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Building Competencies And Skills Among Service Providers Working With Young People Who Experience Serious Mental Health Conditions: State Of The Science, Janet S. Walker, Pauline Jivanjee, Eileen M. Brennan, Leigh Grover

School of Social Work Faculty Publications and Presentations

This paper explores what is currently known about the most promising strategies for increasing providers’ capacity to deliver effective behavioral health services and supports. The paper also describes how this information has been—or could be—applied to the design of cutting-edge approaches for building skills and competencies among providers that work with young people who experience serious mental health conditions.

Peer Support For Youth And Young Adults Who Experience Serious Mental Health Conditions: State Of The Science, Janet S. Walker, Caitlin Baird, Mary Beth Welch

School of Social Work Faculty Publications and Presentations

Peer support for youth and young adults who experience serious mental health conditions (SMHCs) is rapidly growing in popularity as an addition to the mental health service array in communities around the United States. Research focusing on various aspects of the youth/young adult peer support role has been accruing in recent years; however, many questions remain regarding how the role is defined and supported, and what sort of outcomes can and should be expected once peer support is implemented as a service. This brief reviews the research literature that bears on these topics, describes how current work at Pathways RTC …

Assessing The Meaningful Inclusion Of Youth Voice In Policy And Practice: State Of The Science, Jennifer E. Blakeslee, Janet S. Walker

School of Social Work Faculty Publications and Presentations

Despite current prioritization of the inclusion of young people's voices in the design and delivery of services for youth and young adults, few up-to-date tools or frameworks have emerged to assist service-providing programs, agencies, or systems in evaluating their efforts. Further, though stakeholders may be on board with the general purpose and principles for including youth and young adult voice in organizations and systems, they may lack awareness of the policies and practices that need to be developed to ensure the consistent and meaningful engagement of youth as participants in decision-making processes. This review synthesizes the state-of-the-science regarding how to …

Veteran Patient Perspectives And Experiences During Implementation Of A Patient-Centered Medical Home Model, Anaïs Tuepker, Summer Newell, Christina Nicolaidis, Marie-Elena Reyes, Carolina Castillo, Maria Carolina Gonzalez-Prats, Elini Skaperdas

School of Social Work Faculty Publications and Presentations

Background: The Veterans Health Administration (VA) has implemented the largest shift to a patient-centered medical home (PCMH) model of care in the United States to date. Objective: We interviewed veterans about their experiences of primary care to understand whether they observed changes in care during this period as well as to learn which characteristics of care mattered most to their experiences. Method: Qualitative interviews were conducted with 32 veterans receiving primary care at 1 of 8 VA clinics in the northwest United States. Interviews were analyzed using an inductive–deductive hybrid approach by an interdisciplinary team that included a veteran patient. …

The Summit Ambulatory‑Icu Primary Care Model For Medically And Socially Complex Patients In An Urban Federally Qualified Health Center: Study Design And Rationale, Brian Chan, Samuel T. Edwards, Meg Devoe, Richard Gil, Matthew Mitchell, Honora Englander, Christina Nicolaidis, Multiple Additional Authors

School of Social Work Faculty Publications and Presentations

Background: Medically complex urban patients experiencing homelessness comprise a disproportionate number of high-cost, high-need patients. There are few studies of interventions to improve care for these populations; their social complexity makes them difficult to study and requires clinical and research collaboration. We present a protocol for a trial of the streamlined unified meaningfully managed interdisciplinary team (SUMMIT) team, an ambulatory ICU (A-ICU) intervention to improve utilization and patient experience that uses control populations to address limitations of prior research.

Methods/design: Participants are patients at a Federally Qualified Health Center in Portland, Oregon that serves patients experiencing homelessness or …

Supporting College Student Success Through Connections To Mentors And Campus Champions, Rebecca Miller, Jennifer E. Blakeslee, B. Hope

School of Social Work Faculty Publications and Presentations

This brief shares best practices learned on the Project Futures research study being conducted at Portland State University and local community colleges in Portland, Oregon. The study is testing evidence-based mentoring strategies for underserved students, in this case college freshmen with lived experience in foster care and with mental health stressors. Campus-based mentoring is an increasingly popular strategy to better support under-represented students, who in addition to navigating the typical challenges of college life, may face additional barriers to student success, such as:

• Homelessness or housing instability and/or financial insecurity with no safety net,
• Mental health and trauma,
• Starting college …

Housing And Transition: Meeting The Needs Of Young Adults With Mental Health Conditions, Barbara J. Friesen, Nancy Koroloff

School of Social Work Faculty Publications and Presentations

This report addresses challenges faced by transition-age youth and young adults with mental health conditions as they try to find and maintain stable housing. This document was written specifically for program designers, administrators, and policy-makers, and others who are planning to develop or modify housing supports that are available to young adults. It may also be of interest to advocates and young people working to improve housing policy and program options for young people. The document is grounded in two critical considerations: 1) the current political and economic conditions that affect the availability of affordable housing also restrict the availability …

Transition Mental Health Service Provider Core Competencies, Pauline Jivanjee, Eileen Brennan, Leigh Grover, Claudia Sellmaier, Eliz Roser

School of Social Work Faculty Publications and Presentations

From 2010 through 2012, the Pathways Transition Training Collaborative (PTTC) worked collaboratively to identify core competencies for service providers working in mental health services with young adults of transition age. Since then, the Pathways Transition Training Partnership (PTTP) has collaborated with partners to update and clarify the core competencies. Competencies include the values, attitudes, knowledge, and skills needed to engage youth and young adults and provide effective services and supports to young people and families. Each of the 15 core competencies is defined, followed by the attitudes, knowledge and skills needed to demonstrate it, and an example of the competency …

Build Exito: A Multi-Level Intervention To Support Diversity In Health-Focused Research, Dawn M. Richardson, Thomas E. Keller, De’ Sha S. Wolf, Adrienne Zell, Cynthia Morris, Carlos J. Crespo

School of Social Work Faculty Publications and Presentations

Background and purpose: As part of the NIH BUILD initiative to diversify the scientific workforce, the EXITO project is a large multi-institutional effort to provide comprehensive support and training for undergraduates from traditionally underrepresented student populations who aspire to health-related research careers. Portland State University, a major public urban university that prioritizes student access and opportunity, and Oregon Health & Science University, a research-intensive academic health center, lead the EXITO network comprised of eleven 2-year and 4-year institutions of higher education spanning Oregon, Washington, Alaska, Hawaii, Guam, American Samoa, and the Northern Mariana Islands. The EXITO project aims for …

Understanding Neurobiology Of Psychological Trauma; Tips For Working With Transition-Age Youth, Julie M. Rosenzweig, Pauline Jivanjee, Eileen Brennan, Leigh Grover, Anthony Abshire

School of Social Work Faculty Publications and Presentations

This tip sheet introduces service providers to scientifically-informed findings about brain development and trauma specific to young adults and the implications for trauma-informed interventions and trauma-informed engagement of young people in services.

“Our Greatest Songs Are Still Unsung”: Educating Citizens About Schooling In A Multicultural Society, Simona Goldin, Erin E. Flynn, Cori Mehan Egan

School of Social Work Faculty Publications and Presentations

This study examines how a practice-based unit informs undergraduates’ understandings of the dynamics of teaching and learning in a multicultural society, and how these intersect with equity in U.S. classrooms. Citizens’ nuanced understanding of teaching and learning is increasingly important for their engagement with U.S. schools. Practice-based opportunities can allow students to “see” the complexity of teaching and to challenge assumptions about teaching and learning, which are central to preparing an informed citizenry. Findings further suggest that a single course is not sufficient to expand undergraduate students’ understanding of the role of diversity in social life. More concentrated and ongoing …

An Exploratory Investigation Of Animal Hoarding Symptoms In A Sample Of Adults Diagnosed With Hoarding Disorder, Jennifer E. Ung, Mary Dozier, Christiana Bratiotis, Catherine R. Ayers

School of Social Work Faculty Publications and Presentations

Objective: The extant research on animal hoarding has a dearth of information on animal hoarding tendencies in adults diagnosed with hoarding disorder (HD). In the present study, we investigated possible recurrent animal hoarding behavioral and symptom patterns in individuals diagnosed with hoarding disorder. Methods: Hoarding severity scores from baseline assessments for 65 community-dwelling adults diagnosed with HD were analyzed with respect to their present and past animal ownership characteristics. Results: Approximately half of participants reported currently owning pets, and pet owners in the sample reported currently owning an average of two pets. Of the participants who reported currently owning animals, …

Increasing Youths' Participation In Team-Based Treatment Planning: The Achieve My Plan Enhancement For Wraparound, Janet S. Walker, Celeste L. Seibel, Sharice Jackson

School of Social Work Faculty Publications and Presentations

Wraparound is a frequently implemented approach for providing individualized, community-based care for children and adolescents with serious mental health conditions and, typically, involvement in multiple child—and family-serving systems. Both Wraparound’s principles and its theory of change stress the importance of youths’ active participation throughout. However, research focusing on the experiences of youth in Wraparound indicates that they are often not particularly engaged in the process or participating actively with their teams, and the findings point to a lack of alliance between the young people and their teams. This article describes a randomized study testing the Achieve My Plan (AMP) enhancement …

Peer Mentoring For Undergraduates In A Research-Focused Diversity Initiative, Thomas E. Keller, Kay Logan, Jennifer Lindwall, Caitlyn Beals

School of Social Work Faculty Publications and Presentations

To provide multi-dimensional support for undergraduates from traditionally underrepresented backgrounds who aspire to careers in research, the BUILD EXITO project, part of a major NIH-funded diversity initiative, matches each scholar with three mentors: peer mentor (advanced student), career mentor (faculty adviser), and research mentor (research project supervisor). After describing the aims of the diversity initiative, the institutional context of the BUILD EXITO project, and the training program model, this article devotes special attention to the rationale for and implementation of the peer mentoring component within the context of the multi-faceted mentoring model.

Planning And Designing The Improving Addiction Care Team (Impact) For Hospitalized Adults With Substance Use Disorder, Honora Englander, Melissa B. Weimer, Rachel Solotaroff, Christina Nicolaidis, Benjamin Chan, Christine M. Velez, Alison Noice, Tim Hartnett, Ed Blackburn, Pen Barnes, P. Todd Korthuis

School of Social Work Faculty Publications and Presentations

People with substance use disorders (SUD) have high rates of hospitalization and readmission, long lengths of stay, and skyrocketing healthcare costs. Yet, models for improving care are extremely limited. We performed a needs assessment and then convened academic and community partners, including a hospital, community SUD organizations, and Medicaid accountable care organizations, to design a care model for medically complex hospitalized patients with SUD. Needs assessment showed that 58% to 67% of participants who reported active substance use said they were interested in cutting back or quitting. Many reported interest in medication for addiction treatment (MAT). Participants had high rates …

Gentrification And Displacement: An Environmental Justice Challenge For Social Work In Urban Environments, Eileen M. Brennan, Kevin Jones, Ryan Elizabeth Bender

School of Social Work Faculty Publications and Presentations

This chapter presents a lesson which includes a case study highlighting the social, economic, and environmental injustices associated with the gentrification of Northeast Portland, Oregon, US. The reader will then engage in an exercise, which includes reviewing the suggested video clip and news article segment highlighting experiences of families caught up in gentrification in Northeast Portland. Finally, the reader will work through the associated questions and activities to achieve the learning outcomes.

A Qualitative Examination Of Pain Centrality Among Veterans Of Iraq And Afghanistan Conflicts, Samantha D. Outcalt, Christina Nicolaidis, Matthew J. Bair, Laura J. Myers, Edward J. Miech, Marianne S. Matthias

School of Social Work Faculty Publications and Presentations

Objective. Centrality of pain refers to the degree to which a patient views chronic pain as integral to his or her life or identity. The purpose of this study was to gain a richer understanding of pain centrality from the perspective of patients who live with chronic pain.

Methods. Face-to-face interviews were conducted with 26 Veterans with chronic and disabling musculoskeletal pain after completing a stepped care intervention within a randomized controlled trial. Qualitative data were analyzed using an immersion/crystallization approach. We evaluated the role centrality plays in Veterans’ lives and examined whether and how their narratives differ when centrality …

What Is Peer Support And What Is Not Peer Support?, Mary Beth Welch, Caitlin Baird, Celeste L. Seibel

School of Social Work Faculty Publications and Presentations

This publication provides clarity around the primary functions of the young adult peer support role, and addresses the common misconceptions of young adult peer work.

Housing A Homeless Shelter: A Case Study Of Community Deliberation, Amie Thurber

School of Social Work Faculty Publications and Presentations

Among the core competencies of macro practitioners are the skills to design, implement and evaluate conflict resolution processes. Drawing upon theories of deliberative democracy, restorative justice and the Just Practice framework, this paper explores a process of deliberation which engaged 200 community members in the controversial siting of a homeless shelter. This case study is both descriptive and reflective: by offering an in-depth description of the process and a reflection on the guiding values, this paper provides critical insight into best practices in – and limitations of – using deliberation to resolve divisive community issues.

What Are Effective Strategies For Implementing Trauma-Informed Care In Youth Inpatient Psychiatric And Residential Treatment Settings? A Realist Systematic Review, Stephanie A. Bryson, Emma Gauvin, Ally Jamieson, Melanie Rathgeber, Lorelei Faulkner-Gibson, Sarah Bell, Jennifer Russel, Sharlynne Burke

School of Social Work Faculty Publications and Presentations

Background: Many young people who receive psychiatric care in inpatient or residential settings in North America have experienced various forms of emotional trauma. Moreover, these settings can exacerbate trauma sequelae. Common practices, such as seclusion and restraint, put young people at risk of retraumatization, development of comorbid psychopathology, injury, and even death. In response, psychiatric and residential facilities have embraced trauma-informed care (TIC), an organizational change strategy which aligns service delivery with treatment principles and discrete interventions designed to reduce rates of retraumatization through responsive and non-coercive staff-client interactions. After more than two decades, a number of TIC frameworks and …

Organizational Supports Used By Private Child And Family Serving Agencies To Facilitate Evidence Use: A Mixed Methods Study Protocol, Emmeline Chuang, Crystal Collins-Camargo, Bowen Mcbeath

School of Social Work Faculty Publications and Presentations

Background: Challenges to evidence use are well documented. Less well understood are the formal supports—e.g., technical infrastructure, inter-organizational relationships—organizations may put in place to help overcome these challenges. This study will identify supports for evidence use currently used by private child and family serving agencies delivering publicly funded behavioral health and/or human services; examine contextual, organizational, and managerial factors associated with use of such supports; and determine how identified supports affect evidence use by staff at multiple levels of the organization. Methods: We will use a sequential explanatory mixed methods design, with study activities occurring in two sequential phases: In …

Student-Perceived Quality Of Motivational Interviewing Training: A Factor-Analytic Study, Douglas Smith, Melinda Hohman, Stéphanie Wahab, Trevor Manthey

School of Social Work Faculty Publications and Presentations

Objective: This study developed and tested a student-report measure of motivational interviewing (MI) teaching quality called the Evaluation of Motivational Interviewing Teaching (EMIT) scale.

Method: Social work students (N = 297) receiving course content on motivational interviewing completed the EMIT, and exploratory factor analysis investigated whether theory-based dimensions of teaching emerged as EMIT subscales, including: interactivity/skill building, MI content coverage, modeling MI during teaching, trainee autonomy violation, and encouraging ongoing training in MI.

Results: Two subscales emerged representing MIconsistent (28 items, α = .92) and MI-inconsistent teaching practices (7 items, α = .73).

Conclusions: Although more …

Changing The Rules: A Guide For Youth And Young Adults With Mental Health Conditions Who Want To Change Policy, Nancy Koroloff, Barbara J. Friesen, Nicholas Buekea

School of Social Work Faculty Publications and Presentations

This guide provides information about policy and policy change in mental health and other human services for young adult groups who want to be

directly involved in policy change activities. Some of the many ways that young people can be involved in policy work include serving on advisory committees that consider areas where policy change is needed, participating on groups convened to review contract language about youth-related issues or serving on groups charged with developing rules and regulations to support recent policy change. A number of manuals or handbooks address these important roles, although few of them are specifically focused …

Oregon Guide To Health Care Partnerships: For Community-Based Organizations And Advocates Supporting Survivors Of Domestic Violence In Health Care Settings, Sarah H. Keefe, Christine Heyen, Anna Rockhill, Ericka Kimball

School of Social Work Faculty Publications and Presentations

Safer Futures is a practice and partnership model that benefits survivors of intimate partner violence. This model demonstrates how community-based, non-clinical domestic and sexual violence (D/SV) intervention advocates can better serve survivors of intimate partner violence (IPV) in partnership with health care providers. Such partnerships strengthen services for survivors of IPV in various health care settings including, but not limited to, public health departments, Federally Qualified Health Centers, primary care clinics, and hospitals.

Partnerships between advocates and health care providers improve IPV survivors’ access to health care, advocacy services, resources and support. The model works best when a health care …

Achieving Cross-System Collaboration To Support Young People In The Transition Years: A Tip Sheet For Service Providers, Pauline Jivanjee, Eileen Brennan, Claudia Sellmaier, Maria Carolina Gonzalez-Prats, Pathways Transition Training Collaborative

School of Social Work Faculty Publications and Presentations

This tip sheet advises service providers on how to reach across fragmented services and systems to assist young people to achieve their goals.

The Development And Evaluation Of An Online Healthcare Toolkit For Autistic Adults And Their Primary Care Providers, Christina Nicolaidis, Dora Raymaker, Katherine E. Mcdonald, Steven K. Kapp, Michael Weiner, Elesia Ashkenazy, Martha Gerrity, Clarissa Kripke, Laura Platt, Amelia E.V. Baggs

School of Social Work Faculty Publications and Presentations

BACKGROUND: The healthcare system is ill-equipped to meet the needs of adults on the autism spectrum.

OBJECTIVE: Our goal was to use a community-based participatory research (CBPR) approach to develop and evaluate tools to facilitate the primary healthcare of autistic adults. DESIGN: Toolkit development included cognitive interviewing and test–retest reliability studies. Evaluation consisted of a mixed-methods, single-arm pre/postintervention comparison.

PARTICIPANTS: A total of 259 autistic adults and 51 primary care providers (PCPs) residing in the United States.

INTERVENTIONS: The AASPIRE Healthcare toolkit includes the Autism Healthcare Accommodations Tool (AHAT)—a tool that allows patients to create a personalized accommodations report for …

Provider Perspectives On Principle-Adherent Practice In Empirically Supported Interventions For Emerging Adults With Serious Mental Health Conditions, Janet S. Walker, Katherin M. Flower

School of Social Work Faculty Publications and Presentations

In recognition of the need to create new treatment approaches that will be appealing to and effective for emerging adults with serious mental health conditions, researchers have begun to create and evaluate programs and interventions that are specifically tailored to reflect the preferences and needs of the population. The literature that describes these new approaches—including both descriptions of interventions and guidelines based on expert consensus—expresses a high degree of agreement regarding practice principles that should guide intervention. However, beyond naming these principles, the literature provides little information about what the principles mean, or how principle-adherent practice can be recognized. This …

Predicting Positive Education Outcomes For Emerging Adults In Mental Health Systems Of Care, Eileen M. Brennan, Peggy Nygren, Robert L. Stephens, Adrienne Croskey

School of Social Work Faculty Publications and Presentations

Emerging adults who receive services based on positive youth development models have shown an ability to shape their own life course to achieve positive goals. This paper reports secondary data analysis from the Longitudinal Child and Family Outcome Study including 248 culturally-diverse youth ages 17 through 22 receiving mental health services in systems of care. After 12 months of services, school performance was positively related to youth ratings of school functioning, and service participation and satisfaction. Regression analysis revealed ratings of young peoples’ perceptions of school functioning and their experience in services added to the significant prediction of satisfactory school …

Introduction To The Special Section: Positive Developmental Strategies For Engaging Emerging Adults And Improving Outcomes, Janet S. Walker, Celeste Seibel, Sharice Jackson, John D. Ossowski

School of Social Work Faculty Publications and Presentations

As compared to any other age cohort in the US population, young people in late adolescence and early adulthood have a higher rate of unmet need for mental health services. Not only are these young people (from about 16 to 25 years old, and referred to here as “emerging adults”) more likely to experience a serious mental health condition (SMHC), but they are also less likely to engage in services. Furthermore, when emerging adults do engage in services, they face multiple barriers to service continuity, particularly as they come up to “milestone” ages at 18, 21, and 24.

There is …

Factors Associated With Managerial Innovation In Public Human Service Organizations, Monica Perez Jolles, Bowen Mcbeath, Sarah Carnochan, Michael J. Austin

School of Social Work Faculty Publications and Presentations

Contextual changes affecting human service organizations have challenged human service managers to adapt through innovation. Yet no research has examined innovation along the spectrum of lower- to upper-level managers in public human service organizations. This study analyzed survey data of 466 public human service managers to examine the relationship between individual characteristics and managerial innovation. Results showed that 38% of managers took an innovative approach to their work, and characteristics of perceived responsiveness to change and evidence-informed practice network involvement were significantly associated with managerial innovation. Managerial innovation could be promoted through the development of evidence-based networks and communities of …