Social Work Commons^™

Sheprep: Examining The Influence Of The Messaging And The Messenger Associated With Prep Uptake Among African American Women, Christian C. Spears

Electronic Theses and Dissertations

African American Women (AAW) make up less than 15% of the female population in the United States but account for over 50% of new HIV diagnoses among females. This largely preventable health disparity can be mitigated by advocating and prescribing Pre-exposure Prophylaxis (PrEP), a preventive HIV medication, to persons at risk. Despite advances in medication options, there are less than 13% of Black people who could benefit from having been prescribed PrEP, and limited research and promotion on the effectiveness of PrEP for AAW. The “ShePrEP Study” aimed to assess awareness, perceptions, and receptivity toward PrEP among AAW. This study …

Examining Effective And Realized Healthcare Access In The West South Central Division., Katherine Cameron

Electronic Theses and Dissertations

This study explores realized and effective access domains outlined by Andersen’s Behavioral Model of Health Services Use. Exploring other domains of access is critical to understanding how the healthcare system functions (Kirby & Yabroff, 2020). This study evaluates rural-urban and racial/ethnic differences in access to care using two underresearched domains of healthcare access. It also allows for exploring access disparities within rural communities amongst minority populations. This dissertation is divided into five chapters. Chapter One provides an overview of health disparities and inequities and a brief overview of the study. Chapter Two details a high-level history of racism and its …

“I Hear You”: Exploring The Lived Experience Of Counselors’ Empathic Response To Clients When Conducting Telephonic Counseling During Covid-19, Michael Sickels

Electronic Theses and Dissertations

Dissertation supervised by Dr. Debra Hyatt-Burkhart

This study sought to unearth the lived experience of counselors empathically responding to clients via telephonic counseling during COVID-19. The term empathic response refers to as attending to the emotional and mental state of another person in a way that is attuned with the feelings and meanings of the individual’s experience. There are few studies that have assessed the merits of telephonic counseling, and even fewer that have examined counselors’ empathic response to clients through this medium.

To uncover the lived experience of the target population, the participants of the study were purposefully selected …

The Happiest Place On Earth: A Grounded Theory Of Fulfillment In Mixed-Orientation Marriages, Isadora Ferreira De Melo

Electronic Theses and Dissertations

Mixed-orientation marriages (MOMs) are often misunderstood. There is a general cynicism in research literature and in the broader culture regarding the relational viability of same-sex attracted (SSA) individuals who marry someone of the opposite sex. However, there exist couples in MOMs that are resilient and attain satisfaction. The purpose of this study is to better understand how MOMs might become successful. By interviewing maritally satisfied mixed-orientation couples, the Model of Relational Self- Determination in Mixed-Orientation Marriages was developed. This model is separated into five stages that are organized around the experience of disclosure of the SSA spouse’s sexuality. Depending on …

The Intersection Of Traumatic Brain Injury And Homelessness, Stephanie A. Chassman

Electronic Theses and Dissertations

The rates of TBI are significantly higher among individuals experiencing homelessness compared to the general population. Up to half of individuals experiencing homelessness may have a TBI. Accurate prevalence rates of TBI among individuals experiencing homelessness are difficult to obtain due to different methods of sampling participants and differing definitions of TBI; therefore, estimates may be underrepresented. Despite past research that has examined the relationship between TBI and homelessness, there are specific gaps in knowledge such as correlates and risk factors of TBI among individuals experiencing homelessness. This three-manuscript dissertation attempts to address these gaps in knowledge.

The first manuscript …

Exploring Gaps In Understanding And Responding To Ageism: A Conceptual Model, Psychosocial Health, And Racialized Ageism, Andrew T. Steward

Electronic Theses and Dissertations

Ageism is an insidious, prevalent social justice issue which has harmful effects on the health of older adults. This dissertation includes three manuscripts which explore gaps in understanding and responding to ageism through three distinct methodological approaches. Two primary gaps are addressed in the three manuscripts: 1) conceptualizing and testing activities or interventions to reduce internalized ageism and enhance psychosocial health for older adults, and 2) exploring the intersectionality of ageism with racism.

The first manuscript draws from stereotype embodiment theory and theories of successful and productive aging to detail a conceptual model of interventions which may reduce internalized ageism …

Making The Most Of Program Evaluation Data: Understanding Human Services Professionals’ Well-Being Through Qualitative Secondary Analysis, Elizabeth Ann Deaton Wacker

Electronic Theses and Dissertations

Qualitative secondary analysis (QSA) allows researchers to explore new research questions and ensure that participants’ voices are heard to the greatest extent possible, without the burdens of additional data collection. However, this approach is rarely used outside of the health sciences, and little guidance exists in the literature about how to conduct QSA. This study is a secondary analysis of qualitative program evaluation data related to the well-being of human services professionals from two fields: child welfare and early care and education (ECE). It explores these professionals’ well-being, as well as the methodological issues of how well-being has been addressed …

It’S Not All Aces: The Role Of Negative Parental Influences And Criminal Thinking In Juvenile Offending Behaviors, Branna Humphrey

Electronic Theses and Dissertations

The role of adverse childhood experiences (ACEs) and criminal thinking in causing criminal behavior has been explored extensively in criminal justice research. Based on the concepts of ACEs and the Psychological Inventory of Criminal Thinking Scale, the negative parental influences and criminal thinking styles of 1,354 juvenile offenders were examined to establish that negative parental influences and criminal thinking are separately associated with juvenile problem and offending behavior, and that criminal thinking mediates the relationship between negative parental influences and juvenile problem and offending behavior. Analyses showed support for criminal thinking as a pathway from negative parental influences to juvenile …

Resentenced And Released: Re-Entry Needs Following Release From Juvenile Life Without Parole, Daphne M. Brydon

Electronic Theses and Dissertations

Over 2,100 individuals serving juvenile life without paroles (JLWOP) sentences in the U.S. became eligible for resentencing following the 2016 Montgomery v. Louisiana Supreme Court ruling. Michigan housed an estimated 370 juvenile lifers at that time, the second largest JLWOP community in the country and has since resentenced and released approximately 120 juvenile lifers. Folx released from prison encounter many barriers to successful re-entry. Barriers are often amplified for those incarcerated as adolescents. Further, services are de-prioritized for folx serving JLWOP sentences, which can be especially damaging for this community whose life experiences are marked by high rates of trauma, …

The Resilience Of Female Survivors Of Intimate Partner Violence In Southwest Nigeria: An Interdisciplinary Analysis, Tobi F. Oloyede

Electronic Theses and Dissertations

Female survivors of intimate partner violence (IPV) in Nigeria endure harsh and traumatic experiences that affect their rights as women and their well-being. As the phenomenon of IPV persists in Nigeria, it is not only a family problem but a critical social and psychological problem. This study examined Nigerian female survivors’ hidden strength, agency, and resilience, rather than their powerlessness and vulnerability. Analysis of survey questionnaires, interviews, and secondary scholarship reveals that some Nigerian female survivors of IPV are able to cope whilst navigating stressful and traumatic experiences. The results also show that survivors’ ability to thrive and cope under …

Gender, Race, And Childhood Abuse As Predictors Of Borderline Personality Disorder, Olivia Moses

Electronic Theses and Dissertations

Borderline Personality Disorder (BPD) is a debilitating personality disorder that impacts anywhere between 1% to 5% of Americans. Studies claim that women are significantly more at risk than men to suffer from this disorder and may experience stronger symptoms. Previous research has found that victims of childhood abuse such as sexual abuse, physical abuse, and neglect are more at risk for developing Borderline Personality Disorder as adults, particularly when abuse is paired with genetic susceptibility. Some researchers claim that there are no detectable racial differences in Borderline Personality Disorder, but previous studies often have very small sample sizes taken from …

Social Work, Social Justice, And The Causes To Which We Are Called: Attitudes, Ally Behavior, And Activism, Brittanie Atteberry Ash

Electronic Theses and Dissertations

As a profession, social work has codified within its ethical guidance and educational policies a commitment to social justice. While social justice is enumerated in several guiding documents, social work continues to lack consensus on both the meaning and merit of social justice (Abramovitz, 1993; Funge, 2011; Hong & Hodge, 2009; Specht & Courtney, 1995; Van Soest & Garcia, 2003). Due to the lack of agreement within the profession about the centrality and meaning of social justice, many educational practices, attitudes, and actions of those working within the profession may not align with socially just ideals that are codified in …

Race, Sense Of Belonging, And The African American Student Experience At Predominantly White Institutions, Anthony Kane

Electronic Theses and Dissertations

This research study utilized a critical race theoretical framework and methodology to explore the lived experiences of African American students at a predominantly White institution. The purpose of this study was to identify how race impacts the sense of belonging of African American students at predominantly White institutions (PWIs). This study highlighted the racialized experiences of African American students at a predominantly White institution and how these experiences impacted their sense of belonging. Additionally, this study sought to understand the type of support African Americans students preferred and needed in order to develop a positive sense of belonging.

Six African …

Childhood Abuse, Religiosity, And Opioid Use: Findings From The National Epidemiologic Survey On Alcohol And Related Conditions Data, James E. Lewis

Electronic Theses and Dissertations

Religiosity is adopting a belief system surrounding concepts of purpose, meaning, and value through an institution that has already defined these concepts prior to the individual member attending and that member’s degree of participation. Religiosity does have protective factors against negative health outcomes. This protective influence was evaluated in this study. Data from Wave 2 of the National Epidemiologic Survey on Alcohol and Related Conditions were examined to learn about the relationship between protective effects of religious participation on substance abuse, and whether this association weakened for individuals who have experienced higher levels of childhood abuse. A binary logistic regression …

Using Behavior Economic Nudges To Facilitate Client Follow-Through In Financial Coaching, Charlene Hurst

Electronic Theses and Dissertations

While benevolence-based programs have been a large part of meeting immediate financial needs of the poor, they lack the relational aspect needed to facilitate long-term behavior change. Recently many social service organizations have adopted financial coaching as a promising replacement for benevolence programming. The field of coaching has dealt with its own challenges. Most coaching practitioners surveyed in 2016 and 2019 acknowledged lack of client follow-through as their number one challenge. Behavior economics offered nudges as a solution. Nudges are cues placed within the physical environment to prod clients toward behavior change. A quantitative field study was conducted to evaluate …

Becoming A Master Manager: An Analysis Of Snap Recipient Stories Of Navigating Government Assistance, Kallie Gay

Electronic Theses and Dissertations

This study examines experiences of utilizing government assistance in the United States. It focuses on the ways in which persons participating in the Supplemental Nutrition Assistance Program (SNAP) communicatively managed their lives in relation to their role in the program. Specifically, the research reveals that SNAP recipients are master managers. After synthesizing the pre-existing body of research concerning social assistance in the U.S. and its effects on those who utilize it, the author argues that sharing the stories of marginalized groups can serve to reduce stigma surrounding government assistance participation. Employing a Feminist Standpoint Theory sensibility to elicit such stories, …

Prevention Of Violence Against Children: A Systems Readiness Assessment In Côte D’Ivoire, Marie-Kaye Soletchi Seya-Sery

Electronic Theses and Dissertations

Violence against children (VAC) is a global problem with significant consequences. Recognizing the need to better understand the problem of VAC in Côte d’Ivoire (CI), the government of CI recently completed a survey on violence against children. The recent data will support an evidence-based national action plan for the prevention of VAC. Research shows that initiatives tackling specific problems will only be as successful as the community’s readiness to take action. This study applied the community readiness model to assess the readiness of the multisectoral task force (MSTF) to implement the national action plan in CI. Eight MSTF participants’ interview …

A Systematic Review Of Rural Veteran Homelessness, Jonathan Fasse

Electronic Theses and Dissertations

This study is a systematic review to examine homeless veterans identified to be most at risk of unsuccessfully completing the VA’s housing program (HUD-VASH), which promotes the use of Housing First (HF) as it’s model for treating homelessness. The literature review identified those who were rural and experiencing comorbid substance use disorders (SUD) and mental health issues to likely be those who were most at risk. There were multiple reasons why this subgroup was most vulnerable including limited access to resources, higher levels of substance use and more serious mental health diagnoses, and chronic health needs. Both the literature review …

Risk Factors Associated With The Arrest For Adolescent To Parent Abuse, Coleen Cicale

Electronic Theses and Dissertations

This study explored risk factors associated with the arrest for adolescent to parent abuse (ATPA) when compared to arrest for a similar violent misdemeanor against a non-parent. The phenomenon of ATPA is widely under-researched and there is little in terms of prevention policy or treatment. Using 18,548 risk assessment screens performed with adolescents (12-17) arrested in Florida for a violent misdemeanor, and guided by previous literature and social ecological and social bond theories, this analysis explored the relationship between risk factors (categorized as individual characteristics, beliefs, behavior, commitment and involvement and attachment) and arrest for ATPA versus arrest for a …

An Exploration Of Dementia Friendly Communities From The Perspective Of Persons Living With Dementia, Catherine Hebert

Electronic Theses and Dissertations

The growing global prevalence of dementia coupled with a shift in public perception from a hopeless disease to the possibility of living well with dementia has led to the formation of dementia friendly communities (DFC). DFCs are a new phenomenon in the United States, with a gap in knowledge on input from people living with dementia (PLWD). This study investigated DFCs from the perspective of PLWD in Western North Carolina, with the following research questions:

1. How are interactions and relationships experienced by persons living with dementia in the community?
2. How is community engagement experienced by PLWD?
3. To what extent and …

What Are Factors Of An Effective Parent And Family Involvement Program Within High School?, Nicole Walsh

Electronic Theses and Dissertations

According to the literature, parents or guardians of high school students will participate within the high school—though their participation is dependent on many factors. Parents with a higher social capital tend to be the most involved, while parents with lower social capital tend to be less involved. In other words, generally parents or guardians with high social capital would be much more likely to be involved in their child’s school, whereas parents with low social capital would not be involved in their child’s school at all (Goodwin, Rothon, Stansfeld, 2012). In this study, the researcher formulated and analyzed the following …

Parental Substance Use And The Need For Family Dependency Treatment Court In Taylor County, Rebekah Rich

Electronic Theses and Dissertations

The impact of parental substance use and the need for Family Dependency Treatment Court in Taylor County are qualitatively explored and described, analyzing interviews of identified key informants. The areas explored are the current practices and process in Taylor County when a substance use issue is identified in a parent during a child welfare case, the impact of parental substance use on the child welfare system, knowledge and opinions regarding treatment options, and knowledge and opinions of Family Dependency Treatment Court. The sample size was 8 professionals who worked as attorney ad litems, Department of Family and Protective Services workers, …

Ageism: Abilene Christian University Students’ Perception Of Aging Adults, Taylor A. Nix

Electronic Theses and Dissertations

The world is aging at a rapid pace. This creates a need for society to focus attention toward issues that are affecting the elderly population. This shift in focus regarding the elderly population also calls for the need of additional geriatric education as well as training while working with this vulnerable population. Research targeting college students’ shows that there is a lack of desire among students for working with the aging adult population. This lack of desire to work with the elderly population is associated with ageism; or, biased perceptions about age. The purpose of this study was to determine …

Redefining Transitional Justice In The North American Context? The Maine Wabanaki-State Child Welfare Truth And Reconciliation Commission, Evan P. Centala

Electronic Theses and Dissertations

This thesis argues that a transformative justice discourse needs to be adopted by the current field of transitional justice in order to account for the many developments in the field. Using the case of the Maine Wabanaki-State Child Welfare Truth and Reconciliation Commission, it presents the innovative approaches and unique context the Commission operates in, following a transformative methodology to affect fundamental social change through the political, economic, and social structures that allowed the violence and harm in question to pass. Distinguishing itself from a transitional context where regime change exists with an objective to establish democracy, this thesis suggests …

Standing In The Intersection : Using Photovoice To Understand The Lived Experience Of Black Gay College Students Attending Predominantly White Postsecondary Institutions., Erica Caton

Electronic Theses and Dissertations

The intersection of multiple oppressed identities is characterized by the compounded effects of victimization, intimidation and continued marginalization by dominant culture groups in society. Despite a growing body of knowledge about the individual experiences of racial and sexual minorities, there remains a lack of understanding of the unique life experiences of individuals with intersecting oppressed identities, specifically Black gay youth. Failure or inability to recognize, understand and take action in response to the needs of Black gay youth in college, perpetuates a culture of oppression that compromises the physical and mental well-being, and the academic success of these students. Engaging …

A Phenomenological Study Of Anticipated Intimacy And Sexual Expression Needs Of Aging Male And Female Baby Boomers., Charles Shawn Oak

Electronic Theses and Dissertations

The purpose of this study was to understand the phenomenon of how heterosexual Baby Boomers define and understand intimacy, sexual expression, along expectations and desires relating to their respective expressions across the lifespan through their individual experiences and reflections. A set of guiding questions were used in a hermeneutic phenomenological qualitative research design. Data was gathered from thirteen subjects (n=13) using the Rappaport Time Line (RTL) that was used to develop individualized semi-structured interviews and follow-up interviews that were professionally transcribed. These were coded to identify emergent themes. Results of the study provided insight into the phenomenon of how heterosexual …

Aging In Place: Perceptions Of Older Adults On Low Income Housing Waitlists, Angela L. Lavery

Electronic Theses and Dissertations

Many American older adults with low incomes wait years for affordable housing or housing assistance. Insight is needed on the concerns of older adults who need to move but cannot. In addition, within the study of aging in place, there is a paucity of research regarding older adults with low incomes. The purpose of this study was to explore the perceptions and experiences of aging in place from the perspective of older adults with low incomes, and to understand the process in making the decision to move to agesegregated housing. The purpose incorporated an examination of potential oppressive factors that …

Organizational Strategies For Addressing Disparities Among Marginalized Older Adults, Jennifer L. Martin

Electronic Theses and Dissertations

As the United States older adult population expands, it is also becoming more diverse in terms of race, ethnicity, and sexual orientation (U.S. Census Bureau, 2010). This increased diversity necessitates that social workers research issues of cultural competency at the organizational level to ensure that community based organizations are able to meet the unique needs of a heterogeneous population of American elders. This qualitative study utilized a modified grounded theory approach to conduct individual interviews and focus groups with over 25 community based organizations serving diverse elders. This study also included analysis of over 100 agency documents, such as mission …

Frequency Of Communication On Facebook As A Factor In Four Dimensions Of Perceived Social Support, Granger E. Petersen

Electronic Theses and Dissertations

This dissertation explored relationships between the frequency of public communication on the social networking website Facebook and the level of social support an individual perceives. Students in the Graduate School of Social Work and the Emergent Digital Practices program were surveyed. Correlation and regression analyses were used to examine the relationship between the variables. Findings from the analysis indicated that the frequency of posting statuses on Facebook and the frequency of responding to other's status updates on Facebook was significantly and negatively associated with a perception of tangible social support. The frequency of these types of communication were not significantly …

An Examination Of Caregiving Dyads: Community Dwelling Chronically Ill Older Adults And Their Caregivers, Jessica E. Haxton

Electronic Theses and Dissertations

Increases in life expectancy among older adults raise important concerns about the availability of resources for an aging population living with chronic and debilitating illnesses. Living longer is complicated by the fact that many elders prefer to reside in their homes until medical or other conditions require an alternative living arrangement. The strong desire to remain at home expressed by older persons in the United States has in turn created an increased demand on informal caregiving. Consequently, adult children often bear the burden of providing care to their aging parents. In view of this demand it is critical that research …