Social Work Commons^™

Unpredictable Paths Into Care: Examining Hiv And Ms Care Relationships In Southern Ontario, Melissa Popiel

Theses and Dissertations (Comprehensive)

In Canada, we often speak of caring for others as more than a social obligation; it is part of how we conceptualize ourselves and our humanity. Family/friend relationships can become strained, however, when providing care and support for people with complex and unpredictable chronic episodic illnesses, here termed episodic care. Relational impacts may be understood as influences and impacts directly related to the relationship between the carer and family member/friend. The purpose of this study is to create a middle-range grounded theory of episodic caring based on the relational impacts of carers for people living with HIV and MS. …

Trail Marker Trees, Kaleigh Edwards

Buder Center for American Indian Studies Research

For arborists and others who study forests and plant life, “Indian trail trees” or “trail marker trees” are an intriguing way to mark a path. But, for Native American people, the trees provided a trail marker that led to essential resources. According to Guy Sternberg (2015), there are several criteria for a tree to be defined as a trail marker tree; such standards are that the “species is Native to the area, long-lived, and point towards a significant location” (Sternberg, 2015). Through traditional deformation, white and red oak trees were the primary species of trail marker trees because of their …

Cswe Recommendations For Social Work Educators And Social Workers, Kaleigh Edwards

Buder Center for American Indian Studies Research

Poster summary of Council on Social Work Education's statement of accountability and reconciliation for harms done to Indigenous and Tribal Peoples

An Encore In Social Work? How Our Schools Can Become More Age Inclusive, Cal J. Halvorsen, Erin Emmanuel

Harvey A. Friedman Center for Aging

At a time when the number of younger students entering our colleges and universities is stagnant and the number of older people in our society continues to grow by the millions, schools of social work have an opportunity to broaden their student base by intentionally including people past midlife. This commentary argues that we must recruit and retain “encore students”—defined as those aged 35 and older—in our social work programs for schools, students, the profession, and society. It covers key demographic changes in the U.S. and their relation to social work programs, the importance of multigenerational classrooms, interest in encore …

Before And After The #Metoo Movement: Investigating How The Media Discusses Male Perpetrated Sexual Harassment, Maya Rose Coykendall

Honors Theses and Capstones

No abstract provided.

An Exploration Of African American Women’S Clinical Experience With European American Clinicians, Tonia L. Nixon

Walden Dissertations and Doctoral Studies

AbstractAfrican American (AA) women experience decreased rates of retention and increased rates of mental health conditions. The purpose of this qualitative transcendental phenomenological study was to explore lived experiences of AA women who received therapeutic services from European American (EA) clinicians. The strong Black woman (SBW) schema served as a conceptual framework for this study. The research question was to examine how the endorsement of the SBW schema affect AA women’s experiences of the therapeutic alliance during clinical treatment with EA clinicians. Data collection was accomplished through semi structured interviews conducted through Zoom from six participants in Atlanta, GA. Participant …

Demographic Characteristics, Level Of Drug Use, And Self-Esteem Among Female Students In Kaduna, Nigeria, Gladys Geyyourk John

Walden Dissertations and Doctoral Studies

Starting the early 1990s, the prevalence of nonmedical prescription drug use in Nigeria has been increased, especially among college students. Potential adverse effects such as poor academic performance and low self-esteem are known, but it is not understood whether demographic factors, level of drug use, and self-esteem are related to drug use for female college students. The purpose of this quantitative correlational study of a cross-sectional nature was to determine if there were predictive relationships between demographics (age, socioeconomic level, educational level, and history of mental illness), level of drug use (as measured by the Drug Abuse Screening Test [DAST], …

Evaluating The Impact Of Incentives On Clinical Trial Participation: Protocol For A Mixed Methods, Community-Engaged Study, Jerome T. Galea, Karah Y. Greene, Brandon Nguyen, Andrea N. Polonijo, Karine Dubé, Jeff Taylor, Christopher Christensen, Zhiwei Zhang, Brandon Brown

Social Work Faculty Publications

Background: Monetary incentives in research are frequently used to support participant recruitment and retention. However, there are scant empirical data regarding how researchers decide upon the type and amount of incentives offered. Likewise, there is little guidance to assist study investigators and institutional review boards (IRBs) in their decision-making on incentives. Monetary incentives, in addition to other factors such as the risk of harm or other intangible benefits, guide individuals’ decisions to enroll in research studies. These factors emphasize the need for evidence-informed guidance for study investigators and IRBs when determining the type and amount of incentives to provide to …

Closing Delivery Gaps In The Treatment Of Tuberculosis Infection: Lessons From Implementation Research In Peru, Courtney M. Yuen, Ana Karina Millones, Daniela Puma, Judith Jimenez, Jerome T. Galea, Roger Calderon, Gabriela S. Pages, Meredith B. Brooks, Leonid Lecca, Tom Nicholson, Mercedes C. Becerra, Salmaan Keshavjee

Social Work Faculty Publications

Background: Targeted testing and treatment of TB infection to prevent disease is a pillar of TB elimination. Despite recent global commitments to greatly expand access to preventive treatment for TB infection, there remains a lack of research on how best to expand preventive treatment programs in settings with high TB burdens.

Methods: We conducted implementation research in Lima, Peru, around a multifaceted intervention to deliver TB preventive treatment to close contacts of all ages, health care workers, and people in congregate settings. Key interventions included use of the interferon gamma release assay (IGRA), specialist support for generalist physicians at primary-level …

A Review Investigating The Relationship Between Cannabis Use And Adolescent Cognitive Functioning, Elena Cyrus, Makella S. Coudray, Sandra Kiplagat, Yandra Mariano, Ines Noel, Jerome T. Galea, Dexter Hadley, Jessy G. Dévieux, Eric Wagner

Social Work Faculty Publications

No abstract provided.

Incident Tuberculosis Diagnoses In Children At High Risk For Disease, Milagros Wong, Julia M. Coit, Milagros Mendoza, Silvia S. Chiang, Helen Marin, Jerome T. Galea, Leonid Lecca, Molly F. Franke

Social Work Faculty Publications

We followed 35 children meeting a research definition for unconfirmed tuberculosis (TB) but in whom a pediatric pulmonologist did not diagnose or treat TB. After a median follow-up of 16.4 months, most children were not diagnosed with TB following a comprehensive evaluation. However, 2 were diagnosed with TB, demonstrating high TB risk (6%; exact 95% CI, 1%–19%). In some contexts, researchers may wish to supplement these research definitions with clinical decision data and longitudinal follow-up in order to improve specificity.

Prediction Tool To Identify Children At Highest Risk Of Tuberculosis Disease Progression Among Those Exposed At Home, Meredith B. Brooks, Leonid Lecca, Carmen Contreras, Roger Calderon, Rosa Yataco, Jerome Galea, Chuan-Chin Huang, Megan B. Murray, Mercedes C. Becerra

Social Work Faculty Publications

Background: There is a dearth of research to understand which children, among those who are exposed at home to tuberculosis (TB), are at the highest risk of TB disease, to tailor care. We sought to identify predictors of TB progression in children.

Methods: We conducted a prospective cohort study of children living with adults with pulmonary TB in Lima, Peru (2009–2012). We applied classification and regression tree analysis to examine potential predictors of incident TB disease during 12 months in 3 age groups (0–4, 5–9, and 10–14 years). We calculated the relative risk (RR) for top predictors in each age …

A Non-Specialist Depression Care Pathway For Adolescents Living With Hiv And Transitioning Into Adult Care In Peru: A Nested, Proof Of Concept Pilot Study, Jerome T. Galea, Carmen Contreras, Milagros Wong, Karen Ramos, Valentina Vargas, Hugo Sánchez, Renato A. Errea, Leonid Lecca, Molly F. Franke

Social Work Faculty Publications

Background: Adolescents living with HIV (ALWH) are disproportionally impacted by depression, experiencing worse HIV outcomes. Integrated depression and HIV care may support antiretroviral adherence. This study pilot tested for proof of concept a basic depression care pathway for ALWH to inform depression care integration with HIV services in Peru.

Methods: ALWH were screened for depression with the Patient Health Questionnaire-9 (PHQ-9). Participants with PHQ-9 scores of ⩾10 or suicidal ideation (SI) were eligible for Psychological First Aid (PFA) delivered by non-mental health specialists. Participants with PHQ-9 re-assessments of ⩾20 or SI were referred to specialized services.

Results: Twenty-eight (11 female, …

Impact Of The Sars-Cov-2 Pandemic On Adolescents Living With Hiv In Lima, Peru, Renato A. Errea, Milagros Wong, Liz Senador, Alicia Ramos, Karen Ramos, Jerome T. Galea, Leonid Lecca, Hugo Sánchez, Carlos Benites, Molly F. Franke

Social Work Faculty Publications

Adolescents living with HIV (ALWH) have lower rates of virologic suppression and higher rates of immunologic decline compared to their older counterparts, potentially placing them at high-risk for developing severe SARS-CoV-2 disease. ALWH who are transitioning to adult care face additional challenges to remaining in care and adhering to treatment. In this special section we report the experiences of ALWH in the process of transitioning to adult HIV services during the COVID-19 pandemic. In first place, the government-mandated stay-at-home order has substantially limited access to full HIV care by restricting public transportation, HIV medication stock-outs, and the suspension of routine …

Hospice Social Workers In The Death With Dignity Process, Lisa M. Carter

Walden Dissertations and Doctoral Studies

Hospice social workers are in an ethical conundrum due to the contrast between honoring clients’ self-determined life closure and hospice organization prescribed non-participation in requests for physician-assisted death. The National Hospice and Palliative Care Association and the International Hospice and Palliative Care Association have issued position statements that the hospice philosophy of care is to provide comfort and reduce suffering, not to hasten death. Social workers are bound by a code of ethics to honor patient choice in end-of-life decisions. This generic qualitative study gives voice to hospice social workers in the Pacific Northwest regarding their motivations and responses to …

The Influence Of Neighborhood Structural Characteristics On Treatment Attendance And Mental Health: Comparing Immigrants And Non-Immigrants, Kenan Sualp

Electronic Theses and Dissertations, 2020-2023

According to the U.S Census Bureau (2017), approximately one in every seven residents in the United States is immigrant. The literature provides evidence that immigrants have better mental and physical health outcomes when compared to U.S. residents. This phenomenon is referred to as the Immigrant Health Paradox (IHP). This study examined the IHP phenomenon by analyzing the data from a clinic that served an uninsured and under-insured population. While controlling for individual-level characteristics (age, gender, income, race, and preferred language), neighborhood-level characteristics such as Neighborhood Concentrated Disadvantage (NCD), and Neighborhood Immigrant Density (NID), this study examined the association between being …

Journal Of Sociology And Social Welfare Vol. 48, No. 3

The Journal of Sociology & Social Welfare

No abstract provided.

An Examination Of Factors Associated With Lgbtq+ College Students' Adoption Of Post-Exposure Prophylaxis (Pep) As An Hiv Prevention Method, Shayna Forgetta

Electronic Theses and Dissertations, 2020-2023

Post-exposure prophylaxis (PEP) is an effective human immunodeficiency virus (HIV) prevention medication taken after exposure, yet it is not widely used in the lesbian, gay, bisexual, transgender, and queer/questioning (LGBTQ+) community. Understanding its acceptability is vital, given this population's increased risk for contracting HIV. Drawing from the Health Literacy Skills Framework and the Theory of Planned Behavior, this study provides an examination of PEP-related awareness and knowledge, as well as intention to request and use PEP. Using a cross-sectional survey design, a convenience sample of 131 LGBTQ+ college students from a Southeastern university was recruited through email and social media. …

Using Geographic Information Systems To Analyze The Effects Of Residential Location On Student Academic Success, Courtney Wilson

Electronic Theses and Dissertations, 2020-2023

Purpose: This study aims to assess the impact of social disorganization indicators (i.e., employment, median-household income, owner-occupied housing, crime, poverty, and minority percentage) on academic performance (i.e., GPA) for 6th and 7th-grade students attending seven K-8 designated Orange County Public Schools (OCPS) in central Florida. Methods: A hot spot cluster analysis was used to identify areas where high and low GPA clustering occurs based on the individual block level GPA data obtained from OCPS. Visual map comparison of cluster results and social disorganization indicators were used to understand if high GPA cluster outcomes occur in areas of social disorganization. Moreover, …

Using The Civic Voluntarism Model To Compare The Political Participation Of Us And Swiss Social Workers, Jason Ostrander, Tobias Kindler, Janelle K. Bryan

School of Social Work Faculty Publications

Various international and national social work ethical principles call social workers to participate in politics, although not all social workers in the USA and Switzerland embrace politics in their professional practice. A growing body of social work literature addresses social workers’ participation in politics. This article presents a comparative study of political participation, political efficacy, and political ideology among social workers in the USA and Switzerland. This study used two separate cross-sectional surveys to better understand the political participation, political efficacy, and political ideology of social workers in the USA (n = 3033) and Switzerland (n = 1242). …