Clinical and Medical Social Work Commons^™

Medical Practitioners' Death Anxiety And The Advance Directive, Daisy Macias, Natalie Macias

Theses Digitization Project

This study examined whether there is a correlation between medical practitioner's level of death anxiety and communication about the advance directive. Even though there is a lot of common sense in stating the obvious complexity of issues surrounding end of life, there is also a clear discomfort with accepting the advance directive and the patient's wishes at face value and the underlying reasons for that may lie in the physician's own feelings over death.

Dual Diagnosis Treatment Group Curriculum, Julie M. Wood

All Graduate Theses, Dissertations, and Other Capstone Projects

The social workers at the MSH are treating many patients who have previous placements in chemical dependency treatment in addition to previous hospitalizations for their mental illness. Licensed Drug and Alcohol Counselors (LADC) are employed at the hospital but not on unit 800 which is the crisis and intake unit. The hospital does not have funds available in their budget to add additional LADC staff at the present time.

Having a treatment group focusing on dual diagnosis would enable the patients to receive education and therapy for their addiction issues much earlier in the course of their treatment at MSH. …

"First Impression": Creating An Intake Procedure That Is Welcoming To Clients And Useful To Clinicians, Brandi Embacher

All Graduate Theses, Dissertations, and Other Capstone Projects

Have you ever contacted an agency and felt doubtful about their ability to help you due to the phone interaction or written correspondence you received? The significance of this Capstone project is to create an intake procedure that will leave a positive first impression for individuals seeking services with Mankato Marriage and Family Therapy Center (MMFTC).

Stroke Rehabilitation, Length-Of-Stay, And Re-Admission Rates: A Literature Review, Morgen Hagedorn

All Graduate Theses, Dissertations, and Other Capstone Projects

Stroke is shown to be a significant U.S. health problem with a profound impact on the nation’s rising healthcare costs (Hall, Levant, & DeFrances, 2012). Longer patient length-of-stay [LOS] and higher re-admission rates have brought consequences to healthcare systems as institutional budgets are unable to reconcile the additional services and the influx of healthcare demands. Through a comprehensive literature review, the author illustrates the general knowledge available on the stroke experience, on stroke care and rehabilitation, and on patient LOS and re-admission rates. The literature review is based on general medical research with a focus on the stroke population. The …

Policies In Hospital Social Work, Jolene L. Reisdorfer

All Graduate Theses, Dissertations, and Other Capstone Projects

The goal of this project was to create an environment that provides a professional standard of care to ensure patient safety. This project will address the absence of policies in the Social Service Department at Mayo Clinic Health System, Southwest Region. A standard of care is a detailed standardized model of an intervention process that discusses the goals, objectives, settings, process, procedures and interventions (Gayle, 2005). Policy development must occur to assure that patients with social service needs are being identified appropriately and are being provided necessary interventions to meet their needs (Gordon & Rehrs, 1969). The project also identified …

A Review Of Developmentally Appropriate Evidence-Based Effective Parenting And Resources For Parents, Kari Schwecke

All Graduate Theses, Dissertations, and Other Capstone Projects

Krisma Counseling, a counseling center located in rural southern Minnesota, offers high quality and affordable consumer-centered mental health services to individuals, families, couples, including in-home therapy. In order to provide adequate services and care that abides by the Nation Association of Social Workers Code of Ethics, there needs to be standard ethical practice rooted in evidence based literature. The purpose of this project was to research developmentally appropriate evidence-based effective parenting and create a resource guide for clinicians to use in their work with parents of children ages two to 17.

Bridging Tactics: Parental Support Systems: A Proposal For A Psycho-Educational Parent Group, Emily F. Thompson

All Graduate Theses, Dissertations, and Other Capstone Projects

The purpose of this Capstone project is to design and present a new intervention program for increasing supportive services to the parents of clients being served through the infant/early childhood mental health program at CSSM. The goal of this project is to provide CSSM with a culturally-­responsive, theoretically grounded, evidence-­based proposal for the development of a psycho-educational group that includes a clear rationale for why this intervention is needed and how it will help the agency achieve the outcomes of infant/early childhood mental health program.

Needs Assessment Of Emergency Department Social Workers In Southwestern Minnesota In Relation To Emergency Department Expansion, Gina Marie Njugunah

All Graduate Theses, Dissertations, and Other Capstone Projects

Expansion of a hospital emergency department will affect the role of the emergency department social worker. This research project was conducted to assess the needs, concerns, and strengths of the social workers working in the emergency department of a regional medical center. The study included 13 participants who completed an on-line survey. Results showed that participants were concerned with the increase in patient volume as well as the possible increase in wait time for patients. Participants also expressed how concerns could be addressed. The most common solution was to track information about the cases, including wait times for patients, in …

Survey Of Emergency Department Patients' Perceived Barriers To Accessing Services And Community Resource Utilization, Kelsey Ann Wilke

All Graduate Theses, Dissertations, and Other Capstone Projects

The purpose of this project is to describe the patients being served by Avera McKennan’s emergency department (ED) and to explore perceived barriers to accessing services and current community resource utilization in order to prevent further non-emergent visits.

Research Questions: 1) What are the demographic characteristics of emergency department patients that are referred to the emergency department social worker? 2) What are the perceived barriers that emergency department patient’s encounter when trying to access services and community resources?

Emergency Room Use By Undocumented Mexican Immigrants, Ayse Akincigil, Raymond Sanchez Mayers, Fontaine H. Fulghum

The Journal of Sociology & Social Welfare

This study examined emergency room use by undocumented Mexican immigrants and their sources of health care information. Thirty-eight percent of the respondents reported that they would use a hospital emergency room (ER) for primary medical care. ER use rates declined with time spent in the United States. Emergency room use rates varied significantly by region. Respondents receiving information from a church reported less ER use, compared to all others; respondents receiving information from U.S. newspapers reported higher ER use rates. Lack of health care access for undocumented immigrants remains a public health issue as well as a social justice concern.

Health Service Access For Rural People Living With Hiv/Aids In China: A Critical Evaluation, Xiying Wang, Xiulan Zhang, Yuebin Xu, Yurong Zhang

The Journal of Sociology & Social Welfare

The increasingly serious HIV/AIDS epidemic creates a significant burden for the public health system; however, little attention has been paid to the issue of health service access in rural China. Based on a qualitative study of 34 Chinese rural People Living with HIVIAIDS (PLWHA) and 13 health providers, this study fills a gap by examining health service access from both the demand and supply-side. Utilizing access theory, this study explores the availability, affordability and acceptability of health services in rural China. Moreover, this study focuses on access barriers and institutional obstacles that PLWHA meet during their illness and considers the …

Depression And Its Associated Risk Factors In Medical And Surgical Post Graduate Trainees At A Teaching Hospital: A Cross Sectional Survey From A Developing Country, Aisha Yousuf, Sidra Ishaque, Waris Qidwai

Department of Family Medicine

Objectives: To determine the frequency of depression among post graduate medical trainees in a teaching hospital of Pakistan and to explore the associated factors contributing to depression in them. Methods: It's a cross-sectional study at the Aga Khan University Hospital, Karachi. It was done in June 2008 till August 2008. Zung Self-Rating Depression Scale was administered among 172 post graduate trainees. Self administered questionnaires were used to assess the associated demographic and work related risk factors. Adjusted odds ratios (OR) were calculated by logistic regression. Results: The survey response rate was 172(82.69%). Depression in the overall sample was 103(59.88%), of …

Likelihood Of Asking For Help In Caregivers Of Women With Substance Use Or Co-Occurring Substance Use And Mental Disorders, Suzanne Brown, David E. Biegel, Elizabeth M. Tracy

Social Work Faculty Publications

Family members are important to the well-being of their relatives with substance use disorders or cooccurring substance use and mental disorders. Many caregivers experience high levels of burden, negatively impacting their capacity to provide support to their ill family member. The Andersen health care utilization model (Andersen & Newman, 1973, 2005) was used to identify the impact of predisposing, enabling, and need factors hypothesized to predict caregivers’ likelihood of asking for help and support with their caregiving role. The sample include 82 women recruited from outpatient or inpatient substance abuse treatment centers and 82 family caregivers nominated by these women. …

The Development And Evaluation Of A Safety Skill Intervention For Child Victims Of Neglect, Heather H. Hill

UNLV Theses, Dissertations, Professional Papers, and Capstones

Child neglect is the least studied, yet most frequently indicated, type of child maltreatment. Still, there are few assessment and treatment methods specifically designed for victims of child neglect. Unintentional injuries have long remained the leading cause of death for children in the United States after the first year of life, and research suggests the majority of these child fatalities are actually the result of child neglect. Homes of neglectful families are often inundated with safety hazards but child-focused home safety skill interventions have yet to be developed. Thus, the present study focused on the development and initial evaluation of …

Living For Two: Experiencing Alzheimer’S Disease Through The Caregiver, Jacob Kramer

Independent Study Project (ISP) Collection

This investigation focuses on the effects of Alzheimer‟s disease beyond the consequences it implicates for the patient. It must be recognized that this is a disease whose repercussions affect the family caregiver of the diseased with the same strength that it disturbs the principal carrier. The sporadic characteristics of Alzheimer‟s disease, externalized through mood swings, memory loss, the eventual loss of bodily functions, and, among other symptoms, the inability to communicate, create a category of instability and volatility experienced solely by the primary caregiver. This inconsistency that the primary family caregiver comes to know not only disturbs the patient-caregiver relationship, …

“So I Just Took Over”: African American Daughters Caregiving For Parents With Heart Failure, Nancy Thornton, Faith Pratt Hopp

Social Work Faculty Publications

This article examines the experiences of African American women who are caring for a parent with heart failure. Seven adult daughter caregivers completed in-depth, qualitative interviews, and a phenomenological approach was used for data analysis. Results suggest the presence of caregiving stressors, including heart failure symptoms and comorbidity, caregiving duties, social–emotional stressors, and distrust of the health system. Relevant coping strategies included valuing the caregiving role, coordinating care with siblings, taking charge, and spirituality. Social workers can play a critical role in supporting and advocating for caregivers of persons with heart failure, helping them to cope with stressors associated with …

Understanding Mesosystemic Influences On Reported Health Among Rural Low-Income Women: A Structural Equation Analysis, Tiffany Wigington

College of Education and Human Sciences: Dissertations, Theses, and Student Research

While ensuring access to health insurance and health care services is important, emerging research indicates that individual health and well-being result from a complex array of environmental, social, and psychological factors. The delineation of how factors of health and well-being unfold and impact rural low-income women is particularly salient for social workers who provide services to rural residents and who work within a rural context. Utilizing components from the ecological systems perspective, this study explored how the factors associated with health risk influenced reported health and mesosystemic processes among rural low-income women. This sample (n=304) for this study was drawn …

The Differentiated Impact Of Bridging And Bonding Social Capital On Economic Well-Being: An Individual Level Perspective, Saijun Zhang, Steven. G. Anderson, Min Zhan

The Journal of Sociology & Social Welfare

Social capital refers to trust, norms, and social networks. One of the most important features of social capital is its claimed capacity of promoting economic well-being. Theorists have assumed that any such effects vary according to the nature of different types of social capital. Using longitudinal data from a nationally representative dataset, this study investigates the differentiated effects of individual bonding and bridging social capital on subsequent personal income and income-to-needs ratios. The analyses demonstrate that bridging capital, indicated by involvement in various voluntary organizations, has small but significant effects on future economic wellbeing. However, bonding capital, indicated by connections …

Stretching The Paradigm: Crisis As A Problem In Mental Health Research, Roger A. Lohmann

Faculty & Staff Scholarship

Crisis intervention is an established paradigm of community mental health theory and practice in which the nature and circumstances of crises are assumed to be well understood and the subject of established research findings and theory. Review of existing crisis research literature fails to support such assumptions. There is, in fact, little current evidence available on the nature and circumstances of mental health crises, despite the importance of crisis intervention in contemporary practice. This paper presents descriptive findings of a study of the frequency, duration and severity of mental health crises, based on analysis of more than 500 crisis incidents …

What Children Should Know About Cancer: Parent's Perception, Kristyn Gina Sutton

Theses Digitization Project

The purpose of this project will focus on how and for what reasons parents inform their children of their cancer. Through the use of focus groups and the participation of parents, sick and healthy, this study will bring to light the truth of what parents feel their children should know about their cancer and why they may feel it necessary to tell them about their cancer.