Social Work Commons^™

Barriers And Facilitators To Antiretroviral Therapy Adherence Among Peruvian Adolescents Living With Hiv: A Qualitative Study, Jerome Galea, Milagros Wong, Maribel Muñoz, Emiliano Valle, Segundo R. Leon, Dayana D. Perez, Lenka Kolevic, Molly F. Franke

Social Work Faculty Publications

AIDS deaths among adolescents are increasing globally. This qualitative study investigated the barriers and facilitators to cART adherence among Peruvian adolescents living with HIV. Guided by a social ecological model, we analyzed transcripts from 24 psychosocial support groups for HIV-positive adolescents aged 13–17 years and 15 individual, in-depth interviews with cART providers and caregivers to identify the barriers and facilitators to cART adherence at the individual, family/caregiver and hospital levels. Most barriers and facilitators to cART adherence clustered at the individual and family/caregiver levels, centering on support provided to adolescents; history of declining health due to suboptimal cART adherence; side …

Increasing Equity In Access To Mental Health Care: A Critical First Step In Improving Service Quality, Margarita Alegría, Ora Nakash, Amanda Nemoyer

School for Social Work: Faculty Publications

No abstract provided.

Barriers And Facilitators To Antiretroviral Therapy Adherence Among Peruvian Adolescents Living With Hiv: A Qualitative Study, Jerome T. Galea, Milagros Wong, Maribel Muñoz, Emiliano Valle, Segundo R. Leon, Dayana D. Perez, Lenka Kolevic, Molly Franke

Social Work Faculty Publications

AIDS deaths among adolescents are increasing globally. This qualitative study investigated the barriers and facilitators to cART adherence among Peruvian adolescents living with HIV. Guided by a social ecological model, we analyzed transcripts from 24 psychosocial support groups for HIV-positive adolescents aged 13–17 years and 15 individual, in-depth interviews with cART providers and caregivers to identify the barriers and facilitators to cART adherence at the individual, family/caregiver and hospital levels. Most barriers and facilitators to cART adherence clustered at the individual and family/caregiver levels, centering on support provided to adolescents; history of declining health due to suboptimal cART adherence; side …

Crucial But Understudied: Incentives In Hiv Research, Brandon Brown, Jerome T. Galea, Karine Dubé

Social Work Faculty Publications

No abstract provided.

Use Of 'Eradication' In Hiv Cure-Related Research: A Public Health Debate, Karine Dubé, Stuart Luter, Breanne Lesnar, Luke Newton, Jerome T. Galea, Brandon Brown, Sarah Gianella

Social Work Faculty Publications

Background: The landscape of Human Immunodeficiency Virus (HIV) research has changed drastically over the past three decades. With the remarkable success of antiretroviral treatment (ART) in decreasing AIDS-related mortality, some researchers have shifted their HIV research focus from treatment to cure research. The HIV cure research community often uses the term eradication to describe the science, and talks about eradicating the virus from the body. In public discourse, the term eradication could be conflated with disease eradication at the population level. In this paper, we call for a reframing of HIV cure research as control, as it is a …

From 'Wonderful Americans' To The Ahca: Contrasting Trump's Nomination Acceptance Address And His Administration's Actions On Glbtq Health, Leland G. Spencer, Molly Malany Sayre

Sociology, Anthropology, and Social Work Faculty Publications

Donald Trump's 2016 Nomination Acceptance Address at the Republican National Convention explicitly mentioned GLBTQ people as Trump promised to “protect our LGBTQ citizens” and called GLBTQ people “wonderful Americans.” However, since Trump's inauguration, he has appointed anti-GLBTQ leaders, proposed cuts to HIV research, and offered his support for a ban on transgender recruits to the military. This article begins with a close reading of Trump's speech, showing how Trump expresses ostensible support for GLBTQ Americans, only to capitalize on the deaths of queer and trans people of color at the Pulse Nightclub in Orlando mere weeks before the convention by …

Help-Seeking On Facebook Versus More Traditional Sources Of Help: Cross-Sectional Survey Of Military Veterans, Alan R. Teo, Heather E. Marsh, Samuel B.L. Liebow, Jason I. Chen, Christopher W. Forsberg, Christina Nicolaidis, Somnath Saha, Steven K. Dobscha

School of Social Work Faculty Publications and Presentations

Background: The media has devoted significant attention to anecdotes of individuals who post messages on Facebook prior to suicide. However, it is unclear to what extent social media is perceived as a source of help or how it compares to other sources of potential support for mental health problems.

Objective: This study aimed to evaluate the degree to which military veterans with depression use social media for help-seeking in comparison to other more traditional sources of help.

Methods: Cross-sectional self-report survey of 270 adult military veterans with probable major depression. Help-seeking intentions were measured with a modified General Help-Seeking Questionnaire. …

Psychosocial Correlates Of Post-Traumatic Stress Disorder Symptoms And Well-Being Among Hispanic World Trade Center Rescue And Recovery Workers, Dianne Ciro

Dissertations, Theses, and Capstone Projects

Thousands of first responders are estimated to have endured extremely distressing experiences during their recovery efforts at the 9/11 World Trade Center (WTC) site. While the effects of 9/11 continue to be studied, few studies have examined how rescue and recovery workers have been coping since 9/11 and how their coping is associated with their psychological well-being. Moreover, we do not know how distinct coping patterns may be associated with post-traumatic growth, experiences of positive emotion, or quality of life among WTC responders.

This study compared coping differences among Hispanic, Non-Hispanic White, and Non-Hispanic Black first responders. In addition, it …

Comprehensive Plan For Prevention Of Abuse And Neglect Of People With Disabilities: Report, Nancy M. Fitzsimons

Social Work Department Publications

Victimization of people with disabilities (here forward ‘abuse and neglect’) is a serious, persistent, and pervasive problem. While Minnesota is taking steps to improve its reporting and response systems, similar efforts have not been made to prevent abuse and neglect. This Comprehensive Plan for the Prevention of Abuse and Neglect of People with Disabilities contains powerful examples of the problem and describes potential remedial actions. But the Plan goes further, by outlining promising actions that can be taken before the abuse and neglect occurs.

This report and the subsequent work on prevention of abuse and neglect for people with disabilities …

Inductive And Deductive: Ambiguous Labels In Qualitative Content Analysis, Mohammad Reza Armat, Abdolghader Assarroudi, Mostafa Rad, Hassan Sharifi, Abbas Heydari

The Qualitative Report

The propounded dualism in Content Analysis as quantitative and qualitative approaches is widely supported and justified in nursing literature. Nevertheless, another sort of dualism is proposed for Qualitative Content Analysis, suggesting the adoption of "inductive" and/or "deductive" approaches in the process of qualitative data analysis. These approaches have been referred and labelled as "inductive" or "conventional"; and "deductive" or "directed" content analysis in the literature. Authors argue that these labels could be fallacious, and may lead to ambiguity; as in effect, both approaches are employed with different dominancy during the process of any Qualitative Content Analysis. Thus, authors suggest more …

The State Of State Eitcs: An Overview And Their Implications For Low- And Moderate-Income Households, Genevieve Davison, Stephen P. Roll, Samuel H. Taylor, Michal Grinstein-Weiss

Center for Social Development Research

The success of the federal Earned Income Tax Credit (EITC) has prompted numerous states to develop and administer their own EITC programs. This brief presents the results of analyses that used data from a large sample of low- and moderate-income households to learn more about the relationship between state and federal EITCs as well as about their relationships, respective and combined, with financial behaviors and the experience of financial and material hardship. Given that many EITC beneficiaries face substantial risk of experiencing income volatility and financial shocks, insights gained from this brief can assist policymakers in understanding the importance of …

When Pedagogy Is Painful: Teaching In Tumultuous Times, Marisela Martinez-Cola, Rocco English, Jennifer Min, Jonathan Peraza, Jamesetta Tambah, Christina Yebuah

Sociology, Social Work and Anthropology Faculty Publications

What happens when the outside world begins to affect the classroom? Is the classroom supposed to be neutral, objective, and devoid of feelings? Or is it a space where students and teacher meet for healing, understanding, and critical thinking? From news reports of police brutality to highly publicized acts of racial aggression, students are inundated with examples of intolerance, hatred, and racial inequality. Those committed to critical pedagogy and social justice invite, embrace, and use these events to enhance classroom materials. What happens, however, when pedagogy is painful for both the student and the teacher? Several articles address the teacher’s …

Living With 'Risky' Bodies, Simanti Dasgupta

Sociology, Anthropology, and Social Work Faculty Publications

In Kolkata, female sex workers’ well-being is overshadowed by practices and conceptions around HIV/AIDS. This article describes an outreach program designed to prevent the spread of HIV infections through condom programming based on a public health initiative, Sonagachi HIV/AIDS Intervention Program (SHIP). However, the identification of female sex workers as a high-risk group for HIV has compounded their existing struggle in which the state medical regime now construes and constructs the women as "risky" bodies in need of targeted intervention. High-risk group status has conferred a kind of hyper-visibility on female sex workers -- unthinkable were it not for the …

Responses To And Repercussions From Income Volatility In Low- And Moderate-Income Households: Results From A National Survey, Stephen P. Roll, David S. Mitchell, Krista Holub, Sam Bufe, Michal Grinstein-Weiss

Center for Social Development Research

This is the second in a series of briefs that the Center for Social Development has produced in partnership with the Aspen Institute’s Expanding Prosperity Impact Collaborative (EPIC) and the Intuit Tax and Financial Center. Thefirst brief highlighted new data on the prevalence of income and expense volatility in low- and moderate-income households. This second brief examines income volatility’s effects on Americans’ financial lives, showing that it is associated with dramatic increases in the likelihood of experiencing several hardships. The findings have broad implications for future research and policy.

Food Insecurity Rudimentary Education For Local Youth, Nam-Anh Nguyen, Quynh Nguyen, Ellisa Defur, Daniel Lin, Jennifer Mansfield, Jane Krause

Engagement & Service-Learning Summit

No abstract provided.

The Role Of Choice Architecture In Promoting Saving At Tax Time: Evidence From A Large-Scale Field Experiment, Michal Grinstein-Weiss, Cynthia Cryder, Mathieu R. Despard, Dana C. Perantie, Jane E. Oliphant, Dan Ariely

Center for Social Development Research

This paper presents the findings of a large-scale field experiment (N = 646,16) from the Refund to Savings Initiative. The experiment tested a choice architecture and persuasive messaging intervention that increased saving among low-moderate income (LMI) consumers by approximately 50% during tax refund time. Two follow-up experiments parsed components of the intervention. The first follow-up experiment (N = 569) tested the messaging and choice architecture interventions separately, finding that each can increase savings. a final follow-up experiment (N = 554) tested individual elements of the choice architecture intervention, demonstrating that mere mention of savings within choice options was not sufficient …

The Evolution Of Challenges For Adoptive Families: The Impact Of Age As A Framework For Differentiation, Nancy Rolock, Joan M. Blakey, Megan Wahl, Amy Devine

Journal of Adolescent and Family Health

This exploratory study examined issues parents (n=20) experienced after adoption through the child welfare system. The findings suggest that the primary differences between struggling and non-struggling families was whether the family was internally-protected or externally-focused. Internally-protected families were able to insulate and protect their family from many outside forces and meet their children’s needs. In contrast, externally-influenced families tended to have negative involvement with the school, community, and/or law enforcement, often resulting from children’s disruptive behavior. The parents had limited choices as to whether outside entities were involved in their children’s lives. Participants reported that sustained support after adoption is …

The Experience Of Volatility In Low- And Moderate-Income Households: Results From A National Survey, Stephen P. Roll, David S. Mitchell, Sam Bufe, Gracie Lynne, Michal Grinstein-Weiss

Center for Social Development Research

This is the first in a series of briefs that the Center for Social Development has produced in partnership with the Aspen Institute’s Expanding Prosperity Impact Collaborative (EPIC) and the Intuit Tax and Financial Center. It highlights new data on the prevalence of income and expense volatility in low- and moderate-income households.

Self-Care Among Social Workers Employed In Rural Settings: A Cross-Sectional Investigation, Diane N. Loeffler, J. Jay Miller, Theresia M. Pachner

Social Work Faculty Publications

Despite growing recognition about the importance of self-care for social work professionals, research related to the topic has not kept pace with the changing landscape of the profession. Particularly, self-care practices among rural social work professionals have been overlooked in the research. Rural social work practice is, in many ways, decidedly different from practice in more urban areas. Thus, the primary aim of this exploratory study was to investigate the personal and professional self-care practices of rural social workers. Specifically, the study sough to better understand how often social workers engage in self-care and whether or not there are associations …

Understanding The Impact Of Childhood Sexual Abuse On Men’S Risk Behavior: Protocol For A Mixed-Methods Study, Martin J. Downing Jr., Dominique Brown, Jeffrey Steen, Ellen Benoit

Social Work Faculty Publications

Background: Childhood sexual abuse (CSA) remains a critical public health issue among black and Latino men who have sex with men (MSM), as it is associated with multiple negative outcomes including substance misuse, poor mental health, revictimization, and high-risk sexual behavior. Most CSA research with MSM relies on quantitative assessment that often precludes consideration of cultural variations in how formative sexual experiences are understood and is based on inconsistent or overly restrictive definitions of abuse, and therefore may fail to detect certain abusive experiences (eg, those involving female perpetrators), which can have harmful health consequences if they remain unrecognized. …

Countering The Norm, (Re)Authoring Our Lives: The Promise Counterstorytelling Holds As A Research Methodology With Lgbtq Youth And Beyond, M. Alex Wagaman, Rae Caballero Obejero, James S. Gregory

Social Work Publications

Counterstorytelling, a methodology that is rooted in critical race theory, is undergirded by principles that are beneficial to understanding the experiences of lesbian, gay, bisexual, transgender, and queer-identified (LGBTQ) young people from an intersectional perspective. Counterstorytelling holds promise as a method that creates opportunities for individual transformation and resistance to dominant narratives among young people facing systemic oppression. This article outlines the design and implementation of a counterstorytelling study with LGBTQ youth and reflects on the value and associated challenges of counterstorytelling as a participatory research method.

Is Counseling Integral To Buprenorphine-Assisted Opioid Addiction Treatment? Examining Counseling Participation And Treatment Retention At A Richmond, Virginia Clinic, John R. Gyourko, Hilary Colin King

Social Work Student Works

Treatment providers in Virginia are required by law to offer counseling or referrals to all clients receiving medication-assisted opioid use disorder (OUD) treatment (American Society of Addiction Medicine, 2016; Medical Society of Virginia, 2018). Prescribing physicians widely regard counseling as a critical component of medication-assisted OUD treatment (Lin, Lofwall, Walsh, & Knudsen, 2019), and clients perceive counseling to be among the most important factors promoting recovery from opioid dependence (Hay, Huhn, Tompkins, & Dunn, 2019). Research investigating the efficacy of counseling as an OUD treatment component, however, has been equivocal to date (Brown, 2018; Dugosh et al., 2016). The current …

How Does Incarceration Affect The Likelihood Of Reunification?, Amy D'Andrade

Faculty Publications

No abstract provided.

Deliberative Dialogue: An Interdisciplinary Tool Promoting Civil Discourse And Enhancing Civic Literacy, Gayle Mallinger, Molly Kerby

Social Work Faculty Publications

Overview:

• Basic concepts of deliberative dialogue as an interdisciplinary tool
• Deliberative dialogue as a instrument for civil discourse
• The efficacy of deliberative dialogue on civic literacy

Using Clinical Supervision To Improve Interprofessional Collaboration, Melissa Copenhaver

Doctor of Nursing Practice Scholarly Projects

USING CLINICAL SUPERVISION TO IMPROVE

INTERPROFESSIONAL COLLABORATION

By

Melissa Copenhaver

Interprofessional collaboration (IPC) is important to the future of the healthcare system in that IPC is part of the solution for promoting better healthcare outcomes (Gilbert, Yan, & Hoffman, 2010; Reeves, Perrier, Goldman, Freeth, & Zwarenstein, 2013). Marshall (2011) notes that “interprofessional collaborative practice promotes team identity, conserves energy by a unity in direction, and invites harmony of efforts” (p. 158). The skills needed to engage in IPC are cultivated through interprofessional education (IPE) (Reeves et al., 2013). Currently, at Northern Michigan University (NMU), there are limited opportunities included in …

Understanding Writing Challenges Of Rural Msw Students: Preparing Students For Ethical Practice, Jennifer A. Shadik, Sarah B. Garlington, Terry Cluse-Tolar, Glenn Abraham

Contemporary Rural Social Work Journal

This study explores the attitudes and reflections of rural MSW students regarding writing. Twenty-seven students completed the modified Writing-to-learn Attitudes Survey (WTLAS). Fourteen completed an open-ended reflection where they were asked to assess their strengths and challenges in writing, as well as strategies for improvement. Results of WTLAS indicated students were anxious about writing, had difficulty organizing their thoughts, presenting their ideas clearly, and had little confidence in their writing. Results of the writing reflection indicated students were able to identify multiple challenges and strengths as well as means to remedy shortcomings. Qualitative analysis indicated the most frequent challenges were: …

Rural Attitudes Toward Government Benefit Programs, Mary Laidlaw, Peter A. Kindle, Teresa M. Thomas, Melissa Fellows, Jennifer Reeves

Contemporary Rural Social Work Journal

This study explores rural Midwestern attitudes (N = 126) toward 21 government benefit programs. Findings indicated that there were substantial differences between male and female respondents with male respondents believing that means-tested government benefits were too generous by almost a full standard deviation (d = .90) in comparison with female respondents. Entitlement programs were also deemed too generous, but by a lesser effect (d = .67). No gender differences were noted for farm programs. Linear regression explained 23.3% of the variance in attitudes toward mean-tested programs, 20.8% for entitlement programs, but only 8.1% for farm-related programs. Findings …

A Community And University Collaborative: Responding To The Opioid Crisis, John Conahan, Chelsea Toth, Sheryl Mcklveen

Contemporary Rural Social Work Journal

One of the 12 Grand Challenges of Social Work, as identified by the American Academy of Social Work and Social Welfare (2018), is Ensuring Healthy Development for all Youth. This article explores the importance of community-wide prevention efforts in meeting this challenge by utilizing grassroots coalition action in concert with engaged universities. Through perspectives of the Communities that Care Model and an Engaged University Model, this case study examines one community’s response to reduce the prevalence of youth substance abuse behaviors. Recommendations include effective coalition building strategies.

Project Rafiki: Consumer And Provider Perspectives On Food Assistance And Its Impact On Quality Of Life For Individuals Living With Hiv/Aids, Emily C. Holderfield-Gaither, Saundra Starks, William Mkanta

Contemporary Rural Social Work Journal

Project Rafiki was designed to provide nonperishable food assistance to individuals living with HIV/AIDS in Tanzania, East Africa. The research study was developed to examine the extent to which the Project Rafiki food assistance program had impacted its participants over the course of one year. The aim of this research can be divided into five smaller objectives: 1) to gage the effectiveness of the food assistance program; 2) to assist in the expansion of inter-professional knowledge of resource-development regarding health and nutrition for vulnerable communities or rural areas; 3) to involve and immerse students in learning on a global level; …

Using Person-Centered Scheduling With Geriatric Patients To Reduce Anxiety With Telepsychiatry, Jody G. Long, Patricia A. Wilkerson, Evi Taylor, John H. Hall, Christopher Peters

Contemporary Rural Social Work Journal

ABSTRACT

Objective: This study explored using person-centered scheduling with telepsychiatry for rural community geriatric patients. Quantitative research approaches were used to determine the level of satisfaction participants experienced with person-centered scheduling and geriatric telepsychiatry. Method: Quantitative data were collected by using the Zung Self-Rating Anxiety Scale (SAS) before scheduling the first appointment and to assess the intervention’s effectiveness after the telepsychiatry session. Results: Person-centered telepsychiatry scheduling decreased geriatric patients’ anxiety as evidenced by Zung SAS scores. Conclusion: Older adult patients saw telepsychiatry as a viable means of treatment. Future research with geriatrics from different regions is needed.

Implications and future …