Social Work Commons^™

Agreement Of Psychiatric Diagnoses Within And Between Groups Of Mental Health Clinicians From Different Disciplines, Wade Mcguire

Dissertations

The development of therapy as a treatment option for mental health problems has led to the creation of different disciplines. Each discipline has developed its own conceptualization of classification and treatment of mental health problems. These conceptualizations have led to different areas of focus for each of the disciplines, specifically counseling, psychology, and social work. The purpose of this study is to investigate whether these areas of focus influence how each discipline diagnoses. For this study, data was collected by having clinicians provide diagnoses for three fictitious clients. The vignettes for the clients were taken from a psychopathology textbook to …

How Racial Trauma Manifests In Black Women From Direct And Indirect Encounters With Police Brutality, Ashley Turner

Antioch University Full-Text Dissertations & Theses

This phenomenological study explored Black women’s lived experiences with racial trauma stemming from direct and indirect encounters with police brutality. A total of nine participants living in Washington state participated in this study. They identified as Black, ciswomen, fluent in English, and at least 21-years-old. In-depth, semi-structured, qualitative interviews were conducted to explore participants’ experiences with police. Transcripts were analyzed using interpretative phenomenological analysis. The results consisted of the following five themes: (a) forms of police encounters, (b) influence of identity, (c) perceived reason for police brutality, (d) emotions stemming from police brutality, and (e) tactics to survive police interactions. …

Black Mental Health Clinicians' Experiences And Lessons From The Intersecting Crises Of Black Mental Health, Covid-19, And Racial Trauma: An Interpretive Phenomenological Study, Chanté Meadows

Antioch University Full-Text Dissertations & Theses

This study explored the experiences of African American mental health clinicians’ during the intersecting crises of the Black mental health crisis, the highly publicized racial tension tied to extrajudicial violence and over-policing of Black Americans, and the COVID-19 pandemic. The pandemic started a global crisis that affected millions of people’s physical and mental health and overall well-being. Shared trauma explores the duality of mental health clinicians’ personal and professional experiences. Grounded in critical race theory and models of trauma, this study explores Black mental health clinicians’ lived experiences and lessons. This is an interpretive phenomenological study with narrative interviews of …

Examining Face-To-Face And Online Supervisee Disclosure Within The Supervisory Alliance, Letitia D'Aria Unger Johnson

Antioch University Full-Text Dissertations & Theses

The purpose of this research was to examine face-to-face and online supervisee disclosure within the supervisory alliance. Just as client care pivoted to online platforms, as a result of the COVID-19 pandemic, so did clinical supervision, which was uncharted territory for many, including those familiar with online counseling. The methodology used was consensual qualitative research (CSR). Eight participants were recruited as a sample of convenience, and semistructured interviews were conducted via Zoom. Results indicated domains such as important characteristics of the supervisory relationship, importance of communication, supervisor characteristics related to self-disclosure, positive aspects and negative aspects of online supervision, and …

Borderline Personality Disorder: Interventions For Adolescents And Caregivers, Addison Odum

Evidence-Based Social Work Practice Guide Series

Borderline personality disorder (BPD) encompasses a wide range of symptoms characterized by emotional dysregulation, including challenging interpersonal relationships, impulsivity, disturbances in cognition and identity, and is often accompanied by intentional self-injury and suicidal behaviors. In this guide, emphasis is placed on three aspects of intervention: (1) clinical interventions for adolescents who meet the criteria for BPD; (2) interventions clinicians can teach to parents/caretakers so they can better work with their child’s diagnosis; and (3) due to the negative impact this can have on adolescents, clinical interventions for parents/caregivers diagnosed with or exhibiting common symptoms of BPD is also provided.

Trust In Hospital Physicians Among Patients With Substance Use Disorder Referred To An Addiction Consult Service, Caroline King, Devin Collins, Alisa Patten, Christina Nicolaidis, Honora Englander

School of Social Work Faculty Publications and Presentations

Background: Trust is essential in patient-physician relationships. Hospitalized patients with substance use disorders (SUDs) often experience stigma and trauma in the hospital, which can impede trust. Little research has explored the role of hospital-based addictions care in creating trusting relationships with patients with SUDs. This study describes how trust in physicians changed among hospitalized people with SUDs who were seen by an interprofessional addiction medicine service.

Methods: We analyzed data from hospitalized patients with SUD seen by an addiction consult service from 2015 to 2018. Participants completed surveys at baseline and 30 to 90 days after hospital discharge. Follow-up assessments …

Historical Trauma Response Scores As A Function Of Unresolved Grief And Substance Use Disorder In American Indian Populations, Andrew R. Saunders

Undergraduate Research Symposium

Abstract

Researchers are interested in the outcomes of interventions, specifically, measuring historical trauma (HT) among American Indian/Alaska Native communities and the long-term distress and substance abuse as a result of historical trauma response (HTR). Previous literature has implicated limitations in the clinical conceptualization of the relationship between intergenerational transfer of HTR and substance abuse. The aim of the current study is to examine treatment efficacy of 50 homosexual, American Indian males randomized to a culturally-adapted juxtaposition of (1) Group Interpersonal Psychotherapy (IPT), (2) Cognitive Processing Therapy (CPT), and (3) Historical Trauma and Unresolved Grief Intervention (HTUG), or (4) waitlisted on …

Syllabus And Lecture Slides For A Revised Social Work Practice Course On Diagnosing With The Dsm-5 Using Case Studies And Active Learning Techniques To Enhance Student Engagement., James D. Simon

Q2S Enhancing Pedagogy

Syllabus and lecture slides for a revised social work practice course on diagnosing with the DSM-5 using case studies and active learning techniques to enhance student engagement.

The following syllabus and lecture slides were completed as part of the Newer Faculty Learning Center (NFLC) grant to increase the use of high-impact content and pedagogy among new faculty. The syllabus and lectures slides provide an example of how to embed case studies, an evidence-based teaching (EBT) strategy (Herreid, 2011), into a social work foundation practice course on diagnosing with the DSM-5 (American Psychiatric Association, 2013). This particular EBT was implemented primarily …

Discovering Themes: Disability Identity Development As It Pertains To People Born With Spina Bifida, Elizabeth H. Scriven

Antioch University Full-Text Dissertations & Theses

To date, disability identity development is a highly understudied construct. There are many models of disability, each interpret disability through a specific lens, but do not address the influence of disability on identity development. The few theories of disability identity that do exist have not been widely adopted. In addition, there is a lack of empirical evidence to support them. Another difficulty is that these theories do not separate different disability groups. Rather, the theories are applied to a broad heterogenous group of disability types. This is a problem because each disability type is quite distinct from the others and …

Is It Who Am I Or Who Do You Think I Am? Identity Development Of Adolescents With Substance Use Disorders, Danielle N. Treiber

Antioch University Full-Text Dissertations & Theses

The purpose of this study was to unearth how adolescents with substance use disorders achieve the task of identity formation and the construction of self-concept in the midst of the drug culture and society that exists. It sought to uncover the social constructs designed to ignore and/or remove human complexities and allow an intersectional approach to be brought to a study on this population. Historically, there has been a failure to investigate the underlying social attitudes and behaviors that impact the very delicate and vulnerable process of finding self. Psychosocial and relational adjustment are strongly influenced by the extent to …

Social Work Trauma Interventions: Dialectical Behavioral Therapy, Kassie Baumann

Senior Honors Theses

According to Lynne Weilart (2013), in her article on the reasons why people seek out therapy, trauma is the number one reason people attend counseling. Many different trauma-informed approaches are designed specifically to address the consequences of trauma and to facilitate healing. Some of these approaches are as follows: Cognitive Behavioral Therapy (CBT); Dialectical Behavioral Therapy (DBT);Mentalization Based Therapy (MBT); Trauma Systems Therapy (TST); Trauma Assessment Pathway (TAP); and Attachment, Self-Regulation, and Competency (ARC) (de Arellano, Danielson, Ko, & Sprauge, 2008). The effectiveness of each trauma intervention will be examined. DBT is one of these trauma interventions that is growing …

"You're Doing Fine, Right?": Adolescent Siblings Of Substance Abusers, Cynthia E. Clarfield

Antioch University Full-Text Dissertations & Theses

There has been a rising interest in addiction medicine and addiction treatment in both the medical and behavioral health science fields. Research suggests having a family member with a substance abuse problem has negative impacts on both physical and mental health (Orford, Copello, Velleman, & Templeton, 2010a). Despite advances toward understanding the experiences of family members affected by a loved one's addiction, the siblings of substance abusers have been largely excluded from scientific research and literature. As a result, little is known about how siblings experience the impacts of a brother or sister's addiction; even less is known about the …

Young Adults In Transition: Factors That Support And Hinder Growth And Change, Mona Treadway

Antioch University Full-Text Dissertations & Theses

Young adults between 18 and 24 years of age with mental illness are significantly less likely to receive mental health services than adults in older age groups.Nationally, higher rates of depression, substance abuse, and psychiatric issues are reported in this age group.A therapeutic model referred to as young adult transition programs has emerged to better address the unique developmental challenges found in this age group.This study examined 317 critical incidents that supported or hindered young adults in a therapeutic transition program.The research design used a combination of an instrumental case study and critical incident technique (CIT).Using interviews and the Outcome …

What Are Effective Strategies For Implementing Trauma-Informed Care In Youth Inpatient Psychiatric And Residential Treatment Settings? A Realist Systematic Review, Stephanie A. Bryson, Emma Gauvin, Ally Jamieson, Melanie Rathgeber, Lorelei Faulkner-Gibson, Sarah Bell, Jennifer Russel, Sharlynne Burke

School of Social Work Faculty Publications and Presentations

Background: Many young people who receive psychiatric care in inpatient or residential settings in North America have experienced various forms of emotional trauma. Moreover, these settings can exacerbate trauma sequelae. Common practices, such as seclusion and restraint, put young people at risk of retraumatization, development of comorbid psychopathology, injury, and even death. In response, psychiatric and residential facilities have embraced trauma-informed care (TIC), an organizational change strategy which aligns service delivery with treatment principles and discrete interventions designed to reduce rates of retraumatization through responsive and non-coercive staff-client interactions. After more than two decades, a number of TIC frameworks and …

Technology And Opportunity: People With Serious Mental Illness And Social Connection, Lisa Townsend, Allison Zippay, Kyle Caler, Bradley Forenza

Department of Social Work and Child Advocacy Faculty Scholarship and Creative Works

Objective: Little information exists regarding how individuals with serious mental illness use technology and whether this usage facilitates social connections. This study contributes to filling this knowledge gap by examining ways in which a sample of persons with serious mental illness use cell phones and the Internet. Methods: Interviews with 50 consumers living in supported housing were asked about their use of cell phones and computers and their perceptions of social connections. Results: Cell phones and computers allowed greater linkage with social, medical, mental health, and employment resources. Nearly all obtained phones through publicly funded programs. “Running out of minutes” …

Vicarious Battering: The Experience Of Intervening At A Domestic Violence-Focused Supervised Visitation Center, Tracee Parker

Antioch University Full-Text Dissertations & Theses

This descriptive phenomenological research illustrated the experience of women who worked in a supervised visitation program (SVP) specifically developed to address safety concerns related to allegations of domestic violence. The SVP policies and procedures were designed not only to prevent physical assault and abduction but also to intervene in vicarious battering—a term introduced to describe the attempts by men who battered to exert control over, undermine, and/or intimidate the mothers of their children via interactions with their children and the visitation staff. The results of this research demonstrated the challenges of intervening in the context of court-ordered supervised visitation. Data …

Narratives Of Illness, Difference, And Personhood, John P. Mctighe

School of Social Work Faculty Publications

Using narrative theory, the chapter examines how ideas and attitudes about mental disorder are shaped by cultural values and stereotypes, and how the experience of trauma can shatter the narrative of self and world. Placing the question of illness, differentness, and personhood within a social justice perspective, it challenges clinicians to consider how the vocabulary of illness is used to frame experience and, in many cases, to minimize, marginalize, or discount the individual's own lived experience.

The Phenomenon Of The Third Year, Jody Long, David Allen

Research, Publications & Creative Work

This article describes the phenomenon of the outpatient year experiences of the PGY(Post Graduate Year)-3 year psychiatry residents using participant interviews, focus groups, and research observation at a university health science center. A qualitative research approach was used to identify and understand psychiatric residents’ experiences of their third year. The research question was, “What are the important and valuable experiences of psychiatry residents and what meaning do they ascribe to these experiences in their acquisition of psychiatric skills?” Four themes emerged from the study: Specialty Choice Was a Momentous Decision, Observation and Reflection Should Be Modeled Prior to Practice, The …

Responding To Trauma: Help-Seeking Behavior And Posttraumatic Growth In A College Sample, Aaron J. Burrick

Honors Scholar Theses

Research indicates that traumatic experiences can impact college students’ mental health, academic abilities, and relationships with peers. Trauma and associated symptoms of PTSD can lower students’ well-being and increase the risk of withdrawing from the university. Research also emphasizes the importance of psychological help-seeking as a way to experience posttraumatic growth. This study examines traumatic experiences, help-seeking attitudes, barriers, and behaviors, and posttraumatic growth in a sample of 168 undergraduate college students. Results indicated an overwhelming preference for informal help-seeking resources and the importance of traumatic severity in the decision to seek help. Additionally, female participants reported greater traumatic severity …

Ingos In The Mirror: Critical Reflections Of Practitioners Implementing Psychosocial Support Programs, Stephen M. Richardson

Master's Capstone Projects

The purpose of this qualitative research is to learn from the professional wisdom of practitioners involved in implementing school-based psychosocial support in conflict-affected contexts. Practitioners from four different International Non-governmental Organizations (INGO) working in three different contexts—the Congo Basin region, the South Asia region, and the Sudan region—reflect on the concepts and realities of the psychosocial support models that their organizations use. A common theme emerging from these interviews is that the approach to psychosocial support has the potential to do harm. The practitioners provide real examples of the ways in which harm may occur and their possible causes. These …

The Evolution Of Social Work Ethics: Bearing Witness, Frederic G. Reamer

Faculty Publications

The evolution of ethical standards in social work, and conceptual frameworks for examining ethical issues, is among the most compelling developments in the history of the profession. Since the formal inauguration of social work in the late nineteenth century, the profession has moved from relatively simplistic and moralistic perspectives to conceptually rich analyses of ethical issues and ethical guidelines. This article examines the evolution of social work ethics from the profession’s earliest days and speculates about future challenges and directions.

The Self Of The Field And The Work Of Donnel Stern, Daniel Masler

Antioch University Full-Text Dissertations & Theses

No study has taken an updated and comprehensive review of Donnel Stern’s writings. An investigation of his philosophical assumptions, locating Stern’s work socioculturally and historically, along with an elucidation of Stern’s background in traditional psychoanalytic literature and clinical practice, brings out the meanings and enigmas present in his theories of dissociation, enactment, unformulated experience, multiple self-states, and reflection. Stern has offered one of the best-integrated theoretical models in relational psychoanalytic theory. An examination of his theories within the theoretical traditions to which he makes claim (psychoanalytic, interpersonal, hermeneutic, postmodern, and democratic) helps elucidate the challenge posed by relational psychoanalysis to …

African American Families' Expectations And Intentions For Mental Health Services, Cynthia J. Najdowski, Richard Thompson, Barbara L. Dancy, Tisha R. A. Wiley, Sylvia P. Perry, Jason Wallis, Yara Mekawi, Kathleen Knafl

Psychology Faculty Scholarship

A cross-sectional qualitative descriptive design was used to examine the links among expectations about, experiences with, and intentions toward mental health services. Individual face-to-face interviews were conducted with a purposive sample of 32 African American youth/mothers dyads. Content analysis revealed that positive expectations were linked to positive experiences and intentions, that negative expectations were not consistently linked to negative experiences or intentions, nor were ambivalent expectations linked to ambivalent experiences or intentions. Youth were concerned about privacy breeches and mothers about the harmfulness of psychotropic medication. Addressing these concerns may promote African Americans’ engagement in mental health services.

Strengths Versus Deficits: The Impact Of Gender Role Conflict And Counseling Approach On The Appeal Of Therapy For Men, Jeff Reznicek-Parrado

College of Education and Human Sciences: Dissertations, Theses, and Student Research

Current trends from the fields of mental health, criminal justice, and sociology suggest that despite men’s significant mental health problems (i.e. Moscick, 1995; Sue, Sue, & Sue, 2003; Greenfield & Snell, 1999; Follman, Aronsen, & Pan, 2013), they are much more reluctant to seek mental health help than women (Addis & Mahalik, 2003; Olfson & Marcus, 2010). Sociologists and psychologists have suggested that this disparity in help seeking can be largely explained by a cultural mismatch between the context of masculinity and the context of psychotherapy. Psychologists have called for a paradigm shift in the way clinical services are rendered …

Rudd Chair Annual Report, 2013, Harold D. Grotevant

Rudd Adoption Research Program Annual Reports

2013 report from the Rudd Family Foundation Chair in Psychology. Includes information on community partnerships, goals reached, communications, teaching, mentoring, and service.

The Foundations Of Hope In Therapy, John M. Winslade

Special Education, Rehabilitation & Counseling Faculty Publications

Hope is a necessary construct in narrative therapy but we need to be careful how we think about it. It does not lie in the essence of persons. There are not categories of people who are hopeful or hopeless. Rather, hope lies in the stories that we use to make sense of our lives but dominant stories from the world around us sometimes interfere with our access to hopeful stories. Therapy can help us reconnect with these stories, leading to the exercise of personal agency in our own lives. This presentation will explore how to help people do this through …

The Behavioral Effects Of Increased Physical Activity On Preschoolers At Risk For Attention Deficit Hyperactivity Disorder, Jasmin L. Roberts

Masters Theses 1911 - February 2014

Physical activity (PA) has many health benefits, both physical and psychological. PA has been linked to improved cognitive functioning, superior overall health, and enhanced emotional well-being in populations ranging from school-age children to older adults. There has been less research, however, examining the benefits of PA in atypical preschool populations.

The present study examined the efficacy of a PA intervention in preschool-aged children at risk for attention deficit hyperactivity disorder (ADHD). ADHD symptomatology, response inhibition, and physical activity were measured at three time points over a 6-month period. Results provide support for the efficacy of PA as an alleviative tool …

Life Experiences That Contributed To The Independence And Success In The Lives Of Foster Care Alumni, Dawn Elizabeth Montgomery

Antioch University Full-Text Dissertations & Theses

The purpose of this qualitative study was to determine the factors which helped these foster care alumni to persevere and to succeed. The intent was to provide a framework for equipping youth in foster care more effectively by building on their strengths and the resources available in foster care. The study’s method incorporated the interviewing of ten ethnically diverse individuals who had experienced the foster care system. Based on their insights and the themes which emerged, the WARRIORS Model was created. This acronym represents the key themes derived from the interviews: Wounded, Advocacy, Reality of Belonging, Resources, Inspired to Succeed, …

Attachment: The Antidote To Trauma, Joshua Straub

Faculty Publications and Presentations

Trauma and loss in life are inevitable. And all too often the traumatic experience itself can be enough to paralyze the mental, emotional, and spiritual state of any given person. Unable to interpret the traumatic experience, many instead are left defined by it. Helping clients discern the objective experience and their subjective reactions to it will help free them from the emotions and beliefs that subsequently control their lives. Based on the most relevant attachment theory research and clinical techniques, this workshop teaches the attentional strategies necessary to helping clients overcome trauma.

Answering The Earthquake, Thomas G. Plante

Psychology

During the past several years, the American Catholic Church has suffered an enormous earthquake due to the child sexual abuse crisis that was initially reported on January 6, 2002 by the Boston Globe Spotlight Team. Although the sexual abuse of children by priests had been in the news many times before, the recent case in Boston 14 Conversations resulted in perhaps the largest earthquake ever in the American Catholic Church. While the epicenter of the quake was centered in Boston, there were many significant aftershocks felt across the land. Sadly, Jesuits and Jesuit universities were not immune from the recent …