Social Work Commons^™

Inpatient Addiction Medicine Consultation And Post-Hospital Substance Use Disorder Treatment Engagement: A Propensity-Matched Analysis, Honora Englander, Konrad Dobbertin, Bonnie K. Lind, Christina Nicolaidis, Peter Graven, Claire Dorfman, Todd Korthius

School of Social Work Faculty Publications and Presentations

Background

Hospitalizations due to medical and surgical complications of substance use disorder (SUD) are rising. Most hospitals lack systems to treat SUD, and most people with SUD do not engage in treatment after discharge.

Objective

Determine the effect of a hospital-based addiction medicine consult service, the Improving Addiction Care Team (IMPACT), on post-hospital SUD treatment engagement.

Design

Cohort study using multivariable analysis of Oregon Medicaid claims comparing IMPACT patients with propensity-matched controls.

Participants

18–64-year-old Oregon Medicaid beneficiaries with SUD, hospitalized at an Oregon hospital between July 1, 2015, and September 30, 2016. IMPACT patients (n = 208) were matched …

Support From Inside Out: Exploring Whether Various Social Supports Assist In Reducing Prison Rule Violations, Sarah Renee Lazzari

Dissertations and Theses

Scholars argue that prison rule violations are a way to assess whether individuals are engaging in prosocial behaviors. Individuals who engage in prosocial behaviors, during periods of incarceration, are less likely to engage in behaviors that result in official rule violations. Decreasing rule violations is one way to work towards a safer prison environment, while also preparing individuals for release. The current study uses cross-sectional data form the 2004 Survey of Inmates in State and Federal Facilities, in order to examine whether multiple types of prisons programs, which will be framed as various types of social supports, influence the frequency …

Attrition And Psychotherapy, Jesse Barrington Homan

Dissertations and Theses

Attrition in psychotherapy, also known as dropout, is a problem that affects clients who terminate, their families, therapists, mental health systems, and the overall community. Research on attrition is vast. However, the majority of this research has been done post hoc, relied on quantitative methods, and looked primarily at client demographic variables as the predictors of attrition. This has resulted in inconsistent findings, offers little to no useful information about attrition, and appears to blame clients for failed therapy. There has been little research on attrition from the perspective of clients who terminate. This study was designed to answer the …

"I Wouldn't Know Where To Start": Perspectives From Clinicians, Agency Leaders, And Autistic Adults On Improving Community Mental Health Services For Autistic Adults, Brenna B. Maddox, Samantha Crabbe, Rinad S. Beidas, Lauren Brookman-Frazee, Carolyn Cannuscio, Judith Miller, Christina Nicolaidis, David Mandell

School of Social Work Faculty Publications and Presentations

Most autistic adults struggle with mental health problems, and traditional mental health services generally do not meet their needs. This study used qualitative methods to identify ways to improve community mental health services for autistic adults for treatment of their co-occurring psychiatric conditions. We conducted semistructured, open-ended interviews with 22 autistic adults with mental healthcare experience, 44 community mental health clinicians, and 11 community mental health agency leaders in the United States. The participants identified clinician-, client-, and systems-level barriers and facilitators to providing quality mental healthcare to autistic adults. Across all three stakeholder groups, most of the reported barriers …

Factors Influencing Attrition In 35 Alzheimer’S Disease Centers Across The Usa: A Longitudinal Examination Of The National Alzheimer’S Coordinating Center’S Uniform Data Set, Shanna L. Burke, Tianyan Hu, Mitra Naseh, Nicole Fava, Janice O’Driscoll, Daniel Alvarez, Linda Cottler, Ranjan Duara

School of Social Work Faculty Publications and Presentations

Objective: A lack of understanding of the causes of attrition in longitudinal studies of older adults may lead to higher attrition rates and bias longitudinal study results. In longitudinal epidemiological studies of Alzheimer’s disease and related dementias, high rates of attrition may cause a systematic underestimation of dementia prevalence and skew the characterization of the disease. This can compromise the generalizability of the study results and any inferences based on the surviving sample may grossly misrepresent the importance of the risk factors for dementia. The National Institute on Aging outlined a National Strategy for Recruitment and Participation in Alzheimer’s Disease …

Recommendations For Integrating Peer Mentors In Hospital-Based Addiction Care, Honora Englander, Jessica Gregg, Janie Gullickson, Onesha Cochran-Dumas, Chris Colasurdo, Juliet Alla, Devin Collins, Christina Nicolaidis

School of Social Work Faculty Publications and Presentations

Legislators and health systems have recently begun to explore the use of peer mentors as part of hospital-based addiction teams. Integrating peers into hospitals is a complex undertaking still in its infancy. Peers’ lived experience of addiction and its consequences, combined with their distance from medical culture and hierarchy, is at the core of their power – and creates inherent challenges in integrating peers into hospital settings. Successful integration of peers in hospitals has unique challenges for individual providers, health systems, and the peers themselves. We have included peers as part of a hospital-based addiction medicine team at our hospital …

Upstream Predictors Of The Need For Developmental Education Among First-Year Community College Students, Mathew C. Uretsky, Stacey L. Shipe, Angela K. Henneberger

School of Social Work Faculty Publications and Presentations

Objective/Research Question. How do student- and school-level factors measured in the final year of high school contribute to the odds of a student being assessed to need remediation in Math during the students’ first community college enrollment? Methods. The present study draws on five years of linked secondary and post-secondary administrative records and includes the academic records for 18,814 students attending 228 high schools across 24 jurisdictions in Maryland. We used a series of multilevel models (MLM) to address the research question. Results. Using MLM, we identified both student and school-level factors, drawn from the final year of high school, …

Amp’S Top Ten Tips For Engaging With Young People, Research And Training Center For Pathways To Positive Futures, Portland State University

School of Social Work Faculty Publications and Presentations

This tip sheet advises service providers and others how to engage successfully with youth, using specific examples to illustrate effective (and ineffective) communication.

Interrogating The Construction And Representations Of Criminalized Women In The Academic Social Work Literature: A Critical Discourse Analysis, Sandra Marie Leotti

Dissertations and Theses

In the United States today, there are 2.3 million people behind bars in jails and prisons. Mass incarceration has swept up the United States to such a degree that we are known globally for holding more people in correctional facilities than any other country in the world. Although women have always, and still do, reflect a smaller proportion of the correctional population, over the last 40 years, their rates of criminalization and imprisonment have far outpaced that of men's. Drastic increases in the criminalization of women are intimately connected to the entrenchment of social disadvantage enabled under neoliberal globalization. Neoliberal …

Fuse: People With Frequent Utilization Of Public Services In Clackamas County, Oregon: Potential Service Enhancements, Karen Cellarius, Marisa Zapata, Eric Einspruch, Cameron Mulder, Thuan Duong, Aliza Tuttle

Homelessness Research & Action Collaborative Publications and Presentations

The goal of this study was to answer five very specific questions about individuals with high service utilization and the systems that serve them. The data for this study comes from administrative system data, informational conversations and meetings with community partners, formal interviews with service providers, and interviews with consumers with frequent service utilization.

Limitations: The rates of mental illness, addiction and homelessness are likely to be higher than they appear in this report due to the way these characteristics were gathered or recorded in system databases. Historically marginalized populations are increasingly underrepresented in datasets.

Training Needs Of Peer And Non-Peer Transition Service Providers: Results Of A National Survey, Pauline Jivanjee, Leigh Grover, Kristin Thorp, Brie Masselli, Johanna Bergan, Eileen Brennan

School of Social Work Faculty Publications and Presentations

Participatory action research processes guided a national online survey of service providers working with transition age youth with mental health challenges. The survey investigated transition service providers’ ratings of the importance of competencies and skills, self-assessed need for training in these competencies and skills, their preferred training modalities, and obstacles to engaging in training. The 254 participants identified trauma-informed care, understanding youth culture, promoting natural supports, and using culturally responsive practices as most important training needs. Age, years in current job, years in transition work, and race/ethnicity predicted training needs regarding some competencies and skills. Peer providers expressed preferences for …

Rethinking Services With Communities Of Color: Why Culturally Specific Organizations Are The Preferred Service Delivery Model, Ann Curry-Stevens, Gerald Deloney, Matt Morton

School of Social Work Faculty Publications and Presentations

Racial disparities in social, education and health services continue unabated despite efforts to address them. At the margins of the service delivery system are lesser-known and minimally researched programs known as “culturally specific organizations” that have been developed by and with communities of color. These are organizations that have been developed by a specific community of color and continue to serve that same community of color. This article shares the insights of three leaders in racial equity, who have been immersed in Portland-based organizations for many years: two as organizational leaders and one as an academic research partner. The paper …

Confronting Gentrification: Can Creative Interventions Help People Keep More Than Just Their Homes?, Amie Thurber, Janine Christiano

School of Social Work Faculty Publications and Presentations

Gentrification is changing the landscape of many American cities. As land values rise, people may lose their homes, neighbors, and sites of significance, along with their sense of place, community, and history. There is a critical need to build and preserve affordable housing, yet housing alone will not address the more than material losses. What role can the arts play in sustaining place attachments, restoring relationships, and building place knowledge in gentrifying neighborhoods? This paper explores this question through a systematic review of current research. We identify four prominent alternative interventions in gentrifying neighborhoods—creative placemaking, public pedagogy, community organizing, and …

Dementia-Related Neuropsychological Testing Considerations In Non-Hispanic White And Latino/Hispanic Populations, Shanna L. Burke, Mitra Naseh, Miriam Rodriguez, Aaron Burgess, David Loewenstein

School of Social Work Faculty Publications and Presentations

Hispanic individuals are at greater risk for health disparities, less than optimal health care, and are diagnosed at later stages of cognitive impairment than white non-Hispanics. Acculturation and different attitudes toward test-taking may result in decrements in performance, especially on unfamiliar measures that emphasize speed and accuracy. Non-Hispanic individuals often outperform Hispanic individuals on cognitive and neuropsychological measures in community and clinical populations. Current neuropsychological testing may not provide accurate data related to monolingual and bilingual individuals of Hispanic descent. Testing instruments were identified by searching academic databases using combinations of relevant search terms. Neuropsychological instruments were included if they …

Uprooting: How Can I Ethically Sell My Home In A Gentrifying Neighborhood?, Amie Thurber

School of Social Work Faculty Publications and Presentations

In areas that are rapidly gentrifying, the decisions sellers make—to whom to sell, and for how much to sell—are of particular consequence to their neighborhood. As someone who studies the myriad harms of gentrification, these decisions were particularly acute when I was facing them myself. Interweaving Nashville history, gentrification scholarship, and personal reflection, this article traces the ways my family navigated the question of how ethically to sell our home in a gentrifying market in order to be accountable to the neighborhoods we left behind.

Using “Remote” Training And Coaching To Increase Providers’ Skills For Working Effectively With Older Youth And Young Adults With Serious Mental Health Conditions, Janet S. Walker, Caitlin Baird

School of Social Work Faculty Publications and Presentations

Since about the turn of the century, a growing awareness of the poor outcomes resulting from “as usual” community mental health care has led to increasing efforts to implement programs and interventions with empirical evidence of effectiveness. However, these efforts have encountered numerous barriers, in particular the high cost of implementation, which has severely limited uptake and sustainment of empiricallysupported programs and interventions. Typically, the largest contributor to cost is the training and coaching required to ensure provider competence and fidelity to the intervention or program model. This paper describes a social innovation that aims to provide high-quality training and …

The Aaspire Practice-Based Guidelines For The Inclusion Of Autistic Adults In Research As Co-Researchers And Study Participants, Christina Nicolaidis, Dora M. Raymaker, Steven K. Kapp, Amelia E.V. Baggs, Elesia Ashkenazy, Katherine E. Mcdonald, Michael Weiner, Joelle Maslak, Morrigan Hunter, Andrea Joyce

School of Social Work Faculty Publications and Presentations

As interest in autism in adulthood grows, so does the need for methods to promote the inclusion of autistic adults in research. Our objective was to create practice-based guidelines for the inclusion of autistic adults, both as research team members and as study participants. We conducted an institutional ethnography of three closely related research partnerships that used participatory methods with autistic adults over the years 2006–2018. We used an iterative approach which combined discussions with community and academic partners and artifact review. Guidelines to promote the inclusion of autistic adults as co-researchers focus on being transparent about partnership goals, clearly …

What Works In Education In Emergencies: Co-Researching And Co-Authoring, Staci B. Martin, Vestine L. Umubyeyi

School of Social Work Faculty Publications and Presentations

The purpose of our paper is to explore how innovative community-based action approaches such as co-researching, co-authoring, and co-presenting with participants-as-researchers, can deepen our understanding of ‘what works’ in education in emergencies (EiE). Our paper will offer insight into how co-researching supports participants in their self-determination, agency and creates space for them to speak for themselves, something that is often missing in research.

Data Needs For Children With Special Needs In Refugee Populations, Serra Acar, Ozden Pinar-Irmak, Staci B. Martin

School of Social Work Faculty Publications and Presentations

This article examines the challenges that affect the identification and assessment of refugee children with special needs in Turkey and provides recommendations related to data collection and assessment of these learners that is broadly relevant in refugee settings.

Important Information For Parents And Friends Of Young People Experiencing Psychosis: Lessons Learned From Young Adult Graduates Of Easa, Dora Raymaker, Mariam Rija, Tamara G. Sale, Christina Wall, Natalie Cohrs, Veronica Gould

School of Social Work Faculty Publications and Presentations

This tip sheet, created with input of young adult graduates of the EASA program, offers tips for supporting a young person experiencing psychosis. Topics covered include improving communication, promoting recovery, and family self-care.

Physical And Emotional Sibling Violence And Child Welfare: A Critical Realist Exploratory Study, Katherine Elizabeth Winters

Dissertations and Theses

Sibling violence is a pervasive, yet poorly understood and substantially underreported phenomenon. Currently recognized as the most common form of intra-familial abuse, various estimates suggest that 30 percent or more of children in the general population experience severe acts of violence inflicted by a sibling each year.

Given that many young people in the child welfare system experience the family conditions associated with abusive sibling violence, recent publications have implored child welfare to embrace the notion that it is a form of child maltreatment. Practitioners and policymakers have yet to reach agreement on what constitutes physical or emotional abuse between …

Our Vision Of Health For Future Generations: An Exploration Of Proximal And Intermediary Motivations With Women Of The Choctaw Nation Of Oklahoma, Danica Love Brown

Dissertations and Theses

Health disparities and substance misuse are increasingly prevalent, costly, and deadly in Indian Country. Although women historically held positions of influence in pre-colonial Tribal societies and shared in optimum health, their current health is relegated to some of the worst outcomes across all racial groups in the United States. Women of the Choctaw Nation of Oklahoma (CNO) have some of the highest prevalence estimates in physical inactivity and excessive drinking in the United States. Building on the Indigenous Stress Coping model of indigenous health, "Our Vision of Health for Future Generations" explores the intersection of a historical event, the Trail …

An Expert Discussion On Autism And Empathy, Damian Milton, Noah J. Sasson, Elizabeth Sheppard, Melanie Yergeau, Christina Nicolaidis

School of Social Work Faculty Publications and Presentations

As early as 1962, psychologists described children with “autistic psychopathy” as being “unable to achieve empathy.”² An empathy deficit has since become a core feature in many conceptualizations of autism, including the Theory of Mind (or mind-blindness) model and the Empathizing-Systematizing model.³ Researchers have distinguished between cognitive empathy (or theory of mind; the capacity to understand another person’s perspective or mental state) and emotional or affective empathy (the capacity to experience affective reactions to the observed experiences of others), asserting that autistic individuals have deficits in the former, but not in the latter.⁴,⁵ Even this …

Knowledge, Principal Support, Self-Efficacy, And Beliefs Predict Commitment To Trauma-Informed Care, Stephanie A. Sundborg

School of Social Work Faculty Publications and Presentations

Objective: Organizations are identifying trauma-informed care (TIC) as a priority yet implementation is slow. Research suggests commitment to a change effort is an important predictor for change behavior; however, there is little theoretical or empirical evidence exploring commitment to TIC. This study examines the variables that predict affective commitment to TIC including foundational knowledge, principal support, self-efficacy, and beliefs about trauma. Does foundational knowledge independently predict affective commitment to TIC or is this relationship mediated by other variables? Method: Data were collected from 118 participants working in human services, using cross-sectional survey design. Participants completed self-report measures of affective commitment …

“Little Tablets Of Gold”: An Examination Of The Psychological And Social Dimensions Of Prep Among Lgbtq Communities, Christina J. Sun, Kirsten M. Anderson, Kim Toevs, Dayna Morrison, Caitlin Wells, Christina Nicolaidis

OHSU-PSU School of Public Health Faculty Publications and Presentations

There are significant psychological, social, and cultural dimensions to the HIV epidemic in the United States, especially among lesbian, gay, bisexual, transgender, and queer (LGBTQ) communities. Biomedical HIV treatment has been shown to impact these dimensions. However, there is little understanding of the real-world psychosocial and sociocultural effects of the latest biomedical HIV prevention strategy, HIV pre-exposure prophylaxis (PrEP). This study explored the psychosocial and sociocultural dimensions of PrEP use among LGBTQ adults. We interviewed 23 LGBTQ adults who were current or former users of PrEP. Results included that PrEP users’ experiences were shaped by multiple forms of stigma. Participants …

Community-Engaged Teaching: Lessons From A Participatory History Project, Amie Thurber, Sarah V. Suiter

School of Social Work Faculty Publications and Presentations

How can we create opportunities for students to gain experience in community-engaged scholarship that truly benefits the community given the constraints of the academic calendar, students’ varied capacity to develop reciprocal and responsive community relationships, and the tendency for community-engaged research to instrumentalize community partners in service to academic deliverables? This paper explores one attempt to meet this challenge: an experimental graduate course in community development that linked course content to a participatory history project. Designed as a Scholarship of Teaching and Learning (SoTL) study, instructors studied the instructional process as well as outcomes for students and community partners. We …

Frequency Of Social Contact In-Person Vs. On Facebook: An Examination Of Associations With Psychiatric Symptoms In Military Veterans, Alan R. Teo, Benjamin K. Chan, Somnath Saha, Christina Nicolaidis

School of Social Work Faculty Publications and Presentations

Introduction: Social isolation is closely associated with negative mental health outcomes. Social media platforms may expand opportunities for social contact, but whether online interactions are as effective as face-to-face, or in-person, interactions at protecting against the negative effects of social isolation is unclear.

Methods: Participants consisted of U.S. military veterans who served since September 2001 and used Facebook (n = 587). Our independent variables were frequency of social contact occurring in-person and on Facebook. Dependent variables were probable psychiatric disorders and suicidality, measured using several validated screening tools. The independent effect of each form of social contact was assessed using …

The Impact Of Disrupted Caregiving For Juvenile Sexual Offenders, Miranda Sitney, Keith L. Kaufman

Psychology Faculty Publications and Presentations

Research that attempts to understand why young people commit sex crimes points to an array of family factors that may uniquely contribute to sexual offending over general juvenile delinquency. This study examines the potentially moderating role of disrupted caregiving in the relationship between offending and caregiver-child relationship quality. Two distinct moderators were tested: gender of caregiver and biological relationship between caregiver and child. Results indicate that juvenile sexual offenders have particularly poor relationships with their primary caregivers compared to incarcerated non-sexual offenders and community controls. Furthermore, sexual offenders with male caregivers were found to have lower relationship quality scores than …

Building The Case For Culturally Specific P-3 Strategies In Oregon: Listening To Voices From The Field, Callie H. Lambarth, Amanda Cross-Hemmer, Lorelei Mitchell, Beth L. Green, Kate Normand

Early Childhood

Oregon’s early learning and K-12 systems require transformative changes to address racial disparities in school readiness and success. Prenatal-through-Grade-3 (P-3) initiatives are an innovative way to align, strengthen and expand supports for this goal.

Culturally specific organizations (CSOs) are uniquely poised and expertly prepared to meet the needs of communities of color while helping Oregon achieve its goals for reducing disparities in kinder­garten readiness and other educational outcomes.

The proposed Early Childhood Equity Fund, which is included in the governor’s recommended 2019 budget, would move Oregon closer to eliminating the opportunity gap in kindergarten readiness and school success by investing …

Focal Point, Volume 33, Portland State University. Regional Research Institute

Research and Training Center - Focal Point

This issue of Focal Point explores the findings from the local evaluations conducted by Healthy Transitions grantees over the past 5 years as well as present evaluation findings from two other innovative programs for transition-aged youth and young adults. Taken together, the articles in this issue supply service providers and planners across the nation with an indication of the successful outcomes generated by a variety of program approaches.