Previous studies about well-being have examined either gratitude’s or social connectedness’ relationship to subjective well-being. The aim of this randomized control trial was to examine the efficacy of a gratitude-based writing micro-intervention in enhancing felt social connectedness and well-being between young adults and their parents. The trial tested the impact of engaging in gratitude-based writing about family members or enhanced caretakers on measures of social connectedness and well-being between grown children and their parents. Data from a pool of social work students in the Southwest (N=148) were used. Results revealed within-subject effects and between subject effects for psychological well-being from pretest to one month follow-up, with the intervention group reporting significantly higher psychological well-being than the control group. Results also revealed slight mean differences from pretest to posttest for perceptions of family relationships, with the intervention group reporting approaching significant better perceptions of family relationships than the control group at posttest. Findings from the study indicate that engaging in gratitude-based writing about family can improve perceptions of psychological well-being and may improve social connectedness to family.

Multiple studies have found that writing with self-compassion about a difficult event helps promote mental health and improve affect in college students and non-clinical populations (Johnson & O'Brien, 2013; Leary et al, 2007; Shapira & Mongrain, 2010). This study investigated whether a self-compassion writing intervention would lead to increases in self-compassion and proactive coping and reductions in depression and physical symptoms in a sample of individuals with different types of mental illness. This study also looked more broadly at the feasibility of conducting an online randomized trial on individuals with mental illness, including psychotic disorders, on Amazon MTurk. Individuals with schizophrenia, schizoaffective disorder, bipolar disorder and/or depression on Amazon MTurk were recruited and randomly assigned to either a (1) treatment condition in which participants wrote with self-compassion or a (2) neutral condition in which participants wrote about how they spent their time. Participants were asked to write for 20 minutes each day for three consecutive days. Outcome measures were administered at baseline, after the three-day intervention, and one month later. Computerized linguistic analysis (LIWC; Pennebaker et al., 2015) was also used to analyze participants' writing to determine if the intervention had the intended effect. Both the treatment and control groups showed significant improvements in self-compassion, proactive coping, general mental health and physical health following the intervention and both groups showed significant improvements in self-compassion, proactive coping and general mental health between the post-test and 1-month follow-up. In addition, the self-compassion writing group's positive affect improved significantly more than the control group after the wave 1 writing intervention and the control group's negative affect improved significantly more than the self-compassion writing group after the wave 2 writing intervention. Overall, the results suggest both self-compassion writing and writing about how one spends one's time may be beneficial for individuals with mental illness with different needs. Moreover, it was found Amazon MTurk may not be a reliable platform for recruiting individuals with psychotic disorders, and that the prevalence of individuals with any mental illness on MTurk may be equal or greater than the prevalence of any mental illness in the general population.

Home visitation programs are growing in popularity for a variety of social concerns including early childhood abuse and neglect. Healthy Families Arizona (HFAz) uses the home visitation format to deliver early-childhood development and parenting skills for at-risk parents with the goal of decreasing incidents of child abuse and neglect (Daro & Harding, 1999). Some research demonstrates that the strength of the worker’s alliance with parents can be significantly predictive of home visitation program completion and decreases in depression for participating mothers, but these findings have little replication (Girvin, DePanfilis, & Daining, 2007). It is important to have a clear understanding of worker-client alliance and how it affects maternal outcomes including program retention and completion so that those working with home visitation interventions can implement programs from an evidence-based perspective, thus increasing efficiency and efficacy of programs.

This study hypothesizes a significant relationship exists between Working Alliance Inventory (WAI) scores and Healthy Families Parenting Inventory scores, and that WAI scores predict maternal outcomes from the HFPI. Bivariate correlation analysis determined a significant positive relationship exists between WAI scores and home visitation completion rates (r=0.320, p= .042), and found no other significant relationships. Regression analysis found WAI scores are predictive home visitation completion.

The purpose of this study is to understand and explore the perspectives of caregivers of children receiving mental health services in the Southwest. The data collected examines areas of caregiver satisfaction of services including, perceived barriers and agency’s ability to effectively apply the System of Care model’s core values. Participants (N=100) were interviewed using the System of Care Practice Review, Revised. Data results include descriptive quantitative analysis, correlation and means comparisons, and thematic analysis of qualitative responses. The research indicates that as a whole, caregivers are satisfied with child mental health services. Data suggests that providers should continue to strive for improvement and excellence in several areas of service, including intervention effectiveness, family participation, cultural competence, communication and interpersonal relationships.

Youth who turn 18 in the foster care system often face the difficulty of transitioning to adulthood without traditional emotional and financial supports. Early experiences of trauma impact their mental health and receipt of services both while in care as well as decisions whether to continue services after leaving care.

Using the behavior analytic model, this dissertation explores the challenging and supportive situations former foster youth experience with mental health services while transitioning to adulthood. Qualitative interviews and focus groups inform the development of a quantitative instrument in a mixed methods, sequential exploratory research design. The resulting instrument identifies the most intense and frequently encountered situations former foster youth experience, related to their mental health and transitions to adulthood.

Results indicate the most challenging situations foster youth experience during the transition are related to overwhelming expectations, receiving mixed messages from professionals, feelings of isolation, and a lack of voice and choice with regard to mental health services. Young adults in this study also emphasized the importance of responsive engagement, self-efficacy, and consistency in relationships both formally and informally.

This research provides important implications for social work practice, policy, and education. Acknowledging the voice of foster youth gives them a choice in services and allows for realistic transition planning. Developing problem-solving skills and a support network beyond foster care are necessary strategies of preparation to age out. Finally, practitioners should recognize the impact of trauma and other contextual factors when conducting assessment and treatment, to promote positive outcomes.

The purpose of this study is to explore the knowledge and attitudes about autism spectrum disorders among Hispanics in the Southwest. The study will also examine perceived barriers in obtaining resources and preferences in accessing health care. Participants (N = 169) were surveyed using the Autism Awareness Survey, which was developed specifically for this research. Significant differences were found between individuals with high acculturation and low acculturation in exposure to autism, knowledge about autism, perceived barriers to obtaining resources and health care, and attitudes towards people with autism. Additionally, the findings also suggest that although the surveyed population was knowledgeable about the symptoms associated with autism, less well known is the etiology and course of the disorder. The research underscores the serious need for both Spanish educational resources and Spanish-speaking health care providers to address the needs of Hispanics with regards to autism, especially with individuals with low levels of acculturation.