U.S. HRSA Award Supports Telehealth for Positive Parenting

Innovations Institute, in partnership with the Maryland Chapter, American Academy of Pediatrics (MDAAP), has been awarded a grant from the U.S. Health Resources and Services Administration (HRSA) Healthy Tomorrows Partnership for Children Program. The TREEHOUSE Program is an expansion into telehealth of the existing TREE program, a clinical service that promotes positive parenting, parent-child interactions, and social-emotional well-being through interactive, developmental telehealth coaching provided by pediatric providers to underserved families with children ages 0-2.

Margo Candelaria is the principal investigator for the TREEHOUSE Program and co-director of the Innovation’s Parent, Infant, and Early Childhood Program. She expressed her enthusiasm for this important collaborative effort: “It has been very exciting to continue our work with the MDAAP and expand TREE’s positive impact on marginalized families within primary care to the telehealth environment."

The Program increases access to quality preventive care and services to promote health equity and enhances population health among very young children, and their families, in marginalized communities. To date 30 have been trained in the TREEHOUSE model across four coaching cohorts. Data from the first three cohorts indicate that 21 providers fully completed training to receive Maintenance of Certificate professional development credits and 131 children have received a telehealth developmental coaching visit. Eighty-seven percent of trained providers reported being very or extremely satisfied with the TREEHOUSE program, and 100% of trained providers reported TREEHOUSE gave them better insight into the strengths and challenges of parents they serve. Nine cohorts total will be conducted through Spring of 2026. The TREEHOUSE project, and its predecessor, TREE, which takes place during well-child visits, was presented at the World Association of Infant Mental Health in Dublin, Ireland in July 2023.

MACPAC Supports Study Examining Health Care Access for Youth in the Child Welfare System

Mathematica and Innovations Institute have partnered to advance policymakers’ understanding of how Medicaid and child welfare agencies ensure youth in the child welfare system receive access to health care.

The Medicaid and CHIP Payment and Access Commission (MACPAC) has awarded a 10-month contract to Mathematica, who has partnered with Innovations, to help the commission better understand the role and responsibilities of state Medicaid and child welfare agencies in meeting the health care needs of children and youth served by the child welfare system.

Innovations Institute brings extensive expertise to the intersection of Medicaid and child welfare services at the federal, state, and local levels across the country and will help shed light on the current state-specific child welfare landscape.

This report resulting from this project serves to inform MACPAC’s deliberations on policies and strategies for ensuring that Medicaid- and CHIP-eligible children in the child welfare system have timely access to quality care. Together the partners identifying current federal rules that require state Medicaid and child welfare agencies to ensure health care access for Medicaid-enrolled children and youth in foster care. They are selecting, profiling, and interviewing Medicaid and child welfare agencies in seven states to provide MACPAC with an understanding of how states implement federal requirements around health care access and the issues they face in ensuring the delivery of all necessary health services.

Read more about Innovations Institute.

CT DMHAS Grant Supports Research on College Students and Gambling

Eleni Rodis, managing director of research for the Connecticut Department of Mental Health and Addiction Services (CT DMHAS) Research Division at the UConn School of Social Work (SSW), and Wendy Ulaszek, associate research professor at the SSW, recently conducted a study of Connecticut college students and gambling. The research is supported by a grant from the Problem Gambling Services (PGS) of CT DMHAS.

The researchers used a mixed methods approach, including surveys of college students and focus groups with students and staff to investigate the prevalence of gambling behaviors among students, as well as awareness of resources to address problem gambling behavior. More than 1,300 college students from 30 colleges and universities across the state – public, community, and private schools – participated in the online survey. The survey posed questions about:

• Types of gambling
• The Problem Gambling Severity Index (PGSI), a screening tool used to measure the severity of gambling problems in general population research
• Motivations and reasons why students gamble
• Facilitators to help students stop gambling
• Co-occurring issues such as mental health diagnoses

After a year of collecting survey and focus-group data, Rodis and Ulaszek and the research team, including Project Manager Amanda Mihaly (also with the DMHAS Research Division at the UConn SSW), completed a preliminary analysis of their study. They found a high prevalence of gambling among college students in the state: 74% of all students had engaged in some type of gambling in the past year. The two most popular forms of gambling students reported were bingo and the lotto/lottery. Among those who scored higher on the PGSI, internet-based and sports betting were most common.

In addition to these findings, Rodis, Ulaszek, Mihaly and the team observed that the study itself served as an intervention, allowing students to reflect on their beliefs about gambling. It also led college staff to consider changing their practices so they ask students about gambling and provide information about gambling to students and families.

In collaboration with the Connecticut Council on Problem Gambling, the researchers plan to continue to disseminate the survey and raise awareness about this emerging issue.

Faculty Research Explores Voter Engagement for the Formerly Incarcerated

In our democracy, the group with the lowest voting participation rate are formerly incarcerated individuals convicted of a felony — a group representing nearly 20 million adults in the United States. In most states, including Connecticut, this population loses the right to vote while incarcerated but regain it when they return to their communities. However, they vote at very low rates.

To raise awareness about voter engagement among formerly incarcerated individuals in Connecticut, Assistant Professor Sukhmani Singh and Director of The Nancy A. Humphreys Institute for Political Social Work Tanya Rhodes Smith partnered with Full Citizens Coalition to conduct a pilot study supported by a grant entitled, “A Participatory Transformation & Pilot Implementation of the Voter Engagement Model with Formerly Incarcerated BIPOC Individuals: Centering Critical Consciousness in Political Social Work Practice.”

“The goal of the study was to co-create a curriculum with Full Citizens Coalition, led by James Jeter — a nationally recognized change leader and community organizer — to clarify rules, to share why voting matters, and to learn how we can develop and sharpen tools that bring formerly incarcerated citizens back into exercising their right to vote and build power,” says Singh.

The research methodology is primarily qualitative, relying on interviews from five focus groups conducted in the state’s three largest cities: Hartford, Waterbury and Bridgeport. The participants in the pilot were mostly men of color (69% men; 85% were BIPOC); 90.6% had at least completed high school. Together, the research team sought to explore, via focus groups, how participants reflected on and experienced their civic life before and after incarceration, as well as their beliefs about voting, power and democracy. The focus groups also shed light on the challenges and barriers participants named to exercising one of their key rights.

In their analysis, the research team identified four themes: public systems and their harms; manufactured ambivalence; the desire to engage in power building; and community-identified gaps in democratic education.

Rhodes Smith explains further how structural barriers — opaque political systems, gerrymandering, and lack of response to community needs, among others — undermine voter participation. “What looks like voter disengagement or apathy is not actually apathy,” she says, “it’s manufactured ambivalence.”

Singh agrees. “Participants name experiencing this critical, and I would argue — manufactured — paradox. They articulate how public systems perpetuate harm, throw them out of the voting process, and say that nothing changes and they don’t vote. At the same time, they know that voting does matter because they can see resources present in other areas that do not suffer from divestment and the high incarceration per capita rate. While they name how politicians and public systems have failed them, they also are paying attention and watching what politicians are doing, and desire to build efficacy to change harmful structures.”

With these findings, the researchers plan to conduct a second phase of their pilot study, and co-transform a training with Full Citizens Coalition, led by Jeter and Rhodes Smith about voter engagement that is rooted in the theoretical and power building ideas espoused by Brazilian educator Paolo Freire.

Co-researchers include Jeter, co-director of Full Citizens Coalition and a community organizer, and Urania Petit, an international elections monitor. The researchers also honor and name graduate assistants and doctoral students who contributed to this process: Joshua Adler, Lukas Champagne, and Fernando Valenzuela.

Read more about the work of Singh and Rhodes Smith.

Writing Letters for Gender-Affirming Healthcare

Sarah A. Gilbert, LCSW

Sat, April 20, 2024Register Now for CE programs
Live Webinar
10 am – 12 pm
2 CECs – this program provides 2 hours of content on cultural competence

Registration Fee: $50
10% discount for UConn SSW Alumni and Current SSW Field Instructors

Link will be emailed when your registration is complete.

If you have some experience in working with trans, non-binary clients, yet you feel unsure about how to go about writing the required mental health assessment letter for your clients to access gender-affirming care, this training is for you!

Clients seeking access to gender-affirming healthcare (including cross-hormone treatment and various surgical procedures) are typically required to get referral letters from mental health professionals. Unfortunately, far too often, these individuals struggle with finding providers who feel comfortable writing these letters, which causes barriers and delays in accessing affirming and life-saving treatment.

Far too often, members of this community experience harmful gatekeeping in accessing the affirming and life-saving services they need as a result. In this 2 hour live interactive webinar, you will be given the information you need to be able to provide a referral letter for gender-affirming healthcare, which will leave you feeling confident in providing this valuable service for your clients.

In our time together, you will:

  • understand the harms that gatekeeping creates for trans/non-binary clients experience in accessing gender-affirming treatment, and the ways in which we can avoid replicating this in our own practices
  • learn about the WPATH Standards of care and understand how to navigate using the SOC in conjunction with insurance policies, physician’s requirements to help write letters that will be successful in getting approvals for gender-affirming healthcare.
  • receive up to date information about specific guidelines for clients with Husky/CT Medicaid insurance in accessing gender-affirming healthcare.
  • learn tips for advocacy with insurance companies in navigating denials for gender-affirming surgeries.

We will also have ample time for Q&A, to address your specific questions about how to apply this knowledge to your practice.

Associate Dean for Research Jennifer Manuel Named SSWR Fellow

At the Society for Social Work and Research (SSWR) Annual Conference, the UConn SSW’s Associate Dean for Research Jennifer Manuel was welcomed to the 2024 class of Fellows. SSWR Fellows are members who have served with distinction to advance the mission of the Society -- to advance, disseminate, and translate research that addresses issues of social work practice and policy and promotes a diverse, equitable and just society.

The SSWR Fellowship has been established by the Society to honor and to recognize current SSWR members for their individual accomplishments, leadership and contribution to SSWR as a scientific society. It is anticipated that SSWR Fellows will serve as role models and mentors for individuals pursuing careers in social work research and will continue to actively advance the mission of the Society.

Eligibility for the SSWR Fellow designation is determined by a point system established by the SSWR Board of Directors. Designation as a SSWR Fellow is limited. The number of inductees this year was approximately one percent of the SSWR membership. SSWR Fellows maintain their status as long as they are current members of the Society.

In addition to being an associate dean, Manuel is also an associate professor at the UConn SSW. She earned her MSW and Ph.D. from Columbia University School of Social Work. Her research broadly addresses health disparities and transitions in care among youth, young adults and adults with substance use, mental health and other critical needs (housing, employment, health, trauma).

Read more about her work.

Ph.D. Leadership Transition – Thank You Scott Harding

Dear Colleagues,

As you may be aware, Scott Harding, Ph.D., is stepping down as co-director of our Ph.D. program in summer 2024. Harding assumed this role in 2016. During his tenure, he led multiple initiatives that strengthened our doctoral program. These include the expansion of guaranteed student funding to four years of Graduate Assistantship (GA), including two years as a research GA and one year of teaching independently. During his tenure, the doctoral committee implemented curriculum reform, including a revised Comprehensive Examination process, expansion of dissertation options, and creation of a new course on pedagogy. The program also transformed its model of student advising and increased professional development opportunities for doctoral students. These changes resulted in increased publication opportunities for our students. Harding also mentored doctoral students and has served as a major and associate dissertation advisor for 12 Ph.D. candidates. He also taught four courses in the doctoral program.

In addition to his leadership in the doctoral program. Harding is an accomplished scholar in the areas of Forced Migration and Refugee Resettlement and War, Militarism, and Peace Activism. Along with multiple peer-reviewed articles, Harding is the co-author of Breaking the War Habit: The Debate over Militarism in American Education (University of Georgia Press, 2022), Counter-Recruitment and the Campaign to Demilitarize Public Schools (Palgrave McMillan, 2017), and Human-Rights Based Approaches to Community Practice in the United States (Springer, 2015).

Harding is a highly experienced academic administrator and leader, having served the School of Social Work not only as Ph.D. Co-Director but also as Associate Dean of Academic Affairs. Harding will continue his role as Associate Dean of Academic Affairs in the 2024-25 AY.

Please join me in thanking Harding for his outstanding leadership.

Laura Curran, MSW, Ph.D. (she/her)
Dean and Professor

AI Can Positively Impact Mental Health

By: Loan Nguyen

Lack of Self-Awareness

  • AI can assist people to become more aware of mental health needs and seek professional help
  • Apps used to track exercise, food intake, etc. can also be used to track behavioral patterns and send message to userabout concerns, changes in behavior, etc. (frequency and duration of calls, texts to others)

Lack of resources

  • Access to resources via internet or smartphone
  • Close treatment gap in accessing high quality mental health care (evident during Pandemic and provided support to those experiencing isolation, depression, anxiety, etc.)

Social Stigma

  • Reduce social stigma through use of virtual mental health therapists (BetterHelp, Talkspace, Talkiatry) or chatbots
  • Preferences for avoiding human to human interaction

Clinical Settings

  • Use of ChatGPT to draft chart documentation with review by licensed provider
  • ChatGPT as tool to create templates and allow for clinical personalization during psychotherapy sessions and help to reduce cognitive load and time spent on documentation

 

 

 

 

 

References:

https://www.psychiatrist.com/news/3-key-updates-on-ai-in-mental-health/

https://www.who.int/europe/news/item/06-02-2023-artificial-intelligence-in-mental-health-research–new-who-study-on-applications-and-challenges

https://www.himss.org/resources/role-artificial-intelligence-and-its-impact-mental-health-services

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10230127/

 

 

NIMH/NIH Loan Repayment Grant Supports Study on LGBTQ+ Youth and Eating Disorders

Associate Professor Meg Paceley led a study examining the relationship between the family and community environments of LGBTQ+ youth and disordered eating behaviors. The research was published in Families in Society: The Journal of Contemporary Social Services and supported by the National Institute of Mental Health/National Institutes of Health (NIMH/NIH) Loan Repayment Program ($58,000).

To explore the relationship between disordered eating and acceptance or rejection of LGBTQ+ youth in both family and community contexts, Paceley and the research team – including Ryan Watson from the UConn Department of Human Development and Family Studies – used data from the National LGBTQ+ Teen Survey, an anonymous online survey of 7,895 LGBTQ+ youth aged 13 to 17 collected in 2017. The survey questions included measures of acceptance or rejection from parents or caregivers; it also explored community factors such as climate, LGBTQ+ involvement, LGBTQ+ support and anti-LGBTQ+ bullying. The researchers assessed disordered eating behaviors related to attempting to control one’s weight (taking diet pills, fasting, purging) and binge eating.

The study found that LGBTQ+ youth who experienced family rejection and LGBTQ+-based bullying were more likely to report disordered eating patterns for weight control and binge eating. However, youth who experienced LGBTQ+ community acceptance and support were less likely to engage in those disordered eating behaviors.

The study results show that both families and communities are important environments that contribute to disordered eating among LGBTQ+ youth. Paceley is currently analyzing data from the 2022 National LGBTQ+ Teen Survey and preparing a submission for federal funding to study transgender youth and disordered eating longitudinally.

Read more about Paceley’s work.

Supervising in 2024: A Field and Continuing Ed Collaboration

Supervising in 2024: Who are our Supervisees and How Can We Use a Social Justice, Anti-Racist, Whole-Person Approach to Facilitate their Growth?

Patricia Wilcox, LCSW and Aminah Ali, LMSW
3 CECs

Registration Fee: $75  –  10% discount for UConn SSW Alumni
Free for Current SSW Field Instructors

Webinar link will be emailed when your registration is complete.

Multicultural workforces are the norm in social service and educational agencies. Though such diversity is positive in many ways, it can also create challenges for staff. Differences in culture and language may cause tension among employees, discomfort among groups or strained relations between employees, interns, and supervisors. Managers and supervisors must be aware of their own biases and assumptions and develop the skills to conduct difficult conversations with their supervisees. Together the two can create meaningful organizational change. In addition, our clients’ lives may be highly impacted by racism and inter-generational trauma. Supervisors can facilitate more effective programs by supporting supervisees to bring these issues into the discussions they have with clients.

This webinar focuses on trauma-informed supervision through a social justice and anti-racist lens, an approach to supervision that begins with the personal and extends to the professional. Personal histories, identities, characteristics, and psychological experiences of supervisors, as well as structural and environmental conditions of the organization, are aspects of supervision. This perspective promotes the role of the supervisor as a leader in establishing a culture within their team that is responsive to and inclusive of the cultures and unique experiences of clients and colleagues. Supervisors are encouraged to remain vigilant in their commitment to social justice and an anti-racist approach by leading their teams and organizations in achieving truly inclusive diversity.

Participants will be able to:

  • Find how to improve their interactions with supervisees by identifying the positionalities and unique experiences of supervisor and supervisee.
  • Appraise and discuss implicit bias and how it impacts the supervisory relationship and work with clients.
  • Implement 3 strategies for addressing power differentials and improve trust between supervisor and supervisee.
  • Explore dilemmas in supervising the whole person while maintaining agency mandates.
  • Develop a plan to increase their team’s ability to have difficult conversations around social justice.
  • Discuss with supervisees the applications of racism and inter-generational trauma-informed perspectives and prepare a plan to utilize this knowledge within their practice.