Rafael J Engel

Rafael J Engel
University of Pittsburgh | Pitt · School of Social Work

About

51
Publications
9,510
Reads
How we measure 'reads'
A 'read' is counted each time someone views a publication summary (such as the title, abstract, and list of authors), clicks on a figure, or views or downloads the full-text. Learn more
720
Citations

Publications

Publications (51)
Article
Many service, clerical, and technical hospital workers deemed essential during the pandemic have wages that do not reflect the essential nature of their work and do not earn enough income to cover basic expenses. Thus, many experience material hardships related to food, housing, and medical care. Previous studies have shown strong relationships bet...
Article
Many low-wage workers struggle to make ends meet despite working full-time. Surveys find that they confront material, financial, and medical hardships. This article presents hospital workers’ descriptions of living on low wages, giving voice to their fears and challenges. These workers ( N = 156) testified to a city council-created Wage Review Comm...
Article
Social work has long been committed to eliminating poverty, which is at the root of many of the social issues and challenges we address. Over 40% of the U.S. workforce makes less than $15/hour, and the accumulating evidence suggests this is not enough to meet basic needs. In this introduction to a special issue about low-wage work, we describe what...
Article
The current older adult population is more likely to need and seek treatment for alcohol and drug abuse than previous cohorts of older adults, which necessitates the need for age-appropriate substance use treatment. Building on previous research that examined the lack of attention on substance use among older adults, this study examines articles ad...
Article
Full-text available
Objective To assess whether patients with congestive heart failure (CHF) and health coaches agree about patient knowledge of health-enhancing practices related to CHF after ongoing telehealth coaching. Methods Forty patients with CHF and eligible for both Medicare and Medicaid were recruited from a regional managed care organization for this pilot...
Article
Limited research is available regarding the health risks associated with opioid medication misuse among middle age (50–64 years) and older adults (65 and older). Understanding the misuse symptom risk profiles of these populations has potential to advance the national opioid epidemic response. A survey was conducted in four community pharmacies in s...
Article
Objective Treatment of older adults in methadone maintenance treatment (MMT) with comorbid mood disorders presents many challenges. The goal of this randomized controlled trial was to assess the combined effect of problem-solving therapy (PST) with treatment as usual (TAU) compared to TAU alone on decreasing depressive symptoms in opioid-addicted o...
Article
Background: Opioid misuse imposes a disproportionately heavy burden on individuals living in rural areas. Community pharmacy has the potential to expand and coordinate with health professionals to identify and intervene with those who misuse opioids. Objective: Rural and urban community pharmacy patients were recruited in this pilot project to d...
Article
The objective was to assess self-care knowledge changes with dually eligible Medicare and Medicaid patients diagnosed with congestive heart failure (CHF), who received a telecoaching protocol integrating symptom monitoring with face-to-face video chat with a social worker. We recruited 45 patients with CHF from a regional managed care organization....
Article
Community assessment is a strategy commonly taught to social work students to identify a community’s strengths and challenges. This article describes the value of using video documentary as part of a community assessment assignment. We identify the advantages of using video documentary in the assessment process and the reporting of findings. We dis...
Article
Abstract This study examined the relationship of pathological gambling to negative treatment outcomes for methadone maintenance patients aged 50 or older. The study included 130 methadone maintenance patients. Pathological gambling was determined using the Lie-Bet, a screen for pathological gambling; the outcomes were remaining in treatment and neg...
Article
This article examines the extent to which studies of alcohol abuse, illicit drug use, and prescription drug abuse among older adults appear in the leading gerontological and substance abuse journals. The authors reviewed articles published in the 10 social science gerontological journals and the 10 social science substance abuse journals with the h...
Conference Paper
Background and Purpose: Following the 1999 call to action from the U.S. Surgeon General to advance the knowledge base on mental health and substance abuse, aging-related social and behavioral research responded with a flourishing literature on the biological, neurological and psychosocial impact of mental health disorders on older adults. Unfortuna...
Article
Full-text available
Purpose. The aim of this study is to examine the changing service profile of older adults receiving substance abuse services over the past decade and the increased costs of treating this population. Design and Methods. Medicaid claims for mental health and substance abuse services data from a medium sized county in an eastern state were analyzed fo...
Article
As gambling opportunities proliferate, social workers are likely to see clients with gambling-related problems, but they often lack the expertise to address these concerns. This descriptive study assessed the inclusion of content on gambling-related problems in graduate social work curricula. Responses to an online survey from 86 (43.7%) of the 197...
Chapter
African Americans, numbering about 39 million, are the second largest minority group in America (U.S. Census Bureau, 2008). While the term “African American” has been used to classify a single ethnic/racial group, it includes members from a number of ethnic groups from around the world including the Caribbean, various countries in South and Central...
Chapter
The Hispanic population in 2008 included 45.5 million (15.1%) of the estimated US population (U.S. Census Bureau, 2008). Hispanics represent the largest and fastest growing minority group.
Chapter
White Americans are the largest racial group in the United States. At approximately 224 million they make up 74% of all Americans (U.S. Census Bureau, 2008). This number includes those that reported Caucasian only to the Census and those that reported Caucasian as well as some other race. The term “Caucasian” refers to people having ancestry in any...
Chapter
Asian Americans are now the third largest minority group, numbering approximately 14 million of the US population in 2009 (U.S. Census Bureau, 2009). Over a quarter of all foreign-born persons in America are from Asia (Reeves & Bennett, 2003).
Chapter
Native Americans are made up of 564 federally recognized tribes, consisting mainly of four tribes: Navajo – 307,000; Cherokee – 262,000; Sioux – 114,000; and Chippewa – 107,000. Native Americans or American Indians along with Alaskan natives make up 1.6% of the US total population or approximately 4.8 million people (U.S. Census Bureau, 2008). At t...
Chapter
America is increasingly a racially and ethnically diverse country. It is host to people from every country in the world. In fact it has been said that American probably is the only country in the world which could send a native of every country in the world back to their country of origin as an ambassador. The point being that there are people from...
Article
Racial and ethnic issues stand at the core of social, political, and economic concerns in an increasingly diverse America. Accordingly, how individuals from the various ethnic groups regard themselves—and others—is a salient focus of research studies across the disciplines. Measuring Race and Ethnicity gathers psychological measures of common pheno...
Article
This article describes a civic engagement and service learning living-learning community on a dedicated floor in a university residence hall. Students volunteered to live with one another while concurrently enrolled in social work service-learning courses. Student assessment of the combined affect service learning and residence hall living-learning...
Article
This article reports the findings of one county's human service network's readiness to treat gambling related problems in anticipation of the opening of a new casino. Using a cross-sectional survey design, questionnaires were mailed to executive directors of all mental health, family counseling, drug and alcohol, and faith-based, addiction-related...
Conference Paper
Objectives: Research suggests that the concurrent use of alcohol and medications can lead to a number of health problems for older adults, who take more medication than any other age group (Pringle, Ahern, Heller, Gold, & Brown, 2005). Despite older adults' increased risk of alcohol-medication interaction there has been limited research focused o...
Article
Full-text available
This study was designed to establish a caseload standard for child welfare workers. Understanding reasonable workload expectations for child welfare workers is a cornerstone of quality service provision and the recruitment and retention of qualified workers. Because of the analytic complexity of this question, qualitative and quantitative methods w...
Conference Paper
Background and Purpose: When casino gambling is introduced to a community, there is an increase in the proportion of the community with problem or pathological gambling disorders (Room, Turner, & Ialomiteaunu, 1999). Compounding this problem is a high co-occurrence with other addictive and mental health disorders. In addition, there is an increase...
Conference Paper
Background & Purpose: Service-learning is a pedagogical strategy combining classroom instruction with community service as an academic learning resource. Service learning provides opportunities for students to reflect, think critically, and engage in creative problem solving strategies. In fact, Lemieux and Allen (2007) describe service-learning as...
Article
This article addresses the dearth of research utilizing a quasi-experimental design and student performance measures in assessing web-assisted instruction in social work undergraduate practice courses. Social work students were randomly placed into two sections of a practice course. The experimental section (n = 18) students received 50% of course...
Article
A study examined the short-term outcomes achieved by 70 older people with visual impairments who received rehabilitation services. Results found rehabilitation services were associated with reduction in the use of medical doctors, reduction in the use of in-home professionals, and increased confidence and increased ease of use in public transportat...
Article
This paper, using government statistics, describes state-level variation in ADC/AFDC benefits from 1940-1995. The findings illustrate that the "race to the bottom" began in 1975, especially among higher paying stares. The concomitant declines in benefit value relative to the poverty line places TANF-dependent recipients in serious jeopardy. implica...
Article
Utilization studies have reported inconsistent results regarding the impact of informal support on the use of formal services by caregivers of dementia patients. However, these supports may be an important factor in overcoming the barriers to formal services. This study provides a preliminary investigation of the mediative function of professional...
Article
Age differences in depressive symptom experiences were investigated in a community sample of 368 women between the ages of 51 and 92 who were administered the SCL-90 Depression and additional symptoms scales. Confirmatory factor analysis was used to assess and compare depressive symptom experiences in a younger (age 51–65) and older (age 66–92) age...
Article
Changes in depressive-symptom experiences over a 5-year period were investigated in a community sample of 251 women between the ages of 51 and 92 years. Findings from a confirmatory factor analysis of the SCL-90-R Depression and Additional Symptoms scales (Derogatis, 1983) indicate that two phenomenally different syndromes underlie symptom-reportin...
Article
The structure of depressive symptom patterns was investigated in a community sample of 344 women between the ages of 51 and 92 who were administered the SCL-90-R Depression and Additional Symptoms Scales. Confirmatory factor analysis was used to test alternative measurement hypotheses implied by clinical formulations of depressive symptom patterns...
Article
The responsibilities of administrators in human service agencies require that they receive at least some training in computer use. This article reports on results of a survey of computer content in administration courses among 80 graduate schools of social work throughout the country and 207 instructors in these schools. Results show that 89% of sc...
Article
Social work organizations have actively been seeking licensure. This paper explores the impact of a licensure model using survey data of registered social workers gathered in Michigan. The effect of restricted entry to social work through licensure is apparent on characteristics of providers, clients and settings. The sharpest impact of licensure u...
Article
Does licensure restrict entry fairly, or does it serve as a discriminatory barrier for minorities? The use of the concept of adverse impact, a legally mandated, quantitative tool to assess selection procedures, is a useful mechanism to make such determinations. The results of a study in Michigan of the nursing examination for licensure show how adv...
Article
Thesis (Ph. D.)--University of Wisconsin--Madison, 1988. Vita. Includes bibliographical references (leaves 229-234). Microfiche.

Network

Cited By

Projects

Projects (2)
Project
Informing students and researchers of the latest methods and current issues.