Date of Conferral

7-2-2026

Date of Award

July 2026

Degree

Ph.D.

School

Psychology

Advisor

Jay Greiner

Abstract

Parental participation and engagement (PPE) are positively associated with improved treatment outcomes for children receiving mental health services; however, parental involvement remains inconsistent among culturally diverse and economically disadvantaged families served through North Carolina Medicaid enhanced mental health services. Barriers to communication, collaboration, and sustained engagement may limit parents’ active participation in treatment planning and service delivery. The purpose of this basic qualitative study was to explore PPE among culturally diverse and economically disadvantaged parents whose children received North Carolina Medicaid enhanced mental health services. The ecological perspective of human development constituted the theoretical framework for this study. Data were collected through semistructured interviews with six parents residing in southeastern North Carolina. Thematic analysis was used to identify recurring patterns within the data. Results indicated that parents perceived enhanced mental health services as beneficial in improving behavioral functioning and supporting academic and social development. Effective communication, collaborative goal setting, and perceived cultural understanding were identified as central factors influencing engagement. The findings have the potential to contribute to positive social change by informing the development of culturally responsive, equitable, and accessible practices within Medicaid-funded enhanced mental health services.

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