Matching Items (5)
Description
This study examined the factor structure of supervisee disclosure in clinical supervision. An original survey measure was created for this study, the Supervisee Disclosure Scale (SDS). Through exploratory factor analysis eight specific content areas of supervisee disclosure were identified. The eight specific content areas of supervisee disclosure include: Perceived Clinical Inadequacy, Transference Issues, Strengths of the Supervisory Relationship, Clinical Successes, Self, Weaknesses of the Supervisory Bond, Dissatisfaction with the Clinical Setting, and Own Clinical Voice. Furthermore, this study examined the potential relationship of clinical experience with the content areas of supervisee disclosure. The results of this study support a relationship between greater clinical experience and disclosure of items related to Self but not with the other content areas. Additionally, the bi-level factor structure of the Working Alliance Inventory/Supervision-Short (WAI-SS) was validated via confirmatory factor analysis. The bi-level factor structure of the WAI-SS identifies a hierarchical structure of general alliance in addition to the specific factors of task, bond, and goal. Lastly, this study preliminarily evaluated the relationship between WAI-SS factors of general alliance, task, bond, and goal and the preliminary specific content areas of supervisee disclosure. The hierarchical factor of general alliance was a statistically significant predictor for all specific content areas of supervisee disclosure. The preliminary findings of this study, highlight the important differences in the relationships among the specific factors of the supervisory working alliance and content areas of supervisee nondisclosure. The factor of task was not significantly correlated with content areas of supervisee disclosure and the factor of goal was only a significant predictor for two content areas of disclosure: Strengths of the Supervisory Relationship and Dissatisfaction with Clinical Setting. The factor of bond was significantly correlated with six content areas of supervisee disclosure and significantly predicted five content areas: Strengths of the Supervisory Relationship, Clinical Successes, Self, Weaknesses of the Supervisory Bond, and Dissatisfaction with the Clinical Setting. This study contributes specificity to the supervision literature on supervisee disclosure and nondisclosure. The results of this study provide a psychometrically sound foundation for future research to identify aspects of the supervisory working alliance that may reduce supervisee nondisclosure.
ContributorsHachiya, Laura Y (Author) / Bernstein, Bianca L. (Thesis advisor) / Tracey, Terence (Committee member) / Homer, Judith (Committee member) / Arizona State University (Publisher)
Created2018
Description
This thesis explores and analyzes the emergence of for-profit stem cell clinics in the United States, specifically in the Phoenix metropolitan area. Stem cell therapy is an emerging field that has great potential in preventing or treating a number of diseases. Certain companies are currently researching the application of stem cells as therapeutics. At present the FDA has only approved one stem cell-based product; however, there are a number of companies currently offering stem cell therapies. In the past five years, most news articles discussing these companies offering stem cell treatments talk of clinics in other countries. Recently, there seems to be a number of stem cell clinics appearing in the United States. Using a web search engine, fourteen stem cell clinics were identified and analyzed in the Phoenix metropolitan area. Each clinic was analyzed by their four key characteristics: business operations, stem cell types, stem cell isolation methods, and their position with the FDA. Based off my analysis, most of the identified clinics are located in Scottsdale or Phoenix. Some of these clinics even share the same location as another medical practice. Each of the fourteen clinics treat more than one type of health condition. The stem clinics make use of four stem cell types and three different isolation methods to obtain the stem cells. The doctors running these clinics almost always treat health conditions outside of their expertise. Some of these clinics even claim they are not subject to FDA regulation.
ContributorsAmrelia, Divya Vikas (Author) / Brafman, David (Thesis director) / Frow, Emma (Committee member) / Harrington Bioengineering Program (Contributor) / Barrett, The Honors College (Contributor)
Created2016-05
Description
This project discusses a Medical-Legal Partnership (MLP) between the Arizona Legal Center (ALC) and the Student Health Outreach for Wellness (SHOW) clinic. The ALC is a nonprofit 501(c)(3) legal aid clinic located in at the Beus Center for Law and Society alongside the Sandra Day O'Connor College of Law at Arizona State University. They are a community- based legal aid service that helps low income and underserved populations find answers and solutions to their legal questions through free of charge consultations. The ALC is primarily operated by student volunteers and volunteer attorneys. The SHOW clinic is a tri-university, student-led community-based project that works to provide whole person health care for poor, low income, or underserved individuals in Phoenix, Arizona. I was given the opportunity to join in this effort through my role as an undergraduate student volunteer at the ALC during the summer of 2017. Planning and coordination between these two entities has been ongoing, and after several months of work, the partnership has reached a more formative state. Our team estimates our partnership will be implemented into clinical facilities and operational by the Fall of 2018. By the summer of 2018, the SHOW clinic will be providing medical services at three locations: the Human Services Campus clinic, Crossroads Flower clinic, and Crossroads Mesa clinic. These clinical sites are where the MLP between the ALC and SHOW will operate. The ALC will provide legal consultations at each facility once a month, every month during the fall semester of 2018. They will also conduct educational workshops for facility patients once a month, every month. The following paper discusses: 1) a brief history of healthcare delivery and healthcare trends in the United States, 2) discusses what Medical-Legal Partnerships are and why they should be used, 3) specific health needs in the state of Arizona, 4) the developmental process of this specific partnership, 4) the challenge of medical and legal confidentiality, 5) and a proposed timeline of how we intend to successfully implement our partnership at clinical sites.
ContributorsAlvarenga, Montserrat (Author) / Rigoni, Adam (Thesis director) / Feeney, Michele (Committee member) / School of Politics and Global Studies (Contributor) / Sandra Day O'Connor College of Law (Contributor) / School of International Letters and Cultures (Contributor) / Barrett, The Honors College (Contributor)
Created2018-05
Description
Emerging in the late 1960s, the Free Clinic Movement represented an attempt to provide equitable, accessible, and free health care to all. Originally aimed at helping drug addicts, hippies, and runaways, free clinics were community-led organizations that ran solely on donations and volunteers, and were places where “free” meant more than just monetarily free - it meant free from judgment, moralizing, or bureaucratic red tape. This dissertation is an institutional history of the Los Angeles Free Clinic (LAFC), which, as a case study, serves to illustrate the challenges and cooperation inherent in the broader Free Clinic Movement. My project begins by investigating the links between the Free Clinic Movement and aspects of Progressive era reform, health care policy, and stigmatization of disease. By the 1960s, the community health centers formed under Lyndon Johnson, along with the growth of the New Left and Counterculture, set the stage for the emergence of the free clinics. In many ways, the LAFC was an anti-Establishment establishment, walking a fine line between appealing to members of the Counterculture, and forming a legitimate and structurally sound organization. The central question of this project is: how did the LAFC develop and then grow from a small anti-Establishment health care center to a respected part of the health care safety net system of Los Angeles County? Between 1967 and 1975, the LAFC evolved, developing strong ties to the Los Angeles County Department of Health, local politicians, and even the Los Angeles Police Department (LAPD). By 1975, as the LAFC moved into a new and larger building, it had become an accepted part of the community.
ContributorsBaird, Rebecca Therese (Author) / Garcia, Matthew (Thesis advisor) / Hibner Koblitz, Ann (Committee member) / Delmont, Matthew (Committee member) / Arizona State University (Publisher)
Created2016
Description
The purpose of this study is to explore the possible factors that influence how patients rate their dentists in the underserved communities and how commonly each factors are mentioned in the articles found from the systematic review. PubMed was used to search the articles with the keywords categorized into 5 different groups, they were: dental/oral, underserved, patient satisfaction, services provided and America. The search resulted in 123 articles and after critical appraisal and review, 19 full text articles were determined to be fully relevant to this project. A table of summarized results from the articles was created and factors of satisfaction from the articles were translated into a category which then was categorize into broader category based on relatedness. Sub-categories that were mentioned at least five times in the articles were cost, insurance acceptance, communication, interpersonal skills, number of treatments, fear/worry/anxiety and pain. According to the findings, quality in terms of interaction and interpersonal relationship between patients and the dentists was most mentioned compared to other factors when it comes to patient satisfaction. Other factors mentioned were external factors, pain, continuity, access, cost, technical qualities, efficiency, convenience, availability and environment. The purpose of this study has been met. The results in this project suggest that dentists in underserved communities could focus on changing the way they deliver their service if they want to improve patient retention and satisfaction.
ContributorsHnin, Ma Myat Thida (Author) / McCullough, Mac (Thesis director) / Riley, William (Committee member) / School of Life Sciences (Contributor) / Department of Psychology (Contributor) / Barrett, The Honors College (Contributor)
Created2016-05