Social Work Commons^™

Assessing Student Readiness To Work With People Who Use Drugs: Development Of A Multi-Disciplinary Addiction Educational Survey, Patrick C.M. Brown, Dana Button, Danika Bethune, Emily Kelly, Hannah R. Tierney, Rahee M. Nerurkar, Christina Nicolaidis, Rebecca Harrison, Ximena Levander

School of Social Work Faculty Publications and Presentations

Background: As health profession schools implement addiction curricula, they need survey instruments to evaluate the impact of the educational interventions. However, existing measures do not use current non-stigmatizing language and fail to capture core concepts.

Objective: To develop a brief measure of health profession student readiness to work with people who use drugs (PWUDs) and establish its content validity.

Methods: We conducted a literature review of existing instruments and desired clinical competencies related to providing care to PWUD and used results and expert feedback to create and revise a pool of 72 items. We conducted cognitive interviews …

Prevalence And Correlates Of Transactional Sex Among Women Of Low Socioeconomic Status In Portland, Or, Timothy Menza, Lauren Lipira, Amisha Bhattarai, Victoria Cali-De Leon, E. Roberto Orellana

School of Social Work Faculty Publications and Presentations

Background: Women who report transactional sex are at increased risk for HIV and other sexually transmitted infections (STIs). However, in the United States, social, behavioral, and trauma-related vulnerabilities associated with transactional sex are understudied and data on access to biomedical HIV prevention among women who report transactional sex are limited.

Methods: In 2016, we conducted a population-based, cross-sectional survey of women of low socioeconomic status recruited via respondent-driven sampling in Portland, Oregon. We calculated the prevalence and, assessed the correlates of, transactional sex using generalized linear models accounting for sampling design. We also compared health outcomes, HIV screening, and knowledge …

Drug Overdose Prevention: Needs Of Healthcare Professionals And First Responders, Jessica Groeneweg, Lynn Castrianno, Gaylene Armstrong, Jeanette Harder, Rachel Lubischer, Dawne Frain

Reports

Purpose and Background
The Nebraska Department of Health and Human Services (DHHS) partnered with Support and Training for the Evaluation of Programs (STEPs) at the University of Nebraska at Omaha, Grace Abbott School of Social Work, to complete a statewide needs assessment between October 2018 and April 2019. The purpose of this needs assessment was to gauge the capacity of statewide systems in Nebraska to respond to surges or clusters of intentional, unintentional, and unknown drug overdoses, especially in high-burden areas and with a focus on opioids. The hope of the results from this needs assessment is to inform DHHS …

Drug Overdose Prevention: Promising Practices, Dawne Frain, Rachel Lubischer, Jessica Groeneweg, Lynn Castrianno, Jeanette Harder, Gaylene Armstrong

Reports

This report on best practices informs a needs assessment on the capacity of Nebraska systems to respond to surges or clusters of intentional, unintentional, and unknown drug overdoses, especially in high burden areas and with a focus on opioids.

Eastern Nebraska Community Action Partnership (Encap), Community Needs Assessment: Douglas And Sarpy Counties, Jeanette Harder, Tova Hettinger, Keyonna King, Jerry Deichert

Reports

The mission of ENCAP is “to eliminate the causes of poverty by strengthening individuals, families, and communities through self-sufficiency initiatives in Douglas and Sarpy counties.”

As shown in the logic model below, ENCAP currently provides behavioral health, nutrition, family development, and transportation services. The logic model shows outputs and short-term outcomes as expected results of providing these services, as well as the resources needed to accomplish these outcomes. Serving people at 125% of the poverty line and below, ENCAP’s long-term outcomes are to assist individuals and families in achieving economic security, having improved mental health, increased access to food, having …

2017 Final Evaluation Report For Better Together, Jeanette Harder, Heather Bird, Jodi Mcquillen, Jieru Bai, Pamela Ashley, Joseph Forrest, Natalie Scarpa

Reports

Program Description
Heartland Family Service (HFS) partnered with Nebraska Families Collaborative (NFC) and the Nebraska Department of Health and Human Services (NDHHS) to begin Better Together, a comprehensive support service program for families affected by substance abuse in Omaha, Nebraska. Better Together seeks to prevent infant abandonment by increasing wellbeing, improving permanency, and enhancing the safety of infants and young children who have been exposed to dangerous drugs.

Utilizing a community-based treatment setting, Better Together provides intensive outpatient and outpatient substance abuse treatment to families impacted by substance abuse. NDHHS and NFC identify families as being at risk for out-of-home …

The Surgeon General's Facing Addiction Report: An Historic Document For Healthcare, S. Levy, J. P. Seale, Victoria A. Osborne, K. L. Kraemer, D. P. Alford, J. Baxter, D. S. Finnell, H. Kunins, A. Y. Walley, D. C. Lewis, D. Maclane-Baeder, A. J. Gordon

School of Social Work Faculty Publications

The publication of Facing Addiction in America: The Surgeon General's Report on Alcohol, Drugs, and Health presents an historic moment not only for the field of addiction medicine, but also for the United States as a nation. The Board of Directors of the Association for Medical Education and Research in Substance Abuse (AMERSA), on behalf of our organization, would like to express our appreciation of the efforts of Dr. Vivek Murthy and the Surgeon General's Office to publish the first surgeon general's report covering substance misuse and substance use disorders.

"You're Doing Fine, Right?": Adolescent Siblings Of Substance Abusers, Cynthia E. Clarfield

Antioch University Full-Text Dissertations & Theses

There has been a rising interest in addiction medicine and addiction treatment in both the medical and behavioral health science fields. Research suggests having a family member with a substance abuse problem has negative impacts on both physical and mental health (Orford, Copello, Velleman, & Templeton, 2010a). Despite advances toward understanding the experiences of family members affected by a loved one's addiction, the siblings of substance abusers have been largely excluded from scientific research and literature. As a result, little is known about how siblings experience the impacts of a brother or sister's addiction; even less is known about the …

Implementing Outside The Box: Community-Based Social Service Provider Experiences With Using An Alcohol Screening And Intervention, David A. Patterson Silver Wolf (Adelv Unegv Waya) Phd, Alex T. Ramsey, Carissa Van Den Berk-Clark

Brown School Faculty Publications

Objective: The aim of this study is better understand perceptions of front-line social service workers who are not addiction specialists, but have to address addiction-related issues during their standard services. Method: Six social service organizations implemented a validated alcohol assessment and brief education intervention. After a 3-month trial implementation period, a convenience sample of 64 front-line providers participated in six focus groups to examine barriers and facilitators to the implementation of an alcohol screening and brief intervention. Results: Three themes emerged: (1) usefulness of the intervention, (2) intervention being an appropriate fit with the agency and client population, and (3) …

Termination Of Parental Rights For Parents With Substance Use Disorder: For Whom And Then What?, Jun Sung Hong, Joseph P. Ryan, Pedro M. Hernandez, Suzanne Brown

Social Work Faculty Publications

The purpose of this study is to investigate the correlates of termination of parental rights (TPR) for parents with substance use disorder (SUD) and to determine what happens with regard to permanency once a TPR decision is made. Bivariate techniques and hierarchical non-linear modeling are used. Parents of older youth, boys, and Hispanics were less likely, while parents who failed to make progress in substance use treatment and parenting skills are more likely to experience TPR. At follow up, 85% of the children were adopted, 7% remained in a substitute care settings, and 7% were reunified with their parents. Concerns …

When Older Adult Substance Abuse Affects Others: What Helps And What Doesn’T?, Jan Ligon

SW Publications

No abstract provided.

Impact Of Dual Disorders, Trauma, And Social Support On Quality Of Life Among Women In Treatment For Substance Dependence, Suzanne Brown, Min Kyoung Jun, Meeyoung Oh Min, Elizabeth M. Tracy

Social Work Faculty Publications

Objective Women with dual disorders report lower levels of social support than women with substance dependence alone, and lower levels of social support have been associated with lower quality of life among individuals with substance use disorders. However, little is known about the impact of trauma symptoms and violence exposure on quality of life for women with dual disorders. The purpose of this study was to examine the impact of dual disorders, trauma, and social support related to recovery on various domains of quality of life among women in substance abuse treatment.

Methods This study utilized multiple standardized measures and …

Client-Provider Relationship And Treatment Outcome: A Systematic Review Of Substance Abuse, Child Welfare, And Mental Health Services Research, Christina Andrews

Faculty and Staff Publications

This systematic review reports on the association of the client-provider relationship with service outcomes across 3 service sectors: substance abuse, child welfare, and mental health. The review includes 60 research reports meeting inclusion criteria: 25 in substance abuse, 7 in child welfare, and 28 in mental health. For each social service sector, we analyze the association of the client-provider relationship to intermediate and ultimate outcomes. In addition, we examine potential moderating mechanisms of rater type (i.e., client, provider, and observer) and treatment setting (i.e., inpatient, outpatient, other). Social services research increasingly seeks to identify the active elements that affect outcomes …

Race, Substance Abuse, And Mental Health Disorders As Predictors Of Juvenile Court Outcomes: Do They Vary By Gender?, Chiquitia Welch-Brewer, Patricia A. Stoddard Dare, Christopher A. Mallett

Social Work Faculty Publications

Predicting juvenile court outcomes based on youthful offenders’ delinquency risk factors is important for the adolescent social work field as well as the juvenile justice system. Using a random sample of 341 delinquent youth from one Midwestern urban county, this study extends previous research by examining if race, substance abuse, and mental health disorders influence important delinquency outcomes (number of court offenses, felony conviction(s), probation supervision length, detention length, and number of probation services) differently for male and female juvenile offenders. Multivariate analysis findings revealed that race was significant only for males, and having a substance use disorder was a …

The Relationship Between Religiosity And Substance Abuse Among African Americans: A Systematic Review Of 30 Years Of Research, Jeongah Kim

Faculty Publications - College of Social Work

The main purpose of this study is to systematically examine research conducted over the past 30 years regarding the effects of religiosity on substance abuse among African American. The present study was designed to examine whether there is empirical support for a relationship between religiosity and substance abuse among African American. This study is a partial replication of a systematic review by Johnson et al. (2000) on the effect of religion on delinquent behaviors. Johnson and his colleagues (2000) found that there is a consistent negative relationship between religiosity and deviance in the most rigorous research. Given that various types …

Denial In Alcohol And Other Drug Use Disorders: A Critique Of Theory., Patricia A. Stoddard Dare, Leaanne Derigne

Social Work Faculty Publications

Despite the centrality of the construct in the field of alcohol and other drug (AOD) addiction, denial remains poorly conceptualized. One reason for this narrow conceptualization is the recent unilateral devotion to the Transtheoretical Model (TTM). In an effort to demonstrate denial’s theoretical complexity, the TTM and five additional intuitively appealing theories of denial will be summarized.The strengths and weaknesses of each theory and possible treatment implications based on each theory will also be presented. The article concludes with a recommendation for future research to evaluate multiple theories of denial using consistent and rigorous research methodology in order to develop …

Predictors Of Depressive Symptomatology In Family Caregivers Of Wom-En With Substance Use Disorders Or Co-Occurring Substance Use And Mental Disorders, David E. Biegel, Shari Katz-Saltzman, David Meeks, Suzanne Brown, Elizabeth M. Tracy

Social Work Faculty Publications

This study utilized a stress-process model to examine the impact of having a female family member with substance use or co-occurring substance use and mental disorders on family caregivers' depressive symptomatology. Participants were 82 women receiving substance abuse treatment and the family member providing the most social support for each woman. Greater caregiver depressive symptomatology was predicted by greater care recipient emotional problems, less care recipient social support, and poor caregiver health. Implications of findings for treatment and future research are discussed

Disparate Juvenile Court Outcomes For Disabled Delinquent Youth: A Social Work Call To Action, Christopher A. Mallett

Social Work Faculty Publications

Current service delivery for at-risk youth is through four separate systems: special education; mental health and substance abuse; juvenile justice; and child welfare. Many youth (and their families) are involved with more than one of these systems, making early disability identification and subsequent systems coordination paramount in leading to more successful juvenile court outcomes. This coordination is an important and prioritized public policy concern because a majority of youth (disproportionately minority) within juvenile justice populations has been identified with mental health disorders, special education disabilities, or maltreatment histories. This study of a unique sample of probation-supervised delinquent youths ( n …

Beliefs And Behaviors Regarding Substance Use And Hiv Risk Among Men Who Have Sex With Men (Msm) In A Mid-Sized U.S. Community, David A. Patterson Silver Wolf (Adelv Unegv Waya) Phd, Martin Hall Mssw, Seana Golder Phd

Brown School Faculty Publications

This paper explores the beliefs and behaviors surrounding substance use and HIV risk among a convenience sample of 98 MSM in a mid-size community located in the central U.S. Several interesting patterns were identified in the descriptive analyses. Multivariate analysis identified two variables, belief that recreational drug use made sexual experiences better and reports that most MSM friends drank alcohol or took recreational drugs that were significant predictors of engagement in substance using behavior. Models accounted for 24% of the variance in drinking behavior and 15% of the variance in drug using behavior. Suggestions for HIV/AIDS prevention and intervention and …

Increased Hiv Risk Associated With Criminal Justice Involvement Among Men On Methadone, Matthew Epperson, Nabila El-Bassel, Louisa Gilbert, E. Roberto Orellana, Mingway Chang

School of Social Work Faculty Publications and Presentations

This paper examines the relationship between HIV risk and criminal justice involvement among a random sample of 356 men enrolled in methadone maintenance treatment programs in New York City. Bivariate and logistic regression analyses were performed to estimate the associations between measures of criminal justice involvement and participant HIV risk, controlling for socio-demographic variables. A lifetime history of incarceration was significantly associated with being HIV positive (Adjusted OR = 5.08). Recent arrest was associated with unprotected vaginal sex and having multiple female sexual partners. Sex trading was associated with both arrest and incarceration, and the strongest association was found between …

Silverwire, University Of Maine Center On Aging

Maine Center on Aging Education and Training

The Silverwire Newsletter is a publication that highlights the work of the UMaine Center on Aging. The topics covered in this edition of the Silverware Newsletter include the plans of the National Advisory Committee on Rural Health and Human Services to visit Maine, new grants and filled positions, the Mental Health and Substance Abuse Summit for Grand families, the Legal Colloquium, and older adult alcohol abuse needs, resources, and readiness assessment analysis.

Bridges And Barriers To Housing For Chronically Homeless Street Dwellers: The Effects Of Medical And Substance Abuse Services On Housing Attainment, Tatjana Meschede

Center for Social Policy Publications

In the winter of 1998/99, after the deaths of 16 homeless people in the streets of Boston attracted wide attention by the media, the Commissioner of the Massachusetts Department of Public Health (MDPH), Dr. Howard Koh, convened a group of I stakeholders serving the homeless street population. The goal of this MDPH Homeless Taskforce was to reduce the number of homeless people dying on the streets as well as to improve service delivery to those homeless individuals most at risk of dying. A wide range of individuals serving or encountering the homeless street population, including homeless outreach teams, law enforcement …

A Grandmother Describes Her Adjustment To Parenting Her Grandchildren, University Of Maine Center On Aging

Maine Center on Aging Education and Training

This article is a grandmother’s story about parenting her grandchildren. She discusses the stresses of this role, the issues faced from the legal side, family issues, as well as their means of achieving help and support in this situation.

What Is Support To Relative Parents?, Sue Burgess, University Of Maine Center On Aging

Maine Center on Aging Education and Training

This article looks at a clinician’s perspective on how to best support relative caregivers. It discusses medications, family issues, programs with low-barrier services, and other resources for assistance. The components discussed in this article will hopefully allow for permanency and stability in the homes of kinship families.

Working With Kinship Families: Reflections Of A Clinician, Bonny Dodson, University Of Maine Center On Aging

Maine Center on Aging Education and Training

As families are face increasing pressures, kinship care is becoming a more common occurrence. Furthermore, as the foster care system becomes more taxed, informal kinship care is becoming more prevalent. This article looks at work with kinship families from a clinician’s perspective. Case examples and models are utilized to promote collaborative efforts in working with these families and allowing for the best care possible.

Kinship Websites, Bonny Dodson, University Of Maine Center On Aging

Maine Center on Aging Education and Training

This article includes a compilation of websites for both Maine and national resources for kinship care.

The Bottom Line: Employment And Barriers To Work Among Former Ssi Da&A Beneficiaries, Kevin Campbell, Jim Baumohl, Sharon R. Hunt

Graduate School of Social Work and Social Research Faculty Research and Scholarship

The Supplemental Security Income (SSI) program for drug addicts and alcoholists (DA&A beneficiaries) ended in January 1997 without any special effort to create employment for those who lost benefits. Relying on data from a nine-site, two-year panel study of 1,764 former DA&A recipients and detailed semistructured interviews with subsamples in four sites, this paper examines employment outcomes and barriers to employment among 611 respondents who lost SSI and did not replace it with another form of publicly funded income assistance. Despite the tight labor market of the late 1990s, this group was plagued by widespread unemployment and sub-employment. At the …

Silverwire, University Of Maine Center On Aging

Maine Center on Aging Education and Training

The Silverwire Newsletter is a publication that highlights the work of the UMaine Center on Aging. The topics covered in this edition of the Silverwire Newsletter include international perspectives on health policy, MPPC, continuing education, new organizational leadership, stories from master athletes, a Bucksport older adult housing assessment, osteoporosis awareness, mental health and substance abuse, and an Alzheimer’s support group.