Social Work Commons^™

The Role Of Formal Policy To Promote Informed Consent Of Psychotropic Medications For Youth In Child Welfare Custody: A National Examination, Thomas I. Mackie, Ana J. Schaefer, John S. Palatucci, Laurel K. Leslie, Stephen Crystal, Michael Gusmano, Hannah E. Karpman

School for Social Work: Faculty Publications

Active participation of youth and surrogate decision-makers in providing informed consent and assent for mental health treatment is critical. However, the procedural elements of an informed consent process, particularly for youth in child welfare custody, are not well defined. Given calls for psychotropic medication oversight for youth in child welfare custody, this study proposes a taxonomy for the procedural elements of informed consent policies based upon formal and informal child welfare policies and then examines whether enacted state formal policies across the United States endorsed these elements. A sequential multi-method study design included: (1) semi-structured interviews with key informants (n …

Barriers To Mental Health Service Use Among Palestinian-Arab Women In Israel: Psychological Distress As Moderator, Fareeda Abo-Rass, Sarah Abu-Kaf, Ora Nakash

School for Social Work: Faculty Publications

Background: Many studies indicate that ethnic minority women, including women from the disadvantaged Palestinian-Arab minority in Israel, experience higher rates of psychological distress but are less likely to use mental health services. This study examined psychological distress and its role as a moderator in the relationship between mental health service use and stigma-related, attitudinal, and instrumental barriers. Method: Cross-sectional study of 146 Palestinian-Arab women who completed measures of psychological distress, mental health service use, the Barriers to Care Evaluation scale, and sociodemographic characteristics. Results: Participants who did not utilize mental health services reported higher levels of all barrier types compared …

The Short-Form Of The Coparenting Across Family Structures Scale (Copafs-27): A Confirmatory Factor Analysis, Michael A. Saini, Marsha Kline Pruett, Jonathan Alschech

School for Social Work: Faculty Publications

To further refine the measurement of coparenting across family dynamics, this article presents data from 2 separately collected samples, the first consisting of 252 parents and the second consisting of 329 parents, analyzed as a pilot study of the Short-Form of the Coparenting Across Family Structures Scale (CoPAFS 27-Items). The purpose of the revised shortened tool is to further the design of an efficient and psychometrically strong tool to aid research and clinical practice with coparents. Our intent was to differentiate coparenting in intact, separated/divorced, and families where the parents were never romantically involved, between mothers and fathers, and between …

Oncology Healthcare Professionals’ Mental Health During The Covid-19 Pandemic, Leeat Granek, Ora Nakash

School for Social Work: Faculty Publications

The paper begins by reviewing the literature on oncology healthcare professionals’ (HCP) mental health. We summarize and present the current data on HCP mental health in order to understand the baseline state of oncology HCPs’ mental health status prior to the COVID-19 pandemic. At each juncture, we will discuss the implications of these mental health variables on the personal lives of HCPs, the healthcare system, and patient care. We follow by reviewing the literature on these parameters during the COVID-19 pandemic in order to better understand the impact of COVID-19 on the overall mental health of HCPs working in oncology. …

Social Support And Psychological Distress Among The Bedouin Arab Elderly In Israel: The Moderating Role Of Gender, Sarah Abu-Kaf, Ora Nakash, Tsahi Hayat, Michal Cohen

School for Social Work: Faculty Publications

In Israel, as in other developed countries, mental health problems are common among older adults who are members of disadvantaged ethnic minorities that are experiencing cultural and social changes. The main goals of the current study were: (a) to examine gender differences in the levels of psychological distress and social support among Bedouin elders, and (b) to examine the moderating role of gender in the associations between social support indices and psychological distress. We used a cross-sectional design, and independent t-tests and hierarchical linear regression analysis were performed. The study was conducted in homes and in social clubs and community …

Exploring Shared Trauma In The Time Of Covid: A Simulation-Based Survey Study Of Mental Health Clinicians, Kenta Asakura, Ruxandra M. Gheorghe, Danielle Rieger, Sarah Tarshis, Stephanie Borgen, Amedeo D'Angiullibrought

School for Social Work: Faculty Publications

From fear of contracting the virus, isolation from physical distancing, to navigating lifework balance, the COVID-19 pandemic is expected to leave long-lasting psychosocial impacts on many. Shared trauma refers to similar psychological reactions to an extraordinary community event when experienced by both the clinicians and clients. We examined the experiences mong mental health clinicians in Canada and the United States (n = 196) in this online survey study during the second phase of the pandemic (Spring 2021). In addition to using traditional survey items (e.g., demographics, scales, and short answers), we also used video-recorded Simulated Clients (SC; i.e., professional actors) …

Teaching Note—Teaching Trumpism, Hannah E. Karpman, Rory Crath

School for Social Work: Faculty Publications

The election of Donald Trump was an astounding moment in the history of the United States. As academics across disciplines and social work as a profession struggled to understand the election and its effects, several syllabi were crowd sourced to explain the phenomenon known as Trumpism. This article describes a social work social policy course derived from these syllabi, as well as the pedagogical choices and consequences of teaching this course at the graduate level.

The Structural Clinical Model: Disrupting Oppression In Clinical Social Work Through An Integrative Practice Approach, Maria Del Mar Fariña, Peggy O'Neill

School for Social Work: Faculty Publications

It is critical that clinical social workers become actively aware of the endemic processes and manifestations of racism, social inequities, structures and dynamics of white supremacy within and across organizational, supervisory and clinical relationships. The Structural-Clinical Model (SCM) is presented, providing a multi-layered and theoretically rich pathway for clinical social workers to examine the intricate, and multifaceted interconnections expressing racialized oppressive forces across macro, meso and micro systems that impact the totality of clinical practice. SCM integrates critical race theory, liberation psychology, and relational theories bridging long standing theoretical and conceptual divides. The SCM aims to de-pathologize clients, recognizing instead …

Uncovering The Intricacies Of The Clinical Intake Assessment: How Clinicians Prioritize Information In Complex Contexts, Margaret M. O'Neill, Ora Nakash

School for Social Work: Faculty Publications

Objective: Based on a single intake interview, mental health clinicians must distill their assessment to brief statements reflecting essential information. We explored how clinicians organize and prioritize the clinical information they collect during the initial assessment of their clients. Method: We conducted in-depth semistructured interviews with a convenience sample of 38 clinicians in four community-and hospital-based mental health clinics in Israel. Clinicians were interviewed immediately following an intake session with 117 clients and were asked about the client’s main problem, evaluation process, rapport with the client, and role of sociocultural factors in assessment. We identified primary themes across interviews. Results: …

Radical Love Unlimited: A Biomythography, Loren Cahill

School for Social Work: Faculty Publications

This is an experimental text of creative nonfiction. Radical love is defined, and its trivariate dimensions are illustrated—(re)memory, ritual, and (re)imagination— through the lived and imagined experiences of the author. She engages in the genre of biomythography through the speculative mediums of letter writing, memoir, and journaling. She attempts to expand the category of Blackgirlhood and Blackgirls’ subsequent sacred pursuits of healing. This work may be used as an intervention in a wide variety of capacities, but it stands, first and foremost, as a mirror for Blackgirls to bear witness to themselves being centered, as well as another opportunity for …

A Qualitative Study Examining The Quality Of Working Alliance As A Function Of The Social Identifies Of Clients And Therapists During The Mental Health Intake, Ora Nakash, Michal Cohen, Liron Aharoni, Shir Zur, Maayan Nagar

School for Social Work: Faculty Publications

Therapists are faced with the challenge of developing effective ways to advance cross-cultural engagement with a rapidly growing diverse client population. In this qualitative study, we characterized the way clients and therapists described the quality of working alliance during the mental health intake and examined whether these descriptions vary as a function of their social identities. We conducted in-depth interviews with Ashkenazi (socially advantaged group; n = 22) therapists and their Mizrahi (socially disadvantaged group n = 29) or Ashkenazi (n = 26) clients immediately following their intake session in four mental health clinics in Israel. We performed a thematic …

Editorial: The Use Of Simulation In Advancing Clinical Social Work Education And Practice, Kenta Asakura, Marion Bogo

School for Social Work: Faculty Publications

No abstract provided.

Using Simulation As An Investigative Methodology In Researching Competencies Of Clinical Social Work Practice: A Scoping Review, Kenta Asakura, Ruxandra M. Gheorghe, Stephanie Borgen, Karen Sewell, Heather Macdonald

School for Social Work: Faculty Publications

This article reports a scoping review designed to synthesize current literature that used simulation as an investigative methodology (simulation-based research; SBR) in researching practice competencies in clinical social work. Following Arksey and O’Malley’s scoping review framework, 24 articles were included in this scoping review. The majority of articles reported SBR studies conducted in Canada and the U.S. and were published in the last 10 years, signifying that this is a burgeoning area of research in clinical social work. Areas of clinical competencies included professional decision-making (33%), the role of cognition and emotion (21%), attending to culture and diversity (21%), and …

Centering The Voice Of The Client: On Becoming A Collaborative Practitioner With Low-Income Individuals And Families, Celia Falicov, Ora Nakash, Margarita Alegría

School for Social Work: Faculty Publications

Despite current interest in collaborative practices, few investigations document the ways practitioners can facilitate collaboration during in-session interactions. This investigation explores verbatim psychotherapy transcripts to describe and illustrate therapist’s communications that facilitate or hinder centering client’s voice in work with socioeconomically disadvantaged populations. Four exemplar cases were selected from a large intervention trial aimed at improving shared decision making (SDM) skills of psychotherapists working with low-income clients. The exemplar cases were selected because they showed therapist’s different degrees of success in facilitating SDM. Therapist’s verbalizations were grouped into five distinct communicative practices that centered or de-centered the voice of clients. …

Biopolitics' New Iteration: Gay Men, Pre-Exposure Prophylaxis And The Pharmaco-Pornographic Imagination, Rory David Crath, J. Cristian Rangel, Adam Gaubinger

School for Social Work: Faculty Publications

This article builds upon Paul Preciado’s conceptualisation of pharmaco-pornographic power to understand the ongoing affects and effects of Pre-Exposure Prophylaxis (PrEP) on queer men’s sexual socialities and subjectivities. Drawing from a new-materialist epistemology, we analyze data from a sexual health pilot study in NYC to trace the techno-sexual health assemblages forming in queer life worlds. Our analysis suggests that these assemblages, entangling PrEP and other pharmacological substances, pornographic imaginaries together with mediatic technologies and public health rationalties, are creating paradoxical desires and practices of intimacy that are both normative and exceed rational health-actor logics and normative understandings of risk. These …

Extension Of Marriage Benefit To Long-Distance Relationship: Comparative Evidence From East Asia, Tidarat Puranachaikere, Bahareh Sahebi, Christine M. Aiello, Shveta Kumaria, Tamara G. Sher

School for Social Work: Faculty Publications

Background: Being married is related to better physical and mental health compared to being single or in an unmarried relationship. For those in long-distance relationship (LDR), there are mixed findings in psychological and physical health outcomes when compared to individuals in proximal relationship (PR).

Objective: To explore the health differences between those in LDRs and PRs in a larger and non-Western sample with more health behaviors than had been previously assessed.

Materials and Methods: The present study analyzed the data from the East Asian Social Survey (EASS) comparing health variables and health habits between LDR and PR participants. There were …

Speaking Welcome: A Discursive Analysis Of An Immigrant Mentorship Event In Atlantic Canada, Kristi A. Allain, Rory Crath, Gül Çalışkan

School for Social Work: Faculty Publications

This article offers an analysis of a business mentorship event in Fredericton, NB, which targeted immigrants sponsored through the New Brunswick Provincial Nominee Program (NBPNP)—an economic revitalization program designed to attract foreign business people and skilled workers to settle in the province. Applying Derrida’s concept of hospitality as a technology of whiteness, we examine the stated and implicitly understood expectations for the NBPNP, including the mechanisms at play for regulating newcomer’s behavior and comportment. We locate our analysis in the context of a regionally expressed Canadian multiculturalism, extending the relevance of our findings beyond Fredericton to Atlantic Canada. We ask: …

The Four Pandemics, Joshua Miller

School for Social Work: Faculty Publications

COVID 19 interacts with white supremacy, economic insecurity and politcal terrorism, adversely affecting many people and populations. This article considers the consequences of these four interacting pandemics and suggests that social work, particularly clinical social work, requires radical revisioning and decolonizing to be able to ethically and adequately serve affected people.

Understanding The Role Of Past Health Care Discrimination In Help-Seeking And Shared Decision-Making For Depression Treatment Preferences, Ana M. Progovac, Dharma E. Cortés, Valeria Chambers, Jonathan Delman, Deborah Delman, Danny Mccormick, Esther Lee, Selma De Castro, María José Sánchez Román, Natasha A. Kaushal, Timothy B. Creedon, Rajan A. Sonik, Catherine Rodriguez Quinerly, Caryn R.R. Rodgers, Leslie B. Adams, Ora Nakash, Afsaneh Moradi, Heba Abolaban, Tali Flomenhoft, Ruth Nabisere, Ziva Mann, Sherry Shu Yeu Hou, Farah N. Shaikh, Michael Flores, Dierdre Jordan, Nicholas J. Carson, Adam C. Carle, Frederick Lu, Nathaniel M. Tran, Margo Moyer, Benjamin L. Cook

School for Social Work: Faculty Publications

As a part of a larger, mixed-methods research study, we conducted semi-structured interviews with 21 adults with depressive symptoms to understand the role that past health care discrimination plays in shaping help-seeking for depression treatment and receiving preferred treatment modalities. We recruited to achieve heterogeneity of racial/ethnic backgrounds and history of health care discrimination in our participant sample. Participants were Hispanic/Latino (n = 4), non-Hispanic/Latino Black (n = 8), or non-Hispanic/Latino White (n = 9). Twelve reported health care discrimination due to race/ethnicity, language, perceived social class, and/or mental health diagnosis. Health care discrimination exacerbated barriers to initiating and continuing …

Art As A Transformative Practice: A Participatory Action Research Project With Trans* Youth, Kenta Asakura, Jess Lundy, Dillon Black, Cara Tierney

School for Social Work: Faculty Publications

Given that promoting social justice is one of the central organizing principles of social work, it comes as no surprise that participatory action research has gained much attention among social work researchers. While much has been written about promising practices of participatory action research with various marginalized communities, there remains a dearth of participatory action research literature that focuses on trans* people, a population often under attack in current socio-political climates. In this paper, we report on a participatory action research project, in which a trans* artist worked closely with trans* youth participants (n = 5) to assist them through …

The Association Between Deaf Identity And Emotional Distress Among Adolescents, Tal Lambez, Maayan Nagar, Maayan Nagar, Anat Shoshani, Ora Nakash

School for Social Work: Faculty Publications

The sociocultural approach regards being deaf as a cultural characteristic in the identity of a deaf/hard-of-hearing (D/HH) person. The degree to which one integrates the hearing and Deaf cultures ("acculturation") is an important factor for the well-being of deaf adolescents. We examined the relationship between acculturation patterns and emotional distress among D/HH (n = 69) compared to hearing (n = 60) adolescents in Israel. We used culturally and linguistically accessible measures. Our findings showed no significant differences in emotional distress between D/HH and their hearing counterparts. Acculturation played an important role predicting emotional distress. Identification with both the Deaf and …

Gathering Diverse Perspectives To Tackle “Wicked Problems”: Racial/Ethnic Disproportionality In Educational Placement, Amanda Nemoyer, Ora Nakash, Marie Fukuda, Jill Rosenthal, Najeia Mention, Valeria A. Chambers, Deborah Delman, Gilberto Perez, Jennifer G. Green, Edison Trickett, Margarita Alegría

School for Social Work: Faculty Publications

Among students receiving behavioral health and special education services, racial/ethnic minority students are consistently overrepresented in settings separate from general classrooms. Once separated, many young people struggle to improve academically and face significant difficulty upon trying to return to a general education setting. Given the complex, ongoing, and multifaceted nature of this challenge, racial/ethnic disproportionality can be identified as a “wicked problem,” for which solutions are not easily identified. Here, we describe our community-engaged research efforts, eliciting perspectives from relevant partners in an ongoing dialogue, to better integrate diverse stakeholders’ perspectives when attempting to address such disparities. We conducted focus …

Social Class And Social Work In The Age Of Trump, Hanna Karpman, Joshua Miller

School for Social Work: Faculty Publications

Social class has many meanings and components – economic, social, political, one’s sense of identity, and how class intersects with other social identities – so it is difficult to define it briefly and succinctly. These definitions are further complicated by a global lens, where family of origin, geography, and other factors can pre-determine social class. In this article, we explore the complexities and contradictions of social class in the context of the United States as we believe that this is important for social work, particularly in the age of Donald Trump, where class, and its intersection with race and immigration …

Fathers’ And Mothers’ Attachment Styles, Couple Conflict, Parenting Quality, And Children’S Behavior Problems: An Intervention Test Of Mediation, Philip A. Cowan, Carolyn Pape Cowan, Marsha Kline Pruett, Kyle Pruett

School for Social Work: Faculty Publications

A diverse sample of 239 primarily low-income couples participated in a random controlled trial of the Supporting Father Involvement couples group intervention. In this report, we examined the value of adding measures of fathers’ attachment style and parenting to mothers’ measures in order to explain variations in children’s behavior problems. We also tested the hypothesis that the link between intervention-induced reductions in couple conflict and reductions in anxious/harsh parenting can be explained by intervention effects on parents’ attachment insecurity or on anxiety and depression. Fathers’ attachment security and parenting behavior added significantly to mothers’ in accounting for children’s internalizing and …

Lesbian, Gay, And Bisexual Adults Have Higher Prevalence Of Illicit Opioid Use Than Heterosexual Adults: Evidence From The National Survey On Drug Use And Health, 2015-2017, Benjamin D. Capistrant, Ora Nakash

School for Social Work: Faculty Publications

Purpose: We estimated illicit opioid use prevalence among LGB and heterosexual adults. Methods: Cross-sectional National Survey on Drug Use and Health data (2015-2017) were used to estimate illicit opioid use prevalence by sexual identity, age, and gender. Results: An estimated 1.1 million LGB adults used illicit opioids in the preceding 12 months (LGB adults: 9.8%; heterosexual adults: 4.24%). Prevalence of illicit opioid use was significantly higher among LGB women aged /bisexual men (18-25 and 50 +) compared with their heterosexual counterparts. Conclusions: Interventions targeting LGB illicit opioid use should account for possible differential minority stress associated with age and gender.

Extraordinary Acts To “Show Up”: Conceptualizing Resilience Of Lgbtq Youth, Kenta Asakura

School for Social Work: Faculty Publications

Sexual and gender diversity is an overlooked subject in resilience research. This study seeks to advance the conceptualization of resilience among lesbian, gay, bisexual, trans, and queer (LGBTQ) youth. Informed by social ecological theory of resilience, grounded theory analysis of interviews with service providers (n = 16) and LGBTQ youth (n = 19) yielded the following categories: (a) facing adversities across contexts, and (b) “doing well” while still in pain. LGBTQ youth face both general and LGBTQ-specific adversities. LGBTQ youth, even in a so-called “post-gay” era, remain challenged to navigate marginalization to maintain their well-being. Participants endorsed a context-dependent understanding …

Supporting Father Involvement: An Intervention With Community And Child Welfare–Referred Couples, Marsha Kline Pruett, Philip A. Cowan, Carolyn Pape Cowan, Peter Gillette, Kyle D. Pruett

School for Social Work: Faculty Publications

Objective: To expand the evidence base of the Supporting Father Involvement (SFI) intervention to include child welfare families. Background: Taking a preventive father-inclusive approach, SFI aims to strengthen coparenting, parent–child relationships, and child outcomes. This study replicates 4 prior iterations of the program using the same 32-hour curriculum facilitated by clinically trained staff, case managers, and onsite child care and family meals. Method: Participants (N = 239) included low-income (median = $24,000) coparenting pairs, typically mothers and fathers/father figures, half of whom were Mexican American, with toddlers (median age < 3 years). Questionnaires assessing multiple family domains were administered verbally over an 18-month period. Intervention effectiveness was tested through a randomized control trial with immediate treatment or waitlist–control groups using a moderated mediator structural equation model. Results: The model explained 49% to 56% of the variance in children's problem behaviors (intervention and autoregressive effects). The intervention reduced couple conflict, which reduced anxious and harsh parenting, leading to better child outcomes. The intervention was equally effective for community and child welfare–referred families and family dynamics pathways were similar across conditions. Conclusion: With its intentional outreach and inclusion of fathers, SFI offers an effective intervention for lower risk child welfare–involved families. Implications: Results argue for the utility of treating community and child welfare parents in mixed-gender prevention groups that focus on strengthening multiple levels of family relationships.

Change In Patient Activation And Mental Illness Symptoms After Communication Training: A Multisite Study With A Diverse Patient Sample, Mengchun Chiang, Janet Chang, Ora Nakash, Mario Cruz-Gonzalez, Mirko K. Fillbrunn, Margarita Alegría

School for Social Work: Faculty Publications

Objective: Patient activation involves patients’ ability and motivation to communicate about their health and health care. Research has demonstrated that clinician or patient interventions may improve patient activation. This study explored the degree to which clinician and patient interventions affected both patient activation and symptoms of depression and anxiety in a racially and ethnically diverse clinical sample. Methods: Data were from a randomized clinical trial that included 312 patients and 74 clinicians from 13 Massachusetts community- and hospital-based outpatient behavioral health clinics. Patients completed measures of patient activation and depression and anxiety symptoms. Secondary data analyses were conducted to examine …

Psychosocial Capacity Building In Response To Cascading Disasters: A Culturally Informed Approach, Joshua Miller, Gianluca Pescaroli

School for Social Work: Faculty Publications

The dominant paradigm guiding mental health professionals responding to major disasters is the field of 'disaster mental health', which historically focused more on psychological factors than social factors, privileging individual over collective interventions. However, resilience to complex events is a result of multiple drivers, such as social networks and local culture, that must be considered together in the assessment and planning process. This paper adopts a multi-disciplinary perspective for disaster response, applying a social-ecological approach to disaster risk reduction which has been developed through practice and a review of the literature. In particular, we investigated how psychosocial healing, collective efficacy …

Perceptions Of Intra-Familial Child Sexual Abuse And Intimate Parent-Child Interactions, Qian-Wen Xie, Joshua Miller

School for Social Work: Faculty Publications

The current study aimed to explore Chinese undergraduate students’ perceptions of intimate parent-child interactions (IPCI) and intra-familial Child Sexual Abuse (CSA) as well. 354 undergraduate students from 15 universities or colleges in Beijing were recruited to participate in an online-based survey. Results indicated that IPCI such as co-bathing and co-sleeping were very common among Chinese undergraduate students during childhood. Factors including the child’s age and gender, as well as the parent’s gender involved in IPCI were found to impact respondents’ perceptions of the appropriateness of those interactions. Moreover, respondents’ perceptions of the appropriateness of parent-child intimate interactions might also be …