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Description

Agricultural and dairy work is among the most dangerous work in the US. In addition to the dangers of work, undocumented migrant workers may face additional stress as a result of the increase in antiimmigration enforcement and criminalization of undocumented status. The purpose of the study was to better understand

Agricultural and dairy work is among the most dangerous work in the US. In addition to the dangers of work, undocumented migrant workers may face additional stress as a result of the increase in antiimmigration enforcement and criminalization of undocumented status. The purpose of the study was to better understand how migrant dairy workers were impacted by the increase in restrictive immigration policies and immigration enforcement, as well as how they coped with any issues they faced. Interviews were conducted with fourteen migrant dairy workers following the passage of several anti-immigration bills across the US. Findings revealed four major categories; three were related to negative impacts of immigration policies and enforcement:

1. Fear.
2. Stress and anxiety.
3. Perceptions of discrimination.

An additional major category emerged that demonstrated the hope and resilience of participants in the face of an increasingly difficult socio-political environment. Implications for social service practice, policy, and research are discussed.

ContributorsBecerra, David (Author)
Created2020
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Description

The purpose of this paper was to examine the impact of perceived discrimination among Latino immigrants in the context of recent immigration policies and immigration enforcement strategies. Data for this study were drawn from a pilot study (n=213) of adult Latino immigrants living in Arizona during the summer of 2014.

The purpose of this paper was to examine the impact of perceived discrimination among Latino immigrants in the context of recent immigration policies and immigration enforcement strategies. Data for this study were drawn from a pilot study (n=213) of adult Latino immigrants living in Arizona during the summer of 2014. The results of multivariate OLS linear regressions indicated greater perceived discrimination was significantly related to reporting:

1. Avoidance of immigration officials.
2. Family has suffered.
3. Friends have suffered.

In addition, greater perceived discrimination was significantly related to lower confidence in a better future for the individual, their families, their children, and the children of today.

ContributorsBecerra, David (Author) / Castillo, Jason (Author) / Silva Arciniega, Maria Rosario (Author) / Ghosn Naddy, Michaela Bou (Author) / Nguyen, Van (Author)
Created2018
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Description

Latinas may be unlikely to report violent crime, particularly when undocumented. This research examines the impact of fear of deportation and trust in the procedural fairness of the justice system on willingness to report violent crime victimization among a sample of Latinas (N = 1,049) in the United States. Fear

Latinas may be unlikely to report violent crime, particularly when undocumented. This research examines the impact of fear of deportation and trust in the procedural fairness of the justice system on willingness to report violent crime victimization among a sample of Latinas (N = 1,049) in the United States. Fear of deportation was a significant predictor of Latinas perceptions of the procedural fairness of the criminal justice system. However, trust in the police is more important than fear of deportation in Latinas’ willingness to report violent crime victimization. Social workers can provide rights-based education and encourage relationship building between police and Latino communities.

ContributorsMessing, Jill (Author) / Becerra, David (Author) / Ward-Lasher, Allison (Author) / Androff, David (Author)
Created2015
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Description

This study examined the relationship between the fear of deportation and perceptions of law enforcement, the criminal justice system, and the willingness to report crimes among Latinos in the US. Understanding the relationship between increased immigration enforcement and fear of deportation may promote public safety by improving the relationship between

This study examined the relationship between the fear of deportation and perceptions of law enforcement, the criminal justice system, and the willingness to report crimes among Latinos in the US. Understanding the relationship between increased immigration enforcement and fear of deportation may promote public safety by improving the relationship between the police and Latino communities.

Multivariate ordinal logistic regression analyses of the data found that participants who had a greater fear of deportation reported:

1. Less confidence that police would not use excessive force (p<.01).
2. Less confidence that police would treat Latinos fairly (p<.05).
3. A lower likelihood of reporting crimes (p<.05).
4. Less confidence that the courts would treat Latinos fairly (p<.01).

ContributorsBecerra, David (Author) / Wagaman, M. Alex (Author) / Androff, David (Author) / Messing, Jill (Author) / Castillo, Jason (Author)
Created2017
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Description

This report examines how recent immigration policies and immigration enforcement strategies have impacted Latino immigrants in Arizona. Analyses examined the relationship between fear of deportation and the impact of immigration policies on various aspects of daily life of Latino immigrants as a result of US immigration policies. Results indicate that

This report examines how recent immigration policies and immigration enforcement strategies have impacted Latino immigrants in Arizona. Analyses examined the relationship between fear of deportation and the impact of immigration policies on various aspects of daily life of Latino immigrants as a result of US immigration policies. Results indicate that participants who reported a greater fear of deportation were also significantly more likely to report:

1. Trouble keeping a job.
2. Trouble finding a job.
3. Having been asked for immigration documents.
4. That friends have suffered.
5. That their family has suffered.
6. Lower confidence that police will treat Latino immigrants fairly.
7. Lower confidence that the courts will treat Latino immigrants fairly.
8. Lower confidence that they will have a better future.

Implications for social work practice, advocacy, and research are discussed.

ContributorsBecerra, David (Author)
Created2016
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Description
Background: Advance Care Planning (ACP) conversations are discussions between patients, providers, and loved ones addressing key care decisions in the event of incapacity. Nearly twothirds of US adults have not completed an Advance Directive (AD), yet ACP conversations rarely occur in practice. The objective of this quality improvement project was

Background: Advance Care Planning (ACP) conversations are discussions between patients, providers, and loved ones addressing key care decisions in the event of incapacity. Nearly twothirds of US adults have not completed an Advance Directive (AD), yet ACP conversations rarely occur in practice. The objective of this quality improvement project was to implement workflow changes with a reminder system to facilitate ACP conversations during Medicare Wellness Visits (MWV). Method: Social Cognitive Theory describes the complex relationship between variables that can influence an individual’s decision to address ACP. Providers in a primary care office in the Southwestern United States participated in an ACP education session and confidence survey. Patients presenting for the MWV were screened for ACP, and visual reminders were attached outside the exam room for provider review. Aggregate data were used to evaluate provider surveys. Descriptive statistics were used to evaluate patient characteristics and the Chi-square Test of Independence, and Fisher’s test was used to compare the pre-and post-intervention advance directive documentation. Results: Qualitative feedback from the survey indicates reminders and easily accessible resources may help facilitate ACP conversations. Of the 251 MWVs, 21 (8%) had an AD documented, significantly less than the nationally reported rate of 37.7% (p < 0.05, z = -2.39). Conclusions: Healthcare providers face multiple barriers preventing or delaying ACP conversations in practice. System-level changes and provider education can improve the rate of ACP conversations and impact patients’ care at the end of life.
Created2022-04-29
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Description
Background: An evidence-based project was performed to train and increase skills among healthcare providers to perform advance care planning. Training decreases barriers and improves attitudes and confidence to perform advance care planning. Advance care planning can include the Physician Order for Life-sustaining Treatment, an out-of-hospital order that directs emergency medical

Background: An evidence-based project was performed to train and increase skills among healthcare providers to perform advance care planning. Training decreases barriers and improves attitudes and confidence to perform advance care planning. Advance care planning can include the Physician Order for Life-sustaining Treatment, an out-of-hospital order that directs emergency medical services of a patient’s wishes. Internal evidence found that many providers are unfamiliar with the Physician Order for Life-Sustaining Treatment form. The Theory of Planned Behavior was used to guide the project. Objectives: To improve advanced care planning processes in a healthcare organization. Design: A quality improvement project was performed at a medical center with outpatient provider groups. Virtual training was provided by the Arizona Hospital and Healthcare Association on the Physician Order for Life-Sustaining Treatment. Participants completed a three-part survey to measure skills for advance care planning after a training event. Setting/Subjects: Five (n=5) American palliative and primary care providers at a medical center. Measurements: The East Midlands Evaluation Toolkit is a validated survey tool that measures confidence and competence in advance care planning after training. Results: Descriptive statistics, Friedman’s test, and the Kruskal-Wallis test were used for data analysis. Results provided evidence to the healthcare facility that there is a significant need to train their healthcare professionals on advance care planning. Conclusions: Recommendations are made to focus research on larger studies looking at the types of advance care planning, and differences in disciplines and specialties.
Created2022-04-29
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Description

As Baby Boomers age, the number of older homeless patients facing end of life is increasing. Homeless individuals die of the same diseases as their domiciled counterparts, but they have distinct barriers to equitable end-of-life care, such as lack of regular medical care, a higher likelihood of comorbid serious mental

As Baby Boomers age, the number of older homeless patients facing end of life is increasing. Homeless individuals die of the same diseases as their domiciled counterparts, but they have distinct barriers to equitable end-of-life care, such as lack of regular medical care, a higher likelihood of comorbid serious mental illness and substance abuse, alienation from potential healthcare proxies, and specific fears related to dying. Completion of an advance directive (AD) would address many of these barriers, as well as national goals of reducing medical costs associated with end of life care. A review of the literature indicates that homeless individuals, once educated on the purpose and significance of ADs, complete them at a higher rate than non-homeless people. Further, racial and ethnic disparities in document completion are minimized with educational interventions about an AD’s purpose.

King’s Theory of Goal Attainment provides the theoretical basis for the application of such an intervention in the setting of a medical respite center and a day resource center that both serve the homeless. Thirty-seven clients of the two sites and 14 staff members were administered a pre-and post-test measuring attitudes and knowledge relating to ADs on a Likert scale, resulting in an increase in knowledge about one of the two documents that traditionally comprise an AD, while not significantly affecting attitudes. Implications for practice include an inexpensive intervention that does not require a medically trained individual to deliver, enabling a broad application to a variety of settings with the goal of empowering a traditionally disenfranchised population to make health decisions related to the most vulnerable of life passages.

ContributorsMorrison, Melissa (Author) / Baker, Laurie (Thesis advisor)
Created2016-05-07
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Description
Many older Americans don’t have an advance directive (AD). ADs are legal documents that allow a person to express what types of medical treatment or cares that they want at the end of their life if they were unable to speak for themselves. Patients without an AD could

Many older Americans don’t have an advance directive (AD). ADs are legal documents that allow a person to express what types of medical treatment or cares that they want at the end of their life if they were unable to speak for themselves. Patients without an AD could receive unwanted treatment. Providers can utilize advance care planning (ACP) to educate patients and support them in forming a medical power of attorney (MPOA) and AD. Evidence suggests that having ACP conversations can engage a patient to form an AD. The purpose of this project was to see if ACP discussions with older patients encouraged them to complete an AD and MPOA.

The project used a mixed method design. Participants were recruited from a primary care practice. Descriptive statistics described the sample and outcome variable. An independent t- test measured if there were significant changes in the participant responses for the ACP survey.

The average age (standard deviation) of the chart review sample was 72.22 (SD=9.47). The ages ranged from 60 to 100 years of age. Most of the sample in the chart audit were female with 105 (53%) participants and 95 (48%) were male. Most of the sample, 183 (92.5%) reported having a chronic health condition and 17 (7.5%) of the sample reported having no chronic condition. Overall, the results were inclined towards a significant difference in participants who did the ACP discussions and those who did not when comparing completed AD forms.
ContributorsKrasowski, Maria (Author) / Rauton, Monica (Thesis advisor)
Created2018-05-01