Digital Commons Network^™

Translating Community Voices To Build Meaningful Engagement: A Community Health Worker Led Study, Lauren Workman, Julie Smithwick Msw, Chw, Kimberly C. Rawlinson, Mark M. Macauda, Lashandra Morgan, Whitney Davis

Faculty Publications

Background: Understanding community perspectives on barriers and facilitators of meaningful engagement, equitable decision making, and sustainable community improvement is critical for advancing health equity. Community Health Workers can make significant contributions to research teams, as they are bridges into communities and bring unique perspectives. This study describes community voices on barriers to authentic engagement and insights on strategies to build trust, as well as the way in which these data were translated into a tangible assessment tool and a community-facilitated learning academy.

Methods: A team of Community Health Workers led a series of 24 ‘open mic’ discussions in four South …

College For All And The Postsecondary Experiences Of Rural First-Generation College Students: Patterns Of Alignment With A Predominant Master Narrative, Andrew D. Coppens, Sarah Jusseaume, Jayson O. Seaman, Cindy L. Hartman, Erin H. Sharp

Faculty Publications

The aim of this study was to understand the experiences of rural, first-generation college (RFGC) students in relation to dominant culturally normative expectations about postsecondary educational and workforce trajectories. The study adopted patterns of engagement with a master narrative as both a conceptual framework and unit of analysis, examining both biography and cultural ecologies as well as highlighting agency in the lives and choices of study participants. Evidence is drawn from 4 in-depth narrative interviews with each of 14 RFGC students, conducted both at school and students’ homes, from rural and small-town communities. Results show that a master narrative of …

The Identity Factor, Jessica Feinberg

Faculty Publications

Identity development is one of the most important processes that occur during childhood. For certain populations of children, such as those who are LGBTQ+ or multiracial, the path to healthy identity development is substantially more complicated. These children must navigate the development of their identities while existing in a world in which they will frequently encounter a lack of societal understanding and acceptance. Children within these populations face elevated risks of short- and long-term harms, including suicidal ideation, depression, substance abuse, and low self-esteem. As a result, it is critically important that LGBTQ+ and multiracial youth receive support in developing …

The Impacts Of Co-Occurring Developmental Language Disorder On The Academic, Interpersonal, And Behavioral Profiles Of Children With Adhd, Kirsten M. Hannig Russell, Sean M. Redmond

Faculty Publications

Purpose: Attention-deficit/hyperactivity disorder (ADHD) is a multifactorial disorder that has been linked to increased risk for behavioral, academic, and interpersonal problems. Developmental language disorder (DLD) has also been linked to poor outcomes in these areas. The presence of co-occurring disorders in children’s profiles is generally associated with poorer outcomes relative to profiles consisting of only one disorder. This study investigated the extent to which co-occurring DLD in children already identified with ADHD presented increased risk for severity of their primary ADHD symptoms, the presence of secondary behavioral problems, and/or increased problems in the tertiary areas of academic performance and interpersonal …

Identification Of Potential Therapist “Missteps” In The Context Of Engagement In Public Mental Health Services: Analysis Of Digital Recordings And Key Informant Validation, Hyun Seon Park, Kimberly Becker, Wendy Chu, Kendal Reeder, Carolina Lechuga, Johnathan K. Ahuna, Eleanor Wu, Lanalle Darden, Rosalyn Williams, Rosana Serrano, Bruce F. Chorpita

Faculty Publications

Objective: This study aimed to characterize and validate potential therapist “missteps,” or inadvertent behaviors that may impact youth and family engagement in mental health services.

Method: Ten misstep types were coded from 224 treatment sessions provided by 92 therapists. Rapid qualitative analysis using key informant interviews was conducted to examine insights related to the occurrence, expected impact, and perceived severity of therapist missteps as an indicator of the face validity of the missteps construct and types.

Results: All 10 misstep types demonstrated good reliability (Fleiss’ k = .71−.88). All 10 misstep types appeared to have facevalidity with key informants. Key …

Youth Identity And Postsecondary Decision Making In A Rural State: Evidence Of A College For All Master Narrative, Jayson Seaman, Cindy L. Hartman, Andrew D. Coppens, Erin H. Sharp, Sarah Jusseaume, Molly Donovan

Faculty Publications

This study examined the normative messages that inform youth postsecondary decision making in a predominantly rural state in the northeastern U.S., focusing on the institutionalization and circulation of identity master narratives. Using a multilevel, ecological approach to sampling, the study interviewed 33 key informants in positions of influence in educational, workforce, and quality of life domains. Narrative analysis yielded evidence of a predominant master narrative – College for All – that participants described as a prescriptive expectation that youth and families orient their postsecondary planning toward four-year, residential baccalaureate degree programs. Both general and domain-specific aspects of this master narrative …

Identifying And Supporting Financially Vulnerable Women Experiencing Economic Abuse: A Grounded Theory Approach, Leslie Book, Ann Kayis-Kumar, Youngdeok Lim, Jack Noone, Michael Walpole, Jan Breckenridge

Faculty Publications

This study extends the literature by exploring the role of pro bono tax clinics within the social impact ecosystem with a focus on the experiences of women in financial distress who are otherwise unable to access professional tax advice. Using clinic data derived from a pro bono tax advisory clinic, this article finds that 58 per cent of financially vulnerable women seeking pro bono tax services have experienced domestic and family violence (DFV), confirming again the link between financial stress and economic abuse. Yet only 3 per cent of these women were receiving domestic and family violence-related support, highlighting the …

Nutrition Interventions Addressing Structural Racism: A Scoping Review, Matthew Greene, Bailey Houghtaling, Claire Sadeghzadeh, Molly De Marco, De'jerra Bryant, Randa Morgan, Denise Holston

Faculty Publications

African Americans experience high rates of obesity and food insecurity in part due to structural racism, or overlapping discriminatory systems and practices in housing, education, employment, health care and other settings. Nutrition education and nutrition-focused policy, systems and environmental changes may be able to address structural racism in the food environment. This scoping review aimed to summarise the available literature regarding nutrition interventions for African Americans that address structural racism in the food environment and compare them with the 'Getting to Equity in Obesity Prevention' framework of suggested interventions. An electronic literature search was conducted with the assistance of a …

The Impact Of Covid-19, Mental Health Distress, And School-Based Sociocultural Protective Factors Among Elementary-Aged Children And Their Caregivers, Aijah K.B. Goodwin, Anthony J. Roberson, Ar’Reon Watson, Grace L. Chen, Anna C.J. Long

Faculty Publications

Given the individual and systemic stress endured by children and families during the COVID-19 pandemic, research examining culturally responsive school experiences and supports to enhance resilience is critical. This study examined the relationship between caregivers’ perceptions of COVID-19 impact, mental health distress among children and caregivers, and school-based sociocultural protective factors, including culturally responsive practices in schools and the relationships between teachers and caregivers, concurrently and longitudinally. Data were collected from caregivers of elementary-aged children at two-time points from March to April 2020 (N = 174) and one year later in 2021 (N = 114). Regression analyses revealed that COVID-19 …

Faux Advocacy In Amicus Practice, James G. Dwyer

Faculty Publications

Amicus brief filing has reached “avalanche” volume. Supreme Court Justices and lower court judges look to these briefs particularly for non-case-specific factual information––“legislative facts”—relevant to a case. This Article calls attention to a recurrent yet unrecognized problem with amicus filings offering up legislative facts in the many cases centrally involving the most vulnerable members of society—namely, non-autonomous persons, including both adults incapacitated by mental illness, intellectual disability, or other condition, and children. Some amici present themselves as advocates for such persons but use the amicus platform to serve other constituencies and causes, making false or misleading factual presentations about the …

Attention/Deficit Hyperactivity Disorder In Adolescent And Young Adult Males With Fragile X Syndrome, Jessica Klusek, Shannon L. O'Connor, Alexandra Hickey, Kimberly J. Hills, Leonard Abbeduto, Jane E. Roberts

Faculty Publications

This study characterized the rates of rates of attention-deficit/hyperactivity disorder (ADHD) in adolescent and young adult males with fragile X syndrome (FXS) using a multi-method approach integrating a DSM-based parent interview (Children’s Interview for Psychiatric Syndromes; P-ChIPS, Fristad et al., 1998) and a parent rating scale (Child Behavior Checklist; CBCL, Achenbach, 2001). Thirty-one males with FXS, aged 16-24 years, participated. Forty-two percent met DSM-5 criteria for ADHD and 35% exceeded the CBCL cut-offs. Agreement between the two classification methods was fair (κ=0.38). Autism symptom severity and nonverbal cognitive ability did not predict ADHD diagnoses/symptoms. Results show …

Nh’S Workforce: The Youth Retention Initiative For Educational, Occupational And Residential Futures In New Hampshire, Andrew D. Coppens, Sarah Jusseaume, Cindy L. Hartman, Jayson Seaman, Erin H. Sharp, Molly Donovan

Faculty Publications

No abstract provided.

Racial Discrimination And Hazardous Drinking Among Black Drinkers: The Role Of Social Anxiety In The Minority Stress Model, Julia D. Buckner, Nina I. Glover, Justin M. Shepherd, Michael J. Zvolensky

Faculty Publications

Objective: Black Americans who consume alcohol experience worse alcohol-related outcomes. Thus, identifying psycho-sociocultural factors that play a role in hazardous drinking among Black individuals is vital to informing prevention and treatment efforts to reduce these disparities. Racial discrimination is related to hazardous drinking among Black adults, suggesting that some may drink (and continue to drink despite drinking-related problems) to alleviate negative affect (e.g., depression, anxiety) associated with discrimination. Yet, despite the social nature of both racial discrimination and drinking, no known research has examined the role of social anxiety in the relations among racial discrimination experiences and hazardous drinking. Method: …

Free Public Lands Admission For Children And Spillovers In Family Recreation, Jocelyn S. Wikle, Camilla Hodge

Faculty Publications

This study evaluated the Every Kid in a Park program to understand recreation and the contextual interaction between family resources, race, and recreation costs in families with young children. Using a large, nationally representative data sample from the American Time Use Survey (N = 5,119), we analyzed changes over time in recreation patterns of different socioeconomic groups before and after the initiation of the Every Kid in a Park program of the United States National Park Service. We found that free admission corresponded with overall increased frequency of hiking with a child for individuals in affected households. Changes in hiking …

Experience Design And The Origins And Aims Of Leisure Studies: Shifting The Focus From Context To Experience, Mat D. Duerden

Faculty Publications

This article, adapted from the 2019 Butler Lecture at the NRPA National Research session, provides an overview of the origins, development, and potential future trajectory of the field of leisure research. Economic and societal trends of the last few decades may signal the need for the field to intentionally transition its focus on leisure as a context to leisure as an experience. More specifically the field needs to actively consider how insights gained from 60 years of research on leisure experiences can be applied to contexts beyond leisure. To illustrate the possibility of such a shift, lessons learned from transitioning …

Experience Design In Leisure And Recreation Curriculum, Madie Neeley, Sydney Burgess, Mat D. Duerden, Neil Lundberg

Faculty Publications

Experience design is a term that has risen to the forefront in a variety of professional fields and has relevance for the field of park and recreation. Park and recreation professionals are primarily focused on providing experiences and thus could naturally consider themselves experienced designers. Surprisingly, experience design is not a topic often discussed within park and recreation publications or curriculum. This absence is at least in part attributable to the fact that experience design is an emerging field that has grown independently out of multiple disciplines. Consequently, the fields of park and recreation and experience design overlap in a …

Reporting Of Concussion Symptoms By A Nationwide Survey Of United States Parents Of Middle School Children, Zachary Y. Kerr, Brittany M. Ingram, Christine E. Callahan, Aliza K. Nedimyer, Avinash Chandran, Melissa K. Kossman, Julia Hoang, Paula Gildner, Johna K. Register-Mihalik

Faculty Publications

This cross-sectional study assessed concussion symptom knowledge of parents of middle school (MS) children (aged 10–15 years) through a free-response item that solicited concussion symptoms and compared findings to a pre-validated scale-based measure. A self-administered online questionnaire was sent to a panel of randomly selected United States residents who were recruited by a third-party company, aged ≥ 18 years, and identified as parents of MS children. Via a free-response item, parents listed what they believed were concussion symptoms. Multiple sections later, parents identified potential concussion symptoms via a scale measure, which featured 25 items (22 actual symptoms, three distractor symptoms) …

Safeguarding The Lives Of Children Affected By Boko Haram: Application Of The Safe Model Of Child Protection To A Rights-Based Situation Analysis, Rosie O'Connor, Theresa S. Betancourt, Ngozi V. Enelamah

Faculty Publications

The Boko Haram insurgency in northeast Nigeria is responsible for the highest number of lives lost in Africa in the past decade. The country has witnessed significant violations of the United Nations Convention on the Rights of the Child, which Nigeria has signed and ratified. For instance, Nigeria had the second-highest number of children recruited to armed groups and the third-highest number of abductions in 2018. Current humanitarian efforts primarily target camps for internally displaced persons, while state strategies focus mainly on addressing security through combatant-targeted interventions. However, there is a need for more rights-based, integrated, and multifaceted approaches to …

State-Community System Of Care Development: An Exploratory Longitudinal Review, Isaac Karikari, Betty Walton, Christine Marie Bishop, Stephanie Moynihan, Pinkie Evans

Faculty Publications

The system of care (SOC) philosophy evolved into a framework to support access to effective behavioral health services for children. This study explored the use of the System of Care Implementation Survey (SOCIS) to monitor SOC development during one Midwestern state’s federal planning and expansion grants. Utilizing a translational framework, results showed that despite fluctuations in SOC factor implementation over time, state and local SOCs had mid-level development. Further, inferential analysis of select factors indicated that outreach and access to services and the skilled provider network were significantly worse over time. Significant improvement in the treatment quality was documented but …

Icwa International: The Benefits And Dangers Of Enacting Icwa-Type Legislation In Non-U.S. Jurisdictions, Marcia A. Yablon-Zug

Faculty Publications

For decades, the Indian Child Welfare Act (ICWA) has been considered the “gold standard” in Indigenous child protection. As a result, Indigenous advocates around the world have sought the passage of similar legislation. However, it is far from clear that the benefits of the ICWA are easily exported. The ICWA is based on a recognition of tribal sovereignty. Unfortunately, many of the countries that could benefit from ICWA-type protections do not recognize the sovereignty of their Indigenous populations.

This Article explores how the ICWA would have to be adapted to work in such countries and whether the needed changes would …

The Empower Action Model: A Framework For Preventing Adverse Childhood Experiences By Promoting Health, Equity, And Well-Being Across The Life Span, Aditi Srivastav, Melissa Strompolis, Amy Moseley, Kelsay Shania Daniels

Faculty Publications

The empower action model addresses childhood adversity as a root cause of disease by building resilience across multiple levels of influence to promote health, equity, and well-being. The model builds on the current evidence around adverse childhood experiences and merges important frameworks within key areas of public health—the socio-ecological model, protective factors, race equity and inclusion, and the life course perspective. The socio-ecological model is used as the foundation for this model to highlight the multilevel approach needed for improvement in public health. Five key principles that build on the protective factors literature are developed to be applied at each …

Infant Social Avoidance Predicts Autism But Not Anxiety In Fragile X Syndrome, Jane E. Roberts, Hayley Crawford, Elizabeth A. Will, Abigail L. Hogan, Samuel Dale Mcquillin, Bridgette L. Tonnsen, Shannon O'Connor, Douglas A. Roberts, Alexis M. Brewe

Faculty Publications

Objective: Autism spectrum disorder (ASD), attention-deficit/hyperactivity disorder (ADHD), and anxiety are three of the most common childhood psychiatric disorders. Early trajectories of social avoidance have been linked with these psychiatric disorders in previous studies, but it remains unclear how social avoidance differentially predicts comorbid disorders in a high-risk genetic subgroup. Here, we delineate the association between trajectories of social avoidance from infancy and subsequent ASD, ADHD, and anxiety outcomes at preschool in children with fragile X syndrome (FXS), a well-characterized single-gene disorder highly associated with social avoidance as well as elevated rates of ASD, ADHD, and anxiety.

Method: Males with …

The Interior Structure Of Immigration Enforcement, Eisha Jain

Faculty Publications

Deportation dominates immigration policy debates, yet it amounts to a fraction of the work the immigration enforcement system does. This Article maps the interior structure of immigration enforcement, and it seeks to show how attention to its structure offers both practical and conceptual payoffs for contemporary enforcement debates. First, deportation should not be conceptualized as synonymous with immigration enforcement; rather, it is merely the tip of a much larger enforcement pyramid. At the pyramid’s base, immigration enforcement operates through a host of initiatives that build immigration screening into common interactions, such as with police and employers. Second, this enforcement structure …

Future Direction For Child Mental Health: Developing A Blueprint Using The System Of Care Framework, Isaac Karikari, Betty Walton, Christine Marie Bishop

Faculty Publications

Mental illness is multi-layered and it requires a team effort in order to be addressed. Commonly, there is uncertainty toward improving and maintaining the gains that are made by professionals in the child mental and behavioral health field. Based on lessons learned from a multi-year SOC expansion grant funded by SAMHSA, project members discuss recommendations for improving child mental health, as well as providing support to families.

The New Gospel Of Wealth: On Social Impact Bonds And The Privatization Of Public Good, Etienne C. Toussaint

Faculty Publications

Since Andrew Carnegie penned his famous Gospel of Wealth in 1889, corporate philanthropists have championed considerable public good around the world, investing in a wide range of social programs addressing a diversity of public issues, from poverty to healthcare to criminal justice. Nevertheless, the problem of “the Rich and the Poor,” as termed by Andrew Carnegie in his famous essay, remains unsolved. Socially conscious investors have recently called for America to reimagine a new “gospel of wealth”, one that not only grapples with the what of social injustice, but also explores the how and the why of systemic social and …

Knowledge Diffusion And Utilization Within A System Of Care Model: Success And Challenges, Betty Walton, Isaac Karikari, Christine Marie Bishop, Erin Tock

Faculty Publications

•Transitioning from required collection & reporting of grant data to routinely using information for planning and quality improvement processes at direct service, program, and system levels •Explores necessary conditions for the successful use of information to plan and monitor progress •Highlights tips •Applying tips to your practice

A Longitudinal Review Of System Of Care (Soc) Development A Case Study From The Mid-West, Betty Walton, Isaac Karikari, Christine Marie Bishop

Faculty Publications

This study examined the implementation of the System of Care (SOC) framework in a Midwestern state and efforts to assess the progress over time. The period in focus was 2014-2018.

Participatory And Collaborative Evaluation Strategies To Support Data-Informed Decisions And Management, Christine Marie Bishop, Isaac Karikari, Betty Walton, Stephanie Moynihan

Faculty Publications

Surveys were completed by local stakeholders who had been recruited from local communities and regions by the Indiana System of Care Planning Team. Periodic collection of System of Care Implementation Survey (SOCIS) information identified strengths and ongoing challenges.

Supporting Strong Families And Capable Communities Through Cross-National Research, Nathan C. Taylor, Deborah K. Hartman, Richard J. Bischoff, Alan Hayes, Paul R. Springer, Hazel E. Dalton, David Perkins

Faculty Publications

Mental and behavioral ill-health are growing global problems and while there are promising evidence-based approaches aimed at reducing their impact, availability of services varies greatly, not only across nations, but also between urban, regional, and remote locations. Rural areas face accessibility and acceptability challenges related to mental health services that are similar to barriers experienced in developing countries. Initiatives to address mental health challenges in under-served rural areas can inform global mental health strategies.

Teens-As-Teachers Nutrition Program Increases Interest In Science Among Schoolchildren And Fosters Self-Efficacy In Teens, Virginia Bolshakova, John Gieng, C. Sheena Sidhu

Faculty Publications

The Healthy Living Ambassador Program brings health, teen leadership, and teamwork to California's elementary school gardens through interdisciplinary UC Cooperative Extension collaboration, community-based partnerships and teen teaching. During spring 2015, teen ambassadors trained by Extension educators and volunteers at UC Elkus Ranch in San Mateo County taught nutrition science, food cultivation and healthy living skills in an 8-week, garden-based, after-school nutrition and physical education program for elementary school children in an urban setting. We conducted a pilot study using a mixed-methods approach to measure and explore the program's impact on children's vegetable selection and consumption preferences, as well as perceived …