Bridging Care Gaps For Sickle Cell Disease: Examining Case Management And Healthcare Utilization., Lindsey Page

Doctor of Social Work Capstone Projects

Individuals living with sickle cell disease (SCD) experience complex medical and social needs, including high emergency department (ED) utilization, fragmented care, and systemic inequities. Disease-specific case management has emerged as a promising strategy to improve care coordination, patient outcomes, and healthcare efficiency. This mixed-methods case study examined the impact of disease-specific case management on healthcare utilization, patient-reported outcomes, and healthcare providers’ perspectives. Quantitative analysis evaluated the impact of disease-specific case management on ED and inpatient admissions, healthcare-related costs, and the length of stay for inpatient admissions. Qualitative data were collected using interviews with patients and healthcare providers, exploring utilization, bias, …

The Intersection Of Athletics And Online Abuse: A Study Of Cyberbullying Among Student-Athletes., Kate T. O'Bryan

Doctor of Social Work Capstone Projects

Abstract

The current study aimed to identify associations between social media use, cyberbullying victimization, and mental health symptoms experienced by Division I athletes at the University of Louisville. Using an electronic survey methodology, the current study examined individual characteristics such as social comparison frequency, team culture, and sport-level factors (e.g., NIL–based visibility and online experiences of athletes) to investigate cyberbullying victimization frequency among athletes (N =80) and potential relationships with mental health symptoms. Findings indicate that one-fifth (21.4%) of athletes between the ages of 18 and 24 were cyberbullied in the last month, with rumors spreading and mean …

Analyzing Trauma And Behavioral Health Trends: A Study Of Cans Data From Kentucky’S Child Welfare System., Bradley Scott

Doctor of Social Work Capstone Projects

Children who are involved in the child welfare system experience disproportionately higher rates of trauma and unmet behavioral health needs, which at times often go unmet. This study uses a secondary data analysis of administrative data compiled from the Analysis of Screening and Assessment Practice Study completed by the University of Louisville from Project SAFESPACE data organized from the 2022 assessment year across a sample of 3.759 youth involved in the child welfare system. The study found that a youth who was found to be demonstrating an adjustment to trauma is highly predictive of additional traumatic event exposure. Additionally, it …

Secondary Traumatic Stress Among U.S Army Active-Duty Social Workers., Jennifer Frazier

Doctor of Social Work Capstone Projects

The purpose of this study was to explore Secondary Traumatic Stress (STS) and its relationship with functional impairment among U.S. Army active-duty social workers. These social workers practice in a uniquely demanding environment, balancing constant exposure to service members’ and families’ trauma narratives as well as organizational mandates. A mixed-method, exploratory, cross-sectional design was used, with data collected via an online survey. Resulting in a sample of fifteen, recruited via a Facebook group for Army Social Workers. Analysis focused on patterns and associations rather than causal conclusions, due to the sample size and design, and should be interpreted cautiously. Patterns …

Hearing Northern New Mexico's Silenced Voices: Exploring Intersectionality And Allyship., Cheri Loggains

Doctor of Social Work Capstone Projects

Hearing Northern New Mexico’s Silenced Voices: Exploring Intersectionality & Allyship Cheri Loggains, MSW, LCSW March 27, 2026 Oversimplified social constructs of identity and power were intentionally used in Northern New Mexico (NNM) by White settlers to perpetuate oppression. This oversimplification contributes to a false narrative of New Mexico centering White experiences and creating a hegemonic system of power. The repercussions of such acts are under new scrutiny, which calls out performative allyship. However, performative allyship is scarcely studied in current literature, even though it is a natural microcosm for examining the relational dynamics of power. The current literature also implies …

Attitudes, Behaviors, And Co-Workers Influence Of Those Who Provide Mental Health Support Services To Refugees And Immigrants., Irene Boamah

Doctor of Social Work Capstone Projects

ABSTRACT

ATTITUDES, BEHAVIORS, AND CO-WORKERS INFLUENCE OF THOSE WHO PROVIDE MENTAL HEALTH SUPPORT SERVICES TO REFUGEES AND IMMIGRANTS

Irene A. Boamah

April 3, 2026

Refugees and immigrants face a variety of mental health issues, including post-traumatic stress disorder (PTSD), depression, and anxiety. Despite these mental health issues, there is limited research examining the attitudes, behaviors and coworkers’ influence on those who provide mental health support services to this population. This study examines the relationships between the demographic and professional characteristics of mental health support service providers in Kentucky and the stigmas they may have toward refugees and immigrants.

A cross-sectional …

Safe At Work: A Case Study On The Healthcare Response To Employee Disclosures Of Domestic Violence., Victoria Dobson

Doctor of Social Work Capstone Projects

Domestic violence is a pervasive issue that impacts individuals and communities at every level, including professionally. Despite this known impact, workplace-based interventions to address such violence, aside from leave policies, are seldom implemented, especially in healthcare settings. This paper presents a case study on a healthcare organization’s response to employee disclosures of domestic violence.  A retrospective review of HR data, five semi-structured interviews, and a survey of hospital leadership were conducted to explore employee experiences and preliminary outcomes associated with a workplace domestic violence leave policy and concurrent, on-site supportive services (Safe At Work Program) offered to employees experiencing domestic …

Exploring The Mental Health Experiences Of First-Time Parents: A Qualitative Study., Taylor Ryan

Doctor of Social Work Capstone Projects

While transitioning into parenthood, one in five mothers will experience Perinatal Mood and Anxiety Disorders (PMADs), and fathers are more likely to experience mental health disorders than their non-parenting counterparts. Although PMADs are experienced by many first-time parents, it is unclear if parents receive sufficient education on how to identify these symptoms and how to access the necessary resources. The current qualitative study explores the experiences of individuals who identify as first-time parents (N = 7) aged 25 to 34, with a child under 2 years old. Applied thematic analysis was used to identify themes related to first-time parents’ experiences …

Interventions For Reducing Barriers To Future Employment Success In First-Generation College Students., Kellie M. Burke

Doctor of Social Work Capstone Projects

First-generation college students (FGCS) comprise a significant and diverse segment of the U.S. undergraduate population, yet they remain disproportionately vulnerable to barriers that impede both academic achievement and career advancement. These challenges, rooted in intersecting factors (e.g., race & gender), are amplified by institutional structures that inadequately address the realities faced by FGCS. Despite the proliferation of career development programs, internship participation, and subsequent employment, among FGCS remains notably low, revealing persistent gaps in support, access, and program efficacy.

This qualitative study evaluates the Rising Leaders Program, an agency-driven intervention designed to promote career readiness for FGCS at Kentucky universities …

Exploring The Professional Quality Of Life Of Female Collegiate Head Coaches., Jennifer Marie Boa

Doctor of Social Work Capstone Projects

Before Title IX passed in 1972, most female college sports teams were coached by women. Today, only 42% of head coaches are women, even though participation in women’s collegiate sports has increased by 637% since 1971. This study explored the factors influencing the professional quality of life of female college coaches. Variables considered in this study included parenting and work, organizational culture, women’s role in the workforce, unique issues faced by female collegiate coaches, and professional quality of life. The study used a mixed-methods cross-sectional design and purposive sampling, resulting in 107 valid responses. The results indicate that respondents felt …

Assessing The Relationship Between Professional Discipline And Perceptions Of Team Functioning Within Hospital-Based Multidisciplinary Child Abuse Teams., Nikki Roth

Doctor of Social Work Capstone Projects

Abstract

Assessing the Relationship Between Professional Discipline and Perceptions of Team Functioning Within Hospital-based Multidisciplinary Child Abuse Teams

Nicolle Roth

04/03/2026

The multidisciplinary team (MDT) approach, professionals from various disciplines collaborating to solve a problem, has been used for decades in both child welfare and medicine. Benefits of the multidisciplinary approach have been documented through studies in both in the field of child abuse and the medical field and include improved outcomes, shortened intervention timelines, and economic advantages. Although multidisciplinary teamwork has been shown to be effective, not all professionals have the same level of skill in working within a …

Substance Use Stigma: Examining The Role Of Social Work Education., Eboni Burton

Doctor of Social Work Capstone Projects

This study explored the extent of substance use related stigma among social work students and professionals (i.e., BSW, MSW, PHD and DSW) and its relationship to specialized education/training in substance use and professional practice with people who use drugs (PWUD)/live with a substance use disorder (PWSUD). Stigma was measured using the Opening Minds Provider Attitudes Toward Opioid Use Scale and the Medical Condition Regard Scale. The final sample size was 263. Results indicate that current enrollment in a social work program, post degree or non-curriculum related substance use related training, and personal and professional experience with substance use specifically, mitigate …

Emergency Department Boarding For Psychiatric Care: The Effect Of Pointclickcare Integration., Chris Rowan

Doctor of Social Work Capstone Projects

Emergency Department Boarding for Psychiatric Care: The Effect of PointClickCare Integration

Abstract

For many individuals in psychiatric crisis, the emergency department has become the first place to seek help, highlighting gaps in how behavioral health care is accessed and coordinated. In Massachusetts, PointClickCare's Behavioral Health Treatment and Referral Platform (BH TRP) was implemented to centralize and streamline referrals between emergency departments and inpatient psychiatric facilities. This capstone evaluates whether implementation of the BH TRP was associated with changes in psychiatric boarding time at a community hospital emergency department. Using a mixed-methods program evaluation design, this study analyzed de-identified electronic medical …

Risk And Protective Factors For Suicidal Thoughts And Behaviors For Black Adolescent Males With Exposure To Adverse Experiences Post-Covid 19 Pandemic: Findings From The 2023 National Youth Risk Behavior Survey., Amanda Minogue

Electronic Theses and Dissertations

Suicide is the second leading cause of death among adolescents aged 10-24 in the United States. In 2022, 784 Black adolescent males died by suicide. Recent studies have found that traditionally common associations of risk factors of suicidal thoughts and behaviors are not experienced by Black adolescents, challenging how to determine and detect risk. This dissertation reviewed the variables in the national Youth Risk Behavior Survey that closely align with risk and protective factors of suicidal thoughts and behaviors, and the interaction between these and adverse experiences in Black adolescent males. Results of this study found that among the 9 …

Creating Resilient Social Workers: A Pilot Study On Implementing Resilience-Building Skills With Social Work Students, Andrea Sparrow

Doctor of Social Work Capstone Projects

Social work students in Council on Social Work Education (CSWE) accredited programs are expected to develop competencies in working with individuals, groups, and communities. However, limited research exists on their preparedness with resilience-building skills to navigate occupational challenges. This mixed-methods exploratory study examined the relationship between completing online resilience-building modules and students’ knowledge of resilience strategies. A pre-and post-assessment measured knowledge uptake among undergraduate and graduate students at the University of Louisville’s Raymond A. Kent School of Social Work and Family Science. The study explored two key questions: (1) What is the relationship between completing resilience-building modules and students’ knowledge …

Predicting Resilience Among Treatment-Referred Youth With A History Of Trauma Exposure: An Exploration Of Risk And Protective Factors., Prabathi Mandara Gunathilake

Electronic Theses and Dissertations

While many children and adolescents experience negative outcomes following exposure to traumatic events, some demonstrate remarkable resilience. Understanding the factors that contribute to this positive adaptation is essential for developing effective interventions. Using secondary data from 199 treatment-referred youth (ages 5 to 18) with histories of maltreatment, refugee experiences, or military-related trauma, collected between 2016 and 2021 by the Metro Louisville’s Center for Promotion of Recovery and Resilience (CPRR) program, this study examined predictors of resilience in trauma-exposed youth and how resilience is conceptualized across different informant perspectives. Hierarchical multiple regression analyses revealed distinct predictive patterns: for youth, personal strengths …

The Importance Of Voice: American Indian Experiences With Their Healthcare, James Zimmer

Doctor of Social Work Capstone Projects

American Indians and Alaskan Natives (AIAN) have faced inequity and discrimination since colonization. Specifically, within the healthcare system, AIAN individuals have experienced maltreatment, poor quality services, and the dismissal of cultural and personal practices. Health disparities among this population have led to the highest prevalence in many chronic disease categories nationwide (Laffey et al., 2021). A qualitative study with nine respondents was conducted using virtual interviews. Respondents were recruited through healthcare agencies and snowball sampling. Interviews focused on the experiences of American Indians in the Midwest United States with their primary care provider or in a hospital within the last …

Exploring Organizational Responses To Secondary Traumatic Stress In Domestic Violence/Sexual Assault Agencies In North Carolina., Kristin Cline

Doctor of Social Work Capstone Projects

Secondary traumatic stress (STS) is an ongoing concern for advocates working with survivors of domestic violence and sexual assault. This study examines the prevalence of STS among domestic violence and sexual assault advocates in North Carolina and explores organizational strategies for lessening its effects. Using a mixed-methods design, data was collected from three agencies through a survey, resulting in a sample of 25 advocates. The study measured levels of STS and allowed advocates to voice their needs and perspectives on the support they require from their agencies. Results indicate that STS is a significant concern for advocates and that organizational …

“Nothing Can Prepare You For It”: An Interpretative Phenomenological Analysis Of The Lived Experiences, Well-Being, And Relational Connections Of First-Time Mothers Navigating Intensive Mothering Ideals And Expectations., Mona A. Dajani

Electronic Theses and Dissertations

Becoming a mother is a life-changing experience that alters how mothers view and experience their emotional, familial, occupational, and relational worlds. As mothering stories tend to be underrepresented and largely absent from the field of social work, this qualitative study utilized Interpretative Phenomenological Analysis (IPA) to center the voices of eleven first-time mothers navigating a culture of intensive mothering ideals and expectations. As a result, the main research questions of this study are: 1) What are the lived experiences of mothers navigating a culture with deep-rooted intensive mothering expectations and ideals? 2) How is well-being experienced and described in the …

Predicting Confidence In Performing Mental Health Actions Among Allied Professionals., Jean Marie Zelenko

Electronic Theses and Dissertations

One in five young people before the age of 25 exhibit onset of symptoms of an emotional or behavioral disorder (Kessler et al., 2005). Up to 80% of depressed youth do not receive services (Kataoka, 2002) and less than 50% of the time youth seek help for suicidal ideation and/or self-harm (Michelmore & Hindley, 2012). This high prevalence of mental health distress and low frequency of help-seeking among youth require examination of factors influencing youths’ likelihood of seeking help. One factor that increases the likelihood of help-seeking is encouragement from others to seek mental health services (Cusack et al., 2004). …

Insights From The Field: An Exploration Of Approaches And Trends Utilized By Illinois School Social Workers., Rachel Jenkins

Doctor of Social Work Capstone Projects

School social workers (SSWers) support students facing adversity by advocating for their social-emotional well-being while navigating academic mandates. SSWers address behavioral and emotional challenges that impede student success, often rooted in trauma, mental health, disabilities, or challenging circumstances. However, less is known about the array of approaches SSWers utilize when working with students. As such, this study aimed to understand the current approaches and trends of SSWers in Illinois when working with youth who face adversity. Researchers utilized a cross-sectional mixed methods approach employing survey research with scaled and open-ended questions. The Illinois School Social Workers Association (IASSW) aided recruitment …

Women Residential Substance Use Treatment Program: A Quantitative Study Measuring Treatment Perceptions And Spiritual Experience Across Multiple Demographics., Michelle Davidson

Doctor of Social Work Capstone Projects

ABSTRACT

WOMEN RESIDENTIAL SUBSTANCE USE TREATMENT PROGRAM: A QUANTITATIVE STUDY MEASURING TREATMENT PERCEPTIONS AND SPIRITUAL EXPERIENCE ACROSS MULTIPLE DEMOGRAPHICS

Michelle Davidson, LCSW

March 24, 2025

Substance use disorders (SUD) present complex challenges that necessitate comprehensive and personalized treatment approaches, particularly for women. Historically, SUD treatments have been predominantly driven by male treatment approaches, often neglecting the unique needs and experiences of women. This cross-sectional quantitative survey study explores the relationship between the variables of client treatment perceptions and spiritual experiences among women in residential treatment for their SUDs. This study utilizes the Treatment Perception Survey and Spiritual Experience Index-Revised to …

Bridging Gaps, Building Futures: Comprehensive Family And Community Engagement Strategies For Empowering Black Youth (Ages 13-17)., Heather Savage

Doctor of Social Work Capstone Projects

Abstract

Bridging Gaps, Building Futures: Comprehensive Family and Community Engagement Strategies for Empowering Black Youth (Ages 13-17)

Heather Lynn Savage

March 27th, 2025

This study examined family and community engagement strategies that were designed to influence the educational outcomes, mental health, and social behaviors of Black youth (ages 13- 17) in Indianapolis, Indiana. Addressing gaps in research, it explored barriers to engagement and the culturally responsive approaches that strengthened school, family, and community partnerships. Data was collected through focus groups and demographic surveys, providing qualitative insights into the challenges and supports that shaped engagement. Findings from 27 participants (18 youth …

The Complex Relationship Between Veterans And The Va: Veterans' Perspectives Of The Department Of Veterans Affairs., Cowann Owens

Doctor of Social Work Capstone Projects

The Department of Veterans Affairs (VA) is the largest integrated provider of healthcare services in the United States, with 1,298 healthcare facilities available to serve the physical and psychological needs of former military service members. Roughly 15.8 million Veterans live in the United States, yet 43% or 6.7 million are not currently enrolled in services through the VA (United States Census Bureau, 2024). A descriptive qualitative study design was implemented to gain insights into Veterans' perspectives of the VA in hopes of better understanding the factors that contribute to their decision to access care at the VA versus the community …

Environmental Justice And Ecology In Social Work Education: Emerging Trends Among Faculty., Keri Otte

Doctor of Social Work Capstone Projects

March 31, 2025

This paper presents a study of how social work educators in the U.S. are integrating environmental justice and ecological content into social work coursework and /or curriculum. Current literature in this area suggests that educators should be incorporating deep ecology philosophy, using experiential learning techniques, and moving away from anthropocentrism towards ecocentrism. Ten semi-structured interviews were conducted to gather data on pedagogical approaches, educator knowledge and previous training, and barriers to content integration. The interviews took place virtually with social work educators from five geographical areas in the United States. The findings illustrate the importance of transformative …

Healthcare Workers' Level Of Comfort Screening For Intimate Partner Violence: Exploring Facilitators And Barriers., Latasha Richard, Seana Golder

Doctor of Social Work Capstone Projects

Intimate Partner Violence (IPV) is a public health issue that affects over 10 million people annually. Healthcare workers can be the first point of contact for patients experiencing IPV and screening practices are essential to identify those patients. This study aims to explore facilitators and barriers to healthcare workers screening for IPV. This cross-sectional research study was comprised of physicians, nurses, and social workers (n=39) from a Level 1 Trauma Center in Louisville, KY. An online survey was used to recruit participants and gain insight into screening practices that serve as facilitators or barriers. The results indicate that screening practices …

A Study Of Secondary Traumatic Stress In Health Care Professionals In Long-Term Care., Bethany Proudfoot

Doctor of Social Work Capstone Projects

Secondary traumatic stress (STS) is a significant concern for healthcare professionals in long-term care (LTC) settings. This study explores the impact of STS on clinical staff, addressing the research question: How has STS affected employees within the LTC sector, and what resources or support can be provided to mitigate its effects? The study utilized a mixed-methods approach, combining survey data from clinical staff across five LTC facilities in Ohio, incorporating the survey data measuring levels of STS and qualitative responses. Findings revealed that 64% of participants experienced high to severe levels of STS, with symptoms including anxiety, depression, sleep disturbances, …

A Quantitative Evaluation Of An Innovative Family Treatment Court Program For Families With Co-Occurring Child Maltreatment And Substance Use., Ashley Rose Logsdon

Electronic Theses and Dissertations

Substance use is linked to out-of-home care in over 40% of child welfare cases. This dissertation evaluated the experience of families with co-occurring child maltreatment and substance use in Family Recovery Court (FRC), an innovative family treatment court involving the judicial system, child welfare system, and behavioral health. Study One used a quasi-experimental propensity score match design, using administrative data and the North Carolina Family Assessment Scale for 68 families. The FRC group experienced better safety (substantiated repeat maltreatment), permanency (reunification), and well-being outcomes. The percentage of the FRC group who achieved reunification (81.2%) was significantly higher than that of …

Lived Experiences, Migration Journey, Religiosity, And Spirituality Depicted In Drawings By Latino Children And Youth Crossing The U.S. Mexican Border: A Qualitative Study., Doroty Magalhaes Sato

Electronic Theses and Dissertations

Widespread violence forces thousands of Central American children to endure a hazardous journey toward the U.S. Border seeking refuge. In the Latino community, faith serves as a social movement of resistance against oppression, playing a vital role in migration. There is a paucity of research documenting this experience and children's overall journey. Therefore, this study aimed to investigate the lived experience of crossing international borders, religiosity, and spirituality depicted in Latino children's drawings used as coping methods to endure the journey toward the U.S. southern border. This investigation employed Art-based approaches to give voices to children's experiences by analyzing 63 …

Understanding The Multidimensional Ramifications Of Education Censorship To Promote Justice-Oriented School Social Work., Brandon D. Mitchell

Electronic Theses and Dissertations

Since 2020, recensions on youth rights and education censorship have been backed by a network of actors and organizations on the political Right, evidenced by race and diversity curricula bans, book bans, and inflammatory media discourse. The scope and prevalence of education censorship are understudied with little known about the policies enacted, and influences of media discourse, school boards, and the effects on schools and the school social worker. The purpose of this dissertation is to explore and understand the scope and prevalence of education censorship, including policies, media discourse, school boards, and schools. To achieve the aims of this …