Social and Behavioral Sciences Commons^™

Trauma-Informed Care Training For Medical Students, Tanisha Clark, Jill Mcleigh, Hilda Loria, Laura Lamminen

Integrated, Trauma-Informed Care

Due to the high prevalence of trauma and secondary trauma and the associated potential adverse health outcomes for both patients and providers, it is imperative that medical and allied professionals receive training in trauma as a constitutive element of their professional development. Despite the growing recognition of the importance of TIC, Ditcher and colleagues (2018) found in a survey of 263 family medicine residency programs that only 27.0% had TIC in the curriculum. Following a review of the literature and discussions with healthcare providers offering TIC in an integrated pediatric primary care setting, a brief, 45-minute online TIC training adapted …

Adolescents’ Perspective On Social Media Contributing To Suicidal Ideations And Attempts, Shavon Mariah Brooks

Walden Dissertations and Doctoral Studies

Social media has become mainstream over the past decade, with new applications that adolescents can download to stay in consistent contact with their peers. Though social media can enhance the ability for communication, it seems to also have the ability to alienate, burden, and exacerbate depression and potential self-harm. The purpose of this qualitative study is to explore five adolescent’s perspective on social media contributing to suicide ideations and attempts. The theoretical research was built upon Joiner’s interpersonal theory of suicide. Two research questions were explored in this study, which were the adolescent’s perspective on social media triggering suicidal ideations …

The Impact Of Agency Culture On A Supervisor's Modeling Of Self-Care To Social Workers, Lacey Maxwell Godsby

Walden Dissertations and Doctoral Studies

Supervision is a field standard in which experienced social workers assist other social workers by modeling practical skills and teaching self-care standards. However, an agency's culture has the potential to negatively affect a supervisor’s ability to model self-care to social workers in a mental health setting, which can in turn increase the risk of burnout and the potential for harm to the agency including decreased employee retention, decreased employee satisfaction, and lower quality client care. The purpose of this project was to explore how agency culture affected a supervisor’s ability to model necessary self-care techniques to social work professionals. Another …

Value Co-Creation Paradigm Framework For Integrating Evidence-Based Practices In Child Welfare, Georgina Horton

Walden Dissertations and Doctoral Studies

AbstractAlthough there has been increased utilization of evidence-based practice (EBP) in child welfare services, it has not been comprehensively incorporated or fully embraced by key decision makers. The purpose of this basic qualitative study was to explore a value co-creation (VCC) paradigm as a viable framework for collaboration between stakeholders in child welfare, and to explore what attitudes are necessary to enable child welfare stakeholders. The VCC paradigm framework comprising three elements (engagement platforms, experience domains, and capability ecosystems) was used to guide the study. Data were collected from semi structured, in-depth interviews with four key decision makers in the …

Emerging Adults' Lived Prenatal Care Experiences As First-Time Mothers: An Interpretive Phenomenological Study, Linda Mcclerklin

Walden Dissertations and Doctoral Studies

AbstractPrenatal care is fundamental in the lives of expectant mothers. Studies have highlighted the prenatal care experiences of mothers ranging from adolescents to older women, which included the experiences of emerging adults. However, emerging adults bring particular social, emotional, and developmental concerns to pregnancy experiences that are distinct from those of their counterparts. This study explored these experiences to answer the question of what are emerging adults’ lived prenatal care experiences are as first-time mothers. Interpretive phenomenology and assumptions from critical race, feminist, communication, and intersectionality theories helped frame the study. Through purposive and snowball sampling, nine participants were selected …

Human And Social Services Direct Service Professionals' Perception Of Late-Life Cumulative Grief And Loss, Deanna Robinson

Walden Dissertations and Doctoral Studies

Globally, the adult population 65 and older is anticipated to grow, signaling the necessity of awareness of late-life issues and concerns. Although research has shown that losses and changes in late life are anticipated, there is very little empirical evidence of how HSPs direct care professionals understand, assess, or perceive the complexities of cumulative grief and loss in their 65 and older clients. Charmaz’s constructivist grounded theory (CGT) (2014) was used as the conceptual framework a qualitative methodology to explore the understanding, assessment, and perception of the complexities of late-life cumulative grief and loss of HSPs working with adults 65 …

An Exploration Of The Relationship Between Social-Emotional Well-Being And Health Behaviors Of Urban Youth, Nelia Mayreilys Quezada

Legacy Theses & Dissertations (2009 - 2024)

A significant body of research has established that individuals lacking social support, self-esteem, and coping skills have poor physical health outcomes (House et al., 1998; Thoits, 2011; Uchino, 2009). Youth living in urban communities are at greater risk of poor mental and physical health outcomes due to a lack of access to safe places for physical activity, healthy foods, and limited social ties (Babey et al., 2016; Heller Isner et al., 2017; Thoits, 2011). This study examines the relationship between social-emotional well-being and health behaviors among youth (N=100) ages 11 to 19 in a small urban community. Based on prior …

Women's Work History And Mental Well-Being : Evidence From The Indonesian Family Life Survey, Nurul Widyaningrum

Legacy Theses & Dissertations (2009 - 2024)

Most research on women and work in developing countries has focused on factors and contexts that shape women’s employment choices and options, gender segregation in the labor market, and the meaning of work for women. Studies on the outcomes or consequences of work are less common and tend to focus on income as the primary outcome of interest. Using a combined capability and feminist framework, this study identified Indonesian women’s work patterns and their relationship to women’s mental health. The capability approach was used to choose work outcomes that are not merely income-based, while the feminist perspective was used to …

Homelessness In Late Life: An Exploration Of The Lived Experience, Danielle Palmisano

West Chester University Doctoral Projects

Homelessness is a challenging, chronic public problem throughout the United States that has broad impacts on the public sector. Older adults are the largest growing segment of the population and have not been spared by this housing crisis. The experience of homelessness while aging can have negative impacts that contribute to increased healthcare costs and reduced quality of life. The purpose of this study was to gain an in-depth understanding of the lived experience of late life homelessness from the perspective of formerly homeless older adults to inform the development of a grounded theory on how the lived experience of …

Human Service Professionals’ Perceived Ability To Support Title I Schools During The Covid-19 Pandemic, Michael Dewayne Brown

Walden Dissertations and Doctoral Studies

Human service professional practitioners (HSPPs) who work in Title I schools help students overcome challenges including absenteeism and behavioral problems and serve as liaisons between the school, family, and student. The pivot to online education during the COVID-19 school shutdowns meant that HSPP services also pivoted. The purpose of this generic qualitative study was to understand how HSPPs perceived their ability to serve Title I students during the pandemic through the lens of Bandura’s self-efficacy theory. Semistructured interviews were conducted with 15 HSPPs who delivered services to Title I students before and during the pandemic. Participants reported their service delivery …

The Percentage Of People Who Receive Vr Services Varies Greatly Across States, Alberto Migliore

All Institute for Community Inclusion Publications

Receiving vocational rehabilitation services is a key step toward employment. However, the percentage of job seekers with intellectual disabilities who receive #VocRehab services varies greatly across states, from 93% in Vermont to 34% in Nebraska. Check out this new DataNote to see how your state compares

Are Hispanics Less Likely To Receive Vocational Rehabilitation Services?, Alberto Migliore, John Shepard

All Institute for Community Inclusion Publications

In the US, 16% of people with cognitive disabilities self-report to be of Hispanic ethnicity (US Census Bureau, FY 2020). However, among people with intellectual disabilities who received vocational rehabilitation services, only 11% (-5%) are Hispanic (N = 32,823, RSA911, FY2020).

A Nationally Representative Dataset Of 1,549 Americans Aged 18 To 94 On Interest In, Experience With, And Barriers To Cogeneration, Defined As Working With Older And Younger People For Social Good, Cal J. Halvorsen, Bruce Kelley, Jim Emerman, Stefanie Weiss, David Gleicher, Jacob Stolmeier, Mark Lush

Harvey A. Friedman Center for Aging

This dataset focuses on Americans’ interest in, experience with, and perceived barriers to working with members of other generations to improve the world around them. It includes responses from a March 2022 survey of 1,549 people between the ages of 18 and 94 who lived in the U.S. using the NORC at the University of Chicago AmeriSpeak® Panel. To increase the representativeness of the sample, the survey was offered both online and by phone. The sample is drawn from a probability-based panel designed to be representative of the U.S. household population. Questions focused on respondents’ efforts (paid or volunteer) to …

How The Senior Community Service Employment Program Influences Participant Well-Being: A Participatory Research Approach With Program Recommendations, Cal J. Halvorsen, Kelsey Werner, Elizabeth Mccolloch, Olga Yulikova

Harvey A. Friedman Center for Aging

The federal Senior Community Service Employment Program (SCSEP) provides on-the-job training to people 55 years and older with incomes at or below 125% of the federal poverty level with multiple barriers to employment. This study examined the processes by which SCSEP may influence participant financial, physical, and mental well-being. We engaged 15 SCSEP participants and case managers over four virtual and one telephone session using a participatory research method called community-based system dynamics. Activities included identifying key problem trends, variable elicitation, developing a causal map, and identifying changes to the system to increase participant well-being. Respondents identified how individual, organizational, …

Aging In Nigeria: A Growing Population Of Older Adults Requires The Implementation Of National Aging Policies, Kingsley Chima Mbam, Cal J. Halvorsen, Uzoma Odera Okoye

Harvey A. Friedman Center for Aging

While the continent of Africa currently has the lowest share of adults aged 60 and older in its population among all world regions, the total number of older Africans is projected to triple between 2020 and 2050. Nigeria—Africa’s leading economy and most populated country—has the highest number of older people in the continent and the 19th highest across the globe, with the population of Nigerians aged 65 and older projected to nearly triple by 2050. However, the increase in older Nigerians is occurring against the backdrop of extreme poverty, unsolved development problems, socioeconomic inequality, the HIV/AIDS epidemic, and a decline …

Perceived Impact Of Empowerment Through Agricultural Entrepreneurship Among Nigerian Graduate Youth, Jonathan Musa

Walden Dissertations and Doctoral Studies

Youth unemployment is a concern in the developing world due to lack of industries to absorb youth. This gemeric qualitative study involved exploring Nigerian graduates of entrepreneurship training in agriculture and their empowerment experiences involving pursuing a related career. The study centered on elimination of poverty from an interdisciplinary perspective. The critical social theory and resilience theory were used as conceptual frameworks. The study included 10 trainee interviews via convenience sampling who worked on an agricultural farm and involved obtaining open-ended data concerning their experiences. Data analysis in the study involved a manual process and Microsoft word was used for …

The Experiences Of Female Survivors Of Sexual Assault When They Make A Police Report, Tracy L. Rainey

Walden Dissertations and Doctoral Studies

Nearly 20% of all women will be the victim of an attempted or completed sexual assault within the United States, yet less than one quarter of victims will report their experienced crime to law enforcement (LE). Many survivors of sexual violence experience apprehension about reporting sexual assault, due to fear of social consequences, relational consequences, and fear of the reprisal from LE officers. The purpose of this interpretive descriptive qualitative study was to describe and interpret the experiences of adult, female sexual assault survivors when they make a LE report about their victimization. Resilience theory, which is the study of …

The Sustained Effects Of Mindfulness-Based Interventions On Distress Symptoms In Female Breast Cancer Patients, Candace K. Sprouse

Walden Dissertations and Doctoral Studies

The purpose of this study was to illuminate the magnitude and prevalence of distress symptoms among female breast cancer patients and help identify best social work practices for treating distress symptoms in cancer patients. Using the social cognitive model of restorative well-being, the sustained effects of mindfulness-based interventions on distress symptoms female breast cancer patients experienced were examined in this study. Grounded in social cognitive theory, this model facilitated understanding of the recovery of well-being after an emotional setback. This quantitative experimental study included analysis of secondary data with pre- and post testing with multiple follow ups to measure the …

Childhood Anxiety And Roles Of Parents, Educators, And Pediatric Healthcare Providers In Addressing Protective Factors, Gabriela Zamora-Ahlstrom

Walden Dissertations and Doctoral Studies

AbstractChildhood anxiety affects over 32% of youth in the United States, and when left untreated, contributes to poor school performance, social difficulties, truancy, school dropout rates, juvenile delinquency, substance abuse, and family and community difficulties. Preventing childhood anxiety by implementing effective protective factors for children can eliminate many of these outcomes. Using the biopsychosocial theory and social work systems theories, this study involved exploring the beliefs and attitudes of parents, educators, and pediatric healthcare providers in an affluent suburban community of Detroit (Rochester/Rochester Hills, MI), regarding their roles in providing protective factors against childhood anxiety. A generic qualitative research design …

In The Best Interest Of The Family: The Outcomes Of Children In Foster Care With An Incarcerated Parent And The Adverse Implications Of The Adoptions And Safe Families Act, Tamarie Willis

Wayne State University Dissertations

Approximately 10 million children have experienced parental incarceration at some point in their lives. An estimated 8% of children in foster care were removed because of parental incarceration, with a similar percentage annually for the past five years. Research has shown that 1 in 8 of these cases, incarcerated parents lose their parental rights, regardless of the seriousness of their offenses. The lack of coordination between systems has presented the majority of the barriers to contact between the incarcerated parents and children. And with the passing of the Adoption and Safe Families Act (ASFA) of 1997, this task has become …

Patient And Provider Perceptions Of A Community-Based Accompaniment Intervention For Adolescents Transitioning To Adult Hiv Care In Urban Peru: A Qualitative Analysis, Jerome T. Galea, Milagros Wong, Brennan Ninesling, Alicia Ramos, Liz Senador, Hugo Sanchez, Lenka Kolevic, Eduardo Matos, Eduardo Sanchez, Renato A. Errea, Andrew Lindeborg, Carlos Benites, Leonid Lecca, Sonya Shin, Molly F. Franke

Social Work Faculty Publications

Introduction: Adolescents living with HIV (ALWH) experience higher mortality rates compared to other age groups, exacerbated by the suboptimal transition from paediatric to adult HIV care, during which decreased adherence to antiretroviral therapy (ART) and unsuppressed viremia are frequent. Care transition—a process lasting months or years—ideally prepares ALWH for adult care and can be improved by interventions that are youth-friendly and address psychosocial issues affecting ART adherence; however, such interventions are infrequently operationalized. Community-based accompaniment (CBA), in which laypeople provide individualized support and health system navigation, can improve health outcomes among adults with HIV. Here, we describe patient and provider …

Considerations For Partnering With Ryan White Case Managers To Create Equitable Opportunities For People With Hiv To Participate In Research, Elizabeth Lockhart, Deanne Turner, Jerome T. Galea, Stephanie L. Marhefka

Social Work Faculty Publications

Many research studies focus on recruitment from one or few HIV clinics or internet-engaged populations, but this may result in inequitable representation of people with HIV (PWH), across the rural/urban/suburban continuum. Ryan White Case Managers (RWCM) meet regularly with PWH, potentially positioning them as partners in gathering research-related data from diverse groups of low-income, marginalized, PWH. Yet, data collection in partnership with RWCM, particularly over large geographic areas, has been under-explored. We partnered with RWCM and their organizations throughout Florida to administer a 10-item technology use and willingness survey to clients living with HIV; RWCMs provided process-oriented feedback. Among 382 …

Geographic Accessibility To Health Facilities Predicts Uptake Of Community-Based Tuberculosis Screening In An Urban Setting, Helen E. Jenkins, Sally Ayuk, Daniela Puma, Meredith B. Brooks, Ana Karina Millones, Judith Jimenez, Leonid Lecca, Jerome T. Galea, Mercedes Becerra, Salmaan Keshavjee, Courtney M. Yuen

Social Work Faculty Publications

Objectives: Annually, more than 30% of individuals with tuberculosis (TB) remain undiagnosed. We aimed to assess whether geographic accessibility measures can identify neighborhoods that would benefit from TB screening services targeted toward closing the diagnosis gap.

Methods: We used data from a community-based mobile TB screening program in Carabayllo district, Lima, Peru. We constructed four accessibility measures from the geographic center of neighborhoods to health facilities. We used logistic regression to assess the association between these measures and screening uptake in one's residential neighborhood versus elsewhere, with quasi-information criterion values to assess the association.

Results: We analyzed the screening locations …

Understanding Linkage To Biopsy And Treatment For Breast Cancer After A High-Risk Telemammography Result In Peru: A Mixed-Methods Study, Renato A. Errea, Patricia J. Garcia, Lydia E. Pace, Jerome T. Galea, Molly F. Franke

Social Work Faculty Publications

Objectives: This mixed-method study aimed to understand the effectiveness of linkage to biopsy and treatment in women with a high-risk mammography result (Breast Imaging Reporting and Data System, BI-RADS 4 and 5) in the national telemammography programme and to explore women’s experiences during this process.

Setting: Quantitative component: we collected and linked health data from the telemammography reading centre, the national public health insurance, the national centre for disease control and the national referral cancer centre. Qualitative component: we interviewed participants from different regions of the country representing diverse social and geographical backgrounds.

Participants: Quantitative: women who underwent telemammography between …

Attitudes Toward Payment For Research Participation: Results From A U.S. Survey Of People Living With Hiv, Andrea N. Polonijo, Karine Dubé, Jerome T. Galea, Karah Yeona Greene, Jeff Taylor, Christopher Christensen, Brandon Brown

Social Work Faculty Publications

Little is known about how payment affects individuals' decisions to participate in HIV research. Using data from a U.S. survey of people living with HIV (N = 292), we examined potential research participants’ attitudes toward payment, perceived study risk based on payment amount, and preferred payment forms, and how these factors vary by sociodemographic characteristics. Most respondents agreed people should be paid for HIV research participation (96%) and said payment would shape their research participation decisions (80%). Men, less formally educated individuals, and members of some minoritized racial-ethnic groups were less likely to be willing to participate in research …

Feasibility Of A School-Based Mental Health Program Implementation To Improve The Status Of Depression And Quality Of Life Of Mothers Of Children With Autism Spectrum Disorders In Urban Bangladesh: Menthol Study, Aliya Naheed, Saimul Islam, Meredith B. Brooks, Mary C. Smith Fawzi, Mir Nabila Ashraf, Helal Uddin Ahmed, M. M. Jalal Uddin, Kamrun Nahar Koly, Jerome T. Galea, Shaheen Akhter, Charles Nelson, Saima Wazed Hossain, Kerim M. Munir

Social Work Faculty Publications

Background: We assessed the feasibility of implementing psychological counseling services (PCS) for mothers of children with autism spectrum disorders (ASD) integrated within special education settings in urban Bangladesh. Method: In two special education schools for ASD in Dhaka City, trained female psychologists screened mothers using the Patient Health Questionnaire (PHQ-9). PCS was administered to all the mothers irrespective of a diagnosis of depression. Mothers with a PHQ-9 score >4 who met criteria for a major depressive episode (MDE) based on the DSM-IV Structured Interview Axis I Disorders (SCID-I) were also administered skill-building training through monthly home visits to support ASD …

Higher Native Peruvian Genetic Ancestry Proportion Is Associated With Tuberculosis Progression Risk, Samira Asgari, Yang Luo, Chuan-Chin Huang, Zibiao Zhang, Roger Calderon, Carmen Contreras, Jerome T. Galea, Leonid Lecca, David Jones, D. Branch Moody, Megan B. Murray, Soumya Raychaudhuri

Social Work Faculty Publications

No abstract provided.

Tools For Addressing Intimate Partner Violence And Suicide Risk: Lessons Learned From Oha’S Covid-19 Emergency Response For Suicide Prevention Grant, Karen Cellarius, Aliza Tuttle, Lea Sevey

Regional Research Institute for Human Services

In August 2020, the Oregon Coalition Against Domestic and Sexual Violence (OCADSV), the Oregon Health Authority (OHA), and Portland State University’s Regional Research Institute for Human Services (PSU RRI) began an 18-month collaboration to strengthen support for domestic violence and mental health agencies during COVID-19. As part of this grant, six domestic violence advocacy organizations around Oregon were able to place co-located advocates with their mental health partner agencies for services and cross-training. The content of this booklet is another product of this collaboration.

Cultivating Culturally Responsive, Equity-Centered, And Trauma-Informed Attitudes Among Educators, Jasmine Haynes

Electronic Theses and Dissertations, 2020-2023

This qualitative study explored the influence of implementing a culturally responsive and equity-centered trauma-informed professional development series with educators. Seven middle school educators from various regions of the U.S. participated in a culturally responsive and equity-centered trauma-informed professional development series in the 2021-2022 academic year. Educators participating in the series received three live virtual two-hour trauma-informed modules highlighting racial trauma, race-related trauma triggers, and deficit versus asset-based perspectives of racially diverse students, along with case studies and critical discourse. Data collection included pre-and post-interviews (n = 14), participant journal reflections (n = 14), and intervention module case study reflection transcripts …

Fetishization Of Asian American Women: A Discourse Analysis On The Media Portrayal Of The Victims Of The 2021 Atlanta Spa Shootings, Caitlyn Pham

Honors Undergraduate Theses

Asian American women have an intersectional identity that creates unique experiences, including discrimination and violence with a history of fetishization. In 2021, eight people were shot and killed in three spas in Atlanta, Georgia. Seven of the eight victims were women, six of whom were of Asian descent. While the shooter stated his actions were the results of sex addiction, and not racially motivated, the shootings occurred during a rise in attacks against Asian Americans amid the Coronavirus Disease 2019 (COVID-19) Pandemic. The Atlanta Spa Shootings provide a unique case where we can apply an intersectional lens to determine how …