Maternal morbidity and mortality among African American women has been a systemic and pervasive issue in the United States for decades. In 2020, Congress began to address the issues around the deaths of African American women in the Mombius 2020 Act. In 2021 congress expanded those efforts by passing the “Protect Moms Who Serve Act 2020”.

This act began to address the lack of maternal health services to veterans and services members throughout the Department of Veterans Affairs, with a focus on African American and Native women. This presentation will outline the current issues around maternal outcomes in African American women veterans and service members. This presentation will address how using Story Theory, medical professionals can begin to listen to the narratives African American Service Members.

The Story and Narrative Theory centered B.O.O.T. Maternal Assessment and Interview is being proposed to address communication issues between providers and patients. The B.O.O.T.S. assessment can be used by military, veteran, and civilian providers alike.

This presentation will take a close look into the issue of burnout among marginalized healthcare providers (women and LGBTQ+). This showcase will dissect key points in history that target wellness and define terms that are relevant to understanding the effects of burnout on a person’s work-life balance. It will be divided into several sections, including an overview of the problem and contributing factors, a thorough review of relevant literature, a conceptual idea that will explore both the problem at hand and theories that can help with its effects, and finally a practice application that will serve as the recommendation for a change in policy to act as preventative care and education for working social workers in the field.

Each section will walk us through existing research, theory, and practice of Kentucky state-licensed clinical social workers (LCSWs). The end goal of this paper will be the acknowledgment of the professional failings for social workers in the field, as well as an actionable plan that will create change for a healthier practice for the future of the social work profession.

Within predominantly white social work programs, students of color, particularly African American faculty and students, are resigning or withdrawing, citing targeted microaggressions, lack of diversity, equity, and inclusion, as well as a lack of cultural humility from peers, faculty, and practicum supervisors (Gooding, A., & Mehrotra, G. R.). The Educational Policy and Accreditation Standards manual (EPAS) outlines the knowledge, values, and skills that formulate competencies central to social work education. The literature suggests that cultural competency identified in past editions of the EPAS does not effectively address discrimination, systematic oppression, and marginalization faced by persons of color.

A shift to cultural humility requires individuals to perform self-reflection, personal critiquing, and addressing biases. Merging critical race theory with cultural humility provides an internal and external epistemological review of how these barriers have continued without interruption. Social work education should be purposeful in creating authentic, measurable, and deliberate outcomes to address the multilevel loss of students and faculty of color by purposefully charting a path forward that is anti-racist, diverse, equitable, and inclusive in scholarship, education, and practice.

The capstone project will look at this path forward through a systematic literature review, and a conceptual and practice framework.

Sexual Reproductive Healthcare (SRH) and the right to control over one’s own body in sexual and reproductive matters, are fundamental core component of an individual’s being. The SRH landscape changes on a daily basis with changes to policy and legislation, majority of which further restrict access. Advocacy and education will be key in advancing SRH access moving forward however in order to move forward we must examine and acknowledge past practices.

Mental health Technology is an innovative service delivery method used to minimize healthcare access challenges. African-Americans have increased their engagement in mental health technology in various aspects as professionals and patients while companies scale in capacity and funding to expand their technological reach globally. The need to explore the intentionality of cultural inclusion, research analysis, evidence-based practices, program design, organizational structures, and policy implementation is essential to ensure the sustainability of mental health technology as a reliable model in the future of healthcare.

This presentation will examine the capstone project as a collection of three papers, the Systematic Literature review, Concept paper, and Practical application paper, analyzing cultural inclusion concerns from the African-American patient and professional perspective. There was an examination of patient issues related to program design, evidence-based interventions, therapist matching, marketing, and research, with professionals experiencing inequities in hiring practices, career ladders, diversity training, strategic planning, STEM careers, and organizational ownership.

This presentation will take a deeper dive into the systematic literature review which explored the current literature, common themes, research barriers, and future research implication for practice. It will further explain the concept paper which described the interconnection between anti-oppressive theory, systems theory, the historical constructs of structural racism, and the structural discrepancies that reinforce obstructive ideologies in the cultural inclusion reform process. Lastly, it will discuss the practice application paper which investigated the root cause of cultural equity challenges, examined behavioral leadership theory doctrines, and provided problem-solving strategies using a three-tiered method of practical reform interventions. This is a call to action for mental health technology cultural inclusion reform.

In clinical social work practice a clinician often assesses risk, level of care, and the overall mental capacity and capability of the clients they serve. In some instances when a client is deemed at a high level of risk, the client may be subject to being admitted to involuntary psychiatric treatment. Involuntary psychiatric treatment is when a client is admitted and/or mandated to a form of treatment intervention against their will.

This often results in clients being uprooted from their everyday lives and can cause a major disruption within contexts of their employment, social relationships, family, and societal responsibilities. While this form of treatment is necessary in some instances of clinical practice in order to ensure that a client and others around them are safe, this capstone seeks to define involuntary clients, determine appropriate interventions, increase treatment outcomes, and bridge the gap between levels of care and the treatment options that are provided to those who are deemed at different levels of risk.

This capstone project focuses on the treatment engagement challenges for military veterans with serious mental illness (SMI). Poor engagement in care is correlated with negative outcomes for this population. By exploring the scope and conceptualization of this issue, a solution is proposed to tackle poor engagement with SMI veterans.

To begin, a systematic literature review examines the effectiveness of intensive case management with a therapeutic alliance for this population. Due to the lack of literature available on this issue, the conceptual paper proposes a self-determination theoretical approach to improve treatment engagement with SMI veterans. Broadening the conceptualization, the final piece of this capstone project proposes a practice application for clinicians to enhance their skills to engage SMI veterans in mental health services.

Black women in America are paying the cost for systematic failures in the healthcare system. This presentation will focus on the prevalence of institutionalized racism in healthcare dating back to slavery. The presenter will discuss the role of social determinants of health in addressing health disparities, and the reasons these health disparities continue to exist today, despite healthcare advancements as well as numerous, and often costly, public awareness programs and public health initiatives.

In addition, the discussion will address disproportionate outcomes in healthcare for Black women compared to their white counterparts. An overview of the theoretical framework of Black feminism, weathering, critical race, and Sojourner Syndrome will be highlighted, as these factors bring significant relevance to understanding health disparities.  The presenter will provide an overview of the discrimination survey and explain why this survey is a necessary component across the healthcare spectrum. 

Finally, the presentation will address gaps in research that inevitably lead to poor health outcomes and unsatisfactory quality in care for Black women. Highlighting the solutions to long-term systematic change, the discussion will explore the ultimate implications for social work practice, the role and the impact social work leaders play in addressing health disparities.

This scholarly Capstone Project intends to introduce the integration of a novel therapeutic framework to bridge the unmet psychological needs of the head and neck cancer population.  The Capstone Project provides trending information on the etiology of head and neck cancers including increasing diagnoses related to the Human Papillomavirus and thus why some in the medical community refer to this cancer as a “quiet epidemic”.  The primary focus will be to illustrate the disproportionately high psychological distress experienced by this population, the traditional therapeutic interventions applied and the need for a new approach. 

The project will introduce the model of Pre-Habilitative Psycho-Oncology using Accelerated Resolution Therapy, or PPA, to be implemented in the oncology clinic setting. The new model, which will be social work led, will establish consistent and thorough biopsychosocial assessments on every patient with a new head and neck cancer diagnosis, identify those experiencing psychological distress and intervene prior to the initiation of treatment, rather than during or after.

The pre-habilitative approach seeks to reduce anxiety, depression, and suicide ideation through the techniques used in Accelerated Resolution Therapy. Through the unique social work lens, PPA will help patients develop coping skills, enhance resilience, and improve quality of life.

This presentation provides an overview of the capstone project and explores the findings from researching the question: What does the literature say about teaching cultural humility in social work education? Cultural humility is an important component of anti-oppressive practice. Anti-racism, Diversity, Equity, and Inclusion (ADEI) is a component that is required in social work education by the Council on Social Work Accreditation (CSWE).

The CSWE allows flexibility for how accredited social work schools implement this in education. The presentation includes a brief overview of the systematic literature review that revealed inadequate empirical evidence for the methods used to teach cultural humility. Three teaching methods stood out: Intergroup dialogue, experiential learning, and reflective writing.

There will also be an overview of suggested theories that are useful, Critical Race Theory, Systems Theory, and Experiential Learning Theory. Finally, an overview of the implications and proposed solutions.

Anorexia nervosa (AN) is a potentially lethal eating disorder, and current available treatment(s) for anorexia are inadequate at best (Bulik, 2013). The illness has an alarmingly high relapse and mortality rate (Bulik, 2013), which seems to have correlation to many factors that may be preventable. With access to a timely and accurate diagnosis, access to treatment on a variety of levels of care and newer and more improved treatment modalities, treatment for anorexia may begin to rise to the occasion. This capstone project seeks to examine some of the more specific challenges and potential solutions to these problems.

Three products make up this capstone project: a systematic literature review, a conceptual paper, and a practice application paper. The systematic literature review provides a targeted review of selected literature that serves to inform a new conceptualization of the selected social problem. The practice application paper presents a model that can be applied and work to resolve the social problem.

The systematic literature review examined literature on anorexia and the brain. Literature was chosen that appeared to have implications in studying the neurological effects of anorexia, and the way(s) an individual exhibits these effects during the illness. It was discovered that there are significant neurological changes and deficits occurring in the brain of an individual with anorexia, and that these symptoms are often directly related to poor treatment outcomes. These findings informed the conceptual paper and practice application papers. The conceptual paper explored the efficacy of the 12-Step intervention in addictive disorders, due to the neurological, cognitive and behavioral similarities between addictive disorders and anorexia. The practice application paper describes a steps model as a non-clinical intervention for anorexia.

Peer support is not achievable outside of a recovery-oriented system of care. This capstone project will identify the strengths and challenges of peer support in a behavioral health setting and will address the research question: How do you define, supervise, and train the peer support worker role in a behavioral health recovery setting? It defines recovery as defined by SAMSHA and will address peer support within this context.

This capstone will lead the journey on the history of mental health recovery, and historical gains in the mental health consumer movement, it will address mental health parity. It is a collection of three distinct papers that each stand alone in their own merit but collectively address peer support in a recovery-oriented setting. The unique view of this collection of papers looks at the current consensus of literature “Peer support is beneficial but proceed with caution”.

This collection of papers will highlight the “peer support is beneficial” but look specifically at “the proceed with caution” and addresses the findings identified in the capstone to propose and apply a solution to the identified challenges within the field by proposing the creation of a nonprofit called RESILIENCE, that will offer peer support, and consultation for organizations engaging in peer support, with program development, implementation, and evaluation.