Social Work Commons^™

The Wheel Of Oppression: Rolling Towards Substance Use In Central Appalachia, Sydney Cox

DSW Capstone Projects

For nearly 100 years, Central Appalachia has been characterized by some of the highest poverty rates in the nation. Not coincidentally, the region has also been characterized by some of the highest rates of substance use. Despite decades of funding and support, Central Appalachia continues to foster a symbiotic relationship between poverty and substance use. The purpose of this project was to explore the missing link that ties the two poor determinants of health together and to provide a name to a phenomenon otherwise omitted from social work and policy making practice within Central Appalachia.

The first product of this …

Child Welfare: Workforce Retention, Competence, And The Connection To Social Work Education, Brittany Stanley

DSW Capstone Projects

While there are many avenues to discuss and explore, the key area of interest for the Capstone Project is that of retention of a competent frontline workforce. Each state has their own set of guidelines for hiring frontline workers which allows for variety in the educational backgrounds of the investigative and ongoing workers. This can become problematic when the educational background may not be the most suited for the work and challenges faced by child welfare workers.

During the development of the Capstone Project, one could not help but wonder that if workers were adequately prepared for the demands of …

“It Doesn’T Matter How Good The School Is If You Don’T Learn To Socialize”: Latinx Immigrant Students’ Testimonios Of Coping With Social Isolation In High School, Jenn M. Lilly

Social Service Faculty Publications

Understanding how Latinx immigrant youth cope with the stressor of social isolation is vital to understanding and improving their functioning and well-being; yet little is known about how they cope with experiences of social isolation in school. To fill this gap in the literature, the purpose of this exploratory study was to qualitatively examine the coping strategies that Latinx immigrant students utilized in the face of social isolation in one high school in a newer Latinx destination in the U.S. south. This study employed a narrative and culturally congruent methodological approach, analyzing the digital testimonios of 5 female and 2 …

“There's So Much They Don't Cover:” Limitations Of Healthcare Coverage For Indigenous Women In A Non-Federally Recognized Tribe, Jessica L. Liddell, Jenn M. Lilly

Social Service Faculty Publications

Access to healthcare is an essential component in addressing health disparities. However, the limitations of insurance coverage, and other barriers in paying for and accessing healthcare have seldom been researched for Indigenous peoples. In addition, state recognized tribes do not have access to the healthcare services provided by the Indian Health Service, and there is a need for research documenting their unique healthcare needs. Qualitative description was used to conduct 31 semi-structured interviews with women from an Indigenous tribe in the Gulf South to understand their experiences in paying for healthcare services. Participants described: (1) Discrimination Based on Perceived Ability …

Healthcare Experiences Of Uninsured And Under-Insured American Indian Women In The United States, Jessica L. Liddell, Jenn M. Lilly

Social Service Faculty Publications

Background: Extensive health disparities exist for American Indian groups throughout the United States. Although insurance status is linked to important healthcare outcomes, this topic has infrequently been explored for American Indian tribes. For state-recognized tribes, who do not receive healthcare services through the Indian Health Service, this topic has yet to be explored. The purpose of this study is to explore how having limited access to health insurance (being uninsured or under-insured) impact American Indian women’s healthcare experiences?.

Methods: In partnership with a community advisory board, this study used a qualitative description approach to conduct thirty-one semi-structured life-course …

Why Are So Many Indigenous Peoples Dying And No One Is Paying Attention? Depressive Symptoms And “Loss Of Loved Ones” As A Result And Driver Of Health Disparities, Catherine E. Mckinley, Jennifer Miller Scarnato, Sara Sanders

Social Service Faculty Publications

Indigenous peoples have not only experienced a devastating rate of historical loss of lives, they are more likely to experience mortality disparities. The purpose of this article is to examine Indigenous women’s lived experiences of grief and loss in two Southeastern tribes and the relationship between depressive symptoms and recent loss of a loved one. Our exploratory sequential mixed-methods research was informed by the Indigenous based Framework of Historical Oppression, Resilience, and Transcendence (FHORT). We summarized key qualitative themes from ethnographic data from 287 female participants across the two tribes, collected through focus groups, family interviews, and individual interviews. We …

“When You Come Together And Do Everything, It’Ll Be Better For Everybody”: Exploring Gender Relations Among Two Southeastern Native American Tribes, Jenn M. Lilly, Catherine E. Mckinley, Hannah Knipp, Jessica L. Liddell

Social Service Faculty Publications

Prior to the imposition of patriarchal colonial norms, Native American (NA) gender relations were characterized as complementary and egalitarian; however, little research has explored gender relations within NA communities today. This study used a community-based critical ethnography to explore contemporary NA gender relations with a purposive sample of 208 individuals from the “Coastal Tribe” and 228 participants from the “Inland Tribe.” After participant observation, interviews, and focus groups were conducted, a collaborative approach to reconstructive analysis was used to identify themes in the data. Within these communities, gender relations tended to reflect egalitarian and cooperative but gendered norms, and participants …

“It’S In The Family Circle”: Communication Promoting Indigenous Family Resilience, Catherine E. Mckinley, Jenn M. Lilly

Social Service Faculty Publications

Objective: We use the Framework of Historical Oppression, Resilience, and Transcendence (FHORT) to investigate the framework’s core concept of family resilience and related protective and promotive factors that contribute to greater resilience, namely communication.

Background: Scant research has examined communication in Indigenous families; yet general research suggests that family communication is a prominent aspect of family resilience.

Methods: In this exploratory sequential mixed-methods study with data from 563 Indigenous participants (n = 436 qualitative and n = 127 quantitative survey), thematic reconstructive analysis was used to qualitatively understand participants’ experiences of family communication and quantitatively examine protective …

‘Marriage Is Going To Fix It’: Indigenous Women’S Experiences With Early Childbearing, Early Marriage And Intimate Partner Violence, Catherine E. Mckinley, Jenn M. Lilly

Social Service Faculty Publications

Intimate partner violence (IPV), early childbearing (ECB) and early marriage (EM) are interconnected to the historical oppression of patriarchal colonialism imposed upon Indigenous peoples throughout the world by colonising nations, such as the UK. The artefacts of colonial oppression persist in both colonising nations and those that have been colonised through social norms of patriarchal oppression perpetuated upon women with far-reaching consequences. Indigenous women of the US experience higher rates of IPV, ECB and EM than any other ethnic group—which pose risks to women’s physical, psychological, socioeconomic and educational status. The purpose of this study is to explore Indigenous women’s …

Aging In Nigeria: A Growing Population Of Older Adults Requires The Implementation Of National Aging Policies, Kingsley Chima Mbam, Cal J. Halvorsen, Uzoma Odera Okoye

Harvey A. Friedman Center for Aging

While the continent of Africa currently has the lowest share of adults aged 60 and older in its population among all world regions, the total number of older Africans is projected to triple between 2020 and 2050. Nigeria—Africa’s leading economy and most populated country—has the highest number of older people in the continent and the 19th highest across the globe, with the population of Nigerians aged 65 and older projected to nearly triple by 2050. However, the increase in older Nigerians is occurring against the backdrop of extreme poverty, unsolved development problems, socioeconomic inequality, the HIV/AIDS epidemic, and a decline …

Animal Adoption Profiles: An Application Of The Human-Animal Connection, Autumn Stowe

Honors Program Theses

No abstract provided.

Human Trafficking Of People With A Disability: An Analysis Of State And Federal Cases, Andrea Nichols, Erin Heil

Dignity: A Journal of Analysis of Exploitation and Violence

The current academic discourse examining human trafficking is lacking in focus on survivors with a disability. The increased likelihood of abuse experienced by people with a disability is well documented in the research literature, and a small body of research indicates heightened sex trafficking victimization of minor girls with a disability. Yet, very little research specifically examines sex and/or labor trafficking of people with a disability, and no systematic research analyzes prosecuted cases of trafficking with disability as the focal point of analysis. Drawing from a content analysis of 18 federal and 17 state cases of human trafficking, the current …

A Seat At The Table: Visioning Social Work’S Leadership Future, Lucas Hall

DSW Capstone Projects

This capstone focuses on the history of social work leadership, current trends in social work leadership, what is lacking and where we can go in the future. The systematic literature review was focuses on what is in the literature as it relates to social work leadership preparation. The conceptual paper proposes the creation of social work leadership fellowships and certification programs. Finally, the practice application paper is the full realization of the first two papers. A solution to the crisis of a lack of social work leadership preparation is proposed and fully fleshed out. The solution being the full-scale implementation …

Back To Basics: Re-Envisioning Job Satisfaction Through Social Work-Strengths-Based Leadership, Mary Mcdaniel

DSW Capstone Projects

Social work job satisfaction is a pressing concern, becoming even more dire, in times of depleted social work workforces like experienced in Kentucky in 2021 or during an overall depleted workforce like experienced nationally due to The Great Resignation labor trend of 2022. Over recent years, it has become evident social workers and social service workers are less willing to settle for employment experiences and work environments of high stress, exhaustion, and frustration. Instead, social workers’ work expectations are changing, with social workers looking for positive work experiences such as workplaces which promote wellness, self-care, work-life balance, flexibility, and professional …

Black Youth Are Suffering In Silence: Advancing Social Work Education To Better Address The Mental Health Of African American Youth., Alicia Dawson

DSW Capstone Projects

African American youth’s rates of major depression, generalized anxiety disorder, post-traumatic stress disorder, and suicide have increased in the last three years due to COVID-19 and national social injustices. African American students who seek help at school are less likely to receive adequate treatment from school social workers. Mental health care for African American students should be available, and those services must be effective. African American youth continue to suffer in silence when school social workers lack African-centered conceptual teaching and therapeutic skills. Current social work education curriculums contribute to 'Whiteness,' which influences future social workers to carry biases and …

The Role Of Organizational Leaders In Employee Self-Care: A Change Management Approach, Olivia Dawn Honaker

DSW Capstone Projects

Although literature demonstrates that helping professionals have had high levels of stress and burnout for decades, the COVID-19 pandemic has only exacerbated the issue. The already burdened healthcare workers, now facing increased workloads, long hours, and high-level exposure to trauma, have created an urgency to address this significant risk to helping professionals. The current capstone will bring awareness to organizational leaders regarding the importance of employee self-care and the benefits of implementing employee self-care programs. First, a systematic literature review will examine self-care in helping professions and explore how organizational leaders operationalize employee self-care programs. In addition, the capstone aims …

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 …

Healthcare Equity For Transgender Individuals, Mollie Staggs

DSW Capstone Projects

In the field of social justice and integrity, Social Work has dedicated itself to improving the welfare of the world, in which we all participate and interact. There are countless issues in our society that warrant professional attention for the fundamental purpose of positively impacting the livelihood of subcategories of people. For this particular Capstone Project, the focus is on transgender individuals’ systemic healthcare barriers that cisgender people within the United States do not similarly experience. The purpose is to unveil these disparities to then pose progressive alterations within the healthcare system to make the navigation and accessibility better for …

Children And High Conflict Divorce: Using Equine-Assisted Psychotherapy As Treatment, Ashley Berry

DSW Capstone Projects

The act of divorce has been commonplace throughout the world during the 20^th century, plateauing around the 1970s at around 50% of all marriages. While most divorces end peacefully, many contain ongoing conflict which can become detrimental to all involved, including the children. While historical treatment methods focus on changing the behavior of parents, there are instances where these methods may be ineffective, especially when the parents are unable or unwilling to change their conflictual behaviors. Equine-Assisted Psychotherapy (EAP), which has been used with individuals who have suffered from trauma, may be an option to use with this population …

Meta-Practice For The Bachelor Level: A Needed Compliment To The Generalist Model, Patrick Callahan

DSW Capstone Projects

Meta-practice in this concept is the web or roadmap, that is, the interconnectedness of the three pillars of the generalist model of social work. The generalist model teaches that micro, mezzo, and macro are interconnected. However, students and new professionals often do not understand precisely what the connection is. This work gathers the available literature, the conceptual idea of the introduction for the bachelor level of education, and an application of introducing it in a course for instruction. There is a need for introducing meta-practice at the bachelor’s level because of the continued globalization of society. By teaching the concept …