Social Work Commons^™

Exploring The Effects Of Multi-Level Protective And Risk Factors On Child And Parenting Outcomes In Families Participating In Healthy Start/Healthy Families Oregon (Hs/Hfo), Peggy Nygren

Dissertations and Theses

While many studies focus on the links between multiple risk factors and negative outcomes such as child maltreatment, less is known about the influence of protective factors in the face of risks. The theoretical base of this study was a social ecological model of interactive influences including individual parent, family, and neighborhood level factors to predict outcomes. Protective Factor Index (PFI) and Risk Factor Index (RFI) predictors were developed to explore potential multi-level protective factor buffering effects on key child development and parenting outcomes. Participants were first time mothers enrolled in a randomized controlled study of the Healthy Start/ Healthy …

Patients’ Perception Of Patient–Provider Communication In Fertility Preservation Decision Making Among Young Women With Cancer, Aakrati Mathur, E. Roberto Orellana, Amy Frohnmayer, Pauline Jivanjee, Lillian Nail, Brandon Hayes-Lattin, Rebecca G. Block

School of Social Work Faculty Publications and Presentations

Fertility preservation (FP) for patients with cancer is an emerging field. With the advancement of technology, patients may face a complex decision-making process about whether to preserve fertility. The purpose of this article is to explore how young women with cancer perceive patient–provider communication in FP decision making. In this study, 25 women between the ages of 18 and 39 were interviewed retrospectively. They were interviewed one time to learn about their decision-making process related to FP. Results of this analysis indicate that patients seek support and involvement from providers throughout the process of decision making. They prefer providers to …

"Who Would Have Thought, With A Diagnosis Like This, I Would Be Happy?": Portraits Of Perceived Strengths And Resources In Early-Stage Dementia, Jutta Elisabeth Ataie

Dissertations and Theses

This study used photovoice methodology to explore how people with early-stage dementia use their perceived strength and resources to cope with the illness. Purposive sampling was used to recruit participants. Thirteen women and seven men age 57 to 90 (mean 73.4) with MMSE scores ranging from 20 to 28 (mean 25.6) participated in the project. Participants were provided with a disposable camera and invited to take photographs relevant to their well-being. The photographs provided the means for participants to take the lead in dialogue sessions about their coping response.

Grounded theory analysis revealed that initially, early-stage dementia precipitated a disruption …

Focal Point, Volume 27, Portland State University. Regional Research Institute

Research and Training Center - Focal Point

This special issue of Focal Point focuses on best practices for helping youth and young adults with mental health challenges reach their educational and employment goals, by highlighting preliminary results from some of our research at Pathways to Positive Futures as well as some of the work being done at the Transitions RTC at the University of Massachusetts.

Faq: Defining, Supporting, And Sustaining The Peer Support Specialist Role, Research And Training Center For Pathways To Positive Futures

School of Social Work Faculty Publications and Presentations

Pathways RTC, together with staff from the Technical Assistance Partnership and the Federation of Families for Children’s Mental Health, decided to interview agencies that were developing peer support specialist (PSS) roles. The goal was to find out what these agencies were learning about defining, supporting, and sustaining the PSS role. This FAQ summarizes some of the main things that were learned.

Is Supported Employment Effective For Youth And Young Adults?, L. Kris Gowen

School of Social Work Faculty Publications and Presentations

Supported Employment (SE) is an evidence-based practice to assist people with disabilities in finding and maintaining employment. The types of services provided by SE include job coaching and training, resume development, and transportation. More recently, proof of the effectiveness of this approach for those with mental health challenges has been documented.1 The purpose of this research was to determine whether SE proved to be effective among persons with mental health challenges across different age groups.

Education & Employment, L. Kris Gowen

School of Social Work Faculty Publications and Presentations

The author provides an introduction to this issue of Focal Point, which focuses on the problems faced by youth with mental health challenges when attempting to choose a career. She also provides brief overviews of the articles contained in this issue, and recounts her own experiences as she embarked on her career.

Public Opinion And The Oregon Death With Dignity Act, Peggy Jo Ann Sandeen

Dissertations and Theses

Oregon voters legalized physician-assisted death in 1997 by passing the Oregon Death with Dignity Act. This law allowed terminally ill, mentally competent adult residents of the state to legally obtain a physician's prescription to hasten death under narrow sets of circumstances. The purpose of this study was twofold: to examine contemporary patterns of support for the law in Oregon and to explore how opinions have changed over time on the issue. This study examined patterns of public support among a random sample of registered Oregon voters for the state's death with dignity law, using a mixed mode (mail, online, and …

Lost In The Margins? Intersections Between Disability And Other Non-Dominant Statuses With Regard To Peer Victimization And Psychosocial Distress Among Oregon Teens, Marjorie Grace Mcgee

Dissertations and Theses

Youth with disabilities experience greater levels of victimization than non-disabled youth. However, little is known about the associations between peer victimization and disability status alone and in combination with sex and race/ethnicity, or with sex and sexual orientation. Further, little is known about the extent to which exposure to peer victimization mediates the relationship between disability status and psychosocial distress. Thus, one purpose of this study was to investigate the extent to which disability status, as a marker of social difference, alone and in combination with other social identities, is associated with differential levels of exposure to peer victimization. A …

Teachers' Negative Comments Toward Youth In Foster Care With Disabilities: How Do They Relate To Youths' Problem Behaviors, School Attitudes, And School Performance?, Sunghwan Noh

Dissertations and Theses

A large proportion of youth in foster care receive special education services, and poor educational outcomes are one of the most important difficulties facing these youth. One potential risk affecting the low educational achievements of youth in foster care and special education could be teachers' negative and stigmatizing comments toward them. Teachers' negative and stigmatizing comments could have negative effects on youths' behaviors, school attitudes and school performance. Yet, research on the nature and the impact of teachers' negative and stigmatizing comments remains limited.

Based on labeling and attribution theories, this study investigated the nature and impact of teachers' negative …

Fidelity And Adaptation Of A Sibling Relationship Intervention For The Prevention Of Antisocial Behavior, Casadi "Khaki" Marino

Student Research Symposium

The Supporting Siblings in Foster Care program (SIBS) utilizes a universal recruitment strategy for a RCT skills training program for siblings in foster care at high risk of poor health, disability, and conduct issues. This poster session will examine the process of program adaptation, review the components of intervention fidelity, and explore the challenges of intervention in the context of foster children's lives. Fidelity of implementation and program adaptation are essential to prevention program design. Program adaptation may be required for cultural fit and ecological factors. Focus group data from a group of intervention staff indicated that changes were made …

Arts For All Experience: Examining The Experiences Of Individuals Who Receive Snap Benefits As They Access Arts Through The Arts For All Program, Michelle Deparrie, Jana L. Meinhold

Student Research Symposium

Status symbols, are behaviors that individuals use to communicate their place in society (Goffman, 1950). A commonly noted status symbol is participation in the high arts. A recent study described types of music in categories ranging from high-brow, to middle-brow, and low-brow. It was found that consumers of music, particularly the high-brow, were motivated to attend concerts for reasons relating to social capital (Roose & Stichele, 2010). Arts for All is a program in Portland Oregon that offers access to high art performances by making five dollar tickets available to those who qualify for SNAP (Supplementary Nutrition Assistance Program). 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 …

Native American Young People In The Transition To Adulthood: Perceptions Of Challenges And Supports, Terry L. Cross, Pauline Jivanjee, Abby Bandurraga, Barbara J. Friesen, L. Kris Gowen, Cori Matthew

School of Social Work Faculty Publications and Presentations

This presentation focuses on native American youth and how work with this population can be improved by following the Relational World View as a theoretical framework. Discusses practice-based evidence findings and development of the NAYA Assessment Tool, and the Finding Our Way study methods. Findings of the study explore young people's perceptions of challenges, needs and supports. Finally, the presenters discuss expansion of the assessment tool to address transition domains.

The Organizational Context Of Research-Minded Practitioners: Challenges And Opportunities, Bowen Mcbeath, Michael J. Austin

School of Social Work Faculty Publications and Presentations

If some practitioners are more research minded than others, then promising approaches for bridging the research to practice gap may be developed by describing research-minded practitioners and examining how to locate and support them. This article follows this basic logic in providing an overview of organizational development and practitioner support models for increasing knowledge use in human service organizations. The article begins with a conceptual profile of research-minded practi- tioners—individuals with an affinity for empirical inquiry, critical thinking, and reflection allied with a commitment to data- driven organizational improvement—and the organizational settings needed to host research-minded practice. This is followed …

Negotiating Accommodations At The Workplace: Perspectives Of Human Resource Professionals And Parents Of Children With Mental Health Disorders, Katherine J. Huffstutter, Jennifer R. Bradley, Eileen M. Brennan, Julie M. Rosenzweig

School of Social Work Faculty Publications and Presentations

PDF version of a presentation given at the 11th annual conference of the Society for Social Work and Research, Bridging Disciplinary Boundaries, San Francisco, CA., Jan. 2007.

Empowerment In Community-Based Participatory Research With Persons With Developmental Disabilities: Perspectives Of Community Researchers, Erin Elizabeth Stack

Dissertations and Theses

Community-based participatory research (CBPR) is a research approach that benefits from the expertise of community members being involved in the research along all stages of a project (Israel et al., 2003). CBPR is often utilized with marginalized populations in order to amplify a community's voice on important issues in their lives (Bastida, Tseng, McKeever, & Jack, 2010; Minkler & Wallerstein, 2008). In the past, persons with disability have been excluded from research in order to protect them from exploitation. This practice of exclusion undermines opportunities for persons with disabilities to be independent and make decisions that are important for themselves …

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 …

Sex Differences In The Medical Care Of Va Patients With Chronic Non-Cancer Pain, Melissa B. Weimer, Tara Macey, Christina Nicolaidis, Steven K. Dobscha, Jonathan P. Duckart, Benjamin J. Morasco

School of Social Work Faculty Publications and Presentations

Objective

Despite a growing number of women seeking medical care in the veterans affairs (VA) system, little is known about the characteristics of their chronic pain or the pain care they receive. This study sought to determine if sex differences are present in the medical care veterans received for chronic pain.

Design

Retrospective cohort study using VA administrative data.

Subjects

The subjects were 17,583 veteran patients with moderate to severe chronic non-cancer pain treated in the Pacific Northwest during 2008.

Methods

Multivariate logistic regression assessed for sex differences in primary care utilization, prescription of chronic opioid therapy, visits to emergency …

Implementing The Peer Support Specialist Role: Providing Direct, Individualized Support In A Local Program, Research And Training Center For Pathways To Positive Futures, Youth Empowerment Support Program

School of Social Work Faculty Publications and Presentations

This information brief provides an example of how one locally-initiated program has implemented the Peer Support Specialist role for youth and young adults with serious mental health conditions. The brief covers aspects of training, coaching, supervision, role definition and financing; and describes challenges and solutions.

“I Bloomed Here”: A Guide For Conducting Photovoice With Youth Receiving Culturally- And Community-Based Services, Abby Bandurraga, L. Kris Gowen, Finding Our Way Team

School of Social Work Faculty Publications and Presentations

Photovoice (PV) is a way to get young people engaged in their communities and be featured as “experts on their own lives” (Wang, et al., 2004). The process involves giving youth cameras they can use to document the realities of their day-to-day experiences and highlight the strengths and challenges within their communities. The photographs they take and the stories that emerge from small group discussions around the pictures are used to engage in important discussions with policymakers, community leaders, and power brokers within the community in order to promote positive change.

In this guide we have provided helpful strategies based …

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 …

Implementing The Peer Support Specialist Role: Youth Peer Support In Wraparound, Research And Training Center For Pathways To Positive Futures, Youth And Family Training Institute

School of Social Work Faculty Publications and Presentations

This information brief provides an example of how one state has implemented and supported the Peer Support Specialist role for youth with serious mental health conditions. The brief covers aspects of training, coaching, supervision, role definition and financing; and describes a series of challenges and solutions.

Effective Single-Parent Training Group Program: Three System Studies, Harold E. Briggs, Keva M. Miller, Edwin Roberto Orellana, Adam C. Briggs, Wendell H. Cox

School of Social Work Faculty Publications and Presentations

Objective: This study highlights Dr. Elsie Pinkston and colleagues’ research on the effectiveness of behavior parent training and examines the application of single-parent training group (SPG) programs to three parent–child dyads exposed to distressed family circumstances. Methods: Single-system evaluation designs were conducted with two single birth parents, one single foster parent, and each parent’s three respective children, in an effort to appraise the results of a SPG program.

Results: Two of the three parent–child dyads benefited from the SPG. Results suggested that there were changes in parent reinforcement and attention behaviors and children’s noncompliance behaviors.

Conclusion: Behavioral improvements in …

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 …

Comparison Of Healthcare Experiences In Autistic And Non-Autistic Adults: A Cross-Sectional Online Survey Facilitated By An Academic-Community Partnership, Christina Nicolaidis, Dora Raymaker, Katherine E. Mcdonald, Sebastian Dern, Cody Boisclair, Elesia Ashkenazy, Amelia E.V. Baggs

School of Social Work Faculty Publications and Presentations

BACKGROUND

Little is known about the healthcare experiences of adults on the autism spectrum. Moreover, autistic adults have rarely been included as partners in autism research.

OBJECTIVE

To compare the healthcare experiences of autistic and non-autistic adults via an online survey.

METHODS

We used a community-based participatory research (CBPR) approach to adapt survey instruments to be accessible to autistic adults and to conduct an online cross-sectional survey. We assessed preliminary psychometric data on the adapted scales. We used multivariate analyses to compare healthcare experiences of autistic and non-autistic participants.

RESULTS

Four hundred and thirty-seven participants completed the survey (209 autistic, …

Pathways To Positive Futures: State-Of-The-Science Conference Proceedings, Janet Walker, Kris Gowen, Pauline Jivanjee, Celeste Laurana Moser, Claudia Sellmaier, Nancy Koroloff, Eileen Brennan

School of Social Work Faculty Publications and Presentations

Over the last decade, evidence has mounted showing that young people with serious mental health conditions experience a variety of challenges as they mature into adulthood. On average, their educational, economic and vocational outcomes are distinctly worse than their peers’, and they are more likely to experience homelessness, to struggle with substance use, and to be involved with corrections systems. In 2009, researchers at the Regional Research Institute at Portland State University applied for and received a grant from the National Institute for Disability Rehabilitation Research (NIDRR, US Department of Education) and the Center for Mental Health Services (CMHS, US …

Youth Advocate To Advocate For Youth: The Next Transition, Lacy Kendrick Burk, Johanna Bergan

School of Social Work Faculty Publications and Presentations

A growing youth movement across the country has developed a vast number of youth and young adult leaders who are passionate and experienced in sharing their stories to create positive systems change. Many strong youth groups and organizations, authentic youth/adult partnerships, federal grant programs, and research and training centers across the country support this movement. Even more importantly, the movement is sustained by the energy and passion of the young leaders and those who support youth voice.

This guide is intended for young people who have chosen to utilize their lived experience as a mechanism to advocate for positive change. …