Social and Behavioral Sciences Commons^™

Structural Factors That Increase Hiv/Sti Vulnerability Among Indigenous People In The Peruvian Amazon, E. Roberto Orellana, Isaac E. Alva, Cesar P. Cárcamo, Patricia J. García

School of Social Work Faculty Publications and Presentations

We examined structural factors—social, political, economic, and environmental—that increase vulnerability to HIV among indigenous people in the Peruvian Amazon. Indigenous adults belonging to 12 different ethnic groups were purposively recruited in four Amazonian river ports and 16 indigenous villages. Qualitative data revealed a complex set of structural factors that give rise to environments of risk where health is constantly challenged. Ferryboats that cross Amazonian rivers are settings where unprotected sex—including transactional sex between passengers and boat crew and commercial sex work—often take place. Population mobility and mixing also occurs in settings like the river docks, mining sites, and other resource …

Conceptualization Of Autism In The Latino Community And Its Relationship With Early Diagnosis, Katharine E. Zuckerman, Brianna Sinche, Martiza Cobian, Marlene Cervantes, Angie Mejia, Thomas Becker, Christina Nicolaidis

School of Social Work Faculty Publications and Presentations

Objective—Early identification of autism spectrum disorders (ASD) has been linked to improved long-term developmental outcomes. However, Latino children are diagnosed later than white non- Latino children. We aimed to qualitatively assess the understanding and conceptualization of ASD in the Latino community in order to understand potential community barriers to early diagnosis.

Method—We conducted 5 focus groups and 4 qualitative interviews with 30 parents of typicallydeveloping Latino children in Oregon. Participants were asked structured questions concerning video vignettes that follow a Latina mother from the time she begins to worry about her 3-year-old son's behaviors to the time he receives an …

Strengthening A Social Justice Lens For Addictions Practice: Exploration, Reflections, Possibilities And A Challenge To Our Shared Work To Promote Recovery Among The Most Vulnerable, Laura Burney Nissen

School of Social Work Faculty Publications and Presentations

Addiction is commonly conceptualized as a personal problem, a family problem, a neighborhood problem, a community problem, and even a social problem. But how might addiction be understood as a social justice problem?

Substance abuse problems, addictions, and addiction treatment and the related preparation of professionals to fill its treatment ranks exist within an ideological and political infrastructure. Issues of social justice are often conspicuously absent as a primary consideration of the experience of people seeking treatment (acknowledging the treatment gap that impacts some people more than others), for communities ravaged by addiction (acknowledging that some communities are affected more …

Treating Young People With Co-Occurring Disorders: What Works?, Molly Oberweiser Kennedy, L. Kris Gowen

School of Social Work Faculty Publications and Presentations

Youth with substance use disorders often also face mental health challenges. Two recent studies analyzed two different treatment approaches for co-occurring substance use and mental health disorders: (1) a standardized therapy approach and (2) 12-step support groups, as modalities for effectively treating and continuing positive outcomes for young people with co-occurring mental health and substance use issues. The findings from these studies are summarized below.

Getting Performance Metrics Right: A Qualitative Study Of Staff Experiences Implementing And Measuring Practice Transformation, Devan Kansagara, Anaïs Tuepker, Sandy Joos, Christina Nicolaidis, Eleni Skaperdas, David H. Hickam

School of Social Work Faculty Publications and Presentations

BACKGROUND: Quality improvement is a central goal of the patient-centered medical home (PCMH) model, and requires the use of relevant performance measures that can effectively guide comprehensive care improvements. Existing literature suggests performance measurement can lead to improvements in care quality, but may also promote practices that are detrimental to patient care. Staff perceptions of performance metric implementation have not been well-researched in medical home settings.

OBJECTIVE: To describe primary care staff (clinicians and other staff) experiences with the use of performance metrics during the implementation of the Veterans Health Administration’s (VHA) Patient Aligned Care Team (PACT) model of care. …

Motivational Interviewing At The Intersections Of Depression And Intimate Partner Violence Among African American Women, Stéphanie Wahab, Jammie Trimble, Angie Mejia, S. Renee Mitchell, Mary Jo Thomas, Vanessa Timmons, A. Star Waters, Dora Raymaker, Christina Nicolaidis

School of Social Work Faculty Publications and Presentations

This article focuses on design, training, and delivery of a culturally-tailored, multi-faceted intervention which used motivational interviewing (MI) and case management to reduce depression severity among African American survivors of intimate partner violence (IPV). We present the details of the intervention and discuss its implementation as a means of creating and providing culturally appropriate depression and violence services to African American women. We used a CBPR approach to develop and evaluate the multi-faceted intervention. As part of the evaluation, we collected process measures about the use of MI, assessed MI fidelity, and interviewed participants about their experiences with the program.

Alcohol And Drug Prevention, Intervention, And Treatment Literature: A Bibliography For Best Practices, Laura Burney Nissen

School of Social Work Faculty Publications and Presentations

Addictions remain a persistent challenge to mental health practice. There is a need for mental health educators, students, and practitioners to be aware of, critique, contribute to, and, where relevant, utilize emerging scholarly literature to inform their intervention strategies. This comprehensive addictions bibliography draws from a wide variety of sources, perspectives, and ideologies to hasten the rate at which academics and practitioners can more meaningfully participate in this rapidly developing field of practice.

Under What Conditions Does Caseworker-Caregiver Racial/Ethnic Similarity Matter For Housing Service Provision? An Application Of Representative Bureaucracy Theory, Jennifer E. Blakeslee, Emmeline Chuang, Alicia Bunger, Bowen Mcbeath

School of Social Work Faculty Publications and Presentations

In this article, we examine child welfare caseworkers’ housing-related service strategies when they serve culturally similar versus culturally dissimilar clients. Testing hypotheses drawn from representative bureaucracy theory and using data from the second cohort of the National Survey of Child and AdolescentWell-Being, we find that when non-Caucasian caseworkers share the same racial/ethnic background as caregivers, caseworkers use more active strategies to connect caregivers to needed housing services. The relationship between racial/ethnic matching and frontline workers’ repertoire of service strategies is most pronounced when the need for housing has been registered formally via referrals and case plans and thus legitimated institutionally. …

A Case Example Of The Acyf’S Well-Being Framework: The Kansas Intensive Permanency Project, Becci A. Akin, Stephanie A. Bryson, Thomas P. Mcdonald, Charles Wilson

School of Social Work Faculty Publications and Presentations

This series of papers, Integrating Safety, Permanency and Well-Being in Child Welfare, describes how a more fully integrated and developmentally specific approach in child welfare could improve both child and system level outcomes. The papers were developed to further the national dialogue on how to more effectively integrate an emphasis on well-being into the goal of achieving safety, permanency and well-being for every child.

The third paper, A Case Example of the Administration on Children, Youth and Families’ Well-Being Framework: KIPP (Akin, Bryson, McDonald, and Wilson), presents a case study of the Kansas Intensive Permanency Project and describes how it …

How Disparities Research Can Influence Public Policy, Ann Curry-Stevens

School of Social Work Faculty Publications and Presentations

Presentation providing a overview of the partnered research between the Coalition of Communities of Color and Portland State University.

What Do You Want To Be When You Grow Up?, Adrienne Scavera, Jo-Ann Sowers

School of Social Work Faculty Publications and Presentations

What do you want to be when you grown up? This is a question most of us heard more than once when we were kids and even more when we were in high school. When we got to be in our 20s the question may have changed to something like, “What are you going to do when you finish college?” or “Now that you are an adult what kind of job or career do you want to do?” After working as a barista, receptionist, and other minimum wage jobs, one young woman in the Career Visions project said, “I am …

Expanding The Circle: People Who Care About Ending Racism. We Need Your Help, Ann Curry-Stevens

School of Social Work Faculty Publications and Presentations

This 24-page booklet is a collection of tools and resources that are designed to assist white learners understand our racist history and the details of 21st century racism in Canada.

Drawing often from tools of educators in Canada and in the USA, the booklet is designed to take learners through a journey of self-discovery, gently asking probing questions and helping white learners come to understand the ways in which they both gain and lose through racism.

It concludes with several sections on taking action – learning ways in which white people can stand in solidarity with people of colour and …

Global Efforts To Engage Men In Preventing Violence Against Women: An International Survey, Ericka Kimball, Jeffrey L. Edleson, Richard M. Tolman, Tova Neugut, Juliana Carlson

School of Social Work Faculty Publications and Presentations

This research note expands on the limited body of knowledge about men’s engagement in preventing violence against women. One hundred and sixty-five individuals representing organizations from around the world participated in a brief online survey about their efforts to engage men in violence prevention. This study reveals a large and diverse global community working to engage men in preventing violence against women. The level of involvement is broad, from locally contained organizations to global collaborations. This study is a first step toward building a comparative knowledge base to inform program design and implementation.

Latino Parents' Perspectives On Barriers To Autism Diagnosis, Katharine Zuckerman, Brianna Sinche, Angie Pamela Mejia, Martiza Cobian, Thomas Becker, Christina Nicolaidis

School of Social Work Faculty Publications and Presentations

Recent estimates suggest that Autism Spectrum Disorders (ASDs) affect more than 1% of U.S. children over age 3, and rates ASD diagnosis may be increasing.1 ASDs can be reliably diagnosed,2 and early diagnosis is associated with improved long-term developmental and family outcomes.3 However, many children meeting ASD diagnostic criteria are never diagnosed4 or are diagnosed years after onset of symptoms.4,5 Delayed diagnosis is a particular problem among Latino children:6,7 Latino children receive a diagnosis of an ASD 2.5 years later than white non-Latino children.8 Latino children are also less likely to carry an ASD diagnosis; however, when diagnosed, they are …

Implementing The Peer Support Specialist Role: Peer Support In A Youth-Led Drop-In Center, Research And Training Center For Pathways To Positive Futures, Youth Move Oregon

School of Social Work Faculty Publications and Presentations

This information brief gives an overview of Youth MOVE Oregon, an innovator in peer-led services for youth. The role and development of Peer Support Providers is discussed in some detail along with organizational challenges that need to be addressed.

Conceptualizing Social Determinants Of Maternal And Infant Health Disparities, Susanne Klawetter

School of Social Work Faculty Publications and Presentations

Research demonstrates that women and children within marginalized ethnic and racial groups and those living in poverty experience disparate health outcomes. These disparities have immediate and long-term consequences. Exploring two theories used to examine social determinants of health— life course perspective and historical trauma response, this article will explain the major premises of each, provide application examples, compare and examine utility for practice, and highlight areas for future research. A theoretical critique will be included, as well as insight into how these theories together might address gaps as an approach to maternal and infant health research and practice.

The Slavic Community In Multnomah County: An Unsettling Profile, Ann Curry-Stevens, Coalition Of Communities Of Color

School of Social Work Faculty Publications and Presentations

This report details the experiences of the Slavic community in Multnomah County. The Slavic community is defined as those from the former Soviet Union. It is the largest refugee-based community in Oregon, with most arriving in the decade from 1990 to 2000. Conventional definitions of the Slavic community are to define them as White. In the vast majority of datasets, it is not possible to extract the Slavic community as ancestry or language data have not been collected. To address the shortage of data on the community, we included a qualitative research study to extend our understanding of the community’s …

The African American Community In Multnomah County: An Unsettling Profile, Lisa K. Bates, Ann Curry-Stevens, Coalition Of Communities Of Color

School of Social Work Faculty Publications and Presentations

This report covers topics of importance for the African-American community, highlighting critical areas of disparity and disproportionate representation. The areas of analysis include: economic opportunity, housing and neighborhoods, education, health, child welfare, the criminal justice system, and civic engagement. In each area, we provide history and context, followed by data analysis that demonstrates the extent of racial disparity.

Taken together, the data on inequities show a community facing real and persistent challenges. These data point to a need for fundamental change and help to focus attention on some key drivers of that change. The depth and breadth of disparities profiled …

Primary Care For Adults On The Autism Spectrum, Christina Nicolaidis, Clarissa Kripke, Dora Raymaker

School of Social Work Faculty Publications and Presentations

The autistic population is very heterogeneous; individuals’ skills or challenges fall along spectra on multiple axes (spoken language, written communication, ability to perform activities of daily living, need for consistency, sensory sensitivity, emotional regulation, and so forth) and can change depending on environmental stimuli, supports, and stressors. Autistic adults have increased rates of chronic medical illnesses, including epilepsy, gastrointestinal disorders, feeding and nutritional problems, metabolic syndrome, anxiety, depression, and sleep disturbances, and greater exposure to violence and abuse. Clinicians may improve quality of life by recommending accommodations, assistive technologies, therapies to improve adaptive function or communication, and caregiver training, and …

Gender Maneuvering Over Coffee: Doing Gender Through Displays Of Hegemonic Masculinity And Alternative Femininity, Jedidiah Mcclean

School of Social Work Faculty Publications and Presentations

This research examines how individuals “do gender” in an urban coffee shop by performing gender maneuvering strategies in order to gain masculine cultural capital typically accessed through displays of hegemonic masculinity. This participant ethnography was conducted in a corporate coffee franchise over the course of eight weeks, to observe gendered interactions in a public space. Observations were made of customer and barista socialization in the store, where gender displays were maneuvered through social artifacts such as clothing and hairstyles; as well as gendered social transactions such as conversational styles and heteronormative social customs. Research findings suggest that both masculine and …