Mental and Social Health Commons^™

The Effects Of Therapist Expertise And Concerns Of Involuntary Hospitalization On The Disclosure Of Suicidal Ideations And Behavior, Zane Hensel

All Graduate Theses, Dissertations, and Other Capstone Projects

Suicide continues to grow as a complex and multi-faceted problem in prevention and treatment, particularly for college students with an increased predictor of risk of suicidal behaviors. Previous research has indicated that one of the largest concerns for suicide disclosure is a fear of involuntary hospitalization. Over 200 college students participated in examining therapist expertise and understanding information on involuntary hospitalization on their rate of suicide disclosure. A 2x2 MANOVA, a 2x2x2 MANOVA that included gender, and a factor analysis were performed on an ad-hoc 11-question survey assessing suicidal ideation and suicidal behavior disclosure. The results indicated that there was …

Predicting Mental Health Counseling Professionals’ Willingness To Discuss Sexuality Issues With Clients, Becca L. Thompson

All Graduate Theses, Dissertations, and Other Capstone Projects

Sexuality is fundamental to the human experience and sexuality issues will affect every individual across the lifespan. Mental health counseling professionals (MHCPs) will likely encounter a client in their practice that presents with some facet of sexuality concern. MHCPs may be challenged by these disclosures or neglect to inquire about these needs due to underlying factors that contribute to decreased willingness to discuss sexuality with clients. This study explored the relationships of some of these factors, including sexual intervention self-efficacy, state anxiety, and trait anxiety, and further examined the extent to which these factors predict willingness to discuss sexuality with …

Addressing The Needs Of African American Grandparents: An Intersectionality Perspective, Dorothy Smith-Ruiz, Kendra Jason

The Journal of Sociology & Social Welfare

This study seeks to demonstrate the intersecting structural and compounding challenges African American custodial grandparents experience collectively, rather than as separate non-competing factors, which has been modeled in prior studies. Using a mixed-method research design, the study explored the challenges faced by African American and white custodial grandparents. These challenges included difficulties attaining different types of support, respite care, and programs for teens and special needs grandchildren. Results showed that caregiving challenges among African Americans were more pervasive than their White counterparts. These findings have significant implications for the development of intervention programs for custodial African American grandmothers and their …

A Multivariable Model Of Parent Satisfaction, Pain, And Opioid Administration In A Pediatric Emergency Department, Candice D. Donaldson, Thomas W. Heyming, Louis Ehwerhemuepha, Brooke N. Jenkins, Michelle A. Fortier, William Feaster, Zeev N. Kain

Psychology Faculty Articles and Research

Introduction: Children and adolescents are not impervious to the unprecedented epidemic of opioid misuse in the United States. In 2016 more than 88,000 adolescents between the ages of 12–17 reported misusing opioid medication, and evidence suggests that there has been a rise in opioid-related mortality for pediatric patients. A major source of prescribed opioids for the treatment of pain is the emergency department (ED). The current study sought to assess the complex relationship between opioid administration, pain severity, and parent satisfaction with children’s care in a pediatric ED.

Methods: We examined data from a tertiary pediatric care facility. A health …

The Effect Of Quality Of Life On Cardiometabolic Risk Factors In Postmenopausal Women, Chavela Lynn Riotutar

Cal Poly Humboldt theses and projects

Background: The emergence of cardiometabolic (CMD) indicators for Metabolic Syndrome (MetS) coincides with the decline in estrogen production during menopause and substantially increases development of cardiovascular disease (CVD) in women. Quality of life (QOL) encompasses physical, material, and social well-being. Research reveals a correlation between low QOL scores and CMD disease. Menopause significantly increases CMD risk, and may also lower QOL scores. Objective: To investigate the relationship between QOL and CMD risk in postmenopausal women. Method: Cisgender, postmenopausal women (age > 45 years) were recruited through emails to complete the online survey. Data collection included demographics, physical characteristics and activity level, …

Influence Of Parenting Style On Frequency Of Alcohol Consumption By Jewish Male And Female Emerging Adults, Thomas Gross

Walden Dissertations and Doctoral Studies

Abstract

The health hazards associated with young adults’ frequency of alcohol consumption have been well documented. It has been shown that 40.1% of emerging adults have been involved in binge drinking (i.e., consumption of more than five drinks in a row). The current prevalence rates of alcohol use among young male and female adults are 19% and 26%, respectively. The purpose of the study was to examine the influence of perceived parenting style (i.e., permissive, authoritarian, or authoritative/flexible) on the self-reported frequency of alcohol consumption of 138 U.S. Jewish male and female college students ages 19 to 27 years. The …

Examining The Impact Of Mental Health Education On Bias And Stigma In Cit Trained Officers, Jennifer L. Krause

Walden Dissertations and Doctoral Studies

The purpose of this quantitative, correlational nonexperimental research was to examine the relationship between the mental health education received through Crisis Intervention Team (CIT) training and the perceptions of public mental health stigma, self-stigma, and attitudes toward seeking mental health services among law enforcement officers. The study’s theoretical framework integrated gender-role conflict theory and Goffman’s stigma theory in explaining the influence of the police culture on officers’ adoption of more traditional masculine roles. This research used three instruments: the Attitudes to Mental Illness questionnaire to measure perceptions of public stigma, the Self-Stigma of Seeking Help Scale to measure self-stigma, and …

A Retrospective Analysis Of Integrative Group Medical Visits For Low-Income Patients With Anxiety Disorders In Primary Care, Annamma Udaya Thomas

Walden Dissertations and Doctoral Studies

High utilization of the emergency department (ED) by patients with anxiety symptoms has brought attention to mental health access disparities among low-income racially/ethnically diverse populations. The health system in this study attempted to increase access to mental health care with integrative group medical visits (IGMVs), a nonpharmacological intervention with biomedical care consultation, health education, and peer support. The purpose of this retrospective comparative analysis, guided by integrative health equity in primary care framework, was to determine whether patients with diagnoses of anxiety who attended four or more IGMVs had reduced nonemergent ED utilization, reduced prescribed doses of benzodiazepine (BZD), and …

Adult Day Care Staff Education To Improve Communication And Behavioral Management Skills, Kathy Davis

Walden Dissertations and Doctoral Studies

AbstractIneffective communication and behavioral management skills are quality and safety issues that were identified at a local adult day care facility in the Southwest United States. Administrators at the facility identified a knowledge gap in communication and behavior management techniques for patients with cognitive impairment. An educational program, with a PowerPoint presentation and verbal feedback as key components, was developed and used to address the identified gap in practice related to individuals with cognitive impairments at the facility. The adult learning theory and the plan-do-study-act model provided supportive frameworks for program development and staff education. The project question explored whether …

Emotional Reactions In First-Time African American Fathers During The Postnatal Period, Aisha Wilkins

Walden Dissertations and Doctoral Studies

AbstractIndividuals who have recently become first-time parents can find the experience to be both rewarding and challenging. While research has mainly focused on the challenging experiences of first-time mothers after giving birth, recent studies have begun to find that first-time fathers may have just as difficult a time adjusting to their new role. Most research studies conducted in this area have primarily focused on the experience of European American and Asian American first-time fathers and not specifically on African American fathers. Social exchange theory was used in this interpretive phenomenological analysis study to explore how first-time African American fathers handled …

Factors Associated With Help-Seeking Behaviors Among Persons With Serious Psychological Distress, Minn A. Oh

Walden Dissertations and Doctoral Studies

Serious psychological distress (SPD) is an important individual and public health concern, but inconsistent results exist in the literature in terms of help-seeking behaviors and health-related outcomes among persons with SPD. The purpose of this study was to address this issue and understand clinical factors, access and quality of care factors, and sociodemographic factors associated with help-seeking behaviors among adults with SPD using the California Health Interview Survey (CHIS). CHIS data were collected in 2015 as a part of a two-year cycle (2015-2016) and surveyed 42,089 adults. For multivariable analyses, logistic regression analyses were performed. Participants with chronic health conditions …

Workplace Psychosocial Factors, Perception Of Organizational Support, And Congregate Workers’ Quality Of Life, Claudine Alicia Cousins

Walden Dissertations and Doctoral Studies

Congregate care organizations employ workers across various environments from shelters, group homes, long-term care homes, and correctional facilities. Congregate care workers in the developmental services sector face numerous risks that affect their quality of life due to workplace stress from daily interactions with individuals with intellectual disabilities and organizational demands. Workers’ perception of the support received from their organization may further impact their quality of life. The purpose of this quantitative study, guided by organizational support theory, was to examine the relationship among the independent variables of workplace psychosocial factors (defined as vicarious trauma, compassion fatigue, mental stress, or burnout), …

Juvenile Justice And The Criminalization Of Mentally Ill Individuals, Michael Collins

Walden Dissertations and Doctoral Studies

Juvenile justice systems in the United States are using incarceration as a solution to the problem of youths with mental health disorders who commit violent crimes. Juvenile justice systems across the United States have a revolving door effect that arrests, adjudicates, and incarcerates youth offenders but fail to address the factors that contribute to recidivism. The purpose of the qualitative case study was to identify which treatment procedures were most appropriate for juvenile offenders who committed violent offenses in an effort to reduce recidivism for this offender population. For this study, an ecological psychology theory was used as a lens …

Detroit Community Violence And Mental Health Help-Seeking Behaviors Of African American Men, Rebekah D. Montgomery

Walden Dissertations and Doctoral Studies

Community violence is a type of trauma commonly experienced in inner cities. Qualitative methods and hermeneutic phenomenology were used to identify connections of low use of professional mental health services by African American men in inner-city settings to chronic exposure to trauma. Sotero’s historical trauma theory was used to explain how minority men process trauma in present-day circumstances. Purposeful sampling was used to select seven African American men in Detroit, Michigan who self-reported exposure to community violence. Data were collected via semi-structured interviews and analyzed using three steps: transcribing; listening, reading, and analyzing; and coding using inductive and deductive analysis. …

African American Mothers’ Experience In The Neonatal Intensive Care Unit, Lauren Magruder

Walden Dissertations and Doctoral Studies

Black/African American (B/AA) mothers struggle disproportionately with problems related to childbirth. B/AA mothers have higher rates of premature births, infant death prior to age one, and death during childbirth. The purpose of this research was to add to present knowledge regarding B/AA mothers who have had a baby in the Neonatal Intensive Care Unit (NICU). Womanist theory was selected as a framework for the study because it focuses on the intersection of gender and race in relation to B/AA women. The experience of B/AA women in U.S. society is unique, in that it involves several pervasive stereotypes and controlling images. …

Substance Use, Mental Health Problems And Missed Appointments By Race, Gender, And Sexual Orientation Among Hiv-Infected Individuals, Abraham Adonis Anderson

Walden Dissertations and Doctoral Studies

Human Immunodeficiency Virus (HIV) disproportionately affects African American men who have sex with men. According to the Centers for Disease Control and Prevention, in 2020 African American adult and adolescent African American men accounted for 42% (16,002) of all HIV diagnoses (37,968). Furthermore, while substance use is common among this population, in previous studies very few individuals with HIV have reported receiving substance abuse treatment or discussing substance use with HIV medical providers. The purpose of this study was to examine the differences in substance use/mental health problems by race, gender, and sexual orientation among HIV-infected individuals. This study also …

The Lived Experiences Of Black Youth Who Recidivate In Diversion Programs, Justin Richards

Walden Dissertations and Doctoral Studies

There are high rates of recidivism among U.S. Black youth when compared to other races, such as Whites and Hispanics. The purpose of the study was to examine the lived experiences of Black youth in the juvenile justice system and in diversion programs. Using a phenomenological qualitative method, twelve Black adults between the ages of 18 to 40 were interviewed about their lived experiences while participating in mental health courts and in-home probation as youth. The conceptual framework of the study was based on the risk, need, and responsivity model. The primary research question examined the lived experiences and perceptions …

The Experience Of Therapists Working With Mexican American Children Of Substance Abusing Parents, Tracy M. Basile

Walden Dissertations and Doctoral Studies

AbstractThe need for culturally competent mental health providers and the Mexican American immigrant population in the United States are growing. This study focused on themes from therapists’ narratives that may help to comprehend the intricacy of difficulties facing Mexican American children living with substance-abusing parents. The firsthand knowledge and experiences of the therapists who have worked with this population provided a basic understanding of what to expect and which therapeutic interventions may work best for both the child and their parents. The purpose of this narrative inquiry was to qualitatively identify therapists’ lived experiences and understand how they interacted with …

Mental Health Provider Experiences Among Juvenile Offenders With Attention Deficit Hyperactivity Disorder, Vanessa West

Walden Dissertations and Doctoral Studies

Research has indicated various treatment options available such as medication management or family therapy for juvenile offenders struggling with a diagnosis of, or symptoms of, attention deficit hyperactivity disorder (ADHD). Exploring mental health clinicians’ perceptions may provide insight into treatment needed for this population to contribute positively to society. Past researchers refrained from obtaining mental health clinicians’ perspectives on treatment when working with this population. Rational choice theory indicates that individuals examine the costs and benefits of their actions prior to making decisions. Gestalt/feature-intensive processing theory promotes the inclusion of necessary information to help with processing when making decisions. Youth …

Educational Strategies For Healthcare Providers Of Postpartum Women With Substance Use Disorder, Agnes Denise White

Walden Dissertations and Doctoral Studies

AbstractProviding educational strategies to maternal-child staff members can improve their attitudes, perceptions, and stigma towards the childbearing age women who are substance users. In the United States, an increased number of pregnant women have substance abuse problems. It is important that the maternal child staff have the resources and are equipped to care for women who are substance users struggling with their addictions and motherhood. The purpose of this project was to determine whether an educational program provided to postpartum nurses increased knowledge on the special needs of the new mother with a substance abuse issue. The education of the …