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Articles 211 - 240 of 483

Full-Text Articles in Clinical and Medical Social Work

Stroke Rehabilitation, Length-Of-Stay, And Re-Admission Rates: A Literature Review, Morgen Hagedorn Jan 2012

Stroke Rehabilitation, Length-Of-Stay, And Re-Admission Rates: A Literature Review, Morgen Hagedorn

All Graduate Theses, Dissertations, and Other Capstone Projects

Stroke is shown to be a significant U.S. health problem with a profound impact on the nation’s rising healthcare costs (Hall, Levant, & DeFrances, 2012). Longer patient length-of-stay [LOS] and higher re-admission rates have brought consequences to healthcare systems as institutional budgets are unable to reconcile the additional services and the influx of healthcare demands. Through a comprehensive literature review, the author illustrates the general knowledge available on the stroke experience, on stroke care and rehabilitation, and on patient LOS and re-admission rates. The literature review is based on general medical research with a focus on the stroke population. The …


Policies In Hospital Social Work, Jolene L. Reisdorfer Jan 2012

Policies In Hospital Social Work, Jolene L. Reisdorfer

All Graduate Theses, Dissertations, and Other Capstone Projects

The goal of this project was to create an environment that provides a professional standard of care to ensure patient safety. This project will address the absence of policies in the Social Service Department at Mayo Clinic Health System, Southwest Region. A standard of care is a detailed standardized model of an intervention process that discusses the goals, objectives, settings, process, procedures and interventions (Gayle, 2005). Policy development must occur to assure that patients with social service needs are being identified appropriately and are being provided necessary interventions to meet their needs (Gordon & Rehrs, 1969). The project also identified …


A Review Of Developmentally Appropriate Evidence-Based Effective Parenting And Resources For Parents, Kari Schwecke Jan 2012

A Review Of Developmentally Appropriate Evidence-Based Effective Parenting And Resources For Parents, Kari Schwecke

All Graduate Theses, Dissertations, and Other Capstone Projects

Krisma Counseling, a counseling center located in rural southern Minnesota, offers high quality and affordable consumer-centered mental health services to individuals, families, couples, including in-home therapy. In order to provide adequate services and care that abides by the Nation Association of Social Workers Code of Ethics, there needs to be standard ethical practice rooted in evidence based literature. The purpose of this project was to research developmentally appropriate evidence-based effective parenting and create a resource guide for clinicians to use in their work with parents of children ages two to 17.


Bridging Tactics: Parental Support Systems: A Proposal For A Psycho-Educational Parent Group, Emily F. Thompson Jan 2012

Bridging Tactics: Parental Support Systems: A Proposal For A Psycho-Educational Parent Group, Emily F. Thompson

All Graduate Theses, Dissertations, and Other Capstone Projects

The purpose of this Capstone project is to design and present a new intervention program for increasing supportive services to the parents of clients being served through the infant/early childhood mental health program at CSSM. The goal of this project is to provide CSSM with a culturally-­responsive, theoretically grounded, evidence-­based proposal for the development of a psycho-educational group that includes a clear rationale for why this intervention is needed and how it will help the agency achieve the outcomes of infant/early childhood mental health program.


Needs Assessment Of Emergency Department Social Workers In Southwestern Minnesota In Relation To Emergency Department Expansion, Gina Marie Njugunah Jan 2012

Needs Assessment Of Emergency Department Social Workers In Southwestern Minnesota In Relation To Emergency Department Expansion, Gina Marie Njugunah

All Graduate Theses, Dissertations, and Other Capstone Projects

Expansion of a hospital emergency department will affect the role of the emergency department social worker. This research project was conducted to assess the needs, concerns, and strengths of the social workers working in the emergency department of a regional medical center. The study included 13 participants who completed an on-line survey. Results showed that participants were concerned with the increase in patient volume as well as the possible increase in wait time for patients. Participants also expressed how concerns could be addressed. The most common solution was to track information about the cases, including wait times for patients, in …


Health Service Access For Rural People Living With Hiv/Aids In China: A Critical Evaluation, Xiying Wang, Xiulan Zhang, Yuebin Xu, Yurong Zhang Dec 2011

Health Service Access For Rural People Living With Hiv/Aids In China: A Critical Evaluation, Xiying Wang, Xiulan Zhang, Yuebin Xu, Yurong Zhang

The Journal of Sociology & Social Welfare

The increasingly serious HIV/AIDS epidemic creates a significant burden for the public health system; however, little attention has been paid to the issue of health service access in rural China. Based on a qualitative study of 34 Chinese rural People Living with HIVIAIDS (PLWHA) and 13 health providers, this study fills a gap by examining health service access from both the demand and supply-side. Utilizing access theory, this study explores the availability, affordability and acceptability of health services in rural China. Moreover, this study focuses on access barriers and institutional obstacles that PLWHA meet during their illness and considers the …


Emergency Room Use By Undocumented Mexican Immigrants, Ayse Akincigil, Raymond Sanchez Mayers, Fontaine H. Fulghum Dec 2011

Emergency Room Use By Undocumented Mexican Immigrants, Ayse Akincigil, Raymond Sanchez Mayers, Fontaine H. Fulghum

The Journal of Sociology & Social Welfare

This study examined emergency room use by undocumented Mexican immigrants and their sources of health care information. Thirty-eight percent of the respondents reported that they would use a hospital emergency room (ER) for primary medical care. ER use rates declined with time spent in the United States. Emergency room use rates varied significantly by region. Respondents receiving information from a church reported less ER use, compared to all others; respondents receiving information from U.S. newspapers reported higher ER use rates. Lack of health care access for undocumented immigrants remains a public health issue as well as a social justice concern.


Depression And Its Associated Risk Factors In Medical And Surgical Post Graduate Trainees At A Teaching Hospital: A Cross Sectional Survey From A Developing Country, Aisha Yousuf, Sidra Ishaque, Waris Qidwai Oct 2011

Depression And Its Associated Risk Factors In Medical And Surgical Post Graduate Trainees At A Teaching Hospital: A Cross Sectional Survey From A Developing Country, Aisha Yousuf, Sidra Ishaque, Waris Qidwai

Department of Family Medicine

Objectives: To determine the frequency of depression among post graduate medical trainees in a teaching hospital of Pakistan and to explore the associated factors contributing to depression in them. Methods: It's a cross-sectional study at the Aga Khan University Hospital, Karachi. It was done in June 2008 till August 2008. Zung Self-Rating Depression Scale was administered among 172 post graduate trainees. Self administered questionnaires were used to assess the associated demographic and work related risk factors. Adjusted odds ratios (OR) were calculated by logistic regression. Results: The survey response rate was 172(82.69%). Depression in the overall sample was 103(59.88%), of …


Likelihood Of Asking For Help In Caregivers Of Women With Substance Use Or Co-Occurring Substance Use And Mental Disorders, Suzanne Brown, David E. Biegel, Elizabeth M. Tracy Sep 2011

Likelihood Of Asking For Help In Caregivers Of Women With Substance Use Or Co-Occurring Substance Use And Mental Disorders, Suzanne Brown, David E. Biegel, Elizabeth M. Tracy

Social Work Faculty Publications

Family members are important to the well-being of their relatives with substance use disorders or cooccurring substance use and mental disorders. Many caregivers experience high levels of burden, negatively impacting their capacity to provide support to their ill family member. The Andersen health care utilization model (Andersen & Newman, 1973, 2005) was used to identify the impact of predisposing, enabling, and need factors hypothesized to predict caregivers’ likelihood of asking for help and support with their caregiving role. The sample include 82 women recruited from outpatient or inpatient substance abuse treatment centers and 82 family caregivers nominated by these women. …


The Development And Evaluation Of A Safety Skill Intervention For Child Victims Of Neglect, Heather H. Hill May 2011

The Development And Evaluation Of A Safety Skill Intervention For Child Victims Of Neglect, Heather H. Hill

UNLV Theses, Dissertations, Professional Papers, and Capstones

Child neglect is the least studied, yet most frequently indicated, type of child maltreatment. Still, there are few assessment and treatment methods specifically designed for victims of child neglect. Unintentional injuries have long remained the leading cause of death for children in the United States after the first year of life, and research suggests the majority of these child fatalities are actually the result of child neglect. Homes of neglectful families are often inundated with safety hazards but child-focused home safety skill interventions have yet to be developed. Thus, the present study focused on the development and initial evaluation of …


Living For Two: Experiencing Alzheimer’S Disease Through The Caregiver, Jacob Kramer Apr 2011

Living For Two: Experiencing Alzheimer’S Disease Through The Caregiver, Jacob Kramer

Independent Study Project (ISP) Collection

This investigation focuses on the effects of Alzheimer‟s disease beyond the consequences it implicates for the patient. It must be recognized that this is a disease whose repercussions affect the family caregiver of the diseased with the same strength that it disturbs the principal carrier. The sporadic characteristics of Alzheimer‟s disease, externalized through mood swings, memory loss, the eventual loss of bodily functions, and, among other symptoms, the inability to communicate, create a category of instability and volatility experienced solely by the primary caregiver. This inconsistency that the primary family caregiver comes to know not only disturbs the patient-caregiver relationship, …


Understanding Mesosystemic Influences On Reported Health Among Rural Low-Income Women: A Structural Equation Analysis, Tiffany Wigington Apr 2011

Understanding Mesosystemic Influences On Reported Health Among Rural Low-Income Women: A Structural Equation Analysis, Tiffany Wigington

College of Education and Human Sciences: Dissertations, Theses, and Student Research

While ensuring access to health insurance and health care services is important, emerging research indicates that individual health and well-being result from a complex array of environmental, social, and psychological factors. The delineation of how factors of health and well-being unfold and impact rural low-income women is particularly salient for social workers who provide services to rural residents and who work within a rural context. Utilizing components from the ecological systems perspective, this study explored how the factors associated with health risk influenced reported health and mesosystemic processes among rural low-income women. This sample (n=304) for this study was drawn …


“So I Just Took Over”: African American Daughters Caregiving For Parents With Heart Failure, Nancy Thornton, Faith Pratt Hopp Apr 2011

“So I Just Took Over”: African American Daughters Caregiving For Parents With Heart Failure, Nancy Thornton, Faith Pratt Hopp

Social Work Faculty Publications

This article examines the experiences of African American women who are caring for a parent with heart failure. Seven adult daughter caregivers completed in-depth, qualitative interviews, and a phenomenological approach was used for data analysis. Results suggest the presence of caregiving stressors, including heart failure symptoms and comorbidity, caregiving duties, social–emotional stressors, and distrust of the health system. Relevant coping strategies included valuing the caregiving role, coordinating care with siblings, taking charge, and spirituality. Social workers can play a critical role in supporting and advocating for caregivers of persons with heart failure, helping them to cope with stressors associated with …


The Differentiated Impact Of Bridging And Bonding Social Capital On Economic Well-Being: An Individual Level Perspective, Saijun Zhang, Steven. G. Anderson, Min Zhan Mar 2011

The Differentiated Impact Of Bridging And Bonding Social Capital On Economic Well-Being: An Individual Level Perspective, Saijun Zhang, Steven. G. Anderson, Min Zhan

The Journal of Sociology & Social Welfare

Social capital refers to trust, norms, and social networks. One of the most important features of social capital is its claimed capacity of promoting economic well-being. Theorists have assumed that any such effects vary according to the nature of different types of social capital. Using longitudinal data from a nationally representative dataset, this study investigates the differentiated effects of individual bonding and bridging social capital on subsequent personal income and income-to-needs ratios. The analyses demonstrate that bridging capital, indicated by involvement in various voluntary organizations, has small but significant effects on future economic wellbeing. However, bonding capital, indicated by connections …


Stretching The Paradigm: Crisis As A Problem In Mental Health Research, Roger A. Lohmann Feb 2011

Stretching The Paradigm: Crisis As A Problem In Mental Health Research, Roger A. Lohmann

Faculty & Staff Scholarship

Crisis intervention is an established paradigm of community mental health theory and practice in which the nature and circumstances of crises are assumed to be well understood and the subject of established research findings and theory. Review of existing crisis research literature fails to support such assumptions. There is, in fact, little current evidence available on the nature and circumstances of mental health crises, despite the importance of crisis intervention in contemporary practice. This paper presents descriptive findings of a study of the frequency, duration and severity of mental health crises, based on analysis of more than 500 crisis incidents …


What Children Should Know About Cancer: Parent's Perception, Kristyn Gina Sutton Jan 2011

What Children Should Know About Cancer: Parent's Perception, Kristyn Gina Sutton

Theses Digitization Project

The purpose of this project will focus on how and for what reasons parents inform their children of their cancer. Through the use of focus groups and the participation of parents, sick and healthy, this study will bring to light the truth of what parents feel their children should know about their cancer and why they may feel it necessary to tell them about their cancer.


African-Americans' Perceptions Of Hospice Care, Gina Elizabeth Wagner Jan 2011

African-Americans' Perceptions Of Hospice Care, Gina Elizabeth Wagner

Theses Digitization Project

The purpose of this study was to reveal how African Americans view hospice care and how cultural values, economic factors and the amount of knowledge about hospice further impact the experiences African Americans have with hospice.


Quality Of Service And Treatment Adherence In Individuals With End Stage Renal Disease, Kyle Joseph Fraga Jan 2011

Quality Of Service And Treatment Adherence In Individuals With End Stage Renal Disease, Kyle Joseph Fraga

Theses Digitization Project

The purpose of this study will focus on the patient's attitudes about their treatment. There is a certain stigma attached to dialysis that makes it an undesirable form of treatment. Individuals on dialysis may feel dependent and vulnerable. In addition, hospitals and dialysis clinics can be an unwelcoming and intimidating place. A person's belief about their treatment will influence how well they adhere to it.


Assessing Human Immunodeficiency Virus Testing Attitudes Among African Immigrants, Hazel Namona Nachembe Jan 2011

Assessing Human Immunodeficiency Virus Testing Attitudes Among African Immigrants, Hazel Namona Nachembe

Theses Digitization Project

This study attempted to assess and explore the attitudes of African immigrants towards HIV testing and seeking HIV services in the U.S. The pool of HIV/AIDS cases among blacks at risk in the United States does not clearly distinguish between African Americans and Black African immigrants in regard to attitudes on HIV testing. A closer exploration of African immigrants as specific black sub-groups within the larger group of blacks or African Americans infected with HIV may help distinguish and explain the increase in incidents and high risk behaviors among blacks.


Needs Assessment For A Multidisciplinary Eating Disorder Outpatient Services, Mary Beth Patterson Jan 2011

Needs Assessment For A Multidisciplinary Eating Disorder Outpatient Services, Mary Beth Patterson

All Graduate Theses, Dissertations, and Other Capstone Projects

Research has indicated there is limited specialist multidisciplinary care in non-metropolitan regions and rural communities for eating disorder treatment, leaving patients and professionals dissatisfied with quality of care. The purpose of this project was to assess the need for multidisciplinary eating disorder treatment service in South-Central Minnesota, and if so, to obtain information about the current patient population and treatment of such patients.


Best Practices Of A Social Worker's Role In Supporting Family Caregivers Enrolled In Hospice Care, Jessie Wolf Jan 2011

Best Practices Of A Social Worker's Role In Supporting Family Caregivers Enrolled In Hospice Care, Jessie Wolf

All Graduate Theses, Dissertations, and Other Capstone Projects

The purpose of this project was to explore best practices are for hospice social worker’s providing care to family caregivers enrolled in hospice. This project explored processes and assessment tools that other hospice agencies in rural Minnesota utilized while caring for the family members of hospice patients. The information obtained was used to provide recommendations to Mayo Clinic Health System- Mankato Hospice program to further improve the hospice programming and the social worker’s role.


Clinical Social Work And The Biomedical Industrial Complex, Tomi Gomory, Stephen E. Wong, David Cohen, Jeffrey R. Lacasse Jan 2011

Clinical Social Work And The Biomedical Industrial Complex, Tomi Gomory, Stephen E. Wong, David Cohen, Jeffrey R. Lacasse

The Journal of Sociology & Social Welfare

This article examines how the biomedical industrial complex has ensnared social work within a foreign conceptual and practice model that distracts clinical social workers from the special assistance that they can provide for people with mental distress and misbehavior. We discuss: (1) social work's assimilation of psychiatric perspectives and practices during its pursuit of professional status; (2) the persistence of psychiatric hospitalization despite its coercive methods, high cost, and doubtful efficacy; (3) the increasing reliance on the Diagnostic and Statistical Manual of Mental Disorders, despite its widely acknowledged scientific frailty; and (4) the questionable contributions of psychoactive drugs to clinical …


Factors That Contribute To Patient Length Of Stay At St. Peter Regional Treatment Center, Brenda Karch Jan 2011

Factors That Contribute To Patient Length Of Stay At St. Peter Regional Treatment Center, Brenda Karch

All Graduate Theses, Dissertations, and Other Capstone Projects

This research project employed a quantitative review of archived data comprised of patients that had been discharged from St. Peter Regional Treatment Center between 2002-2010. These patients were admitted to Minnesota Security Hospital for treatment and progressed through the program to Forensic Transition Services and eventually discharged to the community.


Understanding The Role Of Attachments And Schemas: A Model For Working With Sex Offenders, Carol J. Ries Jan 2011

Understanding The Role Of Attachments And Schemas: A Model For Working With Sex Offenders, Carol J. Ries

All Graduate Theses, Dissertations, and Other Capstone Projects

The purpose of this project is to research, develop, present, and evaluate a training module to increase knowledge of the role of attachments and schemas in working with sex offenders and to provide a model for working with sex offenders. Research Questions: 1. To what extent will a training module on the role of attachments and schemas increase attendees’ understanding of these topics? 2. Will a training module increase the likelihood that attendees will apply this knowledge of attachments and schemas in their work with clients?


Computer-Based Training: Understanding Mental Health Civil Commitment, Tiffany Sandbo Jan 2011

Computer-Based Training: Understanding Mental Health Civil Commitment, Tiffany Sandbo

All Graduate Theses, Dissertations, and Other Capstone Projects

The purpose of this training is to enhance health and mental health professionals’ knowledge about the mental health civil commitment law and process in Minnesota. The goal is upon completion of this training: 1)Trainees will understand the mental health civil commitment law and process in Minnesota. 2)Trainees will understand your role in the mental health civil commitment process.


Out Of The Frying Pan, Into The Fire: Trauma In The Lives Of Homeless Youth Prior To And During Homelessness, John Coates, Sue Mckenzie-Mohr Dec 2010

Out Of The Frying Pan, Into The Fire: Trauma In The Lives Of Homeless Youth Prior To And During Homelessness, John Coates, Sue Mckenzie-Mohr

The Journal of Sociology & Social Welfare

Anecdotal evidence from those who work with homeless youth indicates that trauma permeates these young people's lives. This paper presents the findings from a study of 100 homeless youth regarding the presence of trauma in their lives, both before and during homelessness. Participants living in the Maritime Provinces volunteered to take part in a semi-structured interview lasting one to two hours. The interview questionnaire was conducted by a trained interviewer, and was composed of standardized and adapted survey instruments, as well as questions regarding demographics, experiences prior to becoming homeless, assistance received while dealing with stressors, and current needs. The …


Housing For People With Serious Mental Illness: Approaches, Evidence, And Transformative Change, Geoffrey Nelson Dec 2010

Housing For People With Serious Mental Illness: Approaches, Evidence, And Transformative Change, Geoffrey Nelson

The Journal of Sociology & Social Welfare

The evolution of housing approaches for people with serious mental illness is described and analyzed. A distinction is made between three different approaches to housing: (a) custodial, (b) supportive, and (c) supported. Research evidence is reviewed that suggests the promise of supported housing, but more research is needed that compares supported housing with different supportive housing approaches. It is argued that the current move to a supported housing approach represents a fundamental shift or transformative change in mental health policy and practice. Strategies to facilitate this shift are discussed.


Life History And Narrative Analysis: Feminist Methodologies Contextualizing Black Women's Experiences With Severe Mental Illness, Marya R. Sosulski, Nicole T. Buchanan, Chandra M. Donnell Sep 2010

Life History And Narrative Analysis: Feminist Methodologies Contextualizing Black Women's Experiences With Severe Mental Illness, Marya R. Sosulski, Nicole T. Buchanan, Chandra M. Donnell

The Journal of Sociology & Social Welfare

This paper discusses a methodological approach to research that enhances critical analysis by contextualizing qualitative research findings within participants' individual experiences. We demonstrate the combined use of life history methods and feminist narrative analysis to explore Black women's everyday experiences with mental illness, from their perspectives. These interpretive methods reach beyond pathologized conceptions of identity and adjustment that often narrowly characterize mental illness among Black women. Instead, these methods holistically describe a participant's experiences and strategies she uses to pursue goals and enhance her life. The use of the methods is illustrated with examples from the life narrative of "Maria," …


The Abortion Attitudes Of Counselor, Social Worker, And Nursing Trainees, Mary J. Ball May 2010

The Abortion Attitudes Of Counselor, Social Worker, And Nursing Trainees, Mary J. Ball

Dissertations

This study examined the similarities and dissimilarities in abortion attitudes among counselors (CTs, n = 51), social workers (SWTs, n = 42), and nurses in training (NTs, n = 78), based on profession, age, race, gender, and religion. Data were analyzed using analysis of variance and standard multiple regression. It was predicted that profession, religion, age, gender, and race would predict the abortion attitudes of CTs, SWTs, and NTs in training. It was also predicted that the attitudes of CTs and SWTs would be most similar, and that both of these groups would hold more positive abortion attitudes than NTs. …


Barriers To Hiv Couples Testing: The African American Woman's Perspective, Frederick Scott Smith Jan 2010

Barriers To Hiv Couples Testing: The African American Woman's Perspective, Frederick Scott Smith

Theses Digitization Project

African American Women continue to contract HIV/AIDS at an alarming rate. Of all the women living with Aids in the United States, 64% were African American and two out of three African American women got HIV from having unprotected sex with a man. The purposes of the study are to identify perceived barriers to HIV testing of the intimate partners of African American Women and subsequently identify an effective couples of HIV testing strategy. The research study investigated the primary causes for low HIV testing rates of African American couples. This study uttilized a quantitatve method using self-administered questionaires. The …