Social Work Commons^™

Implementing Outside The Box: Community-Based Social Service Provider Experiences With Using An Alcohol Screening And Intervention, David A. Patterson Silver Wolf (Adelv Unegv Waya) Phd, Alex T. Ramsey, Carissa Van Den Berk-Clark

Brown School Faculty Publications

Objective: The aim of this study is better understand perceptions of front-line social service workers who are not addiction specialists, but have to address addiction-related issues during their standard services. Method: Six social service organizations implemented a validated alcohol assessment and brief education intervention. After a 3-month trial implementation period, a convenience sample of 64 front-line providers participated in six focus groups to examine barriers and facilitators to the implementation of an alcohol screening and brief intervention. Results: Three themes emerged: (1) usefulness of the intervention, (2) intervention being an appropriate fit with the agency and client population, and (3) …

The Controversy Over Antidepressant Drugs In An Era Of Evidence-Based Practice, Jill Littrell, Jeffrey Lacasse

jill l littrell Dr.

Questions regarding the efficacy of antidepressant drugs have been a recent focus of attention in the national news both in print and in the television media. Many clients will have questions regarding what they can believe and how they can address mood problems. Social workers constitute a greater percentage of the mental health work force than any other profession. Thus, social workers will probably be asked by clients about these issues. This article presents information on the efficacy of antidepressants for both the short and long term. It covers adverse effects and withdrawal symptoms. Clients' self-determination should be honored. However, …

Perspectives Emerging From Neuroscience On Why People Become Addicted And What To Do About It, Jill Littrell

jill l littrell Dr.

This paper reviews the new ideas emerging from neuroscience regarding the question of why some people are compelled to use drugs. During the process of drug exposure, the brain’s motivational system is changed in ways that co-opts the individual’s motivational system. Changes in the brain’s motivational structures along with changes in the brain’s self-regulatory structures compel an individual to drug use. Ways to reverse those changes in an addicted brain have been identified, as have ways to enhance self-regulatory control. The information from neuroscience offers a new perspective on “loss of control” as well as offering implications for treatment.

Comparison Of Housed And Homeless Patients With An Orthopedic Diagnosis, Susan M. Williams

Electronic Thesis and Dissertation Repository

Studies on homelessness have shown that people who are homeless are admitted to hospital more frequently, for longer periods of time, and at a younger age than people who are housed. Once admitted to hospital, discharge planning is difficult and resource intensive, often leading to discharge back to the streets or a shelter. This puts this population at risk for complications and readmission. Although people who are homeless are prone to orthopedic injuries, there is no research on the outcomes of patients who are homeless with orthopedic injuries. This retrospective, case control study, based on the social determinants of health, …

The Capus Project-Innovative Solutions For Hiv/Aids Linkage To Care, Melanie Gwynn, Jamila Ealey, Kate Racoff Musgrove

9th Annual Rural HIV Research and Training Conference (2014-2019)

“The CAPUS Project-Innovative Solutions for HIV/AIDS Linkage to Care”

Objectives: 1) Expand knowledge of the current linkage to care landscape within Georgia; 2) Identify essential components of the Resource Hub to enhance linkage to care efforts throughout Georgia; and 3)Promote effective use of the Resource Hub to facilitate HIV/AIDS linkage to care within highly impacted communities

Personal Network Recovery Enablers And Relapse Risks For Women With Substance Dependence, Suzanne Brown, Elizabeth M. Tracy, Min Kyoung Jun, Hyunyong Park, Meeyoung O. Min

Social Work Faculty Publications

We examined the experiences of women in treatment for substance dependence and their treatment providers about personal networks and recovery. We conducted six focus groups at three women’s intensive substance abuse treatment programs. Four coders used thematic analysis to guide the data coding and an iterative process to identify major themes. Coders identified social network characteristics that enabled and impeded recovery and a reciprocal relationship between internal states, relationship management, and recovery. Although women described adding individuals to their networks, they also described managing existing relationships through distancing from or isolating some members to diminish their negative impact on recovery. …

Strengthening A Social Justice Lens For Addictions Practice: Exploration, Reflections, Possibilities And A Challenge To Our Shared Work To Promote Recovery Among The Most Vulnerable, Laura Burney Nissen

School of Social Work Faculty Publications and Presentations

Addiction is commonly conceptualized as a personal problem, a family problem, a neighborhood problem, a community problem, and even a social problem. But how might addiction be understood as a social justice problem?

Substance abuse problems, addictions, and addiction treatment and the related preparation of professionals to fill its treatment ranks exist within an ideological and political infrastructure. Issues of social justice are often conspicuously absent as a primary consideration of the experience of people seeking treatment (acknowledging the treatment gap that impacts some people more than others), for communities ravaged by addiction (acknowledging that some communities are affected more …

The Importance Of Access To Benefits Under The Family Medical Leave Act For Low-Income Families For Bonding And Attachment Facilitation With A Fragile Infant And The Role Of The Social Worker, Theresa Stewart Moran

21st Century Social Justice

Lack of universal family leave discriminates against low-income families with infants who require care in the Neonatal Intensive Care Unit. Birth complications tend to occur more frequently in families living with low socioeconomic status, placing a disproportionate burden on an already vulnerable population. Parents in this group tend to be employed in jobs that do not include the benefit of parental leave. Considering that attachment relationships form as the result of bonding transactions during a critical time in development, limiting contact curtails secure attachment. This, combined with other risk factors, increase the odds of lifelong negative outcomes. Family leave policy …

A Review Of Mental Health Rehabilitation Technician Qualifications And Training Procedures, Kimberly I. Snow Mhsa, Ba, Nadine Erdis Msw, Janice Daley Msw

Disability & Aging

This report was prepared by Kimberly Irvin Snow, Nadine Edris, and Janice Daley of the University of Southern Maine's Muskie School of Public Service and submitted to the Maine Department of Health and Human Service, Office of Substance Abuse and Mental Health Services. Results of this report were also presented in a webinar on November 21, 2014.

The authors investigated the training and certification processes used by other states for their mental health case management workforce. Ten states were selected for indepth comparative review because they provide a certification process for case managers, provide case management services similar to those …

Medicalization Of Mental Disorders: 1970- To The Present, W. Joseph Wyatt

W. Joseph Wyatt

A thirty-five year escalation of emphasis on biological causation has rendered, for many, medications as the treatment of choice for mental disorders. Non-drug treatment may be cast aside, as a result.

Motivational Interviewing At The Intersections Of Depression And Intimate Partner Violence Among African American Women, Stéphanie Wahab, Jammie Trimble, Angie Mejia, S. Renee Mitchell, Mary Jo Thomas, Vanessa Timmons, A. Star Waters, Dora Raymaker, Christina Nicolaidis

School of Social Work Faculty Publications and Presentations

This article focuses on design, training, and delivery of a culturally-tailored, multi-faceted intervention which used motivational interviewing (MI) and case management to reduce depression severity among African American survivors of intimate partner violence (IPV). We present the details of the intervention and discuss its implementation as a means of creating and providing culturally appropriate depression and violence services to African American women. We used a CBPR approach to develop and evaluate the multi-faceted intervention. As part of the evaluation, we collected process measures about the use of MI, assessed MI fidelity, and interviewed participants about their experiences with the program.

Alcohol And Drug Prevention, Intervention, And Treatment Literature: A Bibliography For Best Practices, Laura Burney Nissen

School of Social Work Faculty Publications and Presentations

Addictions remain a persistent challenge to mental health practice. There is a need for mental health educators, students, and practitioners to be aware of, critique, contribute to, and, where relevant, utilize emerging scholarly literature to inform their intervention strategies. This comprehensive addictions bibliography draws from a wide variety of sources, perspectives, and ideologies to hasten the rate at which academics and practitioners can more meaningfully participate in this rapidly developing field of practice.

Alcohol Screening And Brief Intervention As Standard Practice In Indian Country, David A. Patterson Silver Wolf (Adelv Unegv Waya) Phd, Bonnie Duran, Catherine N. Dulmus Phd, Amy R. Manning

Brown School Faculty Publications

Alcohol use and the resulting problems associated with high-risk drinking in the American Indian/Native Alaskan (AI/NA) population are well-documented, as alcohol misuse has taken an incredible toll on many AI/NA communities. Presently, both overall health issues and alcohol use occur disproportionately within this population. This article provides an updated overview of the impact of alcohol use in the United States and within AI/NA communities specifically. It also provides recommendations for an alcohol-related screening and brief intervention instrument that social workers can begin using in their practice and can be utilized within the AI/NA community.

Chhs February 2014 E-Newsletter, Dr. John Bonaguro, Dean, Vashon S. Wells, Editor, College Of Health And Human Services, Western Kentucky University

College of Health & Human Services Publications

No abstract provided.

Is Hyperbaric Oxygen Therapy An Effective Treatment For Autism? A Review, Daniel Dunleavy, Bruce A. Thyer

Journal of Adolescent and Family Health

Objectives: We review outcome studies regarding the effectiveness of hyperbaric oxygen therapy (HBOT) for Autism Spectrum Disorders (ASD). Method: Studies were identified through electronic bibliographic databases and manual searches of article reference lists. Results: A total of 8 studies met eligibility criteria, consisting of three randomized controlled trials (RCTs), one quasi-experimental study involving a comparison group, two pre-experimental one-group pretest–posttest studies, and two single-system designs. Studies reviewed did not offer credible evidence to suggest that HBOT is an effective treatment for autism. Conclusion: It is premature to call HBOT an effective treatment for Autism and ASD. Individuals clinically treated with …

Combating Autism Reauthorization Act Of 2014, Kassandra Mores

Policy Analysis

On May 9, 2014, Representative Smith (R-NJ) and Representative Doyle (D-PA) introduced a bill to reauthorize the Combating Autism Act (H.R. 4631) for five years. Senator Menendez (D-NJ) and Senator Enzi (R-WY) are planning to introduce a Senate bill of the Combating Autism Reauthorization Act. The Combating Autism Act of 2011, due to sunset September 30, 2014, provides federal funding for autism research, public education, and early detection and intervention in Maine. We are hoping that you will consider voting in support of the Combating Autism Reauthorization Act.

A Feasibility Study On A Men’S Cancer Support Group At The Mayo Clinic Health System, Mankato Andreas Cancer Center, Nicole Giersdorf

All Graduate Theses, Dissertations, and Other Capstone Projects

The Institute of Medicine published a report in 2007 which outlined numerous sources of psychosocial distress that, ideally, should be managed when working with patients with cancer. Typically, they involve a lack of information available to the patient, emotional problems such as depression or anxiety, a lack of transportation and other resources, and disruptions to their daily life. Combined, these factors all contribute to poor adherence to prescribed treatments, and a slower return to health. Attending social support groups is a popular approach to coping with health problems such as these in the United States, and is considered to be …

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.

State Responses To Alcohol Use And Pregnancy: Findings From The Alcohol Policy Information System, Laurie Drabble, Sue Thomas, Lisa O'Connor, Sarah Roberts

Faculty Publications

This article describes U.S. state policies related to alcohol use during pregnancy, using data from the National Institute on Alcohol Abuse and Alcoholism Alcohol Policy Information System. Specifically, this study examines trends in policies enacted by states over time and types of policies enacted across states in the United States, with a focus on whether laws were supportive or punitive toward women. Findings revealed substantial variability in characteristics of policies (19 primarily supportive, 12 primarily punitive, 12 with a mixed approach, and 8 with no policies). Findings underscore the need to examine possible consequences of policies, especially of punitive policies …

Strategies Employed By Inner-City Activists To Reduce Alcohol-Related Problems And Advance Social Justice, Laurie Drabble, Denise Herd

Faculty Publications

This study explored strategies employed by activists engaged in efforts to change policies and laws related to selling and promoting alcoholic beverages based on in-depth interviews with 184 social activists in seven U.S. major cities. Nine strategies aimed at improving local conditions and influencing policy were described by activists across regional contexts. Grassroots mobilization was central to all other strategies, which included the creation or enforcement of laws, meeting with elected officials, media advocacy, working with police/law enforcement, education and training, direct action, changing community norms, and negotiating with store owners.

Responding To A Community Need: Mobile Crisis Program Training Manuals, Kelsey Tollefson

All Graduate Theses, Dissertations, and Other Capstone Projects

The purpose of this project was to develop a training curriculum for the South Central Mobile Crisis Program, which is a part of Horizon Homes, Inc. Continued education and training is required for all mental health professionals, mental health practitioners, and rehabilitative staff. Because of the requirements outlined in Minnesota statute 256B.0944, 256B.0624,and the Department of Human Services, all staff within this program must receive at least thirty hours of crisis-related training prior to working with clients.

Toolkit For Mental Health Professionals, Social Workers, And Guidance Counselors Working With Immigrant And Refugee Students, Rojina Maya Mccarthy

All Graduate Theses, Dissertations, and Other Capstone Projects

The purpose of this Capstone project is to develop a best practices toolkit for social workers and mental health professionals working with immigrant and refugee students in school setting. The toolkit is intended to be disseminated by The Advocates for Human Rights to social workers, guidance counselors, and other mental health professionals who work with immigrant and refugee children. This toolkit will also be used by the staff in the organization.

Cpt Vs Pe For Ptsd? Literature Review On Efficacy Of Cpt And Pe Based On Gender, Chronicity, And Race/Ethnicity, Christelle C. Sackey

All Graduate Theses, Dissertations, and Other Capstone Projects

Post-traumatic stress disorder (PTSD) is a debilitating mental health condition that can be diagnosed on veterans who have been exposed to traumatic events. PTSD not only has negative physical symptoms, but it also compromises veterans’ chances of living a productive live. Efforts to find effective treatments for PTSD has led to the development of a few form of therapies, including Prolonged Exposure(PE) and Cognitive Processing Therapy (CPT) which have received special attention for military related PTSD. After more than 20 years of research, it has been proven that CPT and PE are the best treatments of choice for PTSD. However, …

Dsm-Iv-Tr/Dsm-5, An Evidence-Based Comparative Analysis With Focus On The Cultural Context Of Mental Health Illness Of: Bipolar Disorders, Depression, Autism Disorders, Anxiety And Adhd., Claudia Zendejas-Finley

All Graduate Theses, Dissertations, and Other Capstone Projects

The DSM-5 presents many changes in the criteria and categories used in the clinical diagnosis of clients. In addition, the proposed changes within the DSM-5 also attempts to address some of the concerns regarding the lack of a contextual assessment process regarding the role of culture within the lives of clients (Warren, 2013). This research aims to create a comparison between the DSM-IV-TR and the DSM-5 of some of the most common diagnosis used by Family Service Rochester including: bipolar disorder, depression, autism disorder, anxiety and ADHD. In addition, this project also intends to develop a comprehensive cultural analysis of …

College Student Perceptions Of Mental Health Counseling At Minnesota State University, Mankato, Holly Barkeim

All Graduate Theses, Dissertations, and Other Capstone Projects

The Counseling Center at Minnesota State University, Mankato offers mental health counseling services to MNSU students that are free, confidential, and conveniently located on campus. Despite the range of services, the affordability and confidentiality, as well as current marketing strategies used by the Counseling Center, services appear to be significantly underutilized by students on campus. This study examines student perceptions of on campus mental health services and barriers that may prevent students from accessing services. The goal of the project is to assist the Counseling Center in improving their marketing strategies to students identified as being underserved.

Developing Trauma-Informed Practice In A Community Mental Health Clinic: In The Child Welfare Context, Kelly Froehle

All Graduate Theses, Dissertations, and Other Capstone Projects

• This project provides direction for working with clients who present at First Street Center for mental health services with a trauma history.
• As child welfare staff work to develop trauma-informed practice, having similar procedures and services at First Street Center may complement services families are receiving from the county as a whole.

Usage Of The Alcohol Use Disorder Identification Test (Audit) With Hospital Inpatients, Jeni Kolstad

All Graduate Theses, Dissertations, and Other Capstone Projects

This project investigated whether the AUDIT was being used as the World Health Organization (WHO) recommends within Mayo Clinic Health System – Mankato (MCHS). The goals of the study were to describe the Chemical Dependency (CD) process and to determine the role of the AUDIT in the CD consult and assessment process. Recommendations were made to enhance the process of identifying, assessing, and intervening with patients with alcohol use problems.

An In-Depth Look At Filial Play Therapy, Sam Tumberg

All Graduate Theses, Dissertations, and Other Capstone Projects

This project explores the various aspects that make up the filial play therapy model. Filial play therapy is an evidenced-based intervention that has been proven to work with a variety of different populations and can be applied in a variety of different settings. The purpose of this project is to give the Vision therapists at Headway a practical toolkit that can be applied in their therapeutic practice. The therapeutic toolkit contains practical therapeutic skills and techniques that can easily be applied within the Vision program.

Differences Between Children With Fetal Alcohol Spectrum Disorders And Attention Deficit Hyperactivity Disorders: Rural Social Work Implications For Prevention, Assessment And Treatment, Susan M. Ryan, George S. Leibowitz, Jeanne M. Nauheimer, Paul Force-Emery Mackie

Social Work Department Publications

This literature review examined nine quantitative research studies published between 1992-2013 that compared children with Fetal Alcohol Spectrum Disorders (FASD) and Attention Deficit Hyperactivity Disorder (ADHD) to identify: (a) the differences between these children (e.g., intellectual, behavioral); and (b) the diagnostic tools that may be used to distinguish between them, thereby providing a differential diagnosis. Special focus was placed on rural treatment implications. These studies revealed differences between the intellectual, executive functioning, adaptive behavior, motor, and behavioral skills of children with FASD and ADHD. This review identified neurodevelopmental assessments used in these nine research studies that appear to support learning …

Expanding ‘Family Education’ Programs For Intensive Residential Treatment Services (Irts): A Study Of Minnesota Irts Programs, Abby Sharp

All Graduate Theses, Dissertations, and Other Capstone Projects

Intensive Residential Treatment Services (IRTS) programs provide mental health treatment to adults with a Severe and Persistent Mental Illness (SPMI). The programs are required by the state of Minnesota to offer family education and support to clients and their families while the clients are receiving IRTS treatment. The purpose of this project was to assess IRTS programs across the state, and in conclusion, provide an expansive family education program at Horizon Homes, Inc. IRTS program in South Central Minnesota.