Social Work Commons^™

"[I] Don't Wanna Just Be Like A Cog In The Machine": Narratives Of Autism And Skilled Employment., Dora M. Raymaker, Mirah Sharer, Joelle Maslak, Laurie E. Powers, Katherine E. Mcdonald, Steven K. Kapp, Ian Moura, Anna Furra Wallington, Christina Nicolaidis

Regional Research Institute for Human Services

Autistic people are less likely to be employed than the general population. Autistic people with skilled training (e.g. training for jobs in acting, plumbing, science, or social work) might be even less likely to get a good job in their field. Little is known about the experiences of autistic people in skilled employment or what employment success means to them. We interviewed 45 autistic people with skilled training in a wide range of fields, 11 job supervisors, and 8 topic experts. We asked them about their experiences, what they felt helped them to be successful at work, and what employment …

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 …

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 …

Statewide Implementation Of High-Fidelity Recovery-Oriented Act: A Case Study, Heidi Herinckx, Alyssa Kerlinger, Karen Cellarius

Regional Research Institute for Human Services

Background: Assertive Community Treatment (ACT) is a recognized evidence-based practice, but the use of Translation Science to ensure the broad implementation of high quality ACT services has not yet been fully explored. This single intrinsic case study explores how Oregon uses strategies identified through Translation Science to achieve statewide implementation of high-fidelity recovery-oriented ACT.

Method: Multiple data sources were used to evaluate this implementation process, including ACT fidelity review reports, programmatic outcome data, a national ACT taskforce survey, and focus groups with program participants.

Findings: In 2013, the Oregon Health Authority funded the creation of the Oregon …

Zero Suicide As A Statewide Initiative: The Oregon Approach, Meghan Crane, Karen Cellarius, Susan G. Keys

Regional Research Institute for Human Services

Aims: This session has three primary aims: (1) to inform state public health and behavioral health leaders of the state of Oregon’s plan for supporting local Zero Suicide infrastructure development; (2) to educate state and local leaders about the different approaches local jurisdictions have taken in their ZS efforts; and (3) to introduce leaders and practitioners to an online firearm safety toolkit that incorporates research-based skills for addressing firearm safety in a culturally competent manner with rural suicidal patients.

Methods - Content/ Knowledge/ Skills: The session will enhance participants’ knowledge of state and local models for implementing Zero Suicide. …

Oregon Zero Suicide Implementation Assessment Instrument, V.1.0, Karen Cellarius, Meghan Crane

Regional Research Institute for Human Services

This implementation self‐assessment and the accompanying web survey were adapted for the Oregon Community Collaboration Initiative (OCCI) by Portland State University in collaboration with the OHA GLS Youth Suicide Prevention staff. The assessment is based on three Zero Suicide resources available at http://zerosuicide.org/: (1) the Organizational Self‐Study, (2) the Data Elements Worksheet and (3) the Work Plan Template. OHA is using this implementation assessment to track change over time related to suicide prevention efforts among organizations participating in OHA‐sponsored Zero Suicide Academies in Oregon and subsequent Zero Suicide Community of Practice Conference Calls. Funding to develop this instrument was provided …

Creating An Organizational Self-Assessment Tool To Evaluate Progress Toward System Change, Karen Cellarius

Regional Research Institute for Human Services

Studies have shown that programs with higher fidelity to certain evidence-based practices have better treatment outcomes than programs with lower fidelity. The clinical assessment method outlined in this poster can be adapted to create a tool for measuring how closely an organization is implementing system change and maintaining it over time, while also educating program staff on what optimal implementation looks like.

Enhancing The Career Planning Self-Determination Of Young Adults With Mental Health Challenges, Jo-Ann Sowers, Paul R. Swank

Regional Research Institute for Human Services

The impact of an intervention on the self-determination and career planning engagement of young adults with mental health challenges was studied. Sixty-seven young adults, 20 to 30 years of age, with mental health diagnoses (e.g., depression, bipolar disorder) were randomly assigned to intervention and control groups. Statistically significant greater increases were made by the intervention group versus the control group for self-determination and career planning engagement, and self-determination at least partially mediated increases in career planning engagement. With career planning self-determination interventions, young adults with mental health challenges might be able to achieve better career and life outcomes than is …

Changing The Rules: A Guide For Youth And Young Adults With Mental Health Conditions Who Want To Change Policy, Nancy Koroloff, Barbara J. Friesen, Nicholas Buekea

Regional Research Institute for Human Services

To some people, “policy” seems like a mysterious and perhaps boring topic, compared to the busyness and intensity of everyday life. However, a growing number of youth- and young adult-led groups have shown how policy issues can influence their choices and their lives in critical ways, and that they can have substantial influence on policy. Policies may be general, and apply to all people in society (e.g., traffic laws), or they may specifically focus on particular groups of people, such as people with a mental health condition or criminal record (e.g., policies about housing or employment). Organizations such as Youth …

Persistence In Higher Education: A Qualitative Study Of Student Perceptions, Beliefs, Outlook And Context In Qatar, Batoul Khalifa, Ramzi Nasser, Atmane Ikhlef, Janet S. Walker, Said Amali

Regional Research Institute for Human Services

This study attempts to address the challenges of students in higher education in Qatar. The study draws on student perceptions, beliefs, outlook, and context; we approach the study through grounded means by posing leading interview questions with the aim of exploring and probing. The approach is grounded in that no specific theory drives the questions; rather, the responses from the interview often require interpretation through theory to justify the findings. The sample comprised 35 students who were interviewed through probing and questioning techniques. The questions led to converging responses, which were segregated into themes. A large majority of students felt …

Psychometric Properties Of The Centrality Of Pain Scale, Benjamin J. Morasco, Dennis C. Turk, Christina Nicolaidis

Regional Research Institute for Human Services

The Centrality of Pain Scale (COPS) is a recently developed patient-centered, 10-item self-report measure designed to assess how central, or dominating, in their lives individuals with chronic pain perceive pain to be. The COPS underwent initial development and validation previously; preliminary results suggested that the measure had excellent psychometric properties and that COPS scores were associated with important clinical factors. The purpose of the present study was to examine the psychometric properties of the COPS in a sample of individuals with mixed chronic pain diagnoses (N = 178) being treated at a U.S. Veterans Affairs Medical Center. Principal components analysis …

Community And State Systems Change Associated With The Healthy Transitions Initiative, Janet S. Walker, Nancy Koroloff, Shawn James Mehess

Regional Research Institute for Human Services

People engaged in efforts to improve services to emerging adults with serious mental health challenges have reached the conclusion that service change at the program or agency level is not sustainable without related changes at the systems or policy level. This article focuses on one set of efforts to create intentional system change at both the community and state levels. These changes were pursued by states and communities that received grants under the federally funded Healthy Transitions Initiative (HTI), with the aim of creating more effective services for emerging adults with serious mental health conditions. The article reviews the development …

Better Futures: A Randomized Field Test Of A Model For Supporting Young People In Foster Care With Mental Health Challenges To Participate In Higher Education, Sarah Geenen, Laurie E. Powers, Lee Ann Phillips, May Nelson, Jessica Mckenna, Nichole Winges-Yanez, Linda Blanchette, Adrienne Croskey, Lawrence D. Dalton, Amy Salazar, Paul Swank

Regional Research Institute for Human Services

The purpose of the study was to conduct a preliminary efficacy evaluation of the Better Futures model, which is focused on improving the postsecondary preparation and participation of youth in foster care with mental health challenges. Sixty-seven youth were randomized to either a control group that received typical services or an intervention group, which involved participation in a Summer Institute, individual peer coaching, and mentoring workshops. Findings indicate significant gains for the intervention group on measures of postsecondary participation, postsecondary and transition preparation, hope, self-determination, and mental health empowerment, as compared to the control group. Youth in the intervention group …

A Theory Of Change For Positive Developmental Approaches To Improving Outcomes Among Emerging Adults With Serious Mental Health Conditions, Janet S. Walker

Regional Research Institute for Human Services

Recent evidence attests to the shortcomings of typical services for improving outcomes among emerging adults with serious mental health conditions (SMHCs). Researchers and providers have responded by developing new programs and interventions for meeting the unique needs of these young people. A significant number of these programs and interventions can be described as taking a positive developmental approach, which is informed by a combination of theoretical sources, including theories of positive development, self-determination, ecological systems, and social capital. To date, however, there has been no comprehensive theoretical statement describing how or why positive change should occur as a result of …

Meeting The Transition Needs Of Urban American Indian/Alaska Native Youth Through Culturally Based Services, Barbara J. Friesen, Terry L. Cross, Pauline Jivanjee, Ashley Thirstrup, Abby Bandurraga, L. Kris Gowen, Jen Rountree

Regional Research Institute for Human Services

This article reports findings from three qualitative studies exploring supports for positive transitions of American Indian/Alaska Native (AI/AN) youth to adulthood. Community-based participatory methods were employed through a research partnership involving a culturally based community agency, the Native American Youth and Family Center (NAYA), the National Indian Child Welfare Association, and Portland State University. Studies utilized a Relational Worldview (RWV) framework, where well-being is understood as a balance among the domains of mind, body, spirit, and context. Collectively, findings demonstrate that NAYA employs culturally grounded interventions to overcome the traumatic histories and current oppressive conditions affecting low-income urban AI/AN youth …

Balancing Work & Family Responsibilities: A Guidebook For Parent Support Providers, Julie M. Rosenzweig, Anna M. Malsch, Eileen M. Brennan

Regional Research Institute for Human Services

This training manual and guidebook for Parent Support Providers has been adapted from Children/Youth with Disabilities: Their Parents are YOUR Employees, a workbook for human resource professionals originally produced by the Work-Life Integration Project at Portland State University. The research behind the manual comes from over two decades of federally funded studies focused on understanding the work-life experiences of parents with children challenged by behavioral health disabilities. Supplemental materials to the manual for group training purposes include a slide presentation, and a training script.

The survey at the end of this manual may be used as a pre/post evaluation of …

2014 Oregon General Assistance Study, Karen Cellarius, Mary Oschwald, Sandra Marie Leotti

Regional Research Institute for Human Services

In early 2014, the Oregon legislature and the state Department of Human Services (DHS) commissioned a study to gather input from consumer and non-consumer stakeholders regarding how to most effectively meet the needs of childless adults with disabilities. This study was designed to answer the following questions: (1) What services for childless adults with disabilities exist within Oregon and in other states? (2) What is the need today? and (3) What potential program structures and funding options might address the needs or the target population while also addressing any barriers experienced with the previous program? The following synopsis describes the …

Online Mental Health Information Seeking In Young Adults With Mental Health Challenges, L. Kris Gowen

Regional Research Institute for Human Services

Barriers such as stigmatization and access to health care may lead young adults with mental health conditions (YAMHC) to try to find alternatives to more traditional means of obtaining care. One possible alternative is to seek information online. The purpose of this article is to better understand how YAMHC use the Internet to access information about mental health, and the challenges they face when trying to access that information. Semistructured focus groups were conducted to investigate how YAMHC use the Internet for information and support regarding their mental health. Three major themes about mental health information seeking emerged from the …

2012 Oregon Crime Victims’ Needs Assessment Final Report, Deborah Elliott, Karen Cellarius, Tara Horn

Regional Research Institute for Human Services

On behalf of the Crime Victims’ Services Division of the Oregon Department of Justice, the Portland State University Regional Research Institute for Human Services conducted an eighteen-month needs assessment of the current state of crime victim services and crime victims’ needs in Oregon. This 2012 study was a ten-year follow-up of the 2002 statewide crime victims’ needs assessment conducted by RRI for CVSD’s predecessor, the DOJ Crime Victims’ Assistance Section. The 2012 statewide needs assessment was conducted from July 2011 through December 2012 with the primary objectives of: (1) Reviewing changes in the field of crime victim services since the …

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 …

Draft Direct Service Core Competencies, Eileen M. Brennan, Pauline Jivanjee, Eliz Roser

Regional Research Institute for Human Services

At the first quarterly meeting of the Pathways Transition Training Collaborative (PTTC), members approved the following definition of competency, and the structure of the core competency document. The definition is based in part on the work of Hoge, Tondora, and Marrelli (2005). We will be developing an interdisciplinary course for graduate students based on the core competencies that emerge from the PTTC and the research of the Pathways to Positive Futures RTC. Later, the PTTC will present webinar and online course modules that develop from the core competencies identified by our community of practice.

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.

Community Engaged Research At The Regional Research Institute For Human Services, Diane Yatchmenoff, Laurie E. Powers

Regional Research Institute for Human Services

Participatory models of research, in which communities are actively engaged in the research process through partnerships with academic institutions, are restructuring how scientific knowledge is being created. Community engaged research, also known as, community based participatory research (CBPR), and participatory action research (PAR) is increasingly recognized as a framework for high quality scientific inquiry. In community engaged research, researchers and evaluators work side‐by‐side with community members in all phases of the research process, from defining social problems and research questions, conceptualizing research design, carrying out research, and interpreting and disseminating findings. It requires partnership development, collaboration and cooperation, and commitment …

Weku: Trauma-Informed Residential Treatment For Pregnant And Post-Partum Women In Portland, Or, Deborah Elliott, Karen Cellarius

Regional Research Institute for Human Services

This poster describes a trauma-informed residential treatment program for pregnant and post-partum women in Portland, Oregon and the subsequent reductions in substance use, addiction severity and trauma symptoms at 6-months post-intake.