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Multicultural Psychology Commons™

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2026

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Full-Text Articles in Multicultural Psychology

The Relationship Between Acculturative Stress, Body Dissatisfaction, And Disordered Eating Behavior Among Latina Women In The United States, Emily Lillian Johnson Dec 2026

The Relationship Between Acculturative Stress, Body Dissatisfaction, And Disordered Eating Behavior Among Latina Women In The United States, Emily Lillian Johnson

Doctoral Dissertations

The majority of research on body dissatisfaction and disordered eating behaviors focuses predominantly on the experiences of white women, neglecting the significant impact of acculturative stress on these issues, especially among understudied groups like Latina women. The present study seeks to address the gap in the literature by obtaining data that explores the extent to which acculturative stress, body dissatisfaction, and disordered eating behavior have a relationships. Additionally, it investigates the roles of cultural values and ethnic identification in protecting against body dissatisfaction and disordered eating behavior within this population. To determine whether acculturative stress is predictive of body dissatisfaction …


Black Existential–Spiritual Counseling: A Content Analysis, Miles Matise Sep 2026

Black Existential–Spiritual Counseling: A Content Analysis, Miles Matise

Journal of Social, Behavioral, and Health Sciences

Black American existential–spiritual counseling integrates existential philosophy with the unique cultural, historical, and spiritual contexts of Black Americans to address their psychological and spiritual needs. Rooted in the lived experience of systemic oppression, alienation, and the quest for identity and freedom, this counseling approach emphasizes meaning-making, personal responsibility, and authentic living. It acknowledges the interconnectedness of spirituality and psychology, recognizing the importance of the Black church, music, and communal values in fostering resilience and empowerment. Drawing on existential themes, such as mortality, freedom, loneliness, and purpose, this approach supports clients in navigating sociocultural stressors and generational trauma through a spiritually …


Alzheimer’S Disease And Related Dementias Risk Profiles And Health Literacy Among South Asian Seniors, Sandra A. Kennedy Sep 2026

Alzheimer’S Disease And Related Dementias Risk Profiles And Health Literacy Among South Asian Seniors, Sandra A. Kennedy

Dissertations, Theses, and Capstone Projects

Alzheimer’s Disease and Related Dementias (ADRD) pose significant health challenges globally, with South Asian seniors in the United States facing elevated risks due to high rates of cardiovascular disease, diabetes, and limited health literacy. This study assessed dementia literacy and the prevalence of cardiovascular, psychosocial, and lifestyle risk factors among South Asian seniors in New York City, utilizing community-based participatory research (CBPR) principles in collaboration with India Home, a community-based organization. Fifty-six (N=56) South Asian seniors aged 55 and older (M = 69.05, SD = 6.36), primarily of Indian or Bangladeshi origin, participated in the study. Data collection involved a …


“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 …


Are Individual Mental Health Issues Treated Fairly By The Criminal Justice System?, Taylor Anderson Aug 2026

Are Individual Mental Health Issues Treated Fairly By The Criminal Justice System?, Taylor Anderson

Master of Arts in Human Services

The intersection of mental health and the criminal justice system is a critical area of inquiry that highlights the complexities of addressing psychological disorders within our legal frameworks. This paper explores the prevalence of mental health issues among incarcerated individuals and examines how systemic deficiencies contribute to a cycle of recidivism and inadequate treatment. By analyzing the existing literature, the research aims to illuminate the pressing need for a reform in the handling of mentally ill offenders, advocating for a shift towards more rehabilitative approaches rather than punitive measures. The implications of those findings extend beyond individual cases to societal …


Clinical Considerations For Black Student Athlete Development, Jahnia Margarita Green Aug 2026

Clinical Considerations For Black Student Athlete Development, Jahnia Margarita Green

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

Black student athletes exemplify the complexity of navigating intersecting identities at pivotal points in their development. They are also more likely to make premature commitments to their athletic identity and in turn suffer from psychological distress during times of transition (Beamon, 2012). The focus on Black collegiate athletes is informed by persistent mental health challenges associated with higher levels of competition or transitions (e.g., injury or retirement) within collegiate athletics (Brewer & Petitpas, 2017; Menke & Germany, 2019). This paper aims to develop culturally informed clinical considerations through the analysis of the Black student athlete experience and structural aspects of …


Exploring The Impact Of An Ethnic Studies Course On Latiné High School Students’ Social-Emotional Health And Identity Development, Xitlalli G. Najera Aug 2026

Exploring The Impact Of An Ethnic Studies Course On Latiné High School Students’ Social-Emotional Health And Identity Development, Xitlalli G. Najera

Doctoral Dissertations

Prior research demonstrates that culturally relevant pedagogies can enhance students’ academic engagement, critical thinking, and sense of belonging, while also buffering against the negative effects of discrimination and marginalization. Research on ethnic studies (ES) courses has shown positive impacts on students’ graduation rates, GPA average, and motivation to be involved with their community. Related studies on the impacts of ES curricula show socio-emotional benefits such as an increase in self-esteem, improved perceptions of self-agency, and fewer depressive and anxiety symptoms. The aim of this study was to examine the impact of an ethnic studies course on Latiné high school students’ …


Addressing Haitian High School Students’ Educational Challenges Through Their Self-Cultural Awareness, Gregory Louis Aug 2026

Addressing Haitian High School Students’ Educational Challenges Through Their Self-Cultural Awareness, Gregory Louis

Graduate Student Dissertations, Theses, Capstones, and Portfolios

The study is grounded in the understanding that culturally responsive education practices can promote academic success and empower students to navigate multiple cultural contexts. A review of literature highlighted the complexities of Haitian students' educational experiences, the impact of cultural identity on academic achievement, and the need for further research on this topic.

The research employed in-depth, semi-structured interviews with Haitian high school students and their parents to gather data on their experiences, perceptions, and attitudes towards education and cultural identity. The study aimed to contribute to a deeper understanding of the educational experiences of Haitian students and inform strategies …


Becoming A Therapist In A Foreign Land: Narratives Of International Trainee Clinicians Of Color In The U.S., Prathma Sharma Aug 2026

Becoming A Therapist In A Foreign Land: Narratives Of International Trainee Clinicians Of Color In The U.S., Prathma Sharma

Electronic Theses and Dissertations

The focus of this dissertation project is on the community of trainee clinicians of color, who have been consistently overlooked in the literature on mental health. This dissertation employed narrative analysis as a methodological framework to explore the experiences of international trainee clinicians of color as they navigated the complex landscape of mental health training in the United States. In an increasingly globalized world, the voices and perspectives of these individuals offered critical insights into the challenges, triumphs, and unique pathways that shaped their professional development. Much of the literature on diversity and inclusion tends to individualize the challenging experiences, …


"Help Me Live It The Way You Do": Grounding Singaporean Responses To The Rorschach Situation, Casey Y. Lee Aug 2026

"Help Me Live It The Way You Do": Grounding Singaporean Responses To The Rorschach Situation, Casey Y. Lee

Electronic Theses and Dissertations

Contemporary research on the Rorschach and culture is striking for the latter’s disappearance as a variable of significance (Meyer et al., 2015; Meyer et al., 2007; Mihura et al., 2013; Viglione & Hilsenroth, 2001). This erasure is chronicled and reproduced in the narratives of universal objectivity, of extensive international meta-analyses, of replications, of standardized norms (Ritzler, 2004; Smith et al., 2018; Smith et al., 2020; Weiner, 2004). A different story emerges, however, when we ask, how has culture disappeared? The proposed study is a multimethod qualitative analysis of Singaporean responses to the Rorschach, aimed at generating sensitive yet critical discourses …


Corazón De Nopal, Alma De Monarca: The Invisible Workforce, Vanessa Estrada Garza Aug 2026

Corazón De Nopal, Alma De Monarca: The Invisible Workforce, Vanessa Estrada Garza

McNair Summer Research Program

In many parts of the United States, Day Laborers, people who work for a daily wage, congregate in front of home improvement stores in the hopes that the customers buying materials are also in need of labor. Day laborers, who are mostly Latino men, experience a plethora of adversities (e.g., wage theft, discrimination based on status or race, on-site injuries). However, it is also important to understand day laborers’ experiences within the current sociopolitical climate (Fernandez-Esquer et al., 2022; Ramirez, 2011; Ordoñez, 2015; Walter et al., 2004). At times the stories and humanity of these individuals outside of their labor …


A Poetic Call For And A Reflection And Commentary On Clarity, Understanding, Hope, Courage, And Compassion, Carroy U. Ferguson Aug 2026

A Poetic Call For And A Reflection And Commentary On Clarity, Understanding, Hope, Courage, And Compassion, Carroy U. Ferguson

Psychology Faculty Publication Series

Finding a published poem I had written as a teenager, titled “The Heavens Weep.” this article uses that poem as the basis for a commentary that reflects on the state of the world today (2026),  As a commentary, the article uses the poetic and metaphoric words in the poem as a relevant "reality check" for what is still going on today.  In essence, the commentary is about a call for Clarity, Understanding, Hope, Courage, and Compassion, or what I call Archetypal Energies, Higher Vibrational Energies that operate deep within our individual and collective psyches to creatively urge us to "see" …


Leveraging Technology To Measure The Strength Of Demand For Commercial And Trafficked Sex, Michael D. Shively, Bob Rodgers, Courtney Furlong, Brooke Ruffin Aug 2026

Leveraging Technology To Measure The Strength Of Demand For Commercial And Trafficked Sex, Michael D. Shively, Bob Rodgers, Courtney Furlong, Brooke Ruffin

Dignity: A Journal of Analysis of Exploitation and Violence

The article examines Transaction Intercept (TI), an artificial‑intelligence platform designed to reduce sex trafficking by disrupting the revenue streams that draw organized crime into the market. Transaction Intercept deploys decoy online ads that appear to offer commercial sexual exploitation or prostitution. Automated "decoy" personas connect to individuals who click on these ads and engage them in text conversations. These exchanges can remain fully automated, ending with deterrence messages, or be transferred to police for potential enforcement action or to trained volunteers who attempt to discourage further attempts to buy sex. Transaction Intercept generates extensive, real‑time data on local demand for …


A Qualitative Study Of Immigration Trauma, Posttraumatic Growth, And The College Experience Among Mena Immigrant Students, Braa A. Elkhidir Aug 2026

A Qualitative Study Of Immigration Trauma, Posttraumatic Growth, And The College Experience Among Mena Immigrant Students, Braa A. Elkhidir

Dissertations

Middle Eastern and North African (MENA) immigrant students who are seeking to earn a higher education in the United States have to navigate acculturative stressors and systemic barriers. Prior research has focused primarily on the challenges MENA immigrant students experience without deeply exploring how these students adapt and grow. The focus in this qualitative study was to understand how MENA immigrant college students experience and make meaning of their academic journeys. Semi-structured interviews were used to explore the academic experiences of seven MENA immigrant college students in the United States and assess how acculturative stressors, personal strengths, coping strategies, and …


Beyond The Binary: The Intersection Of Substance Use And Lgbtq+ Identity, Allyana Musa Aug 2026

Beyond The Binary: The Intersection Of Substance Use And Lgbtq+ Identity, Allyana Musa

Educational Specialist, 2020-current

Substance use among LGBTQ+ youth remains a significant public health concern, with rates of alcohol, marijuana, and other substance use consistently exceeding those of their heterosexual peers. This systematized review examines the literature on substance use interventions for LGBTQ+ youth, with a focus on identifying the program components and theoretical orientations associated with effective and affirming outcomes. Following PRISMA guidelines, a systematic search of ERIC and PsycINFO was conducted to identify peer-reviewed studies published between 2016 and 2026 that addressed substance use among LGBTQ+ youth. Eligible studies included quantitative, qualitative, mixed methods, and conceptual research examining substance use, risk and …


The Joint Effect Of Bilingualism And Sleep On Executive Functions Among Children And Adolescents With Attention Deficit/Hyperactivity Disorder (Adhd), Yirou Jiang Aug 2026

The Joint Effect Of Bilingualism And Sleep On Executive Functions Among Children And Adolescents With Attention Deficit/Hyperactivity Disorder (Adhd), Yirou Jiang

Doctoral Dissertations

Attention Deficit/Hyperactivity Disorder (ADHD) is a neurodevelopmental disorder that significantly impacts cognitive and behavioral functions, leading challenges for individuals across the lifespan. While extensive research has been conducted to understand the connection between executive functioning (EF) and ADHD, research findings related to the contributing factors of bilingualism and sleep still remains inconsistent (Bialystok et al., 2017). Investigating the joint effect between bilingualism and sleep on EF among children and adolescents with ADHD may help further clarify the connection between EF, language, and sleep, and facilitate the development of interventions from the perspective of these protective factors. EF encompasses cognitive processes …


Intergenerational Trauma And Grief Among The Latine Community: Proposed Interventions And Treatment Considerations, Alexandra M. Johnson Aug 2026

Intergenerational Trauma And Grief Among The Latine Community: Proposed Interventions And Treatment Considerations, Alexandra M. Johnson

Dissertations

The intersectionality of bereavement, trauma, and culture has many clinical considerations, including the impact on individuals and families. Traumatic events can impact an individual directly, collectively, and intergenerationally. The Latine community is one of the largest cultural groups in the United States, and mental health treatment often includes several cultural considerations. This critical literature review examined how the Latine community has been impacted by intergenerational trauma, specifically through experiences of grief and loss, to inform clinical focus, case conceptualization, and identify gaps in the literature. The first chapter provides a brief history of the intersectionality of intergenerational trauma and bereavement, …


Pathways To The Streets: A Proposed Model Examining The Factors Influencing Gang Affiliation And Involvement Among Young Black Men In The United States, Ceauna L. Juarez Aug 2026

Pathways To The Streets: A Proposed Model Examining The Factors Influencing Gang Affiliation And Involvement Among Young Black Men In The United States, Ceauna L. Juarez

Dissertations

This literature review examined gang involvement among young Black men in the United States and explored the factors that contribute to joining gangs and the consequences that may follow. The first chapter provides a brief history of gang involvement in Black communities and introduces Erikson’s development model, self-determination theory, and the minorities’ diminished returns as the three theoretical frameworks. The second chapter discusses common challenges faced by young Black men who are currently involved in gangs or are at risk of joining. The chapter explores issues such as life expectancy after gang involvement, adverse childhood experiences, mental health concerns, and …


Black Protection: Black Social Media Competency And Urban, Black Adolescents On Social Media, Taylor A. Williams Aug 2026

Black Protection: Black Social Media Competency And Urban, Black Adolescents On Social Media, Taylor A. Williams

Dissertations

While urban, Black adolescents interact with racial identity content on social media, their identity is primarily shaped through offline experiences and later reflected or reinforced online. Through the concept of Black social media competency (B-SMC), this study examined the relationships between Black urban adolescents’ social media use, exposure to race-related content, and experiences navigating the digital environment. The study used a qualitative design, grounded in the phenomenological and ecological frameworks, with 21 adolescents recruited from two urban, Midwestern schools and programs to participate in semi-structured interviews, and data were analyzed using thematic analysis to identify patterns in how the participants …


Love’S Dialects: Proposed Additions In Emotionally Focused Therapy For Intercultural Couples, Nicola Heurich Aug 2026

Love’S Dialects: Proposed Additions In Emotionally Focused Therapy For Intercultural Couples, Nicola Heurich

Dissertations

Intercultural romantic relationships have become an increasingly prominent feature of contemporary society due to globalization, migration, and cross-cultural exchange (Livingston & Brown, 2017). However, these partnerships are also associated with elevated levels of relational distress and higher rates of conflict, separation, and divorce, underscoring the need for culturally responsive approaches in couple therapy (Bustamante et al., 2011; Genç & Su, 2021).

Research on intercultural couples remains limited both within and beyond Emotionally Focused Therapy (EFT), and despite increased recognition of cultural factors, there is still insufficient guidance on navigating differing cultural contexts within a dyad (Linhof & Allan, 2018).

The …


An Exploration Of The Psychological Impacts Of Code-Switching, Cristina Culler Aug 2026

An Exploration Of The Psychological Impacts Of Code-Switching, Cristina Culler

Electronic Theses and Dissertations

This dissertation is an interpretative phenomenological analysis of the lived experiences of four Black American adults who have frequently engaged in code-switching. Historically, code-switching has been perceived as a necessary skill that helps marginalized folx adopt the norms and practices of the dominant culture. As a result, code-switching has become a routine practice specifically for Black Americans who often occupy white spaces. Since code-switching has been perceived as a skill, the oppressive origins of code-switching often go unnoticed. Therefore, this dissertation examines code-switching through a critical lens that deems this practice a product of racist ideologies that prioritize whiteness. Through …


Role Of Stigma On Engagement In Mental Health Services For Latinxs With First-Episode Psychosis (Fep), Livia J. Padron Briceno Aug 2026

Role Of Stigma On Engagement In Mental Health Services For Latinxs With First-Episode Psychosis (Fep), Livia J. Padron Briceno

Electronic Theses, Projects, and Dissertations

Psychotic patients often endure stigma in their daily lives (Corrigan, 2018). Psychotic patients are understood as individuals who are experiencing psychotic symptoms such as hallucinations, delusions and disorganized speech (Arciniegas, 2015; Breitborde et al., 2017; Moskowitz et al., 2019) and have been diagnosed according to the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) criteria with a psychotic disorder (e.g. Schizophrenia, Schizoaffective Disorder). Stigma refers to negative perceptions held about an individual experiencing mental illness. While public stigma refers to the negative views adhered to by members of communities (e.g., sociocultural group, family units) about people with mental illness, self-stigma …


Sense Of Safety And Quality Of Life Among Immigrants, Rachel Gomez Jul 2026

Sense Of Safety And Quality Of Life Among Immigrants, Rachel Gomez

McNair Scholars Research

This study examined the relationship between sense of safety and quality of life among Hispanic/Latinx immigrant communities. The study sought to determine whether perceived sense of safety was associated with quality of life and whether differences existed based on immigration status, gender, and age. A quantitative, non-experimental survey design was used with a convenience sample of 33 first- and second-generation Hispanic immigrants from Arkansas. Participants completed a survey combining the Immigrant Enforcement Fear Scale and the 10-Item Well-being Instrument, which were translated into Spanish to increase accessibility. Data were analyzed using Pearson correlation coefficients and independent-samples t-tests with an alpha …


Exploring Stress And Mindfulness In Central Asia: Perspectives Of English Language Students In Uzbekistan, Laurie A. Wolfe, Rakhmatullo Akhmedov Jul 2026

Exploring Stress And Mindfulness In Central Asia: Perspectives Of English Language Students In Uzbekistan, Laurie A. Wolfe, Rakhmatullo Akhmedov

The Interactive Journal of Global Leadership and Learning

Stress is a growing concern among university students worldwide, yet little is known about how stress is conceptualized and experienced within Central Asia, particularly Uzbekistan. This study explores how Uzbek university students understand and experience stress, identifies the primary sources of stress in their daily lives, and examines their perceptions of mindfulness as a potential stress‑reduction strategy. Participants were 60 students, primarily Muslim women, at a large public university in Tashkent, Uzbekistan. Open‑ended questions on a post‑intervention survey were analyzed using a combination of deductive and inductive coding. Students most frequently described stress in emotional terms, including irritability, sadness, and …


Collectivist Culture Values And Self-Esteem In Asian Americans With Adhd, Skye Taemi Jieling Sakashita Jul 2026

Collectivist Culture Values And Self-Esteem In Asian Americans With Adhd, Skye Taemi Jieling Sakashita

Doctoral Dissertations

This study is a quantitative correlational analysis that evaluated the relationship between collectivism and self-esteem in Asian American adults diagnosed with Attention-Deficit/Hyperactivity Disorder (ADHD). A total of 29 Asian American adults with ADHD participated in this study that included a survey of three scales assessing for collectivism, self-esteem, and ADHD symptoms. The results indicated that the correlation between self-esteem and collectivism in participants was not statistically significant. The correlation between self-esteem and ADHD symptoms was also found to be not statistically significant. However, certain correlational analyses regarding collectivism and ADHD symptoms were found to be statistically significant. Specifically, the results …


Exploring Primary Care Providers’ Compassionate Care And Their Evidence-Based Practice With Death, Grief, And Loss: Patient Experience And Perspective, Kathryn Krzykala Jul 2026

Exploring Primary Care Providers’ Compassionate Care And Their Evidence-Based Practice With Death, Grief, And Loss: Patient Experience And Perspective, Kathryn Krzykala

Dissertations

Research on primary care providers’ (PCPs) education regarding Death, Grief, and Loss (DGL) remains limited. Specifically, data is lacking regarding patients' perceptions and opinions on what they need and expect from their PCPs regarding grief and loss. This exploratory mixed-method study comprised 146 participants who had experienced death and non-death loss. It examined participants' perceptions of 1) PCP compassion, 2) PCP utilization of evidence-based grief and loss practices, 3) their own level of comfort discussing DGL with their PCPs during medical visits, and 4) their personal grief and loss experiences. The findings revealed that PCPs' grief-informed evidence-based treatment, as reflected …


Determinants Of Corporal Punishment And Severe Physical Punishment In Egypt: A Mixed-Methods Analysis For Child Protection Policy, Marwa Moustafa Nassef Jun 2026

Determinants Of Corporal Punishment And Severe Physical Punishment In Egypt: A Mixed-Methods Analysis For Child Protection Policy, Marwa Moustafa Nassef

Theses and Dissertations

Corporal punishment (CP) and severe physical punishment (SPP) remain a major public health, child rights, and child protection policy concern. In Egypt, despite legislative reforms, survey-weighted analysis of the 2021 Egypt Family Health Survey (EFHS) 2021 (CAPMAS, 2022) reveals prevalence rates of 60.5% for CP and 27.4% for SPP among children aged 1–14 (author’s calculations using EFHS-2021, n=7623), yet evidence distinguishing the determinants of routine corporal punishment from escalation to severe physical punishment remains limited in low- and middle-income contexts. Guided by Bronfenbrenner’s ecological framework, this mixed-methods study identifies key drivers of CP and its escalation to SPP among Egyptian …


Life Sustaining Well-Being Practices And Physiological Health Among Black Men, Dakota W. Cintron, Monique N. Golden, Jennifer M. Boylan, Julia K. Boehm, Tomiko Yoneda, Hebi Wang, Erik M. Hines, James L. Moore Iii Jun 2026

Life Sustaining Well-Being Practices And Physiological Health Among Black Men, Dakota W. Cintron, Monique N. Golden, Jennifer M. Boylan, Julia K. Boehm, Tomiko Yoneda, Hebi Wang, Erik M. Hines, James L. Moore Iii

Psychology Faculty Articles and Research

Objective

To identify culturally grounded well-being practices among Black men in midlife and examine their associations with physiological health.

Methods

Analyzing data from the 2004–2005 Midlife in the United States (MIDUS) study, we examined, 116 open-ended responses to the question, “What do you do to make your life go well?” Network topic modeling identified six topics: (1) interpersonal kindness and positive mindset; (2) caring for children; (3) practicing spirituality and faith; (4) maintaining social connections and well-being; (5) avoiding stress; and (6) meaningful work and daily activities. Topic scores, reflecting participants’ tendency to discuss these themes, predicted allostatic load and …


Diverse Families Navigating Mental Health At The Pediatrician’S Office: A Mixed Methods Exploration Of The Interplay Of Stress, Culture, And Child Mental Health In The Primary Care Setting, Sara B. Budowsky Jun 2026

Diverse Families Navigating Mental Health At The Pediatrician’S Office: A Mixed Methods Exploration Of The Interplay Of Stress, Culture, And Child Mental Health In The Primary Care Setting, Sara B. Budowsky

Dissertations

Low-income and ethnic minority youth experience high psychiatric need but persistently low participation in traditional mental health care. General pediatricians are often the first and only healthcare providers with whom many families engage around their child’s emotional and behavioral development. Using both quantitative analysis of retrospective secondary data and Interpretative Phenomenological Analysis (IPA) of in-depth interviews with diverse caregivers, this project explored influencers of child mental health and family utilization of pediatric primary-care-based mental health services in the context of a uniquely multicultural clinic serving a predominantly Medicaid population. Three key findings include: 1) Caregiver Stress was a highly significant, …


Clinician Perspectives On Fistula Mental Health, Victoria K. Leonard May 2026

Clinician Perspectives On Fistula Mental Health, Victoria K. Leonard

Doctoral Dissertations

Background – Obstetric fistula is a childbirth injury caused by prolonged labor that leads to stillbirth and incontinence, spurring social exclusion and isolation. These layers of trauma put women with fistula at great risk for psychological suffering, which has profound negative socioeconomic impacts on them, their families, and communities. This study captured treatment as usual at Comprehensive Community Based Rehabilitation in Tanzania (CCBRT), the country’s largest provider of fistula care.

Method – Improving holistic fistula treatment requires engaging the clinicians who care for women with fistula. This study aimed to investigate the training, beliefs, and treatment approaches of nurses and …