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 …

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.

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 …

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.

A Comparison Of Health Disparities Among Transgender Adults In Colorado (Usa) By Race And Income, Kristie L. Seelman, Sarah R. Young, Megan Tesene, Luis R. Alvarez-Hernandez, Leo Kattari

School of Social Work Faculty Publications and Presentations

Transgender individuals face heightened risks for discrimination, harassment, and violence that impact their psychosocial well-being and physical health. However, few studies have thoroughly examined the general physical and mental health of transgender adults or within-group health differences by race/ethnicity and income. To that end, after controlling for health insurance status, age, and engagement in exercise, this study asks: (a) are transgender people of color more likely than White transgender individuals to experience poor health outcomes?, and (b) is lower annual household income among transgender adults associated with poorer health outcomes? The current study analyzes secondary data from a survey of …