How to best assist LGBTQ+ young adults experiencing homelessness and reporting sex trafficking victimization is a developing field of knowledge. This study aimed to understand sex trafficking risk factors for LGBTQ+ young adults experiencing homelessness through the 2019 Youth Experiences Survey (2019 YES) and 16 follow-up interviews. The main findings include a) the odds of being LGBTQ+ and experiencing homelessness and reporting sex trafficking victimization were 2.41 times greater (95% CI: 1.22, 4.74) than being a cisgender heterosexual experiencing homelessness and reporting sex trafficking victimization; and b) risk factors that contributed significantly to a binary logistic regression model to predict being an LGBTQ+ young adult experiencing homelessness and reporting sex trafficking victimization included having a current medical issue, having a history of dating violence, having a childhood history of sexual abuse (ACEs sexual abuse), having a history of binging/vomiting, and having a diagnosis of post-traumatic stress disorder (PTSD). The interviews back up quantitative data for contextualization purposes. The findings of this study confirm the need for more services for LGBTQ+ young adults experiencing homelessness and reporting sex trafficking victimization. Additionally, healthcare providers must consider screening for eating disorders among LGBTQ+ young adults experiencing homelessness and reporting sex trafficking victimization. Finally, future research on LGBTQ+ young adults experiencing homelessness and reporting sex trafficking victimization is recommended.

The development of online program options in higher education has prompted the discussion of how well the modality fits the nature of social work education and the Council on Social Work Accreditation (CSWE) educational standards. To examine the relationship between online education and social work education, this research study focused on empathy. Conceptualized as the ability to share and understand the feelings of others, empathy is at the core of social work education and practice. The primary purpose of this research study was to examine whether the cultivation of interpersonal empathy and social empathy changes by in-person and online education. An ongoing debate centers on the effectiveness of online instructional delivery in the virtual environment, as compared to in-person instruction in a physical classroom. Therefore, it is valuable to examine if the level of empathy scores for students changes from the beginning to the end of a Master of Social Work (MSW) degree program at Arizona State University, according to the mode of instruction, online versus in-person. Among the sample of 185 participants in the pre-test survey and 86 participants in the post-test survey, empathy levels were examined by time (pre-test to post-test) and by mode of instructional delivery (online versus in-person). To better understand the constructs and the relationship among the variables, critical theory was applied. In addition, the pedagogical theories of andragogy, transformative learning, and the Community of Inquiry model were informative. Findings revealed that the empathy survey instrument had high reliability, the levels of empathy increased for MSW students over time, and students’ empathy levels did not differ by in-person versus online modes of instruction, with the exception of the social empathy component of contextual understanding. The study findings have implications for social work education and future research. These implications highlight the need to explore how to best cultivate empathy in social work education, while continuing to examine the association of the mode of delivery with educational outcomes important to the profession of social work.

In response to the need to accurately define group home types, this dissertation focused on providing a clear and distinct definition of the types of group home care, an articulated understanding of the role of group home staff, and an awareness of the impact individuals working in group homes have on the lives of the youth they serve and their influence on the group home environment. Using the qualitative research method Grounded Theory, ten in-depth interviews were conducted with staff who both currently work in group homes, and staff who have left the group home environment. The research question was “What is the influence of group home staff on the ecological environment of the group home?” Ecological framework was the overarching theory, and participants were asked questions regarding their relationships with youth and their impressions of staff impact within the group home. Data analysis influenced by Grounded Theory produced 5 themes: Walking into the unknown, in loco parentis with two sub- themes consanguinity and group home as a home, engagement with two sub- themes of staff/staff engagement and staff/youth engagement, staff impact on youth, with three sub-themes, managing transitions, loss and boundaries, and the final theme of supervisor support. The results indicate that staff do have an impact on the group home, both positive and negative. Also, the group home operates as an intricate ecological environment containing relationships and interactions that influence multiple internal systems. Currently there is a gap in the literature as it relates to clarity within definition of care settings. This dissertation provided a clear definition for the chosen research environment, non-locked, non-therapeutic group home. The results of this dissertation have implications for group home agencies and more broadly child welfare agencies and child welfare social workers in regard to hiring practices, training and supervision. This dissertation provides a springboard for a future research on the ecological group home environment and the people who work there and are responsible for the care of vulnerable children.

Child abuse and neglect is a devastating yet preventable social problem. Currently, early childhood home visitation services are the primary approach to preventing maltreatment and improving child well-being in the United States. However, existing literature suggests that improvement is needed regarding how home visitation professionals identify and respond to risk factors for child abuse and neglect. Although there is substantial multidisciplinary literature that investigates the utility of standardized measures to determine future risk for maltreatment, there has been minimal inquiry into the validity of early childhood home visitation assessment instruments to accurately identify and classify children and their families by their risk for future maltreatment. In response to the dearth in the literature, the purpose of this dissertation was to examine the utility of the Healthy Families Parenting Inventory (HFPI) to predict a family’s risk for future maltreatment. Families enrolled in Healthy Families Arizona, a child abuse and neglect prevention program, were followed for 12 months after the completion of the baseline HFPI to measure if the family had received an investigation of maltreatment from the public child welfare system. Bivariate results indicated that the generated risk classifications of the HFPI and the overall total composite score were related to the occurrence of a future maltreatment investigation. Specifically, the results from the binary logistic regression models provided evidence that as a family’s score increased on the inventory, the likelihood of receiving an investigation of maltreatment decreased. Further, significant relationships were found between a family’s score on several individual items of the HFPI and the occurrence of a maltreatment investigation. This dissertation concludes with a discussion of potential avenues of research on the topic of risk assessment in prevention programs serving at-risk families.

The purpose of Supported Education Student Survey study was to calculate the prevalence of psychiatric disabilities and assess the current need among Arizona State University undergraduates who identified as having a psychiatric disability. Three research questions were used to guide the study: what is the prevalence of psychiatric disabilities, student’s active involvement in treatment, and the current service utilization and unmet needs for this specific population of students. An online survey was distributed to 2158 undergraduate students who were enrolled in one of the courses; PSY 101, SOC 101, SWU 171, and COM 100. A total of 76 students participated in the online survey. The prevalence of psychiatric disabilities within the total student sample, consisted of 25 (33%) students who self-reported as having been formally diagnosed by a medical professional with a psychiatric disability and an additional 41 (54%) students indicated that they had informally diagnosed themselves with a psychiatric disability. Results for active involvement in treatment showed that just over 13 % of the total student sample is currently in treatment, although twice as many had received treatment in the past. Close to 90% of the respondents report that they have never disclosed their disability to ASU faculty or staff members – presumably including staff in the Disability Resource Center, the Counseling Training Center, or the Student Health Center. Three out of the four primary areas offered in a Supported Education Programs Career Planning, Academic Survival Skills, and Direct Assistance were identified by the student sample as a potential resource to help supplement students with psychiatric disabilities current unmet needs.

A secondary data analysis was conducted to investigate the direct and indirect effects of family traditionalism, family cohesion, and parent involvement on alcohol, cigarette, and marijuana use in a sample of pre-adolescent youth (N = 635) and their parents (N = 462). Aim one hypothesized that family cohesion and family traditionalism would be indicators of a higher order construct, operationalized as familismo. Aims two and three hypothesized that family traditionalism, family cohesion, and parent involvement would be protective against youth substance use. Finally, aim four hypothesized that acculturation would decrease the protective effects of family traditionalism and family cohesion on substance use.

Using second order confirmatory factor analysis, aim one found that family cohesion and family traditionalism were indicators of a second order structure. Regarding aims two and three, a consistent significant association was found between family cohesion and parent involvement across alcohol, cigarette, and marijuana use outcomes. As well, family cohesion was significantly and inversely associated with past 30-day alcohol use amount ( = -.21, p < 0.05), lifetime alcohol use ( = -.19, p < 0.05), and lifetime marijuana use ( = -.31, p < 0.001). Counter to what was hypothesized, a significant positive relationship between family traditionalism and past 30-day alcohol use amount was found. No significant indirect effects were found. Specific to aim four, significant moderation effects were found between family cohesion and acculturation on alcohol and cigarette use. Higher acculturated youth had greater past 30-day alcohol and cigarette use amount compared to low acculturated youth; as family cohesion increased, alcohol and cigarette use for both low and high-acculturated youth decreased.

This study has important implications for social work and future research specific to culture, family, and youth substance use. This study may assist direct social work practitioners, school personnel, and other professionals that work with Latino youth and families in the tailoring of services that are culturally sensitive and relevant to this population and provides further understanding regarding the impact of culture and family on Latino youth substance use. Findings and limitations are discussed specific to social work practice, policy, and research.

Psychological distress occurs at disproportionate rates among minority groups and individuals with lower socioeconomic status. This dissertation focuses on the relationship between living in a disadvantaged neighborhood and distress among Latinos, the formal and informal organizations that mediate the direct and indirect relationship between disadvantage and distress in this population, and the differences of social stress processes based on aspects of Latino social status, linguistic acculturation status, and the percentage of residents in the neighborhood that identify as Latino. This dissertation focuses its investigation on Latinos living in Chicago, specifically asking: In a metropolitan city, can the presence of formal and informal community organizations protect Latinos living in disadvantage neighborhoods from experiencing psychological distress? The findings demonstrate an indirect association between disadvantage and distress though objective disorganization and perception of disorganization. Both the density of community centers and block watch had an indirect protective effect, mediating the relationship between neighborhood disadvantage and distress, but did not decrease the indirect effect of disadvantage on distress through objective or perceptions of disorganization. The results of this dissertation suggest that changes to a neighborhood's environment may decrease population rates of distress in disadvantaged neighborhoods.

This research examined successful aging in a convenience sample of 14 women in Phoenix, Arizona. The study used a mixed methods approach involving individual interviews and administration of a standardized instrument designed to measure success using an alternative construct, gerotranscendence. Explorative questions were designed to gather data regarding diverse women's lived experiences. In order to examine the impact of lived experiences on successful aging, demographics were collected and participants were administered the gerotranscendence scale further revised. Findings reveal that when success is conceptualized using gerotranscendence theory, women of color may still appear less successful than their white counterparts. Narratives yielded rich data regarding the influence of factors such as care giving and violated expectations. This research helps to expand the knowledge base on factors that impact successful aging of diverse women. This research contributes to the field of social work by providing insight into the complex factors that impact diverse woman, which may aid in the empowerment of social workers to advocate for more effective macro interventions for diverse older women.

Communication skills within dating contexts are developed during the adolescent years, and are associated with a lifelong ability to have satisfying, enduring, and non-violent partnerships. As such, they are currently and increasingly implemented into both more general forms of healthy relationship education, as well as that targeting the prevention of teen dating violence specifically. Reaching Mexican American youth with culturally and developmentally appropriate relationship education, including communication skills, may be particularly important given their earlier transitions to marital and parenting relationships, acculturative stressors that present them with unique coupling challenges, and their higher rates of teen dating violence as compared to European American youth. We know very little about how Mexican American dating couples communicate about areas of conflict. This dissertation research utilizes Bell and Naugle's (2008) framework of interpersonal violence to explore how cultural and developmental considerations may be integrated in order to better understand how communication behaviors contribute to Mexican American middle adolescents' experiences with dating conflict. I use an observational study design in order to 1.) Qualitatively explore the communication strategies used by a sample of committed couples, including integration of culturally- and developmentally-relevant contexts, 2.) Quantitatively examine whether couple-level discrepancies in acculturation are associated with observed negativity, including whether this relationship may be mediated by dissimilar gender-related beliefs, and to 3.) Review empirical findings pertaining to the communication behaviors of Mexican American adolescents and to integrate ecodevelopmental theory in said framework as informed by Papers 1, 2, and literature specific to this topic area. The ultimate aim of this dissertation research is to generate findings that may improve the dating health of Mexican American adolescents living in the United States.

The research on female juvenile gang members is limited in scope and research has not yet examined mental health issues in this population. This study examines the case histories of 127 female juvenile gang members who were arrested by the Florida Department of Juvenile Justice. To add to the limited gender-specific research on female juvenile gang members, data are presented regarding this population's mental health problems, childhood maltreatment, substance abuse problems, age of contact with the juvenile justice system, and other factors salient to female juvenile gang members' prevention, treatment, and intervention needs. Female juvenile gang members who had a mental health diagnosis were significantly more likely to report childhood maltreatment. Female juvenile gang members who were younger at their age of first arrest were significantly more likely to report chronic substance use. Clinical levels of anger-irritability and depression-anxiety were found for approximately half of female juvenile gang members and suicide ideation was found for approximately one fourth. These findings have important implications for practitioners and gender-specific prevention, intervention, and treatment programs targeted specifically for female juvenile gang members.