Social and Behavioral Sciences Commons^™

Sociodemographic, Health, Health-Related, Health Risk, Psychosocial, And Treatment-Related Characteristics Associated With Retention Among Community Mental Health Clients In An Integrated Health Program, Katherine Anne Thomas

LSU Master's Theses

Individuals with serious mental illness (SMI) have higher rates cardiometabolic conditions than the general population, which put them at increased risk for early mortality. Treatment retention is especially important as it may prevent worsening of mental and physical health symptoms and lower such risks. Models of integrated primary and behavioral health care (PBHC) are promising for treating co-morbid mental and physical health conditions common to individuals with SMI. Previous research identified that individuals with SMI drop out of care at higher rates than other individuals with mental illness. Past studies on treatment retention with this population have been qualitative and …

Interrelationships Among Medication Types And Health Characteristics In Individuals With Bipolar Disorder Receiving Integrated Health Services, Laura Pier Valle

LSU Master's Theses

Integrated primary and behavioral healthcare (PBHC) programs are a recent development in the field of mental health. The purpose of these programs is to combat the sizeable health discrepancies among persons with serious mental illness (SMI), who suffer from more comorbidities and lower life expectancy than the general population. Bipolar disorder (BPD) is a common SMI diagnosis that is associated with a substantial health burden. Research has shown that Bipolar disorder (BPD) responds well to medication, but clients with BPD often struggle with adherence to a medication regimen. Side effects and other health-related factors are often cited by clients as …

Including Transition-Age Youth Using Evidence-Based Mental Health Treatments, Peter Szto, Susan Reay, Sarah Preston, Claire Rynearson

Social Work Faculty Publications

The inclusion of transition-age young people into community, work and cultural activities is a challenge when young people struggle with mental health issues. Young people who experience depression, anxiety, eating disorders and other issues are at risk for marginalisation and inadequate services, particularly in rural areas. The best response to these young people is to provide access to high quality, evidence-based mental health treatment, regardless of location. Project NETWORK is a $1.3 million three-year federal initiative - awarded to the Grace Abbott School of Social Work, University of Nebraska Omaha - to address these disparities. The award grants graduate social …

Transgressing Gender Norms In Addiction Treatment: Transgender Rights To Access Within Gender Segregated Facilities., Sara Matsuzaka

Department of Social Work and Child Advocacy Faculty Scholarship and Creative Works

Despite having disproportionately high rates of substance use disorder and co-occurring health and mental health issues compared to the general population, transgender individuals experience significant barriers to accessing and engaging in addiction treatment programs. Inpatient addiction treatment centers were originally designed to treat substance-dependent heterosexual cisgender populations and, as such, feature gender-segregated housing, bathrooms, and treatment sessions. The heteronormative structural and programmatic barriers, combined with exposures to stigmatic and prejudicial attitudes, may dissuade transgender populations from benefiting from the addiction treatment they so direly need. The purpose of this article is to examine the current policy debate surrounding the rights …

"Translating The Language Of The Body" : Engaging Individuals Who Self-Harm In Psychodynamic Psychotherapy, Dani Kowalski

Theses, Dissertations, and Projects

The purpose of this exploratory study was to gain a deeper understanding of how individuals who self-harm develop ways of communicating about self-harming experiences in therapy. The study used semi-structured interviews with twelve participants to gather qualitative data about their experiences, with a focus on identifying what aspects of therapy were helpful to them, and what was difficult about engaging in therapy.

Participants spoke about the therapeutic encounter as one among many socio-cultural contexts in which changes of self-injury occurred. Findings suggest that engaging individuals who self-harm in therapy involves an understanding of self-harm as a communication of distressing experiences, …

The Role Of Spirituality In The Reconstruction Of Identity In Older Women, Elin Hardenberg

Theses, Dissertations, and Projects

This study examines whether spirituality plays a role in how older women integrate changes in their identity as they age. The research questions guiding this study are: 1) how do women navigate changes in identity in older adulthood; and 2) what role does spirituality play in the reconstruction of a woman’s identity in older adulthood? Erikson’s stages of development are used as a framework for understanding where participants are in their developmental process. The study was conducted by interviewing six women between the ages of seventy and ninety who self-identified as having an opinion about their relationship to spirituality. It …

Understanding And Negotiating Access To Preventative Sexual Health Care Biotechnology In Online Communities : A Thematic Analysis Of The Facebook Group ""Prep Facts: Rethinking Hiv Prevention And Sex, Dorothy Manley

Theses, Dissertations, and Projects

This thesis seeks to understand how access is being negotiated between the U.S. health care system, resources, and institutions by locating conversations about access to Pre-Exposure Prophylaxis (PrEP) within the lay led Facebook group PrEP Facts: Rethinking HIV Prevention and Sex. The study offers insight into the fault lines within the health care system and how men who have sex with men (MSM) are managing these fault lines, and providing mentoring and guidance to each other, when seeking access to preventive care. Narratives in the Facebook group illustrate who is accounted for and who falls between the gaps within …

Playing Together : A Clinician's Perspective On The Use And Value Of Play In Therapy With Couples, Teresa Musick

Theses, Dissertations, and Projects

The purpose of this study was to examine couples therapists perceptions of their use and value of play in the therapeutic encounter. Secondary to the main hypothesis, this thesis also solicited couples therapists to comment on their experience in couples therapy as a client and how this impacted their sense of relationship satisfaction. Forty-four couples’ therapists representing a variety of licensing credentials (psychologists, LPC’s, MSW/LMSW/LICSW, MFT’s) and time in practice completed a brief online questionnaire. The questionnaire asked participants to rate their use, value, and experience of play in the therapeutic encounter. Results indicate that clinicians who participated in this …

An Exploration Of The Relationship Between Vicarious Racism, Police Videos, And Their Impact On The Facebook Consumer, Daniel Segundo

Theses, Dissertations, and Projects

This quantitative exploratory study used conflictual police videos on Facebook as a marker for vicarious racial trauma on social media to investigate its correlation with trauma symptoms. The literature has yet to examine the impact of vicarious trauma experienced on social media. This study collected data from participants who completed an anonymous online questionnaire reflecting on previous experiences watching conflictual police videos. The findings suggest: a positive correlation between vicarious racial trauma experienced on Facebook with trauma symptoms; that police shooting videos had a stronger correlation to trauma symptoms compared to police arrest videos; and a moderate relationship between negative …

Parenting One's Birth Child After Adoption Plans Dissolve, Elise Trujillo

Theses, Dissertations, and Projects

I come to this work as someone who as a potential birth mother withdrew from an open adoption plan after giving birth. During my training as a clinical social worker, I have found little literature and research which speaks to the aftermath of the adoption process on the prospective birth parent. For the purpose of this thesis, I am interested in exploring the lasting impacts on birth mothers of creating and withdrawing from an adoption plan after giving birth. I hope through this thesis I will be able explore resources available to potential birth mothers and parents who sever their …

Identified Social Supports For Women Previously Incarcerated And Avoiding Recidivism, Isabelle Scott

Theses, Dissertations, and Projects

This study focused on the social supports women recently incarcerated perceived as promoting future success and aid in avoiding recidivism. The literature review describes available programs pertaining to women's reentry and gender responsive treatment. The main objective of this study is to understand what women recently released from incarceration need for a successful reentry as well as barriers, challenges, and motivations for staying out of prison and being productive members of society. The study considered variables such as trauma, substance use, mental health issues and children impact women’s perceived needs. Findings in this study found the correlation between enduring specific …

A Qualitative Process Evaluation Of A Meal Service Program, Grace Marie Sullivan

Honors Theses

This study serves to evaluate the process of a meal service program, local to Northeast Mississippi, in response to the need to evaluate methods of alleviating food insecurity as it continues to be a growing and evolving issue in the American South. The researcher chose to employ qualitative research methods in order to understand the program guests, volunteers, and board members' perceptions of the program's processes using data from interviews with members of each group, a focus group composed of program guests, and photovoice projects completed by program guests. The researcher used thematic analysis to interpret the data and defined …

Clinical Social Work With Underserved Persons In Colorado In An Integrated Healthcare Facility, Trisha Sue Goetz

Walden Dissertations and Doctoral Studies

There is significant documentation showing that health disparities experienced by underserved persons can be mitigated through the provision of quality integrated healthcare. This research project was grounded in social support theory and how support influences improvements in physical, psychological, and overall health. Social workers in integrated healthcare are in a unique position to be the source of social support for individuals experiencing health disparities, yet there is little research concerning how these social workers are providing services and how they affect health outcomes. This research addressed gaps in the literature concerning social worker roles in order to improve integrated healthcare …

Understanding Barriers African American Teenage Mothers Face In Pursuit Of Higher Education, Aldison Middleton-Hinton

Walden Dissertations and Doctoral Studies

Researchers have found that social workers have difficulty identifying their roles in responding to the barriers African American teenage mothers face in pursuit of higher education. This action research project explored the roles social workers play in responding to the barriers African American teenage mothers face in pursuit of a college education and how social workers responded. The ecological systems theory was used to help understand this phenomenon. An action research methodology was used to collect data from 6 licensed social workers who worked with African American teenage mothers. Three focus groups were facilitated to explore the social work practice …

Young Adult Narratives Of Sibling Loss And Bereavement During Adolescence, Kelly Lynn Collins-Colosi

Walden Dissertations and Doctoral Studies

Up to 90% of adolescents in the U.S. experience a loss of a family member or friend. However, prior research on loss of a family member has focused predominantly on the adult experience (e.g., loss of a spouse), parental bereavement (loss of a child), or grief counseling as an intervention for dealing with loss. Little is known about the sibling loss experience, particularly from the point of view of the surviving sibling who suffered the loss when they were young. Thus, the purpose of this qualitative study was to explore the narratives of young adults who experienced the loss of …

Action Research Toward Improved Treatment Services For Substance-Abusing Veterans In Central Texas, Sharla Nicole Peterson

Walden Dissertations and Doctoral Studies

Military-based social workers working with veterans with substance use disorders face many challenges to providing effective treatment services. Understanding environmental, organizational, and client-based factors that affect the provision of substance abuse treatment to veterans is critical for clinical social work practitioners working with this unique client population. As a clinical social work practice problem, this project explored the challenges of providing effective substance abuse treatment services for veterans, specifically those living in central Texas. The purpose of this project was to improve the clinical acumen and practice of social workers working with veterans with substance use disorders. The research question …

Social Workers' Perceptions Of A Rural Emergency Mental Health Trauma Service, William L. Getz

Walden Dissertations and Doctoral Studies

Studies have shown that emergency mental health trauma (EMHT) services can significantly reduce the long-term effects of trauma after a disaster. However, rural municipalities may find they do not have the capacity to create such a service, or may not realize that their disaster planning includes no provision for emergency mental health care. Such was the case in a rural island community in the state of Washington, where, in 2014, several residents initiated a discussion that helped to identify the community's lack of EMHT services. This project, framed by action research and based on collaboration theory, sought to advance the …

Waste Not, Have Not: A Study On The Possible Symbiotic Relationship Of Food Waste And Food Insecurity, Luke A. Rocco

Williams Honors College, Honors Research Projects

Households that are considered to be food insecure do not receive enough support from government agencies like WIC and SNAP to have access to adequate food sources. These agencies only supply $171 dollars per month per person in a household (Coleman-Jensen et al, 2016). The average person needs nearly $200 worth of food a month. These programs also are not offered to everyone that is considered food insecure. Twenty Seven percent of the 15.8 million food insecure households in America do not receive government assistance for food (Mill et al, 2014). This study looks at how those that need food …

Organizational Supports Used By Private Child And Family Serving Agencies To Facilitate Evidence Use: A Mixed Methods Study Protocol, Emmeline Chuang, Crystal Collins-Camargo, Bowen Mcbeath

School of Social Work Faculty Publications and Presentations

Background: Challenges to evidence use are well documented. Less well understood are the formal supports—e.g., technical infrastructure, inter-organizational relationships—organizations may put in place to help overcome these challenges. This study will identify supports for evidence use currently used by private child and family serving agencies delivering publicly funded behavioral health and/or human services; examine contextual, organizational, and managerial factors associated with use of such supports; and determine how identified supports affect evidence use by staff at multiple levels of the organization. Methods: We will use a sequential explanatory mixed methods design, with study activities occurring in two sequential phases: In …

Student-Perceived Quality Of Motivational Interviewing Training: A Factor-Analytic Study, Douglas Smith, Melinda Hohman, Stéphanie Wahab, Trevor Manthey

School of Social Work Faculty Publications and Presentations

Objective: This study developed and tested a student-report measure of motivational interviewing (MI) teaching quality called the Evaluation of Motivational Interviewing Teaching (EMIT) scale.

Method: Social work students (N = 297) receiving course content on motivational interviewing completed the EMIT, and exploratory factor analysis investigated whether theory-based dimensions of teaching emerged as EMIT subscales, including: interactivity/skill building, MI content coverage, modeling MI during teaching, trainee autonomy violation, and encouraging ongoing training in MI.

Results: Two subscales emerged representing MIconsistent (28 items, α = .92) and MI-inconsistent teaching practices (7 items, α = .73).

Conclusions: Although more …

Housing A Homeless Shelter: A Case Study Of Community Deliberation, Amie Thurber

School of Social Work Faculty Publications and Presentations

Among the core competencies of macro practitioners are the skills to design, implement and evaluate conflict resolution processes. Drawing upon theories of deliberative democracy, restorative justice and the Just Practice framework, this paper explores a process of deliberation which engaged 200 community members in the controversial siting of a homeless shelter. This case study is both descriptive and reflective: by offering an in-depth description of the process and a reflection on the guiding values, this paper provides critical insight into best practices in – and limitations of – using deliberation to resolve divisive community issues.

Changing The Rules: A Guide For Youth And Young Adults With Mental Health Conditions Who Want To Change Policy, Nancy Koroloff, Barbara J. Friesen, Nicholas Buekea

School of Social Work Faculty Publications and Presentations

This guide provides information about policy and policy change in mental health and other human services for young adult groups who want to be

directly involved in policy change activities. Some of the many ways that young people can be involved in policy work include serving on advisory committees that consider areas where policy change is needed, participating on groups convened to review contract language about youth-related issues or serving on groups charged with developing rules and regulations to support recent policy change. A number of manuals or handbooks address these important roles, although few of them are specifically focused …

Chronically Homeless Transgender Women Obtaining Social Services From Outreach Workers, Larry Jack Cameron

Walden Dissertations and Doctoral Studies

In the United States, homelessness is often connected to traumatic events such as domestic violence, job loss, or post incarceration experiences, frequently resulting in substance use disorders, medical issues, and related mental illnesses. Although researchers have considered how homelessness and social service interventions affect sexual and gender minority youth, they have not adequately studied the causes and effects of homelessness among transgender women. The purpose of this interpretive phenomenological study was to bridge this gap in knowledge by exploring the experiences of chronically homeless transgender women. The research question focused on the lived experiences of chronically homeless transgender women who …

Exploring Personal And Societal Expectations Of Blind Veterans, Malinda L. Wimbs

Walden Dissertations and Doctoral Studies

More U.S. men and women are returning from military service obligations with physical and mental disabilities which complicate their transition to civilian life. Few researchers, however, have examined the post service experiences of blind veterans and whether they are affected by societal expectations of people living with disabilities. The purpose of this qualitative study was to gain knowledge about the experiences of U.S. veterans who suffered vision loss, and the influence of societal expectations on their lives. Hermeneutic phenomenological methodology was used to explore the personal meanings 8 veterans, who lost their vision during active service, attached to their experiences …

The Use Of Humor With Families During Pediatric Trauma Intake Assessments, Letitia Batton

Walden Dissertations and Doctoral Studies

Traditionally from a positive psychological view, humor is regarded as an adaptive force, a vital aspect of healing, and possibly a beneficial coping tool when faced with traumatic circumstances. Despite these beliefs, little is known about how humor relieves stress with parents in the initial intake assessment when their child has been traumatically injured. The purpose of this phenomenological study was to explore social workers' use of humor during pediatric trauma assessments. A sample of 6 parents were from pediatric parent trauma support groups to participate in this study, which employed a subject-intensive theoretical framework. Face-to-face interviews and participant observation …

Youth Justice Arbitrators' Experiences With Restorative Justice In Rural American Areas, Leigh Dezuraye Hicks

Walden Dissertations and Doctoral Studies

The rise in the number of Black, male, incarcerated, rural youth and the retributive juvenile justice system is a prominent problem in the United States, creating a revolving door for youth in conflict with the law. Restorative justice is an alternative approach that diverts youth from court and focus on rehabilitation, but lacks sufficient experiential evidence from those involved in the process to support broader implementation. The purpose of this study was to explore the experiences of restorative justice arbitrators and the role they play in facilitating resolution of youth criminal charges in a rural setting in a southern U.S. …

The Anatomy Of Cbpr: A Case Study Of Cbpr Implementation For Health Promotion With The Peer Community, Cory R. Cummings

Theses and Dissertations

This case study is a qualitative examination of a health promotion project conducted in collaboration with members of the mental health peer community. More specifically, it explores the community based participatory research (CBPR) implementation process used to conduct this health promotion project to gain a deeper understanding of the mechanisms at work in the implementation process. While there has been considerable attention to the principles that guide CBPR (Braun et al., 2012; Israel et al., 2008; LaVeaux & Christopher, 2009), there remains important work to be done in bridging these principles to implementation; what processes or mechanisms translate these principles …

Benefits And Challenges Of Offering Peer Support To Student Survivors Of Campus Sexual Violence, Zoe Amanda Levenson

Theses, Dissertations, and Projects

This study examines the self-perceived benefits and challenges to college students in their role as peer supporters for survivors of campus sexual violence. The study identifies emotional, educational, professional, and social benefits and challenges experienced by peer supporters, as well as strategies used by students to mitigate challenges. The study is based on the perspectives of 11 college students who offer peer support through on-campus programs. Data was gathered through semi-structured telephone interviews.

Major benefits included positive emotions (fulfillment, sense of purpose, empowerment), influence on career paths and opportunities, a sense of community, improved interpersonal skills, and increased social capital. …

Exploring The Impact Of Mental Health On Infant Growth In Urban West Bengal, India :: A Retrospective Cohort Study Exploring The Association Of Mental Health Status Of Parents With A Deterioration In Weight For Age Z Score (As An Indicator Of Under-Nutrition) Of Children Under The Age Of 4 In A Cohort Living In An Impoverished Urban Community In West Bengal, India, Noah E.C. Levinson

Theses, Dissertations, and Projects

Underweight malnutrition is considered the underlying contributing factor in 45% of all child deaths worldwide. Employing a retrospective cohort study design, we explored the association of mental illness symptoms of parents with a deterioration in weight for age z score (as an indicator of under-nutrition) of their children under the age of 4 in a cohort living in an impoverished urban community in West Bengal, India. Results, inconsistent with other studies, indicate that the association is not statistically significant among the studied population. The likely explanation is the intensive, multi-faceted nutrition interventions of Calcutta Kids, an organization working for many …

Altruism And Life Satisfaction Among Lgbt Older Adults, Boaz Kahana, Eva Kahana, Tirth Bhatta, Minzhi Ye, Jiao Yu

School of Social Work Faculty Publications

Altruistic attitudes have been found in our prior longitudinal studies to promote positive affective states and life satisfaction in late life (Kahana, Bhatta, Lovegreen, Kahana and Midlarsky 2013). Such attitudes reflect a willingness to help others and an orientation characterized by generosity of spirit. It may be anticipated that such qualities are easier to maintain for older adults who are well integrated members of society and who do not face stigma and discrimination. In this chapter, we extend our research interest in altruism and in prosocial behaviors to LGBT older adults, who had encountered adversity and lack of acceptance in …