Digital Commons Network^™

Investigating Mentor Commitment In Youth Mentoring Relationships: The Role Of Perceived Program Practices, Alison L. Drew, Thomas E. Keller, Renee Spencer, Carla Herrera

School of Social Work Faculty Publications and Presentations

Highly committed mentors may be less likely to end their mentoring relationships with their mentees. Theory suggests commitment is predicted by relationship satisfaction, investment, and perceptions of available alternatives. Mentoring program practices may influence commitment, but little research has investigated potential mechanisms. Using data from 537 mentors representing 55 mentoring programs, this study examined a theoretical path model in which mentor perceptions of program practices, specifically setting expectations, prematch mentor training, and matching based on mentor preferences, predict mentor satisfaction, investment, perceptions of available alternatives, and ultimately, relationship commitment. As expected, commitment was associated positively with satisfaction and investment and …

Exploring College Student Identity Among Young People With Foster Care Histories And Mental Health Challenges, Rebecca Miller, Jennifer E. Blakeslee, Chanel Ison

School of Social Work Faculty Publications and Presentations

Young adults with foster care histories experience unique barriers to success in postsecondary academic settings, including higher rates of mental health challenges. This study reports the perspectives of college students with foster care histories and self-identified mental health concerns (N = 18) about how these factors relate to their post-secondary academic experiences. Study participants describe managing their mental health amid other academic and life stressors, share their perspectives on campus-based support and help-seeking experiences, and highlight the need for acknowledgement of their foster care identities in conjunction with their developing college student identities. Participants make a case for programming to …

Addressing Substance Use Utilizing A Community-Based Program Among Urban Native American Youth Living In Florida, Rose Wimbish-Cirilo, John Lowe, Eugenia Millender, E. Roberto Orellana

School of Social Work Faculty Publications and Presentations

This study was conducted in Florida among two urban Native American youth programs that are sponsored by urban Native American community organizations. Convenience and snowballing were used as a sample recruitment strategy. Assignment to the experimental condition (UTC) and the control condition (SE) was established by randomizing the two community youth program sites to the two conditions. Utilization of a culturally relevant theory, Native-Reliance, guided the intervention approach for the prevention of substance use among urban Native American youth. Results of this study provided evidence that a culturally based intervention was significantly more effective for the reduction of substance use …

Toxic Stress Among Black And African American Oregonians, Roberta Hunte, Margaret J.F. Braun

School of Social Work Faculty Publications and Presentations

Toxic stress is a reaction to ongoing adversity such as abuse, neglect, poverty, racism, discrimination, and exposure to violence; it is powerful enough to change brain chemistry and architecture. Toxic stress and associated changes to the brain can lead to poor health outcomes later in life. Adverse childhood experiences (ACEs), racism*, and discrimination can trigger toxic stress and have long term consequences for the health of many people, particularly those in the Black and African American community.

The current project examined toxic stress and its impact on the health of Black and African American Oregonians. We looked at two indicators …

Telehealth For Transition Age Youth And Young Adults: Privacy, Emotional Safety And Welfare During Covid-19 And Beyond, Maria Hermsen-Kritz

School of Social Work Faculty Publications and Presentations

The past few months have seen a boom in the use of telehealth for providing mental health services as agencies and providers rapidly adapt to the challenges posed by the Covid-19 pandemic. Along with this has come a proliferation of guidance documents and tip sheets on responsibly engaging clients in telehealth.

The tips that follow provide options for protecting the emotional safety, privacy and welfare of transition-age youth and young adults while they are participating in virtual mental health care. These were compiled over the course of several conversations with providers currently working with this population, including youth peer support …

A Qualitative Evaluation Of The Impacts Of A Strength-Based And Youth-Driven Approach To Suicide Prevention In Rural And Minority Communities In Hawai‘I, Mapuana C.K. Antonio, Jane J. Chung-Do, Deborah A. Goebert, Kris Bifulco, Antonia R.G. Alvarez

School of Social Work Faculty Publications and Presentations

Suicide is a serious public health issue, particularly for Native Hawaiians and Other Pacific Islander youth living in rural communities in Hawai‘i. The Hawai‘i’s Caring Communities Initiative (HCCI) for Youth Suicide Prevention was implemented to address these concerns and used a strength-based, youthleadership approach to suicide prevention. A qualitative study was completed with youth leaders and adult community coordinators to evaluate the impacts of participating in HCCI. Participants included 9 adult community coordinators and 17 youth leaders ages 13-18 years. Coordinator interviews took place at a location of the interviewee’s convenience, and youth leader focus groups were conducted at 1 …

Having All Of Your Internal Resources Exhausted Beyond Measure And Being Left With No Clean-Up Crew’’: Defining Autistic Burnout, Dora Raymaker, Alan R. Teo, Nicole A. Steckler, Brandy Lentz, Mirah L. Scharer, Austin Delos Santos, Steven K. Kapp, Morrigan Hunter, Andee Joyce, Christina Nicolaidis

School of Social Work Faculty Publications and Presentations

Background: Although autistic adults often discuss experiencing ‘‘autistic burnout’’ and attribute serious negative outcomes to it, the concept is almost completely absent from the academic and clinical literature.

Methods: We used a community-based participatory research approach to conduct a thematic analysis of 19 interviews and 19 public Internet sources to understand and characterize autistic burnout. Interview participants were autistic adults who identified as having been professionally diagnosed with an autism spectrum condition. We conducted a thematic analysis, using a hybrid inductive–deductive approach, at semantic and latent levels, through a critical paradigm. We addressed trustworthiness through multiple coders, peer debriefing, …

Investigating A Multiple Mentor Model In Research Training For Undergraduates Traditionally Underrepresented In Biomedical Sciences, Thomas E. Keller, Jennifer Lindwall

School of Social Work Faculty Publications and Presentations

Models of persistence and success in undergraduate research training emphasize the importance of engagement and integration across social, educational, research, and career settings. Students are likely to benefit from multiple sources of mentoring to meet their multidimensional needs for support across these domains. As part of a comprehensive training initiative for traditionally underrepresented students aspiring to careers in biomedical research, BUILD EXITO implemented a multiple mentoring model matching each undergraduate scholar with a research mentor, a faculty mentor, and a peer mentor. By design, each mentor has a different functional role. This study investigates whether the nature of support scholars …

Study Guide: How Youth Partners Can Collaborate With Family Partners In Wraparound, Research And Training Center For Pathways To Positive Futures, Portland State University

School of Social Work Faculty Publications and Presentations

It is our hope that this study guide can be a helpful training, coaching, and conversational tool to help supervisors and staff think through the nuances of this particular working relationship. It can be used when onboarding new staff, when a family partner is working alongside a youth partner for the first time (or vice versa), when addressing challenges that come up, or simply to check in on and refresh staff skills. In addition, it can be used during one-on-one supervision as well as in a group training or coaching session. This tool also may be useful for colleagues who …

La Cultura Cura: An Exploration Of Enculturation In A Community-Based Culture-Centered Hiv Prevention Curriculum For Indigenous Youth, Ramona Beltrán, Antonia R.G. Alvarez, Lisa Colon, Xochilt Alamillo, Annie Zean Dunbar

School of Social Work Faculty Publications and Presentations

Community based participatory research and attention to cultural resilience is recommended in HIV prevention research with Indigenous communities. This paper presents qualitative findings from evaluation of a culture-centered HIV prevention curriculum for Indigenous youth that was developed using a community based participatory research approach. Specifically, the authors focus on youth descriptions of cultural resilience and enculturation factors after participating in the curriculum. Thematic analysis of in-depth interviews with 23 youth participants yields three salient themes associated with cultural resilience and enculturation factors including: Development of cultural pride, honoring ancestors through traditional cultural practices, and acknowledging resilience and resistance within Indigenous …

Practice Brief: Supporting The Youth Peer Workforce, Maria Hermsen-Kritz

School of Social Work Faculty Publications and Presentations

Peer support is fast emerging as a promising and widely endorsed addition to the array of mental health services available to young people experiencing serious mental health conditions, yet very little is known about the peer support workforce in general, and even less about the peer workforce engaged specifically in providing services to youth and young adults. While the need for more research into this developing professional population is evident, what data we do have available indicates several challenges that have frequently shown up in implementing the youth peer role, as well as several common themes around what youth peer …

Shifting The System: Aaspire And The Loom Of Science And Activism, Dora Raymaker

School of Social Work Faculty Publications and Presentations

In 2006 Dora Raymaker, Autistic person and autistic rights activist, co-founded the Academic Autism Spectrum Partnership in Research and Education (AASPIRE) with Christina Nicolaidis, a physician-researcher and parent of an autistic child. AASPIRE works within the sphere of academic health and social services research to conduct projects the A/autistic community wants done. It endeavors to return power to communities that experience oppression to make their voices heard in research and policy settings. For example, its website autismandhealth.org offers resources for autistic adults, their supporters, and healthcare providers to improve the healthcare of autistic adults in the US. AASPIRE has served …

Psychiatric Comorbidities Increase Cost And Length Of Hospitalization In Adolescents And Young Adults With Chronic Medical Conditions, Reem Hasan, Christina Nicolaidis

School of Social Work Faculty Publications and Presentations

Patients with chronic conditions of childhood experience exacerbations during adolescence and young adulthood, leading to higher rates of hospitalizations and burden of disease compared to earlier childhood or later adulthood.1-3 Little is known about the epidemiology of hospitalization of adolescents and young adults with childhood-onset chronic medical conditions. We describe the impact of psychiatric comorbidity on the length of stay and cost of hospitalization.

Creating Accessible Survey Instruments For Use With Autistic Adults And People With Intellectual Disability: Lessons Learned And Recommendations, Christina Nicolaidis, Dora Raymaker, Katherine E. Mcdonald, Emily M. Lund, Sandra Marie Leotti, Steven K. Kapp, Marsha Katz, Leanne Beers, Clarissa Kripke, Joelle Maslak, Multiple Additional Authors

School of Social Work Faculty Publications and Presentations

Despite growing appreciation of the need for research on autism in adulthood, few survey instruments have been validated for use with autistic adults. We conducted an institutional ethnography of two related partnerships that used participatory approaches to conduct research in collaboration with autistic people and people with intellectual disability. In this article, we focus on lessons learned from adapting survey instruments for use in six separate studies. Community partners identified several common problems that made original instruments inaccessible. Examples included: (1) the use of difficult vocabulary, confusing terms, or figures of speech; (2) complex sentence structure, confusing grammar, or incomplete …

The Importance Of “Being There”: A Qualitative Study Of What Veterans With Depression Want In Social Support, Alan R. Teo, Heather E. Marsh, S. Ono, Christina Nicolaidis, Somnath Saha, Steven K. Dobscha

School of Social Work Faculty Publications and Presentations

Background: Social connectedness exerts strong influences on health, including major depression and suicide. A major component of social connectedness is having individual relationships with close supports, romantic partners and other trusted members of one’s social network. Objective: The objective of this study was to understand how individuals’ relationships with close supports might be leveraged to improve outcomes for primary care patients with depression and at risk for suicide. Design: In this qualitative study, a semi-structured interview guide was used to probe patient experiences, views, and preferences related to social support. Participants: We conducted interviews with 30 primary care patients at …

Parent Health Beliefs, Social Determinants Of Health, And Child Health Services Utilization Among Us School-Age Children With Autism, Katharine Zuckerman, Olivia J. Lindly, Brianna Sinche, Christina Nicolaidis

School of Social Work Faculty Publications and Presentations

Objective—Substantial variation exists in ASD care by race, ethnicity, and socioeconomic status; however, the role of parent health beliefs in this variation is poorly understood. Study goals were to (1) examine variation in parent beliefs about ASD prognosis and treatment according to social determinants of health (SDH) and (2) assess whether this variation was associated with variable health services utilization, among 1420 children with special health care needs (CSHCN) having autism spectrum disorder (ASD). Methods—We used linked data from the 2011 Survey of Pathways to Diagnosis and Treatment and the 2009/10 National Survey of Children with Special Health Care Needs. …

Childhood Abuse And Early Menarche Among Peruvian Women, Yasmin V. Barrios, Sixto E. Sanchez, Christina Nicolaidis, Pedro Garcia, Bizu Gelaye, Qiuyue Zhong, Michelle A. Williams

School of Social Work Faculty Publications and Presentations

Purpose

Childhood abuse has been associated with age of menarche in some studies, but not all, and few have assessed the independent associations of sexual and physical abuse with early menarche. We examined the association between childhood abuse and early menarche among pregnant women in Lima, Peru.

Methods

Multinomial logistic regression procedures were used to estimate odds ratios (OR) and 95% confidence intervals (CIs) for early menarche (≤11 years) in relation to any physical or sexual childhood abuse, physical abuse only, sexual abuse only, and both physical and sexual abuse in a cohort of 1,499 pregnant (first trimester) women.

Results …

Cultural Humility In Community Practice: Reflections From The Neighborhood Story Project, Amie Thurber

School of Social Work Faculty Publications and Presentations

Although cultural humility is frequently emphasized in social work education as a lifelong commitment to reflection and action, there are few examples of what this looks like in practice—particularly outside the scope of clinical health settings. This paper situates the need for practitioner reflections on cultural humility and offers an autoethnographic case study of efforts to cultivate cultural humility in myself and among participants in a neighborhood-based action research project. I consider cultural humility from three relational positions: holding oneself accountable, creating conditions for cultural humility within groups, and acknowledging how group members co-create conditions for cultural humility.

Preliminary Efficacy Of A Near-Peer Coaching Intervention For College Students With Mental Health Challenges And Foster Care Backgrounds, Jennifer E. Blakeslee, Mathew Uretsky, Rebecca Miller

School of Social Work Faculty Publications and Presentations

The current study reports findings from a small randomized controlled trial of Project FUTURES, a post-secondary support and retention program for college students with foster care experience and self-identified mental health concerns. The FUTURES model is adapted from Better Futures, which was a post-secondary access program for high school seniors in foster care with mental health challenges. For Project FUTURES, we tested a selfdetermination skills and post-secondary support curriculum with young people with foster care histories and mental health challenges who are already enrolled in the first two years of college.

Exploring College Student Identity Among Young People With Foster Care Histories And Mental Health Challenges, Rebecca Miller, Jennifer E. Blakeslee, Chanel Ison

School of Social Work Faculty Publications and Presentations

For this study, researchers from Pathways Research and Training Center at Portland State University explored the perspectives of college students with foster care histories and self-identified mental health conditions. Researchers aimed to better understand how the relationship between students’ foster care identity and their newly forming student identities might impact academic success. We conducted interviews with students participating in the FUTURES intervention efficacy study, which evaluated the impact of a 9-month self-determination coaching program for students enrolled in their first two years of college at Portland State University, Portland Community College, or Mt. Hood Community College. Interview participants (N=18) were …

Peer Practice Brief: How Youth Partners Can Collaborate With Family Partners In Wraparound, Portland State University. Regional Research Institute

School of Social Work Faculty Publications and Presentations

Youth partners and family partners each have key roles on Wraparound teams, and they work with each other as well as with care coordinators, other team members, and, of course, family members and young people. Their roles are similar in function but separate in practice, as the family partner is a designated peer support specialist for the family member and the youth partner is a designated peer support specialist for the youth participating in the Wraparound process. It is crucial that these supports work with each other — as well as with the other members of the team, the youth, …

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 …

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

School of Social Work Faculty Publications and Presentations

Our objective was to develop a measure of healthcare providers’ self-efficacy in providing healthcare to autistic adults and to better understand their training needs. We used a community based participatory research (CBPR) approach with academic researchers, autistic adults, supporters, and healthcare providers. We developed a 1-page questionnaire which included the new 6-item self-efficacy scale, two items on how challenging and rewarding it is to provide care to autistic adults, and seven items on provider characteristics. We surveyed 143 healthcare providers from eight primary care clinics in Oregon and California, USA. Preliminary psychometric testing found the AASPIRE Adult Autism Healthcare Provider …

Psychometric Testing Of Patient-Reported Instruments To Assess Healthcare Interventions For Autistic Adults, Christina Nicolaidis, Kelly Zhen, Junghee Lee, Dora Raymaker, Steven K. Kapp, Lisa A. Croen, Anna Urbanowicz, Joelle Maslak, Mirah L. Scharer

School of Social Work Faculty Publications and Presentations

There is a growing recognition of the need for interventions to improve the healthcare of autistic adults. However, there is a dearth of validated measures to evaluate such interventions. Our objectives were to use a community based participatory research approach to create an accessible set of patient- and proxy-reported instruments to measure healthcare outcomes and potential intervention targets in autistic adults and to assess the instruments’ psychometric characteristics, including content validity, construct validity, and internal consistency reliability. We administered a survey to 244 autistic adults recruited from 12 primary care clinics in Oregon and California, USA (194 participating directly, and …

Patterns Of Substance Use Before And After Hospitalization Among Patients Seen By An Inpatient Addiction Consult Service: A Latent Transition Analysis, Caroline King, Christina Nicolaidis, P. Todd Korthuis, Kelsey C. Priest, Honora Englander

School of Social Work Faculty Publications and Presentations

Background and aims: Polysubstance use is common and contributes to morbidity and mortality of hospitalized patients, and yet little is known about patterns of substance use among hospitalized patients, or how an addiction consult service (ACS) might impact polysubstance use after discharge. The objective of this study was to identify patterns of substance use at admission and after discharge among hospitalized patients with substance use disorders who saw an ACS.

Design: Prospective cohort study. We used latent transition analysis of substance use scores at the time of hospital admission and 30 to 90 days posthospitalization.

Setting: Single, …

An Expert Discussion On Structural Racism In Autism Research And Practice, Desiree R. Jones, Christina Nicolaidis, Lisa J. Ellwood, Arianne Garcia, Khalilah R. Johnson, Kristina Lopez, T. C. Waisman

School of Social Work Faculty Publications and Presentations

Autism research has a race problem. Despite improvements in screening and diagnosis, autism continues to be underdiagnosed in Black and Hispanic children , and those who obtain a diagnosis often have limited access to support services. Racial disparities persist during the transition to adulthood, with autistic adults from racial and ethnic minority groups experiencing a number of challenges, including lower rates of employment, social participation, and postsecondary education compared to White autistic adults. While these studies highlight the important intersection between race, ethnicity and autism, people of color remain consistently under-represented in autism research , and dialogues regarding the impact …

Syrian Refugees’ Perspectives And Service Providers’ Viewpoints On Major Needs And Future Plans In Jordan, Mitra Naseh, Natalia Liviero, Maryam Rafieifar, Zahra Abtahi, Miriam Potocky

School of Social Work Faculty Publications and Presentations

The ongoing civil war in Syria created the world’s largest refugee crisis since World War II. As exile continues for many Syrians, this study aimed to explore what refugees perceive as their major needs and plans for the future in comparison to what service providers believe is needed and should be planned in Jordan. Phenomenological design and inductive reasoning were used in this study to explore refugees’ needs and future plans from the etic view by interviewing key informants and from the emic view by analyzing interviews with refugees. After coding and comparing the key informants’ interviews and refugees’ narratives, …

It’S About Time: Staff Support Contacts And Mentor Volunteer Experiences, Thomas E. Keller, Alison Drew, Hyuny Clark-Shim, Renee Spencer, Carla Herrera

School of Social Work Faculty Publications and Presentations

Formal youth mentoring programs typically rely on volunteers to serve as mentors to young people, with training and guidance from agency staff. A fundamental program practice is to provide ongoing support and supervision to volunteer mentors by engaging in regular contact to monitor the progress of the mentoring relationship and offer guidance and encouragement. Using data from mentors (n = 504) in multiple mentoring programs (n = 55), the current study investigated how the amount of time devoted to these match support contacts was associated with mentor perceptions regarding the nature of their volunteer experience, specifically: the quality of supervision …

Determinants Of Motivation For Mentoring Among Adults Volunteering To Mentor Youth, Miriam Miranda-Díaz, Hyuny Clark-Shim, Thomas E. Keller, Renee Spencer

School of Social Work Faculty Publications and Presentations

Most youth mentoring programs rely on volunteers to serve as mentors to youth. This study investigates factors associated with motivations for volunteering in this capacity, specifically altruistic and self-oriented reasons for becoming a mentor. Because adults who volunteer as mentors and youth mentees typically come from different socio-cultural backgrounds, the study examines demographic characteristics associated with these different motivations. In addition, the study addresses the empathy-altruism hypothesis suggesting that individuals with higher levels of empathy exhibit greater altruistic tendencies. For this analysis, the focus is on ethnocultural empathy and its association with volunteer motivations. The sample consisted of 1,000 volunteers …

Exploring Fit For The Cultural Adaptation Of A Self-Determination Model For Youth Transitioning From Out-Of-Home Care: A Comparison Of A Sample Of Swedish Youth With Two Samples Of American Youth In Out-Of-Home Care, Tina M. Olsson, Jennifer E. Blakeslee, Martin Bergström, Therése Skoog

School of Social Work Faculty Publications and Presentations

Background

Prior research has established evidence for self-determination enhancement as a promising intervention for youth transitioning from out-of-home care. Understanding how participants in these prior trials compare to adolescents in target contexts may inform practice by highlighting the extent to which such models are expected to benefit young people.

Objective

To assess the extent to which self-determination enhancement is a promising strategy for the Swedish context.

Design

Cross-sectional study comparing a sample of Swedish youth (n = 104) in out-of-home care aged 15+ on a range of outcomes with two archival data sets (My Life; Better Futures) of youth …