Social Work Commons^™

Refusing To Relax My Smile : Building Resistance Through Hip Hop Therapy : A Project Based Upon An Investigation At Beats, Rhymes And Life, Stephanie Clowdus

Theses, Dissertations, and Projects

This study explores how hip hop therapy programming promotes resilience in youth. Based in Oakland, CA, Beats, Rhymes and Life (BRL) provides hip hop therapy to 12-24 year olds through their Therapeutic Activity Groups (TAGs). The purpose of this study is to establish evidence of how TAGs improve psychological resilience in youth program participants and of BRL’s effectiveness as a culturally congruent mental health provider. This study is part of a larger program evaluation in efforts with five other student researchers completing Smith College School for Social Work theses. Additionally, this study in particular serves as a pilot of a …

Resilient Open Heart : An Exploration Of Compassion Fatigue, Compassion Satisfaction, And Spiritual Practice With End Of Life And Palliative Care Clinicians, Nathalie J. Rodriguez

Theses, Dissertations, and Projects

This quantitative study sought to explore how participation in spiritual practice related to self-reported levels of compassion fatigue and compassion satisfaction amongst a sample of 55 mental health clinicians in the end of life and palliative care field (EOLPC). The study used an online questionnaire to assess for levels and types of participation in spiritual practice. Additionally, the study utilized the Professional Quality of Life Scale Version V to measure compassion fatigue, compassion satisfaction, and burnout. The findings of this study demonstrated that participants had lower than average levels of compassion fatigue and burnout. Participant levels of compassion satisfaction were …

Clinicians' Experience Of Diagnosing Children With Oppositional Defiant Disorder (Odd) And Pediatric Bipolar Disorder (Pbd), Lenni Marcus

Theses, Dissertations, and Projects

Much of the research indicates that diagnosing children with mental illness is a murky issue that has serious implications. Mostly absent in the literature regarding pediatric mental illness is the clinician’s experience of diagnosing children. This study will help to address this gap by investigating clinicians’ experience of diagnosing oppositional defiant disorder (ODD) and pediatric bipolar disorder (PBD) in children across treatment settings. Specifically, this study will investigate (1) how clinicians understand the etiological factors contributing to children’s symptoms; (2) how clinicians are affected by mental health care policies and systems; (3) and lastly, how clinicians perceive both their personal …

Standing On The Edge Of The "Rubyfruit Jungle" : Lesbians Recall The Experience Of Questioning In Therapy, Emily Willstatter

Theses, Dissertations, and Projects

The purpose of this study was twofold: to pursue an existing gap in the literature on therapy with people questioning their sexuality; and to represent a lesbian perspective on the experience of questioning one’s sexual orientation. A previous study (Jones et al., 2003) found that gay and bisexual people who were uncertain of their sexual orientation at the start of therapy rated the treatment as overall less beneficial than gay and bisexual people who had begun therapy while certain of their identities. This study explored the possible reasons behind this finding by investigating a small (N=13) but diverse group of …

In Their Skin : A Discourse On The Modern Tattoo Experience For Adults Aged Thirty And Over, Margaret Feeney

Theses, Dissertations, and Projects

This qualitative study was undertaken to determine what meaning individuals aged 30 and over with large scale tattoos place upon those tattoos. More specifically, to establish the motivating factors led these individuals to get tattooed, along with the meaning, if any, is placed upon them. Ten individuals aged 32-64 were interviewed regarding their tattoos. Half of the individuals were tattooed for the first time during adolescence. All individuals were interviewed regarding their motivations for getting tattooed as well as any meanings they place on specific pieces. The findings of the research showed the driving force behind getting tattooed to be …

Presenting Image/Presenting Symptoms : Clinicians' Diagnoses Of Black Women In The Therapeutic Space, Kim Teresa Dubose

Theses, Dissertations, and Projects

This was a mixed methods study that used both random and non-random purposive snowball convenience sampling. The purpose of the study was to investigate whether clinicians issue more severe psychotic DSM diagnoses (schizophrenia and schizoaffective disorders) to Black female clients than to White female clients when implicitly primed with cultural archetypes unique to Black women. The research questions were, “Do clinicians issue more severe and stereotype-consistent diagnoses to Black female clients than they do to White female clients;” and “Is there a difference in reaction time in clinician diagnosis of severe psychotic disorders between a clinically-identical Black female vignette and …

Seven Self-Care Strategies, Joshua Miller

School for Social Work: Faculty Publications

No abstract provided.

"Stop Resisting!" : An Exploratory Study Of Police Brutality And Its Impacts On Black And Latino Males, Their Communities, Mental Health And Healing, Manuel A. Ortiz

Theses, Dissertations, and Projects

The purpose of this qualitative research study was to explore the impacts of police violence on Black and Latino males and their communities while also examining avenues of healing that could be helpful for survivors. Generally, this study focused on this question: What is the potential mental health effect of police brutality on Black and Latino males and what are avenues for healing for those affected? Twelve individual participants who identified as activists, advocates, or organizers in the Bay Area of Northern California participated in qualitative interviews that explored the impact of police violence and healing avenues. Participants were asked …

Adhd Or Ptsd? : Exploring The Overdiagnosis Of Adhd In Minority Boys With The Potential Of Ptsd, Megan A. Negron

Theses, Dissertations, and Projects

Attention Deficit Hyperactive Disorder is a common diagnoses for school aged children. Studies have indicated that within these diagnoses children of color are disproportionately diagnosed in comparison to their white counter parts. Many have questioned whether this disproportionately comes from a lack of cultural awareness on the part of the clinician and/or a potential misdiagnosis of trauma that be being missed throughout the evaluation process. In this study 6 licensed social workers who have worked with Latino boy in the past were interviewed. They were asked to discuss their evaluation process and what measures they take to rule out a …

Holocaust Narratives : Exploration Of The Emotional Impact Of Disclosure Status Among First, Second, And Third Generation Holocaust Survivors, April M. Christman

Theses, Dissertations, and Projects

The current study explored the possible relationship between disclosure of Holocaust related narratives and emotional well-being among Holocaust survivors as well as children and grandchildren of Holocaust survivors. This study further considered how methods of disclosure and number of disclosure methods used related to emotional wellbeing and overall benefit or harm of the disclosure experience among first, second, and third generation Holocaust survivors. A sample of 147 Holocaust survivors and descendants completed an online survey consisting of Likert scales to rate the perceived benefit or harm of their disclosure experience and opportunities to offer narrative describing their disclosure experience. Three …

Transfigured Treatment : A Comparative Needs And Specialized Services Assessment Of Transgender Youth And Gender Specialist Providers In The Bay Area, Lark E. Nierenberg

Theses, Dissertations, and Projects

Transfigured Treatment is a mixed-methods study that aims to assess and improve multidisciplinary clinical care for transgender and gender expansive youth in the Bay Area. This trans-led research is a joint needs- and services-assessment of local gender-specialized care, including mental health support, access to medical care, and housing assistance. Transfigured Treatment is a tool with which to share histories of need and transform them into legacies of care. Participants were recruited via non-probability sampling and data were collected via an anonymous online survey. Adult participants must have/had a gender expansive identity while living in the Bay Area at some point …

Maintaining Community Roots : Understanding Gentrification Through The Eyes Of Long-Standing African American Residents In West Oakland, Karessa Irvin

Theses, Dissertations, and Projects

The study was undertaken to understand how long-standing African Americans residents of West Oakland believe they can maintain community roots during processes of gentrification. A second major question was: What are the implications for community based social workers.

Snowball sampling and convenience sampling were the methods used to recruit participants for the study. Thirteen in-person interviews were conducted, regarding study contributors’ perceptions of the West Oakland neighborhood, neighborhood changes, and understanding of community roots and how to maintain them.

The major findings of the study were congruent with some previous research of gentrification as participants defined gentrification in terms of …

The Integrationists : Exploring The Experiences Of Third Culture Kid Psychotherapists, Carly S. Inkpen

Theses, Dissertations, and Projects

This study was undertaken to explore how being a third culture kid (TCK) impacts the experience of working as a psychotherapist. A TCK is a person who spent a significant part of their developmental years living outside their passport country, often moving between numerous countries. This study sought to understand the unique perspective that TCKs bring to psychotherapy work and to increase the visibility of transnational, multicultural therapists and clinicians of color in the clinical literature.

Sixteen TCK psychotherapists on five continents were interviewed, responding to a range of questions about how their TCK identities impact their experience of clinical …

It's Time To Talk About Sex And Social Work : Why Human Sexuality Education Matters For Social Work Practice, Sophia R. Glass

Theses, Dissertations, and Projects

This researched investigated human sexuality training received in social work programs and its impact on clinical practice. Specifically, it examined clinicians’ comfort and competency addressing sex and sexuality related topics with clients. 67 participants were recruited via a nonprobability snowball sampling technique, and data was gathered anonymously through a secure web-based survey instrument. The findings supported the author’s hypothesis that there is a substantial lack of human sexuality training in social work programs despite the finding that sexuality is highly relevant to clinical work. Barriers to social workers effectively addressing these topics with clients were identified as inadequate education and …

"You Are In A Better Position To Protect People When You Feel Like You're Protected Yourself" : To What Extent Does Union Membership And Ethical Clinical Social Work Practice Align? : An Exploratory Study, Robyn K. Douglass

Theses, Dissertations, and Projects

The purpose of this study was to examine the question: “to what extent does union membership and ethical clinical social work practice align?” by interviewing Licensed Clinical Social Workers (LCSW) working within unionized environments. The study focused on the experience of these clinicians within their current working environment and how being a union member allowed them to be able to provide ethical clinical social work practice to their clients/patients. The most compelling findings from this research were that the clinicians felt that union membership did align with providing ethical clinical social work practice to their populations within their agencies or …

Trust, Jealousy And Communication In Long-Term Couples Practicing Consensual Non-Monogamy, Christina Wang

Theses, Dissertations, and Projects

This cross-sectional exploratory quantitative study examined trust and communication patterns among adults practicing consensual non-monogamy (CNM). Previous relationship research in this area has primarily examined couples in demographically homogenous relationships (heterosexual, white, and married). A review of the literature suggested that adults engaging in consensual non-monogamy are more diverse. Our recruitment strategies and study design was successful in recruiting a more diverse group of participants. Twenty-eight adults in long-term CNM relationships completed a 56-item online questionnaire. Responses were examined to explore the relationship between communication patterns and relationship tenure. The relationship tenure of couples and the gender preference of participants …

Impact Of Support Groups On Kinship Care Providers : A Project Based On An Investigation At Community Coalition, Los Angeles, California, Judith Farber Weissman

Theses, Dissertations, and Projects

The purpose of this study was to explore how peer support groups influence kinship care providers’ (KCPs’) sense of self-worth and empowerment, and how they impact KCPs’ ability to advocate on behalf of the children in their care. Few studies to date have examined self-worth in the realm of KCPs’ parenting issues of guilt and regret, nor have they explored whether support group participation encourages relearning parenting skills and therefore instills a sense of empowerment. Although the majority of KCPs in the United States are informal care providers, most prior research on this population focused on formal kinship care providers; …

"Resisting Disconnection" : An Exploratory Study Of Transgender Adults' Experiences Of Community Support And Resilience, Aj Metthe

Theses, Dissertations, and Projects

This qualitative study collected narrative data from transgender adults about their experiences of community support from other transgender individuals and about their experience of their own resilience. Due to previous research findings about the marginalization of transgender populations, particular attention was paid to narrative data that explicitly suggest structural oppression. Narrative data were collected from two samples drawn from adult transgender populations. One sample (N=12) participated in hour-long semi-structured individual interviews (Interview Sample [IS]). Another sample (N=4) participated in a Focus Group [FGS]) conducted at a transgender conference in the northeast.

The major findings that emerged from participants’ reports of …

Servicenet Participatory Action Research Program Evaluation : A Project Based On An Independent Investigation At Servicenet In Northampton, Ma, Heather L. Crawford, Caroline W. Evans, Margot E. Reilly

Theses, Dissertations, and Projects

This research project sought to evaluate if program participants of ServiceNet’s Mental Health Recovery Services (MHRS) feel supported to meet their self defined needs and goals. These researchers were guided by the principles of Participatory Action Research (PAR) and facilitated three focus groups who designed a mixed methods survey tool to be distributed by ServiceNet Recovery Counselors. Twelve surveys were refused and returned unopened, 56 program participants received the survey envelopes and did not return them, and 34 surveys were returned completed (n=34).

Participants demonstrated high satisfaction around housing, transportation, personal growth, emotional support, feeling treated like a human being, …

Hospice Social Work And The Patient Protection And Affordable Care Act, Christine A. Couture

Theses, Dissertations, and Projects

This study was undertaken to explore how hospice social workers based at United States hospice agencies perceive changes in their work responsibilities in relation to the Patient Protection and Affordable Care Act (PPACA). Secondly, this study sought to explore hospice social worker support of the Patient Protection and Affordable Care Act healthcare policy reform.

A nonprobability sample of availability was used to find research participants. The researcher recruited participants through online social and professional networking groups and forums and by snowball sampling methods. Self-selected participants electronically confirmed their eligibility for participation in the study, prior to completing the 20-question online …

"War Was Either Going To Be A Skeleton In My Closet Or I Could Try To Make It Something Else" : An Exploration Of Moral Injury, Moral Repair, And Veteran Anti-War Activism, Zoe Rose Rudow

Theses, Dissertations, and Projects

This exploratory study investigates the impact of collective anti-war organizing on veterans’ experiences of moral injury. Moral injury refers to the emotional, psychological, and spiritual unrest that emerges as the result of “perpetrating, failing to prevent, [or] bearing witness to… acts that transgress deeply held moral beliefs and expectations” in the context of war (Litz et al., 2009, p 695). While current literature centers treatment for moral injury through clinical interventions, this study investigates if and how anti-war activism can provide a process for moral repair. Qualitative interviews with six veteran anti- war activists reveal that many intervention steps proposed …

Unhealthy Weight Control Behaviors In Adolescents : Are There Classes Of Risk?, Grace M. Van Schoick

Theses, Dissertations, and Projects

This quantitative secondary analysis was undertaken to determine if classes of risk exist for the use of Unhealthy Weight Control Behaviors (UWCBs) in adolescents. Engagement in UWCBs increases the likelihood that an adolescent would develop a full-syndrome eating disorder, which are both difficult and expensive to treat. Using data previously collected as part of the 2013 Youth Risk Behavior Surveillance System, it was possible to conduct a Latent Class Analysis (LCA) using 8,885 responses which contained data about a number of potential risk factors that might influence a participant’s likelihood to engage in UWCBs. Factors considered were gender, race/ethnicity, experiences …

Student Satisfaction With The Quality And Quantity Of Mental Health Services Offered By Their Msw Programs, Willa R. Mayo

Theses, Dissertations, and Projects

This study sought to explore the mental health needs of clinical MSW students, and the degree to which they feel satisfied by the quality and quantity of mental health services provided to them by their schools. For this mixed-methods study, 111 current MSW students were surveyed, representing twenty eight different graduate programs. Participants reflected on their experiences with counseling services at their schools and commented on their level of satisfaction with the resources provided to them. Overall, 13% of respondents reported being “somewhat” or “very satisfied,” 31% were “not very” or “not at all” satisfied, and 50% were “neutral.” Areas …

Toxic Stress : Exploring Mental Health Narratives Of Environmental Justice In Richmond, California, Elizabeth Gonzalez

Theses, Dissertations, and Projects

The purpose of this exploratory study was to gather narratives of residents and/or community members who perceive the presence of the Richmond Chevron Oil Refinery in their community as a psychological stressor. The study used semi-structured interviews with eight community organizers and activists to gather qualitative data providing personal accounts of the possible psychological impact of living near a toxic facility with great political power in the city. The common trend among the narratives was the tendency of the participants to focus on a macro interpretation of how mental health is affected by a corporate giant. A collective sense of …

Caregiver Involvement In Child And Adolescent Psychiatric Inpatient Care : A Clinician's Perspective, Erika Wentworth

Theses, Dissertations, and Projects

This mixed-methods exploratory study aimed to contribute to the knowledge about caregiver involvement during child and adolescent inpatient psychiatric treatment, as it is the most agreed upon factor of treatment outcomes by both psychiatric providers and previous research. Thirty-two licensed clinicians who either currently work or worked within the last five years on child and/or adolescent psychiatric inpatient units completed an online survey. The survey included both multiple choice and open ended questions about participants’ perceptions of how they involved caregivers during treatment as well as the involvement of the unit and day programming. The findings of the study confirmed …

Clinician Perceptions Of Harm Reduction, Psychotherapy And The Role Of Traditional Abstinence Models, Abigail R. Vayda

Theses, Dissertations, and Projects

This study sought to better understand clinicians’ perceptions of harm reduction, psychotherapy, and the role of traditional abstinence models when working with actively using clients. This study analyzed the results from a survey completed by 52 practicing clinicians in the United States. The survey contained demographic questions and Likert scale questions measuring attitudes toward harm reduction, abstinence, and psychotherapy with actively using clients. In addition to rating questions, there was also one open-ended question allowing participants to express their understandings of the development of a substance use disorder. The overall response to this survey was a positive attitude toward harm …

Social Work Professional Ethics, As Affected By The Concept Of The Wounded Healer : An Investigation Into The Gatekeeping Practice Of Clinical Social Work Supervision, Cristina B. Bloom

Theses, Dissertations, and Projects

The objective of this exploratory qualitative study was to assess how the field of social work currently maintains and preserves professional social work ethics in the clinical practice field. This study sought to understand how, in a field where the self is one of the main tools utilized, the field ensures that the practitioner’s self is fit to practice and to do so ethically. This is of particular significance in a field that research indicates that high percentages of people are attracted to because of challenging personal life experiences (Lackie, 1982; Marsh, 1988; Vincent, 1996). More specifically, this study centered …

Social Identities Of Clients And Therapists During The Mental Health Intake Predict Diagnostic Accuracy, Ora Nakash, Tamar Saguy

School for Social Work: Faculty Publications

Across countries, common mental disorders are often more prevalent and/or more persistent among disadvantaged members (e.g., ethnic minorities) compared with advantaged group members. Although these disparities constitute a heavy challenge to national health organizations, there is little empirical evidence to help account for the mechanism underlying them. In this study, conducted in clinics across Israel, we investigated processes, rooted in the clinical encounter that may contribute to mental health disparities. We focused on the accuracy of diagnostic decisions, which are likely to substantially impact the client’s prognosis. Therapists’ diagnostic decisions following the initial intake with their client were compared with …

Assessment Of Clinical Information: Comparison Of The Validity Of A Structured Clinical Interview (The Scid) And The Clinical Diagnostic Interview, Rebecca Drill, Ora Nakash, Jared A. Defife, Drew Westen

School for Social Work: Faculty Publications

Adaptive functioning is a key aspect of psychiatric diagnosis and assessment in research and practice. This study compared adaptive functioning validity ratings from Structured Clinical Interviews (SCIDs, symptom-focused structured diagnostic interviews), and Clinical Diagnostic Interviews (CDIs, systematic diagnostic interviews modeling naturalistic clinical interactions focusing on relational narratives). Two hundred forty-five patients (interviewed by two independent interviewers) and their interviewers completed the Clinical Data Form which assesses adaptive functioning and clinical information. Both interviews converged strongly with patient-reports, with no significant differences in validity of the interviews in measuring global and specific domains of adaptive functioning variables. Findings suggest that CDIs …

Primary Mental Health Prevention Themes In Published Research And Academic Programs In Israel, Ora Nakash, Liat Razon, Itzhak Levav

School for Social Work: Faculty Publications

Background: The World Health Organization Comprehensive Mental Health Action Plan (CMHAP) 2013-2020 proposes the implementation of primary prevention strategies to reduce the mental health burden of disease. The extent to which Israeli academic programs and published research adhere to the principles spelled out by the CMHAP is unknown. Objective: To investigate the presence of mental health primary prevention themes in published research and academic programs in Israel. Methods: We searched for mental health primary prevention themes in: (1) three major journals of psychiatry and social sciences during the years 2001-2012; (2) university graduate programs in psychology, social work and medicine …