Social and Behavioral Sciences Commons^™

Deaf And Hard Of Hearing Asian Consumers Of The Maryland Behavioral Health Service System, Kota Takayama Ph.D, Teresa Crowe Ph.D

JADARA

This exploratory study examines the demographic profile and diagnoses of deaf and hard of hearing Asian consumers in Maryland who received behavioral healthcare services from January 2016 to January 2019. Results show that: 1) most deaf consumers lived in private residences, 2) most consumers felt somewhat satisfactory in their mental health recovery, 3) almost half had mood disorder diagnoses, 4) nearly 25% had a schizophrenia diagnosis which was more than three times higher than the prevalence for non-Asian populations, and 5) deaf Asian consumers were more likely to have alcohol-related disorders. The discussion includes comparisons with other racial and ethnic …

My Path To Advanced Practice, Hannah Oiselle Knisley

Graduate Student Portfolios, Professional Papers, and Capstone Projects

No abstract provided.

Evaluating Community Based Trauma Among Behavioral Health Workers, Leslie M. Santillan Pina

Capstone Projects and Master's Theses

Due to the national lack of service providers, current providers are experiencing high levels of stress/trauma because of workload, expectations, and the emotional toll these essential jobs have. Monterey County Behavioral Health Bureau is a public government agency that provides mental health services to the community. The purpose of this capstone is to allow clinicians to express the factors that contribute to the stressors of their jobs in hopes of creating change that will alleviate the trauma they experience. This project had three focus group interviews and one key informant interview that gave expected results based on the contributing factors …

A Qualitative Exploration Of Justice System Stakeholders’ Perceptions Of Disproportionate Minority Contact And Behavioral Health Access Among System-Involved Youth Of Color, Tiffany D. Baffour, Dawn X. Henderson, Denise Nation, Pedro M. Hernandez

The Journal of Sociology & Social Welfare

Previous research demonstrates that system-involved youth of color experience procedural and structural biases within the U.S. juvenile justice system. These biases and disparities are evident in behavioral health access and treatment. This study examined justice stakeholders’ (social workers, therapists, court counselors, judges, and school resource officers) perceptions of barriers and facilitators to behavioral health treatment among youth of color in the juvenile justice system. This qualitative exploratory study examined data from six focus groups comprising statewide stakeholders (n = 55) from a southeastern state. Results showed that the stigma associated with behavioral health treatment and the incapability of juvenile justice …

Mental Health Services For Detained Youth, Arlene Padilla, Vanessa Salcedo

Electronic Theses, Projects, and Dissertations

On any given day thousands of youth are detained in a juvenile detention facility in the United States as a result of involvement in the juvenile justice and criminal system. Youth’s access to resources such as mental health services are often impacted by this. Therefore, the researchers of this study have analyzed the youth’s utilization and access to behavioral health services within the juvenile halls of Riverside County. Using a quantitative method, the researchers found statistically significant differences between the utilization of services from the 2015-2016 fiscal year to that of 2019-2020. Additionally, the researchers provided implications and recommendations. The …

Strengths-Based Behavioral Telehealth With Sexual And Gender Diverse Clients At Center On Halsted, Ing Swenson, Trevor Gates, Michael P. Dentato Phd, Msw, Brian Kelly

Social Work: School of Social Work Faculty Publications and Other Works

The COVID-19 pandemic necessitated an immediate response and rapid transition from traditional face-to-face behavioral health services to behavioral telehealth at an organization serving sexual and gender diverse (SGD) individuals in Chicago. In this practice innovations article, we explore the unfolding public health crisis and the impact on service delivery for SGD individuals. Using a large multi-service organization as a case study, this paper describes how key members of the staff and leadership team shifted services online as a means of responding to isolation, loneliness, and disparities in access to healthcare for Chicago SGD communities. Lessons learned and practice recommendations are …

Grow Your Own: Educating Social Workers In Rural And Frontier Areas To Address The Behavioral Health Workforce Crisis, Michelle M. Levy, Christina D. Boyd

Contemporary Rural Social Work Journal

Workforce shortages in behavioral health are a longstanding reality in most rural areas. Given the increasing impact of mental health and substance abuse in rural communities, it is critical to seek solutions to address the inadequate number of behavioral health professions in these areas. This paper focuses on a university’s efforts to prepare and support master’s level social workers for practice in their rural and frontier communities to address behavioral health workforce shortages.

Financial Anxiety Among Caregiving Parents Of Adult Children With A Substance Use Disorder, Rachel R. Tambling, Carissa D'Aniello, Beth Russell

Journal of Financial Therapy

Substance use is a growing concern in the United States, with widespread harms, including substantial costs to individuals, families, and societies, poor outcomes for the substance user, and deleterious impacts on the family and community. When a young adult develops a substance use disorder, a parent or other loved one often assumes a caregiving role, and experiences burdens associated with this role including impacts to emotional well-being and financial stability. The present study examined experiences of financial anxiety in a sample (n = 172) of caregivers of adults with a substance use disorder recruited from online and in person …

Transportation Barriers For Substance Abuse And Mental Health Outpatient Treatment Programs: A Scoping Review, Joseph David Harwerth

Social Work Theses

Purpose: The purpose of this manuscript is to help identify transportation barriers and facilitators that impact treatment initiation and continuation for clients with Substance Use Disorders (SUD) and/or mental health needs seeking outpatient services. The author also documented how these barriers were operationalized and measured while seeking to understand which populations have been most impacted by transportation barriers. Methods: The author conducted a scoping review and documented all of the relevant academic literature regarding transportation barriers and facilitators for individuals seeking outpatient treatment with SUDs and/or mental health concerns. Results: The author identified 28 studies. Some marginalized groups, such as …

Gathering Diverse Perspectives To Tackle “Wicked Problems”: Racial/Ethnic Disproportionality In Educational Placement, Amanda Nemoyer, Ora Nakash, Marie Fukuda, Jill Rosenthal, Najeia Mention, Valeria A. Chambers, Deborah Delman, Gilberto Perez, Jennifer G. Green, Edison Trickett, Margarita Alegría

School for Social Work: Faculty Publications

Among students receiving behavioral health and special education services, racial/ethnic minority students are consistently overrepresented in settings separate from general classrooms. Once separated, many young people struggle to improve academically and face significant difficulty upon trying to return to a general education setting. Given the complex, ongoing, and multifaceted nature of this challenge, racial/ethnic disproportionality can be identified as a “wicked problem,” for which solutions are not easily identified. Here, we describe our community-engaged research efforts, eliciting perspectives from relevant partners in an ongoing dialogue, to better integrate diverse stakeholders’ perspectives when attempting to address such disparities. We conducted focus …

Divergent Caregiver And Youth Perspectives Regarding Behavioral Health Needs And Psychosocial Functioning: An Exploratory Study, Isaac Karikari, Betty Walton, Christine Marie Bishop

Faculty Publications

Background. To promote effectiveness in behavioral health treatment, the system of care framework and wraparound model accentuate inclusion of family and youth as important stakeholders, not just as consumers. This has challenged conventional practices; and youth and caregivers' perspectives have become integral to treatment planning and service delivery. This study explored caregivers and youth's perspectives of behavioral health needs and psychosocial functioning. Methods. This exploratory study utilized data collected in a Midwestern, suburban county as part of the national Child and Family Study of youth with complex behavioral health needs enrolled in the Child Mental Health Wraparound initiative. The sample …

Evaluation Of A Youth Emergency Room Enhancement Program For Behavioral Health, Anne Thatcher

Dissertations

Problem. Pediatric mental health complaints and subsequent hospitalizations have been steadily increasing. The Behavioral Health Network (BHN) developed an intensive outreach case management program aimed at reducing youth mental health emergency department (ED) visits and inpatient psychiatric admissions. The Youth Emergency Room Enhancement (YERE) program was a process improvement initiative to provide immediate case management to youth and caregivers for mental health care.

Methods. A Plan-Do-Study-Act (PDSA) method utilizing a retrospective case record review occurred over a six-month period. A convenience sample of youth aged 6-20 years presenting to one of eight healthcare facilities for either ED or inpatient hospitalization …

Linking Molar Organizational Climate And Strategic Implementation Climate To Clinicians’ Use Of Evidence-Based Psychotherapy Techniques: Cross-Sectional And Lagged Analyses From A 2-Year Observational Study, Nathaniel J. Williams, Mark G. Ehrhart, Gregory A. Aarons, Steven C. Marcus, Rinad S. Beidas

Social Work Faculty Publications and Presentations

Background: Behavioral health organizations are characterized by multiple organizational climates, including molar climate, which encompasses clinicians’ shared perceptions of how the work environment impacts their personal well-being, and strategic implementation climate, which includes clinicians’ shared perceptions of the extent to which evidence-based practice implementation is expected, supported, and rewarded by the organization. Theory suggests these climates have joint, cross-level effects on clinicians’ implementation of evidence-based practice and that these effects may be long term (i.e., up to 2 years); however, no empirical studies have tested these relationships. We hypothesize that molar climate moderates implementation climate’s concurrent and long-term relationships with …

Behavioral Health In Rural America: Understanding Citizen Perceptions And Willingness To Respond To Community Needs, John M. Keesler, Helen Johnston, Jonah Simon, Taegan Anthony, Meagan Barnhart, Madison Bartlett, Janet Delong, Sharon Galloway, Melissa Kilpatrick, Jonathan Laucella, Hope Moreland, Gaby Ryan, Valerie Shannon

Contemporary Rural Social Work Journal

Amid nationwide efforts to address behavioral health needs, rural communities often face unique challenges and a lack of resources. This study presents a bottom-up approach used by one rural community in the Midwest to respond to their needs regarding mental health and substance use. A survey instrument was developed from interviews with community stakeholders and disseminated in both online and paper formats. The survey sought to understand citizen perspectives regarding quality of life, barriers to treatment, and willingness to engage in efforts to address the community’s needs. Data from 1,303 respondents (71.5% women, 54.7% income <$42,000) were analyzed using descriptive statistics and chi-square analyses. Results indicate that cost of treatment, shame, and lack of privacy were a barrier for most citizens’ treatment-seeking behavior. In addition, many citizens were willing to engage in strategies to address the community’s needs, including increased county spending, forming a neighborhood watch, and donating money. Differences associated with gender and income emerged across perceptions and willingness to support efforts. Implications for community efforts are discussed.

Eastern Nebraska Community Action Partnership (Encap), Community Needs Assessment: Douglas And Sarpy Counties, Jeanette Harder, Tova Hettinger, Keyonna King, Jerry Deichert

Reports

The mission of ENCAP is “to eliminate the causes of poverty by strengthening individuals, families, and communities through self-sufficiency initiatives in Douglas and Sarpy counties.”

As shown in the logic model below, ENCAP currently provides behavioral health, nutrition, family development, and transportation services. The logic model shows outputs and short-term outcomes as expected results of providing these services, as well as the resources needed to accomplish these outcomes. Serving people at 125% of the poverty line and below, ENCAP’s long-term outcomes are to assist individuals and families in achieving economic security, having improved mental health, increased access to food, having …

Exploring The Relationship Between Occupational Burnout And The Behavioral Well-Being Of Social Workers, Damian A. Pisapia

Electronic Theses, Projects, and Dissertations

The purpose of this study was to determine if there was a relationship between occupational burnout and the behavioral well-being of social workers. Burnout is a multidimensional syndrome where workers experience feelings of emotional exhaustion, depersonalization, and reduced personal accomplishment as a consequence of work related stress and overwhelming job demands. Burnout can negatively affect organizational functioning, work performance, and pose significant health risks to workers. There are a limited number of studies focusing on the impact of occupational burnout on the behavioral well-being of workers. The findings of this study indicated that there was a significant relationship between burnout …

Older Adults And Mobile Technology: Factors That Enhance And Inhibit Utilization In The Context Of Behavioral Health, Alexis Kuerbis, Adina Mulliken, Frederick Muench, Alison A. Moore, Daniel Gardner

Publications and Research

While numbers and proportions of older adults with behavioral health issues are expected to substantially increase, there is also a widening gap in available services for older adults. Mobile health interventions (mhealth) are a way to address existing barriers to treatment, provide frontline assessment and increase access to services for older adults. Due to perpetuated stereotypes, many assume that older adults do not utilize mobile technology nor will they accept a mHealth intervention. The purpose of this paper is to synthesize contemporary literature from information technology and healthcare regarding: (1) current mobile technology utilization by older adults, particularly in regards …

Behavioral Health Human Resource Crisis: Rural Responses, Paul Force-Emery Mackie

Social Work Department Publications

No abstract provided.

Behavioral Health Workforce Policy Issues: A Rural Perspective, Paul Force-Emery Mackie

Social Work Department Publications

This presentation is part of a Panel discussion on Current Issues In Behavioral Health Workforce Policy at the 31st Annual Rosalynn Carter Symposium on Mental Health Policy, Atlanta, GA, on November 12th.

Assessing Lgbtq Youth Cultural Competency In Direct-Care Behavioral Health Workers: Development And Validation Of A Measure., Megan E. Gandy

Theses and Dissertations

Direct-care workers can provide an array of service types to children, adolescents, and their families in behavioral health treatment. They may also work in a variety of settings (e.g., group homes, inpatient units/hospitals, residential treatment, treatment foster care, day treatment, in-home treatment, etc.). Direct-care workers typically are involved in the supervision of youth and in the implementation of a treatment plan developed by the youth’s treatment team. For youth who are lesbian, gay, bisexual, transgender, and queer or questioning (LGBTQ) and are receiving behavioral health services, such workers form a critical part of their therapeutic experience. However, …

Emergency Department Use For Preventable Behavioral Health-Related Disorders Among Ex-Prisoners In Rhode Island, Christina Andrews

Faculty and Staff Publications

Background

The population of ex-prisoners returning to their communities is large. Morbidity and mortality is increased during the period following release. Understanding utilization of emergency services by this population may inform interventions to reduce adverse outcomes. We examined Emergency Department utilization among a cohort of recently released prisoners.

Methods

We linked Rhode Island Department of Corrections records with electronic health record data from a large hospital system from 2007 to 2009 to analyze emergency department utilization for mental health disorders, substance use disorders and ambulatory care sensitive conditions by ex-prisoners in the year after release from prison in comparison to …

The Impact Of Social Stigma On The Therapeutic Relationship For Latino Clinicians: The Elephant In The Room?, Mauricio Jose Cifuentes

Dissertations

Social stigma is consistently mentioned in the literature as one of the barriers

preventing Latinos from seeking, accessing and remaining in mental health care. This

study focuses specifically on social stigma as a barrier to remain in psychotherapy.

Social stigma is understood as the internalized fear of severe social disapproval for

behaving against acceptable cultural meaning systems. With intersubjective theory as

the analytical framework, this study primarily explores, through a series of focus groups

with Latino mental health service providers of Latino clients, the perceptions those

practitioners have regarding the influence of social stigma on the therapeutic

relationship and the …