea Witwer Jan 2026

Increasing Participation Through Online Focus Groups With Adults With Intellectual Disabilities, Emily L. Cary, Chris A. Taylor, Susan Havercamp, Andrea Witwer

Developmental Disabilities Network Journal

The aim of this study was to develop and describe methods on how to conduct virtual focus groups with adults with intellectual disability. Using a community-engaged research approach, adults with intellectual and developmental disabilities helped develop virtual focus group methods. We report on the implementation of these methods through an illustrative application of applying these adaptations to virtual focus groups with 13 adults with intellectual disability in a study assessing their perspectives on mental health therapy.

This work resulted in several adaptations that can enhance inclusivity of focus group research to individuals with intellectual disability. Adaptions broadly included: involving guardians …


Training On "Learn The Signs. Act Early." In Head Start And Early Head Start Shows Ineffective Without Supporting Implementation Policy, Kayla Livingston, Mary O'Donnell, Kate G. Barlow Jan 2026

Training On "Learn The Signs. Act Early." In Head Start And Early Head Start Shows Ineffective Without Supporting Implementation Policy, Kayla Livingston, Mary O'Donnell, Kate G. Barlow

Developmental Disabilities Network Journal

Early identification and intervention for children with developmental delays improves child outcomes, yet many children are not monitored, screened, or identified early despite its effectiveness. The relationship between the use of the Centers for Disease Control and Prevention’s “Learn the Signs. Act Early.” developmental monitoring program and referrals to intervention services is not well understood. This study investigated how “Learn the Signs. Act Early.” implementation practices within Massachusetts’ Head Start and Early Head Start agencies correlated with the rate of referrals to intervention services. Researchers utilized a non-experimental quantitative design. Secondary data on referral rates from Head Start and Early …


Educating Medical Trainees On Mental Healthcare And Intellectual And Developmental Disabilities, Andrea Palmieri, Joan B. Beasley, Micah Peace Urquilla, Jennifer Mclaren Jan 2026

Educating Medical Trainees On Mental Healthcare And Intellectual And Developmental Disabilities, Andrea Palmieri, Joan B. Beasley, Micah Peace Urquilla, Jennifer Mclaren

Developmental Disabilities Network Journal

Many children and adults with intellectual and developmental disabilities (IDD) experience mental health conditions and commonly receive treatment with psychotropic medications. Prescribers often overuse these medications in children with IDD, who are frequently treated with polypharmacy and antipsychotics, a trend that continues into adulthood. Medical trainees receive little training regarding the IDD patient population. This paper describes the development and evaluation of an evidence-informed, easy-to-use training curriculum. The 6-hour training establishes a foundation for medical trainees regarding the treatment of mental health conditions in people with intellectual and developmental disabilities (IDD-MH) as part of an integrated health, interdisciplinary treatment approach. …


The Role Music Plays In Facilitating Transformation And Self-Actualization In Israeli Music Students Impacted By Trauma, Adina Feldman Jan 2026

The Role Music Plays In Facilitating Transformation And Self-Actualization In Israeli Music Students Impacted By Trauma, Adina Feldman

Educational Studies Dissertations

Abstract

This qualitative study explores the role music plays in facilitating transformation and self-actualization among Israeli undergraduate and alumni music students who have experienced trauma or post-traumatic stress disorder. Guided by social constructivist and humanistic-existential frameworks, this research employs a narrative methodology to examine how music operates as a medium for meaning-making, resilience, and growth in non-clinical contexts. Data were collected through in-depth interviews, participant observations, and the analysis of musical compositions and artifacts from two singer-songwriters who transformed personal adversity into creative expression. The findings reveal that although trauma leaves lasting psychological and emotional effects, engagement with music enables …


Building Healthy Parent-Adolescent Relationships Within A Religious Context, Brooklyn Williams Jan 2026

Building Healthy Parent-Adolescent Relationships Within A Religious Context, Brooklyn Williams

ASPIRE 2026

Religion has been founded to be a protective factor for adolescence consistently in research.  During the project, a family life education program was developed and implemented based on the population needs. Specifically, the developmental asset research was used to develop a program for parent and child engagement.


Preserving Progress: Why The Dd Network Matters Now More Than Ever, Matt Wappett Jan 2026

Preserving Progress: Why The Dd Network Matters Now More Than Ever, Matt Wappett

Developmental Disabilities Network Journal

No abstract provided.


Bridging The Emotional Gaps: Understanding And Supporting Doctoral Students In Counselor Education, Janita Daggy, Tiffany Spatz, Eric Jason Camden Dec 2025

Bridging The Emotional Gaps: Understanding And Supporting Doctoral Students In Counselor Education, Janita Daggy, Tiffany Spatz, Eric Jason Camden

Montview Journal of Research & Scholarship

Counselor education and supervision (CES) is a dynamic and exciting profession. CES-students often enroll in CES-programs because they recognize the charge of training new generations of counselors, supervisors, and researchers and extant research demonstrates the interpersonal and intrapersonal experiences associated with this advanced educational training experience. Concurrently, as with most advanced training regimens, significant personal transformation is possible. It is during this transformation, or personal and academic refining, that emotional experiences manifest. These emotional experiences often either promote persistence or can inhibit, or curtail, the academic journey. Therefore, this conceptual article reviews common emotional challenges faced by CES students and …


Exploring The Impact Of Inpatient Mental Health Care On Adolescents, Alexandria M. Mckahan Dec 2025

Exploring The Impact Of Inpatient Mental Health Care On Adolescents, Alexandria M. Mckahan

2025 Fall Honors Capstones Projects - Archive

Adolescent psychiatric hospitalizations continue to rise, yet there is limited research on which daily practices inside inpatient units genuinely support engagement and recovery. This project examined how structure, staff tone, and therapeutic programming influence adolescents’ participation and emotional stability within a real inpatient setting. The study focused on three questions: how structured routines affect recovery, what challenges staff face when supporting adolescents with complex needs, and how adolescents’ engagement patterns reflect their perception of care. Using a mixed-methods case study at Mesa Springs Behavioral Health Hospital, I conducted approximately twenty field observations, semi-structured staff interviews, and descriptive engagement tracking across …