Digital Commons Network^™

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 …

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.

A Community-Based Wellness Program To Reduce Depression In African Americans: Results From A Pilot Intervention, Christina Nicolaidis, Corliss Mckeever, Sandra Meucci

School of Social Work Faculty Publications and Presentations

Background

African-Americans are less likely than non-Hispanic Whites to find antidepressants acceptable or seek care for depression.

Objective

To develop and pilot-test a culturally-tailored, community-based, psycho-educational wellness and exercise promotion program to reduce depressive symptoms in African-Americans.

Methods

Participants were African-Americans with moderate depressive symptoms, who were interested in exercise, but were not exercising regularly. They attended a 6-week psycho-educational group program during which they set personal activity goals and learned depression self-management skills. We conducted pre- and post-intervention surveys and post-intervention feedback sessions.

Results

21 African-Americans participated in the intervention. The program had excellent attendance and satisfaction. We found …

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 …

Patient And Provider Comfort Discussing Substance Use, Moira Ray, Mary Catherine Beach, Christina Nicolaidis, Dongseok Choi, Somnath Saha, P. Todd Korthuis

School of Social Work Faculty Publications and Presentations

BACKGROUND AND OBJECTIVES: Substance use is a prevalent issue in primary care with wide-reaching implications, particularly for the care of HIV-infected patients. This analysis identified patient and provider characteristics associated with high comfort discussing substance use in HIV primary care clinics using multivariable logistic regression.

METHODS: A total of 413 patients and 44 providers completed surveys on their comfort discussing substance use. Additional independent variables from surveys included demographics, drug and alcohol use, self-efficacy, and activation for patients. Providerlevel data included demographics, training, practice descriptors, and stress levels.

RESULTS: The majority of patients (76%) and providers (73%) reported high comfort. …

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.

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 …

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 …

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, …

“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 …

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.

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. …

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 …

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 …