Digital Commons Network^™

Navigating Fierce Love During The Pandemic: Reflections Of A Pinay Scholar Warrior, Alma M. O. Trinidad

School of Social Work Faculty Publications and Presentations

This article presents reflections of a Pinay Scholar Warrior of Kapu Aloha and Mahalaya during the pandemic. Excerpts from her social media and reflections from her personal journal reveal the complexities of navigating fierce love in social work teaching and service. Issues related to facilitating critical analyses of social determinants of health, grief and loss, and rediscovering strengths and joys. Implications of women of color in the academy is alluded.

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 …

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 …

Internationalization Of Environmental Education For Global Citizenship, Bowen Mcbeath, Qing Tian, Chen Wang, Bin Xu

School of Social Work Faculty Publications and Presentations

We present a teaching-and-learning case study of a 2018–2019 university-based summer institute in Beijing, China that concerned environmental education in support of global citizenship, involving Chinese and international faculty from education, social work, and related disciplines. The case study identifies: (1) the context of the summer institute; (2) its goals, design, and basic content; and (3) lessons learned for social work education. Specific attention is paid to: the importance of connecting university-based ecosocial work education with community-based practice in a Chinese context; addressing global social and environmental justice concerns through rural collaborative problem-solving; and navigating disciplinary boundaries involving social work …

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 …

Shifting Coronavirus Disease 2019 Testing Policy And Research To Include The Full Translation Pipeline, Joseph Catania, Jeffrey Martin, M. Margaret Dolcini, E. Roberto Orellana, Jeffrey Henne

School of Social Work Faculty Publications and Presentations

The current severe acute respiratory syndrome coronavirus 2 testing policy and practice limits testing as a prevention tool. Radical shifts are required to increase the scale of rapid testing strategies and improve dissemination and implementation of venue-based and self-testing approaches. Attention to the full translation pipeline is required to reach high-risk segments of the population.

Engaging Field And Faculty To Inform The Msw Curriculum, Amie Thurber, Susan Halverson

School of Social Work Faculty Publications and Presentations

The central purpose of this project is to assess the degree of alignment between the MSW curriculum and the needs of field partners, and, if applicable, to identify ways to enhance that alignment through upcoming curriculum revisions. This report draws on three sources of data: an electronic survey distributed in June 2020 to all people who served as field instructors and/or task supervisors (N: 135 respondents), interviews with a sample of 20 field instructors (N:20), and an electronic survey distributed in October 2020 by the MSW Program Director to all MSW instructors (N:38). Findings from this report are intended to …

Evaluating The N/Ne Preference Policy, Amie Thurber, Lisa K. Bates, Susan Halverson

School of Social Work Faculty Publications and Presentations

North/Northeast Portland has long been the heart of Portland's Black community. By 2010, the area had lost two-thirds of its Black residents to displacement. In response, the City adopted a Preference Policy that prioritizes displaced affordable rental and homeownership applicants. This report describes findings from the first phase of a study to understand what difference this policy is making in the lives of residents.

Interrupting White Supremacy In Field Education: Experiences Of Microaggressions In Placement Settings, Anita Reinette Gooding, Gita Mehrotra

School of Social Work Faculty Publications and Presentations

As social work’s signature pedagogy, field education socializes students into their professional roles as practitioners. However, for students and field instructors of color, racial microaggressions add another dimension to the practice experience. Utilizing findings from a qualitative study exploring the experiences of Black, Indigenous, and People of Color (BIPOC) social work students and agency-based field instructors, this paper highlights experiences of microaggressions in field placement settings. Specifically, BIPOC students and field instructors described being tokenized in agencies, feeling invisible in placement settings, experiencing microaggressions from service users or students, and witnessing microaggressions. Experiences of microaggressions had emotional impacts, and affected …

The Influence Of Colorism On The Hair Experiences Of African American Female Adolescents, Lakindra Mitchell Dove

School of Social Work Faculty Publications and Presentations

This article addresses the prevalence of colorism among the hair care narratives of African American female adolescents. Eleven interviews were conducted to explore the connection between hair and sense of self and self-esteem. During data collection and analysis, the theme surrounding colorism emerged, as many participants discussed its influence on hair, recalling traumatic hair and colorist experiences. This article focuses on the analysis of these narratives using the colorist-historical trauma framework. Three themes emerged: (1) colorist experiences; (2) perceptions of good hair; and (3) the influence of White beauty standards. These themes reflect how participants conceptualized the implications of colorism …

Ready? Set? Go?: Examining Organizational Readiness For Change In A Quality Improvement Intervention For Youth Mentoring Programs, Renee Spencer, Alison L. Drew, Carla Herrera, Bowen Mcbeath, Thomas E. Keller

School of Social Work Faculty Publications and Presentations

The number of youth mentoring programs has risen significantly in recent decades. This trend, coupled with evidence that programs employing a greater number of empirically supported practices achieve more positive effects for youth participants, has prompted increasing interest in how to promote more widespread use of evidence-based practice standards in mentoring programs. In an effort to describe and better understand efforts to implement recommended standards, we studied a multi-level initiative sponsored by a national advocacy organization in which its state-level Affiliates guided local mentoring programs through a structured quality improvement process. Specifically, we examined organizational readiness for change among mentoring …

Factors Associated With Poverty Among Refugees In The United States, Mitra Naseh, Miriam Potocky, Shanna L. Burke, Paul H. Stuart, Fatma Huffman

School of Social Work Faculty Publications and Presentations

Background and Purpose: Approximately three million refugees have arrived in the United States in the past four decades. Literature suggests, after arrival in the country and in the short-term period thereafter, it is likely for refugees as New Americans to experience poverty and deprivation in different aspects of life. In this context, knowledge of factors associated with poverty among refugees is important and relevant for social workers as front-line service providers for refugees and economically disadvantaged individuals. Using social exclusion theory as a framework, this study hypothesized that the factors associated with integration in the refugee integration conceptual framework (Ager …

Distress And Resilience In Resettled Refugees Of War: Implications For Screening, Michael Hollifield, Eric C. Toolson, Sasha Verbillis-Kolp, Beth Farmer, Junko Yamazaki, Tsegaba Woldehaimanot, Annette Holland

School of Social Work Faculty Publications and Presentations

There is little work published about predictors of specific trajectory types of distress in refugees of war during early resettlement in a host country. Data about distress (Refugee Health Screener—15 (RHS-15)) and possible predictors of distress were collected at the domestic medical examination (T1) within 90 days of arrival and the civil surgeon examination (T2) 11–16 months after T1 for refugee groups from three countries (COU). Descriptive, correlative, analyses of variance, and regression techniques were used to determine trajectory type and their predictors. A higher percentage (7.3%) were distressed at T2 than at T1. By group, the Bhutanese became more …

Pandemic And Protest In 2020: Questions And Considerations For Social Work Research, Kimberly D. Hudson, Gita Mehrotra

School of Social Work Faculty Publications and Presentations

The convergence of the COVID-19 pandemic and social/political protest concerning structural anti-Black racism marks a moment for deep reflection and revision of many taken-for-granted assumptions about our research and academic lives as social work scholars. In this reflexive essay we, as two non-Black qualitative social work scholars, explore some of the questions and considerations for social work research that have surfaced since the emergence of these complex social, political, and economic crises. We organize our reflection around what we study, why, and how we go about studying it. We then offer a discussion of various constraints and challenges that emerge …

“We’Re More Than A Daycare”: Reported Roles And Settings For Early Childhood Professionals And Implications For Professionalizing The Field, Rachel E. Schachter, Qingyu Jiang, Shayne B. Piasta, Erin E. Flynn

School of Social Work Faculty Publications and Presentations

In the US, recent efforts have focused on professionalizing the field of early childhood. One way to indicate professionalism is through the terms used to describe both the field and the workers. However, few have examined how practitioners or researchers describe early childhood professionals’ work. Using multiple data sources and analytic strategies, we examined the ways that those working with young children described their role and setting, as well as how these were described in research and practitioner journals. “Teacher” was the preferred term for both journals and professionals, and terms for setting reflected traditional K-12 school structures. Professionals linked …

A Comparative Study On The Cultivation Of Undergraduate Environmental Talents In Chinese And American Universities Based On Ecosystem Management Thought*, Qing Tian, Bowen Mcbeath, Takeo Morimo, Si Wang

School of Social Work Faculty Publications and Presentations

Since the Industrial Revolution, the relationship between human beings and nature has appeared unprecedented sharp contradiction. In modern times, human beings mainly respond to the contradiction in the relationship between human and nature through environmental management.

Social Determinants Of Health And Parenting Self-Efficacy Among Mothers Of Preterm Infants, Susanne Klawetter, Blair W. Weikel, Kristi L. Roybal, Nazan Cetin, Mathew C, Uretsky, Stephanie L. Bourque, Anne Hall, Sunah S. Hwang, Madalynn Neu, Mauricio A. Palau, Multiple Additional Authors

School of Social Work Faculty Publications and Presentations

Objective: To explore the relationships between social and environmental factors and parenting self-efficacy (PSE) among mothers of preterm infants hospitalized in neonatal intensive care units (NICUs) using a social determinants of health (SDoH) framework. Method: We analyzed data from a prospective cohort study that included 187 mother-infant dyads admitted to four NICUs in the Mountain West region between June 2017 and December 2019. We used multivariable linear regression models to assess the independent associations between maternal and infant characteristics and PSE. Results: Our final multiple linear regression model predicting the efficacy score including maternal race/ethnicity, age, insurance, employment status before …

Stopped Listening: Experiences Of Higher Education Refugee-Background Learners, Peggy Lynn Maclsaac, Staci B. Martin, Wilson Kubwayo, Chablue Wah, Salome Nanyenga

School of Social Work Faculty Publications and Presentations

This paper discusses the academic agency of refugee-background individuals who have resettled to the United States of America and the responsibility of higher education to value refugee-background learners as knowledge creators. Contrary to deficit thinking that views learners as unable to succeed due to their refugee background, this study explores how their experiences demonstrate their multiple capacities to succeed in higher education. The essence of these experiences is presented using self-reflexive collaborative speaking and writing inquiry. Three main themes drawn from the results were the capacities of refugee-background learners to adapt cultures, maintain multiple social connections, and exercise agency.

Predictors Of Opioid And Alcohol Pharmacotherapy Initiation At Hospital Discharge Among Patients Seen By An Inpatient Addiction Consult Service, Honora Englander, Caroline King, Christina Nicolaidis, Devin Collins, Alisa Patten, Jessica Gregg, P. Todd Korthuis

School of Social Work Faculty Publications and Presentations

Background:

Medications for opioid use disorder (MOUD) and alcohol use disorder (MAUD) are effective and under-prescribed. Hospital-based addiction consult services can engage out-of-treatment adults in addictions care. Understanding which patients are most likely to initiate MOUD and MAUD can inform interventions and deepen understanding of hospitals’ role in addressing substance use disorders (SUD).

Objective:

Determine patient- and consult-service level characteristics associated with MOUD/MAUD initiation during hospitalization.

Methods:

We analyzed data from a study of the Improving Addiction Care Team (IMPACT), an interprofessional hospital-based addiction consult service at an academic medical center. Researchers collected patient surveys and clinical data from September …

“We Were Queens.” Listening To Kānaka Maoli Perspectives On Historical And On-Going Losses In Hawai’I, Antonia R.G. Alvarez, Val. Kanuha, Maxine K.L. Anderson, Cathy Kapua, Kris Bifulco

School of Social Work Faculty Publications and Presentations

This study examines a historical trauma theory-informed framework to remember Kānaka Maoli (Native Hawaiian) and lesbian, gay, bisexual, transgender, queer, and/or māhū (LGBTQM) experiences of colonization in Hawai`i. Kānaka Maoli people and LGBTQM Kānaka Maoli face health issues disproportionately when compared with racial and ethnic minorities in Hawai’i, and to the United States as a whole. Applying learnings from historical trauma theorists, health risks are examined as social and community-level responses to colonial oppressions. Through the crossover implementation of the Historical Loss Scale (HLS), this study makes connections between historical losses survived by Kānaka Maoli and mental health. Specifically, this …

“Rapunzel, Rapunzel, Lanza Tu Pelo”: Storytelling In A Transcultural, Translanguaging Dialogic Exchange, Erin E. Flynn

School of Social Work Faculty Publications and Presentations

In this study, we examined story circles to understand how the small‐group activity supports and shapes the storytelling of young students in multicultural, multilingual preschool classrooms. Through a representative example, we show how language development unfolds in the context of a transcultural and translanguaging dialogic exchange of stories. We describe features of increasing linguistic complexity present in students’ storytelling as they established affinity‐affirming connections over ideas, shared ways of languaging, and shared ways of storytelling. By examining changes in one student’s storytelling in the context of a mixed‐language story circle group, we offer insights into both language development and features …

Public Housing With Services For Older Adults With Developmental Disabilities: Differences In Efficacy Among Asian And White Communities, Junghee Lee, William Donlan, Paula C. Carder, Leigh Grover, Insik Hwang, Younghwan Kim, Gretchen Luhr

School of Social Work Faculty Publications and Presentations

This study examined the efficacy of a culturally responsive housing with services model for Asian-American older adults and persons with developmental disabilities separately, and with both for an interaction effect. Study participants, including 278 Whites and 75 Asian Americans, lived in 10 properties of public housing with services in Portland, OR. All Asian-American participants (except four) were immigrants from China, Korea, and Vietnam, and were well connected through community-based health and social services that were delivered onsite and at a nearby center by staff members who were also immigrants from these three countries. Asian-American participants were older, very poor, with …

Picturing Forgotten Filipinx: Family Photographs And Resisting U.S. Colonial Amnesias, Stevie Cadiz, Alma M.O. Trinidad

School of Social Work Faculty Publications and Presentations

U.S. imperialism in the Philippines has led to the multiple generations of diasporic conditions of colonial amnesia and systematic forgetting of history. Its impact on the Filipinx community has left unrecorded memories and voices of immigrants silenced, and considered lost to history. This study examines the relationship between U.S. colonialism and imperialism in the Philippines and the experiences of Filipinx immigration to the U.S. through a critical Indigenous feminist lens of visual imagery and storytelling. Given that many of the experiences within the Filipinx diaspora in relation to the American Empire have been systematically forgotten and erased, this study utilizes …

A Qualitative Study On Health Needs Of Syrian Refugees In Jordan Using Emic And Etic Views, Mitra Naseh, Natalia Liviero, Zahra Abtahi, Maryam Rafieifar, Miriam Potocky

School of Social Work Faculty Publications and Presentations

The ongoing civil war in Syria has resulted in the world's largest refugee crisis since 1945. Many Syrians have lived in a protracted exile in Jordan, the neighboring country of Syria, for more than five years. Estimates suggest that by the end of 2017, around 1.4 million Syrians lived in Jordan. As the exile continues for Syrians in Jordan, this study aimed to explore what refugees perceive as their major health needs in comparison to what service providers believe is needed for refugees in Jordan. Grounded theory and thematic analyses (Braun & Clarke, 2006) were used to analyze 17 semi-structured …

We Are Brave: Expanding Reproductive Justice Discourse Through Embodied Rhetoric And Civic Practice, Roberta Hunte, Catherine Ming T’Ien Duffly

School of Social Work Faculty Publications and Presentations

In this article, we share the example of our recent community-based performance project on reproductive justice, We are BRAVE, to serve as a model of how community-based performance can be an embodied strategy for social change. We draw from the work of scholars of feminist rhetoric, community-based performance, and reproductive justice. In sharing the example of We are BRAVE, we show how using communitycentered, performative storytelling as embodied rhetoric can be an effective mode of public and political persuasion.

Healthy Birth Initiatives: The Road Toward Reproductive Justice, Roberta Hunte, Susanne Klawetter, Sherly Paul

School of Social Work Faculty Publications and Presentations

This study concerns racialized experiences of reproductive oppression among Black women and the efforts of one organization - Multnomah County’s Healthy Birth Initiatives (HBI) - to combat this oppression and move towards Reproductive Justice. This study explores how Black women experience and respond to racism-related stress and its impacts on their health during and after pregnancy and subsequent parenting. The project was informed by a pilot focus group conducted in 2016 by Drs. Jenna Ramaker and Roberta Hunte in partnership with HBI, which asked HBI clients about the role of toxic stress and racism-related stress in their lives. The current …

Workforce Participation Of Parents Of Children And Youth With Mental Health Difficulties: The Impact Of Community Services And Supports, Claudia Sellmaier, Lisa M. Stewart, Eileen M. Brennan

School of Social Work Faculty Publications and Presentations

This study explored the effects of demands related to caring for children and youth with mental health difficulties and of resources in community ecologies including health services, schools, neighborhoods, and social supports, on parental workforce participation. Through secondary analysis of U.S. data from the 2016 National Survey of Children’s Health, we found that when children’s mental health issues were more severe, parents experienced frustration with their ability to get services and spent more time providing health care, they were less likely to be employed. Community factors were critical: employed parents reported more frequent contact from the school system, and fewer …

Development And Psychometric Testing Of The Aaspire Adult Autism Healthcare Provider Self-Efficacy Scale., Christina Nicolaidis, Gavin Schnider, Junghee Lee, Dora M. Raymaker, Steven K. Kapp, Lisa A. Croen, Anna Urbanowicz, Joelle Maslak

School of Social Work Faculty Publications and Presentations

The adult healthcare system is ill-prepared to provide high-quality care to autistic adults. Lack of provider training may contribute to the problem, but there are few previously tested survey instruments to guide provider training efforts. Our objective was to develop and test a measure of healthcare providers' confidence (or "self-efficacy") in providing healthcare to autistic adults and to use it to better understand their training needs. We used a community-based participatory research (CBPR) approach, in partnership with academic researchers, autistic adults, supporters, and healthcare providers, throughout the project. We developed a one-page questionnaire and surveyed 143 primary care providers from …

Fifth Year Persisters: High School, College, And Early Career Outcomes For Persisting Non-Graduates, Mathew C. Uretsky, Angela K. Henneberger

School of Social Work Faculty Publications and Presentations

There is limited extant knowledge regarding academic and workforce experiences of students who remain engaged in high school, but do not graduate in the traditional four years. The current study used Multilevel modeling and descriptive statistics with statewide linked longitudinal administrative data (N = 2917) to (1) examine the student- and school-level factors related to earning a diploma during the fifth year of high school and (2) describe proximate academic and career outcomes for non-graduates and fifth year graduates. Multiple student-level factors were associated with increased likelihood of earning a diploma in the fifth year (e.g. special education eligibility, passing …

Teachers’ Perspectives On Year Two Implementation Of A Kindergarten Readiness Assessment, Rachel E. Schachter, Erin E. Flynn, Amy R. Napoli, Shayne B. Piasta

School of Social Work Faculty Publications and Presentations

In this study we examined teachers’ perspectives regarding the second year of implementing a Kindergarten Readiness Assessment (KRA). Using a mixed-methods approach, we focused on the administration process, the perceived benefits of the assessment, and how teachers used the assessment to inform instruction. We also investigated whether these differed by teacher and district characteristics and how KRA experiences were different in the second year of implementation. Research Findings: Teachers generally did not view the KRA as beneficial for instruction or for students, reporting administration difficulties, inadequate KRA content, and limited utility of KRA data for supporting instruction as ongoing …