Supporting Every Student: Optimizing School-Based Mental Health Services For Students With Intellectual Disabilities, Sarah K. Eggleston

Educational Specialist, 2020-current

Youth with intellectual disabilities (ID) are at considerably greater risk of developing mental health problems compared with the general population; however, their needs are less likely to be identified, and they often face barriers to accessing quality mental health care. School-based mental health professionals (SBMHPs) are uniquely positioned to support students within their natural learning environments, where many common barriers to service provision have been removed. The present study examined the current state of practice among SBMHPs in Virginia in identifying and supporting the needs of students with ID, as well as SBMHPs’ training experiences. An online cross-sectional, mixed-methods survey …

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 …

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 …

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 …

Not All Superheroes Wear Capes: Understanding The Lives Of Asian American Student Caregivers, Angela Ji

Educational Specialist, 2020-current

There exists an invisible army of children who sacrifice their childhoods and shoulder responsibilities expected of adults; these children are called young caregivers. Young caregivers provide significant assistance for their family on a regular basis. The existing literature shows that youth caregiving is associated with negative physical and mental health impacts that vary depending on the cultural background associated with families. It is also clear that the complexities and nuances of different ethnic groups influence the lived experiences of young caregivers. Unfortunately, there is limited information exploring racial and cultural implications of caregiving for children. This study sought to address …

Mothers Supporting Mothers: A Psychotherapy Group For Postpartum Mothers Struggling With Substance Use, Brittany Hook

Educational Specialist, 2020-current

One topic that is not talked about enough is women’s health and more specifically postpartum women. This is apparent especially when it comes to postpartum care and the diverse experiences women face. The silence around postpartum women’s experiences can be frightening at times. The mental health of postpartum mothers can be overlooked and can lead to concerns of suicide ideation, increase substance use and a decrease in overall wellbeing. When substance abuse is in the picture for postpartum women, a treatment option that can be effective is group counseling. An evidence-based modality that works off the humanistic theory is motivational …

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 …

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 …

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 …

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, …

The Impact Of Coach-Created Motivational Climate On Athletes’ Mental Health And The Mitigating Effects Of Psychological Safety And Psychological Resiliency, Shir Wasserman

Dissertations, 2020-current

With the growing importance of athletes’ mental health in sport, there is an escalating need for understanding the multifaceted nature of the concept, including related individual and environmental factors (Nixdorf et al., 2023). Previous studies suggest that athletes’ engagement with their social environment can potentially influence their mental health outcomes (Reis, 2001). Additionally, studies examining the coach-athlete relationship have consistently affirmed the significance of this connection to various athlete-related outcomes, including aspects of mental health and overall well-being (Jowett & Shanmagum, 2016). Therefore, this study explored the relationship between coach-created motivational climate, athletes' mental health, and the mitigating effects of …

Factors That Help And Hinder Experience Of Reflective Functioning In An Attachment-Based Intervention: An Enhanced Critical Incident Technique Analysis Of Parents’ Experiences, Shelly-Ann Peart James

Dissertations, 2020-current

This study explored parents’ experiences as it relates to their capacity to think about their child’s thinking and feeling, Parental Reflective Functioning (PRF), an attachment theory construct. PRF was explored in the context of an attachment-based intervention, the Secure Child Program (SCP), that focuses on children and their families. Parents’ voices were centered in this study through the employment of narrative research methodology, specifically, the Enhanced Critical Incident Technique. Participants consisted of seven parents within the SCP. A semi-structured interview developed for the study was informed by extant measures of PRF. Findings indicate helping and hindering categories with the vast …

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 …

Cultivating Emotional Competencies In Therapists-In-Training, Tara Rajagopal

Dissertations, 2020-current

Emotions are central to the process of therapy. This is why it is important for therapists to possess emotional skills to work with their own and clients’ emotions to promote change. While therapeutic competencies have been well-researched, the emotional competencies of student therapists have received limited research attention. The present research aims to understand students’ beliefs regarding emotions in therapy and test strategies to train aspiring therapists’ emotional competencies. Students in a clinical and school psychology doctoral program participated in focus groups to explore their beliefs about emotions in therapy and their needs for emotional training. They also engaged in …

Exploring The Link Between Self-Distancing And “Stress Is Enhancing” Mindsets, Kyle Green

Masters Theses, 2020-current

While stress is generally framed as debilitating, past research has shown that adopting a mindset that focuses on the positive aspects of stress, referred to as a “stress is enhancing” mindset, can improve the ways in which one engages in stressful experiences. Researchers in this area have called for further investigation of the ways in which “stress is enhancing” mindsets are adopted. This study sought to explore the practice of self-distancing as a potential mechanism. It was hypothesized that participants who were instructed to write about a personally relevant future stressor from a distanced, third-person perspective would have more positive …

Identifying Challenges And Resiliency Of Adolescents Living With Parents Misusing Substances: A Mixed Methods Study, Alison Palmer

Educational Specialist, 2020-current

This study aimed to identify challenges, resiliency factors, and needs of adolescents living with parents misusing substances. Seven first-year students at James Madison University in PSYC 101 and PSYC 160 classes signed up to participant in this study to receive course credit. While supervised by a mental health provider, participants individually completed a Modified CAST-6 screener as well as a locally developed survey. A nonexperimental mixed-methods study was conducted including the convergent collection of quantitative and qualitative data. Quantitative data were analyzed using descriptive statistics and qualitative data were analyzed through Braun and Clarke’s (2006) model of thematic analysis. The …

The Impact Of The Covid-19 Pandemic On Youth Experiencing Homelessness: A Qualitative Study, Bryan A. Pecoraro

Dissertations, 2020-current

The purpose of this qualitative study was to understand how the COVID-19 pandemic impacted youth experiencing homelessness (YEH). During the coronavirus outbreak, millions of people’s health worldwide was negatively affected. In addition to poor physical health, society’s mental health was affected by political discourse, viral mitigation factors, social distancing, and distrust of both the media and government. Decades of research with those experiencing homelessness suggest that the housing insecure suffer from a litany of poor outcomes. Their physical and mental health are negatively affected by traumas and illnesses suffered prior to, and during, their transience. This study takes a phenomenological …

Children’S Experiences Of Parental Death, “Lost But Still Remembered”, Nour Salem

Dissertations, 2020-current

Parental death is prevalent during childhood, and the emotional, social, and behavioral effects on children’s development are well-documented. Although there is extensive literature on grief in children, most studies on children’s grief have obtained data about children’s experiences though collateral interviews with parents or caregivers, from adults who lost a parent as a child, or through quantitative measures with children and caregivers. Few studies have implemented a qualitative exploration of parental death by asking bereaved children. The objective of the current study was to involve parentally bereaved children in responding to the research question, “what is it like to lose …

Laughter Is The Best Medicine: Considerations For Using Humor Within The Mental Health Field, Brielle Pedrick

Educational Specialist, 2020-current

Humor is a part of the human experience and allows us to connect with others. There are numerous psychological and psychological benefits from using humor such as it can reduce stress, anxiety, depression, and can alter dopamine and serotonin activity. Not only does humor benefit the individual but it also allows us to create connections and bond with others through laughter. The benefits of humor can also be seen in a counseling setting between counselor and client. Clinicians should assess for client presentation, developmental considerations and cultural considerations before deciding if humor should be brought into the counseling room. Specific …

Dealing With Your Dragons: Counseling Through Dungeons And Dragons, Devon Howell

Educational Specialist, 2020-current

The purpose of this literature review is to explore the idea of using the game of Dungeons and Dragons as a form of group counseling in a therapeutic setting. A search of relevant literature was conducted to discover potential therapeutic utility and cultural aspects of this prospective methodology. It was hypothesized that while the topic might not be well researched, it will yield potential possibilities for therapeutic use. The research presents possibilities for different theoretical underpinnings; in particular, it offers a unique range of benefits to both the client (improvements to social skills, sense of community, and overall mental health), …

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 …

Identifying The Current State Of Practice Utilized By School Counselors And School Psychologists In Facilitating Divorce Groups In Elementary Schools, Stephanie Harris

Educational Specialist, 2020-current

Divorce is considered an adverse childhood experience (ACE) and may lead to a number of negative outcomes for children involved. Research has demonstrated that these children may have higher amounts of internalizing difficulties, externalizing difficulties, as well as lower academic performance. The present study analyzes the current state of practice surrounding divorce groups for elementary aged children within a county of a Southeastern state. The researcher gathered data by providing an online, anonymous survey by attending department meetings for school counselors and school psychologists. The data revealed that several facets of how these groups are facilitated align with evidence-based practice; …

Exploratory Analysis Of The Attachment-Caregiving Scale And Its Association With Child Attachment Patterns, Robert Whelan

Educational Specialist, 2020-current

The assessment of child and caregiving attachment patterns produce data that can inform relational and family interventions. Currently, the supported and widely used methods of assessing these attachment patterns (observational and interview procedures) require extensive training and testing to use, making them less accessible to providers. Valid and reliable caregiver self-report questionnaires for attachment assessment, which generally require less training to interpret, have proven difficult to design in the past. The Attachment Caregiving Scale (ACS) is a caregiver self-report questionnaire that looks at caregiver attributions (i.e., to what do caregivers attribute their child’s behaviors and emotions). This exploratory study seeks …

Impact Of Parental Substance Misuse On Attachment In Young Adults: A Qualitative Approach, Susan E. Hardman

Dissertations, 2020-current

This study examined the impact of parental substance misuse on young adult development and relationships by interviewing young adults about their experience being raised by a parent who misused substances. A qualitative design based on constructivist grounded theory and informed by constructs from attachment theory was used. Participants consisted of 10 young adults, ages 18-26, who endorsed being raised by a parent who misused substances. The interview questions developed for the study were informed by a measure of adult attachment. Analysis of the data included identification of emergent categories/themes as well as a priori constructs from attachment theory (safe haven, …

Integrating Creative Arts In Counseling: Review And Recommendations, Brittany Sehenuk

Educational Specialist, 2020-current

Creativity is present in many aspects of counseling practice. While clinical decisions are often assisted by the ability to think creatively, clinicians may not identify the potential benefit further exploration of creative pursuits within the counseling room could provide. The following paper seeks to explore the benefits of arts in counseling as well as the barriers that keep clinicians and clients from feeling comfortable brings arts into sessions. Arts may assist clients dealing with trauma and grief and can provide support for training clinicians and those in training. Clients and clinicians both may keep themselves from connect with artistic activities …

Informed Consent In Counseling Processes With The Transgender Community, Sindhura Elagandhala

Educational Specialist, 2020-current

Cultural competence from mental healthcare professionals is vital to effectively serving the transgender population. Unfortunately, specifics for working with this community often remain unaddressed in most counselor education programs. Working with gender diverse individuals requires a nuanced understanding and application of contemporary theories surrounding gender, sex, intersectional theories, and potential medical consultation. Counselors may be asked to play unique roles for transgender clients that require knowledge of basic concepts and definitions regarding transgender identity and the ways in which these topics become relevant in the clinical, counseling environment. It is also necessary to question roles that mental health counselors may …

Trauma Healing With The Neurosequential Model Of Therapy And Bal-A-Vis-X, Becky Johnston

Educational Specialist, 2020-current

Stigma related to childhood trauma is shifting with the help of advancements in the understanding of neurobiology and interventions that are proving to be effective for healing. There are immense costs and consequences for survivors of childhood trauma and their loved ones that were not so long ago considered irrelevant and the notion that kids bounce back from adversity was previously popular in the psychological community (Perry & Szalavitz, 2017). The broad strokes of Dr. Bruce Perry’s clinical intervention model, The Neurosequential Model of Therapy (NMT) describes a trauma-sensitive, sequential approach to changing the stress response within mental health counseling. …

Marketing And Branding For Counseling Interns And Residents In Private Practice, Madeline Grove

Educational Specialist, 2020-current

For interns and residents in mental health counseling beginning their careers in a private practice setting, building a full-time caseload of clients is challenging. The process of marketing and branding outpatient psychotherapy services is not generally covered in clinical training programs, leading to a gap in practical knowledge upon departure from higher education. Since the COVID-19 pandemic, rates of behavioral health disorders have increased, leading to a sense of urgency to providing care for communities in need. Effective marketing and branding of services allows for clinicians to work with populations they are most well suited to serve, and potentially allows …

Aggression In Session: Defining, Conceptualizing, And Treating Aggression, Tyler A. Greenough

Educational Specialist, 2020-current

Within the counseling profession, there is a great deal of interaction with aggression affecting both clients and the systems affecting clients. Therefore, it is vital that counselors be adequately prepared to work with various presentations of aggressive behavior. Aggression is defined, categorized based on common historical delineations, and summarized from a multi-axis continuum perspective. Contextual factors are considered such as the role of hormones, neurotransmitters, varying substances, and a wide range of diagnoses. Aggression is then conceptualized from a functional lens and explored based upon a need fulfillment model. Treatment practices such as building self-esteem, increasing emotional regulation, and developing …