Social Work Commons^™

Climate Change On The Therapist's Couch : How Mental Health Clinicians Receive And Respond To Indirect Psychological Impacts Of Climate Change In The Therapeutic Setting, Elizabeth B. Seaman

Theses, Dissertations, and Projects

The scientific community has reached near consensus that climate change (also known as anthropogenic global warming) poses a significant and potentially dire threat to the ecosystems upon which we, as humans and as a society, rest. While climate change is most often discussed in terms of its effect on the natural environmental, its psychological impacts are also expected to be immense and varied and include indirect distress related to the threat that climate change poses. The purpose of this study was to explore how this kind of indirect distress gets talked about in the therapeutic setting. Using a mixed methods …

Coping With Incarcerated-Related Stress : A Study Of Coping Responses By Women Romantically Involved With Incarcerated Men, Jaleesa I. Myers

Theses, Dissertations, and Projects

Research related to coping responses of women romantically involved with, or married to, incarcerated men has been unexamined in social work literature. This study examined how women romantically involved with, or married to, incarcerated men cope with economic, social and emotional stress associated with their partners ’ incarceration by examining their use of problem-focused, emotion-focused and avoidant-focused coping styles. The study answered to what extent do women romantically involved with, or married to, incarcerated men utilize adaptive coping responses, especially paying close attention to experiences of African American women. Using quantitative methods, the Brief COPE —a 28-item inventory—was administered to …

Incarceration, Identity And Resilience : Understanding The Long-Term Psychological Impacts Of Racial Trauma On Japanese Americans Who Were Imprisoned During World War Ii, Kyla M. J. Lew

Theses, Dissertations, and Projects

The purpose of this exploratory study was to deepen the understanding around the impacts of racial trauma and civil rights violations on Japanese Americans’ enduring sense of belonging and legitimacy in the United States. The study used semi-structured interviews with 13 Japanese Americans who were incarcerated during WWII to gather qualitative data around their experiences, in order to explore the long-term psychological impact of imprisonment and additionally, how the psychological effects are related to the current social environment. The major findings of this study are that formerly incarcerated Japanese Americans experience long term psychological consequences as a result of their …

A Clinical Response To A Community Issue : Exploring Hartford's Youth Exposure To Community Violence In A Community-Based Agency, Alicia M. Mamula

Theses, Dissertations, and Projects

The purpose of this study was to explore what clinicians and managers at a Hartford, Connecticut community-based mental health agency are doing to integrate an effective collaboration between micro, mezzo, and macro level interventions to help youth clients residing in Hartford build competent communities. Fellin, (as cited in Hardcastle, 2011) defined a competent community as “one that has the ability to respond to a wide range of member needs and solve its problems and challenges of daily living” (p.96). Given the increased rate of community violence in Hartford in 2015, this research is especially important because the majority of clients …

The Prevalence Of Problem Gambling In The Chinese Community Of San Francisco With A Focus On Exploring Treatment Access, Vivian Hui, Linfang Zhao

Theses, Dissertations, and Projects

Problem gambling, as a significant mental health issue, has been sparsely researched, especially in how it affects Chinese immigrants. Since the 1999 study by Selina Toy and Annie Wong, limited research has been conducted on the prevalence of problem gambling in the San Francisco Chinese community. New data is greatly needed to demonstrate that problem gambling is still prevalent in the Chinese community. The purpose of this study was to utilize the South Oaks Gambling Screen (SOGS) to measure the prevalent rate of problem gambling in San Francisco’s Chinese community in comparison to a similar study conducted 16 years ago …

Does Degree Matter? : An Exploration Into The Stigmatization Of Mental Illness By Social Workers And Other Mental Health Professionals, Alexandria R. Huber

Theses, Dissertations, and Projects

This quantitative descriptive study sought to explore any differences in stigmatization by social workers and other mental health professionals. The second research question explored whether mental health professionals felt their degree program actively challenged them to explore stigma towards those with mental illness. Fifty participants completed an anonymous online survey that included the Community Attitudes Towards Mental Illness scale, measuring stigma of mental illness. There were an additional four Likert scale questions exploring stigma of mental illness, and the participants perspectives of their education about stigma. The findings indicated that social workers had a lower mean score on the subscale …

Levels Of Perceived Stress Among Clinicians Who Work With Client Suicidal Behavior With An Organizational Context, Elyse A.S. Chastain

Theses, Dissertations, and Projects

This quantitative study set out to explore the relationship between clinicians’ levels of stress and perceptions of agency or organizational support when working with clients exhibiting suicidal behaviors, attempts or completed suicide, known throughout this thesis as client suicidal behavior (CSB). It is well documented in the literature that clinicians experience a range of personal and professional reactions when working with CSB that, if left unacknowledged, can have negative implications for clinicians, clients and the agency or organization at large. With the theoretical underpinning of person in the environment, the reciprocity between an individual and their environment can be understood. …

Substance Use And Sexual Risk Behaviors Among Peruvian Msm Social Media Users, Sean D. Young, Roch A. Nianogo, Chingche J. Chiu, Lucho Menacho, Jerome T. Galea

Social Work Faculty Publications

Peru is experiencing a concentrated HIV epidemic among men who have sex with men (MSM). Substance use (alcohol and drug use) has been found to be associated with HIV-related sexual risk behaviors. A recent surge in the number of social media users in Peru has enabled these technologies to be potential tools for reaching HIV at-risk individuals. This study sought to assess the relationship between substance use and sexual risk behaviors among Peruvian MSM who use social media. A total of 556 Peruvian MSM Facebook users (ages 18-59) were recruited to complete a 92-item survey on demographics, sexual risk behaviors, …

High Prevalence Of Chlamydia Trachomatis And Neisseria Gonorrhoeae Infections In Anal And Pharyngeal Sites Among A Community-Based Sample Of Men Who Have Sex With Men And Transgender Women In Lima, Peru, Segundo R. Leon, Eddy R. Segura, Kelika A. Konda, Juan A. Flores, Alfonso Silva-Santisteban, Jerome T. Galea, Thomas J. Coates, Jeffrey D. Klausner, Carlos F. Caceres

Social Work Faculty Publications

Objectives: This study aimed to characterise the epidemiology of Chlamydia trachomatis (CT) and Neisseria gonorrhoeae (NG) infections among men who have sex with men (MSM) and transgender women (TW) in Lima, Peru.

Setting: Cross-sectional study in Lima, Peru.

Participants: We recruited a group of 510 MSM and 208 TW for a subsequent community-based randomised controlled trial. The presence of CT and NG were evaluated using Aptima Combo2 in pharyngeal and anal swabs. We also explored correlates of these infections. Primary and secondary outcome measures: Study end points included overall prevalence of C. trachomatis and N. gonorrhoeae in anal and pharyngeal …

Effect Of A Knowledge-Based And Skills-Based Programme For Physicians On Risk Of Sexually Transmitted Reinfections Among High-Risk Patients In China: A Cluster Randomised Trial, Don Operario, Debin Wang, Nickolas D. Zaller, Mei-Fen Yang, Kathleen Blaney, Jing Cheng, Qian Hong, Hongbo Zhang, Jing Chai, Gregory Szekeres, Jerome T. Galea, Thomas J. Coates

Social Work Faculty Publications

Background: China is experiencing growing epidemics of HIV and sexually transmitted infections (STIs). Programmes to train physicians in China on HIV and STI knowledge, diagnosis, treatment, and risk reduction counselling can potentially reduce HIV and STI risk among high-risk patients. We aimed to assess a knowledge-based and skills-based programme for physicians in China to reduce patients' STI risk.

Methods: In this cluster randomised trial, we block randomised counties in two provinces in eastern China to intervention or control groups. In the intervention group, physicians from county general hospitals participated in a structured HIV and STI training programme and received …

Review Of Feeling Lonesome: The Philosophy And Psychology Of Loneliness. Ben Lazare Mijuskovic. Reviewed By Nancy Goldner., Nancy Goldner

The Journal of Sociology & Social Welfare

Ben Lazare Mijuskovic, Feeling Lonesome: The Philosophy and Psychology of Loneliness. Praeger (2015), 203 pages, $60 (hardcover).

Wo’Kikso’Ye!: Live And Remember. Reflections On Akicita Cik’Ila, Little Soldier, Alex Lunderman (1929-2000), Richard William Voss, Joel R. Ambelang

Social Work (Undergraduate) Faculty Publications

It isn’t often that one gets to meet someone like Alex J. Lunderman, Sr. His Lakota name was Akicita Cik’ala (Little Soldier). The co-authors of this reflection worked closely with Alex over the years in different ways. Richard Voss, who is the speaker in this narrative, met Alex (Little Soldier) in his personal spiritual journey that eventually linked to his research interests in a number of collaborations with Alex (Little Soldier) and other Lakota Elders (Voss, R. W., Douville, V., Little Soldier, A., & White Hat, Sr., 1999a; Voss, Douville, Little Soldier, & Twiss, 1999b). Joel Ambelang followed this research …

Engaging Msw Students In Faculty Research: Students’ Perspectives Of Involvement In A Program Evaluation, Rebecca Thomas, Christina M. Chiarelli-Helminiak, Kyle Barrette, Brunilda Ferraj

Social Work (Graduate) Faculty Publications

Engaging social work students in research is challenging, in part, because of the way research is taught in the classroom and the need for learners to effectively develop connections between the “abstract world” of research concepts with the “real world” of professional experiences. This article describes the experiences of graduate social work students involved in a process and outcome evaluation of a community-based program. Analysis of student learning outcomes and the team-based model used to engage students in the evaluation are provided to put forth a paradigm of teaching social work research through direct, supervised, and collaborative engagement.

Determinants Of Health-Related Quality Of Life Of Patients With End-Stage Renal Disease, Shabu Varghese

Electronic Theses and Dissertations

End-stage Renal Disease (ESRD) or Chronic Kidney Disease (CKD) constitutes a serious public health problem in the United States. According to the United States Renal Data System (USRDS), in 2013, Medicare spending alone accounts for $30.9 billion for the treatment-related expenses for ESRD. The purpose of this study was to examine the causal relationship of two important determinants, perceived social support and treatment adherence with health-related quality of life (HRQOL) of ESRD patients. Using the health belief model and Bandura's self-efficacy theory, the study explained the theoretical underpinnings of the causal relationships of the patient's perspectives of perceived social support …

Iv-E Waiver Evaluation – Leveraging Intensive Family Engagement (Life) Program Evaluation, Carrie Jeanne Furrer, Thuan Duong, Amanda Cross-Hemmer, Beth L. Green

Child Welfare

In partnership with Oregon’s Department of Human Services, we are conducting qualitative and quantitative research to document the implementation and outcomes of the LIFE program. LIFE is an innovative approach to reducing time in out of home placement by providing intensive, multi-modal interventions that integrate Family Finding, Family Meetings, Parent Mentors, and a focus on family and youth voice in reducing the time spent in care for youth at high risk for long term foster care placements.

Maternal Allostatic Load During Pregnancy: Predicting Length Of Gestation, Molly E. M. Sayre

Theses and Dissertations--Social Work

Allostatic load, or the “wear and tear” on the body due to stress, is thought to have a negative impact on length of pregnancy and contribute to health disparities in preterm birth. However, the magnitude of the effect on birth outcomes is unknown, in part due to questions of timing of measurement of allostatic load during pregnancy. This study used linear regression analysis of data from 156 pregnant women to test whether allostatic load is a predictor of length of gestation in the study sample, finding that third trimester allostatic load predicted length of gestation among women with full-term births. …

Identifying The Trauma Recovery Needs Of Maltreated Children: An Examination Of Child Welfare Workers' Effectiveness In Screening For Traumatic Stress, Adrienne Whitt-Woosley

Theses and Dissertations--Social Work

Children in the child welfare system comprise a group characterized by their exposure to trauma via experiences of maltreatment, under circumstances presenting multiple risk factors for traumatic stress. High rates of posttraumatic stress have been observed in this population. However, there is currently no standard for the universal screening of children in child welfare for trauma exposure and traumatic stress. The purpose of this study was to analyze the trauma experiences of a sample of maltreated children and examine whether child welfare workers are effective screeners of traumatic stress symptoms with children from their caseloads. Method: A sample of children …

Vocational Rehabilitation Outcomes For Hispanic Consumers In Traditional Settlement Areas And New Immigrant Destinations: A 17-Year Trend Analysis, Karen E. Waddle Cinnamond

Theses and Dissertations--Social Work

At the end of the 20^th century, economic and political forces converged to create an unprecedented migration of Hispanics across and within U.S. borders. Many migrated for work in new destinations like the Southeast instead of traditional regions in the Southwest. In the Southeast many communities struggled to meet the economic and social needs of its newest members of a population that grew seemingly overnight.

The state-federal vocational rehabilitation system is an important service to meet the economic and social needs of people with disabilities that impair their ability to work. Current scholarship suggests Hispanics and other minorities experience …

Educational Experiences Of Foster Children And Communication Patterns Of Key Stakeholders: The Foster Parent Perspective, Teresa Hardin

Theses and Dissertations--Family Sciences

This research explored the perspective of foster parents on the educational experiences of foster children and experiences of communication patterns with other key stakeholders (social workers, and teachers). Factors focused on were educational experience of foster children, communication patterns, the impact of communication patterns on the educational experience, and barriers to effective communication. Five individuals who were, at the time of the study, foster parents to at least one child were interviewed. Participants openly shared a variety of positive and negative experiences. This study adopted the theoretical framework of Bronfenbrenner’s cultural-ecological theory. Participant interviews were transcribed verbatim and inductive coding …

College-Educated, African American Women's Marital Choices, Katherine M. Oliver

Theses and Dissertations--Family Sciences

This study explores the desire to marry, marriageable mate criteria, and marital choices/options as they pertain to college-educated, African American women within today’s society. A purposive, nationally based sample (N = 95) of never married, college-educated, African American women (i.e., 18 to 40 years of age) was gathered via an online survey accessed by an emailed link. A mixed methods approach was utilized within the survey design, followed by data analyses (i.e., frequencies, two-way analyses) interpreted through a theoretical framework of social exchange. Areas discussed include life goals of marriage, cohabitation, and career; romantic barriers; the perceived availability of …

How Therapists Use And Choose Mindfulness To Treat Trauma, Jessica M. King

Theses and Dissertations--Family Sciences

This qualitative study used the phenomenological method to examine how therapists use mindfulness therapies and interventions to address trauma-salient issues with their clients. Specifically, it explored therapists’ use of and choices about mindfulness-based treatments when addressing post-traumatic stress symptoms, and trauma-relevant emotion dysregulation and attachment injury. Informants were associate and fully-licensed local therapists, recruited using convenience sampling and snowball sampling by word-of-mouth referrals. Data was collected by semi-structured interviewing. Interview data was analyzed with Moustakas’ (1994) recommended procedures for analysis of phenomenological data. Results, Discussion, Limitations and Suggestions for Future Research are described at the end.

Evaluation Of A Diabetes Self-Management Program For Hispanics In Lexington Kentucky: A Pilot Study, Miguel A. Gamboa Oropeza

Theses and Dissertations--Nutrition and Food Systems

Hispanics are more affected by diabetes than non-Hispanic whites and they tend to experience more severe complications. Research shows that although self-management is poor among ethnic minorities, it is even more so among Hispanics. The “Taking Ownership of Your Diabetes” (TOYD) program has been shown to be successful in helping individuals manage their diabetes. However, no work has been conducted with Hispanic audiences in Kentucky. TOYD program allows individuals to modify lifestyle risks and solve problems related to diabetes management. The program was translated from English to Spanish. Hispanics males and females between ages 19 to 75 years …

Identifying Future Effective Foster Parent Characteristics: Using The Casey Foster Family Assessment, Jennifer Grimes-Vawters

Walden Dissertations and Doctoral Studies

In 2014, Washoe County Department of Social Services in Nevada, licensed only 50 of 400 parents who applied to foster children. Lack of long-term effective foster parents creates instability within the system. Significant concern over increased numbers of children entering foster care and a decreased number of qualified foster care applicants continues. The Casey Foster Family Assessment (CFFA), a comprehensive assessment of key traits of effective foster parents may further enhance the fostering application process. The identified CFFA subscales most predictive of future foster parent effectiveness, may help WCDSS more effectively identify applicants likely to provide long-term stable homes for …

Participation In Active And Passive Music Interventions By Individuals With Alzheimer's Disease And Related Dementias: Effects On Agitation, Robert J. Prattini

LSU Doctoral Dissertations

The ability of music to produce calming effects on us is well documented, and its use is becoming an increasingly accepted intervention with populations displaying agitated and disruptive behaviors, such as people with Alzheimer’s disease (AD) or other dementias. One reason for its widespread use is because research has demonstrated music’s efficacy in reducing agitation, and consequently disruptive behaviors, in those with AD. Prior studies on music’s effects on agitation in older people with AD have utilized either recorded music used passively, or active sessions with a music therapist or musicians, but none have compared the effects of each type …

Assessing Access To Social Services In Emerging Systems: A Conceptual Approach, Steven G. Anderson, Meirong Liu, Xiang Gao

The Journal of Sociology & Social Welfare

There has been considerable concern about systemic factors that serve as access barriers for vulnerable groups in need of services, but conceptual and empirical work related to such issues have been limited. This article presents a new conceptual approach for considering and assessing access, which we call the “Funnel Framework”. The framework is explicated abstractly, and is illustrated with use of the U.S. child care subsidy system. We argue that the framework can usefully guide the analysis of access to any social benefit system, and can be helpful to administrators and program developers as they design and implement benefit systems.

Masshealth (Medicaid) Clinicians' Perceptions Of In-Home Therapy With Children And Families, Kathryn E. Cole

Theses, Dissertations, and Projects

This study identifies the attitudes of clinicians providing in-home therapy and related services under the umbrella of MassHealth in Massachusetts. It examines who is doing In-Home Therapy, whether these clinicians (and bachelor’s level providers known as providers of therapeutic training and support) feel adequately prepared to do this work, the kinds of training these clinicians receive, what could be done in order to help them feel more successful, find job satisfaction, and want to continue providing in-home therapy.

Three hundred and four participants completed an online, anonymous survey that collected basic demographic information including gender, age, race, education, professional background, …

Till (Un)Death Do Us Part : Exploring The Romanticization Of Adolescent Dating Violence In The Twilight Saga And The Romantic Relationship Beliefs Held By Female Fans Of The Series, Aviva H. Jacobstein

Theses, Dissertations, and Projects

The purpose of this quantitative study was to examine the romantic relationship beliefs held by female fans of The Twilight Saga and to explore influences of media that romanticizes adolescent dating violence. This study specifically examined 18 to 20-year-old female fans’ varying degrees of Twilight exposure, narrative immersion into the series, and their beliefs regarding what constitutes a healthy romantic partnership. A total of 194 individuals who were exposed to the entirety of Twilight completed an anonymous online survey, which asked individuals to reflect on their reading/watching exposure to Twilight and immersion into the series. Participants also answered Likert-scale questions …

Masculine Ideology In Adolescent Male Relationships : A Quantitative Study, William D. Hall

Theses, Dissertations, and Projects

This research sought to investigate the following: is there a correlation between levels of happiness in interpersonal relationships and personal resistance to masculine norms? It was hypothesized that there will exist a positive correlation between resistance to masculine norms and positive relationships - as levels of resistance to masculine norms increase, self-reports of positive interpersonal relationships will increase as well. In order to examine this possible correlation, this study analyzed 42 males between the ages of 14 and 17. All participants were enrolled in high school in Boston, Massachusetts. The study utilized the most contemporary scale of masculinity in adolescents …

Exploration Of Intergenerational Transmission Of Trauma In Holocaust Survivors, Lisa S. Guthery

Theses, Dissertations, and Projects

This study was undertaken to help resolve current debate in the field as to whether or not the traumatic effects of the Holocaust are transmitted intergenerationally. What was preventing or, conversely, enabling the passage of symptomatology from one generation to the next, thereby accounting for the contradiction in research, and clinicians’ observations during their work with Holocaust families? Over 200 people received the study through social media and snowball sampling requesting participation in a Qualtrics survey consisting of 3 screening questions, 5 demographic questions, 4 sections of multiple-choice questions, and 2 open-ended questions. The four sections assessed parental PTSD symptomatology, …

Client's Experiences And Perceptions Of The Therapist's Use Of Swear Words And The Resulting Impact On The Therapeutic Alliance In The Context Of The Therapeutic Relationship, Hollyanne J. Giffin

Theses, Dissertations, and Projects

This thesis explores how clients perceive therapist swearing in the context of a therapeutic relationship. This was done via an exploratory, mixed methods research study. Individuals whose therapists had used swear words during their individual therapy were surveyed about their own personal swearing habits, their opinions of swearing and therapist swearing in general, their specific experiences and perceptions of their therapist swearing, as well as demographic information. The majority of the study’s respondents reported that their therapist’s use of swear words had helped their therapeutic relationship. While participants reported they were happy with the frequency and context of their therapist’s …