Social Work Commons^™

Build Exito: A Multi-Level Intervention To Support Diversity In Health-Focused Research, Dawn M. Richardson, Thomas E. Keller, De’ Sha S. Wolf, Adrienne Zell, Cynthia Morris, Carlos J. Crespo

School of Social Work Faculty Publications and Presentations

Background and purpose: As part of the NIH BUILD initiative to diversify the scientific workforce, the EXITO project is a large multi-institutional effort to provide comprehensive support and training for undergraduates from traditionally underrepresented student populations who aspire to health-related research careers. Portland State University, a major public urban university that prioritizes student access and opportunity, and Oregon Health & Science University, a research-intensive academic health center, lead the EXITO network comprised of eleven 2-year and 4-year institutions of higher education spanning Oregon, Washington, Alaska, Hawaii, Guam, American Samoa, and the Northern Mariana Islands. The EXITO project aims for …

Understanding Neurobiology Of Psychological Trauma; Tips For Working With Transition-Age Youth, Julie M. Rosenzweig, Pauline Jivanjee, Eileen Brennan, Leigh Grover, Anthony Abshire

School of Social Work Faculty Publications and Presentations

This tip sheet introduces service providers to scientifically-informed findings about brain development and trauma specific to young adults and the implications for trauma-informed interventions and trauma-informed engagement of young people in services.

“Our Greatest Songs Are Still Unsung”: Educating Citizens About Schooling In A Multicultural Society, Simona Goldin, Erin E. Flynn, Cori Mehan Egan

School of Social Work Faculty Publications and Presentations

This study examines how a practice-based unit informs undergraduates’ understandings of the dynamics of teaching and learning in a multicultural society, and how these intersect with equity in U.S. classrooms. Citizens’ nuanced understanding of teaching and learning is increasingly important for their engagement with U.S. schools. Practice-based opportunities can allow students to “see” the complexity of teaching and to challenge assumptions about teaching and learning, which are central to preparing an informed citizenry. Findings further suggest that a single course is not sufficient to expand undergraduate students’ understanding of the role of diversity in social life. More concentrated and ongoing …

An Exploratory Investigation Of Animal Hoarding Symptoms In A Sample Of Adults Diagnosed With Hoarding Disorder, Jennifer E. Ung, Mary Dozier, Christiana Bratiotis, Catherine R. Ayers

School of Social Work Faculty Publications and Presentations

Objective: The extant research on animal hoarding has a dearth of information on animal hoarding tendencies in adults diagnosed with hoarding disorder (HD). In the present study, we investigated possible recurrent animal hoarding behavioral and symptom patterns in individuals diagnosed with hoarding disorder. Methods: Hoarding severity scores from baseline assessments for 65 community-dwelling adults diagnosed with HD were analyzed with respect to their present and past animal ownership characteristics. Results: Approximately half of participants reported currently owning pets, and pet owners in the sample reported currently owning an average of two pets. Of the participants who reported currently owning animals, …

Increasing Youths' Participation In Team-Based Treatment Planning: The Achieve My Plan Enhancement For Wraparound, Janet S. Walker, Celeste L. Seibel, Sharice Jackson

School of Social Work Faculty Publications and Presentations

Wraparound is a frequently implemented approach for providing individualized, community-based care for children and adolescents with serious mental health conditions and, typically, involvement in multiple child—and family-serving systems. Both Wraparound’s principles and its theory of change stress the importance of youths’ active participation throughout. However, research focusing on the experiences of youth in Wraparound indicates that they are often not particularly engaged in the process or participating actively with their teams, and the findings point to a lack of alliance between the young people and their teams. This article describes a randomized study testing the Achieve My Plan (AMP) enhancement …

Peer Mentoring For Undergraduates In A Research-Focused Diversity Initiative, Thomas E. Keller, Kay Logan, Jennifer Lindwall, Caitlyn Beals

School of Social Work Faculty Publications and Presentations

To provide multi-dimensional support for undergraduates from traditionally underrepresented backgrounds who aspire to careers in research, the BUILD EXITO project, part of a major NIH-funded diversity initiative, matches each scholar with three mentors: peer mentor (advanced student), career mentor (faculty adviser), and research mentor (research project supervisor). After describing the aims of the diversity initiative, the institutional context of the BUILD EXITO project, and the training program model, this article devotes special attention to the rationale for and implementation of the peer mentoring component within the context of the multi-faceted mentoring model.

Planning And Designing The Improving Addiction Care Team (Impact) For Hospitalized Adults With Substance Use Disorder, Honora Englander, Melissa B. Weimer, Rachel Solotaroff, Christina Nicolaidis, Benjamin Chan, Christine M. Velez, Alison Noice, Tim Hartnett, Ed Blackburn, Pen Barnes, P. Todd Korthuis

School of Social Work Faculty Publications and Presentations

People with substance use disorders (SUD) have high rates of hospitalization and readmission, long lengths of stay, and skyrocketing healthcare costs. Yet, models for improving care are extremely limited. We performed a needs assessment and then convened academic and community partners, including a hospital, community SUD organizations, and Medicaid accountable care organizations, to design a care model for medically complex hospitalized patients with SUD. Needs assessment showed that 58% to 67% of participants who reported active substance use said they were interested in cutting back or quitting. Many reported interest in medication for addiction treatment (MAT). Participants had high rates …

Focal Point, Volume 31, Portland State University. Regional Research Institute

Research and Training Center - Focal Point

Research demonstrates that the prevalence of mental health conditions among justice system involved youth is alarmingly high, coupled with a strong likelihood of multiple traumatic exposures. Unfortunately, while the need for appropriate and timely treatment is acute, the juvenile justice system seems challenged in meeting it. The authors of this issue of Focal Point identify and propose solutions to these challenges with new research findings.

An Analysis Of Oregon Youth Authority Populations: Who Receives Treatment And What Factors Influence Allocation Of Treatment Resources?, Rebecca Arredondo Yazzie

Dissertations and Theses

Service provision in both adult and juvenile correctional settings is an understudied phenomenon. Research has evaluated the use of evidence-based practices (EBP) in the treatment of mental health and substance abuse among adults and juveniles. Young, Farrell, Henderson and Taxman (2009) highlight the role of organizational factors including climate and culture, opportunities for staff training, resources, administrator attitudes and interagency collaboration in the application of EBP in correctional settings. The Oregon Youth Authority (OYA) aims to provide services to youth under the guise of EBP. Literature in the field of juvenile justice is limited in scope in areas of organizational …

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 …

Oregon Community-Based Care Survey: Assisted Living, Residential Care, And Memory Care, Paula C. Carder, Ozcan Tunalilar, Sheryl Dejoy Elliott, Sarah Dys, Margaret B. Neal

Institute on Aging Publications

In Oregon, community-based care (CBC) communities include assisted living (AL), residential care (RC), and memory care (MC) communities. These settings provide residential, personal care, and health-related services, primarily to older adults. As the population of Oregonians aged 65 and older is estimated to increase from 16 percent in 2015 to nearly 23 percent in 20501, the availability of CBC settings will continue to be an important source of long-term services and supports.

This report provides an in-depth look at Oregon’s CBC settings. Because no central dataset of CBC services, staff, and residents is available, as opposed to nursing facilities, information …

Gentrification And Displacement: An Environmental Justice Challenge For Social Work In Urban Environments, Eileen M. Brennan, Kevin Jones, Ryan Elizabeth Bender

School of Social Work Faculty Publications and Presentations

This chapter presents a lesson which includes a case study highlighting the social, economic, and environmental injustices associated with the gentrification of Northeast Portland, Oregon, US. The reader will then engage in an exercise, which includes reviewing the suggested video clip and news article segment highlighting experiences of families caught up in gentrification in Northeast Portland. Finally, the reader will work through the associated questions and activities to achieve the learning outcomes.

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 …

Oregon Community-Based Care Survey: Adult Foster Homes, Paula C. Carder, Sheryl Dejoy Elliott, Ozcan Tunalilar, Sarah Dys, Margaret B. Neal

Institute on Aging Publications

Adult foster homes (AFH) offer long-term services and supports to older adults and people with disabilities who wish to remain in the community but need assistance with personal care and health-related tasks. This report focuses on Oregon AFHs that are licensed to care for individuals aged 65 and older and younger adults with disabilities. Homes may be licensed for one to five residents and must be staffed 24-hours daily to respond to residents’ scheduled and unscheduled needs or requests.

This report provides an in-depth look at a sample of Oregon AFHs. Since no central dataset of AFH services, staff, and …

North Douglas County Community Needs Health Assessment (Phase 2), Callie H. Lambarth, Diane Reid, Beth L. Green

Early Childhood

Beginning in August 2016, Phase 2 of the North Douglas County (NDC) Community Health Needs Assessment (CHNA) built on work completed in the Phase 1 planning process, and engaged the communities of Drain, Elkton, and Yoncalla, Oregon in the development and administration of a regional health services survey. The purpose of the survey was to learn from families with children ages 0-8 in the NDC region in order to:

• Identify service needs across a range of health service types, e.g., dental care, immunizations, prenatal care, well-child care, primary care, and mental health;
• Identify barriers to access;
• Prioritize the programs and …

A Qualitative Examination Of Pain Centrality Among Veterans Of Iraq And Afghanistan Conflicts, Samantha D. Outcalt, Christina Nicolaidis, Matthew J. Bair, Laura J. Myers, Edward J. Miech, Marianne S. Matthias

School of Social Work Faculty Publications and Presentations

Objective. Centrality of pain refers to the degree to which a patient views chronic pain as integral to his or her life or identity. The purpose of this study was to gain a richer understanding of pain centrality from the perspective of patients who live with chronic pain.

Methods. Face-to-face interviews were conducted with 26 Veterans with chronic and disabling musculoskeletal pain after completing a stepped care intervention within a randomized controlled trial. Qualitative data were analyzed using an immersion/crystallization approach. We evaluated the role centrality plays in Veterans’ lives and examined whether and how their narratives differ when centrality …

Kids In Transition To School (Kits), Beth L. Green, Lorelei Mitchell, Lindsey Brianna Patterson

Early Childhood

During the summer and fall of 2016, children and families in 16 schools in Lane County participated in the Kids in Transition to School (KITS) Program. KITS includes 16 weeks of group-based child classes and 12 weeks of parenting workshops, using an evidence-based curriculum designed to improve school readiness skills and parenting. To learn more about the KITS program from the perspective of participating families, four focus groups were held with parents who participated in KITS. A total of 44 parents participated in the groups, which were located in four different schools (two small, rural locations and two larger more …

Will I Be Able To Understand My Mentee? Examining The Potential Risk Of The Dominant Culture Mentoring Marginalized Youth, Jennifer Lindwall

Psychology Faculty Publications and Presentations

Most people would agree they want to live in a world where every child has what he or she needs to thrive and grow into a healthy and productive adult. It is estimated that 5,000 mentoring programs serve 3,000,000 youth in the United States alone (DuBois, Portillo, Rhodes, Silverthorn, & Valentine, 2011). In many of these programs, a majority of the mentors are matched with a mentee who comes from a culture and community they know very little about. Many of the youth development programs that were founded and implemented by people of the perceived dominant culture represent their values …

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 …

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

School of Social Work Faculty Publications and Presentations

This guide provides information about policy and policy change in mental health and other human services for young adult groups who want to be

directly involved in policy change activities. Some of the many ways that young people can be involved in policy work include serving on advisory committees that consider areas where policy change is needed, participating on groups convened to review contract language about youth-related issues or serving on groups charged with developing rules and regulations to support recent policy change. A number of manuals or handbooks address these important roles, although few of them are specifically focused …

Organizational Supports Used By Private Child And Family Serving Agencies To Facilitate Evidence Use: A Mixed Methods Study Protocol, Emmeline Chuang, Crystal Collins-Camargo, Bowen Mcbeath

School of Social Work Faculty Publications and Presentations

Background: Challenges to evidence use are well documented. Less well understood are the formal supports—e.g., technical infrastructure, inter-organizational relationships—organizations may put in place to help overcome these challenges. This study will identify supports for evidence use currently used by private child and family serving agencies delivering publicly funded behavioral health and/or human services; examine contextual, organizational, and managerial factors associated with use of such supports; and determine how identified supports affect evidence use by staff at multiple levels of the organization. Methods: We will use a sequential explanatory mixed methods design, with study activities occurring in two sequential phases: In …

What Is Peer Support And What Is Not Peer Support?, Mary Beth Welch, Caitlin Baird, Celeste L. Seibel

School of Social Work Faculty Publications and Presentations

This publication provides clarity around the primary functions of the young adult peer support role, and addresses the common misconceptions of young adult peer work.

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 …

What Are Effective Strategies For Implementing Trauma-Informed Care In Youth Inpatient Psychiatric And Residential Treatment Settings? A Realist Systematic Review, Stephanie A. Bryson, Emma Gauvin, Ally Jamieson, Melanie Rathgeber, Lorelei Faulkner-Gibson, Sarah Bell, Jennifer Russel, Sharlynne Burke

School of Social Work Faculty Publications and Presentations

Background: Many young people who receive psychiatric care in inpatient or residential settings in North America have experienced various forms of emotional trauma. Moreover, these settings can exacerbate trauma sequelae. Common practices, such as seclusion and restraint, put young people at risk of retraumatization, development of comorbid psychopathology, injury, and even death. In response, psychiatric and residential facilities have embraced trauma-informed care (TIC), an organizational change strategy which aligns service delivery with treatment principles and discrete interventions designed to reduce rates of retraumatization through responsive and non-coercive staff-client interactions. After more than two decades, a number of TIC frameworks and …

Student-Perceived Quality Of Motivational Interviewing Training: A Factor-Analytic Study, Douglas Smith, Melinda Hohman, Stéphanie Wahab, Trevor Manthey

School of Social Work Faculty Publications and Presentations

Objective: This study developed and tested a student-report measure of motivational interviewing (MI) teaching quality called the Evaluation of Motivational Interviewing Teaching (EMIT) scale.

Method: Social work students (N = 297) receiving course content on motivational interviewing completed the EMIT, and exploratory factor analysis investigated whether theory-based dimensions of teaching emerged as EMIT subscales, including: interactivity/skill building, MI content coverage, modeling MI during teaching, trainee autonomy violation, and encouraging ongoing training in MI.

Results: Two subscales emerged representing MIconsistent (28 items, α = .92) and MI-inconsistent teaching practices (7 items, α = .73).

Conclusions: Although more …

Housing A Homeless Shelter: A Case Study Of Community Deliberation, Amie Thurber

School of Social Work Faculty Publications and Presentations

Among the core competencies of macro practitioners are the skills to design, implement and evaluate conflict resolution processes. Drawing upon theories of deliberative democracy, restorative justice and the Just Practice framework, this paper explores a process of deliberation which engaged 200 community members in the controversial siting of a homeless shelter. This case study is both descriptive and reflective: by offering an in-depth description of the process and a reflection on the guiding values, this paper provides critical insight into best practices in – and limitations of – using deliberation to resolve divisive community issues.