Social Work Commons^™

Medication-Assisted Treatment For Pregnant Women: A Systematic Review Of The Evidence And Implications For Social Work Practice, Amber M. Holbrook, Viba H. Nguyen

Social Work (Graduate) Faculty Publications

Evidence-based practice with pregnant clients who are opioiddependent can be especially challenging because pregnant women are rarely included in clinical trials. The paper synthesizes systematic reviews on the outcomes of medication-assisted treatment for opioid dependent pregnant women and compares the effectiveness of methadone and buprenorphine. We explore evidence on maternal and neonatal outcomes, the safety of breastfeeding, and discuss the implications for social work practice. Searches were conducted in 6 databases. Ten reviews met the inclusion criteria. Results suggest medication-assisted treatment with either methadone or buprenorphine are equally effective in reducing maternal substance use, although methadone may offer slightly higher …

A Theory Of Change For Positive Developmental Approaches To Improving Outcomes Among Emerging Adults With Serious Mental Health Conditions, Janet S. Walker

Regional Research Institute for Human Services

Recent evidence attests to the shortcomings of typical services for improving outcomes among emerging adults with serious mental health conditions (SMHCs). Researchers and providers have responded by developing new programs and interventions for meeting the unique needs of these young people. A significant number of these programs and interventions can be described as taking a positive developmental approach, which is informed by a combination of theoretical sources, including theories of positive development, self-determination, ecological systems, and social capital. To date, however, there has been no comprehensive theoretical statement describing how or why positive change should occur as a result of …

Better Futures: A Randomized Field Test Of A Model For Supporting Young People In Foster Care With Mental Health Challenges To Participate In Higher Education, Sarah Geenen, Laurie E. Powers, Lee Ann Phillips, May Nelson, Jessica Mckenna, Nichole Winges-Yanez, Linda Blanchette, Adrienne Croskey, Lawrence D. Dalton, Amy Salazar, Paul Swank

Regional Research Institute for Human Services

The purpose of the study was to conduct a preliminary efficacy evaluation of the Better Futures model, which is focused on improving the postsecondary preparation and participation of youth in foster care with mental health challenges. Sixty-seven youth were randomized to either a control group that received typical services or an intervention group, which involved participation in a Summer Institute, individual peer coaching, and mentoring workshops. Findings indicate significant gains for the intervention group on measures of postsecondary participation, postsecondary and transition preparation, hope, self-determination, and mental health empowerment, as compared to the control group. Youth in the intervention group …

Community And State Systems Change Associated With The Healthy Transitions Initiative, Janet S. Walker, Nancy Koroloff, Shawn James Mehess

Regional Research Institute for Human Services

People engaged in efforts to improve services to emerging adults with serious mental health challenges have reached the conclusion that service change at the program or agency level is not sustainable without related changes at the systems or policy level. This article focuses on one set of efforts to create intentional system change at both the community and state levels. These changes were pursued by states and communities that received grants under the federally funded Healthy Transitions Initiative (HTI), with the aim of creating more effective services for emerging adults with serious mental health conditions. The article reviews the development …

Orphans’ Hope: An Evaluation Of Residential Orphan Care In Malawi Africa, Emily B. Johnston

Selected Honors Theses

It is estimated that over 7 million orphans are institutionalized worldwide (sos-usa.org). Research has shown that while orphanages are often able to meet physical needs better than alternative forms of care, orphanage life can be harmful for the wellbeing of a child. This study evaluated orphan care at one institution in Malawi, Africa, to determine the effectiveness of care and suggest interventions that could position the children for success. Through interviews with caretakers and administrators, it was found that residential care in Malawi could be an effective form of care. The greatest needs were consistent behavioral intervention and sexual activity …

Street-Level Bureaucratic Discretion: An Investigation Of Disproportionality In The Child Welfare And Juvenile Justice Systems, Nina Frola Joyner

School of Public Service Theses & Dissertations

This study seeks to provide a structural explanation for a poorly understood administrative and policy phenomenon: the problem of minority overrepresentation or disproportionality in the child welfare and juvenile justice systems. Disproportionality is a pressing policy and practice concern regarding how to halt the continual over representation of African American and other minority youth in the child welfare and juvenile justice systems. It has social and policy implications at the national, state and local level. Disporportionality affects the lives of youth who are unnecessarily removed from their families or adjudicated and detained as well as state and local budgets when …

Towards A Deeper Understanding Of The Post-Traumatic Growth Factors Leading To An Improved Quality Of Life For Military Combat Veterans, Domonicque Tatum

All Capstone Projects

The issue of posttraumatic stress disorder (PTSD) following combat deployment among American military veterans has created significant barriers to successful reintegration. However, positive outcomes also exist in the form of posttraumatic growth. The purpose of this study was to examine Posttraumatic Growth in U.S. military combat veterans by identifying significant relationships among variables leading to successful reintegration of military personnel within the community following combat deployment. Participants in this correlational study included a total of 50 military combat veterans from various eras of conflict. Participants completed a survey battery containing the PTSD Checklist (PCLM), Combat Exposure Scale (CES), Post Deployment …

The Grand Challenge Of Ending Homelessness, Benjamin Henwood, Suzanne L. Wenzel, Philip F. Mangano, Maryellen Hombs, Deborah K. Padgett, Thomas Byrne, Eric Rice, Sarah Butts, Mathew C, Uretsky

School of Social Work Faculty Publications and Presentations

The notion that homelessness in the United States can be ended, rather than managed, represents a fundamental shift in expectations that has occurred over the past three decades. Many U.S. cities now have plans to end homelessness. Yet homelessness and housing instability are substantial problems that afflict a diverse group of subpopulations such as families, youth, veterans, and chronically homeless single adults. Ending homelessness for each of these populations may require tailored interventions that are responsive to specific individualized needs. These factors make tackling homelessness a difficult task. Although evidencebased solutions exist for some subpopulations, such as housing first for …

Key Factors Driving Personnel Downsizing In Multinational Military Organizations, Ilksen Gorkem

Engineering Management & Systems Engineering Theses & Dissertations

Although downsizing has long been a topic of research in traditional organizations, there are very few studies of this phenomenon in military contexts. As a result, we have little understanding of the key factors that drive personnel downsizing in military settings. This study contributes to our understanding of key factors that drive personnel downsizing in military organizations and whether those factors may differ across NATO nations' cultural clusters. The theoretical framework for this study was built from studies in non-military contexts and adapted to fit the military environment.

This research relies on historical data from one of the largest multinational …

Patterns Of Housing Voucher Use Revisited: Segregation And Section 8 Using Updated Data And More Precise Comparison Groups, 2013, Molly Metzger, Danilo Pelletiere

Center for Social Development Research

What role does the Housing Choice Voucher program play in the economic and racial segregation of its beneficiaries? Expanding upon Metzger’s (2014) analysis of the 50 most populous U.S. metropolitan areas with contemporaneous data, this paper substantiates the finding that voucher households are more segregated by income and race at the tract level than households that earn less than $15,000 annually. However, the evidence is mixed when the nonvoucher comparison group is more precisely defined using the specific income limits of the U.S. Department of Housing and Urban Development voucher program and a minority household designation. Voucher households are still …

The Use Of Pbl In An Interprofessional Education Course For Health Care Professional Students, Kristine M. L'Ecuyer, David Pole, Sheila A. Leander

Interdisciplinary Journal of Problem-Based Learning

A problem-based learning (PBL) framework was utilized in a series of six interprofessional team seminars (IPTS) for postbaccalaureate students from seven health professions. The goal of IPTS was to develop a collaborative practice-ready workforce prepared to respond to patient care needs through use of concrete examples, skills development, critical thinking, and problem solving in safe, faculty-facilitated small groups. The collaborative nature of PBL closely correlates with teaching methodologies of the IPTS series. This study analyzed critical reflection assignments of nursing students in accelerated programs to determine the effectiveness of IPTS at preparing students for interprofessional collaborative practice. Findings indicated that …

Mission Critical: Reforming Foster Care And Child Protective Services In Massachusetts, Emily M. Douglas Ph.D, Melinda Gushwa Ph.D, Martha J. Henry Ph.D, Denise A. Hines Ph.D, Mickayla Aboujaoude, Annie E. Casey Foundation

Mosakowski Institute for Public Enterprise

One major topic of debate during the 2014 gubernatorial elections was the functioning of the Department of Children and Families (DCF) in Massachusetts. Prior to the debates and subsequently as well, the media has highlighted some challenges and issues that plague DCF, and several high-profile cases have sparked not only the attention of our state government, but the public at large as well. After consultation with legislators, we decided that our 2015 Massachusetts Family Impact Seminar would focus on this crisis.

2015 Massachusetts Family Impact Seminar, Emily M. Douglas Ph.D., Melinda Gushwa Ph.D., Licsw, Martha J. Henry Ph.D.

Mosakowski Institute for Public Enterprise

Mission Critical: Reforming Foster Care and Child Protective Services is the sixth Massachusetts Family Impact Seminar. It is designed to emphasize a family perspective in policymaking on issues related to reforming foster care and child protective services in the Commonwealth. In general, Family Impact Seminars analyze the consequences an issue, policy, or program may have for families.

Measuring The Support Networks Of Transition-Age Foster Youth: Preliminary Validation Of A Social Network Assessment For Research And Practice, Jennifer E. Blakeslee

School of Social Work Faculty Publications and Presentations

Multi-dimensional social support is an important factor in any positive transition into young adulthood, and youth who are exiting foster care ideally receive comprehensive social support from a range of informal and formal sources. Yet the social networks of transition-age foster youth are likely influenced over time by child welfare involvement, which can weaken or disrupt natural support relationships, while introducing service-oriented relationships that are not intended to last into adulthood. To better understand the social support context of youth aging out of care, we can apply social network theory and methods to systematically identify their networks of supportive relationships …

Christian Civility, Erin Olson

Faculty Work Comprehensive List

"Every day people are faced with difficult choices about their lives and many times we are called to walk alongside them as they try to navigate these decisions. Sometimes, when decisions and situations are very difficult and complicated the person will seek the help of a social worker, someone who has been professionally trained to help. How are we to best help in these situations?"

Posting about how Christian social workers should respond when they disagree with the life decisions their clients are making from In All Things - an online hub committed to the claim that the life, death, …

Serving Families In Broken Situations, Tara Boer

Faculty Work Comprehensive List

"We are entrusted to walk alongside people during some of the most difficult and vulnerable times in their lives. It’s work that God could do without us but God still allows us to be a part of it. Social workers show up when abuse is occurring, when violence is erupting, and when homes are dirty. We are asked to meet families during times of loss, adoption, school problems, divorce, addictions, trauma, and relationship problems. We get to hear stories, play with kids, sit in team meetings, solve problems, and see people heal and get well."

Posting about how to help …

Outcomes Of Children Reunified From Institutional Care In Ghana, Kevin Shafer

Journal of Undergraduate Research

Both attachment theories and current research suggest that institutional care (more popularly thought of as orphanages) does not meet the attachment needs of children, which has strong negative consequences over the life-course. While preventing a child’s separation from a parent or parents is ideal, reunification may be the next best option when separation occurs. However, to date, no study has examined the well-being of children reunified with their families from residential care centers. Current policy in Ghana provided a prime opportunity to study this issue, since the government has recently instituted a policy facilitating the reunification of children. Currently, many …

Beyond Ferguson: Empowering Low-Income People To Build The Future Of Their Communities, Dorothy Stoneman

Center for Social Development Research

Beyond Ferguson: Empowering Low-Income People to Build the Future of Their Communities

Does Unsecured Debt Decrease Savings? Evidence From The Refund To Savings Initiative, Michal Grinstein-Weiss, Jane Oliphant, Blair D. Russell, Ray Boshara

Center for Social Development Research

Does Unsecured Debt Decrease Savings? Evidence From the Refund to Savings Initiative

Practice Recommendations For Mental Health Professionals: Perspectives From Grandparents And Their Adolescent Grandchildren, Kendra A. O'Hora, Megan L. Dolbin-Macnab

GrandFamilies: The Contemporary Journal of Research, Practice and Policy

Although grandfamilies are consumers of a variety of mental health services, less is known about what these families, particularly the grandchildren, want from practitioners. To gain insight into how practitioners can best meet the needs of grandfamilies, 40 custodial grandmothers and their adolescent grandchildren were interviewed. Results of a qualitative analysis indicated that grandmothers and grandchildren did not make clear distinctions between various types of services and service providers. Grandchildren, in particular, emphasized the need for mental health professionals to facilitate mentoring and to provide opportunities for grandchildren to socialize with other grandchildren who have been through similar circumstances. Grandmothers …