Social Work Commons^™

Impact Of Community-Based Care Model On Child Welfare Professionals: A Study Of Workload, Job Satisfaction, And Turnover Intent, Kerri Taylor

Electronic Theses and Dissertations

Much of the research on child welfare workers is in a traditional service model. However, there is a lack of empirical studies regarding childcare workers in a community-based care model. This study examines whether transitioning to the community-based model has positively impacted workers’ perspectives regarding turnover intention, job satisfaction, and workload manageability. A cross-sectional survey design was used with convenient sampling from a Texas Department of Family Protective Service Region that transitioned to the CBC model. The single source continuum contractor employed a sample of 125 potential respondents in the selected region. A total of 43 permanency workers responded to …

“We’Re Dealing With An Inhumane Lack Of Resources”: Provider Perspectives On Palliative And End-Of-Life Care For Adults Experiencing Homelessness, M. Pilar Ingle

Electronic Theses and Dissertations

Although palliative and end-of-life (PEOL) care offer many benefits to individuals with life-limiting illness, unhoused individuals face barriers in accessing these forms of care. Despite calls over the last several decades to improve PEOL services for unhoused individuals, this population remains underprioritized in efforts to improve access to healthcare. A richer understanding of these inequities as they relate to the specific social and political contexts within a state, such as Colorado, may offer more direct guidance on opportunities to improve policy and care provision.

The purpose of this study was to explore healthcare and social service provider-identified approaches and challenges …

Sense Of Community And (Third) Place Among Young Adults In Permanent Supportive Housing: A Mixed-Methods Inquiry, Danielle Maude Littman

Electronic Theses and Dissertations

Unhoused young people have often endured co-occurring experiences of marginalization, including long-term abuse and neglect from systems which have failed to support them. Permanent Supportive Housing (PSH) is a formal intervention which seeks to offer stability and support to young people. This three-manuscript dissertation uses community-engaged mixed methods to understand sense of community, sense of place, and third places among young adults in PSH in Grand Junction, Colorado.

The first manuscript used longitudinal mixed methods to understand how PSH residents’ (N = 27) sense of community shifts over 1.5 years of living in PSH. We found that residents’ sense …

Guaranteed Income As A Structural Social Work Response To Homelessness In The United States, Katherine Hoops Calhoun

Electronic Theses and Dissertations

The number of projects exploring guaranteed income, or unconditional direct cash transfers, in the United States has exploded in recent years (Mayors for a Guaranteed Income, 2022a). Between June 2021 and June 2022, the number of city mayors engaged with the group Mayors for Guaranteed Income grew from 11 to 82 (Mayors for a Guaranteed Income, 2022b) and as of Winter 2023, there were over 90 guaranteed income demonstrations and projects in the United States (Guaranteed Income Community of Practice, 2023). Guaranteed income refers to direct cash transfers, often to targeted populations, that are unconditional, consistent, predictable, and flexible (Castro …

Examining Effective And Realized Healthcare Access In The West South Central Division., Katherine Cameron

Electronic Theses and Dissertations

This study explores realized and effective access domains outlined by Andersen’s Behavioral Model of Health Services Use. Exploring other domains of access is critical to understanding how the healthcare system functions (Kirby & Yabroff, 2020). This study evaluates rural-urban and racial/ethnic differences in access to care using two underresearched domains of healthcare access. It also allows for exploring access disparities within rural communities amongst minority populations. This dissertation is divided into five chapters. Chapter One provides an overview of health disparities and inequities and a brief overview of the study. Chapter Two details a high-level history of racism and its …

“I Hear You”: Exploring The Lived Experience Of Counselors’ Empathic Response To Clients When Conducting Telephonic Counseling During Covid-19, Michael Sickels

Electronic Theses and Dissertations

Dissertation supervised by Dr. Debra Hyatt-Burkhart

This study sought to unearth the lived experience of counselors empathically responding to clients via telephonic counseling during COVID-19. The term empathic response refers to as attending to the emotional and mental state of another person in a way that is attuned with the feelings and meanings of the individual’s experience. There are few studies that have assessed the merits of telephonic counseling, and even fewer that have examined counselors’ empathic response to clients through this medium.

To uncover the lived experience of the target population, the participants of the study were purposefully selected …

Pediatric Oncology Social Work Job Analysis., Alyssa Ashlyn Middleton

Electronic Theses and Dissertations

This dissertation is an examination of the tasks most important to the pediatric oncology social work role. It begins with an argument that pediatric oncology social work is a blend of four social work specialties: generalist medical social work, oncology social work, pediatric social work, and hospice and palliative care social work. Studies report pediatric oncology social workers feel unprepared for numerous tasks related to their role. Despite calls for increased education and training opportunities, few are available. Until now, there has been no study evaluating the tasks that pediatric oncology social workers deem most important to their role, nor …

Treating Active-Duty Military Members: Best Practices For Common Mental Health Diagnoses Across The Dod, Leah Lawson

Electronic Theses and Dissertations

Due to varying service experiences, active-duty service members endure military related stressors in addition to everyday life stressors. As a result, their risk of mental illness onset increases. Considering that many of the stressors and events are unique to military personnel, it is important to identify best-practice interventions for working with this population opposed to employing civilian best practices. The purpose of this study was to determine what treatment interventions are best-practice when working with active-duty military members diagnosed with the three most common mental disorders (e.g., adjustment disorder, depressive disorders, anxiety disorders) across the Department of Defense (DoD). This …

A Life Lived With Schizophrenia: When Mother’S Love Is Kept In The Dark Exploring Maternal Communication And Attachment Organization In Families With Schizophrenia, Myrsini Stefanidou Marini

Electronic Theses and Dissertations

In recent years, research into the transgenerational transmission of attachment styles has shown that a mother’sattachment style often predicts the attachment style of her infant. Fearsome parental behavior has been found to predict disorganized attachment in infants, which is further associated with a range of mental health disturbances in adolescence. Furthermore, regular patterns of disturbed communication between mother and child have also been found to lead to ‘schizophrenic’ thinking and behavior in the child’s life. While acknowledging that genetic and other biological factors contribute to the emergence of schizophrenia, this study focused on disorganized attachment and disturbed communication between mother …

Caregiver-Child Conversations About Sex In African American Women, Hannah King

Electronic Theses and Dissertations

Using grounded theory methods, this study examines the experience of African American women during their caregiver-child conversations about sex and the impacts of the conversations on their sexual attitudes. The process of these conversations begins with an unplanned topic and progresses further to identify six essential themes of these conversations: gender differences, race and religion, protective/emphasis on protection, lack of knowledge, withholding knowledge, and sex negativity/shame. African American women’s description of the process included feelings of shame and negativity towards their sexuality. Caregivers promoted positive messages about sex by having open conversations that advocated for equality between the genders, empower …

Determinants Of Caregiver Burden Among Informal Caregivers Looking After Older Adults With Alzheimer's Disease In Saudi Arabia., Sultan Ali Shubair

Electronic Theses and Dissertations

Caregiver burden in Alzheimer’s Disease (AD) is a significant factor in the deterioration of caregivers’ physical and mental health. Moreover, increased caregiver burden has been associated with the decline in quality of life and the reduced quality of care for the care recipient. However, the level of caregiver burden perceived by informal caregivers of care recipients with AD can be varied with the impact of different factors related to the caregiver, care recipient, and caregiving process. Identifying factors associated with caregiver burden and exploring factors that account for variation in caregiver burden are vital to prevent adverse outcomes of caregiver …

The Happiest Place On Earth: A Grounded Theory Of Fulfillment In Mixed-Orientation Marriages, Isadora Ferreira De Melo

Electronic Theses and Dissertations

Mixed-orientation marriages (MOMs) are often misunderstood. There is a general cynicism in research literature and in the broader culture regarding the relational viability of same-sex attracted (SSA) individuals who marry someone of the opposite sex. However, there exist couples in MOMs that are resilient and attain satisfaction. The purpose of this study is to better understand how MOMs might become successful. By interviewing maritally satisfied mixed-orientation couples, the Model of Relational Self- Determination in Mixed-Orientation Marriages was developed. This model is separated into five stages that are organized around the experience of disclosure of the SSA spouse’s sexuality. Depending on …

Retention Of First-Generation College Students: Exploring The Effect Of Mental Health, Yana Sue Hendricks

Electronic Theses and Dissertations

The retention of First-Generation College Students is an issue faced across different universities in the United States. FGCS are faced with various challenges that impact their enrollment in post-secondary institutions and these challenges are presented as the factors that affect retention in this study. This study attempts to analyze the three factors that affect the retention of FGCS which are mental health, financial well-being, and social support. Drawing participants, from a post-secondary program run by the Workforce Solutions of West Central Texas who attend colleges in West Central Texas. This study used a cross-sectional survey design to collect and analyze …

The Correlations Of Financial Exploitation On Senior Adults Over 65, Carmen Price

Electronic Theses and Dissertations

With the increase in people over the age of 65, the need for education about elder abuse and intervention in confirmed cases has become a priority for service providers, including social workers. The purpose of this study is to bring awareness to the different circumstances attributing to a senior adult over the age of 65 becoming a victim of elder abuse or financial exploitation. This exploratory descriptive study gathered data from the Texas Department of Family and Protective Services Open Data Portal and the 2020 U.S. Census Bureau. Various analyses were conducted to determine what may cause someone to be …

Adults With Disabilities: What Factors Create A Successful Transition From Higher Education To The Workforce?, Tiffany Elaine Brown

Electronic Theses and Dissertations

Individuals with disabilities face difficulties in both higher education and the workforce. While it would seem that they would be equipped to deal with these difficulties, high levels of college dropouts as well as pay gaps and high levels of underemployment suggest otherwise. Although there are many studies on disabilities and its relationship to singular factors, there is a lack of empirical study on the holistic relationship between disabilities and multiple factors. The purpose of this study is to explore how environmental factors, individual-external factors, and individual-internal factors are related to a successful transition from higher education to the workforce …

Child Exit Types And Permanency Outcomes In Foster Care As Correlated To Casa Involvement, Grace Elizabeth Hill

Electronic Theses and Dissertations

This study sought to identify correlations between Court Appointed Special Advocate (CASA) activities and exit outcomes for children in foster care. Previous research on the impact of CASA has been inconclusive and offered mixed findings, so this study sought to build off of previous research while also exploring new areas of research that have not yet been investigated. Big Country CASA’s database, Optima, was utilized to retrieve data on cases that closed during the 2021 fiscal year (September 1, 2020, to August 31, 2021). This yielded a sample size of 75 cases. Through an analysis of these cases to test …

A Systematic Review Of Studies Evaluating The Effectiveness Of Horticultural Therapy For Increasing Well-Being And Decreasing Anxiety And Depression, Claudia Andrea Lasater

Electronic Theses and Dissertations

This study is a systematic review of published research on the effectiveness of horticultural therapy and related interventions in reducing stress. Since the beginning of time, the great outdoors has been humanity’s source of thriving on earth. However, as industrialization, urbanization, technological, and digital advances continue to expand, human life has changed, resulting in many negative outcomes, such as mental health concerns related to stress and lack of outside engagement. The mental health and related health concerns in previous studies show to be depression, rumination, anxiety, mood and salivary cortisol, anger, general health, existential issues, and many more all show …

The Impact Of Intensive Advising Within Trio Student Support Services On Good Academic Standing And Student Perception: An Explorative Study, Mariesha Shaw

Electronic Theses and Dissertations

Challenges in bachelor’s degree attainment for disadvantaged students (e.g., low income, first generation and disabled) within higher education is a social problem. TRiO SSS, a federal program, has been implemented at a private university in Texas to meet the needs of disadvantaged students and positively influence good academic standing, which would lead to higher bachelor’s degree attainment. Intensive advising, which is holistic meetings conducted with participants to meet academic and personal needs, is one intervention utilized in the TRiO SSS program. The purpose of this study is to assess the role and influence of intensive advising by examining whether it …

Perceived Benefits Of Upskilling And Reskilling By Persons Who Are Among The Employed, Underemployed, And Unemployed, Rosalind Marie Evans

Electronic Theses and Dissertations

ABSTRACT The purpose of this research study is to explore the perceived influence, potential impact, and benefits that upskilling, and reskilling have on the employed, underemployed, and unemployed worker. In addition, this study seeks to explore whether the perceived benefits of upskilling and reskilling include moving above the poverty line and therefore, out of poverty in real and sustainable ways. This resulting new position and potential increase in pay could have the positive impact of moving them and their families above the poverty line. The results of this study indicate that participants perceive upskilling and reskilling to be an option …

Exploring Gaps In Understanding And Responding To Ageism: A Conceptual Model, Psychosocial Health, And Racialized Ageism, Andrew T. Steward

Electronic Theses and Dissertations

Ageism is an insidious, prevalent social justice issue which has harmful effects on the health of older adults. This dissertation includes three manuscripts which explore gaps in understanding and responding to ageism through three distinct methodological approaches. Two primary gaps are addressed in the three manuscripts: 1) conceptualizing and testing activities or interventions to reduce internalized ageism and enhance psychosocial health for older adults, and 2) exploring the intersectionality of ageism with racism.

The first manuscript draws from stereotype embodiment theory and theories of successful and productive aging to detail a conceptual model of interventions which may reduce internalized ageism …

An Intersectional Perspective On The Role Of Workplace Policy Among Employed Female Caregivers During The Coronavirus Pandemic, Jessica King Mclaughlin

Electronic Theses and Dissertations

Providing care for an older adult while working can be challenging, often leading to caregiver burden. The socioenvironmental context of the coronavirus pandemic creates additional complications for working caregivers. Women, who are the majority of informal caregivers, face unique stressors in the workplace (McKinsey & Company, 2019; Carnevale et al., 2018). Prior to and during the coronavirus pandemic, workplace policies have offered the potential of support, yet more information is needed on how working female informal caregivers of older adults of diverse identities receive, interpret, and experience these policies amidst the context of the pandemic. This study uses a phenomenological …

Exploring The Relationship Between Historical Redlining And Place-Based Reproductive Health Inequities: A Qualitative Gis Approach, Kristi L. Roybal

Electronic Theses and Dissertations

Individual-level risk factors and characteristics do not fully explain racial, ethnic, and socioeconomic inequities in preterm birth in the United States, and evidence suggests that medical advancements, increased access to prenatal care, and high per-capita spending on health care have done little to reduce these inequities. Health inequities research has shifted its attention from individual-level factors that influence health outcomes to the social determinants of health. Neighborhoods, considered an important upstream social determinant of health, can influence health outcomes through their social, service, and physical environments, and have been consistently linked to birth outcomes. Despite increased attention to neighborhood influences …

Understanding And Supporting Asian American Youth’S Mental Health Within Cultural And Family Contexts, In Young Park

Electronic Theses and Dissertations

Mental health problems are a major health issue among East Asian American (EAA) youth. Although previous research has explored the risk and protective factors associated with mental health problems of EAA youth, many studies have employed Eurocentric perspectives, thereby excluding their unique cultural backgrounds, beliefs, and values. To better understand mental health needs and support these youth, further research that identifies different factors associated with mental health problems in their cultural context and assesses evidence-supported and culturally responsive interventions is needed.

This three-manuscript dissertation is presented in three papers. The first manuscript presents an integrative conceptual framework that uses two …

Puerto Ricans And Asthma: Looking Through The Lens Of Historical Trauma, Lisa Colón

Electronic Theses and Dissertations

This study utilized an explorative phenomenological qualitative design to begin understanding the many ways Puerto Ricans experience asthma. Further is sought to understand the asthma experience broadly and within the context of the hurricanes that devastated Puerto Rico in 2017 including the governments’ responses to that devastation. Another core goal of this study was the conceptual and empirical application of the theoretical framework of historical trauma to Puerto Ricans. I conducted 12 semi structured interviews with collaborators who expressed a range of asthma experiences. My collaborators represented a mixture of those who lived through the hurricanes in Puerto Rico and …

The Intersection Of Traumatic Brain Injury And Homelessness, Stephanie A. Chassman

Electronic Theses and Dissertations

The rates of TBI are significantly higher among individuals experiencing homelessness compared to the general population. Up to half of individuals experiencing homelessness may have a TBI. Accurate prevalence rates of TBI among individuals experiencing homelessness are difficult to obtain due to different methods of sampling participants and differing definitions of TBI; therefore, estimates may be underrepresented. Despite past research that has examined the relationship between TBI and homelessness, there are specific gaps in knowledge such as correlates and risk factors of TBI among individuals experiencing homelessness. This three-manuscript dissertation attempts to address these gaps in knowledge.

The first manuscript …

Developing, Refining, And Testing The Intersectional Model Of Service Use: A Transgender And Nonbinary-Specific Model Of Healthcare Access, Jarrod Call

Electronic Theses and Dissertations

Transgender and nonbinary (TNB) people are more likely to experience negative health outcomes than cisgender (i.e., not TNB) people, but less likely to access healthcare services due to the systemic forces of transphobia and cisgenderism. Despite this, there are few theoretical models of healthcare access specifically designed for TNB people. This three-paper dissertation addresses this gap by developing, refining, and testing the Intersectional Model of Service Use (IMSU), a population-specific framework for researching TNB healthcare access. Manuscript one describes how the initial IMSU was developed from an integrative review of currently available TNB healthcare access literature. This initial IMSU was …

Making The Most Of Program Evaluation Data: Understanding Human Services Professionals’ Well-Being Through Qualitative Secondary Analysis, Elizabeth Ann Deaton Wacker

Electronic Theses and Dissertations

Qualitative secondary analysis (QSA) allows researchers to explore new research questions and ensure that participants’ voices are heard to the greatest extent possible, without the burdens of additional data collection. However, this approach is rarely used outside of the health sciences, and little guidance exists in the literature about how to conduct QSA. This study is a secondary analysis of qualitative program evaluation data related to the well-being of human services professionals from two fields: child welfare and early care and education (ECE). It explores these professionals’ well-being, as well as the methodological issues of how well-being has been addressed …

Evaluation Of Risk And Protective Factors Of Substance Use In The National Association Of Intercollegiate Athletics., Richard D Weaver Jr.

Electronic Theses and Dissertations

The NCAA and NAIA have conducted prevalence studies of substance use in their organizations but little research into risk and protective factors that influence usage. Substance use is associated with an array of consequences including negative academic impacts, criminal charges, health risks, and mental health. As the most reported substances used by student-athletes the study focused on alcohol, marijuana, and nicotine. This study specifically examined several risk and protective factors impacting substance use. This study utilized a secondary data analysis of information gathered from the NAIA Substance Use and Abuse Study conducted in 2020 with student-athletes (N=2489). Descriptive statistics, parametric …

Exploring Service Provider Perspectives On Facilitators And Barriers To Needle Exchange Program Participation By Females Who Inject Drugs., Tammi Alvey Thomas

Electronic Theses and Dissertations

As the opioid epidemic lingers on across the country, many areas have set up harm reduction strategies such as needle exchange programs (NEPs) to combat the long-term consequences of injection drug use (IDU). Males and females face a plethora of health issues associated with injection drug use such as human immunodeficiency virus (HIV) and hepatitis C. While males comprise the largest portion of the injection drug use population, most research is gender neutral, which makes it difficult to discern issues specifically related to females inhibiting our ability to design interventions and procedures targeted to address their needs. Females require varying …

Exploring The Contextual Factors And Decision-Making Process Of Risky Sexual Behavior Among Homeless Adults In Louisville, Kentucky., Sarah C. Van Heiden

Electronic Theses and Dissertations

Homelessness is a complex public health issue; individuals who experience homelessness are said to engage in risky sexual behaviors at an increased rate and experience a higher prevalence of sexually transmitted infection (STI). While the sexual behaviors of homeless adolescents are commonly studied, little is known about the sexual behaviors of the growing population of older adults, or how they make decisions to engage in sex. Three aims guided this research: 1) to describe the sexual behaviors and sexual decision-making process of homeless older adults, 2) to examine how homeless older adults evaluate the outcomes associated with engaging in risky …