Matching Items (4)
Filtering by

Clear all filters

152473-Thumbnail Image.png
Description
Families with intellectually disabled caregivers are more likely than families without intellectually disabled caregivers to experience poor child welfare outcomes, including high rates of substantiation. However, little research has examined child maltreatment re-reports among this population. The objectives of this study were to begin to address this gap by examining

Families with intellectually disabled caregivers are more likely than families without intellectually disabled caregivers to experience poor child welfare outcomes, including high rates of substantiation. However, little research has examined child maltreatment re-reports among this population. The objectives of this study were to begin to address this gap by examining maltreatment re-report rates, and factors associated with maltreatment re-reports, among child welfare-involved families with intellectually disabled caregivers. Survival analysis was conducted using restricted release data from the National Survey of Child and Adolescent Well-Being (NSCAW) to examine the hazard rate and survival rate of maltreatment re-reports for cases with, and without, intellectually disabled caregivers. Multivariate discrete-time hazard models were run using logistic regression to examine the relationship between various predictors and the hazard of maltreatment re-reports. Results revealed that child protection cases involving caregivers with intellectual disabilities were no more likely than cases without intellectually disabled caregivers to experience maltreatment re-reports. Predictors of maltreatment re-reports varied based on whether or not a case involved a caregiver with an intellectual disability. Child gender, child disability, and child race/ethnicity were significant predictors for cases involving caregivers with intellectual disabilities, whereas prior involvement with CPS, caretaker drug problems, and initial allegation substantiation were significant predictors for cases not involving caregivers with intellectual disabilities. These preliminary findings suggest that prevention, screening, and intervention strategies should consider variability of predictive factors based on caregiver intellectual disability status.
ContributorsJames, Stephen (Author) / Shafer, Michael S (Thesis advisor) / Krysik, Judy (Committee member) / Ayón, Cecilia (Committee member) / Arizona State University (Publisher)
Created2014
154766-Thumbnail Image.png
Description
In the wake of the wars in Iraq and Afghanistan, courts and social service systems across the country have begun establishing veterans treatment courts (VTC). The first VTC was created in 2004 and there are now over 300 in at least 35 states. Yet, their underlying assumptions have not

In the wake of the wars in Iraq and Afghanistan, courts and social service systems across the country have begun establishing veterans treatment courts (VTC). The first VTC was created in 2004 and there are now over 300 in at least 35 states. Yet, their underlying assumptions have not been clearly articulated and their functioning and outcomes have not been well tested. These courts aim to reduce rates of incarceration and recidivism among justice-involved veterans and draw heavily on the structure and assumptions of drug and mental health courts. However, VTCs are different in important ways. Unlike other problem solving courts, VTCs actively express gratitude to criminal defendants (for past military service) and have the ability to connect participants to a socially-esteemed identity. Earlier problem solving courts have drawn on Tyler’s theory of procedural justice to predict a path from procedurally fair treatment and social bonds with court personnel through changes in social identity to increased perceptions of legal legitimacy and, ultimately, program completion and reduced recidivism. The present study tested a modified, version of Tyler’s theory that incorporates gratitude and focuses on veteran identity as the mediating construct between fair treatment and perceptions of legal legitimacy. A cross-sectional survey design was used with a convenience sample (N = 188) of participants in two Arizona VTCs. The results indicate that perceptions of procedural justice, perceived social bonds and receipt of gratitude are positively associated with both veteran identity and perceptions of legal legitimacy. Further, veteran identity was found to be a significant mediator between the first three constructs and legal legitimacy. Finally, neither recidivism risk nor race/ethnicity moderated the relationships. The study supports the importance of acknowledging past military service and enhancing the level of veteran identity among VTC participants. Implications for practice and future research are discussed.
ContributorsGallagher, John M (Author) / Ashford, José B. (Thesis advisor) / Spohn, Cassia (Committee member) / Shafer, Michael S (Committee member) / Arizona State University (Publisher)
Created2016
158456-Thumbnail Image.png
Description
Empathy is a critical component of high-quality healthcare. When present in the clinical encounter, empathy is important to physicians (empathy is correlated with reductions in physician anxiety and burnout) and to patients (empathy is correlated with better medical decision making, enhanced trust, and improved treatment adherence). Unfortunately, there is an

Empathy is a critical component of high-quality healthcare. When present in the clinical encounter, empathy is important to physicians (empathy is correlated with reductions in physician anxiety and burnout) and to patients (empathy is correlated with better medical decision making, enhanced trust, and improved treatment adherence). Unfortunately, there is an empathy gap in healthcare–physicians often miss opportunities to demonstrate empathy to their patients. This leaves patients feeling unheard, less likely to bring up details important to their care, and less likely to follow treatment guidelines from physicians, thus disrupting the physician-patient relationship. Luckily, communicating with empathy is a skill that can be taught and learned. With the right tools, learners can strengthen their empathic muscle and become better prepared for responding in difficult situations. The present thesis aims to validate a new tool for teaching empathy to medical trainees. This tool, an empathic communication guide, is drawn from social work as well as medical expertise. It is catered specifically to how medical trainees are accustomed to learning and provides the actual words to say in order to respond with empathy in difficult situations. A group of 8 palliative care fellows at MD Anderson Cancer Center in Houston, Texas received a copy of this guide and participated in an accompanying communication workshop. To gauge empathic responding ability, fellows completed pre- and post- surveys and patient simulations. These data were analyzed using a combination of novel and established methods for quantifying empathic behaviors. Fellows’ empathic communication skill significantly improved after exposure to the guide opening avenues for future study and application.
ContributorsMeyer, Laura Grace (Author) / Shafer, Michael S (Thesis advisor) / Epner, Daniel E (Committee member) / Beyers, Michelle (Committee member) / Arizona State University (Publisher)
Created2020
155441-Thumbnail Image.png
Description
This thesis examines the demographic, clinical, and criminal characteristics and discharge dispositions of pre-trial defendants deemed incompetent to stand trial and non-restorable (IST/NR) in Pinal County Arizona. Currently, there is limited research on defendants who are deemed IST/NR and even less so on discharge dispositions. The study utilized comparative descriptive

This thesis examines the demographic, clinical, and criminal characteristics and discharge dispositions of pre-trial defendants deemed incompetent to stand trial and non-restorable (IST/NR) in Pinal County Arizona. Currently, there is limited research on defendants who are deemed IST/NR and even less so on discharge dispositions. The study utilized comparative descriptive analysis of secondary data collected by the Pinal County Attorney Offices on IST/NR defendants and restored defendants. It employed chi-square analyses to compare key variables between defendant groups. The study found few variations in clinical, legal, and criminal characteristics observed by previous studies and no statistical differences amongst IST/NR and restored defendants. However, it found the re-offense rate of IST/NR defendants in Pinal County was considerably lower than the general prison population. Moreover, it identified a narrow use of civil commitment procedures and guardianship amongst the IST/NR defendants who have a mental illness. Implications for further research and policy for Pinal County and Arizona are made.
ContributorsSnyder, Matthew Mark (Author) / Shafer, Michael S (Thesis advisor) / Fradella, Henry F. (Committee member) / Ashford, José B. (Committee member) / Arizona State University (Publisher)
Created2017