Community-Based Workers’ Treatment And Relationship With African American Men With Dual Diagnosis,
2020
Walden University
Community-Based Workers’ Treatment And Relationship With African American Men With Dual Diagnosis, André V. Haley
Walden Dissertations and Doctoral Studies
Helping professionals have a role as service providers when working with African American men with dual diagnosis and incarceration histories. The purpose of this qualitative single case study was to understand how helping professionals provided community-based treatment and established a helper/helpee relationship with this population of African American men. Hirschi’s social control theory provided the framework for the study. Semistructured interviews were used to collect data from 9 helping professionals who worked with this population in the Northeast United States. Yin’s 5-step model for case studies was used for data analysis and thematic coding. Findings indicated that professionals lacked competency …
Epidemiology Of Marijuana Use And Mental Health In The Context Of Changing Policies,
2020
Walden University
Epidemiology Of Marijuana Use And Mental Health In The Context Of Changing Policies, David G. Harvey Ii
Walden Dissertations and Doctoral Studies
There is a growing body of evidence supporting the association between cannabis use and the development of mental health disorders, but few studies have addressed this association following the recent increase in marijuana legalization laws. Therefore, using the social ecological model and the self-medication theory of addiction as theoretical frameworks, the purpose of this retrospective database study was to assess the relationship between marijuana use and major depression and suicidal ideation in both adults and adolescents in 2008 and 2017. Data from the National Survey on Drug Use and Health were analyzed using logistic regression at the p < .05 threshold for statistical significance. Results demonstrated positive, statistically significant relationships between marijuana use and both major depression and suicidal ideation for both adults and adolescents in both 2008 and 2017. Further, the strengths of these relationships generally increased between 2008 and 2017, coincident with the increase in marijuana legalization laws. These findings provide empirical support to the association between cannabis use and the development of mental health disorders, and that the strength of these associations is increasing following the increase in marijuana legalization laws. This study has important implication for positive social change by identifying significant relationships between cannabis use and the development of mental health disorders and revealing that these relationships are strengthening over time, coincident with the increase in marijuana legalization laws.
Veterans' Perceptions Of Behavioral Health Services For Posttraumatic Stress,
2020
Walden University
Veterans' Perceptions Of Behavioral Health Services For Posttraumatic Stress, Larence Kirby
Walden Dissertations and Doctoral Studies
Behavioral health services exist for Operation Enduring Freedom (OEF)/Operation Iraqi Freedom (OIF) veterans diagnosed with posttraumatic stress disorder (PTSD); yet, untreated diagnoses may lead to the risk of compromised behavioral health. The purpose of this hermeneutic phenomenological study was to understand the lived experiences of OEF/OIF veterans regarding their decision to seek and retain behavioral health services for addressing PTSD. The research focus and questions were employed through the theoretical concepts of Heidegger’s hermeneutic phenomenological theory, Heider’s attribution theory, and Beck’s cognitive behavioral theory. In-person interviews were conducted to collect data from 8 OEF/OIF veterans who had encounters with behavioral …
African American College Students’ Attitudes Toward Help Seeking For Mental Health Illness,
2020
Walden University
African American College Students’ Attitudes Toward Help Seeking For Mental Health Illness, Sylvia Krow
Walden Dissertations and Doctoral Studies
Past research has shown that African Americans are less likely to seek treatment for mental health illness compared to individuals in other ethnic groups. Research has also revealed that African American college students’ attitudes, perceptions, and stigmas against mental illness impacts their willingness to seek treatment for mental illness. The purpose of this quantitative, nonexperimental, correlational study was to investigate the predictive relationships between ethnic identity, perceptions of mental illness, stigma and attitudes toward seeking professional help for mental illness among African American college students attending Historically Black colleges and universities. The research question addressed the predictive relationships between ethnic …
Treatment Interventions For Tobacco Cessation At An Inpatient Mental Health Facility,
2020
Walden University
Treatment Interventions For Tobacco Cessation At An Inpatient Mental Health Facility, Stephanie Marie Stansell
Walden Dissertations and Doctoral Studies
Tobacco use is the leading cause of preventable death and disease in the United States. According to the Centers for Disease Control and Prevention, 36.5% of adults with any mental illness use tobacco compared to 25.3% of adults without a mental illness; however, there are limited data to determine the best approaches for tobacco cessation among the mentally ill. The purpose of this quantitative, quasi-experimental study was to investigate the differences among 1-on-1 counseling versus group counseling in tobacco cessation rates among psychiatric patients aged 18 years old and older who were identified as a tobacco user upon admission to …
Exploring Young Opioid Users’ Motivation To Seek Treatment For Substance Use Disorder,
2020
Walden University
Exploring Young Opioid Users’ Motivation To Seek Treatment For Substance Use Disorder, Patricia Gianotti-Avella
Walden Dissertations and Doctoral Studies
In the past 15 years, the nonmedical use of opioids in the United States has reached epidemic proportions, resulting in a 21% increase in overdose fatalities. This surge in opioid use and dependence represents a shift in the demographic from inner-city populations over the age of 40 to young adults between the ages of 20 and 34 who dwell in primarily white suburban neighborhoods. Research has identified physicians’ liberal prescribing practices as one cause of this epidemic and has documented the ineffectiveness of current interventions with young addicts. The purpose of this narrative study was to gain insight into what …
Experiences Of Resiliency And Family Support In Older Women With Mental Illness,
2020
Walden University
Experiences Of Resiliency And Family Support In Older Women With Mental Illness, Dawn Harbin
Walden Dissertations and Doctoral Studies
Lack of a support system for older females with mental illness may cause reduced resiliency skills and an increase in mental illness symptoms while they attempt to manage independent living. The purpose of this qualitative study was to explore the individual stories of older women living independently who suffer from a mental illness and have a support system. Social learning theory and self-efficacy theory provided the framework for the study. Data were collected from face-to-face interviews with 8 women ages 65-80 years who are in treatment at a mental health center in South Carolina. Findings from coding analysis showed that …
Experiences And Challenges Of Social Workers Working With Transitioning And Postmilitary Service Members Who Have Mental Health Issues,
2020
Walden University
Experiences And Challenges Of Social Workers Working With Transitioning And Postmilitary Service Members Who Have Mental Health Issues, Joyce M. Hewitt
Walden Dissertations and Doctoral Studies
Active duty service members, veterans, and their family members are faced with a myriad of problems including mental health issues, substance abuse issues, traumatic brain injury, suicide, family integration issues, and family distress. Understanding the organizational, environmental, and person-centered factors that affect the delivery of mental health care treatment to active duty service members, veterans, and their families is urgent to this unique population for social work practitioners (licensed master, advanced, & clinical). This project explored the experiences and challenges that social work practitioners (licensed master, advanced, & clinical) have in providing effective services for mental health care treatment to …
Mental Health Professional Perceptions Of Barriers To Fidelity For Empirically- Supported Treatments,
2020
Walden University
Mental Health Professional Perceptions Of Barriers To Fidelity For Empirically- Supported Treatments, Chris Streidl
Walden Dissertations and Doctoral Studies
It is estimated that one in five adults in the United State of America experience mental illness in a given year. When mental health organizations implement empirically-supported treatments but fail to maintain them, it can result in individuals not being provided the services that they need. The purpose of this study was to identify perceived barriers to maintaining fidelity for empirically-supported mental health treatments. The study utilized a quantitative cross-sectional correlational research design (N = 154) and the Perception of Barriers Scale (PBS) was developed to measure perceived barriers to maintaining fidelity for empirically-supported treatments. Banduraâs social cognitive theory as …
The Relationship Between Mental Illness And Mass Shooting,
2020
Walden University
The Relationship Between Mental Illness And Mass Shooting, Priscilla Ngozi Chukwueke
Walden Dissertations and Doctoral Studies
AbstractWhenever a mass shooting occurs, it impacts the immediate families of the perpetrator, victims, and the whole nation: emotionally and financially. The research on the association between mental illness (MI) and mass shooting fatalities is limited. The purpose of this quantitative, cross-sectional study was to explore the association between MI and mass shooting using the archival data of the Stanford University database of mass shootings in America from 2000 to 2016. The theoretical framework was based on Bronfenbrenner’s social-ecological theory and the cognitive-behavioral theory to explain socio-environmental factors that impact human growth and development. The results showed that the proportion …
Barriers That Influence The Underuse Of Mental Health Services By African Americans Diagnosed With Schizophrenia,
2020
Walden University
Barriers That Influence The Underuse Of Mental Health Services By African Americans Diagnosed With Schizophrenia, Pamela Gail Stackhouse-Hinsey
Walden Dissertations and Doctoral Studies
African Americans diagnosed with schizophrenia have longer wait times to be treated by mental health care professionals, resulting in their underuse of mental health services. This problem has motivated medical professionals to reexamine the ways in which services are rendered and then make appropriate improvements. The purpose of the study was to explore the lived experiences of African Americans diagnosed with schizophrenia and identify the reasons for their underuse of mental health services. A phenomenological research design was used to understand and explore the participants’ lived experiences of the phenomenon. Participants were recruited from an independent living facility. Purposive sampling …
Crisis Intervention Team Training: Full Implementation,
2020
Walden University
Crisis Intervention Team Training: Full Implementation, Roy Garvin Taylor
Walden Dissertations and Doctoral Studies
Law enforcement officers (LEOs) encounter unique challenges when responding to calls involving an emotionally disturbed person (EDP) in crisis. In these situations, the LEOs are not merely acting in a law enforcement capacity but also taking on the roles of mental health workers, social workers, and other community support services. Unfortunately, most LEOs lack clear direction and training to effectively serve this unique population, with the typical encounter resulting in the arrest of the EDP and often ensuing in a vicious circle of arrest, incarceration, and recidivism. This phenomenological qualitative study used the perceptions of active Crisis Intervention Team (CIT) …
Outpatient Mental Health Service Utilization For Depression And Anxiety Post-Hurricane,
2020
Walden University
Outpatient Mental Health Service Utilization For Depression And Anxiety Post-Hurricane, Corey Darnell Taylor
Walden Dissertations and Doctoral Studies
Increased depression and anxiety diagnoses are a result of the lack of use or underuse of outpatient mental health services, specifically among African Americans, youths, and the homeless, and this is a current issue in New Orleans, Louisiana post-Hurricane Katrina. Funding constraints due to the termination of the Louisiana Spirit Program contributed to deficits in terms of outpatient mental health facilities in New Orleans. The purpose of this quantitative study was to examine the association between the continuum and utilization of outpatient mental health services for African Americans, youth, and the homeless for those diagnosed with depression and anxiety. Andersen’s …
Importance Of Early Recognition Of Extrapyramidal Symptoms (Eps) In A Community Mental Health Clinic,
2020
Walden University
Importance Of Early Recognition Of Extrapyramidal Symptoms (Eps) In A Community Mental Health Clinic, Jamil E. Davis
Walden Dissertations and Doctoral Studies
AbstractThe purpose of this project was to address the lack of knowledge of nurses in recognizing extrapyramidal symptoms during the early stages of clinical presentation in patients taking antipsychotic medication. Nursing staff need to be properly training to be effective. Maslow's hierarchy of human needs informed this project. The primary goal of this project was to identify if an instructional seminar regarding EPS symptoms and management would increase the knowledge of the nursing staff. The project had a sample size of 7 and the criteria for inclusion included licensed professional nurses working in the clinical setting of mental health. The …
Identifying Strategies That Address Race-Based Traumatic Stress Of African Americans In Rural Mississippi,
2020
Walden University
Identifying Strategies That Address Race-Based Traumatic Stress Of African Americans In Rural Mississippi, Syrenia Johnson
Walden Dissertations and Doctoral Studies
There has been a dramatic increase of race-based encounters that have had an extensive health impact on African Americans. Social workers and other mental health professionals play a crucial role in working with African American adults who experience race-based traumatic stress. The purpose of this qualitative study was to identify strategies to address race-based traumatic stress from a mental health perspective. Racial encounter coping appraisal and socialization theory (RECAST) guided this study where eight social workers from the local community mental health center in rural Mississippi completed an open-ended questionnaire to identify and determine culturally competent treatment strategies for African …
Family Functioning During Deployment And Reintegration Of Military Members,
2020
Walden University
Family Functioning During Deployment And Reintegration Of Military Members, Heather Graham
Walden Dissertations and Doctoral Studies
Military members and their families face unique stressors related to separation and reintegration. These life-changing events can lead to domestic violence, divorce, depression, suicide, and behavioral problems within the family. It was unknown whether the implementation of a nursing clinical practice guideline (CPG) would help nurses to identify family functioning concerns or psychosocial issues enabling earlier interventions. The purpose of this doctoral project was to create a CPG that can be used at military treatment facilities (MTFs) to screen military members and their families to identify family functioning concerns so that the provider can make referrals as needed. The circumplex …
Understanding The Experiences Of Young Adults Receiving Community-Based Eating Disorder Care,
2020
Walden University
Understanding The Experiences Of Young Adults Receiving Community-Based Eating Disorder Care, Hali Sitarz
Walden Dissertations and Doctoral Studies
AbstractIn Ontario, Canada, eating disorder care is predominately delivered through nurse practitioner-led community outreach programs; however, there is a paucity of evidence informing the role of nurses in terms of outpatient treatment, community-based care, and young adult patient experiences. With high rates of morbidity and mortality, it is imperative to establish an evidence-informed approach to eating disorder treatment and ensure that care is patient-centered. This interpretive phenomenological study explored the experiences of young adults receiving community-based treatment in Ontario. Reigel, Stromberg & Jaarsma’s Middle Range Theory of Self-Care in Chronic Illness was used as an orientating framework. Seven young adults, …
Effect Of Educational Training On Nurse Leaders’ Knowledge, Attitude, And Behavior Toward Suicide Prevention,
2020
Walden University
Effect Of Educational Training On Nurse Leaders’ Knowledge, Attitude, And Behavior Toward Suicide Prevention, Ruth Odochi Idediora
Walden Dissertations and Doctoral Studies
Suicide is the 10th leading cause of death among adults in the United States and one of the top 10 most commonly occurring events that lead to serious injury or death in the hospital. Nurse leaders who are not working in psychiatric facility are instrumental in promoting culture of safety to mitigate adverse outcomes like suicide. The purpose of this single group pre-and post-test study, guided by the theory of planned behavior, was to determine the effect of the American Psychiatric Nurses Association Competency-Based Training for Suicide Prevention (Acute Care Setting Course) on the knowledge, attitude, and behavior (KAB) of …
The Relationship Between Program Leadership, Resident Physicians’ Wellbeing, And Quality Of Care,
2020
Walden University
The Relationship Between Program Leadership, Resident Physicians’ Wellbeing, And Quality Of Care, Fatima Msheik
Walden Dissertations and Doctoral Studies
Research studies have shown that organizational leadership and support affect organizational outcomes in many sectors, including healthcare. However, less is known about how organizational leadership influences the quality of patient care by physicians. This study was guided by the perceived organizational support theory and leader-member exchange theory that provide general understanding of how supportive leadership influences staff wellbeing and productivity. Ninety-five resident physicians residing in Lebanon participated in this cross-sectional study and completed an online survey, which consisted of demographics and five tools, namely, the Leader-Member Exchange 7, Perceived Organization Support 8, Maslach Burnout Inventory 7, Utrecht Work Engagement 9, …
Staff Education Program For Nurses Caring For Patients With Medical Decline On A Geriatric Psychiatric Unit,
2020
Walden University
Staff Education Program For Nurses Caring For Patients With Medical Decline On A Geriatric Psychiatric Unit, Portia Denise Risper
Walden Dissertations and Doctoral Studies
AbstractElderly patients admitted to psychiatric units are a vulnerable population, some may have mental disorders, physical decline, cognitive challenges; along with other comorbidities in addition to their mental illness. However, their physical health needs may be overlooked due to the presenting behaviors mimicking mental health behaviors. The nurses working in the local hospital facility’s geri-psych unit failed to recognize signs and symptoms of physical decline in their severely mentally ill (SMI) patients. Not recognizing and reporting acute changes resulted in patients’ prolonged hospitalization, decreased quality of life, and increased cost to the facility. The purpose of this DNP project was …
