Digital Commons Network^™

Transfigured Treatment : A Comparative Needs And Specialized Services Assessment Of Transgender Youth And Gender Specialist Providers In The Bay Area, Lark E. Nierenberg

Theses, Dissertations, and Projects

Transfigured Treatment is a mixed-methods study that aims to assess and improve multidisciplinary clinical care for transgender and gender expansive youth in the Bay Area. This trans-led research is a joint needs- and services-assessment of local gender-specialized care, including mental health support, access to medical care, and housing assistance. Transfigured Treatment is a tool with which to share histories of need and transform them into legacies of care. Participants were recruited via non-probability sampling and data were collected via an anonymous online survey. Adult participants must have/had a gender expansive identity while living in the Bay Area at some point …

Maintaining Community Roots : Understanding Gentrification Through The Eyes Of Long-Standing African American Residents In West Oakland, Karessa Irvin

Theses, Dissertations, and Projects

The study was undertaken to understand how long-standing African Americans residents of West Oakland believe they can maintain community roots during processes of gentrification. A second major question was: What are the implications for community based social workers.

Snowball sampling and convenience sampling were the methods used to recruit participants for the study. Thirteen in-person interviews were conducted, regarding study contributors’ perceptions of the West Oakland neighborhood, neighborhood changes, and understanding of community roots and how to maintain them.

The major findings of the study were congruent with some previous research of gentrification as participants defined gentrification in terms of …

The Integrationists : Exploring The Experiences Of Third Culture Kid Psychotherapists, Carly S. Inkpen

Theses, Dissertations, and Projects

This study was undertaken to explore how being a third culture kid (TCK) impacts the experience of working as a psychotherapist. A TCK is a person who spent a significant part of their developmental years living outside their passport country, often moving between numerous countries. This study sought to understand the unique perspective that TCKs bring to psychotherapy work and to increase the visibility of transnational, multicultural therapists and clinicians of color in the clinical literature.

Sixteen TCK psychotherapists on five continents were interviewed, responding to a range of questions about how their TCK identities impact their experience of clinical …

It's Time To Talk About Sex And Social Work : Why Human Sexuality Education Matters For Social Work Practice, Sophia R. Glass

Theses, Dissertations, and Projects

This researched investigated human sexuality training received in social work programs and its impact on clinical practice. Specifically, it examined clinicians’ comfort and competency addressing sex and sexuality related topics with clients. 67 participants were recruited via a nonprobability snowball sampling technique, and data was gathered anonymously through a secure web-based survey instrument. The findings supported the author’s hypothesis that there is a substantial lack of human sexuality training in social work programs despite the finding that sexuality is highly relevant to clinical work. Barriers to social workers effectively addressing these topics with clients were identified as inadequate education and …

"You Are In A Better Position To Protect People When You Feel Like You're Protected Yourself" : To What Extent Does Union Membership And Ethical Clinical Social Work Practice Align? : An Exploratory Study, Robyn K. Douglass

Theses, Dissertations, and Projects

The purpose of this study was to examine the question: “to what extent does union membership and ethical clinical social work practice align?” by interviewing Licensed Clinical Social Workers (LCSW) working within unionized environments. The study focused on the experience of these clinicians within their current working environment and how being a union member allowed them to be able to provide ethical clinical social work practice to their clients/patients. The most compelling findings from this research were that the clinicians felt that union membership did align with providing ethical clinical social work practice to their populations within their agencies or …

Trust, Jealousy And Communication In Long-Term Couples Practicing Consensual Non-Monogamy, Christina Wang

Theses, Dissertations, and Projects

This cross-sectional exploratory quantitative study examined trust and communication patterns among adults practicing consensual non-monogamy (CNM). Previous relationship research in this area has primarily examined couples in demographically homogenous relationships (heterosexual, white, and married). A review of the literature suggested that adults engaging in consensual non-monogamy are more diverse. Our recruitment strategies and study design was successful in recruiting a more diverse group of participants. Twenty-eight adults in long-term CNM relationships completed a 56-item online questionnaire. Responses were examined to explore the relationship between communication patterns and relationship tenure. The relationship tenure of couples and the gender preference of participants …

Impact Of Support Groups On Kinship Care Providers : A Project Based On An Investigation At Community Coalition, Los Angeles, California, Judith Farber Weissman

Theses, Dissertations, and Projects

The purpose of this study was to explore how peer support groups influence kinship care providers’ (KCPs’) sense of self-worth and empowerment, and how they impact KCPs’ ability to advocate on behalf of the children in their care. Few studies to date have examined self-worth in the realm of KCPs’ parenting issues of guilt and regret, nor have they explored whether support group participation encourages relearning parenting skills and therefore instills a sense of empowerment. Although the majority of KCPs in the United States are informal care providers, most prior research on this population focused on formal kinship care providers; …

"Resisting Disconnection" : An Exploratory Study Of Transgender Adults' Experiences Of Community Support And Resilience, Aj Metthe

Theses, Dissertations, and Projects

This qualitative study collected narrative data from transgender adults about their experiences of community support from other transgender individuals and about their experience of their own resilience. Due to previous research findings about the marginalization of transgender populations, particular attention was paid to narrative data that explicitly suggest structural oppression. Narrative data were collected from two samples drawn from adult transgender populations. One sample (N=12) participated in hour-long semi-structured individual interviews (Interview Sample [IS]). Another sample (N=4) participated in a Focus Group [FGS]) conducted at a transgender conference in the northeast.

The major findings that emerged from participants’ reports of …

Servicenet Participatory Action Research Program Evaluation : A Project Based On An Independent Investigation At Servicenet In Northampton, Ma, Heather L. Crawford, Caroline W. Evans, Margot E. Reilly

Theses, Dissertations, and Projects

This research project sought to evaluate if program participants of ServiceNet’s Mental Health Recovery Services (MHRS) feel supported to meet their self defined needs and goals. These researchers were guided by the principles of Participatory Action Research (PAR) and facilitated three focus groups who designed a mixed methods survey tool to be distributed by ServiceNet Recovery Counselors. Twelve surveys were refused and returned unopened, 56 program participants received the survey envelopes and did not return them, and 34 surveys were returned completed (n=34).

Participants demonstrated high satisfaction around housing, transportation, personal growth, emotional support, feeling treated like a human being, …

Hospice Social Work And The Patient Protection And Affordable Care Act, Christine A. Couture

Theses, Dissertations, and Projects

This study was undertaken to explore how hospice social workers based at United States hospice agencies perceive changes in their work responsibilities in relation to the Patient Protection and Affordable Care Act (PPACA). Secondly, this study sought to explore hospice social worker support of the Patient Protection and Affordable Care Act healthcare policy reform.

A nonprobability sample of availability was used to find research participants. The researcher recruited participants through online social and professional networking groups and forums and by snowball sampling methods. Self-selected participants electronically confirmed their eligibility for participation in the study, prior to completing the 20-question online …

"War Was Either Going To Be A Skeleton In My Closet Or I Could Try To Make It Something Else" : An Exploration Of Moral Injury, Moral Repair, And Veteran Anti-War Activism, Zoe Rose Rudow

Theses, Dissertations, and Projects

This exploratory study investigates the impact of collective anti-war organizing on veterans’ experiences of moral injury. Moral injury refers to the emotional, psychological, and spiritual unrest that emerges as the result of “perpetrating, failing to prevent, [or] bearing witness to… acts that transgress deeply held moral beliefs and expectations” in the context of war (Litz et al., 2009, p 695). While current literature centers treatment for moral injury through clinical interventions, this study investigates if and how anti-war activism can provide a process for moral repair. Qualitative interviews with six veteran anti- war activists reveal that many intervention steps proposed …

Unhealthy Weight Control Behaviors In Adolescents : Are There Classes Of Risk?, Grace M. Van Schoick

Theses, Dissertations, and Projects

This quantitative secondary analysis was undertaken to determine if classes of risk exist for the use of Unhealthy Weight Control Behaviors (UWCBs) in adolescents. Engagement in UWCBs increases the likelihood that an adolescent would develop a full-syndrome eating disorder, which are both difficult and expensive to treat. Using data previously collected as part of the 2013 Youth Risk Behavior Surveillance System, it was possible to conduct a Latent Class Analysis (LCA) using 8,885 responses which contained data about a number of potential risk factors that might influence a participant’s likelihood to engage in UWCBs. Factors considered were gender, race/ethnicity, experiences …

Student Satisfaction With The Quality And Quantity Of Mental Health Services Offered By Their Msw Programs, Willa R. Mayo

Theses, Dissertations, and Projects

This study sought to explore the mental health needs of clinical MSW students, and the degree to which they feel satisfied by the quality and quantity of mental health services provided to them by their schools. For this mixed-methods study, 111 current MSW students were surveyed, representing twenty eight different graduate programs. Participants reflected on their experiences with counseling services at their schools and commented on their level of satisfaction with the resources provided to them. Overall, 13% of respondents reported being “somewhat” or “very satisfied,” 31% were “not very” or “not at all” satisfied, and 50% were “neutral.” Areas …

Toxic Stress : Exploring Mental Health Narratives Of Environmental Justice In Richmond, California, Elizabeth Gonzalez

Theses, Dissertations, and Projects

The purpose of this exploratory study was to gather narratives of residents and/or community members who perceive the presence of the Richmond Chevron Oil Refinery in their community as a psychological stressor. The study used semi-structured interviews with eight community organizers and activists to gather qualitative data providing personal accounts of the possible psychological impact of living near a toxic facility with great political power in the city. The common trend among the narratives was the tendency of the participants to focus on a macro interpretation of how mental health is affected by a corporate giant. A collective sense of …

Caregiver Involvement In Child And Adolescent Psychiatric Inpatient Care : A Clinician's Perspective, Erika Wentworth

Theses, Dissertations, and Projects

This mixed-methods exploratory study aimed to contribute to the knowledge about caregiver involvement during child and adolescent inpatient psychiatric treatment, as it is the most agreed upon factor of treatment outcomes by both psychiatric providers and previous research. Thirty-two licensed clinicians who either currently work or worked within the last five years on child and/or adolescent psychiatric inpatient units completed an online survey. The survey included both multiple choice and open ended questions about participants’ perceptions of how they involved caregivers during treatment as well as the involvement of the unit and day programming. The findings of the study confirmed …

Clinician Perceptions Of Harm Reduction, Psychotherapy And The Role Of Traditional Abstinence Models, Abigail R. Vayda

Theses, Dissertations, and Projects

This study sought to better understand clinicians’ perceptions of harm reduction, psychotherapy, and the role of traditional abstinence models when working with actively using clients. This study analyzed the results from a survey completed by 52 practicing clinicians in the United States. The survey contained demographic questions and Likert scale questions measuring attitudes toward harm reduction, abstinence, and psychotherapy with actively using clients. In addition to rating questions, there was also one open-ended question allowing participants to express their understandings of the development of a substance use disorder. The overall response to this survey was a positive attitude toward harm …

Social Work Professional Ethics, As Affected By The Concept Of The Wounded Healer : An Investigation Into The Gatekeeping Practice Of Clinical Social Work Supervision, Cristina B. Bloom

Theses, Dissertations, and Projects

The objective of this exploratory qualitative study was to assess how the field of social work currently maintains and preserves professional social work ethics in the clinical practice field. This study sought to understand how, in a field where the self is one of the main tools utilized, the field ensures that the practitioner’s self is fit to practice and to do so ethically. This is of particular significance in a field that research indicates that high percentages of people are attracted to because of challenging personal life experiences (Lackie, 1982; Marsh, 1988; Vincent, 1996). More specifically, this study centered …

The Promise Of The Wild For Families : Factors Of The Anasazi Foundation's Wilderness Therapy Program Associated With Positive Parent-Adolescent Relationships : A Project Based Upon An Investigation At The Anasazi Foundation, Mesa, Arizona, Katharine W. Reynolds

Theses, Dissertations, and Projects

The purpose of this study was to identify which aspects of The Anasazi Foundation's wilderness therapy treatment are most strongly associated with positive parent-adolescent relationships after treatment. To this end, 59 parents and 36 adolescents completed surveys designed by the Anasazi Foundation to assess individual goal attainment, family relationships, continued connection to The Anasazi Foundation, aftercare follow-though, and physical and spiritual health after the adolescent had been discharged from the program, which lasted at least 49 days. Adolescent study participants ranged in age from 12 to 25 years, and parent study participants had children who ranged in age from 12 …

Supporting Probation Youth : An Examination Of Services And Access To Services Provided : A Project Based Upon An Independent Investigation Of San Francisco Bay Mental Health Agencies, Marjorie R. Gomez

Theses, Dissertations, and Projects

This study explored a sample of the San Francisco Bay Area agencies providing mental health services to probation youth in hopes of looking at best practices and what barriers and facilitators there are for youth to access services. This study surveyed 19 program leads of agencies that have among their clients, youth on probation. The mixed methods survey included 28 questions covering topics such as services provided, funding sources, client demographics, program structure, coordination with other support services, post-program evaluation and barriers and facilitators to accessing services. The findings demonstrated that these agencies were mostly funded through MediCal contracts and …

Experiences Of Multilingual Social Workers : Trauma Therapy In Spanish And English, Emily H. Aviles

Theses, Dissertations, and Projects

This exploratory study examines the experiences of social workers engaging in multilingual—Spanish and English—therapy with individuals who speak both Spanish and English, identify as Latino/a, have a history of trauma, and identify as having a history (personal, familial) of immigration to the U.S. The study uses semi-structured interviews with 10 social workers to gather qualitative data about their experiences engaging in trauma therapy with individuals who identify as multilingual as well as Latino/a immigrants to the U.S. The project examines ways that multilingual clinicians process trauma with individuals in more than one language; paying attention to the ways clinicians think …

The Contribution Of Negative Social Responses To Self-Blame Among Survivors Of Sexual Violence : A Psychodynamic And Sociocultural Perspective, Jessica J. Somers

Theses, Dissertations, and Projects

Survivors of sexual violence often blame themselves for harms committed against them, echoing the negative responses they receive from others upon disclosure. While it appears that the hostile social climate surrounding sexual violence disclosure contributes to self-blame, the mechanism by which negative responses exert this pernicious influence has not been sufficiently articulated in prior research. Responding to this deficit, this theoretical investigation addresses three questions: 1) What is the psychic mechanism by which negative social responses engender self-blame among survivors of sexual violence? 2) What social factors explain why this mechanism is activated around sexual violence disclosure? 3) What are …

Treating Non-Offending Caregivers With A History Of Childhood Sexual Abuse And Their Sexually Victimized Children : A Case Study Using Object Relations Theory And Trauma Theory, Maytal Schmidt

Theses, Dissertations, and Projects

Childhood sexual abuse is a horrific crime and prevalent social problem within our society that requires multiple levels of intervention. Sexual victimization and sexual offending of children is not a new phenomenon. Although literature is available on childhood sexual abuse, much less is known about non-offending caregivers of sexually abuse children who have their own history of childhood sexual abuse. A consistent finding across research on childhood sexual abuse and non-offending caregivers is the importance of the child-caregiver relationship in facilitating recovery for both the child and caregiver. This theoretical study examined the phenomenological experiences of non-offending caregivers whose children …

Farm Work As Treatment For Posttraumatic Stress Disorder, Mindy L. Walls

Theses, Dissertations, and Projects

This exploratory, descriptive study assessed what, if anything, is beneficial about engaging in agricultural work, or, farm work, for individuals living with posttraumatic stress disorder (PTSD). An anonymous, online survey was utilized, asking a series of multiple choice and open ended questions about the participants’ farm work history, PTSD experience, and demographic information. Thirty-nine participants responded with varying identities and work history, but many shared experiences of PTSD. Almost all of the participants found farming to be beneficial for managing PTSD. Specifically, four themes arose from the data that explained what about farming was beneficial for individuals with PTSD: farming …

Flow In The Therapy Setting : An Examination Of Optimal Experience In Clinical Social Work Practice, David E. Landry

Theses, Dissertations, and Projects

This study's purpose was to understand how licensed clinical social workers described their optimal experience when they are engaged in clinical practice. The specific focus of this study was to conduct interviews to obtain subjective narrative descriptions of these experiences. The question was based on the theoretical model of flow, a state of mind where one is wholly absorbed in the moment. Data reflected that the social connection between the therapist and client was the strongest indicator of optimal experience. Data from this study showed evidence that participating licensed clinical social workers described their optimal experience in practice within the …

I Googled. "How Do You Know You're Gay?" : A Qualitative Study On Lgbtq Identity Formation And The Internet /, Rebekah M. Meresman

Theses, Dissertations, and Projects

This qualitative, exploratory study examined the impact of the internet on the identity formation process of LGBTQ individuals. This study aimed to answer the question: How and why do some LGBTQ-identified adults use the internet as a tool to formulate their sexual/gender identity? Through an anonymous online survey, LGBTQ identified participants were asked several open-ended questions about their identity formation experiences, and the role of the internet on this process.

Fifty individuals participated in the study, from a wide range of sexual and gender identities, half of which identified as transgender or gender non-conforming. Of these participants, most indicated that …

Theories And Interventions With Transgender And Gender Non-Conforming Clients, Charles R. Shealy

Theses, Dissertations, and Projects

This original qualitative study identifies the theories and techniques therapists have found supportive in their work with Transgender and Gender Non-Conforming clients. Twelve clinicians currently in practice in the New York City area and one clinician from Virginia who had experience working with Transgender and Gender Non-Conforming clients were interviewed. The questions posed to them were intended to guide them to reflect on their practice considering what theories arose as themes in their work and what techniques or approaches arose as supportive in their work with this population. Their responses were in line with the current body of literature reflecting …

What Would Increase The Accessibility And Desirability Of College Counseling Services For Music Majors Presenting With Various Mental Health Issues?, David J. Winston

Theses, Dissertations, and Projects

Based on the perceptions of 11 college counselors interviewed at 5 private universities and music conservatories throughout New England, this qualitative research study examined the accessibility and desirability of college counseling services for music majors presenting with mental health issues. Findings suggested that the desirability of college counseling services would increase if there were more outreach and advertisements toward music majors from counseling centers. Participants reported that more flexible hours and increase in staff to accommodate the unique needs of music majors would be the solution to improving accessibility. An unexpected finding in this study was reported instructor abuse of …

Surviving The Divorce : The Power Of The Sibling Relationship, Jessica Hallberlin

Theses, Dissertations, and Projects

Out of all family relationships, the sibling relationship remains the least studied. Due to the limited research on sibling relationships, the study aimed to provide a greater understanding of the importance of sibling relationships and the significant role that siblings may play in one another's lives when coping with the stressful effects of parental divorce. In this qualitative exploratory study, 14 adult sibling dyads were interviewed to explore the ways in which they helped one another deal with the effects of parental divorce. The three main themes that emerged from this study are (a) positive impact of sibling relationships on …

The Role Of Fictional Narratives In Adolescent Identity Formation : A Theoretical Exploration, Anne Lind

Theses, Dissertations, and Projects

This theoretical study explores the ways in which adolescents' engagement with fictional narratives can support developmental processes of identity formation and individuation. The purpose of the study was to develop a theoretical framework for understanding the intense relationship that some adolescents have with favorite books, movies, and television shows. A review of the literature on the psychology of fiction showed that, when deeply engaged with a narrative, readers are able to simulate characters' experiences in ways that lead to changes in behavior, empathy, and self-concept. A review of the literature on parasocial relationships showed that readers and viewers often form …

The Birds And The Bees Can Have Canes And Wheels : The Sexual Identity Formation Of Women With Visible Physical Disabilities, Clara J. Miller

Theses, Dissertations, and Projects

The study descriptively examines the views women with visible physical disabilities have on their sexual identity formation. For the purposes of this study, the term sexual identity is defined as an awareness of one's self as a sexual being. 158 self-identified women with visible physical disabilities answered survey questions about their experiences during their adolescent years. Overall, this study found that women with disabilities face the same difficulties as their abled-bodied peers, but face additional struggles having to do with their disability when forming their sexual identity.