Clinical and Medical Social Work Commons^™

Influences On Job Retention Among Homeless Persons With Substance Abuse Or Psychiatric Disabilities, Russell K. Schutt, Norman C. Hursh

The Journal of Sociology & Social Welfare

Job retention is an important psychosocial rehabilitation goal, but one that is not often achieved. We investigate facilitators of and barriers to employment retention among homeless individuals with psychiatric and substance abuse diagnoses who were re-interviewed eight or more years after participating in a traditional vocational rehabilitation program. Most program graduates who maintained employment had secured social support from a variety of sources; personal motivation was also a critical element in job retention and compensated in some cases for an absence of social support. Both the availability of social support contacts and personal motivation influenced likelihood of maintaining sobriety. Physical …

Dimensions Of Loss From Mental Illness, Amy E. Z. Baker, Nicholas Procter, Tony Gibbons

The Journal of Sociology & Social Welfare

This review explores the nature, scope and consequences of loss resulting from mental illness. Losses are described within four key themes: self and identity, work and employment opportunities, relationships, and future-oriented losses. In reflecting upon review findings, several assumptions about loss are illuminated. Findings are situated within the cornerstones of recent mental health reform, specifically a recovery-oriented approach and social inclusion. Particular attention is directed towards notions of risk and responsibility and tensions in realizing the impact of loss within an individualized recovery framework. Implications and recommendations for policy and practice are highlighted.

E-Therapy As A Means For Addressing Barriers To Substance Use Disorder Treatment For Persons Who Are Deaf, Dennis Moore, Debra Guthmann, Nikki Rogers, Susan Frake, Jared Embree

The Journal of Sociology & Social Welfare

Persons who are deaf face a number of challenges with regard to vulnerability for substance use disorders. Moreover, accessible treatment for this condition can be difficult to establish and maintain. The Deaf community may be one of the most disenfranchised groups in America in regard to appropriate access to substance use disorder (SUD) prevention and treatment services. This article reviews findings related to substance use disorder and treatment for this condition among persons who are deaf. It also reviews a promising approach for addressing treatment needs via e-therapy, and it highlights the challenges and concerns regarding e-therapy for this population. …

Attachment: The Antidote To Trauma, Joshua Straub

Faculty Publications and Presentations

Trauma and loss in life are inevitable. And all too often the traumatic experience itself can be enough to paralyze the mental, emotional, and spiritual state of any given person. Unable to interpret the traumatic experience, many instead are left defined by it. Helping clients discern the objective experience and their subjective reactions to it will help free them from the emotions and beliefs that subsequently control their lives. Based on the most relevant attachment theory research and clinical techniques, this workshop teaches the attentional strategies necessary to helping clients overcome trauma.

Male Genital Self-Mutilation With Maggot Infestation In An Intoxicated Individual, Thomas M. Dunn, Vincent Collins, Robert M. House, Philippe Weintraub

SPS Faculty Publications

We present the case of a 55-year-old homeless male who presented with penis and scrotal maggot infestation secondary to genital self-mutilation. The patient gave a history consistent with gender identity disorder and indicated that he was intoxicated during the event. The patient had no history of psychosis. He sought medical attention only after he was no longer welcome on public transportation due to the odor emanating from this infection. Untreated gender identity disorder with alcohol dependence in this case led to a drastic behavior with significant consequences.

Hispanics' Experience With Hospice Care, Maria Rosario Diaz

Theses Digitization Project

The purpose of this project was to learn about Hispanic's experience with hospice care and gain insight into their unique needs. The findings will offer Hospice programs with information on how to provide the most appropriate care to the Hispanic population. This study found that the quality of patient care transcended cultural and spiritual boundaries.

Perceptions Of Breast Cancer Patients On Communicating Sexuality-Related Issues, Farrah Joy Oblepias

Theses Digitization Project

The research project focused on the perceptions of breast cancer patients on addressing sexuality-related issues to their health care provider. A female breast cancer survivor is likely to have low sexual functioning when experiencing change in hormonal status, problems in partner relationships, and vaginal dryness. Moreover, women who undergo a mastectomy due to breast cancer had difficulties in their self-image and their sexual relationship with men.

The Effects Of Immediate Follow-Up On Psychiartric Rehospitalization Rates, Jennifer Erin Mccreight

Theses Digitization Project

The purpose of this study was to examine the effects of an immediate post hospitalization follow-up intervention on the rehospitalization rates of consumers of public mental health services with a classical experimental design. The intervention involves reinforcing the discharge plan, providing psychoeducation, encouraging medication adherence, and triaging each discharged client for additional needs.

The Impact Of Centre Based Respite On Occupational Performance For People With Dementia, Kristy Ness

Theses : Honours

Dementia affects occupational performance by restricting one's ability to carry out valued roles and activities. Centre based respite has been described as one intervention to maintain or improve occupational performance and prevent or delay institutionalisation for people with dementia. The purpose of this study was to explore the impact of centre based respite on occupational performance components as outlined by the Occupational Performance Model (Australia) for people with dementia. Five spousal caregivers, recruited through Alzheimer's Australia WA, participated in semi-structured interviews. Data was analysed using framework analysis techniques. Findings revealed centre based respite attendance can positively influence marital relationships, mood, …

Acute Psychiatric Group Therapy For Hospitalized Individuals With Serious And Persistent Mental Illness, Lindsey Bednar

All Graduate Theses, Dissertations, and Other Capstone Projects

The purpose of this study was to identify group therapy interventions to be provided during a time limited acute psychiatric hospitalization for individuals with serious and persistent mental illness (SPMI) derived from evidenced-based research.

Research Question: What skills deficits and theory of practice are most efficacious with individuals with SPMI diagnosis served by ISJ Behavioral Health Unit?

Mental Health Relapse Prevention: What Does The Research Say?, Robin Bode

All Graduate Theses, Dissertations, and Other Capstone Projects

This Capstone Project researches evidenced-based literature in the area of mental health relapse prevention planning. The literature review explored best practices in providing mental health relapse prevention interventions and identified research study outcomes. The South Central Crisis Center of Mankato provides residential sub-acute care, crisis assessment, intervention, education and psychiatric urgent care to individuals that identify mental health issues as their primary concern (South Central Crisis Center, 2003). Within the 10 bed facility, clients participate in psycho-social educational groups and receive individual clinical services. Prior to discharge clients meet with the mental health professional to complete an In Home Treatment …

Social Work Involvement In Supporting Survivors Of An Unexpected Death In An Emergency Department, Jennifer E. Buchanan

All Graduate Theses, Dissertations, and Other Capstone Projects

People occasionally present to a hospital’s emergency department (ED) after an event such as a heart attack or a motor vehicle accident that results in their sudden and unexpected death. Although members of the ED attempt to support the survivors as much as possible, due to the fast pace of the environment and responsibilities to other patients, the survivors may not always be provided with the necessary resources and support. This can leave survivors feeling isolated and confused about the appropriate course of action after this type of experience. A planned, organized approach delivered by educated and sensitive staff can …

Assessment Of Parenting Skills Of Mothers In Court Ordered Substance Abuse Treatment, Barb Pieske

All Graduate Theses, Dissertations, and Other Capstone Projects

Objective of this project was for me to search for an assessment tool that gives an understanding of mothers who are court ordered to substance abuse treatment. Methods: Search scholarly literature and consult with field supervisor. Results: Adoption of an assessment tool that identifies the strengths and weakness of parenting skills. Conclusion: A structured interview assessment allows the therapist to gather data on the parent with a person centered perspective with a holistic approach.

From A Consumer’S Perspective: What Is Helpful For Residents Of Four Bed Group Homes To Maintain Good Mental Health, Ronna R. Severson

All Graduate Theses, Dissertations, and Other Capstone Projects

The population with mental illness has faced many changes in the services provided to them throughout the years. And fortunately, in recent years there has been many progressions in the field that have made the services even better. This transformation all began with the gradual process of closing mental health hospitals and the opening of community based alternatives, otherwise known as deinstitutionalization (Brunt & Hansson, 2002, p. 611). The main objective of the deinstitutionalization movement was to create more humane services for the individuals with mental illness (Searight& Handal, 1987, p. 8). Through this process one of the community based …