Digital Commons Network^™

The Influence Of Client-, Family-, And Therapist-Level Pretreatment Characteristics On Therapist Delivery Of Youth Psychotherapy Treatments, Adriana Rodriguez

Theses and Dissertations

The purpose of this exploratory study was to examine the extent to which pretreatment characteristics influence therapist treatment adherence by using data sampled from a randomized effectiveness trial and an efficacy study. Research suggests that youth-, family-, and therapist-level pretreatment characteristics influence therapist behavior; however, this area is underdeveloped as most studies have focused on externalizing problem areas, family-based approaches, and the use of parent or therapist report to assess for therapist adherence. To date, no research has examined this question with anxiety as the target problem, individual-focused CBT, and with observational therapist adherence data. An observational coding measure, Cognitive-Behavioral …

Identifying Differences Between Privatized, Partially Privatized, And Non-Privatized State Foster Care Systems: A Comparative Study Examining Efficiency And Effectiveness, Dorothy C. Coles

Theses and Dissertations

Privatization of the public child welfare system has become increasingly popular since its introduction in the early 1990s. State governments that initiate the privatization of foster care services rationalize the changes with claims of effectiveness and/or increased efficiency of services for children and families. There has been no real focus on identifying what efficiency of the system means for children and their families, nor what aspects of effectiveness focuses on children in foster care. As a result, the unintended consequences of this total restructuring of foster care bureaucracy, through the privatization of the state foster care system – and its …

Stakeholder Views On Behavioral Health Care In The Pediatric Primary Care Setting: A Qualitative Approach Towards Integration Of Care, Alexis Quinoy

Theses and Dissertations

The pediatric primary care setting has been discussed as playing a central role for the identification and treatment of behavioral and mental health disorders in youth. Although this setting is in a unique position to provide these services, there are many barriers to the integration of mental health care and pediatric primary care. The aim of this study is to examine perspectives of multiple stakeholders (i.e., patient, parent, nurse, resident, faculty, clinic director) in a pediatric primary care setting to explore barriers, behavioral and mental health needs, and facilitators to the integration and provision of mental health care for children …

Understanding The Impact Of Leadership And Organizational Culture On Nonprofit Employees’ Commitment And Turnover Intention, Nancy A. Toscano

Theses and Dissertations

Child and family nonprofit organizations are essential for the implementation of United States public policy in their role as service providers. Human service nonprofit organizations held approximately 20,000 government contracts, totaling more than $100 billion in 2009 (Boris, deLeon, Roeger, & Nikolva, 2010). Almost 33,000 human service nonprofit organizations contract with the government to deliver services (Boris, et al., 2010). The services provided by these organizations are critical to the lives of vulnerable American citizens. These organizations depend on committed employees to serve this group, carry out the mission, and reach organizational goals. Employees are nonprofit organizations’ greatest resource, investment, …

Adherence To And Competence In Cognitive Behavioral Therapy For Youth Anxiety: Psychometric Evaluation, Cassidy C. Arnold

Theses and Dissertations

Treatment integrity—the extent to which a treatment is delivered as it was intended—has long been recognized as critically important in treatment evaluation research, but has garnered increased attention in recent years within the context of dissemination and implementation science. However, the field’s development has been hindered by inadequate measurement tools. This project is focused on developing and evaluating the psychometric strength of two measures of treatment integrity. To evaluate the psychometric strength of the Cognitive-Behavioral Therapy for Youth Anxiety Therapist Adherence Scale (CBAY-A)and the Cognitive-Behavioral Therapy for Youth Anxiety Therapist Competence Scale (CBAY-C), 954 psychotherapy sessions from two treatment evaluation …

A Racial Impact Analysis Of Hb 994: Human Trafficking, Grace E. Harris Leadership Institute, Virginia Commonwealth University, Staci Boone, Traci Deshazor, Selonia Miles, Katina Williams

L. Douglas Wilder School of Government and Public Affairs Publications

Human Trafficking has become an international crisis that has caused a devastating impact on the Commonwealth of Virginia. The purpose of this report is to examine the racial equity impact of Virginia House Bill 944. HB 994 was introduced to the House by Delegate Barbara Comstock, along with 13 other members of the House and was passed by the House of Delegates and was Passed Indefinitely in Courts of Justice with letter in 2014. This Bill, as initially introduced, would have made it a felony to participate in Human Trafficking by expanding the definition of abduction/kidnapping. It also would have …

Group Home Care: The Influence Of Positive Youth Development Factors And Social Capital On Youth Outcomes, Sundonia J. Wonnum

Theses and Dissertations

This study examined the influence of positive youth development factors and social capital on outcomes among youth in group home care. One of the major assumptions of this study was that existing research is deficit-focused and provides little evidence of what practices are linked to positive outcomes among youth residing in and exiting group homes. A conceptual model was developed to depict the influence of predictors (derived from the Positive Youth Develop Framework and Social Capital Theory) on youth outcomes – change in psychosocial problem severity and prosocial behavior, living environment, school involvement, employment, delinquency, and extracurricular activity. An exploratory …

Development And Preliminary Validation Of The Youth Therapist Observational Cultural Competence Scale, Carrie Tully

Theses and Dissertations

The increasing diversity of the United States creates a pressing public health need to investigate methods to increase the engagement, retention, and efficacy of mental health services for racial/ethnic minority (REM) youth. Evidence from the adult psychotherapy treatment literature suggests that enhancing therapist cultural competence leads to increases in client satisfaction, alliance, and retention (Constantine, 2002; Sodowsky, Kuo-Jackson, Richardson, & Corey, 1998; Worthington, Soth-McNett, & Moreno, 2007). However, this relationship has not been adequately explored in youth mental health services, due in part, to a lack of valid and reliable measurement. This research project included measure development and initial validation …

Completing College: A Longitudinal Examination Of Potential Antecedents Of Success In Post-Secondary Education For Students With Disabilities, Edwin Achola

Theses and Dissertations

The purpose of this study was to determine the antecedent conditions that contribute to post-secondary education (PSE) completion for students with disabilities, taking into account institutional experiences associated with social integration. A prospective longitudinal design was used to analyze data from the National Longitudinal Transition Study-2. The study sample consisted of youth who were currently enrolled in vocational schools, two-year community colleges, and four-year universities six years after high school exit. Logistic regression was used to examine the relationships between pre-entry variables and PSE completion. To test the hypothesis of mediation, the causal step approach (Baron & Kenny, 1986) was …

Sociodemographic Risk Factors Of Glycemic Control For Youth With T1d: Cross-Sectional And Longitudinal Patterns Of Hba1c, Priscilla Powell

Theses and Dissertations

Individual growth curve (IGC) modeling evaluated longitudinal trajectories of glycemic control and diabetes care of youth with Type 1 Diabetes (T1D) over three years. IGC modeling allowed comparison of confounded sociodemographic predictors of disease outcomes that included ethnicity, SES, parent marital status, family structure, as well as disease duration, to determine the relative impact of these factors in the evolution of HbA1c and diabetes care throughout adolescence. At baseline, participants recruited from two pediatric endocrinology clinics included 198 youth, ages 9-15 (M age = 12.65, 77% Caucasian, 74% lived with married biological parents, M SES = 45.70) with average HbA1c …

The Impact Of Perpetrator Gender On Child Protective Services Sexual Abuse Cases: A National Picture, David Axlyn Mcleod

Theses and Dissertations

Child sexual assault is a problem of epidemic proportions in the United States with some research suggesting up to one fifth of our nations children being victimized before reaching adulthood. Research has suggested females could be responsible for up to 20% of child sexual abuse cases, and at the same time only represent only 1% of sexual offenders incarcerated the US. This creates a situation where a large group of relatively under-researched offenders are evading detection. Numerous calls for further research have been made, but relatively few studies have had the ability to shed significant light on this phenomenon on …

Blood Glucose Monitoring And Metabolic Control In Youth With Type 1 Diabetes: Relation To Disease Care, Adrienne Borschuk

Theses and Dissertations

Better disease care behaviors in youth with type 1 diabetes (T1D) are strongly related to better metabolic control (HbA1c). However, HbA1c results are only available, on average, every three months, and may not accurately capture intricacies of blood glucose fluctuations. Youth then must rely on blood glucose levels obtained throughout the day to determine which disease care behaviors to perform to maintain optimal metabolic control. Youth may have difficulty performing these disease care behaviors properly or consistently, which makes parental monitoring a crucial aspect of the diabetes regimen. Additionally, youth who experience frequent or severe hypoglycemia may develop a fear …

Enhancing Family Functioning To Buffer Risk During Middle School Transition: Development Of The Multiple Family Group Weekend Retreat., Robert Broce

Theses and Dissertations

Children experience changes in multiple levels of their social ecologies when they transition into middle school (Eccles, 1999; Jozefowicz-Simbeni, 2008). These biological, psychological, social, and environmental changes create increased risk for dropout and other factors related to academic adjustment (Cataldi, Laird & KewalRamani, 2009). For low- income minority children these risks can be magnified by environmental and social factors (Ge et al., 2002). Healthy family functioning, including balanced levels of cohesion and flexibility, has been shown to buffer these risks (Burchinal, Roberts, Zeisel & Rowley, 2008; Olson, 2010; Wampler, Munsch, & Adams, 2002) and was targeted by a Multiple Family …

The Privatization Of Special Education, Judith Mckinney

Theses and Dissertations

This study, The Privatization of Special Education, addresses a shift in the provision of special education and related services to students with disabilities in the Commonwealth of Virginia. Students with disabilities are being publicly placed in private day and residential schools at public expense. In Virginia, 125 private schools are licensed by the Virginia Department of Education to serve students with Disabilities. The purpose of this study was to develop a profile of programs, services, and interventions offered in private education schools. This nonexperimental design study focused on a secondary data source: the Virginia Department of Education, Private Schools for …

Adapting Evidence-Based Treatments For Youth In A Community Mental Health Setting: Single Case Design, Alexis Quinoy

Theses and Dissertations

This single-case design study examined the effectiveness of adapting evidence-based treatments (EBTs) for children in a community clinic through a university-community partnership. Community clinic therapists treated eight youths (five males), ages 10 to 14, of whom four were Caucasian, two were Latino, one was African-American, and one was Caucasian/African-American. Youths presented with a primary diagnosis of a DSM-IV (American Psychiatric Association, 1994) internalizing disorder (plus multiple comorbidities). An adapted treatment combining multiple elements based on two primary treatment manuals: Coping Cat (Kendall et al., 1990) and PASCET (Weisz et al., 1999) was used. Youths with comorbid externalizing symptoms were also …

African American Women's Health: An Examination Of Resource Needs, Context, And Public Policy Over The Life Course, Cynthia Newbille

Theses and Dissertations

African American Women's Health: An Examination of Resource Needs, Context, and Public Policy over the Life Course

Maternal Depressive Symptoms And Health Outcomes In Youths With Type 1 Diabetes: A Mediational Model, Struemph Kari Morgan

Theses and Dissertations

Objectives: The rate and impact of depressive symptoms were examined with two models based on known effects of depression on variables related to diabetes management, parental involvement and diabetes conflict. The proposed models will measure potential effects high maternal depressive symptoms may have on parental monitoring and involvement and diabetes specific conflict and how these variables may in turn relate to poor regimen adherence. Methods: Participants included 225 mothers and young adolescents (aged 11-14) with T1D. Diabetes self-care behaviors were measured with the 24 Hour Recall Interview, parental involvement and monitoring were measured with the Parent Management of Diabetes Scale, …

Informing Social Work Practice Through The Enhancement Of The Biological Perspective: A Course Intervention Model For Human Service Professionals Working With Youth And Problems Of Conduct., Allison Sampson

Theses and Dissertations

The purpose of this study is to evaluate the effectiveness of an intervention model designed to enhance practitioners’ biological lens when using a biopsychosocial-spiritual model of holistic assessment and planning. The specific intervention utilized is a course curriculum developed to broaden human service professionals’ (including clinical social work professionals) understanding of attachment theory, neuroscience and trauma informed methods of practice. The course teaches professionals how to apply this knowledge to clinical assessment and intervention planning with youth who have experienced significant trauma in their lives and exhibit problems of conduct. Using an experimental design, participants from a large private mental …

Family Preservation In Families’ Ecological Systems: Factors That Predict Out-Of-Home Placement And Maltreatment For Service Recipients In Richmond City, Jody Hearn

Theses and Dissertations

Family preservation services are intended to prevent the out-of-home placement (into foster care or some other alternative arrangement) of children and youth in families at risk of maltreating them. An Ecological Systems perspective of these families might suggest that a family’s context (represented by the variables of poverty, agency services, family history, and individual/caretaker characteristics) must be considered as an over-arching influence in families’ risk and outcomes. The purpose of this cross-sectional secondary data analysis study was to identify layered factors that distinguish family preservation cases in Richmond, VA that experience removal or subsequent abuse or neglect from those that …

Senior Meal Programs: Feeding A Crowd With Local Foods, Gordon Walker, Elyse Thierry

Case Studies from Age in Action

Educational Objectives

1. Examine reasons for an institutional meal program to consider incorporating local food.

2. Identify potential community partners who might assist in moving such a program forward and the mutual benefits.

3. Describe the possible changes that an institution’s local food program can foster in the community at large.

Strengthening Family Practices For Latino Families, Karen G. Chartier, Lirio K. Negroni, Michie N. Hesselbrock

Social Work Publications

The study examined the effectiveness of a culturally-adapted Strengthening Families Program (SFP) for Latinos to reduce risks for alcohol and drug use in children. Latino families, predominantly Puerto Rican, with a 9–12 year old child and a parent(s) with a substance abuse problem participated in the study. Pre- and post-tests were conducted with each family. Parental stress, parent-child dysfunctional relations, and child behavior problems were reduced in the families receiving the intervention; family hardiness and family attachment were improved. Findings contribute to the validation of the SFP with Latinos, and can be used to inform social work practice with Puerto …

Intake Decision Making In Child Protective Services: Exploring The Influence Of Decision-Factors, Race, And Substance Abuse, Michael Howell

Theses and Dissertations

Child protective services begin with an intake (screening) decision to accept or reject maltreatment reports. This crucial decision may lead to significant positive or negative outcomes for children and families. Little is known about characteristics that intake decision-makers share or factors that influence the decision-making process. Racially-biased intake practices have been blamed for contributing to African American children’s disproportionate overrepresentation in the child welfare system. Concerns have emerged that social workers may hold negative stereotypes about African Americans and parents who use drugs. Stereotypical biases may influence decisions in reports alleging parental drug use and/or involving African American families. This …

Developmental Aspects Of Diabetes Knowledge, Kari Morgan

Theses and Dissertations

The Test of Diabetes Knowledge (TDK) was studied to determine its appropriateness for children. Early onset diabetes was examined for residual effects on poorer adolescent understanding of diabetes and problem solving that could affect self-care behaviors. Participant groups were created as children (<12) and adolescents (≥12). A second division created a group of adolescents with early onset disease (EOD < 12 years) and with late onset disease (LOD >12 years). Participants were predominantly Caucasian and from middle class families. 51% were boys with an average age of 12.95 years, disease duration of 4.35 years and onset age of 8.58 years. Children scored significantly lower and responded “I don’t know” significantly more often for all levels of knowledge when compared to adolescents. EOD and LOD group …

The Post-9/11 Federal Homeland Security Paradigm And The Adoptive Capacity Of Public Administration Theory And Practice, Chaya Rani Jain

Theses and Dissertations

The September 11, 2001 terrorist attacks redefined the federal approach to disaster planning. Prior to 9/11, disaster and emergency management meant preparedness for and response to natural and man-made emergencies such as floods, hurricanes, fires, and civil discord. The post-9/11 paradigm shift, a multi-pronged approach called "homeland security" strategy, now incorporates a multitude of man- and nature-made disasters to include border and transportation security; emergency preparedness, response and recovery against chemical, biological, radiological and nuclear threats; as well as information analysis and infrastructure protection. These new priorities were communicated to the state and local governments. The purpose of this descriptive, …

The Ins And Outs Of School Provider Literature: A Multi-Year Content Analysis On Lgbt Youth, Caitlin Conor Ryan

Theses and Dissertations

This study is based on a content analysis of two primary sources: 1) literature published on lesbian, gay, bisexual and transgender (LGBT) youth in professional journals for school providers (school counselors, nurses, psychologists and social workers) over more than a 30-year period; and 2) materials developed for school providers on LGBT youth by states with laws, regulations and professional policies related to sexual orientation and/or gender identity in schools. Fifteen professional journals were identified that serve as primary and secondary journals for school providers. A total of 41 articles were published in these journals on LGBT youth between 1937 and …

Traits Of Writing, Traits Of Art, Michelle Ciancarelli Becker

Theses and Dissertations

A study was conducted of Introductory Art students to find if the six traits of writing as written by Spandel/Stiggins (1997) would have influence over a narrative painting when combined with the six traits of painting. Inconclusive findings were reported. Data difference between the treated and untreated class was less than one point. More research needs to be conducted to study transfer of knowledge from verbal to visual as well as from one curriculum to another with both curriculums teaching same material.

The Vine (1995-04-18)

The Vine, 1994-2008

The Vine was a successor to Reflections in Ink, published from 1994 to 2008. It transitioned from a mostly African American student perspective to a multi-cultural one.

Commonwealth Times 1995-04-12 [Front Page Has 1994-04-12]

Commonwealth Times, 1969-

No abstract provided.

Attachment, Social Support, And Violence In Adolescent Delinquents, James R. Craft

Theses and Dissertations

Attachment relationships between children and their primary caretakers have been hypothesized to contribute to internal working models of subsequent relationships with others. Poor attachment might lead to internal working models which devalue later relationships, making the perpetration of violence against others more likely. One focus of this study was to propose a model which combined parental bonding, adolescent attachment, and perceived family support to predict the severity of violence used against others by adolescent delinquents. A second focus was to test the proposed model in predicting the total number of violent offenses committed by adolescent delinquents. One hundred and forty-five …

Vcu Voice (1994-10-31)

VCU Voice, 1988-1998

VCU Today, the University’s first official administrative organ, began as a somewhat irregular monthly publication but moved to a bi-weekly newspaper format in the 1980s. The newspaper changed its name to VCU Voice in 1988 and ten years later it appeared under the title UniverCity News. As it neared the end of its run as a physical newspaper, the publication became simply VCU News. These four publications were essentially the same periodical published under different titles by the Office of University Relations. VCU News appeared online for the first time in 2002.