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Clinical and Medical Social Work Commons

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435 full-text articles. Page 1 of 18.

Addressing Health Disparities Among Homeless In Alachua County Through Community-Based Participatory Research., Meron Hirpa, Omar Iqbal, Haider Ali, Sama I. Ilyas, Nabeel Iqbal, Jeena A. Kar, Tiffany Splatt, Brendan Shortley, Nancy Hardt 2016 University of Florida

Addressing Health Disparities Among Homeless In Alachua County Through Community-Based Participatory Research., Meron Hirpa, Omar Iqbal, Haider Ali, Sama I. Ilyas, Nabeel Iqbal, Jeena A. Kar, Tiffany Splatt, Brendan Shortley, Nancy Hardt

Journal of Health Disparities Research and Practice

Introduction. In states such as Florida that did not expand Medicaid, a large number of economically disadvantaged individuals do not qualify for subsidies to buy health insurance through the Affordable Care Act (ACA) 2. This leaves the health needs of Florida’s homeless population largely unaddressed. Nearly 48.1% of Alachua County’s homeless population has disabling conditions 16. This confirms a pressing need to understand the homeless population's healthcare needs, knowledge, and barriers in accessing healthcare. Methods. We used a Community-Based Participatory Research model in conducting health fairs and needs assessment surveys, incentivizing participation, and providing education about ...


Violence Against Pregnant Women With Disabilities, ari K. mwachofi 2016 Brody School of Medicin, ECU

Violence Against Pregnant Women With Disabilities, Ari K. Mwachofi

Journal of Health Disparities Research and Practice

Background

Each year, violence is perpetrated against 1.5 million US women, of whom 324,000 are pregnant. Violence in pregnancy has adverse effects on maternal and infant health. Although there are 4.7 million childbearing age women with disabilities, and their pregnancy rates are growing, there is very little information about violence against pregnant women with disabilities.

Objectives

The study questions are: Are there differences in pre- and in-pregnancy violence experiences of women with and without disabilities? Is disability a significant predictor of pre- and in-pregnancy violence against women?

Methods

The study uses data from the 2009 Pregnancy Risk ...


The Social Problem Of Depression: A Multi-Theoretical Analysis, Rich Furman, Kimberly Bender 2016 Colorado State University

The Social Problem Of Depression: A Multi-Theoretical Analysis, Rich Furman, Kimberly Bender

Rich Furman

The purpose of this paper is to discuss the social problem of depression from a multi-theoretical perspective. It explores depression through the lens of two psychologically based theories of human behavior, existential theory and cognitive theory, as well as through the vehicle of two sociological theories, Marxist theory and the theory of oppression. By understanding how each of these theories explains depression, social workers may be helped to see the complexity of treating the problem. It is the belief of the authors that social work literature, which is often dominated by reductionist, quantitativelybased research studies, has increasingly ignored theoretical explorations ...


Nebraska Sex Trafficking Survivors Speak – A Qualitative Research Study, Shireen S. Rajaram, Sriyani Tidball 2016 University of Nebraska Medical Center

Nebraska Sex Trafficking Survivors Speak – A Qualitative Research Study, Shireen S. Rajaram, Sriyani Tidball

Faculty Publications, College of Journalism & Mass Communications

This exploratory, qualitative research study was conducted by researchers Dr. Shireen S. Rajaram in the College of Public Health at University of Nebraska Medical Center (UNMC) and Ms. Sriyani Tidball in the College of Journalism and Mass Communication at the University of Nebraska at Lincoln (UNL), and was funded by the Women’s Fund of Omaha. The purpose of this study was to document the perspectives of adult women survivors of sex trafficking about the “3Ps” paradigm: to identify strategies to prevent sex trafficking, provide protection and support for survivors and prosecution of the perpetrators to reduce the demand for ...


"I'M Glad You Asked": Homeless Clients With Severe Mental Illness Evaluate Their Residential Care, Katherine McCrea, Lesa Spravka 2016 Loyola University, Chicago

"I'M Glad You Asked": Homeless Clients With Severe Mental Illness Evaluate Their Residential Care, Katherine Mccrea, Lesa Spravka

Katherine Tyson McCrea

Homeless clients with severe mental illness can offer considerable insight about their residential care, but there are significant methodological challenges in eliciting their service evaluations: maximizing participation, facilitating self-expression, and preserving clients' natural meanings. This study addresses those challenges and presents qualitative data residential care staff obtained from 210 clients. While clients prioritized meeting their subsistence needs, they emphasized attaining inner well-being and mutually respectful relationships, and that group services needed to reduce confrontational interactions in order to be helpful. For after-care services, clients sought sustained relationships with staff grounded in client initiative, combining respect for their autonomy with psychosocial ...


A Phenomenological Study Of Anticipated Intimacy And Sexual Expression Needs Of Aging Male And Female Baby Boomers., Charles Shawn Oak 2015 University of Louisville

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 ...


Traditional Grain Alcohol (Bai Jiu, 白酒) Production And Use In Rural Central China: Implications For Public Health, Ling Qian, Ian M. Newman, Wen Xiong, Yanyu Feng 2015 Chinese Center for Health Education

Traditional Grain Alcohol (Bai Jiu, 白酒) Production And Use In Rural Central China: Implications For Public Health, Ling Qian, Ian M. Newman, Wen Xiong, Yanyu Feng

Educational Psychology Papers and Publications

Background: An estimated 25 % of the alcohol consumed in China is traditional unrecorded alcohol produced and distributed informally. Consequently there is concern about its safety and its contribution to public health risk. Little has been written about this type of alcohol in China.

Methods: Researchers observed the manufacture of traditional bai jiu in a rural area of Hubei Province, Central China. Two hundred fifty-nine individuals were interviewed, either individually or in small groups, about their use of and attitudes toward bai jiu. Individuals who made or sold bai jiu were interviewed about local production, distribution, and sale. Key community leaders ...


Incarnating Heaven: Making The Hospice Philosophy Mean Business, Mark Mesler, Pamela Miller 2015 Massachusetts College of Pharmacy

Incarnating Heaven: Making The Hospice Philosophy Mean Business, Mark Mesler, Pamela Miller

Pamela J. Miller

Hospice providers in the U.S. are on the horns of a dilemma. Survival of individual programs may require accreditation for third party reimbursement, but this stronger alignment with the business world of medicine may jeopardize their unique philosophy of care for dying persons. Hospice's current business/philosophy dilemma was expressed succinctly by a study participant as attempting to incarnate heaven. Data gathered through an ongoing participant observation study reveals the effects of current third party reimbursement on hospice practice. Further, these effects have implications for current U.S. health care reform efforts which are discussed in conclusion.


Patterns Of Residential Mobility Of People With Schizophrenia: Multi-Level Tests Of Downward Geographic Drift, Christopher G. Hudson 2015 Salem State University

Patterns Of Residential Mobility Of People With Schizophrenia: Multi-Level Tests Of Downward Geographic Drift, Christopher G. Hudson

The Journal of Sociology & Social Welfare

This study tests the geographic drift hypothesis that the negative SES-MI correlation results from individuals first developing conditions such as schizophrenia and then moving frequently because of their disability to low income and urban areas, and to neighborhoods with high concentrations of SMI persons. This is a secondary analysis of hospital records of 1,667,956 individuals in Massachusetts, USA, between 1994 and 2000. It employs a longitudinal cohort design and techniques of multi-level modeling. Downward geographic drift of those with schizophrenia was found to be small, but greater than other groups examined. The small level of drift was best ...


Competency And Voters With Psychiatric Disabilities: Considerations For Social Workers, Jennifer K. Davis 2015 Indiana University Northwest

Competency And Voters With Psychiatric Disabilities: Considerations For Social Workers, Jennifer K. Davis

The Journal of Sociology & Social Welfare

The ability of those with psychiatric disabilities to vote is an important activity impacted by competency issues and potentially overlooked by social workers. The purpose of this article is to assist social workers in making informed decisions about preserving and supporting voter participation among those with psychiatric disabilities. Common issues regarding the voting rights of individuals with psychiatric disabilities within the legal system and other systems of interest to social workers are explored.


Research In Home-Care Telemedicine: Challenges In Patient Recruitment, Usha Subramanian, Faith Hopp, Julie Lowery, Peter Woodbridge, David Smith 2015 School of Medicine, Indiana University

Research In Home-Care Telemedicine: Challenges In Patient Recruitment, Usha Subramanian, Faith Hopp, Julie Lowery, Peter Woodbridge, David Smith

Faith P Hopp

This study reports challenges in recruiting patients for a randomized controHed trial of home-care telemedicinae. Descriptive statistics on patient eligibility for home-care telemedidne services and patient refusals for participation are provided. Frequency counts of reasons for study exclusion and participant refusal and Chi-square tests to compare race and age-related differences are given. Of 302 home-care patients reviewed, 197 (65.2%) did not meet inclusion criteria. The most common reasons for study exclusion were patients either needing <2 visits per month (n = 59, 30%) or >3 skilled nurse visits per week (n = 46, 23.4%). Of the eligible patients (n = 105), 79 persons (75.2%) refused participation. The most ...


Diagnostic Classifications And Resource Utilization Of Decedents Served By The Department Of Veterans Affairs, Sonia Duffy, Laurel Copeland, Faith Hopp, Robert Zalenski 2015 University of Michigan

Diagnostic Classifications And Resource Utilization Of Decedents Served By The Department Of Veterans Affairs, Sonia Duffy, Laurel Copeland, Faith Hopp, Robert Zalenski

Faith P Hopp

Background: Given the volume and cost of inpatient care during the last year of life, there is a critical need to identify patterns of dying as a means of planning end-of-life care services, especially for the growing number of older persons who receive services from the Veterans Health Administration (VHA).

Methods: A retrospective computerized record review was conducted of 20,933 VHA patients who died as inpatients between October 1, 2001 and September 30, 2002. Diagnoses were aggregated into one of five classification patterns of death and analyzed in terms of health care resource utilization (mean number of inpatient days ...


Outcomes Associated With A Home Care Telehealth Intervention, Faith Hopp, Peter Woodbridge, Usha Subramanian, Laurel Copeland, David Smith, Julie Lowery 2015 Center for Practice Management and Outcomes Research, VA Ann Arbor Health Care System

Outcomes Associated With A Home Care Telehealth Intervention, Faith Hopp, Peter Woodbridge, Usha Subramanian, Laurel Copeland, David Smith, Julie Lowery

Faith P Hopp

To determine whether adding telehealth technology to traditional home care services increases health-related quality of life (HRQOL) and home care satisfaction, and decreases resource utilization among home care patients. This trial included 37 home care patients receiving services in a Veterans Affairs medical center, randomized into intervention and control groups. Outcome measures included patient satisfaction and HRQOL at baseline and 6-month follow- up, and the use of inpatient and outpatient services before and during the 6-month study period. Intervention group patients reported greater improvement in the mental health component of HRQOL, (t = 2.27; df = 15; p = 0.04). Satisfaction ...


“So I Just Took Over”: African American Daughters Caregiving For Parents With Heart Failure, Nancy Thornton, Faith Hopp 2015 Wayne State University

“So I Just Took Over”: African American Daughters Caregiving For Parents With Heart Failure, Nancy Thornton, Faith Hopp

Faith P Hopp

This article examines the experiences of African American women who are caring for a parent with heart failure. Seven adult daughter caregivers completed in-depth, qualitative interviews, and a phenomenological approach was used for data analysis. Results suggest the presence of caregiving stressors, including heart failure symptoms and comorbidity, caregiving duties, social–emotional stressors, and distrust of the health system. Relevant coping strategies included valuing the caregiving role, coordinating care with siblings, taking charge, and spirituality. Social workers can play a critical role in supporting and advocating for caregivers of persons with heart failure, helping them to cope with stressors associated ...


Principles Of Clinical Practice With Older Men, Lenard W. Kaye, Jennifer A. Crittenden 2015 University of Maine

Principles Of Clinical Practice With Older Men, Lenard W. Kaye, Jennifer A. Crittenden

The Journal of Sociology & Social Welfare

Older men are much less likely to be aware of community services available to them and they are less likely to utilize services generally. This underutilization is affected by the way in which social services are organized and how practitioners function within them. Since there are greater numbers of elderly women and women utilize services more readily, practice tends to be female-centered. It is important that gender-sensitive intervention processes are established that recognize the unique experiences and concerns of older men in order to better serve them. The uniqueness of men's experiences with such issues as loss of a ...


Self-Help Group Participation And Empowerment In Hong Kong, Bong-Ho Mok 2015 Chinese University of Hong Kong

Self-Help Group Participation And Empowerment In Hong Kong, Bong-Ho Mok

The Journal of Sociology & Social Welfare

This paper reports on the first comprehensive study of self-help groups in Hong Kong. Initial findings from the quantative and qualitative data suggest that self-help group participation has an impact on intrapersonal, interpersonal and community/political empowerment. Based on existing data, this study has resulted in the development of a hypothetical model encompassing the interrelationships among self-help group participation, social support, social learning, leadership and empowerment, for testing in future research.


Informal Care-Two-Tiered Care? The Work Of Family Members And Friends In Hospitals And Cancer Centres, Christina Sinding 2015 McMaster University

Informal Care-Two-Tiered Care? The Work Of Family Members And Friends In Hospitals And Cancer Centres, Christina Sinding

The Journal of Sociology & Social Welfare

In a qualitative study conducted in Ontario, Canada, family members and friends of ill people defined a normal territory in which care from health professionals could not be counted on to be timely, effective or empathic. Under these conditions relatives and friends took on considerable responsibility, both for providing care and for securing care from health professionals. Yet considerable variation was apparent in this study in the sense respondents had of their own capacities to provide and secure care. Findings from this study suggest that service tiers exist in the institutional care system, linked to the time, knowledge and resources ...


Handbook Of Drug Abuse Prevention: Theory Science And Practice. Zili Sloboda & William J. Bukowski (Eds). Reviewed By Sean R. Hogan., Sean R. Hogan 2015 University of California, Berkeley

Handbook Of Drug Abuse Prevention: Theory Science And Practice. Zili Sloboda & William J. Bukowski (Eds). Reviewed By Sean R. Hogan., Sean R. Hogan

The Journal of Sociology & Social Welfare

Book review of Zili Sloboda and William J. Bukoski (Eds.), Handbook of Drug Abuse Prevention: Theory, Science, and Practice. New York: Kluwer Academic Publishers, 2003. $150.00 hardcover.


Refusing Care: Forced Treatment And The Rights Of The Mentally Ill. Elyn R. Saks. Reviewed By Kai J. Bentley., Kia J. Bentley 2015 Virginia Commonwealth University

Refusing Care: Forced Treatment And The Rights Of The Mentally Ill. Elyn R. Saks. Reviewed By Kai J. Bentley., Kia J. Bentley

The Journal of Sociology & Social Welfare

Book review of Elyn R. Saks, Refusing Care: Forced Treatment and the Rights of the Mentally Ill. Chicago: University of Chicago Press, 2003. $35.00 hardcover, $24.50 papercover.


The Loss Of A Life Partner: Narratives Of The Bereaved. Carolyn Ambler Walter. Reviewed By Amanda Smith Barusch., Amanda Smith Barusch 2015 University of Utah

The Loss Of A Life Partner: Narratives Of The Bereaved. Carolyn Ambler Walter. Reviewed By Amanda Smith Barusch., Amanda Smith Barusch

The Journal of Sociology & Social Welfare

Book review of Carolyn Ambler Walter, The Loss of a Life Partner: Narratives of the Bereaved. New York: Columbia University Press, 2003. $52.50 hardcover, $26.50 papercover.


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