Digital Commons Network^™

The Sexual Health Of Lesbian, Gay, Bisexual, Transgender, And Questioning Youth, L. Kris Gowen

School of Social Work Faculty Publications and Presentations

Although persons of different sexual and gender orientations often get grouped together under the term “LGBTQ” (for lesbian, gay, bisexual, transgender, and questioning), it is important to distinguish between subpopulations based on sexual vs. gender orientation. A person’s sexual orientation is the gender to which a person is emotionally, romantically, and sexually attracted. Gender identity is how a person self-identifies as a particular gender regardless of biological sex characteristics. “Transgender” describes persons who are born a certain sex, but identify with, and consequently wish to live as, a different gender than the sex their anatomy dictates. According to data from …

Collaboration Strategies In Non-Traditional Cbpr Partnerships: Lessons From An Academic-Community Partnership With Autistic Self-Advocates, Christina Nicolaidis, Dora Raymaker, Katherine Mcdonald, Sebastian Dern, Elesia Ashkenazy, Cody Boisclair, Scott Robertson, Amelia E.V. Baggs

School of Social Work Faculty Publications and Presentations

Background: Most community-based participatory research (CBPR) projects involve local communities defined by race, ethnicity, geography, or occupation. Autistic self-advocates, a geographically dispersed community defined by disability, experience issues in research similar to those expressed by more traditional minorities.

Objectives: We sought to build an academic-community partnership that uses CBPR to improve the lives of people on the autistic spectrum.

Methods: The Academic Autistic Spectrum Partnership in Research and Education (AASPIRE) includes representatives from academic, self-advocate, family, and professional communities. We are currently conducting several studies about the health care experiences and well-being of autistic adults.

Lessons Learned: We have learned …

Work-Life Integration Issues For Parents Raising Children With Adhd. Community, Work And Family, Eileen M. Brennan, Judy Kendall, Gail M. Houck, Michael Charles Leo

School of Social Work Faculty Publications and Presentations

PDF version of a presentation given at Community, Work and Family: IV International Conference Actors, Structures, and Theories. Tampere, Finland, May 2011.

Building Layers Of Support At Kpmg Llp: Training Human Resource Professionals For Collaborative Conversations, Eileen M. Brennan, Barbara C. Wankoff, Julie M. Rosenzweig

School of Social Work Faculty Publications and Presentations

When an employed parent is raising a child with mental health difficulties, there are times when reaching out for support at the workplace is essential. At crisis points when family members must leave work to arrange for immediate mental health assistance and at times when special child care arrangements break down or when children or young people have difficulty at school or in the community, workplace support can be a life saver. KPMG LLP and Portland State University partnered to develop and test a new training program to prepare human resource (HR) professionals to confidently provide workplace supports for the …

Resolving Work-Family Issues Of Parents Raising Children With Disabilities: A Human Resource Training Intervention, Eileen M. Brennan, Julie M. Rosenzweig, Anna M. Malsch, Lisa Maureen Stewart

School of Social Work Faculty Publications and Presentations

PDF version of a presentation given at the Annual Meeting of the Society for Social Work and Social Research, Tampa, FL, Jan. 2011.

The Native American Community In Multnomah County: An Unsettling Profile, Ann Curry-Stevens, Amanda Cross-Hemmer, Coalition Of Communities Of Color

School of Social Work Faculty Publications and Presentations

This report is the result of three years of work of true partnership between the Native American community, the Coalition of Communities of Color and Portland State University. The Portland Indian Leaders’ Roundtable, an alliance of 28 local Native American organizations, tribal organizations and Native focused programs within larger institutions, took a lead role in the implementation of the Native American research. Elders of the community reviewed the work and provided invaluable knowledge and historical context.

Our main priority is to advocate for policy decisions that improve outcomes for the Native American community. We hold institutional reform and the formation …

Community-Based Approaches For Supporting Positive Development In Youth And Young Adults With Serious Mental Health Conditions, Janet S. Walker, L. Kris Gowen

School of Social Work Faculty Publications and Presentations

Our goal in this chapter is to describe empirically- supported and promising community-based programs or approaches that are designed to promote positive development and to achieve better outcomes for young people with SMHC. We begin by providing more detail regarding the nature of the challenges that these young people face, as well as some of the challenges that systems and providers currently face in trying to serve the population. We then go on to describe recent theory and research on positive development, particularly as it applies to older adolescents and young or “emerging” adults. The next sections of the chapter …

The Influence Of Military Culture And Veteran Worldviews On Mental Health Treatment: Practice Implications For Combat Veteran Help-Seeking And Wellness, Eugenia Weiss, Jose E. Coll

School of Social Work Faculty Publications and Presentations

The influence of military cultural values consisting of unit cohesion (or the subordination of individual needs over the needs of the collective)the devotion to duty and to the mission,stoicism (emotional restraint)and the importance of adhering to the chain of command become guiding belief systems for military personnel.In fact,military culture has been recognized as a distinct sub-culture of American civilian society.

Veterans In Higher Education: What Every Adviser May Want To Know, Jose Coll, Hans Oh, Craig Joyce, Lazara C. Coll

School of Social Work Faculty Publications and Presentations

With the current influx of soldiers returning from war in Iraq and Afghanistan, the newly revised Post-9/11 GI Bill affords veterans the opportunity to attend state colleges free of charge, which may result in a dramatic increase in enrollment of veterans in colleges across the country. However, most learning institutions are ill-equipped to accommodate the special needs of those veteran students who may experience adjustment problems when reintegrating into a civilian setting. Veterans return with a newly acquired value system shaped by military service that can create dissonance when interacting with non-military people. Moreover, veterans may suffer from complex physical …

Strengths-Based Practice And Motivational Interviewing, Trevor Jay Manthey, Bryan Knowles, Dianne Asher, Stéphanie Wahab

School of Social Work Faculty Publications and Presentations

There has been recent concern that many practices and programs erroneously claim to be strengths-based. In reaction some have called for researchers to make systematic comparisons to the tenets of strengths-based practice (SBP) before making the contention that an intervention is strengths-based. Motivational interviewing (MI) is an intervention which has been described as being strengths-based; however, no systematic efforts have yet been made to compare the two. This article takes a methodical approach to comparing SBP and MI to determine level of cohesion and how they might be used together. A case-example is used to illustrate how MI and SBP …

Patients Reasons For Choosing Office-Based Buprenorphine: Preference For Patient-Centered Care, P. Todd Korthuis, Jessica Gregg, Wendy E. Rogers, Dennis Mccarty, Christina Nicolaidis, Joshua Boverman

School of Social Work Faculty Publications and Presentations

Objectives - To explore HIV-infected patients' attitudes about buprenorphine treatment in office-based and opioid treatment program (OTP) settings.

Methods - We conducted in-depth qualitative interviews with 29 patients with co-existing HIV infection and opioid dependence seeking buprenorphine maintenance therapy in office-based and OTP settings. We used thematic analysis of transcribed audiorecorded interviews to identify themes.

Results - Patients voiced a strong preference for office-based treatment. Four themes emerged to explain this preference. First, patients perceived the greater convenience of office-based treatment as improving their ability to address HIV and other healthcare issues. Second, they perceived a strong patient-focused orientation in …

Mentoring: Meanings, Models, And Metaphors, Thomas E. Keller

School of Social Work Faculty Publications and Presentations

This is a PDF of a PowerPoint program presented at the UNST Peer Mentor Program, Fall Mentor Development Conference, September 2010

Is School-Based Mentoring Effective? Making Sense Of Mixed Findings, Marc E. Wheeler, Thomas E. Keller, David L. Dubois

School of Social Work Faculty Publications and Presentations

This presentation summarizes the findings and conclusion of a recent issue of the Social Policy Report, a publication of the Society for Research on Child Development, that was co-authored by Mr. Wheeler and Drs. DuBois and Keller.

The Dynamics Of Autistic-Academic Partnerships, Dora Raymaker, Christina Nicolaidis

School of Social Work Faculty Publications and Presentations

Traditionally, research about autistics has been developed without autistics, leading to systemic problems that reinforce stereotypes and divide communities. Some academics find the idea of autistics contributing meaningfully to research unthinkable, while the autistic community is often angered by research which holds no potential benefit, or is even directly harmful, to community aims. Problematic dynamics between academics and minority populations are neither new nor specific to autism research. Research approaches involving academic-community partnerships can change these dynamics to benefit all partners. Academic-community partnerships empower minorities to execute research relevant to community priorities and enable academics to perform high-quality, ethical science. …

Failure Of Intimate Partner Violence Screening Among Patients With Substance Use Disorders, Esther K. Choo, Christina Nicolaidis, Robert H. Jenkinson, Jessi M. Cox, Kenneth J. Mcconnell

School of Social Work Faculty Publications and Presentations

Objectives: This study examined the relationship between substance use disorder (SUD) and intimate partner violence screening (IPV) and management practices in the emergency department (ED). Methods: This was a retrospective cohort study of adult ED patients presenting to an urban, tertiary care teaching hospital over a 4-month period. An automated electronic data abstraction process identified consecutive patients and retrieved visit characteristics, including results of three violence screening questions, demographic data, triage acuity, time of visit, and ICD-9 diagnosis codes. Data on management were collected using a standardized abstraction tool by two reviewers masked to the study question. Multivariate logistic regression …

How Young Adults With Mental Health Conditions Use The Internet To Access Mental Health Information And Support, L. Kris Gowen, Matthew Deschaine

School of Social Work Faculty Publications and Presentations

Presentation that probes how young adults with significant mental health challenges use the internet, specifically as it relates to finding information and "self-diagnosis." The authors explore how youth with mental health challenges use the internet, and share the results of three Oregon focus groups. Also discussed is how online sources are evaluated, and barriers facing seekers of health information online.

Supporting Transition-Aged Youth: One State's Efforts, L. Kris Gowen

School of Social Work Faculty Publications and Presentations

Young adults need specialized services as they age out of children’s mental health care and into adult services. Starting in 1997, Connecticut began to address this need by creating a Young Adult Services (YAS) program, designed to assist those over 18 who had moderate to severe symptoms of mental illness. YAS provides comprehensive service delivery that includes clinical, residential, case management, vocational, and social rehabilitation supports. Major principles that guide the YAS program include: (1) services must be comprehensive and integrated—focusing on one issue without supporting a young adult in other aspects of his or her life is ineffective; (2) …

Infusing Culture Into Practice: Developing And Implementing Evidence-Based Mental Health Services For African American Foster Youth, Harold E. Briggs, Bowen Mcbeath

School of Social Work Faculty Publications and Presentations

The lack of culturally appropriate health and mental health care has contributed to the large number of African American youth and families involved in the child welfare system. This article reviews the consequences of the insufficient access to culturally sensitive, evidence-supported interventions for African American foster youth. The authors describe a framework for the development of culturally appropriate mental health interventions responsive to the needs of African Americans.

Journeying Toward Humility: Complexities In Advancing Pedagogy For The Privileged, Ann Curry-Stevens

School of Social Work Faculty Publications and Presentations

This narrative describes the author's journey away from a stance of innocence, toward one of humility in her engagement with pedagogy for the privileged. With deep attention to her identity, the contentious dimensions of this pedagogy have compelled her towards a much more troubled relationship with this practice. The following narrative profiles key contributions of pedagogy for the privileged, and articulates the contentions embedded within. It concludes with three essential ingredients to moderate her privilege: practicing from a stance of humility and "not knowing, " advancing research into the practice outcomes of such courses, and accountability structures where communities hold …

The Military Genogram: A Solution-Focused Approach For Resiliency Building In Service Members And Their Families, Eugenia Weiss, Jose Coll, Jennifer Gerbauer, Kate Smiley, Ed Carillo

School of Social Work Faculty Publications and Presentations

In recent decades, it has become evident among mental health practitioners that the military is a unique culture that is comprised of distinct ethics, core values, codes of conduct, and strict hierarchical roles. In light of the war in Afghanistan and the war in Iraq, veterans and their families are seeking mental health services due to a variety of psychosocial issues; however, mental health practitioners are lacking military-specific knowledge in understanding individuals within the military subculture. In addition, they are ill-equipped with interventions aimed at supporting the military family. Historically, the genogram has been an effective tool in delineating intergenerational …

Health-Related Needs Assessment Of Older Residents In Subsidized Housing, Victoria Cotrell, Paula C. Carder

School of Social Work Faculty Publications and Presentations

When a nonprofit organization with nursing-home and assisted-living experience purchased a 30-year-old highrise apartment building in downtown Portland, Oregon, the new owners were faced with how to manage a building that provided housing to more than 200 older residents whom they knew very little about. As long-term care providers, they knew that older people were at risk for developing chronic illnesses, disabilities, and other factors that could result in moves to nursing homes, hospitalizations, and early death. They also knew that older adults in subsidized housing, such as this Section 8 building, have higher levels of disability than their age …

Indigenous And Mestizo Mexican Migrant Farmworkers: A Comparative Mental Health Analysis, William Donlan, Junghee Lee

School of Social Work Faculty Publications and Presentations

Mexican-origin migrant farmworkers using: (a) lifetime prevalence of culture-bound syndromes, (b) self-rated emotional/mental health, (c) depression measured by PHQ-9, (d) stress level. Demographic and psychosocial variables were examined by ethnicity and gender using Chi square and independent t-tests. Logistic and linear regression models were constructed for mental health variables. Indigenous participants reported significantly higher stress compared to mestizos, and indigenous women reported significantly higher stress compared to all groups. Prevalence of culture-bound syndromes and mean PHQ-9 severity score was highest for indigenous females. Mean self-rated emotional/mental health was lowest among indigenous females. Controlling for main effects and other interactions, (a) …

Children/Youth With Disabilities: Their Parents Are Your Employees Training Manual And Workbook, Julie M. Rosenzweig, Anna M. Malsch, Eileen M. Brennan, Kathryn L. Mills, Lisa Maureen Stewart

School of Social Work Faculty Publications and Presentations

The training manual and workbook, including the survey, were originally designed as supplemental materials to a workshop delivered to human resource professionals by the Work-Life Integration Project. Once the materials were compiled and reviewed, we decided to make the document available as a printed resource for a more general audience. While the materials were initially developed for use with human resource professionals, they are readily adaptable for use with other groups of employees, such as supervisors, managers, or teams of co-workers. The manual is also suitable to be used by members of family support organizations and other individuals interested in …

Work-Life Integration And The Path To Social Sustainability, Eileen M. Brennan

School of Social Work Faculty Publications and Presentations

PDF version of a presentation given at Understanding Sustainability: Perspectives from the Humanities - The Second International Conference, Portland, OR, May 2010.

Review Of Three Recent Randomized Trials Of School-Based Mentoring: Making Sense Of Mixed Findings, Marc E. Wheeler, Thomas E. Keller, David L. Dubois

School of Social Work Faculty Publications and Presentations

Between 2007 and 2009, reports were released on the results of three separate large-scale random assignment studies of the effectiveness of school-based mentoring programs for youth. The studies evaluated programs implemented by Big Brothers Big Sisters of America (BBBSA) affiliates (Herrera et al., 2007), Communities in Schools of San Antonio, Texas (Karcher, 2008), and grantees of the U.S. Department of Education's Student Mentoring Program (Bernstein et al., 2009). Differences in the findings and conclusions of the studies have led to varying responses by those in practice and policy roles. The results of the BBBSA trial led the organization to undertake …

Communities Of Color In Multnomah County: An Unsettling Profile, Ann Curry-Stevens, Amanda Cross-Hemmer, Coalition Of Communities Of Color

School of Social Work Faculty Publications and Presentations

Existing data that informs decision making in Multnomah County inadequately captures the lived experiences of communities of color. Rarely do existing reports include dimensions of race and ethnicity. Much research has been undertaken without the involvement of those most affected by the decisions guided by the research. The impact is that communities of color are rarely visible at the level of policy. Data has been used to obscure and oppress rather than to empower communities and eliminate disparities. This is not acceptable, and leads to inequitable policy and devastating outcomes for people of color.

"Communities of Color in Multnomah County: …

Governance In Motion: Service Provision And Child Welfare Outcomes In A Performance-Based, Managed Care Contracting Environment, Bowen Mcbeath, William Meezan

School of Social Work Faculty Publications and Presentations

Examining the linkage between service provision and client outcomes is important in performance-based human service environments. Since most performance initiatives reward agencies for improving client outcomes rather than providing specific services, managers may have incentives to streamline workers’ efforts and reduce resources devoted to services considered nonessential. This article uses data from a performance-based child welfare initiative to examine the relationship between child permanency outcomes, the services provided by caseworkers, and the environment surrounding frontline service provision. Findings indicate that greater service efforts are required to reunify children with parents than to reach other outcomes, including adoption and placement with …

Mapping The Participatory Process, Barbara J. Friesen, L. Kris Gowen, Pauline Jivanjee, Abby Bandurraga

School of Social Work Faculty Publications and Presentations

This presentation explores the use of Practice-Based Evidence methodologies to support social work with Native American youth. It is based on a five-year collaborative effort between the Native American Youth and Family Center, National Indian Child Welfare Association, and the Research and Training Center on Family Support and Children's Mental Health. The researchers aims were to develop strategies for documenting the effectiveness of services, and to develop a process for conducting evaluations based on known outcomes of community based programs.

Policy Brief: Strengthening Mentoring Opportunities For At-Risk Youth, Timothy A. Cavell, David L. Dubois, Michael J. Karcher, Thomas E. Keller, Jean E. Rhodes

School of Social Work Faculty Publications and Presentations

Mentoring the next generation of youth is critical to the future health and prosperity of our nation. Yet, millions of young people are currently growing up without the guidance and support from parents or others that is needed to prepare them to become well-adjusted and contributing members of society. Making progress in addressing this need will require substantial commitments of time and resources at all levels-from individuals to communities to government. These investments must be made carefully and strategically. For guidance, this brief summarizes the latest research on youth mentoring. Several new directions for programs and policies aimed at connecting …

Breaking The Silence: Parents' Experiences Of Courtesy Stigmatization In The Workplace, Eileen M. Brennan, Julie M. Rosenzweig, Anna M. Malsch

School of Social Work Faculty Publications and Presentations

This article discusses "courtesy stigmatization," defined as the prejudices, negative judgments, and discrimination extended to others -- particularly partners, family members, and close friends -- who are caring for, or significantly connected to, an individual with a mental health disorder. The author explores how this affects parent, caregivers and the workplace, and brings to light an area of study that human resource professionals are just beginning to address.