Date of Conferral

5-14-2025

Date of Award

May 2025

Degree

Doctor of Psychology (Psy.D.)

School

Psychology

Advisor

Derek  Rohde

Abstract

This qualitative case study examined the role of behavioral health leadership (BHL) in facilitating effective family reunification within residential treatment settings, focusing on Organization X in Northern California. The study addressed the persistent issue of high recidivism rates among youth with intellectual and co-occurring mental health disorders following discharge from therapeutic foster care. Using the Baldrige Excellence Framework as a guiding model, the research explored how BHLs assess reunification success, engage families, and navigate systemic and individual challenges that hinder sustainable transitions to home environments. Data collection involved semi-structured interviews with administrators and supplemented by organizational documents and reports. Thematic analysis revealed that successful reunification is contingent upon early family engagement, culturally responsive practices, post-discharge support, and integrated care strategies. Key barriers identified included limited family resources, inconsistent legal processes, and insufficient staff training. The findings offer evidence-based recommendations for leadership development, program refinement, and inter-agency collaboration to enhance reunification outcomes. This study contributes to the broader understanding of behavioral health leadership's strategic role in advancing equity, stability, and long-term well-being for vulnerable youth populations, with implications for policy and practice across residential care systems.

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