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Coronavirus Trauma And African Americans’ Mental Health: Seizing Opportunities For Transformational Change, Lonnie R. Snowden, Jonathan Snowden Mar 2021

Coronavirus Trauma And African Americans’ Mental Health: Seizing Opportunities For Transformational Change, Lonnie R. Snowden, Jonathan Snowden

OHSU-PSU School of Public Health Faculty Publications and Presentations

The COVID-19 pandemic is a natural disaster of historic proportions with widespread and profound psychological sequelae. African Americans fall ill and die more than whites from COVID and more survivors and loved ones face psychological risk. African Americans also experience greater personal, social, and financial stress even when not personally touched by COVID illness, and they are again vulnerable as COVID diminishes African American community’s capacity for mutual support. Enactment of the American Rescue Act of 2021 can moderate if not eliminate African Americans’ greater adversity and greater psychological challenge; other provisions can move the mental health treatment system beyond …


Drinking To Cope In The Covid-19 Era: An Investigation Among College Students., Cynthia D. Mohr, Sheila K. Umemoto, Thomas W. Rounds, Philip Bouleh, Sarah N. Arpin Mar 2021

Drinking To Cope In The Covid-19 Era: An Investigation Among College Students., Cynthia D. Mohr, Sheila K. Umemoto, Thomas W. Rounds, Philip Bouleh, Sarah N. Arpin

Psychology Faculty Publications and Presentations

The COVID-19 pandemic has resulted in abrupt, drastic changes to daily life in many nations. Experiences within the United States have varied widely. In the State of Oregon in the early months of the pandemic protective protocols (e.g., social distancing) were comparatively high, resulting in concern for increases in loneliness and COVID-related stress. The present study of college students examined the indirect relationship of loneliness and other stressors to alcohol use, via drinking-to-cope motives.


How Transitional, Restorative, And Transformative Justice Will Address Racial Injustice, Isabelle Garnand Feb 2021

How Transitional, Restorative, And Transformative Justice Will Address Racial Injustice, Isabelle Garnand

University Honors Theses

Racism is still deeply embedded in the United States. Dominant white cultural narratives do not acknowledge African-Americans’ experiences, and previous methods of addressing it have not been sufficient. Through a literature review using PsychInfo, Google Scholar, and Google the author researched how transitional, restorative, and transformative justice have been used in the U.S. and other countries to establish what methods of each would be best adopted for the U.S. The author proposes change through addressing racism on the state and county level using these multiple levels of justice throughout the U.S. to create space to perpetuate conversations, actions, and beginning …


Connected Care: The Relationship Between Infant-Caregiver Interaction & Preterm Infant Development, Amelia G. Williams Feb 2021

Connected Care: The Relationship Between Infant-Caregiver Interaction & Preterm Infant Development, Amelia G. Williams

University Honors Theses

This thesis encompasses how families and healthcare workers alike can uplift preterm infants’ development in the Neonatal Intensive Care Unit. The use of positive facial expressions, skin-to-skin contact, verbalizing with the infant, quality time, and focused attention are explored to promote the preterm infant’s positive development. Additionally, this thesis includes research on optimizing the transition from hospital to home for both parents and infants.

This thesis aims to gather information that caregivers can easily reference and put into action with preterm infants. At the end of each body paragraph, the reader can promptly locate summarizing bullet points of how caregivers …


Experiences Of Shame, Exclusion, & Appropriation In Mindfulness-Based Wellness Culture, Charlotte Grace Starling Feb 2021

Experiences Of Shame, Exclusion, & Appropriation In Mindfulness-Based Wellness Culture, Charlotte Grace Starling

University Honors Theses

Yoga, meditation, and other mindfulness practices provide numerous benefits both physical and mental health to their practitioners. There is less research exploring the role mindfulness-based wellness programs and practices fit within the cultural environment of the United States and how the mindfulness movement influences wellness culture and practices. These practices and spaces have been accused of harming folks who don't fit the dominant social narrative of thin, white, upper-middle-class participants. This paper aims to explore how the United State’s commodification of mindfulness practices contributes to experiences of shame, exclusion, and appropriation in wellness culture. This is done by a literature …


Understanding The Impact Of The Sars-Cov-2 Pandemic On Hospitalized Patients With Substance Use Disorder, Caroline King, Taylor Vega, Dana Button, Christina Nicolaidis, Jessica Gregg, Honora Englander Feb 2021

Understanding The Impact Of The Sars-Cov-2 Pandemic On Hospitalized Patients With Substance Use Disorder, Caroline King, Taylor Vega, Dana Button, Christina Nicolaidis, Jessica Gregg, Honora Englander

School of Social Work Faculty Publications and Presentations

Background: The SARS-COV-2 pandemic rapidly shifted dynamics around hospitalization for many communities. This study aimed to evaluate how the pandemic altered the experience of healthcare, acute illness, and care transitions among hospitalized patients with substance use disorder (SUD).

Methods: We performed a qualitative study at an academic medical center in Portland, Oregon, in Spring 2020. We conducted semi-structured interviews, and conducted a thematic analysis, using an inductive approach, at a semantic level.

Results: We enrolled 27 participants, and identified four main themes: 1) shuttered community resources threatened patients' basic survival adaptations; 2) changes in outpatient care increased reliance on hospitals …


Home-Deliveries Before-During Covid-19 Lockdown: Accessibility, Environmental Justice, Equity, And Policy Implications, Miguel Figliozzi, Avinash Unnikrishnan Feb 2021

Home-Deliveries Before-During Covid-19 Lockdown: Accessibility, Environmental Justice, Equity, And Policy Implications, Miguel Figliozzi, Avinash Unnikrishnan

Civil and Environmental Engineering Faculty Publications and Presentations

During the COVID-19 lockdowns, home deliveries have changed from being a desirable luxury or comfortable solution to a health-supporting and essential service for many COVID-19 at-risk populations. However, not all households are equal in terms of access to home deliveries. The onset of COVID-19 has brought to light access inequalities that preceded the pandemic and that the COVID-19 lockdown has exacerbated and made visible. The concept of home-based accessibility (HBA) is introduced, and novel research questions are addressed: (i) What type of households had zero home deliveries before COVID-19 lockdown? (ii) How the COVID-19 lockdown affected the type of households …


Black Magic & White Supremacy: Witchcraft As An Allegory For Race And Power, Nicholas Charles Peters Feb 2021

Black Magic & White Supremacy: Witchcraft As An Allegory For Race And Power, Nicholas Charles Peters

University Honors Theses

This paper examines dramatic representations of witchcraft in contemporary television, and their roots in stereotypes from 17th century dramas, exploring the function of witchcraft as an allegory for race and power in America. Television is a form of cultural media that can explore these stereotypes and create representation that influences the audience's perception of society, and can function as a call to action for social justice.


The Story Of The Division Of Continuing Education / School Of Extended Studies, Cheryl Livneh, Sherwin Davidson, Cari Olmsted, Melissa Endicott, Nancy Goldman, Steve Harmon, Martha Ketcham, Robert Mercer Feb 2021

The Story Of The Division Of Continuing Education / School Of Extended Studies, Cheryl Livneh, Sherwin Davidson, Cari Olmsted, Melissa Endicott, Nancy Goldman, Steve Harmon, Martha Ketcham, Robert Mercer

Historical Articles and Essays

No abstract provided.


Psychometric Evaluation Of The Arthritis Self-Efficacy Scale In Chinese Adults With Rheumatic Diseases: A Cross-Sectional Study, Tzung-Yi Tsai, Ming-Chi Lu, Hanoch Livneh, Miao-Chiu Lin, Ning-Seng Lai, How-Ran Guo Feb 2021

Psychometric Evaluation Of The Arthritis Self-Efficacy Scale In Chinese Adults With Rheumatic Diseases: A Cross-Sectional Study, Tzung-Yi Tsai, Ming-Chi Lu, Hanoch Livneh, Miao-Chiu Lin, Ning-Seng Lai, How-Ran Guo

Counselor Education Faculty Publications and Presentations

The Arthritis Self-Efficacy Scale (ASES) was designed to assess the degree of self-efficacy among patients with arthritis. Though the original English version of this instrument has shown a high degree of reliability and validity, a Chinese version of this scale has yet to be validated. Therefore, the aim of this cross-sectional study was to evaluate the psychometric characteristics of the Chinese version of ASES (C-ASES) in a population of Chinese adults with rheumatic diseases (RDs).


Trust In Hospital Physicians Among Patients With Substance Use Disorder Referred To An Addiction Consult Service, Caroline King, Devin Collins, Alisa Patten, Christina Nicolaidis, Honora Englander Feb 2021

Trust In Hospital Physicians Among Patients With Substance Use Disorder Referred To An Addiction Consult Service, Caroline King, Devin Collins, Alisa Patten, Christina Nicolaidis, Honora Englander

School of Social Work Faculty Publications and Presentations

Background: Trust is essential in patient-physician relationships. Hospitalized patients with substance use disorders (SUDs) often experience stigma and trauma in the hospital, which can impede trust. Little research has explored the role of hospital-based addictions care in creating trusting relationships with patients with SUDs. This study describes how trust in physicians changed among hospitalized people with SUDs who were seen by an interprofessional addiction medicine service.

Methods: We analyzed data from hospitalized patients with SUD seen by an addiction consult service from 2015 to 2018. Participants completed surveys at baseline and 30 to 90 days after hospital discharge. Follow-up assessments …


A Buddhist-Informed Conceptual Framework For Compassion Fatigue Prevention, Andrei A. Agapi Feb 2021

A Buddhist-Informed Conceptual Framework For Compassion Fatigue Prevention, Andrei A. Agapi

University Honors Theses

The purpose of this thesis is to present Buddhist meditation practices and modes of investigation that can mitigate compassion fatigue, some of which have not yet been acknowledged in this research field. Conducting a literature review, I found multiple frameworks for compassion fatigue that have different and sometimes contradictory causes, and a lack of clear differentiation between sympathy, empathy and compassion. Both of these aspects are explored. I explain the Buddhist approach to compassion, and the cause of fatigue from a Yogachara philosophical perspective. Then, I write about a bodhisattva’s training in no-self, the five-aggregate model of mind, Chenrezig practice, …


Half-Length And The Fact Framework: Distance-Decay And Citizen Opposition To Energy Facilities, Hal T. Nelson, Kris Wikstrom, Samantha Hass, Kirsten Sarle Feb 2021

Half-Length And The Fact Framework: Distance-Decay And Citizen Opposition To Energy Facilities, Hal T. Nelson, Kris Wikstrom, Samantha Hass, Kirsten Sarle

Public Administration Faculty Publications and Presentations

Highlights

  • Half-length measures the distance within which half of citizen comments occur,
  • The FACT siting framework (Favorability, citizen Ability, opposition Corridors, and spatial Template) is defined,
  • The spatial template where a siting project occurs predicts the location of citizen comments,
  • Corridors of opposition include physical as well as information technology infrastructure


A Comparison Of Safety, Health, And Well-Being Risk Factors Across Five Occupational Samples, Ginger C. Hanson, Anjali Rameshbabu, Todd Bodner, Leslie Hammer, Diane S. Rohlman, Ryan Olson, Nancy Perrin, Bradley Wipfli, Kuehl S. Kerry, Lindsey Alley, Multiple Additional Authors Feb 2021

A Comparison Of Safety, Health, And Well-Being Risk Factors Across Five Occupational Samples, Ginger C. Hanson, Anjali Rameshbabu, Todd Bodner, Leslie Hammer, Diane S. Rohlman, Ryan Olson, Nancy Perrin, Bradley Wipfli, Kuehl S. Kerry, Lindsey Alley, Multiple Additional Authors

OHSU-PSU School of Public Health Faculty Publications and Presentations

Objective: The aim of this study was to present safety, health and well-being profiles of workers within five occupations: call center work (N = 139), corrections (N = 85), construction (N = 348), homecare (N = 149), and parks and recreation (N = 178).

Methods: Baseline data from the Data Repository of Oregon’s Healthy Workforce Center were used. Measures were compared with clinical healthcare guidelines and national norms.

Results: The prevalence of health and safety risks for adults was as follows: overweight (83.2%), high blood pressure (16.4%), injury causing lost work (9.9%), and reported pain (47.0%). Young workers were least …


The Pacific Sentinel, February 2021, Portland State University. Student Publications Board Feb 2021

The Pacific Sentinel, February 2021, Portland State University. Student Publications Board

The Pacific Sentinel

Editor: Vivian Veidt

Articles in this issue include:

  • Letter from the Editor
  • Georgia On Everyone’s Mind
  • A Minimum Requirement of Neutrality
  • An Unspoken Norm
  • Pigs Saving Lives
  • COVID-19 Affecting the Workplace
  • Why Did President Trump Kill Federal Inmates on His Way Out?
  • Reconstructing America


Faculty Senate Monthly Packet February 2021, Portland State University Faculty Senate Feb 2021

Faculty Senate Monthly Packet February 2021, Portland State University Faculty Senate

Faculty Senate Monthly Packets

The February 1, 2021 Monthly packet includes the February agenda and appendices and the Faculty Senate minutes and attachments from the meeting held January 4, 2021.


Gender Role As A Mediating Factor In Gender Pay Equity Analysis, Jillian Ann Girard Jan 2021

Gender Role As A Mediating Factor In Gender Pay Equity Analysis, Jillian Ann Girard

Dissertations and Theses

The gender wage gap has been persistent despite the introduction of new laws designed to address the disparity. One of the challenges in addressing this inequity is the lack of complete understanding of the driving factors of the pay gap. One yet unexplored factor is the impact of the gender role, which is a social role based on sex/gender which provides a structure and expectations for social relationships. The purpose of this research was to explore the relationship between gender role, biological sex, and base pay. A matched, cross-sectional sample drawn from large U.S. cities was utilized to test the …


A Defense Of Locke’S Moral Epistemology, Jamie J. Hardy Jan 2021

A Defense Of Locke’S Moral Epistemology, Jamie J. Hardy

Philosophy Faculty Publications and Presentations

In An Essay Concerning Human Understanding, John Locke provides an empirical account of all of our ideas, including our moral ideas. However, Locke’s account of moral epistemology is difficult to understand leading to mistaken objections to his moral epistemological theory. In this paper, I offer what I believe to be the correct account of Locke’s moral epistemology. This account of his moral epistemology resolves the objections that morality is not demonstrable, that Locke’s account fails to demonstrate the normativity of statements, and that Locke has not provided us with the means to determine the correctness of the moral rules.


Use Of Chinese Herbal Medicines Is Related To A Reduction In Depression Risk Among Patients With Insomnia: A Matched Cohort Study, Yun-Wen Chiao, Hanoch Livneh, How-Ran Guo, Wei-Jen Chen, Ming-Chi Lu, Miao-Chiu Lin, Chia-Chou Yeh, Tzung-Yi Tsai Jan 2021

Use Of Chinese Herbal Medicines Is Related To A Reduction In Depression Risk Among Patients With Insomnia: A Matched Cohort Study, Yun-Wen Chiao, Hanoch Livneh, How-Ran Guo, Wei-Jen Chen, Ming-Chi Lu, Miao-Chiu Lin, Chia-Chou Yeh, Tzung-Yi Tsai

Counselor Education Faculty Publications and Presentations

Objective: Subjects with insomnia have a higher risk of depression, thus possibly making them live with serious health conditions. To date, information regarding the effect of Chinese herbal medicines (CHMs), a commonly used complementary and alternative medicine, on depression risk among people with insomnia is still unknown. This study aimed to investigate the effect of CHMs on the risk of depression among individuals with insomnia.

Methods: This cohort study used a national health insurance database to identify 68,573 subjects newly diagnosed with insomnia, aged 20–70 years, who received treatment between 1998 and 2010. Using propensity score matching, we …


Invited Commentary: The Uneven Gender Revolution And The Gender Gap In Depression In The Us, Emily Fitzgibbons Shafer Jan 2021

Invited Commentary: The Uneven Gender Revolution And The Gender Gap In Depression In The Us, Emily Fitzgibbons Shafer

Sociology Faculty Publications and Presentations

Women suffer depression at higher rates than men. In a meta-analysis using data from 1982-2017, Platt et al. (Am J Epidemiol. XXXX;XXX(XX):XXXX-XXXX) examine trends by age group in the gender depression gap and find no change in the depression gap among adults despite large changes in women's opportunities during the same time period. They do, however, find an increase over time in the gender gap in depression among adolescents. I concur with Platt et al. that likely explanations for their findings involve the social environment. For adult women, the burden of being responsible for the majority of the household labor …


Self-Rated Health As A Mediator Between Physical Health Conditions And Depressive Symptoms In Older Chinese And Korean Americans, Yuri Jang, Hyunwoo Yoon, Mengting Li, Nan Sook Park, David A. Chiriboga, Bei Wu, Xinqui Dong, Miyong T. Kim Jan 2021

Self-Rated Health As A Mediator Between Physical Health Conditions And Depressive Symptoms In Older Chinese And Korean Americans, Yuri Jang, Hyunwoo Yoon, Mengting Li, Nan Sook Park, David A. Chiriboga, Bei Wu, Xinqui Dong, Miyong T. Kim

School of Social Work Faculty Publications and Presentations

In the present study, we examined self-rated health as a mediator between physical health conditions (chronic diseases and functional disability) and depressive symptoms in older Chinese and Korean Americans. Using harmonized data (N = 5,063) from the Population Study of Chinese Elderly (PINE) and the Study of Older Korean Americans (SOKA), we tested direct and indirect effect models. In both groups, chronic diseases and functional disability were closely associated with negative ratings of health and symptoms of depression. Analyses with the PROCESS macro showed that the effect of chronic diseases and functional disability on depressive symptoms was mediated by …


Decolonizing Healthcare: A Black Feminist Analysis Of Sisters Informing Sisters On Topics Of Aids (Sista), Joy Mutare Fashu Kanu Jan 2021

Decolonizing Healthcare: A Black Feminist Analysis Of Sisters Informing Sisters On Topics Of Aids (Sista), Joy Mutare Fashu Kanu

Dissertations and Theses

This mixed methods project combines the conceptual insights offered by institutional ethnography, the deductive and inductive attributes of content analysis, semi structured interviews, and quantitative data analysis to study Sisters Informing Sisters on Topics of AIDS (SISTA), a social skills training program designed for sexually active, heterosexual African American women. This progressive program serves as a site to examine the complex relationship the U.S. state has had, and continues to have, with marginalized populations, particularly African Americans. The program reveals how the state, through the public health service, partners with scholars, researchers, and community-based organizations to produce, reproduce and perpetuate …


Entrepreneurial Identity In Us Book Publishing In The Twenty-First Century, Rachel Noorda Jan 2021

Entrepreneurial Identity In Us Book Publishing In The Twenty-First Century, Rachel Noorda

English Faculty Publications and Presentations

Entrepreneurship underpins many roles within the publishing industry, from freelancing to bookselling. Entrepreneurs are shaped by the contexts in which their entrepreneurship is situated (social, political, economic, and national). Additionally, entrepreneurship is integral to occupational identity for book publishing entrepreneurs. This Element examines entrepreneurship through the lens of identity and narrative based on interview data with book publishing entrepreneurs in the US Book publishing entrepreneurship narratives of independence, culture over commerce, accidental profession, place, risk, (in)stability, busyness, and freedom are examined in this Element.


Common Raven Impacts On Nesting Western Snowy Plovers: Integrating Management To Facilitate Species Recovery, Cheryl Strong, Kriss K. Neumann, Jenny L. Hutchinson, Jamie K. Miller, Amber L. Clark, Lena Chang, Joanna Iwanicha, Elizabeth Feucht, Matthew J. Lau, David J. Lauten, Sarah Markegard, Benjamin Pearl, David L. Sherer, Rachel Tertes, Susie Tharratt, Travis Wooten Jan 2021

Common Raven Impacts On Nesting Western Snowy Plovers: Integrating Management To Facilitate Species Recovery, Cheryl Strong, Kriss K. Neumann, Jenny L. Hutchinson, Jamie K. Miller, Amber L. Clark, Lena Chang, Joanna Iwanicha, Elizabeth Feucht, Matthew J. Lau, David J. Lauten, Sarah Markegard, Benjamin Pearl, David L. Sherer, Rachel Tertes, Susie Tharratt, Travis Wooten

Institute for Natural Resources Publications

The U.S. Pacific coast population of the western snowy plover (Charadrius nivosus nivosus; plover) has declined due to loss and degradation of coastal habitats, predation, and anthropogenic disturbance. The U.S. Fish and Wildlife Service listed the subspecies in 1993 as threatened under the Endangered Species Act due to the population declines and habitat loss. Predation of nests and chicks has been identified as an important cause of historic population declines, and thus, most predator management actions for this subspecies are focused on reducing this pressure. In recent years, common ravens (Corvus corax; ravens) have become the most common and pervasive …


Culturally Engaging And Validating Strategies To Support Bipoc Students At Psu, Lindsay Romasanta, Michelle Lee, Pedro Torres Jan 2021

Culturally Engaging And Validating Strategies To Support Bipoc Students At Psu, Lindsay Romasanta, Michelle Lee, Pedro Torres

Global Diversity and Inclusion Publications and Presentations

Presenters:

  • Lindsay Romasanta, Ed.D. - Assistant Vice President, Global Diversity & Inclusion
  • Michelle Lee - Coordinator for Asian & Pacific Islander & Desi Student Services
  • Pedro Torres - Assistant Director, Cultural Resource Centers

About Global Diversity and Inclusion:

Global Diversity and Inclusion is the central division that leads and facilitates the continuous quest for Inclusive Excellence. We structure our ongoing diversity, equity, and inclusion journey through four pillars:

  • Student Support and Programs
  • Equity and Compliance
  • Diversity Advocacy
  • Diversity Education and Learning

Presentation Outline (Agenda):

  • Activity
  • How we support BIPOC students at PSU
    • Multicultural Retention Services
    • Cultural Resource Centers
    • TRIO Programs …


Book Review Of, Unimpeded Volition: William Of Ockham: Questions On Goodness, Virtue, And The Will, Bennett B. Gilbert Jan 2021

Book Review Of, Unimpeded Volition: William Of Ockham: Questions On Goodness, Virtue, And The Will, Bennett B. Gilbert

University Studies Faculty Publications and Presentations

Book Review of: Unimpeded volition Eric W. Hagedorn (trans. & ed.): William of Ockham: questions on goodness, virtue, and the will. Cambridge: Cambridge University Press, 2021, xxvii + 344pp, $110.00 HB. ISBN 9781108498388


Traditional Ecological Knowledge And Inclusive Pedagogy Increase Retention And Success Outcomes Of Stem Students, Alexander V. Alexiades, Melissa Haeffner, Darryl Reano, Maxine Janis, Jessica Black, Kazuhiro Sonoda, Multiple Additional Authors Jan 2021

Traditional Ecological Knowledge And Inclusive Pedagogy Increase Retention And Success Outcomes Of Stem Students, Alexander V. Alexiades, Melissa Haeffner, Darryl Reano, Maxine Janis, Jessica Black, Kazuhiro Sonoda, Multiple Additional Authors

Environmental Science and Management Faculty Publications and Presentations

The i-NATURE (Indigenous iNtegration of Aquatic sciences and Traditional Ecological Knowledge for Undergraduate culturally Responsive Education) is a culturally relevant, project-, and place-based curriculum that included extensive applied research experience contextualized for specific Indigenous communities. The program developed a model for incorporating Traditional Ecological Knowledge into STEM undergraduate education which included direct participation of several Indigenous communities in the Pacific Northwest region of the United States. After implementation of the i-NATURE model, we tested whether the inclusive pedagogical strategies used in our intervention improved retention and learning outcomes for the students who participated in the i-NATURE program. We report a …


Human Development, Portland State University. Human Development Teaching And Learning Group Jan 2021

Human Development, Portland State University. Human Development Teaching And Learning Group

PDXOpen: Open Educational Resources

This open textbook is designed for Human Development, a core Psychology course. This course provides a bird’s eye view of major milestones and developmental tasks during each age period, starting at conception and ending with old age.


Timber Ridge, Portland State University. Center For Public Interest Design, Sergio Palleroni, Todd Ferry, Kaylyn Berry, Hannah Lopez, Athena Shepherd, Sean Silverstein Jan 2021

Timber Ridge, Portland State University. Center For Public Interest Design, Sergio Palleroni, Todd Ferry, Kaylyn Berry, Hannah Lopez, Athena Shepherd, Sean Silverstein

Center for Public Interest Design Projects

A development of Community Development Partners (CDP) and the Northeast Oregon Housing Authority (NEOHA), the Timber Ridge project will address the community’s need for high-quality, affordable housing. In partnership with EngAGE NW, a leading organization in intergenerational programming, the project also aspires to support a community for all ages and an inter-cultural community. The project aims to be a hub for residents and the wider La Grande community through the provision of classroom and meeting spaces for a wide variety of programming and developing outdoor park and recreation amenities in a region of the city remote from most community resources. …


“Eyes In The Home”: Addressing Social Complexity In Veterans Affairs Home-Based Primary Care, Elizabeth Catherine Hulen, Avery Laliberte, Sarah S. Ono, Somnath Saha, Samuel T. Edwards Jan 2021

“Eyes In The Home”: Addressing Social Complexity In Veterans Affairs Home-Based Primary Care, Elizabeth Catherine Hulen, Avery Laliberte, Sarah S. Ono, Somnath Saha, Samuel T. Edwards

Sociology Faculty Publications and Presentations

BACKGROUND: Home-Based Primary Care (HBPC) has demonstrated success in decreasing risk of hospitalization and improving patient satisfaction through patient targeting and integrating long-term services and supports. Less is known about how HBPC teams approach social factors.

OBJECTIVE: Describe HBPC providers’ knowledge of social complexity among HBPC patients and how this knowledge impacts care delivery.

DESIGN, SETTING, AND PARTICIPANTS: Between 2018 and 2019, we conducted in-person semi-structured interviews with 14HBPCproviders representing nursing,medicine, physical therapy, pharmacy, and psychology, at an urban Veterans Affairs (VA) medical center. We also conducted field observations of 6 HBPC team meetings and 2 home visits.

APPROACH: We …