Social Work Commons^™

Non-Offending Mothers Of Sexually Abused Children: How They Decide Whom To Believe, Lynn Mcmillan

Theses and Dissertations

Professionals continue to study and refine their understanding of the complex dynamics of child sexual abuse and the role of the non-offending mothers. Of particular clinical and research interest is the response of the mother once she learns that her child disclosed being sexually abused and named the mother's intimate partner as the perpetrator. This qualitative study (n=20) uses in-depth interviews and constructivist grounded theory methods. The focus is how women decide about believing their children's disclosures of sexual abuse, both in terms of what happened to the children and who perpetrated the abuse. The study addresses various factors that …

How Welfare Reform Act Affects Elderly Immigrants' Health And Healthcare Service Utilization: Comparisons Before And After Welfare Reform, Younsook Yeo

Theses and Dissertations

Background: The intended result of the Personal Responsibility and Work Opportunity Reconciliation Act of 1996 (Public Law 104-193: PRWORA) was to conserve public funds while addressing welfare deficits. To achieve this end, the PRWORA (1) requires immigrants who came to the United States after the law took effect to show proof of U.S. citizenship to be eligible for federally funded public benefits, including Medicaid, unless the states where they lived provide state-funded benefits; (2) reinforced the `public charge law,' indicating that once the Immigration and Nationalization Service deems a post-welfare reform immigrant a public charge, this could result in the …

Emergency Department Use For Preventable Behavioral Health-Related Disorders Among Ex-Prisoners In Rhode Island, Christina Andrews

Faculty and Staff Publications

Background

The population of ex-prisoners returning to their communities is large. Morbidity and mortality is increased during the period following release. Understanding utilization of emergency services by this population may inform interventions to reduce adverse outcomes. We examined Emergency Department utilization among a cohort of recently released prisoners.

Methods

We linked Rhode Island Department of Corrections records with electronic health record data from a large hospital system from 2007 to 2009 to analyze emergency department utilization for mental health disorders, substance use disorders and ambulatory care sensitive conditions by ex-prisoners in the year after release from prison in comparison to …

Client-Provider Relationship And Treatment Outcome: A Systematic Review Of Substance Abuse, Child Welfare, And Mental Health Services Research, Christina Andrews

Faculty and Staff Publications

This systematic review reports on the association of the client-provider relationship with service outcomes across 3 service sectors: substance abuse, child welfare, and mental health. The review includes 60 research reports meeting inclusion criteria: 25 in substance abuse, 7 in child welfare, and 28 in mental health. For each social service sector, we analyze the association of the client-provider relationship to intermediate and ultimate outcomes. In addition, we examine potential moderating mechanisms of rater type (i.e., client, provider, and observer) and treatment setting (i.e., inpatient, outpatient, other). Social services research increasingly seeks to identify the active elements that affect outcomes …

Analogous Mechanisms Of Resistance To Benzothiazinones And Dinitrobenzamides In Mycobacterium Smegmatis, Ana Luisa Ribeiro, Giulia Degiacomi, Fanny Ewann, Silvia Buroni, Maria Loreto Incandela, Laurent R. Chiarelli, Giorgia Mori, Jaeseung Kim, Monica Contreras-Dominguez, Young-Sam Park, Sung-Jun Han, Priscille Brodin, Giovanna Valentini, Menico Rizzi, Giovanna Riccardi, Maria Rosalia Pasca

Faculty and Staff Publications

Tuberculosis is still a leading cause of death worldwide. The selection and spread of Mycobacterium tuberculosis multidrug-resistant (MDR-TB) and extensively drug-resistant strains (XDR-TB) is a severe public health problem. Recently, two different classes of chemical series, the benzothiazinones (BTZ) and the dinitrobenzamide (DNB) derivatives have been found to be highly active against M. tuberculosis, including XDR-TB strains. The target of BTZs is DprE1 protein which works in concert with DprE2 to form the heteromeric decaprenylphosphoryl-β-D-ribose 2'-epimerase, involved in Decaprenyl-Phospho-Arabinose (DPA) biosynthesis. Interestingly, it has been shown that the DNBs block the same pathway thus suggesting that both drugs could share …

Does Context Matter In Determining Psychological Abuse? Effects Of Pattern, Harm, Relationship, And Norms, Dana D. Dehart, Diane R. Follingstad, Alice M. Fields

Faculty and Staff Publications

This study explored contextual influences in determining whether psychologically aggressive actions constitute abuse. One hundred and thirty-one undergraduates completed measures of key experiences, attitudes, and traits, and rated abusiveness of behaviors in a series of vignettes. Vignettes varied contexts in which behaviors occurred, including whether the behavior was a pattern, whether there was harm to the recipient, characteristics of the initiator-recipient relationship, and whether behavior was normative. Results showed no effects for participants' gender, past experiences with psychological aggression, and traits or attitudes. Findings indicated that behaviors were rated as more abusive when harm to recipient was evident. Findings regarding …

Collaboration Between Victim Services And Faith Organizations: Benefits, Chanllenges, & Recommendations, Dana Dehart

Faculty and Staff Publications

Although many crime victims seek support from members of the faith community, faith leaders may feel unsure of their abilities to assist. This paper describes findings from a descriptive needs assessment that preceded a national project to link faith-based organizations and victim service programs in five high-crime neighborhoods. Approximately 90 participants were interviewed, including faith leaders, victim service providers, and other professionals. A majority saw positive implications of faith-secular collaboration but also identified concerns. Findings focus on perceived obstacles and facilitators of collaboration, addressing climate for faith-secular collaboration, disciplinary differences, community engagement, and church-state separation. Implications for collaboration are explored …

Cognitive Restructuring Through Dreams & Imagery: Descriptive Analysis Of A Women's Prison-Based Program, Dana Dehart

Faculty and Staff Publications

This report describes process and outcome evaluation of an innovative program based in a women's maximum-security correctional facility. Methodology included review of program materials, unobtrusive observation of group process, participant evaluation forms, focus groups, and individual interviews with current and former program participants. Findings indicate that program was a great source of emotional respite, release, and support for the women, with women describing increased insights into themselves, their traumas, and their crimes. Implications are discussed, including popular appeal of dream work and its potential clinical relevance to prisoners' inner conflicts.

Caseloads And Salaries Of Nephrology Social Workers By State, Esrd Network, And National Kidney Foundation Region: Summary Findings For 2007 And 2010, Joseph R. Merighi, Teri Browne, Kathleen Bruder

Faculty and Staff Publications

The Council of Nephrology Social Workers and the National Kidney Foundation conducted two national online surveys of nephrology social workers to assess caseload and salary trends by state, End-Stage Renal Disease Network, and National Kidney Foundation Region. Between 2007 and 2010, outpatient dialysis social workers experienced increases in mean case-load size from 73 to 79 (up 8.2%) for those employed 20–31 hours per week, 113 to 121 (up 7.1%) for those employed 32–40 hrs/wk, and 117 to 126 (up 7.7%) for those employed 40 hrs/wk. Increases in mean hourly wage were also reported across all three employment status groups for …

High Content Screening Identifies Decaprenyl-Phosphoribose 2’ Epimerase As A Target For Intracellular Antimycobacterial Inhibitors, Thierry Christophe, Mary Jackson, Hee Kyoung Jeon, Denis Fenistein, Monica Contreras-Dominguez, Jaeseung Kim, Auguste Genovesio, Jean-Philippe Carralot, Fanny Ewann, Eun Hye Kim, Sae Yeon Lee, Sunhee Kang, Min Jung Seo, Eun Jung Park, Henrieta Skovierová, Ha Pham, Giovanna Riccardi, Ji Youn Nam, Laurent Marsollier, Marie Kempf, Marie-Laure Joly-Guillou, Taegwon Oh, Won Kyung Shin, Zaesung No, Ulf Nehrbass, Roland Brosch, Stewart T. Cole

Faculty and Staff Publications

A critical feature of Mycobacterium tuberculosis, the causative agent of human tuberculosis (TB), is its ability to survive and multiply within macrophages, making these host cells an ideal niche for persisting microbes. Killing the intracellular tubercle bacilli is a key requirement for efficient tuberculosis treatment, yet identifying potent inhibitors has been hampered by labor-intensive techniques and lack of validated targets. Here, we present the development of a phenotypic cell-based assay that uses automated confocal fluorescence microscopy for high throughput screening of chemicals that interfere with the replication of M. tuberculosis within macrophages. Screening a library of 57,000 small molecules led …

Institutional Responses To Self-Injurious Behavior Among Inmates, Dana D. Dehart, Hayden P. Smith, Robert J. Kaminski

Faculty and Staff Publications

To date, little research has systematically investigated perceptions of mental health professionals regarding perceived motivations for self-injury among prison inmates. To help fill this gap, descriptive techniques were used to examine self-injurious behavior among inmates from the perspective of correctional mental health professionals. A quantitative survey was used to assess perceptions of mental health staff regarding etiology, motivations, and manifestations of self-injury. A qualitative interview component was used to explicate responses from the survey. Findings indicate that inmate cutting, scratching, opening old wounds, and inserting objects were the most commonly witnessed behaviors. There were indications that self-injury occurred regularly and …

Prevention Of Elder Mistreatment In Nursing Homes: Competencies For Direct-Care Staff, Dana Dehart, Jennifer Webb, Carol Cornman

Faculty and Staff Publications

Existing training on elder mistreatment in nursing homes focuses on detection and reporting of abuse, with little training specifically targeted toward prevention of mistreatment before it occurs. We used qualitative interviews with nursing home staff, policymakers, and related professionals to identify training needs. Based on participant accounts, we drafted a number of competencies essential for caregiver training to prevent mistreatment in nursing homes. Competencies include those dealing with: definitions and policies; risks for mistreatment; communication and respect; and development of a cooperative working environment. Competencies are discussed along with illustrative examples, and implications for practice and policy are addressed.

Emotional Exhaustion And Workload Demands Of Kidney Transplant Social Workers, Joseph R. Merighi, Teri Browne, Sarah Keenan

Faculty and Staff Publications

This exploratory study examined training issues, emotional exhaustion and workload demands in U.S. kidney transplant socialworkers. Online survey data were obtained from 91 respondents who represented all 18 End-Stage Renal Disease networks.Findings indicated that the majority of the respondents’ employers provided resources for educational training and paid timeoff associated with these trainings. With regard to hours per week spent on specific job tasks, respondents indicated that pretransplantactivities were the most time-consuming, followed by post-transplant and inpatient work. Generally, emotionalexhaustion and workload demands were slightly lower than reported for dialysis social workers. Implications for social workpractice and research are discussed.

Pathways To Prison: Impact Of Vicitimization In The Lives Of Incarcerated Women, Dana Dehart

Faculty and Staff Publications

This study examined ways in which victimization may contribute to criminal involvement among incarcerated women. We conducted interviews with 60 women in a maximum securtiy prison to gather each woman's perspective on psychological, physical, and sexual victimization in her life. Qualitative analyses indicated ways that victimization related directly to women's crimes as well as influenced health, psychosocial functioning, or systemic involvement to create difficult situations with which the women struggled. Case histories are used to illustrate pervasive impacts of victimization, and role of multiple traumas and cumulative impact are discussed.

Psychosocial Aspects Of The 2008 End-Stage Renal Disease Conditions For Coverage, Teri Browne

Faculty and Staff Publications

On October 14, 2008, practices and policies in every dialysis unit in the United States and its territories will besignificantly changed with the implementation of the 2008 Conditions for Coverage (CfCs) for End-Stage RenalDisease Facilities (Office of the Federal Register, 2008). These CfCs mark the first wholesale change in the regulationsfor dialysis units in more than 30 years, and the Council of Nephrology Social Workers (CNSW) is makingevery effort to provide its members with the tools and resources they need to adapt to and adopt these new CfCs.This special issue of The Journal of Nephrology Social Work is intended to …

Breast Health Behavior Among Lesbians: The Role Of Health Beliefs, Heterosexism, And Homophobia, Dana Dehart

Faculty and Staff Publications

The Health Belief Model was used as a conceptual framework for exploring how health beliefs and perceptions of heterosexism and homophobia in health care relate to lesbians' breast health behaviors, including use of breast exams and mammograms, visits to health care providers, and use of complementary/alternative care. A total of 173 exclusively homosexual women completed survey measures assessing health beliefs, experiences of heterosexism/homophobia, and health maintenance behaviors as these related to breast health. Findings indicated that women perceived heterosexism and homophobia from providers to influence the amount of discussion they had with providers and, to a lesser extent, care received, …

Understanding The Personal And Clinical Utility Of Psychiatric Advance Directives: A Qualitative Perspective, Mimi M. Kim, Richard A. Van Dorn, Anna M. Scheyett, Eric E. Elbogen, Jeffrey W. Swanson, Marvin S. Swartz, Laura A. Mcdaniel

Faculty and Staff Publications

Psychiatric advance directives (PADs) are legal tools that allow competent individuals to declare preferences for future mental health treatment when they may not be capable of doing so as a result of a psychiatric crisis. PADs allow individuals to maintain self–determination during times when they are most vulnerable to loss of autonomy and in need of assistance to make their preferences known and honored. This article describes the content of twenty–eight open–ended, semi–structured qualitative interviews of adults with PADs who have experienced psychiatric crises. The qualitative analysis revealed three major themes from the interviews: (1) PADs as tools for empowerment …

Nephrology Social Work: History In The Making, Teri Browne

Faculty and Staff Publications

No abstract provided.

Testing, Treatment, And Trust: Social Work Professional Development And The Genomics Revolution, Anna M. Scheyett, Kimberly Strom-Gottfried

Faculty and Staff Publications

Knowledge in the area of human genetics and genomics is expanding at an exponential pace, with significant implications for social work in health, mental health, and other settings. This article identifies some key roles social workers may play in the arena of genetics, discusses social workers responsibility for ongoing professional development in this area, and describes a flexible genetics and genomics social work curriculum developed by the authors. We provide an evaluation of pilot curriculum implementations, discuss ongoing strategies and barriers to dissemination, and make recommendations for future actions to more fully incorporate genetics and genomics content into the social …

Social Work Practitioners And Technology Transfer, Anna M. Scheyett, Amelia C. Roberts, Raymond Kirk

Faculty and Staff Publications

The application of new skills and interventions into the practice community is often slow and haphazard. A coaching intervention is proposed to augment traditional social work education techniques and maximize the integration of new knowledge into social work practice. This coaching model includes assessment of a practitioner's readiness for change, stage-wise coaching interventions, assessment of organizational barriers to the transfer of new information, and development of strategies to address these barriers. Implications for social work professionals development and future research are discussed.

The Significance Of Aspirations Among Unmarried Adolescent Mothers, Naomi Farber

Faculty and Staff Publications

Adolescent out of wedlock childbearing is associated with persistent poverty, particularly among urban underclass black youth. This article examines findings on the educational and vocational aspirations of teen mothers, how they are associated with class and race and how they may influence economic dependence. The analysis suggests the importance of distinguishing between poor teens' socially normative aspirations and their ability to fulfill those aspirations.