In-home therapy for the Medicaid population

This capstone presentation focuses on implementing in-home therapy for the Medicaid population in New York state. This project aims to explore why and how in-home mental health services should be an option for Medicaid recipients and to provide a systematic, evidence-based approach to rendering services.

The presentation will cover the three completed papers:

A systematic literature review (SLR): The first part of the presentation will cover the findings of an SLR, which was conducted to identify and synthesize relevant research on in-home therapy for low-income groups. The results of this review provide an evidence-based foundation for integrating in-home therapy into social work.

A conceptual paper: The second part of the presentation will focus on the systems theory of social work, which provides a practical framework for the transition to in-home therapy and highlights its benefits. The presentation will highlight the core mission of social work as defined by the National Association of Social Workers and how the systems theory aligns with this mission. This part of the presentation will demonstrate how a holistic approach that considers all aspects of the individual, including their cumulative identities and experiences, is necessary to address mental health in the Medicaid population.

A practice application paper: The final part of the presentation will provide insight into the logistical aspects of developing a mobile practice. This section will include obtaining funding, a case study, training, privacy and confidentiality, and burnout. 

This presentation aims to demonstrate the importance of in-home therapy for the Medicaid population and provide a functional, evidence-based plan to support this approach.

Substance use vs. Comorbidity: Disparities and Stigma

Due to the significant impact that drugs often have in society, substance use is one of the grand challenges today. As we know, substance use is a major health risk that factors in all ages. In addition, causing further social and economic strain. In parallel, it is interesting to assess correlating factors surrounding comorbid mental health issues. Curiosity has raised questions surrounding the gaps faced within both populations. What are the leading causes that continues to promote disparities, and hinders access to substance use or those comorbid with mental health issues? Because both substance use and mental health issues have made lasting impression on society, exploring the gaps within treatment and accessibility can explain the causes of disparities. This presentation overview aims to uncover the root of the issue that promotes disparities and creates barriers against accessing to substance use treatment, while providing possible solution to the issue.

What is autism: Using CDT to understand better, diagnose, and support women

The presentation will focus on what autisim is and how can use critical disability theory to assess women better, leading to higher rates of identification, and ways to treat and support. We will learn why this population is being left out of social topics and reform around langauge and diagnosing. Afterward, we will talk about ways to educate ourselves and listen to women when presenting their stories. Next, we will discuss the framework of CDT and the intersection of autism and how this helps us see autism as a difference of abilities, not a disability lens. We then will talk about the implementation of psychoeducation around this topic and how we can dispute it throughout school and health care settings. Possibly leading to changes in social work education, testing, and continuing education around autism and its symptomologies for women and away from the disability viewpoint.

Mitigating Compounded Barriers to Independence: Improving Outcomes Post Emancipation for Foster Youth with Secondary and Tertiary Barriers to Success

The experience of poor outcomes continues to maintain a position as an undesired rite of passage for foster youth preparing to leave foster care. If experiencing crime, homelessness, poverty, victimization, unemployment, or poor health (Rome & Raskin, 2019) isn’t enough, the encountered outcomes can be exacerbated for foster youth in various subpopulations with unique needs. The U.S. Department of Health and Human Services (2021) now records data in their AFCARS Report reflective of overarching outcomes for foster youth after age eighteen. Additionally, John F. Chafee Foster Care Independence Program continues expansion of funding independent living services to prepare foster youth to successfully age out of care (Chor et al., 2018). Despite the data and funding, improvements to the provision of preparatory independent living programming lacks. This article identifies pregnant and parenting teen, youth with non-traditional western religious and spiritual practices, and foster youth with disabilities subpopulations with additional unique secondary and tertiary needs that compound barriers to successful adulthood. Provided the compounded difficulties, the author answers how service providers, clinicians, and key stakeholders can intervene to improve outcomes for subpopulations facing compounded barriers to aging out of foster care.

The Underutilization of Homeless Resources

This presentation takes a look at why homeless still exists through the lens of unused resources. The research dives into the current methods that are being used, a model that is currently working, and how certain changes being implemented can improve the problem. This project is comprised of three papers that examine the underutilization of homeless resources. Each paper scrutinizes the topic using a different lens. The first of the papers is the Systematic Literature Review unbiasedly reviewed the literature to determine which resources were being used and their effectiveness. The second paper is the Conceptual Paper that shined a light on holes in the existing research. The last paper is the Practice Application paper which allowed the author to provide a solution based on the research completed. Researching homeless resources from different viewpoints allowed for a conclusion to be made on why homeless resources are underutilized and homelessness still exists.

Eyes Wide Shut: The Overlooked Causes of Systemic Racism in Higher Education & the BIPOC Community

Eyes Wide Shut: The Overlooked Causes of Systemic Racism in Higher Education & the BIPOC Community Tanisha Hall This presentation focused on a review of how black women faculty continue to encounter adversity in higher education due to the persistence of institutional racism in primarily white institutions. A theoretical framework that employs Critical Race Theory, […]

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.

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.

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.