Social Work Commons^™

Understanding The Use Of Community Advisory Boards In Autism Research: A Scoping Review, Margaret Janse Van Rensburg, Elisa Niunin, Alexia Ostrolenk, Sydney Arsenault, Anja Wilson, Courtney Weaver, Valérie Courchesne, Robert M. Hock

Faculty and Staff Publications

Community engagement is increasingly promoted as a good practice in autism research, yet little is known about how Community Advisory Boards are used. This scoping review mapped the extent and nature of empirical literature on Community Advisory Boards in autism research. Five databases were searched, supplemented by reference list searching. Twenty-two studies met inclusion criteria. Most were published recently, conducted in the United States, and used mixed methods. Community Advisory Boards were rarely formally defined and were typically described functionally rather than conceptually. Most operated in consultative roles, with inconsistent reporting of recruitment, compensation, onboarding, communication, and influence on decision-making. …

Autistic Menopause: Where Should Research Go From Here?, Christine A. Jenkins, Margaret Janse Van Rensburg

Faculty and Staff Publications

Plain language summary

This letter lists seven priorities for future research on autism and menopause. It is written by an early career researcher/assistant professor and a community researcher. Both are neurodivergent themselves.

Autistic Traits And Mental Health Support Service Use Among Parents Of Young Children With Autism, Margaret Janse Van Rensburg, Robert Hock, Emmanuella Asabea Twum, Resia-Maria Cooper, Abigail K. Reza Jameson, C. Andrew Conway, Mark Ethan Feinberg

Faculty and Staff Publications

Parents of children recently diagnosed with autism often experience elevated psychological distress, yet little is known about whether parental autistic traits are associated with support-seeking. Using baseline data from a randomized controlled trial of a parent mentoring intervention, this study examined support use among 355 parents of children aged 18 months to 8 years whose child had received an autism diagnosis within the previous 12 months. Parental autistic traits were assessed using the Ritvo Autism and Asperger Diagnostic Scale–14 (RAADS-14). Overall, 36.1% of parents reported accessing support for stress, emotional, or mental health concerns, and 33.2% scored above the RAADS-14 …

Professionals’ Perspectives On Behavioural Approaches In Autistic Adult Mental Health Care: Comparing Neurodivergent And Non-Neurodivergent Practitioners, Margaret Janse Van Rensburg, Abigail K. Reza Jameson, Emmanuella Asabea Twum, Robert Hock

Faculty and Staff Publications

Applied Behaviour Analysis (ABA), Cognitive Behaviour Therapy (CBT), and Dialectical Behaviour Therapy (DBT) are widely used approaches when working with Autistic people. While ABA originates in the behaviourist tradition, CBT and DBT are cognitive-behavioural psychotherapies that incorporate both cognitive and behavioural elements. These therapies remain contested within neurodiversity-affirming frameworks. This study explored how professionals understand, use, and avoid behavioural approaches in their work with Autistic adults, and whether perspectives differ between neurodivergent and non-neurodivergent practitioners. Semi-structured interviews were conducted with 20 professionals providing mental health support to Autistic adults. Data were analyzed using qualitative content analysis, with an exploratory comparison …

Scheduling Group Care In Routine Perinatal Care: Identifying Implementation Modifications Across Belgium, Kosovo, And The Uk, Astrid Van Damme, Florence Talrich, Deborah Lynn Billings Phd, Christine Mccourt, Crystal L. Patil, Matty Crone, Marlies Rijnders, Ilir Hoxha, Sharon Schinder Rising, Katrien Beeckman

Publications

Background: Group Care (GC) is an antenatal/postnatal care model comprised of a stable group of pregnant people or parent–child dyads receiving care in two-hour group sessions that combine clinical care with interactive discussion and learning. Integrating GC into healthcare systems organised for individual care poses challenges at both site and system levels. This study identified scheduling-related modifications across contexts to understand modification processes. Methods: We used an explanatory sequential design with mixed qualitative methods across seven GC implementation sites in Belgium, Kosovo, and the United Kingdom. A qualitative survey based on the Framework for Reporting Adaptations and Modifications to Evidence-based …

Outcomes For Pregnant Women With Less Healthy Behaviours Participating In Centeringpregnancy, Mary-Ann R. Wagijo, Mathilde R. Crone, Birgit S. Bruinsma-Van Zwicht, Deborah Lynn Billings Phd, M.E. B. Rijnders

Publications

Objective

Methods

Examining The Relationships Among Child Care Providers’ Knowledge Of Child Development, Burnout, Organizational Climate, And Expulsion Risk: A Brief Report, Juan Wang, Cheri Shapiro Ph.D., Tristan Collier, Jessica Sharp

Publications

Expulsion poses a significant barrier to high-quality and inclusive early care and education (ECE), leading to both immediate and long-term negative con-sequences for children and their families. This descriptive, exploratory study examined whether ECE providers’ knowledge of child development, burnout, and organizational climate was associated with their attitudes and perceptions related to expulsion risk. A total of 309 ECE providers in one state in the South-eastern region of the United States taking part in a program evaluation completed an online survey prior to program implementation. Multiple linear regression analyses were conducted to assess associations among providers’ knowledge of child development, …

Should There Be International Standards For Qualitative Social Work Research? A Commentary On Utility, Contradictions, And Reframing To Principles, Margaret Janse Van Rensburg

Faculty and Staff Publications

This commentary critically examines the promise and contradictions inherent in developing international standards for qualitative social work research. It contributes by proposing that ethics guided by epistemic freedom and epistemic justice can act as a foundation for flexible principles enhancing qualitative social work research on an international level.

When Is Engagement ‘Good’? Values And Integrity In Community-Engaged Autism Research, Margaret Janse Van Rensburg

Faculty and Staff Publications

Community engagement (CE) in autism research has been promoted as “good practice,” and is described through approaches such as co-production, participatory action research, and community-based participatory research. Although CE can enhance relevance and trust, its potential burdens or harms are rarely examined or disclosed to community members, and it is often implemented without evaluating its processes or outcomes. Limited attention is also given to values: the axiological foundations of CE and whether engagement is conducted with integrity. This perspective introduces an axiological lens to CE in autism research by arguing that researchers’ value commitments shape not only why engagement occurs …

Beyond The Individual: Exploring Structural Explanations Of Homelessness Through Thematic Analysis Of Extant Research, Madison R. Mcclain

Senior Theses

This thesis examines how homelessness is defined, explained, and addressed within contemporary U.S. research using Critical Race Theory (CRT) and Intersectionality as guiding frameworks. Through a qualitative, deductive thematic analysis of 16 peer-reviewed articles, this study identifies six key themes related to structural causation, policy governance, measurement practices, racial inequality, dominant narratives, and intersecting systems of disadvantage. Findings reveal that while structural explanations of homelessness are widely acknowledged, they are inconsistently defined and often insufficiently theorized. Institutional systems primarily function to manage rather than resolve homelessness, while measurement practices and definitions actively shape who is recognized and prioritized. Additionally, structural …

Physical And Behavioral Health Diagnoses And Comorbidities Associated With Transition From Military Health System To Veterans Health Care Among Post-­ 9/11 Veterans, Nikki R. Wooten, Megan E. Amaun, Madeline Meyers, Prince Nii Ossah Addo, Jeffery Bowers, Felicia R. Carey, Rudolph P. Rull, Edward J. Boyko, Nathaniel Bell, Ana Defede-Lopéz, Mary Jo V. Pugh

Faculty and Staff Publications

Objective

To identify factors associated with transitioning from Military Health System (MHS) to Veterans Health Administration (VHA) care in post-9/11 veterans.

Study Setting and Design

Retrospective cohort study from the Long-Term Impact of Military-Relevant Brain Injury Consortium Phenotype Study.

Data Sources and Analytic Sample

Population-level data were analyzed from MHS and VHA electronic health data (FY2000-2020). Participants received ≥ 3 years of MHS care and separated from the military before October 1, 2016. The primary outcome was transition from MHS to VHA care after military separation. Covariates included demographic, military, and deployment characteristics at military separation; physical, mental, and substance …

Physical And Behavioral Health Diagnoses And Comorbidities Associated With Transition From Military Health System To Veterans Health Care Among Post-9/11 Veterans, Nikki R. Wooten, Megan E. Amaun, Madeleine Myers, Price N.O. Addo, Jeffrey Bowers, Felicia R. Carey, Rudolph P. Rull, Edward J. Boyko, Nathaniel Bell Ph.D., Ana Defede-Lopéz, Mary Jo V. Pugh

Publications

Objective

To identify factors associated with transitioning from Military Health System (MHS) to Veterans Health Administration (VHA) care in post-9/11 veterans.

Study Setting and Design

Retrospective cohort study from the Long-Term Impact of Military-Relevant Brain Injury Consortium Phenotype Study.

Data Sources and Analytic Sample

Population-level data were analyzed from MHS and VHA electronic health data (FY2000-2020). Participants received ≥ 3 years of MHS care and separated from the military before October 1, 2016. The primary outcome was transition from MHS to VHA care after military separation. Covariates included demographic, military, and deployment characteristics at military separation; physical, mental, and substance …

Physical And Behavioral Health Diagnoses And Comorbidities Associated With Transition From Military Health System To Veterans Health Care Among Post-9/11 Veterans, Niki Wooten Phd, Lisw-Cp, Megan E. Amaun, Madeleine Myers, Prince N.O. Addo, Jeffrey Bowers, Felicia R. Carey, Rudolph P. Rull, Edward J. Boyko, Nathaniel Bell Ph.D., Ana Lopéz-De Fede, Mary Jo V. Pugh

Publications

Objective

To identify factors associated with transitioning from Military Health System (MHS) to Veterans Health Administration (VHA) care in post-9/11 veterans.

Study Setting and Design

Retrospective cohort study from the Long-Term Impact of Military-Relevant Brain Injury Consortium Phenotype Study.

Data Sources and Analytic Sample

Population-level data were analyzed from MHS and VHA electronic health data (FY2000-2020). Participants received ≥ 3 years of MHS care and separated from the military before October 1, 2016. The primary outcome was transition from MHS to VHA care after military separation. Covariates included demographic, military, and deployment characteristics at military separation; physical, mental, and substance …

Integrating Future Factory-To-Factory (F2f) Manufacturing Through System Of Systems Engineering (Sose): A Framework For Capability Beyond Constituent Systems, Polinpapilinho F. Katina, Hengtao Tang Ph.D., Anouar Hallioui

Faculty Publications

System of Systems Engineering (SoSE) is an emerging discipline focused on the design, integration, and evolution of metasystems—composed of multiple autonomous yet interdependent systems. These systems of systems (SoS) offer capabilities that exceed those of any individual constituent systems by enabling synergistic coordination, interoperability, and dynamic adaptation across diverse operational contexts. This study pursued three primary objectives: (i) to examine the role of integration in enabling emergent capabilities beyond those of individual systems, (ii) to explore SoSE as a framework for orchestrating Future Factory-to-Factory (F2F) Manufacturing, and (iii) to assess the implications of SoSE to address volatile, uncertain, complex, and …

Group Antenatal Care Model As An Innovative And Sustainable Maternal And Child Health Service Delivery In A Northern Nigerian State, Pius I. Christopher-Izere, Abiola Ajibola, Abimbola Phillips, Dorcas Magbadelo, Ibidun Jolaoso, Obioma Azurunwa, Francis Ogirima, Collins Imarhiagbe, Anthony Onwuegbusi, David Udanwojo, Emmanuel Udeh, Victor Obagunlu, Adebola Adekogbe, Sunday Joseph, Hamza Abubakar, Neyu Liyasu, Adetosoye Adebanjo, Balarabe Gaya, Olayiwola Jaiyeola, Damilola Olaniyan, Lilian Anomnachi, Bankole Olatosi, Deborah Lynn Billings Phd, Oluwafemi Adeagbo, Bolanle Oyeledun

Publications

The maternal and child health situation in developing countries remains critical and deeply concerning, These regions account for 99% of global maternal and under-five deaths. In Nigeria, uptake of critical life-saving maternal, neonatal and child health (MNCH) services, delivered through antenatal care (ANC), are sub-optimal, leading to poor outcomes. Group antenatal care (G-ANC) is an evolving antenatal care delivery model in low and medium-income countries. G-ANC models can improve quality and uptake of maternal health services.G-ANC model was implemented across 255 primary health facilities (PHFs) to ensure pregnant women receive components of a well-defined package of MNCH services at regular …

Stories From Former Foster Youth College Graduates: The Positive Impact Of K-12 Schooling And Related Educational Policy, Amanda Moon, Kristen D. Seay

Faculty and Staff Publications

Youth in foster care face disproportionate challenges when it comes to education and personal well-being. Many studies use a deficit lens when evaluating these challenges. In contrast, this study is asset-based, centering first-person accounts from five former foster youth college graduates. Using a counter-narrative framework, we conducted semi-structured interviews with participants to reveal key supports in K-12 schooling participants believed helped them achieve academic and life milestones. These were relationships with teachers and coaches, access to extracurricular activities, and literacy-rich environments. We also reviewed 11 relevant federal educational policies to identify provisions and implementation needs that aligned with participant experiences. …

Technology-Enabled Cognitive Behavioral Therapy For Insomnia (Cbt-I) In Older Adults With Mild Cognitive Impairment: Development And Feasibility Study, Hongtu Chen, Marta Pagán-Ortiz, Sara Romero Vincente, Emma Chapman, James Maxwell, Otis L. Owens, Sue E. Levkoff Scd, Msw, Sm

Faculty and Staff Publications

Background/Objectives: Mild Cognitive Impairment (MCI) is a transitional stage between normal aging and early dementia, affecting up to 20% of older adults. Sleep disturbances, particularly insomnia, affect around 60% of individuals with MCI, contributing to declines in cognitive and physical function. Although Cognitive Behavioral Therapy for Insomnia (CBT-I) is an evidence-based non-pharmacological treatment, few studies have adapted it for individuals with MCI. This pilot study developed and evaluated Slumber, a clinician-supported mobile CBT-I app tailored for older adults with MCI and insomnia. Methods: The study had three aims: (1) to develop the app for delivering CBT-I to individuals with …

Messages And Misogyny: A Creative Intervention Portraying The Embodied Experiences Of Internalized Misogyny, Margaret Janse Van Rensburg

Faculty and Staff Publications

No abstract provided.

Preliminary Evaluation Of A Brief Intervention To Enhance Trauma-Informed Attitudes Among Educators And School Mental Health Counselors, Cheri Shapiro, Courtnie Collins, Kara Foster-Lee, Tristan Collier

Publications

In-service training efforts to support trauma-informed and trauma-responsive practices in school and mental health settings have proliferated in recent years. Despite these efforts, a limited number of measurement instruments with known psychometric properties exist to evaluate the impact of professional training efforts on attitudes toward trauma-informed care.  One exception is the ARTIC Scale, developed to assess attitudes related to trauma-informed care among both educators and human services professionals.  Using the ARTIC-35, this pilot, pre-post, single group study examined changes in trauma-informed care attitudes among a sample of elementary school educators and school mental health counselors who underwent a brief training …

Adverse Childhood Experiences, Positive Childhood Experiences, And Digital Media Use Among Children And Adolescents In The United States, Elizabeth L. Crouch, Emma Boswell, Monique J. Brown Ph.D., Kevin J. Bennett

Publications

No abstract provided.

Adverse Childhood Experiences, Positive Childhood Experiences, And Digital Media Use Among Children And Adolescents In The United States, Elizabeth L. Crouch, Cheri Shapiro, Emma Kathryn Boswell, Monique J. Brown, Kevin J. Bennett

Publications

Compensatory internet use has been demonstrated to be a potential coping mechanism for stressors, which may lead to heavy digital media use. Little is known about what family-based factors may contribute to heavy digital media use among children and adolescents. This study used cross-sectional data from the 2021–2022 National Survey of Children’s Health to examine the prevalence of adverse and positive childhood experiences (ACEs and PCEs) and how these rates may vary by light, moderate, and heavy digital media use among children and adolescents in a nationally representative sample in the U.S (n = 52,256). Bivariate analyses were used …

Exploring Technology Use And Loneliness Among African American Older Adults, Sarah Pace

Theses and Dissertations

Loneliness among African American older adults is a pressing public health concern, affecting more than one-quarter of this population and increasing the risk of premature death. This study explores the experiences of loneliness among African American older adults and examines the technologies they use, the purposes they serve, and their perceived role in mitigating loneliness. It also investigates barriers and facilitators to technology use for promoting social connection. Guided by the Social Support Theory and Technology Acceptance Model 3 (TAM3), the study centers the perspectives of an underrepresented population.

Fifteen African American women aged 67–82 participated in semi-structured interviews between …

Stepping Into Who I Fully Am: A Creative Exploration Of Autistic Menopause, Mx Rose Matthews, Christine A. Jenkins, Margaret Janse Van Rensburg, Miranda J. Brady, Rachel L. Moseley, Julie M. Gamble-Turner

Faculty and Staff Publications

Research suggests that perimenopause can compound existing struggles for some Autistic people, with potentially catastrophic consequences. Barriers to self-expression due to communication differences are also well-documented. Acknowledging this, our neurodiverse research team invited creative submissions themed around Autistic experiences of menopause, receiving works from six Autistic participants including paintings, poetry, and graphic works. Engaging with the six creative submissions, Autistic Community Researchers on our team produced reflexive, polytextual response works. Creative exploration of Autistic menopause encouraged emotional catharsis, self-understanding, and activism/artivism. Autistic Community Researchers noted transcendent, almost “magical” dimensions of connecting with other Autistic people’s lived experiences. Our creative emancipatory …

The Impact Of Discretion On Human Service Workers Supporting The Health Of Unaccompanied Minors In Foster Care, Diana M. Clark

Senior Theses

Unaccompanied children (UCs) are a vulnerable population that enters government custody and accesses healthcare via the Office of Refugee Resettlement (ORR)'s system of care. While prior research has focused on generating policy recommendations to improve healthcare services available to UCs both in ORR custody and following release from custody, this thesis will instead expand upon the experiences of staff members working at ORR-contracted agencies. These workers make decisions that have short- and long-term implications on the health and wellbeing of UCs. Drawing from 65 in-depth interviews with human service workers in ORR-contracted voluntary agencies, this thesis uses street-level bureaucracy framework …

Equity In Maternal Journeys: Maternal Health Care Experiences Among Black Mothers In South Carolina, Julisa Grace Tindall

Theses and Dissertations

Black women in the United States experience disproportionately adverse maternal health outcomes, particularly in the Southeast. This dissertation examines the maternal health care experiences and resilience strategies of Black mothers in South Carolina through a qualitative study grounded in critical race theory, Black feminist thought, resilience theory, and ecological systems theory. It highlights the pervasive influence of structural racism while amplifying the resourcefulness and agency of Black mothers. The first manuscript develops a conceptual framework to explore the structural, social, and interpersonal mechanisms influencing Black maternal health care experiences. The second manuscript employs grounded theory to investigate Black mothers’ lived …

Intimate Partner Violence In Post-Conflict Communities: The Case Of Peru, Karen Eliana León Negreiros

Theses and Dissertations

Intimate partner violence (IPV) is a major public health issue worldwide and the most common type of violence experienced by women. In the last decade, a growing number of studies have evidenced that situations of civil conflict, post-conflict, and displacement can significantly exacerbate IPV and increase the likelihood of experiencing IPV later in life. This study expands on the literature by taking a Geographic Information System (GIS) mapping approach to understand how civil conflict violence in Peru (1980-2000) is associated with IPV rates in the country, 4 years (2004) and 19 years (2019) after the conflict. Study results evidence the …

Child-Caregiver Relational Closeness And Child Mental Health In Nonparental Care Settings, Amanda Stafford Mcrell

Theses and Dissertations

This dissertation examines child-caregiver relational closeness and child mental health within nonparental care systems in Low- and Middle-Income countries (LMICs). Five key factors impacting the well-being of orphaned, separated, and vulnerable children in LMICs are explored using the Positive Outcomes for Orphans (POFO) dataset: child maltreatment, social support, child-caregiver relationships, and nonparental care systems. First, I examined the relationship between maltreatment, social support, and mental well-being. Findings showed that maltreatment was associated with lower mental well-being, where social support (emotional support, tangible support, positive social support) was associated with greater mental well-being, even in the concurrent presence of maltreatment. Second, …

An Investigation Of Travel Distance And Timeliness Of Breast Cancer Treatment Among A Diverse Cohort In The United States, Swann A. Adams Ph.D., Ms, Face, Oluwole Adeyemi Babatunde, Whitney Zahnd Ph.D., Peiyin Hung, Karen E. Wickersham, Nathaniel Bell, Jan M. Eberth

Publications

Travel to and from distant cancer treatment facilities can place a significant burden on cancer patients, particularly rural and minority survivors. Thus, the purpose of our investigation was to examine the association between patient travel distance and delays in types of treatment for breast cancer (surgery, radiation, chemotherapy, and hormonal therapy) and treatment delays. Using a novel linkage between the state cancer registry and administrative data from Medicaid and a private insurance plan, 2155 BC patients were successfully linked to create the cohort. ArcGIS was used to geocode all case residences and treatment facility addresses and calculate network distance between …

An Investigation Of Travel Distance And Timeliness Of Breast Cancer Treatment Among A Diverse Cohort In The United States, Swann Arp Adams, Oluwole Adeyemi Babatunde, Whitney Zahnd, Peiyin Hung, Karen E. Wickersham, Nathaniel Bell Ph.D., Jan M. Eberth Ph.D.

Publications

Travel to and from distant cancer treatment facilities can place a significant burden on cancer patients, particularly rural and minority survivors. Thus, the purpose of our investigation was to examine the association between patient travel distance and delays in types of treatment for breast cancer (surgery, radiation, chemotherapy, and hormonal therapy) and treatment delays. Using a novel linkage between the state cancer registry and administrative data from Medicaid and a private insurance plan, 2155 BC patients were successfully linked to create the cohort. ArcGIS was used to geocode all case residences and treatment facility addresses and calculate network distance between …

Preliminary Evaluation Of A Brief Intervention To Enhance Trauma-Informed Attitudes Among Educators And School Mental Health Counselors, Cheri Shapiro, Kara Lee, Courtnie Collins, Tristan Collier, Carl Sorensen

Publications

Professional development training designed to advance knowledge of the impacts of trauma and trauma-responsive practices for educators and counselors in schools and mental health settings have become common. Given the popularity of these training approaches, it is important to understand the potential impact on trauma-informed attitudes and beliefs. This descriptive, exploratory study examined changes in traumainformed care attitudes as a function of participating in a novel intervention designed to support trauma-informed practices in a sample of elementary school educators, administrators, and school mental health counselors (n=194) from one state in the Southeastern US. Positive changes in trauma-informed attitudes from pre …