Social Work Commons^™

Barriers To Mental Health Service Use Among Palestinian-Arab Women In Israel: Psychological Distress As Moderator, Fareeda Abo-Rass, Sarah Abu-Kaf, Ora Nakash

School for Social Work: Faculty Publications

Background: Many studies indicate that ethnic minority women, including women from the disadvantaged Palestinian-Arab minority in Israel, experience higher rates of psychological distress but are less likely to use mental health services. This study examined psychological distress and its role as a moderator in the relationship between mental health service use and stigma-related, attitudinal, and instrumental barriers. Method: Cross-sectional study of 146 Palestinian-Arab women who completed measures of psychological distress, mental health service use, the Barriers to Care Evaluation scale, and sociodemographic characteristics. Results: Participants who did not utilize mental health services reported higher levels of all barrier types compared …

Healthcare Experiences Of Uninsured And Under-Insured American Indian Women In The United States, Jessica L. Liddell, Jenn M. Lilly

Social Service Faculty Publications

Background: Extensive health disparities exist for American Indian groups throughout the United States. Although insurance status is linked to important healthcare outcomes, this topic has infrequently been explored for American Indian tribes. For state-recognized tribes, who do not receive healthcare services through the Indian Health Service, this topic has yet to be explored. The purpose of this study is to explore how having limited access to health insurance (being uninsured or under-insured) impact American Indian women’s healthcare experiences?.

Methods: In partnership with a community advisory board, this study used a qualitative description approach to conduct thirty-one semi-structured life-course …

Prevalent Posttraumatic Stress Disorder Among Emergency Department Personnel: Rapid Systematic Review, Diane In Trudgill, Kevin Gorey, Elizabeth A. Donnelly Dr.

Social Work Publications

This research review synthesized the evidence on the prevalence of posttraumatic stressdisorder among emergency department personnel in Canada and the USA. No previous suchsynthesis, specific to this crucial aspect of North American health care had previously beenpublished. Broad keyword searches of interdisciplinary research databases, both peer-reviewed and grey, retrieved 10 surveys published between 1996 and 2019. Their outcomeswere synthesized with sample-weighted, pooled analyses. The most significant reviewfindingwas that one of everyfive such emergency care personnel met posttraumatic stress disorderdiagnostic criteria; 18.6% (95% confidence interval 16.9, 20.4). However, this synthesis ofgenerally small, nonprobability surveys with high nonparticipation rates, could only suggestthat …

Your Goals And You - Don’T Let Your Goals Get (To) You …. Before You Can Get To Them!, Shweta Singh

Social Work: School of Social Work Faculty Publications and Other Works

What is the one thing you can count on as far as goals are concerned? Not one thing but many things and secondly- your goals are similar to goals of many people around the world, who (interestingly enough) have really nothing in common with you. And finally- that is because how we decide our goals, has very little to do with what is inside us and more about the surrounding influences.

Just lean back and think about how much you are taught and selectively exposed to - by way of opinions, ideas, thoughts about what an ideal life is? Who …

Social Work Trauma Interventions: Dialectical Behavioral Therapy, Kassie Baumann

Senior Honors Theses

According to Lynne Weilart (2013), in her article on the reasons why people seek out therapy, trauma is the number one reason people attend counseling. Many different trauma-informed approaches are designed specifically to address the consequences of trauma and to facilitate healing. Some of these approaches are as follows: Cognitive Behavioral Therapy (CBT); Dialectical Behavioral Therapy (DBT);Mentalization Based Therapy (MBT); Trauma Systems Therapy (TST); Trauma Assessment Pathway (TAP); and Attachment, Self-Regulation, and Competency (ARC) (de Arellano, Danielson, Ko, & Sprauge, 2008). The effectiveness of each trauma intervention will be examined. DBT is one of these trauma interventions that is growing …

Differences In Mental, Cognitive, And Functional Health By Sexual Orientation Among Older Women: Analysis Of The 2015 Behavioral Risk Factor Surveillance System, Kristie L. Seelman

SW Publications

Background and Objectives: This study addresses a gap in the knowledge base regarding whether there are differences in mental, cognitive, and functional health between sexual minority women aged 65 and older and their heterosexual counterparts, as well as whether disparities are moderated by age, socioeconomic status, and race/ethnicity.

Research Design and Methods: This study analyzes 2015 Behavioral Risk Factor Surveillance System data from 21 states. Multivariate logistic regression is used to test the hypotheses.

Results: Compared to heterosexual women, lesbian/gay women aged 65 and older report worse functional health and bisexual women report worse cognitive health and more difficulties with …

Conducting Qualitative Interviews By Telephone: Lessons Learned From A Study Of Alcohol Use Among Sexual Minority And Heterosexual Women, Laurie Drabble, Karen Trocki, Brenda Salcedo, Patricia Walker, Rachael Korcha

Faculty Publications

This study explored effective interviewer strategies and lessons learned based on collection of narrative data by telephone with a subsample of women from a population-based survey, which included sexual minority women. Qualitative follow-up, in-depth life history interviews were conducted over the telephone with 48 women who had participated in the 2009–2010 National Alcohol Survey. Questions explored the lives and experiences of women, including use of alcohol and drugs, social relationships, identity, and past traumatic experiences. Strategies for success in interviews emerged in three overarching areas: (1) cultivating rapport and maintaining connection; (2) demonstrating responsiveness to interviewee content, concerns; and (3) …

Evicting Victims: Reforming St. Louis's Nuisance Ordinance For Survivors Of Domestic Violence, Nava Kantor, Molly W. Metzger

Center for Social Development Research

Nuisance ordinances, established in municipalities nationwide to ostensibly protect the well-being of residents, threaten property owners with fines and jail time if they fail to abate a nuisance occurring on their property. Rather than promoting conflict resolution, such punitive consequences incentivize landlords to simply evict the tenants causing the nuisance. The enforcement of nuisance ordinances can have detrimental and disproportionate effects on already vulnerable populations, including tenants in domestic violence situations. The City of St. Louis employs a chronic nuisance ordinance, which is based in part on the number of police calls to a property. This ordinance can force survivors …

Multiplicative Disadvantage Of Being An Unmarried And Inadequately Insured Woman Living In Poverty With Colon Cancer: Historical Cohort Exploration In California, Naomi R. Levitz, Sundus Haji-Jama, Tonya Munro, Kevin M. Gorey

Social Work Publications

Background: Many Americans diagnosed with colon cancer do not receive indicated chemotherapy. Certain unmarried women may be particularly disadvantaged. A 3-way interaction of the multiplicative disadvantages of being an unmarried and inadequately insured woman living in poverty was explored. Methods: California registry data were analyzed for 2,319 women diagnosed with stage II to IV colon cancer between 1996 and 2000 and followed until 2014. Socioeconomic data from the 2000 census classified neighborhoods as high poverty (≥30% of households poor), middle (5–29%) or low poverty (<5% poor). Primary health insurance was private, Medicare, Medicaid or none. Comparisons of chemotherapy rates used standardized rate ratios (RR). We respectively used logistic and Cox regression models to assess chemotherapy and survival. Results: A statistically significant 3-way marital status by health insurance by poverty interaction effect on chemotherapy receipt was observed. Chemotherapy rates did not differ between unmarried (39.0%) and married (39.7%) women who lived in lower poverty neighborhoods and were privately insured. But unmarried women (27.3%) were 26% less likely to receive chemotherapy than were married women (37.1%, RR = 0.74, 95% CI 0.58, 0.95) who lived in high poverty neighborhoods and were publicly insured or uninsured. When this interaction and the main effects of health insurance, poverty and chemotherapy were accounted for, survival did not differ by marital status. Conclusions: The multiplicative barrier to colon cancer care that results from being inadequately insured and living in poverty is worse for unmarried than married women. Poverty is more prevalent among unmarried women and they have fewer assets so they are probably less able to absorb the indirect and direct, but uncovered, costs of colon cancer care. There seem to be structural inequities related to the institutions of marriage, work and health care that particularly disadvantage unmarried women that policy makers ought to be cognizant of as future reforms of the American health care system are considered.

Policy Advocacy And Leadership Training For Formerly Incarcerated Women: An Empowerment Evaluation Of Reconnect, A Program Of The Women In Prison Project, Correctional Association Of New York, Rahbel Rahman

Social Work Faculty Scholarship

There is limited knowledge on re-entry initiatives for formerly incarcerated women specifically focusing on building women’s advocacy and leadership skills. Our research highlights ReConnect, a 12-session, innovative advocacy and leadership development program rooted in an integrated framework of empowerment, and transformational leadership theories. Based on CBPR principles, we conducted an empowerment evaluation where ReConnect graduates, staff members, and evaluators in an egalitarian process designed, collected, and analyzed data on how ReConnect assists formerly incarcerated women in the reentry process. The evaluation’s purpose is to offer practitioners and researchers an explanatory model on how to help formerly incarcerate women access …

Fearless Friday: American Association Of University Women (Aauw), Mollie R. Sherman

SURGE

Quickly establishing a reputation on campus for challenging inequality and holding events that grab attention and effectively communicate their message, the newly formed American Association of University Women club is a fearless and influential voice for change at Gettysburg. [excerpt]

Maternal-Fetal Attachment And Health Behaviors Among Women With Hiv/Aids, Julieta P. Hernandez

FIU Electronic Theses and Dissertations

Background: Mothers with HIV often face personal and environmental risks for poor maternal health behaviors and infant neglect, even when HIV transmission to the infant was prevented. Maternal-fetal attachment (MFA), the pre-birth relationship of a woman with her fetus, may be the precursor to maternal caregiving. Using the strengths perspective in social work, which embeds MFA within a socio-ecological conceptual framework, it is hypothesized that high levels of maternal-fetal attachment may protect mothers and infants against poor maternal health behaviors. Objective: To assess whether MFA together with history of substance use, living marital status, planned pregnancy status, and timing of …

Alcohol In The Life Narratives Of Women: Commonalities And Differences By Sexual Orientation, Laurie A. Drabble, K. Trocki

Faculty Publications

Aim: The aim of this study was to explore social representations of alcohol use among women, with a focus on possible differences between sexual minority and heterosexual women. Methods: This qualitative study was part of a larger study examining mediators of heavier drinking among sexual minority women (lesbian identified, bisexual identified, and heterosexual identified with same sex partners) compared to heterosexual women based on the National Alcohol Survey. Qualitative in-depth life history interviews were conducted over the telephone with 48 women who had participated in the 2009–2010 National Alcohol Survey, including respondents representing different sexual orientation groups. Questions explored the …

Changes In Personal Networks Of Women In Residential And Outpatient Substance Abuse Treatment, Meeyoung O. Min, Elizabeth M. Tracy, Hyunsoo Kim, Hyunyong Park, Minkyong Jun, Suzanne Brown, Christopher Mccarty, Alexandre Laudet

Social Work Faculty Publications

Changes in personal network composition, support and structure over 12 months were examined in 377 women from residential (n=119) and intensive outpatient substance abuse treatment (n=258) through face-to-face interviews utilizing computer based data collection. Personal networks of women who entered residential treatment had more substance users, more people with whom they had used alcohol and/or drugs, and fewer people from treatment programs or self-help groups than personal networks of women who entered intensive outpatient treatment. By 12 months post treatment intake, network composition improved for women in residential treatment; however, concrete support was still lower and substance users still more …

Impact Of Dual Disorders, Trauma, And Social Support On Quality Of Life Among Women In Treatment For Substance Dependence, Suzanne Brown, Min Kyoung Jun, Meeyoung Oh Min, Elizabeth M. Tracy

Social Work Faculty Publications

Objective Women with dual disorders report lower levels of social support than women with substance dependence alone, and lower levels of social support have been associated with lower quality of life among individuals with substance use disorders. However, little is known about the impact of trauma symptoms and violence exposure on quality of life for women with dual disorders. The purpose of this study was to examine the impact of dual disorders, trauma, and social support related to recovery on various domains of quality of life among women in substance abuse treatment.

Methods This study utilized multiple standardized measures and …

Prospective Patterns And Correlates Of Quality Of Life Among Women In Substance Abuse Treatment, Elizabeth M. Tracy, Alexandre Laudet, Meeyoung Oh Min, Hyunsoo Kim, Suzanne Brown, Min Kyoung Jun, Lynn Singer

Social Work Faculty Publications

Background Quality of life (QOL) is increasingly recognized as central to the broad construct of recovery in sub- stance abuse services. QOL measures can supplement more objective symptom measures, identify specific service needs and document changes in functioning that are associated with substance use patterns. To date however, QOL remains an under investigated area in the addictions field, especially in the United States.

Methods This study examines patterns and predictors of QOL at 1 and 6 months post treatment intake among 240 women enrolled in substance abuse treatment in Cleveland, Ohio. The World Health Organization Quality of Life (WHOQOL-BREF) measure …

Substance Abuse Treatment Stage And Personal Networks Of Women In Substance Abuse Treatment, Elizabeth M. Tracy, Hyunsoo Kim, Suzanne Brown, Meeyoung Oh Min, Min Kyoung Jun, Christopher Mccarty

Social Work Faculty Publications

This study examines the relationship among 4 treatment stages (i.e., engagement, persuasion, active treatment, relapse prevention) and the composition, social support, and structural characteristics of personal networks. The study sample includes 242 women diagnosed with substance dependence who were interviewed within their first month of intensive outpatient treatment. Using EgoNet software, the women reported on their 25 alter personal networks and the characteristics of each alter. With one exception, few differences were found in the network compositions at different stages of substance abuse treatment. The exception was the network composition of women in the active treatment stage, which included more …

Keeping Them In Their Place: Migrant Women Workers In Spain’S Strawberry Industry, Susan E. Mannon, Peggy Petrzelka, Arash Garrossian, Claudia Radel

Sociology, Social Work and Anthropology Faculty Publications

The idea of guest-worker migration has resurfaced in recent decades as the global agri-food industry has confronted a shortage of workers willing to take low-wage and often seasonal jobs. To date, there have been very few cases studies of these twenty-first century guest-worker programs and their role in managing contemporary labor migration. This article examines guest-worker migration in the strawberry industry of southern Spain. In this case, guest-worker programs at- tempt to regulate and enforce the circular migration of foreign workers in Spain. By making future work contracts contingent on migrants’ return to their country of origin, by recruiting migrant …

New Hope For Women Newsletter (Fall 2011), New Hope For Women Staff

Maine Women's Publications - All

No abstract provided.

Understanding Mesosystemic Influences On Reported Health Among Rural Low-Income Women: A Structural Equation Analysis, Tiffany Wigington

College of Education and Human Sciences: Dissertations, Theses, and Student Research

While ensuring access to health insurance and health care services is important, emerging research indicates that individual health and well-being result from a complex array of environmental, social, and psychological factors. The delineation of how factors of health and well-being unfold and impact rural low-income women is particularly salient for social workers who provide services to rural residents and who work within a rural context. Utilizing components from the ecological systems perspective, this study explored how the factors associated with health risk influenced reported health and mesosystemic processes among rural low-income women. This sample (n=304) for this study was drawn …

New Hope For Women Newsletter (Spring 2011), New Hope For Women Staff

Maine Women's Publications - All

No abstract provided.

New Hope For Women Newsletter (Fall 2010), New Hope For Women Staff

Maine Women's Publications - All

No abstract provided.

Predictors Of Depressive Symptomatology In Family Caregivers Of Wom-En With Substance Use Disorders Or Co-Occurring Substance Use And Mental Disorders, David E. Biegel, Shari Katz-Saltzman, David Meeks, Suzanne Brown, Elizabeth M. Tracy

Social Work Faculty Publications

This study utilized a stress-process model to examine the impact of having a female family member with substance use or co-occurring substance use and mental disorders on family caregivers' depressive symptomatology. Participants were 82 women receiving substance abuse treatment and the family member providing the most social support for each woman. Greater caregiver depressive symptomatology was predicted by greater care recipient emotional problems, less care recipient social support, and poor caregiver health. Implications of findings for treatment and future research are discussed

Review Of “Sisters Outside: Radical Activists Working For Women Prisoners, By Jodie Michelle Lawston”, Lisa A. Leitz

Peace Studies Faculty Articles and Research

Book review of Jodie Michelle Lawston's "Sisters Outside: Radical Activists Working for Women Prisoners".

Cognitive Restructuring Through Dreams & Imagery: Descriptive Analysis Of A Women's Prison-Based Program, Dana Dehart

Faculty and Staff Publications

This report describes process and outcome evaluation of an innovative program based in a women's maximum-security correctional facility. Methodology included review of program materials, unobtrusive observation of group process, participant evaluation forms, focus groups, and individual interviews with current and former program participants. Findings indicate that program was a great source of emotional respite, release, and support for the women, with women describing increased insights into themselves, their traumas, and their crimes. Implications are discussed, including popular appeal of dream work and its potential clinical relevance to prisoners' inner conflicts.

When Personal Dreams Derail, Rural Cameroonian Women Aspire For Their Children, Akuri John, Susan Weinger, Barbara Barton

Social Work Faculty Publications

Data gathered from a convenience sample of 36 women who reside in rural villages lying on the outskirts of Buea, Cameroon is not consistent with the "culture of poverty" proposition which states that personal characteristics of the poor tie them to a life of poverty. These findings run counter to an assumed "culture of poverty" in which persons do not hold career aspirations and socialize their children with attitudes that assure the generational transmission of poverty. Respondents, as a case vignette illustrates, conveyed that besides marriage they had wanted a career in order to achieve a living wage. After their …

New Hope For Women Newsletter (Fall 2009), New Hope For Women Staff

Maine Women's Publications - All

No abstract provided.

The Impact Of Emotional And Material Social Support On Women's Drug Treatment Completion, Cathleen A. Lewandowski, Twyla J. Hill

Social Work Faculty Publications

This study assessed how women's perceptions of emotional and material social support affect their completion of residential drug treatment. Although previous research has examined how social support affects recovery, few studies, if any, have examined both the types and the sources of social support. The study hypothesized that women's perceptions of the emotional and material social support they receive from family, friends, partners, drug treatment, child welfare, and welfare agencies will affect treatment completion. The sample consisted of 117 women who were enrolled in a women's residential treatment program. Data were collected in semistructured initial and follow-up interviews using a …

New Hope For Women Newsletter (Spring 2009), New Hope For Women Staff

Maine Women's Publications - All

No abstract provided.

New Hope For Women Newsletter (Fall 2008), New Hope For Women Staff

Maine Women's Publications - All

No abstract provided.