Social Work Commons^™

Impact Of Covid-19 On The Mental Health And Well-Being Of Latinx Caregivers Of Children With Intellectual And Developmental Disabilities, Yolanda Suarez-Balcazar, Mansha Mirza, Vanessa L. Errisuriz, Weiwen Zeng, Jasmine P. Brown, Sandra Vanegas, Nazanin M. Heydarian, Deborah Parra-Medina, Paula Morales, Hilda Torres, Sandy Magaña

School of Social Work Faculty Publications

The COVID-19 pandemic has impacted the entire world in unprecedented ways. However, populations that have had a history of marginalization have experienced a more profound impact. One such group is Latinx families of children with intellectual and developmental disabilities (IDD) in the Unites States. In this study, we used a mixed methods approach to explore the impact of the pandemic on the mental health and well-being of Latinx caregivers of children with IDD. Specifically, we (1) identified which social determinants of health are correlated with maternal caregivers perceived general health, mental health, and well-being; (2) explored the impact of the …

A Brief Report Of The Prevalence Of Chronic And Acute Health Conditions Among Blind American Adults, Nazanin M. Heydarian, Yessenia Castro, Osvaldo F. Morera

School of Social Work Faculty Publications

Background: Prior research demonstrates disparities in the prevalence of certain chronic and acute health conditions among persons who are blind (PWB) compared to non-blind persons, such as diabetes and infectious diseases. However, a comprehensive understanding of the prevalence of chronic and acute health conditions among PWB is currently lacking.

Objective: The present study addressed this gap by examining the prevalence of chronic and acute conditions among blind persons, and examining differences by gender.

Methods: The present study surveyed 410 PWB residing in the U.S. about their health conditions and activities. Lifetime prevalence for eight chronic and six acute health conditions …

An Exploratory Mixed Methods Study Of Diabetes Self-Management In Blind Americans, Nazanin M. Heydarian, Allyson S. Hughes, Osvaldo F. Morera

School of Social Work Faculty Publications

This study used mixed methods to investigate the experiences of 33 participants who are blind (PWB) and have diabetes in managing their diabetes, support (or lack thereof) from their health care providers, and diabetes distress as PWB. Participants most frequently reported barriers to check blood glucose (55%), maintaining a healthy diet (45%), and distress due to their intersectional status of having blindness and diabetes. Those who mentioned intersectional distress of managing diabetes as a PWB tended to be Braille illiterate and less likely to use mobility tools that are symbolic of blindness (e.g., white cane, guide dog). These results illuminate …

Challenges Faced By Mexican Americans When Accessing Mental Health Care Service Utilization Along The South Texas – Mexico Border, Romeo Escobar, John M. Gonzalez, Denise Longoria, Nelda Rodriguez

School of Social Work Faculty Publications

The purpose of this study was to explore and describe the challenges Mexican Americans face when accessing mental health care service utilization along the South Texas-Mexico border. Disparities in access and use of health and mental health services have led Latinos to be disproportionately represented among those most at-risk for chronic health and mental health illnesses and less likely to receive guideline congruent care. Research on mental health service utilization has documented the presence of economic, cultural, and structural barriers that contribute to the underutilization of health services by Latinos. Researchers conducted three focus groups with 25 mental health providers …

Using The Civic Voluntarism Model To Compare The Political Participation Of Us And Swiss Social Workers, Jason Ostrander, Tobias Kindler, Janelle K. Bryan

School of Social Work Faculty Publications

Various international and national social work ethical principles call social workers to participate in politics, although not all social workers in the USA and Switzerland embrace politics in their professional practice. A growing body of social work literature addresses social workers’ participation in politics. This article presents a comparative study of political participation, political efficacy, and political ideology among social workers in the USA and Switzerland. This study used two separate cross-sectional surveys to better understand the political participation, political efficacy, and political ideology of social workers in the USA (n = 3033) and Switzerland (n = 1242). …

Perspectives Of Interactions With Healthcare Providers Among Patients Who Are Blind, Nazanin M. Heydarian, Allyson S. Hughes, Osvaldo F. Morera, Ashley S. Bangert, Angela H. Frederick

School of Social Work Faculty Publications

Healthcare providers’ (HCPs) stereotypes about the incompetence of blind and low-vision patients may lead them to patronize blind patients, over-focus on impairments, and neglect the presenting problem. The content of perceived HCP stereotypes about blind patients in the clinical setting was examined from the patient perspective with seven focus groups, including a total of 42 individual participants. Most participants reported an interaction when their HCPs treated them as if they were incompetent, and discussed how perceived evaluations of their warmth and competence impacted whether their HCPs trusted and respected them. Participants also discussed their evaluations of their HCPs’ warmth and …

“No Queremos Quedar Mal”: A Qualitative Analysis Of A Boundary Setting Training Among Latina Community Health Workers., Luis R. Alvarez-Hernandez, J. Maria Bermudez, Pamela Orpinas, Rebecca Matthew, Alejandra Calva, Carolina Darbis

School of Social Work Faculty Publications

Community health workers (CHWs)—or promotoras de salud in Spanish—have successfully addressed the health needs of Latinx and immigrant populations. However, for promotoras, setting boundaries is particularly difficult given challenges like residing in the same communities as their participants. The purpose of this study was to describe the development and impact of a boundary setting training to support the emotional well-being of immigrant promotoras. The training (four 1-hr sessions) was informed by social cognitive theory and a Chicana feminist framework. The promotoras who participated in the training helped create Lazos Hispanos, a community-based participatory research (CBPR) study and CHW …

School Social Workers As Nepantleras In Equity Work For Immigrant Students: A Conceptual Exploration, Sophia Rodriguez, Benjamin Roth, Leticia Villarreal Sosa

School of Social Work Faculty Publications

This article investigates the critical role school social workers play in promoting equity and advocating for immigrant students in K–12 settings. We explore and conceptualize the notion of nepantlera from the work of Gloria Anzaldúa and draw from qualitative data to show how school social workers function as nepantleras in service and advocacy roles for immigrant students. We further argue that the school settings in which these services take place should be understood as borderlands. Throughout the article, we explore the following questions: What is a paradigm for school social worker practice with immigrant students that is informed by the …

Shaping Identity: Older Adults’ Perceived Community Volunteering Experiences In Shanghai, Lin Chen, Minzhi Ye, Yilin Wu

School of Social Work Faculty Publications

This study explores elderly volunteers’ identity during their experiences volunteering in the community in Shanghai. Purposive and snowball sampling strategies were used to recruit elderly volunteers to participate in semi-structured, in-depth interviews (N = 40). Participants developed new identities during volunteering. Through volunteering, they also continued to sustain their professional identities and Chinese Communist Party identities. Volunteering had both positive and negative implications for participants’ identities. Our findings suggest that volunteering strengthened participants’ role identity and social identity to better adapt to life after retirement. Volunteering also helped participants achieve identity continuity. This study offers nuanced sociocultural context to …

The Intersection Of The “Opioid Crisis” With Changes In Us Immigration Policy: Contextual Barriers To Substance Abuse Research With Latinx Communities, Micki Washburn, Luis R. Torres-Hostos, Nicole Echeveria Moore, Alberto Mancillas

School of Social Work Faculty Publications

One of the 12 Grand Challenges facing contemporary social work is to close the health gap experienced by those in historically marginalized communities (Uehara et al., 2013). As social workers, we seek to understand the individual, interpersonal, social, and environmental factors along with the structural inequities leading to initiation and continuation of substance misuse. We are constantly contextualizing the circumstances under which substance misuse occurs, as well as contextualizing our approaches to addressing this issue from both a public health and social justice perspective. In order to adequately meet this challenge, considerably more research-based knowledge on the substance use treatment …

The Three-Legged Stool Of Voter Engagement, Addie Sandler, Mary E. Hylton, Jason Ostrander, Tanya R. Smith

School of Social Work Faculty Publications

Disparities in voter turnout have increased significantly over the past four decades. Members of historically oppressed groups, those who are low-income, and or who have lower levels of education vote at significantly lower rates than white, wealthy and or more educated community members. These disparities correlate directly to political power and the eventual allocation of resources by elected officials. Therefore, eliminating these disparities through targeted voter engagement with client groups is particularly important for the profession of social work. This article describes the conceptualization of voter engagement as a three-legged stool, consisting of voter registration, regular voting, and basing voting …

Developing A Measure Of Blind Patients' Interactions With Their Healthcare Providers, Nazanin M. Heydarian, Osvaldo F. Morera, Scott D. Frankowski

School of Social Work Faculty Publications

Background: People who are blind (PWB) are often perceived as being incompetent with common tasks and functions. When patients detect that their healthcare providers (HCPs) have negative perceptions of them, they often report less satisfaction with their healthcare and disengage in their own healthcare.

Objective: A scale assessing the experiences of PWB interacting with HCPs was developed and validated across two studies.

Methods: In Study 1, 144 participants completed the scale and provided feedback. In Study 2, 214 participants completed the scale and 4 additional scales to assess construct validity.

Results: An exploratory factor analysis in Study 1 revealed a …

Geographic Proximity In The Community Eldercare, Lin Chen, Minzhi Ye

School of Social Work Faculty Publications

Drawing on the social-ecological framework, this chapter examines how district government policies influence the HCBS program on the macro level. We employ the geographic information system (GIS) strategy to analyze the patterns of how the District government chose the locations of service centers to expand the HCBS program for older adults. Using government archives, policy documents, and census data, we dissect the strategies for allocating public resources to optimize the HCBS program’s ability to accommodate elderly clients’ needs.

A Self-Reliant Umbrella: Defining Successful Aging Among The Old-Old (80+) In Shanghai, Lin Chen, Minzhi Ye, Eva Kahana

School of Social Work Faculty Publications

The Chinese old-old (80+) population has steadily increased in recent years; however, limited studies have examined how this group ages. The purpose of this study is to explore how the old-old in urban China define successful aging. Guided by grounded theory, we conducted semi-structured, in-depth interviews with community-dwelling old-old participants (N = 97). Participants identified self-reliance as the goal of successful aging, which was supported by four proactive behaviors: physical activity, financial security, community connectedness, and willing acceptance of reality. In our model, we conceptualized these four proactive behaviors to constitute the ribs of an umbrella, supporting a canopy to …

Differences Between Pharmacists’ Perception Of Counseling And Practice In The Era Of Prescription Drug Misuse, J. D. Thornton, Precious Anyanwu, Vaishnavi Tata, Tamara Al Rawwad, Marc L. Fleming

School of Social Work Faculty Publications

Objective: This study was conducted to assess pharmacists' practices when counseling patients on their prescription medications, and their preferences for training.

Methods: Five focus group discussions of community pharmacists (n=45, with seven to eleven participants in each group) were conducted in a major metropolitan city in the southern United States. Participants were recruited via email using a list of community pharmacists provided by the Texas State Board of Pharmacy. All focus group discussions were structured using a moderator guide consisting of both discrete and open-ended questions. Qualitative analysis software was used to analyze the data with a thematic analysis approach. …

Depressive Symptoms In Three Chinese Older Workforce Groups: The Interplay Of Work Stress With Family And Community Factors, Fei Sun, Wanlian Li, Lin Jiang, Jaewon Lee

School of Social Work Faculty Publications

Background: More people remain in the workforce into their late life as people's life expectancy increases. This study examined the relationship between work stress and depressive symptoms of older workers in mainland China, focusing on the interplay between work stress with family and community factors in three (i.e., urban, rural, and migrant) settings.

Methods: National representative survey data on the Chinese labor force collected by the Social Science Research Center of Sun-Yetsen University in 2014 were used. The sample consisted of 5,751 workers aged 50 and above recruited from 29 out of 31 provinces in mainland China.

Results: Work stress …

“Borikén Libre”: Spaces Of Resistance In Old San Juan, Puerto Rico, Luis R. Alvarez-Hernandez

School of Social Work Faculty Publications

No abstract provided.

Suicide Ideation, Planning, And Attempts: The Case Of The Latinx Lgb Youth, Javier F. Boyas, Tatiana Villarreal-Otálora, Luis R. Alvarez-Hernandez, Mariam Fatehi

School of Social Work Faculty Publications

Background: Guided by an ecological systems theory (EST) framework, the purpose of the present study was to investigate how multiple micro, mezzo, and macro factors influence the suicidality continuum from suicidal ideation to suicide attempt among Latinx LGB (lesbian, gay, and bisexual) youth living in the United States.

Methods: Data for this cross sectional-study included 451 participants who self-identified as Latinx LGB on the 2017-National Youth Risk Behavioral Survey. The analysis explored micro, mezzo, and macro-level factors’ association with three suicidality outcomes (ideation, planning, and attempt) at the bivariate and multivariate level. Since the outcome variables were dichotomized, univariate logistic …

Pathogens Without Borders: Ecological Determinants Of Sexual Risk-Taking Behaviors Among International Travelers Across The Life Course, Yok-Fong Paat, Luis R. Torres-Hostos

School of Social Work Faculty Publications

Purpose

Drawing insights from the ecological theory, the purpose of this paper is to explore social determinants related to pathways to high-risk sexual behaviors of international travelers across their life span.

Design/methodology/approach

Data were collected from 45 international travelers in Houston, a critical transit point frequented by international visitors.

Findings

Overall, several ecological settings (individuals, interpersonal, institutional and contextual) related to two typologies of international travelers (risk takers vs non-risk takers) and their inclination to engage in high-risk sexual practices in an international or/and local context were identified.

Research limitations/implications

This research calls for the need to assess high-risk sexual …

Analyzing Social Policy From A Network Perspective, Jill M. Manit, Aleksey Kolpakov, William Eubank

School of Social Work Faculty Publications

Governance models influence the approach that public service organizations take when implementing programs, policies, and practices. The networked model of governance supports the involvement of multiple actors who span organizational boundaries and roles to implement solutions to address complex social problems. This paper presents the utility of network analysis for the study of policy implementation from a network perspective. The paper describes networks within the context of social work policy implementation, basic network components, common structural variables, and sources of data for the study of policy implementation. A study of a statewide policy implementation is partially presented as an illustration …

Emerging Bicultural Views Of Fatherhood: Perspectives Of Puerto Rican Fathers, Cristina Mogro-Wilson, Alysse Melville Loomis, Crystal M. Hayes, Reinaldo Rojas

School of Social Work Faculty Publications

Puerto Rican fathers remain an understudied population despite the growing Latino community in the U.S. Understanding how Puerto Rican fathers perceive their roles as fathers can inform our conceptualization of their engagement with children as well as the development of culturally-specific parenting interventions. In this qualitative study, focus groups were conducted with Puerto Rican men to identify their perceptions of their role as a father and how individual, child, and cultural influences may relate to these roles. Parenting roles identified by fathers in the study were: being there, maintaining open communication, building confidence, preparing for adulthood, teaching culture/values, and providing …

Clinical Social Workers, Gender, And Perceptions Of Political Participation, Jason Ostrander, Janelle K. Bryan, Shannon R. Lane

School of Social Work Faculty Publications

Political participation to create social change is considered a professional and ethical imperative for social workers. Although researchers have examined overall political participation by social workers, little is known about how clinical social workers participate and the broader societal factors that influence their political participation. A critical phenomenological methodology was used with a sample of 23 clinical social workers from New England states to (1) identify how socio-political forces influenced their political activity; and, (2) understand how the concept of power affected individuals’ level of engagement or inclination toward the political process. This article describes one of the study’s major …

Creating A Culture Of Voting In Direct And Generalist Practice: Training Field Instructors, Shannon R. Lane, Katherine Hill, Jason Ostrander, Jenna Powers, Tanya Rhodes Smith, Mary E. Hylton

School of Social Work Faculty Publications

Social workers have an ethical responsibility to be engaged in policy change, regardless of their practice area or specialization. Voter engagement and the importance of political power through voting is often overlooked in the literature as a valid and important component of social work practice. Creating a culture of nonpartisan voter engagement in practice settings can help empower individuals who have been historically and intentionally disenfranchised from our electoral system. Training for field instructors, faculty, and field staff is a key aspect of voter engagement in social work education. Unfortunately, social work education is unlikely to include substantive content on …

The Influence Of Acculturation Level And Family Relationships On Quality Of Life Among U.S. Chinese Older Adults, Yiwei Chen, Yisheng Peng, Minzhi Ye, Ling Xu, Xinqi Dong

School of Social Work Faculty Publications

The present study examined the influence of acculturation level and family relationships (i.e., positive family support and negative family strain) on quality of life (QOL), using the data from the Population Study of ChINese Elderly (PINE) in Chicago (N = 3159). Controlling for sociodemographic variables and health status, it was found that individuals’ acculturation level and positive family support were positively related to QOL, whereas negative family strain was negatively associated with QOL. More importantly, higher acculturation levels were associated with increased protective effects of positive family support and reduced risk effects of negative family strain on QOL among …

The Political Participation Of First Year Social Work Students: Does Practice Specialization Matter?, Jason Ostrander, Janelle K. Bryan, Addie Sandler, Paula Nieman, Maureen Clark, Emily Loveland, Tanya Rhodes Smith

School of Social Work Faculty Publications

This study identifies the types of political participation engaged in by MSW students (n=214). A self-report survey administered to MSW students at a Northeastern university indicates limited political involvement. MSW students participate in political activities not requiring significant time, energy, or resources. Furthermore, on the scale and its two subscales, micro-oriented students had less political participation than macro-oriented students. This study suggests firstyear social work students may lack the tools to engage in the political process effectively. Schools of social work should include political participation education in both micro and macro foundation courses and field placements

Socially Isolated Cambodians In The Us: Recommendations For Health Promotion, S. Megan Berthold, Sengly Kong, Jason Ostrander, Seiya Fukuda

School of Social Work Faculty Publications

Cambodian genocide survivors experience health disparities associated with their traumatic experiences. Cambodian community organizations in the United States are severely challenged to serve these survivors. Community leaders have identified a sub-set of community members of particular concern: those at either end of the age spectrum (elders and young people) who are socially isolated. As part of a larger community-based participatory research project, we conducted a focus group with seven Cambodian community leaders from six cities that sought to better understand the phenomenon of social isolation of Cambodian elders and young people in order to inform health promotion efforts. Cambodian leaders …

“Their Today Is Our Future”: Direct Carers’ Work Experience And Formal Caring Relationships In A Community-Based Eldercare Program In Shanghai, Lin Chen, Minzhi Ye, Eva Kahana

School of Social Work Faculty Publications

The purpose of this study is to explore direct carers’ work experience and formal caring relationships with older adults in a community-based eldercare program in Shanghai. Existing evidence has primarily focused on direct carers’ work experience in residential care settings. However, direct carers’ experiences of caring older adults in the community also deserve exploration. This qualitative study purposively sampled direct carers who worked in government-sponsored programs. Carers participated in semi-structured, in-depth interviews (N = 37). Results reveal that despite occasional frustration, direct carers undertook demanding workloads and fostered strong emotional attachments with older adult clients. “Karma” was a critical …

Inequalities In Us Child Protection: The Case Of Sex Trafficked Youth, Lisa Werkmeister Rozas, Jason Ostrander, Megan Feely

School of Social Work Faculty Publications

This article demonstrates how structural social work theory and critical consciousness development can be used to help facilitate a transition from a deficit model approach to an inequities perspective in a child welfare system that was working to improve the identification of and services for domestic minor sex trafficked youth (DMST). The response of Connecticut’s child welfare system to the issue of DMST is provided as an example of how a child welfare systems could apply an inequities perspective to a population involved in and at risk for exploitation. Structural social work theory helps illustrate how neo-liberalist social structures in …

Supporting Recruitment And Retention Of Young African-American And Hispanic Fathers In Community-Based Parenting Interventions Research, Cristina Mogro-Wilson, Crystal M. Hayes, Alysse Melville Loomis, Aubri Drake, Melanie Martin-Peele, Judith Fifield

School of Social Work Faculty Publications

Few studies to date have provided strategies for maintaining low rates of attrition when conducting longitudinal, epidemiological, or community-based research with young, minority, urban fathers. This paper highlights lessons learned from a 5-year randomized controlled trial of a fatherhood intervention that designed and implemented state-of-the-art and culturally relevant recruitment and retention methods with 348 young fathers ages 15 to 25. Qualitative findings are drawn from interviews with fathers who had been enrolled in the fatherhood intervention (n=10). While traditional recruitment and retention methods, such as incentives, were employed in this study, non-traditional methods were used as well, such as intensive …

Role Of Marital Quality In Explaining Depressive Symptoms After Marital Termination Among Older Adults, Minzhi Ye, Alfred Demaris, Monica A. Longmore

School of Social Work Faculty Publications

This study assesses whether prior marital quality moderates the impact of divorce or widowhood on subsequent depression. Poor marital quality may buffer depression associated with divorce/widowhood; conversely, the effect of divorce/widowhood on depression could be exacerbated by previous marital quality. Three waves from the National Survey of Families and Households based on respondents, ages 50 and older, (N = 2,570) included eight marital quality measures. We find limited evidence suggesting higher marital quality elevates, while lower marital quality decreases, depression after divorce. No moderating effects were found for widowhood. Additionally, health condition is more important than current marital status …