Social Work Commons^™

Cultural And Structural Barriers Of Utilizing Mental Health Services In A School-Based Setting For Latinx Populations, Silvia Lozano, Bridgette Guadalupe Calderon

Electronic Theses, Projects, and Dissertations

This qualitative research study aimed to reduce mental health service disparities in Latinx communities and helps fill in the gap by addressing cultural and structural barriers to utilizing MHS in a school-based setting for Latinx youth. There is limited research regarding Latinx parents’ perspectives and the reservations they have on utilizing school-based mental health services (MHS) for their children. This study identified six important themes: cultural factors, trust and rapport, reservations, access and awareness, parental involvement and challenges, and school-based resources. Implications for school districts are that they can use these findings to increase early intervention mental behavioral health programs …

Professionals' Application Of Intersectionality With Marginalized Youth: Considerations For Teen Dating Violence Prevention Programming And Beyond, Bradley Kyle Daly

Electronic Thesis and Dissertation Repository

Marginalized youth disproportionality experience adverse outcomes such as increased rates of mental health issues and teen dating violence. Addressing their compounding concerns requires an approach that considers their interlocking marginalized identities and the oppressive systems impacting them. Intersectionality incorporates both elements, yet the literature on how frontline practitioners understand and apply this complex theory within their practice remains sparse. This integrated-article dissertation explored how professionals working with marginalized youth within various settings, including teen dating violence prevention contexts, understood and applied intersectionality. The first paper (chapter two) used group concept mapping to explore how 12 professionals applied intersectionality. Results yielded …

You Call Us Treatment Resistant: The Effects Of Biases On Women With Borderline Personality Disorder, Cassidy Acosta

Electronic Theses, Projects, and Dissertations

This study explored how negative attitudes toward and discriminatory practices against women with Borderline Personality Disorder (BPD) affect them and impact their treatment. The study adopted a constructivist paradigm, and data was collected via virtual interviews with research partners (i.e., women with BPD) who use online mental health forums. A final construction was established after the data was interpreted. Ultimately, it was determined that women with BPD face stigma and are described as treatment resistant; however, by providing a supportive treatment environment, women with this diagnosis see positive outcomes. The results of the study are intended to support women with …

Mental Health Impacts Of Covid-19 And Clinical Services In Elementary Schools, Dr.Hannah Cobb

Walden Dissertations and Doctoral Studies

AbstractThe COVID-19 pandemic has negative effects on children, adolescents, and adults. Despite these effects, information about the nature of mental health concerns and services provided to address these concerns by elementary school counselors is unknown. The purpose of this generic qualitative study was to examine mental health concerns elementary school counselors observed among kindergarten through fourth grade students in urban Oklahoma during the COVID-19 pandemic, how they described clinical services provided to address these concerns, and how they decided to provide these services. The study was grounded in Bronfenbrenner’s ecological systems theory and Erikson’s theory of psychosocial development to explore …

Interprofessional Practice And Handling The First Break: A Case Study, Jalen D. Clemmons

Social Work Masters Capstone Projects

Handling the first psychotic break can be a delicate process. In order to do so effectively, it is important to utilize the perspectives and disciplines offered within an inter-professional team. This paper is a case study revolving around the work done by an inter-professional treatment team at Eastern State Hospital.

A Life Lived With Schizophrenia: When Mother’S Love Is Kept In The Dark Exploring Maternal Communication And Attachment Organization In Families With Schizophrenia, Myrsini Stefanidou Marini

Electronic Theses and Dissertations

In recent years, research into the transgenerational transmission of attachment styles has shown that a mother’sattachment style often predicts the attachment style of her infant. Fearsome parental behavior has been found to predict disorganized attachment in infants, which is further associated with a range of mental health disturbances in adolescence. Furthermore, regular patterns of disturbed communication between mother and child have also been found to lead to ‘schizophrenic’ thinking and behavior in the child’s life. While acknowledging that genetic and other biological factors contribute to the emergence of schizophrenia, this study focused on disorganized attachment and disturbed communication between mother …

Trauma Healing With The Neurosequential Model Of Therapy And Bal-A-Vis-X, Becky Johnston

Educational Specialist, 2020-current

Stigma related to childhood trauma is shifting with the help of advancements in the understanding of neurobiology and interventions that are proving to be effective for healing. There are immense costs and consequences for survivors of childhood trauma and their loved ones that were not so long ago considered irrelevant and the notion that kids bounce back from adversity was previously popular in the psychological community (Perry & Szalavitz, 2017). The broad strokes of Dr. Bruce Perry’s clinical intervention model, The Neurosequential Model of Therapy (NMT) describes a trauma-sensitive, sequential approach to changing the stress response within mental health counseling. …

Social Work Students' Understanding Of Childhood Psycho-Emotional Maltreatment By Caregivers, Todd M. Rubin

Electronic Theses, Projects, and Dissertations

Child psychological, emotional maltreatment (CPEM) presents to the social work profession as one of the most challenging to detect, prevent and intervene. The consequences of CPEM have been equally devastating to a child’s development compared to all other forms of childhood maltreatment. The purpose of this study is to assess graduate social work students’ knowledge of CPEM as a determinant of their clinical preparedness to work with families in practice. The rationale for this study is to explore how the lack of focus on CPEM in university education, field experience, and field supervision impacts a social worker’s ability to prioritize …

Inter-Agency Collaborations Among Mental Health And Law Enforcement Professionals In San Bernardino County During Covid-19: A Qualitative Study, Sonya Mcisaac

Electronic Theses, Projects, and Dissertations

As first responders, law enforcement officers and mental health professionals are constantly sought after regarding the delivery of critical services to people in need. However, the COVID-19 pandemic brought almost everything to a halt. It is therefore important to understand how social services were delivered during the crisis. It has been assumed in the literature that interprofessional collaboration is an important service delivery framework. However, because COVID-19 is a relatively recent public health phenomenon, relevant studies on interprofessional collaboration between law enforcement officers and mental health professionals are scant, if not non-existent. This qualitative study addresses this gap by exploring …

What Is Race-Based Trauma And Why Does It Matter?, Julie Luong

MSW Capstones

Systemic racism continues to be prevalent in our society today, especially with the exponential rate of Asian Americans experiencing racial discrimination and microaggressions during the COVID-19 pandemic. Since post COVID-19, members of the Asians and Asian Americans and Pacific Islanders (AAPI) community are more susceptible to experience violence, such as serious physical injuries or death. Misinformation from political leaders are a contributing factor for the anti-Asian hate crimes and violence post COVID-19. This problem is extensive where members of the AAPI community are now concerned for their own overall safety and physical well-being. A workshop will incorporate an overview of …

Identifying Risk Factors For Ptsd Symptom Clusters In Maltreated, Multiracial Youth Using Nonparametric Modeling, Mallory Constantine

UNLV Theses, Dissertations, Professional Papers, and Capstones

Multiracial youth are one of the most at-risk racial groups for child maltreatment. Multiracial individuals are also more likely to report mental health concerns than other racial or ethnic groups. This study aimed to identify demographic and psychological risk factors that are unique to multiracial, maltreated youth with respect to PTSD symptoms (i.e., re-experiencing, hyperarousal, avoidance) through classification and regression tree (CART) analyses. Participants included 99 multiracial, maltreated youth directly following their placement in an emergency group shelter due to substantiated maltreatment. The first hypothesis was that female gender, English first language, questions related to guilt and self-blame, and depressive …

Treatment Access For Dual Diagnosis Substance Use And Mental Health Disorders, Pedro Banuelos

Electronic Theses, Projects, and Dissertations

In 2018, of 1.3 million Latinx adults in the United States facing concurrent issues with substance use disorders (SUD) and mental health disorders (MHD) 93% remained untreated for either diagnosis. This is concerning since Substance Abuse and Mental Health Services Administration (SAMHSA) data reveals that this population is at greater risk for suicidal thoughts, plans, and attempts. They also face structural barriers such as employment, housing, legal involvement, and insurability that further impede access to treatment.

This study’s purpose was to examine barriers to accessing treatment for Latinx populations confronting co-occurring SUDs and MHDs. This study used a qualitative design …

Electronic Device Use: How It Affects The Well-Being Of Children And Adolescents, Sabrina Rodriguez, Amandalee Merryman

Electronic Theses, Projects, and Dissertations

Electronic device use among children and adolescents is omnipresent. Literature suggests an inverse correlation between electronic device use and the overall well-being of children and adolescents. The current study employed an explanatory research design to explore the association between excessive device use and the well-being of children and adolescents. Researchers collected and analyzed quantitative data in the form of archival data from a local school district’s mental health department. A total of 50 participants, ranging from ages 5 to 17, were randomly selected from the 2018-2019 archived case files. The results of the study suggest that electronic device use has …

Moth To A Flame: An Investigation Of The Personality Traits And Early-Life Trauma Histories Of Women Who Have Survived Adult Relationships With Men With Pathological Narcissism, Michelle D. Roberts

Dissertations

Although emotional and psychological abuse, in addition to physical assault, are now commonly accepted as aspects of Intimate Partner Violence (IPV), narcissistic abuse as a subset of IPV is not widely recognized or understood. Due to the extremely debilitating, chronic mental health effects of narcissistic abuse (Bremner, 2008; Campbell, 2002; Yoon et al., 2009), this study sought to explore the experiences, personalities, early-life (childhood) trauma histories and mental health outcomes of heterosexual women who self-identify as having been in an adult romantic relationship with a man with pathological narcissism. Specifically, this study aimed to identify the nature and frequency of …

The Experiences Of Iraqi Refugees In Canada: A Life History Study Of War And Resilience In The Aftermath Of Migration, Nada Nessan

Electronic Thesis and Dissertation Repository

This thesis reports on a life history narrative on the experiences of Iraqi refugees who resettled in Canada after living through war. The aim of this study is to help change the narrow perspectives on the mental health of war affected populations to a broader perception shaped by cultural and social aspects and to inform the development of meaningful and cultural relevant programs and policies with a particular attention to the concept of resilience.

The first part of the study presents the chronological narratives, or profiles. of eight participants. The second part of the study is a thematic discussion of …

How Psychotherapists Practice In The Digital Era, Josh Weinstein

Dissertations, Theses, and Capstone Projects

The digital era, marked by digital devices connected via high speed data networks, has altered human experience in profound ways over the past 40 years. The potential for novel forms of human relating and fulfillment of desire has led to myriad changes in behavior, thought and unconscious activity. While many adapt or thrive in expanded reality, for some, the digital can be context, source and/or location for psychological affliction. When those who suffer seek psychological relief, how psychotherapists listen for, conceptualize and work with the effects of the digital matter a great deal. While theoretical and quantitative research literature exists …

Harming The Help-Seeking: Necessity For Assessing Harmful And Biased Attitudes Toward Clients With Substance Use Disorder, Crystal D. Mcdowell, Crystal Dawn Mcdowell

Psychology Doctoral Specialization Projects

Numerous times, as a new clinician, I have witnessed the substance use disorder population referred to as not being dependable, dangerous, burnt out, and even hopeless. Often times I have heard mental health professionals make statements amongst themselves that the client could not be helped, referred to them as a “frequent flyer,” (meant to convey they frequently present for treatment, relapse, and return for treatment), and complain how tax dollars are being wasted to support the client. I felt empathy and a sense of hopelessness for these clients as they were seeking treatment in order to get help and yet …

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 …

Critically And Creatively Engaging With Trauma-Informed Mental Health Research And Treatment Of Lgbtqia+ Communities As Expressive Arts Therapists: A Literature Review, Kelli Lavallee

Expressive Therapies Capstone Theses

Expressive Arts Therapists are uniquely situated as both artists and mental health counselors working in psychological pedagogy rooted in systems of oppression. Given the arts-based approaches to the therapeutic relationship, it can be unethical to offer these approaches without acknowledgement of the ways in which the arts intersect with social justice, and justice is only viable if practitioners critically review the clinical mental health education they are consuming from the institutions they learn in, specifically trauma-informed mental health research assimilation and treatment approaches for Expressive Arts Therapists in training, practice, and education. A review of the literature in this paper …

Twinks, Jocks, And Bears, Oh My! Differing Body Ideals Among Gay Male Subcommunities, Samuel Fogarty

Honors Theses

Recent studies have focused on disordered eating psychopathology among gay men, particularly when oriented towards thinness or muscularity. Gay men are at increased risk of eating disorder symptoms when compared to heterosexual men and exhibit similar rates to women (Feldmen & Meyer, 2007; Frederick & Essayli, 2016; Siconolfi, Halkitis, Allomong, & Burton, 2009). However, the results remain muddled surrounding the topic of thinness- or muscularity-oriented eating psychopathology; the current study provides a potential response in subcultural gay appearance ideals. The present study examined the relationship between three gay subcultural appearance identities (twinks, jocks, and bears) and disordered eating attitudes and …

The Impact Of Social Media On Mental Health: A Mixed-Methods Research Of Service Providers’ Awareness, Sarah Nichole Koehler, Bobbie Rose Parrell

Electronic Theses, Projects, and Dissertations

The relationship between heavy use of social media and an increase in mental health disorders has long been established. However, there is a gap in the literature regarding mental health practitioners/providers’ responses to this issue. This mixed-methods research embraced two theoretical perspectives—Ecological Model and Generalist Intervention Model—toward determining the extent to which mental health practitioners/providers assess for the impact of heightened use of social media on mental health. Qualitative and quantitative data were collected from 95 mental health practitioners (N = 95) via Qualtrics.

Non-parametric tests and descriptive statistics showed that prior training, agency’s values, and credentials impact mental health …

Body Image Role On Non-Suicidal Self-Injury, Maria Ceja, Stephani Aguiar-Vasquez

Electronic Theses, Projects, and Dissertations

This study explores the association between adolescents body image concerns and self-injurious behaviors among students enrolled in kindergarten through 12th grade. The study is exploratory in nature and uses a quantitative design. The study collected archival data from counseling services provided through alocal school district’s counseling program. More specifically, the archival data was retrieved from initial assessments gathered from students participating in the local school district’s counseling program. Additionally, this research is a call for action that seeks to examine and support the further development of programs geared towards students. This study seeks to expand on the research that guides …

Navigating "Technoference" In The Family System, Kathlynn Sergent

Educational Specialist, 2020-current

This integrative literature review explores the increase of technology use in families, with a focus on how technology is disrupting in-person social interactions within the family system. Many studies have been conducted on how technology impacts a couple’s romantic relationship, and only a few have examined the relationship between the parent and child. This review is one of the first to examine how technology may affect the entire family unit from before children to raising adolescents. Each section of the family unit is examined, beginning with before children, followed by the early bonding and attachment associated with infant/childhood, and then …

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 …

The Role Of Occupational Therapy For Homeless Women And Women At-Risk Of Homelessness, Kelcey Storkersen

Student Capstone Papers

This paper seeks to identify the occupational barriers and needs of homeless women and women at risk of homelessness. A qualitative research study was performed to learn more about the lived experience of two women at-risk of homelessness. Themes uncovered in this study are described in order to provide more understanding and advocacy for this population. A program proposal was delivered for future fieldwork students to provide occupational therapy students at this resource center.

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 …

Does Ethnic Identity, In-Group Preference, And Acculturation Protect Latinas With A History Of Interpersonal Trauma From Developing Symptoms Of Ptsd?, Evelyn M. Ramirez

Dissertations, Theses, and Capstone Projects

Previous research suggests ethnic identity, a sense of belonging to a particular cultural group, may be protective against symptoms of post-traumatic stress disorder (PTSD). However, the role of ethnic identity, in-group preference (i.e., an individual’s preference for interactions with members of their own ethnic group) and acculturation (i.e., the level of comfort with the mainstream culture) have not been investigated as protective factors for Latinas with a history of interpersonal and sexual trauma. In this study, ethnic identity, in-group preference and acculturation were assessed via self-report on the Scale of Ethnic Experience in two samples of undergraduate Latina and non-Latina …

Religion And Spirituality In Clinical Practice: An Exploration Of Reluctance Among Practitioners., David Drew, Jessica Banks

Electronic Theses, Projects, and Dissertations

Across the United States, an overwhelming majority of the population claim that religion and spirituality beliefs shape their worldview and assist in coping with life stressors. Yet, the literature has shown that mental health practitioners reported discomfort integrating religion and spiritually in clinical practice. The purpose of this study was to explore whether license-holding mental health professionals in Southern California develop reluctance toward addressing religion/spirituality with their clients. Through snowball sampling, 52 clinicians composed of social workers, counselors, marriage and family therapists, nurses, psychologists, and psychiatrists were recruited across Southern California (N =52). The participants were measured descriptively based on …

Child Welfare: Trauma Informed Practice At Time Of Child Removal, Ester Garcia

Electronic Theses, Projects, and Dissertations

As of 2018, approximately 442,995 children are in the foster care system in the United States according to the federal statistics from the Children’s Bureau. Entry into the foster system involves the removal of children from their home, making it a traumatic experience. The purpose of this study was to examine social workers’ perceptions of what trauma informed practice means and what it looks like in child welfare removals. The study also clarifies what trauma informed practice (TIP) is and how it can be applied in child welfare’s organizational structure. This was a qualitative study in which child welfare social …

A Trauma-Informed Art Therapy Approach For Boys With Sexualized Problematic Behaviors: A Group Method, Rebecca Cyr

Expressive Therapies Capstone Theses

Treatment of sexualized problematic behaviors (SPB) in children and adolescents is a clinically significant issue that has little research to support the fundamental need for treatment. Sexualized problematic behaviors (SPB) can be an indication of a child’s own complex trauma and sexual abuse history. Using a relational, trauma-informed, and developmental approach to treatment in combination with art therapy, children demonstrating SPB can learn how to better express themselves, respect themselves and others, and heal a fragmented sense of self. Developmentally, these children and adolescents are in the stage where identity formation is the main task. Therefore, this series of art …