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Utilization Of The Social Determinants Of Mental Health Framework With Older Adults For Assessment, Case Conceptualization, And Treatment Planning, Janelle L. Jones, Julia Lancaster, Lauren Robins, Wendy K. Killam, Matthew L. Nice, Bisola Duyile

Department of Counseling Scholarship and Creative Works

This conceptual paper will aid counselors and mental health professionals in obtaining insight to utilizing a Social Determinants of Mental Health Framework with older adult clients. Further, the article incorporates the Multicultural and Social Justice Counseling Competencies to further contextualize the therapeutic alliance. The authors utilize the Social Determinants of Mental Health Framework to frame counseling assessment, case conceptualization, and treatment planning to improve the mental health outcomes of older adults. The article utilizes a specific case example to assess, conceptualize, and plan treatment for an older adult client contextualized in their environment.

Part 5: Death And Dying In Hampton Roads, Dragas Center For Economic Analysis And Policy, Old Dominion University

State of the Region Reports: Hampton Roads

Death and taxes may be inevitable, but where we die is usually not a topic of public policy or discussion. Hospice care is the specialized treatment that provides support and comfort to patients who are terminally ill with a general life expectancy of six months or less. In this chapter, we take a close look at serious disease and hospice care in the United States and Virginia. We examine the demand for hospice care by Medicare beneficiaries as well as the changing nature of hospice care suppliers as now more than two-thirds of hospices nationwide operate as for-profit entities.

Understanding Social Care, Teresa Brown, Kevin Lalor

Books/Book chapters

As the English writer L. P. Hartley noted in opening his 1953 novel The Go-Between, ‘The past is a foreign country: they do things differently there’. The previous edition of this book was published in 2013, and indeed Ireland then was in many ways a substantially different place. It was a country that had suffered the ignominy of being ‘bailed out’ by our European partners after the trauma of the financial crash that had commenced in 2008. Hard to believe now, but commentators bemoaned the excessive level of construction of houses and hotels, marriage equality for LGBTQ+ people was still …

An Exploration Of Differences In Perceptions Of Gerotranscendent Behaviors Between Younger And Older Adults, Gabrielle E. Anderson

All Graduate Theses, Dissertations, and Other Capstone Projects

The theory of gerotranscendence was developed as a means of addressing limitations in current developmental theories. It is defined as the natural developmental process in which people gradually change their fundamental views of themselves, the world, their relationships, and reality in general. Research has shown that gerotranscendent behaviors are viewed as pathological by younger adults. The purpose of this study was to further explore differences in perception of gerotranscendent behaviors between college students and older adults. An additional goal was to better understand how and why these behaviors are interpreted differently by younger and older adults. Perceptions of gerotranscendent behaviors …

Deep Community Partnerships: The Future Of Community-Based Senior Care In A Value-Driven Era, Diana Wilcox

DSW Capstone Projects

This capstone reviews three scholarly products that examine how chronically ill older adults interact with healthcare systems and senior service delivery systems in the United States. The systematic literature review examines how community-based senior programs that are funded by the Older Americans Act (OAA) positively impact health outcomes and promote health and wellness among the older adult population. The conceptual paper examines how Accountable Care Organizations (ACOs), Managed Care Organizations (MCOs), Area Agencies on Aging (AAA) interact with the patient and with one another using the lens of Systems Theory. The practice application paper examines best practices regarding care coordination …

Are You Ready To Engage? The Impact Of Decisional Conflict On Advance Directives Education, Marcia Brown

Department of Conflict Resolution Studies Theses and Dissertations

End-of-Life (EOL) refers to medical support given to those facing death and advance directives (AD) is a document that helps to distinguish the nature of that support. The literature suggests conflict is a barrier in the advance care planning (ACP) process and if it remains unresolved in the absence of an AD, there is prolongation of unwanted treatment, increased costs, and lower quality of care. The purpose of this research was to uncover decisional conflict and determine the usefulness of ACP engagement factors in faith communities through a unique intervention – CADE (Conflict and Advance Directives Education). Three theories – …

Development Of A Reinforcer Assessment: A Measure Of Potential Reinforcers In The Lives Of Older Adults, Nicole A. Praska

All Graduate Theses, Dissertations, and Other Capstone Projects

The aim of this study was to create a new measure that assesses potential reinforcers in the lives of older adults residing in assisted living facilities. It is important to assess what an individual finds rewarding since individuals have a greater quality of life if they are doing activities that they enjoy. The study involved a two-step process. First, a list of potential reinforcers was created and evaluated by professionals in the field. Then this list was formatted into a survey and presented to 612 older adults. Participants rated these potential reinforcers on a Likert scale. Results were then evaluated …

Bibliography, Dr. Jill D. Duba

Faculty/Staff Personal Papers

Bibliography of publications and presentations by Jill Duba Sauerheber.

Fp-23-12 Adult Children’S Four-Year College Completion By Parent’S Race, Ethnicity, And Educational Attainment, Kellyanne Bunkley, Jaycob Applegate, Jenjira Yahirun

National Center for Family and Marriage Research Family Profiles

No abstract provided.

Fp-23-16 Age Variation In The Divorce Rate, 1990 & 2021, Krista K. Westrick-Payne, I-Fen Lin

National Center for Family and Marriage Research Family Profiles

No abstract provided.

The Grounded Model Of Communication Savoring: Theory Development And Age Cohort Study, Margaret Jane Pitts, Alice Fanari, R. Amanda Cooper, Jian Jiao, Sara Kim

Communication Faculty Publications and Presentations

Savoring contributes to human flourishing by enabling individuals to optimize, enhance, and prolong pleasurable moments. One unique dimension of savoring, communication savoring, refers to the practice of mindfully attending to and elevating pleasurable or meaningful moments that are experienced in language and social interaction. The grounded model of communication savoring identified the types and phenomenological experiences of communication savoring. The purpose of this study is to continue grounded theoretical development of the communication savoring model by adding new cases to build and refine the model and by applying the model to a novel setting. Using a priori and emergent coding, …

Ce 640 Syllabus: Orientation To Clinical Mental Health Counseling, Mary Fawcett

Counselor Education Syllabi

This course examines the counseling profession including history, philosophy, theory, and professional issues. Emphasis is on different counseling populations, social justice and multicultural issues.

Ce 640 Syllabus: Orientation To Clinical Mental Health Counseling, Mary Fawcett

Counselor Education Syllabi

This course examines the counseling profession including history, philosophy, theory, and professional issues. Emphasis is on different counseling populations, social justice and multicultural issues.

Age-Related Microaggressions: A Follow-Up Descriptive Study, Hannah M. Lewis

All Graduate Theses, Dissertations, and Other Capstone Projects

Age-related microaggressions are forms of ageist discrimination that occur during day-to-day interactions. The aim of this study was to identify common types of age-related microaggressions as well as to determine how negative affect influences emotional reactions to microaggressions. Using an online survey, participants (n = 200) were asked if they had experienced any of the 20 most common examples of age-related microaggressions reported in previous research (Gietzen et al, 2022). Follow up questions inquired about the frequency, emotional reactions, and behavioral responses to these microaggressions. Participants also rated their physical health and completed the Positive and Negative Affect Scale (PANAS; …

Does Need For Social Support Moderate The Relationship Between Perceived Availability Of Social Support And Depression, Anxiety, And Stress?, Katherine E. Whisenhunt

Masters Theses

This study was designed to determine whether the need for social support moderates the relationship between social support (both perceived and enacted) and depression, anxiety, and stress. The study tested the role of Need for Support in the context of both buffering and direct effect models of the effect of social support on mental health and well-being. If perceived availability of social support (i.e., PASS) had a direct effect on well-being, then a simple moderation was predicted. If a buffering effect was present, then a moderated moderation was predicted. This study also predicted a positive relationship between need for social …

Leadership In Nonprofit Organizations: Best Practices For Volunteer Retention, Jennifer Lawrence

DSW Capstone Projects

While there is a significant amount of research focusing on organizational leadership in business and for-profit organizations, comparatively little data has been collected and studied to address the role of leadership in volunteer organizations. By closing this gap in research and providing context around leadership, nonprofit organizations can enhance leadership, culture and climate, and volunteer engagement and retention. Fewer Americans are engaging in volunteerism in their community than any other time in the past twenty years. The Systemic Literature Review will aid in recognizing and addressing this decline which is important as volunteer organizations provide needed services to people and …

Direct Care Staff Experiences In Oregon Assisted Living, Residential Care And Memory Care Communities, 2022, Paula Carder, Sarah Dys, Lindsay Schwartz, Diana Jacoby, Jacklyn N. Kohon, Dani Himes, Madeleine Fox, Sheryl Elliott, Lauren Bouchard, Portland State University Institute On Aging

Institute on Aging Publications

Resident care assistants (e.g., direct care workers, caregivers, personal care aides) provide the majority of services to assisted living, residential care and memory care-endorsed (ALF/RCF) residents. They faced significant burdens during the COVID-19 pandemic, which amplified existing challenges in some ALF/RCF communities, yet little is known about their work experiences. This qualitative study collected data through focus group and individual interviews with 21 resident care assistants and 12 external colleagues who have experience hiring, training or managing resident care assistants and other ALF/RCF staff, including registered nurse consultants, staffing agency operators, state policy staff, ALF/RCF community operations managers, and advocates. …

Ua61/3 Health & Human Services Dean's Office, Wku Archives

WKU Archives Collection Inventories

Unprocessed records created by and about the Dean of the College of Health and Human Services.

External Funding Bulletin, January - June 2023, Uno Office Of Research And Creative Activity

Sponsored Programs Bulletins

No abstract provided.

Aging In Eastham: A Community Needs Assessment, Caitlin Coyle, Beth Rouleau

Center for Social and Demographic Research on Aging Publications

This report describes research undertaken by the Center for Social & Demographic Research on Aging within the Gerontology Institute at the University of Massachusetts Boston, on behalf of the Eastham Council on Aging. The goals of this project were to investigate the needs, interests, preferences, and opinions of Eastham’s residents age 50 or older. The contents of this report are meant to inform the Town of Eastham, the Eastham Council on Aging and Senior Center, and organizations that work with and on behalf of older residents of Eastham for the purposes of planning and coordination of services. The report will …

Enhancing Competency-Based Social Work Skills Through Service Learning And Interprofessional Education In A Student-Run Free Healthcare Clinic, Christopher Simmons, Amy Fisher, Roxann Mcneish, Karah Y. Greene, Melissa Thompson, Jerome T. Galea

Social Work Faculty Publications

Student-run free clinics (SRFC) offer students the opportunity to learn and work with students from other disciplines; however, there is very little research on the benefits of SRFC to social work students. The purpose of this article is to describe the qualitative student outcomes of a service learning (SL) and interprofessional education (IPE) experience in a SRFC designed to enhance the interprofessional competencies of BSW social work students. Students (n=38) enrolled in a service-learning course and participated in a semester-long SL and IPE experience at a university-affiliated interdisciplinary SRFC. Qualitative findings from student reflections indicated that students perceived that the …

Long-Term Health Effects Of Work Trajectories Among Middle-Aged And Older Adults: The Mediating Role Of Work, Material, And Social Environments, Oejin Shin, Ji Young Kang, Seoyeon Ahn, Borin Kim, Sojung Park

Faculty Publications - Social Work

Using data from 14 waves (2003–2016) of the Korean Labor and Income Panel Study (KLIPS) (N = 1,627 individuals aged 45–64; 22778 observations), in this study, we conducted sequence analysis and a multi-categorical variable mediation analysis (1) to examine to what extent long-term work histories exhibit varying degrees of de-standardization and precariousness using sequence analysis (2) to explore the potential mediating effects of work, material, and social environments in the association between multiple work sequences and self-rated health. We found the coexistence of a relatively stable long-term employment pattern and a high prevalence of precariousness. The health and economic …

The Cogenerate Innovation Fellowship: Supporting Leaders Of Intergenerational Initiatives, Cal J. Halvorsen, Eunice Lin Nichols, Janet Oh

Harvey A. Friedman Center for Aging

This Case Report provides a detailed overview of the CoGenerate Innovation Fellowship, a 9-month fellowship that supports leaders of intergenerational initiatives developed by the national nonprofit organization, CoGenerate. It describes the Fellowship’s recruitment and cohort development strategies, monthly meetings and community-building efforts, end-of-Fellowship celebration, and post-Fellowship support. It summarizes findings from the two-year pilot’s process and outcomes evaluation and provides recommendations to individuals and organizations seeking to support social sector innovators who are leading intergenerational initiatives.

Fostering Inclusivity And Resilience: Challenges To Community-Based Empowerment For Trans Elders In Roanoke, Virginia, Summer Skye Allison

Undergraduate Honors Theses

As popular media disseminates harmful “culture war” rhetoric regarding trans folk it has become increasingly necessary to amplify their voices to give them power over how they are perceived by society. Though political discourse regarding trans children has become a hot-button topic, this paper seeks to explore the overlooked experiences of trans elders as they contend with intersecting instances of ageism and transphobia from individuals and institutions in Roanoke, Virginia. Since community-based organizations like the Roanoke Diversity Center and Ladies and Gents of the Blue Ridge have been instrumental to strengthening the LGBTQ+ community in Roanoke, this research focuses on …

Gender And Race Influence Young Adults' Impressions Of People With Dementia, Angel Collie

UNF Graduate Theses and Dissertations

Alzheimer’s Disease and Related Dementias (ADRD) are becoming more common among older adults around the United States, including African Americans, who are twice as likely to be clinically diagnosed with Alzheimer’s Disease. Though it is counter-intuitive, young adults are important when examining the future projections of ADRD because they will be the future caretakers of older adults. The current study investigated whether impressions of people with dementia are influenced by the interaction of gender and race among young adults. In Phase 1, young adults (N = 157, ages 18-25, median age = 20) completed a reverse correlation task where they …

Interactive Association Of Posttraumatic Stress Disorder, Apolipoprotein Ε4 Genotype, And Age On Cognitive Functioning, Karen A. Lawrence, Colton Rippey, Bianca Welikson, Robert H. Pietrzak, Thomas G. Adams Jr.

Psychology Faculty Publications

Background: The ε4 allele of the apolipoprotein (APOE) gene and posttraumatic stress disorder (PTSD) are associated with cognitive deficits. Both associations may vary depending on age. No previous study has examined a possible three‐way interaction between APOE ε4, PTSD, and age on cognitive functioning.

Methods: Data were analyzed from 1244 European‐American U.S. military veterans who participated in the 2011 National Health and Resilience in Veterans Study (NHRVS). Analyses of covariance were used to examine the main effects and in- teractions of APOE ε4, PTSD, and age on learning/working memory (LWM) and attention/psychomotor (APM) performance.

Results: A significant three‐way interaction between …

Connecting With Clients In Later Life: The Use Of Telebehavioral Health To Address Older Adults’ Mental Health Needs, Jordan B. Westcott, Nicolette Castagna, Megan K. Baker, Jaclyn Musci, Nick Gowen, Benjamin Wiley, Benjamin Comire, Anne Patterson, Matthew C. Fullen

Adultspan Journal

Telebehavioral health offers a unique opportunity to expand access to mental health services for older clients by addressing systemic barriers that often render mental health care inaccessible in later life. Although health interventions facilitated by technology, including telebehavioral health approaches, proliferated at the start of the COVID-19 pandemic, little guidance exists for counselors seeking to provide such services to clients in later life. In this manuscript, we describe challenges accessing mental health services, how telebehavioral health services can address these barriers, and practical consideration for delivering telebehavioral health approaches for counselors who work with older clients.

Integrating Feminist Approaches In Counseling Work With Adult Women, Kristen M. Toole

Adultspan Journal

The scope of ‘women’s issues’ in counseling is an ever-evolving landscape. Recent events such as the reversal of Roe v. Wade and the disproportionate impact of COVID-19 on women serve as powerful reminders of the necessity of this focus while underscoring a deep-rooted history of oppressive patriarchal structures. Therefore, counselors must remain informed of the unique considerations surrounding adult women in counseling and acquire proficiency in versatile techniques to meet this population’s nuanced needs. This article examines the complexity of contemporary womanhood and explores the fundamentals of Feminist Counseling Theory (FCT), a holistic, multiculturally conscious, social justice theory in counseling. …

Utilization Of The Social Determinants Of Mental Health Framework With Older Adults For Assessment, Case Conceptualization, And Treatment Planning, Janelle L. Jones, Julia Lancaster, Lauren Robins, Wendy K. Killam, Matthew L. Nice, Bisola Duyile

Adultspan Journal

This conceptual paper will aid counselors and mental health professionals in obtaining insight to utilizing a Social Determinants of Mental Health Framework with older adult clients. Further, the article incorporates the Multicultural and Social Justice Counseling Competencies to further contextualize the therapeutic alliance. The authors utilize the Social Determinants of Mental Health Framework to frame counseling assessment, case conceptualization, and treatment planning to improve the mental health outcomes of older adults. The article utilizes a specific case example to assess, conceptualize, and plan treatment for an older adult client contextualized in their environment.

Bouncing Back: Resilience And Its Limits In Late-Age Composing, Louise Wetherbee Phelps

English Faculty Publications

This essay is one of a series on my mother’s late-age composing, studying a writing project she started at age 70 and worked on for more than 25 years. Her intention was to integrate extensive reading, personal experience, and cultural observations to explain changes in parenting (and, by extension, education and enculturation of the next generation) from her childhood in the 1920s through the 2000s. When she died at 97, she left behind a 75-page draft, but was unable to complete her plans for revisions and an ending. I focus here on identifying the multiple factors in the ecology of …