Digital Commons Network^™

A Proposal To Implement Assertive Community Treatment Into A Primary Care Shelter Clinic, Julie Churcher-Fields

Theses and Graduate Projects

Individuals who are experiencing homelessness and severe mental illness have a difficult time accessing healthcare systems. Without mental health treatment and stable housing, individuals develop multiple needs that must be addressed during an individual visit. Without treatment for mental health symptoms, individuals may experience a negative impact on their quality of life and the ability to get basic needs met. Community organizations have an obligation to provide integrated care with a goal to improve overall health for this population. As nurse leaders there is an opportunity to be advocates and implement innovative ideas to improve care. In a large adult …

Perceived Adult Social Support During Adolescence And Well-Being Among Lgbtq-Identified Young Adults, Adrienne Macdonald

Dissertations, Theses, and Projects

Many youth, particularly those who are LGBTQ (lesbian, gay, bisexual, transgender, queer) face challenges during identity development including lack of social support and psychological maladjustment. These challenges are not typically experienced by the general population of youth. The goal of this study was to explore social support among LGBTQ youth and its relations to general well-being among LGBTQ-identified young adults through a mixed method design, including qualitative and quantitative information. This study found specific characteristics of supportive adults that were identified as beneficial for LGBTQ youth. In addition, this study explored specific situations where LGBTQ young adults found social support …

Challenges For Maya Family Continuity In A Transbordered World, James Loucky, Katie Goger

Maya America: Journal of Essays, Commentary, and Analysis

Migration between Central America and countries to the north has increased in scale as well as in contentiousness as a political challenge. Too often, those most involved are peripheral to public discourse and policies. Today sizeable numbers of families, including indigenous Maya families, are participants not only in movement but as through separations across national borders and time. Evolving strategies for maintaining or recreating social cohesion amid disruptions of migration and resettlement involve parents as well as children. Drawing on experiences of families from one highland Guatemalan community, and comparative research into adaptive strategies of immigrant families in the United …

Implementing Inter-Professional Patient-Family Centered Plan Of Care Meetings On An Inpatient Hospital Unit, Nicolas Hernandez, Alice Fornari, Sage Rose, Leanne Tortez

Patient Experience Journal

Inpatient plan of care meetings support efforts to encourage collaborative practice and patient-family centered care and result in an effective strategy to enhance communication and patient satisfaction. Clinical team members participated in patient/family centered plan of care meetings at a community hospital in a selected inpatient unit with full time hospitalist physicians. Quantitative data were gathered pre/post implementation from the external Hospital Consumer Assessment of Health Care Providers (HCAHPS) survey. HCAHPS data were collected independently, specifically for questions related to communication between patients, family members/guardians and the medical team and also the effects of care transition. There was a slow …

High School Seniors’ College Plans: Gendered Variations In The Effects Of Academicagency, Cultural And Social Capital, Laila Anne Waheed

Silicon Valley Notebook

This research focused on gendered variations in the effects of academic agency, social and cultural capital on high school seniors’ college plans. Monitoring the Future (2012) data from a sample of 12,000 seniors, supplemented with interviews with education professionals found theoretically meaningful gender differences. College plans of males and females were directly influenced by their academic agency. Their parents were an additional direct positive influence, even if only for males. But, parental cultural capital and abstaining from controlled substances increased likelihood of pursuing college through increased academic agency for both males and females. These findings contributed to the literature on …

Studies Of Contemporary Social Issues: Well Being Through The Life Course And Organizational Challenges

Silicon Valley Notebook

No abstract provided.

Pirc Spring 2020 Newsletter, Prevention Innovations Research Center

PIRC Newsletter

No abstract provided.

An Occupational Therapy Approach To Education For Foster Parents, Alexandra E. Judd

Student Capstone Papers

The focus of this project is to enhance current programming for foster parent pre-licensure education courses in San Diego, California. This capstone project focused on the preferred learning styles of foster parents and utilized adult learning theories to create suggestions to enhance the current pre-licensure class curriculum. Data collected during verbal interviews with foster parents helped guide the suggestions to enhance the current curriculum. Utilizing specific occupational therapy group strategies, occupational therapists can help enhance education for foster parents by increasing the saliency of the learning material. The increased saliency facilitates a deeper understanding of the material and increases the …

Effects Of Sports Drinks And Oral Rehydration Salts On The Metabolism Of Rats In High Temperature Environment, Li Ming

Food and Machinery

The effects of oral rehydration solutions (ORS) and sports drink solutions (SDS) on the hydration and metabolism of experimental rats during high temperature exercise were compared. The results showed that the hemoglobin level of the two groups increased significantly, and the sweating rate and dehydration rate had no significant difference. In the two treated groups, the change of plasma volume was significant difference, and the blood glucose content was significantly higher than that of the control group. After exercise, the fat oxidation in SDS was lower than that in ors. However, no difference was found between groups of ORS and …

An Attachment Model For Assessing Suicidal Risk, Keely J. Hope, Sondra Smith-Adcock

Journal of Counseling Research and Practice

A model for addressing suicidal risk utilizing attachment theory is addressed. Risk factors for suicide have generally been conceptualized at the level of individual characteristics rather than relational dynamics. Combining Shneidman’s common characteristics of a suicidal person with Bowlby’s attachment theory provides for a more relational view of suicide-related behaviors and communications. Considering high rates of suicide, especially among some population groups, it is important to have a more comprehensive framework for suicidal risk from which to treat suicidal clients.

Deanna Pierce V. City Of Philadelphia

2020 Decisions

USDC for the Eastern District of Pennsylvania

Evaluation Of The Health Resources And Services Administration (Hrsa) Behavioral Health Workforce And Education Training (Bhwet) Grant, Cheryl Neale-Mcfall, Nadine Bean, Sarah Fisher

Counselor Education Student Work

Our poster focuses on expanding the number of MS social work and MEd school counseling graduate students working with persons across the lifespan in vulnerable and medically underserved populations, providing evidence-based behavioral health services. In order to prepare the selected students, Interprofessional Education trainings and a 3-credit IPE academic course were administered, and data gathered and analyzed.

The purpose of this research is to evaluate the effectiveness of the trainings and IPE academic courses. For the purpose of the IPE Integrated Care Trainings, pre-post test data were collected. In addition, open-ended questions were added to the post-test to ascertain additional …

Integrated Health Approaches To Pain Management And Ptsd With Adolescent Gunshot-Wound Survivors, Sean E. Snyder

Social Work (Graduate) Student Work

Integrative healthcare approaches are known to improve patient outcomes by delivering systematic and cost-effective approaches to care (Raney, 2015). Adolescents who survive gunshot wounds present to primary care for long term management with a complex constellation of physiological and psychological symptoms, and these youth require a systematic approach to their recovery. Collaboration between primary care providers and behavioral health providers allows for treatment of the whole person, including pain management, physical recovery, and psychological recovery. Furthermore, integrated care also yields benefits to providers such as professional support and education outside of their primary area of expertise. This case report highlights …

“Stealing Conflicts” No More?: The Gaps And Anti-Restorative Elements In States’ Restorative-Justice Laws, Lynn Branham

Saint Louis University Law Journal

This Article first profiles key findings emanating from a statutory analysis of the close to two hundred criminal-justice-related, as well as juvenile-justice-related, statutory provisions in the United States that pertain to restorative justice and practices (RJ/RP). This section of the Article unveils significant gaps and other substantial problems in states’ restorative-justice laws, including ways in which some of them conflict with core restorative tenets. The Article then proffers seven recommended statutory provisions for states’ consideration when enacting or amending their own RJ/RP laws. These recommended provisions, combined with fidelity in their implementation, would help remedy or avert the gaps and …

Community Engagement In Writing Programs: Preparing Students For Success In Professional Settings, Courtney Bradford

Master of Arts in Professional Writing Capstones

This practicum focused on looking into the history of the foster care system, its development, and its modern iteration and on working with a nonprofit that supports the foster care system. The internship with Advocates for Children in Cartersville, Georgia, provided primary research into (1) how work on community-based engagement projects prepared me to explore careers in the nonprofit sector, (2) what kinds of writing, research, and other deliverables are needed by nonprofits supporting the foster care system and how the MAPW program prepared me to produce those deliverables, and (3) how having a strong understanding of the history and …

What Outcomes Matter To Patients After Joint Or Spine Surgery?, Robin R. Whitebird, Leif I. Solberg, Christine K. Norton, Jeanette Y. Ziegenfuss, Stephen E. Asche, Elizabeth S. Grossman

Journal of Patient-Centered Research and Reviews

Purpose: Patient-reported outcome measures (PROMs) are increasingly used in clinical care, but there have been few studies of what patients identify as the most important outcomes.

Methods: Semi-structured interviews were conducted with 65 patients undergoing hip or knee replacement, spinal discectomy/laminotomy, or a spinal fusion. Interviews focused on outcomes patients identified as important, perceived usefulness of standardized PROMs measures, and contextual situations important to their care. Data were analyzed using a directed content analysis approach.

Results: Patients identified desired outcomes that were unique and important to them. Their preferred outcomes focused in the areas of freedom from pain, getting back …

Giving Credence To The Experience Of X-Linked Hypophosphatemia In Adulthood: An Interprofessional Mixed-Methods Study, Melissa Hughes, Carolyn Macica, Catherine Meriano, Maya Doyle

Journal of Patient-Centered Research and Reviews

Purpose: X-linked hypophosphatemia (XLH) is a rare X-linked dominant metabolic bone disease, often diagnosed in childhood but causing increasing physical debilitation and pain in adulthood. Physical comorbidities of XLH in adulthood include pervasive and early-onset degenerative arthritis, mineralizing enthesophytes and osteophytes, osteomalacia and pseudofracture, dental abscesses, and hearing loss.

Methods: This mixed-methods analysis included physical findings, diagnostic imaging, occupational and physical therapy assessments, and semi-structured interviews by social work to understand the functional outcomes and lived experience of XLH in adulthood, through connections between qualitative data obtained by social work and occupational therapy with the quantitative findings from other disciplines. …

Eleven Sociology Students Inducted Into Alpha Kappa Delta, Ohio University College Of Arts & Sciences

All Forum Articles

No abstract provided.

Reducing Readmissions In The Heart Failure Population, Yvette Castellanos

MSN Capstone Projects

This paper will explore the importance of preventing acute hospital readmissions in the heart failure adult population. Prevention of re-hospitalization is aimed at improving patient care and outcomes as well as reducing the financial stress caused by readmissions. Recurrent hospitalizations are expensive and unnecessarily overutilize resources (Donzé, Lipsitz, Bates, & Schnipper, 2013). Research shows that improving transitions of care during hospitalization and developing specific heart failure interventions healthcare providers can assist in reducing readmissions. For this project the Plan Do Check Act (PDCA) tool combined with the lean methodology. The PDCA cycle consist of planning, to identify the problems, do …

“When You’Re Done … You’Re Still Part Of Our Family”: An Exploration Of Gendered Scripts And Relationships In Prison Reentry Programs, Ruth Schultz

Honors Theses

Historically, the criminal justice system has been primarily composed of men; this lack of diversity led services to see offenders as an almost genderless category. The demographics of the criminal justice system has greatly changed, however. In 1990 there were 43,845 women under the jurisdiction of state and correctional authorities in the US (Bureau of Justice Statistics, 1995). As mass incarceration took hold in the United States, this population more than doubled; by 2017 the number of incarcerated women grew to 111, 360 (Bureau of Justice Statistics, 2019). Mass incarceration has led to an increase in rehabilitative programs and as …

“You Don’T Understand… It’S Not About Virginity”: Sexual Markets, Identity Construction, And Violent Masculinity On An Incel Forum Board, Joshua A. Segalewitz

Honors Theses

The “manosphere” is an online collection of antifeminists and men’s rights activists. Incels, short for involuntary celibates, interact in this space and have been labeled as extreme misogynists, white supremacists, and domestic terrorists. I engage with popular sociological theories of masculinity (including hegemonic, hybrid, and inclusive masculinities) to analyze dominant discourses on the website incels.is. The data for this project are comments from 100 threads randomly sampled from 4,532 total threads posted in 2018. Using a grounded theory approach, I first explore how incels think about sexuality as an economy, devising a scheme that places everyone in a sexual hierarchy …

"That’S Helpful Information, But Next Time, Could You Please Talk About High Schools?", Hank M. Bohanon

Education: School of Education Faculty Publications and Other Works

No abstract provided.

Positive Emotions And Favorable Cardiovascular Health: A 20-Year Longitudinal Study, Julia K. Boehm, Ying Chen, Farah Qureshi, Jackie Soo, Peter Umokoro, Rosalba Hernandez, Donald Lloyd-Jones, Laura D. Kubzansky

Psychology Faculty Articles and Research

No studies have examined whether positive emotions lead to favorable cardiovascular health (CVH) early in the lifespan, before cardiovascular disease is diagnosed. Moreover, the direction of the association has not been thoroughly investigated. Among younger adults, we investigated whether baseline positive emotions were associated with better CVH over 20 years. We also considered whether baseline CVH was associated with subsequent positive emotions during the same period.

Participants included 4196 Black and White men and women from the Coronary Artery Risk Development in Young Adults Study. Positive emotions and cardiovascular-related parameters were each assessed in 1990 (this study's baseline), with repeated …

Turnover Rates In The Hospitality Industry And The Factors Contributing To Employee Loss Or Retention, Vincenzo Cicerale

Hospitality Graduate Student Scholarship

The predominant purpose of this paper is to determine if the hospitality industry does in fact have the highest turnover of any industry, and if so, what are the implicating factors in the lack of retention. Throughout the research conducted, a common theme that developed was the lack of training in the hospitality industry and its impact and perception employees have of their leaders, and thus its affect on retention and turnover. Moreover, another aspect to consider is the generational implications, specifically generation Y, otherwise known as millennials, who are regarded as not being loyal to their employer (Gursoy, Maier, …

And Lettuce Is Nonanimal: Toward A Positive Theory Of Voluntary Action, Roger A. Lohmann

Faculty & Staff Scholarship

Much recent conceptual and theoretical effort to identify and define the kinds of voluntary action that take place outside households, economic markets and governments has a consistent emphasis on negation: It seems to define these matters by what they are not: not for profit, or nonprofit, nongovernmental, unproductive, inefficient, examples of contract failure, market failure, government failure and more. This paper is a beginning effort to shift the emphasis to the positive and the describe and explain what voluntary action is and what it consists of. It proposes the beginnings of an economics of common goods production, and differentiates such …

A Critical Glocalization Approach: Attending To Power In The Innovation Space, Maria Wathen

Social Work: School of Social Work Faculty Publications and Other Works

The purpose of this paper is to provide community practitioners with the theoretical background to recognize and work in the interplay of global and local forces. This paper reviews globalization as a contested term and presents several globalization paradigms. It introduces critical glocalization as a guiding approach that sensitizes social workers to power dynamics. With this approach, social workers are encouraged to look for innovations that arise in the glocal sphere. They will understand the broader political, economic, structural, policy, and discursive contexts in which they are working, and intentionally look for the marginalized voices in our complex, interconnected world.

Knowledge, Motivations And Concerns About Participation In Breast Cancer Clinical Trials In Puerto Rico, Marinilda Rivera-Díaz, Angélica N. García-Romero, Alelí M. Ayala-Marín, Camille Vélez-Alamo, Adrianna I. Acevedo-Fontánez, Mariana Arévalo, Vivian Colón-López

Journal of Health Disparities Research and Practice

Clinical trials (CT) in breast cancer have been crucial for new treatment discoveries. While participation in cancer CT is low, minorities are particularly underrepresented.This study aimed toidentify factors influencing the participation in CTs based on the experiences of Latina breast cancer survivors in Puerto Rico (PR), especially their CT knowledge, motivations, and concerns.Method:Focus groups (FG) were conducted by two social workers and the University of Puerto Rico/MD Anderson Community Health Educator. Participants were stratified into two subgroups: a) women with CT experience and b) those without CT experience. Seven FG were completed among breast cancer survivors (n=34) at …

The United States’ Creation Of Undue Burden On Abortion: A Breakage Of A Constitutional Right, Gwenyth Stuard

Academic Festival

Abortion is the loss of a fetus through accidental or purposeful action. The common understanding of abortion for nonmedical personnel is the voluntary termination of a pregnancy. While under some controversy, the effects of abortion (whether limited or not) are shared throughout multiple disciplines. The purpose of this paper is to analyze the effects of abortion through sociology, psychology, legality, and philosophy.

The sociological controversy on abortion resides through many avenues. Abortion attitudes vary depending on race, religious background, personal morals, educational level, etc. Within the development and structure of society, people tend to divide. This paper will analyze differing …

How Contemporary Anti-Semitism Is Influenced By Historical Precedent And Psychological Processes, Kaeleigh Brislin

Academic Festival

This paper specifically analyzes the reasons for the resurgence of contemporary anti-Semitism. To set the framework for the paper, historical facts and themes across various time periods were used. Within the beginning history sections, various psychological models including the idea of othering, in versus out groups, and René Girard's scapegoat theory were identified as possible contributing factors. Following the dovetail of the psychology and historical precedents, this paper addressed other underlying psychological factors that play a role in contemporary anti-Semitism. These include Holocaust denial and unconscious bias. The paper concludes with other specifics including how social media plays a role …

The Psychological Effects Of Social Media Activity On The Mental State And Self-Esteem Of Users, Shannon Szefinski

Academic Festival

People understand that there are both positive and negative effects from using social media, but it is important to inform people how these effects come about and how they can then be educated about combating these effects. However, there is solid evidence that there is a correlation between the control that social media has over lives and the mental ramifications that unconsciously come with it. That is not to say that there are not extreme positives that come with this new technology, but users must understand the signs of psychological wear and tear by means of media use. In addition …