Social Work Commons^™

Differences In Resilience And Mental Health Symptoms Among Us First Responders With Secure And Insecure Attachment, Donna Schuman, James Whitworth, Jeanine Galusha, Jose Carbajal, Warren Ponder, Kathryn Shahan, Katelyn Jetelina

Faculty Publications

Objective: This observational study aimed to determine whether attachment style predicted first responders' mental health and resilience. Method: Data were from a treatment-seeking sample of first responders (N = 237). Each participant completed six assessments measuring attachment, resilience, generalized anxiety, depression, suicidality, and posttraumatic stress disorder. Results: On the attachment assessment, 25.3%were categorized as secure, 19.0%as dismissive, 25.3% as preoccupied, and 30.4% as fearfully attached. As predicted, securely attached participants had the lowest scores for generalized anxiety, depression, suicidality, and posttraumatic stress disorder and the highest scores on the resiliency measure, followed by dismissive, preoccupied, and fearfully …

Rural Social Work Practice: Trauma-Focused Interventions Social Workers Use, Jose Carbajal

Journal of Human Services: Training, Research, and Practice

This research study examines rural social workers’ level of trauma knowledge and trauma treatment self-efficacy and the use of evidence-based interventions (CBT, TF-CBT, CPT, EMDR and PE). A retrospective design was used to examine Texas rural social workers’ use of evidence-based interventions. The Texas rural social worker sample (N=19) was extrapolated from a larger study (N=1007) conducted in 2014 examining Texas social workers’ trauma treatment and their use of evidence-based interventions. Descriptive and correlation statistical procedures were implemented to analyze the data for the current study. The results show social workers’ knowledge of trauma and treatment self-efficacy scores are above …

Predictors Of Suicide And Differences In Attachment Styles And Resilience Among Treatment-Seeking First Responder Subtypes, Warren Ponder, Jose Carbajal, James Whitworth, Donna Schuman, Jeanine Galusha, R Andrew Yockey

Faculty Publications

Objective: To identify the predictors of suicide for firefighters (FFs), emergency medical technicians (EMTs), and law enforcement officers (LEOs). Methods: We used baseline data from FFs/EMTs (n = 69) and LEOs (n = 81) to investigate the unique predictors for both first-responder subtypes. We conducted confirmatory factor analysis on validated assessments of posttraumatic stress disorder (PTSD) and depression.Measures of attachment, resilience, PTSD, depression, generalized anxiety, trauma history, and substance use were the independent variables in two backward stepwise regressions predicting suicide. Results: Substance use and somatic depression were significant predictors for LEOs, whereas affective depression, anhedonia, externalizing …

Affective Depression Mediates Ptsd To Suicide In A Sample Of Treatment-Seeking First Responders, James Whitworth, Jeanine Galusha, Jose Carbajal, Warren Ponder, Donna Schuman

Faculty Publications

Objective: The aim of this study was to examine the associations of comorbid

posttraumatic stress disorder (PTSD), affective or somatic depression, and

suicide among first responders (FRs). Method: We used baseline data from

FRs (N = 232) who sought services at a nonprofit mental health agency specializing

in treating trauma exposed FRs. We conducted two PROCESS simple

mediation models with PTSD as the predictor, affective depression and somatic

depression as the mediators, and suicidality as the dependent variable.

Results: Affective depression significantly mediated the relationship between

PTSD and suicidality, whereas somatic depression did not. The direct effect …

Validation Of The Pcl-5, Phq-9, And Gad-7 In A Sample Of Veterans, Aazi Ahmadi, Warren Ponder, Jose Carbajal, Donna Schuman, James Whitworth, R Andrew Yockey, Jeanine Galusha

Faculty Publications

Objective: Veterans can present at nongovernment (Department of Defense, Department of Veterans Affairs) mental health agencies with complex symptom constellations that frequently include posttraumatic stress disorder, depression, and generalized anxiety. To date, no veteran study has validated these measures on a treatment-seeking sample of veterans outside the DoD and VA. Methods: We used a treatment-seeking sample of veterans (N = 493) to validate measures that assess these constructs (PTSD Checklist 5, Patient Health Questionnaire-9, and Generalized Anxiety Disorder-7). Results: The seven-factor posttraumatic stress disorder hybrid configuration was the best fit. The best fitting model of the depression …

A Critical Analysis Of The Utilization Of Eye Movement Desensitization And Reprocessing (Emdr) Psychotherapy With African American Clients, Allen Lipscomb, Wendy Ashley

Journal of Human Services: Training, Research, and Practice

Eye-Movement Desensitization and Reprocessing (EMDR) is a psychotherapeutic intervention designed to decrease distress associated with traumatic memories. EMDR has been validated and confirmed by the American Psychiatric Association (APA) as a primary treatment for Posttraumatic Stress Disorder (PTSD) and has been recognized as effective by the World Health Organization and the Department of Defense. Multiple studies reflect EMDR’s capacity to heal the brain from psychological trauma; thus, clients are able to immediately experience the benefits of psychotherapy that previously took years to obtain. However, despite EMDR’s efficacy, there are minimal references to diversity, culture or context in EMDR research and …

Cultural Identity Formation: A Personal Narrative, Jose Carbajal

Faculty Publications

This paper provides an autoethnography of personal experiences and perceptions of being a minoritized individual. This is the story of a professional social worker learning to adapt to social norms and expectations of self. I discuss the struggles I experienced as an adolescent and as a young adult attending college. This narrative highlights the intersection of faith and social work at moments in my professional development. It is at this intersection that this social worker learns to live a holistic life without feeling discriminated against or ashamed of his identity. I begin to actualize a reality with imperfect beings who …

The Identity Formation Process Of Immigrant Children: A Case Study Synthesis, Jose Carbajal

Faculty Publications

Introduction: Children who immigrate often have difficulties in adjusting to their host country. A single case study based on similar narratives is composed to develop the character of a child’s developmental cultural issues as he immigrated to the United States from El Salvador. Attachment theory is reviewed to discuss how detachment and re-attachment affected him. A review of the literature on assimilation and acculturation is also provided. Objectives: The author synthesizes the work experience with the population with migration history to illustrate how attachment and loss impact these individuals, through a composed case study illustrated through the experience of Ramni, …

The Dyadic Dance During Deployment: Veteran And Partner Romantic Attachment, Warren Ponder, Jose Carbajal

Faculty Publications

No abstract provided.

The Dyadic Dance During Deployment: Veteran And Partner Romantic Attachment, Warren Ponder, Jose Carbajal

Journal of Human Services: Training, Research, and Practice

A strong family unit and dyadic relationship can buffer against the possible development of depression and Posttraumatic Stress Disorder (PTSD). A growing body of literature has been investigating how couples communicate during a combat separation. However, there has not been a robust framework to conceptualize the findings; this paper posits that attachment theory can fill this gap. This study was a cross-sectional retrospective design that included twenty-two heterosexual dyads. Nine modes of communication were assessed: letters, care packages, email, telephone, text with phone, social networking, Skype, instant messenger and instant messenger with video. Also, frequency of communication was examined for …

How Does Autism Affect The Processing Of Child Sexual Abuse Trauma?, Jose Carbajal, Regina T. Praetorius

Journal of Human Services: Training, Research, and Practice

Children in general are a vulnerable population, but children with neurodevelopmental disorders are even more vulnerable. This case study, which uses secondary qualitative data to focus on a survivor of sexual abuse who has autism, explores how a child with autism interprets and processes being sexually abused. We contrast how a child with autism experiences child sexual abuse with the experiences of children without autism; major differences emerged in terms of how a child with autism normalizes and interprets sexual abuse. The findings of this study indicate mental health professionals need more training regarding the complications autism adds to the …

How Hugging Mom Teaches Me The Meaning Of Love And Perhaps Beyond, Ethan Trinh

The Journal of Faith, Education, and Community

Hugging mom is unconventional in a traditional Vietnamese family. I write this piece to articulate my thoughts to describe different ways to look at the meanings of hugging. During my writing process, I use a walking meditation as a Buddhist practice to calm my mind so that I can see my true self and a clearer picture of different layers of the act of hugging. I believe hegemonic gender roles and patriarchy happen everywhere in the world, not particularly in Vietnam. I do not plan to devalue my home country’s cultural values in this paper. This is not the purpose …

Trauma-Focused Interventions: A Clinical Practice Analysis, Jose Carbajal

Faculty Publications

This paper presents a systematic review of trauma-treatment interventions, which have different theoretical perspectives on trauma etiology and its application. The empirical findings of these trauma treatment therapies are presented. The extant literature identifies five therapies as the most-effective treatment modalities for PTSD: cognitive therapy (CT), cognitive-behavioral therapy (CBT), cognitive processing therapy (CPT), prolonged exposure (PE) therapy, and eye movement desensitization and reprocessing (EMDR) therapy. They are all validated with some nuances on treatment approach and effectiveness. However, to use these five interventions, practitioners need to consider and apply the research findings that indicate which intervention is best for which …

Collaborative Documentation For Behavioral Healthcare Providers: An Emerging Practice, Suzanne Maniss Ph.D., Lcdc, Ncc, Amanda G. Pruit Lpc

Journal of Human Services: Training, Research, and Practice

This article considers the practice of collaborative documentation (CD) for behavioral healthcare providers; the legislative, technological, and philosophical milieu in which it developed; the attributed benefits for providers and clients; and the peer-reviewed research supporting its use. Collaborative documentation has emerged following significant legislative and technological changes in healthcare delivery and shifts toward client-centered healthcare practices including more shared decision-making between clients and practitioners.

Death And Dying In Young Adults: Reflections From A Surviving Parent, Andreya Stephenson

Undergraduate Research Conference

Dying is a process that all must face. No one is left untouched by death. Research reveals that preparation and using hope as a coping strategy can help make the process easier on the dying and bereaved. These strategies are more difficult to employ when the dying person is a young adult in what should be the prime of life. The purpose of this project is to gain a better understanding of how young adults with terminal illness prepare for death so that professionals can better serve that population.