Social Work Commons^™

Evaluating The N/Ne Preference Policy, Amie Thurber, Lisa Bates, Susan Halverson

School of Social Work Faculty Publications and Presentations

North/Northeast Portland has long been the heart of Portland's Black community. By 2010, the area had lost two-thirds of its Black residents to displacement. In response, the City adopted a Preference Policy that prioritizes displaced affordable rental and homeownership applicants. This report describes findings from the first phase of a study to understand what difference this policy is making in the lives of residents.

Public Housing With Services For Older Adults With Developmental Disabilities: Differences In Efficacy Among Asian And White Communities, Junghee Lee, William Donlan, Paula C. Carder, Leigh Grover, Insik Hwang, Younghwan Kim, Gretchen Luhr

School of Social Work Faculty Publications and Presentations

This study examined the efficacy of a culturally responsive housing with services model for Asian-American older adults and persons with developmental disabilities separately, and with both for an interaction effect. Study participants, including 278 Whites and 75 Asian Americans, lived in 10 properties of public housing with services in Portland, OR. All Asian-American participants (except four) were immigrants from China, Korea, and Vietnam, and were well connected through community-based health and social services that were delivered onsite and at a nearby center by staff members who were also immigrants from these three countries. Asian-American participants were older, very poor, with …

Patterns Of Substance Use Before And After Hospitalization Among Patients Seen By An Inpatient Addiction Consult Service: A Latent Transition Analysis, Caroline King, Christina Nicolaidis, P. Todd Korthuis, Kelsey C. Priest, Honora Englander

School of Social Work Faculty Publications and Presentations

Background and aims: Polysubstance use is common and contributes to morbidity and mortality of hospitalized patients, and yet little is known about patterns of substance use among hospitalized patients, or how an addiction consult service (ACS) might impact polysubstance use after discharge. The objective of this study was to identify patterns of substance use at admission and after discharge among hospitalized patients with substance use disorders who saw an ACS.

Design: Prospective cohort study. We used latent transition analysis of substance use scores at the time of hospital admission and 30 to 90 days posthospitalization.

Setting: Single, …

A Green New Deal For Social Work, Rupaleem Bhuyan, Stéphanie Wahab, Yoosun Park

School of Social Work Faculty Publications and Presentations

In this editorial, we consider what climate action would mean for the social work profession. The urgency to address climate change compels social work practitioners, educators, and researchers to embrace a vision of social work that is committed to restoring human well-being and the natural world.

Elucidating The Influence Of Supervisors’ Roles On Implementation Climate, Alicia Bunger, Sarah Birken, Jill A. Hoffman, Hannah Macdowell, Mimi Choy-Brown, Erica Magier

School of Social Work Faculty Publications and Presentations

Background: Supervisors play an essential role in implementation by diffusing and synthesizing information, selling implementation, and translating top management’s project plans to frontline workers. Theory and emerging evidence suggest that through these roles, supervisors shape implementation climate—i.e., the degree to which innovations are expected, supported, and rewarded. However, it is unclear exactly how supervisors carry out each of these roles in ways that contribute to implementation climate—this represents a gap in the understanding of the causal mechanisms that link supervisors’ behavior with implementation climate. This study examined how supervisors’ performance of each of these roles influences three core implementation …

In Defense Of Culturally-Specific Organizations: Understanding The Rationale And The Evidence, Ann Curry-Stevens, Jennifer Sita Muthanna

School of Social Work Faculty Publications and Presentations

Racial disparities abound in human services, with communities of color facing grave impediments to positive progress. Mainstream institutions move painstakingly slowly on reforms—movement too slow to offer this generation prospects for real hope in equity. This paper builds the rationale for expanding funding for culturally-specific organizations, detailing the ways that the literature and the tacit knowledge of culturally-specific organizations improve outcomes for clients and communities of color. The article identifies the service benefits in terms of client outcomes, accountability practices, community benefits, cultural affirmation and inclusion, building community and political capital, and lessening investments in white-centric services. We also identify …

Who Am I? Who Do You Think I Am? Stability Of Racial/Ethnic Self-Identification Among Youth In Foster Care And Concordance With Agency Categorization, Jessica Schmidt, Shanti Dubey, Larry Dalton, May Nelson, Junghee Lee, Molly Oberweiser Kennedy, Connie Kim-Gervey, Laurie E. Powers, Sarah Geenen, The Research Consortium To Increase The Success Of Youth In Foster Care

School of Social Work Faculty Publications and Presentations

While it has been well documented that racial and ethnic disparities exist for children of color in child welfare, the accuracy of the race and ethnicity information collected by agencies has not been examined, nor has the concordance of this information with youth self-report. This article addresses a major gap in the literature by examining 1) the racial and ethnic self-identification of youth in foster care, and the rate of agreement with child welfare and school categorizations; 2) the level of concordance between different agencies (school and child welfare); and 3) the stability of racial and ethnic self-identification among youth …

The Grand Challenge Of Ending Homelessness, Benjamin Henwood, Suzanne L. Wenzel, Philip F. Mangano, Maryellen Hombs, Deborah K. Padgett, Thomas Byrne, Eric Rice, Sarah Butts, Mathew C, Uretsky

School of Social Work Faculty Publications and Presentations

The notion that homelessness in the United States can be ended, rather than managed, represents a fundamental shift in expectations that has occurred over the past three decades. Many U.S. cities now have plans to end homelessness. Yet homelessness and housing instability are substantial problems that afflict a diverse group of subpopulations such as families, youth, veterans, and chronically homeless single adults. Ending homelessness for each of these populations may require tailored interventions that are responsive to specific individualized needs. These factors make tackling homelessness a difficult task. Although evidencebased solutions exist for some subpopulations, such as housing first for …

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 …

Behavioral Health Services Needs And Availability For Young Children Involved In The Child Welfare System, Jill Hoffman, Alicia Bunger, Hillary Robertson, Scottye Cash

School of Social Work Faculty Publications and Presentations

The purposes of this presentation are to:

• Identify key characteristics of young children (0-5 years old) involved in child welfare
• Learn about the prevalence of behavioral health service needs and use among children 0-5 years old involved in child welfare
• Learn about the availability of behavioral health services targeted toward children aged 0-5 years old
• Have the opportunity to engage in a discussion on this study’s findings and trends they have seen in the populations they serve

Under What Conditions Does Caseworker-Caregiver Racial/Ethnic Similarity Matter For Housing Service Provision? An Application Of Representative Bureaucracy Theory, Jennifer E. Blakeslee, Emmeline Chuang, Alicia Bunger, Bowen Mcbeath

School of Social Work Faculty Publications and Presentations

In this article, we examine child welfare caseworkers’ housing-related service strategies when they serve culturally similar versus culturally dissimilar clients. Testing hypotheses drawn from representative bureaucracy theory and using data from the second cohort of the National Survey of Child and AdolescentWell-Being, we find that when non-Caucasian caseworkers share the same racial/ethnic background as caregivers, caseworkers use more active strategies to connect caregivers to needed housing services. The relationship between racial/ethnic matching and frontline workers’ repertoire of service strategies is most pronounced when the need for housing has been registered formally via referrals and case plans and thus legitimated institutionally. …

How Disparities Research Can Influence Public Policy, Ann Curry-Stevens

School of Social Work Faculty Publications and Presentations

Presentation providing a overview of the partnered research between the Coalition of Communities of Color and Portland State University.

The African Immigrant And Refugee Community In Multnomah County: An Unsettling Profile, Ann Curry-Stevens, Coalition Of Communities Of Color

School of Social Work Faculty Publications and Presentations

Since 1975, African immigrants, refugees and secondary migrants have been relocating to Multnomah County and now represent the fourth largest immigrant community after Latino, Asian, and Slavic immigrants. The African community here is incredibly diverse in its make-up, with over 28 different African countries and numerous ethnic groups represented. Estimates from 2003 suggest that African immigrants make up 2% of the foreign-born population in the Portland Metro (tri-county) area. Nearly half (45%) of the tri-county area’s African foreign-born population is from eastern Africa, including Ethiopia, Eritrea, Kenya, Somalia, Tanzania, Uganda, Zambia, and Zimbabwe. Other countries of origin include Sudan, Sierra …

Motivating Men Who Have Sex With Men To Get Tested For Hiv Through The Internet And Mobile Phones: A Qualitative Study, Magaly M. Blas, Luis A. Menacho, Isaac E. Alva, Robinson Cabello, Edwin Roberto Orellana

School of Social Work Faculty Publications and Presentations

Background: Men who have sex with men (MSM) have the highest HIV prevalence in Peru, yet they are underserved by traditional preventive programs. In Peru, the Internet and mobile phones have emerged as an effective and convenient tool to reach this population.

Methods and Findings: From October 2010 to February 2011, we conducted eight focus groups with gay identified MSM (closeted and out-of-the-closet) and with self-identified heterosexual MSM in order to identify key features and preferences to be used to tailor culturally-appropriate messages that could be delivered through Internet and mobile phones to motivate MSM to get tested …

Short Text Messages To Motivate Hiv Testing Among Men Who Have Sex With Men: A Qualitative Study In Lima, Peru, Luis A. Menacho, Magaly M. Blas, Isaac E. Alva, Edwin Roberto Orellana

School of Social Work Faculty Publications and Presentations

Objective: The objective of this study is to identify features and content that short message service (SMS) should have in order to motivate HIV testing among men who have sex with men (MSM) in Lima, Peru.

Methods: From October, 2010 to February, 2011, we conducted focus groups at two stages; six focus groups were conducted to explore and identify SMS content and features and two additional focus groups were conducted to tailor SMS content. The text messages were elaborated within the theoretical framework of the Information-Motivation-Behavioral Skills model and the Social Support Theory.

Results: A total of …

Policies To Eliminate Racial Disparities In Education: A Literature Review, Ann Curry-Stevens, Analucia Lopezrevoredo, Dana Peters

School of Social Work Faculty Publications and Presentations

In response to an increasing need to understand the reach of the literature and the research undertaken on initiatives to eliminate racial disparities, a literature review was initiated in 2012 for the Eliminating Racial Disparities Collaborative within the All Hands Raised initiative to improve academic outcomes for students in Multnomah County. This was an expansive undertaking – and at the end, we have drawn upon about 160 different articles, some of which were meta-analyses of an array of publications in a particular field.

The first section in this report is a summary document that details each policy-based recommendation in this …

The End Of The Honeymoon: Cbpr, Positional Privilege And Working With Community Coalitions, Ann Curry-Stevens

School of Social Work Faculty Publications and Presentations

This chapter tells a story about the CBPR research project, "Making Communities of Color Count" which partners researchers at the School of Social Work with the Coalition of Communities of Color in Multnomah County. It is not the only story about this project, as the voices of community partners and the rest of the research team are quiet in this retelling, but it is the one that centers the experience of the lead academic in this partnership. I center the joys and challenges of CBPR research, and the avenues that such opportunities offer for academically-based researchers, replete with avenues for …

The Latino Community In Multnomah County: An Unsettling Profile, Ann Curry-Stevens, Amanda Cross-Hemmer, Coalition Of Communities Of Color

School of Social Work Faculty Publications and Presentations

Our report, "The Latino Community in Multnomah County: An Unsettling Profile" uncovers an array of racial inequities across the systems of income, employment, education, juvenile justice, corrections, child welfare, philanthropic giving, housing, immigration, research practices (particularly population measurement), wealth, health, health insurance coverage, racial harassment, public service and voter registration. These systems maintain our second-class status and serve to limit our current well being and the prospects for a bright future for our children.

The Asian And Pacific Islander Community In Multnomah County: An Unsettling Profile, Ann Curry-Stevens, Coalition Of Communities Of Color

School of Social Work Faculty Publications and Presentations

This report builds on the Communities of Color in Multnomah County: An Unsettling Profile publication in 2010, that provided a comprehensive and comparative study of the inequities facing communities of color, immigrants and refugees. The findings, backed up by accurate and extensive data, are indeed unsettling, highlighting the persistent and in some cases growing disparities facing our communities. We see this as a wake-up call for public officials and policy-makers, and an opportunity for increased partnership and collective action for the advancement of racial equity.

One key recommendation in this report is to improve standards that ensure the disaggregation of …

The Politics Of Data: Uncovering Whiteness In Conventional Social Policy And Social Work Research, Ann Curry-Stevens, Amanda Cross-Hemmer, Nichole Maher, Julia Meier

School of Social Work Faculty Publications and Presentations

The implementation of a robust community based participatory research (CBPR) study in Multnomah County, Oregon, has detailed broad and deep racial disparities across 27 institutions and systems. The process of this research has led to the identification of numerous practices that misrepresent and negate the experiences and very identity of communities of color. The research draws from engagement with numerous databases from the Census Bureau, the Bureau of Labor Statistics, the Substance Abuse and Mental Health Services Administration, and various administrative databases. The core issues at hand are population undercounts, understudy of the unique characteristics of these communities, inaccuracies in …

Veterans In Higher Education: What Every Adviser May Want To Know, Jose Coll, Hans Oh, Craig Joyce, Lazara C. Coll

School of Social Work Faculty Publications and Presentations

With the current influx of soldiers returning from war in Iraq and Afghanistan, the newly revised Post-9/11 GI Bill affords veterans the opportunity to attend state colleges free of charge, which may result in a dramatic increase in enrollment of veterans in colleges across the country. However, most learning institutions are ill-equipped to accommodate the special needs of those veteran students who may experience adjustment problems when reintegrating into a civilian setting. Veterans return with a newly acquired value system shaped by military service that can create dissonance when interacting with non-military people. Moreover, veterans may suffer from complex physical …

The Influence Of Military Culture And Veteran Worldviews On Mental Health Treatment: Practice Implications For Combat Veteran Help-Seeking And Wellness, Eugenia Weiss, Jose E. Coll

School of Social Work Faculty Publications and Presentations

The influence of military cultural values consisting of unit cohesion (or the subordination of individual needs over the needs of the collective)the devotion to duty and to the mission,stoicism (emotional restraint)and the importance of adhering to the chain of command become guiding belief systems for military personnel.In fact,military culture has been recognized as a distinct sub-culture of American civilian society.

The Native American Community In Multnomah County: An Unsettling Profile, Ann Curry-Stevens, Amanda Cross-Hemmer, Coalition Of Communities Of Color

School of Social Work Faculty Publications and Presentations

This report is the result of three years of work of true partnership between the Native American community, the Coalition of Communities of Color and Portland State University. The Portland Indian Leaders’ Roundtable, an alliance of 28 local Native American organizations, tribal organizations and Native focused programs within larger institutions, took a lead role in the implementation of the Native American research. Elders of the community reviewed the work and provided invaluable knowledge and historical context.

Our main priority is to advocate for policy decisions that improve outcomes for the Native American community. We hold institutional reform and the formation …

Failure Of Intimate Partner Violence Screening Among Patients With Substance Use Disorders, Esther K. Choo, Christina Nicolaidis, Robert H. Jenkinson, Jessi M. Cox, Kenneth J. Mcconnell

School of Social Work Faculty Publications and Presentations

Objectives: This study examined the relationship between substance use disorder (SUD) and intimate partner violence screening (IPV) and management practices in the emergency department (ED). Methods: This was a retrospective cohort study of adult ED patients presenting to an urban, tertiary care teaching hospital over a 4-month period. An automated electronic data abstraction process identified consecutive patients and retrieved visit characteristics, including results of three violence screening questions, demographic data, triage acuity, time of visit, and ICD-9 diagnosis codes. Data on management were collected using a standardized abstraction tool by two reviewers masked to the study question. Multivariate logistic regression …

The Military Genogram: A Solution-Focused Approach For Resiliency Building In Service Members And Their Families, Eugenia Weiss, Jose Coll, Jennifer Gerbauer, Kate Smiley, Ed Carillo

School of Social Work Faculty Publications and Presentations

In recent decades, it has become evident among mental health practitioners that the military is a unique culture that is comprised of distinct ethics, core values, codes of conduct, and strict hierarchical roles. In light of the war in Afghanistan and the war in Iraq, veterans and their families are seeking mental health services due to a variety of psychosocial issues; however, mental health practitioners are lacking military-specific knowledge in understanding individuals within the military subculture. In addition, they are ill-equipped with interventions aimed at supporting the military family. Historically, the genogram has been an effective tool in delineating intergenerational …

Communities Of Color In Multnomah County: An Unsettling Profile, Ann Curry-Stevens, Amanda Cross-Hemmer, Coalition Of Communities Of Color

School of Social Work Faculty Publications and Presentations

Existing data that informs decision making in Multnomah County inadequately captures the lived experiences of communities of color. Rarely do existing reports include dimensions of race and ethnicity. Much research has been undertaken without the involvement of those most affected by the decisions guided by the research. The impact is that communities of color are rarely visible at the level of policy. Data has been used to obscure and oppress rather than to empower communities and eliminate disparities. This is not acceptable, and leads to inequitable policy and devastating outcomes for people of color.

"Communities of Color in Multnomah County: …

Accessing Substance Abuse Treatment: Issues For Parents Involved With Child Welfare Services, Anna Rockhill, Beth L. Green, Linda Newton-Curtis

School of Social Work Faculty Publications and Presentations

The complex issues associated with barriers to treatment entry for parents who are involved with child welfare has not been well explored. Accessing timely treatment is now critical for these parents since the introduction of the Adoption and Safe Families Act of 1997, limiting the time until a permanency decision is made. Using a longitudinal, qualitative approach, substance-abusing parents from 15 families, their relevant family members, and service providers were interviewed approximately every 3 months over an 18-month period. The experiences of these parents add to our knowledge of the unique barriers this population faces, and expands our understanding of …

The Role Of Interagency Collaboration For Substance- Abusing Families Involved With Child Welfare, Beth L. Green, Anna Rockhill, Scott Burns

School of Social Work Faculty Publications and Presentations

Meeting the needs of families involved with the child welfare system because of a substance abuse issue remains a challenge for child welfare practitioners. In order to improve services to these families, there has been an increasing focus on improving collaboration between child welfare, treatment providers, and the court systems. This paper presents the results from qualitative interviews with 104 representatives of these three systems that explore how the collaborative process works to benefit families, as well as the barriers and supports for building successful collaborations. Results indicate that collaboration has at least three major functions: building shared value systems, …

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.

Racial Discrepancies In The Association Between Paternal Vs. Maternal Educational Level And Risk Of Low Birthweight In Washington State, Christina Nicolaidis, Cynthia W. Ko, Somnath Saha, Thomas D. Koepsell

School of Social Work Faculty Publications and Presentations

Background: The role of paternal factors in determining the risk of adverse pregnancy outcomes has received less attention than maternal factors. Similarly, the interaction between the effects of race and socioeconomic status (SES) on pregnancy outcomes is not well known. Our objective was to assess the relative importance of paternal vs. maternal education in relation to risk of low birth weight (LBW) across different racial groups.

Methods: We conducted a retrospective population-based cohort study using Washington state birth certificate data from 1992 to 1996 (n = 264,789). We assessed the associations between maternal or paternal education and LBW, adjusting for …