An increase in student interest in entrepreneurship and leadership jobs upon graduation has prompted the Brown School to offer a new concentration: Social Impact Leadership.

Beginning in the fall of 2020, the concentration will offer MSW students a choice of two tracks: Innovation & Social Entrepreneurship, led by Heather Cameron, the Michael B. Kaufman Professor of Practice in Social Entrepreneurship; or Organizational Leadership & Management, led by Barry Rosenberg, professor of practice. The Innovation & Social Entrepreneurship track will teach students to design, test and launch new programs and ventures that address social and human needs. The track of Organizational Leadership & Management will prepare students for leadership roles throughout existing organizations or in organizational capacity building.

“The Social Impact Leadership concentration is unique in its integration of leadership, management, innovation and entrepreneurial training,” Cameron said. “No other school is doing anything quite like this.”

Rosenberg said while social work students have traditionally been ambivalent or even negative toward leadership, equating it with authority and power, that view is now changing. An increasing number of students are assuming leadership roles in organizations within a short time after graduation and need training for the challenges they encounter. Others see the impact that poor management can have, or seek to start their own organizations.

“Leadership is influencing change and setting direction; management is making it happen,” Rosenberg said. “You need both skills, and I’ve seen a significant increase in students’ desire to pursue leadership and management positions.”

One of those students was Edwin Zuluaga, MSW ’18, who suggested the new concentration after crafting his own version during his time at the Brown School. His individualized concentration was healthcare, with a specialization in Management, which he supplemented with courses at the business and engineering schools. He believes the new formalized concentration will allow more time for leadership training.

“It’s extremely important to have a concentration like this, so students can learn how to implement change,” said Zuluaga, who is now the project manager for performance improvement at St. Louis Children’s Hospital.

Rosenberg said another driver of the interest in the new concentration is a desire for career mobility and financial advancement that management roles can bring. In addition, the job market has a tremendous desire for leadership, especially in St. Louis, he said. Some organizations have relied on business-trained leaders with little knowledge of human services.

“They don’t understand the field the way someone does who is trained as a social worker. These organizations are best led by people who are social workers, if they have leadership training.”

Zuluaga agreed. He found that the leadership skills he acquired at Brown were in demand by businesses that didn’t know social workers had those skills. “I hope the new classes will offer more tools for nontraditional social workers that can be used in business and nontraditional settings,” he said. “You’ll see a whole bunch of social workers making change in corporations and nonprofits.”

The Brown School has a history of fostering leadership and management skills in its graduates. It first offered a Management specialization in 1984. In 2011, the school introduced the Social Entrepreneurship specialization, in coordination with Olin Business School—it was one of the first of its kind at a school of social work.

Leadership has also been the focus of the Bettie Schroth Johnson Scholarship, established in 1987, which supports students interested in management or entrepreneurship. The “Betties” – as they are known – are a self-managed group of MSW students tasked with supporting management learning and organizing monthly informal programs.

The new Social Impact Leadership concentration is aimed at students who want a leadership role upon graduation.

The concentration is offered in a two-year, 60 credit sequence as well as an Advanced Standing, 39 credit sequence that can be completed in 12 months. In addition to other MSW requirements, concentration students take six leadership-focused classes as well as five credits of practicum. Courses such as Financial Management and Revenue Development are required on either track, while others classes are track specific. Students will also have nine elective credits that may be used to earn a specialization or broaden expertise. The concentration’s practicum will include a robust mentoring system, in which students can connect directly with leading non-profit leaders and entrepreneurs.

“At the Brown School we are often told to think outside the box around what social work is and the work we can do,” said Nikki Doughty, MSW ’14. “This new concentration demonstrates the importance of that goal and provides the tools and research-based methods to achieve it.”

Doughty is the Head of School at the City Academy, a private 250-student elementary school that provides scholarship assistance for all students. She was director of alumni support and external partnerships when she enrolled at the Brown School and kept the full-time job through graduation. She was later promoted to her current post, in which her responsibilities include building a healthy organizational culture, personnel development, operations management and finance.

She said her experience at the Brown School developed both human and organizational management skills that enabled her rapid promotion at the school. “Understanding systems, people and operations and how they connect has been life-changing for me,” she said.

Zuluaga’s role at Children’s Hospital is coaching and advising administrative leaders on performance improvement and change management initiatives, a position he received upon graduating. He said his training at the Brown School enabled him to interact immediately with senior leaders with much more experience. Especially useful was a course in Social, Economic and Political Environment taught by Anna Shabsin, teaching professor; and Brown Consulting, taught by Rosenberg.

“The key to success for a young leader is you really need to have those soft skills in place and be able to quickly learn the culture of an organization and build rapport with leaders to gain trust and commitment,” he said. “You need to be able to influence without authority. You have to understand what other people’s motives might be, what their interests are, and be able to make ‘humble inquiry’ of others.”

“I use the tools I was taught at the Brown School every day. They really work.”

The Affordable Care Act’s dependent-coverage provision (DCP) has had a positive impact on coverage for young adults with cancer, according to new research from the Brown School.

Researchers analyzed national data on more than 120,000 cancer cases diagnosed in patients aged 19-29. About 75,000 were eligible for insurance under the dependent-coverage provision of the ACA that went into effect in 2010 and required insurance plans to allow coverage of young adults on their parent’s policies up to age 26.

Those patients were more likely to be insured than young adult patients not covered by the law’s provision, the study found. The positive impacts were observed across subgroups, with larger insurance gains in young males than females, and a lower impact among people living in the least-educated areas.

Cancer is diagnosed annually in about 75,000 U.S. adolescents and young adults aged 15 to 39, and about 9,000 die from cancer each year. Progress in improving survival rates for this group has been slower than in other age groups, in part due to relatively lower health insurance coverage rates, especially in lower socioeconomic groups.

“To our knowledge, this is the first study examining differences in the DCP impact based on sociodemographic and economic factors among young adult cancer patients diagnosed across the United States,” wrote Kimberly Johnson, the study’s senior author and associate professor at the Brown School.

The paper was published online November 6 in Cancer Causes & Control.

Social and physical modifications can make aging in place more accessible at the same time they positively impact cognitive function in older adults living alone, finds a new study from the Brown School at Washington University in St. Louis.

“Disabled older individuals living alone were likely to experience a decline in cognitive function over time,” said Sojung Park, assistant professor and lead author of the study “Home Environment, Living Alone, and Trajectories of Cognitive Function Among Older Adults With Functional Limitations,” published last month in the journal Environment and Behavior.

“However, the detrimental effects of living alone were moderated when the home was equipped with supportive features and accessibility,” she said.

Some examples cited in the paper include widening doorways, adding ramps or a first floor bathroom, and installing grab bars and handrails.

The study aimed to investigate the effects of Person-Environment Fit, the degree to which individual and environmental characteristics match, on trajectories of cognitive function.

“Our study is one of the first to examine trajectories of cognitive health among functionally vulnerable older adults in the context of the compensating role of home environment,” Park said.

The researchers used data from Health and Retirement Study (1998-2010), focusing on people 65 and above who had at least one limitation in activities of daily living. Using longitudinal mixed-effect modeling, they analyzed the effects of living in supportive home environments on trajectories of cognitive function over time.

The findings reveal the importance of home modifications for socially and physically vulnerable elders, Park said.

“We focus on two areas that have been understudied,” she said. “First, most studies on home modification have not examined to what extent the living arrangements of older adults, such as living alone, affect their health. The physical home environment, including in-home features and accessibility, is more important to older individuals with limited functional ability, but the degree to which these elders can adapt may depend on their living arrangement. This is especially relevant as social factors are known to be important for later year cognitive health and are affected by living arrangements,” Park said.

“Second, most existing studies are cross-sectional or followed up for a short period and are limited in their ability to make causal arguments about the benefits of home modifications,” she said.

“Our findings reveal the importance of home modifications for socially and physically vulnerable elders.”

​Youths resettling in the U.S. from war-torn areas of the Middle East and North Africa can be helped by school- and community-based mental health and psychosocial supports, according to recent research from Lindsay Stark, associate professor at the Brown School. 

Researchers held focus-group discussions with youths from Iraq, Syria and Sudan who had resettled in Austin, Texas, and Harrisonburg, Virginia, two cities with relatively high numbers of refugees. They also interviewed caregivers and key informants, including teachers, service providers and staff from community-based organizations.

Resettled children not only struggle with potential psychological distress resulting from repeated exposure to violence, family separation and the loss of their social supports, but also face challenges as they adapt to new social norms in their new communities, including prejudice and discrimination as outsiders and a stigma toward mental health treatment from within their own communities.

Some adults and youths described symptoms such as depressive feelings, anxiety, sleeplessness, and aggressive behavior. The research revealed promising efforts to help, including sheltered instruction, school-parent collaboration, peer support programs, social and emotional learning initiatives and integrated mental health centers.

 “While this study underscores the resilience of newcomers and the value of local support systems, it also reflects the importance of investment in schools, mental health systems, and resettlement programs that can enable newcomers to achieve their full potential,” wrote Stark.

The study was published October 21 in Conflict and Health.

The year 2019 marks 400 years since the first documented arrival of Africans in the United States—an important, tragic milestone in our nation’s shared history.

In alignment with a national agenda to recognize the significance of this anniversary, Washington University in St. Louis hosted The 400 Years Plus trilogy, a three-part series that explored the various aspects of the Black experience from historical and current perspectives through speakers, performers, and special guests. The events were held in conjunction with the University Libraries’ Mary Curtis Horowtiz Lecture for Civic Engagement and Social Policy.

“The purpose of the series was to acknowledge the incredible history of struggle, resiliency, and contributions of Blacks, and to reflect on Black identity and progress in the next century,” said Mary McKay, Neidorff Family and Centene Corporation Dean of the Brown School.

“The university and the Brown School wanted to honor this anniversary by reflecting on the past and promoting continued momentum for social justice and racial equity,” she said. 

This trilogy was made possible with the visionary leadership of Jack Kirkland, associate professor at the Brown School and co-founder of Black Studies at Washington University. Kirkland is an internationally known scholar who studies and lectures on the African American family and social and economic development. 

The events were held in culturally significant months: February (Black History Month), June (Juneteenth, the anniversary of the announcement of the abolition of slavery) and November (the month of national elections). Each event featured hundreds of guests coming together in community at Graham Chapel and a significant keynote speaker, as well as additional commentary from university and community representatives. Performances included the Missouri AME Conference Choir and Better Family Life’s Kuumba Youth Performance Ensemble dance troupe. 

Said Kirkland: “For me, this series of events is a personal reflection, a recall of the many committed and dedicated Black comrades who a half century ago were advocates for change and progress. … I reflect upon many events of personal courage that have taken place on this campus. Many who today tread these halls are completely unaware that their very presence here at Washington University was that of a heroic uplift upon the mighty shoulders of the ‘pioneers.’ It was they who boldly put their futures on the line so that any future gathering here would one day be of full ethnic diversity.”

For further information about each of the events from the Trilogy, and Kirkland’s powerful statements at each, please see below.

February 10: Black Struggle, Resiliency and Hope for the Future, with featured speaker Wesley Bell, newly elected St. Louis County Prosecutor

St. Louis County Prosecutor Wesley Bell

Read Jack Kirkland’s February Statement

Watch the full event 

June 2, 2019: Civil Rights: Past and Present , with Dr. Cornell Brooks, Former NAACP President 

Dr. Cornell Brooks

Read Jack Kirkland’s June Statement

Watch the full event

November 10, 2019: 400 Years Forward: Freedom in Our Time, with Karine Jean-Pierre, NBC and MSNBC political analyst

Karine Jean-Pierre

Read Jack Kirkland’s November Statement

Watch the full event

Statements from the chair, Jack A. Kirkland, on each event in the 400 years trilogy

Black Struggle, Resiliency, and Hope for the Future:  February 10, 2019

How could we not celebrate the year 2019, which marks 400 years of history recorded of Blacks in America since 1619? Not to do so would be to sustain that America evolved independent of the Black understructure in its expansion into the regions of agriculture, becoming the backbone of great wealth upon which this great country now stands. This expanded America into rice, tobacco, and cotton for exporting and importing. This great venture evolved slave labor, which gave America the great economic under footing that introduced this nation to the world as an equal, and later, as a leader. 

These 400 years have been a Black struggle for full citizenship, offered first by the Constitution as 3/5 a human – later, in the Civil Rights movement, 4/5 citizenship, and now with this current epic struggle Blacks are seeking 5/5 acceptability and full citizenship. Why the Plus after 400 years? Because American Public Schools have been very unkind in the search for the truth, allowing untruth to flourish that Blacks arrived in America as slaves. Not so, Blacks arrived in America as Indentured Servants, much as most Europeans did. It is because of the “Black Codes,” and because Blacks were easily identified physically that many were later bought, sold, and conscripted for free labor. The truth of the matter is that Blacks were explorers on the North American shores long before Columbus. Blacks traveled alongside many explorers with whom many readers are familiar, as sailors and officers. This is a historical fact, cleverly hidden in much of the history to which most Americans are still exposed. 

For me, this series of events is a personal reflection, a recall of the many committed and dedicated Black Comrades who a half century ago were advocates for change and progress. These men and women I stood on the shoulders of who first started the chant on this campus for change, shouting “We demand Black Studies!” These were among the early groups that reflected, “Black is Beautiful.” They have successfully pursued varied careers and are now in different places but are still vigilant in their demands for social justice. They defy injustice and are staunch defenders of equality. 

I reflect upon many events of personal courage that have taken place on this campus. Many who today tread these halls are completely unaware that their very presence here at Washington University was that of a heroic uplift upon the mighty shoulders of the “pioneers.” It was those who boldly put their futures on the line so that any future gathering here would one day be of full ethnic diversity. As evidence of their own scholastic prowess, they solemnly declared that academic honors would hang in halls of every arena of scholastic endeavor undertaken on behalf of African American scholars. 

I salute and give thanks to Dr. Robert L. Williams who in 1970 became Director of the Black Studies Program at Washington University and add my appreciation for inviting me to be his Associate Director and Co-founder in this endeavor. A special thanks to Cynthia Cosby who served the administrative role that kept us focused in the midst of this great transformation, in making this great University relevant and ever forward in its commitment to social justice. Almost 50 years ago, after the result of protests and demands made for the Black Studies Program, there have been many similar protests, all building upon the foundation that the history, culture, and heritage of Blacks anywhere are equal to that of other ethnicities everywhere. 

To God be the Glory … Stamina and Perseverance.

Civil Rights: Past and Present: June 2, 2019  

Welcome fellow Civil Rights advocates: If you are a veteran of sit-ins and demonstrations against open and/or subtle racism or you stood up against social injustice in any way – big or small – you are a Civil Rights advocate and welcome here. 

In the second episode of our Trilogy, the emphasis is Civil Rights. We will regroup, pause to take a deep breath, and take a strategic view of where we are and how long it will take us to get to where we must go. Looking back, we have covered much ground. This reflection is one way to reassess the journey. But for progress the forward march is forever uphill; the coveted view is always from the top, and the goal is to surge to the horizon. Progress is not evaluated by overcoming the bumps, stumbles and obstacles along the way. It is how smooth you make the way, how straight you make the path, how well you mark the course, and how indelibly you blaze the trail for generations to follow. What were the hopes of yesterday that we had as a people, and what are our realities of today? Where are we now in accomplishments? Is there a need to retake ground that we have already fought for and won? Is there a need for retrenchment just to hold on to caveats of freedom? Is there sacred red soaked ground that we have won and will never give up? For the “NOW GENERATION,” what are the assurances that what was won will never be surrendered, no – not one centimeter? What are those activities so costly undergone that we solemnly declare that the smallest of victories are not for barter, sale or compromise at any price? In the most historic combat undertaken in the history of this country, what is the sacred ground relentlessly secured, now held in the shadow of generations of blood stains? This was the great battle to enlist all Americans, fighting for the release of the fiercely held American dogma, “slave mentality.” The Civil Rights Movement was launched to release the nation of its racial illness, to allow it to ascend to its highest capacity, and to restore human sanity. We now are all embarking from being 4/5 of a human, to becoming fully 5/5 human beings: Americans all. Those enlisted in the fight for civil rights range from the rank and file to generals and field commanders; to little Black girls in Alabama, united in seeking the best strategy of how to stand against the torrents and thrust from water cannons all in service to march and declare in the face of social injustice, “We will not be moved.” 

We are far from victory today and miles from where we are determined to arrive. Our destination is stated by our most highly proclaimed sovereign national documents – that all people in America have the right to life, liberty and the pursuit of happiness. We demand that our names be boldly written in as free and equal in every jot and title, citing equal protection. It must be written not only in prose, but in every verse as fact and truth. It must have actual meaning for all Americans with no exceptions. 

Some are here because we are victims, and some are here because you know that you are complicit in what has and never should have happened. You may not have been visible contributors to this great tragedy that has gone on far too long in America – but you know that you have lived the nightmares of this injustice, and have, yourself, become victims of the tragedy. 

So let it be resolved that there are no retirees in the Civil Right Movement. We have all been recruited into the human rights struggle. The battle has been enlarged. We Blacks know what Dr. Martin Luther King Jr. knew, that in our endeavor to save ourselves and America from institutionalized racism we must save our oppressors, or we all are lost. 

We will never be discharged from duty. We have only changed our uniforms and added to those in our collective army. We still identify the same enemy – social injustice. We do not pause to refer to those bad days as though we have progressed beyond their existence. Not having equal and fair education, not being afforded equal access to the voting franchise, and being blocked by other institutionalized racist endeavors is sending us backwards. As the wealth gap widens between Black and White America, and the degrading ramifications that ensue as a consequence of exclusion, our battle is continuous and ever upward. And, without the full input of the ability, capability, energy and imagination of a disengaged, marginalized Black America, the economic engine called free enterprise slows down for all Americans, and crawls and inches along, until the great many of us will have to all get off and walk. If not this generation then the next.

Four Hundred Years Forward: Freedom in Our Time: November 10, 2019

The Right to Vote – to be “guaranteed and protected” to do so – is the signet evidence of full citizenship. Solomon might have said, ‘Voting’ “is the principal thing – but with all thy getting get understanding.” 

If you have children, you have probably heard this familiar monotonous chant, uttered in full exasperation, from back seats of your vehicles while traveling excitedly and anticipating arrival at a desired destination – a park or Grandma’s house –“Are We There Yet?” 

“No, not yet,” is the usual reply, most frequently and emphatically stated by the driver.  This same question takes on a more somber tone when asked, also with some measure of exasperation, by “Blacks in America,” for over one-and-a-half centuries, about our rights as humans and full citizens of the United States of America. The question is particularly salient when asked in voting booths and polling places, where our rights are not only challenged, and our power threatened, but we are made to feel like foreigners in our own land. 

We have been traveling for a long time in a similar vehicle of promise, on a long and circuitous journey to “Freedom and Equal Justice.” The promise of arrival at such a destination is just over the horizon. Yet, time and time again, our experiences, our outcomes, our lives demonstrate that we have many more miles to go. 

How much further until we gain equal access and opportunity? How much further until we arrive at a country, a region, marked by racial equity? How much further until all institutions open their doors wide to us, regardless of race, ethnicity or pigmentation? Are we still making detours, swerving between de facto and de jure segregation? Where is the sign which reads, this turn “free of gerrymandering,” and the question of citizenship, identifiable by all reasonable accord and evidence, one is still denied the right of the franchise. To block, hinder, or deny the vote to a fellow countryperson, who otherwise qualifies by every echelon of criteria, does not just reduce the meaningful citizenship for that single person – no, it threatens and demeans the value to the entire institution of citizenship. 

After centuries of nation building, race remains a justification by which our rights and rewards are defined, by which we continue to measure the value of human life, and negate the contributions of hundreds of thousands of lives. There is a deep stain on America, from the blood and sweat equity stolen from our ancestors, stolen from us still, and utilized in the building of this nation. From domestic wars to foreign wars – we have fought to sell a dream, a dream that Blacks in America have been denied. We have pillaged and bartered the world’s great resources – in exchange for the ideal that equality of opportunity is available to any American. At what great cost have we sold the world a dream that this country has yet to realize? 

As we are all aware, this great dream is defined by the right to participate in the democratic process and what is more democratic than the right to vote? What is more salient to our citizenship than enshrining this right in law and policy? This small yet very powerful way in which we give voice and representation to our humanity, to our personal and political interests, to our communities. And yet, it remains under threat and challenge. Why does, qualified voting, without complications, make the arrival at the destination so complex? 

How many times throughout history have Blacks been offered this unblemished promise – the right to vote? Freedom to participate in a hard won democratic process, without complications, only to see it fade in the sun, another empty promise, withering away under the shadow of our hope for liberation. 

Freedom to vote is, explicitly, the freedom to “be free and feel free,” indeed, and does not make any distinctions of any artificial or imaginary differences. And, with all of the bona fide, diverse ethnics within this Republic, on board of this vehicle of “representative democracy,” and yet on this journey to a more perfect union for 230 years plus, I say – let’s all on board be excited by the arrival – and no, America – “we are not there yet.”

Higher levels of air pollution in St. Louis are associated with neighborhoods with high levels of poverty, unemployment and segregation, finds a new study from the Brown School at Washington University in St. Louis.

“We found that  approximately 14% of census tracts in the region had elevated cancer risk due to air toxics,” said Christine Ekenga, assistant professor at the Brown School. The study, “Cancer Risk From Air Toxics in Relation to Neighborhood Isolation and Sociodemographic Characteristics: A Spatial Analysis of the St. Louis Metropolitan Area, USA,” was recently published in the journal Environmental Research.

“Census tracts with the highest levels of both racial isolation of blacks and economic isolation of poverty were more likely to be located in air toxic hotspots than those with low combined racial and economic isolation,” said Ekenga, lead author and an expert in environmental and occupational health. Her research focuses on the epidemiology of chronic diseases such as cancer.

Ekenga and her co-authors obtained lifetime air toxics cancer risk data from the United States Environmental Protection Agency’s National Air Toxic Assessment.

They used geographic information systems to identify statistically significant clusters of census tracts with elevated all-site cancer risk due to air toxics in the St. Louis metropolitan area. Relative risks were estimated for the association between neighborhood characteristics and air toxic hot spots.

“These findings provide strong evidence of unequal distribution of carcinogenic air toxics in the St. Louis metropolitan area,” Ekenga said. “The results may be used to inform public health efforts to eliminate sociodemographic inequalities in exposure to air pollutants.”