Digital Commons Network^™

Racial Equity Analysis: Access To Permanent Housing And The Vulnerability Index – Service Prioritization Decision Assessment Tool (Vi-Spdat), Mary Ann Priester

Theses and Dissertations

Purpose: This study aimed to replicate and extend national research within the local context of the Charlotte-Mecklenburg Continuum of Care by using propensity score methods to examine the relationships between race, program outcome, and housing prioritization among subpopulations of individuals experiencing homelessness.

Methods: This study used secondary data analysis and propensity score methods to examine deidentified client-level Homeless Management Information System (HMIS) data collected from January 1, 2016 – December 31, 2021 by the Charlotte-Mecklenburg Continuum of Care (CoC).

Results: Findings indicate that Whites are more likely to exit homeless services programs to temporary or institutional destinations vs. permanent housing …

Patterned Adolescent Socially Deviant Behavior, Raymond B. Smith

Theses and Dissertations

Research suggests that most adolescent youth AY (AY) will engage in socially deviant behavior (SDB) beginning from ages 10-14, peak in rate of participation at 16-17, and begin to desist thereafter (ages 17 and older). AY participation in SDB varies by frequency and severity, ranging from minor acts such as smoking cigarettes to behaviors that threaten the safety of self and others. Most AY do not participate in SDB to harm, however, but instead are attempting to express autonomous function from parental and adult oversight. During adolescence, youth become aware of their physical transformation to adulthood and growing sense of …

Examining The Impact Of Victimization On Girls’ Delinquency: A Study Of Direct And Indirect Effects, Johanna Peterson, Dana Dehart, Emily Wright

Faculty and Staff Publications

Previous research has acknowledged that there is a relationship between victimization and later delinquency, but the specific attributes of this relationship are unclear because measures of both direct and indirect victimization are rarely explored in a single study. We included both indirect and direct victimization to examine which form of victimization was a stronger predictor of substance use, fighting, running away, and sex work among girls committed to a juvenile justice facility. Findings indicated that direct victimization was typically a more salient predictor of delinquency than indirect forms of victimization. Further, running away and sex work appear to be unique …

Examining The Impact Of Victimization On Girls’ Delinquency: A Study Of Direct And Indirect Effects, Johanna Peterson, Dana D. Dehart, Emily Wright

Faculty and Staff Publications

Previous research has acknowledged that there is a relationship between victimization and later delinquency, but the specific attributes of this relationship are unclear because measures of both direct and indirect victimization are rarely explored in a single study. We included both indirect and direct victimization to examine which form of victimization was a stronger predictor of substance use, fighting, running away, and sex work among girls committed to a juvenile justice facility. Findings indicated that direct victimization was typically a more salient predictor of delinquency than indirect forms of victimization. Further, running away and sex work appear to be unique …

Broke But Not Without Hope: Exploring Exits From Housing First And Returns To Homelessness, Jennie Ann Cole

Theses and Dissertations

“…he succeeded in giving the impression of being broke but not without hope.”

Nels Anderson, The Hobo, 1923

Introduction: This research offers a thick and rich, multidimensional and situational look, into a Housing First program in Charlotte, North Carolina. This dissertation focuses on individuals who have experienced chronic homelessness who exit Permanent Supportive Housing (PSH) programs that employ a Housing First (HF) model and return to homelessness. The ultimate goal of my research was to address the gap in knowledge service providers have in housing retention for the chronically homeless and to break the cycle of misunderstanding around why people …

Non-Offending Mothers Of Sexually Abused Children: How They Decide Whom To Believe, Lynn Mcmillan

Theses and Dissertations

Professionals continue to study and refine their understanding of the complex dynamics of child sexual abuse and the role of the non-offending mothers. Of particular clinical and research interest is the response of the mother once she learns that her child disclosed being sexually abused and named the mother's intimate partner as the perpetrator. This qualitative study (n=20) uses in-depth interviews and constructivist grounded theory methods. The focus is how women decide about believing their children's disclosures of sexual abuse, both in terms of what happened to the children and who perpetrated the abuse. The study addresses various factors that …

Emergency Department Use For Preventable Behavioral Health-Related Disorders Among Ex-Prisoners In Rhode Island, Christina Andrews

Faculty and Staff Publications

Background

The population of ex-prisoners returning to their communities is large. Morbidity and mortality is increased during the period following release. Understanding utilization of emergency services by this population may inform interventions to reduce adverse outcomes. We examined Emergency Department utilization among a cohort of recently released prisoners.

Methods

We linked Rhode Island Department of Corrections records with electronic health record data from a large hospital system from 2007 to 2009 to analyze emergency department utilization for mental health disorders, substance use disorders and ambulatory care sensitive conditions by ex-prisoners in the year after release from prison in comparison to …

Does Context Matter In Determining Psychological Abuse? Effects Of Pattern, Harm, Relationship, And Norms, Dana D. Dehart, Diane R. Follingstad, Alice M. Fields

Faculty and Staff Publications

This study explored contextual influences in determining whether psychologically aggressive actions constitute abuse. One hundred and thirty-one undergraduates completed measures of key experiences, attitudes, and traits, and rated abusiveness of behaviors in a series of vignettes. Vignettes varied contexts in which behaviors occurred, including whether the behavior was a pattern, whether there was harm to the recipient, characteristics of the initiator-recipient relationship, and whether behavior was normative. Results showed no effects for participants' gender, past experiences with psychological aggression, and traits or attitudes. Findings indicated that behaviors were rated as more abusive when harm to recipient was evident. Findings regarding …

Cognitive Restructuring Through Dreams & Imagery: Descriptive Analysis Of A Women's Prison-Based Program, Dana Dehart

Faculty and Staff Publications

This report describes process and outcome evaluation of an innovative program based in a women's maximum-security correctional facility. Methodology included review of program materials, unobtrusive observation of group process, participant evaluation forms, focus groups, and individual interviews with current and former program participants. Findings indicate that program was a great source of emotional respite, release, and support for the women, with women describing increased insights into themselves, their traumas, and their crimes. Implications are discussed, including popular appeal of dream work and its potential clinical relevance to prisoners' inner conflicts.

Institutional Responses To Self-Injurious Behavior Among Inmates, Dana D. Dehart, Hayden P. Smith, Robert J. Kaminski

Faculty and Staff Publications

To date, little research has systematically investigated perceptions of mental health professionals regarding perceived motivations for self-injury among prison inmates. To help fill this gap, descriptive techniques were used to examine self-injurious behavior among inmates from the perspective of correctional mental health professionals. A quantitative survey was used to assess perceptions of mental health staff regarding etiology, motivations, and manifestations of self-injury. A qualitative interview component was used to explicate responses from the survey. Findings indicate that inmate cutting, scratching, opening old wounds, and inserting objects were the most commonly witnessed behaviors. There were indications that self-injury occurred regularly and …

Prevention Of Elder Mistreatment In Nursing Homes: Competencies For Direct-Care Staff, Dana Dehart, Jennifer Webb, Carol Cornman

Faculty and Staff Publications

Existing training on elder mistreatment in nursing homes focuses on detection and reporting of abuse, with little training specifically targeted toward prevention of mistreatment before it occurs. We used qualitative interviews with nursing home staff, policymakers, and related professionals to identify training needs. Based on participant accounts, we drafted a number of competencies essential for caregiver training to prevent mistreatment in nursing homes. Competencies include those dealing with: definitions and policies; risks for mistreatment; communication and respect; and development of a cooperative working environment. Competencies are discussed along with illustrative examples, and implications for practice and policy are addressed.

Pathways To Prison: Impact Of Vicitimization In The Lives Of Incarcerated Women, Dana Dehart

Faculty and Staff Publications

This study examined ways in which victimization may contribute to criminal involvement among incarcerated women. We conducted interviews with 60 women in a maximum securtiy prison to gather each woman's perspective on psychological, physical, and sexual victimization in her life. Qualitative analyses indicated ways that victimization related directly to women's crimes as well as influenced health, psychosocial functioning, or systemic involvement to create difficult situations with which the women struggled. Case histories are used to illustrate pervasive impacts of victimization, and role of multiple traumas and cumulative impact are discussed.