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Providing Incarcerated Youth With A Community Of Their Peers, Providing Resources, And Modeling Healthy Attachment May Lead To Prosocial Behaviors, Emilee Brnusak

University Honors Theses

This thesis examines the connection between gang activity and attachment style. A summary of literature suggests that childhood attachment injuries lead to antisocial, maladaptive relationships and neurological changes that impact executive functioning and emotional regulation. These factors leave youth at higher risk of gang membership. This thesis then explores how an outreach experience at the MacLaren Youth Correctional Facility inspired a large-scale intervention called Resources for Attachment-injured Youth (RAY) that could be implemented in youth prisons across the country.

Prosecutors Or Helpers: An Institutional Ethnography Of Child Protective Services Casework, Anna Maria Rockhill

Dissertations and Theses

Millions of families come into contact with child welfare every year (U.S. Department of Health & Human Services, 2020). The mission of child welfare is to strengthen the ability of families to care for their children and to protect children and provide aid, services, or referrals to families where maltreatment is said to have occurred (Congressional Research Services, 2020). The vast majority of the families who become involved with child welfare are multiply disadvantaged (e.g., Mersky et al., 2009; Sedlak et al., 2010; Testa & Smith, 2009) and child welfare is a key feature of the array of public supports …

Re-Imagining Mandatory Reporting: Professionalization's Complicity, Sam Harrell, Stephanie Wahab

School of Social Work Faculty Publications and Presentations

Mandatory reporting of child abuse is a part of the civil legal system that can activate a policy cascade disproportionately criminalizing racialized and marginalized communities. While social work scholarship has explored ways to increase provider compliance with mandatory reporting laws, there is a dearth of research focused on how social work education guides future providers towards the praxis of mandatory reporting discourses. This article presents findings from a content analysis of social work textbook excerpts focused on mandatory reporting of child abuse in the U.S. We found that textbooks affirm social work’s loyalty to the State by approaching mandatory reporting …

Teaching And Learning Social Change, Amie Thurber, Helen Buckingham, Jordenn Martens, Rebecca Lusk, Darrylann Becker, Stacey Spenser

School of Social Work Faculty Publications and Presentations

How can social work courses prepare students to be scholars of social movements, and also to act in solidarity with movements for social justice? How can graduate programs reimagine the professional socialization of social work students from aspiring for expertise toward a stance of life-long learning? How can instructors more deeply leverage our teaching practice to advance justice in our communities? This paper traces one attempt to answer these questions through a three-quarter graduate social work course designed to deepen students’ skills and knowledge in practices for social transformation, while amplifying existing social justice movements. Drawing on reflections from the …

“The Broker Of Reality”: A Scoping Review Of Moral Reconation Therapy, Sam Harrell, Constance Johnson, Chandler Boys, Brianna Suslovic, Ben Anderson-Nathe, Kassandra Botts

School of Social Work Faculty Publications and Presentations

Purpose: This scoping review aims to identify the evidence-based literature supporting Moral Reconation Therapy (MRT), a cognitive-behavioral treatment program created in 1987 and implemented in correctional-treatment settings across the US. Social work students and practitioners are among MRT’s facilitators.

Method: We analyze the reliability and validity of the most recent meta-analysis of MRT, covering studies published between 1988 and 2010. We then identify 669 potential publications on MRT published between 2011 and 2021.

Results: Our search across Google Scholar and eleven academic databases yielded zero peer-reviewed studies on MRT’s effectiveness or outcomes.

A Critical Discourse Analysis Of How Youth In Care Describe Social Support, Jared Israel Best

Dissertations and Theses

There are nearly 422,000 youth in foster care in the United States with 20,000 aging out each year. Youth who age out of care demonstrate worse outcomes in all areas (education, employment, homelessness, justice system involvement, and social support) compared to the general population. These outcomes represent an ideological production, or a production of knowledge regarding the discursive youth in care. Thus, dominant discourses of youth are informed and constitutive of these problematic outcomes. Similarly, youthhood is dominantly defined by risk and informed by peer groups and social relationships. This study presents findings from interviews with 22 youth preparing to …

The Mechanisms Connecting State Marijuana Policies To Parent, Peer, And Youth Drug Perception Leading To Youth Marijuana Use, Eunbyeor Sophie Yang

Dissertations and Theses

Youth marijuana use, which can lead to numerous health problems, is significantly associated with youth drug perception, which is greatly influenced by state marijuana laws such as medical marijuana legalization and penalty severity. The mediating impact of social drug perceptions on the association between state marijuana laws and youth drug disapproval is not well known. Based on theory of change and primary socialization theory, this study examined the impact of state marijuana laws on youth drug disapproval, the mediating factors of parent and peer drug disapproval, the direct effect of youth drug disapproval on youth marijuana use, and the moderating …

"I'M Very Enlightened:" Assisting Black Males Involved In The Criminal Justice System To Deal With And Heal From Racism, Darnell Jackie Strong

Dissertations and Theses

Black Males who have offended face major challenges stemming from their involvement in the Criminal Justice System. Once involved it is hard to get out, as exhibited by high recidivism rates and mass incarceration, issues that have plagued Black Males since slavery. There is little research on interventions to ameliorate the effects of racism on this population.

The aim of this research was to: a) create a training to help Black Males who have been involved in the Criminal Justice System deal with racism and b) evaluate the intervention. This mixed methods research utilized Constructivist Grounded Theory and Afrocentric theory …

2022 Adult Foster Home Resident And Community Characteristics Report On Adult Foster Homes, Ozcan Tunalilar, Paula C. Carder, Jaclyn Winfree, Sheryl Elliott, Minju Kim, Diana Jacoby, Wafi Albalawi

Institute on Aging Publications

This report describes results from a study of Oregon adult foster homes (AFH), including home and owner characteristics; monthly charges and payment sources; resident characteristics, personal and health-related needs; and owners’ experiences with supports and challenges due to the COVID-19 pandemic. The study’s purpose was to collect and report data that can inform and advise policymakers, state and county agency staff, aging advocates and AFH owners about the status of AFHs in Oregon. The report includes information collected between December 2021 and March 2022 and, where possible, compares it to findings from prior years of this study and to other …

Collaboration Among Vocational Rehabilitation And Mental Health Leaders: Supporting The Vocational Success Of Transition-Age Youth With Serious Mental Health Conditions, Anwyn Gatesy-Davis, Nancy Koroloff, Joseph Marrone, Maryanne Davis

Regional Research Institute for Human Services

Background: The ability of vocational rehabilitation, adult mental health and child mental health service systems to collaborate regarding the employment and career development goals of transition-age youth has not been explored nor has attention been paid to strategies that would increase this collaboration.

Objective: his qualitative study asks leaders from these three systems to describe collaborative activities that support better vocational services for transition-age youth with serious mental health conditions and discuss barriers and facilitators to collaboration.

Methods: Qualitative interviews were conducted with 39 formal and informal leaders in vocational rehabilitation (n = 16), child mental …

Creating Academic-Community Partnerships To Jointly Enhance Advocacy And Research On Violence And Disability: Two Case Examples, Emily M. Lund, Rosemary B. Hughes, Katherine E. Mcdonald, Sandra Marie Leotti, Marsha Katz, Leanne Beers, Christina Nicolaidis

School of Social Work Faculty Publications and Presentations

Objective: This article describes the use of community-based participatory research (CBPR) to foster bidirectional and equitable academic-community partnerships in two studies related to interpersonal violence and disability. Method: We analyzed our methods and experiences in conducting these studies to focus on the ways in which CBPR methodology was used to jointly promote and enhance research and advocacy surrounding violence and disability in the research processes themselves and the resulting assessment and intervention products. Results: Our use of CBPR methodology allowed us to identify and address critical issues related to violence in the disability community, such as disability-related forms and experiences …

Fifth Year Persisters: High School, College, And Early Career Outcomes For Persisting Non-Graduates, Mathew C. Uretsky, Angela K. Henneberger

School of Social Work Faculty Publications and Presentations

There is limited extant knowledge regarding academic and workforce experiences of students who remain engaged in high school, but do not graduate in the traditional four years. The current study used Multilevel modeling and descriptive statistics with statewide linked longitudinal administrative data (N = 2917) to (1) examine the student- and school-level factors related to earning a diploma during the fifth year of high school and (2) describe proximate academic and career outcomes for non-graduates and fifth year graduates. Multiple student-level factors were associated with increased likelihood of earning a diploma in the fifth year (e.g. special education eligibility, passing …

A Colorless Nature: Exploring The Mental Health (Help-Seeking) Experiences Of Pre-Adolescent Black American Children, Christopher Ashley Burkett

Dissertations and Theses

Black American children and adults seeking help for mental health concerns face countless obstacles rooted in systematic oppression, institutional inequalities, and structural disparities; consequently, accessing essential services at much lower rates than their White American counterparts. The unidentified and untreated mental health issues of Black American children and youth can have catastrophic life outcomes for them. Some researchers cite barriers such as stigmatization, negative attitudes toward mental health services, and a lack of culturally relevant treatment models as explanations for these impediments to mental health (help-seeking). It is my contention that these analyses are arguably incomplete, despite having accurate elements. …

Organizational Risk In Multi-Sector Health Partnerships: A Case Study Of Oregon's Accountable Health Communities, Shauna Jean Nicole Petchel

Dissertations and Theses

The literature on collective action has documented that the perception of organizational risk -- both the uncertainty of potential outcomes and the meaning attached to them -- is an important factor in whether and how organizations engage in cross-sector collaborations. Yet there are few examples to date that document how health and social service leaders perceive organizational risks in cross-sector health partnerships focused on social determinants of health, or how their perceptions influence organizational commitment and willingness to engage in these partnerships over time.

This research aimed to fill this gap through a mixed methods case study of health and …

An Expert Discussion On Structural Racism In Autism Research And Practice, Desiree R. Jones, Christina Nicolaidis, Lisa J. Ellwood, Arianne Garcia, Khalilah R. Johnson, Kristina Lopez, T. C. Waisman

School of Social Work Faculty Publications and Presentations

Autism research has a race problem. Despite improvements in screening and diagnosis, autism continues to be underdiagnosed in Black and Hispanic children , and those who obtain a diagnosis often have limited access to support services. Racial disparities persist during the transition to adulthood, with autistic adults from racial and ethnic minority groups experiencing a number of challenges, including lower rates of employment, social participation, and postsecondary education compared to White autistic adults. While these studies highlight the important intersection between race, ethnicity and autism, people of color remain consistently under-represented in autism research , and dialogues regarding the impact …

Prevalence And Correlates Of Transactional Sex Among Women Of Low Socioeconomic Status In Portland, Or, Timothy Menza, Lauren Lipira, Amisha Bhattarai, Victoria Cali-De Leon, E. Roberto Orellana

School of Social Work Faculty Publications and Presentations

Background: Women who report transactional sex are at increased risk for HIV and other sexually transmitted infections (STIs). However, in the United States, social, behavioral, and trauma-related vulnerabilities associated with transactional sex are understudied and data on access to biomedical HIV prevention among women who report transactional sex are limited.

Methods: In 2016, we conducted a population-based, cross-sectional survey of women of low socioeconomic status recruited via respondent-driven sampling in Portland, Oregon. We calculated the prevalence and, assessed the correlates of, transactional sex using generalized linear models accounting for sampling design. We also compared health outcomes, HIV screening, and knowledge …

Determinants Of Motivation For Mentoring Among Adults Volunteering To Mentor Youth, Miriam Miranda-Díaz, Hyuny Clark-Shim, Thomas E. Keller, Renee Spencer

School of Social Work Faculty Publications and Presentations

Most youth mentoring programs rely on volunteers to serve as mentors to youth. This study investigates factors associated with motivations for volunteering in this capacity, specifically altruistic and self-oriented reasons for becoming a mentor. Because adults who volunteer as mentors and youth mentees typically come from different socio-cultural backgrounds, the study examines demographic characteristics associated with these different motivations. In addition, the study addresses the empathy-altruism hypothesis suggesting that individuals with higher levels of empathy exhibit greater altruistic tendencies. For this analysis, the focus is on ethnocultural empathy and its association with volunteer motivations. The sample consisted of 1,000 volunteers …

Inpatient Addiction Medicine Consultation And Post-Hospital Substance Use Disorder Treatment Engagement: A Propensity-Matched Analysis, Honora Englander, Konrad Dobbertin, Bonnie K. Lind, Christina Nicolaidis, Peter Graven, Claire Dorfman, Todd Korthius

School of Social Work Faculty Publications and Presentations

Background

Hospitalizations due to medical and surgical complications of substance use disorder (SUD) are rising. Most hospitals lack systems to treat SUD, and most people with SUD do not engage in treatment after discharge.

Objective

Determine the effect of a hospital-based addiction medicine consult service, the Improving Addiction Care Team (IMPACT), on post-hospital SUD treatment engagement.

Design

Cohort study using multivariable analysis of Oregon Medicaid claims comparing IMPACT patients with propensity-matched controls.

Participants

18–64-year-old Oregon Medicaid beneficiaries with SUD, hospitalized at an Oregon hospital between July 1, 2015, and September 30, 2016. IMPACT patients (n = 208) were matched …

Support From Inside Out: Exploring Whether Various Social Supports Assist In Reducing Prison Rule Violations, Sarah Renee Lazzari

Dissertations and Theses

Scholars argue that prison rule violations are a way to assess whether individuals are engaging in prosocial behaviors. Individuals who engage in prosocial behaviors, during periods of incarceration, are less likely to engage in behaviors that result in official rule violations. Decreasing rule violations is one way to work towards a safer prison environment, while also preparing individuals for release. The current study uses cross-sectional data form the 2004 Survey of Inmates in State and Federal Facilities, in order to examine whether multiple types of prisons programs, which will be framed as various types of social supports, influence the frequency …

Recommendations For Integrating Peer Mentors In Hospital-Based Addiction Care, Honora Englander, Jessica Gregg, Janie Gullickson, Onesha Cochran-Dumas, Chris Colasurdo, Juliet Alla, Devin Collins, Christina Nicolaidis

School of Social Work Faculty Publications and Presentations

Legislators and health systems have recently begun to explore the use of peer mentors as part of hospital-based addiction teams. Integrating peers into hospitals is a complex undertaking still in its infancy. Peers’ lived experience of addiction and its consequences, combined with their distance from medical culture and hierarchy, is at the core of their power – and creates inherent challenges in integrating peers into hospital settings. Successful integration of peers in hospitals has unique challenges for individual providers, health systems, and the peers themselves. We have included peers as part of a hospital-based addiction medicine team at our hospital …

Interrogating The Construction And Representations Of Criminalized Women In The Academic Social Work Literature: A Critical Discourse Analysis, Sandra Marie Leotti

Dissertations and Theses

In the United States today, there are 2.3 million people behind bars in jails and prisons. Mass incarceration has swept up the United States to such a degree that we are known globally for holding more people in correctional facilities than any other country in the world. Although women have always, and still do, reflect a smaller proportion of the correctional population, over the last 40 years, their rates of criminalization and imprisonment have far outpaced that of men's. Drastic increases in the criminalization of women are intimately connected to the entrenchment of social disadvantage enabled under neoliberal globalization. Neoliberal …

Fuse: People With Frequent Utilization Of Public Services In Clackamas County, Oregon: Potential Service Enhancements, Karen Cellarius, Marisa Zapata, Eric Einspruch, Cameron Mulder, Thuan Duong, Aliza Tuttle

Homelessness Research & Action Collaborative Publications and Presentations

The goal of this study was to answer five very specific questions about individuals with high service utilization and the systems that serve them. The data for this study comes from administrative system data, informational conversations and meetings with community partners, formal interviews with service providers, and interviews with consumers with frequent service utilization.

Limitations: The rates of mental illness, addiction and homelessness are likely to be higher than they appear in this report due to the way these characteristics were gathered or recorded in system databases. Historically marginalized populations are increasingly underrepresented in datasets.

Rethinking Services With Communities Of Color: Why Culturally Specific Organizations Are The Preferred Service Delivery Model, Ann Curry-Stevens, Gerald Deloney, Matt Morton

School of Social Work Faculty Publications and Presentations

Racial disparities in social, education and health services continue unabated despite efforts to address them. At the margins of the service delivery system are lesser-known and minimally researched programs known as “culturally specific organizations” that have been developed by and with communities of color. These are organizations that have been developed by a specific community of color and continue to serve that same community of color. This article shares the insights of three leaders in racial equity, who have been immersed in Portland-based organizations for many years: two as organizational leaders and one as an academic research partner. The paper …

Knowledge, Principal Support, Self-Efficacy, And Beliefs Predict Commitment To Trauma-Informed Care, Stephanie A. Sundborg

School of Social Work Faculty Publications and Presentations

Objective: Organizations are identifying trauma-informed care (TIC) as a priority yet implementation is slow. Research suggests commitment to a change effort is an important predictor for change behavior; however, there is little theoretical or empirical evidence exploring commitment to TIC. This study examines the variables that predict affective commitment to TIC including foundational knowledge, principal support, self-efficacy, and beliefs about trauma. Does foundational knowledge independently predict affective commitment to TIC or is this relationship mediated by other variables? Method: Data were collected from 118 participants working in human services, using cross-sectional survey design. Participants completed self-report measures of affective commitment …

Focal Point, Volume 33, Portland State University. Regional Research Institute

Research and Training Center - Focal Point

This issue of Focal Point explores the findings from the local evaluations conducted by Healthy Transitions grantees over the past 5 years as well as present evaluation findings from two other innovative programs for transition-aged youth and young adults. Taken together, the articles in this issue supply service providers and planners across the nation with an indication of the successful outcomes generated by a variety of program approaches.

Wraparound For Older Youth And Young Adults: Providers’ Views On Whether And How To Adapt Wraparound, Janet S. Walker, Caitlin Baird

School of Social Work Faculty Publications and Presentations

Systems of care are increasingly extending eligibility to young adults up to age 24, often using Wraparound as the model for serving young people with the highest levels of need. Over the last few years, as we interacted with providers through our Wraparound-focused training, coaching and technical assistance, we participated in numerous conversations in which providers talked about how they were adapting their Wraparound practice in order to respond to the unique developmental needs of this population. Throughout these conversations, providers consistently affirmed that Wraparound was a valuable approach for working with older youth and young adults. However, many providers …

Youth Homelessness, Katricia Stewart

Homelessness Research & Action Collaborative Publications and Presentations

Youth experiencing homelessness face numerous challenges to maintaining their health while homeless and as they exit homelessness. This includes their physical health, mental health, and well-being. Further, research on the efficacy of various interventions that aim to positively impact the health of homeless youth is limited. The following paper summarizes what is currently understood about the health and well-being of youth experiencing homelessness and concludes with recommendations for interventions, prevention programs, and future research.

Homelessness Count Methodologies Literature Review, Jennifer Lee-Anderson

Homelessness Research & Action Collaborative Publications and Presentations

This literature review on homeless count methods provides a brief history of homelessness in the U.S., an account of count efforts, and an overview of methods used. It illustrates that no method is capable of providing a comprehensive count of the homeless, and all methods have inherent disadvantages that often rely upon flawed assumptions. The practical impact of these counts on policy is substantial. Therefore, this review should encourage discussion as to what data communities need for policy and program development and implementation, and whether homeless counts actually fulfill this need.

Investigating Time During Residential Program Until Transition For Adjudicated Youth: A Mixed Methods Study Using Event History Analysis With Follow-Up Interviews, Emily Carol Lott

Dissertations and Theses

Residential placement is considered the most severe sanction for adjudicated youth, yet there is little consensus on best practices and interventions in residential settings. Demographic trends in the juvenile justice system further exacerbate challenges in studying residential placements. Disparities among minority youth, diverging state definitions of juvenile sex offenses, discrepancies in recidivism measures, and variations in local and state juvenile courts have contributed to a convoluted system that has struggled to identify the meaning of "success" in residential settings.

Building on theories of engagement in residential care and program theory of change, this mixed methods study explores how various components …

Lifetime Economic Burden Of Intimate Partner Violence Among U.S. Adults, Cora Peterson, Megan C. Kearns, Wendy Likamwa Mcintosh, Lianne Fuino Estefen, Christina Nicolaidis, Kathryn E. Mccollister, Amy Gordon, Curtis Florence

School of Social Work Faculty Publications and Presentations

Introduction: This study estimated the U.S. lifetime per-victim cost and economic burden of intimate partner violence.

Methods: Data from previous studies were combined with 2012 U.S. National Intimate Partner and Sexual Violence Survey data in a mathematical model. Intimate partner violence was defined as contact sexual violence, physical violence, or stalking victimization with related impact (e.g., missed work days). Costs included attributable impaired health, lost productivity, and criminal justice costs from the societal perspective. Mean age at first victimization was assessed as 25 years. Future costs were discounted by 3%. The main outcome measures were the mean per-victim (female and …