Social Work Commons^™

Cost Analysis Of Integrated Genderaffirming And Sexual Health Services For Transgender Women In Thailand: Evidence From The Tangerine Clinic, Braprut Sawatwipachai, Kunncadah Anuwong, Nittaya Phanuphak, Rena Janamnuaysook, Kritima Samitpol, Sujin Nitadpakorn

The Thai Journal of Pharmaceutical Sciences

Background: Transgender women experience a disproportionate burden of human immunodeficiency virus (HIV) globally and in Thailand. Integrating gender-affirming care into sexual health services may improve uptake of HIV and sexually transmitted infections (STIs) testing, treatment, and prevention. Cost data are essential to inform program planning and policy decisions regarding inclusion of such services within Thailand’s Universal Health Coverage (UHC) system.
Objectives: To estimate the full and unit costs of trans-led, integrated gender-affirming and sexual health services along the HIV care cascade.
Methods: Costs of Tangerine Clinic services in 2021 were assessed from the provider perspective, using standard and activity-based costing …

New York City Women’S Experiences With Perinatal Depression Inquiries, Diagnosis, And Treatment Initiation, Caterina Pisciotta

Dissertations, Theses, and Capstone Projects

Perinatal depression represents a significant public health concern, yet many women who experience depression symptoms during the perinatal period (either during pregnancy and/or after birth) do not receive treatment. Initiatives, such as ThriveNYC, were designed to address these gaps by screening and treating perinatal women for maternal depression, integrating screening into routine perinatal care and strengthening pathways to treatment. Using representative survey data collected between 2016 and 2021 via the Center for Disease Control and Prevention’s Pregnancy Risk Assessment Monitoring System (PRAMS), this study examined trends in perinatal depression inquiries (a proxy for “screening”) and postpartum diagnosis, as well as …

“When I’M Not Heard, I Feel Like I Don’T Matter”: Advancing Equity In Disability Policy Through Critical Participatory Action Research With People With Intellectual Disability, Cris Marchionne

Student Theses

People with intellectual disability deserve a system that offers flexible, timely, and person-centered support — one that is innovative, sustainable, and holistic in enabling them to live fulfilling lives. This qualitative study, grounded in Critical Participatory Action Research (CPAR), examines how people with intellectual disability experience participation in decision-making within New York State's disability service system. By centering lived experience, the study identifies factors that facilitate or hinder participation in decision-making and examines structural, social, and policy-related barriers that limit agency. Through six focus groups and a Photovoice project with self-advocates receiving OPWDD services, participants described systemic barriers that limited …

Understanding Familicide: Psychosocial, Behavioral, And Mental Health Risk Factors And Implications For Forensic Behavioral Health Professionals, Molly M. Vogl

Master of Arts in Human Services

Familicide is a rare but devastating form of family violence involving the killing of multiple family members by another family member. Although research examining domestic violence, homicide, and homicide-suicide has expanded, familicide remains less understood due to its low occurrence and complex nature. This capstone examined the psychosocial, behavioral, and mental health risk factors commonly associated with familicide perpetrators and explored how forensic behavioral health professionals may use this information to improve violence risk assessment, prevention, and intervention efforts. A review of peer-reviewed research from academic databases and scholarly search engines identified common themes associated with familicide, including relationship conflict, …

Oral History With John Barry, Dan Royles

History Faculty Scholarship

Oral history interview with John Barry, who has served as Executive Director of the Southern Tier AIDS Program (STAP) since 2008. He was born in Endicott, New York in 1966, grew up in Vestal, and attended high school at Seton Catholic Central in Binghamton before serving in Germany with the United States Army during the early 1980s. When he returned to Broome County in 1987, some of his friends had been affected by HIV/AIDS and, while earning a degree at SUNY Binghamton, Barry became involved in mutual aid efforts to help people affected by the disease. He went to work …

The Legacy, Importance, & Impact Of Lend: Evidence And Personal Stories, Emily Zalimeni, Emma Stone, Alexa Fortier, Leia Getchell, Nataliya Kloyzner, Asha Abdullahi, Elizabeth Barkoudah, Meghan Chapman, Meredith Close, Heather Engholm, Melissa Levin, Aanchal Sharma, Sarah Sparks, Patricia Rissmiller, Amy Szarkowski, Jason M. Fogler

Developmental Disabilities Network Journal

Leadership Education in Neurodevelopmental and related Disabilities (LEND) programs offer an interdisciplinary/interprofessional training opportunity for medical and allied health professionals, and individuals impacted by disability, including family members and self-advocates. Toward the aim of advocating for the enduring need of LEND and similar training programs, this article centers the voices of a subset of our alumni who have advanced the rights and improved the lives of persons with intellectual and developmental disabilities. These stories are intended to illustrate the key lessons and principles of LEND training, including attending to disability issues in education, growing skills within and between individuals working …

The Role Of Social Emotional Learning In Utah’S Implementation Of Essa, Sharon Walles

Transforming Communities

The Every Student Succeeds Act (ESSA), as a policy, offers an additional tool to address the escalating adolescent mental health crisis. By acknowledging the critical link between student well-being, academic success, and evidence-based practices, this policy analysis explores how funding from ESSA can be leveraged to integrate Social Emotional Learning (SEL) within Utah’s schools. Experts, educators, and parents can be voices to combat misinformation surrounding the recent politicization of SEL and its implementation. This analysis connects Bronfenbrenner’s Ecological Theory, which highlights the interconnectedness of the environment, with the importance of prioritizing mental health within schools to help adolescents with issues …

Dnp Final Report: Improving Length Of Stay Outcomes Using Structured Barrier Rounds: A Quality Improvement Project, Martha Kwamboka Apella

DNP Final Reports

Prolonged length of stay (LOS) in the acute care setting is a challenging issue driven by multiple factors. Increased LOS is associated with mortality, hospital-acquired infections, patient safety events, functional impairment, decreased quality of life, social isolation, and increased cost of care. The causes of increased LOS in the medical-surgical unit are unclear, necessitating an evidence-based project to address the problem. The purpose of this quality improvement initiative was to implement structured interdisciplinary barrier rounds and evaluate their effect on LOS, opportunity days, and estimated cost of care in a medical-surgical unit. The facility complex care coordinator (CCC) was identified …

Beyond The Classroom: Five Considerations For Actualizing Social Justice In Practicum Education, Priscila Llamosa

Journal of Justice-Informed Social Work Practice and Research

Social justice, a core tenet of social work, is variably integrated into education programs' explicit curricula, leaving students with a limited conceptual understanding. Practicum[1] education, crucial for theory-practice integration, offers opportunities for developing social work skills while upholding social justice principles. This paper addresses how practicum instructors can nurture students’ social justice-oriented practice by presenting a framework for practicum education and examining its five components. Drawing from theory, empirical literature, and practice experience, the author suggests ways for practicum instructors to engage each component. Incorporating these into practicum education can enable students to actualize ADEI values in practice and …

A Critical Review On Enhancing Equity Of Mental Health Treatment Of African American Families Through Social Support And Social Capital, Julie Radlauer-Doerfler, Morgan E. Cooley, Heather M. Thompson, Atensia Earp Bowen, Gabe Caress, Alicia Best

Journal of Justice-Informed Social Work Practice and Research

African American adults and children experience both disproportionality and disparity when in contact with the mental health delivery system. There are a number of contextual factors that influence the treatment of African American families, such as systemic oppression or racism in both society and the behavioral health system or individual expressions of mental health symptomology. This review will provide an overview of how mental health disparities crossover systems, perceptions of mental health and mental health treatment among African American families, provide some context for why this review was written, as well as discuss the context of social support and social …

Breaking Barriers: A Student Led Racial Equity Assignment, Emily Murphy, Carol Bennett- Speight, Cecily Mitchell-Harper

Journal of Justice-Informed Social Work Practice and Research

This paper presents an innovative student led racial equity assignment in a small bachelor’s in social work program in the New York metropolitan area. This paper will define epistemological racism and utilize concepts from Narrative Theory and Critical Race Theory, to critically analyze what is taught about the pioneers of social work, identifying the stories and narratives that are told and the ones that are not told. This operationalization of the theories in practice with students will cultivate mindset shifts and strategies that enable participants to engage in social work practice that fully embodies the core values of the profession. …

Screening And Treatment Protocols Used In Nicus Across Minnesota For Perinatal Mood & Anxiety Disorders (Pmads), Rachael Witt

Journal of Justice-Informed Social Work Practice and Research

Parents of infants with prolonged neonatal intensive care unit (NICU) hospitalizations are a population that is overlooked in recommended routine screening for perinatal mood and anxiety disorders (PMADs), yet this population is at greater risk for developing diagnosable mental health disorders. Previous research shows that across the US, PMAD screening and treatment practices vary widely, with many NICUs not providing any routine PMAD screening, psychoeducation, or treatment options to parents. The objective of this study was to explore the current mental health screening and treatment protocols used in NICUs across the state of Minnesota to learn if there are areas …

Utilizing Personal Stories Of Race In Child Welfare Education, Laura D. Boltz, Veronica Knowles, Amari Cooper

Journal of Justice-Informed Social Work Practice and Research

Families of color are overrepresented in the child welfare system. This is an issue that needs to be addressed in multiple ways, including social work education. However, policy changes may make it more difficult to address race in the classroom in a way that doesn’t attract attention. One of the ways that educators can address this is by using personal stories from their own practice experience to educate their students. In this study we discuss the literature around using personal stories and include our own personal stories that we have used in the classroom to have difficult discussions surrounding race …

Evaluating The Authentic Family Engagement And Strengthening Approach, Morgan E. Cooley, Vaughn J. Crichlow, Gabriel T. Cesar, Marianna L. Colvin, Corey B. Best, Kristin Smyth, Robin Jimenez-Bean

Journal of Justice-Informed Social Work Practice and Research

Persistent racial disproportionality of Black and brown families in the child welfare system across decades and generations highlights the need for a comprehensive understanding of the consequences of child removal and the urgency of authentic family engagement initiatives. The primary purpose of this study was to examine whether a group of child protective investigators who received (1) specialized training and (2) monthly family engagement and antiracism coaching during supervision sessions demonstrated fewer monthly removals of children from families compared to a group of investigators in the same service area who did not receive specialized training or coaching. The secondary purpose …

Exploring Primary Care Providers’ Compassionate Care And Their Evidence-Based Practice With Death, Grief, And Loss: Patient Experience And Perspective, Kathryn Krzykala

Dissertations

Research on primary care providers’ (PCPs) education regarding Death, Grief, and Loss (DGL) remains limited. Specifically, data is lacking regarding patients' perceptions and opinions on what they need and expect from their PCPs regarding grief and loss. This exploratory mixed-method study comprised 146 participants who had experienced death and non-death loss. It examined participants' perceptions of 1) PCP compassion, 2) PCP utilization of evidence-based grief and loss practices, 3) their own level of comfort discussing DGL with their PCPs during medical visits, and 4) their personal grief and loss experiences. The findings revealed that PCPs' grief-informed evidence-based treatment, as reflected …

Link, Retain, Suppress: A Grounded Theory Study Of Medical Case Management In The Philadelphia Hiv Service Agencies, Shakeera Wynne

Social Work Doctoral Dissertations

Medical case management (MCM) plays a critical role in supporting engagement in HIV care; however, differences in implementation across agencies may influence service delivery and outcomes. Existing research has focused primarily on outcomes such as retention in care and viral suppression, while less is known about how the MCM intervention is implemented in practice. The purpose of this grounded theory study was to explore how medical case management is implemented within HIV care settings and to examine the structural, organizational, and relational factors that shape service delivery. Semi-structured interviews were conducted with medical case managers working within Ryan White-funded agencies …

If Pets Are Family: Pet Loss And The Need For Grief Equity In One Health, Michele L. Whitney

Journal of One Health Systems

One Health frameworks increasingly recognize pets as integral to human health and well-being. However, these models often overlook the health and equity implications of pet loss. Culturally mediated grief experiences following pet bereavement represent a critical grief equity gap in One Health systems. Drawing on findings from a qualitative study of African American adults who experienced pet loss, along with existing literature, this Viewpoint highlights how pet loss is not only an emotional experience but also a socially structured one shaped by cultural norms, social recognition, and access to support. These dynamics contribute to inequities in how grief is experienced …

Exploring Interprofessional End-Of-Life Communication Through Simulation: A Qualitative Study, Stephanie Jeffers Phd, Rn, Eric Stein Dsw, Lsw, Meg Hall Phd, Rn, Caroline Campbell Phd, Lsw, Carly King Msw, Lsw

Journal of Interprofessional Practice and Collaboration

Purpose: The purposes of this qualitative descriptive study were to understand the perceptions of nursing and social work students regarding communication with patients and families at the end of life and to explore the perceptions of nursing and social work students' regarding interprofessional roles at the end of life.

Methods: An interdisciplinary simulation about death and dying was conducted with 16 undergraduate nursing students and 3 graduate social work students to understand their perceptions regarding communication with patients and families at the end of life and to explore their perceptions of interprofessional roles. Simulations lasted approximately 20 minutes and were …

The Impact Of Trump Administration Immigration Policies On Connecticut Educators And Families, Elena C. Bielesz

Honors Scholar Theses

Anti-immigrant rhetoric, policies, and practices, which have grown increasingly prevalent due to the current national political climate, have adverse effects on the mental health of immigrant families and the teachers that support them in Connecticut. This study seeks to represent the opinions of Connecticut K-12 MLL (Multilingual Learners) Education Teachers and Administrators whose daily lives are impacted by the anti-immigrant and anti-refugee policies and procedures. The study employed a human subjects-based approach supported by a review of related literature. MLL Educators from around the state of Connecticut were interviewed. These interviews found that while immigration-based trauma and stressors are common …

Bridging Care Gaps For Sickle Cell Disease: Examining Case Management And Healthcare Utilization., Lindsey Page

Doctor of Social Work Capstone Projects

Individuals living with sickle cell disease (SCD) experience complex medical and social needs, including high emergency department (ED) utilization, fragmented care, and systemic inequities. Disease-specific case management has emerged as a promising strategy to improve care coordination, patient outcomes, and healthcare efficiency. This mixed-methods case study examined the impact of disease-specific case management on healthcare utilization, patient-reported outcomes, and healthcare providers’ perspectives. Quantitative analysis evaluated the impact of disease-specific case management on ED and inpatient admissions, healthcare-related costs, and the length of stay for inpatient admissions. Qualitative data were collected using interviews with patients and healthcare providers, exploring utilization, bias, …

Chit-Chat With Hats: Addressing Mental Health Decline Through Art Therapy And Community Engagement, Zoe G. Mendez-Sosa

Capstone Projects and Master's Theses

This capstone addresses the prominent social issue of mental health decline in Central Pacific California driven by lack of support systems for individuals. In partnership with Health Advocacy Team Support (HATS), “Chit-Chat with HATS was developed as a peer to peer group with art therapy techniques to promote emotional resilience and community connection. The primary objective of the program was to provide individuals struggling with mental health with tools to help them manage their feelings and thoughts.

The program was structured with check-ins, mindfulness techniques, and opportunities of creative expression through art therapy techniques to help participants with processing complex …

Food Reintroduction After Negative Ofcs In Pediatrics: Dietary Frequency And Caregiver Attitudes, Olivia Pietrantozzi

Honors Projects

Food allergies in pediatric populations have been gradually increasing in prevalence and present significant nutritional risks requiring strict dietary management and psychosocial challenges. Oral food challenges (OFCs) serve as a gold standard in diagnosing food allergies and determining whether allergenic foods can be safely reintroduced to an individual's diet. However, caregivers of children may still experience anxiety and barriers that delay the reintroduction of foods, which can limit diet diversity and increase the child's risk of future allergy development. This study looked to evaluate the dietary frequency of allergenic food reintroduction following negative OFCs, as well as to assess changes …

Predictors Of Stress Among Bsw And Msw Students At Fhsu, Octavio Ramirez, Annette Clarke Jones

SACAD: Scholarly Activities

Chronic stress leads to severe health consequences, including anxiety, depression, burnout, and physical issues like fatigue and sleep disturbances. This study examined factors predicting stress among a sample (n = 101) of BSW and MSW students attending FHSU. The findings showed that sexual orientation, academic grade point average, and marital status were significant predictors of stress among this sample.

Mental Health Rates Across Ethnic Groups In A Small Midwestern Christian University, Arianna Torres

Honors Theses

This study aims to find if there is a significant difference in depression, anxiety, trauma, and suicidality among students of different ethnic backgrounds at Andrews University. By focusing on ethnic disparities, this research aims to target the mental health issues rising among college students and bring to light the importance of cultural competency in relation to mental health. Results from this study may aid Andrews University in developing more inclusive and culturally responsive mental health services and inform broader discussions about mental health equity in higher education. It can also add insight into how mental health rates may vary by …

Gynecological Effects Of Sex Trafficking, Tracey Sylvester

Dignity: A Journal of Analysis of Exploitation and Violence

No abstract provided.

Mental Health Consequences Of Sex Trafficking, Brenda Myers-Powell

Dignity: A Journal of Analysis of Exploitation and Violence

No abstract provided.

Public Perception Of Risk In Missing Persons Investigations, Harry Lockett, Stefana Juncu

International Journal of Missing Persons

The current study investigated public perceptions of risk in missing person cases. A total of 271 participants were sequentially presented with five fictional vignettes describing missing individuals. Each case included a baseline description of the disappearance being "out of character" and four of these cases were paired with an additional risk factor: substance abuse, depression, dementia, or repeat missing status. The gender of the missing person was also manipulated between participants. Participants rated each case using both the standard categorical scale (Low/Medium/High) and an Extended Scale ranging from 1 to 7 and were also invited to respond to exploratory items …

‘‘If It Bleeds, Does It Lead?’: Lived Experiences Of Media Engagement For Families Of Missing Persons., Sarah Wayland Professor, Loren O'Keeffe, Syadani Riyad Fatema, Amy-Louise Byrne Dr, Elizabeth Paton

International Journal of Missing Persons

The media plays an important role in a missing persons case. Media is a powerful tool in raising public awareness and support, traversing police investigation, family liaison, and the business of media. This article reports on a focus group of seven people with a long-term missing family member, and two focus group facilitators, one of whom was also the family member of a missing person (n=9). The aim of the study was to better understand how people, who have lived experience of a family member missing, participate in media opportunities, to understand impact. Thematic analysis generated five major themes 1) …

Health Professional Students' Experiences With Gender-Identity Inclusive Content In The Classroom And Supervised Clinical Learning, Perry Xinyi Zhang, Aria Grabowski, Olivia S. Anderson

Internet Journal of Allied Health Sciences and Practice

Purpose: Gender-identity diverse populations have unique healthcare needs, but they experience stigmatization leading to negative health outcomes. Healthcare professionals have reported obstacles to delivering affirming care to gender-identity diverse patients due to limited training. We assessed how health profession students encounter gender-identity content and how students’ perceived preparedness to provide care for gender-identity diverse populations. Methods: A survey distributed to students enrolled in health professional programs at a large mid-western university included close-ended questions about exposure to gender-identity diverse curricular content in didactic and supervised clinical settings and perceived preparedness to work with gender-identity diverse populations. Open-ended questions asked what …

Navigating Homelessness And Housing Accessibility: An Ethnography Of Guests At Operation Nightwatch, Chase Kawika Patton

Dissertations and Theses

In 2025, over 7,000 individuals in Portland, Oregon experiencing unsheltered homelessness are without access to shelter or transitional housing. In this resource gap Operation Nightwatch (ON) provides material support for people experiencing homelessness (PEH) in the University District neighborhood of downtown Portland. This study focused on the experiences of chronically homeless guests of Nightwatch as they navigated homelessness and housing access. The study relied on semi-structured interviews with staff and guests and on-site participant observation to determine the availability of support to access housing in a system governed by Coordinated Access and the Housing First model. Primary research took place …