Social Work Commons^™

No Community Left Behind: Investing In Mental Health Service Access In Rural Minnesota, Keaton Anderson, Madison Demars, Trisha Graves-Petron, Cheyenne Munoz

Master of Social Work Student Policy Advocacy Briefs

Much of Minnesota has a shortage of mental health providers due to specific problems around graduating workers, recruiting them and keeping them once they are hired. Lower salaries, older population bases, and inconsistent healthcare coverage all contribute to the shortage of providers in rural areas. Long distances between mental health facilities and stigma in mental health care exacerbate the shortage. More than 1.2 million Minnesotans live in rural communities and of those at least 25% do not have access to reliable broadband internet. Rural areas face significant behavioral health workforce shortages, as seen in Figure 1. Minnesota needs to invest …

Exploring 2slgbtqia+ Parenting In Northwest Arkansas, Bailey Mason

Graduate Theses and Dissertations

Since the U.S. Census Bureau first published data on “same-sex” households in 2011, research has repeatedly indicated the majority of 2SLGBTQIA+ parents (here on referred to as “queer parents”) reside outside of major cities in heavily populated regions of the country. However, due to widespread metronormative narratives about the queer experience, the experiences of queer parents in less-populated regions are rarely studied. This qualitative study explores the lived experiences of queer parents in Northwest Arkansas, a region of the politically and religiously conservative Southern U.S. with areas both urban and rural. Applying grounded theory and drawing from queer theory to …

Social Drivers Of Suicide In Rural And Urban Texas Counties, Maria Y. Vaughan

Social Work Theses - Archive

Abstract

Suicide remains a critical public health issue in Texas, with rural counties consistently experiencing higher mortality rates than urban areas. This study examined county-level suicide rates across Texas and analyzed how demographic characteristics and Social Drivers of Suicide (SDoS)—including economic stability, education access and quality, health care access and quality, neighborhood and built environment, and social and community context—relate to suicide outcomes. Using a quantitative, descriptive, cross-sectional, and correlational design, secondary data from the 2024 County Health Rankings & Roadmaps and the American Community Survey were analyzed for 170 Texas counties with reliable suicide data. Results showed that rural …

Analyzing The Rate Of Femicide Of Indigenous Women In Rural Australia, Eliza C. Finnigan

Honors Undergraduate Theses

Femicide is an increasingly prevalent issue in Australia, with rates continuing to rise, especially among Indigenous women in rural Australia, who face compounded vulnerabilities. Within literature focusing on femicide, there is a noticeable lack of direct intersection between data on rural area and Indigenous Australians. This study investigates the relationship between rurality, Indigenous status, and femicide rates from 2018 to 2023. Data was compiled from the RED HEART Campaign, focusing on different demographic factors, including Indigenous status, location, victim-offender relationship, and cause of death. Frequencies and rates were calculated using descriptive statistics and data from the Australian Bureau of Statistics …

Extension Agents’ Perceptions Of Community Readiness For Farm Stress And Suicide Prevention Efforts, Paula Yuma, Melissa Pearman Fenton, Lorann Stallones, Morgan Valley

Transforming Communities

The aim of the present study is to describe how Extension Agents in rural Colorado perceive their communities’ readiness to engage with farm stress and suicide prevention services and resources. Interviews were conducted with Extension Agents from five Colorado counties experiencing high suicide rates. Interview questions were based on a Community Readiness for Community Change framework, and inductive analysis was used to generate themes from the data. Results demonstrate that while prevention efforts are underway, community awareness remains low. In addition to structural barriers associated with rurality (e.g., lack of mental health providers), stigma remains a significant barrier to help-seeking. …

Promoting Community Responsive, Trauma-Informed Consultation Practices In Rural School Communities: A Mixed Methods Exploratory Sequential Approach, Elly Q. Maras

Electronic Theses and Dissertations

Rural youth are placed at greater risk for experiencing adverse childhood experiences, developing mental health disorders, and dying by suicide when compared with the general population. Due to a widespread need for better access to mental health treatment, many are left untreated. These concerns are often exacerbated by individual and systemic risk factors that are endemic to rural communities. Rural school districts are being asked to deliver mental health services to students, with school psychologists as key stakeholders. Though school psychologists are uniquely qualified to support this need, graduate programs typically do not provide adequate coursework and training on consultation …

Utilization Of Mental Health Services At Domestic Violence Agencies In Pennsylvania, Kealsey Mcneil

Social Work Student Research

In this research, I examined the use of mental health services at domestic violence (DV) programs in rural and urban Pennsylvania and agency size. I examined the needs, characteristics, and availability of mental health services for DV survivors across the Commonwealth of Pennsylvania. I looked at DV service use from a variety of sources to provide a well-rounded understanding of the factors that contributed to mental health service use. I used three secondary data sources: the Lethality Assessment Program (LAP), Adequacies of Network of Services Provided to the Survivors of Domestic Violence in Pennsylvania–Phase II study, and data obtained from …

Implementation Of Psychiatric Collaborative Care Management In Rural Primary Care Practices, Ryan Dean Kruis

MUSC Theses and Dissertations

Behavioral health (BH) disorders are highly prevalent in the United States and especially concerning in rural communities which disproportionately lack access to BH services. While models for integrating BH into primary care, such as psychiatric collaborative care management (CoCM), have shown promise in mitigating the BH crisis, implementation in rural communities has proved challenging.
This dissertation examines implementation of CoCM nationally and in rural settings through three distinct aims. First, a claims-based retrospective cohort study was used to determine whether commercially insured patients receiving CoCM had lower acute BH care utilization and cost as compared to similar patients not receiving …

Adjustments To Social Work Practice During The Covid-19 Pandemic In North Carolina: Effects On Burnout And Commitment, Aaron R. Brown, Jayme E. Walters, Aubrey E. Jones, Lara Cates

Journal of Human Services: Training, Research, and Practice

Since the onset of the COVID-19 pandemic, the demand for social workers in the U.S. and abroad has increased. There is demand for more social workers in North Carolina due to ongoing and increasing mental health, substance use disorder, and child welfare needs. COVID-19 has taken a toll on the personal and professional lives of social workers, and research is needed to understand the pandemic’s effects on burnout and commitment among social workers. The present study sought to understand how the COVID-19 pandemic affected the personal and professional lives of social workers practicing in North Carolina and to determine how …

Model Of Evidence-Based Practice: Children Experiencing Domestic Violence In Rural Areas, Linden Sutton, Mckenzie Kurtz

Student Projects

Domestic violence is often something that occurs between an abuser and a victim. However, children are also deeply affected by any type of abuse that they witness or experience. More specifically, children in rural areas face more challenges and barriers preventing them from experiencing the freedom to simply be a child. This study examined theories and interventions to treat children experiencing domestic violence. The researchers developed a treatment curriculum based on solution-focused brief therapy to address this population. Overall, solution-focused brief therapy is an effective treatment for children who have either witnessed or experienced domestic violence in a rural setting.

The Role Of Community Outreach Programs In Partnership With The University Of Mississippi In Combating Food Insecurity In The Oxford/Lafayette Area, Gabrielle Miller

Honors Theses

Grow Club is a community outreach programming effort that was formed in Oxford, Mississippi in the fall of 2020 by University of Mississippi undergraduate students. The program works towards bringing community members as well as university students and staff together in attempts at alleviating many stressors felt by local community members living in poverty. This written work aims to offer a breakdown of how this program began and the steps taken to recognize a community need, formulate solutions, and work with the community to offer resources.

Investing In Rural Mental Health: An Approach To Increasing Access To Mental Health Professionals And Services, Corey Jeries-Bardon, Paige Peterson, Paige Pittmann, Makena Roeker

Master of Social Work Student Policy Advocacy Briefs

Farmers and rural residents in greater Minnesota are often overlooked relating to mental health services. Minnesota needs to focus on an approach to increase accessible mental health services in rural communities. The model for delivering mental health services has often been a one-size-fits-all approach without understanding the unique barriers, cultures, and strengths rural communities offer.

An Exploration Of Service Needs And Preferences Of Dementia Caregivers In Kentucky, Heehyul Moon, Sunshine Rote, Allison Kacmar, Amy Kostelic, Bari Lewis

Journal of Extension

As Americans live longer, the prevalence of Alzheimer’s disease and related dementias will increase. Caregivers are critical to the care and life quality of people with dementia. Yet, dementia caregivers are at increased risk for health issues, social isolation, and financial challenges. To help educators with the University of Kentucky Cooperative Extension Service work with their local Alzheimer’s Association and the University of Louisville to better support dementia families, we explored caregiver needs and service utilization using an online survey. Our findings highlighted the need for counseling/support, care management skills, resource education, self-care strategies, and legal services. Extension Service Educators …

Rural America Is Still Technologically Behind: Why It Matters Now More Than Ever, Paul Force-Emery Mackie

Social Work Department Publications

No abstract provided.

Health Related Challenges Of Rural Elderly Living In Co-Residential Family Care Arrangements, Kidus Yenealem Mefteh

The Qualitative Report

Family plays an indispensable role in the care and support of the rising number of older people particularly in developing countries like Ethiopia where the system of public transfer is minimal. Previous studies in Ethiopia focus on institutionalized and urban-dwelling elderly with little attention to the elderly in the informal care paradigm and rural areas. This study aims to explore the health-related experiences of dependent rural elderly who get care and support within a family setting. A phenomenology method was used, and in-depth interviews were employed to collect data from purposively sampled elders. Data were inductively coded and developed into …

Rural Pregnant Women’S Experiences With Substance Use Disorder: A Qualitative Study, Cami Weber

Dissertations

Rural pregnant women with substance use disorder (SUD) are an understudied vulnerable population that often experiences poor pregnancy outcomes (Higgins et al., 2019; Jumah, 2016; Kramlich et al., 2018; Shaw et al., 2015). Despite the high prevalence and high burden associated with SUD, rural women are less likely than non-pregnant women to seek addiction treatment and complete an outpatient treatment program during pregnancy (Shaw et al., 2015). This study aimed to give voice to rural Missouri women with SUD. The research questions explored the life experiences and motivations for seeking treatment using a qualitative, descriptive research design with grounded theory …

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 …

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.

Rural Suicide: A Three Manuscript Dissertation Utilizing The National Violent Death Reporting System, James Watts

Theses and Dissertations--Social Work

Purpose: Rural residents and veterans are at a greater risk of death by suicide but there is little research to compare rural versus urban suicide decedents. There is also a lack of research specific to rural veteran suicide. This three-manuscript dissertation study explores 1. epidemiology of suicide specific to rural areas comparing rural veterans to rural non-veterans 2. veteran suicide decedents that lived in rural areas compared to veterans that live in urban areas and 3. How the continuum of rurality is related to demographic and circumstantial variables associated with suicide Methods: Data was obtained from the Centers for Disease …

Opioid Addiction In Rural America: The Transportation Need For Treatment Adherence, Jennifer Smith

DSW Capstone Projects

The opioid epidemic has continued to soar throughout the United States for over 20 years. While this epidemic knows no boundaries and affects all of America, rural communities have been drastically impacted by the number of persons suffering from this addiction, and the resulting staggering mortality rates. Rural populations face greater treatment barriers preventing patients from obtaining needed services as compared to other geographical locations. Patients face obstacles related to accessibility, availability, and stigmatization, placing them at higher risk for opioid misuse, abuse, and/or death. Even though this targeted population faces multiple complications in seeking treatment, transportation barriers are among …

Bolstering Leadership Engagement To Community Coalition Work In Rural Appalachia, Melissa Slone

DSW Capstone Projects

Rural Appalachian communities are overwhelmed with high cancer rates, diabetes, disabilities, and substance use disorder. The challenges in addressing these increase when you factor in workforce shortages and limited funding. The literature documents the effectiveness of coalitions in addressing healthcare challenges within communities. The need is for leaders to reduce their hesitancy to engage in community coalition efforts and increase awareness of the impact community coalitions can have on addressing rural populations' health and well-being needs.

Product One was a systematic review focused on research that examined agency leaders’ perspectives on community coalition involvement. The purpose of conducting the systematic …

Experiences Of Rural Female Caregivers Of Loved Ones Diagnosed With Chronic Pain And Mental Health Care, Anne Banner Hatfield

Walden Dissertations and Doctoral Studies

AbstractThe complex diagnosis of chronic pain can include both physiological and psychological symptoms resulting in a need for caregivers to assist their loved ones and become involved in their mental health care treatment. As the aging population and the number of individuals diagnosed with chronic pain increases, the number of caregivers who assist them also increases. Critical to addressing the psychological symptoms of chronic pain is knowing how caregivers experience their involvement in mental health treatment. This research addressed the need for an understanding of caregivers’ experiences of caregiving and involvement with health care providers of mental health treatment for …

Male-To-Female Sexual Violence In Rural Communities: A Sociological Review, Walter Dekeseredy Dr.

Dignity: A Journal of Analysis of Exploitation and Violence

The extant sociological literature on male-to-female violence in rural communities reveals that the bulk of the empirical work on this problem focuses mainly on non-lethal physical assaults, such as beatings. Much more research on sexual violence is sorely needed. The main objective of this review is twofold: (1) to describe the current state of international sociological knowledge about male sexual violence against adult women and (2) to suggest new directions in research and theory.

The Intersection Of Rural Residence And Minority Race/Ethnicity In Cancer Disparities In The United States, Whitney Zahnd, Cathryn Murphy, Marie Knoll, Gabriel A. Benavidez, Kelsey R. Day, Radhika Ranganathan, Parthenia Luke, Anja Zgodic, Kewei Shi, Melinda A. Merrell, Elizabeth L. Crouch, Heather M. Brandt, Jan M. Eberth

Faculty Publications

One in every twenty-five persons in America is a racial/ethnic minority who lives in a rural area. Our objective was to summarize how racism and, subsequently, the social determinants of health disproportionately affect rural racial/ethnic minority populations, provide a review of the cancer disparities experienced by rural racial/ethnic minority groups, and recommend policy, research, and intervention approaches to reduce these disparities. We found that rural Black and American Indian/Alaska Native populations experience greater poverty and lack of access to care, which expose them to greater risk of developing cancer and experiencing poorer cancer outcomes in treatment and ultimately survival. There …

A Description Of Covid-19 Lifestyle Restrictions Among A Sample Of Rural Appalachian Women, Michele Staton, Martha Tillson, J. Matthew Webster

Journal of Appalachian Health

Background: COVID-19 has led to swift federal and state response to control virus transmission, which has resulted in unprecedented lifestyle changes for U.S. citizens including social distancing and isolation. Understanding the impact of COVID-19 lifestyle restrictions and related behavioral risks is important, particularly among individuals who may be more vulnerable (such as rural women with a history of substance use living in Appalachia).

Purpose: The overall purpose of this study was to better understand the perceptions of lifestyle changes due to COVID-19 restrictions among this vulnerable group.

Methods: The study included a mixed methods survey with a convenience sample of …

Provision Of Mental Health Services By Critical Access Hospital-Based Rural Health Clinics, John A. Gale Ms, Zachariah T. Croll Mph, Nathan First Lcsw, Msw, Ma, Sara Kahn-Troster Mph

Rural Health Clinics

Residents of rural communities face longstanding access barriers to mental health (MH) services due to chronic shortages of specialty MH providers, long travel distances to services, increased likelihood of being uninsured or under-insured, limited choice of providers, and high rates of stigma. As a result, rural residents rely more heavily on primary care providers and local acute care hospitals to meet their MH needs than do urban residents. This reality highlights the importance of integrating primary care and MH services to improve access to needed care in rural communities. Critical Access Hospitals (CAHs) are ideally positioned to help meet rural …

Long-Term Impact Of Welfare Reform: Biopsychosocial Barriers To Successful Transition Away From Welfare Reliance Among Rural Women In Louisiana, Jake Jerome Guidry

LSU Master's Theses

The discussion regarding government benefits and reliance on welfare benefits is one that takes place in arenas of policymaking and academia alike. These discussions often focus on poverty that exists in densely populated metropolitan areas, resulting in a scarcity of research regarding unique characteristics of rural poverty. Eighty-four rural Louisiana women participated in a longitudinal study of the impacts of welfare reform in their lives. Twenty years later, two (N = 2) rural Louisiana women, each former welfare recipients, participated in an in-depth qualitative case study examining their transition away from welfare programs. Data show that neither woman was …

The Lived Experiences Of Rural Clinical Social Workers In North Carolina, Sarah Horne

Walden Dissertations and Doctoral Studies

Rural clinical social workers face unique challenges when providing services to members of rural communities. To face these challenges and deliver culturally competent services, clinical social workers in rural communities must be specifically prepared for rural clinical social work. This study addressed issues of preparedness for rural clinical social work centered around rural clinical social work supervision in the context of the systems theory. The phenomenological design allowed for the exploration of the lived experiences of rural clinical social workers. Study participants who volunteered for study after being contacted via information provided to the North Carolina Social Work Board were …

Proving Their Love: Violence And Gender Norms In Descriptions Of Relationships Among Rural Mexican Adolescents, Heidi Adams Rueda, Steven Hoffman, Kaitlin Grytza

Social Work Faculty Publications

Mexican youth from impoverished areas are at increased risk for experiencing relationship violence. Research in the United States has suggested that perpetration may be contextualized by culturally-influenced gender values, specifically performance of negative aspects of male masculinity (i.e., machismo) and its female counterpart (i.e., marianismo). This study utilized focus group methods to explore how middle school adolescents (N = 98) from a rural area of Central Mexico differentiate between healthy and unhealthy dating relationships.

We evoked a feminist developmental lens to interpret themes which centralized males as physical and sexual aggressors and to offer culturally-relevant program and practice recommendations.

Dop-Coroners’ Study 2019 Final Report: Assessing Coroners’ Needs, Brittany Willmore, B. Shine Cho, Jeanette Harder

Reports

The Nebraska Department of Health and Human Services (DHHS) partnered with Support and Training for the Evaluation of Programs (STEPs) at the University of Nebraska at Omaha to assess the needs of Nebraska county coroners in conducting drug overdose death investigations.

To develop a clear understanding of the Nebraska county coroners’ needs, STEPs conducted an online survey of 91 county coroners who are serving 93 Nebraska counties, according to Nebraska DHHS’s internal data. STEPs administered the survey on July 23, 2019, and closed it on August 16, 2019. 28 people participated in the survey and 25 completed it, giving a …