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Full-Text Articles in Social Work

Provider-Identified Implementation Barriers To Providing Cognitive Processing Therapy In Va: A Review Of The Literature And Changes Over Time, Stephanie M. Renno May 2019

Provider-Identified Implementation Barriers To Providing Cognitive Processing Therapy In Va: A Review Of The Literature And Changes Over Time, Stephanie M. Renno

Doctorate in Social Work (DSW) Dissertations

Incidents of Posttraumatic Stress Disorder (PTSD) are high, especially in veterans exposed to combat. Strongly supported, efficacious treatment options exist, including Cognitive Processing Therapy (CPT) to treat the disorder and improve outcomes for patients. CPT has been trained widely in the Department of Veterans Affairs (VA). Despite national dissemination and training, utilization rates have been low. Using data from the 2008, 2011, 2014, and 2016 VA Cognitive Processing Therapy Practice Survey, the present study examined the trajectory of provider reported barriers to implementation of CPT across the four survey distributions. The sample was analyzed using frequencies within and across survey ...


A Two-Paper Conceptualization Of Safety After Sexual Assault: The Case Of Edith, Sarah O. Trotta May 2018

A Two-Paper Conceptualization Of Safety After Sexual Assault: The Case Of Edith, Sarah O. Trotta

Doctorate in Social Work (DSW) Dissertations

Establishing safety after a sexual assault is a central task of clinical social work with survivors of sexual violence. These two papers seek to build the argument that the concept of safety for survivors of sexual assault is profoundly nuanced and dependent upon a person’s unique history, personality, and life circumstances, and that the establishment of safety for a survivor of sexual assault requires precise clinical attention to each individual. This theoretical-conceptual dissertation first explores the trauma treatment literature and the ways that safety is understood and prioritized, followed by a discussion of additional theoretical frameworks that can strengthen ...


A Two-Article Examination Of The Integration Of Trauma-Informed Care With Adult Medical Care, Sharon Czabafy Dec 2017

A Two-Article Examination Of The Integration Of Trauma-Informed Care With Adult Medical Care, Sharon Czabafy

Doctorate in Social Work (DSW) Dissertations

ABSTRACT

A Two-Article Examination oF the Integration of Trauma-informed Care with Adult Medical Care

Author: Sharon Czabafy

Dissertation Chair: Ram Cnaan, PhD

The intersection of attachment theory and trauma theory provides information on how a person understands and communicates health symptoms and explains interactions in a relationship such as with a medical care provider. Extensive research exists regarding health effects and health behaviors related to the experience of trauma and attachment styles for adults, people 21-years-old and older and demonstrates the intersection of trauma, attachment styles, and health outcomes for adults. Additionally, numerous studies portray the spiraling costs of healthcare ...


A Comparative Effectiveness Study Of The Trauma Recovery Empowerment Model (Trem) And An Attachment-Informed Variation Of Trem, Melanie Masin-Moyer May 2017

A Comparative Effectiveness Study Of The Trauma Recovery Empowerment Model (Trem) And An Attachment-Informed Variation Of Trem, Melanie Masin-Moyer

Doctorate in Social Work (DSW) Dissertations

Abstract

A Comparative Effectiveness Study of the Trauma Recovery Empowerment Model (TREM) and an Attachment-Informed Variation of TREM (ATREM)

Melanie Masin-Moyer, University of Pennsylvania

Dr. Phyllis Solomon, Dissertation Chair, University of Pennsylvania

Dr. Malitta Engstrom, Dissertation Committee Member, University of Pennsylvania

Objective: An evidenced-based women’s trauma group was modified to create a new protocol, Attachment-Informed Trauma Recovery Empowerment Model (ATREM), which included attachment-based concepts and strategies to determine if well-being could be enhanced beyond the Trauma Recovery Empowerment Model (TREM). A quasi-experimental design was used to test the hypothesis that ATREM would be associated with greater improvement in attachment ...


Exploring The Dynamics Of High-Challenge Encounters In Residential Substance Abuse Treatment Settings, Annapoorna Ayyagari May 2014

Exploring The Dynamics Of High-Challenge Encounters In Residential Substance Abuse Treatment Settings, Annapoorna Ayyagari

Doctorate in Social Work (DSW) Dissertations

In 2012, 4 million people aged 12 or older received help for alcohol and illicit drug use in the United States with approximately 2.5 million treated as inpatients (SAMHSA, 2012). Studies show the majority of women, men, and adolescents obtaining substance abuse residential treatment have been traumatized before entering treatment. Traumatic events span past sexual abuse, physical abuse and victimization from violence; trauma also include experiences from disasters and war. Yet, trauma-informed treatment is not mandated for substance abuse treatment facilities, and the manner in which clients are handled upon entering substance abuse residential treatment facilities is largely unknown ...


Educational Entertainment As An Intervention With Adolescents Exposed To Community Violence, Valerie Dorsey Allen May 2010

Educational Entertainment As An Intervention With Adolescents Exposed To Community Violence, Valerie Dorsey Allen

Doctorate in Social Work (DSW) Dissertations

Background: Violence is often part of life in impoverished Black communities. Youth with higher violence avoidance self-efficacy and positive coping strategies are better able to avoid violence than those without these skills. Using edutainment, e.g. dramatic presentation followed by group discussion, is one intervention that has shown success in increasing self-efficacy and coping strategies. Methods: This quasi-experimental research, examined the impact of live dramatic presentation about violence followed by group discussion, as an intervention with Black adolescents exposed to community violence as compared to group discussion only and no intervention. Self-administered scales were used to measure the concepts: stress ...