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An Investigation Into The Relationship Between Academic Pressure And Non-Medical Prescription Stimulant Use Among University Of South Carolina Undergraduate Students, Arslan Valimohamed Apr 2019

An Investigation Into The Relationship Between Academic Pressure And Non-Medical Prescription Stimulant Use Among University Of South Carolina Undergraduate Students, Arslan Valimohamed

Senior Theses

One hundred and six undergraduate students of the University of South Carolina were surveyed to understand misuse of prescription stimulants and how perceived academic pressure may play a role in this behavior. Overall, the survey revealed that 33.0% of participants reported illicit use of prescription stimulants in the last 30 days, and 52.8% reported illicitly using prescription stimulants at least once during their time in college. Data from the survey responses indicated that students perceiving academic pressure were more likely to have misused prescription stimulants at least once during their time in college, but only if these students ...


Vietnamese Family Caregivers’ Adjustment Process To Their Caregiving Roles For Family Members With Dementia, Trang Nguyen Apr 2019

Vietnamese Family Caregivers’ Adjustment Process To Their Caregiving Roles For Family Members With Dementia, Trang Nguyen

Theses and Dissertations

This study explores the psychological process that Vietnamese family members go through to adjust to the caregiving role for their relatives with dementia. Adopting constructivist grounded theory, 30 face-to-face, semi-structured interviews, including 10 follow-up interviews, were conducted with 20 Vietnamese primary family caregivers of relatives with dementia from the National Geriatric Hospital in Vietnam. The study results reveal that Vietnamese family caregivers held limited understanding of dementia. They used a mixed explanatory model, combining both folk (e.g., dementia as normal aging) and biomedical approaches (e.g., dementia as a brain-related disease) to explain causes of dementia. Family cohesion and ...


Family And School Impact On Psychological Functioning From Childhood To Late Adolescence: A Longitudinal Study Of Rural Chinese Youth, Yang Yue Jan 2018

Family And School Impact On Psychological Functioning From Childhood To Late Adolescence: A Longitudinal Study Of Rural Chinese Youth, Yang Yue

Theses and Dissertations

The transition from childhood to adolescence can be a significant stressor for youth, leading to increases in internalizing problems for those who are vulnerable. Compared to the mounting research conducted on U.S. youth, children and adolescents in China have received less attention on their psychological adjustment. As Chinese youth constitute roughly 15% of the world’s population (World Health Organization, 2010), and the disproportionate quantity of longitudinal investigation on Chinese youth psychological functioning, understanding the influence of risk and protective factors, and their interactive effects on internalizing problems among Chinese youth is critical.

According to Life Course Theory, Ecological ...


Acculturation Stress And Depression Among First-Year International Graduate Students From China And India At The University Of South Carolina, Kyunghee Ma Jan 2017

Acculturation Stress And Depression Among First-Year International Graduate Students From China And India At The University Of South Carolina, Kyunghee Ma

Theses and Dissertations

This cohort study used a mixed-methods pretest/posttest measurement study design. The quantitative method was used to explore the relationship between acculturation stress and depression among first-year international graduate students from China and India enrolled at the University of South Carolina(UofSC), examine the role that social support plays in that relationship, and identify changes in acculturation, social support, and depression over one academic year. The qualitative method helped to further explore how Chinese and Indian international graduate students experienced acculturation stress and to what extent social support helped them cope with their stress.

The sample included 55 students. Primary ...


Broke But Not Without Hope: Exploring Exits From Housing First And Returns To Homelessness, Jennie Ann Cole Jan 2017

Broke But Not Without Hope: Exploring Exits From Housing First And Returns To Homelessness, Jennie Ann Cole

Theses and Dissertations

“…he succeeded in giving the impression of being broke but not without hope.”

Nels Anderson, The Hobo, 1923

Introduction: This research offers a thick and rich, multidimensional and situational look, into a Housing First program in Charlotte, North Carolina. This dissertation focuses on individuals who have experienced chronic homelessness who exit Permanent Supportive Housing (PSH) programs that employ a Housing First (HF) model and return to homelessness. The ultimate goal of my research was to address the gap in knowledge service providers have in housing retention for the chronically homeless and to break the cycle of misunderstanding around why people ...


African American End-Stage Renal Disease And Medication Adherence: What Are The Effects Of Everyday Racism?, Tamara Estes Savage Jan 2017

African American End-Stage Renal Disease And Medication Adherence: What Are The Effects Of Everyday Racism?, Tamara Estes Savage

Theses and Dissertations

This dissertation explored the racial medication adherence disparity in end-stage renal disease (ESRD) patients. Prior research suggests that there are poor rates of medication adherence in the African American ESRD population. However, the reasons for this racial inequity are not understood. This dissertation explored the impact of everyday racism in the healthcare system in general and dialysis centers in particular on medication adherence. To gain an understanding of the possible contribution of everyday racism to medication nonadherence, Critical Race Theory (CRT) was used as the theoretical foundation of the study.

A total of 46 African American ESRD patients participated in ...


People Who Live Unsheltered: The Role Of Trust In The Bond Component Of Their Working Alliances, Candice Morgan Jun 2016

People Who Live Unsheltered: The Role Of Trust In The Bond Component Of Their Working Alliances, Candice Morgan

Theses and Dissertations

An estimated 240,000 individuals are unsheltered, sleeping on the street, under abandoned buildings, in ditches and fields, and other locations in communities each night. Using semi-structured interviews, I sought to understand the nature of the working alliances of people living unsheltered and the role of trust in the bond component of those working alliances. Findings highlight that people who live unsheltered engage in alliances with either strangers or acquaintances to complete a simple task, which often results in the attainment of a basic item or assistance. In some but not all alliances trust plays a role. Trust alliances in-volve ...


On Becoming An Ecologically Conscious Social Worker: Exploring Professional Identities That Include A Response To The Environmental Crisis, Meredith C. F. Powers Jun 2016

On Becoming An Ecologically Conscious Social Worker: Exploring Professional Identities That Include A Response To The Environmental Crisis, Meredith C. F. Powers

Theses and Dissertations

Mounting scientific evidence about the global environmental crisis has created an urgent call to action for all people to promote sustainable environmental practices that enhance the well-being of humans and the ecological systems in which they live. Despite the increasing body of social work literature or the recent social work leadership’s emphasis on this call to action, the social work profession as a whole has been slow to embrace an “expanded professional identity” that includes a response to the environmental crisis. Further insight is needed from individual social workers who have expanded professional identities. Knowledge is needed from their ...


Race, Place, And Access To Early Intensive Behavioral Intervention Among Children With Autism Spectrum Disorder In South Carolina, Marissa E. Yingling Jan 2016

Race, Place, And Access To Early Intensive Behavioral Intervention Among Children With Autism Spectrum Disorder In South Carolina, Marissa E. Yingling

Theses and Dissertations

Public funding of early intensive behavioral intervention (EIBI) for the 1 in 68 children who meet criteria for autism spectrum disorder (ASD) is rapidly expanding. Evidence indicates that children with ASD experience racial, socioeconomic, and geographic disparities in access to health care services. However, the Interagency Autism Coordinating Committee and the World Health Organization cite disparities in access to early intervention among the most pressing yet understudied areas of research. Currently, ASD service research is dominated by inquiries into the age of diagnosis and enrollment in EIBI. We know little about disparities in the time-lag between diagnosis and treatment onset ...


Parent To Parent Support For Parents Of Children With Autism Spectrum Disorders: Perspectives Of Parents And Program Staff, Nina Nelson Jan 2015

Parent To Parent Support For Parents Of Children With Autism Spectrum Disorders: Perspectives Of Parents And Program Staff, Nina Nelson

Theses and Dissertations

This short-term longitudinal qualitative study used grounded theory methods to explore how parents of children with autism spectrum disorder (ASD) benefit from one-to-one support (P2P), factors affecting success, and how these relationships evolved. In-depth interviews were conducted with 6 staff, 12 referred parents, and 11 support parents.

Most referred parents found P2P helpful, deriving informational/practical, emotional, and a few social benefits. Six interrelated factors affected success including a) parent-support relationship; b) program level; c) support parents’ experiences with P2P and the disability community; d) practical/logistical factors; e) psycho-emotional factors; and f) referred parents’ expectations relationship program level. The ...


Vocational Readiness: The Effect Of Pre-Prison And Incarceration-Based Trauma On Cognitive Appraisals And Self-Perceptions Of Incarcerated Women, Joi Dykes Anderson Jan 2015

Vocational Readiness: The Effect Of Pre-Prison And Incarceration-Based Trauma On Cognitive Appraisals And Self-Perceptions Of Incarcerated Women, Joi Dykes Anderson

Theses and Dissertations

The number of women incarcerated in the United States has grown at an alarming rate. This research study presents a conceptual framework for examining pre-prison and incarceration-based trauma and its effects on cognitive appraisals and self-perceptions. Literature from psychology, feminist psychology and neuropsychiatry are integrated to discuss how pre-prison trauma creates pathways to crime for females, how incarceration serves as a form of traumatization (or retraumatization), how the social dynamics of the prison environment potentially exacerbates mental health issues (i.e., PTSD, anxiety, depression), how this negatively affects a female inmates vocational readiness—the ability to obtain and maintain employment ...


Emergency Department Use For Preventable Behavioral Health-Related Disorders Among Ex-Prisoners In Rhode Island, Christina Andrews Jan 2013

Emergency Department Use For Preventable Behavioral Health-Related Disorders Among Ex-Prisoners In Rhode Island, Christina Andrews

Faculty Publications

Background

The population of ex-prisoners returning to their communities is large. Morbidity and mortality is increased during the period following release. Understanding utilization of emergency services by this population may inform interventions to reduce adverse outcomes. We examined Emergency Department utilization among a cohort of recently released prisoners.

Methods

We linked Rhode Island Department of Corrections records with electronic health record data from a large hospital system from 2007 to 2009 to analyze emergency department utilization for mental health disorders, substance use disorders and ambulatory care sensitive conditions by ex-prisoners in the year after release from prison in comparison to ...


Non-Offending Mothers Of Sexually Abused Children: How They Decide Whom To Believe, Lynn Mcmillan Jan 2013

Non-Offending Mothers Of Sexually Abused Children: How They Decide Whom To Believe, Lynn Mcmillan

Theses and Dissertations

Professionals continue to study and refine their understanding of the complex dynamics of child sexual abuse and the role of the non-offending mothers. Of particular clinical and research interest is the response of the mother once she learns that her child disclosed being sexually abused and named the mother's intimate partner as the perpetrator. This qualitative study (n=20) uses in-depth interviews and constructivist grounded theory methods. The focus is how women decide about believing their children's disclosures of sexual abuse, both in terms of what happened to the children and who perpetrated the abuse. The study addresses ...


How Welfare Reform Act Affects Elderly Immigrants' Health And Healthcare Service Utilization: Comparisons Before And After Welfare Reform, Younsook Yeo Jan 2013

How Welfare Reform Act Affects Elderly Immigrants' Health And Healthcare Service Utilization: Comparisons Before And After Welfare Reform, Younsook Yeo

Theses and Dissertations

Background: The intended result of the Personal Responsibility and Work Opportunity Reconciliation Act of 1996 (Public Law 104-193: PRWORA) was to conserve public funds while addressing welfare deficits. To achieve this end, the PRWORA (1) requires immigrants who came to the United States after the law took effect to show proof of U.S. citizenship to be eligible for federally funded public benefits, including Medicaid, unless the states where they lived provide state-funded benefits; (2) reinforced the `public charge law,' indicating that once the Immigration and Nationalization Service deems a post-welfare reform immigrant a public charge, this could result in ...


Client-Provider Relationship And Treatment Outcome: A Systematic Review Of Substance Abuse, Child Welfare, And Mental Health Services Research, Christina Andrews Jan 2012

Client-Provider Relationship And Treatment Outcome: A Systematic Review Of Substance Abuse, Child Welfare, And Mental Health Services Research, Christina Andrews

Faculty Publications

This systematic review reports on the association of the client-provider relationship with service outcomes across 3 service sectors: substance abuse, child welfare, and mental health. The review includes 60 research reports meeting inclusion criteria: 25 in substance abuse, 7 in child welfare, and 28 in mental health. For each social service sector, we analyze the association of the client-provider relationship to intermediate and ultimate outcomes. In addition, we examine potential moderating mechanisms of rater type (i.e., client, provider, and observer) and treatment setting (i.e., inpatient, outpatient, other). Social services research increasingly seeks to identify the active elements that ...


Does Context Matter In Determining Psychological Abuse? Effects Of Pattern, Harm, Relationship, And Norms, Dana D. Dehart, Diane R. Follingstad, Alice M. Fields Jul 2010

Does Context Matter In Determining Psychological Abuse? Effects Of Pattern, Harm, Relationship, And Norms, Dana D. Dehart, Diane R. Follingstad, Alice M. Fields

Faculty Publications

This study explored contextual influences in determining whether psychologically aggressive actions constitute abuse. One hundred and thirty-one undergraduates completed measures of key experiences, attitudes, and traits, and rated abusiveness of behaviors in a series of vignettes. Vignettes varied contexts in which behaviors occurred, including whether the behavior was a pattern, whether there was harm to the recipient, characteristics of the initiator-recipient relationship, and whether behavior was normative. Results showed no effects for participants' gender, past experiences with psychological aggression, and traits or attitudes. Findings indicated that behaviors were rated as more abusive when harm to recipient was evident. Findings regarding ...


Collaboration Between Victim Services And Faith Organizations: Benefits, Chanllenges, & Recommendations, Dana Dehart Jan 2010

Collaboration Between Victim Services And Faith Organizations: Benefits, Chanllenges, & Recommendations, Dana Dehart

Faculty Publications

Although many crime victims seek support from members of the faith community, faith leaders may feel unsure of their abilities to assist. This paper describes findings from a descriptive needs assessment that preceded a national project to link faith-based organizations and victim service programs in five high-crime neighborhoods. Approximately 90 participants were interviewed, including faith leaders, victim service providers, and other professionals. A majority saw positive implications of faith-secular collaboration but also identified concerns. Findings focus on perceived obstacles and facilitators of collaboration, addressing climate for faith-secular collaboration, disciplinary differences, community engagement, and church-state separation. Implications for collaboration are explored ...


Cognitive Restructuring Through Dreams & Imagery: Descriptive Analysis Of A Women's Prison-Based Program, Dana Dehart Jan 2010

Cognitive Restructuring Through Dreams & Imagery: Descriptive Analysis Of A Women's Prison-Based Program, Dana Dehart

Faculty Publications

This report describes process and outcome evaluation of an innovative program based in a women's maximum-security correctional facility. Methodology included review of program materials, unobtrusive observation of group process, participant evaluation forms, focus groups, and individual interviews with current and former program participants. Findings indicate that program was a great source of emotional respite, release, and support for the women, with women describing increased insights into themselves, their traumas, and their crimes. Implications are discussed, including popular appeal of dream work and its potential clinical relevance to prisoners' inner conflicts.


Caseloads And Salaries Of Nephrology Social Workers By State, Esrd Network, And National Kidney Foundation Region: Summary Findings For 2007 And 2010, Joseph R. Merighi, Teri Browne, Kathleen Bruder Jan 2010

Caseloads And Salaries Of Nephrology Social Workers By State, Esrd Network, And National Kidney Foundation Region: Summary Findings For 2007 And 2010, Joseph R. Merighi, Teri Browne, Kathleen Bruder

Faculty Publications

The Council of Nephrology Social Workers and the National Kidney Foundation conducted two national online surveys of nephrology social workers to assess caseload and salary trends by state, End-Stage Renal Disease Network, and National Kidney Foundation Region. Between 2007 and 2010, outpatient dialysis social workers experienced increases in mean case-load size from 73 to 79 (up 8.2%) for those employed 20–31 hours per week, 113 to 121 (up 7.1%) for those employed 32–40 hrs/wk, and 117 to 126 (up 7.7%) for those employed 40 hrs/wk. Increases in mean hourly wage were also reported ...


Institutional Responses To Self-Injurious Behavior Among Inmates, Dana D. Dehart, Hayden P. Smith, Robert J. Kaminski Apr 2009

Institutional Responses To Self-Injurious Behavior Among Inmates, Dana D. Dehart, Hayden P. Smith, Robert J. Kaminski

Faculty Publications

To date, little research has systematically investigated perceptions of mental health professionals regarding perceived motivations for self-injury among prison inmates. To help fill this gap, descriptive techniques were used to examine self-injurious behavior among inmates from the perspective of correctional mental health professionals. A quantitative survey was used to assess perceptions of mental health staff regarding etiology, motivations, and manifestations of self-injury. A qualitative interview component was used to explicate responses from the survey. Findings indicate that inmate cutting, scratching, opening old wounds, and inserting objects were the most commonly witnessed behaviors. There were indications that self-injury occurred regularly and ...


Prevention Of Elder Mistreatment In Nursing Homes: Competencies For Direct-Care Staff, Dana Dehart, Jennifer Webb, Carol Cornman Jan 2009

Prevention Of Elder Mistreatment In Nursing Homes: Competencies For Direct-Care Staff, Dana Dehart, Jennifer Webb, Carol Cornman

Faculty Publications

Existing training on elder mistreatment in nursing homes focuses on detection and reporting of abuse, with little training specifically targeted toward prevention of mistreatment before it occurs. We used qualitative interviews with nursing home staff, policymakers, and related professionals to identify training needs. Based on participant accounts, we drafted a number of competencies essential for caregiver training to prevent mistreatment in nursing homes. Competencies include those dealing with: definitions and policies; risks for mistreatment; communication and respect; and development of a cooperative working environment. Competencies are discussed along with illustrative examples, and implications for practice and policy are addressed.


Emotional Exhaustion And Workload Demands Of Kidney Transplant Social Workers, Joseph R. Merighi, Teri Browne, Sarah Keenan Jan 2009

Emotional Exhaustion And Workload Demands Of Kidney Transplant Social Workers, Joseph R. Merighi, Teri Browne, Sarah Keenan

Faculty Publications

This exploratory study examined training issues, emotional exhaustion and workload demands in U.S. kidney transplant socialworkers. Online survey data were obtained from 91 respondents who represented all 18 End-Stage Renal Disease networks.Findings indicated that the majority of the respondents’ employers provided resources for educational training and paid timeoff associated with these trainings. With regard to hours per week spent on specific job tasks, respondents indicated that pretransplantactivities were the most time-consuming, followed by post-transplant and inpatient work. Generally, emotionalexhaustion and workload demands were slightly lower than reported for dialysis social workers. Implications for social workpractice and research are ...


Pathways To Prison: Impact Of Vicitimization In The Lives Of Incarcerated Women, Dana Dehart Dec 2008

Pathways To Prison: Impact Of Vicitimization In The Lives Of Incarcerated Women, Dana Dehart

Faculty Publications

This study examined ways in which victimization may contribute to criminal involvement among incarcerated women. We conducted interviews with 60 women in a maximum securtiy prison to gather each woman's perspective on psychological, physical, and sexual victimization in her life. Qualitative analyses indicated ways that victimization related directly to women's crimes as well as influenced health, psychosocial functioning, or systemic involvement to create difficult situations with which the women struggled. Case histories are used to illustrate pervasive impacts of victimization, and role of multiple traumas and cumulative impact are discussed.


Breast Health Behavior Among Lesbians: The Role Of Health Beliefs, Heterosexism, And Homophobia, Dana Dehart Jan 2008

Breast Health Behavior Among Lesbians: The Role Of Health Beliefs, Heterosexism, And Homophobia, Dana Dehart

Faculty Publications

The Health Belief Model was used as a conceptual framework for exploring how health beliefs and perceptions of heterosexism and homophobia in health care relate to lesbians' breast health behaviors, including use of breast exams and mammograms, visits to health care providers, and use of complementary/alternative care. A total of 173 exclusively homosexual women completed survey measures assessing health beliefs, experiences of heterosexism/homophobia, and health maintenance behaviors as these related to breast health. Findings indicated that women perceived heterosexism and homophobia from providers to influence the amount of discussion they had with providers and, to a lesser extent ...


Psychosocial Aspects Of The 2008 End-Stage Renal Disease Conditions For Coverage, Teri Browne Jan 2008

Psychosocial Aspects Of The 2008 End-Stage Renal Disease Conditions For Coverage, Teri Browne

Faculty Publications

On October 14, 2008, practices and policies in every dialysis unit in the United States and its territories will besignificantly changed with the implementation of the 2008 Conditions for Coverage (CfCs) for End-Stage RenalDisease Facilities (Office of the Federal Register, 2008). These CfCs mark the first wholesale change in the regulationsfor dialysis units in more than 30 years, and the Council of Nephrology Social Workers (CNSW) is makingevery effort to provide its members with the tools and resources they need to adapt to and adopt these new CfCs.This special issue of The Journal of Nephrology Social Work is intended ...


Understanding The Personal And Clinical Utility Of Psychiatric Advance Directives: A Qualitative Perspective, Mimi M. Kim, Richard A. Van Dorn, Anna M. Scheyett, Eric E. Elbogen, Jeffrey W. Swanson, Marvin S. Swartz, Laura A. Mcdaniel Jan 2007

Understanding The Personal And Clinical Utility Of Psychiatric Advance Directives: A Qualitative Perspective, Mimi M. Kim, Richard A. Van Dorn, Anna M. Scheyett, Eric E. Elbogen, Jeffrey W. Swanson, Marvin S. Swartz, Laura A. Mcdaniel

Faculty Publications

Psychiatric advance directives (PADs) are legal tools that allow competent individuals to declare preferences for future mental health treatment when they may not be capable of doing so as a result of a psychiatric crisis. PADs allow individuals to maintain self–determination during times when they are most vulnerable to loss of autonomy and in need of assistance to make their preferences known and honored. This article describes the content of twenty–eight open–ended, semi–structured qualitative interviews of adults with PADs who have experienced psychiatric crises. The qualitative analysis revealed three major themes from the interviews: (1) PADs ...


Nephrology Social Work: History In The Making, Teri Browne Jan 2006

Nephrology Social Work: History In The Making, Teri Browne

Faculty Publications

No abstract provided.


Testing, Treatment, And Trust: Social Work Professional Development And The Genomics Revolution, Anna M. Scheyett, Kimberly Strom-Gottfried Jan 2004

Testing, Treatment, And Trust: Social Work Professional Development And The Genomics Revolution, Anna M. Scheyett, Kimberly Strom-Gottfried

Faculty Publications

Knowledge in the area of human genetics and genomics is expanding at an exponential pace, with significant implications for social work in health, mental health, and other settings. This article identifies some key roles social workers may play in the arena of genetics, discusses social workers responsibility for ongoing professional development in this area, and describes a flexible genetics and genomics social work curriculum developed by the authors. We provide an evaluation of pilot curriculum implementations, discuss ongoing strategies and barriers to dissemination, and make recommendations for future actions to more fully incorporate genetics and genomics content into the social ...


Social Work Practitioners And Technology Transfer, Anna M. Scheyett, Amelia C. Roberts, Raymond Kirk Jan 2001

Social Work Practitioners And Technology Transfer, Anna M. Scheyett, Amelia C. Roberts, Raymond Kirk

Faculty Publications

The application of new skills and interventions into the practice community is often slow and haphazard. A coaching intervention is proposed to augment traditional social work education techniques and maximize the integration of new knowledge into social work practice. This coaching model includes assessment of a practitioner's readiness for change, stage-wise coaching interventions, assessment of organizational barriers to the transfer of new information, and development of strategies to address these barriers. Implications for social work professionals development and future research are discussed.