Social Work Commons^™

It Takes A Village-Schooling Out Of Place: School Experiences Of Black African Youth In Waterloo Region, Olufunke Oba 5726040

Theses and Dissertations (Comprehensive)

This dissertation examined experiences of alienation among Black African youth in Waterloo region schools. This study is timely and relevant considering the rapid influx of Black Africans into the region in response to government initiatives to redirect immigrants to smaller communities. The research addressed the dearth of scholarship on experiences of Black Africans outside the major metropolitan areas by employing Afrocentric and critical race theories to explore relationships between race and youth experiences of alienation. The dissertation study utilized elder facilitated youth dialogue forum (adaptation of focus group) and in-depth storytelling (which honours African orality) to access the meanings seventeen …

The Hold Me Tight Program For Couples Becoming Parents: A Mixed Methods Study, Debbie Wang

Theses and Dissertations (Comprehensive)

ABSTRACT

Attachment theory has made substantial contributions to the understanding of close relationships. The purpose of this study was to inquire whether an attachment-informed psychoeducational program is a feasible and effective intervention for couples expecting their first child. The overarching question was: Is an attachment-informed relationship enhancement program, such as Hold Me Tight^® (HMT), helpful to couples in strengthening their relationship and increasing their confidence in becoming first-time parents? The research question was addressed using a mixed-methods approach.

In the first phase, the Hold Me Tight^® program developed by Dr. Sue Johnson was modified for use with couples …

Professional Relationships: Bifurcations, Threshold Concepts, And Msw Student Voices., Todd Adamowich

Theses and Dissertations (Comprehensive)

This qualitative study explored MSW student perceptions of the concept of professional relationships. The research question was: “What does the concept of professional relationships mean to MSW students?” The study was epistemologically rooted in social constructionism and Foucauldian theories, which inform how meaning is created and the notion of “professionalism” is deconstructed, while two-person psychologies were utilized to conceptualize the worker/client relationship to which I refer. Utilizing a constructivist grounded theory modality, 15 participants were recruited from the student body at Wilfrid Laurier University in Kitchener, ON. Through the analysis of individual interview data, two overarching categories emerged: (a) the …

Stories As Sites Of Resistance: Reclaiming Men’S Narratives Of Concurrent Substance Use And Intimate Partner Violence, Stephanie Baker

Theses and Dissertations (Comprehensive)

This study examines men’s experiences and perceptions of concurrent substance use and intimate partner violence using qualitative methodology. Previous research on the relationship between these concerns has been primarily quantitative in nature and situated within two dominant perspectives (the medical model and feminism). The aim of this study was to explore men’s stories within social constructionist and postmodern frameworks to develop a more comprehensive understanding of their lived experiences with concurrent substance use and intimate partner violence.

Narrative methods were employed to collect and analyze the data. Purposive sampling located twelve men living in the Niagara Region, St. Mary’s, and …

Exploring Patient Satisfaction Among Transgender And Non-Binary Identified Healthcare Users: The Role Of Microaggressions And Inclusive Healthcare Settings, Stevie Forbes-Roberts

Theses and Dissertations (Comprehensive)

Patient satisfaction is an important indicator of quality of healthcare delivery. Transgender and non-binary (TGNB) people regularly report experiencing discrimination when in healthcare settings and few TGNB-inclusive services are available. Researchers have not examined how discrimination and access to TGNB-inclusive services are associated with patient satisfaction among TGNB healthcare users. Among a convenience sample of TGNB people (n = 146) from Canada and the United States, I examined the relationship between patient satisfaction, experiencing microaggressions from primary healthcare providers, and receiving care in a TGNB-inclusive healthcare setting.

The results from a multivariable linear regression suggest that experiencing microaggressions is …

Exploring The Discourses Of Compulsive Hair-Pulling: A Body-Mapping Study, Julia Mason

Theses and Dissertations (Comprehensive)

Compulsive hair-pulling (which is sometimes diagnosed as the OCD-Related Disorder, Body-Focused Repetitive Behaviour, "Trichotillomania)" is an understudied experience that has significant social and emotional impacts on the women that it affects. This study focused on the meanings that are derived from the interactions that women with compulsive hair-pulling experience with social discourses surrounding mental illness, physical appearance, and behaviour. Guided by relativist ontology and the co-creation of understanding between researcher and participants, this qualitative exploration was guided by anti-oppressive practice and used an arts-based research method called Body-Map Storytelling. In group format, four women were invited to describe their knowledge, …

Gasping For Breath: Women’S Concerns And The Politics Of Community Development In Rural Ghana, Charles Gyan

Theses and Dissertations (Comprehensive)

This transnational feminist study described and interpreted the experiences of women within the context of community development in rural Ghana. The purpose of this study was to empirically ascertain the barriers faced by women within the community development processes in rural Ghana. With this goal, women from three randomly selected rural communities in Ghana were sampled and interviewed. A concurrent triangulation mixed method research design was adopted. The main instruments used were a questionnaire and an in-depth interview for the collection of the quantitative and qualitative data respectively. A total of two hundred women participated in the study.

The findings …

Good Works And The Great Commission: An Exploration Of Religious Influence In Evangelical Faith-Based Organisations In Canada And India, Ravi Gokani

Theses and Dissertations (Comprehensive)

By the mid-1990s, the post-war, Keynesian welfare state that had typified much the landscape of service provision in North America had already begun seriously to corrode in the presence of a resurgent classical liberalism. This meant, among other things, an increased role for civil society organisations in the provision of social welfare to citizens in need. As part of this restructuring of the welfare state, faith-based organisations found a renewed place, bolstered in part by favourable legislation, political support, and the revival of a once-recluse evangelicalism. Today, with decades of maturity and the aide of technology, evangelical faith-based organisations are …

Ecological Ethics And Social Work Therapy Practice, Karma Guindon

Theses and Dissertations (Comprehensive)

This study sheds light on the meaning of ecological ethics from the perspectives of ecologically-informed therapy professionals. A qualitative methodology was used to explore the perspectives of therapists from Canada, England, and the United States. Thirteen professionals were interviewed and feedback on these interviews was obtained utilizing focus groups. The findings include themes of relational assumptions, ecological values and principles, practice ecologies, and challenges and solutions to embracing ecological ethics. The findings suggest ways social work therapists can integrate ecological ethics into their everyday practice and point to changes that can be made in the profession more broadly, including changes …

A Qualitative Study Of Families’ Experiences With Food Insecurity In Addis Ababa, Ethiopia, Elias Omer

Theses and Dissertations (Comprehensive)

Ethiopia has shown considerable progress in alleviating the decades-long food insecurity problem, but still, in the context of urban areas such as Addis Ababa families continue to struggle to make ends meet. The overall purpose of this research is to explore families’ lived experiences and coping mechanisms with food insecurity. Framed with the narrative-empowerment theoretical framework this ethnographic study outlines the findings of semi-structured interviews and focus group discussion of 35 adults and children and observational notes. Participants were able to tell their perception, causes, and impacts of food insecurity in their families. They outlined the daily strategies they employ …

Data Note: State Intellectual And Developmental Disability Agencies’ Service Trends, Agnes Zalewska, Jean Winsor, Thinkwork! At The Institute For Community Inclusion At Umass Boston

ThinkWork! Publications

In FY2016, an estimated 638,568 individuals received day or employment supports from state IDD program agencies. This number grew from 455,824 in FY1999. The estimated number of individuals in integrated employment services increased from 108,227 in FY1999 to 120,244 in FY2016. Despite the trend to terminate facility-based services in some states, the overall state investment continues to emphasize non-work services, rather than integrated employment services. Figure 1 shows the trends in the percentage of people served in integrated employment and facility-based and non-work settings between FY2008 and FY2016.

The Ethics Of Dying : An Exploration Of The Right To Suicide And Clinician Response To Self-Determination And Suicidal Ideation Among Adults Who Struggle With Mental Illness, Shelley Bair

Theses, Dissertations, and Projects

This paper explores the question: What beliefs, values and assumptions do social workers hold when assessing whether or not a person who is a mental health client has the right to suicide? The current literature reveals that individuals struggling with physical disorders deemed extreme and untreatable are likely to be accepted as rational grounds for suicide. Underrepresented in extant research is the critical examination of the desire to die as a rational versus pathological and treatable response to mental health concerns. The study question is examined, in part, through the lens of the Code of Ethics presented by the National …

Black Males, Trauma, And Mental Health Service Use: A Systematic Review., Robert Motley, Andrae Banks

Brown School Faculty Publications

Objective: To systematically review the evidence of and synthesize results from relevant studies that have examined barriers and facilitators to professional mental health service use for Black male trauma survivors ages 18 and older.

Methods: A thorough search of selected databases that included EBSCO, ProQuest, and Web of Science Core Collection and careful consideration of inclusion and exclusion criteria yielded a final six studies for detailed review.

Results: Black male trauma survivors were significantly less likely to be utilizing mental health services than other sex-ethnic groups. High levels of daily crises, a lack of knowledge of steps to …

The Risk Typology Of Healthcare Access And Its Association With Unmet Healthcare Needs In Asian Americans, Yuri Jang, Nan Sook Park, Hyunwoo Yoon, Ya-Ching Huang, Min-Kyoung Rhee, David A. Chiriboga, Miyong T. Kim

Social Work Faculty Publications

Using data from the 2015 Asian American Quality of Life Survey (N = 2,609), latent profile analysis was conducted on general (health insurance, usual place for care and income) and immigrant‐specific (nativity, length of stay in the U.S., English proficiency and acculturation) risk factors of healthcare access. Latent profile analysis identified a three‐cluster model (low‐risk, moderate‐risk and high‐risk groups). Compared with the low‐risk group, the odds of having an unmet healthcare need was 1.52 times greater in the moderate‐risk group and 2.24 times greater in the high‐risk group. Challenging the myth of model minority, the present sample of Asian …

Preparing To Launch The ‘Thinking Healthy Programme’ Perinatal Depression Intervention In Urban Lima, Peru: Experiences From The Field, B. S. Eappen, M. Aguilar, K. Ramos, C. Contreras, M. C. Prom, P. Scorza, B. Gelaye, M. Rondon, G. Raviola, Jerome T. Galea

Social Work Faculty Publications

Background. An estimated 19–25% of perinatal women in low- and middle-income countries are affected by depression which, untreated, is associated with multiple health problems for mothers and children. Nonetheless, few perinatal women have access to depression care. The Thinking Healthy Programme (THP), promoted by the World Health Organization (WHO), is an evidence-based, non-specialist delivered depression intervention that addresses this care gap. However, the WHO THP manual explains intervention delivery but not the antecedents to implementation. Here, we describe a principled, planned approach leading to the implementation of THP in Lima, Peru by the non-profit organization Socios En Salud with community …

Measurement Equivalence Of English Versus Native Language Versions Of The Kessler 6 (K6) Scale: An Examination In Three Asian American Groups, Yuri Jang, Daniel A. Powers, Hyunwoo Yoon, Min-Kyoung Rhee, Nan Sook Park, David A. Chiriboga

Social Work Faculty Publications

The use of languages other than English in population-based surveys is necessitated by the linguistic diversities in the United States. However, inclusion of multiple languages in survey data collection raises concerns about whether an instrument administered in different languages functions equivalently across groups. Using the Kessler Psychological Distress Scale 6 (K6), the present study examined differential item functioning (DIF) between surveys conducted either in English or the native language of the groups of Chinese Americans (n = 622), Korean Americans (n = 471), and Vietnamese Americans (n = 513). DIF analyses using a series of multiple-indicator multiple-cause models showed that …

Community Strengthening And Mental Health System Linking After Flooding In Two Informal Human Settlements In Peru: A Model For Small-Scale Disaster Response, Carmen C. Contreras, M. Aguilar, B. Eappen, C. Guzmán, P. Carrasco, A. K. Millones, Jerome T. Galea

Social Work Faculty Publications

Background: Mental health is an important factor in responding to natural disasters. Observations of unmet mental health needs motivated the subsequent development of a community-based mental health intervention following one such disaster affecting Peru in 2017.

Methods: Two informal human settlements on the outskirts of Lima were selected for a mental health intervention that included: (1) screening for depression and domestic violence, (2) children's activities to strengthen social and emotional skills and diminish stress, (3) participatory theater activities to support conflict resolution and community resilience, and (4) community health worker (CHW) accompaniment to government health services.

Results: A total of …

Use Of Technology, Pedagogical Approaches And Intercultural Competence In Development, Dee Ann Sherwood, Marian Tripplett, Sarah Hoyle-Katz, Joy Langereis

The Journal of Sociology & Social Welfare

Social work education has placed central importance on the development of intercultural competency and more recently, cultural humility. Strategies for effectively leveraging technology, logistics, place and pedagogy are essential within increasingly diverse education and practice settings. This study explores how two Western Michigan University (WMU) social work faculty members teaching at off-campus sites developed an on-line learning course in Chicago in collaboration with sociologists from the Chicago Center for Culture and Urban Life. Following four weeks of online and Skype-based learning, master’s level social work students interacted directly with diverse communities over an intensive four-day travel experience. Utilizing Freirean pedagogy, …

Comparison Of Serum And Cervical Cytokine Levels Throughout Pregnancy Between Preterm And Term Births, Kristin Ashford, Niraj R. Chavan, Amanda T. Wiggins, Molly Malany Sayre, Andrea Mccubbin, Agatha S. Critchfield, John O'Brien

Sociology, Anthropology, and Social Work Faculty Publications

Objective: To assess differences in cytokine levels in cervicovaginal fluid (CVF) and serum across trimesters between women with preterm births (PTBs) and full-term births.

Study Design: This multicenter study enrolled 302 women with a singleton gestation. CVF and serum cytokines, interleukin 1α (IL-1α), IL-1β, IL-6, IL-8, IL-10, C-reactive protein (CRP), tumor necrosis factor (TNF)-α, and matrix metalloproteinase (MMP)-8, were measured. Women with at least one cytokine assessment and noted PTB status in their medical record were retained in the study (N ¼ 272). Data were analyzed using mixed modeling (main effects of PTBs and time/trimester).

Results: For the CVF values …

Assessing The Impact Of Meaningful Employment On The Self-Esteem Of Male Veterans, Gary Grimes

Electronic Theses and Dissertations

This dissertation examined the relationship between meaningful employment and self-esteem in male veterans. Meaningful employment is an important element of reintegration, the process all veterans go through to transition from active duty military service back into society. Reintegration involves three major areas: physical and mental health, employment, and family and friend relationships. A sample of 30 male veterans were interviewed. After the interviews, two instruments were used to further examine the variables (meaningful employment and self-esteem). The instruments were administered to measure the individual's perception regarding meaningful employment and level of self-esteem. The interviews were the primary focus, with the …