Social Work Commons^™

Adjustments To Social Work Practice During The Covid-19 Adjustments To Social Work Practice During The Covid-19 Pandemic In North Carolina: Effects On Burnout And Commitment Pandemic In North Carolina: Effects On Burnout And Commitment, Aaron Brown, Jayme E. Walters, Aubrey E. Jones, Lara Cates

Social Work Faculty Publications

Since the onset of the COVID-19 pandemic, the demand for social workers in the U.S. and abroad has increased. There is demand for more social workers in North Carolina due to ongoing and increasing mental health, substance use disorder, and child welfare needs. COVID-19 has taken a toll on the personal and professional lives of social workers, and research is needed to understand the pandemic’s effects on burnout and commitment among social workers. The present study sought to understand how the COVID-19 pandemic affected the personal and professional lives of social workers practicing in North Carolina and to determine how …

Fathers’ Perspectives On The Role Of Spirituality In Substance Misuse Disorder Treatment And Engaging With Their Children, Kendra Michelle Eubank

Theses and Dissertations--Social Work

The father's role and the extent of involvement with his children have shifted over the past several decades. As a result, researchers have made considerable advances in understanding paternal influences on child development and families. However, one under-researched topic is how fathers' substance misuse, and the recovery process may influence father involvement and effective co-parenting, and specifically, how spirituality plays a role in that. In this qualitative study, fourteen participants participated in semi-structured interviews. The data revealed two main themes: 1) pillars of a spiritual awakening and 2) applying spirituality to healthy fatherhood engagement.

These findings led to four interpretations: …

Over The Hills And Through The Hollers: How One Program Is Assisting Residents Of Appalachia With Opioid Use Recovery, Aubrey E. Jones, Jayme E. Walters, Aaron R. Brown

Journal of Appalachian Health

Introduction: The consequences of increasing opioid misuse in the U.S. over the last two decades have been severe, contributing to hundreds of thousands of lives lost and heavy tolls on individuals, families, and society. The Appalachian Region has been hit particularly hard, with its predominantly rural landscape seeing disproportionate increases in opioid misuse and overdoses. These cases have been difficult to address due to poor treatment access and capacity constraints in many areas of Appalachia.

Purpose: The current study focuses on evaluating The Kentucky Access to Recovery Program (KATR), which provides services to individuals recovering from opioid addiction residing in …

Exploring The Distinction Between Support And Enabling In Families With Substance Use Disorder, Krystal N. King

Theses and Dissertations--Family Sciences

Substance use disorders (SUD) are a pervasive public health problem facing families in the United States. Although families are frequently urged to support loved ones who have SUD and cautioned against enabling them, there is a dearth of literature that distinguishes between supporting and enabling. Through qualitative interviews, this phenomenological study examined the experiences of eight parents with adult children with SUD who were currently in recovery. Five themes emerged from the data including: (a) living in despair, (b) addiction and recovery knowledge, (c) support group philosophy, (d) coping with addiction, and (e) differentiation. The results from this study suggest …

Foster Caregiving: How Interactions With The Child Welfare Agency Impact Foster Parent Satisfaction, Recruitment, And Retention, Ethan Engelhardt

Theses and Dissertations--Social Work

Professionals of the child welfare system in Kentucky have continuously worked to retain and recruit new foster parents for the foster care system. Foster parents are uniquely placed in a surrogate caring position for children removed from their homes for reasons of abuse or neglect. Foster parents accept this role and step in to provide a safe and loving household for many children. There are more than 9,000 children placed in Out of Home Care (OOHC) on any given day in Kentucky, leaving many children in need of a loving and supportive household. Foster parents hang in the balance between …

Assessing 4-H And Its Circle Of Courage In A Psychiatric Residential Treatment Facility: A Case Study, Elizabeth Steering

Theses and Dissertations--Family Sciences

This 4-H case study takes place in a psychiatric residential treatment facility (PRTF) in Kentucky. The PRTF provides clinical services to youth that are not able to be safely maintained in their homes due to having demonstrated unsafe or harmful behaviors. Youth admitted to the PRTF stay for an average of three to six months while they receive intensive therapeutic and psychiatric care as well as medical treatment and public schooling. The current case study incorporates programming from 4-H, which is the youth development program of the Cooperative Extension System (CES) and the National Institute of Food and Agriculture (NIFA), …

Factors Associated With Successful Military-To-Civilian Transition Among Special Forces Veterans, Edward Richter

Theses and Dissertations--Social Work

The purpose of this study was to explore the military-to-civilian transitional experience in a sample of Special Forces veterans. Acknowledging challenges in accessing the veteran population, most existing research on the military-to-civilian transition consolidates military occupations into a single sample. This method fails to address the intricacies that may exist within individual military occupations, especially that of U.S. Army Special Forces soldiers. Special Forces qualified soldiers represent the largest portion of all U.S. Military Special Operations Forces and are responsible for the majority of all Special Operations activities, yet their experience in transitioning out of the Army is largely unknown. …

Opioid Addiction In Rural America: The Transportation Need For Treatment Adherence, Jennifer Smith

DSW Capstone Projects

The opioid epidemic has continued to soar throughout the United States for over 20 years. While this epidemic knows no boundaries and affects all of America, rural communities have been drastically impacted by the number of persons suffering from this addiction, and the resulting staggering mortality rates. Rural populations face greater treatment barriers preventing patients from obtaining needed services as compared to other geographical locations. Patients face obstacles related to accessibility, availability, and stigmatization, placing them at higher risk for opioid misuse, abuse, and/or death. Even though this targeted population faces multiple complications in seeking treatment, transportation barriers are among …

Conceptualizing Attorney Motivation: A Study Of The Representatives For Parents And Children In The Child Welfare System, Shannon Moody

Theses and Dissertations--Social Work

Background. Attorneys who represent parents and children in dependency, neglect, and abuse (DNA) proceedings are key in influencing the outcomes of the cases they carry. These influences include the length of time a child spends in the custody of the state or the necessity for foster care, visitation with family members, length of time to reunification, and recommended services for the child and parents (Courtney & Hook, 2012; Goldman, 1993; Thornton & Gwin, 2012; Zinn & Peters, 2015). The American Bar Association’s analysis is that there are “four constants: high caseloads, low compensation, inadequate training, and lack of supervision” …

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 …

Perinatal Substance Use Disorders And Co-Occurring Posttraumatic Stress Disorder, Kaitlyn Dickens

DSW Capstone Projects

Pregnant and postpartum or perinatal women who experience Substance Use Disorder and Posttraumatic Stress Disorder (SUD/PTSD) co-occurring are an underserved population and a gap can be observed in the research in terms of clinical presentation and treatment of SUD/PTSD among this population. Social work practitioners are at an increased probability of working with individuals who would identify as such. There are many psychosocial and health factors associated with untreated SUD/PTSD among perinatal women for both mother and baby.

Research suggests that the use of client centered approaches and narrative therapy is beneficial in working with those who experience PTSD. The …

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 …

Teaching Anti-Racism Practices To White Social Work Students And Community Members, Dennis Cornell

DSW Capstone Projects

Racism continues to plague the United States and White people hold a key element to ending racism by adopting anti-racism practices in their professional and personal lives. This capstone on the findings of a comprehensive systematic literature review, examines empirically-based anti-racism interventions and practices that social work teachers and community educators can utilize in anti-racism courses and workshops for White students and community members. The final results yielded 29 peer-reviewed, qualitative/quantitative research studies within the years of 2003-2021 that can be broken down into six anti-racism intervention categories: class/educational groups, teaching methods, Implicit Association Test (IAT) usage, pro-Black stories/perspectives, interracial …

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 …

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 …

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 …

Self-Care And Cultural Humility: Expanding The Practice Of Social Work Leaders, Donia Addison

DSW Capstone Projects

Social workers experience vicarious trauma, secondary traumatic stress, and compassion fatigue regularly. Well documented in the literature, self-care has the ability to assuage these negative consequences, as well as, positively impact retention rates, decrease burnout and increase the quality of services provided to clients. Despite a burgeoning of research on self-care and burnout over the last few decades, continued empirical research is necessary. This capstone project sought to add to the knowledge base on self-care and provide pragmatic recommendations for future research and social work practice.

This capstone project was comprised of three scholarly products and focused on fostering cultural …

The Underlying Issue: Acknowledging The Impact The Race-Based Bias Of Some White Teachers Poses For Black Adolescents, Cerenity Leavell-Barker

DSW Capstone Projects

Current literature fails to assess the race-based bias of some white teachers and its impact on the school-to-prison pipeline. The actions of some white teachers due to unconscious or conscious race-based bias can increase race-based stress experienced by Blacks students and lead to racial trauma. Racial trauma is a traumatic experience that can alter this stage of development and have significant impact on the academic achievement of Black adolescents and influence behaviors perceived as negative. The purpose of this capstone is to enhance awareness and knowledge on the traumatic impact the race-based bias of some white teachers poses for Black …

The Impact Of Bias And Historical Racial Trauma On Black Girls’ Education: Using Theory To Better Understand Benefits, Angela Fisher-Williams

DSW Capstone Projects

ABSTRACT OF CAPSTONE

Implicit biases are among the most unfair discriminating microaggressive habits; Black students face within the compulsory educational system. However, college institutions are not sufficiently preparing social work students to work with this marginalized group to help manage these needs through diversity training courses. The researcher wrote a synthesis paper that synthesized two theories, the Critical Race Theory (CRT) and Post Traumatic Slave Syndrome (PTSS). This research will determine if social work students who take part in diversity training embedded in their coursework could better prepare social workers for the field. This research employed a descriptive design while …

Leadership & Innovation: The Keys To Solving Wicked Social Problems, Kaye Mooney

DSW Capstone Projects

Social work leaders must utilize unique leadership styles and innovative activities to enhance human well-being and meet the basic needs of all people (NASW, 2008). Social work leaders must value and actively seek input from all people, strengthening the solutions' chance to work. Wicked social problems (WSP) plague our country, especially among marginalized groups. We must utilize a new combination of social work leadership styles to resolve WSP.

The capstone project presents significant social work leadership and social innovation findings. First, a systematic literature review synthesized how transformational, anti-oppressive, and ubuntu leadership styles impact social service organizations. The conceptual paper …

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 …

The Influence Of Distance Learning On Undergraduate Social Work Competency: An Exploratory Study At A Private University, Christine K. Fulmer

Theses and Dissertations--Social Work

This is an exploratory study of undergraduate social work education at a private faith-based university. The university offers both online and residential program options. The purpose of the study was to examine the influence of distance education and program option on the educational outcomes of graduates in a newly developed social work program. The program started in 2015 with its first graduating class in 2017. The sample (N = 262) consists of students graduating in 2017, 2018, and 2019. Students could take classes across program options and each student in the sample completed both traditional and online social work courses. …

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 …

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 …

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 …

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 …

Rural Suicide: A Three Manuscript Dissertation Utilizing The National Violent Death Reporting System, James Watts

Theses and Dissertations--Social Work

Purpose: Rural residents and veterans are at a greater risk of death by suicide but there is little research to compare rural versus urban suicide decedents. There is also a lack of research specific to rural veteran suicide. This three-manuscript dissertation study explores 1. epidemiology of suicide specific to rural areas comparing rural veterans to rural non-veterans 2. veteran suicide decedents that lived in rural areas compared to veterans that live in urban areas and 3. How the continuum of rurality is related to demographic and circumstantial variables associated with suicide Methods: Data was obtained from the Centers for Disease …

The Effect Of Travel Burden On Depression And Anxiety In African American Women Living With Systemic Lupus, Ashley A. White, Brittany L. Smalls, Aissatou Ba, Trevor D. Faith, Viswanathan Ramakrishnan, Hetlena Johnson, Jillian Rose, Clara L. Dismuke-Greer, Jim C. Oates, Leonard E. Egede, Edith M. Williams

Family and Community Medicine Faculty Publications

The United States has a deficit of rheumatology specialists. This leads to an increased burden in accessing care for patients requiring specialized care. Given that most rheumatologists are located in urban centers at large hospitals, many lupus patients must travel long distances for routine appointments. The present work aims to determine whether travel burden is associated with increased levels of depression and anxiety among these patients. Data for this study were collected from baseline visits of patients participating in a lupus study at MUSC. A travel/economic burden survey was assessed as well as the 8-item Patient Health Questionnaire (PHQ-8) and …

Longitudinal Pre-Exposure Prophylaxis (Prep) Acceptability, Initiation And Adherence Among Criminal Justice-Involved Adults In The Usa: The Southern Prep Cohort Study (Specs) Protocol, Katherine Lemasters, Carrie B. Oser, Mariah Cowell, Katie Mollan, Kathryn Nowotny, Lauren Brinkley-Rubinstein

Sociology Faculty Publications

INTRODUCTION: HIV prevalence among criminal justice (CJ)-involved adults is five times higher than the general population. Following incarceration, CJ-involved individuals experience multilevel barriers to HIV prevention. Pre-exposure prophylaxis (PrEP) is a widely available, daily medication efficacious in preventing HIV. Little is known about PrEP knowledge, acceptability, initiation and sustained use among CJ-involved persons or about how these outcomes vary by multilevel factors. The Southern Pre-Exposure Prophylaxis Study (SPECS) will investigate barriers and facilitators for PrEP initiation and sustained use among CJ-involved adults, building a foundation for PrEP interventions for this underserved population.

METHODS AND ANALYSIS: SPECS uses a mixed-methods sequential …