Digital Commons Network^™

Tfr 15.2 Full Issue

The Foundation Review

No abstract provided.

Systems-Change Philanthropy: It’S Essential, And It’S Our Responsibility, Emily Bhandari, Alison Mohr Boleware, Octavio N. Martinez Jr.

The Foundation Review

The Hogg Foundation for Mental Health’s mission is to transform how communities promote mental health in everyday life. Policy engagement — fundamental to improving the social and structural determinants of mental health — has always been a strategic priority for the foundation, which has become a trusted resource for mental health and substance use policy issues in Texas. Yet, the state’s mental health and substance use policy community is limited in size, capacity, and training.

To address that reality, the Hogg Foundation for Mental Health Policy Academy and Policy Fellow Initiative was launched to invest in a mental health policy …

The Underrepresentation Of Latinx Students In The Professional Dissemination Of Psychology Research, Scott D. Frankowski, Megann Hawley, Shakira Hernandez, Nazanin M. Heydarian

Psychological Science Faculty Publications

Latinx students are well represented among undergraduate psychology majors. However, there is an underrepresentation of Latinxs in psychology graduate programs, among faculty, and licensed practitioners. This underrepresentation is evidence of a leaky pipeline of attrition among Latinx psychology students from bachelor to postbachelor career tracks. The present research investigates one point of this leaky pipeline—research activity and professional dissemination of research. We used public data sets and surname matching to compare Latinx student representation at a regional psychology conference to Latinx enrollment and psychology degree completions at colleges and universities represented at the conference. We found consistent evidence of Latinx …

Caring For Individuals Who Are Experiencing Homelessness: An Audiologist’S Toolkit, Jenna Marie Sparacio

Dissertations, Theses, and Capstone Projects

National-level counts for individuals experiencing homelessness have been steadily on the rise. People experiencing homelessness face extraordinary barriers and challenges in accessing health care services, including hearing healthcare. Additionally, there is a high prevalence of self- reported hearing difficulties and hearing handicap among people experiencing homelessness. Hearing loss status and management is often not prioritized in healthcare settings, and treatment plans are not typically modified to best address the hearing needs of individuals who are homeless. This evidence-based toolbox for audiologists was developed to help understand and mediate healthcare barriers that people experiencing homelessness face, as well as to help …

Providing Family Centered Care Within Pediatric Integrated Care Settings, Emily D. Bebber

Counseling & Human Services Theses & Dissertations

Parent engagement remains critical to pediatric care. Both pediatric medical and mental health care remains dependent upon parent/guardian engagement to support successful outcomes for children and adolescents. Efforts to enhance Family Centered Care (FCC) has been spotlighted within pediatric care since the 1950s and the inclusion of counselors within integrated behavior health (IBH) teams ushers a need for an evolved understanding of the implementation of FCC, including parent/guardian engagement across professional roles. Using an explanatory mixed-method design, I examined team implementation of Family Centered Care (FCC) among different provider types (e.g., physicians, nurses, licensed mental health providers, social workers, technicians) …

Beyond The Treatment: The Role Of Race, Sex, And Education In Health Trajectories Between Cancer Survivors And Noncancer Older Adults, Minzhi Ye, Eva Kahana, Gary Deimling, Adam Perzynski, Kurt Stange

School of Social Work Faculty Publications

Introduction:

The number of older, long-term cancer survivors is increasing. However, little is known about how cancer and aging affect the health trajectories of older adults differently. In addition, the impact of race, sex, and education on the processes of aging and the cancer experience needs further investigation. The current study aims to address this knowledge gap by combining two National Cancer Institute (NIC)-funded longitudinal studies conducted in Cleveland from 1998 to 2010.

Materials and Methods:

The unique cross-sequential design facilitates a comparison between the health changes in long-term (five years +) older cancer survivors (breast, prostate, and colorectal cancer) …

Assessing The Risk, Addressing The Need: A Mixed Method Approach To Designing A Strengths-Based, Post-Incarceration, Correctional Assessment For Women, Rashonda Johnson

Dissertations

Women are the fastest-growing segment of the incarcerated population, steadily increasing since 1985 (ACLU, n.d.). More than one million women are behind bars or have some involvement with the criminal justice system. The rapid growth of incarceration among women has led scholars and researchers to address the growing needs and risk levels that lead to increased recidivism rates. The creation of assessment tools specifically focused on female populations began in 1999. However, before this time, instruments were historically designed for men within the criminal justice system, and addendums were added to these tools to be used with female populations (Voorhis …

Reclaiming And Reconceptualizing Accountability, Joseph Hailpern

Dissertations

This body of work contributes to the exploration of the intended and unintended consequences of the policy levers, referred to as education accountability policy, that have driven entire systems toward the inclusion of student performance data into educator performance ratings and the impact on the profession. Only from an extensive understanding of where we have been can a reimagined path forward be born to serve our youth and society better. This mixed methods dissertation does so by uncovering the legal landscape that defines the policy levers and bringing educators together in focus groups to delve deeply into these levers’ impact …

Development Of A Visuoperceptual Measure For Fiberoptic Endoscopic Evaluation Of Swallowing (V-Fees) In Adults With Oropharyngeal Dysphagia: An International Delphi Study, Reinie Cordier, Renée Speyer, Susan Langmore, Deborah Denman, Katina Swan, Daniele Farneti

Research outputs 2022 to 2026

Visuoperceptual evaluation of fiberoptic endoscopic evaluation of swallowing (FEES) is a commonly used assessment in dysphagia or swallowing disorders. Currently, no international consensus exists regarding which visuoperceptual measures to use for the analysis of FEES recordings. Moreover, existing visuoperceptual FEES measures are limited by poor and incomplete psychometric data, identifying an urgent need for developing a visuoperceptual measure to interpret FEES recordings. Following the COSMIN group’s (COnsensus-based Standards for the selection of health Measurement INstruments) psychometric taxonomy and guidelines, this study aimed to establish the content validity of a new visuoperceptual FEES (V-FEES) measure in adults with oropharyngeal dysphagia. Using …

Medical-Legal Partnership As A Model For Access To Justice, Yael Cannon

Georgetown Law Faculty Publications and Other Works

The United States is plagued with a “justice gap” that leaves many Americans with unmet civil legal needs. Americans with low income do not receive the legal help they require for as many as 92% of their substantive civil legal problems. The justice gap requires many legal aid agencies to triage, becoming “emergency rooms” for clients with unmet legal needs. This national crisis calls for new innovations so that access to justice (A2J) can function more like primary care, promoting better use of resources and preventing legal crises that can cause long-lasting harm.

Medical-Legal Partnerships (MLPs) embed lawyers in healthcare …

The Influence Of The Milan Approach—Part 2. The Legacy Of Boscolo And Cecchin And Their Paduan Connection: A Conversation With Andrea Mosconi, Deisy Amorin-Woods, Andrea Mosconi

Research outputs 2022 to 2026

The Milan approach, pioneered by Selvini-Palazzoli, Boscolo, Cecchin, and Prata, has significantly contributed to the field of psychotherapy, particularly in the realm of systemic and family psychotherapy. While rooted in systemic principles and concepts, over time the original Milan group demonstrated differences in their clinical orientations and practices which led to their regrouping into two teams. The paper explores the divergences in their views and directions on family dynamics and the role of symptoms within the system. It delves into the influence of Boscolo and Cecchin, two of the ‘Milan Four’ on the Centro Padovano di Terapia della Famiglia. Drawing …

Social Capital, Social Support, And Subjective Well-Being Of Older Adults In Ghana And South Africa: The Moderating Role Of Country, Paul K. Ayernor

Dissertations, Theses, and Capstone Projects

The study objective is to test the influence of social capital and social support on subjective well-being. It is also interested in the combined effects of macro-level factors as encapsulated in a macro-level variable - country that exerts influence on micro-level variables such as social capital and social capital. Additionally, the present study is one of the earliest studies to begin to assess the effect of older adults' perception of neighborhood happiness or sadness on the subjective well-being of older adults in a sub-Saharan Africa context.

Data comes from wave 1 of a multi-country Study on Global Ageing and Adult …

Factors Associated With The Life Satisfaction Of Gay And Bisexual Men And Their Variation By Race, Robert G. Considine

Dissertations, Theses, and Capstone Projects

Although the literature is replete with evidence showing that gay and bisexual men experience higher rates of negative outcomes than their heterosexual counterparts, the literature exploring the well-being of this population is limited. Life satisfaction is a key aspect of well-being. There has been little research on the factors influencing life satisfaction for gay and bisexual men. Additionally, how these factors may vary by race for this population remains understudied. This gap in our knowledge impedes the ability of social workers to support gay and bisexual men in increasing life satisfaction. In addition, knowledge of how these factors vary by …

Witnessing Climate Change In The United States Virgin Islands: Emotional Responses And Calls For Action, Thomas Bane

Dissertations, Theses, and Capstone Projects

Climate change is one of the greatest threats facing humanity in the 21^st century. This study investigated people’s observations of climate change in the United States Virgin Islands (USVI). A qualitative study was used with a Grounded Theory approach to better understand how people witnessed climate change events, what people’s emotional responses were, and what calls for action they had to respond to climate change in the USVI. The study had two parallel arms: five focus groups (n=17) with residents of the USVI and key informant interviews with community leaders (n=10). Participants witnessed a wide …

Social Identities And Campus Belonging As Predictors Of Flourishing Among College Students, Christine Gilchrist

Dissertations, Theses, and Capstone Projects

Annual data since 2012 shows college students’ flourishing (a measure of psychological well-being) in continuous decline, with 2022 showing the largest decrease. Since the knowledge base of the predictors of flourishing is limited, how college executives can best address this issue is unclear. Variations in flourishing have been observed in studies that examined the relationship between food insecurity (DeBate et al., 2021), race/ethnicity (Lipson et al., 2018, 2022; Nyunt et al., 2022; Parr, 2022), immigration status (Cadenas & Nienhusser, 2021), as well as gender identity and sexual orientation (Parr, 2022). The intersectional impact of demographic and social identities has not …

Immigration Status As A Social Determinant Of Health: Provider Perspectives, Elisabeth Brodbeck

Dissertations, Theses, and Capstone Projects

This project examines how immigration is understood as a social determinant of health through the perspective of medical providers and social workers. Through the bridging of immigration studies in sociology and social epidemiology and public health, I demonstrate the need to bring these disciplines together to understand how immigration and legal status are encountered in clinical settings. I conducted a qualitative research study, specifically open-ended interviews with medical providers and social workers, to understand how providers currently screen for complex social determinants of health, and more specifically, how they engage with immigration as a factor influencing health during their patient …

Fighting The Invisibility Of Domestic Violence, Yesenny Fernandez

Dissertations, Theses, and Capstone Projects

Analyzing the invisibility of domestic violence in New York City as 32% of women in the city experience intimate partner physical violence. In this project, domestic violence refers to all different kinds of violence that occur in a home between all the members who live there regardless of whether they are intimate partners or not. The data focuses on all the daily calls received by the New York Police Department (NYPD) and NYC Mayor’s Office to End Domestic and Gender-Based Violence (ENDGBV) regarding domestic violence related incidents such as physical, psychological, emotional, and sexual violence, or murder. Even though many …

A National Study Exploring The Association Between Fluoride Levels And Dental Fluorosis, Man Hung, Eric S. Hon, Amir Mohajeri, Hyma Moparthi, Teresa Vu, Jason Jeon, Martin S. Lipsky

Institute on Aging Publications

Importance While the effects of fluoride on health have been widely researched, fewer high-quality studies examine the association of fluoride levels in water and dental fluorosis.

Objective To investigate the association between fluoride exposure from drinking water and dental fluorosis.

Design, Setting, and Participants This cross-sectional study used the 2013-2014 and 2015-2016 National Health and Nutrition Examination Survey (NHANES) data (January 1, 2013, through December 31, 2016). NHANES uses a complex sampling technique to develop nationally representative sample estimates of the US population that consists of interviews and physical assessments. Children and adolescents aged 6 to 15 years were included …

Climate Change Policies And Older Adults: An Analysis Of States’ Climate Adaptation Plans, Bryant Carlson, Jacklyn N. Kohon, Paula Carder, Dani Himes, Eiji Toda, Katsuya Tanaka

Institute on Aging Publications

Background and Objectives

As climate change drives more frequent and intense weather events, older adults face disproportionate impacts, including having the highest mortality rates from storms, wildfires, flooding, and heat waves. State governments are critical in deploying local resources to help address climate change impacts. This policy study analyzes states’ climate adaptation plans to assess the methods through which they address the impact of climate change on older adults.

Research Design and Methods

This study uses content analysis to analyze available climate change adaptation plans for all U.S. states for strategies designed to increase resilience of older adults to impacts …

Propensity Score Analysis And Machine Learning: A Comparison And Application To Post-Secondary Education Data, Khudodod Khudododov

Dissertations, Theses, and Capstone Projects

Estimation methods to identify the causal relationships between dependent and independent variables are fundamental to social science research. For social workers, these methods provide crucial knowledge about different factors' complex relationships with a particular issue. Such knowledge helps social workers be better micro, mezzo, and macro change agents.

Different causal estimation methods exist, from randomized controlled studies to methods involving observational studies. In observational studies, which is the focus of this dissertation, participants self-select into intervention. This behavior makes causal estimation more challenging. Since participants self-select into intervention or treatment, there are observed and unobserved differences between participants in the …

Barriers To Optimal Audiological Care For Members Of The Deaf Community, Joyce Orenshein

Dissertations, Theses, and Capstone Projects

Background:

The purpose of this study was to identify the barriers to optimal audiological care for members of the Deaf community from the perspectives of Deaf individuals compared to audiologists. The goal is to help bridge the clinical communication barriers that lie between audiologists and the Deaf community by identifying the perceived gaps in care specifically and by gathering suggestions for improvement. A survey was administered to both audiologists and members of the Deaf community, making the present study unique and essential in that responses from both communities are compared and suggestions for bridging the gap are made.

Methods …

Early Experiences Of Parents Of Children Who Are Deaf Or Hard Of Hearing: Navigating Through Identification, Intervention, And Beyond, Gabriella Reynolds, Krystal L. Werfel, Morgan Vachio, Emily A. Lund

Journal of Early Hearing Detection and Intervention

Guidelines created by the Joint Committee on Infant Hearing ([JCIH], 2019) were designed to aid in the early identification of infant hearing loss. Despite these guidelines, a quarter of children who fail their initial screening are lost to the follow-up process and many more do not receive care in line with the 1-3-6 guidelines (Centers for Disease Control and Prevention [CDC], 2018; JCIH, 2019). To acquire more information about the experiences of families and identify specific barriers to timely diagnosis and intervention, interviews were conducted with 13 parents of children who are deaf or hard of hearing whose children were …

Parent And Provider Perspectives On Early Intervention In Ohio: A Community Collaborative Approach, Jessa Reed, Ursula M. Findlen, Carrie Davenport, Cheryl Deconde Johnson, Maria Sentelik, Carrie Spangler, Wendy Steuerwald, Derek Houston

Journal of Early Hearing Detection and Intervention

The network of early intervention (EI) for families with children who are deaf or hard of hearing (D/HH) consists of multiple professionals that partner with parents. As part of a community collaborative initiative, diverse perspectives were gathered via online surveys as part of a state-wide needs assessment to evaluate the landscape of EI in Ohio. The qualitative and quantitative feedback were analyzed in light of the Joint Committee on Infant Hearing’s (2007) goals and the 2013 early intervention supplement to those goals. Care coordination and equitable access emerged as top priorities across all three stakeholder groups queried (audiologists, EI providers, …

Attitudes Of Counselors Toward Collaboration With Healthcare Professionals, Rashunda Miller Reed, Theodore P. Remley Jr., Lillian M. Range

Journal of Counselor Preparation and Supervision

Counselors are experts in handling mental health issues, however many mental health issues are reported to primary care providers. Collaboration between counselors and healthcare providers is increasing yet little is known about counselors’ attitudes toward this challenging practice. In this study 165 counselors completed surveys related to their attitudes and social anxiety levels toward interacting with healthcare professionals. Counselors in this study reported having slightly negative attitudes toward healthcare professionals. There was no significant relationship between attitudes and social anxiety. Social anxiety was inversely related to frequency of collaboration, however, only a few counselors reported social anxiety. More importantly, most …

Experiences Of Engaging In Contemplative-Reflexive Practices During Practicum, Erin Sappio, Terrilyn Battle Phd, Brielle Delano, Destiny Foster, Marie Hayden, Franki Berliner

Journal of Counselor Preparation and Supervision

This study used a community based participatory research (CBPR) model to explore the impact contemplative practice has on Master’s level counseling students while engaging in their practicum course. Four counseling students and two faculty researchers created process questions to be contemplated through a 10 week period. Results indicated that students gained self-awareness of their calm, relaxed states during contemplative practice, which contrasted to their worried and tense states when engaging in client contact hours. Over time, students were able to be reflexive in direct client contact by drawing upon the self-awareness gained through regular contemplative practice. Unintended benefits of engagement …

Measuring Success: An Evaluability Assessment For The Grand Forks Domestic Violence Court, Adam K. Matz, Roni Mayzer, Samantha Ledahl, Aj Buntrock

Criminal Justice Faculty Publications

First implemented in the 1990s, specialized domestic violence courts represent one of several solutions developed to improve the response to domestic violence and enhance services for victims (Collins et al., 2021). Other solutions have included mandatory arrest and prosecutorial no-drop policies as well as increased funding support for victim services. There are reportedly over 300 DVCs in the United States as well as 50 in Canada and 100 in the United Kingdom (Eley, 2005; Gutierrez et al., 2016; Hemmens et al., 2020; Home Office, 2008; Tutty & Koshan, 2013). Based on input from a variety of key stakeholders including judges, …

Public Service Motivation And Turnover Intention: The Moderating Role Of Perceived Social Support Among Philippine Government Employees, Mary Therese C. Lasanas, Nicole Rey S. Balverde, Carlo Joeliandro B. Ellezo, Azielu P. Mantilla, Jason O. Manaois

Social Transformations Journal of the Global South

The Philippine workplace culture presents unique challenges leading to differences in the experiences among government employees. Owing to this, the researchers sought to address the recent phenomenon of Filipino public servants in their working conditions. The primary purpose of this study was to investigate the nature of relationships between public service motivation and turnover intention and test perceived social support as a moderator of their relationship. Alderfer’s existence, relatedness, and growth theory (E.R.G. theory) served as the research framework to contextualize the said variables. Online questionnaires were used to collect data from 211 government employees from various organizations in the …

Rethinking International Collaboration: Philippines-Japan Cultural Exchange During The Covid-19 Crisis, Szusza Velasco

Social Transformations Journal of the Global South

This study aims to rethink international collaboration between the Philippines and Japan by looking into emergent cultural exchange approaches, policy frameworks on cultural diplomacy, and current scholarship on cultural exchange. It examines and compares Philippines-Japan cultural exchange activities organized and supported by the Japan Foundation from 2018 to 2019 and the early years of international COVID-19 lockdowns in 2020 to 2021. The study also features reflexive insights from three female art practitioners in the Philippines who engaged in intercultural exchange with Japanese counterparts during the pandemic. Findings generally indicate that exchanges continued to be prolific during the pandemic, but primary …

Nurse-Led Post Stroke Depression Screening (Psd) For Patients With Acute Stroke Using Patient Health Questionnaire-9 (Phq9), Stefan Panov

Doctor of Nursing Practice Final Manuscripts

Introduction: This Evidence-Based Practice Doctor of Nursing Practice project aimed to implement a nurse-led post-stroke depression (PSD) screening using Patient Health Queastionnaire-9 (PHQ-9) in a 12-bed progressive care neuro-stroke unit at a tertiary care hospital. The first goal of this project was to detect stroke patients at risk for depression who met specific inclusion criteria. The second goal was to provide depression education, initiate social work and medical referrals, and start pharmacological treatment to reduce the medical and socioeconomic burden associated with untreated PSD before discharge from the hospital.

Background: Globally, stroke is a prominent cause of death and disability. …

Using Bibliodrama In Hong Kong To Address Mental Illness, Ka Pik Lo

Expressive Therapies Capstone Theses

During the pandemic in recent years, utilising expressive arts as psychological intervention has been discussed in Hong Kong. Nevertheless, introducing expressive arts in local social work and medical settings is challenging due to the human service professionals lacking the understanding of this new method. In religious organizations, which are common in the Hong Kong social welfare system, there may be more obstacles. The literature review firstly defines religion and spirituality, and their importance for people with serious mental illness then discusses the effectiveness of psychodrama and Bibliodrama for the targeted population. A six-session workshop was delivered, containing three-sessions of expressive …