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Opioid use in the United States is skyrocketing. Overdose deaths have increased 433% in

the last decade and will continue climbing. In addition to the mortality caused by illicit

opioid misuse, morbidity rates have also risen. People Who Inject Drugs (PWID)

demonstrate higher rates of Human Immunodeficiency Virus (HIV), Hepatitis C Virus

(HCV), Endocarditis,

Opioid use in the United States is skyrocketing. Overdose deaths have increased 433% in

the last decade and will continue climbing. In addition to the mortality caused by illicit

opioid misuse, morbidity rates have also risen. People Who Inject Drugs (PWID)

demonstrate higher rates of Human Immunodeficiency Virus (HIV), Hepatitis C Virus

(HCV), Endocarditis, Persistent Abscesses, Staphylococcus Aureus (S. aureus, Staph)

and other skin infections. This thesis serves as (1) a systematic review of the differences

in health conditions experienced by PWID and (2) an examination of the trends in skin

and soft tissue infection from a small sample in Phoenix, Arizona. The author argues that

PWID suffer from an increased rate of comorbid conditions associated with substance

use. Targeted social work interventions could be useful in reducing the rates of disease

and their impact on the individual and community.
ContributorsCohen, William H (Author) / Mendoza, Natasha (Thesis advisor) / Wolfersteig, Wendy (Committee member) / McLoone, Claire (Committee member) / Arizona State University (Publisher)
Created2019
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Description
ABSTRACT



The child welfare workforce is charged with the demanding work of ensuring the safety, well-being, and permanency of maltreated children. Although child welfare work can be rewarding, it is also associated with high levels of stress and burnout, causing challenges to retain staff. Developing organizational cultures and

ABSTRACT



The child welfare workforce is charged with the demanding work of ensuring the safety, well-being, and permanency of maltreated children. Although child welfare work can be rewarding, it is also associated with high levels of stress and burnout, causing challenges to retain staff. Developing organizational cultures and climates within child welfare agencies that are supportive of the workforce and strive to improve outcomes is essential. Applying the ecological systems theory to a child welfare agency provides for an understanding that the agency is comprised of different levels of systems with interactions between the systems. This study examined the association between the individual level factors of job satisfaction, coping skills, self-efficacy, burnout, job stress, and individual affect with organizational level factors including culture and climate. Child welfare workers from one regional area were invited to participate in an online survey utilizing the Comprehensive Organizational Health Assessment and the Positive and Negative Affect Scale. Results indicate that there is an association between each of the individual level factors and the organizational factors. The importance of the role of individual affect was highlighted in the results in that the level of affect reported was associated with corresponding ratings of the perception of the organizational culture and climate. These results provide implications for hiring, training, mentoring, and supervision. This study attempted to assess if the organizational culture and climate of individual child welfare units could be linked to permanency outcomes. This linkage was not possible in this study, however implications to conduct this type of research are made. Advancing the study of organizational culture and climate beyond the impact of such factors as job satisfaction and retention to linking to direct client outcomes is an emerging and important field of research.
ContributorsJulien-Chinn, Francie Jane (Author) / Lietz, Cynthia (Thesis advisor) / Lacasse, Jeffrey (Committee member) / Mendoza, Natasha (Committee member) / Arizona State University (Publisher)
Created2017
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Description
The Arizona state child welfare system has recently experienced an increase in the number of children and youth living in out-of-home care. A lack of licensed foster homes has resulted in many of these children residing in congregate care. This study sought to determine what role, if any, personal and

The Arizona state child welfare system has recently experienced an increase in the number of children and youth living in out-of-home care. A lack of licensed foster homes has resulted in many of these children residing in congregate care. This study sought to determine what role, if any, personal and policy bias against five demographic groups (i.e., ethnicity, sexual orientation, marital status for individuals and couples, and educational level) plays in this insufficiency of foster homes. In this pilot study a group of foster and adoption licensing agency executives and directors (n=5) were surveyed and qualitatively interviewed with the aim of discerning if bias is present at the personal and agency policy levels and to seek input for a future study with direct-service staff. Results indicate a discrepancy between personal and policy bias within agencies. Additionally, evidence suggests a policy bias which results in unmarried couples and single parents being perceived as inferior placement options. Implications for future research are discussed.
ContributorsPearson, Patience Hope (Author) / Ferguson-Colvin, Kristin (Thesis advisor) / Mendoza, Natasha (Committee member) / Krysik, Judy (Committee member) / Arizona State University (Publisher)
Created2017