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Masshealth (Medicaid) Clinicians' Perceptions Of In-Home Therapy With Children And Families, Kathryn E. Cole

Theses, Dissertations, and Projects

This study identifies the attitudes of clinicians providing in-home therapy and related services under the umbrella of MassHealth in Massachusetts. It examines who is doing In-Home Therapy, whether these clinicians (and bachelor’s level providers known as providers of therapeutic training and support) feel adequately prepared to do this work, the kinds of training these clinicians receive, what could be done in order to help them feel more successful, find job satisfaction, and want to continue providing in-home therapy.

Three hundred and four participants completed an online, anonymous survey that collected basic demographic information including gender, age, race, education, professional background, …

Till (Un)Death Do Us Part : Exploring The Romanticization Of Adolescent Dating Violence In The Twilight Saga And The Romantic Relationship Beliefs Held By Female Fans Of The Series, Aviva H. Jacobstein

Theses, Dissertations, and Projects

The purpose of this quantitative study was to examine the romantic relationship beliefs held by female fans of The Twilight Saga and to explore influences of media that romanticizes adolescent dating violence. This study specifically examined 18 to 20-year-old female fans’ varying degrees of Twilight exposure, narrative immersion into the series, and their beliefs regarding what constitutes a healthy romantic partnership. A total of 194 individuals who were exposed to the entirety of Twilight completed an anonymous online survey, which asked individuals to reflect on their reading/watching exposure to Twilight and immersion into the series. Participants also answered Likert-scale questions …

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 …

Let's Talk About Race : ǂB A Study Of Racial Discourse And Self-Esteem In Transracial Adoptees, Hyun-Zie Hong

Theses, Dissertations, and Projects

This study examined the relationship between racial socialization in transracial adoptees and their self-esteem in adulthood. This study also sought to explore if this relationship was different for transracial adoptees who were adopted domestically, and those who were adopted internationally. An online survey was administered to 50 adult transracial adoptees, featuring the Ethnic and Racial Socialization of Transracial Adoptee Scale and the Rosenberg Self-Esteem Scale. All study participants were adopted in or into the United States. The results of this study indicated that differences in self-esteem scores by adoption origin approached significance. Other significant findings showed a positive correlation between …

Wisdom In The Trees : A Research Project On How Elders Living In The Treehouse Community Together With Foster Children And Their Families Continue Or Expand The Quality Of Meaning Making In Their Everyday Lives, Elizabeth Hinze

Theses, Dissertations, and Projects

This qualitative study examined the oldest members of The Treehouse Community in western Massachusetts which is an intentional intergenerational community. Within this study 10 older adults living in the community participated in either a community held event or one-on-one interviews describing their felt life experiences before and after moving to Treehouse. Most of the participants made it clear that they did not show up at Treehouse looking for something to occupy their time. Rather this model which supports foster families and their children through an intergenerational lens corresponds with their life work, whether it be they had worked in child …

The Political Birth Of Gay Affirmative Social Services, José A. HernáNdez.

Theses, Dissertations, and Projects

This thesis reports on the preliminary oral history findings collected for a larger national study directed by David S. Byers and Stephen Vider. The findings reported here focus on the experiences of clinicians and social service providers in Los Angeles, California. Another student, Dexter Rose, conducted similar field research in Seattle, Washington. Both projects were under the supervision of the principal investigators. This investigative oral history study examines the perspective of clinicians and social services workers who provided affirmative services to gay and lesbian communities in the years 1960-1987. These years are of great importance because they mark the beginning …

Masculine Ideology In Adolescent Male Relationships : A Quantitative Study, William D. Hall

Theses, Dissertations, and Projects

This research sought to investigate the following: is there a correlation between levels of happiness in interpersonal relationships and personal resistance to masculine norms? It was hypothesized that there will exist a positive correlation between resistance to masculine norms and positive relationships - as levels of resistance to masculine norms increase, self-reports of positive interpersonal relationships will increase as well. In order to examine this possible correlation, this study analyzed 42 males between the ages of 14 and 17. All participants were enrolled in high school in Boston, Massachusetts. The study utilized the most contemporary scale of masculinity in adolescents …

Exploration Of Intergenerational Transmission Of Trauma In Holocaust Survivors, Lisa S. Guthery

Theses, Dissertations, and Projects

This study was undertaken to help resolve current debate in the field as to whether or not the traumatic effects of the Holocaust are transmitted intergenerationally. What was preventing or, conversely, enabling the passage of symptomatology from one generation to the next, thereby accounting for the contradiction in research, and clinicians’ observations during their work with Holocaust families? Over 200 people received the study through social media and snowball sampling requesting participation in a Qualtrics survey consisting of 3 screening questions, 5 demographic questions, 4 sections of multiple-choice questions, and 2 open-ended questions. The four sections assessed parental PTSD symptomatology, …

Experiences Of Intimacy And Gender Non-Conformity In Assigned Female At Birth (Afab) Same-Sex Partnerships, Denise E. Goitia

Theses, Dissertations, and Projects

The purpose of this qualitative study is to address the question: In what ways, if any, does non-conforming gender expression shape the lived experience of emotional and sexual intimacy of partners assigned female at birth same-sex romantic relationships? Healthy relationships are found to contribute to overall positive health outcomes and general satisfaction with life and sexual and emotional intimacy are necessary precursors for establishing healthy and satisfying relationships. Twelve assigned female at birth (AFAB) individuals in same-sex relationships participated. Six identified as gender non-conforming (GNC) and six were partnered with individuals who identified as gender non-conforming. Four major themes were …

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 …

Client's Experiences And Perceptions Of The Therapist's Use Of Swear Words And The Resulting Impact On The Therapeutic Alliance In The Context Of The Therapeutic Relationship, Hollyanne J. Giffin

Theses, Dissertations, and Projects

This thesis explores how clients perceive therapist swearing in the context of a therapeutic relationship. This was done via an exploratory, mixed methods research study. Individuals whose therapists had used swear words during their individual therapy were surveyed about their own personal swearing habits, their opinions of swearing and therapist swearing in general, their specific experiences and perceptions of their therapist swearing, as well as demographic information. The majority of the study’s respondents reported that their therapist’s use of swear words had helped their therapeutic relationship. While participants reported they were happy with the frequency and context of their therapist’s …

Working With Compassion : The Impact Of Loving Kindness Meditation On Compassion Satisfaction And Compassion Fatigue Among Social Workers And Other Mental Health Workers, Dianne Gallo

Theses, Dissertations, and Projects

Loving kindness meditation is a practice that involves actively cultivating compassion and intentionally directing compassion towards one’s self and towards others. Compassion fatigue refers to burnout and secondary traumatic stress that may result from caregiving, while compassion satisfaction refers to the enjoyment and sense of fulfillment that may come from caregiving. This mixed-methods study explored the impact of one week of a daily ten minute loving kindness meditation practice on mental health clinicians’ levels of compassion satisfaction and compassion fatigue. Eleven participants committed to a daily ten minute loving kindness meditation practice for one week during which they worked with …

A Qualitative Study Of Mental Health Experiences And College Student Identity, Erin M. Frawley

Theses, Dissertations, and Projects

This study uses a qualitative approach to capture the voices of nine students who self identified as having mental health experiences and who were also taking actions to cope with their mental health experiences from a small private arts college on the west coast. Students participated in one hour-long interviews that focused on students’ conceptions of mental health in relation to their identity, students’ actions related to mental health and students beliefs about the role of mental health in their sense of mattering. The findings suggest that mental health is constructed within student experience and identity differently depending on the …

Exploring Mental Health Treatment For Female Veterans In The Us : Assessing The Influences On Female Veterans In Selection Of Treatment Location, Comparing Va And Non-Va Settings, Bethany J. Ferry

Theses, Dissertations, and Projects

The purpose of this quantitative survey based study was to learn why women veterans choose VA versus non-VA mental health treatment when they need care. The study was designed to gain insight into choices that women veterans make when selecting mental health care treatment centers, and what motivates them in this choice. Women cited a number of barriers to treatment, particularly regarding accessing treatment through the VA. These barriers included limited appointment times, high turnover of providers, insufficient numbers of veterans and female veterans as providers, and feeling uncomfortable in the treatment environment.

"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 …

Bringing The Body Into Treatment : Examining The Clinician's Experience Of A Trauma Informed, Body Based Intervention Alongside Play Therapy For At Risk Youth, Erica Donahue, Alexandra K. Leiter

Theses, Dissertations, and Projects

This experimental, mixed-method study investigates the clinician’s experience of integrating a trauma informed, body based intervention alongside play therapy for at-risk children ages 2 ½-7. Through a weekly online survey, 12 clinicians from two different mental health agencies-Bayview Associates Outpatient clinic in Quincy, Ma and The Home for Little Wanderers’ early intervention program- participated in providing 4 weeks of data. Six clinicians, 5 from Bayview and 1 from HFLW, used the online survey to report their experience of including a trauma informed, body based intervention alongside their traditional play therapy practice. The same survey was given to the clinicians in …

The Use Of Specialization : ǂB Are Artists A Clinically Distinct Population?, Camila D. De Onis

Theses, Dissertations, and Projects

This research study explored how clinical social workers perceive their practice with clients who self-identify as artists. The study was based on qualitative interviews with 13 participants who described their clinical experiences with people who self-identify as artists and discussed whether they believe that this type of client is clinically distinct. Using grounded theory (Engel & Schutt, 2013), the study analyzed responses, clinical examples, nature of interventions, and personal reflections that each participant shared about her or his practice. Case vignettes provided real-world examples of the great satisfaction participants feel about their work with so-called artist-clients as well as concrete …

We Were Treated Like Machines : Professionalism And Anti-Blackness In Social Work Agency Culture, Mark D. Davis

Theses, Dissertations, and Projects

This exploratory study sought to answer two overarching research questions: (1) To what extent is there color-blind anti-Black bias in the way that professionalism is defined and enforced in social work agency culture? (2) What are exacerbating and ameliorating factors for this anti-Black bias? I developed a mixed-methods online questionnaire and recruited 246 participants via e-mail and Facebook. Participants were mostly White female social workers 18-39 years old, though the sample was disproportionately African American as compared with the general social worker population. When participants were asked if they perceived anti-Black bias in professionalism at their agencies, 42.7% answered yes …

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 …

Moving Past The Culture Bound Syndrome : Looking For Acute Social Withdrawal Outside Japan, Evan W. Correy

Theses, Dissertations, and Projects

The aim of this study was to determine whether acute social withdrawal (also known as hikikomori) is a culture bound syndrome, or if it exists in cultures outside Japan.

Surveys in both online and paper form were made available on Internet forums and were sent to Internet addiction clinics and private therapists across country. Questions on the survey assessed demographic information and included exploratory questions on treatment for hikikomori, a place for participants to provide information to the mental health community at large, and feedback from hikikomori participants regarding their lived experiences.

The demographic data indicated that acute social withdrawal …

Social Class In The Therapeutic Dyad : How Do Clinicians Engage In Dialogue About Class With Their Clients?, Andrew L. Cohen

Theses, Dissertations, and Projects

This exploratory qualitative study surveyed practicing clinicians about their experiences engaging in discussions about social class with their clients. There is little research on the topic of social class in the therapeutic setting broadly and on the topic of broaching social class specifically. As such, this research was an initial attempt to begin to fill this gap in the literature. Twelve mental health clinicians voluntarily participated in an anonymous online survey about their experiences and thoughts about engaging in dialogue about social class with their clients. Results included a pattern in the difference between which clients clinicians discussed social class …

Refusing To Relax My Smile : Building Resistance Through Hip Hop Therapy : A Project Based Upon An Investigation At Beats, Rhymes And Life, Stephanie Clowdus

Theses, Dissertations, and Projects

This study explores how hip hop therapy programming promotes resilience in youth. Based in Oakland, CA, Beats, Rhymes and Life (BRL) provides hip hop therapy to 12-24 year olds through their Therapeutic Activity Groups (TAGs). The purpose of this study is to establish evidence of how TAGs improve psychological resilience in youth program participants and of BRL’s effectiveness as a culturally congruent mental health provider. This study is part of a larger program evaluation in efforts with five other student researchers completing Smith College School for Social Work theses. Additionally, this study in particular serves as a pilot of a …

Clinical Social Work And Administrative Leadership : An Analysis Of Msw Programs In United States, Amanda J. Cloninger

Theses, Dissertations, and Projects

The purpose of this study was to explore graduate level clinical social work programs’ preparation of students for administrative leadership. Relevant literature shows that social workers are attaining positions in management and administrative leadership without the needed skills and knowledge to competently perform the job. Further, even when clinical social workers are not in positions of management or administration, they are asked to perform duties related to management and administration, for which they are often not trained. This lack of training has contributed to the underrepresentation of clinical social workers in administrative leadership positions at agencies in which they are …

How Does Hip Hop Serve As A Catalyst For Collective Resistance : "Fight The Power"- A Beats, Rhymes, And Life Approach : A Project Based Upon An Investigation At Beats, Rhymes And Life, Maria Camila Camacho

Theses, Dissertations, and Projects

This qualitative study explores what elements of social justice, Hip Hop, and therapy the Oakland, California based agency Beats, Rhymes, & Life, Inc. (BRL) engages in to ignite Collective Resistance among its members, youth, and the outside community. The study utilized a mix of both narrative and phenomenological approaches throughout. In total, twelve participants were interviewed, however, only six participants were included for the purpose of this research and ranged from teaching artists, clinicians, community members, and leaders of BRL. Each participant was asked a series of questions regarding (1) Hip Hop, (2) Oppression and Power, and (3) Collective Resistance …

"You Have To Know Whether Or Not You Can Really Compassionately Hold White Folks" : Perspectives Of Instructors On White Msw Student Engagement With Race And Racism Course Material, Eleanor H. Broh

Theses, Dissertations, and Projects

This qualitative, exploratory thesis explores the perspectives of instructors of courses on race and racism in social work masters programs. It looks at how these instructors are teaching race and racism content and how White students in their classes engage with the content. In doing so, this study addresses a gap in the social work literature on pedagogy for race and racism, which often fails to address the particular dynamics of teaching this material to White students in the United States.

Through qualitative, semi-structured interviewed with eleven instructors, this project describes the many ways White students engage with this material, …

How Different Technological Mediums May Reduce Attitudinal Barrier To The Utilization Of Psychotherapeutic Relationships, Collin T. Browne

Theses, Dissertations, and Projects

This qualitative study explored the use of communication technologies in the context of psychotherapeutic relationships, examining how technology might affect attitudinal barriers preventing young people from utilizing psychotherapy. Research findings emerged from semistructured Skype interviews with 10 participants (age 18-30 years) focused on their beliefs on psychotherapy, communications technology, and the idea of integrating technology into the psychotherapeutic relationship.

A theme analysis of the interviews produced four major findings: (1) psychotherapy is an especially difficult endeavor to begin and maintain; (2) certain qualities of the therapist (trust, expertise, and ‘fit’) are of particular importance; (3) voice and body language are …

African-American And Black Women's Process Of Learning, Unlearning And Resisting Internalized Racism, Bianca M. Blakesley

Theses, Dissertations, and Projects

The purpose of this study was to address the research question, how do African American/Black Women unlearn internalized racism, and to understand the relationship between internalized racism and racial identity development. Internalized racism was defined as the acceptance of negative, stereotypical or devaluing ideas and beliefs about ones own racial group, and about oneself as a member of that group.

A series of 11 interview questions explored the processes in which Black women learn and unlearn racism over time. Thirteen self-identified Black/African-American women were interviewed regarding their experiences. They were further questioned regarding their methods of coping with and resisting …

Compassion Fatigue And Compassion Satisfaction : Experiences Of Helping Professionals In The Homeless Workforce : A Project Based Upon An Investigation At Boston Healthcare For The Homeless, Boston, Massachusetts, Joshua Beebe

Theses, Dissertations, and Projects

Homeless workforce staff perform their duties with clients for whom themes of crisis, suffering and distress are common. Such working conditions are characteristic of settings in which workers are vulnerable to workplace stress and burnout. Compassion for those we help can affect us in positive and negative ways. Using a cross-sectional design, 44 homeless workforce staff in one large agency completed a 87-item online questionnaire designed to examine burnout and secondary trauma and whether the personal characteristics of empathy and reactivity would be associated with improved workplace functioning (less burnout and greater job satisfaction). Contrary to our expectations, this sample …

Social Workers And Nurses In Labor And Delivery Units : Supportive Partnerships Or Parallel Work Lives?, Allison M. Barbey

Theses, Dissertations, and Projects

Despite increased research on the misconceptions of social work, further investigation is needed to explore the impact of such attitudes on specific practice settings, including their effects on interdisciplinary collaborations. In an effort to help address this gap in research, this study explored the dynamics of social workers’ and nurses’ interactions using labor and delivery units as a lens. In this mixed method study, 71 participants, comprised of both nursing and social work professions completed an online survey inquiring how each profession views its own roles, that of the other profession, and factors that influence collaborations, if they occur at …

The Impact Of Clinical Social Workers' Conceptualizations Of Moral Injury On Their Treatment Actions In Work With Veterans, Zachary P. Wigham

Theses, Dissertations, and Projects

This exploratory study was designed to determine how clinical social workers’ conceptualizations of Moral Injury impacted their treatment actions in work with veterans. Additionally, this study allowed insights into the clinical social workers’ education and practice on Moral Injury.

Using semi-structured interviews with licensed clinical social workers who each held a Master of Social Work degree and held at least two years of experience working with veterans, this study gathered data from 7 participants. This study gathered data categorized under five major areas: demographics, conceptualizations and related data, sources of learning and frequency of contact, treatment actions, and perceived skill …