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2019

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Full-Text Articles in Social Work

Prison Nurseries And Social Work Practice, Brooke Sheehan Jan 2019

Prison Nurseries And Social Work Practice, Brooke Sheehan

Walden Dissertations and Doctoral Studies

This study sought to examine what gaps existed in practice through the perspectives of correctional social workers in terms of helping incarcerated mother–infant dyads bond. Additionally, it examined whether a prison nursery was viewed as a possible option within a smaller correctional facility. Theories used to guide this study included attachment theory and separation-individuation theory, which align with the research questions that sought to explore gaps in services, supports that could be established, and program feasibility. Action research, using an anonymous online survey, resulted in N = 6 social work participants who worked as prison social workers in the northeast …


Clinical Social Workers, Gender, And Perceptions Of Political Participation, Jason Ostrander, Janelle K. Bryan, Shannon R. Lane Jan 2019

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 …


Compared To What? A Meta-Analysis Of Batterer Intervention Studies Using Non-Treated Controls Or Comparisons, Shih-Ying Cheng, Maxine Davis, Melissa Jonson-Reid, Lauren Yaeger Jan 2019

Compared To What? A Meta-Analysis Of Batterer Intervention Studies Using Non-Treated Controls Or Comparisons, Shih-Ying Cheng, Maxine Davis, Melissa Jonson-Reid, Lauren Yaeger

Social Work Faculty Publications & Presentations-Archive

This meta-analysis updates the literature on the effectiveness of batterer intervention programs (BIPs) in decreasing recidivism of domestic violence (DV) by focusing on studies with nontreated comparison groups (N=17). Included studies were published between 1986 and 2016, and 14 of the 17 provided sufficient information for the meta-analytic analysis. Analysis focused on three reported outcomes: DV recidivism reported by the criminal justice system, intimate partner violence (IPV) perpetration assessed by the survivor, and general offence recidivism reported by the criminal justice system. Results of meta-analysis indicated that BIPs were effective in decreasing DV recidivism and general offense recidivism when reported …


The Effects Of Parental Divorce And Remarriage On Emerging Adult’S Romantic Attachment Styles, Bailey Mortis Jan 2019

The Effects Of Parental Divorce And Remarriage On Emerging Adult’S Romantic Attachment Styles, Bailey Mortis

Theses and Dissertations--Family Sciences

This study shined light on the gap in literature about the impact of communication and involvement of stepparents has on emerging adult’s romantic attachment styles. A sample of 289 college students between the ages of 18 and 22 at the University of Kentucky was recruited to complete an online survey about their perceived experience with their stepparent and parental figures and the effects on their romantic attachment styles. Parental involvement in children’s lives and having good communication, sets the foundation for individuals to have secure attachment styles. Emerging adults who experience parental figures and stepparents as being uninterested or passive …


Retirement Planning Versus Family Support: What Drives Peoples` Decisions?, Radion Svynarenko Jan 2019

Retirement Planning Versus Family Support: What Drives Peoples` Decisions?, Radion Svynarenko

Theses and Dissertations--Family Sciences

A slight majority of American households headed by 55–64-year-olds do not have any savings for retirement, and those who have retirement savings have a median of around $109,000 saved, which is equivalent to an inflation-protected annuity of $405 per month (i.e., well below the official poverty level). Among the main reasons cited for the lack of retirement savings among parents is a desire to provide financial support to their young adult children. Indeed, on the whole, parents spend twice as much on financial support of their adult children as they save for retirement (Merryl Lynch, 2018). Understanding the precursors and …


Oregon Zero Suicide Implementation Assessment Instrument, V.1.0, Karen Cellarius, Meghan Crane Jan 2019

Oregon Zero Suicide Implementation Assessment Instrument, V.1.0, Karen Cellarius, Meghan Crane

Regional Research Institute for Human Services

[This is an older version.]

Related Resource:
Oregon Zero Suicide Implementation Assessment Instrument, v.2.1 [Updated Version]



This implementation self‐assessment and the accompanying web survey were adapted for the Oregon Community Collaboration Initiative (OCCI) by Portland State University in collaboration with the OHA GLS Youth Suicide Prevention staff. The assessment is based on three Zero Suicide resources available at http://zerosuicide.org/.
(1) the Organizational Self‐Study,
(2) the Data Elements Worksheet and
(3) the Work Plan Template
OHA is using this implementation assessment to track change over time related to suicide prevention efforts among organizations participating in OHA‐sponsored Zero Suicide Academies in …


Focal Point, Volume 33, Portland State University. Regional Research Institute Jan 2019

Focal Point, Volume 33, Portland State University. Regional Research Institute

Research and Training Center - Focal Point

This issue of Focal Point explores the findings from the local evaluations conducted by Healthy Transitions grantees over the past 5 years as well as present evaluation findings from two other innovative programs for transition-aged youth and young adults. Taken together, the articles in this issue supply service providers and planners across the nation with an indication of the successful outcomes generated by a variety of program approaches.


The State Of Substance Use Education In Master Of Social Work Programs : A Content Analysis Of Msw Curricula & Survey Of Msw Program Leaders, Dane Minnick Jan 2019

The State Of Substance Use Education In Master Of Social Work Programs : A Content Analysis Of Msw Curricula & Survey Of Msw Program Leaders, Dane Minnick

Legacy Theses & Dissertations (2009 - 2024)

Substance use is currently a pervasive problem among a large proportion of populations served by the social work profession. Several studies have indicated that social workers routinely provide services to clients with direct and indirect substance use needs, making knowledge of substance use interventions and public policies a necessity for most social workers to operate effectively in the field. However, despite the regularity of interaction with substance using clients, a large body of research has suggested that social work students are ill-prepared to deliver substance use services upon completing their academic training, and that a significant deficit of substance use …


Mapping Collective Action Structures And Activities In A Rural Age-Friendly Communities Initiative, Althea R. Pestine-Stevens Jan 2019

Mapping Collective Action Structures And Activities In A Rural Age-Friendly Communities Initiative, Althea R. Pestine-Stevens

Legacy Theses & Dissertations (2009 - 2024)

Age-Friendly Communities (AFC) initiatives convene stakeholders across sectors and service areas throughout a community to work together to improve the social and built environments for older persons living in the community. While the AFC movement has been active internationally for thirteen years, little is known about the mechanisms that drive this work and its successes. This study aims to uncover some of the key collective action processes and structures that comprise AFC work in a rural county in New York State, through a collaboration theory framework and a social network analysis design.


Individuals With Developmental Disabilities And Criminal Incompetence : An Analysis Of Predictors To Restoration, Ashley Cahill Jan 2019

Individuals With Developmental Disabilities And Criminal Incompetence : An Analysis Of Predictors To Restoration, Ashley Cahill

Legacy Theses & Dissertations (2009 - 2024)

Competency to stand trial is a concept of jurisprudence preventing the adjudication of individuals who lack the capacity to understand the proceedings against them and which prevents them from assisting in their own defense because of mental disease or “defects”. In the criminal justice system, defendants found incompetent to stand trial are remanded to the care of the mental health system for a period of time to restore their competence. The determination of competency to stand trial is by far the most common psychiatric evaluation requested by criminal courts, and is especially critical for defendants with developmental and intellectual disabilities.


Integration Of Cultural Competency In Delivery Of Mental Health Services To Latinos :, Jacqueline V. Richardson-Melecio Jan 2019

Integration Of Cultural Competency In Delivery Of Mental Health Services To Latinos :, Jacqueline V. Richardson-Melecio

Legacy Theses & Dissertations (2009 - 2024)

Abstract


Lived Experiences Of Homeless Adults With Companion Animals In Utilizing Community Services, Sandra Harp Jan 2019

Lived Experiences Of Homeless Adults With Companion Animals In Utilizing Community Services, Sandra Harp

Walden Dissertations and Doctoral Studies

Over 71% of American homeless individuals are adults over 25 years of age, and the numbers are increasing. Approximately 25% of homeless individuals own a companion animal (CA). Because most service providers do not allow CAs within their facilities, the current $60.2 billion dollar national budget for homeless resources may be underutilized or forfeited altogether by homeless adults with a CA. The purpose of this study was to explore community service utilization by homeless adults with a CA through the lens of attachment theory. The research question addressed the lived experiences and perceptions of homeless adults who own CAs regarding …


Data Note: Social Security Administration Data Show A Record Low Level Of Pass Usage Among Ssi Recipients, Daria Domin, Jaimie Ciulla Timmons, Thinkwork! At The Institute For Community Inclusion At Umass Boston Jan 2019

Data Note: Social Security Administration Data Show A Record Low Level Of Pass Usage Among Ssi Recipients, Daria Domin, Jaimie Ciulla Timmons, Thinkwork! At The Institute For Community Inclusion At Umass Boston

ThinkWork! Publications

The Social Security Administration (SSA) offers a set of work incentives for Supplemental Security income (SSI) beneficiaries. Work incentive employment supports help SSI recipients go to work by minimizing the risk of losing their SSI or Medicaid benefits (Social Security Administration, 2018). One such incentive, the Plan to Achieve Self-Support (PASS), allows approved individuals to set aside earned or unearned income and resources to achieve an employment goal. The money or resources set aside are excluded from SSI income and resource tests and can be used to pay for goods or services needed to reach the goal, such as education, …


Service Provider Promising Practice - Penn-Mar Human Services: Creating Their “2020 Strategic Plan”, Esther Kamau, Thinkwork! At The Institute For Community Inclusion At Umass Boston Jan 2019

Service Provider Promising Practice - Penn-Mar Human Services: Creating Their “2020 Strategic Plan”, Esther Kamau, Thinkwork! At The Institute For Community Inclusion At Umass Boston

ThinkWork! Publications

At the beginning of the transformation process, Penn-Mar recognized the importance of robust strategic planning to understand what the organization needed to do differently to transform. Therefore, Penn-Mar created the 2020 Strategic Plan, a 5-year plan to help focus the organization, and to strategize about how to achieve their objectives. The 2020 Strategic Plan outlines Penn-Mar’s goal to close its sheltered workshop, with a set of action steps for achievement. The plan set a specific date for closure, as Penn-Mar staff argued that without it, the transformation process would “linger forever.” Penn-Mar established a task force to support the development …


Service Provider Promising Practice - The Arc Of Westchester: Creative Partnership With Mercy College, Jaimie Ciulla Timmons, Thinkwork! At The Institute For Community Inclusion At Umass Boston Jan 2019

Service Provider Promising Practice - The Arc Of Westchester: Creative Partnership With Mercy College, Jaimie Ciulla Timmons, Thinkwork! At The Institute For Community Inclusion At Umass Boston

ThinkWork! Publications

The Arc of Westchester benefits from an agency culture that values innovative partnerships. In fact, an agency leader explained that the organization “will work with anybody who is willing to sit and talk.” This collaborative spirit led to a creative endeavor with Mercy College, a four-year school offering degrees in Business, Education, Liberal Arts, Health and Natural Sciences, and Social and Behavioral Sciences. Within Health and Natural Sciences are departments such as nursing, speech therapy, occupational therapy, physical therapy, and nutrition. The Arc of Westchester partnered with these departments to form a mutually beneficial relationship, creating opportunities for both college …


Service Provider Promising Practice - Work Inc.: Developing A Community Liaison Program To Address Holistic Needs, Esther Kamau, Thinkwork! At The Institute For Community Inclusion At Umass Boston Jan 2019

Service Provider Promising Practice - Work Inc.: Developing A Community Liaison Program To Address Holistic Needs, Esther Kamau, Thinkwork! At The Institute For Community Inclusion At Umass Boston

ThinkWork! Publications

Leadership at Work Inc., a provider in the Boston area, thought about the holistic approach to providing individual supports even before their agency’s transformation began. Work Inc. designed its community liaisons program to have three components: volunteerism, with the intention of identifying employment opportunities and contributing to the community; recreation, “because everyone wants to have fun”; and instruction, with a focus on skill-building and identifying interests and talents. In designing and implementing the program, Work Inc. staff considered each person’s interests, and turned former workshop staff into “community liaisons.”


Endure, Evolve, Achieve: Stakeholder Perspectives On The Effectiveness Of The Swamp Apes Program In Restoring Biopsychosocial Functioning Of American Veterans, Manisha Joshi, Joshua Zaris Goldman Jan 2019

Endure, Evolve, Achieve: Stakeholder Perspectives On The Effectiveness Of The Swamp Apes Program In Restoring Biopsychosocial Functioning Of American Veterans, Manisha Joshi, Joshua Zaris Goldman

Social Work Faculty Publications

A growing body of evidence highlights the benefits of recreational outdoor therapy for veterans experiencing posttraumatic stress disorder. We employed the Hawkins Model for “Nature as Strengths-based Recreational Therapy Intervention for Military Members” to assess the Swamp Apes/Volunteer Wilderness Alliance (SA/VWA) in South Florida, which has among its key objectives ridding the Everglades National Park of invasive species (e.g., Burmese python). Focus group and interviews with 10 veterans and seven non-veterans (i.e., family, health providers) were conducted to assess benefits, risks, and potential for developing SA/VWA activities into a formal therapy program for veterans rooted in the American Therapeutic Recreation …


A Decade's Tale: Consent Decrees And Police Use Of Disproportionate Excessive Force With Communities Of Color, Dasha J. Rhodes, David L. Robinson, Paul C. Archibald, Laurens Van Sluytman Jan 2019

A Decade's Tale: Consent Decrees And Police Use Of Disproportionate Excessive Force With Communities Of Color, Dasha J. Rhodes, David L. Robinson, Paul C. Archibald, Laurens Van Sluytman

Social Work Faculty Publications

According to the U.S. Department of Justice (US DOJ, 2016), African Americans have experienced disproportionate instances of police use of excessive force as a result of discriminatory practices and insufficient training. Officers are permitted to use appropriate force in specific situations; however, when force is excessive and deemed unnecessary, it then becomes an issue of concern. The U.S. Department of Justice was invited to investigate police departments that participated in the use of excessive force and a consent decree was developed with those departments to remedy the DOJ's findings. The researchers conducted a consent decree analysis examining government investigations of …


Transmissibility And Potential For Disease Progression Of Drug Resistant Mycobacterium Tuberculosis: Prospective Cohort Study, Mercedes C. Becerra, Chuan-Chin Huang, Leonid Lecca, Jaime Bayona, Carmen Contreras, Roger Calderon, Rosa Yataco, Jerome Galea, Zibiao Zhang, Sidney Atwood, Ted Cohen, Carole D. Mitnick, Paul Farmer, Megan Murray Jan 2019

Transmissibility And Potential For Disease Progression Of Drug Resistant Mycobacterium Tuberculosis: Prospective Cohort Study, Mercedes C. Becerra, Chuan-Chin Huang, Leonid Lecca, Jaime Bayona, Carmen Contreras, Roger Calderon, Rosa Yataco, Jerome Galea, Zibiao Zhang, Sidney Atwood, Ted Cohen, Carole D. Mitnick, Paul Farmer, Megan Murray

Social Work Faculty Publications

Objective: To measure the association between phenotypic drug resistance and the risk of tuberculosis infection and disease among household contacts of patients with pulmonary tuberculosis.

Setting: 106 district health centers in Lima, Peru between September 2009 and September 2012.

Design: Prospective cohort study.

Participants: 10 160 household contacts of 3339 index patients with tuberculosis were classified on the basis of the drug resistance profile of the patient: 6189 were exposed to drug susceptible strains of Mycobacterium tuberculosis, 1659 to strains resistant to isoniazid or rifampicin, and 1541 to strains that were multidrug resistant (resistant to isoniazid and rifampicin).

Main outcome …


The Impact Of Disrupted Caregiving For Juvenile Sexual Offenders, Miranda Sitney, Keith L. Kaufman Jan 2019

The Impact Of Disrupted Caregiving For Juvenile Sexual Offenders, Miranda Sitney, Keith L. Kaufman

Psychology Faculty Publications and Presentations

Research that attempts to understand why young people commit sex crimes points to an array of family factors that may uniquely contribute to sexual offending over general juvenile delinquency. This study examines the potentially moderating role of disrupted caregiving in the relationship between offending and caregiver-child relationship quality. Two distinct moderators were tested: gender of caregiver and biological relationship between caregiver and child. Results indicate that juvenile sexual offenders have particularly poor relationships with their primary caregivers compared to incarcerated non-sexual offenders and community controls. Furthermore, sexual offenders with male caregivers were found to have lower relationship quality scores than …


Community Monitoring And Evaluation: A Case Study Of Takaful And Karama / الرصد والتقييم المجتمعي: دراسة حالة من برنامج تكافل وكرامة, Mai Amr Abdelhafez, Shimaa Adel Heikal, Sarah Moharram Jan 2019

Community Monitoring And Evaluation: A Case Study Of Takaful And Karama / الرصد والتقييم المجتمعي: دراسة حالة من برنامج تكافل وكرامة, Mai Amr Abdelhafez, Shimaa Adel Heikal, Sarah Moharram

Papers, Posters, and Presentations

This paper discusses in particular the potential strategies for increasing community engagement and acceptance of the committees and enhancing their results. Based on the case studies and interviews with ministry officials and community monitors, policy alternatives were formulated to guarantee a better achievement of the Takaful and Karama program goals.


Father-Daughter Incest: Comparison Of Treated Cases To Untreated Control Subjects, Keith W. Beard, Jason E. Newsome, Karen V. Harper-Dorton, Stephen L. O'Keefe, Debra H. Young, Sam Swindell, Walter E. Stroupe, Kerri Steele, Megan Lawhon, Shih-Ya Kuo Jan 2019

Father-Daughter Incest: Comparison Of Treated Cases To Untreated Control Subjects, Keith W. Beard, Jason E. Newsome, Karen V. Harper-Dorton, Stephen L. O'Keefe, Debra H. Young, Sam Swindell, Walter E. Stroupe, Kerri Steele, Megan Lawhon, Shih-Ya Kuo

Faculty & Staff Scholarship

Treatment of father daughter incest (FDI) survivors using the victim advocacy/child welfare approach to FDI that predominates today in the US has never been compared to results in untreated control subjects in any published report. In the present study, thirty-two survivors of FDI who received treatment based on the victim advocacy/child welfare approach to FDI were compared to 32 control subjects who did not receive treatment. No significant differences were found using analysis of variance on 21 scales and subscales. Statistical analysis of the data from all 64 of the FDI survivors showed that items reflecting a poor self-image and …


Drugs, Alcohol, And The Community College Student-Athlete: A Narrative Study, Kevin A. Berg Jan 2019

Drugs, Alcohol, And The Community College Student-Athlete: A Narrative Study, Kevin A. Berg

Walden Dissertations and Doctoral Studies

Research shows that student-athletes, whether at the high school or collegiate ranks, experience higher rates of alcohol consumption than their non-athlete student counterparts. However, one population that has not been studied is the community college student-athlete. Traditional community college students have different risk categories and needs than traditional 4-year university students. In this study, community college student-athletes provided their views and perceptions on drugs and alcohol. To obtain data, a qualitative narrative analysis was completed by interviewing 13 community college student-athletes to identify their views and opinions on drugs and alcohol. Once the interviews were completed, transcription and coding were …


Increasing Clergy's Knowledge Of Mental Illness, Confidence, And Willingness To Refer, Suzan Mae Davis Merritt Jan 2019

Increasing Clergy's Knowledge Of Mental Illness, Confidence, And Willingness To Refer, Suzan Mae Davis Merritt

Walden Dissertations and Doctoral Studies

Over 43 million Americans suffer from mental illness annually with 40% seeking support from clergy (Polson & Rogers, 2007) who claim to be ineffectively prepared (Farrell & Goebert, 2008). This study investigated if mental health training administered to clergy would increase their knowledge of various mental disorders, alter their opinion regarding helpful resources, grow their self-confidence to help individuals experiencing mental health issues, and increase clergy's willingness to refer out. The theoretical basis for this research was attribution theory that attempts to explain social perceptions (Mannarini & Boffo, 2013) and the struggle individuals (i.e. clergy) have regarding the causation of …


Medication Adherence For Foster Children From The Perspective Of Foster Care Providers, Odette Boyd Jan 2019

Medication Adherence For Foster Children From The Perspective Of Foster Care Providers, Odette Boyd

Walden Dissertations and Doctoral Studies

In 2015, over 427,000 children were in foster care and the largest population were in California's system. Of those children, more than 9,400 were prescribed psychotropic medications. Increases of psychotropic medication use have led to investigations and findings of medication oversights in foster care. Medication oversights included medication nonadherence, which was linked to an increase of problematic behaviors in foster children. The purpose of this phenomenological study was to explore the issues of medication adherence for foster care providers who care for foster children of mild to chronic health concerns who were prescribed medications and experienced multiple placements. By utilizing …


Understanding Social Workers' Roles Providing Case Management To Medicaid Managed Care Enrollees, Vontija Deeshawn Dean-El Jan 2019

Understanding Social Workers' Roles Providing Case Management To Medicaid Managed Care Enrollees, Vontija Deeshawn Dean-El

Walden Dissertations and Doctoral Studies

Social workers often take on the role of providing case management to Medicaid recipients; however, there is little clinical research on social workers' perceptions of their case management role. The purpose of this study was to develop an understanding of the social worker case management role by exploring social workers' perceptions of their roles when providing case management to Ohio Medicaid managed care enrollees. This action research study was grounded in organizational role theory. A semi structured focus group was facilitated using open-ended questions related to social workers' role perceptions, role conflict, role ambiguity, case management, and managed care. Qualitative …


Phenomenological Study On Social Workers With Children With Special Needs, Natasha Yvette Mike Jan 2019

Phenomenological Study On Social Workers With Children With Special Needs, Natasha Yvette Mike

Walden Dissertations and Doctoral Studies

Parents with children with special needs experience challenges when caring for their children. These challenges may be uniquely affected by the parent'€™s employment. Because social workers are in professional roles, understanding their lived experiences provides awareness of the needed services and resources that help social workers maintain effectiveness in their home and work life. This phenomenological study explored the lived experiences of social workers who have children with special needs. Bronfenbrenner'€™s ecological theory guided this study. Criterion and snowball sampling were used to recruit 8 participants. Data were gathered through 3 in-depth semistructured interviews. Moustakas phenomenology method was used to …


School-Based Social Work And Socioemotional Learning Interventions In Alternative Education Programs, Heather Oosterhoff Jan 2019

School-Based Social Work And Socioemotional Learning Interventions In Alternative Education Programs, Heather Oosterhoff

Walden Dissertations and Doctoral Studies

Active school social workers are tasked with teaching social-emotional learning to students, including high need youth placed in alternative education settings. Multitiered systems of support provide a framework utilized by school systems to identify and address all student needs. However, a gap in research exists for evidenced-based social-emotional learning practices for students falling within Tier 3 of the multitiered systems of support framework, particularly those separated from the mainstream population and educated in alternative programs. This study explored how school social workers address the social-emotional learning needs of students in alternative education settings within the state of Illinois. The qualitative …


Trauma-€Informed Care For Persons With Opioid Use Disorder In Ohio, Kimberly Toler Jan 2019

Trauma-€Informed Care For Persons With Opioid Use Disorder In Ohio, Kimberly Toler

Walden Dissertations and Doctoral Studies

Prevention, social work, and community awareness programs have not led to the successful reduction of opioid overdose deaths nationwide, and particularly in Ohio. This study explored social work perspectives about trauma-€informed care (TIC) for persons with opioid use disorder in Ohio. The research questions for this study examined how social workers in Ohio implemented TIC when providing outpatient treatment to opioid users and what challenges they faced when providing TIC. Using an action research methodology, data were collected through individual semistructured interviews with 5 social work professionals, selected through purposive sampling based on experience in the field of substance use …


Caregivers' Challenges In Accessing Services For Children With Autism, Anita Payne Jones Jan 2019

Caregivers' Challenges In Accessing Services For Children With Autism, Anita Payne Jones

Walden Dissertations and Doctoral Studies

The perspective of the caregiver is vital to understanding the experiences of raising a child with autism, including the challenges faced in accessing services. The purpose of this qualitative, transcendental phenomenological study was to examine the lived experiences of primary caregivers raising a school-age child with autism and to bring about an understanding of the challenges faced in accessing services. Resiliency theory provided the conceptual framework for the study. Semi-structured, in-depth interviews were conducted with 11 participants raising a child with autism in the Washington, DC metropolitan area. Data were analyzed using Moustakas's descriptive approach. Results yielded 5 themes: overall …