Clinical and Medical Social Work Commons^™

Effects Of Companion Animal Ownership Among Canadian Street-Involved Youth: A Qualitative Analysis, Michelle Lem, Jason B. Coe, Derek B. Haley, Elizabeth Stone, William O'Grady

The Journal of Sociology & Social Welfare

In Canada, approximately 150,000 youth are homeless on any given night, and many have companion animals. Through a series of semi-structured interviews, this qualitative study explored the issues and effects of companion animal ownership among street-involved youth from the perspective of the youth themselves. "Pet before self" was the substantive theme, with first level sub-themes of "physical" and "emotional" effects. Previously unidentified findings include benefits of having a companion animal, such as creating structure and routine and decreasing use of drugs. Loss of the companion animal was a negative effect. Youth consistently reported making choices to stay with their animal …

Attachment, Social Support, And Perceived Mental Health Of Adult Dog Walkers: What Does Age Have To Do With It?, F. Ellen Netting, Cindy C. Wilson, Jeffrey L. Goodie, Mark B. Stephens, Christopher G. Byers, Cara H. Olsen

The Journal of Sociology & Social Welfare

In part of a larger pilot study of dog walking as a physical activity intervention we assessed levels of attachment, social supports, and perceived mental health of 75 dog owners, identified through a tertiary- care veterinary hospital. Owners completed the Medical Outcomes Study (MOS) Social Support Survey, mental health component of the Short-Form-12 (SF-12) Health Survey, and the Lexington Attachment to Pets Scale (LAPS). Of particular interest was that younger owners had stronger attachments to their dogs (r = -.488;p <.001) and less social support (r = .269;p =.021). Our study suggests the importance of companion animals for social support, particularly for those without close friends/relatives. For younger owners, our study reveals vulnerabilities in support networks that may warrant referrals to human helping professionals. We suggest the use of Carstensen's Socioemotional Selectivity Theory as an interpretive framework to underscore the importance of including companion animals as part of the human social convoy, especially in terms of providing affectionate and interactional social support.

Staff Views On The Involvement Of Animals In Care Home Life: An Exploratory Study, Jane Fossey, Vanessa Lawrence

The Journal of Sociology & Social Welfare

This qualitative study examined the views of one hundred and eight care staff working in fifteen care homes in the United Kingdom about the involvement Of animals in the care practices of the home. The perceived benefits and difficulties ofdelivering person-centered and psychosocial care, including the involvement of animals were explored. The findings describe the main themes related to animal involvement elicited from staff. These include the benefits to residents' well-being and the varying challenges that visiting and residential animals pose. The implicationsfor practice are discussed and the need for clearer information for care home teams is identified.

Suicide Within United States Jails: A Qualitative Interpretive Meta-Synthesis, Laura Frank, Regina T. P. Aguirre

The Journal of Sociology & Social Welfare

Suicide was the leading cause of unnatural deaths in local jails, accounting for 29% of all jail deaths between 2000 and 2007. Though much literature exists on suicide in jails, very little is qualitative. Additionally, little attention has been focused on how the Interpersonal Theory of Suicide applies to the jail environment. To gain a better understanding of suicide in jails, an interpretive meta-synthesis of three qualitative articles was conducted. The combined sample included thirty-four individuals from three jails. These three articles were analyzed to identify common themes that led inmates to suicide. Three broad categories were identified through constant …

"Who Would Have Thought, With A Diagnosis Like This, I Would Be Happy?": Portraits Of Perceived Strengths And Resources In Early-Stage Dementia, Jutta Elisabeth Ataie

Dissertations and Theses

This study used photovoice methodology to explore how people with early-stage dementia use their perceived strength and resources to cope with the illness. Purposive sampling was used to recruit participants. Thirteen women and seven men age 57 to 90 (mean 73.4) with MMSE scores ranging from 20 to 28 (mean 25.6) participated in the project. Participants were provided with a disposable camera and invited to take photographs relevant to their well-being. The photographs provided the means for participants to take the lead in dialogue sessions about their coping response.

Grounded theory analysis revealed that initially, early-stage dementia precipitated a disruption …

Suicidal Ideation In Callers To A Crisis Hotline In Mumbai,, Amresh Srivastava, Megan Johnston, Larry Stitt, Meghana Thanksr, Sunita Iyer, Nilesh Shah, David Lester

Data and Test Instruments

Suicidal ideation in callers to a crisis hotline in Mumbai, India Amresh K. Shrivastava1,2, Megan Johnston3, Larry Stitt4, Meghana Thakar5, Sunita Iyer6, Nilesh Shah7 and David Lester8* 1Silver Mind Hospital and Mental Health Foundation of India, (PRERANA Charitable Trust) Mumbai. 2Department of Psychiatry, University of Western Ontario, London, Canada. 3Department of Psychology, University of Toronto, 100 St. George St., Toronto, Ontario, Canada, M5S 2M2. 4Biostatistical Support Unit, Department of Epidemiology and Biostatistics, The University of Western Ontario, London, Ontario, Canada. 5Silver mind Hospital, Mumbai, Currently, Child and Adolescent Mental Health Practitioner, Lambeth CAMHS Early Intervention Team, South London and Maudsley …

Providing Family-Centered Care For Families And Patients With Autism Spectrum Disorders : A Guide For Healthcare Professionals, Kacie Wilson

Graduate Student Independent Studies

The purpose of this thesis is to provide healthcare professionals in the pediatric healthcare setting with the necessary tools to provide high quality family-centered care to children with ASD and to their families.

Creating An Optimal Healing Environment For Pediatric Patients And Families : A Medical School Course On Child Life Theory And Practice, Erin Halman

Graduate Student Independent Studies

This project outlines an introductory child life course intended for medical students. The course covers salient topics from a graduate level child life curriculum, as well as skills identified as the most useful for physicians in a survey of certified child life specialists.

Study Of Negatives Symptoms In First Episode Schizophrenia*, Vivek Bambole, Nilesh, Shah, Shushma Sonavane, Megan , Johnston, Amresh Srivastava

Data and Test Instruments

Background: Prevalence of negative symptoms in the early phase of schizophrenia remains uncertain. Ne- gative symptoms are the primary cause of long term disability and poor functional outcome. The purpose of this study is to examine the presence of negative symptoms in patients with fist episode psychosis in schizophrenia who were hospitalized. Methods: Nega- tive symptoms were measured in 72 patients present- ing with FEP using the scale for assessment of nega- tive symptoms (SANS) and ascertained diagnosis us- ing DSM-IV. Prevalence of SANS items and sub- scales were examined for both schizophrenia and bi- polar disorder. Results: This study …

The Development And Implementation Of Trauma-Informed Care Within A Clinical Setting, Molly Hildebrandt

All Graduate Theses, Dissertations, and Other Capstone Projects

This capstone project facilitated the classification of CSSM as a trauma-­‐informed service system for children. Following a specific framework, the project included the development and implementation of an intake model for the agency to follow in order to begin the process. The student designed a new intake procedure, in which all children were screened for the possibility of trauma and then linked with a trauma-­‐ informed therapist based on a positive screening. This procedure produced the ability to effectively link children with trauma-­‐informed services.

Best Practices For Implementing Trauma-Informed Care With Youth Who Are Homeless Or At- Risk Of Being Homeless, Ellen Morrow

All Graduate Theses, Dissertations, and Other Capstone Projects

Exposure to traumatic events during childhood can affect brain development, how someone reacts to stress, and what they may find threatening or unsafe. Trauma can be a precursor to the development of a range of psychopathology including post-traumatic stress disorder, depression, anxiety, substance abuse, personality distortions and psychosis (APA, 2000, Rose, Freeman & Proudlock, 2012). Left untreated trauma can also result in medical conditions later in life including heart disease, cancer, respiratory problems and social conditions such as homelessness, prostitution or delinquency (Steele & Malchiodi, 2012; WISQARS, 2010). Maschi and Schwalbe (2012) cite studies which estimate up to 93% of …

Evidence-Based Treatment For Anxiety Disorders And Marijuana Use Across The Lifespan, Tanya Borchert

All Graduate Theses, Dissertations, and Other Capstone Projects

The purpose of this capstone project was to identify evidence-based practices relating to anxiety disorders and cannabis use throughout the lifespan. Identification of the practices will more effectively meet the needs of the clients served at the Dual Recovery Program and allow the agency to best serve clients with co-occurring anxiety disorders and cannabis use in a parallel manner. The literature indicates that there is a correlation between anxiety disorders and cannabis abuse (Buckner & Schmidt, 2011; Buckner, Zvolensky, & Schmidt, 2012; Bricker, et al., 2006; Bonn-Miller, Vujanovic, Boden, & Gross, 2011). If the anxiety disorder can be properly diagnosed …

The Use Of Electroconvulsive Therapy In An Acute Care Setting: Enhancing The Knowledge And Skills Of Mental Health Professionals, Lori Thom

All Graduate Theses, Dissertations, and Other Capstone Projects

1.To enhance the knowledge of mental health professionals working in the psychiatric care unit of the New Ulm Medical Center on the current use of electroconvulsive therapy (ECT).

2.To enhance the knowledge, insights, and skills of mental health professionals working in the psychiatric care unit of the New Ulm Medical Center in working with patients and their families when ECT would be a beneficial component of mental health treatment.

The Working Alliance: A Survey Of An Outpatient Mental Health Center, Jennifer Bramstedt

All Graduate Theses, Dissertations, and Other Capstone Projects

This research investigated the working alliance between therapist and client at RiverView Clinic, an outpatient mental health center. Utilizing data captured by the Working Alliance Inventory-Short Revised (WAI-SR), the research posited the following:

• median total scores from therapist’s would be higher than median scores of the working alliance from clients
• clients who presented with mild to moderate concerns would have higher working alliance scores than clients who reported moderate to severe concerns
• new clients would have higher task and goal sub-scores than clients in therapy for more than fifteen sessions
• if working alliance scores reflected ruptures or strains in the …

Incredible Years Parenting Program: Developing And Evidenced-Based Implementation Protocol, Brooklynn Fredericksen

All Graduate Theses, Dissertations, and Other Capstone Projects

The purpose of this project was to develop an evidence-based implementation protocol for the Incredible Years program at Fernbrook Family Center. The significance of this project was to generate a protocol manual that can be used as a guide for future implementation of the Incredible Years program.

Identification Of Effective Play Techniques For Use With Children In A Outpatient Mental Health Clinic, Jan Schwarzrock

All Graduate Theses, Dissertations, and Other Capstone Projects

The purpose of this research project was to identify which play techniques are the most effective and produce good outcomes for children. Children enter therapy for a number of reasons to improve their emotional and cognitive wellbeing, however engaging them can be challenging. During a therapeutic session, children use play to share experiences through the toys they choose, whereas adults verbally express themselves. The Allina Health/NUMC Outpatient Therapy Department was interested in the identification of play techniques that they could be used to enhance their work with children with the intent to explore the impact of using play techniques on …

Evaluation Of Family Skills Group At Fernbrook Family Center, Jessica Robertson

All Graduate Theses, Dissertations, and Other Capstone Projects

This project evaluated the Parenting Piece by Piece curriculum. This project sought to gain feedback on the ways the agency can improve family skills groups to better meet the needs of the client population Fernbrook Family Center serves. Parenting Piece by Piece is an eight-week program teaching parents new parenting skills.

A Guide To Understanding, Building And Sustaining An Effective Therapeutic Community, Sara Loose

All Graduate Theses, Dissertations, and Other Capstone Projects

The purpose of this guide is to facilitate an understanding of therapeutic community/ milieu therapy concepts as well as building and sustaining an effective therapeutic community on each unit, in each cottage, and within Leo A. Hoffmann Center as a whole. This guide includes evidence based research that supports the use of therapeutic community principles, and interventions and evaluation tools that can potentially be used by Leo A. Hoffmann Center to enhance services. Ultimately, the goal of the project is to provide the agency with a tangible, well rounded resource that can be used by the multidisciplinary team to provide …

A Community Based System Of Integrated Clinical Care: Primary Care, Mental Health And Substance Use Treatment, Terri Reuvers

All Graduate Theses, Dissertations, and Other Capstone Projects

Our segregated medical and mental health care system misses opportunities for early detection of physical disease. Missed opportunities lead to increased costs. Colorado’s Medicaid health plan estimates that an integrated health program will reduce costs for patients with psychiatric disorders by 10%. The cost of doing nothing may exceed $300 billion per year in the United States (NCCBH, 2010). The purpose of this Capstone project is to critically examine existing models of Integrated Primary and Mental Health care. These models will then be evaluated to identify those most compatible with rural communities in Southern Minnesota.