Social Work Commons^™

Characteristics Of Internet Addiction/Pathological Internet Use In U.S. University Students: A Mixed-Methods Investigation, Wen (Vivian) Li Anthony, Jennifer E. O'Brien, Susan Snyder, Matthew O. Howard

SW Publications

Studies have identified high rates and severe consequences of Internet Addiction/Pathological Internet Use (IA/PIU) in university students. However, most research concerning IA/PIU in U.S. university students has been conducted within a quantitative research paradigm, and frequently fails to contextualize the problem of IA/PIU. To address this gap, we conducted an exploratory qualitative study using the focus group approach and examined 27 U.S. university students who self-identified as intensive Internet users, spent more than 25 hours/week on the Internet for non-school or non-work-related activities and who reported Internet-associated health and/or psychosocial problems. Students completed two IA/PIU measures (Young’s Diagnostic Questionnaire and …

Patterns Of Inhalant Use Among Incarcerated Youth, Susan Snyder, Matthew O. Howard

SW Publications

Inhalant use is especially prevalent among antisocial youth and can have serious health consequences. However, the extant literature has not investigated how use of various inhalants may co-occur among incarcerated youth. This study begins to address this gap in the literature by using latent class analyses to form distinct typologies of inhalant use. Study participants were residents (N = 723) of 27 Missouri Division of Youth Services facilities. Interviews assessed psychiatric symptoms, antisocial traits, delinquency, trauma, suicidality, and substance use behaviors. The mean age of the mostly male, ethnically diverse sample was 15.5 (S.D. = 1.2) years old. The study …

Health Characteristics Of Solo Grandparent Caregivers And Single Parents: A Comparative Profile Using The Behavior Risk Factor Surveillance Survey, Deborah M. Whitley, Esme Fuller-Thomson, Sarah Brennenstuhl

SW Publications

Objectives. To describe the health characteristics of solo grandparents raising grandchildren compared with single parents.

Methods. Using the 2012 Behavioral Risk Factor Surveillance System, respondents identified as a single grandparent raising a grandchild were categorized as a solo grandparent; grandparent responses were compared with single parents. Descriptive analysis compared health characteristics of 925 solo grandparents with 7,786 single parents.

Results. Compared to single parents, grandparents have a higher prevalence of physical health problems (e.g., arthritis). Both parent groups have a high prevalence of lifetime depression. A larger share of grandparents actively smoke and did no recreational physical exercise in the …

Helping Homeless Veterans Find Employment And Pay Child Support: A Program Evaluation Of A Pilot Collaboration, Fred Brooks, Robin M. Hartinger-Saunders, Rorie Scurlock

SW Publications

Objective: This research evaluates the effectiveness of a pilot collaboration in Georgia (USA) designed to help homeless veterans, with open child support cases,locate employment, find permanent housing, resolve legal issues, and begin making child support payments. Method: The study employed a single group pretest posttest research design (n= 45). Quantitative and qualitative data were collected from all 45 participants enrolled in the study. Results: Between baseline and posttest,mean monthly child support payments increased 47% ($55 to $81). While child support payments improved, they remained well below the $396 mean monthly amount owed. Sixty-nine percent of the sample remained unemployed at …

Transgender Individuals’ Access To College Housing And Bathrooms: Findings From The National Transgender Discrimination Survey, Kristie L. Seelman

SW Publications

Within higher education settings, transgender people are at risk for discrimination and harassment within housing and bathrooms. Yet, few have examined this topic using quantitative data or compared the experiences of subgroups of transgender individuals to predict denial of access to these spaces. The current study utilizes the National Transgender Discrimination Survey to research this issue. Findings indicate that being transgender and having another marginalized identity matters for students’ access to housing and bathrooms. Trans women are at greater risk than gender-nonconforming people for being denied access to school housing and bathrooms. Implications for practice and research are detailed.

Homeless Lesbian, Gay, Bisexual And Transgender (Lgbt) Youth In New York City: Insights From The Field, Nicholas Forge, Geoffrey L. Ream

SW Publications

$is article reviews existing information about homeless lesbian, gay, bisexual, and transgender (LGBT) youth in New York City. It describes how the frequently heard narrative about them—“kicked out” of familial homes to the streets for being LGBT, heavy involvement with hard drugs and sex work, broad prevalence of HIV and suicidality—misrepresents the majority. It foregrounds issues that really are faced by most homeless LGBT youth, such as trauma, discrimination in foster care and shelters, structural barriers to exiting homelessness, and emerging adult development.

Will The Treatment Protocols For Schizophrenia Be Changing Soon?, Jill Littrell

SW Publications

In recent decades the understanding of the core physiology giving rise to schizophrenia has advanced markedly. Current pharmacological interventions fail to target the core problems in schizophrenia. Several important outcome studies call into question whether current medications actually make long term outcomes worse. These new studies follow the recognized negative side effect of anti-psychotic drugs. The implication of these findings for social workers who work with the seriously mentally ill are discussed. Alternatives to current pharmacological treatments which are more targeted toward the core physiology of schizophrenia are reviewed.

Recommendations Of Transgender Students, Staff, And Faculty In The Usa For Improving College Campuses, Kristie L. Seelman

SW Publications

Research indicates that transgender individuals frequently experience marginalization and interpersonal victimization within college and university settings. Missing from the literature is a discussion of what can be done to address such patterns in higher education, based upon empirical data gathered from transgender and gender non-conforming students, staff, and faculty. The present study aims to fill this gap by reporting on solutions offered by a sample of 30 individuals in one U.S. state while integrating a lens of intersectionality. Five resulting themes include: (a) offer education, campus programming, and support for trans individuals; (b) improve university systems and procedures for recording …

When Older Adult Substance Abuse Affects Others: What Helps And What Doesn’T?, Jan Ligon

SW Publications

No abstract provided.

Do Child Physical Abuse And Adolescent Peer Relationships Influence Typologies Of Illegal And Substance-Use Behaviors During Emerging Adulthood?, Susan Snyder, Casey R. Monroe

SW Publications

This study uses latent class analysis (LCA) to explore patterns of illegal behaviors (e.g., property and violent offenses), and substance use (e.g., alcohol, tobacco, or other drugs) among emerging adults (18 to 27 years). Data include 12,677 respondents from Wave 3 of the National Longitudinal Study of Adolescent Health (Add Health). Our study found that behaviors clustered into the following four classes: (a) the illegal and substance-use behaviors class (5.33%); (b) the fighting and substance-use class (5.24%); (c) the substance use class (28.30%); and (d) the normative class (61.12%). The analysis also incorporates indicator variables from Wave 1 onto the …

Taking The Perspective That A Depressive State Reflects Inflammation: Implications For The Use Of Antidepressants, Jill Littrell

SW Publications

This paper reviews both the evidence that supports the characterization of depression as an inflammatory disorder and the different biochemical mechanisms that have been postulated for the connection between inflammation and depression. This association offers credible explanation for the short term efficacy of antidepressants, which have short term anti-inflammatory effects. Evidence for those anti-inflammatory effects is discussed. Evidence of the contrary long-term effects of antidepressants, which increase rather than decrease inflammation, is also reviewed. It is argued that this increase in inflammation would predict an increase in chronicity among depressed patients that have been treated with antidepressants drugs, which has …

Grandmother Kinship Care Providers: Predictors Of Elevated Psychological Distress, Deborah M. Whitley

SW Publications

Most children in kinship care with grandmothers in the U.S. have been abandoned or maltreated. The challenges these caregivers encounter often include poverty, social isolation, and diminished health. These factors may hinder the grandmother’s ability to provide a supportive family environment. The purpose of the present study was to determine levels of psychological distress in African American caregiving grandmothers and identify predictors of increased distress in African American custodial grandmothers. We hypothesized that diminished grandmother health, family resources and support, as well as increased child behavior problems, will predict psychological distress.

Controversies In Psychiatry And Dsm-5: The Relevance For Social Work (Occasional Essay), Jill Littrell, Jeffrey R. Lacasse

SW Publications

This essay addresses recent controversies surrounding the forthcoming fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5—the first major revision of the DSM since 1994), as well as questions regarding the safety and efficacy of psychotropic medications discussed in the public domain. Mental health professionals across a wide range of professions have signed a petition to the DSM-5 Task Force protesting changes in the new edition, and critiques of psychiatric medications are increasingly disseminated in the media. These issues have particular relevance for children in foster care, who receive diagnoses and medication at high rates. The general …

Is There Evidence For The Bipolar Spectrum And The Safety Of Pharmaceutical Interventions?, Jill Littrell

SW Publications

Social workers constitute a high proportion of mental health professionals and a high percentage of social workers provide mental health care. Thus, psychiatric diagnoses and pharmaceutical interventions are relevant for many social workers. This paper reviews the rise in the diagnoses of Bipolar spectrum disorders for both children and adults. It considers the safety of antipsychotic medications, a mainstay of treatment for children and adults, which, in addition to other well-documented negative side effects, have recently been shown to decrease brain volume by a significant percent. These issues are particularly relevant for children in the foster care system.

Voucher Users And Revitalized Public Housing Residents Six Years After Displacement, Fred Brooks, Terri Lewinson, Jennifer Aszman, Jim Wolk

SW Publications

Six years after displacement by a HOPE VI project this research examines residents who returned to the redeveloped community and residents who decided to keep their vouchers and were living in private sector housing. Respondents were compared on the following variables: application process and decision to move back, satisfaction with housing, material hardships, and perception of economic well-being. The study employed a static group comparison research design. Quantitative and qualitative data were collected from 56 respondents through five focus groups. Residents who moved back to the revitalized public housing were highly satisfied with their housing, had significantly fewer material hardships, …

The Controversy Over Antidepressant Drugs In An Era Of Evidence-Based Practice, Jill Littrell, Jeffrey Lacasse

SW Publications

Questions regarding the efficacy of antidepressant drugs have been a recent focus of attention in the national news both in print and in the television media. Many clients will have questions regarding what they can believe and how they can address mood problems. Social workers constitute a greater percentage of the mental health work force than any other profession. Thus, social workers will probably be asked by clients about these issues. This article presents information on the efficacy of antidepressants for both the short and long term. It covers adverse effects and withdrawal symptoms. Clients' self-determination should be honored. However, …

Can A Diagnosis Be Epidemic, With Therapeutic Efforts The Catastrophe?, Jill Littrell

SW Publications

The diagnosis of Bipolar Spectrum Disorders (BSD) given for office visits has risen 40 fold for children and has risen dramatically for adults as well. Some of the growth may have been fueled by re-categorization of individuals who would previously have received diagnoses of major depression along with the widening of diagnostic criteria for BSD. Concomitant with the rise in BSD diagnoses, the number of adults and children receiving atypical antipsychotics has increased dramatically. Recent evidence finds that atypical antipsychotics cause considerable reduction in brain volume. It is thus imperative to ensure that those with diagnoses comprising BSD—Bipolar I, Bipolar …

Social Service Barriers Experienced By Low-Income Extended-Stay Hotel Residents, Terri Lewinson, Carol S. Collard

SW Publications

This article presents findings from a qualitative study of 14 individuals residing in extended-stay hotels after housing displacement. Framed in ecosystems and structuration theory, the purpose of this study was to understand social service barriers experienced by help-seeking residents. Participants were engaged in in-depth interviews and asked about challenges faced when they reached out for assistance to prepare for stable housing. Reported barriers included negative interactions with social service personnel, cumbersome agency processes, and insufficient/inappropriate resources. Hotel residents identified guidance, compassion, and advocacy as interventions practitioners can use to support client transitions to stable housing.

Exploring “Home” At An Assisted Living Facility: Looking Through Residents’ Lenses With Photovoice, Terri Lewinson, Vanessa Robinson-Dooley, Kathryn W. Grant

SW Publications

An increasing number of older adults are moving into assisted living facilities when living independently becomes difficult. These facilities afford older adults a home-like environment with opportunities for social activity and a minimal level of professional care, although relocation can negatively impact well-being. Because it is important to study home environments of aging adults, 10 residents of an assisted living facility were engaged in Photovoice to explore perceptions of the facility as home. Through photographic expression, residents identified environment enhancements for home at an assisted living facility. Findings of this study have implications for program planning at long-term care facilities.

Children In Foster Care And Excessive Medications, Jill L. Littrell

SW Publications

Children in foster care system are more likely to receive diagnoses of major mental illness and to be medicated with powerful medications such as antipsychotic drugs. Reasons for the increased risk of the actual mental illnesses and for the diagnoses of illness among children in foster care are reviewed. The reliabilities of various diagnoses are considered. The legitimacy of the rationale for early medications to prevent later disability is discussed. The very real hazards of medicating with antipsychotics, anticonvulsants, stimulants, mood stabilizers and antidepressants are reviewed. A discussion of advocacy efforts occurring around the United States on behalf of medicated …

Perceptions Of Family Empowerment In African American Custodial Grandmothers Raising Grandchildren: Thoughts For Research And Practice, Deborah M. Whitley, Susan J. Kelley, Peter E. Campos

SW Publications

Empowerment practice is an approach to help marginalized families reduce their sense of powerlessness. The present study explores empowerment practice with a sample of low-income African American custodial grandmothers. It specifically describes how the effects of a strengths-based community service program influenced caregivers’ sense of empowerment. Using the Family Empowerment Scale, the results suggest that the service intervention supports the empowerment dimensions and three subscales (knowledge, advocacy, and self-efficacy); the results did not support the competency subscale. Although all age groups experienced an increase in empowerment, older grandmothers had significant differences in perceptions regarding social systems, as well as a …

Community Organizing In Egypt During And After The Revolution, Fred Brooks, Tatianna Jaunzems

SW Publications

The Egyptian revolution that took place over 18 days in January and February of 2011 attracted international attention and coverage for several reasons. Not only was the world excited and inspired by the massive crowds in Tahrir Square, standing up, uncompromisingly, for their beliefs, but it instilled in people the sense that justice and change are truly possible. The Organizers' Forum provided a unique opportunity for North American organizers to hear from their brothers and sisters in Egypt, not only exhilarating stories about the strategies and tactics they used to oust Mubarak, but also the sobering challenges facing organizers today …

Why You Should Care About The Threatened Middle Class, Jill Littrell, Fred Brooks, Jan Ivery, Mary Ohmer

SW Publications

In the last two decades, the income and security of the individual middle class worker has declined and the gap between the middle class and the wealthy has widened. We explain how this is bad for democracy, the economy, and the aggregate health of the nation. We examine the governmental policies and interventions that increased the middle class following the depression and maintained its vigor through the post-World War II period. The impetus for these changes in governmental policies in the 1930s was to end the Great Depression. We pose the question of whether a nation can recover from a …

Perspectives Emerging From Neuroscience On Why People Become Addicted And What To Do About It, Jill Littrell

SW Publications

This paper reviews the new ideas emerging from neuroscience regarding the question of why some people are compelled to use drugs. During the process of drug exposure, the brain’s motivational system is changed in ways that co-opts the individual’s motivational system. Changes in the brain’s motivational structures along with changes in the brain’s self-regulatory structures compel an individual to drug use. Ways to reverse those changes in an addicted brain have been identified, as have ways to enhance self-regulatory control. The information from neuroscience offers a new perspective on “loss of control” as well as offering implications for treatment.

In Defense Of The Community Reinvestment Act, Jill Littrell, Fred Brooks

SW Publications

In the wake of the 2008 global financial crisis, the Community Reinvestment Act (CRA) of 1977 has probably received more media attention in the past two years than it garnered cumulatively over the previous 30 years. Numerous conservative pundits and commentators have blamed the CRA for the subprime crisis and the subsequent world-wide financial meltdown. Most social workers are probably unaware that the CRA is probably responsible for more investment, loans, and wealth creation in low and moderate income neighborhoods than any other single piece of federal legislation over the past 40 years. This paper highlights the following features about …

Liminal Living At An Extended Stay Hotel: Feeling "Stuck" In A Housing Solution, Terri Lewinson, June Gary Hopps, Patricia Reeves

SW Publications

As a result of unaffordable housing, many of America's working poor are forced to seek shelter in hotels to avoid homelessness. The concept of liminality has been used in discussions of place to describe the subjective experience of feeling in-between two states of being. Research is scant on the liminal experiences of low-income hotel residents, who are culturally invisible in society. This paper draws from data qualitatively collected via semi-structured interviews from ten low-income residents living in an extended-stay hotel. Descriptions of these residential experiences are presented along with recommendations for social workers practicing with families in this liminal situation.

Expression Of Emotion: When It Causes Trauma And When It Helps, Jill Littrell

SW Publications

The idea that clients should be encouraged to express strong emotion regarding the traumas they have suffered is widely assumed. This paper asks whether the empirical literature supports the underlying assumption that emotional expression leads to positive outcomes (better health and dissipation of distress). Studies in which individuals who have been given an opportunity to express emotions about past traumas are compared with subjects placed in appropriate control conditions are reviewed. The empirical literature suggests that eliciting emotion is harmful when it is not associated with reappraisal of past trauma, but helpful when the reappraisal occurs. The following guideline emerges: …

Inequality And Its Discontents, Jill Littrell, Fred Brooks, Jan Ivery, Mary Ohmer

SW Publications

In the last two decades, the income and security of the individual middle class worker has declined and the gap between the rich and the poor has widened. We will examine those policies that strengthened the middle class after World War II, which included strengthening the bargaining power of labor. We will proffer suggestions for reviving the middle class now with particular focus on empowering labor. We will offer suggestions for the role of the practitioner in this endeavor.

The Mind-Body Connection: Not Just A Theory Anymore, Jill Littrell

SW Publications

The field of psychoneuroimmunology has witnessed an explosion of empirical findings during the last two decades. Research has documented the mechanisms through which stressful emotions alter white blood cell function. Stress diminishes white blood cell response to viral infected cells and to cancer cells. Moreover, vaccination is less effective in those who are stressed and wounds heal less readily in those who are stressed. While stress decreases the activity of some white blood cells, stress does not compromise the function of all types of white blood cells. Indeed, some types of autoimmune disease, which involve particular subsets of white blood …

The Status Of Freud’S Legacy On Emotional Processing: Contemporary Revisions, Jill Littrell

SW Publications

This paper evaluates, in light of current empirical data, several of the assumptions contributed to our field by Freud about how emotions operate. The idea that expression of emotions dissipates these emotions is evaluated. The idea that bottling up emotion results is ill health is reviewed. The idea that pain of trauma and loss needs to be confronted will be examined. Additionally, the assumption that traumatic events invariably result in distress will be discussed. It is argued that empirical findings reject the Freudian model of emotion as energy that must be discharged. Empirical findings also support the view that revisiting …