Social Work Commons^™

Cultural Healing Practices: Incorporating Cultural Healers Into Minnesota's Mental Health Care System, Raymond Shoup, Allyson Endersbe, Nayeli Hernandez Moctezuma, Patty Balderas-Johnson

Master of Social Work Student Policy Advocacy Briefs

Minnesota’s approach to health and mental health is based on western cultural traditions of illness, help seeking behaviors, healing and wellness. This approach does not work for many of the cultural communities in Minnesota, especially those with a deep history of generational trauma, oppression, and discrimination. We need to make mental health a priority for Minnesotans by expanding the availability of holistic approaches rooted in the cultural traditions of Minnesota’s diverse cultural communities. We must address the impact of generational trauma and work to lessen the harm by incorporating cultural healing practices into our mental health care system, including the …

Front End Justice: Diverting People Affected By Mental Illness From The Criminal Justice System, Ariel Esqueda, Kelliann Kutschke, Matthew Miller, Kayleigh Wendland

Master of Social Work Student Policy Advocacy Briefs

Many of the people caught up in the criminal justice system are non-violent offenders struggling with mental illness, which cannot and should not be addressed through incarceration. Our jails and prisons are ill-equipped to provide effective mental health services. Incarceration compounds the problem by contributing to increased psychological distress. We are relying on the criminal justice system to respond to mental illness, rather than investing fully in the spectrum of mental health care from prevention to recovery. Minnesota must invest in diverting people affected by mental illness away from the criminal justice system and into community-based treatment, services, and supports …

Investing In A Culturally Diverse Mental Health Workforce In Minnesota, Emma Fuhrman, Teia Kopari, Cody Reinke, Josie Schultz

Master of Social Work Student Policy Advocacy Briefs

Minnesota’s mental health workforce lacks in both cultural diversity and cultural responsiveness. Each is critical for providing equitable mental health care to Minnesota's increasingly diverse population. Without ensuring that Minnesota’s mental health workforce is culturally diverse, culturally responsive mental health care for Black, Indigenous and People of Color (BIPOC) will not be attainable. Minnesota must broaden, strengthen, and create structures to support a racially and ethnically diverse mental health workforce.

Promoting Health, Justice And Well-Being Of Minnesota's Lgbtq+ Community: Banning Conversion Therapy, Katelin Farmer, Ashley Hansen, Chelesa Schweim, Sarah Petersen

Master of Social Work Student Policy Advocacy Briefs

There are 853 cities in Minnesota, and only two have enacted protections for LGBTQ+ people from the harmful practice of conversion therapy. All Minnesotans deserve access to safe, ethical, affirming, and evidence-based mental health care.

A Crisis In The Farming Community: A Pathway To Acceptable, Accessible And Available Mental Health Care In Rural Minnesota, Trevor Frybarger, Laura Koch, Kathy Thao, Taryn Wicks

Master of Social Work Student Policy Advocacy Briefs

Minnesota relies on farmers to put food on our tables and to help drive our economy. The chronic stressors associated with an unstable farm economy is taking its toll on farm families all across Minnesota. Chronic stress can contribute to marital tensions, domestic violence, work disruption, depression, anxiety, and suicide. Minnesota has only 1 mental health counselor dedicated to doing outreach and crisis counseling to farm families. Many mental health professionals lack competency in working in rural communities, including understanding farm related stressors. Minnesota is doing some things right, like the Minnesota Farm and Rural Help Line. But, it needs …

Bridging The Gap: Supporting Transition-Age Youth Living With Mental Health Conditions, Oreoluwa Dasylva, Abbie Ensrud, Brittany Kruse, Cindy Schulz

Master of Social Work Student Policy Advocacy Briefs

The transition from adolescence to adulthood is a crucial time in a person’s life. For young people living with mental health conditions, becoming an independent, well-functioning, and productive adult can be especially challenging. It is imperative that supports be put in place to ensure transition-age youth have a smooth passage from child to adult mental health services. Nearly half of all life-long diagnosable conditions present by age 14. The Substance Abuse and Mental Health Services Administration (SAMHSA) finds the co-occurrence of serious illnesses and substance use disorders exist among transition-age youth more than any other developmental age. When left untreated, …

Virtual Mentorship Network To Address The Rural Shortage Of Mental Health Providers, Heidi Keeler, Tara Sjuts, Kosuke Niitsu, Shinobu Watanabe-Galloway, Paul Force-Emery Mackie, Howard Liu

Social Work Department Publications

Introduction: The process of identifying effective responses to the challenges of placing and retaining a rural behavioral health workforce remains elusive. The Virtual Mentorship Network was developed to test the feasibility of using distance technology to connect rural students interested in mental health careers with mentors.

Methods: In Year 1, college and high school students were virtually mentored using a near-peer approach both live and asynchronously as a cohort over 7 months. In Year 2, college students only were virtually intensely mentored live over 1 month. High school students were asynchronously provided with informational videos produced by mentors. Program benefits …

Jails Are Not Treatment Centers, Michael Henning, Rachel Mattick, Cali Turbes

Master of Social Work Student Policy Advocacy Briefs

Currently, in Minnesota alone, there are more individuals with severe mental illness being incarcerated than hospitalized. Blue Earth County's Yellow Line Project (YLP) reported that 83.7% of individuals screened positive for mental illness prior to being booked into jail . Not only does incarcerating individuals with mental illness fill our jails, it prolongs mental illness and time spent away from treatment. Jail diversion programs divert individuals with mental health disorders from the criminal justice system and into appropriate treatment when applicable. For those individuals ineligible for diversion from the criminal justice system, care coordination would be ideal to assist in …

The Social Isolation Epidemic: A Public Health Concern, Jolynne Bockman, Allison Frandrup, Hannah Miner

Master of Social Work Student Policy Advocacy Briefs

Social isolation kills. Loneliness and social isolation raise the likelihood of coronary heart disease and stroke, result in poor cardiovascular and mental health outcomes, and drastically increase the likelihood of death. Resulting health implications that stem from real or perceived physical or emotional remoteness include a spectrum of harsh realities ranging from feelings of low self-worth to reduced work capacity to attempts to harm oneself. Social isolation does not have to become the defining reality of modern life. Attention to the vast loneliness spreading through diverse populations across the state is desperately needed as a means to combat this modern …

Launch-Ing Minnesota Early Childhood Mental Health Into The Future, Molly Abdo, Alyssa Baker, Elizabeth Holz

Master of Social Work Student Policy Advocacy Briefs

What is Social-Emotional Development? The foundation for lifelong mental health, including social and emotional development, is established early in life and shaped by children's relationships with parents, caregivers, and peers. This foundation is critical to all aspects of healthy development and growth in early childhood. Social-emotional development can be defined as "the capacity to form secure relationships; experience, express, and manage a range of emotions; and learn and explore one's environment."

Why is it Important? When children fail to develop social-emotionally, mental health symptoms begin to emerge and can "cause distress, interfere with relationships, limit the child's participation in daily …

Perinatal Depression: Investing In Our Mothers Before It's Too Late, Katelin Dietel, Anna Garbers, Kailee Hrubetz

Master of Social Work Student Policy Advocacy Briefs

Currently, there is no consistent, universal screening process within the United States healthcare system that considers the mental health of a new mother. Mandatory screening for perinatal depressive symptoms would improve the lives of new mothers, children, and their families nationwide. Home-visiting programs, such as the Maternal, Infant, and Early Childhood Home Visiting (MIECHV) program supported by Healthy Families America, should be universal and available in every locale in the U.S. Individual state policies within these programs should be tailored to meet the needs of each unique mother, child, and family. Early, nurturing relationships are critical to a child's development. …

Invisible No More: Bringing Awareness To Mental Health In Older Adults Living In Rural Minnesota, Abigail Schaper, Carley Ledoux, Kristry Danielson

Master of Social Work Student Policy Advocacy Briefs

Approximately 8 million Americans 65 years of age and older have mental health disorders. It is estimated that these numbers could reach 14.4 million by 2030. Minnesotans turning 65 in this decade (about 285,000) will be greater than the past four decades combined (Aging: MN State Demographic Center, 2018). Anxiety and depression are two of the more common mental health disorders in older adults and are associated with severe consequences, including life dissatisfaction, illness, and mortality. With this growth comes many barriers. The rural mental health system is not equipped to address this growth. The system is underfunded, largely uncoordinated, …

Taking Care Of Palliative Care, Jolene Baker, Kristina Larsen, Amanda Schumacher

Master of Social Work Student Policy Advocacy Briefs

Minnesota has done well with the amount of palliative care services provided across the state. However, rural communities in Minnesota have far less access to palliative care programs than those living in urban settings. This is in part due to the lack of availability of health care professionals in rural communities, and the lower reimbursement rates provided for palliative care programs in rural settings. Although the majority of large hospitals in Minnesota offer palliative care programs, most hospitals with fifty beds or less do not. Palliative care has been shown to improve the quality of life of individuals living with …

A Mental Health Workforce Crisis: Roadmap For Enhancing Recruitment & Retention In Minnesota, Iowa & Wisconsin, Lindsay Duenow, Rebecca Kobernick, Mckenzie Sohre, Kim Wallgren

Master of Social Work Student Policy Advocacy Briefs

Building and maintaining an adequate mental health workforce requires successful recruitment and retention of qualified workers. Identifying recruitment and retention factors specific to behavioral health providers is essential in determining strategies for increasing the rural health behavioral workforce. The World Health Organization estimates there are 1.18 million additional mental health workers needed to end the mental health treatment gap between patients and providers worldwide. In the U.S., there has been a nationwide shortage of mental health professionals, and this shortage is more pronounced in rural communities,with twenty percent of rural areas lacking mental health services, compared to five percent of …

Creating Healthy Communities Across Minnesota: Investing In Integrated Health Care, Leah Jacobson, Nicole Lidstrom, Jenna Lipovetz, Jamie Schuller

Master of Social Work Student Policy Advocacy Briefs

In Minnesota, behavioral health homes have become an efficient resource for individu­als on Medical Assistance to receive integrated behavioral and primary health care under the Patient Protection and Affordable Care Act. The rising popularity of behav­ioral health homes in Minnesota introduced the concept of integrated medical care with a patient's primary care physician as the "home-base". Figure 1 illustrates the inte­grated approach that supports the patient and their family, provides care that covers an entire continuum of care with a comprehensive care team focused on the whole person, is accessible with short waiting times, and is committed to quality and …

{Ace}Ing Early Childhood In Minnesota, Bailey Alston, Casie Devos, Alisha Field, Renee Gasner

Master of Social Work Student Policy Advocacy Briefs

Too many young children are facing ACEs that are detrimentally impacting their development and contributing to negative outcomes that persist into adulthood. There are no current policies using the ACE questions to drive mental health interventions. The Governor’s Task Force on Mental Health made nine recommendations that, if implemented, will greatly improve the mental health and well-being of children and their parents. Improving early childhood prevention and intervention programs helps ALL Minnesota’s families build healthy and rich experiences for their children.

1. Expand the Early Childhood Mental Health Grant program statewide to increase early childhood mental health specialists.
2. Create a Governor’s …

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 …

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 …

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.

The Changes In Major Diagnoses From Dsm Iv-Tr To Dsm 5: How To Talk To Clients About Changes In Their Diagnosis, Abigail Malterer

All Graduate Theses, Dissertations, and Other Capstone Projects

• Outline and present the changes in diagnostic criteria and diagnoses between the DSM IV-TR and the DSM 5.
• Discuss how to talk to and work with clients if their diagnosis has changed or been removed.
• Upon early research, it appears that there is little literature that focuses on how staff can talk to clients about diagnosis changes or elimination.
• Learn more about changes and talking to clients
• Present this information to staff so they have an awareness of this when the changes are made in October of 2015 and the DSM 5 is to be fully implemented.

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.

A Community Based System Of Integrated Clinical Care: Primary Care, Mental Health And Substance Use Treatment, Terri Reuvers

All Graduate Theses, Dissertations, and Other Capstone Projects

Our segregated medical and mental health care system misses opportunities for early detection of physical disease. Missed opportunities lead to increased costs. Colorado’s Medicaid health plan estimates that an integrated health program will reduce costs for patients with psychiatric disorders by 10%. The cost of doing nothing may exceed $300 billion per year in the United States (NCCBH, 2010). The purpose of this Capstone project is to critically examine existing models of Integrated Primary and Mental Health care. These models will then be evaluated to identify those most compatible with rural communities in Southern Minnesota.

Evidence-Based Treatment For Anxiety Disorders And Marijuana Use Across The Lifespan, Tanya Borchert

All Graduate Theses, Dissertations, and Other Capstone Projects

The purpose of this capstone project was to identify evidence-based practices relating to anxiety disorders and cannabis use throughout the lifespan. Identification of the practices will more effectively meet the needs of the clients served at the Dual Recovery Program and allow the agency to best serve clients with co-occurring anxiety disorders and cannabis use in a parallel manner. The literature indicates that there is a correlation between anxiety disorders and cannabis abuse (Buckner & Schmidt, 2011; Buckner, Zvolensky, & Schmidt, 2012; Bricker, et al., 2006; Bonn-Miller, Vujanovic, Boden, & Gross, 2011). If the anxiety disorder can be properly diagnosed …

The Working Alliance: A Survey Of An Outpatient Mental Health Center, Jennifer Bramstedt

All Graduate Theses, Dissertations, and Other Capstone Projects

This research investigated the working alliance between therapist and client at RiverView Clinic, an outpatient mental health center. Utilizing data captured by the Working Alliance Inventory-Short Revised (WAI-SR), the research posited the following:

• median total scores from therapist’s would be higher than median scores of the working alliance from clients
• clients who presented with mild to moderate concerns would have higher working alliance scores than clients who reported moderate to severe concerns
• new clients would have higher task and goal sub-scores than clients in therapy for more than fifteen sessions
• if working alliance scores reflected ruptures or strains in the …

A Guide To Understanding, Building And Sustaining An Effective Therapeutic Community, Sara Loose

All Graduate Theses, Dissertations, and Other Capstone Projects

The purpose of this guide is to facilitate an understanding of therapeutic community/ milieu therapy concepts as well as building and sustaining an effective therapeutic community on each unit, in each cottage, and within Leo A. Hoffmann Center as a whole. This guide includes evidence based research that supports the use of therapeutic community principles, and interventions and evaluation tools that can potentially be used by Leo A. Hoffmann Center to enhance services. Ultimately, the goal of the project is to provide the agency with a tangible, well rounded resource that can be used by the multidisciplinary team to provide …

Best Practices For Implementing Trauma-Informed Care With Youth Who Are Homeless Or At- Risk Of Being Homeless, Ellen Morrow

All Graduate Theses, Dissertations, and Other Capstone Projects

Exposure to traumatic events during childhood can affect brain development, how someone reacts to stress, and what they may find threatening or unsafe. Trauma can be a precursor to the development of a range of psychopathology including post-traumatic stress disorder, depression, anxiety, substance abuse, personality distortions and psychosis (APA, 2000, Rose, Freeman & Proudlock, 2012). Left untreated trauma can also result in medical conditions later in life including heart disease, cancer, respiratory problems and social conditions such as homelessness, prostitution or delinquency (Steele & Malchiodi, 2012; WISQARS, 2010). Maschi and Schwalbe (2012) cite studies which estimate up to 93% of …

Evaluation Of Family Skills Group At Fernbrook Family Center, Jessica Robertson

All Graduate Theses, Dissertations, and Other Capstone Projects

This project evaluated the Parenting Piece by Piece curriculum. This project sought to gain feedback on the ways the agency can improve family skills groups to better meet the needs of the client population Fernbrook Family Center serves. Parenting Piece by Piece is an eight-week program teaching parents new parenting skills.

Identification Of Effective Play Techniques For Use With Children In A Outpatient Mental Health Clinic, Jan Schwarzrock

All Graduate Theses, Dissertations, and Other Capstone Projects

The purpose of this research project was to identify which play techniques are the most effective and produce good outcomes for children. Children enter therapy for a number of reasons to improve their emotional and cognitive wellbeing, however engaging them can be challenging. During a therapeutic session, children use play to share experiences through the toys they choose, whereas adults verbally express themselves. The Allina Health/NUMC Outpatient Therapy Department was interested in the identification of play techniques that they could be used to enhance their work with children with the intent to explore the impact of using play techniques on …

Incredible Years Parenting Program: Developing And Evidenced-Based Implementation Protocol, Brooklynn Fredericksen

All Graduate Theses, Dissertations, and Other Capstone Projects

The purpose of this project was to develop an evidence-based implementation protocol for the Incredible Years program at Fernbrook Family Center. The significance of this project was to generate a protocol manual that can be used as a guide for future implementation of the Incredible Years program.