Community Health Commons^™

Substance Abuse Among The Elderly: What Works In Treatment, Sophia Morelli

Electronic Theses, Projects, and Dissertations

Social workers are trained during the course of their education to work with the elderly and to understand the various dynamics of aging. These professionals also receive education on substance abuse and how to assess clients as well as link them to appropriate supportive services. How can social workers be more inclined to effectively treat the elderly substance abuser? What are, if any, special considerations a social worker should be aware of when working with the geriatric population? What treatment modalities seem to be more effective with the elderly client? This study utilized a qualitative analysis consisting of interviews with …

Promoting Completion Of Advance Directives In A Hispanic Religious Congregation: An Evidence-Based Practice Project, Luis Daniel San Miguel, Mary Jo Clark

Doctor of Nursing Practice Final Manuscripts

Background: Hispanics utilize more aggressive medical treatment at the end of life and are less likely to receive end-of-life care consistent with their wishes than nonHispanic Whites. Hispanics are less likely than nonHispanic Whites to have an advance directive (AD). Increasing AD completion among Hispanics can promote end-of-life care consistent with their wishes, diminish healthcare disparities, and eliminate unnecessary healthcare spending. Objectives: To promote completion of advance directives by increasing knowledge, positive attitudes, and comfort with advance care planning (ACP) among Hispanics through culturally sensitive interventions. Intervention: The project was conducted in Spanish and implemented among a …

Patient Engagement In Transitional Care, Sheeree Dela Pena

Master's Projects and Capstones

The Clinical Nurse Leader Master’s project was conducted about a public health program called the Transitional Care Program that was working in partnership with a county hospital system, Santa Clara Valley Medical Center. The specific aim was to reduce hospital re-admissions of high-risk patients by supporting patient motivation and engagement in the Transitional Care Program by May 2015. Over a four-month period, data was collected through ten client visits, interviews with two public health nurses, information available about the program, and current research conducted on transitional care, hospital discharges, and patient engagement. Various aspects of the program were assessed, such …

Central Washington University Campus Community Garden: A Mural Project, Angie Love, Blanca Soto, Catherine Leger, Alex Johnson

Symposium Of University Research and Creative Expression (SOURCE)

This service-learning project represents the first phase of constructing a mural for the campus community garden at Central Washington University. The purpose of the mural is to bring awareness to the garden by creating a welcoming space that empowers the community to learn from, work with, and teach others. As a group, we became involved with the Campus Community Garden through a Health Education (HED) course, Community Organization and Coalition Development (HED 450). The purpose of this course is to provide public health students the knowledge, practices, and skills necessary to be successful while working with community organizations. We started …

Improving Rhode Island’S Health Care System: Lessons From The Cuban Model, Sarah R. Moffitt

Senior Honors Projects

Improving Rhode Island’s health care system: lessons from the Cuban model

Cuba is world renowned for its health care system. In regards to international health crises, Cuba is a leader in sending workers abroad and training doctors from all over the world. Within its own borders, the Cuban model provides free access to all citizens in which every individual has a primary care provider. Cuba boasts high vaccination rates, a long life expectancy, low infant mortality rate, and a population that is one of the healthiest in the western hemisphere.

The purpose of this research project is to evaluate the …

Surviving The Other War: Group Intervention For Military Sexual Trauma In The Local Church, Ed Ellis Barker

Doctoral Dissertations and Projects

Military Sexual Trauma (MST) is, together with the current military suicide epidemic, arguably the greatest danger to soldiers serving at home or abroad, and sadly the former is a contributing factor for the latter. MST involves the sexual assault or sexual harassment of an individual by one or several fellow service members. An important avenue of assistance is through the local church; however, "the quality of mental health providers does not include a sufficient number of faith-based counselors (especially Christian) to serve the predominantly Christian demographic in the U.S. Armed Forces." To assist in this, a psycho-educational support group has …

The Perception Of Latino Mothers’ Experience With The Healthcare System In East Tennessee, Christopher G. Bush

Undergraduate Honors Theses

As the Hispanic population continues to grow in the United States, especially in the South, it is critical for healthcare workers to provide culturally competent care as required by certain laws. The Latina experience is of significant importance due to the role Latina mothers play in their families and communities. It is necessary to understand the perspective of this population and the experience of the Latina mother in regards to healthcare; specifically, how have language barriers hindered care, what perceptions of bias or discrimination have been encountered, and how do these factors influence their healthcare decisions and outcomes. Research has …

The Plight Of The Lucluc: Examining The Deadly Mystery Of Nodding Syndrome, Ethan K. Mcgann

Senior Honors Theses

Nodding syndrome (NS) is an emerging epidemic neurological disease that is shrouded in mystery. It is currently only found in the post-conflict regions of South Sudan, northern Uganda, and Tanzania. NS occurs in children from the ages of five to fifteen and is characterized by a loss of motor control in the neck muscles. Seizure episodes can range in intensity from atonic to tonic-clonic, and the onset of the first episode generally marks the beginning of a decline in the child’s physical and mental health. NS is a progressive disease that generally results in physical wasting, stunted growth, behavioral difficulties, …

Processes, Practices And Politics In The Treatment Centers For Addictions And Problematic Consumptions: An Analysis Of The Perspectives And Practices Of The Professionals In A Treatment Center In The Autonomous City Of Buenos Aires, Chiara Lawrence

Independent Study Project (ISP) Collection

Contextual Information: Historically in Argentina, as well as globally, the politics regarding the use of “drugs” have been prohibitionist and treatment centers have implemented these politics with models of abstinence. More recently, the need for both the politics and the treatment to prioritize the rights and health of the drug uses has become more widely recognized in both social and political contexts, as much as among professionals in treatment centers. New laws have been passed proposing the implementation of harm reduction strategies in the treatment of addictions and problematic drug use. In the Autonomous City of Buenos Aires there are …

Dying For A Drink: How The Consumption Of Home Brews Affects Health Within The Kibera Slum Of Nairobi, Kenya, Teaka Jackson

Independent Study Project (ISP) Collection

Home-brewed alcohols are inexpensive, thus they are especially consumed by low-income individuals such as those residing in Kibera. This project investigates three alcohols brewed within this area: muratina (mugasha), busaa and chang’aa. With the help of Philip Ndemwa, a nutrition expert from the Kenya Medical Research Institute, I was able to gain insight regarding the process of these alcohols, as well as the sanitation conditions of the production sites of these home brews and how these factors affect the health of the consumer. Both qualitative and quantitative research methods were utilized in order to fully understand the health repercussions from …

Perubahan Iklim Dan Dampaknya Terhadap Sistem Perlindungan Anak Pada Masyarakat Tradisional Di Kupang (Nusa Tenggara Timur) Dan Palu (Sulawesi Tengah), Sofyan Cholid, Santy Yanuar Pranawati, Restri Rahmawati

Jurnal Ilmu Kesejahteraan Sosial

The Facts about climate change and its impact on the ecosystem across the world has been taking greater attention from scholar, government, scientist, activist, as well as civil community. Based on IPCC report 2007, sea level rise and human development contributed to the lost of coastal wetland and mangroves as well as flooding in coastal areas. This research focused on describing the climate change impacts on children well-being in the society who strongly depend on natural resources, and what kind of the adaptation process and the changing occurred in child protection framework. The methods used include time line, tree problem, …

Peran Kelompok Rentan Dalam Penanggulangan Bencana Dan Pengurangan Resiko Bencana Di Desa Tangguh Bencana (Studi Deskriptif Satuan Tugas Desa Tangguh Bencana Di Desa Gunung Geulis, Kecamatan Sukaraja, Kabupaten Bogor, Syadza Alifa, Arif Wibowo

Jurnal Ilmu Kesejahteraan Sosial

This research discusses about the role of vulnerable groups who are being Task Force in disaster management and disaster risk reduction efforts in Gunung Geulis Village, Bogor Region. This study examine the process of formation of the Task Force, the role of vulnerable groups into the Task Force, and the supporting factors and inhibiting factors of the vulnerable groups into the Task Force. This study is a descriptive study with qualitative methods. The methods used are observation, in-depth interviews, and the study of literature. The end results show that the involvement of vulnerable groups as Task Force has been suitable …

Evaluasi Program Penguatan Perempuan Usaha Kecil (Puk) (Evaluasi Sumatif Terhadap Program Penguatan Puk Yang Dilakukan Asosiasi Pendamping Perempuan Usaha Kecil Di Solo), Agung Cahyanto, Ety Rahayu

Jurnal Ilmu Kesejahteraan Sosial

This research is a study summative evaluation PUK Strengthening Program in Solo with a quantitative approach. The goal is to measure outcome indicators and analyzes the factors that influence the achievement of outcomes based on aspects of the process and input. The analysis was done by means of univariate and bivariate with cross table, Chi Square and Kendall Tau. The results showed that the outcome indicators has not been achieved. Factors that influence the outcome of the process aspect are ability to identify and solve problems, quality of production, volume of business, business innovation, profit exhibitions, as well as participation …

Sosialisasi Program Anti Bullying Dalam Rangka Menciptakan Sekolah Damai, Djoemeliarasanti Djoekardi

Jurnal Ilmu Kesejahteraan Sosial

The phenomena of bullying, particularly in education has happened for a long time. However, for various reasons does not appear on the surface. Bullying has negative effects on its victims. It can affect undesirable traits in a child’s development in the future, especially if they are dominated by negative emotions. In association with schools, an anti- bullying program is needed in order to create a peaceful learning process at schools. This research was conducted at 3 high schools in Jakarta. Based on previous findings, it can be seen that teachers and students does not understand bullying behavior and it’s negative …

Upaya Rehabilitasi Sosial Dalam Penanganan Gelandangan Dan Pengemis Di Provinsi Dki Jakarta, Astrini Marlinda, Getar Hati

Jurnal Ilmu Kesejahteraan Sosial

This article discusses about the social rehabilitation efforts in handling the homeless and beggars in Jakarta at Panti sosial Bina Insani (PSBI BD 2) Cipayung. Researcher conducting a qualitative descriptive on this study.The findings from this research show that social rehabilitation efforts in homeshelter is not maximized so that the homeless people and beggars in Jakarta tends to return to the street after getting coaching in this homeshalter. This research provide a recommendation to the government to provide a homeshalter which focused for homeless and beggars social rehabilitation, give strict punishment to the homeless and beggars who are back on …

Perceived Barriers To Utilizing Maternal And Neonatal Health Services In Contracted-Out Versus Government-Managed Health Facilities In The Rural Districts Of Pakistan, Atif Riaz, Shehla Zaidi, Asif Raza Khowaja

Community Health Sciences

Background: A number of developing countries have contracted out public health facilities to the Non-Government Organizations (NGOs) in order to improve service utilization. However, there is a paucity of in-depth qualitative information on barriers to access services as a result of contracting from service users’ perspective. The objective of this study was to explore perceived barriers to utilizing Maternal and Neonatal Health (MNH) services, in health facilities contracted out by government to NGO for service provision versus in those which are managed by government (non-contracted).

Methods: A community-based qualitative exploratory study was conducted between April to September 2012 at two …

Cost Of Primary Health Care In Pakistan, Muhammad Ashar Malik, Wahid Gul, Saleem Per Waiz Iqbal, Farina Abrejo

Community Health Sciences

Background: Detailed cost analysis is an important tool for review of health policy and reforms. We provide an estimate of cost of service and its detailed breakup on out-door patient visits (OPV) to basic health units (BHU) in Pakistan.

Method: Six BHUs were randomly selected from each of the five districts in Khyber Pukhtonkhawa (KPK) and two agencies in Federally Administered Tribal Areas (FATA) of Pakistan for this study. Actual expenditure data and utilization data in the year 2005 –06 of 42 BHUs was collected from selected district health offices in KPK and FATA. Costs were estimated for outpatient visits …

Common Threads: An Integrated Hiv Prevention And Vocational Development Intervention For African American Women Living With Hiv/Aids, Liza Marie Conyers, Yung-Chen Chiu, Aisha Shamburger-Rousseau, Vanessa Johnson, Mark Misrok

Journal of Health Disparities Research and Practice

Current policies and initiatives call for the integration of social determinants of health into HIV/AIDS prevention and care interventions. According to the World Health Organization’s Commission on Social Determinants of Health, the lower a person’s socioeconomic status, the worse the health outcomes. One way to alleviate poverty among African American women with HIV/AIDS is to help foster their vocational development and economic empowerment. The National HIV/AIDS Strategy Implementation Plan specifically directs federal agencies to find ways to integrate people living with HIV/AIDS into broader employment initiatives. The purpose of this manuscript is to examine medical, psychosocial, financial/legal and vocational social …

Are There Gender Differences In Perceived Sexual Self-Efficacy Among African-American Adolescents?, Michelle L. Redmond, Rhonda K. Lewis

Journal of Health Disparities Research and Practice

Background: African American adolescents accounted for more than half of all HIV/AIDS cases in 2009. Behavioral Strategies are needed to help lessen the incidence of HIV/AIDS among this population.

Purpose: The aim of his study was to examine sexual self-efficacy practices and beliefs among African American adolescents. We also examined gender differences between African American adolescents to better understand their perceptions of sexual self-efficacy, condom use intention, and other safer sex practices and beliefs.

Methods: A cross-sectional study was conducted with 214 African American adolescents using survey instruments to examine their beliefs, perception and intentions on the use of condoms, …

The Effects Of Environmental Prompts On Stair Usage, Lori Andersen, Tim Bungum, Sheniz Moonie Phd

Nevada Journal of Public Health

Experts have advocated exercise with little success, and have turned to encouraging physical activity by incorporating it into daily activities such as taking the stairs over elevators. Much literature exists suggesting that environmental prompts can encourage the use of stairs and literature has established that some messages may be more effective than others. This study aimed to assess the effects of selected signage prompts on stair usage. Methods: Stair and elevator use were monitored in three, two-story buildings. One building served as a control, while a fitness message was placed in another building, and the final building received a weight …