Social Work Commons^™

Love Letters For Liberatory Futures, Jessica Rodriguez-Jenkins, Roberta Hunte, Lakindra Mitchell Dove, Antonia R.G. Alvarez, Alma M. O. Trinidad, Gita Mehrotra

School of Social Work Faculty Publications and Presentations

This collection of letters serves to explore the narratives of a collective of women of color in academia by examining individual, collective, spiritual, and institutional strategies for surviving and transforming our institutional spaces and the ways that White Supremacy has shaped our journeys. Multiple perspectives are viewed, and we have written to our children, our future social work students, our future selves, our BIPOC faculty siblings, and our feared enemies to envision and embody more liberatory futures.

Keywords: liberation, academia, BIPOC faculty, institutional racism, White Supremacy

Redesigning Schools Of Social Work Into Schools Of Social Work And Social Justice: Opportunities For Civic And Organizational Renewal In A Justice Reform Environment, Bowen Mcbeath, Michael J. Austin

School of Social Work Faculty Publications and Presentations

This paper explores the re-envisioning of a school of social work into a School of Social Work and Social Justice. The thought experiment identifies how a school can meet its educational and social justice mission in response to the historic crises of 2020. An outgrowth of the aspirational strategic vision statement is the proposed strengthening of democratic learning spaces involving students and faculty members, better alignment of school curricular reform with human service workforce dynamics and social work practice needs, and an emphasis on culturally responsive leadership. The overall intention is to identify opportunities for social work schools and departments …

Exploring College Student Identity Among Young People With Foster Care Histories And Mental Health Challenges, Rebecca Miller, Jennifer E. Blakeslee, Chanel Ison

School of Social Work Faculty Publications and Presentations

Young adults with foster care histories experience unique barriers to success in postsecondary academic settings, including higher rates of mental health challenges. This study reports the perspectives of college students with foster care histories and self-identified mental health concerns (N = 18) about how these factors relate to their post-secondary academic experiences. Study participants describe managing their mental health amid other academic and life stressors, share their perspectives on campus-based support and help-seeking experiences, and highlight the need for acknowledgement of their foster care identities in conjunction with their developing college student identities. Participants make a case for programming to …

Toxic Stress Among Black And African American Oregonians, Roberta Hunte, Margaret J.F. Braun

School of Social Work Faculty Publications and Presentations

Toxic stress is a reaction to ongoing adversity such as abuse, neglect, poverty, racism, discrimination, and exposure to violence; it is powerful enough to change brain chemistry and architecture. Toxic stress and associated changes to the brain can lead to poor health outcomes later in life. Adverse childhood experiences (ACEs), racism*, and discrimination can trigger toxic stress and have long term consequences for the health of many people, particularly those in the Black and African American community.

The current project examined toxic stress and its impact on the health of Black and African American Oregonians. We looked at two indicators …

Pathogens Without Borders: Ecological Determinants Of Sexual Risk-Taking Behaviors Among International Travelers Across The Life Course, Yok-Fong Paat, Luis R. Torres

School of Social Work Faculty Publications and Presentations

Purpose

Drawing insights from the ecological theory, the purpose of this paper is to explore social determinants related to pathways to high-risk sexual behaviors of international travelers across their life span.

Design/methodology/approach

Data were collected from 45 international travelers in Houston, a critical transit point frequented by international visitors.

Findings

Overall, several ecological settings (individuals, interpersonal, institutional and contextual) related to two typologies of international travelers (risk takers vs non-risk takers) and their inclination to engage in high-risk sexual practices in an international or/and local context were identified.

Research limitations/implications

This research calls for the need to assess high-risk sexual …

Understanding Support Network Capacity During The Transition From Foster Care: Youth-Identified Barriers, Facilitators, And Enhancement Strategies, Jared Best, Jennifer E. Blakeslee

School of Social Work Faculty Publications and Presentations

This study explores how foster care experiences can impact support network functionality as young people exit the foster care system. This can be conceptualized as a function of both network member capacity to provide adequate support to address young adult needs, and network stability, which reflects cohesion within and across relationships to facilitate consistent support over time. We conducted support network mapping and semi-structured interviews with youth in foster care aged 16–20 (N = 22) and used theoretical thematic analysis to explore support barriers and facilitators in relation to the organizing concepts of support capacity and network stability. Overall, support …

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 …

What’S Happening During Home Visits? Exploring The Relationship Of Home Visiting Content And Dosage To Parenting Outcomes, Peggy Nygren, Beth Green, Katie Winters, Anna Rockhill

School of Social Work Faculty Publications and Presentations

Research has documented modest positive impacts of early childhood home visiting programs. However, understanding more about what home visitors do during visits and how much time they spend on specific topics may provide insight into the variability in effectiveness of services. Methods Outcome data were collected via parent survey at program enrollment and 12 months from 123 women in three MIECHV-funded home visiting models. Home visitors completed weekly home visit content and activity logs. Results Families received an average of 28 visits during the study (3.1 visits per month). Of ten content areas, the three most often discussed were early …

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 …

Peer Support For Youth And Young Adults Who Experience Serious Mental Health Conditions: State Of The Science, Janet S. Walker, Caitlin Baird, Mary Beth Welch

School of Social Work Faculty Publications and Presentations

Peer support for youth and young adults who experience serious mental health conditions (SMHCs) is rapidly growing in popularity as an addition to the mental health service array in communities around the United States. Research focusing on various aspects of the youth/young adult peer support role has been accruing in recent years; however, many questions remain regarding how the role is defined and supported, and what sort of outcomes can and should be expected once peer support is implemented as a service. This brief reviews the research literature that bears on these topics, describes how current work at Pathways RTC …

Social Network Enhancement Strategies To Address Limited Support Networks In Young Adulthood: State Of The Science, Jennifer E. Blakeslee

School of Social Work Faculty Publications and Presentations

This review focuses on populations where systems involvement is presumed to impact the size, strength, and supportiveness of social networks, including young people who have experienced out-of-home placement in foster care, juvenile justice, or residential treatment.

Oregon Guide To Health Care Partnerships: For Community-Based Organizations And Advocates Supporting Survivors Of Domestic Violence In Health Care Settings, Sarah H. Keefe, Christine Heyen, Anna Rockhill, Ericka Kimball

School of Social Work Faculty Publications and Presentations

Safer Futures is a practice and partnership model that benefits survivors of intimate partner violence. This model demonstrates how community-based, non-clinical domestic and sexual violence (D/SV) intervention advocates can better serve survivors of intimate partner violence (IPV) in partnership with health care providers. Such partnerships strengthen services for survivors of IPV in various health care settings including, but not limited to, public health departments, Federally Qualified Health Centers, primary care clinics, and hospitals.

Partnerships between advocates and health care providers improve IPV survivors’ access to health care, advocacy services, resources and support. The model works best when a health care …

Adjustment To College In The United States: Perceptions Of Qatari Students, Janet S. Walker, Jennifer E. Blakeslee, Batoul Khalifa, Ramzi Nasser, Atmane Ikhlef

School of Social Work Faculty Publications and Presentations

This qualitative study is part of a collaborative research effort undertaken by investigators based in the United States and Qatar to better understand Qatari student perspectives on their post-secondary adjustment and success. Here, we report findings from structured interviews with Qatari nationals studying abroad in the US, all of whom were males who were, or had recently been, undergraduates at state universities and/or community colleges in Oregon (n=21). Approximately two-thirds were in business or economics programs and about a third in STEM programs (science, technology, engineering, or mathematics). Most of the interviews were conducted in Arabic and translated into English …

Measuring The Support Networks Of Transition-Age Foster Youth: Preliminary Validation Of A Social Network Assessment For Research And Practice, Jennifer E. Blakeslee

School of Social Work Faculty Publications and Presentations

Multi-dimensional social support is an important factor in any positive transition into young adulthood, and youth who are exiting foster care ideally receive comprehensive social support from a range of informal and formal sources. Yet the social networks of transition-age foster youth are likely influenced over time by child welfare involvement, which can weaken or disrupt natural support relationships, while introducing service-oriented relationships that are not intended to last into adulthood. To better understand the social support context of youth aging out of care, we can apply social network theory and methods to systematically identify their networks of supportive relationships …

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 …

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.

Associations Between Childhood Maltreatment And Young Adult Romantic Relationships: A Focus On Gender Differences, L. Kris Gowen, Celina Kishna

School of Social Work Faculty Publications and Presentations

Two recent studies investigated the associations between experiencing maltreatment in childhood and dating aggression and interpersonal problems in young adult romantic relationships, with a focus on gender differences.

How Mental Health Challenges Impact The Sexual And Relational Health Of Young Adults, L. Kris Gowen

School of Social Work Faculty Publications and Presentations

Sexual behavior is a normative aspect of young adulthood—90% of young adults have had vaginal intercourse and/or oral sex before the age of 30.1 Similarly, engaging in romantic and/or intimate relationships is seen as an essential developmental task of young adulthood. However, little is known about the sexual and romantic relationships of young adults with serious mental health conditions (SMHC), despite the fact that there is evidence that this population is disproportionately affected by poor sexual health. This article will outline what is known about the sexual and romantic relationships of young adults with SMHC and highlight the importance of …

The Sexual Health Of Lesbian, Gay, Bisexual, Transgender, And Questioning Youth, L. Kris Gowen

School of Social Work Faculty Publications and Presentations

Although persons of different sexual and gender orientations often get grouped together under the term “LGBTQ” (for lesbian, gay, bisexual, transgender, and questioning), it is important to distinguish between subpopulations based on sexual vs. gender orientation. A person’s sexual orientation is the gender to which a person is emotionally, romantically, and sexually attracted. Gender identity is how a person self-identifies as a particular gender regardless of biological sex characteristics. “Transgender” describes persons who are born a certain sex, but identify with, and consequently wish to live as, a different gender than the sex their anatomy dictates. According to data from …

Infusing Culture Into Practice: Developing And Implementing Evidence-Based Mental Health Services For African American Foster Youth, Harold E. Briggs, Bowen Mcbeath

School of Social Work Faculty Publications and Presentations

The lack of culturally appropriate health and mental health care has contributed to the large number of African American youth and families involved in the child welfare system. This article reviews the consequences of the insufficient access to culturally sensitive, evidence-supported interventions for African American foster youth. The authors describe a framework for the development of culturally appropriate mental health interventions responsive to the needs of African Americans.

Book Review Of, Foundations Of Evidence Based Social Work Practice, Daniel Coleman

School of Social Work Faculty Publications and Presentations

Reviews the book "Foundations of Evidence Based Social Work Practice", by Albert R. Roberts and Kenneth R. Yeager

Parents As Navigators: How Caregivers Of Children With Mental Health Difficulties Find Supports In The Workplace, Eileen M. Brennan, Marlene Penn, Katherine J. Huffstutter, Jennifer R. Bradley, Julie M. Rosenzweig

School of Social Work Faculty Publications and Presentations

Presentation given at the 19th Annual Research Conference: A System of Care for Children's Mental Health: Expanding the Research Base, Tampa, FL, February 2006.

Men As Caregivers At The End Of Life, Erik K. Fromme, Linda L. Drach, Susan W. Tolle, Patricia Ebert, Pamela Miller, Nancy Perrin, Virginia P. Tilden

School of Social Work Faculty Publications and Presentations

Background: Few studies have focused on men as caregivers at the end-of-life. The objective of this secondary data analysis was to examine the experiences of men involved in end-oflife caregiving, focusing on caregiver strain.

Methods: We used a random sample of Oregon death certificates to telephone survey family caregivers of Oregonians who had died 2 to 5 months earlier in private homes, nursing homes, and other community-based settings. Measurements included single-item indicators and embedded scales to measure caregiver strain and perceived decedent symptom distress. For the 25 husbands, sons, wives, and daughters who reported the highest levels of strain, we …

Violence, Mental Health, And Physical Symptoms In An Academic Internal Medicine Practice, Christina Nicolaidis, Maryann Curry, Bentson H. Mcfarland, Martha Gerrity

School of Social Work Faculty Publications and Presentations

OBJECTIVE: To assess how physical and/or sexual intimate partner violence (IPV), child abuse, and community violence relate to long-term mental and physical problems; to examine the overlap between different forms of violence and the impact of experiencing multiple forms of violence.

DESIGN: Cross-sectional survey.

SETTING: Three general internal medicine practices affiliated with an academic medical center.

PARTICIPANTS: English-speaking women aged 25 to 60.

MEASUREMENTS: Telephone or in-person interview and chart review.

RESULTS: One hundred seventy-four women completed interviews. A majority of participants experienced more than one form of violence. In separate multivariate analyses, each form of violence was associated with …

Intimate Partner Abuse Could We Have Known? A Qualitative Analysis Of Data From Women Who Survived An Attempted Homicide By An Intimate Partner, Christina Nicolaidis, Maryann Curry, Yvonne Ulrich, Phyllis Sharps, Judith Mcfarlane, Doris Campbell, Faye Gary, Kathryn Laughon, Nancy Glass, Jacquelyn Campbell

School of Social Work Faculty Publications and Presentations

OBJECTIVE: To examine in-depth the lives of women whose partners attempted to kill them, and to identify patterns that may aid in the clinician’s ability to predict, prevent, or counsel about femicide or attempted femicide. DESIGN: Qualitative analysis of 30 in-depth interviews. SETTING: Six U.S. cities. PARTICIPANTS: Thirty women, aged 17–54 years, who survived an attempted homicide by an intimate partner. RESULTS: All but 2 of the participants had previously experienced physical violence, controlling behavior, or both from the partner who attempted to kill them. The intensity of the violence, control, and threats varied greatly, as did the number of …

The Voices Of Survivors Documentary Using Patient Narrative To Educate Physicians About Domestic Violence, Christina Nicolaidis

School of Social Work Faculty Publications and Presentations

This article describes a method of developing physician education materials using analysis of domestic violence patient experiences and patients' descriptions of their experiences. The process began with interviews of 21 domestic violence survivors, focusing on what they wanted to teach physicians. Qualitative analysis of these interviews identified 4 main themes regarding what survivors wanted physicians to understand about life in an abusive relationship: that domestic violence is universal, that it is more than just physical assaults, that it is all about power and control, and that it affects the entire family. Because what survivors wanted from physicians differed depending on …