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Full-Text Articles in Social Work

Improving Access To Addiction Recovery Care In Central Appalachia Through Organizational Collaboration, Katy Stigers Jul 2019

Improving Access To Addiction Recovery Care In Central Appalachia Through Organizational Collaboration, Katy Stigers

Journal of Appalachian Health

Fahe, a Network of 50+ members throughout Appalachia based in Berea KY, has brought together a coalition to finance, build, and manage several addiction recovery care centers across Kentucky and West Virginia, increase access to employment, and deploy vouchers for supportive services.


How Does He Do It?: A Phenomenological Study Of Men’S Experience As Teaching-Family Model Providers, Dallin Douglas Parkinson Jan 2019

How Does He Do It?: A Phenomenological Study Of Men’S Experience As Teaching-Family Model Providers, Dallin Douglas Parkinson

Theses and Dissertations--Family Sciences

About half a million children live in out-of-home care, generally due to state intervention (Children’s Bureau, 2016). The outcomes of youth in treatment are improved when they have stable relationships with caregiving adults. Group homes based on the Teaching-Family Model utilize a married couple who live in the home and are the primary care treatment providers. The present study employed a phenomenological approach to explore the lived experience of eight men who have worked in this role for at least a year. Intrapersonal and interpersonal processes and motivations were identified as common themes among respondents for how and why ...


Veterans' Treatment Courts In Kentucky: Examining How Personal Characteristics And During-Program Occurrences Influence Program Completion And Criminal Recidivism, Monica Lynn Himes Jan 2019

Veterans' Treatment Courts In Kentucky: Examining How Personal Characteristics And During-Program Occurrences Influence Program Completion And Criminal Recidivism, Monica Lynn Himes

Theses and Dissertations--Social Work

Military veterans are disproportionately represented in United States (U.S.) jails and prisons, with nearly 10% of current inmates being veterans. Veterans’ criminal justice involvement is often precipitated by underlying mental health and substance abuse that are connected to their military service. Veterans’ treatment courts are the judicial response to a need for more coordinated provision of mental health and substance abuse services to veterans involved in the criminal justice system. Modeled after drug courts and mental health courts, veterans treatment courts are a judicial innovation that aim to honor the service of veterans by providing them an alternative to ...


Social Workers’ And Teachers’ Feelings Of Self-Efficacy In Dealing With School Bullying, Sharon Lynn Simmons Jan 2019

Social Workers’ And Teachers’ Feelings Of Self-Efficacy In Dealing With School Bullying, Sharon Lynn Simmons

Theses and Dissertations--Social Work

Bullying continues to be a serious problem in schools. School social workers and teachers face challenges daily to deal with bullying. This author examined school social workers’ and teachers’ perceptions about their feelings of efficacy to deal with bullying and what may account for those feelings in a population of 71 teachers and 26 social workers employed in Kentucky schools. Research was gathered using a self-report, electronic survey consisting of subscales of the Teachers’ Attitudes about Bullying Questionnaire (Beran, 2005), the School Bullying Questionnaire (Nicolaides, Toda & Smith, 2002), the Toronto Empathy Questionnaire (Spreng, McKinnon, Mar & Levine, 2009) and questions designed ...


Does Childhood Psychological Abuse Strengthen Or Weaken Msw Social Workers And Allied Professionals’ Compassion Fatigue And Compassion Satisfaction?, Andy S. C. Reynolds Jan 2019

Does Childhood Psychological Abuse Strengthen Or Weaken Msw Social Workers And Allied Professionals’ Compassion Fatigue And Compassion Satisfaction?, Andy S. C. Reynolds

Theses and Dissertations--Social Work

The purpose of this study is to investigate the factors of social worker and allied professional’s professional quality of life, particularly the impact of the professional’s childhood psychological abuse on compassion fatigue and compassion satisfaction scores. Variables such as perceived resilience, social support, childhood psychological abuse, evidence-based practice training, years of experience, percentage of clients with trauma narratives, and case-load number are explored both conceptually and as risk or protective factors to social worker and allied professional’s compassion fatigue and compassion satisfaction. A conceptual model is provided to visually show the direction of the proposed research.

The ...


Retirement Planning Versus Family Support: What Drives Peoples` Decisions?, Radion Svynarenko Jan 2019

Retirement Planning Versus Family Support: What Drives Peoples` Decisions?, Radion Svynarenko

Theses and Dissertations--Family Sciences

A slight majority of American households headed by 55–64-year-olds do not have any savings for retirement, and those who have retirement savings have a median of around $109,000 saved, which is equivalent to an inflation-protected annuity of $405 per month (i.e., well below the official poverty level). Among the main reasons cited for the lack of retirement savings among parents is a desire to provide financial support to their young adult children. Indeed, on the whole, parents spend twice as much on financial support of their adult children as they save for retirement (Merryl Lynch, 2018). Understanding ...


“Dad, Do You Want To Play With Me?” The Impact Of Fathers Who Make Time For Play, Michael S. Sitton Jan 2018

“Dad, Do You Want To Play With Me?” The Impact Of Fathers Who Make Time For Play, Michael S. Sitton

Theses and Dissertations--Family Sciences

With an increase in the pace of life in the United States, there comes a recognition of the importance of prioritizing time, especially for fathers. Of the two-thirds of children who live with their father, only a percentage of them have fathers who report regular play time with their children. However, literature in the field does not explain specifically whether or not this play between father and child influences the child’s later risk taking behaviors in high school. Using data from the 2003 Fragile Families and Child Wellbeing Study (FFCWS), waves 3, 4, and 6, this quantitative study sought ...


Livable For All Ages: Evaluating Perceptions Of Community In An Intergenerational Context, David L. Ferrell Jan 2018

Livable For All Ages: Evaluating Perceptions Of Community In An Intergenerational Context, David L. Ferrell

Theses and Dissertations--Social Work

Aging-friendliness work uses a model of eight core domains to assess and achieve communities in which people are more equipped to age well, and remain in their community as they age. These domains are broken into the built environment (i.e., Housing, Transportation) and the social environment (i.e., Communication, Social Inclusion, Employment). This dissertation is centered on the efforts to make communities more aging-friendly, and focuses specifically on the Livable Lexington initiative. This dissertation utilized an exploratory study of a pre- and posttest evaluative design to pilot intergenerational discussion groups as a potential intervention. Intergenerational discussion groups were developed ...


A Mixed Methods Analysis Of Gender Differences In Symptom Progression And Trauma Narratives During Trauma-Focused Cognitive Behavioral Therapy, Sarah A. Ascienzo Jan 2018

A Mixed Methods Analysis Of Gender Differences In Symptom Progression And Trauma Narratives During Trauma-Focused Cognitive Behavioral Therapy, Sarah A. Ascienzo

Theses and Dissertations--Social Work

An alarming portion of youth experience traumatic events during childhood, and there is a robust body of literature documenting the adverse consequences of trauma exposure on the developing child. Fortunately, numerous empirically-supported phase-based interventions have been developed for youth that target the deleterious effects of trauma. While several of these interventions have demonstrated symptom reduction from the baseline to completion of treatment, much less is known regarding the trajectory of posttraumatic stress symptoms (PTSS) during the course of treatment. Information in this regard may have important implications for service delivery and help to illuminate the mechanisms of change responsible for ...


Conceptualizing The Prevention Of Human Trafficking: Survivors Perspectives, Jessica James Donohue-Dioh Jan 2018

Conceptualizing The Prevention Of Human Trafficking: Survivors Perspectives, Jessica James Donohue-Dioh

Theses and Dissertations--Social Work

The following study seeks to conceptualize the prevention of human trafficking from the perspective of survivors. The study design was informed through a Public Health Framework and the application of Postmodernism, Social Constructionist Theory, Ecological Perspective and Empowerment Perspective. An integrative mixed-method, participatory research design was applied, namely Concept Mapping. Data was collected over approximately two-months, and included 35 survivors of human trafficking from 4 different states. Data collected from survivors resulted in a statement set (N = 108) and a 10-Cluster Final solution depicting the ways in which survivors conceptualized prevention. Additional outputs provide insight as to survivors’ perspectives on ...


Evaluation Of The Project P.A.T.H.S. In Mainland China: Findings Based On Student Diaries, Daniel T. L. Shek, Xiaoqin Zhu, Janet T. Y. Leung, Tak Yan Lee, Florence K. Y. Wu Dec 2017

Evaluation Of The Project P.A.T.H.S. In Mainland China: Findings Based On Student Diaries, Daniel T. L. Shek, Xiaoqin Zhu, Janet T. Y. Leung, Tak Yan Lee, Florence K. Y. Wu

Pediatrics Faculty Publications

Objectives: Based on 859 student diaries, the present study evaluated a positive youth development program entitled “Tin Ka Ping (TKP) Positive Adolescent Training through Holistic Social programs (P.A.T.H.S.) ” project implemented in mainland China during the 2015–2016 academic year. Method: To understand the perceived effectiveness of the students, the study analyzed quantitative as well as qualitative data derived from the student diaries. Results: The students held very positive views toward the program and the implementers. The narratives of the students also showed that they perceived improvement in the intrapersonal, interpersonal, familial, and societal domains after joining ...


Facilitating An Intergenerational Classroom, Lee Ferrell Sep 2017

Facilitating An Intergenerational Classroom, Lee Ferrell

Greater Faculties: A Review of Teaching and Learning

At the beginning of the 2016-17 academic year, Needham Yancey Gulley published an Inside Higher Edarticle challenging educators to move away from a seemingly dated term—nontraditional—because it labeled students in a way that could harm their opportunities in the classroom. At the same time, there really are differences among and between the generations, as both the academic literature and popular culture attest. Rather than enjoying a cohesive or intergenerational approach, Millennials, Gen Xers, and Baby Boomers are often pitted against one another in what The Washington Post calls “generational warfare.” This essay considers ways to facilitate an ...


The Impact Of A Civic Service Program On Biopsychosocial Outcomes Of Post 9/11 U.S. Military Veterans, Monica M. Matthieu, Karen A. Lawrence, Emma Robertson-Blackmore Feb 2017

The Impact Of A Civic Service Program On Biopsychosocial Outcomes Of Post 9/11 U.S. Military Veterans, Monica M. Matthieu, Karen A. Lawrence, Emma Robertson-Blackmore

Social Work Faculty Publications

Volunteering as a health promotion intervention, improves physical health, mental health, and social outcomes particularly in older adults, yet limited research exists for veterans. We conducted a preliminary study to explore whether volunteering impacts a variety of biopsychosocial outcomes, including symptoms of post-traumatic stress disorder (PTSD) and depression, among returning military veterans from Iraq and Afghanistan. A survey enrolling a prospective cohort of United States (U.S.) veterans who served in the military after 11 September 2001 and who participated in a national civic service program was conducted. A total of 346 veterans completed standardized health, mental health, and psychosocial ...


An Exploratory Study Of Incapacitated Persons With Criminal Behaviors Served By Kentucky’S Public Guardianship Program, Karen Martin Jan 2017

An Exploratory Study Of Incapacitated Persons With Criminal Behaviors Served By Kentucky’S Public Guardianship Program, Karen Martin

Theses and Dissertations--Social Work

State run public guardianship programs are legally mandated to provide custodial care for persons deemed incapacitated by the courts. Historically, the majority of state wards were elderly women residing in skilled nursing facilities. Today, those demographics are rapidly changing. This new incapacitated cohort has become less institutionalized, with a rising number of persons who have entered the program with criminal records and who continue to commit crimes. This exploratory study focuses on incapacitated persons (IP) with criminal behaviors in order to seek what intervention(s) might reduce their criminal activity. Relying on routine activity theory, differing levels of supervision were ...


An Exploratory Study Of Syringe Exchange Program Awareness And Perceptions In Kentucky, Martha Tillson Jan 2017

An Exploratory Study Of Syringe Exchange Program Awareness And Perceptions In Kentucky, Martha Tillson

Oswald Research and Creativity Competition

Research has documented the myriad benefits to public and individual health provided by syringe exchange programs (SEPs), which allow persons who inject drugs access to sterile injection equipment. In 2015, Kentucky passed legislation that permitted public health departments to operate SEPs, but much remains unknown about knowledge and perceptions of the newly-implemented programs, particularly among individuals with histories of substance use. The present study therefore aimed to: 1) describe awareness of SEPs in Kentucky among participants of corrections-based substance abuse treatment programs, surveyed one year after their release into the community; 2) to determine if awareness of SEPs varies based ...


Active Bystander Behaviors Among High School Students: The Role Of Co-Occurrence Of Violence Victimization And Perpetration In Personal Violence Prevention, Reiko Ozaki Jan 2017

Active Bystander Behaviors Among High School Students: The Role Of Co-Occurrence Of Violence Victimization And Perpetration In Personal Violence Prevention, Reiko Ozaki

Theses and Dissertations--Social Work

Bystander programs aim to prevent personal violence, such as dating violence, sexual violence, sexual harassment, and stalking. They equip community members with skills to stop the violence before it happens by engaging in active bystander behaviors such as speaking up in potentially risky situations or supporting victims. Given that victimization and perpetration of personal violence, including co-occurrence, are common among youth, high schools have begun implementing bystander programs in recent years. This study examined the relationship between high school students’ experience of personal violence and their active bystander behaviors.

Using the social identity approach as a theoretical foundation, this study ...


The Impact Of Attitudes And Beliefs About Fat On Social Work Education In Appalachia: An Exploratory Study, Genesia Kilgore-Bowling Jan 2017

The Impact Of Attitudes And Beliefs About Fat On Social Work Education In Appalachia: An Exploratory Study, Genesia Kilgore-Bowling

Theses and Dissertations--Social Work

Anti-fat bias and the resulting discriminatory behavior is widely documented and impacts almost every aspect of an obese person’s life, including healthcare/insurance, education, employment, interpersonal relationships, and protection under the law. This has serious psychological, social, physical health, and economic consequences for the obese person. The non-social work related literature provides an abundance of evidence that when obese people seek assistance from a helping professional, they are met with the same anti-fat bias and discrimination present in other areas of their lives.

Recognizing that anti-fat bias can lead to negative practice behaviors with obese patients and clients, many ...


The Effects Of Idea Part C Early Intervention Services On The Well-Being Of Children And Families In Child Welfare, Ching-Shu J. Fang Jan 2017

The Effects Of Idea Part C Early Intervention Services On The Well-Being Of Children And Families In Child Welfare, Ching-Shu J. Fang

Theses and Dissertations--Social Work

There is ample evidence indicating that maltreatment has deleterious effects on the development of infants and toddlers. The Child Abuse Prevention and Treatment Act of 2003 requires referrals from child welfare (CW) to IDEA Part C Early Intervention services to provide developmental assessments and services for children younger than three with substantiated cases of child abuse or neglect. Thus, this study aims to examine the effects of Part C services on the well-being of young children and their families in CW.

This study used a secondary dataset, the National Survey of Children and Adolescent Well-Being II, to examine the research ...


Service Before Self: The Health Consequences Of Working In Public Child Welfare, Austin Garrett Griffiths Jan 2017

Service Before Self: The Health Consequences Of Working In Public Child Welfare, Austin Garrett Griffiths

Theses and Dissertations--Social Work

Child welfare workers respond to human tragedy and the job stresses associated with their positions that may result in their own trauma, secondary traumatic stress, compassion fatigue, emotional exhaustion, and burnout. Workers continue to leave their positions at alarming rates, influencing service quality and the ability to meet the needs of vulnerable populations. Decades of research have attempted to solve this national crisis by identifying salient factors found to influence the child welfare worker's experience and intention to leave their position. However, the problem prevails.

Addressing a major gap in the literature, this mixed methods study took a unique ...


Workplace Bullying In Kuwait, Hamad A. Alaslawi Jan 2017

Workplace Bullying In Kuwait, Hamad A. Alaslawi

Theses and Dissertations--Social Work

Workplace bullying (WPB) is a pervasive problem in contemporary society, inflicting detrimental repercussions upon employees, employers, and organizations alike. It affects the physical, psychological, and financial wellbeing not only of its victims, but also their families, their communities, and society as a whole.

Research into this phenomenon has evolved significantly over the past two decades. While related to the physically violent phenomenon of schoolyard bullying, WPB is primarily a psychological phenomenon, manifesting as abusive power in workplace relationships, rather than as interpersonal conflict. Bullying at work comes in many forms, has many faces, and occurs in many places. It ranges ...


College-Educated, African American Women's Marital Choices, Katherine M. Oliver Jan 2016

College-Educated, African American Women's Marital Choices, Katherine M. Oliver

Theses and Dissertations--Family Sciences

This study explores the desire to marry, marriageable mate criteria, and marital choices/options as they pertain to college-educated, African American women within today’s society. A purposive, nationally based sample (N = 95) of never married, college-educated, African American women (i.e., 18 to 40 years of age) was gathered via an online survey accessed by an emailed link. A mixed methods approach was utilized within the survey design, followed by data analyses (i.e., frequencies, two-way analyses) interpreted through a theoretical framework of social exchange. Areas discussed include life goals of marriage, cohabitation, and career; romantic barriers; the perceived ...


Educational Experiences Of Foster Children And Communication Patterns Of Key Stakeholders: The Foster Parent Perspective, Teresa Hardin Jan 2016

Educational Experiences Of Foster Children And Communication Patterns Of Key Stakeholders: The Foster Parent Perspective, Teresa Hardin

Theses and Dissertations--Family Sciences

This research explored the perspective of foster parents on the educational experiences of foster children and experiences of communication patterns with other key stakeholders (social workers, and teachers). Factors focused on were educational experience of foster children, communication patterns, the impact of communication patterns on the educational experience, and barriers to effective communication. Five individuals who were, at the time of the study, foster parents to at least one child were interviewed. Participants openly shared a variety of positive and negative experiences. This study adopted the theoretical framework of Bronfenbrenner’s cultural-ecological theory. Participant interviews were transcribed verbatim and inductive ...


Maternal Allostatic Load During Pregnancy: Predicting Length Of Gestation, Molly E. M. Sayre Jan 2016

Maternal Allostatic Load During Pregnancy: Predicting Length Of Gestation, Molly E. M. Sayre

Theses and Dissertations--Social Work

Allostatic load, or the “wear and tear” on the body due to stress, is thought to have a negative impact on length of pregnancy and contribute to health disparities in preterm birth. However, the magnitude of the effect on birth outcomes is unknown, in part due to questions of timing of measurement of allostatic load during pregnancy. This study used linear regression analysis of data from 156 pregnant women to test whether allostatic load is a predictor of length of gestation in the study sample, finding that third trimester allostatic load predicted length of gestation among women with full-term births ...


An Exploratory Factor Analysis Of The Survivor Of Suicide Support Group Facilitator Scale: Identifying Meaningful Factors For Group Facilitation And Outcomes, Rebecca L. Sanford Jan 2016

An Exploratory Factor Analysis Of The Survivor Of Suicide Support Group Facilitator Scale: Identifying Meaningful Factors For Group Facilitation And Outcomes, Rebecca L. Sanford

Theses and Dissertations--Social Work

Support groups for suicide loss survivors are a relatively common resource used by those who are left to cope in the aftermath of a suicide death. Though descriptive studies have been used to provide an overview of support groups in the past, there have been no efforts to understand nuances of these groups and the impact of these groups and differing facilitation styles on the bereavement experience for attendees. This study explores primary data collected between March 2015 and December 2015 with a sample of 138 survivor of suicide loss support group facilitators in the United States and several other ...


Identifying The Trauma Recovery Needs Of Maltreated Children: An Examination Of Child Welfare Workers' Effectiveness In Screening For Traumatic Stress, Adrienne Whitt-Woosley Jan 2016

Identifying The Trauma Recovery Needs Of Maltreated Children: An Examination Of Child Welfare Workers' Effectiveness In Screening For Traumatic Stress, Adrienne Whitt-Woosley

Theses and Dissertations--Social Work

Children in the child welfare system comprise a group characterized by their exposure to trauma via experiences of maltreatment, under circumstances presenting multiple risk factors for traumatic stress. High rates of posttraumatic stress have been observed in this population. However, there is currently no standard for the universal screening of children in child welfare for trauma exposure and traumatic stress. The purpose of this study was to analyze the trauma experiences of a sample of maltreated children and examine whether child welfare workers are effective screeners of traumatic stress symptoms with children from their caseloads. Method: A sample of children ...


Evaluation Of A Diabetes Self-Management Program For Hispanics In Lexington Kentucky: A Pilot Study, Miguel A. Gamboa Oropeza Jan 2016

Evaluation Of A Diabetes Self-Management Program For Hispanics In Lexington Kentucky: A Pilot Study, Miguel A. Gamboa Oropeza

Theses and Dissertations--Dietetics and Human Nutrition

Hispanics are more affected by diabetes than non-Hispanic whites and they tend to experience more severe complications. Research shows that although self-management is poor among ethnic minorities, it is even more so among Hispanics. The “Taking Ownership of Your Diabetes” (TOYD) program has been shown to be successful in helping individuals manage their diabetes. However, no work has been conducted with Hispanic audiences in Kentucky. TOYD program allows individuals to modify lifestyle risks and solve problems related to diabetes management. The program was translated from English to Spanish. Hispanics males and females between ages 19 to 75 years with type ...


Vocational Rehabilitation Outcomes For Hispanic Consumers In Traditional Settlement Areas And New Immigrant Destinations: A 17-Year Trend Analysis, Karen E. Waddle Cinnamond Jan 2016

Vocational Rehabilitation Outcomes For Hispanic Consumers In Traditional Settlement Areas And New Immigrant Destinations: A 17-Year Trend Analysis, Karen E. Waddle Cinnamond

Theses and Dissertations--Social Work

At the end of the 20th century, economic and political forces converged to create an unprecedented migration of Hispanics across and within U.S. borders. Many migrated for work in new destinations like the Southeast instead of traditional regions in the Southwest. In the Southeast many communities struggled to meet the economic and social needs of its newest members of a population that grew seemingly overnight.

The state-federal vocational rehabilitation system is an important service to meet the economic and social needs of people with disabilities that impair their ability to work. Current scholarship suggests Hispanics and other minorities ...


How Therapists Use And Choose Mindfulness To Treat Trauma, Jessica M. King Jan 2016

How Therapists Use And Choose Mindfulness To Treat Trauma, Jessica M. King

Theses and Dissertations--Family Sciences

This qualitative study used the phenomenological method to examine how therapists use mindfulness therapies and interventions to address trauma-salient issues with their clients. Specifically, it explored therapists’ use of and choices about mindfulness-based treatments when addressing post-traumatic stress symptoms, and trauma-relevant emotion dysregulation and attachment injury. Informants were associate and fully-licensed local therapists, recruited using convenience sampling and snowball sampling by word-of-mouth referrals. Data was collected by semi-structured interviewing. Interview data was analyzed with Moustakas’ (1994) recommended procedures for analysis of phenomenological data. Results, Discussion, Limitations and Suggestions for Future Research are described at the end.


Coming To America: An Examination Of The U.S. Immigration Debate In Its Historical Context, Julie R. Davidson Sep 2015

Coming To America: An Examination Of The U.S. Immigration Debate In Its Historical Context, Julie R. Davidson

Kaleidoscope

The United States is considered a country of immigrants, but a historical tension has existed between new arrivals and the “native” population. Policies regarding immigration have frequently mirrored the nativist fervor that is created in opposition to large influxes of immigrants. The debate about revamping immigration policy, that has been a key issue in Congress in 2006, is not surprising in an historical context. The concern about large numbers, the fear of draining social services, dilution of American culture, loss of American jobs, and the compromising of national security are all concerns that have been voiced recently, and are almost ...


Improving Depression Care For Older Home Health Patients, Sarah R. Schirmer Jan 2015

Improving Depression Care For Older Home Health Patients, Sarah R. Schirmer

DNP Projects

Rates of depression in older home healthcare (HH) patients are highly prevalent. Although depression in this population is associated with increased rates of re-hospitalization, falls, and suicides, it is frequently under diagnosed and under treated. This Capstone Report examined this problem through three interrelated manuscripts. The first manuscript explored the problem through a review of the literature. This review determined that while there are many barriers to adequate depression care, programs that train clinicians to screen for depression and connect patients to depression care encourage adequate evaluation and treatment and can result in clinically significant changes in depression scores. This ...