Beyond Gatekeeping: Building a Community to Support Suicide Survivors

Suicide is a complex phenomenon, yet past attempts to change it have relied on an oversimplification that to prevent suicide, suicidal people need professional mental health treatment. Fortunately, that notion has faded. Suicide is now recognized as a public health issue; One that spans various continuums of culture, socioeconomic status, and demographics. With a better understanding and increased recognition of suicide as a public health issue, more stakeholders have engaged in suicide prevention efforts, new research has emerged, and more attention and resources are being dedicated than ever before. This capstone project explores the impact a suicide death has on the community and the postvention activities to mitigate risk for those individuals exposed, the suicide survivors.

The literature review highlighted the continued recognition of increased risk for suicide among survivors and recognition of postvention as a prevention strategy. However, the literature review identified a gap in current postvention research: the absence of exploration into universal strategies such as a postvention psychoeducation for the community. Many efforts identified were limited to the clinical setting, which would require suicide survivors to actively engage in services following a loss. The conceptualization paper acknowledged the success of gatekeeper training to educate the layman on identifying someone at risk for suicide and facilitate a referral to appropriate resources. With this model in mind, the theoretical frameworks from structural functionalism, transformative learning, and adaptive leadership were explored, as well as the availability and capability of the social work profession to implement and provide this community-based postvention psychoeducation. Lastly, the practical application paper investigated the implementation of supplementing current gatekeeper training with postvention psychoeducation. This capstone presents the rationale for and application of a proactive, universal approach to provide communities a way to understand, accept and support one another through the uniqueness and variability of grief after suicide.

An Educational Intervention to Engage Predominantly White Churches in Racial Justice Work

This presentation highlights conclusions from three scholarly products examining different aspects of race within white-majority churches. Findings originate from sociology, psychology, social work, education, and religion research literature. Central to this presentation is a discussion of white racial identity formation, white racial affects, and the dominant ideology of whiteness within individuals, churches, and American society. Churches are viewed as white spaces reflecting the dominant white culture. An educational framework incorporating critical consciousness, intersectionality, and contemporary emotion theory addresses the particular needs and challenges of predominantly white churches seeking to become anti-racist organizations. This presentation proposes an educational intervention incorporating an instructional framework with church leaders at a mainline Protestant church. This approach involves two dimensions in becoming anti-racist: the individual and the corporate. The White Racial Identity Development Model and The Continuum on Becoming an Anti-Racist Multi-Racist Institution serve as key elements in the church’s critical self-evaluation process. The presenter recognizes the foundational assumptions and perspectives within this research project. Implications for personal growth, the social work profession, and white churches are identified along with future research needed.

Suicide Postvention: Supporting Social Work Clinicians and Mental Health Professionals in Eastern Kentucky

Losing a client to suicide is devastating to a practicing Social Work Clinician. The suicide loss of a loved one is devastating to anyone. When the person is confronted with loss from both in practice and in their personal life, this can be an unprecedented trauma for the Social Work Clinician. Postvention Services that are accessible and local provide grief and trauma treatment to the clinician. In rural Eastern Kentucky, a postvention service resource can connect Social Work Clinicians with trained mental health professionals for grief and trauma services. These services will help clinicians avoid stigma and successfully receive compassion and empathy.

Supporting Social Work Employment-Hosted Practicum Placements: Challenges and Recommendations

In 2022, the Council on Social Work Education (CSWE) altered its policy regarding field education placements within a students’ place of employment. For the first time ever, students can now count their paid work as field learning if they can demonstrate how that work connects to the social work competencies. Employment-hosted practicum (EHP) placements present specific challenges for both students and field educators. To explore this issue within social work education a capstone project was completed that consisted of a systematic literature review, a conceptual paper, and a practice implications paper. In this presentation, the findings of those capstone products will be reviewed. Topics of the presentation will include an overview of the evidence on social work EHP placement learning outcomes, the introduction of a conceptual framework that incorporates stage-based learning theories and how it supports an understanding of how learning takes place within EHP placements, and an Inquiry-based learning tool is proposed as a potential support for students to successfully frame their EHP placement learning by the nine social work competencies. The presentation will conclude with a discussion of implications for social work educators and an exploration of potential next steps.

Black Women and the Weight of the World: When the Weight Becomes Too Much to Bear

Black women have historically been seen as caretakers, nurturers, and the backbone that holds Black families together. Despite these perceptions, Black women continue to compete for workplace acceptance, equal pay, and something as simple as being able to wear their natural hair without fear of corrective action and ridicule. This leads to excessive pressure on Black women in their daily lives, yet mental health issues are not as widely and frequently discussed nor prioritized among this population.

Research shows when Black women seek mental health services, they are less likely than White women to get professional mental health services and treatment and are more susceptible to being misdiagnosed (Jones, 2015). Black women also experience higher rates of stress-related physiological illnesses such as cardiovascular disease and obesity (National Center for Health Statistics, 2007; Chinn et al., 2021).

This scholarship provides further exploration into the underrepresentation of mental health issues and treatment among Black women. This scholarship will also explore help-seeking behaviors among Black women when seeking mental health treatment and the various components that contribute to this issue. Recurring themes such as the Strong Black Woman Schema and Black Superwoman Phenomena are also contextualized including their implications among Black women.

Human Trafficking of Children: A Real Issue in the United States. Promoting an Awareness and Comprehensive Perspective to Solutions

This presentation will provide a comprehensive study of vulnerabilities presented to children of becoming a victim of exploitation and trafficking, as well as the need for local, state, and federal agencies to come together to provide a comprehensive approach to providing awareness of the problem issue, intervention services, and therapeutic approaches utilized for surviving victims. The presentation will begin with a systematic literature review of the vulnerabilities that lead to the exploitation of children leading to child trafficking. It will discuss numerous risk factors that cross all races, socio-economic backgrounds, and cultures, yet only certain children become victims of exploitation and trafficking. The presentation's conceptual paper will present the hidden issue of trafficking and how the United States has instituted federal laws against trafficking, yet the numbers of victims continue to rise. The numerous instituted laws will be discussed, confusing as to how the numbers of victims continue to increase contrary to the law inductions. The final piece of the presentation will focus on establishing an awareness of the trafficking of children through a trauma-informed approach to intervention and treatment. Evidenced-Based therapeutic modalities will be described to help to explain the process of children becoming a victim of trafficking as well as being considered perpetrators of criminal behaviors.

The Trauma of Poverty: An Exploration of the Impact of Poverty on Mental Health

Mental health implications will be explored as it related to the traumatic impact of poverty on individuals’ mental health. Special attention will be paid to the Black community, specifically as it relates to PTSD and depression. The concepts will be explored through a systemic literature review, conceptual paper, and practice application paper; all of which will provide implications for practice. Implications for practice will include interventions at both the micro and macro level.

Trauma-Informed Care: A Collaborative Strategy to Address Escalating HIV-infection Rates

HIV continues to be an epidemic among African American gay and bisexual men. In Kentucky, almost 70% of new HIV infections are among this group. This percentage is over eight times higher than the total number of African Americans in the Commonwealth.

This presentation examines contributing psychosocial factors likely contributing to this disparity, seen not only in Kentucky but nationwide. We also look at potential strategies to augment existing HIV education and prevention strategies. These proposed strategies call on the clinical mental health community (clinical social workers, counselors, etc.) to engage in interventions likely to reduce the disparity by collaborating with existing HIV service providers and while teaming with the Centers for Disease Control and Prevention and the Kentucky Department for Public Health to eliminate HIV.

This presentation explores explicitly how trauma-informed care, combined with promoting self-determination while providing screening and timely service referrals, can minimize HIV spread among African American gay and bisexual men.

A Comprehensive Design for International Social Work Field Education (ISWFE)

The increasing attention paid to the impact of globalization on social work has led to a growing appreciation for the benefits of International Social Work Field Education (ISWFE). ISWFE involves social work students completing a portion of their mandatory fieldwork hours in a country other than their home country. Social work professionals are increasingly working with diverse client populations, which requires a higher degree of multicultural understanding. Training students solely within their own cultural context can lead to a limited worldview, whereas ISWFE helps social work students to recognize their own biases and beliefs, while gaining a deeper understanding of social work practices and issues affecting the global community. During this presentation you will learn the many benefits of ISWFE, the unique challenges of ISWFE, theories that help to analyze these challenges, and best practices to combat these challenges which are incorporated into a comprehensive design for ISWFE. In addition to the extensive literature review conducted regarding ISWFE, the author also consulted experts on international field study both within and outside the field of social work for advice in designing this model. The ultimate goal is to implement this design, collect data, and further add to the research regarding International Social Work Field Education.

Social Impact of Gentrification on Minority and Poor Neighborhoods

People who have endured living in neighborhoods sought after for gentrification are not always studied for the purpose of determining what happened to the people, their homes, their schools, their community services, or their beloved churches. A review of the literature seldom reveals the outcomes associated with this process. Some literature provides scant information about how the process started, who was involved, and who solved the problem. The literature reviewed shows that gentrification can occur both in large cities and in smaller communities. Generally, poor and minority neighborhoods are the target of these actions. Deeper study can determine which entities are responsible for the initiation of the actions. Examples are government agencies, investors, and even universities. This work will focus on one of communities in Kentucky which began just after the civil war with approximately 7000 individuals and families, and which has fizzled to a present community of 700 people with few, if any, community services. The resulting community has been made vulnerable to investors seeking to build at least one distillery and one brewery, possibly as a start to refurbishing the neighborhood into other such entities, further destroying the history of this once vibrant neighborhood and all without the planning input of the descendants of people who once owned this historic neighborhood. Restoring historic neighborhoods may be made vibrant again with the proper input of the neighborhood owners.

Strengths-based Case Management with Military Veterans: Building Protective Factors Against Suicide

Our military faces significant challenges in returning and adjusting to civilian society. The experience of military service highlights the dichotomy between an opulent civilian society and the starkness of combat deployment. In addition to re-acclimating to civilian society after service, combat veterans often return home with physical, emotional, and neurological injuries.

Service members enlist in the military for a variety of reasons aligning with satisfying their basic psychological needs. Upon the completion of their military career, veterans often face barriers to meeting basic psychological needs as they transition to civilian life. When faced with barriers to achieving basic psychological needs, veterans may experience suicidality.

While this is a simplified explanation of veteran suicidality, it underscores how the transition home may impact the veterans’ ability to adjust to life outside the military. The focus on basic psychological needs provides a theoretical foundation for why veterans may struggle with suicidality. It also leads to the means of reducing veteran suicidality.

A strengths-based case management approach empowers veterans to meet their basic psychological needs, achieving self-efficacy, connectedness, and expertise. The veteran’s inherent and communal protective factors are identified and enhanced within the strengths-based case management model. These protective factors become tools that mitigate suicidality.

Leveraging Social Work Leadership to Impact Health Promotion in Senior Citizens

As the population continues to grow, the increasing age must be considered.  Approximately 54 million adults ages 65 and older live in the United States, which accounts for about 16.5% of the nation’s population. According to America’s Health Rankings (2021), the United States has a sizable and growing population of older adults. By 2050, the number of persons 65 and older will be expected to increase to an estimated 85.7 million, or nearly 20 percent of the country’s total population (America’s Health Rankings (2021).  There are vital roles leaders must play to develop solutions to impact senior citizens’ health promotions that are interwoven throughout the real-world coalition work.  I aim to assist in the awareness that strong leadership within community coalitions provides unique opportunities to increase service accessibility and promote healthy living for senior citizens.