Master of Science / Department of Family Studies and Human Services / Rick J. Scheidt / This M.S. report provides an evaluative review of research on parental influences on adolescent sexual decision-making. Data show that a significant proportion of never-married female and male teens (ages 15-19) have had sexual intercourse at least once. Adolescent decisions on sexuality and possible consequences such as pregnancy or sexually-transmitted diseases may have profound personal and social impacts. Theoretical and empirical domains of parental influence are reviewed, including communication, morality, family structure and context, parental control, as well as the role of media. This review shows that adolescent sexuality has changed over time due to socio-historical factors and that parents continue to have an influence on their children’s decision-making abilities. Implications for applied professionals and researchers are discussed.

Doctor of Philosophy / Department of Family Studies and Human Services / Rick J. Scheidt / Chronic sorrow has been defined as a permanent and reoccurring experience of pervasive sadness and loss which underlies the life experience and which recurs over time for the parent of a child with developmental, medical, or behavior issues that prevent him from participating in society in a way previously anticipated by parents. The functional question asked of the mothers was: “Some parents have described a sadness that can occur when they think about their child with a disability. Parents can believe they are functioning well, but have times where they feel the loss for their child.” To date, little research has targeted chronic sorrow among parents of adult children who have a disability. Neither is it known how chronic sorrow exists and has changed over the years since the initial diagnosis for this specific sample. This exploratory, qualitative study focused specifically on mothers of adult children with cerebral palsy. Snowball sampling was utilized to recruit six mothers in northeastern Kansas who were primary caregivers to their adult children with CP. Data were gathered with face-to-face mixed self-report surveys, including the Kendall Questionnaire on Chronic Sorrow; two surveys which assessed demographic, potential complications from cerebral palsy, and available resources; and a standard schedule open-ended interview targeting: personal experiences of chronic sorrow, chronic sorrow triggers (developmental milestones), and losses (including support, roles and responsibilities, and quality of life). Two-coder analyses of interview responses were conducted within cases and comparisons were made across cases. Common themes identified in the narratives included sense of isolation, fear for the future, frustration, loss of hope, exhaustion, sadness, financial challenges, guilt, and anger. For example, isolation was another theme that changed over time depending on if the mothers were providing full-time care. Also, fear for the future was a universal theme when the children were much younger, but it changed into loss of hope for some of the mothers when the child was the age of an adult. The relevance of the findings was discussed, with particular focus being the subjective meanings of chronic sorrow for this sample. Recommendations for advancing research, practice, and policy are offered.

Doctor of Philosophy / Department of Family Studies and Human Services / Anthony Jurich / Ann Murray / Despite the intensified research efforts into the field of Infant Mental Health and Marriage and Family Therapy, a truly systemically designed program has not been developed. This formative evaluation study illuminates the design phase, its developmental process, and the professional staff member’s experience of this newly implemented “Options” program. I focused specifically on Crawford County Community Mental Health Center’s innovative systemic approach to issues related to infant mental health. In this body of work, I describe the process of creating this innovative approach, identified how the program originators made decisions about their approach and how the approach is being operationalized on a daily basis by interviewing the clinicians, who are providing the services and the administrators who created and oversee the program. I utilized a qualitative approach in the design, transcription categorization, and data analysis. This formative evaluation used the “flashback approach” to tell the story of the evaluation findings, this included an Executive Summary. This study’s exploration yielded a clearer understanding of the developmental process of the infant mental health program and its initial implementation. The results of this evaluation revealed that there are a number of core program components (three levels of focus: child and family, program, and community and catchment area) that were organized and clearly disseminated throughout the staff. The interviews revealed that the program has encountered problematic issues including; policy and procedural agreements and mandates, staff turnover, program ownership and funding limitations. It grew increasingly clear that the value of the program’s positive impact on families outweighed the perceived hassle of establishing and implementing the program. This evaluation produced a number of program recommendations for program perpetuation and potential improvements. The program recommendations addressed the challenges facing the “Options Program” are explained. The future research implications of this formative evaluation are enumerated.

Master of Science / Department of Family Studies and Human Services / Anthony Jurich / Play is essential to child development because it contributes to the cognitive, physical, social, and emotional well-being of children and youth. The integration of play and play therapy techniques with child and family therapy offers a creative, age appropriate way to provide mental health treatment. This report offers an overview of play therapy, the therapeutic value of play, the historical background, theory, techniques, materials, and settings. Further, it provides the reader with many therapeutic modalities in which to implement play in family therapy. Because play therapy is a specialized field, this report also provides the reader with information on how to use this to create a marketing niche. This report was written with the Masters’ or Doctoral student in mind, as well as practicing therapists; with hopes to provide them a creative avenue in which to enhance their current therapeutic modalities.

Master of Science / Department of Family Studies and Human Services / Joyce Baptist / This report describes the role of cultural socialization in the ethnic identity formation of internationally adopted children. This report explores the process of integrating the child’s birth culture and the complexities that are involved in raising internationally adopted children. The theoretical frameworks of identity development and social construction will be used to provide a conceptual understanding of the process of ethnic identity development. This report will describe the use of Narrative Therapy and Child-centered Play Therapy to facilitate the process of identity development. Implications for clinical practice will be discussed.