Social Welfare Commons^™

Who Gets To Be Taken Seriously? Three Atypical Scholars Navigate Doctoral Education At The Intersections Of Race, Neurodivergence, And Veteran Identity, Sr. Richard De La Garza

Dissertations

As a first-generation, neurodivergent, Mexican American/Chicano veteran, I entered the University of San Diego's doctoral program having had experiences that most institutional intake processes would label as risk factors. The Findings chapter of this dissertation begins by describing those experiences—not as a confession, but as the foundation for a systematic inquiry into how doctoral legitimacy is produced, withheld, and defended. The description of my life experiences is followed by a discussion of the doctoral journeys of two other study participants who also were atypical doctoral candidates.

The central argument being advanced is this: What higher education calls "fit," "rigor," and …

Rural Pregnant Women’S Experiences With Substance Use Disorder: A Qualitative Study, Cami Weber

Dissertations

Rural pregnant women with substance use disorder (SUD) are an understudied vulnerable population that often experiences poor pregnancy outcomes (Higgins et al., 2019; Jumah, 2016; Kramlich et al., 2018; Shaw et al., 2015). Despite the high prevalence and high burden associated with SUD, rural women are less likely than non-pregnant women to seek addiction treatment and complete an outpatient treatment program during pregnancy (Shaw et al., 2015). This study aimed to give voice to rural Missouri women with SUD. The research questions explored the life experiences and motivations for seeking treatment using a qualitative, descriptive research design with grounded theory …

Food Insecurity: A Closer Look At How Households Cope With Food Insecurity And How This Phenomenon Affects Their Overall Health, Burak O. Tan

Dissertations

This study focused on the lived experiences of low-income households who coped with food insecurity and explored their worldview on the health impacts of battling with this phenomenon in the Grand Rapids Metropolitan Statistical Area (MSA). While the main research question focused on how low-income households coped with food insecurity, the following were the focus of the research analysis and served as the empirically testable framework: a) addressing the impact of poverty on affordability of nutritious food, b) addressing the impact of food deserts on accessibility and availability of nutritious food, c) addressing the coping strategies used to battle food …

Creating Comprehensive Wrap-Around Services For The Homeless Community: Exploring Network Activity Among Shelters And Service Organizations Within The South-Side Of Chicago, Gloria West

Dissertations

We may not all agree that the homeless community is increasing and that their essential needs to survive such as food, healthcare and housing are quality of life rights for everyone. We must adopt the compassion of the medical industry and understand the importance of how community programs and services impact their survival. The sense of urgency to address the issues of homelessness does not appear to be moving as fast as other government agendas hindering families and individual’s ability to achieve self-sufficiency. It is expected that the priorities within this population are addressed immediately, it should be understood that …

Improving Access To Mental Health Care With Nurse Practitioners, Jessica Whelan

Dissertations

Problem: Over 40% of those with mental illness are untreated since the supply of psychiatrists does not meet the demand. The psychiatric mental health nurse practitioner (PMHNP) may be an adjunct in providing those services. The purpose of this quality assurance study was to evaluate outcomes of care between a PMHNP and a psychiatrist (medical doctor [MD]).

Methods: An observational, descriptive design with a retrospective medical record review of adult patients over a six-month period in a suburban, Midwestern, privately owned psychiatric practice.

Results: A total of 787 individual patients encountered at least one visit (N=787) although 3,679 …

Exploring, Examining, And Explaining How Participatory Governance Adds Value To Saudi Foundations’ Philanthropic Strategy, Afnan E. Koshak

Dissertations

Foundations’ flexibility, given their independence from fundraising imperatives, competition forces, and accountability pressures, enables them to invest in long-term, high-risk, multi-level experiments to deal with the increasingly complex societal problems. This flexibility, coupled with the growing role philanthropy plays in promoting social welfare across the world, is arguably what makes studies that focus on foundations’ philanthropic approaches of utmost importance.

There is a mounting interest among scholars in the governance of foundations, the systems and processes concerned with ensuring the overall strategic direction of organizations. Influenced by agency and stewardship theories, an increasing number of studies address such topics as …

Human Trafficking: Flying Under The Radar, Amber L. Hulsey

Dissertations

The global hegemon, the United States encompasses roughly 57,000 to 63,000 of the roughly 45.8 million slaves present across the world today (Walk Free Foundation 2016a). This dissertation research uses the theoretical lens of Human Security as a unique approach in that it is people-centered, focusing on the individual, rather than the more traditional theories in international relations that emphasize the state as the central actor. This dissertation focuses on the understudied area of human trafficking into and within the United States. More specifically, the objective of this research examines the movement of trafficked persons via air and details actions …

The Predictors Of Juvenile Recidivism: Testimonies Of Adult Students 18 Years And Older Exiting From Alternative Education, La Toshia Palmer

Dissertations

Purpose: The purpose of this descriptive, qualitative study was to identify and describe the importance of the predictors of juvenile recidivism and the effectiveness of efforts to prevent/avoid juvenile recidivism as perceived by previously detained, arrested, convicted, and/or incarcerated adult students 18 years of age and older exiting from alternative education in Northern California. A second purpose was to explore the types of support provided by alternative schools and the perceived importance of the support to avoid recidivism according to adult students 18 years of age and older exiting from alternative education.

Methodology: This qualitative, descriptive research design identified …

When Rules And Common Sense Collide: Expressions, Roots, And Impact Of Informal Civil Society In Ukraine, Svitlana Krasynska

Dissertations

Western donors have dominated third sector developments in contemporary Eastern Europe in efforts to replicate their own institutional models as a way of reconstructing the region’s post-totalitarian civil society. These efforts resulted in limited success, frustrating the donor community and puzzling scholars. Civil society in the region has long been labeled as weak based on a general lack of citizen participation in formal organizations. This dissertation argues that such assessment of civil society fails to recognize the role of below-the-radar civic engagement in contexts where informal practices permeate economic, political and social spheres.

Based on 70 in-depth interviews with civil …

Natural Disasters In Latin America: The Role Of Disaster Type And Productive Sector On The Urban-Rural Income Gap And Rural To Urban Migration, Madeline Alice Messick

Dissertations

This research provides insight into the impact of natural disasters as drivers of rural to urban migration in Latin America and the Caribbean (LAC). Disasters of varying types are predicted to have differing impacts on the productive sectors of agriculture, industry, and services; which due to the concentration of the various productive sectors in either urban or rural areas, subsequently changes the urban-rural wage differential. Changes to the wage differential (as measured by the urban-rural income gap) are predicted to lead to movement between urban and rural areas until a new equilibrium wage is reached.

This dissertation first identifies a …

The War Against Joblessness: U.S. Intervention In State Labor Markets In Response To Economic Recessions, Latasha Y. Chaffin

Dissertations

In comparative political economy, nations whose governing institutions direct economic behavior towards the market are classified as liberal market economies, whereas those nations that direct economic behavior toward coordinated efforts between stakeholders, often amongst business, labor and the government, are categorized as coordinated market economies (Amberg 2008; Hall and Soskice 2001). In spite of the United States’ classification as a liberal market economy, during the recent global recession from 2007 to 2009, and in other critical times of economic decline such as the 1990–91 and 2001 recessions, the national government and state governments have mobilized their resources in order to …

Exploring The Well-Being Of Foster Children Of Parents With Substance Abuse Problems In Family Dependency Treatment Courts, Barbara M. Howes

Dissertations

The aim of this three-paper format dissertation is to explore how the well-being of foster children of parents with substance abuse problems is defined and promoted through Family Dependency Treatment Courts (FDTC) within the context of the Adoption and Safe Families Act (ASFA). The benefit to the author of the three-paper method is the task of submitting the findings of the study for publication is eased as the dissertation contains three stand-alone articles. A drawback for the reader of the three paper method is that there is redundancy in reading the same sections in each paper. The reader is encouraged …

Barriers In Educating Homeless Children And Youth, Gloria Elaine White Adams

Dissertations

Across America, homeless students face a myriad of barriers that impede education and school access and success of homeless children. The purpose of this study was to determine the barriers to enrollment and school success for homeless students. The ultimate goal was to provide information to parents, teachers, administrators, and school districts that could serve as a vital resource tool in educating homeless students while removing barriers.

The participants consisted of 215 certified teachers, school administrators, and homeless liaisons in 23 school districts representing the populations that provide afterschool instruction to homeless students. The study was conducted in the spring …

The War On Drugs V. The War On Pain: Do Controlled Prescribing Laws Have A Role?, Susanne F. Homant

Dissertations

The illegal use of prescription drugs and the under-treatment of chronic pain are both considered serious public health issues in this country. Strong medicines classified as controlled substances by the DEA are often used to treat chronic pain conditions and are also known to be diverted to non-medical uses, thus a solution to one problem may happen at the expense o f the other. Prescription Monitoring Programs (PMPs) are public policies that are felt by many to address diversion of controlled substances, and are generally welcomed by law enforcement as an excellent tool in the war against drugs. A number …

A Leadership Model For Roman Catholic Social Service Agencies, Richard A. Ketrow

Dissertations

U.S. federal and state governments involve faith-based agencies in public administration by contracting with them to implement social service programs. How can Catholic social service agencies effectively compete in procuring these social service contracts and securing the program funds? To answer this question,a leadership model applicable to Catholic social service agencies was proposed. Four strategy constructs, evolving from the literature review, comprised theleadership model. The constructs providing a framework for the study were: performing service process reviews, utilizing a commitment to religious faith, entering valuable collaborations, and adhering to a consistent mission. Data were collected using a mail survey to …

Factors Affecting Treatment Program Development In A Mental Health Facility Serving Prisoners, Ruby Miranda Meriweather

Dissertations

There is a paucity of literature on how treatment programs for mentally ill prisoners are developed. Federal mandates require that services to mentally ill prisoners be comparable to what is offered in the community. Planners, therefore, must find ways to provide treatment programs that produce that outcome.

This research identified the most important factors that affect treatment program development and implementation to aid planners in designing treatment programs for mentally ill prisoners. This qualitative study, based on grounded theory, used a structured interview with 61 mental health staff (psychiatrists, nurses, psychologists, social workers, and activity therapists) across three categories (Administrative, …

The Relationship Between Locus Of Control And Nutrition Health Status Among Adult Wic Participants, Damita Jo Zweiback

Dissertations

The purpose of this study is to examine the relationship between locus of control orientation and the nutrition health status of adult WIC participants in Michigan. The locus of control variable is defined as the degree to which an individual perceives reinforcement or outcomes as contingent upon his or her own behavior. It ranges from internal to external. Internal locus of control is the individual's belief that s/he is an actor and can determine one's fate within limits. External locus of control is the person's belief that s/he is controlled by forces outside of one's self (Lefcourt, 1976; Koger, 1999). …

The Differences In Performance Between Large And Small Organizations In Mental Health Settings, Randy Parker

Dissertations

The quantitative part of this study examined the relationship between organizational size and staff performance in mental health group home settings.The data from two hundred and sixty-two group homes from small, medium, and large umbrella organizations were examined. The results of independent third party evaluations were compared across these umbrella organizations. Evaluations measured compliance and performance mandated by federal health and safety regulations.

The qualitative part of this study involved on-site interviews with group home staff from various organizations at various professional levels which scored either a low or a high number of errors. A qualitative analysis was conducted to …

Examining The Meaning And Experience Of Self-Determination And Its Impact On Quality Of Life For Individuals With Cognitive Disabilities, Carol Marie Sundberg

Dissertations

There is a national agenda for advancing self-determination for persons with disabilities. Broadly defined, self-determination means having control over ones own life. The purpose of this research was to gain a better understanding of self-determination and its effect on the quality of life of persons with cognitive disabilities. A qualitative, phenomenological approach was selected. Ten individuals from a community mental health system in southwest Michigan participated in the study. Participants had a developmental disability and were dependent on others for their care. The research combined qualitative interviews with behavioral observations and proxy interviewing, and included the audiotaping of those interviews. …

Child Welfare And Devolving Federalism: An Analysis Of The Effects Of Federal Funding Schemes On Selected Child Welfare Outcomes In Michigan, Timothy J. Kangas

Dissertations

Child abuse and neglect has become a pervasive problem across the United States. Between 1985 and 1995 the foster care population in the United States grew by 79%, with costs soaring into the billions. During the mid-1990s, in an effort to address this issue, the federal government shifted from using a funding scheme identified with a traditional model of federalism to one identified with devolving federalism. In Michigan, the focus of this research, this shift in approaches occurred through the issuance of block grant funding for child welfare programming. The intent of this shift was to decentralize elements of the …

Demographic Factors Predictive Of Medicaid Enrollment In Michigan Counties, Dale Kennedy Howe

Dissertations

Recent changes in administration of the Medicaid program make it imperative that local agencies improve their ability to forecast demand for Medicaid services. In October of 1998 the State of Michigan redesigned the Medicaid specialty care in Michigan from a fee-for-service system to a capitated system. In a capitated healthcare system, financial risk is a result of unanticipated changes in the population size and mix. Numerous demographic factors, such as crime, population, unemployment, median age, income, and ethnicity may be used to improve the accuracy of predicted changes in enrollment for Medicaid. Using naive ordinary least squares models as the …

Practitioners’ Perspectives On Alternatives To The Paper-Based System For Preventing Welfare Fraud, Timothy Jerome Cole

Dissertations

Federal agencies have begun to devote greater attention to detecting welfare fraud. This dissertation reviews three proposed alternatives to the current Paper- Based system for preventing welfare fraud, namely, the Paper-Based system with Fingerprint Imaging, Electronic Benefits Transfer (EBT), and EBT with Fingerprint Imaging. It also examines the policy implications likely to result from implementation of these various systems.

Practitioners were randomly selected from agency directories and mailed a survey. Information was sought on their socioeconomic background, professional affiliations, and opinions on several welfare fraud detection systems.

Statistically significant differences in their responses resulted from differences in their socioeconomic backgrounds, …

Foundations Of Board Development: Theory And Practice In Community Service Organizations, David P. Moxley

Dissertations

As community service agencies become increasingly responsible for the provision of numerous social benefits relevant to the advancement of the social welfare of communities, the effective performance of their governance boards becomes an important aspect of a policy of privatization. This dissertation examines the role of these boards in contemporary human services and community development, and the important functions they serve in the effective transfer of social products, goods, and services from the public to nonprofit sector.

The author introduces the idea of board development as an imperative for community service boards to embrace in order to strengthen their service …

Cost Sharing Under Complex Federalism: Welfare Reform Cost Neutrality Calculations, Robert G. Lovell

Dissertations

The American system of welfare for families with children is a partnership between the federal and state governments. Under this partnership, the federal government establishes the basic eligibility policies for the Aid to Families with Dependent Children (AFDC) program, the principal program providing cash assistance to poor families. States determine payment levels and administrative policies. Costs are shared through a formula reflecting each state’s ability to pay.

To encourage policy experimentation by the states, a section of the act creating the AFDC program allows the Secretary of the Department of Health and Human Services to waive some provisions. This became …

The Effects Of Utilitarianism On Performance Appraisal And Selected Output Measures In A Weberian Bureaucracy, Donald Wayne Wright

Dissertations

The research explored whether or not a relationship existed between the performance appraisal criteria used by the Social Security Administration and actual performance between 1984 and 1990. The issue was whether or not either of the diverse sets of performance appraisal criteria was more effective in improving performance than the other and whether or not base pay should be tied to the results of the performance appraisal system.

The methodology for this study was both quantitative and qualitative. The qualitative technique of content analysis was done on the sets of performance appraisal criteria to assess the extent to which each …

The Rise And Decline Of Mental Health Hospitals In The State Of Michigan, Gerald H. Smith

Dissertations

The State of Michigan has been partially responsible for the treatment of the mentally ill population since 1832, when Wayne County General Hospital opened its doors. The state government made a commitment to care for the afflicted, and at the same time provide an opportunity for other individuals to participate in their treatment. Eventually this commitment led to the establishment of employment for many citizens, and gradually, over the decades, a mental health bureaucracy emerged. It was necessary to hire not only professional staff, but also support staff such as food services, housekeeping, maintenance, and the like. Mental health facilities …

Conversion Of The Coldwater Regional Mental Health Center: The Impact On Employees, Connie Dunham Dykman

Dissertations

The objective of this study was to determine what effects the conversion of the Coldwater Regional Mental Health Center from a facility serving developmentally disabled residents to one serving mentally ill residents had on the lives of its employees.

Deinstitutionalization has been taking place nationwide at the same time prisons have been expanding. In Coldwater, Michigan, buildings that were left empty as a result of deinstitutionalizing mentally retarded individuals were taken over by the Department of Corrections to be used as prisons. This action inspired advocates for retarded citizens to call for the closure of the Coldwater Regional Center. Instead …

An Historical Analysis Of Public Policy For The Care And Treatment Of People Who Are Mentally Retarded In Michigan, Kenneth O. Slater

Dissertations

This dissertation traces the historical development of Michigan's public policy associated with the residential care and treatment of mentally retarded people. Michigan laws and programs from 1830 through 1983 were studied after being compared to a national history. The central question was: What factors, over time, influenced public policy related to residential care and treatment of the mentally retarded?

Initially, care was the responsibility of families and friends of the mentally retarded. This responsibility shifted from townships to counties, then to the state during the nineteenth century. Until the late 1800s many mentally retarded people were housed on county poor …

Determinant Factors In The Utilization Process Of Social Services In Saudi Arabia, Fahd Abdullah Ali Dileym

Dissertations

The Deputy Ministry of Social Welfare and the Deputy Ministry of Social Security provide a spectrum of social service programs and activities. However, utilization of the designated services is incapacitated by the existing gap between the potential clients and the social service providers. Certain barriers have contributed significantly to the clients' underutilization behavior of the assigned services.

Accordingly, this study had two purposes: (a) to determine whether social services provided by the Deputy Ministries of Social Welfare and Social Security are perceived by administrators, social workers, and college students to be underutilized; and (b) to compare the perceptions of the …