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Full-Text Articles in Social Work

Adjustments To Social Work Practice During The Covid-19 Pandemic In North Carolina: Effects On Burnout And Commitment, Aaron R. Brown, Jayme E. Walters, Aubrey E. Jones, Lara Cates Jan 2024

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

Journal of Human Services: Training, Research, and Practice

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 …


Model Of Evidence-Based Practice: Children Experiencing Domestic Violence In Rural Areas, Linden Sutton, Mckenzie Kurtz Dec 2023

Model Of Evidence-Based Practice: Children Experiencing Domestic Violence In Rural Areas, Linden Sutton, Mckenzie Kurtz

Student Projects

Domestic violence is often something that occurs between an abuser and a victim. However, children are also deeply affected by any type of abuse that they witness or experience. More specifically, children in rural areas face more challenges and barriers preventing them from experiencing the freedom to simply be a child. This study examined theories and interventions to treat children experiencing domestic violence. The researchers developed a treatment curriculum based on solution-focused brief therapy to address this population. Overall, solution-focused brief therapy is an effective treatment for children who have either witnessed or experienced domestic violence in a rural setting.


The Role Of Community Outreach Programs In Partnership With The University Of Mississippi In Combating Food Insecurity In The Oxford/Lafayette Area, Gabrielle Miller Apr 2023

The Role Of Community Outreach Programs In Partnership With The University Of Mississippi In Combating Food Insecurity In The Oxford/Lafayette Area, Gabrielle Miller

Honors Theses

Grow Club is a community outreach programming effort that was formed in Oxford, Mississippi in the fall of 2020 by University of Mississippi undergraduate students. The program works towards bringing community members as well as university students and staff together in attempts at alleviating many stressors felt by local community members living in poverty. This written work aims to offer a breakdown of how this program began and the steps taken to recognize a community need, formulate solutions, and work with the community to offer resources.


Investing In Rural Mental Health: An Approach To Increasing Access To Mental Health Professionals And Services, Corey Jeries-Bardon, Paige Peterson, Paige Pittmann, Makena Roeker Mar 2023

Investing In Rural Mental Health: An Approach To Increasing Access To Mental Health Professionals And Services, Corey Jeries-Bardon, Paige Peterson, Paige Pittmann, Makena Roeker

Master of Social Work Student Policy Advocacy Briefs

Farmers and rural residents in greater Minnesota are often overlooked relating to mental health services. Minnesota needs to focus on an approach to increase accessible mental health services in rural communities. The model for delivering mental health services has often been a one-size-fits-all approach without understanding the unique barriers, cultures, and strengths rural communities offer.


An Exploration Of Service Needs And Preferences Of Dementia Caregivers In Kentucky, Heehyul Moon, Sunshine Rote, Allison Kacmar, Amy Kostelic, Bari Lewis Dec 2022

An Exploration Of Service Needs And Preferences Of Dementia Caregivers In Kentucky, Heehyul Moon, Sunshine Rote, Allison Kacmar, Amy Kostelic, Bari Lewis

The Journal of Extension

As Americans live longer, the prevalence of Alzheimer’s disease and related dementias will increase. Caregivers are critical to the care and life quality of people with dementia. Yet, dementia caregivers are at increased risk for health issues, social isolation, and financial challenges. To help educators with the University of Kentucky Cooperative Extension Service work with their local Alzheimer’s Association and the University of Louisville to better support dementia families, we explored caregiver needs and service utilization using an online survey. Our findings highlighted the need for counseling/support, care management skills, resource education, self-care strategies, and legal services. Extension Service Educators …


Rural America Is Still Technologically Behind: Why It Matters Now More Than Ever, Paul Force-Emery Mackie Nov 2022

Rural America Is Still Technologically Behind: Why It Matters Now More Than Ever, Paul Force-Emery Mackie

Social Work Department Publications

No abstract provided.


Health Related Challenges Of Rural Elderly Living In Co-Residential Family Care Arrangements, Kidus Yenealem Mefteh Aug 2022

Health Related Challenges Of Rural Elderly Living In Co-Residential Family Care Arrangements, Kidus Yenealem Mefteh

The Qualitative Report

Family plays an indispensable role in the care and support of the rising number of older people particularly in developing countries like Ethiopia where the system of public transfer is minimal. Previous studies in Ethiopia focus on institutionalized and urban-dwelling elderly with little attention to the elderly in the informal care paradigm and rural areas. This study aims to explore the health-related experiences of dependent rural elderly who get care and support within a family setting. A phenomenology method was used, and in-depth interviews were employed to collect data from purposively sampled elders. Data were inductively coded and developed into …


Motor Vehicle Collision‑Related Injuries And Deaths Among Indigenous Peoples In Canada: Meta‑Analysis Of Geo‑Structural Factors, Naomi G. Williams, Amy M. Alberton, Kevin M. Gorey Mar 2022

Motor Vehicle Collision‑Related Injuries And Deaths Among Indigenous Peoples In Canada: Meta‑Analysis Of Geo‑Structural Factors, Naomi G. Williams, Amy M. Alberton, Kevin M. Gorey

Social Work Publications

Introduction: Indigenous Peoples are much more likely than non‑Indigenous Peoples to be seriously injured or die in motor vehicle collisions (MVCs). This study updates and extends a previous systematic review, suggesting that future re‑ search ought to incorporate social–environmental factors. Methods: We conducted a systematic review and meta‑analysis of the published and grey literature on MVCs involving Indigenous Peoples in Canada between 2010 and 2020. We focussed on personal (e.g. driving an old vehicle) and community social– environmental–economic factors (e.g. prevalent low socioeconomic status). Results: Eleven comparative cohorts that resulted in 23 at minimum, age‑standardised, mortality or morbidity rate outcomes …


Rural Pregnant Women’S Experiences With Substance Use Disorder: A Qualitative Study, Cami Weber Jan 2022

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 …


Opioid Addiction In Rural America: The Transportation Need For Treatment Adherence, Jennifer Smith Jan 2022

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 …


Rural Suicide: A Three Manuscript Dissertation Utilizing The National Violent Death Reporting System, James Watts Jan 2022

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 …


Lessons Learned From Covid-19: Provider Suggestions For Improving Service Delivery In Sexual Violence Resource Centers And Children's Advocacy Centers In Kentucky, Whitney Cassity-Caywood, Matthew Woodward, Austin Griffiths, Alecia Hatfield Jan 2022

Lessons Learned From Covid-19: Provider Suggestions For Improving Service Delivery In Sexual Violence Resource Centers And Children's Advocacy Centers In Kentucky, Whitney Cassity-Caywood, Matthew Woodward, Austin Griffiths, Alecia Hatfield

Contemporary Rural Social Work Journal

The COVID-19 pandemic has presented unique challenges for human service providers, especially as face-to-face services were limited by both formal and informal efforts to protect public health. Telehealth has emerged as a main strategy to ensure continuity of care. This study explored adaptations to services in child advocacy centers (CACs) and sexual violence resource centers (SVRCs) across the Commonwealth of Kentucky, particularly using telehealth. This study highlights respondents’ suggestions about improving these service delivery systems and the particular emphasis on challenges and strengths of telehealth for reaching those in rural areas.


Model Of Evidence-Based Family Practice: Female Domestic Violence Victims In Rural Communities, Elizabeth Korver, Megan Slagter Jan 2022

Model Of Evidence-Based Family Practice: Female Domestic Violence Victims In Rural Communities, Elizabeth Korver, Megan Slagter

Student Projects

Research has concluded that about 1 in 3 women reported experiencing severe physical violence from an intimate sexual partner during their lifetime (Centers for Disease Control and Prevention, 2022). Women living in rural communities may be more significantly affected due to their geographic isolation. This study examined several theories and models to effectively treat this specific population. The researchers developed a treatment curriculum based on cognitive-behavioral therapy to treat women living in rural communities who have experienced domestic violence. This study determined cognitive-behavioral therapy used in a group therapy setting is effective for increasing a client’s self-esteem and decreasing depression …


Bolstering Leadership Engagement To Community Coalition Work In Rural Appalachia, Melissa Slone Jan 2022

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 …


Experiences Of Rural Female Caregivers Of Loved Ones Diagnosed With Chronic Pain And Mental Health Care, Anne Banner Hatfield Jan 2022

Experiences Of Rural Female Caregivers Of Loved Ones Diagnosed With Chronic Pain And Mental Health Care, Anne Banner Hatfield

Walden Dissertations and Doctoral Studies

AbstractThe complex diagnosis of chronic pain can include both physiological and psychological symptoms resulting in a need for caregivers to assist their loved ones and become involved in their mental health care treatment. As the aging population and the number of individuals diagnosed with chronic pain increases, the number of caregivers who assist them also increases. Critical to addressing the psychological symptoms of chronic pain is knowing how caregivers experience their involvement in mental health treatment. This research addressed the need for an understanding of caregivers’ experiences of caregiving and involvement with health care providers of mental health treatment for …


Born To Help, Alison Lloyd May 2021

Born To Help, Alison Lloyd

Doctoral Dissertations

Abstract

The purpose of this dissertation was to ascertain (1) the level of readiness for hospital social work roles as perceived by Master of Social Work (MSW) graduates from Council on Social Work Education accredited programs, (2) the extent to which MSW level social workers felt prepared for their hospital roles by their MSW education, and (3) the quality of life perceived by social workers, with self-efficacy as a possible mediator variable. A critical literature review was completed. Surveys were sent using social media. One empirical study examined the level of self-efficacy felt by social workers as they worked in …


Male-To-Female Sexual Violence In Rural Communities: A Sociological Review, Walter Dekeseredy Dr. Mar 2021

Male-To-Female Sexual Violence In Rural Communities: A Sociological Review, Walter Dekeseredy Dr.

Dignity: A Journal of Analysis of Exploitation and Violence

The extant sociological literature on male-to-female violence in rural communities reveals that the bulk of the empirical work on this problem focuses mainly on non-lethal physical assaults, such as beatings. Much more research on sexual violence is sorely needed. The main objective of this review is twofold: (1) to describe the current state of international sociological knowledge about male sexual violence against adult women and (2) to suggest new directions in research and theory.


The Intersection Of Rural Residence And Minority Race/Ethnicity In Cancer Disparities In The United States, Whitney Zahnd, Cathryn Murphy, Marie Knoll, Gabriel A. Benavidez, Kelsey R. Day, Radhika Ranganathan, Parthenia Luke, Anja Zgodic, Kewei Shi, Melinda A. Merrell, Elizabeth L. Crouch, Heather M. Brandt, Jan M. Eberth Feb 2021

The Intersection Of Rural Residence And Minority Race/Ethnicity In Cancer Disparities In The United States, Whitney Zahnd, Cathryn Murphy, Marie Knoll, Gabriel A. Benavidez, Kelsey R. Day, Radhika Ranganathan, Parthenia Luke, Anja Zgodic, Kewei Shi, Melinda A. Merrell, Elizabeth L. Crouch, Heather M. Brandt, Jan M. Eberth

Faculty Publications

One in every twenty-five persons in America is a racial/ethnic minority who lives in a rural area. Our objective was to summarize how racism and, subsequently, the social determinants of health disproportionately affect rural racial/ethnic minority populations, provide a review of the cancer disparities experienced by rural racial/ethnic minority groups, and recommend policy, research, and intervention approaches to reduce these disparities. We found that rural Black and American Indian/Alaska Native populations experience greater poverty and lack of access to care, which expose them to greater risk of developing cancer and experiencing poorer cancer outcomes in treatment and ultimately survival. There …


A Description Of Covid-19 Lifestyle Restrictions Among A Sample Of Rural Appalachian Women, Michele Staton, Martha Tillson, J. Matthew Webster Jan 2021

A Description Of Covid-19 Lifestyle Restrictions Among A Sample Of Rural Appalachian Women, Michele Staton, Martha Tillson, J. Matthew Webster

Journal of Appalachian Health

Background: COVID-19 has led to swift federal and state response to control virus transmission, which has resulted in unprecedented lifestyle changes for U.S. citizens including social distancing and isolation. Understanding the impact of COVID-19 lifestyle restrictions and related behavioral risks is important, particularly among individuals who may be more vulnerable (such as rural women with a history of substance use living in Appalachia).

Purpose: The overall purpose of this study was to better understand the perceptions of lifestyle changes due to COVID-19 restrictions among this vulnerable group.

Methods: The study included a mixed methods survey with a convenience sample of …


Long-Term Impact Of Welfare Reform: Biopsychosocial Barriers To Successful Transition Away From Welfare Reliance Among Rural Women In Louisiana, Jake Jerome Guidry Mar 2020

Long-Term Impact Of Welfare Reform: Biopsychosocial Barriers To Successful Transition Away From Welfare Reliance Among Rural Women In Louisiana, Jake Jerome Guidry

LSU Master's Theses

The discussion regarding government benefits and reliance on welfare benefits is one that takes place in arenas of policymaking and academia alike. These discussions often focus on poverty that exists in densely populated metropolitan areas, resulting in a scarcity of research regarding unique characteristics of rural poverty. Eighty-four rural Louisiana women participated in a longitudinal study of the impacts of welfare reform in their lives. Twenty years later, two (N = 2) rural Louisiana women, each former welfare recipients, participated in an in-depth qualitative case study examining their transition away from welfare programs. Data show that neither woman was …


The Lived Experiences Of Rural Clinical Social Workers In North Carolina, Sarah Horne Jan 2020

The Lived Experiences Of Rural Clinical Social Workers In North Carolina, Sarah Horne

Walden Dissertations and Doctoral Studies

Rural clinical social workers face unique challenges when providing services to members of rural communities. To face these challenges and deliver culturally competent services, clinical social workers in rural communities must be specifically prepared for rural clinical social work. This study addressed issues of preparedness for rural clinical social work centered around rural clinical social work supervision in the context of the systems theory. The phenomenological design allowed for the exploration of the lived experiences of rural clinical social workers. Study participants who volunteered for study after being contacted via information provided to the North Carolina Social Work Board were …


Proving Their Love: Violence And Gender Norms In Descriptions Of Relationships Among Rural Mexican Adolescents, Heidi Adams Rueda, Steven Hoffman, Kaitlin Grytza Aug 2019

Proving Their Love: Violence And Gender Norms In Descriptions Of Relationships Among Rural Mexican Adolescents, Heidi Adams Rueda, Steven Hoffman, Kaitlin Grytza

Social Work Faculty Publications

Mexican youth from impoverished areas are at increased risk for experiencing relationship violence. Research in the United States has suggested that perpetration may be contextualized by culturally-influenced gender values, specifically performance of negative aspects of male masculinity (i.e., machismo) and its female counterpart (i.e., marianismo). This study utilized focus group methods to explore how middle school adolescents (N = 98) from a rural area of Central Mexico differentiate between healthy and unhealthy dating relationships.

We evoked a feminist developmental lens to interpret themes which centralized males as physical and sexual aggressors and to offer culturally-relevant program and practice recommendations.


Dop-Coroners’ Study 2019 Final Report: Assessing Coroners’ Needs, Brittany Willmore, B. Shine Cho, Jeanette Harder Aug 2019

Dop-Coroners’ Study 2019 Final Report: Assessing Coroners’ Needs, Brittany Willmore, B. Shine Cho, Jeanette Harder

Reports

The Nebraska Department of Health and Human Services (DHHS) partnered with Support and Training for the Evaluation of Programs (STEPs) at the University of Nebraska at Omaha to assess the needs of Nebraska county coroners in conducting drug overdose death investigations.

To develop a clear understanding of the Nebraska county coroners’ needs, STEPs conducted an online survey of 91 county coroners who are serving 93 Nebraska counties, according to Nebraska DHHS’s internal data. STEPs administered the survey on July 23, 2019, and closed it on August 16, 2019. 28 people participated in the survey and 25 completed it, giving a …


Proving Their Love: Violence And Gender Norms In Descriptions Of Relationships Among Rural Mexican Adolescents, Heidi Adams Rueda, Steven Hoffman, Kaitlin Grytza Jul 2019

Proving Their Love: Violence And Gender Norms In Descriptions Of Relationships Among Rural Mexican Adolescents, Heidi Adams Rueda, Steven Hoffman, Kaitlin Grytza

Faculty Publications

Mexican youth from impoverished areas are at increased risk for experiencing relationship violence. Research in the United States has suggested that perpetration may be contextualized by culturally-influenced gender values, specifically performance of negative aspects of male masculinity (i.e., machismo) and its female counterpart (i.e., marianismo). This study utilized focus group methods to explore how middle school adolescents (N = 98) from a rural area of Central Mexico differentiate between healthy and unhealthy dating relationships.

We evoked a feminist developmental lens to interpret themes which centralized males as physical and sexual aggressors and to offer culturally-relevant program and practice recommendations.


Ethics In Social Work Practice (With A Rural Twist), Paul Force-Emery Mackie May 2019

Ethics In Social Work Practice (With A Rural Twist), Paul Force-Emery Mackie

Social Work Department Publications

Social work ethics can be challenging, and in rural areas even more so. What do we know about how to practice in unique and often isolated geographic environments? Join Professor of Social Work and National Association for Rural Mental Health Past President Dr. Paul Mackie for a two-hour training focused on ways to address common ethical dilemmas and challenges faced by behavioral health providers in rural and low-population areas.


A Crisis In The Farming Community: A Pathway To Acceptable, Accessible And Available Mental Health Care In Rural Minnesota, Trevor Frybarger, Laura Koch, Kathy Thao, Taryn Wicks Apr 2019

A Crisis In The Farming Community: A Pathway To Acceptable, Accessible And Available Mental Health Care In Rural Minnesota, Trevor Frybarger, Laura Koch, Kathy Thao, Taryn Wicks

Master of Social Work Student Policy Advocacy Briefs

Minnesota relies on farmers to put food on our tables and to help drive our economy. The chronic stressors associated with an unstable farm economy is taking its toll on farm families all across Minnesota. Chronic stress can contribute to marital tensions, domestic violence, work disruption, depression, anxiety, and suicide. Minnesota has only 1 mental health counselor dedicated to doing outreach and crisis counseling to farm families. Many mental health professionals lack competency in working in rural communities, including understanding farm related stressors. Minnesota is doing some things right, like the Minnesota Farm and Rural Help Line. But, it needs …


Opioid Use Treatment Via Telemedicine: Treatment Options For Rural Maine, Benjamin Knapp Apr 2019

Opioid Use Treatment Via Telemedicine: Treatment Options For Rural Maine, Benjamin Knapp

Thinking Matters Symposium Archive

The ongoing opioid crisis has overwhelmed the traditional opioid use disorder (OUD) treatment resources across America. The treatment resources in rural communities have been especially hard hit as geographic and financial barriers limit service capacity. Telemedicine, or medicine delivered via remote means, has been proposed as a potential solution to the lack of conventional opioid treatment resources in rural Maine. Current legalities in the US prohibit telemedicine being used to prescribe opioid agonist drugs, and insurance reimbursement for telemedicine remains a major barrier. This qualitative content analysis looks at the existing research on telemedicine's treatment efficacy for use with OUD …


Expanding Full-Service Community Schools Into Rural Minnesota, Rachel Cox Raverty, Lindsey Gilbert, Jessica Goettl, Claire Otto, Korissa Smith Mar 2019

Expanding Full-Service Community Schools Into Rural Minnesota, Rachel Cox Raverty, Lindsey Gilbert, Jessica Goettl, Claire Otto, Korissa Smith

Master of Social Work Student Policy Advocacy Briefs

Communities throughout rural Minnesota would greatly benefit from full-service community schools to support academic achievement and contribute to thriving communities. Lack of health and human services, mental health disparities, and cultural divides are among the greatest concerns for students in rural areas. One in 5 children birth to eighteen has a diagnosable mental health condition and 1 out of every 10 children experience a mental health problem that is severe enough to impair how they function at home, in school, and in their communities. When youth come to school hungry or experiencing in-home trauma, academic success is hard to achieve. …


Women Ascending To Leadership Positions In Rural Nonprofit Organizations, Jose Carbajal, Kristin Bailey-Wallace, Bonita B. Sharma, Tiffany Bice-Wigington, Wilma Cordova, Shanta Scott, Aparecida De Fatima Cordeiro Dutra Jan 2019

Women Ascending To Leadership Positions In Rural Nonprofit Organizations, Jose Carbajal, Kristin Bailey-Wallace, Bonita B. Sharma, Tiffany Bice-Wigington, Wilma Cordova, Shanta Scott, Aparecida De Fatima Cordeiro Dutra

Contemporary Rural Social Work Journal

This study investigates women’s experiences as they ascended to leadership roles in nonprofit organizations in rural communities, primarily in East Texas. The aim of this study is to understand the lived experiences of women in top management as they ascend into leadership positions, as the characteristics and experiences of effective leaders in rural nonprofits may differ from those of urban nonprofit agencies. There is limited research regarding women’s leadership experiences in rural nonprofit organizations. Using a phenomenological inquiry approach, we interviewed 32 women currently serving in leadership roles in rural nonprofit organizations. The research question guiding this phenomenological study was: …


Trauma Social Workers' Perspectives On The Response Of Rural Social Work Agencies To Vicarious Trauma, Tiffany Ann Hardman Jan 2019

Trauma Social Workers' Perspectives On The Response Of Rural Social Work Agencies To Vicarious Trauma, Tiffany Ann Hardman

Walden Dissertations and Doctoral Studies

Social workers are susceptible to the potential negative impacts of vicarious trauma. Perspectives of trauma social workers on the responsiveness of rural social work agencies to vicarious trauma have not been explored even though the trauma-informed care model has been available since 2006 and outlines best practice in all settings of trauma social work. Considering the risk factors and negative effects vicarious trauma has on social workers, an increased understanding of the perspectives of social workers on how rural social work agencies are responding to vicarious trauma was needed. The purpose of this study was to explore this response through …