Social Work Commons^™

The Summit Ambulatory‑Icu Primary Care Model For Medically And Socially Complex Patients In An Urban Federally Qualified Health Center: Study Design And Rationale, Brian Chan, Samuel T. Edwards, Meg Devoe, Richard Gil, Matthew Mitchell, Honora Englander, Christina Nicolaidis, Multiple Additional Authors

School of Social Work Faculty Publications and Presentations

Background: Medically complex urban patients experiencing homelessness comprise a disproportionate number of high-cost, high-need patients. There are few studies of interventions to improve care for these populations; their social complexity makes them difficult to study and requires clinical and research collaboration. We present a protocol for a trial of the streamlined unified meaningfully managed interdisciplinary team (SUMMIT) team, an ambulatory ICU (A-ICU) intervention to improve utilization and patient experience that uses control populations to address limitations of prior research.

Methods/design: Participants are patients at a Federally Qualified Health Center in Portland, Oregon that serves patients experiencing homelessness or …

Waiting For The Wisdom To Drop: A Photovoice Exploration Of Menopause, Delinda L. Free

Student Research Symposium

The purpose of this study was to create a women’s menopause discussion group based on the Photo Voice method, to use a narrative approach to learn what is currently relevant in the experience of menopausal women, to reveal insights about menopause as a phase of psychological development, and to bring a visual representation together with narratives to tell a story about the collective psychological themes. Participants were asked to meet and reflect on what has changed in their values, attitudes, aspirations, goals, and outlook on life. Then participants were asked to take pictures over the course of a week, and …

Association Of Childhood Physical And Sexual Abuse With Intimate Partner Violence, Poor General Health And Depressive Symptoms Among Pregnant Women, Yasmin V. Barrios, Bizu Gelaye, Qiuyue Zhong, Christina Nicolaidis, Marta B. Rondon, Pedro J. Garcia, Pedro A. Mascaro Sanchez, Sixto E. Sanchez, Michelle A. Williams

School of Social Work Faculty Publications and Presentations

Objective

We examined associations of childhood physical and sexual abuse with risk of intimate partner violence (IPV). We also evaluated the extent to which childhood abuse was associated with self-reported general health status and symptoms of antepartum depression in a cohort of pregnant Peruvian women.

Methods

In-person interviews were conducted to collect information regarding history of childhood abuse and IPV from 1,521 women during early pregnancy. Antepartum depressive symptomatology was evaluated using the Patient Health Questionnaire-9. Multivariable logistic regression procedures were used to estimate adjusted odds ratios (aOR) and 95% confidence intervals (95%CI).

Results

Any childhood abuse was associated with …

Exploring The Effects Of Multi-Level Protective And Risk Factors On Child And Parenting Outcomes In Families Participating In Healthy Start/Healthy Families Oregon (Hs/Hfo), Peggy Nygren

Dissertations and Theses

While many studies focus on the links between multiple risk factors and negative outcomes such as child maltreatment, less is known about the influence of protective factors in the face of risks. The theoretical base of this study was a social ecological model of interactive influences including individual parent, family, and neighborhood level factors to predict outcomes. Protective Factor Index (PFI) and Risk Factor Index (RFI) predictors were developed to explore potential multi-level protective factor buffering effects on key child development and parenting outcomes. Participants were first time mothers enrolled in a randomized controlled study of the Healthy Start/ Healthy …

Public Opinion And The Oregon Death With Dignity Act, Peggy Jo Ann Sandeen

Dissertations and Theses

Oregon voters legalized physician-assisted death in 1997 by passing the Oregon Death with Dignity Act. This law allowed terminally ill, mentally competent adult residents of the state to legally obtain a physician's prescription to hasten death under narrow sets of circumstances. The purpose of this study was twofold: to examine contemporary patterns of support for the law in Oregon and to explore how opinions have changed over time on the issue. This study examined patterns of public support among a random sample of registered Oregon voters for the state's death with dignity law, using a mixed mode (mail, online, and …

Quality Of Life Assessment Of Chronic Hemodialysis Patients At The Artificial Kidney Unit Of Good Samaritan Hospital And Medical Center, Karen Jones Whittle, Michael Tripp, Bruce De Young

Dissertations and Theses

The purpose of this study was to evaluate certain factors that affect the quality of life experienced by the chronic hemodialysis patient population served by the Artificial Kidney Unit at Good Samaritan Hospital and Medical Center, Portland, Oregon. The intent of the study was to discover if there was a significant difference in quality of life between patients who dialyzed at home and patients at the Artificial Kidney Unit (center patients).

For the purposes of this study, House, Livingston and Swinburn’s definition of quality of life was used. Their definition states that quality of life is a function of the …

A Descriptive Study Of The Pragmatic Issues In Obtaining An Abortion Among Sixty-Five Women At Lovejoy Specialty Hospital, Portland, Oregon, Barbara E. Bordner, Wendy Green, Susie Milberg

Dissertations and Theses

In view of the current diversity of public opinion concerning the legalization of abortion in this country, it appears timely that a study of the pragmatic issues faced in obtaining an abortion be undertaken. The researchers see this as a step toward narrowing the lag between the enactment of the abortion law and the delivery of services that allow the right of abortion to be an accessible choice for women.

There has been a change in public opinion, regarding the right of abortion, only recently. In 1960, a public opinion poll showed that fewer than 15 percent of the population …

Motivational Factors Behind Repetitive Abortions, Kelly Osmont, Ellen Wolfford

Dissertations and Theses

This practicum intends to explore the motivational factors behind repeat abortions. The underlying assumptions of this study include: (1) women have abortions; (2) women have repeat abortions. Based on these assumptions, the two research questions are (1) are there significant factors in the causation of repeat abortions, and (2) what are the implications regarding the lack of information and service to women which have a direct relationship to repeat abortions.

Social Work Intervention And Patients' Utilization Of The Kaiser Health Care System, Pegi Sten, Liz Swint Young

Dissertations and Theses

This study was an analysis of social work practice in a medical setting: analyzing the work of a medical social worker in an outpatient clinic located in a metropolitan area. The primary purpose of this descriptive study was to evaluate the performance of a medical social worker in a Kaiser-Permanente outpatient clinic and to determine if there were possible associations between social work intervention and patient utilization of existing services offered by the Kaiser Health Care system, also referred to herein as Kaiser. Specifically, the study attempted to determine if there were quantitative changes in patient contacts, and utilization of …

The Utilization Of Preventive Health Care Services By Low Income Members Of A Comprehensive Prepaid Health Plan : The Impact Of Outreach Services, Linda Elmlund Mahoney

Dissertations and Theses

A reading of recent studies in preventative health care behavior recalls the proverb about the blind men and the elephant: each man is able to describe the part of the animal he is closest to, but none can see, and so none can put their diverse and often contradictory opinions together to come up with an accurate description of the whole elephant. Similarly, in preventative health care studies, each researcher or research group is able to observe the preventative health care utilization patterns of specific populations at particular times, but the conclusions reached are often based on less than complete …

A Study Of Ambulance Transportation In Relation To Public Welfare Policy, Gary Jules Lutz

Dissertations and Theses

This study examines the Public Welfare Medical Transportation Program with particular focus on ambulance transportation. It addresses the problems Public Welfare has in funding and administrating the program, looks at the components of the larger emergency medical care system and its relationship to Public Welfare, studies who, how, and why this service is being delivered, and makes recommendations for policy revision in respect to the larger emergency medical care system.