@article{marshall_kahana_gallo_stansbury_thielke_2021, title={The price of mental well-being in later life: the role of financial hardship and debt}, volume={25}, ISSN={["1364-6915"]}, DOI={10.1080/13607863.2020.1758902}, abstractNote={Abstract Objective This study investigated the associations between various financial hardship and debt indicators and mental health status among older adults. Methods Using data from the Health and Retirement Study (HRS), we considered the association between different forms of financial hardship and debt of those who were identified as having high levels of depressive symptoms (N = 7678) and anxiety (N = 8079). Financial hardship indicators: difficulty paying bills, food insecurity, and medication need; debt indicators: credit card and medical debt. Associations were tested using multiple logistic regression analyses and are reported as relative risk (RR) ratios and 95% confidence intervals (CIs). Results Participants who had difficulty paying bills were more likely to have high levels of depressive symptoms (RR = 2.06, CI = 1.75–2.42, p < 0.001) and anxiety (RR = 1.46, CI = 1.02–2.05, p < 0.001) compared to those who did not have financial difficulty. Similarly, medical debt was associated with depressive symptoms (RR = 1.43, CI = 1.14–1.74, p < 0.01) and anxiety (RR = 1.20, CI = 0.96–1.50, p < 0.01). Credit card debt was not significantly associated with either mental health outcome. Conclusion Indicators of financial hardship and medical debt were associated with depressive symptoms and anxiety in a cohort of older adults. In contrast, the influence of credit card debt appeared to be more complex and vary by individual. These findings indicate that doing without meeting personal salient needs has a particularly adverse effect on psychological well-being.}, number={7}, journal={AGING & MENTAL HEALTH}, author={Marshall, Gillian L. and Kahana, Eva and Gallo, William T. and Stansbury, Kim L. and Thielke, Stephen}, year={2021}, month={Jul}, pages={1338–1344} }
 @article{beecher_stansbury_2019, title={Raising Awareness of Problem Gambling with Child Welfare Workers}, volume={19}, ISSN={["1533-2578"]}, DOI={10.1080/1533256X.2019.1653717}, abstractNote={Although there has been an increase in problem gambling in the U.S., there is a lack of scholarship engaging practitioners, specifically child welfare practitioners. Child welfare practitioners may be the problem gambler’s first point of contact in the social welfare system. This exploratory study evaluated the impact of a problem gambling training intervention on child welfare workers’ capacity to detect, screen, and refer clients with gambling related problems. The results indicated that workers (N = 21) significantly increased their knowledge and recognition of problem gambling behaviors from pretest to posttest, but most of these knowledge gains were not sustained after 3 months. The motivation construct was significant across three timeframes and the behavioral items increased from posttest to 3 month follow-up, although not significant. Findings suggest that the intervention had more of an enduring change in participant’s motivation and behavior than it did on participant’s knowledge.}, number={4}, journal={JOURNAL OF SOCIAL WORK PRACTICE IN THE ADDICTIONS}, author={Beecher, Blake and Stansbury, Kim L.}, year={2019}, month={Oct}, pages={368–386} }
 @article{stansbury_marshall_hall_simpson_bullock_2018, title={Community engagement with African American clergy: faith-based model for culturally competent practice}, volume={22}, ISSN={["1364-6915"]}, url={https://publons.com/wos-op/publon/10967749/}, DOI={10.1080/13607863.2017.1364343}, abstractNote={ABSTRACT Objective: The intent of this exploratory qualitative study was to examine African American Baptist clergy's pastoral care to older congregants with mental disorders. Critical Race Theory was the guiding framework in this study. Method: A purposive sample of 18 African American clergy participated in one-on-one interviews. Results: Collectively, all participants were active in the provision of mental health to older congregants with mental disorders. The primary emergent theme ‘shepherding the flock’ the central phenomenon uncovered in the data, was used to organize a model of pastoral care, which is presented in this paper. Findings from this study supported results from previous studies on the integral role of the Church and clergy in the African American community. Conclusion: Moreover, this study highlights the importance of internal ministries in the Church and the need for further study and potential partnership opportunity.}, number={11}, journal={AGING & MENTAL HEALTH}, author={Stansbury, Kim L. and Marshall, Gillian L. and Hall, Jodi and Simpson, Gaynell M. and Bullock, Karen}, year={2018}, month={Nov}, pages={1510–1515} }
 @article{jones_simpson_stansbury_2018, title={Informal support experiences of older African-American gay men living with HIV/AIDS}, volume={30}, ISSN={["1540-4056"]}, DOI={10.1080/10538720.2018.1463886}, abstractNote={ABSTRACT In lesbian, gay, bisexual, and transgender (LGBT) scholarship, there is paucity in empirical literature documenting the specific ways in which HIV-positive African-American gay men and lesbian women seek social support from caregivers, family, friends, and intimate partners. We know minimal information about how older African-American HIV-positive gay men negotiate intersections of race, age, and sexuality to gain access to informal social support. The purpose of this study was to explore and understand the informal social support experiences among African-American gay men that are 50 years old and older living with HIV/AIDS. A qualitative hermeneutic phenomenology data collection process included the in-depth, face-to-face interviews of 12 African-American males, ages 50 and over, diagnosed with HIV/AIDS from agencies that provided services to HIV/AIDS populations. Upon completion of data collection and transcription, the data were extracted, organized, and analyzed. Due to their multiple positions in society, older African-American gay men living with HIV/AIDS had fashioned a fragile system of support captured a loss of informal social support and relied mostly on formal social supports. From a macro implications perspective, interdisciplinary teams can help build an inclusive systematic environment for older African-American gay men living with HIV/AIDS.}, number={3}, journal={JOURNAL OF GAY & LESBIAN SOCIAL SERVICES}, author={Jones, Rod'rica M. and Simpson, Gaynell M. and Stansbury, Kim}, year={2018}, pages={209–219} }
 @article{simpson_stansbury_wilks_pressley_parker_mcdougall_2018, title={Support groups for Alzheimer's caregivers: Creating our own space in uncertain times}, volume={16}, ISSN={["1533-2993"]}, DOI={10.1080/15332985.2017.1395780}, abstractNote={ABSTRACT Older men are often excluded from family caregiving research despite the steady increase in the number of husbands assuming primary caregiving roles. We explored perceptions of older, male caregivers’ experiences with caring for a wife with Alzheimer’s Disease (AD) and examined what aspects of the support group were beneficial. Our qualitative research methods invited six caregivers ranging in age from 74 to 85 years to narratively construct their perspectives on caring for their wives with Alzheimer’s Disease and benefits of participation in an all-male support group. Thematic analyses revealed caregivers faced several transitions. “Losses related to their personal relationships with their wife, family, and self,” captured as loss of golden years. The second area, benefits and improvements of support groups, were captured in the following theme: “creating our own space,” which included two sub-themes: “releasing our frustration” and “developing coping strategies.” There was also “Gendered experience of caregiving.” This study revealed that male caregivers benefited from the support and company of other men in similar caregiving situations. Results from this study have implications for health care professionals for the development of psychosocial educational groups aimed at providing support to male caregivers.}, number={3}, journal={SOCIAL WORK IN MENTAL HEALTH}, author={Simpson, Gaynell M. and Stansbury, Kim and Wilks, Scott E. and Pressley, Tracy and Parker, Michael and McDougall, Graham J., Jr.}, year={2018}, pages={303–320} }
 @article{stansbury_peterson_beecher_2013, title={An exploration of mental health literacy among older African Americans}, volume={17}, ISSN={1360-7863 1364-6915}, url={http://dx.doi.org/10.1080/13607863.2012.724652}, DOI={10.1080/13607863.2012.724652}, abstractNote={The intent of this exploratory descriptive study was to examine mental health literacy (MHL) with 28 African American elders who reside in Kentucky. Collectively, all elders were partially literate of mental disorders and familiar with self-help and professional interventions and Alzheimer's and depression were the most recognized mental disorders. An awareness of MHL is an essential first step to understanding African American elders’ views about mental health which then can facilitate the design and development of culturally relevant psychoeducational programs geared to this subset of the aging population.}, number={2}, journal={Aging & Mental Health}, publisher={Informa UK Limited}, author={Stansbury, Kim L. and Peterson, Tina L. and Beecher, Blake}, year={2013}, month={Mar}, pages={226–232} }
 @article{stansbury_harley_king_nelson_speight_2012, title={African American Clergy: What are Their Perceptions of Pastoral Care and Pastoral Counseling?}, volume={51}, ISSN={0022-4197 1573-6571}, url={http://dx.doi.org/10.1007/S10943-010-9413-0}, DOI={10.1007/S10943-010-9413-0}, number={3}, journal={Journal of Religion and Health}, publisher={Springer Science and Business Media LLC}, author={Stansbury, Kim L. and Harley, Debra A. and King, Lois and Nelson, Nancy and Speight, Gillian}, year={2012}, month={Oct}, pages={961–969} }
 @article{stansbury_beecher_clute_2011, title={African American Clergy's Perceptions of Mental Health and Pastoral Care to Elder Congregants}, volume={30}, ISSN={1542-6432 1542-6440}, url={http://dx.doi.org/10.1080/15426432.2011.542717}, DOI={10.1080/15426432.2011.542717}, abstractNote={The purpose of this qualitative descriptive study was to explore African American clergy's perspectives on gerontological mental health and pastoral care to elderly congregants. Interviews were conducted with 18 African American clergy in Kentucky. Data analysis revealed two salient themes: holistic health and holistic pastoral care. These findings have implications for training and continuing education of clergy, in addition to the need for increased collaboration among social workers and clergy.}, number={1}, journal={Journal of Religion & Spirituality in Social Work: Social Thought}, publisher={Informa UK Limited}, author={Stansbury, Kim L. and Beecher, Blake and Clute, Mary Ann}, year={2011}, month={Feb}, pages={34–47} }
 @article{stansbury_2011, title={Men of the Cloth: African-American Clergy's Knowledge and Experience in Providing Pastoral Care to African-American Elders with Late-Life Depression}, volume={20}, ISSN={1531-3204 1531-3212}, url={http://dx.doi.org/10.1080/15313204.2011.622200}, DOI={10.1080/15313204.2011.622200}, abstractNote={African-American clergy's ability to recognize late-life depression and their capacity to provide support with this illness have been neglected in the literature. Using a mental health literacy framework, the purpose of this research was to explore African-American clergy's knowledge of and treatments for late-life depression. In-depth interviews were conducted with nine African-American clergy who oversaw churches in central Kentucky. Collectively, all clergy were literate and aware of the need to provide support to elders with late-life depression. This study seeks to further clarify the role of African-American clergy and their understanding of late-life depression to inform future interventions and better collaborative relationships.}, number={4}, journal={Journal of Ethnic And Cultural Diversity in Social Work}, publisher={Informa UK Limited}, author={Stansbury, Kim L.}, year={2011}, month={Oct}, pages={297–311} }
 @article{stansbury_harley_brown-hughes_2010, title={African-American Urban Clergy's Literacy of Alzheimer's Disease}, volume={8}, ISSN={1533-2985 1533-2993}, url={http://dx.doi.org/10.1080/00981380902735033}, DOI={10.1080/00981380902735033}, abstractNote={The purpose of this descriptive study was to determine urban African-American clergy's awareness of Alzheimer's disease and willingness to provide support to elders and their family/caregivers. Interviews were conducted with nine African-American clergy who presided over churches in central Kentucky. Collectively, all clergy had previous experience providing pastoral care to adults with Alzheimer's disease and were literate regarding its treatment. Study findings also revealed clergy were inclined to partner with their internal “health care” ministries and/or members with specialized knowledge of mental health services in an effort to provide education and emotional support to congregants in need. These findings have implications for social workers building collaborative community treatment relationships.}, number={3}, journal={Social Work in Mental Health}, publisher={Informa UK Limited}, author={Stansbury, Kim L. and Harley, Debra A. and Brown-Hughes, Travonia}, year={2010}, month={Apr}, pages={254–266} }
 @article{stansbury_marshall_harley_nelson_2010, title={Rural African American Clergy: An Exploration of Their Attitudes and Knowledge of Alzheimer's Disease}, volume={53}, ISSN={0163-4372 1540-4048}, url={http://dx.doi.org/10.1080/01634371003741508}, DOI={10.1080/01634371003741508}, abstractNote={Rural African American clergy's ability to recognize Alzheimer's Disease (AD) and their capacity to provide support to elders with this illness has been neglected in the literature. Using a mental health literacy framework, the purpose of this research was to explore rural African American clergy knowledge and beliefs of AD. In-depth interviews were conducted with 9 African American clergy who oversaw churches in central Kentucky. Although few had direct experience with providing pastoral care to elders with AD, all clergy were literate and aware of the need for additional training. This study seeks to further clarify the role of African American clergy and their understanding of AD to inform the future development of appropriate interventions and establish better collaborative community treatment relationships.}, number={4}, journal={Journal of Gerontological Social Work}, publisher={Informa UK Limited}, author={Stansbury, Kim L. and Marshall, Gillian L. and Harley, Debra A. and Nelson, Nancy}, year={2010}, month={Apr}, pages={352–365} }
 @article{teaster_stansbury_nerenberg_stanis_2009, title={An Adult Protective Services' View of Collaboration With Mental Health Services}, volume={21}, ISSN={0894-6566 1540-4129}, url={http://dx.doi.org/10.1080/08946560903004821}, DOI={10.1080/08946560903004821}, abstractNote={Mental Health Services (MHS) meet mental health needs of older adults through active, outpatient, community-based care. Adult Protective Services (APS) are involved with needs of older adults who have mental disability and mental illness. Adult Protective Services and MHS staff may to work together when they respond to the needs of victims and adults at risk for abuse, neglect, self-neglect, and exploitation. The purpose of this study was to understand effective APS–MHS collaborations (e.g., leadership, organizational culture, administration, and resources in predicting success). A survey that was sent to members of the National Adult Protective Services Association (NAPSA) revealed that both APS and MHS have strong commitments to protecting clients' rights and autonomy, but there appear to be differences between the two with regard to implementation, apparent in cases involving clients with diminished mental capacity who are at imminent risk, but who refuse help. Strengths of APS–MHS collaborations included improved communication and better service for at-risk clients.}, number={4}, journal={Journal of Elder Abuse & Neglect}, publisher={Informa UK Limited}, author={Teaster, Pamela B. and Stansbury, Kim L. and Nerenberg, Lisa and Stanis, Patricia}, year={2009}, month={Oct}, pages={289–306} }
 @article{brown-hughes_harley_stansbury_2009, title={Rural African American clergy: Are they literate on late-life depression?}, volume={13}, ISSN={1360-7863 1364-6915}, url={http://dx.doi.org/10.1080/13607860802154424}, DOI={10.1080/13607860802154424}, abstractNote={This exploratory study examined rural African American clergy's knowledge of and experience in providing support to African American elders with late-life depression. Interviews were conducted with nine African American clergy who oversaw rural churches in central Kentucky. Jorm and colleagues provide a conceptual framework for mental health literacy to explore participants’ knowledge of late-life depression. Although few clergy had direct experience with counseling a depressed older adult, all the clergy were considered literate regarding late-life depression and its treatment. These findings have implications for social workers building collaborative community treatment relationships.}, number={1}, journal={Aging & Mental Health}, publisher={Informa UK Limited}, author={Brown-Hughes, Travonia and Harley, Debra A. and Stansbury, Kim L.}, year={2009}, month={Jan}, pages={9–16} }
 @article{stansbury_schumacher_2008, title={An Exploration of Mental Health Literacy Among African American Clergy}, volume={51}, ISSN={0163-4372 1540-4048}, url={http://dx.doi.org/10.1080/01634370801967596}, DOI={10.1080/01634370801967596}, abstractNote={ABSTRACT The purpose of this qualitative study was to explore African American clergy's mental health literacy with older congregants 60 years of age and older. Using a grounded theory approach, we recruited a purposive sample of 9 African American clergy representing diverse ages, denominations, locales, and educational levels. Data was coded and classified according to Kevin's (1976) typology of pastoral counseling and Jorm et al.'s (1997) conceptual model of mental health literacy. Findings from data analysis revealed study respondents were adherents of Kevin's Religious–Community (R–C) model. Additionally, the following themes emerged: loss of cognitive functioning, psychosocial stressors, religiosity, and appreciation for professional assistance, cultural barriers, and key informants/familiarity with formal mental health providers which partially maps onto Jorm et al.'s conceptual model of mental health literacy.}, number={1-2}, journal={Journal of Gerontological Social Work}, publisher={Informa UK Limited}, author={Stansbury, Kim and Schumacher, Mitzi}, year={2008}, month={Jun}, pages={126–142} }