Digital Commons Network^™

“I Was Determined To Fulfill This Image Of Myself That I Wanted Of A ‘Good Asian Student’”: A Photovoice Study Of Asian American College Student Mental Health, Lalaine Sevillano, Joanna C. La Torre, Taylor A. Geyton

School of Social Work Faculty Publications and Presentations

Asian American (AsA) youth and emerging adults are growing at a faster rate than all other racial and ethnic populations in the United States. Burgeoning empirical evidence shows that they are experiencing increased adverse mental health outcomes since the start of the COVID-19 pandemic. Additionally, trends in AsA youth and emerging adults’ utilization and help-seeking behaviors remain low. Health equity scholars posit that the model minority stereotype continues to obscure and minimize these mental health disparities. The current study aims to contribute to this vital research through a Photovoice study with AsA emerging adults. Fourteen AsA undergraduate students (M age …

Training Social Work Master's Students For Integrated Health Care Settings: The Importance Of Specialized Education, Passion Ilea, Ericka L. Kimball

School of Social Work Faculty Publications and Presentations

Integrated health care poses a unique opportunity for social workers to deliver person-centered, empowering, and collaborative care addressing all aspects of patient health. This study analyzed four years of data from a project designed to train social work master’s students to be effective members on integrated teams. Students that participated in the project achieved statistically significant levels of improvement from pre- to posttests with large effect sizes on the Behavioral Health Consultant Core Competency Tool skills (n = 93, Cohen’s d = -1.752, t(92) = -16.894, p < .001) and the Team Skills Scale (n = 94, Cohen’s d = -1.558, t(93) = -15.101, p < .001). Wilcoxon signed-rank tests confirmed improvements. No existing evaluations of integrated training for social work students capture behavioral health competencies data. Offering specialized training in integrated behavioral health work to students has immense potential benefit for outgoing social workers seeking to support patients.

Contested Places: A Typology For Responding To Place-Based Harms, Amie Thurber, Amy Krings, Mónica Gutiérrrez, Jason Sawyer, Greer A. Hamilton

School of Social Work Faculty Publications and Presentations

In response to historic and ongoing devaluation of certain people, and concurrently, the places they live, many communities are grappling with how to respond to place-based harms. This has produced a wide range of responses, such as calls for “Land Back,” reparations programs, arts-based neighborhood regeneration, and local history initiatives. This paper explores the potential roles community practitioners can play in these contested places. Drawing on a review of the literature, this paper offers an emerging typology for responding to place-based harms.

Exploring Affective Experiences Of Queer Individuals Navigating Relationships With Evangelical Parents, Grace Pappas

School of Social Work Faculty Publications and Presentations

An abundance of scholarship explores and discusses the process of queer identity development, including the experience of disclosing one’s queer identity, often referred to as coming out. Coming out to one’s parent(s) can be a challenging and complex experience for queer individuals, particularly for children from religious families. In this study, I explored the nuanced relationships between queer individuals and their Evangelical parents. I conducted qualitative interviews with nine participants. Using thematic analysis and Ahmed’s theory of affect and happy objects, I constructed four themes: (a) learning the affect queer carries, (b) feeling the affects of being queer, (c) how …

Bidirectional Relationships Between Nicotine Vaping And Maladaptive Eating Behaviors Among Young Adults., H Isabella Lanza, Kailey Waller, Lalaine Sevillano

School of Social Work Faculty Publications and Presentations

Past research indicates that young adult cigarette smokers are at risk of engaging in maladaptive eating behaviors (MEBs); however, whether this relationship extends to nicotine vaping is unclear. The current study assessed bidirectional associations between four types of MEBs and nicotine vaping among young adults.

Supporting Resource Equity For Oregon’S Home Visiting Workforce: Exploring Racial, Ethnic & Linguistic Differences, Beth L. Green, Nicole M. Lauzus, Yumi Lee, Erin Gaines, Ron Joseph

School of Social Work Faculty Publications and Presentations

Home visitors of color—those whose lived experience and background reflect the cultural, racial and linguistic diversity of so many Oregon families—cope with compounding stressors related to structural racism, bias and documented pay inequities.

This learning brief is the first in a series to share findings from a 2023 statewide survey of Oregon’s home visiting workforce. This study has provided a wealth of information about this workforce and how to improve and support its well-being and retention, with a focus on the needs and experiences of home visitors of color and those who speak languages other than English.

A Theory Of Change For One-On-One Peer Support For Older Adolescents And Young Adults, Janet S. Walker, Vanessa V. Klodnick, Brianne Lapelusa, Shannon M. Blajeski, Alex R. Freedman, Shannon Marble

School of Social Work Faculty Publications and Presentations

Peer support has become increasingly available as a formal mental health service. However, high quality research and implementation of peer support has been hampered over the years by the lack of theory that clarifies peer support roles and explains exactly how these roles foster positive outcomes for peer support users. Observers have noted that theory is particularly sparse in regard to peer support for older adolescents and young adults, and they have called for theory that not only clarifies roles and mechanisms of impact, but also identifies how peer support for young people might differ from peer support for …

Measurement Matters: A Commentary On The State Of The Science On Patient Reported Outcome Measures (Proms) In Autism Research, Hillary Schiltz, Zachary J. Williams, Shuting Zheng, Elizabeth A. Kaplan-Kahn, Hannah E. Morton, Kashia A. Rosenau, Christina Nicolaidis, Alexandra Sturm, Multiple Additional Authors

School of Social Work Faculty Publications and Presentations

High quality science relies upon psychometrically valid and reliable measurement, yet very few Patient Reported Outcome Measures (PROMs) have been developed or thoroughly validated for use with autistic individuals. The present commentary summarizes the current state of autism PROM science, based on discussion at the Special Interest Group (SIG) at the 2022 International Society for Autism Research (INSAR) Annual Meeting and collective expertise of the authors. First, we identify current issues in autism PROM research including content and construct operationalization, informant-structure, measure accessibility, and measure validation and generalization. We then enumerate barriers to conducting and disseminating this research, such as …

Impacts Of Sex Work Criminalization On Sex Workers In Oregon: A Pilot Study, Stephanie Wahab, Katie Shammel

School of Social Work Faculty Publications and Presentations

Executive Summary

Context for the Study
In July, 2023, Oregon legislators voted to fund research exploring the impacts of the criminalization of sex work in Oregon. Unfortunately, the Governor vetoed the budget item, stating that the private sector should fund this type of public health research and noting the need for additional public discussion about the issue. To date, there have been no attempts to study the impacts of prostitution laws on the people most impacted by them in Oregon. The research presented in this report seeks to address this gap.

This qualitative pilot study was designed to better understand …

Organizational Supports For Evidence Use In Child Welfare, Emmeline Chuang, Crystal Collins-Camargo, Bowen Mcbeath, Monica Perez Jolles

School of Social Work Faculty Publications and Presentations

Despite its importance to achieving positive outcomes for vulnerable children and families, use of evidence by child welfare managers and practitioners remains limited. This study describes four types of organizational supports that child welfare agencies may use to facilitate evidence use. Data collected in 2016 from a six-state sample of private child welfare agencies are used to examine agency investment in different supports for evidence use and their association with managerial evidence use. We also identify contextual, organizational, and managerial factors associated with agency investment in these supports. Findings suggest that technical infrastructure is necessary but not sufficient for promoting …

Ambulatory Intensive Care For Medically Complex Patients At A Health Care Clinic For Individuals Experiencing Homelessness The Summit Randomized Clinical Trial, Brian Chan, Christina Nicolaidis, Meg Devoe, Priya Srikanth, P. Todd Korthuis, Samuel T. Edwards, Devan Kansagara, Rachel Solotaroff, Somnath Saha

School of Social Work Faculty Publications and Presentations

Importance Intensive primary care interventions have been promoted to reduce hospitalization rates and improve health outcomes for medically complex patients, but evidence of their efficacy is limited.

Objective To assess the efficacy of a multidisciplinary ambulatory intensive care unit (A-ICU) intervention on health care utilization and patient-reported outcomes.

Design, Setting, and Participants The Streamlined Unified Meaningfully Managed Interdisciplinary Team (SUMMIT) randomized clinical trial used a wait-list control design and was conducted at a health care clinic for patients experiencing homelessness in Portland, Oregon. The first patient was enrolled in August 2016, and the last patient was enrolled in November 2019. …

I See Myself Strong: A Description Of An Expressive Poetic Method To Amplify Two-Spirit, Lesbian, Gay, Bisexual, Trans, Queer Indigenous Youth Experiences In A Culture-Centered Hiv Prevention Curriculum, Ramona Beltrán, Antonia R.G. Alvarez, Angela R. Fernandez

School of Social Work Faculty Publications and Presentations

Poetry is an ideal tool to convey participant voices in social research as it compresses the meaning and essence of participant narratives through using evocative sensory words that illuminate nuances of lived experience. Expressive poetics is an emerging arts-based research method that facilitates a multi-sensory and relational analytical process. In this article, the authors describe and illustrate an adapted expressive poetics research method through highlighting the experiences of Two Spirit, lesbian, gay, transgender, or queer (2SLGBTQ) Indigenous youth that participated in a culture-centered HIV prevention curriculum. It is our hope that through creating dialogic poems, we deepen and nuance the …

Love Letters For Liberatory Futures, Jessica Rodriguez-Jenkins, Roberta Hunte, Lakindra Mitchell Dove, Antonia R.G. Alvarez, Alma M. O. Trinidad, Gita Mehrotra

School of Social Work Faculty Publications and Presentations

This collection of letters serves to explore the narratives of a collective of women of color in academia by examining individual, collective, spiritual, and institutional strategies for surviving and transforming our institutional spaces and the ways that White Supremacy has shaped our journeys. Multiple perspectives are viewed, and we have written to our children, our future social work students, our future selves, our BIPOC faculty siblings, and our feared enemies to envision and embody more liberatory futures.

Keywords: liberation, academia, BIPOC faculty, institutional racism, White Supremacy

Domestic Violence As A Wicked Social Problem: Policy Cascades And Misdirected Solutions, Ericka Kimball, Passion Ilea, Steph Ng Ping Cheung

School of Social Work Faculty Publications and Presentations

In this article, we introduce the concept of a policy cascade, which describes the process of creating policies to address the consequences of other policies. Using the concept of wicked problems introduced by Rittel and Webber in 1973, we trace state and federal policies to address domestic violence to show how they form a policy cascade and decenter survivors. By treating social issues as wicked problems, upstream approaches that bypass compounding effects of policy may help recenter survivor needs.

Prevalence Of Depressive Disorder In The Adult Population Of Latin America: A Systematic Review And Meta-Analysis, Antonia Errazuriz, Dalia Avello-Vega, Juan Ramirez-Mahaluf, Rafael Torres, Nicolas A. Crossley, Eduardo A. Undurraga, Peter B. Jones

School of Social Work Faculty Publications and Presentations

Background: Depressive disorder is one of the leading causes of disability worldwide; however its prevalence and association with inequality and crime is poorly characterised in Latin America. This study aimed to: i. systematically review population-based studies of prevalence of ICD/DSM depressive disorder in Latin America, ii. report pooled regional, country, and sex-specific prevalence estimates, and iii. test its association with four country-level development indicators: human development (HDI), income (Gini) and gender inequality (GII), and intentional homicide rate (IHR).

Methods: We conducted a systematic review and meta-analysis of population-based studies reporting primary data on the prevalence of ICD/DSM depressive disorder in …

Centering Communities Of Color In The Modernization Of A Public Health Survey System: Lessons From Oregon, Daniel F. López-Cevallos, Kusuma Madamala, Mira Mohsini, Andres Lopez, Roberta Hunte, Ryan Petteway, Tim Holbert

School of Social Work Faculty Publications and Presentations

Context: Public health survey systems are tools for informing public health programming and policy at the national, state, and local levels. Among the challenges states face with these kinds of surveys include concerns about the representativeness of communities of color and lack of community engagement in survey design, analysis, and interpretation of results or dissemination, which raises questions about their integrity and relevance.

Approach: Using a data equity framework (rooted in antiracism and intersectionality), the purpose of this project was to describe a formative participatory assessment approach to address challenges in Oregon Behavioral Risk Factor Surveillance System (BRFSS) and Student …

An Examination Of Power In A Triadic Model Of Parent–Child–Pediatrician Relationships Related To Early Childhood Gender Development, Eline Lenne, Christina J. Sun, Susanne Klawetter

School of Social Work Faculty Publications and Presentations

In this paper, the authors introduce the Triadic Model of Pediatric Care, an innovative conceptual framework for pediatric practice with transgender and gender diverse children. The Triadic Model of Pediatric Care consists of three experts—pediatricians, primary caregiver(s), and children—who each possess unique insights, knowledge, and decision-making power. This model guides pediatricians to provide gender-affirming care that acknowledges children as experts of their own experience and worthy of bodily autonomy, while also working to ensure primary caregiver(s) have the information and support necessary to provide a safe and nurturing developmental environment for their child. The authors provide a recommendation for how …

Beyond “Glittering Hope”: Introducing Max Stirner’S Unique Possibilities To Social Work, Erica Fonseca

School of Social Work Faculty Publications and Presentations

Max Stirner (1806-1856) is an iconoclastic 19th-century philosopher who, despite a period of obscurity, has remained somewhat influential – particularly within segments of the anarchist milieu. This conceptual article maintains Stirner’s writing has something to offer social work thinking and practice. Using Stirner’s most influential work, The Ego and Its Own, I will present three of Stirner’s terms: Specters, The Creative Nothing, and Ownness. I conclude with a presentation of three “unique” prospects for social work that draws from Stirner’s anti-teleological and anti-foundationalist approach to liberation.

Exploring The Intersections Of Lgbtq Experience And Social Work Education: A Scoping Review, Gita Mehrotra, Kimberly D. Hudson, Eli Hess

School of Social Work Faculty Publications and Presentations

Lesbian, gay, bisexual, transgender, and queer (LGBTQ) issues, experiences, and theorizing have had limited representation within social work education. In recent years there has been an increase in the scholarly discourse regarding queer and trans issues and social work education, but little is known about the landscape of this body of published work. In this scoping review, we explored peerreviewed literature regarding the intersections of social work education and queer and trans experience, issues, and theorizing. Utilizing major academic databases, we identified 54 articles published in social work literature from 2010 to 2020 that met inclusion criteria. Topical areas of …

Re-Imagining Mandatory Reporting: Professionalization's Complicity, Sam Harrell, Stephanie Wahab

School of Social Work Faculty Publications and Presentations

Mandatory reporting of child abuse is a part of the civil legal system that can activate a policy cascade disproportionately criminalizing racialized and marginalized communities. While social work scholarship has explored ways to increase provider compliance with mandatory reporting laws, there is a dearth of research focused on how social work education guides future providers towards the praxis of mandatory reporting discourses. This article presents findings from a content analysis of social work textbook excerpts focused on mandatory reporting of child abuse in the U.S. We found that textbooks affirm social work’s loyalty to the State by approaching mandatory reporting …

Migration Integration Policies As Social Determinants Of Health For Highly Educated Immigrants In The United States, Mitra Naseh, Yingying Zeng, Ian Sutherland, Abha Rai, Hyunwoo Yoon

School of Social Work Faculty Publications and Presentations

Highly educated immigrants are part of the growing population of immigrants who are impacted by the increasingly hostile migration policies in the U.S. This qualitative study used a phenomenological approach and inductive reasoning to explore the possible impacts of migration integration policies as social determinants of health among this group. Data was collected through 31 semi-structured interviewees with highly educated immigrants who had an intention and interest to stay in the U.S. at the time of the interview. Data were analyzed using reflexive thematic analysis and four main themes emerged: (1) a life overshadowed by silent worries, (2) living through …

Race/Ism In Field Education: Narratives Of Bipoc Field Instructors, Gita Mehrotra, Anita Gooding, Olivia K. Bormann

School of Social Work Faculty Publications and Presentations

Field instructors are critical to enacting social work’s signature pedagogy as they are tasked with providing agency-based learning opportunities and supervision for students. It has been well-documented that field supervisors are instrumental in students’ learning and that the supervisory relationship is central to success in field education. However, there is a dearth of research regarding issues of identity, difference, race, and/or racism in these relationships, particularly from the perspective of field instructors of color. To date, we found no published literature that focuses specifically on the experiences and perspectives of Black, Indigenous, or People of Color (BIPOC) social work field …

Do Program Practices Matter For Mentors?: How Implementation Of Empirically Supported Program Practices Is Associated With Youth Mentoring Relationship Quality, Thomas E. Keller, Alison L. Drew, Carla Herrera, Hyuny Clark-Shim, Renée Spencer

School of Social Work Faculty Publications and Presentations

This study investigates how the implementation of program-level practices by formal youth mentoring programs is associated with the quality of youth mentoring relationships as contexts for youth development and also examines whether this connection is mediated by the mentor-staff working alliance. Using data from mentors (n = 542) participating in multiple programs (n = 55), multilevel path models examined hypothesized direct and mediated effects. Parallel analyses were conducted with assessments of program practices from staff (n = 219). Greater exposure to program practices was associated with higher ratings of mentoring relationship satisfaction, commitment, and security and lower …

Older Adults In Action: Using Action Research To Address Neighborhood Change, Amie Thurber

School of Social Work Faculty Publications and Presentations

Older adults face distinct challenges amidst changing neighborhood conditions, yet also bring distinct resources to aid their communities. After considering the literature related to well-being in older adulthood, the effects of neighborhood change on older adults, and older adults and social action, this paper explores the experiences of older adults in the Neighborhood Story Project. This action research project engages a group of neighbors to identify a set of research questions about their community, conduct place-based inquiry, and take action based on their learning. This study considers the degree to which the Neighborhood Story Project constitutes a macro therapeutic intervention. …

Centering Racial Equity In A Bsw Program: What We’Ve Learned In Five Years, Stephanie A. Bryson, Gita Mehrotra, Jessica Rodriguez-Jenkins, Passion Ilea

School of Social Work Faculty Publications and Presentations

In response to the 2016 election of Donald J. Trump and calls for antiracist action from activists and communities of color, our Bachelor of Social Work (BSW) program embarked on a process of curriculum revision. In this article, we describe our efforts to center critical and Black, Indigenous, and people of color (BIPOC) scholarship and to better align our curriculum with the experiences of students of color. While we have drawn from feminist and critical race theories, we have also borrowed concepts from literatures not typically associated with antiracism work, such as policy implementation and leadership/management. We present our ongoing …

Linking Homelessness In Secondary School To Postsecondary And Early Labor Market Outcomes In Maryland Using A Continuum Of Risk Framework, Dawnsha R. Mushongaa, Mathew C. Uretsky, Bess A. Rose, Angela K. Henneberger

School of Social Work Faculty Publications and Presentations

Homeless and low-income students share multiple overlapping risk experiences; however, some studies report little to no observed differences in outcomes between these students. From the cumulative risk perspective, homelessness is perched at the extreme edge of economic insecurity, suggesting that homeless students encounter additional hardships beyond poverty experiences alone. Using a continuum of risk framework, this study leveraged statewide administrative data from a 6th grade cohort of Maryland public school students (N = 52,610) to investigate the association between homelessness and educational and early labor market outcomes, above and beyond the associations linked to poverty. Findings provide support for the …

Teaching And Learning Social Change, Amie Thurber, Helen Buckingham, Jordenn Martens, Rebecca Lusk, Darrylann Becker, Stacey Spenser

School of Social Work Faculty Publications and Presentations

How can social work courses prepare students to be scholars of social movements, and also to act in solidarity with movements for social justice? How can graduate programs reimagine the professional socialization of social work students from aspiring for expertise toward a stance of life-long learning? How can instructors more deeply leverage our teaching practice to advance justice in our communities? This paper traces one attempt to answer these questions through a three-quarter graduate social work course designed to deepen students’ skills and knowledge in practices for social transformation, while amplifying existing social justice movements. Drawing on reflections from the …

Expanding Workplace Inclusion Of Employees Who Are Parents Of Children With Disabilities Through Diversity Training, Lisa M. Stewart, Julie M. Rosenzweig, Anna M. Malsch Tamarkin, Eileen Brennan, Jessica Lukefahr

School of Social Work Faculty Publications and Presentations

Employed parents raising children with disabilities manage exceptional care responsibilities along with their work careers. This study examines the effects of targeted diversity training on human resource (HR) professionals’ knowledge of the work–family experiences of these parents, and on their self-efficacy in providing workplace supports. Using computer-based training in field settings, 64 U.S. human resource professionals in an international company participated in two diversity training sessions. Data related to knowledge and efficacy of dependent and disability care were collected before the first training and immediately after the second. HR participants demonstrated significant increases from pretest to posttest on the trained …

Black Youths’ Perspectives: Importance Of Family And Caregiver Involvement In The Mentor–Mentee Relationship, Lakindra Mitchell Dove

School of Social Work Faculty Publications and Presentations

Research shows that mentorship can significantly influence the lives of youth. As a society we are becoming more diverse and aware that cultural needs for youth of color are more complex. We have seen an increase in formal mentoring programs that offer services to Black youth. As this shift continues, it is imperative that culturally responsive services are considered. Little research exists that explores the importance of family engagement within the mentor–mentee relationship. When working with Black youth, it is important to understand cultural practices found within the Black family that could have an influence on the mentor–mentee relationship. This …

"It Made Me Feel Like Things Are Starting To Change In Society:" A Qualitative Study To Foster Positive Patient Experiences During Phone-Based Social Needs Interventions, Anna Steeves-Reece, Christina Nicolaidis, Dawn M. Richardson, Melissa Frangie, Katherin Gomez-Arboleda, Chrystal Barnes, Minnie Kang, Bruce Goldberg, Stephan Lindner, Melinda M. Davis

School of Social Work Faculty Publications and Presentations

Many healthcare organizations are screening patients for health-related social needs (HRSN) to improve healthcare quality and outcomes. Due to both the COVID-19 pandemic and limited time during clinical visits, much of this screening is now happening by phone. To promote healing and avoid harm, it is vital to understand patient experiences and recommendations regarding these activities. We conducted a pragmatic qualitative study with patients who had participated in a HRSN intervention. We applied maximum variation sampling, completed recruitment and interviews by phone, and carried out an inductive reflexive thematic analysis. From August to November 2021 we interviewed 34 patients, developed …