Social and Behavioral Sciences Commons^™

The Effects Of Employment And Training Programs On Low-Income Workers' Labor Market Outcomes : Evidence From The Survey Of Income And Program Participation, Suran Ahn

Legacy Theses & Dissertations (2009 - 2024)

Since the Great Recession, employment and training (E&T) programs are of growing interest given the labor market policy response to high and long-term patterns of unemployment. For low-income workers with low educational attainment and limited job skills, E&T programs are expected to play a vital role in improving their employability and enhancing long-term economic security.

Factors Associated With Successful Completion Of A Transitional Living Program For Homeless And Former Foster Youth, Megan Brophy-Mclean

Legacy Theses & Dissertations (2009 - 2024)

Transitional and Independent Living programs exist to help prepare homeless, at-risk and foster youth to live independently in the community as adults at an age earlier than expected from more privileged youth. The challenges they face often result in poor outcomes such as ongoing homelessness, substance abuse problems, low levels of education, and high levels of unemployment. Because the stakes are so high for these youth, it is imperative that the programs designed to help them are able to meet their needs by having them remain in the program until they are competent to live independently. This study attempts to …

Bachelor In Social Work Field Education Program's Use Of A Learning Contract Assignment To Measure Competency, Toni-Marie Ciarfella

Legacy Theses & Dissertations (2009 - 2024)

Field education is deemed the signature pedagogy in social work education and due to this designation, evaluation of field education assignments is key. The purpose of this qualitative content analysis case study was to explore how undergraduate social work students move knowledge from the classroom to field practice using a Learning Contract Assignment (LCA).

Heart Disease And African Americans, Patricia Guy-Walls, Jody Long

Research, Publications & Creative Work

Good health depends on multiple factors, including financial status. Higher socioeconomic status correlates with a lower risk of cancer, diabetes, and heart disease. Lukachko, Hatzenbuehler, and Keyes (2014) stated that the advantages of income status make a difference with health, specifically heart disease. Another significant factor affecting heart disease is health care disparity. Kahng (2010) found that the accumulative impact of health care disparities experienced over a lifetime contributes to chronic stress and heart-related problems.

Despite advancement in care, more African Americans, compared with other racial groups, die from cardiovascular disease (Centers for Disease Control and Prevention [CDC], 2016). Several …

Data Note: Reasons For Exiting Vr Services Without Employment, Alberto Migliore, Cady Landa, Thinkwork! At The Institute For Community Inclusion At Umass Boston

ThinkWork! Publications

Only 23% of adults with intellectual disabilities work, compared to 73% of people without disabilities (statedata.info). To bridge this gap, the vocational rehabilitation (VR) program offers valuable services including assessment, job search assistance, and counseling. In FY 2014, over 46,000 adults with intellectual disabilities exited the national VR program. About 38% of them reported an employment outcome. However, a large proportion of them exited without employment, and were reported as either having lost interest in receiving services (29%), or unable to be located by VR staff (17%). These two reasons combined represented 46% of the total number of case closures …

Gestalt Therapists' Perspectives On Gender In The Therapeutic Relationship : Implications For Anti-Oppressive Practice, Benjamin Philip Borkan

Theses, Dissertations, and Projects

This study seeks to explore How does Gestalt therapy training influence therapists in navigating clinical encounters involving gender identity? Gestalt therapists’ responses noted the importance of authenticity, contact, ability to question biases, self-examination, personal responsibility, and the therapist’s sense of their own gender identity privilege and oppression. Gestalt therapy is contrasted with anti-oppressive practice principles, in which there are congruent philosophies between Gestalt therapy and anti-oppressive practice principles. Participants’ and this author’s recommendations for future research include further research on the efficacy of Gestalt therapy training in working with varying identities, as well as gathering perspectives from people of marginalized …

A Mixed-Method Study Examining The Intersection Of Race And Sexual Violence Among Lgbtq Prisoners, Sarah J. Aftab

Theses, Dissertations, and Projects

The current mixed-method study examined the intersection of race and sexual violence among LGBTQ prisoners while incarcerated. The study used secondary data from a survey of LGBTQ prisoners collected by an organization in 2014 (N=1093). Historically, the criminal justice system has criminalized and discriminated against LGBTQ persons, and reports show a prevalence of abuse occurs during incarceration. Quantitatively, the study aimed to determine a relationship between race and sexual violence; qualitatively, it aimed to understand how prisoners in this study experienced sexual violence. Findings suggested: Black, Latinx/Hispanic, and Mixed race prisoners had significantly lower likelihood of unwanted touching …

An Exploration Of The Relationship Between Religion And Spirituality And Acculturation Stress Among International Students In The Western Massachusetts, Mun Ying Kennis Cheng

Theses, Dissertations, and Projects

This quantitative study examined the relationship between religion and spirituality and acculturative stress among international students (n=38) in two colleges in Western Massachusetts. This study utilized three well-validated tools to measure acculturative stress for international students, religion and spirituality, and intrinsic religious motivation to test the hypothesis that religion and spirituality can help international students lessen their acculturative stress. The findings suggested no significant correlation between the variables, possibly due to a small sample size. The results showed that over 55% of students had some type of religious affiliation, and over 63% indicated they either attended churches or practiced meditation …

Do Characteristics Of Children And Families Influence Reported Caregiver Burden? : A Secondary Data Analysis Of The 2009-2010 National Survey Of Children With Special Health Care Needs, Chelsea Davies

Theses, Dissertations, and Projects

Children with special health care needs (CSHCN) make up 15% of U.S. children 18 and under. They require increased specialized care, which may pose unique challenges to families. Prior research suggests families from historically disenfranchised groups may experience greater burden due to systems of structural oppression. This quantitative secondary data analysis of the 2009-2010 National Survey of CSHCN (N=40,242) uses a cross-sectional design, testing whether family characteristics (race/ethnicity, caregiver’s gender or education level, and number of CSHCN in the home) or a child’s functional difficulty (chronic pain, behavior, anxiety/depression) are significantly associated with caregiver burden. Results suggest significantly greater time, …

Kinship Diversion : Exploring Experiences Of Relative Probate Guardianship In Los Angeles, Ca., Alison Davies

Theses, Dissertations, and Projects

This qualitative study explored the characteristics and experiences of relative caregivers in Los Angeles County who were involved in a child welfare practice called “kinship diversion.” It specifically examined cases in which caregivers were diverted to probate court to obtain legal guardianship of their relatives' children as an alternative to opening a case with the child welfare system due to allegations of abuse or neglect against the biological parents. Five kinship caregivers were interviewed with a focus on answering the questions of who is diverted to legal guardianship, and why?

The findings of this study showed that diversion occurred …

Perinatal Depression Screening : Using Antenatal Depression Screens And Patient Demographics To Predict Risk For Postpartum Depression :, Jackson Doyle

Theses, Dissertations, and Projects

This study examined the relationship between antenatal depression and postpartum depression in pregnant women at a family health clinic. The aim was to determine whether antenatal depression screens predicted postpartum depression. The Edinburgh Postnatal Depression Screen (EPDS) was used to screen for depression in 411 pregnant women during the first trimester, third trimester and postpartum phases of pregnancy. Risk factors including patient body mass index, socioeconomic status and marital status were considered predictors of perinataldepression. EPDS scores were analyzed over the three time periods and were compared to body mass index, socioeconomic status and marital status. Results indicated that third …

Found In Translation : How Social Work Education Can Support Student Practice With Language-Discordant Client Systems, Martha Ann Early

Theses, Dissertations, and Projects

This study’s research question was "How can schools of social work support their students to work with language-discordant client systems (LDCS)?" In addition to the need for general support, social work students are preparing to enter a field where the patient population is growing increasingly diverse in terms of ethnicity, culture and language ability. Participants in the study described herein were current and recent social works students who were recruited for sample membership via broad social media outreach, supplemented with outreach to the researcher's professional network

The findings of this study indicate that the role of schools of social work …

Working With Trauma : A Qualitative And Retrospective Exploration Of The Experiences Of Clinicians Who Work With Trauma, Allyson Rebecca Lent

Theses, Dissertations, and Projects

The current study explored the gap in understanding the experiences of clinicians who work with trauma given the interesting intersection of high prevalence of trauma and demonstrated lack of training in working with trauma survivors. To this end, this qualitative and exploratory study sought to gain a retrospective understanding of clinicians’ training and career experiences in an effort to glean what has worked well in preparing skilled clinicians to work with trauma. Findings confirmed that clinicians do not feel prepared to do trauma work upon graduating from their degree programs and that they must seek out training opportunities in order …

Classism In The Therapeutic Alliance : Implications For Clinical Social Work Practice, Taylor Millard

Theses, Dissertations, and Projects

This qualitative study was an exploration of the impact of classism in the therapeutic alliance, specifically from a power, privilege, and oppression framework, and with attention to participants’ salient intersecting identities. Twelve clinicians, who identified with working class backgrounds and who had engaged in therapy as both clinicians and clients, engaged in semistructured qualitative interviews. The findings indicated that classism was salient to participants’ intersectional subjectivities and to their experiences in the field. Significantly, participants all named experiences in which a systemic lack of attention to classism and/or social class identities led them to feel alienated and silenced as students, …

A Correlative Analysis Of Mystical Experiences And Lasting Symptom Improvement From Mdma-Assisted Psychotherapy For Treatment-Resistant Ptsd : A Project Based Upon An Investigation Sponsored By Multidisciplinary Association For Psychedelic Studies (Maps), Michiko A. Mitsunaga-Whitten

Theses, Dissertations, and Projects

Before the Controlled Substance Act of 1985 categorized psychedelic substances as criminalized schedule I drugs, psychiatrists used ±3,4-methylenedioxymethamphetamine (MDMA) as a catalyst to psychotherapy. Over two decades later, this project seeks to contribute to the renaissance of psychedelic research. Specifically, this study focuses on participants’ experience of treatment in the recent FDA approved Phase 2 clinical study, “A Randomized, Triple-Blind Phase 2 Pilot Study Comparing 3 Different Doses of MDMA in conjunction with manualized psychotherapy in 24 Veterans, Firefighters, and Police Officers with Chronic, Treatment-resistant PTSD.” The current study presents results from correlation analyses of the Mystical Experience Questionnaire …

Exploring Experiences Of, And Responses To, Microaggressions As Disrespect From Teachers In High School Classrooms : A Person-Centered Approach, Emily Ann Peck

Theses, Dissertations, and Projects

The present study examined the relationship among high school students’ experiences of microaggressions and disrespect perpetrated by teachers and their perceptions of school connectedness and projections of their own bystander intervention behaviors. There is reason to believe that peer bystanding behavior, defined as either intervention in the moment, or active supporting after the event, are protective in terms of the otherwise cumulative impact of microaggressions. Using interviews from seventeen high school students, and quantitative data from nine participants, this research prioritized the voices of students, their narratives, and their meaning making process after such events occur. Findings suggest that participants …

Unequal Treatment : Sociocultural Identities And Their Effects On Eating Diorder Treatment Access And Efficacy, Hannah NoëL Smith

Theses, Dissertations, and Projects

The purpose of this study is to explore ways in which eating disorder treatment can be made not only more accessible, but more effective for clients who identify as people of color, lower-socioeconomic status (SES), trans and gender nonconforming, and people whose Body Mass Index (BMI) normal or higher at the time of treatment.

Data was collected using a survey, which was completed by 28 participants recruited through Facebook eating disorder recovery groups and Instagram. Participants were asked to describe their racial identity, gender identity, SES, and BMI, then reflect on the experience of seeking eating disorder treatment.

The findings …

Predicting Dialectic Behavioral Treatment Outcomes In Veterans At High Risk For Suicide, Courtney Stich

Theses, Dissertations, and Projects

Numerous studies have shown that veterans are at higher risk for suicide compared to the U.S. general population. Despite significant effort, awareness amongst clinicians and policymakers, these rates continue to increase. Dialectical Behavioral Therapy has shown great success in treating suicidality and emotional dysregulation due to mental illness such as Borderline Personality Disorder, yet has never been studied in the veteran population. The initial study found that veterans responded equally to DBT and TAU. This study looked at what clinical and demographic characteristics could predict DBT treatment success. Veterans who identified as women, with higher education, and more suicide attempts …

"Without Roofs Are The Houses" : An Exploration Of Ceremonies In Indigenous Communities, A Pathway To Healing And To The Forgotten, Denis C. Vidal

Theses, Dissertations, and Projects

Settler colonialism is often cited as the foundation for a myriad of social problems such as psychopathological stress in Indigenous communities. This research study explores how culturally syntonic interventions such as sacred ancestral ceremonies can alleviate acute symptoms of anxiety and depression. The experiences of eleven people of Indigenous heritage who live in the Southwest and had participated in sacred ancestral ceremonies were interviewed in an attempt to better understand the potential healing properties of these ceremonies. The participants all self-reported a reduction in anxiety and depression symptoms as measured before and after participating in the ceremonies.

Mind, Body, & Spirit : An Ecological Community-Based Approach To Healthy Aging, Emily Widra

Theses, Dissertations, and Projects

Based on the biopsychosocial approach of the ecological theory of aging, the present study examined the health status and social engagement of participants in an osteoporosis-prevention exercise class for adults over the age of 65 in two counties in Western Massachusetts. A self-rated health survey was developed and administered in each of the Healthy Bones & Balance classes with 226 responses in total.

Participants in this study had higher self-rated health scores than have been found in a national epidemiological study. In particular, participants who live alone were engaging in more social activities – at senior centers and places of …

Race And The Internet : Social Media And Multiracial Identity Development, Pilar Hailé-Damato

Theses, Dissertations, and Projects

The purpose of this study was to understand how, if at all, social media impacts racial identity development for mixed race undergraduates; and if so, whether or not that impact is unique to them or applicable to students with monoracial identities. Semi-structured interviews were conducted at a large southern California public university. 11 undergraduate (3 multiracial) between the ages of 18-22 were interviewed about their social media usage, their racial identities, their process of identification, and how race is discussed online. Through the data collected in this study, we observe that social media is a digital space where notions of …

Psychedelic Psychotherapy : Existential And Neuroscience Perspectives On The Therapeutic Journey, Arthur W. Seelig

Theses, Dissertations, and Projects

Psychotherapy with the use of high-dose psychedelic drugs shows immense promise in treating a myriad of debilitating psychiatric conditions. After a three-decade long suspension, regulators have allowed for new studies and re-awakened interest in the potential of psychedelics. However, while research on the topic has quickly progressed, little has been done to reinvigorate our clinical understanding of the psychedelic healing process. This thesis interprets the psychedelic state through the twin perspectives of existentialism and neuroscience with the goal of starting to develop a theoretical language.

The subjective experience of high-dose psychedelics under therapeutic conditions often results in a loss-of-self referred …

U.S. Commentary: Implications From The Family Options Study For Homeless And Child Welfare Services, Patrick J. Fowler

Brown School Faculty Publications

The Family Options Study provides an unprecedented opportunity to investigate the troubling link between family homelessness and child maltreatment. The rigorous design uses multiple methods to probe the impact of housing interventions on family preservation and reunification and the underlying mechanisms. Results show that ending homelessness keeps families together; however, once separated, families continue to struggle to reunify with children. Permanent housing subsidies represent a more efficient approach to promoting family stability among homeless families compared with temporary housing with supportive services. Results introduce a new phase of family homeless research, practice, and policy; further investigation must consider broad scale …

Building Capacity For Mental And Behavioral Health In Indian Country, Lindsey Manshack

Buder Center for American Indian Studies Research

The Kathryn M. Buder Center for American Indian Studies led the design and implementation of “Social Workers Advancing through Grounded Education” (SAGE); Support masters-level social work students in developing the necessary skills to provide culturally-competent mental and behavioral health services to AI/AN people.

Bridging Social Innovation And Social Work: Balancing Science, Values, And Speed, Cal J. Halvorsen

Harvey A. Friedman Center for Aging

This paper highlights how the social work academy can support innovative research, dissemination, and implementation, and is a response to and extension of arguments made by Dr. Marilyn L. Flynn on innovation in social work. It argues that social work researchers need to strike a balance between the often slow and methodical scientific research community and the often rapid and reactive social innovation community to best respond to societal needs. From an emerging scholar’s point of view, it concludes by emphasizing how shifting priorities in social work tenure and promotion processes can broaden the impact of social work research. Portions …

Mental Disorders And Drug/Alcohol Use In Patients Commencing Extensively Drug-Resistant Tuberculosis Treatment, J. Scuffell, D. Boccia, F. Garcia Velarde, Segundo R. Leon, G. Raviola, Leonid Lecca, Jerome T. Galea

Social Work Faculty Publications

Mental disorders and alcohol/drug use worsen treatment outcomes for multidrug-resistant tuberculosis (TB), but data are lacking for extensively drug-resistant (XDR) TB. We investigated the association of baseline mental disorders and alcohol/drug use on XDR-TB treatment outcomes in a retrospective study of 53 XDR-TB Peruvian patients during 2010–2012. Logistic regression estimated the odds ratios for unfavourable XDR-TB treatment outcomes. Overall treatment success was 25%. Mental disorders and drug/alcohol use were found in respectively 22.4% and 20.4% of patients; neither were associated with unfavourable treatment outcomes. Future research should explore the relationship between mental health and drug/alcohol use in XDR-TB treatment outcomes.

Therapeutic Alliance And Adherence To A Plant-Based Eating Plan To Treat Chronic Disease, Michiel A. Zyl, Lesley M. Harris, Rachel Hale

Social Work Faculty Publications

Background: Systematic reviews show that a plant-based diet offers many benefits to patients with a variety of chronic illnesses. However, more research is needed to show how plant-based diets are successfully prescribed by physicians and what supports are essential for adherence. The primary research questions in this study were: Is therapeutic alliance correlated with adherence to the eating plan?; Does a change in therapeutic alliance result in a change in adherence?; and How do patients view the doctor-patient relationship and adherence? Methods: This multiple methods feasibility study combined cross-sectional pre-post and six-month follow-up survey, a focus group and case study …

Treatment Narratives Of Suicidal Latina Teens, Carolina Hausmann-Stabile, Lauren Gulbas, Luis H. Zayas

Graduate School of Social Work and Social Research Faculty Research and Scholarship

In this article, we examine the treatment narratives of Latina adolescent suicide attempters to understand their experiences undergoing care. For this study, we conducted content and thematic analysis of 68 interviews with Latina adolescent suicide attempters. Most teens who described positive experiences undergoing treatment (n = 39, 44.1%) did so when discussing outpatient mental health services (n = 30, 72.9%). Latinas felt that the providers who fostered their autonomy and connectedness helped them become active agents in their recovery. Clinicians serving suicidal Latinas must allow them to exercise agency while feeling emotionally connected to providers. To help Latinas manage their …

Review Brief: Social Exclusion Within Education Systems In Low And Middle Income Countries, Jean Francois Trani

Brown School Faculty Publications

No abstract provided.

A Conceptual Framework On Self-Employment In Later Life: Toward A Research Agenda, Cal J. Halvorsen, Nancy Morrow-Howell

Harvey A. Friedman Center for Aging

Older adults consistently have a higher rate of self-employment than their younger counterparts, and the rates of self-employment among workers continue to rise as age increases from the “young old” to the “old old.” However, we know relatively little about why older adults decide to pursue self-employment in later life, the self-employment experience itself, and the individual and societal outcomes of this growing type of work. Additionally, we know very little about how age itself is a factor in the decision to pursue this type of work in later life, how age impacts the type of self-employment pursued and its …