Medicine and Health Sciences Commons^™

2022 Community Needs Assessment Of Klamath County Residential Services And Housing Needs, Karen Cellarius, Aliza Tuttle, Jennifer Blakeslee

Regional Research Institute for Human Services

The PSU Regional Research Institute for Human Services (RRI) was asked by Klamath Basin Behavioral Health (KBBH) and the Oregon Health Authority (OHA) to conduct a community-wide needs assessment focusing on residential services and housing needs for populations that (1) Have behavioral health needs, and (2) Identify with a community experiencing inequities in access to health care resources.

The assessment was conducted in collaboration with KBBH and other community partners. Data sources included key informant interviews, written surveys of individuals impacted by mental health challenges and/or housing needs, and focus groups with representatives from underserved communities in Klamath County, Oregon. …

Tools For Addressing Intimate Partner Violence And Suicide Risk: Lessons Learned From Oha’S Covid-19 Emergency Response For Suicide Prevention Grant, Karen Cellarius, Aliza Tuttle, Lea Sevey

Regional Research Institute for Human Services

In August 2020, the Oregon Coalition Against Domestic and Sexual Violence (OCADSV), the Oregon Health Authority (OHA), and Portland State University’s Regional Research Institute for Human Services (PSU RRI) began an 18-month collaboration to strengthen support for domestic violence and mental health agencies during COVID-19. As part of this grant, six domestic violence advocacy organizations around Oregon were able to place co-located advocates with their mental health partner agencies for services and cross-training. The content of this booklet is another product of this collaboration.

2022 Zero Suicide Implementation In Oregon: Cross‐Site Follow‐Up Change Report, Karen Cellarius, Aliza Tuttle

Regional Research Institute for Human Services

This implementation self‐assessment and the accompanying web survey were adapted for the Oregon Health Authority (OHA) by Portland State University in collaboration with the OHA Youth Suicide Prevention staff. The assessment was adapted from three existing Zero Suicide resources available at http://zerosuicide.org/.

The Organizational Self‐Study is a questionnaire about the extent to which each component of the Zero Suicide approach is in place at a single organization. Zero Suicide recommends completing this self‐study at the start of an organization’s Zero Suicide initiative, then every 12 months after that as a measure of fidelity to the model. The self‐study questions …

Social Determinants Of Health And Care Outcomes Among People With Hiv In The United States, Timothy W. Menza, Lindsay K. Hixson, Lauren E. Lipira, Linda Drach

Regional Research Institute for Human Services

Fewer than 70% of people with HIV (PWH) in the United States have achieved durable viral suppression. To end the HIV epidemic in the United States, clinicians, researchers, and public health practitioners must devise ways to remove barriers to effective HIV treatment. To identify PWH who experience challenges to accessing health care, we created a simple assessment of social determinants of health (SDOH) among PWH and examined the impact of cumulative social and economic disadvantage on key HIV care outcomes.

Understanding Individual And Family Experiences Associated With Dup: Lessons From The Early Assessment And Support Alliance (Easa) Program In Oregon, Usa, Ryan P. Melton, Shannon Blajeski, Diana Glasser

Regional Research Institute for Human Services

Research shows that a longer duration of untreated psychosis (DUP) is associated with worse psychiatric outcomes, with average length of DUP of 73 weeks in the U.S. The aim was to examine the DUP period for first episode psychosis in Oregon, with a focus on the processes between the first positive symptoms and first treatment. To investigate DUP, researchers used methods consistent with grounded theory to collect data from 9 participants and their families about the process between onset of psychotic symptoms and entrance into treatment. Results suggest that recognition of symptoms was the primary driver of help-seeking in this …

Family Aided Community Treatment For The Treatment Of Early Psychosis: A Proof Of Concept Study, Ryan P. Melton, Cass Dykeman

Regional Research Institute for Human Services

Major psychotic disorders are one of the leading causes of disability worldwide. If these conditions are identified early and treatment promptly implemented, the prognosis is improved. This study examined the impact of a yearlong family aided community treatment (FACT) intervention upon psychiatric symptoms. Psychiatric symptom scores improved with the FACT intervention. Improved training on early recognition for mental health clinicians, implementation of a specific treatment model in community settings and policy around treatment funding allocation are implications of this study.

Family Aided Community Treatment As An Intervention For The Treatment Of Early Psychosis: A Proof Of Concept Study, Ryan P. Melton

Regional Research Institute for Human Services

Major psychotic disorders are one of the leading causes of disability worldwide, having severe impacts on the people who suffer from the conditions, their families and society. There is evidence that if these conditions are identified and treated early, the prognosis is improved. The purpose of this study is to produce findings related to the use of year long trial of family aided community treatment (FACT) with individuals who are experiencing a first episode psychosis as defined by the SIPS. Using a proof of concept design with multiple repeated measure t tests, this study focused on first-episode psychotic disorder participants …

From Portland To Paris: Clinical Perspectives On Supporting Young People Suffering From Early Psychosis, Craigan Usher, Ryan P. Melton, Sarah Lynch

Regional Research Institute for Human Services

This workshop examines the Early Detection and Prevention of Psychosis Program (EDIPPP) that focuses on reducing the incidence of major psychotic disorders in a defined population, by early detection and treatment.

Family Psychoeducation In Clinical High Risk And First- Episode Psychosis, William R. Mcfarlane, Sarah Lynch, Ryan P. Melton

Regional Research Institute for Human Services

Seventy percent of those who will have an episode of psychosis will have done so by age 25. Data from clinical trials of intervention during the clinical high risk period of psychosis have determined that the mean age is in mid-adolescence, 16-18 years of age. For those reasons, early intervention inherently involves adolescents, and by extension their parents and other family members and supports. Regarding the type of intervention, it is relevant that the current empirically-derived standard of treatment for schizophrenia, as concluded by the Agency for Health Care Policy and Research survey of the treatment outcome literature, includes family …

A Counselor’S Role In Diagnosing The Proposed Dsm-5 Attenuated Psychosis Syndrome: A Pathway To Early Intervention Or Iatrogenic Consequences?, Vanessa Jung Tirman, Ryan P. Melton

Regional Research Institute for Human Services

Psychosis in general, and schizophrenia specifically, are among the most debilitating and difficult to treat disorders in mental health (Correll, Hauser, Auther, & Cornblatt, 2010). Identifying a patient with at-risk symptoms before the first episode of schizophrenia can be invaluable to the patient, clinician, and the community because the patient is treated early in the course of the disease where treatment is highly effective. After years of research it has been confirmed that at-risk symptoms for schizophrenia generally precede the first episode of psychosis, which results in the diagnosis of schizophrenia (Correll et al., 2010). At present however, the assessment …

Addressing The Physical Health Challenges Impacting Young Individuals With Major Mental Illness, Ryan P. Melton

Regional Research Institute for Human Services

Research has found that individuals who suffer from major mental illness, such as schizophrenia, are dying on average 15-25 years earlier than those who do not suffer from schizophrenia.1 Many causes for this shortened lifespan are suspected. Those causes include: lack of access to health care, suicide, poverty, substance use and side effects from anti-psychotic medications. The Substance Abuse and Mental Health Services Administration (SAMHSA) has challenged mental health providers treating major mental illness to address this disturbing trend by promoting their “10x10” campaign. The goal of the campaign is to increase the lifespan of individuals who suffer from major …

Transitioning From First Episode Psychosis Treatment To Prodrome: Lessons And Outcomes From The East Program In Oregon Usa, Ryan P. Melton, Robert Wolf

Regional Research Institute for Human Services

This presentation discusses the outcomes of the Early Detection in Preventing Psychosis (EDIPP) model.

Early Psychosis Intervention And Its Implications For Mental Health Counselors, Advocates And Supervisors: Lessons And Outcomes From The East Program, Ryan P. Melton

Regional Research Institute for Human Services

This presentation focuses on early psychosis intervention, identification, prevention, and intervention.

Early Psychosis Intervention In Oregon: Building A Positive Future For This Generation, Ryan P. Melton, Tamara Sale

Regional Research Institute for Human Services

The article focuses on the importance of early Schizophrenia intervention.

Embedding Multicultural Competencies In Rehabilitation Psychology Practice, Richard H. Dana

Regional Research Institute for Human Services

This article identifies the several issues in the process of client assessments, especially for multicultural groups. The Multicultural Assessment-Intervention Process (MAIP) model is discussed as a useful tool for meeting these issues. The model's applications and specific procedural steps are discussed.

Multicultural Assessment: Research, Training, And Practice, Richard H. Dana

Regional Research Institute for Human Services

The credibility of standard assessment has been questioned by intra-professional debate, diminished by training deficits, redefined as semi-skilled technology by managed care, and compromised for multicultural populations by research bias. Scientific psychology has been responsible for perpetuation of bias and the limited generality of published ethnic minority research. A constructive response to these issues includes more coherent scientific preparation for assessment practice, particularly with ethnic minority populations. Adequate preparation entails careful reformulation of assumptions, redefinition of variables, informed selection of research methodologies, understanding deficiencies in normative data, and using culturally responsible interpretive strategies with standard test data in addition to …

El Impacto De Las Nuevas Technologias En El Futuro De Las Technicas De Evaluacion Psicologica Clinica, Richard H. Dana, Isidro A. E. Sanz, Barry A. Ritzler, Jan Ivanouw

Regional Research Institute for Human Services

En este trabajo se presentan reflexiones desde distintas perspectivas acerca del futuro de la Evaluación Psicológica y el papel que las tecnologías informáticas tendráen ella. En la actualidad, es innegable la importancia que ha alcanzado la informática dentro de las actividades académicas y profesionales en tomo a la Evaluación Psicológica. La capacidad cada vez mayor de las computadoras facilitó las tareas de investigación, desarrollo, y aplicación de tests psicológicos. Parece altamente previsible que en el futuro la informática tendrá un lugar aún mayor en el auxilio del psicógicos evaluador. Algunas posibles consecuencias futuras son expuestas y debatidas por los diferentes …

Asian American Mental Health Clients: Effects Of Ethnic Match And Age On Global Assessment And Visitation, Richard H. Dana, Glenn Gamst, Aghop Der-Karabetian, Terry Kramer

Regional Research Institute for Human Services

Effects of client-counselor ethnic match (i.e., match, no match) and client age group (child, adult) on counselor-evaluated Global Assessment of Function (GAF) and visitation were investigated. The sample consisted of 253 Asian-American outpatient clients (24.9% children 75.1% adults) of a community mental health center. Unadjusted results indicated that ethnically matched clients had more positive GAF evaluations and more clinic visits than nonmatched clients. When adjusted for eight covariates, results showed ethnically matched clients continued to show higher levels of visitation. Analysis of separate diagnostic categories showed that ethnically matched mood-disorder clients had higher levels of visitation. Conversely, nonethnically matched anxiety …

Culturally Competent California Mental Health Services: Model And Example, Richard H. Dana, Myriam Aragon, Terry Kramer

Regional Research Institute for Human Services

Mental health services in the United States were designed for European American consumers, but with burgeoning multicultural populations these services have proven inadequate and underutilized. This paper examines research on cultural competencies of agencies and clinicians relevant to a mental health practice model, the Multicultural Assessment-Intervention Process model (MAIP). This model was modified for systematic application in a California agency, the Tri-City Mental Health Center, to provide a flexible blueprint for major alterations in agency practice and programs that affect the entire system of care. MAIP begins with intake process including client-clinician/ethnicity-Ianguage|match, client acculturation/racial identity status, and clinician cultural competence, …

Silk Purse Or Sow's Ear? An Mmpi Commonground, Richard H. Dana

Regional Research Institute for Human Services

Velasquez et al allege that "rounding up the usual suspects" in my article on culturally competent MMPI assessment of Hispanics provides information that is inaccurate, raises unanswered questions, and can discourage assessors reluctant to take "extra precautions required with Hispanic clients". They contribute an overview of history and current research that leads to their own recommendations. Using the idiom of "usual" and "unusual" suspects, further investigation of all suspects appears necessary. Juxtaposition of two sets of assessment recommendations-theirs and mine-suggests that an ostensible battleground can become a commonground to better inform assessors of cultural competence issues. From the Author.

A Commentary On Assessment Training In Boulder And Vail Model Programs: In Praise Of Differences!, Richard H. Dana

Regional Research Institute for Human Services

This commentary on assessment training in scientist-practitioner and practitioner-scholar programs examined potential differences between these training models on assessment instruments included in the curriculum, assessment instructors, modes of interpretation, anticipated clients, and service delivery styles. Over time it appears that the potential for difference in assessment training inherent in Boulder and Vail model values has been minimized. If these models for training professional psychologists are to be effective in preparing students for assessment tasks with additional populations of consumers in new service delivery systems, attention to these potential differences in assessment training offers promise for more responsible and competent practice …

Assessment Of Cultural Orientation, Richard H. Dana

Regional Research Institute for Human Services

This article discusses several concerns to take into consideration when assessing ethnic minorities in the United States. Cultural competence implies more than sensitivity to other cultures. There has to be an honoring of beliefs, perceptions, values, language, and ethical systems.

Human Services Training In Tribal Colleges, Richard H. Dana, Rodger Hornby

Regional Research Institute for Human Services

Tribal colleges are providing interdisciplinary education and professional training for human services occupations at the undergraduate level. These programs also promote cultural competence as a result of required courses in tribal languages, history, culture and law. The Sinte Gelska University program is described as an example of the role of tribal college education in emphasizing cultural identity using a culture-specific instructional style and teaching method. These programs in tribal colleges will augment the availability of competent service to native Americans.

Issues Concerning The Internship Selection Process, Richard H. Dana

Regional Research Institute for Human Services

This article's study examines the issues concerning internship selection. Data was collected from 10 APA (America Psychological Association) accredited internship sites. Initial results suggest that the current process of internship selection is too costly for all participants. Computer based matching is suggested as a solution.

Responsible Education For Professional Psychology: Cultivation Of Public Interest, Richard H. Dana

Regional Research Institute for Human Services

This paper affirms a belief that the psychology profession can still be invested with a moral quality, or public interest, expressed by responsible education. Transformation from egocentric to sociocentric practices can be fostered by values, curriculum, students, and faculty. Suggestions for program development stem from acknowledgement of desiderata for professional education in the public interest that include the humanity of students, a sense of community, power. sharing by students and faculty, integration of knowledge and practice, training for advocacy roles, and continuity of training.

Technical Report For Personality Assessment Of Rosebud Sioux: A Comparison Of Rorschach, Millon Clinical Multiaxial Inventory And 16pf Reports, Richard H. Dana, Rodger Hornby, Tom Hoffmann

Regional Research Institute for Human Services

Three standard assessment instruments (Rorschach, Millon Clinical Multiaxial Inventory and 16PF) were administered to 12 participating Rosebud Sioux Indians -- 6 males, 6 females. Reports were generated for each instrument. Consensual and unique concepts contained in all the reports were analyzed in order to describe the contents. Six judges, all residents of the reservation and either college employees or social agency personnel attempted to match the participants with their reports. The judges may not have known all of the participants intimately, but they were well acquainted with the facts of their libes. Two general questions were explored: (1) can people …

Local Norms Of Personality Assessment For Rosebud Sioux, Richard H. Dana, Rodger Hornby, Tom Hoffmann

Regional Research Institute for Human Services

Measures of life stress, locus of control, world view, and values were administered to 91 Rosebud Sioux. The results provide some limited norms for local use of these measures and descriptive data for this tribe. These measures provide examples of culturally relevant, non-discriminatory instruments for assessment of Native Americans

Intelligence Testing Of American Indian Children: Sidesteps In Quest Of Ethical Practice, Richard H. Dana

Regional Research Institute for Human Services

Previous literature reviews are updated. Recent findings impugn the WISC-R internal consistency and document item bias for American Indian children. A pattern of Spatial > Sequential > Conceptual > Acquired Knowledge holds across ages, tribes, and heterogeneous referral sources, except for acculturated children. Kaufman's three factors are replaced by Verbal and Performance factors for Papago and Navajo children. A culturally-learned basis for intellectual functioning among traditional children supports alternative assessment functions for traditional reservation lifestyle and for acculturation and entree into mainstream society. Performance measures, SOMPA, Piagetian and Luria-derived tasks may ultimately provide less biased intelligence estimates. Recent legislation outlines ethical practice although …

Validation Of Eisegesis Concepts In Assessment Reports Using The 16 Pf: A Training Method With Examples, Richard H. Dana, Brian Bolton, Vickie West

Regional Research Institute for Human Services

A training method for psychological report writing uses reliably abstracted concepts from reports prepared by students and experts for the same data sets. Consensual and unique concepts are compared for student and expert reports and evaluated by assessees. Unique concepts are further subdivided into skills (assessee accepted) and eisegesis (assessee rejected). Karson 16PF Reports from assessors were similarly broken down into consensual and unique concepts. Comparisons were made between 16 PF and Rorschach eisegesis that suggest student personality effects upon reports. A procedure for providing feedback to students is presented.

Extended Report Of Interrelationships Between Rorschach And Mmpi Scores For Female College Students, Richard H. Dana, Brian Bolton

Regional Research Institute for Human Services

26 Klopfer scores and 6 Rorschach ratio scores were correlated with 12 MMPI standard scores for 95 female college students. Few statistically significant relationships between the Rorschach and MMPI were obtained. It was concluded that the Rorschach and the MMPI measure different variables in a normal population of female college students.