Social and Behavioral Sciences Commons^™

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.

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 …

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

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 …

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 …

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 …

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 …

Co-Design Of An Nhs Primary Care Health Check For Autistic Adults, Helen Taylor, Barry Ingham, David Mason, Tracy Finch, Colin Wilson, Clare Scarlett, Sebastian Moss, Christina M. Nicolaidis, Multiple Additional Authors

School of Social Work Faculty Publications and Presentations

Autistic people experience more health conditions and earlier mortality. This study investigated views about a primary care health check for autistic adults to inform its design. Fifty-one people participated in consultation groups and interviews, comprising autistic adults (some with co-occurring intellectual disabilities), adults with intellectual disabilities, supporters and health professionals. Participants wanted the health check to cover physical and mental health and social functioning. They emphasised the importance of sharing information about individual needs and associated adjustments before the health check. They highlighted the need to change the way healthcare services communicate with autistic people, such as reducing phone contact …

Youth-Reported School Connection And Experiences Of A Middle Schoolebased Screening, Brief Intervention, And Referral To Treatment Initiative: Preliminary Results From A Program Evaluation, Maria Stepanchak, Kate Katzman, Margaret Soukup, Evan Elkin, Kathryn Choate, Allison Kristman-Valente, Carolyn A. Mccarty

School of Social Work Faculty Publications and Presentations

Purpose

This study aimed (1) to evaluate the feasibility of a school-based Screening, Brief Intervention, and Referral to Treatment (SBIRT) program that expands on traditional SBIRT to support the mental health and well-being of middle school students and (2) to assess its effects on students’ connection with adults at school.

Methods

Focus group discussions were conducted with 26 students in grades 6–8 to understand student perspectives about an innovative school-based SBIRT program. A subset of middle school students from the SBIRT program who received a brief intervention (BI) after screening (n = 116) were asked to rate their experience meeting …

“The Broker Of Reality”: A Scoping Review Of Moral Reconation Therapy, Sam Harrell, Constance Johnson, Chandler Boys, Brianna Suslovic, Ben Anderson-Nathe, Kassandra Botts

School of Social Work Faculty Publications and Presentations

Purpose: This scoping review aims to identify the evidence-based literature supporting Moral Reconation Therapy (MRT), a cognitive-behavioral treatment program created in 1987 and implemented in correctional-treatment settings across the US. Social work students and practitioners are among MRT’s facilitators.

Method: We analyze the reliability and validity of the most recent meta-analysis of MRT, covering studies published between 1988 and 2010. We then identify 669 potential publications on MRT published between 2011 and 2021.

Results: Our search across Google Scholar and eleven academic databases yielded zero peer-reviewed studies on MRT’s effectiveness or outcomes.

When Families, Organizational Culture, And Policy Collide: A Mixed Method Study Of Alternative Response, Stacey L. Shipe, Mathew C. Uretsky, Catherine A. Labrenz, Corey S. Shdaimah, Christian M. Connell

School of Social Work Faculty Publications and Presentations

Objective Alternative response (AR) is a family-centered, preventative approach for child protection systems. This study first examined what family and case factors predicted re-investigation and then explored which organizational factors influence caseworker and agency implementation of AR. Method Using administrative data from child protection reports, AR families (N = 9,959) and traditional response (TR) families (N = 13,974) were followed for 18 months to determine re-investigation rates using multilevel modeling where families were nested in county of residence. Four focus groups with 14 participants were conducted to discuss the quantitative findings, organizational culture, and implementation of AR. Results AR families …

Efficacy Of The Project Futures Self-Determination Coaching Model For College Students With Foster Care Backgrounds And Mental Health Challenges, Jennifer Blakeslee, Rebecca A. Miller, Mathew C. Uretsky

School of Social Work Faculty Publications and Presentations

Post-secondary students transitioning from foster care face a range of unique challenges to academic engagement and success, and the typical mental health stressors experienced by college-age young adults are exacerbated by experiences of trauma common to those with foster care experience. Many campuses have introduced specialized support programs for these students, but few have been rigorously tested. This study is the first identified randomized experiment to evaluate a post-secondary support program for enrolled college students with foster care backgrounds and mental health challenges. We report findings from a pilot intervention study testing the Project Futures model, which includes one-on-one coaching …

Assessing Student Readiness To Work With People Who Use Drugs: Development Of A Multi-Disciplinary Addiction Educational Survey, Patrick C.M. Brown, Dana Button, Danika Bethune, Emily Kelly, Hannah R. Tierney, Rahee M. Nerurkar, Christina Nicolaidis, Rebecca Harrison, Ximena Levander

School of Social Work Faculty Publications and Presentations

Background: As health profession schools implement addiction curricula, they need survey instruments to evaluate the impact of the educational interventions. However, existing measures do not use current non-stigmatizing language and fail to capture core concepts.

Objective: To develop a brief measure of health profession student readiness to work with people who use drugs (PWUDs) and establish its content validity.

Methods: We conducted a literature review of existing instruments and desired clinical competencies related to providing care to PWUD and used results and expert feedback to create and revise a pool of 72 items. We conducted cognitive interviews …

Shifting Course: Drawing On Feminist Principles To Inform Community-Engaged Teaching In Uncertain Times, Amie Thurber, Sarah V. Suiter, Susan Halverson

School of Social Work Faculty Publications and Presentations

This autoethnographic case study explores teaching community-engaged courses during the onset of COVID-19. As educators who teach applied program evaluation courses at two universities, we consider how principles of feminist community engagement—relationality, border crossing, reflexivity, and disruptive pedagogy (Iverson & James, 2014)—ground our courses. Drawing from instructor reflections, interviews with community partners, students’ written reflections, and course evaluations, we explore how these principles informed our pedagogical response to teaching through the tumultuous spring of 2020, and the degree to which these practices enabled the continued participation of students and community partners. We close with implications for community-engaged teaching in these—and …