Digital Commons Network^™

Review Of Family Health Social Work Practice: A Macro Level Approach. John T. Pardeck (Ed.) Reviewed By Marsha Blachman, Marsha Blachman

The Journal of Sociology & Social Welfare

Book review of John T. Pardeck (Ed.), Family Health Social Work Practice: A Macro Level Approach. Westport, CT: Auburn House, 2002. $ 67.95 hardcover.

Substance Abuse Treatment: Perceptions From The Client's Point Of View, Margarita Brunilda Salazar

Theses Digitization Project

The focus of this study was to explore and analyze the perceptions of treatment effectiveness among substance abuse clients involved in Bilingual Family Counseling Outpatient Treatment. The intent was to have a better understanding of a treatment centers program's outcome from the clients' point of view and its effectiveness in terms of the usefulness to the client.

Women's Perception Of Substance Abuse Treatment And How It Affects Compliance, Jessica Lynn Watkins

Theses Digitization Project

The purpose of this study was to investigate how women's perceptions of the helpfulness of services received at a substance abuse treatment clinic affected their compliance with the treatment program. The study surveyed thirty-two women who were receiving treatment from Inland Behavioral and Health Services. The study investigated the efficacy of these elements: parenting classes, health classes, substance abuse therapy groups, group therapy, drug screening, health clinics, Narcotics Anonymous meetings, Dual Diagnosis Anonymous meetings, Alcoholics Anonymous meetings, homeless support services, individual therapy, case managers, daycare, transportation.

A Transdisciplinary Focus On Drug Abuse Prevention: An Introduction, Steve Sussman, Alan W. Stacy, C. Anderson Johnson, Mary Ann Pentz, Elizabeth Robertson

CGU Faculty Publications and Research

This article introduces the scope of the Special Issue. A variety of scientific disciplines are brought together to establish theoretical integration of the arenas of drug use, misuse, “abuse,” and drug misuse prevention. Transdisciplinary scientific collaboration (TDSC) is utilized as a process of integration. Introductory comments regarding the strengths and limitations of TDSC are presented. Then, the relevance of genetics to substance misuse and substance misuse prevention is presented. Next, the relevance of cognition for prevention is discussed. Specifically, neurologically plausible distinctions in cognition and implicit cognition and their relevance for prevention are discussed. At a relatively molar social-level of …

Perceptions Of Motivation In The Recovery Process Among African American Women With Children, Raven Nicole Pagson

Theses Digitization Project

Substance abusing women with children are a diverse group, but some of them are among the most disadvantaged individuals in the United States. These women are in dire need of effective treatment modalities in order to sustain sobriety. Using a quantitative research design, this study examines the perception of motivation in the recovery process among African American women with children. Through research surveys these women identify the motivating factors necessary for successful treatment outcomes. Scales were created to measure extrinsic motivators, intrinsic motivators, and barriers to treatment. Factors examined included attendance at twelve step meetings, church attendance, court mandates, family …

Homosexual And Racial Identity Conflicts And Depression Among African‐American Gay Males, William H. Alexander

Trotter Review

What does it mean to be male, Black and homosexual in the United States? In this study of 191 such men, William H. Alexander examines whether racial identity conflict and homosexual identity conflict contribute to depression in Black gay men. Alexander reports that being Black, a Black male, and a homosexual puts one in a vulnerable position that requires that he cope with a variety of stereotypes from every society with which he interacts. This pressure contributes to depression in this population.

Designing Educational Opportunities For The Hazards Manager Of The 21st Century: Workshop Report October 22-24, 2003, Deborah S. K. Thomas, Dennis S. Mileti

FMHI Publications

No abstract provided.

Women Alcoholics And Addicts : An Examination Of The Role Of Gender-Specific Treatment Programs In Substance Abuse Counseling, Adarienne L. Burrow

Graduate Research Papers

Traditionally, substance abuse treatment programs have been developed based on data collected on male substance abusers. Women entering into these traditional treatment programs often are not successful at recovery. Male-based treatment programs are not designed to meet the complex set of needs of women substance abusers and addicts. The purpose of this research is two-fold. First, to identify the specific needs of women substance abusers and addicts. And secondly, determine how to address these identified needs in a substance abuse treatment program in order to provide a holistic approach to substance abusing and addicted women.

Client Satisfaction And Goal Achievement: From A Client's View At Cambridge Interfaith Family Counselling Centre, Dawn Diane Yarker

Theses and Dissertations (Comprehensive)

Qualitative interviews were conducted with eleven clients, former and active, at CIFCC (Cambridge Interfaith Family Counseling Centre) to understand how client satisfaction and goal achievement in therapy were related. Content analysis of the interviews revealed that satisfaction with the counsellor, especially rapport building, is the greatest contributory to client satisfaction. This observation is discussed for counselling practice.

The Relationship Between Family Burden Ratings And Follow-Up Psychotic Symptom Levels In Schizophrenia, Alison Golob

Theses and Dissertations (Comprehensive)

Previous research has demonstrated that, in schizophrenia, the two most salient psychosocial variables in the prediction of symptomatic outcome for the patient are Expressed Emotion and Family Burden. In an early study, Family Burden was found to be a better predictor of relapse than Expressed Emotion. Family Burden is a measure of patient behaviours, not symptoms, and the degree to which they bother the relative. In that study, Family Burden is measured by the Perceived Family Burden Scale, (PFBS). In the same study, using a sample of 38 male patients with schizophrenia, two variables were found to be significant predictors …

Insights: An Exploration Of Experiences With Schizophrenia And Schizoaffective Disorder, Leslie D. St. Jacques

Theses and Dissertations (Comprehensive)

This qualitative study explores the experiences of nine people with diagnoses of schizophrenia or schizoaffective disorder, living in the area of Guelph, Ontario. The stigma and poor prognosis traditionally attached to schizophrenia and schizoaffective disorder rage on. The profound disruption caused by the symptoms of schizophrenia and schizoaffective disorder and the social repercussions of receiving these diagnoses, contribute to the individual's disconnection from family and community. Major alterations in the person's social roles and sense of self follow. Stigma and discrimination compound the injury to self-esteem to the extent that a person internalizes them. Yet, however grim the situation appears, …

Resiliency Factors Related To Substance Use/Resistance: Perceptions Of Native Adolescents Of The Southwest, Margaret A. Waller, Scott K. Okamoto, Bart Miles, Donna E. Hurdle

The Journal of Sociology & Social Welfare

This exploratory, qualitative study examined risk and protective factors influencing drug and alcohol use and/or resistance of Native youth in the Southwest. Thirty-two Native middle school students participated in 10 focus groups that explored their experiences with alcohol and drugs in their school and reservation communities. The findings indicate a complex interaction of both risk and protective factors related to substance use. Respondents' cousins and siblings, in particular, played a key role in their decisions to use or resist drugs. Implications for social work practice are discussed.

The Lived Experience Of Welfare Reform In Drug-Using Welfare-Needy Households In Inner-City New York, Eloise Dunlap, Andrew Golub, Bruce D. Johnson

The Journal of Sociology & Social Welfare

Welfare reform has transformed a needs-based family income support into temporary assistance for persons entering the workforce. This paper uses observations from an ethnographic study covering the period from 1995- 2001 to examine the impact on drug-using welfare-needy households in inner-city New York. The analysis suggests that studies may underestimate the extent to which substance use is associated with welfare problems. Nearly all of these already distressed households lost their AFDC/TANF benefits, had difficulty with work programs, and were having more difficulty covering expenses. The conclusion highlights ways to better study this population and policy initiatives that could help them …

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

The Journal of Sociology & Social Welfare

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 …

Identifying Compliance Issues In The Community Health Care Clinic Environment, Faye K. Beery

Graduate Theses

This study explored the high number of failed appointments and follow-up appointments at a community health care children’s clinic. A thirty-seven item questionnaire was randomly given to 112 participants seeking health care at the clinic on a random basis. Based on literature reviews, five hypothesis were generated to examine reasons for failing to keep appointments for children: 1. Communication difficulties between healthcare personnel and parents regarding patient comprehension of instructions and bottle directions were anticipated. 2. Patient/physician/clinic relationships were expected to influence patient compliance. The need for more reminder calls for appointments was anticipated to be a factor in patient …

Group Therapy For Incarcerated Women Who Experienced Interpersonal Violence: A Pilot Study, Rebekah G. Bradley, Diane R. Follingstad

CRVAW Faculty Journal Articles

This study evaluated effectiveness of group therapy for incarcerated women with histories of childhood sexual and/or physical abuse. The intervention was based on a two-stage model of trauma treatment and included Dialectical Behavior Therapy skills and writing assignments. We randomly assigned 24 participants to group treatment (13 completed) and 25 to a no-contact comparison condition (18 completed). We evaluated treatment effects, using the Beck Depression Inventory, Inventory of Interpersonal Problems, and Trauma Symptom Inventory. The data demonstrate significant reductions in PTSD, mood, and interpersonal symptoms in the treatment group.

Alex Bradley, Carl Milofsky

Northern Ireland Archive

Bradley is a psychotherapist based in a religious NGO. His talk primarily involves general comments and observations about the events of Bloody Sunday, sectarian conflicts in general, and values statements from Bradley offered in response to student questions about the conflict in Northern Ireland. He continues to talk about the White Oak Center in Donegal, which is a residential treatment center that in this account it heavily concerned with treating alcohol abuse. The tape shifts to talk about Bradley's work treating trauma experiences related to the Troubles. He began working in the Catholic community but then was asked to work …

The First Four Months In A New Foster Placement: Psychosocial Adjustment, Parental Contact And Placement Disruption, James G. Barber, Paul H. Delfabbro

The Journal of Sociology & Social Welfare

Intake and four-month follow-up measures were obtained for 235 children referred into a new foster care placement over a 12-month period in the Australian State of South Australia. Twenty-five percent of the sample returned home within 4-months, and for those who remained in care throughout, there had been modest gains in behavior, psychological adjustment and adjustment at school. On the other hand, there were considerable levels of placement disruption, a high degree of non-compliance with parental visiting plans, and a high proportion of children fell outside ninety-five percent confidence intervals for the general adolescent population on most well-being measures, particularly …

Review Of The Environment: Its Role In Psychosocial Functioning And Psychotherapy. Carolyn Saari. Reviewed By Timothy Page., Timothy Page

The Journal of Sociology & Social Welfare

Book review of Carolyn Saari, The Environment: Its Role in Psychosocial Functioning and Psychotherapy. New York: Columbia University Press, 2002. $49.50 hardcover, $22.00 papercover.

"Are You Beginning To See A Pattern Here?" Family And Medical Discourses Shape The Story Of Black Infant Mortality, Elaine R. Cleeton

The Journal of Sociology & Social Welfare

Postmodern and poststructuralist theorizations of the interrelations of the particular and the universal have identified women's bodies to be the last frontier for scientific discovery leading to and satisfying the modern compulsion to stabilize and control life from birth to death. This institutional ethnography of one city's response to an elevated infant mortality rate among the babies of African American urban, impoverished women explores their discursive transformation from single mothers who cannot begin prenatal care before the second trimester because too few physicians will treat Medicaid patients, into sexually-immoral, illegaldrug- using women who deliberately harm their babies. The study locates …

A Child's Death: Lessons From Health Care Providers' Texts, Nancy M. Bell, Marie L. Campbell

The Journal of Sociology & Social Welfare

This article originates from a research study that explores 'what happened' to a 10-year-old child with Rett syndrome, who died from "severe malnutrition" according to a Coroners Service inquest jury. The inquest evidence analyzed, using institutional ethnography, shows that approximately one week prior to this child's death three health care providers (an emergency physician, a hospice volunteer and a home care nurse) conducted individual assessments of the child. Child protection workers were also involved. Textual analysis of the health care providers' records shows how the child was officially and textually constructed as 'dying from a terminal illness' in contrast to …

Building Effective School-Based Substance Abuse Prevention Programs, Stephanie M. Juhl

Graduate Research Papers

Substance abuse among children and adolescents has become an epidemic in our society. Therefore, it is important to be cognizant of the reasons for child and adolescent substance abuse as well as to recognize risk factors for use. Many prevention programs have not been research-based and are not appropriate for all populations. Several programs and approaches are reviewed as to whether they will reduce the use of substances. School counselors can improve efforts by combining approaches to create comprehensive and multifaceted programs, which will improve the probability of prevention. Creating school counseling programs will be fundamental in preventing early substance …

Factors In Older Adults' Resistance To Substance Abuse Treatment, Donnie Redl

Theses Digitization Project

The purpose of this study was to determine the factors that cause resistance in older adults to participation in substance abuse treatment programs.

Perceived Effects Of A Substance Abuse Prevention Science Program Among Fourth And Fifth Grade Children: A Qualitative Study, Sarah Morgando Palmer, Tracy Lee Inman

Theses Digitization Project

This project explores the perceptions of fourth and fifth grade students who participated in a substance abuse prevention program. Risk and protective factors are presented to assist the reader in understanding this project.

Day Treatment Programs For Adults With Severe And Persistent Mental Illness: Effectiveness Measured In Rates Of Recidivism, Pamela Jo' Gatfield

Theses Digitization Project

This study measured the effectiveness of rehabilitative day treatment (RDT) programs for persons with severe and persistant mental illness in San Bernardino County. The effectiveness of RDT services was determined by rates of recidivism.

A Process Evaluation Of The Riverside County Dependency Recovery Drug Court, Philip Marshall Breitenbucher, Sean Collins Sullivan

Theses Digitization Project

The purpose of this study is to evaluate the implementation of the "Key Components" as identified by the Department of Justice (1998) into the Riverside County Dependency Recovery Drug Court Program.

Inadequate Substance Abuse Assessment As A Contributory Factor To Child Abuse And Neglect, Gary Eugene Graves

Theses Digitization Project

This study examined an important, yet underreported, area of family service agency assessments, the failure to adequately screen for substance abuse issues. A self-report screening instrument was used to accurately determine substance abuse frequency rates, instead of using the current clinician-directed questioning. New agency clients were randomly assigned to either the experimental group (self-report) or the control group (clinician-directed) to determine if assessment accuracy improved.

The Discovery Of Extramarital Affairs : Clients In Crisis And Implications For Counseling, Alyssa A. Drury

Graduate Research Papers

Extramarital affairs are one of the most common issues presented to counselors and other professionals in clinical settings. This issue has also been said to be one of the most difficult to treat among clinicians. In this paper, a review of the literature is presented regarding the nature of extramarital affairs and different types of affairs. Following this brief literature review, interventions are discussed for professionals when working with this population. Crisis intervention is specifically addressed in addition to practical, clinical interventions that may be used following resolution of crises.

Managing At-Risk Juvenile Offenders In The Community: Putting Evidence Based Principles Into Practice, Randy Borum

Mental Health Law & Policy Faculty Publications

More than a half-million juveniles are under community supervision as a result of violent or delinquent behavior. Research has shown that treatment can reduce their risk of reoffending. This article reviews and distills the key lessons from hundreds of empirical studies and metaanalyses and applies them to practice. The author argues for conducting systematic and developmentally informed risk assessments, selectively assigning intensive intervention to the highest risk offenders, focusing on criminogenic treatment targets, using proven interventions and treatment strategies, and applying rigor in implementation and follow-up.

Psychotherapy In Antidepressant Patients, Thomas J. Kniesner, Regina H. Powers, Thomas W. Croghan

Center for Policy Research

Depression is a condition with various modes of treatment, including pharmacotherapy, psychotherapy, and some combination of each. The role of psychotherapy in the treatment of depression relative to the role of pharmacotherapy is not well understood, and guidelines for psychotherapy in the primary care setting differ from guidelines for specialty care. There is little evidence about the circumstances in actual practice that affect the use of psychotherapy in conjunction with pharmacotherapy.

We retrospectively identify the most important factors associated with the use of psychotherapy in combination with pharmacotherapy in the treatment of depression. Specifically, we study provider choice, health plan …