Social Work Commons^™

Evaluating The Feasibility Of Implementing A Prescription Drug Misuse Prevention Intervention In The Community: A Mixed Methods Study, Tamara Al Rawwad, Vaishnavi Tata, Matthew A. Wanat, Danielle Campbell, Douglas Thornton

School of Social Work Faculty Publications and Presentations

Background

This study is part of a state-wide effort to promote the safe disposal of prescription medications and mitigate prescription drug misuse. The objective of this study was to evaluate the implementation of a two-component prevention intervention through Community Prevention Organizations (CPOs) in Texas. The first component involved the distribution of in-home disposal products (IHDP) and the second focused on providing education of the risks of prescription drug misuse.

Methods

This study followed a mixed methods sequential explanatory study design. In the quantitative phase, the extent to which CPOs carried out the intervention was determined by the distribution rate – …

Implementing Interprofessional Education: Challenges For Csd Graduate Programs, Claire M. Edwards, Jason M. Newell

Teaching and Learning in Communication Sciences & Disorders

The focus on interprofessional education (IPE) for professional training programs in allied health professions, such as speech-language pathology, has recently increased. There is currently limited pedagogical literature regarding both the instruction and application of IPE in any given discipline. This paper will outline challenges CSD graduate programs may face when implementing IPE content within the existing curricula and explore possible solutions. Delineation of preparation and integration process of an IPE course taught at a small liberal arts university where it was cross-listed in two undergraduate pre-professional programs in speech-language pathology and social work will be provided. Elements of the course, …

Community Stakeholder Preferences For Evidence-Based Practice Implementation Strategies In Behavioral Health: A Best-Worst Scaling Choice Experiment, Nathaniel J. Williams

Social Work Faculty Publications and Presentations

Background: Community behavioral health clinicians, supervisors, and administrators play an essential role in implementing new psychosocial evidence-based practices (EBP) for patients receiving psychiatric care; however, little is known about these stakeholders’ values and preferences for implementation strategies that support EBP use, nor how best to elicit, quantify, or segment their preferences. This study sought to quantify these stakeholders’ preferences for implementation strategies and to identify segments of stakeholders with distinct preferences using a rigorous choice experiment method called best-worst scaling.

Methods: A total of 240 clinicians, 74 clinical supervisors, and 29 administrators employed within clinics delivering publicly-funded behavioral health services …

Factors That Influence Screening, Brief Intervention, And Referral To Treatment (Sbirt) Implementation In Non-Medical Settings, Andrew Joseph Flaherty

Theses and Dissertations

Screening, Brief Intervention, and Referral to Treatment (SBIRT) is an evidenced-based intervention model designed to reduce substance use. While initially used in a variety of medical settings, SBIRT is increasingly implemented in non-medical settings. Unfortunately, very little is known about SBIRT implementation in non-medical settings. Therefore, the purpose of this exploratory qualitative study is to understand if professionals recently trained in SBIRT are using it and factors that influence implementation of SBIRT from their perspective.

In-depth qualitative interviews were conducted using a purposive sampling frame, comprised of practitioners recently trained in SBIRT. Interviews were recorded, and then transcribed verbatim, transcripts …

Organizational And Practitioner Characteristics That Impact Implementation Fidelity Of Trauma Focused-Cognitive Behavioral Therapy, Kimberly Ann Purinton

FIU Electronic Theses and Dissertations

In the field of child welfare, previous research has largely focused on assessing the efficacy and effectiveness of interventions rather than the implementation of the intervention. The primary aim of this dissertation was to expand understanding of implementation fidelity of an evidence-based practice (EBP) among community setting practitioners working with trauma exposed youth impacted by the child welfare system. The goal was to document specific practitioner and organizational characteristics that may influence implementation fidelity.

This dissertation is a secondary analysis of implementation fidelity of a volunteer practitioner group (N=201) that participated in TF-CBT training. To identify organizational and practitioner predictors …

Scaling-Up Child And Youth Mental Health Services: Assessing Coverage Of A County-Wide Initiative, Cole Douglas Hooley

Arts & Sciences Electronic Theses and Dissertations

Over 7 million children and youth have a diagnosable mental illness any given year. There are evidence-based treatments (EBTs) to effectively treat these conditions, but these EBTs reach a very small percentage of their target population with treatment rates between 1-3%.1 We know very little about what influences these coverage rates. Beginning in 2009, the Los Angeles County Mental Health Department (LACDMH) began an ambitious agenda to scale-up the provision of EBTs in child/youth mental health care. The present study seeks to contribute to the scale-up literature by examining three questions based on LACDMH’s initiative: 1) To what extent have …

Implementation Science And Prevention In Action: Application In A Post-Permanency World, Nancy Rolock

Faculty Scholarship

This article describes how implementation science and intervention research guided the process of selecting and implementing an evidence-informed intervention (Tuning in to Teens; TINT). TINT was provided as a selective prevention effort offered to families with youth aged 10 to 13 years old, with characteristics that suggest an elevated risk for post-permanency discontinuity. Usability testing findings: Contact was made with 54% of families, and 12% participated in the intervention. Multivariate results found no statistically significant differences between families who responded to outreach efforts and those who did not; families who participated in TINT and those who did not. Implications: Large …

Trauma-Informed Care: Training And Implementation In The Foster Care System, Danielle Norgren

Master of Social Work Clinical Research Papers

In 2015, there were 14,680 children in out of home care, which was a 9% increase from 2014 (Minnesota Department of Human Services, 2016). All of the youth in the foster care system have experienced an Adverse Childhood Experience (Garcia et al., 2017), which makes them vulnerable to mental health illnesses and many different medical conditions. If a youth presents with behavioral issues and/or mental health illnesses, the common forms of interventions that they receive are medications and psychotherapy. Trauma-informed care (TIC) has been proven to be a beneficial approach when working with the youth in the foster care system. …

Information And Communication Technologies In Public Child Welfare: A Systematic Literature Review, Stephanie K. Schneider

Electronic Theses, Projects, and Dissertations

This systematic literature review synthesizes findings from empirical studies published between 1989 and 2016 to examine types, use, purpose and implementation of information and communication technology in public child welfare to determine if there are thematic reoccurrences in these arenas. Study results yielded information to the field of social work and public child welfare by determining themes in successful usage, purpose and implementation of information and communication technology in public child welfare to better serve those vulnerable populations. This systematic literature review contextualizes and identifies these themes across the literature. Studies included in this review were analyzed and categorized to …

The Anatomy Of Cbpr: A Case Study Of Cbpr Implementation For Health Promotion With The Peer Community, Cory R. Cummings

Theses and Dissertations

This case study is a qualitative examination of a health promotion project conducted in collaboration with members of the mental health peer community. More specifically, it explores the community based participatory research (CBPR) implementation process used to conduct this health promotion project to gain a deeper understanding of the mechanisms at work in the implementation process. While there has been considerable attention to the principles that guide CBPR (Braun et al., 2012; Israel et al., 2008; LaVeaux & Christopher, 2009), there remains important work to be done in bridging these principles to implementation; what processes or mechanisms translate these principles …

Finish What You Start: A Study Of Design Team Change Initiatives' Impact On Agency Climate, Catherine Lawrence, Nancy Claiborne, Wendy Zeitlin, Charles Auerbach

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

This study employs a multi-site longitudinal design to examine the effect of a Design Team intervention on organizational climate. Thirteen private, not-for-profit child welfare agencies from one state participated in a Design Team intervention to address workforce needs. A total of 407 workers from those agencies responded pre and post intervention to a survey that measures worker perceptions of the psychological climate of their organization using the Parker Psychological Climate Survey. Workers in organizations that completed the Design Team intervention had statistically significant increases in three of the four dimensions of the Parker scale. On the role dimension, significant change …

Factors Influencing The Implementation Of A Brief Alcohol Screening And Educational Intervention In Social Settings Not Specializing In Addiction Services, David A. Patterson Silver Wolf (Adelv Unegv Waya) Phd

Brown School Faculty Publications

Although alcohol use continues to be a major problem, when high-risk users enter social services, they are not provided with empirically supported treatments (ESTs). This study investigates predictors of successful implementation in agencies not specializing in addiction services. Fifty-four frontline workers in six organizations were enrolled in the study. After completing self-administered surveys of organizational culture and climate and attitudes toward ESTs, workers were trained to implement a brief intervention. The results indicate that organizational factors and attitudes may not be related to implementation. Although high implementers had similar traits, further research is needed to characterize successful EST implementers.

Ebb And Flow: A Multiple Streams Analysis Of Change In Kansas Domestic Violence Policy, Emily Bell-Sepulveda, Juliana Carlson, Sara Rust-Martin

The Journal of Sociology & Social Welfare

State domestic violence legislative interventions shape the way states define and respond to domestic violence. In 2010, Kansas Governor Mark Parkinson signed into law Substitute House Bill 2517, which included a strategy to track domestic violence offenders from the time of arrest through the court system, and an expansion of the statutory definition of domestic violence. The following policy analysis uses a multiple streams framework to examine this policy change, including the motivations and actions of key policy entrepreneurs. We also discuss the implementation of the bill as passed and implications for domestic violence victims and policy activists in other …

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) …

Implementation Of The Ready! For Kindergarten Program, Sharon Bonnett

All Graduate Theses, Dissertations, and Other Capstone Projects

Research has shown that nearly 50 percent of Minnesota children entering kindergarten are not well prepared with the skills necessary to be successful in the kindergarten curriculum (MinneMinds, 2014 ). This gap in kindergarten readiness creates an achievement gap causing students to face significant hurdles to academic achievement (MinneMinds, 2014) which are hard to improve over time. Investment in parent-focused early childhood education programs has been shown to create the heftiest gains for children across a wide range of outcome measures and is a critical step in ensuring that children are prepared for success in school (Neville et al., 2013).

Positive Behavioral Interventions And Supports (Pbis): Lessons Learned From The Implementation Process Of An Evidence-Based Program, Tara Mershon

All Graduate Theses, Dissertations, and Other Capstone Projects

The purpose of this project is to assess the implementation process of PBIS in rural, consolidated school districts in southern Minnesota. The ideals of PBIS are in line with GFW Schools mission to foster lifelong learners in a caring environment. GFW schools aspire to promote positive social and emotional behavior and provide all students with a quality education to prepare them for future educational experiences. The recommendations from this project will inform the implementation of PBIS in the GFW School District, which is occurring in the 2014-2016 academic years.

The Incorporation Of Integrative Medicine To Assess And Address Diabetic Patients’ Psychosocial Needs, Jennifer E. Ranallo

Master of Social Work Clinical Research Papers

The purpose of this project was to increase the understanding of the assessment, implementation and referral of Complementary and Alternative Medicine (CAM) in order to meet psychosocial needs and decrease stress among diabetic patients. Using a mixed method design, both qualitative and quantitative research questions were incorporated into a survey distributed using a non-probability sample of healthcare professionals working in family medicine or general medicine practices within the metro area. The study attempted to answer the following questions: Is integrative medicine being conducted by healthcare professionals to address type 1 and type 2 diabetic patients’ psychosocial needs in family medicine …

Evidence Based Practice Implementation: Perceptions And Expectations Of Master Of Social Work Students, Mholi Kent Vimba

Doctoral Dissertations

Abstract

Efforts to develop sustainable Evidence-Based Practice (EBP) implementation strategies in work settings have been generally unsuccessful. Scholars have focused on perceptions of workers already in work settings to identify implementation barriers and facilitators. None have focused on perceptions of social workers in training. This nationwide non-probability correlational study assessed Master of Social Work (MSW) students’ perceptions of EBP using a self-administered online survey. A total of 212 (57%) completed this survey with 164 (43%) timed out.

Perceptions were assessed using three sets of questions corresponding to the independent variables: EBP knowledge, attitude toward EBP and EBP self-efficacy. A …

The Role Of Organizational Commitment In Practitioner Implementation Of Evidence-Based Practices In Substance Abuse Treatment Settings, Irene Teresa Manfredo

Legacy Theses & Dissertations (2009 - 2024)

Organizational commitment (OC) has been linked to different types of work-related behaviors including innovation implementation and professional behavior change but the influence of OC on technology transfer or research to practice processes is as yet unknown. Using a social exchange perspective, the study employed constructs derived from Klein & Sorra (1996) - perceived implementation climate and practitioner innovation-values fit - to understand the association between practitioner level OC and evidence-based practice implementation (EBP) in substance abuse treatment settings. Method: A secondary data analysis was conducted utilizing a 2008 cross-sectional survey of outpatient substance abuse practitioners in eastern New York State …

Making Tanf Work: Organizational Restructuring, Staff Buy-In, And Performance Monitoring In Local Implementation, Frank Ridzi

The Journal of Sociology & Social Welfare

While research suggests that staff resistance to change and intentional subversion have hampered prior welfare reform efforts, this does not appear to be the case for the 1996 Personal Responsibility and Work Opportunity Reconciliation Act (PRWORA). This paper draws on data from a study of East County, New York to explicate the mechanisms that have enabled the unprecedented transformation in local implementation practice in this case. Interviews, participant observation, and textual analysis of legislative and program documents identify new program creation, staff buy-in, and the environment created by stern performance measures as instrumental in bringing about the PRWORA's successful implementation …