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Articles 61 - 90 of 2295
Full-Text Articles in Psychology
Evaluating The Effects Of Behavioral Skills Training On Defensive Back Skills In High School Football Players: A Focus On Man Coverage, Malachi James Jackson-Talmadge
Evaluating The Effects Of Behavioral Skills Training On Defensive Back Skills In High School Football Players: A Focus On Man Coverage, Malachi James Jackson-Talmadge
Theses
Behavioral Skills Training (BST) is an intervention package that involves instructions, modeling, rehearsal, and feedback. BST has been used to enhance athletic performance in several sports (e.g., soccer, field hockey, bowling). In football, two prior studies have shown improved football-specific skills following BST. Although effective, both studies implemented BST individually with each player, which can be time-consuming during football practices. Providing BST to groups of players may be an efficient alternative. Currently, no study has evaluated the effects of group BST in sports. The current research used a multiple baseline design to evaluate the effects of group BST on man …
The Psychology Behind Ai-Generated Phishing And Social Engineering Attacks, A’Shya Reynolds
The Psychology Behind Ai-Generated Phishing And Social Engineering Attacks, A’Shya Reynolds
School of Cybersecurity Master's Level Projects and Papers
Cybercrime has evolved significantly with the integration of artificial intelligence (AI), transforming traditional phishing and social engineering attacks into highly sophisticated and personalized threats. While early phishing attempts relied on generic messaging and low success rates, modern AI-driven attacks leverage advanced data analytics, natural language processing, and behavioral prediction to manipulate victims more effectively.
This research examines how cybercriminals utilize AI to enhance psychological manipulation techniques in phishing and social engineering attacks, increasing victim susceptibility. Drawing from interdisciplinary literature in cybersecurity and psychology, this study explores key psychological mechanisms, including cognitive biases, emotional triggers, and decision-making processes that influence victim …
Ai Models As Cultural Beings: Investigating Ai Cultural Biases And The Impact Of Cultural Alignment On Human-Ai Creative Collaboration, Choon Ngee Tan, Meng Han, Roy Y. J. Chua, Chi-Ying Cheng
Ai Models As Cultural Beings: Investigating Ai Cultural Biases And The Impact Of Cultural Alignment On Human-Ai Creative Collaboration, Choon Ngee Tan, Meng Han, Roy Y. J. Chua, Chi-Ying Cheng
Research Collection Lee Kong Chian School Of Business
Existing research on AI cultural biases predominantly focuses on Western models, overlooking critical gaps in non-Western models. We conduct a comparative analysis of AI models – ChatGPT (U.S. developed) and ErnieBot (China developed) – from different cultures to investigate how corresponding cultural biases manifest in their outputs. Additionally, we examine how cultural alignment between human users and AI models impacts their collaborative creative performance and the underlying psychological mechanisms. In Study 1, multi-choice prompt with zero-shot technique was used to evaluate cultural biases in four widely used AI models – ChatGPT-3.5/4, ErnieBot-3.5/4 – comparing their responses to established cultural psychometric …
Heroes Of Medicine In The Rio Grande Valley: Documentary Interview With Dr. Cynthia Cavazos Gonzalez, Cynthia Cavazos Gonzalez, Raquel Elena Orellana
Heroes Of Medicine In The Rio Grande Valley: Documentary Interview With Dr. Cynthia Cavazos Gonzalez, Cynthia Cavazos Gonzalez, Raquel Elena Orellana
Heroes of Medicine in the Rio Grande Valley
Cynthia Cavazos Gonzalez PhD is an Associate Professor of Clinical Practice at UTRGV in Edinburg, Texas and she is the clinic director of the UTRGV Psychology training clinic. She completed a doctoral degree in Clinical Psychology from California School of Professional Psychology in Fresno, California. Her doctoral degree is in Clinical Psychology with a major specialization in Neuropsychology and minor specialization in Health Psychology. She completed an APA-accredited pre-doctoral internship at UTMB in Galveston with a major emphasis in hospital consultation, outpatient psychotherapy, and psychological and neuropsychological evaluations with diverse populations. She completed an informal neuropsychology post-doctoral residency in Texas …
The Living Lab: Instructional Design Interventions To Improve Communication And Equity In Federal Housing Programs, Joana I. Camp
The Living Lab: Instructional Design Interventions To Improve Communication And Equity In Federal Housing Programs, Joana I. Camp
Knowledge and Creativity Expo
The Living Lab is an independent applied research project informed by my 25 years of lived experience as a Section 8 voucher holder, examining how instructional design strategies can improve administrative workflows, communication, and equitable access within the Housing Choice Voucher Program. Drawing on sustained participation, the research identifies two primary systemic barriers: the federally mandated 15-day inspection period and incomplete Request for Tenancy Approval (RFTA) packets. To address these issues, the project developed the RFTA Roadmap—a zero-cost, clarity-driven communication tool that embeds sequential instructions directly within procedural workflows, mitigating the Split-Attention Effect and cognitive “Bandwidth Tax” associated with standard …
Assessment Perception: Delivery Matters, Nicole Marie Arcuri Sanders, Chelsey Simmons
Assessment Perception: Delivery Matters, Nicole Marie Arcuri Sanders, Chelsey Simmons
Journal of Counselor Preparation and Supervision
Perception shapes how individuals experience the world and guides their actions toward personal goals. In counseling, clients’ accurate understanding of assessment results is essential for informed decision-making and effective treatment engagement. Mental health clinicians have an ethical responsibility to communicate findings in ways that safeguard client welfare and empower both clients and stakeholders to collaborate in care. This conceptual manuscript introduces the BRIEF (Brief, Relevant, Interpretive, Empathetic, and Factual) Feedback Integration Framework, a structured model for delivering assessment feedback ethically and accessibly. Integrating cognitive, developmental, and cultural considerations. BRIEF provides counselors, supervisors, and educators with a practical strategy for improving …
Uncertain Search With Knowledge Transfer, Woonghee Tim Huh, Michael Jong Kim, Meichun Lin
Uncertain Search With Knowledge Transfer, Woonghee Tim Huh, Michael Jong Kim, Meichun Lin
Research Collection Lee Kong Chian School Of Business
We consider a sequential search over a group of similar alternatives. The individual value of an alternative contains two components, an observable utility and an idiosyncratic value. Observable utilities share an unknown population distribution, which captures the similarity across the alternatives and allows for knowledge transfer within the group. Once a decision maker encounters an alternative, its utility is revealed immediately, whereas the idiosyncratic value is unobservable and needs to be learned by sampling. The goal is to select an alternative with the highest individual value while accounting for the sampling and search costs. A novel feature of this problem …
Advanced Experimental Learning And Behavior Analysis Lab Manual, Holly R. Weisberg, Sally Izquierdo
Advanced Experimental Learning And Behavior Analysis Lab Manual, Holly R. Weisberg, Sally Izquierdo
Open Educational Resources
Classroom and online lab exercises for a learning and applied behavior analysis course.
Risky Decision-Making Under Uncertainty, Suyoung Yoo, Jae Hyung Woo
Risky Decision-Making Under Uncertainty, Suyoung Yoo, Jae Hyung Woo
Wetterhahn Science Symposium Posters
This research project aims to discover how a person’s brain continuously learns about its changing environment and how those memories dynamically alter their subsequent willingness to take risks. By testing 73 participants on a two-stage computer module, the study evaluates whether humans evaluate risk absolutely or relatively to their historical surroundings. In Stage 1, participants use reinforcement learning to track a hidden, shifting "lucky room" context. In contrast, in Stage 2, they face explicit two-option gamble cards in which they must weigh different point amounts and win percentages. Computational maximum likelihood estimation proved that a Subjective Utility (SU) model, which …
Professional Standards For School-Based Behavior Analysts (2nd Edition), Selena J. Layden, Emily Muise, Karen L. Berlin, Samantha Gregory, Daniel Irwin, Kaylan Long, Daria K. Lorio-Barsten, Jennifer L. O’Berry, Hannah Riddle
Professional Standards For School-Based Behavior Analysts (2nd Edition), Selena J. Layden, Emily Muise, Karen L. Berlin, Samantha Gregory, Daniel Irwin, Kaylan Long, Daria K. Lorio-Barsten, Jennifer L. O’Berry, Hannah Riddle
Human Movement Studies & Special Education Faculty Publications
Public educational settings are unique and complex environments that require specific knowledge and skills for the professionals that work in these environments. School-based behavior analysts can be a great asset to public schools. However, these professionals must be able to firmly understand and perform the responsibilities of a behavior analyst in collaboration with educators and service providers in a public school setting. The presence of behavior analysts in public schools is still relatively new, when compared with other specialized services. Therefore, behavior analysts, teachers, administrators, and others should focus on collaboration to promote the success for all stakeholders with an …
The Effect Of Automated Self-Monitoring On The Behavior Of Individuals Diagnosed With Pre-Diabetes Or Type 2 Diabetes, Leti Phillips Armenta
The Effect Of Automated Self-Monitoring On The Behavior Of Individuals Diagnosed With Pre-Diabetes Or Type 2 Diabetes, Leti Phillips Armenta
Cal Poly Humboldt theses and projects
Type 2 diabetes (T2D) and prediabetes affect millions of individuals in the United States and require effective self-management strategies to reduce glucose variability and improve health outcomes. This study evaluated the effects of automated self-monitoring using the Dexcom G7 continuous glucose monitor (CGM) on glucose management and health-related behaviors among adults diagnosed with prediabetes or at risk for T2D. A repeated-measures design was used to asses’ participants across two distinct 10-day periods. Data included CGM glucose readings, self-report questionnaires, and social validity measures. Results indicated that participants demonstrated reduced glucose variability, fewer prolonged glucose spikes, and increased engagement in health-related …
Pretend Play Effects On Autistic Children's Theory Of Mind & Social Skills, Joelle Lok
Pretend Play Effects On Autistic Children's Theory Of Mind & Social Skills, Joelle Lok
Cal Poly Humboldt theses and projects
Autistic individuals often struggle with basic social skills due to deficits in Theory of Mind (ToM), perspective taking, reciprocity difficulties, etc. Early interventions that target these skills, specifically metarepresentation skills, could be essential to an individual’s social success and overall well-being. Further, pretend play shares an important relationship with ToM and social skills, due to their shared use of putting oneself in others’ shoes. Thus, a pretend play intervention could be beneficial in not only improving children’s overall play interactions, but also through a domino effect on their ToM and social skills. The directionality of the relationship between pretend play, …
The Attention Safeguard Models: Governing Digital Harm Without Restricting Lawful Speech, Delante Clark
The Attention Safeguard Models: Governing Digital Harm Without Restricting Lawful Speech, Delante Clark
Graduate Scholarship and Creative Works
Digital platforms increasingly govern contemporary social, civic, and psychological life through systems optimized for attention capture, amplification, and monetization. While lawful expression remains protected under the First Amendment, the infrastructural mechanisms that determine how speech circulates have produced a range of attention‑based harms, including cyberbullying, engagement farming, compulsive doom scrolling, emotional dysregulation, and civic polarization. This research paper introduces the Attentional Safeguards Model (ASM), coined and formalized by Delante Clark, as a novel governance framework that mitigates such harms by regulating systems of amplification rather than restricting expression itself. Building on attention economy theory, technological mediation, constitutional free‑speech doctrine, …
From Physical Correlation To Emotional Connection: The Role Of Passive Haptics On Empathy In Virtual Reality, Jemely Robles
From Physical Correlation To Emotional Connection: The Role Of Passive Haptics On Empathy In Virtual Reality, Jemely Robles
Dartmouth College Master’s Theses
Virtual reality is increasingly explored as a tool for cultivating empathy, and haptic feedback as a tool for enhancing immersion. This paper investigates the effects of combining the two. Fifty-two participants experienced a custom-built VR scene in which a character was shown packing up a room. Participants were assigned to either a haptic condition, receiving passive haptic feedback corresponding to the character's actions, or a non-haptic control condition that did not receive any haptic input. Trait empathy was measured beforehand, and state empathy and engagement were measured after the experience. Thematic analysis was conducted on post-study interviews, and headset recordings …
Intermittent Versus Continuous Reinforcement: Which Is More Effective For Skill Acquisition In Children With Adhd Using Precision Teaching?, Samantha Pulling
Intermittent Versus Continuous Reinforcement: Which Is More Effective For Skill Acquisition In Children With Adhd Using Precision Teaching?, Samantha Pulling
Masters Theses
Children with Attention Deficit Hyperactivity Disorder (ADHD) can experience challenges learning academic skills, possibly because of altered reinforcement and learning processes. Reinforcement is commonly used to support learning and adaptive behavior; however, research examining continuous and intermittent reinforcement schedules for children with ADHD has produced inconsistent findings. Precision Teaching (PT) is a fluency-based, data-driven instructional approach that emphasizes rate and celeration of behavior and has been shown to effectively support academic learning for individuals with ADHD. This study compared the effects of a continuous reinforcement schedule with a small reinforcer and an intermittent reinforcement schedule with a larger reinforcer on …
Forward Chaining And Emotion Regulation: Exploring The Effects Of Forward Chaining On Emotion Regulation Skills, Celoine Akouri
Forward Chaining And Emotion Regulation: Exploring The Effects Of Forward Chaining On Emotion Regulation Skills, Celoine Akouri
Masters Essays
Emotion dysregulation places the quality of life for individuals with autism spectrum disorder (ASD) at risk. The current research on emotion regulation teaching strategies after emotion recognition training is limited. This study explored the effectiveness of forward chaining on teaching emotion regulation skills to an adult with ASD who engaged in a long history of self- injurious, property destruction, and screaming behaviors. The emotion regulation intervention used forward chaining procedures to teach a three-step sequence of behaviors to the participant in their adult day program setting using a multiple baseline across time design. The results showed that as the participant’s …
The Great Divide: The Relationship Between Perceived Immorality And The Work Of Artists, Caelyn R. Anderson
The Great Divide: The Relationship Between Perceived Immorality And The Work Of Artists, Caelyn R. Anderson
Psychology | Senior Theses
The psychological response one has when viewing art depends heavily on contextual understanding. More specifically, when a viewer learns negative biographical information about perceived immorality of an artist, it can negatively affect their relationship with that artist's work (Kaube et al., 2023). The sample was made up of 134 participants randomly assigned to one of two groups exposed to either positive or negative information about the artist Paul Gauguin. After viewing information, participants were shown three different paintings, before being asked to respond to an intentionality scale, and two art reception scales. An independent samples t-test showed that there is …
Evaluating The Effects Of Abbreviated And Full-Length Training Formats On Implementation Of Embedded Instruction Practices, Hannah Elizabeth Keene
Evaluating The Effects Of Abbreviated And Full-Length Training Formats On Implementation Of Embedded Instruction Practices, Hannah Elizabeth Keene
Theses and Dissertations--Early Childhood, Special Education, and Counselor Education
The purpose of this study was to evaluate the effects of an abbreviated training package and full-length behavioral skills training (BST) on staff implementation of embedded instruction (EI) procedures in a university-affiliated inclusive early childhood center. A nonconcurrent multiple baseline design across participants was used with four student workers in inclusive preschool classrooms. The initial intervention included a package of didactic instruction and in-vivo modeling. Full BST was planned for participants who did not reach mastery criteria following the brief training.
The primary dependent variable was participant fidelity of EI implementation, and the secondary dependent variable measured the rate of …
The Cross Cultural Study Of Self-Ideation: Eastern Vs Western, Florencia Suhartono
The Cross Cultural Study Of Self-Ideation: Eastern Vs Western, Florencia Suhartono
Williams Honors College, Honors Research Projects
Self-Ideation behavior, a topic that although is increasing in awareness, is also increasing in victims as well. One thing is very clear however, both the Eastern and Western countries still see suicide and its related attitude in a taboo perspective. Regarding this, factors of various customs of each respective country will be further explained; taking note on how their contrasting cultural differences may potentially feed on the self-harming attitude that each victim may have developed. It will continue on explaining the more specific details on how each side of the world reacts when a person declares their self-ideating thoughts, studying …
The Effectiveness Of Behavioral Skills Training In Improving Digital Fraud Identification Among Older Adults In Low-Income Housing, Catharine Mohar
The Effectiveness Of Behavioral Skills Training In Improving Digital Fraud Identification Among Older Adults In Low-Income Housing, Catharine Mohar
Masters Essays
Older adults, particularly those residing in low income housing facilities, are increasingly targeted by digital scams via text and email. This study evaluated the effectiveness of Behavioral Skills Training (BST) in improving fraud identification skills among this vulnerable population. BST is a structured method involving instructions, modeling, rehearsal, and feedback. A checklist was utilized in individual BST sessions with five participants aged 60 or over living in a low-income senior residential facility in the Midwest of The United States. The intervention aimed to increase participants’ ability to accurately discriminate between legitimate and fraudulent digital communications. A single case design was …
An Evaluation Of Teaching Emotion Identification And Regulation Skills Through Behavioral Skills Training On Tantrum/Challenging Behaviors In A Preschool-Aged Child With Autism Spectrum Disorder, Julia Petty
Masters Essays
Many children with autism spectrum disorder (ASD) experience challenges in regulating their emotions, which can present as challenging behavior, aggression, tantrum, and more. This research aimed to teach individuals coping skills/mindfulness techniques, using aspects of behavioral skills training (BST) to help regulate their emotions and reduce challenging behaviors. The use of behavioral skills training includes instruction, modeling, rehearsal, and feedback to teach the skills. The intervention included the Incredible Five Point Scale for indicating emotions with mindfulness techniques to promote emotion regulation. The outcome was an increase in engagement with mindfulness techniques/coping skills, mastery of emotion identification, and a decrease …
How Does Language Influence Interest In Psychological Treatment?, Alexis B. Dixon
How Does Language Influence Interest In Psychological Treatment?, Alexis B. Dixon
College of Graduate Studies: Theses & Dissertations
In 2022, approximately 59 million adults in the United States were diagnosed with a mental health disorder, and approximately half received mental health services (NIMH, 2023). Given the number of individuals whose mental health concerns remain untreated, it is vital to investigate mechanisms predicting treatment-seeking behaviors. Health literacy, which influences treatment-seeking, is largely absent from research on barriers to mental health treatment. Health literacy is related to readability, the ease of reading (Adkins & Singh, 2001), and jargon, the technical language used by professionals in a field (Shulman et al., 2020). Health materials are often written at a high reading …
Effect Of Delay On Reinforcer Preference And Efficacy, Ciara Jasmine Rodriguez
Effect Of Delay On Reinforcer Preference And Efficacy, Ciara Jasmine Rodriguez
Graduate Theses, Dissertations, and Problem Reports (ETD)
Behavior intervention plans are used to increase desired behavior and decrease problem behavior, and these plans require the use of effective reinforcers. High-quality reinforcers that are delivered immediately tend to be the most effective, but optimal reinforcement parameters are not always feasible or appropriate in applied settings. Some reinforcers may be disruptive, teachers’ competing responsibilities may introduce delays to reinforcer delivery, and reinforcers may not be immediately accessible. Stimuli may lose their reinforcing value with delay to their receipt, and this is referred to as delay discounting. Thus, there is likely a point where a less preferred but immediately delivered …
Effects Of Fluency-Based And Percentage-Based Mastery Criteria On Learning, Maintenance, Application, And Learner Experience In Behavior-Analytic Skill Acquisition, Marisela Alicia Aguilar
Effects Of Fluency-Based And Percentage-Based Mastery Criteria On Learning, Maintenance, Application, And Learner Experience In Behavior-Analytic Skill Acquisition, Marisela Alicia Aguilar
Graduate Theses, Dissertations, and Problem Reports (ETD)
In behavior analysis, staff are often trained to percentage-based criteria to demonstrate that they have mastered a skill. However, percentage-based mastery criteria may not result in long-term maintenance of the skill. In other areas of instruction, fluency criteria resulted in multiple positive outcomes such as maintenance, endurance, and application of the skill beyond the training context, but these outcomes have not yet been widely demonstrated in the context of teaching behavior support plan (BSP) content and implementation. Across two experiments, we attempted to evaluate the extent to which training individuals to a fluency-based or percentage-based criterion resulted in maintenance and …
The Effects Of Auditory Stimulation On Vocal Stereotypy In An Individual With Autism In A Classroom Setting, Natalie Pastor
The Effects Of Auditory Stimulation On Vocal Stereotypy In An Individual With Autism In A Classroom Setting, Natalie Pastor
Masters Theses
Vocal stereotypy, which includes non-functional vocal behaviors such as babbling, grunting, or repetitive phrases, is often seen in individuals with autism spectrum disorder (ASD). Although this behavior is not harmful, it can interfere with learning and social interaction, especially during leisure time. When engaging in vocal stereotypy is disruptive to those around them, it may limit opportunities for meaningful social engagement with peers. The current study builds on prior research by examining the effects of different types of noncontingent auditory stimuli on vocal stereotypy in a classroom setting. This study seeks to answer the question: What is the impact of …
Paradox Mindset In Working Parenthood: Linking Dual-Role Enrichment To Pursuit, Success, And Satisfaction, Tengjiao Huang, Xiaoyu Dai, Chi-Ying Cheng, Angela Leung
Paradox Mindset In Working Parenthood: Linking Dual-Role Enrichment To Pursuit, Success, And Satisfaction, Tengjiao Huang, Xiaoyu Dai, Chi-Ying Cheng, Angela Leung
Research Collection School of Social Sciences
Managing the simultaneous demands of career and parenthood often generates tensions—particularly for women, who have historically been expected to take primary responsibility for caregiving. These gendered expectations persist, even as men increasingly express a desire to engage more actively in caregiving while maintaining their professional roles. Drawing on paradox mindset theory and work-family enrichment literature, this research investigated whether a paradox mindset—a cognitive tendency to embrace and value tensions—is positively associated with an aspiration for enrichment between work and parenting roles. In turn, this aspiration is hypothesized to predict intentions and outcomes related to dual-role pursuit. Three cross-sectional survey studies …
Examining The Effects Of Video Modeling To Enhance Culturally Specific Social Greeting Skills In Preschoolers With Asd In Saudi Arabia, Sarah Alzahrani
Examining The Effects Of Video Modeling To Enhance Culturally Specific Social Greeting Skills In Preschoolers With Asd In Saudi Arabia, Sarah Alzahrani
Electronic Theses and Dissertations
A lack of social communication skills, including initiation and responding, has been a prominent characteristic of children diagnosed with ASD (Kanner, 1943; Kroeger et al., 2007). Enhancing these skills in children with ASD during early childhood is crucial to their future relationships, friendships, participation in communal activities, and overall lowering the likelihood of adverse long-term effects, giving significance to this age as a pivotal period for enhancing various skills (Hart Barnett, 2018). Failure to provide interventions to address social communication in children with ASD, specifically in cultures that value this skill, can impede their integration into that society. Thus, this …
Evaluating Joint Control Teaching Procedures For Teaching Yes-No Responding With Tact And Intraverbal Questions For Children With Autism, Desiree J. Dawson
Evaluating Joint Control Teaching Procedures For Teaching Yes-No Responding With Tact And Intraverbal Questions For Children With Autism, Desiree J. Dawson
Theses & Dissertations
Responding to yes and no questions is a general language skill that allows individuals to efficiently interact with their verbal community. Few behavior analytic studies have sought teaching this skill in general, with even fewer studies seeking to teach this skill when it pertains to a tact or intraverbal context. All behavior analytic studies to date seeking to teach this skill have used direct prompting and reinforcement of the yes and no responses, but there is little guidance for what can be done if this teaching strategy is not producing desired acquisition. The current experiments examined a teaching procedure informed …
Marooned: A Western Frontier Dismal Swamp Narrative, Professor Meya E. Hargett
Marooned: A Western Frontier Dismal Swamp Narrative, Professor Meya E. Hargett
The Scholarship Without Borders Journal
Marooned: A Western Frontier Dismal Swamp Narrative centers the erased figure of Samuel Mars, a lost Black station master whose movements through the Great Dismal Swamp have been excluded from dominant Underground Railroad cartographies. Here, the term “Marooned” refers not to abandonment, but to the maroon geographies of Black and Indigenous resistance encoded in land, lineage, and fugitive infrastructure.
Guided by Diasporic Maroon Memory Theory, Lineage as Method, and the Maroon Geographies Framework, this research reconstructs Mars’s trajectory through oral testimony, spatial patterning, and ancestral land memory. Rather than casting the Dismal Swamp merely as a site of refuge, this …
Exploring The Impact Of Inpatient Mental Health Care On Adolescents, Alexandria M. Mckahan
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 …