Social Work Commons^™

Supporting Father Involvement: An Intervention With Community And Child Welfare–Referred Couples, Marsha Kline Pruett, Philip A. Cowan, Carolyn Pape Cowan, Peter Gillette, Kyle D. Pruett

School for Social Work: Faculty Publications

Objective: To expand the evidence base of the Supporting Father Involvement (SFI) intervention to include child welfare families. Background: Taking a preventive father-inclusive approach, SFI aims to strengthen coparenting, parent–child relationships, and child outcomes. This study replicates 4 prior iterations of the program using the same 32-hour curriculum facilitated by clinically trained staff, case managers, and onsite child care and family meals. Method: Participants (N = 239) included low-income (median = $24,000) coparenting pairs, typically mothers and fathers/father figures, half of whom were Mexican American, with toddlers (median age < 3 years). Questionnaires assessing multiple family domains were administered verbally over an 18-month period. Intervention effectiveness was tested through a randomized control trial with immediate treatment or waitlist–control groups using a moderated mediator structural equation model. Results: The model explained 49% to 56% of the variance in children's problem behaviors (intervention and autoregressive effects). The intervention reduced couple conflict, which reduced anxious and harsh parenting, leading to better child outcomes. The intervention was equally effective for community and child welfare–referred families and family dynamics pathways were similar across conditions. Conclusion: With its intentional outreach and inclusion of fathers, SFI offers an effective intervention for lower risk child welfare–involved families. Implications: Results argue for the utility of treating community and child welfare parents in mixed-gender prevention groups that focus on strengthening multiple levels of family relationships.

Change In Patient Activation And Mental Illness Symptoms After Communication Training: A Multisite Study With A Diverse Patient Sample, Mengchun Chiang, Janet Chang, Ora Nakash, Mario Cruz-Gonzalez, Mirko K. Fillbrunn, Margarita Alegría

School for Social Work: Faculty Publications

Objective: Patient activation involves patients’ ability and motivation to communicate about their health and health care. Research has demonstrated that clinician or patient interventions may improve patient activation. This study explored the degree to which clinician and patient interventions affected both patient activation and symptoms of depression and anxiety in a racially and ethnically diverse clinical sample. Methods: Data were from a randomized clinical trial that included 312 patients and 74 clinicians from 13 Massachusetts community- and hospital-based outpatient behavioral health clinics. Patients completed measures of patient activation and depression and anxiety symptoms. Secondary data analyses were conducted to examine …

Culture, Gender, And The Social Construction Of Borderline Personality Disorder, Allegra L. Comas

Theses, Dissertations, and Projects

This qualitative study investigates the ways in which culture, gender, and language inform the clinical subjectivity of licensed clinical social workers, marriage and family therapists, and psychologists working with women that present with behaviors associated with BPD as ascribed in the DSM III-V. Psychiatrists who produced BPD argue there is a biological basis to the diagnosis, which has never been proven. The majority of literature on BPD primarily focuses on the patients’ behaviors that may meet the legally codified criteria. However, little scholarship is published about the counter-transference and cultural bias of psychotherapists while diagnosing, treatment planning, and using appropriate …

Psychosocial Capacity Building In Response To Cascading Disasters: A Culturally Informed Approach, Joshua Miller, Gianluca Pescaroli

School for Social Work: Faculty Publications

The dominant paradigm guiding mental health professionals responding to major disasters is the field of 'disaster mental health', which historically focused more on psychological factors than social factors, privileging individual over collective interventions. However, resilience to complex events is a result of multiple drivers, such as social networks and local culture, that must be considered together in the assessment and planning process. This paper adopts a multi-disciplinary perspective for disaster response, applying a social-ecological approach to disaster risk reduction which has been developed through practice and a review of the literature. In particular, we investigated how psychosocial healing, collective efficacy …

Perceptions Of Intra-Familial Child Sexual Abuse And Intimate Parent-Child Interactions, Qian-Wen Xie, Joshua Miller

School for Social Work: Faculty Publications

The current study aimed to explore Chinese undergraduate students’ perceptions of intimate parent-child interactions (IPCI) and intra-familial Child Sexual Abuse (CSA) as well. 354 undergraduate students from 15 universities or colleges in Beijing were recruited to participate in an online-based survey. Results indicated that IPCI such as co-bathing and co-sleeping were very common among Chinese undergraduate students during childhood. Factors including the child’s age and gender, as well as the parent’s gender involved in IPCI were found to impact respondents’ perceptions of the appropriateness of those interactions. Moreover, respondents’ perceptions of the appropriateness of parent-child intimate interactions might also be …

Collaborative Psychosocial Capacity Building In Northern Uganda, Joanne Corbin, Joshua Miller

School for Social Work: Faculty Publications

Armed conflicts affect an increasing number of children and families worldwide. War-torn communities often require external resources to address the overwhelming psychosocial needs during and after such violence. This article provides information about a psychosocial training-of-trainers (TOT) program designed by a team of United States and Ugandan practitioners to enhance the knowledge and skills of local community members providing psychosocial support. The conceptual framework of collaboration was used to analyze the work of the TOT facilitators and participants, and identify implications for continued efforts. Discussions among facilitators and between facilitators and participants were essential to developing shared goals, exchanging knowledge …

Embodied Connections: Engaging The Body In Group Work, Alissa Kimmel, Annemarie Gockel

School for Social Work: Faculty Publications

Group work is a key modality in social work practice. In this study, we sought to explore how the growing trend toward body-oriented psychotherapy is being integrated into group work, and to identify the potential significance of this trend for social work practice with groups. We conducted in-depth interviews with 20 practitioners engaged in developing this emerging form of practice across the United States, and used thematic analysis to identify how integrating body-oriented psychotherapy may impact the nature and practice of group work from their perspectives. The overarching theme identified was that using body-oriented psychotherapy serves to Deepen the Group …

Increasing Equity In Access To Mental Health Care: A Critical First Step In Improving Service Quality, Margarita Alegría, Ora Nakash, Amanda Nemoyer

School for Social Work: Faculty Publications

No abstract provided.

When There Are No Therapists: A Psychoeducational Group For People Who Have Experienced Social Disasters, Joshua Miller, Xiying Wang

School for Social Work: Faculty Publications

A social disaster is when categories of people are politically or socially targeted by virtue of their social identities and suffer ongoing targeting and oppression. Survivors of social disasters often experience similar traumatic symptoms as those of survivors of natural disasters but, unlike most other types of disasters, the threats that caused the trauma and the conditions that undermine survivor’s identity, safety, trust, and sense of control continue to exist. This article shares a model of a psychoeducational group developed and field tested by the authors and used with a group of people targeted because of their queer identities.

The Ethics Of Dying : An Exploration Of The Right To Suicide And Clinician Response To Self-Determination And Suicidal Ideation Among Adults Who Struggle With Mental Illness, Shelley Bair

Theses, Dissertations, and Projects

This paper explores the question: What beliefs, values and assumptions do social workers hold when assessing whether or not a person who is a mental health client has the right to suicide? The current literature reveals that individuals struggling with physical disorders deemed extreme and untreatable are likely to be accepted as rational grounds for suicide. Underrepresented in extant research is the critical examination of the desire to die as a rational versus pathological and treatable response to mental health concerns. The study question is examined, in part, through the lens of the Code of Ethics presented by the National …

Living Well In The Lives Of African American Women With Chronic Illness, Gabrilla Ballard

Theses, Dissertations, and Projects

Finding support for African American women with chronic illnesses is challenging. It often requires these women to identify, cultivate, and nurture practice structures that go beyond medical structures already in place to aid in the maintenance of their health conditions. Outside of these structures, the resources needed to support the women are limited. They do not include the scope of modalities necessary to address their unique health presentations and holistic need for medical, emotional and spiritual health. Additionally, intersecting systems of oppression pose challenges to African American women when trying to access resources that could support their overall well-being. This …

Caregiver Experiences Of A Therapeutic Nursery Program : An Exploratory Study, Jaimie Tyler

Theses, Dissertations, and Projects

The purpose of this qualitative exploratory study was to increase our understanding of caregiver experiences whose children use the services of early-intervention programs. The primary value of this study is a better understanding of caregiver perceptions of program aims (how they understand the program), program impact (what they feel or believe it has done/ is doing for them), and program relationships (how they view their family’s relationships with staff). The goal was to add to the limited body of literature on the therapeutic nursery programs by seeking to better understand overall caregiver perceptions and experiences of one such program located …

Program Evaluation Of A Transitional Age Youth Program : A Project Based Upon An Investigation At Servicenet, Northampton, Massachusetts, Andrea Carnegie Chester

Theses, Dissertations, and Projects

This study was designed to survey participants of ServiceNet’s Transitional Age Youth (TAY) program to solicit feedback regarding program effectiveness in meeting their needs. Surveys were designed with ServiceNet staff to solicit participant perspectives on the importance of program goals, and satisfaction with program services in meeting those goals. Surveys included quantitative and qualitative questions, and were distributed to all active TAY program participants. Respondents placed the greatest emphasis on TAY program goals regarding living independently and housing. Subjects were somewhat less satisfied with program services geared towards employment services. Overall, subjects were very positive about TAY staff, particularly regarding …

Socioeconomic Status And Autism Spectrum Disorder : Caregivers' Solutions To Overcoming Service Barriers, Rachel Rodriguez

Theses, Dissertations, and Projects

This study attempted to remedy the existing research gaps by asking: How does SES of caregivers for children with ASD influence their ideas of service barrier solutions? The purpose of this study was to examine caregivers’ perspectives of service barrier solutions and how SES influences their ideas of solutions. It was hypothesized that high SES caregivers would report experiencing less service barriers than low SES caregivers; therefore, there would be a difference in their ideas of solutions. This study explored sources of information, service barriers, ideas of solutions to barriers, and how solutions may improve caregivers’ abilities to care for …

In The Wake Of Vicarious Traumatization : Making Meaning Through Jungian Theory And Engaged Buddhism, Angel Haydn Reed

Theses, Dissertations, and Projects

No abstract provided.

Enhancing Paternal Engagement In A Coparenting Paradigm, Marsha Kline Pruett, Kyle D. Pruett, Carolyn P. Cowan, Philip A. Cowan

School for Social Work: Faculty Publications

Despite the benefits for children and families of fathers who are involved positively with their children, most parenting programs in the United States and globally focus on and collect evaluation data from mothers almost exclusively. Engaging fathers is still viewed as a complex endeavor that is only somewhat successful. In this article, we summarize what is known about engaging fathers in parenting programs, then argue that programs are most effective when coparenting is the focus early in family formation. We rely on two decades of the Supporting Father Involvement program as an example of an initiative that has been effective …

Enhancing Father Involvement In Low-Income Families: A Couples Group Approach To Preventive Intervention, Marsha Kline Pruett, Kyle Pruett, Carolyn Pape Cowan, Philip A. Cowan

School for Social Work: Faculty Publications

To address the problem of fathers’ absence from children’s lives and the difficulty of paternal engagement, especially among lower income families, government agencies have given increasing attention to funding father involvement interventions. Few of these interventions have yielded promising results. Father involvement research that focuses on the couple/coparenting relationship offers a pathway to support fathers’ involvement while strengthening family relationships. Relevant research is reviewed and an exemplar is provided in the Supporting Father Involvement intervention and its positive effects on parental and parent-child relationships and children’s outcomes. The article concludes with policy implications of this choice of target populations and …

How Our Service Systems Impact Resiliency And Recovery Of Domestic Violence Survivors : Clinical Perspectives, Emily Riddle Jacobs

Theses, Dissertations, and Projects

This qualitative research study explores clinicians’ perceptions of how current social service systems impact domestic violence survivor resiliency and recovery from abuse. The study utilizes a narrative analytic approach examining semi-structured interviews gathered from nine clinicians working in the trauma field. Through using the theoretical frames of intersectionality, trauma theory, and post-traumatic growth theory, the study focuses on the potential for growth and resilience among trauma survivors. This study found that survivors experienced more nuanced post-traumatic growth with ambivalence around new self-development, resiliency, and feelings of empowerment. The research suggests that the current social service systems re-traumatize survivors and replicate …

Experiences Of Canadian Oncologists With Difficult Patient Deaths And Coping Strategies Used, Leeat Granek, L. Barbera, O. Nakash, M. Cohen, M. K. Krzyzanowska

School for Social Work: Faculty Publications

Objectives We aimed to explore and identify what makes patient death more emotionally difficult for oncologists and how oncologists cope with patient death. Methods A convenience sample of 98 Canadian oncologists (50 men, 48 women) completed an online survey that included a demographics section and a section about patient death. Results More than 80% of oncologists reported that patient age, long-term management of a patient, and unexpected disease outcomes contributed to difficult patient loss. Other factors included the doctor–patient relationship, identification with the patient, caregiver-related factors, oncologist-related factors, and “bad deaths.” Oncologists reported varying strategies to cope with patient death. …

You Don't Know How Strong You Are Until Being Strong Is Your Only Option : Examining Resiliency In Survivors Of A Parent Or Caregiver's Suicide, Haley A. Rice

Theses, Dissertations, and Projects

Suicide is a prevalent public health issue in the United States as it intimately effects many Americans annually. This study explored the bereavement and coping processes as well as strength and resiliency of adult children who lost their parent to death by suicide. Twelve adult children were recruited for this study through social media and suicide support groups. Participants were interviewed by phone and interviews were transcribed and analyzed using an inductive approach. The following themes were identified: intensity of the loss, secondary trauma of suicide, feelings of stigma, solace in talking about their parent, researching mental illness, attending grief …

Gestalt Therapists' Perspectives On Gender In The Therapeutic Relationship : Implications For Anti-Oppressive Practice, Benjamin Philip Borkan

Theses, Dissertations, and Projects

This study seeks to explore How does Gestalt therapy training influence therapists in navigating clinical encounters involving gender identity? Gestalt therapists’ responses noted the importance of authenticity, contact, ability to question biases, self-examination, personal responsibility, and the therapist’s sense of their own gender identity privilege and oppression. Gestalt therapy is contrasted with anti-oppressive practice principles, in which there are congruent philosophies between Gestalt therapy and anti-oppressive practice principles. Participants’ and this author’s recommendations for future research include further research on the efficacy of Gestalt therapy training in working with varying identities, as well as gathering perspectives from people of marginalized …

A Mixed-Method Study Examining The Intersection Of Race And Sexual Violence Among Lgbtq Prisoners, Sarah J. Aftab

Theses, Dissertations, and Projects

The current mixed-method study examined the intersection of race and sexual violence among LGBTQ prisoners while incarcerated. The study used secondary data from a survey of LGBTQ prisoners collected by an organization in 2014 (N=1093). Historically, the criminal justice system has criminalized and discriminated against LGBTQ persons, and reports show a prevalence of abuse occurs during incarceration. Quantitatively, the study aimed to determine a relationship between race and sexual violence; qualitatively, it aimed to understand how prisoners in this study experienced sexual violence. Findings suggested: Black, Latinx/Hispanic, and Mixed race prisoners had significantly lower likelihood of unwanted touching …

An Exploration Of The Relationship Between Religion And Spirituality And Acculturation Stress Among International Students In The Western Massachusetts, Mun Ying Kennis Cheng

Theses, Dissertations, and Projects

This quantitative study examined the relationship between religion and spirituality and acculturative stress among international students (n=38) in two colleges in Western Massachusetts. This study utilized three well-validated tools to measure acculturative stress for international students, religion and spirituality, and intrinsic religious motivation to test the hypothesis that religion and spirituality can help international students lessen their acculturative stress. The findings suggested no significant correlation between the variables, possibly due to a small sample size. The results showed that over 55% of students had some type of religious affiliation, and over 63% indicated they either attended churches or practiced meditation …

Do Characteristics Of Children And Families Influence Reported Caregiver Burden? : A Secondary Data Analysis Of The 2009-2010 National Survey Of Children With Special Health Care Needs, Chelsea Davies

Theses, Dissertations, and Projects

Children with special health care needs (CSHCN) make up 15% of U.S. children 18 and under. They require increased specialized care, which may pose unique challenges to families. Prior research suggests families from historically disenfranchised groups may experience greater burden due to systems of structural oppression. This quantitative secondary data analysis of the 2009-2010 National Survey of CSHCN (N=40,242) uses a cross-sectional design, testing whether family characteristics (race/ethnicity, caregiver’s gender or education level, and number of CSHCN in the home) or a child’s functional difficulty (chronic pain, behavior, anxiety/depression) are significantly associated with caregiver burden. Results suggest significantly greater time, …

Kinship Diversion : Exploring Experiences Of Relative Probate Guardianship In Los Angeles, Ca., Alison Davies

Theses, Dissertations, and Projects

This qualitative study explored the characteristics and experiences of relative caregivers in Los Angeles County who were involved in a child welfare practice called “kinship diversion.” It specifically examined cases in which caregivers were diverted to probate court to obtain legal guardianship of their relatives' children as an alternative to opening a case with the child welfare system due to allegations of abuse or neglect against the biological parents. Five kinship caregivers were interviewed with a focus on answering the questions of who is diverted to legal guardianship, and why?

The findings of this study showed that diversion occurred …

Perinatal Depression Screening : Using Antenatal Depression Screens And Patient Demographics To Predict Risk For Postpartum Depression :, Jackson Doyle

Theses, Dissertations, and Projects

This study examined the relationship between antenatal depression and postpartum depression in pregnant women at a family health clinic. The aim was to determine whether antenatal depression screens predicted postpartum depression. The Edinburgh Postnatal Depression Screen (EPDS) was used to screen for depression in 411 pregnant women during the first trimester, third trimester and postpartum phases of pregnancy. Risk factors including patient body mass index, socioeconomic status and marital status were considered predictors of perinataldepression. EPDS scores were analyzed over the three time periods and were compared to body mass index, socioeconomic status and marital status. Results indicated that third …

Found In Translation : How Social Work Education Can Support Student Practice With Language-Discordant Client Systems, Martha Ann Early

Theses, Dissertations, and Projects

This study’s research question was "How can schools of social work support their students to work with language-discordant client systems (LDCS)?" In addition to the need for general support, social work students are preparing to enter a field where the patient population is growing increasingly diverse in terms of ethnicity, culture and language ability. Participants in the study described herein were current and recent social works students who were recruited for sample membership via broad social media outreach, supplemented with outreach to the researcher's professional network

The findings of this study indicate that the role of schools of social work …

Working With Trauma : A Qualitative And Retrospective Exploration Of The Experiences Of Clinicians Who Work With Trauma, Allyson Rebecca Lent

Theses, Dissertations, and Projects

The current study explored the gap in understanding the experiences of clinicians who work with trauma given the interesting intersection of high prevalence of trauma and demonstrated lack of training in working with trauma survivors. To this end, this qualitative and exploratory study sought to gain a retrospective understanding of clinicians’ training and career experiences in an effort to glean what has worked well in preparing skilled clinicians to work with trauma. Findings confirmed that clinicians do not feel prepared to do trauma work upon graduating from their degree programs and that they must seek out training opportunities in order …

Classism In The Therapeutic Alliance : Implications For Clinical Social Work Practice, Taylor Millard

Theses, Dissertations, and Projects

This qualitative study was an exploration of the impact of classism in the therapeutic alliance, specifically from a power, privilege, and oppression framework, and with attention to participants’ salient intersecting identities. Twelve clinicians, who identified with working class backgrounds and who had engaged in therapy as both clinicians and clients, engaged in semistructured qualitative interviews. The findings indicated that classism was salient to participants’ intersectional subjectivities and to their experiences in the field. Significantly, participants all named experiences in which a systemic lack of attention to classism and/or social class identities led them to feel alienated and silenced as students, …

A Correlative Analysis Of Mystical Experiences And Lasting Symptom Improvement From Mdma-Assisted Psychotherapy For Treatment-Resistant Ptsd : A Project Based Upon An Investigation Sponsored By Multidisciplinary Association For Psychedelic Studies (Maps), Michiko A. Mitsunaga-Whitten

Theses, Dissertations, and Projects

Before the Controlled Substance Act of 1985 categorized psychedelic substances as criminalized schedule I drugs, psychiatrists used ±3,4-methylenedioxymethamphetamine (MDMA) as a catalyst to psychotherapy. Over two decades later, this project seeks to contribute to the renaissance of psychedelic research. Specifically, this study focuses on participants’ experience of treatment in the recent FDA approved Phase 2 clinical study, “A Randomized, Triple-Blind Phase 2 Pilot Study Comparing 3 Different Doses of MDMA in conjunction with manualized psychotherapy in 24 Veterans, Firefighters, and Police Officers with Chronic, Treatment-resistant PTSD.” The current study presents results from correlation analyses of the Mystical Experience Questionnaire …