Social Work Commons^™

Worker Turnover Is A Persistent Child Welfare Challenge--So Is Measuring It, Megan Paul, Courtney Harrison, Jonathan Litt, Michelle Graef

QIC-Takes

Turnover and other workforce challenges for child welfare professionals have been the subject of attention for many years. Consider this statement from a study published by the Children’s Bureau in 1960, “Turnover of staff in social agencies has been a serious concern of agency administrators for at least the past 10 years. Repeatedly, at conferences and in the professional journals, the complaint has been heard that staff turnover (1) handicaps the agency in its efforts to provide effective social services for clients; (2) is costly and unproductively time consuming; and (3) is responsible for the weary cycle of recruitmentemployment-orientation-production-resignation …” …

Supervision In A Virtual Workplace, Cynthia F. Parry

QIC-Takes

Some agencies have increased their use of telework due to office closures, a desire to decrease their carbon footprint, or because of the pandemic. This can add stress on supervisors as they have to manage staff virtually. Remote supervision requires changes in communication (both styles and tools) which can result in staff feeling micromanaged or neglected. Navigating these and other issues have been difficult for many child welfare agencies. The QIC-WD sites, like other child welfare agencies around the country, pivoted to virtual supervision quickly due to the pandemic. Most supervisors were unprepared for managing a virtual workforce and are …

Christian Mindfulness And Mental Health: Coping Through Sacred Traditions And Embodied Awareness, Veronica L. Timbers, Jennifer C. Hollenberger

Social Work Faculty Publications and Presentations

Mindfulness is increasingly implemented as a tool in mental health practice for coping and self-care. Some Christians worry that these practices might be in conflict with their own tradition, while other Christian contexts are reclaiming the contemplative aspects of the faith. Though clinicians are not trained to teach on religious topics and ethically must avoid pushing religion onto clients, conceptualization and research extend the benefits of mindfulness practices for religious clients. This paper will discuss the evidence for using mindfulness in mental health treatment and connect mindfulness to the Christian tradition. The authors explore how intentional awareness and embodiment of …

“This Person Is Safe”: An Exemplar Of Conducting Individual Interviews In Qualitative Research With Black Women, Quenette Walton, Priscilla P. Kennedy, Olulbunmi Oyewuwo, Phylicia Allen

Social Work Faculty Publications

Significant conceptual and empirical evidence has been found through qualitative research about the benefits, limitations, and uses of individual interviews. However, there is scant research illustrating how researchers use specific techniques that center participants’ intersecting identities to build rapport, trust, and authentic connections during individual interviews, and especially during interviews with Black women. We illustrate how we used eight empirically grounded techniques in our qualitative individual interviews with Black women. Through our analysis of the interviews, the concept of safety emerged. “This person is safe” reflects the combined stories the women reported regarding their experiences engaging in individual interviews. In …

System Dynamics Of Cognitive Vulnerabilities And Family Support Among Latina Children And Adolescents, Peter S. Hovmand, Esther J. Calzada, Lauren E. Gulbas, Su Yeong Kim, Saras Chung, Jill Kuhlberg, Carolina Hausmann-Stabile, Luis H. Zayas

Graduate School of Social Work and Social Research Faculty Research and Scholarship

The paper describes an approach to developing a data-driven development of a feedback theory of cognitive vulnerabilities and family support focused on understanding the dynamics experienced among Latina children, adolescents, and families. Family support is understood to be a response to avoidant and maladaptive behaviors that may be characteristic of cognitive vulnerabilities commonly associated depression and suicidal ideation. A formal feedback theory is developed, appraised, and analyzed using a combination of secondary analysis of qualitative interviews (N = 30) and quantitative analysis using system dynamics modeling and simulation. Implications for prevention practice, treatment, and future research are discussed.

The Campbell Collaboration’S Systematic Review Of School-Based Anti-Bullying Interventions Does Not Meet Mandatory Methodological Standards, Julia H. Littell, Dennis M. Gorman

Graduate School of Social Work and Social Research Faculty Research and Scholarship

Background

Many published reviews do not meet the widely accepted PRISMA standards for systematic reviews and meta-analysis. Campbell Collaboration and Cochrane reviews are expected to meet even more rigorous standards, but their adherence to these standards is uneven. For example, a newly updated Campbell systematic review of school-based anti-bullying interventions does not appear to meet many of the Campbell Collaboration’s mandatory methodological standards.

Issues

In this commentary, we document methodological problems in the Campbell Collaboration's new school-based anti-bullying interventions review, including (1) unexplained deviations from the protocol; (2) inadequate documentation of search strategies; (3) inconsistent reports on the number of …

Addressing Work-Related Traumatic Stress Nebraska - Theory Of Change, Quality Improvement Center For Workforce Development

Other QIC-WD Products

Several workforce challenges were discussed as opportunities for intervention during the needs assessment process conducted partnership with the Nebraska Department of Children and Family Services’ (DCFS) to address child welfare workforce turnover. Through a series of steps and causal links, a theory of change provides a roadmap to address the root causes of an identified workforce problem and describes how and why changes are expected to lead to the desired outcomes. Ultimately, two theories of change were developed to step through the “if, then” logic:

1. building resiliency skills within child welfare workers and supervisors; and
2. implementing a debriefing protocol focused …

Organizational Change Process Milwaukee - Theory Of Change, Quality Improvement Center For Workforce Development

Other QIC-WD Products

Through a series of steps and causal links, a theory of change provides a roadmap to address the root causes of an identified workforce problem and describes how and why changes are expected to lead to the desired outcomes. In Milwaukee, the theory of change was driven by the results of the Organizational Social Context (OSC) Measure administered during the needs assessment process. More specifically, the OSC showed that there were several aspects of both culture and climate that were in need of improvement, including 1) a hierarchical and rigid decision-making structure, 2) high role conflict and change resistance within …

Access Barriers To Long-Term Healthcare For Female Sexual Assault Survivors, Mary E. Farley

Honors Undergraduate Theses

Background: Approximately one in five women in the United States experience childhood sexual abuse or rape as an adult. Healthcare providers are often not equipped to address the long-term effects of sexual trauma and its impact on one's health. Research Question: How can healthcare providers lessen service barriers for SA survivors? Method: This qualitative study employed convenience sampling from clinics that offered family medicine, urgent care, gynecology, or obstetrics. Participants included 11 physicians, physician assistants, and nurses. A semi-structured interview guide was used to explore health providers' perspectives and current practice procedures regarding treatment for sexual assault survivors and the …

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

Electronic Theses and Dissertations

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

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

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

Electronic Theses and Dissertations

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

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

Electronic Theses and Dissertations

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

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

Electronic Theses and Dissertations

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

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

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

Electronic Theses and Dissertations

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

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

Electronic Theses and Dissertations

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

The first manuscript …

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

Electronic Theses and Dissertations

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

Evidence Based Practice Project: Families Struggling With Sexual Abuse And/ Or Incest, Beth Roerig, Hannah Odell

Student Projects

Structural family therapy was examined for effectiveness when working with family populations that struggle with incest and / or sexual abuse. This evidence based project reviewed and studied research to effectively create curriculum. The primary goal of structural family therapy is to assist families in mapping the family structure through boundary making, hierarchies, and subsystems to help clients resolve individual mental health symptoms and relational problems, interventions include stabilization, psychoeducation, coping mechanisms, creating boundaries, expressing emotions, and restructuring roles. Enactments and symbolic representation was found to be beneficial when progressing to goals in a therapy setting.

Conventional And Expanded Adverse Childhood Experiences (Aces) And Maternal Functioning Among Low-Income Black Mothers, Kerry Lee, Brenda Jones Harden, Mishaska Jaramillo, Taylor A. Norman, Laura Jimenez Parra

Graduate School of Social Work and Social Research Faculty Research and Scholarship

A paucity of research has examined the individual and cumulative effects of conventional and expanded adverse childhood experiences (ACEs) on maternal functioning, especially among low-income Black mothers. Using self-report data from a subsample of Black mothers (N = 157) who participated in a larger study to evaluate the effectiveness of an urban public prekindergarten program in the mid-Atlantic region of the United States, we examined the prevalence of ACEs and the individual and cumulative effects of conventional (i.e., family trauma and dysfunction) and expanded (i.e., community stressors) ACEs on depression and health among low-income Black mothers. Findings indicated that …

Model Of Evidence-Based Family Practice: Female Domestic Violence Victims In Rural Communities, Elizabeth Korver, Megan Slagter

Student Projects

Research has concluded that about 1 in 3 women reported experiencing severe physical violence from an intimate sexual partner during their lifetime (Centers for Disease Control and Prevention, 2022). Women living in rural communities may be more significantly affected due to their geographic isolation. This study examined several theories and models to effectively treat this specific population. The researchers developed a treatment curriculum based on cognitive-behavioral therapy to treat women living in rural communities who have experienced domestic violence. This study determined cognitive-behavioral therapy used in a group therapy setting is effective for increasing a client’s self-esteem and decreasing depression …

Hidden Homelessness: A Trauma-Informed Narrative Approach To Treating Rural Families Facing Homelessness, Benjamin Akers, Kara Richard

Student Projects

Housing is a crucial part of survival and one’s ability to engage in life. There is an increasing population of both individuals and families who live without safe, quality, stable housing. Housing insecurity is a concern in both urban and rural areas, with rural homelessness presenting unique characteristics and challenges. To better understand rural homelessness and its effect on families, research was conducted on many factors including: population statistics, characteristics and common issues, problems, risk factors, engagement, terminology, and frameworks. It becomes evident that homelessness has severe implications physically, emotionally, and mentally for both children and adults. This synthesis of …

Making An Impact: The Process Of Planning And Organizing An After-School Program In A Small Community, Benjamin Akers, Elizabeth Korver, Emilee Danner, Megan Slagter

Student Projects

To be their best, people need relationships. Social support systems are at the base of what makes a successful individual. Whether that be through sports teams, clubs, or any other facet, social support is the driving force for a healthy lifestyle. After-school programs offer students another opportunity to receive mentorship and build relationships that can impact the trajectory of their lives. This paper highlights Impact 180 – an after-school program located in Orange City, Iowa. The involved researchers used and discussed different community organizing methods and techniques to advocate for and raise funds for the durability, sustainability, and flourishing of …

Lessons Learned From Covid-19: Provider Suggestions For Improving Service Delivery In Sexual Violence Resource Centers And Children's Advocacy Centers In Kentucky, Whitney Cassity-Caywood, Matthew Woodward, Austin Griffiths, Alecia Hatfield

Contemporary Rural Social Work Journal

The COVID-19 pandemic has presented unique challenges for human service providers, especially as face-to-face services were limited by both formal and informal efforts to protect public health. Telehealth has emerged as a main strategy to ensure continuity of care. This study explored adaptations to services in child advocacy centers (CACs) and sexual violence resource centers (SVRCs) across the Commonwealth of Kentucky, particularly using telehealth. This study highlights respondents’ suggestions about improving these service delivery systems and the particular emphasis on challenges and strengths of telehealth for reaching those in rural areas.

Data Files: Simulations In Pre-Service Child Welfare Training: Effects Of Moving From In-Person To Virtual Practice, Katie Street, Kirstin O’Dell, Kate Normand, Cassandra Anderson

Center for Improvement of Child and Family Services Datasets

No abstract provided.

Community-Based Accompaniment For Adolescents Transitioning To Adult Hiv Care In Urban Peru: A Pilot Study, Valentina Vargas, Milagros Wong, Carly A. Rodriguez, Hugo Sanchez, Jerome T. Galea, Alicia Ramos, Liz Senador, Lenka Kolevic, Eduardo Matos, Eduardo Sanchez, Renato A. Errea, Karen Ramos, Catherine Beckhorn, Andrew Lindeborg, Carlos Benites, Leonid Lecca, Sonya Shin, Molly F. Franke

Social Work Faculty Publications

We piloted a community-based intervention to improve outcomes among adolescents living with HIV who were transitioning to adult-oriented care in Lima, Peru. We assessed feasibility and potential effectiveness, including within-person changes in self-reported adherence, psychosocial metrics (NIH Toolbox), and transition readiness (“Am I on TRAC” questionnaire, “Got Transition” checklist). From October 2019 to January 2020, we enrolled 30 adolescents (15–21 years). The nine-month intervention consisted of logistical, adherence and social support delivered by entry-level health workers and group sessions to improve health-related knowledge and skills and social support. In transition readiness, we observed within-person improvements relative to baseline. We also …

Traffickers’ Use Of Substances To Recruit And Control Victims Of Domestic Trafficking For Sexual Exploitation In The American Midwest, Erica Koegler, Claire Wood, Lilly Bahlinger, Sharon Johnston

Social Work Faculty Works

This paper describes how traffickers use substances to recruit and control victims of domestic trafficking for sexual exploitation, as reported by service providers working with trafficking survivors in the American Midwest. This data was derived from interviews with 15 service providers in a major metropolitan area. Findings revealed consistencies with previous literature and new insights into the trafficker- substance use dynamic. Traffickers’ use of substances with victims was pervasive when trafficking was for the purpose of sex but not other labour. There were several examples of how traffickers use substances for victim exploitation and recruitment. These include using substances to …

Examining The Association Between Exposure To Suicide-Related Content And Suicide Ideation And Attempts Among College Students And Their Peers, Cleopatra Elshiekh

Honors Undergraduate Theses

For the last decade, suicide has been the second leading cause of death among college- aged adults (18-25), which coincides with the widespread proliferation of social media. The aim of this study was to identify if there was a correlation between exposure to suicide-related content via differing media outlets (e.g., social media, television, newspapers, music, and movies) and suicide ideation and attempts among college students and peer groups (i.e., participants’ friends or acquaintances). A convenience sampling method using social media, flyers, and the university’s experiment management system (i.e., SONA) was used to recruit 97 undergraduate students from the University of …

Protective Factors Against Alcohol Use In High-Risk College Students, Delani F. Warner, Karen G. Chartier Phd, Msw, The Spit For Science Working Group

IRBEH/Spit for Science Publications and Presentations

No abstract provided.

2022 Zero Suicide Implementation In Oregon: Cross‐Site Follow‐Up Change Report, Karen Cellarius, Aliza Tuttle

Regional Research Institute for Human Services

This implementation self‐assessment and the accompanying web survey were adapted for the Oregon Health Authority (OHA) by Portland State University in collaboration with the OHA Youth Suicide Prevention staff. The assessment was adapted from three existing Zero Suicide resources available at http://zerosuicide.org/.

The Organizational Self‐Study is a questionnaire about the extent to which each component of the Zero Suicide approach is in place at a single organization. Zero Suicide recommends completing this self‐study at the start of an organization’s Zero Suicide initiative, then every 12 months after that as a measure of fidelity to the model. The self‐study questions …

Impact Of Prolonged Isolation On Adolescents With Drug-Susceptible Tuberculosis In Lima, Peru: A Qualitative Study, Victoria Elena Rapoport, Elmer Altamirano, Liz Senador, Milagros Wong, Catherine B. Beckhorn, Julia Coit, Stephanie D. Roche, Leonid Lecca, Jerome T. Galea, Silvia S. Chiang

Social Work Faculty Publications

Objectives Patients with tuberculosis (TB) generally are instructed to isolate at the beginning of treatment in order to prevent disease transmission. The duration of isolation varies and may be prolonged (ie, lasting 1 month or more). Few studies have examined the impact of isolation during TB treatment on adolescents, who may be more vulnerable to its negative effects.

Methods This study took place from 2018 through 2019 in Lima, Peru, where the Ministry of Health mandates the exclusion of patients with TB from educational institutions for at least 2 months. Using semi-structured guides, we conducted individual in-depth interviews with adolescents …

The Experiences Of Female Survivors Of Sexual Assault When They Make A Police Report, Tracy L. Rainey

Walden Dissertations and Doctoral Studies

Nearly 20% of all women will be the victim of an attempted or completed sexual assault within the United States, yet less than one quarter of victims will report their experienced crime to law enforcement (LE). Many survivors of sexual violence experience apprehension about reporting sexual assault, due to fear of social consequences, relational consequences, and fear of the reprisal from LE officers. The purpose of this interpretive descriptive qualitative study was to describe and interpret the experiences of adult, female sexual assault survivors when they make a LE report about their victimization. Resilience theory, which is the study of …