Now showing items 1-20 of 1155

    • Multiple Challenges in Kinship Families: How Are They Associated with Children’s Behavioral Health in Kinship Care?

      Xu, Yanfeng; Bright, Charlotte Lyn (2019)
      The use of kinship care has increased in the United States. This dissertation, comprised of three papers, aims to understand multiple challenges in kinship care and their associations with children’s behavioral health using data from the second National Survey of Child and Adolescent Well-being (NSCAW II). Paper 1 developed a new kinship typology based on financial assistance and examined factors associated with receiving Temporary Assistance for Needy Families (TANF) and foster care payments. Results from logistic regression models showed that child maltreatment, children’s externalizing problems, and receiving social services were significantly associated with receiving foster care payments. Living in poverty and a single-adult household were associated with receiving TANF. The results of paper 1 imply that child welfare workers need to increase kinship caregivers’ awareness of financial resources and to make the right resources accessible for them. Paper 2 examined longitudinal relations among economic hardship, economic pressure, TANF, foster care payments, and children’s behavioral problems in kinship care and non-relative foster care. Results of multi-level mixed-effects generalized linear models indicated that economic pressure was associated with children’s internalizing and externalizing problems, as was receiving TANF. Receiving foster care payments was associated with lower externalizing problems. Significant interaction terms showed that foster care payments had positive effects on children’s behavioral health among families without economic hardship and families with economic pressure. The results of paper 2 imply that assessing caregivers’ subjective economic experiences is important to promoting child wellbeing. Findings point to the hardships of families that receive TANF and suggest providing financial and non-financial services to these families. Paper 3 examined the association between neighborhood disorder and children’s behavioral problems and tested the mediating role of social support and the moderating role of race/ethnicity. Results of moderated mediation regression models showed that neighborhood disorder was associated with lower social support, while more social support predicted lower children’s internalizing and externalizing problems. Social support mediated the relation between neighborhood disorder and children’s behavioral problems, but race/ethnicity did not significantly moderate the pathways. The findings of paper 3 imply that interventions are needed to enhance kinship caregivers’ social support and neighborhood quality.
    • Health Savings Account Effects on Health and Debt

      Hageman, Sally; Shaw, Terry V. (2019)
      Title of Dissertation: Health Savings Account Effects on Health and Debt Sally Anne Hageman, Doctor of Philosophy, 2019 Dissertation Directed by: Terry Shaw, Ph.D. More than a decade ago Health Savings Accounts (HSAs) were deemed contrary to social work values and practice (Gorin, 2006). More recent research, however, demonstrated HSAs may help individuals’ access financial resources when encountering financial barriers (Hageman & St. George, 2019). To further examine the potential of HSAs, this study examines HSA effects on health and debt outcomes. Applying the framework of the social determinants of health (Dahlgren & Whitehead, 1991) and the health lifestyles theory (Cockerham, 2005), a subset of 12,686 respondents from three years (2010, 2012, and 2014) of secondary quantitative data from the National Longitudinal Surveys of Youth (NLSY) was drawn. The sample included respondents who answered survey questions about owning an HSA, chronic disease status, health behavior, and health-related debt. Descriptive, bivariate, weighted logistic regression, and generalized estimating equation (GEE) analyses were conducted. Descriptive analyses indicated about 47% of HSA owners were male, 64% were Non-Black/Non-Hispanic race/ethnicity, with an average age of 53.34 (SD=2.26) years old, 99% owned their home, and had an average income of $126,853 (SD=$122,994). About 75% of HSA owners reported they did not have a chronic disease and 70% reported they did not have health-related debt. Weighted logistic regression was conducted to determine if Chronic Disease status was associated with HSA ownership status. Results indicated Chronic Disease status (p=.88) was not significantly associated with owning an HSA. GEE was conducted to determine whether HSA ownership status was associated with respondent debt. Results of the GEE analysis indicated HSA ownership status (p=.76) was not significantly associated with reporting Debt.
    • Prevention: Expanding the Concept

      Hughes, Daniel (1996-11-10)
    • Disaster Planning Handbook for Behavioral Health Treatment Programs

      Substance Abuse and Mental Health Services Administration (Substance Abuse and Mental Health Services Administration, 2013)
    • Parity of Mental Health and Substance Use Benefits with Other Benefits: Using Your Employer-Sponsored Health Plan to Cover Services

      Substance Abuse and Mental Health Services Administration (Substance Abuse and Mental Health Services Administration, 2016)
    • Systems-Level Implementation of Screening, Brief Intervention, and Referral to Treatment (SBIRT)

      Substance Abuse and Mental Health Services Administration (Substance Abuse and Mental Health Services Administration, 2013)
    • Promoting Health at Work: Substance Abuse Prevention: It's Your Business

      National Resource Center on Worksite Health Promotion, 1993
    • The ALMACA Continuum of Services Alcohol and Drug Abuse in the Workplace

      Cagney, Tamara (The Association of Labor-Management Administrators and Consultants on Alcoholism, Inc., 1987)
    • Flight Attendants: Coping with Trauma

      Hunkeler, Enid M.; Healy, Heather; Giunta, Nancy; Groebe, Jennifer; Langston, Donna; Mendelson, Daniel
    • Employee Assistance Research Supplement

      Employee Assistance Professionals Association, 1999
    • CSAP Partnership Perspectives

      Sanchez-Way, Ruth; Forbes, Melvin; Center for Substance Abuse Prevention (U.S.) (Center for Substance Abuse Prevention (CSAP), Substance Abuse and Mental Health Services Administration, 1995)
    • Implementing Behavioral Health Screening and Outcome Measures at an Internal EAP: A Quality Improvement Initiative at Partners HealthCare System

      Menco, Henrietta; Stidsen, Andrea; McPherson, Tracy L. (Employee Assistance Society of North America, 2019-07)
      This paper describes the process we undertook to implement Screening, Brief Intervention, and Referral to Treatment (SBIRT) and the Workplace Outcome Suite (WOS) as part of a larger continuous quality improvement initiative in an internal employee assistance program (EAP). Located in the Boston area, Partners EAP is an accredited internal EAP that is a voluntary service available to over 74,000 employees of Partners HealthCare System and their immediate household members. The authors examine the process improvement strategies enacted to conduct routine screenings for alcohol, drugs, and depression, and pre and post measurement of five outcomes designed for EAPs. This paper also explores how the EAP changed the operational practices and procedures to implement these behavioral health screening tools and measures. Lessons learned and recommendations are offered to facilitate and overcome barriers to integrating screening tools and collecting outcomes data.
    • PATIENTS Day 2019: What Motivates People with Substance Use Disorders to Pursue Treatment? A Patient-Centered Approach to Understanding Patient Experiences and Patient-Provider Interactions

      Gressler, Laura E.; Natafgi, Nabil; DeForge, Bruce R.; Robinson-Shaneman, Barbarajean; Welsh, Christopher; Shaya, Fadia T. (2019-05-31)