Clinical and Medical Social Work Commons^™

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 …

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 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.

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 …

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 …

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.

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 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.

Supervision And Education As A Factor Of Self Efficacy In Novice Therapists, Natalie D. Dewitt

Graduate Theses

The hypothesis of this exploratory study is aimed at examining novice therapist’s self- efficacy towards counseling, observing self efficacy modifications during practicum, and creating implications for future therapists. There were 20 participants surveyed using the Counselor Self Efficacy Scale, as well as questions generated towards the education experience as well as the supervision experience. A Pearson’s correlation was conducted comparing the supervision and education experience, there was a negative correlation, resulting in the education experience decreasing as the supervision experience increased. A r-test was conducted and the difference in means was consistent with the Pearson correlation confirming higher supervision scores.

Perceived Neighborhood Safety And Psychological Distress: Exploring Protective Factors, Jaime Booth, Stephanie L. Ayers, Flavio F. Marsiglia

The Journal of Sociology & Social Welfare

While a growing body of literature has established a relationship between "disordered" neighborhoods and psychological distress, less is known about the specific mechanisms at work. Using data collected in the 2008 Arizona Health Survey (N = 4,196), hierarchal linear regression was conducted to assess both the independent effect of perception of neighborhood safety on psychological distress, as well as the mediating effects of powerlessness, social isolation and mistrust. The findings suggest that the more safe individuals feel in their neighborhood, the less psychological distress they experience (b = 1.07, SE = .17, p < .001). This relationship appears to be partially mediated by feelings of powerlessness, social isolation and mistrust, indicating potential risk and protective factors.

Patterns Of Residential Mobility Of People With Schizophrenia: Multi-Level Tests Of Downward Geographic Drift, Christopher G. Hudson

The Journal of Sociology & Social Welfare

This study tests the geographic drift hypothesis that the negative SES-MI correlation results from individuals first developing conditions such as schizophrenia and then moving frequently because of their disability to low income and urban areas, and to neighborhoods with high concentrations of SMI persons. This is a secondary analysis of hospital records of 1,667,956 individuals in Massachusetts, USA, between 1994 and 2000. It employs a longitudinal cohort design and techniques of multi-level modeling. Downward geographic drift of those with schizophrenia was found to be small, but greater than other groups examined. The small level of drift was best explained by …

Competency And Voters With Psychiatric Disabilities: Considerations For Social Workers, Jennifer K. Davis

The Journal of Sociology & Social Welfare

The ability of those with psychiatric disabilities to vote is an important activity impacted by competency issues and potentially overlooked by social workers. The purpose of this article is to assist social workers in making informed decisions about preserving and supporting voter participation among those with psychiatric disabilities. Common issues regarding the voting rights of individuals with psychiatric disabilities within the legal system and other systems of interest to social workers are explored.

Clean Needles And Bad Blood: Needle Exchange As Morality Policy, Elizabeth A. Bowen

The Journal of Sociology & Social Welfare

The morality policy framework is a lens for understanding the unique characteristics of policies that attempt to regulate personal morals and behaviors. Needle exchange, a controversial intervention for reducing the transmission of HIV in injection drug users, shares many of the hallmark characteristics of morality policies. Analyzing needle exchange from a morality policy perspective, focusing on the 21-year ban on federal funding for needle exchange, reveals how value-based arguments have been used in the needle exchange debate and explains why the issue is likely to remain controversial in the United States. This analysis adds to the understanding of moral and …

Exploring Barriers To Inclusion Of Widowed And Abandoned Women Through Microcredit Self-Help Groups: The Case Of Rural South India, Margaret Lombe, Chrisann Newransky, Karen Kayser, Paul Mike Raj

The Journal of Sociology & Social Welfare

Microcredit programs have been applauded as the magic bullet for the poor, especially women with limited financial resources. Building on previous research, this study examines effects of a microcredit self-help group (SHG) program on perceptions of social exclusion among widowed and abandoned women who participated in groups established after the 2004 Indian Ocean Tsunami in Tamil Nadu, India (N=109). Data were collected on key aspects of the program such as loan amount and investment patterns, group experience, demographics, and perceived barriers to inclusion. Results indicate that investment patterns and group experience impacted the women's perception of barriers to social inclusion. …

Spiritual Care Within Oncology Care: Development Of A Spiritual Care Program At An Indian Health Service Hospital, Catherine Witte, Tamana D. Begay, Kathryn Coe

Journal of Health Disparities Research and Practice

Spiritual care is essential in providing quality health care for patients and their families and is supported in the mission of the Indian Health Service (IHS). Their mission is to raise the physical, mental, social and spiritual health of American Indians and Alaska Natives to the highest level. This paper will describe the spiritual care programs at the Phoenix Indian Medical Center, an IHS hospital located in Phoenix, Arizona. Two hospital committees, the Volunteer Chaplains’ Association and the Traditional Cultural Advocacy Committee, provide spiritual care for the medical center and work to sustain a presence of spiritual and cultural awareness …

Evaluation Of Support Groups For Adults With Diabetes, Julie Angelita Gonzalez

Theses Digitization Project

The purpose of the study is to evaluate support groups for people with diabetes to find out information about the facilitators, social workers involvement, if any, details of how the groups are facilitated, resources used and the way in which behavioral change is addressed.

Medical Practitioners' Death Anxiety And The Advance Directive, Daisy Macias, Natalie Macias

Theses Digitization Project

This study examined whether there is a correlation between medical practitioner's level of death anxiety and communication about the advance directive. Even though there is a lot of common sense in stating the obvious complexity of issues surrounding end of life, there is also a clear discomfort with accepting the advance directive and the patient's wishes at face value and the underlying reasons for that may lie in the physician's own feelings over death.

Dual Diagnosis Treatment Group Curriculum, Julie M. Wood

All Graduate Theses, Dissertations, and Other Capstone Projects

The social workers at the MSH are treating many patients who have previous placements in chemical dependency treatment in addition to previous hospitalizations for their mental illness. Licensed Drug and Alcohol Counselors (LADC) are employed at the hospital but not on unit 800 which is the crisis and intake unit. The hospital does not have funds available in their budget to add additional LADC staff at the present time.

Having a treatment group focusing on dual diagnosis would enable the patients to receive education and therapy for their addiction issues much earlier in the course of their treatment at MSH. …

"First Impression": Creating An Intake Procedure That Is Welcoming To Clients And Useful To Clinicians, Brandi Embacher

All Graduate Theses, Dissertations, and Other Capstone Projects

Have you ever contacted an agency and felt doubtful about their ability to help you due to the phone interaction or written correspondence you received? The significance of this Capstone project is to create an intake procedure that will leave a positive first impression for individuals seeking services with Mankato Marriage and Family Therapy Center (MMFTC).

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

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 …