Digital Commons Network^™

A Coalition-Driven Examination Of Organization Capacity To Address Food Insecurity In Greater Houston: A Qualitative Research Study, Jemima C John, Jennifer Gonzalez, Sara-Grace Chan, Heidi Mcpherson, Jennifer N Aiyer, Esperanza Galvan, Nicole Browning, Shreela V Sharma

Faculty, Staff and Student Publications

BACKGROUND: Economic and social hardships have worsened food insecurity, particularly among low income and racial-ethnic minority groups. Given the core goal of the 150+ member Houston Health Equity Collective (HEC) to reduce food insecurity by 5% in 2025, we explored member organizations' capacity and challenges faced in screening and responding to food insecurity through care coordination efforts.

METHODS: A twice-administered Qualtrics XM survey (Provo, Utah) with 76 organizations, followed by five focus groups with 22 of these organizations, explored reach and response efforts to food insecurity. Qualitative assessments lasted between 0.5 to 1.5 h, were audio-recorded, cleaned, coded, and thematically …

Connecting Children With Birth Defects To Health And Social Service Programs: A Collaboration Between The Texas Birth Defects Registry And Agency Social Workers, Dayana Betancourt, Mark A Canfield, Mary K Ethen, Charles Shumate, Margaret Drummond-Borg, Christina Kubenka, Jessica Palacios, A J Agopian

Faculty, Staff and Student Publications

Background: Timely referral to services for children born with birth defects can improve health outcomes. Birth defects surveillance registries may be a valuable data source for connecting children to health and social service programs.

Methods: Population-based, state-wide data from the Texas Birth Defects Registry (TBDR) at the Texas Department of State Health Services (DSHS) were used to connect children 9-18 months old, born with select birth defects with DSHS social workers. The social workers reviewed developmental milestones and referred children and their families to various health and social service programs. We tabulated the proportions of children meeting milestones and referral …

2024 Annual Report, Evidence To Practice, Cep Annual Reports, Lisa Staples, Tommy Nguyen, Brooke Dupre, Alice Yeh, G. Gonzalez, Stephen Phillippi

Policy & Position Papers

No abstract provided.

Toward A More Comprehensive Understanding Of Organizational Influences On Implementation: The Organization Theory For Implementation Science Framework, Sarah A Birken, Cheyenne R Wagi, Alexandra G Peluso, Michelle C Kegler, Jure Baloh, Prajakta Adsul, Maria E Fernandez, Manal Masud, Terry T-K Huang, Matthew Lee, Mary Wangen, Per Nilsen, Miriam Bender, Mimi Choy-Brown, Grace Ryan, Aliza Randazzo, Linda K Ko

Faculty, Staff and Student Publications

INTRODUCTION: Implementation is influenced by factors beyond individual clinical settings. Nevertheless, implementation research often focuses on factors related to individual providers and practices, potentially due to limitations of available frameworks. Extant frameworks do not adequately capture the myriad organizational influences on implementation. Organization theories capture diverse organizational influences but remain underused in implementation science. to advance their use among implementation scientists, we distilled 70 constructs from nine organization theories identified in our previous work into theoretical domains in the Organization Theory for Implementation Science (OTIS) framework.

METHODS: The process of distilling organization theory constructs into domains involved concept mapping and …

Effectiveness Of Cognitive Behavioral Therapy Versus Therapeutic Play For Hospitalized Children Diagnosed With Cancer: An Integrative Systematic Review, Dianne Kong

Theses and Dissertations

Psychotherapy provides essential coping mechanisms and strategies for children who are diagnosed with cancer, as they experience the extraordinary burden of physical, emotional, and mental strains. While many medical advancements have been made within the past few decades, progress related to psychotherapy for pediatric cancer patients has not been commensurate, evidenced by the limited current literature. Given the sparsity of relevant research, it is presently difficult to compare and evaluate the various psychotherapeutic interventions available for pediatric oncology patients. Additionally, there are significant challenges in providing psychotherapeutic care for patients and their families, including lack of consistency, disruption of care, …

The Use Of Dance And Movement For The Embodied Healing Of Interpersonal Trauma In Women And Girls: A Systematic Review, Catherine Xinyu Liang

Theses and Dissertations

Interpersonal trauma is a serious and devastating problem for women and girls from all walks of life. Research has shown that there are physiological consequences for experiencing trauma, and as such, treatment for trauma may need to target the body. Dance/Movement Therapy (DMT) has been emerging in the current literature as one body-oriented treatment approach that is effective in helping women and girls heal from interpersonal trauma. This review examines how practitioners are currently using DMT for this population, what treatment outcomes have been observed, and what the racial/ethnic identities and international contexts are for survivors who have benefited from …

Application Of Third-Wave Cognitive-Behavioral Interventions In The Treatment Of Obsessive-Compulsive Disorder, Emily Hanna

Theses and Dissertations

Obsessive-compulsive disorder (OCD) has a high comorbidity rate, with substantial risks for anxiety, mood, and substance use disorders. Exposure and response prevention (ERP) is considered the first-line psychotherapy treatment for OCD. While highly efficacious, not all patients achieve full remission with ERP, and given the chronicity of OCD and its sensitivity to stress-related events, many patients struggle with ongoing symptoms. A growing area of research has been the use of third-wave behavioral and cognitive therapies that potentially enhance patients’ willingness to engage with exposure-based treatment and provide strategies to cope with residual symptoms. This integrative systematic review summarizes and synthesizes …

Trust In Integrated Medical Care Using A Population-Based Normative Approach, Heather Summers

Theses and Dissertations

The role of integrated care partnerships in addressing health care and social needs to achieve whole person care is important as health care costs rise and quality of care outcomes are incentivized. Medicaid reform and 1115 Medicaid waiver programs are implemented statewide as innovative programs aimed at achieving cost savings and improved clinical quality of care outcomes. Understanding how cross sector partnerships can meet the needs of individuals through integrated care cross sectoral coordination between government, social services and managed care is needed. This research study examined the role of normative care values, vision, trust, shared care, and leadership. The …

Affordable Housing For Austin’S Homeless Population, Brittany M. Bilbo

Selected Social Change Portfolios in Prevention, Intervention, and Consultation

Goal Statement: In this portfolio, the issue of homelessness in Austin will be discussed as well as the impacts affordable housing and easier access to resources could have as preventative measures.

Significant Findings: The target population of this portfolio includes individuals at risk of entering into homelessness in Austin, Texas. In communities across the United States, higher rates of homelessness are correlated with higher rates of criminal activity, mental health issues, and substance abuse across all subgroups of those communities (Center for Evidence-Based Solutions to Homelessness, 2019). Thus, the issue of homelessness is a public health issue because it impacts …

Effects Of Poverty On Children's Mental Health In Orlando, Fl, Everlee R. Ensminger

Selected Social Change Portfolios in Prevention, Intervention, and Consultation

Significant Findings: Poverty significantly impacts children's mental, physical, and cognitive development, especially during the first five years of life. Children of color living in poverty face higher risk factors, impeded self-regulation abilities, prejudice, and discrimination associated with seeking and obtaining mental health treatment. The stigma and obstacles in accessing treatment, particularly for underrepresented groups, are significant issues in Orlando, FL. Prevention starts with utilizing theories such as the Health Belief Model (HBM) and Social Cognitive Theory (SCT), which deepen the understanding of how personal, environmental, and human behavior influence each other in an ongoing process. Collaboration and advocacy efforts between …

The Latina Experiences Of Intimate Partner Violence In The Rio Grande Valley, Lucas Enrique Espinoza, Luis Enrique Espinoza, Rosalva Resendiz, Georgina Villegas-Montenegro

Criminal Justice Faculty Publications

Intimate partner violence (IPV) is a severe public health and criminal justice issue that disproportionately affects women more than men. This sought to explore Latina experiences of IPV in the Rio Grande Valley (RGV). Twelve Latina IPV survivors from the RGV, ages 24 to 40 years old, were interviewed using purposive and snowball sampling methods. Several primary themes were discovered: types of abuse; perceived reasons for the abuse; education and economic insecurity; why stay or leave an abusive relationship; the criminal justice system’s role; and self blaming. All participants (n = 12) were college educated and endured IPV victimization at …

Toward Modernization: Using Strategic Development To Address Deficits In The Juvenile Justice System, David A. Mcleod, Emily A. Roberts

National Youth Advocacy & Resilience Journal

The Juvenile Justice System was established on the premise of rehabilitative action for behaviors that have led youth to the criminal justice system. However, the system has increasingly moved away from this original concept toward a punitive model. The authors present how this movement resulted in the devolution of human rights for the youth involved, a decrease in public safety, and a radical departure from fiscal responsibility related to the theoretical origins of rehabilitation. Studies on topics ranging from costs of correctional centers to trauma experienced by youth in these systems, along with many others, are compared to identify specific …

The Effects Of Relational Poverty: Healing Our Culture, Jenet Erickson

Issues in Religion and Psychotherapy

One of the most vexing challenges of our day is a profound hunger for connection, evidenced by an epidemic of loneliness, violence, relational poverty, and increasing mental health challenges. We are born to be in deep connection with others. As German analyst Frieda Fromm-Reichman wrote, “The longing for interpersonal intimacy stays with every human being from infancy through life, and there is no human being who is not threatened by its loss.” A radical cultural focus on autonomy with the associated ruptures in family stability, decreased religiosity and community engagement have increased loneliness in spite of the seeming “connectivity” of …

Cuing Disparities: The Consequences Of Race-Based Social Stressors For Academic Achievement, Dorainne J. Green, Kathryn M. Kroeper, Mary Murphy

Psychology Faculty Publications

Underrepresented racially and ethnically minoritized (URM) students contend with individual-level race-based stressors in college, like racialized discrimination and microaggressions. In this study, we consider whether URM students' perceptions of racial inequity on campus—a context-level race-based stressor—trigger adverse psychological and physical stress responses that, in turn, undermine academic achievement. Using a sample of 781 science, technology, engineering and math (STEM) students, we found in a longitudinal study that URM students report perceiving more inequality on campus compared with White and Asian students. Greater perceived inequality was, in turn, associated with increased psychological and physical stress responses, which, in some cases, predicted …

An Introduction To Local And Global Health Behaviors Using A Collaborative Online International Learning Exchange, Niamh M. Higgins, Lisa B. Smith

Psychology Faculty Publications

Collaborative Online International Learning (COIL), uses technology to facilitate the engagement of students from different countries in collaborative coursework and sharing of cultural perspectives. The existing literature concerning COIL exchanges points to the need to further explore student satisfaction and engagement with such exchange projects, and whether course learning outcomes are being achieved. This practice paper describes a COIL exchange between students of health psychology at Mary Immaculate College, Ireland, and Sacred Heart University, in the United States. During this 10-week project students were required to engage in synchronous and asynchronous activities. Following the completion of the COIL project, students …

Secondary Traumatic Stress Is An Occupational Hazard For Pet Hospice Support Staff: Psychoeducational Support Groups Provide The Cure, Kari Hayden

DSW Capstone Projects

There are three separate yet interrelated products presented in this final capstone product. The completed product is focused on pet hospice veterinary support staff and the need for an evidence-based social work intervention to combat secondary traumatic stress. This capstone uses the andragogical approach to adult learning theory as the foundation to construct a psychoeducational peer support group specific to this population. Implications for clinical social work in veterinary medicine are presented within this project.

The first scholarly product presented is the Systematic Literature Review (SLR). The SLR utilizes a scoping review process in an attempt to locate prior research …

International Social Work Field Education, Shelli Gregory

DSW Capstone Projects

International Social Work Field Education (ISWFE) involves a set of unique challenges. For the literature review of this capstone project 20 peer-reviewed journal articles written between the years 2009 and 2018 were reviewed to answer the following research question: What are the unique challenges associated with ISWFE and the best practices for combatting these challenges? The challenges most frequently mentioned in the literature are the perpetuation of colonial mindset; students experiencing emotional vulnerabilities, stress, & distress (guilt, shame, loneliness, fear, helplessness, isolation, and homesickness); supervisory issues; language barriers; funding; culture shock, disequilibrium, or clash; safety concerns; administrative problems such as …

Pandemic Driven Mobility In Higher Education: The Good, The Bad And The Useful, Orly Calderon, Susan Penque, David Luhr, Caryn Nahum, Lauren Scardigno

Nursing Faculty Publications

The purpose of this mixed method research study is to describe the experiences of faculty and students in post-secondary education institutions as they shifted to remote education at the start of the COVID-19 pandemic, and to understand these experiences in the context of previous research about pre-pandemic remote or mobile education. One hundred and two participants in the study include full-time and adjunct faculty, undergraduate and graduate students. A convergent mixed method survey queried about participants’ demographics, mobility experiences in terms of frequency of access to technology and a suitable learning/teaching environment and usefulness of various web and video conferencing …

Acculturative Stress And Quality Of Life Among Older Korean Immigrants: Do Religiosity And Resilience Matter?, Sunghwan Cho

Theses and Dissertations

The impact of acculturative stress on the quality of life among older adults has been widely acknowledged in previous literature. However, few studies have explored the role of religiosity and resilience in this relationship among older Korean immigrants. This dissertation explores the relationships between acculturative stress, religiosity, resilience, and quality of life among 300 older adults aged 65 years and over who live in an ethnic Korean enclave of Queens, New York. The study employs path analysis and multiple regression analyses to test hypothesized relationships among these variables.

The key findings of the study are as follows: (1) higher acculturative …

The Environment Of Interprofessional Education In Graduate Education: Exploring Professional Programs Of Occupational Therapy, Physician Assistant, And Physical Therapy, Allison R. Kaczmarek

Theses and Dissertations

Interprofessional education (IPE) is an educational approach of increasing popularity in professional schools for the preparation of a collaborative ready healthcare workforce. The accrediting bodies of professional education programs in occupational therapy (OT), physician assistant (PA), and physical therapy (PT) have incorporated standards for outcomes addressing IPE. Although they have endorsed the Health Professions Accreditors Collaborative (HPAC) consensus document on quality IPE, we do not have a contemporary snapshot of the IPE environments in the curriculum of their accredited programs. This dissertation, a collection of three distinct inquiries, has two aims: first, to provide a description of IPE as it …

Demonstrated Sensitivity, Kate Crankshaw

Theses and Dissertations

Flameworking is a tedious process that demands all of your attention and focus. Making multiples of a shape in this process allows my body and mind to fall into a rhythm. During these times, it allows my anxious mind to be quieted and helps me dive into processing past memories, trauma, and grief. It is commonly suggested in Dialectical Behavioral Therapy practices to find an activity to do that is both physical and repetitive to work through grief. This stimulates the physical and mental parts of the body, both areas where the effects of grief and trauma are held. Relaxing …

Wrestling With The One Drop Rule: Exploring Multiraciality In Social Work Education, Britney Pitts

Theses and Dissertations

This three paper dissertation aims to provide a baseline understanding of how multiraciality is understood in social work education. The first paper, a fusion autoethnography, explores how my own perception of my multiracial identity was clarified throughout my social work education. This exploration led to the development of incongruent logic in/validation (ILV), a new aspect of racial identity invalidation (RII). The second paper, a multimethod qualitative case study, explores master of social work (MSW) students’ knowledge, attitudes, and anticipated professional behaviors with multiracial individuals and families. Themes from this study include: never explicitly learned about multiraciality; non-ecological endorsements of multiracial …

Youth And Caregivers' Perceptions Of Racial Socialization: Examining The Interactive Role Of Risk And Cultural Resilience Factors As Predictors And Mental Health As Outcomes, Arlenis Santana

Theses and Dissertations

Black families' mental health, including that of the children and caretakers, is a persistent public health concern. Existing work documents that parental racial socialization messages are a protective process for the psychological well-being of Black children, youth, and emerging adults (Bannon et al., 2009). The majority of work to date has focused on youth, and we have limited information about the effects of racial socialization on caregivers’ mental health outcomes. It is also essential to examine the relation between racial socialization and outcomes among caregivers because, aside from their identity as parents, caregivers have other identities and experiences that deserve …

Guardianship Before And Following Hospitalization, Jennifer Sullivan, Andrew B. Cohen, Kelly Stolzmann, Elizabeth J. Auguste, Casey C. Catlin, Zachary S. Sager, Rachel E. Weiskittle, Cindy B. Woolverton, Heather L. Connors

Publications

When ethics committees are consulted about patients who have or need court appointed guardians, they lack empirical evidence about several common issues, including the relationship between guardianship and prolonged, potentially medically unnecessary hospitalizations for patients. To provide information about this issue, we conducted quantitative and qualitative analyses using a retrospective cohort from Veterans Healthcare Administration. To examine the relationship between guardianship appointment and hospital length of stay, we first compared 116 persons hospitalized prior to guardianship appointment to a comparison group (n=348) 3:1 matched for age, diagnosis, date of admission, and comorbidity. We then compared 91 persons hospitalized in the …

Shop Talk: Decreasing The School-To-Prison Pipeline For African American Male Students, Treveda Michelle Redmond

Graduate Research Theses & Dissertations

This dissertation used a plan, do, study, act (PDSA) cycle from improvement science toimplement a tier three intervention for African American male students in a middle school. The students who participated in the intervention were considered at-risk for school failure based upon behavior and grades in the first quarter of the school year. Community members assisted in creating a shop-talk experience for the students where they were able to engage with each other and successful African American male members of the community. Results indicate the shop-talk intervention was successful. Planning for the next PDSA cycle is discussed as well and …

A Systematic Review And Meta-Analysis Of Factors Associated With Burnout Among Early Childhood Education And Care Providers, Lee Wells

Graduate Research Theses & Dissertations

Burnout among the early childhood workforce has gained widespread attention in research and policy due to greater awareness of the negative impacts on children, providers, and organizations. Early childhood education and care (ECEC) providers create supportive and nurturing environments that facilitate early learning and development for young children. Accordingly, ECEC providers are the connective tissue between program intentions and outcomes. Despite the critical nature of the field, early childhood providers continue to be underpaid, under-resourced, and undervalued, leading to a high risk of burnout. With turnover rates of ECEC providers higher than ever, the link between burnout and attrition has …

Police Response To Same-Sex Ipv A Qualitative Approach, Lena Fae Mutchler

Graduate Research Theses & Dissertations

The present thesis examines the views that police have towards cases of same-sex IPV(intimate partner violence) in a qualitative sense. An issue highlighted by poor relations and uneven rates of arrest; this study sought to look beyond the usual quantitative approach to the issue. This was analyzed through use of semi-structured interviews with both law enforcement and social service workers in domestic violence organizations. 13 interviews were conducted, 6 with law enforcement, and 7 with social service workers, asking the participants about their views and interactions with same-sex cases, police, and the LGBTQ community as a whole. The results implied …

Fostering A Dynamic Cross-Disciplinary Culture At The Preservice Level, Marie L. Manning, Susan Skees Hermes, Julie H. Rutland, Jade Robinson, Vanessa Tucker

Pedagogicon Conference Proceedings

Professionals from varied disciplines must engage in cross-disciplinary collaboration. However, such skills are not typically introduced and/or practiced prior to entering their respective professional fields. Using the Teaming, Roles, Ethics, and Communication (TREC) model, a team of interprofessional cross-disciplinary instructors discuss current practices when developing immediately useful activities to embed in pre-service curriculum using special education as the practical foundation.

Strengths-Based Case Management With Military Veterans: Building Protective Factors Against Suicide, Meredith Wingard Lange

DSW Capstone Projects

Abstract

Veteran suicide deaths remain between 16 and 18 daily despite over two decades of research and programming focused on suicide risk identification, therapeutic intervention, and suicide prevention. As research on suicidality among veterans and active-duty military continues, so do the efforts to develop new suicide prevention plans, interventions, and programs. When does one admit that suicide prevention strategies alone are not working? This paper introduces the application of a strengths-based case management approach to mitigating suicidality using a veteran’s inherent and communal protective factors. A new approach to mitigating suicidality emerges through the in-depth analysis of existing literature, a …

Engaging Predominantly White Churches In Racial Justice Work, Christopher B. Rakestraw

DSW Capstone Projects

Over the past three years, the tragic deaths of many people of color have renewed nationwide discourse on racial injustices and racism. White churches seeking to become anti-racist are confronted with a number of obstacles. This capstone project addresses the topic of Engaging Predominantly White Churches in Racial Justice Work through three interconnected scholarly products. Each product draws from the research of sociology, psychology, social work, education, and religion to investigate a different aspect of the overarching subject.

The Systematic Literature Review examines the impact of white racial identity on the racial attitudes of Predominantly White Church (PWC) congregants. Evidence …