Social Work Commons^™

An Exploratory Study Of Nonsuicidal Self-Injury And Suicidal Behaviors In Adolescent Latinas, Lauren E. Gulbas, Carolina Hausmann-Stabile, Susan M. De Luca, Tee R. Tyler, Luis H. Zayas

Graduate School of Social Work and Social Research Faculty Research and Scholarship

To date, there is little research to validate empirically differences between nonsuicidal self-injurious behavior (NSSI) and attempted suicide among Latina adolescents. Understanding the characteristics and contextual features of self-harmful behaviors among Latina teens is a critical public health and social justice matter given the disproportionate rates of attempted suicide and anticipated population growth of this vulnerable group. In this article, we draw on an ecodevelopmental model to focus attention on factors in the sociocultural environment that shape suicidal behaviors and NSSIs. Through analysis of qualitative interviews conducted with girls who used NSSI (n ! 18), attempted suicide (n ! 29), …

Growing Up In The Inner City: Exploring The Adolescent Development And Acculturation Of Urban Suicidal Latinas., Carolina Hausmann-Stabile, Lauren Gulbas, Luis H. Zayas

Graduate School of Social Work and Social Research Faculty Research and Scholarship

This chapter examines how adolescent development and acculturation impact suicidal behavior among Latinas living in the US inner city. After providing an overview of conceptual and empirical premises underlying immigrant youth development, acculturation, and suicidal behaviors, the article discusses cultural influences on Latina adolescents and their families. Drawing on data collected between 2005 and 2009, it then explores the various individual and interpersonal changes that Latina teens go through as a result of developmental and acculturative processes and how these changes relate to risks for suicide attempts. Based on cases that illustrate the developmental and acculturation trajectories of Latina nonattempters …

Clinical Encounters With Immigrants: What Matters For U.S. Psychiatrists., Carolina Hausmann-Stabile, Peter J. Guarnaccia

Graduate School of Social Work and Social Research Faculty Research and Scholarship

About 3.2 percent of the population across the globe are migrants. Today, unprecedented numbers of people are relocating in the U.S. and more than ever, psychiatrists find themselves caring for immigrant patients. International migration is a multilayered issue that often has implications for the mental health of migrants. Thus, there is an increasing interest in understanding how the different factors associated with migration processes affect the mental health outcomes of immigrants. We group these factors into three categories: immigrant process, clinical encounter, and mental health services. When possible, we incorporate a gendered and life span perspective and suggest avenues for …

The Science Of Research Synthesis: Limiting Bias And Error In Reviews, Julia H. Littell, Brandy R. Maynard

Graduate School of Social Work and Social Research Faculty Research and Scholarship

No abstract provided.

Coping With Publication And Reporting Biases In Research Reviews, Julia H. Littell, David L. Albright

Graduate School of Social Work and Social Research Faculty Research and Scholarship

No abstract provided.

Review Of Systematic Review Methods: The Science Of Research Synthesis, Julia H. Littell, Brandy R. Maynard

Graduate School of Social Work and Social Research Faculty Research and Scholarship

No abstract provided.

Global Health, Toba Schwaber Kerson, Jessica Euna Lee

Graduate School of Social Work and Social Research Faculty Research and Scholarship

Within its 150 year history, public health has grown from a focus on local communities, to include country-wide, then international and now global perspectives. Using the United Nation’s Millennium Goals as its primary framework, this article provides an overview of global public health within the broadest possible context of the world and all of its peoples. Also provided are discussions of the global burden of disease as measured in disability-adjusted life years (DALYs), global health statistics, current health priorities and recommendations for action by social workers and other health professionals.

The Science And Practice Of Research Synthesis, Julia H. Littell

Graduate School of Social Work and Social Research Faculty Research and Scholarship

No abstract provided.

Political Violence, Collective Functioning And Health: A Review Of The Literature, Cindy A. Sousa

Graduate School of Social Work and Social Research Faculty Research and Scholarship

Political violence is implicated in a range of mental health outcomes, including PTSD, depression, and anxiety. The social and political contexts of people’s lives, however, offer considerable protection from the mental health effects of political violence. In spite of the importance of people’s social and political environments for health, there is limited scholarship on how political violence compromises necessary social and political systems and inhibits individuals from participating in social and political life. Drawing on literature from multiple disciplines, including public health, anthropology, and psychology, this narrative review uses a multi-level, social ecological framework to enhance current knowledge about the …

Mental Health Clinicians’ Experiences Of Implementing Evidence-Based Treatments., Byron J. Powell, Carolina Hausmann-Stabile, J. Curtis Mcmillen

Graduate School of Social Work and Social Research Faculty Research and Scholarship

Implementation research has tremendous potential to bridge the research-practice gap; however, we know more about barriers to evidence-based care than the factors that contribute to the adoption and sustainability of evidence-based treatments (EBTs). This qualitative study explores the experiences of clinicians (N = 11) who were implementing EBTs, highlighting the factors that they perceived to be most critical to successful implementation. The clinicians’ narratives reveal many leverage points that can inform administrators, clinical supervisors, and clinicians who wish to implement EBTs, as well as other stakeholders who wish to develop and test strategies for moving EBTs into routine care.

Review Of They Say Cut Back, We Say Fight Back! Welfare Activism In An Era Of Retrenchment, By Ellen Reese, Sanford F. Schram

Graduate School of Social Work and Social Research Faculty Research and Scholarship

No abstract provided.

Individual And Collective Dimensions Of Resilience Within Political Violence, Cindy A. Sousa, Muhammad M. Haj-Yahia, Guy Feldman, Jessica Lee

Graduate School of Social Work and Social Research Faculty Research and Scholarship

Research has documented a link between political violence and the functioning of individuals and communities. Yet, despite the hardships that political violence creates, evidence suggests remarkable fortitude and resilience within both individuals and communities. Individual characteristics that appear to build resilience against political violence include demographic factors such as gender and age, and internal resources such as hope, optimism, determination and religious convictions. Research has also documented the protective influence of individuals’ connection to community and their involvement in work, school or political action. Additionally, research on political violence and resilience has increasingly focused on communities themselves as a unit …

Aspirations Of Latina Adolescent Suicide Attempters, Carolina Hausmann-Stabile, Lauren Gulbas, Luis H. Zayas

Graduate School of Social Work and Social Research Faculty Research and Scholarship

Parents’ aspirations and expectations are communicated to their offspring. Children internalize their parents’ aspirations and accept some of the expectations while rejecting others, all part of the developmental process and identity-consolidation. When the aspirations and expectations of youth and parents are incongruent, the outcomes in youths’ behavior can be deleterious, such as when adolescents manifest suicidal behaviors. We examined aspirations expressed by 12 Latina adolescent suicide attempters and their parents and compared them to 12 non-suicidal Latinas and parents. Qualitative analyses revealed that incongruence of aspirations between girls and their parents were greater among suicidal teens. Suicidal and non-suicidal Latinas …

Calling Out The Persistence Of Racism, Sanford F. Schram

Political Science Faculty Research and Scholarship

In this issue New Political Science begins a new tradition, printing an extended review essay of the book that received the Michael Harrington Book Award at the most recent American Political Science Association Meeting. The Michael Harrington Award is given for an outstanding book that demonstrates how scholarships can be used in the struggle for a better world. In 2011, the award went to Michelle Alexander for her book The New Jim Crow: Mass Incarceration in an Age of Color-Blindness. Sanford Schram, a member of the award committee, has contributed the below review.

Means, Intent, Lethality, Behaviors, And Psychiatric Diagnosis In Latina Adolescent Suicide Attempters, Carolina Hausmann-Stabile, Jill A. Kuhlberg, Luis H. Zayas, Allyson P. Nolle, Stephanie L. Cintron

Graduate School of Social Work and Social Research Faculty Research and Scholarship

This article describes the means, intent, lethality, behavioral profiles, and psychiatric diagnoses of adolescent Latina suicide attempters. From a large, mixed-method project studying the sociocultural processes of Latina suicide attempts, we selected 76 participants for this report. In addition to quantitative research data, medical records were available for all 76 participants, as was qualitative data from in-depth interviews for 34 of them. Using the qualitative and quantitative research data, we explored intent and behavioral profiles of the suicidal adolescents. Medical records provided additional information about the means the adolescents used in their attempts, and about their psychiatric diagnoses. The lethality …

Epilepsy Postings On You Tube: Exercising Individuals’ And Organizations’ Right To Appear, Lawrence A. Kerson, Toba Schwaber Kerson

Graduate School of Social Work and Social Research Faculty Research and Scholarship

Philosopher Hannah Arendt maintains that everyone has the right to appear in public as an embodied, singular individual. Because of the stigma attached to epilepsy, many with this condition are denied this right. Using grounded theory techniques, the authors analyze uploads of epilepsy on YouTube. The authors argue that personal uploads on YouTube are the only mass media examples in which those with epilepsy can exercise their right to appear without the interpretation of intermediaries. Emerging themes relating to ”the right to appear” allow social workers to deepen understanding of this and other devastating, often invisible and sometimes life-threatening illnesses.

Misbehaviors Of Front-Line Research Personnel And The Integrity Of Community-Based Research, Gala True, Leslie B. Alexander, Kenneth A. Richman

Graduate School of Social Work and Social Research Faculty Research and Scholarship

There has been little empirical research into misconduct and misbehavior among community research workers who recruit and collect data in vulnerable and marginalized health populations and are also members of those same communities. We conducted qualitative interviews with community research workers and traditional research assistants to understand the context and consequences of misbehaviors that pose a threat to research ethics and data integrity. In our sample, more community research workers acknowledged engaging in research wrongdoing than did traditional research assistants. These behaviors were most prevalent among community research workers who were not well-integrated into the research team. We suggest best …

Review Of Theories Of Social Capital: Researchers Behaving Badly, By Ben Fine, Sanford F. Schram

Graduate School of Social Work and Social Research Faculty Research and Scholarship

No abstract provided.

Race And The Local Politics Of Punishment In The New World Of Welfare, Richard C. Fording, Joe Soss, Sanford F. Schram

Graduate School of Social Work and Social Research Faculty Research and Scholarship

To illuminate how race affects the usage of punitive tools in policy implementation settings, we analyze sanctions imposed for noncompliant client behavior under welfare reform. Drawing on a model of racial classification and policy choice, we test four hypotheses regarding client race, local context, and sanctioning. Based on longitudinal and cross-sectional multilevel analyses of individual-level administrative data, we find that race plays a significant role in shaping sanction implementation. Its effects, however, are highly contingent on client characteristics, local political contexts, and the degree to which state governments devolve policy control to local officials.

Challenges And Solutions For Latin American-Trained International Medical Graduates In Psychiatry Residency, Carolina Hausmann-Stabile, Luis H. Zayas, David Hauser, Carlos Carvajal, Carlina Mejia, Delia Nieves

Graduate School of Social Work and Social Research Faculty Research and Scholarship

Objective: Latin American-trained international medical graduates (IMGs) in psychiatry residency face multiple challenges that go beyond their medical training. These challenges call for innovative problem-solving. Although the professional development of IMGs has been discussed in the professional literature, little is written about their experiences. In this report, a group of IMGs reflect on their experiences and describe how they solved challenges. Method: Using cogenerative ethnography, four IMGs trained in Colombia, the Dominican Republic, and Mexico provided insights on their

challenges and solutions while adapting to psychiatric residency training. Individual interviews, focused discussion, and written reports were analyzed using data reduction, …

Family Relationships And Latina Teen Suicide Attempts: Reciprocity, Asymmetry, And Detachment, Lauren E. Gulbas, Luis H. Zayas, Allyson P. Nolle, Carolina Hausmann-Stabile, Jill A. Kuhlberg, Ana A. Baumann, Juan B. Peña

Graduate School of Social Work and Social Research Faculty Research and Scholarship

Using qualitative data collected from adolescent Latinas and their parents, this article describes ways in which family relationships are organized within low-income Latino families (n = 24) with and without a daughter who attempted suicide. Based on a family-level analysis approach, we present a framework that categorizes relationships as reciprocal, asymmetrical, or detached. Clear differences are identified: Families of nonattempters primarily cluster in reciprocal families, whereas families with an adolescent suicide attempter exhibit characteristics of asymmetrical or detached families. Our results highlight the need for detailed clinical attention to family communication patterns, especially in Latino families. Clinicians may reduce the …

Familism And Family Environment Among Suicidal Latinas: Three Family Types, Juan B. Peña, Jill A. Kuhlberg, Luis H. Zayas, Ana A. Baumann, Lauren Gulbas, Carolina Hausmann-Stabile, Allyson P. Nolle

Graduate School of Social Work and Social Research Faculty Research and Scholarship

This study examined the relationship between familism and family environment type as well as the relationship between family environment type and suicide attempts among Latina youth. Latina teen attempters (n=109) and non-attempters (n=107) were recruited from the NYC area. Latent class analysis revealed three family environment types: tight-knit; intermediate-knit; and loose-knit. Tight-knit families (high cohesion and low conflict) were significantly less likely to have teens that attempted suicide as compared to intermediate-knit families or loose-knit families. Moreover, familism increased the odds of being in the tight-knit family vs. the loose-knit family and the odds of being in the tight-knit family …

Making Sense Of Meta-Analysis: A Critique Of "Effectiveness Of Long-Term Psychodynamic Psychotherapy", Julia H. Littell, Aron Shlonsky

Graduate School of Social Work and Social Research Faculty Research and Scholarship

Evidence-based practice depends in part on knowledge derived from relevant research. For any given topic, there are likely to be many, potentially relevant studies; a careful appraisal and synthesis of the results of these studies is needed to understand the state of the empirical evidence. Meta-analysis is widely used to combine results of quantitative studies; yet this method is unfamiliar to many people and, as a result, meta-analyses are often uncritically accepted. In this article, we argue that meta-analysis is only one component of a good research synthesis. We critique a recent meta-analysis on the effectiveness of long-term psychodynamic psychotherapy, …

Conflict, Health Care And Professional Perseverance: A Qualitative Study In The West Bank, Cindy A. Sousa, Amy Hagopian

Graduate School of Social Work and Social Research Faculty Research and Scholarship

The past three decades have been a time of considerable global conflict, affecting over 50 countries and causing substantial impacts on civilian health. While many effects are direct results of violence, conflict also impinges on health through indirect means. The restricted mobility of health care staff and patients, targeting of health care workers, and stressful working conditions disrupt the ability of health care workers in conflict zones to function effectively. This paper explores the challenges experienced by health care workers in West Bank, Palestine, as well as their strategies of persistence. Research activities included participant observation and interviews with health …

Ganando Confianza: Research Focus Groups With Immigrant Mexican Mothers, Carolina Hausmann-Stabile, Luis H. Zayas, Sandra Runes, Anna Abenis-Cintron, Esther Calzada

Graduate School of Social Work and Social Research Faculty Research and Scholarship

Immigrant families with children with developmental disabilities must be served using culturally sensitive approaches to service and research to maximize treatment benefits. In an effort to better understand cultural issues relevant to the provision of parenting programs for immigrant Mexican mothers of children with developmental disabilities, we conducted sustained focus groups through which we could learn more about our participants and thereby improve services. This paper reports on the challenges and lessons learned from these groups. We characterize the key lessons as (a) recruitment and retention is more than agreement to participate; (b) confidentiality is not just a word but …

Review Of Punishing The Poor: The Neoliberal Government Of Social Insecurity, By Loïc Wacquant, Sanford F. Schram

Graduate School of Social Work and Social Research Faculty Research and Scholarship

No abstract provided.

Do Haphazard Reviews Provide Sound Directions For Dissemination Efforts?, Eileen Gambrill, Julia H. Littell

Graduate School of Social Work and Social Research Faculty Research and Scholarship

No abstract provided.

Toward Evidence-Informed Policy And Practice In Child Welfare, Julia H. Littell, Aron Shlonsky

Graduate School of Social Work and Social Research Faculty Research and Scholarship

Drawing on the authors’ experience in the international Campbell Collaboration, this essay presents a principled and pragmatic approach to evidence-informed decisions about child welfare. This approach takes into account the growing body of empirical evidence on the reliability and validity of various methods of research synthesis. It also considers wide variations in the cultural, economic, and political contexts in which policy and practice decisions are made—and the contexts in which children live and die. This essay illustrates the use of Campbell and Cochrane systematic reviews to inform child welfare decisions in the diverse contexts that exist around the globe.

Study Quality Assessment In Systematic Reviews Of Research On Intervention Effects, Kathleen Wells, Julia H. Littell

Graduate School of Social Work and Social Research Faculty Research and Scholarship

Objective

The goal of this study is to advance an approach to the assessment of the quality of studies considered for inclusion in systematic reviews of the effects of social-care interventions.

Method

To achieve this objective, quality is defined in relation to the widely accepted validity typology; prominent approaches to study quality assessment are evaluated as to their adequacy.

Results

Problems with these approaches are identified.

Conclusion

A formal, yet explicit, multidimensional approach to assessment grounded in substantive issues relevant to the intervention and the broader context in which it is embedded is promoted. Uncritical and exclusive use of indicators …

Recruiting Urban Latina Adolescents And Their Families: Challenges And Lessons Learned In Suicide Attempts Research, Luis H. Zayas, Carolina Hausmann-Stabile, Allyson M. Pilat

Graduate School of Social Work and Social Research Faculty Research and Scholarship

Recruiting samples with unique characteristics dispersed across services and geography is hard to identify because of legal status and stigma create research challenges. Public health, however, requires sustained recruitment efforts. We describe challenges and solutions in recruiting urban adolescent Latinas who had attempted suicide. Procedures for recruitment and human subject protections were established, yet logistic obstacles emerged. Program directors failed to support the research; therapists were slow to identify subjects and to meet inclusionary criteria; numbers of prospective participants were lower than originally calculated; girls and parents were hard to reach; and interview appointments were missed. From challenges came solutions: …