Social and Behavioral Sciences Commons^™

An Examination Of Three Transitional Events In The Substance Misuse Trajectories Of Women With Criminal Legal System Involvement, Martha Tillson

Theses and Dissertations--Sociology

Research has consistently demonstrated that criminal legal system (CLS)-involved women are distinct from men in initiation and course of drug use, with important differences on biological, environmental, and sociocultural levels. Thus, the unique pathways and transitions into and out of drug use for women with CLS involvement are critical to consider from a research perspective, but also from a need to develop and support evidence-based, women-centered services in correctional contexts. This dissertation project uses a three-paper format to investigate three aims: (1) to understand CLS-involved women’s initiations to injection drug use and their experiences providing injection initiation assistance (IIA) to …

The Wheel Of Oppression: Rolling Towards Substance Use In Central Appalachia, Sydney Cox

DSW Capstone Projects

For nearly 100 years, Central Appalachia has been characterized by some of the highest poverty rates in the nation. Not coincidentally, the region has also been characterized by some of the highest rates of substance use. Despite decades of funding and support, Central Appalachia continues to foster a symbiotic relationship between poverty and substance use. The purpose of this project was to explore the missing link that ties the two poor determinants of health together and to provide a name to a phenomenon otherwise omitted from social work and policy making practice within Central Appalachia.

The first product of this …

Child Welfare: Workforce Retention, Competence, And The Connection To Social Work Education, Brittany Stanley

DSW Capstone Projects

While there are many avenues to discuss and explore, the key area of interest for the Capstone Project is that of retention of a competent frontline workforce. Each state has their own set of guidelines for hiring frontline workers which allows for variety in the educational backgrounds of the investigative and ongoing workers. This can become problematic when the educational background may not be the most suited for the work and challenges faced by child welfare workers.

During the development of the Capstone Project, one could not help but wonder that if workers were adequately prepared for the demands of …

The Use Of A Pediatric Palliative And Hospice Education Module To Enhance The Knowledge And Practice Of Emergency Room Providers, Morgan Garrett

DNP Projects

Background: Palliative and hospice care resources are underutilized in pediatric patients with chronic and life-limiting illnesses. One contributing factor is the lack of formalized education for medical providers regarding the differences and scope of palliative and hospice care models. Without adequate education about these services, providers are not able to effectively utilize otherwise available resources to provide holistic care.

Purpose: The purpose of this study was to assess the current perception of knowledge among providers pertaining to pediatric palliative and hospice care. The study investigated improvements in educational outcomes in ten categories after participation in a web-based training. A secondary …

Promotion Of Early Recognition Of Depression To Improve Health Related Quality Of Life In Pediatric Oncology Patients, Jennifer Blankenship

DNP Projects

Background: Depression and anxiety are serious complications of cancer and deemed a challenging diagnosis due to the symptoms of depression mimicking common side effects of chemotherapy and radiation. Signs/symptoms frequently are underrecognized thus appropriate treatment is delayed, compromising the health-related quality of life (HRQOL) for pediatric oncology patients.

Purpose: Analyze existing physician and Advanced Practice Provider (APP) clinical practice regarding depression, via a pre- and post-survey and educational PowerPoint on the use of the Center for Epidemiological Studies Depression Scale for Children (CES-DC) to promote early recognition of depression.

Methods: A prospective, single-arm, study was completed in the Kentucky Children’s …

Quantifying Crop Phenology For Food Sustainability Under Climate Change: Integration Of Remote Sensing, Machine Learning, And Ecosystem Modeling, Yanjun Yang

Theses and Dissertations--Plant and Soil Sciences

Climate change is projected to continue and accelerate significantly in the future if global greenhouse gas emissions are not curbed. Previous studies have shown that crop growth and production in agroecosystems are primarily determined by the weather conditions over the growing season. Crop phenology represents one of the most critical indicators in determining crop yield and adjusting the adaptation of crops to climate change. It provides essential information for monitoring and modeling crop growth dynamics and productivity. Therefore, understanding and quantifying the impacts of climate change on crop phenology and then agricultural production is crucial to formulate feasible climatic adaptation …

Community-Oriented Policing: Building Trust And Collaborative Relationships With The Black Community, Tunice M. Cole

DSW Capstone Projects

Black people die at the hands of police at a disproportionate rate. In the United States, Black citizens are three times more likely to be killed by police than White citizens. This, along with other factors, has caused a lack of trust, legitimacy, and relationships between police and the Black community. Examining this problem from a socio-ecological and social constructivist perspective suggests that the solution encompasses the use of community feedback and experiences to build and develop a model of community-oriented policing that addresses the issues of the community being served.

Product one of this capstone was a systematic literature …

Black Men Need Love Too, Addressing Unaddressed Mental Health In African American Men, D'Quayvion Cloud

DSW Capstone Projects

The objective of this capstone is to analyze and demonstrate the importance of studies on unaddressed mental health among African American males. The major aim is to demonstrate why research, policy, and funding are vital to knowing how to work with this specific clinical group, allowing us to build effective and inclusive programs for these African American males and eliminate the stigma associated with members of this community. Due to unaddressed mental health and a lack of treatment options for our people, research has shown that African American men aged 20 to 24 had the highest suicide rate of any …

Policy Change To Reduce Active Duty Suicide Rates, Michelle Rae Loper

DSW Capstone Projects

There continues to be a dramatic increase in the rates of suicide within the Active-Duty military population. There have been a number of efforts to curb the rates without any prolonged success. Several actions and studies have been conducted on risk factors, prevention efforts, and treatment interventions in an attempt to reduce the rates. This capstone comprises a sequence of academic papers: a systematic literature review, a conceptualization paper, and a practical application paper. This project aims to identify the essential policy components necessary moving forward within the Department of Defense to address this critical issue. The research question leading …

Music As An Instrument For Healing: Exploring Music Therapy For Increasing The Quality Of Life For Geriatric Veterans With Post-Traumatic Stress Disorder (Ptsd), Travis Adams

DSW Capstone Projects

Military personnel can sometimes be put in dangerous situations that expose them to various types of traumas. Due to the nature of their work, veterans may be at a higher risk for developing post-traumatic stress disorder (PTSD). PTSD is a complex and challenging mental health disorder with symptoms that evolve with time. Geriatric veterans with PTSD are a particular population with unique needs that require attention and care. Music therapy is explored as a potential intervention to increase geriatric veterans' quality of life with PTSD.

Product One was a systematic review that examined the effectiveness of music therapy in improving …

Role Expansion Of School Social Workers: An Educational Paradigm Shift, Sara Murrell

DSW Capstone Projects

This capstone product includes three written documents. The purpose of this work was to discover and justify the role expansion of school social workers into school leaders. The first, a systematic literature review examining the roles of school social workers. This document will review the current literature describing which school social work roles promote school social workers as school leaders, and which roles act as barriers for school social workers to become school leaders. The second document is a conceptual paper. This document identifies the need for a paradigm shift in education towards a whole child perspective. This document looks …

An Integrated, Holistic Approach To Supporting The Wellbeing Of The Contemporary Social Services Workforce, Julia Moore

DSW Capstone Projects

Despite nearly 40 years of research regarding the effects of psychological distress among the social services workforce, there remains a lack of congruity among scholars and experts regarding the definition and epidemiology of the distinct constructs, including secondary traumatic stress, vicarious trauma, compassion fatigue, and burnout. Current literature on these phenomena indicates that a lack of empirical methods for scientifically studying outcomes regarding effective prevention and intervention strategies have stalled efforts to advance the field of secondary trauma and create practical approaches to protecting the workforce serving trauma-exposed clients. This capstone project is focused on understanding the current literature regarding …

Systemic Solutions To Addressing Juvenile Sexual Offending, Alyscia Mayhugh

DSW Capstone Projects

Research on and treatment of juvenile sexual offenders has surged since the 1980s. While research on this social justice issue has expanded over the past four decades, little has been done in the United States to systemically address the recidivism rates of juvenile sexual offenders. The systematic literature review explores existing literature on this topic, with a focus on thematic categories that emerged through data extraction and analysis. The conceptual paper presents a unique idea for addressing juvenile sexual offending systemically, emphasizing the value of utilizing incrementalism and trauma theory to enact changes to existing systems. The final practice application …

An Examination Of Diabetes Prevention Program Translations For Eastern Kentucky, William H. Robinson

DSW Capstone Projects

This capstone project examined translations of the National Diabetes Prevention Program (DPP) that have been adapted to improve cultural competency and analyzed the potential application of these adaptations to serve communities in Eastern Kentucky. Findings in the project were synthesized using the Ecological Validity Model (EVM) posited by Bernal et al. (1995) and the RE-AIM framework developed by Glasgow et al. (1999). EVM and RE-AIM have been used in other systematic literature reviews of the DPP and provide a framework for conceptual analysis and practice application of the findings. This project recommends changes in public health policy and social work …

What's The Play? Using Social Learning Theory To Treat Men In Mental Health, Aaron Hemlepp

DSW Capstone Projects

Men have problems when it comes to mental health. Specifically, men are more likely to have a fatality of suicide than other genders and are more likely to have substance abuse problems than other genders. Combine this with societal problems such as the shrinking physical labor market and instability of family systems that have traditionally been seen as “men’s work.” The gender is not adapting to modern social functioning in the way that other genders have been, which means that therapy is not a useful tool for men and their problems. This means that therapy systems need an approach to …

Appalachians’ Intentions To Use Online And In-Person Counseling, Jade Hollan

Theses and Dissertations--Educational, School, and Counseling Psychology

Appalachians face higher rates of mental health concerns, yet they are less likely to have access to quality treatment. Online counseling, counseling using videoconferencing technology, may provide a viable solution to narrow this gap. However, little is known about Appalachians’ intention to use in-person or online counseling. This study examined Appalachians’ (N = 490) intentions to use online and in-person counseling using the theoretical framework of Theory of Planned Behavior (TPB; Ajzen, 1991). Results from structural equation modeling supported the indirect model for online and in-person counseling, where the associations between distal help-seeking factors (i.e., self-stigma, perceived stigma of …

Applications Of The John Henryism Hypothesis: Mitigating Associations Between Incarceration, Drug Use, And Sex Partner Characteristics, Paris Wheeler

Theses and Dissertations--Educational, School, and Counseling Psychology

Individual risk behaviors are not enough to explain STI disparities among African American women. Effects of structural, social, and individual level risk factors may be mitigated by cultural factors that help increase resilience. The current study aimed to examine whether John Henryism Active Coping (JHAC), a cultural correlate marked by physical and mental vigor and self-determination, mitigates relationships between criminal justice status, crack cocaine use, and sex partner risk characteristics. Data were derived from a sample of African American women living in Kentucky (n=643). Ordinal logistic regression and stepwise linear regression analyses were utilized to examine whether interactions between criminal …

Staying Compliant Or Staying In Office? International Cooperation, Post-Coup Signals, And Coup-Born Regimes, Jennifer Flinchum

Theses and Dissertations--Political Science

Although there has been a great deal of scholarly work that explores the various determinants of coups, their effects have received considerably less attention, especially in the realm of international cooperation. Even less attention has been paid to the consequences of post-coup signals sent to the new regimes that staged these coups from the international community. This dissertation investigates how both the presence of leaders who seized power via coup and how the international community reacts to such a power grab affects their behavior, specifically in areas where there is either an obligation to comply with pre-existing international legal agreements …

News Treatment Of The Supreme Court: Language Selection, Ideological Directions, And Public Support, Alexander Denison

Theses and Dissertations--Political Science

In an increasingly diverse media landscape, how much of the ideological trends seen in current news reporting affect coverage of the U.S. Supreme Court? This work examines two different aspects of the Court's activities, their decisions and the confirmation hearings of Court nominees, analyzing what factors, if any, lead to differences in coverage language. Finally, through the use of a survey experiment, I analyze whether these differences in language, in combination with positive symbolic imagery, affect attitudes toward the institution. This work provides a novel consideration of whether the Court is subject to the same ideological slant found in coverage …

The Influence Of The Federalist Society On Judical Politics And Law In The United States, Peter S. K. Lynch

Theses and Dissertations--Political Science

This dissertation examines the Federalist Society, which is a network of conservative and libertarian attorneys, judges, law professors, and law students. The organization was founded by law students at Harvard Law School, Yale Law School, and the University of Chicago Law School in 1982, and has, over the last four decades, come to play a central role in law and politics in the United States. Individuals affiliated with the Federalist Society influence the law through a variety of avenues.

Federalist Society-members advance the goals of the conservative legal movement in a variety of capacities—by writing amicus curiae briefs providing the …

Birthing While Black: Anti-Oppressive Social Work Practices For Improved Maternal Health Outcomes, Sara Hall

DSW Capstone Projects

Black women die at a disproportionate rate than white women in the United States due to maternal mortality. Black women are three times more likely to die because of a maternal complication than any other demographic. Although the United States has a highly developed healthcare system, it also has the worst maternal mortality rate out of developed nations. The focus of this research is social work practices that can be implemented to improve Black maternal health outcomes.

The systematic literature review focuses on gaps in social work literature related to maternal mortality and health equity, solutions for social workers to …

A Seat At The Table: Visioning Social Work’S Leadership Future, Lucas Hall

DSW Capstone Projects

This capstone focuses on the history of social work leadership, current trends in social work leadership, what is lacking and where we can go in the future. The systematic literature review was focuses on what is in the literature as it relates to social work leadership preparation. The conceptual paper proposes the creation of social work leadership fellowships and certification programs. Finally, the practice application paper is the full realization of the first two papers. A solution to the crisis of a lack of social work leadership preparation is proposed and fully fleshed out. The solution being the full-scale implementation …

Back To Basics: Re-Envisioning Job Satisfaction Through Social Work-Strengths-Based Leadership, Mary Mcdaniel

DSW Capstone Projects

Social work job satisfaction is a pressing concern, becoming even more dire, in times of depleted social work workforces like experienced in Kentucky in 2021 or during an overall depleted workforce like experienced nationally due to The Great Resignation labor trend of 2022. Over recent years, it has become evident social workers and social service workers are less willing to settle for employment experiences and work environments of high stress, exhaustion, and frustration. Instead, social workers’ work expectations are changing, with social workers looking for positive work experiences such as workplaces which promote wellness, self-care, work-life balance, flexibility, and professional …

Black Youth Are Suffering In Silence: Advancing Social Work Education To Better Address The Mental Health Of African American Youth., Alicia Dawson

DSW Capstone Projects

African American youth’s rates of major depression, generalized anxiety disorder, post-traumatic stress disorder, and suicide have increased in the last three years due to COVID-19 and national social injustices. African American students who seek help at school are less likely to receive adequate treatment from school social workers. Mental health care for African American students should be available, and those services must be effective. African American youth continue to suffer in silence when school social workers lack African-centered conceptual teaching and therapeutic skills. Current social work education curriculums contribute to 'Whiteness,' which influences future social workers to carry biases and …

The Role Of Organizational Leaders In Employee Self-Care: A Change Management Approach, Olivia Dawn Honaker

DSW Capstone Projects

Although literature demonstrates that helping professionals have had high levels of stress and burnout for decades, the COVID-19 pandemic has only exacerbated the issue. The already burdened healthcare workers, now facing increased workloads, long hours, and high-level exposure to trauma, have created an urgency to address this significant risk to helping professionals. The current capstone will bring awareness to organizational leaders regarding the importance of employee self-care and the benefits of implementing employee self-care programs. First, a systematic literature review will examine self-care in helping professions and explore how organizational leaders operationalize employee self-care programs. In addition, the capstone aims …

Bolstering Leadership Engagement To Community Coalition Work In Rural Appalachia, Melissa Slone

DSW Capstone Projects

Rural Appalachian communities are overwhelmed with high cancer rates, diabetes, disabilities, and substance use disorder. The challenges in addressing these increase when you factor in workforce shortages and limited funding. The literature documents the effectiveness of coalitions in addressing healthcare challenges within communities. The need is for leaders to reduce their hesitancy to engage in community coalition efforts and increase awareness of the impact community coalitions can have on addressing rural populations' health and well-being needs.

Product One was a systematic review focused on research that examined agency leaders’ perspectives on community coalition involvement. The purpose of conducting the systematic …

Healthcare Equity For Transgender Individuals, Mollie Staggs

DSW Capstone Projects

In the field of social justice and integrity, Social Work has dedicated itself to improving the welfare of the world, in which we all participate and interact. There are countless issues in our society that warrant professional attention for the fundamental purpose of positively impacting the livelihood of subcategories of people. For this particular Capstone Project, the focus is on transgender individuals’ systemic healthcare barriers that cisgender people within the United States do not similarly experience. The purpose is to unveil these disparities to then pose progressive alterations within the healthcare system to make the navigation and accessibility better for …

Children And High Conflict Divorce: Using Equine-Assisted Psychotherapy As Treatment, Ashley Berry

DSW Capstone Projects

The act of divorce has been commonplace throughout the world during the 20^th century, plateauing around the 1970s at around 50% of all marriages. While most divorces end peacefully, many contain ongoing conflict which can become detrimental to all involved, including the children. While historical treatment methods focus on changing the behavior of parents, there are instances where these methods may be ineffective, especially when the parents are unable or unwilling to change their conflictual behaviors. Equine-Assisted Psychotherapy (EAP), which has been used with individuals who have suffered from trauma, may be an option to use with this population …

Meta-Practice For The Bachelor Level: A Needed Compliment To The Generalist Model, Patrick Callahan

DSW Capstone Projects

Meta-practice in this concept is the web or roadmap, that is, the interconnectedness of the three pillars of the generalist model of social work. The generalist model teaches that micro, mezzo, and macro are interconnected. However, students and new professionals often do not understand precisely what the connection is. This work gathers the available literature, the conceptual idea of the introduction for the bachelor level of education, and an application of introducing it in a course for instruction. There is a need for introducing meta-practice at the bachelor’s level because of the continued globalization of society. By teaching the concept …

Neuroleadership A New Burnout Prevention Strategy, Zakery David Sloan

DSW Capstone Projects

This capstone project examines the current state of burnout, prevention strategies, prevalence, and introduces neuroleadership as a new leadership theory to advance burnout prevention among the public human service population. Neuroleadership presents a new conceptualization of leadership practice and burnout prevention method by utilizing neuro-informed leadership practices. This new neuro-informed leadership strategy is explored throughout the three major products of this capstone project including a systematic literature review, conceptual paper, and practice application paper.

The first product completed was a systematic literature review. This literature review included a total of 13 articles which were used to answer the research question, …