Social Work Commons^™

Assessing Refugees' Multidimensional Poverty In The United States, Mitra Naseh, Miriam Potocky, Shanna L. L. Burke, Paul H. Stuart, Fatma Huffman

School of Social Work Faculty Publications and Presentations

Background: This study is among the first to calculate refugee poverty using the capability approach in the United States. The concept is novel as it avoids limitations of the monetary approach to poverty and provides a more comprehensive perspective on multiple deprivations that refugees might experience within their first five years of arrival to the United States. As the majority of refugees flee war or conflict-affected areas, they frequently escape with limited assets (Jacobsen, 2005; Potocky & Naseh, 2019). Often they spend their last resources on paying the smugglers to reach safety (Jacobsen, 2005) and arrive to host countries with …

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

School of Social Work Faculty Publications and Presentations

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

Easa Connections: Community-Based Participatory Research To Develop A Peer-Based Early Psychosis Web Resource With Young Adults, Dora Raymaker, Tamara G. Sale, Mariam Rija, Nicholas Buekea, Nybelle Caruso, Ryan P. Melton, Natalie Cohrs, Veronica Gould, Christina Wall, Mirah L. Scharer

School of Social Work Faculty Publications and Presentations

Young adults (YA) who have experienced early psychosis (EP) have valuable information about their recovery process yet are often left out of research. We used a community-based participatory research (CBPR) approach in partnership with the Early Assessment and Support Alliance (EASA) EP program and Portland State University to develop a peer-driven, web-based, recovery resource.We used our CBPR process to collaboratively develop the resource and conducted an iterative usability study to test and refine it. The resource was well-received and accessible. YA partners emphasize the importance of being prepared to learn about research and one’s self, being open to new experiences, …

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

School of Social Work Faculty Publications and Presentations

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

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

School of Social Work Faculty Publications and Presentations

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

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

School of Social Work Faculty Publications and Presentations

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

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

School of Social Work Faculty Publications and Presentations

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

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

School of Social Work Faculty Publications and Presentations

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

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

School of Social Work Faculty Publications and Presentations

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

Inpatient Addiction Medicine Consultation And Post-Hospital Substance Use Disorder Treatment Engagement: A Propensity-Matched Analysis, Honora Englander, Konrad Dobbertin, Bonnie K. Lind, Christina Nicolaidis, Peter Graven, Claire Dorfman, Todd Korthius

School of Social Work Faculty Publications and Presentations

Background

Hospitalizations due to medical and surgical complications of substance use disorder (SUD) are rising. Most hospitals lack systems to treat SUD, and most people with SUD do not engage in treatment after discharge.

Objective

Determine the effect of a hospital-based addiction medicine consult service, the Improving Addiction Care Team (IMPACT), on post-hospital SUD treatment engagement.

Design

Cohort study using multivariable analysis of Oregon Medicaid claims comparing IMPACT patients with propensity-matched controls.

Participants

18–64-year-old Oregon Medicaid beneficiaries with SUD, hospitalized at an Oregon hospital between July 1, 2015, and September 30, 2016. IMPACT patients (n = 208) were matched …

Support From Inside Out: Exploring Whether Various Social Supports Assist In Reducing Prison Rule Violations, Sarah Renee Lazzari

Dissertations and Theses

Scholars argue that prison rule violations are a way to assess whether individuals are engaging in prosocial behaviors. Individuals who engage in prosocial behaviors, during periods of incarceration, are less likely to engage in behaviors that result in official rule violations. Decreasing rule violations is one way to work towards a safer prison environment, while also preparing individuals for release. The current study uses cross-sectional data form the 2004 Survey of Inmates in State and Federal Facilities, in order to examine whether multiple types of prisons programs, which will be framed as various types of social supports, influence the frequency …

Attrition And Psychotherapy, Jesse Barrington Homan

Dissertations and Theses

Attrition in psychotherapy, also known as dropout, is a problem that affects clients who terminate, their families, therapists, mental health systems, and the overall community. Research on attrition is vast. However, the majority of this research has been done post hoc, relied on quantitative methods, and looked primarily at client demographic variables as the predictors of attrition. This has resulted in inconsistent findings, offers little to no useful information about attrition, and appears to blame clients for failed therapy. There has been little research on attrition from the perspective of clients who terminate. This study was designed to answer the …

"I Wouldn't Know Where To Start": Perspectives From Clinicians, Agency Leaders, And Autistic Adults On Improving Community Mental Health Services For Autistic Adults, Brenna B. Maddox, Samantha Crabbe, Rinad S. Beidas, Lauren Brookman-Frazee, Carolyn Cannuscio, Judith Miller, Christina Nicolaidis, David Mandell

School of Social Work Faculty Publications and Presentations

Most autistic adults struggle with mental health problems, and traditional mental health services generally do not meet their needs. This study used qualitative methods to identify ways to improve community mental health services for autistic adults for treatment of their co-occurring psychiatric conditions. We conducted semistructured, open-ended interviews with 22 autistic adults with mental healthcare experience, 44 community mental health clinicians, and 11 community mental health agency leaders in the United States. The participants identified clinician-, client-, and systems-level barriers and facilitators to providing quality mental healthcare to autistic adults. Across all three stakeholder groups, most of the reported barriers …

Recommendations For Integrating Peer Mentors In Hospital-Based Addiction Care, Honora Englander, Jessica Gregg, Janie Gullickson, Onesha Cochran-Dumas, Chris Colasurdo, Juliet Alla, Devin Collins, Christina Nicolaidis

School of Social Work Faculty Publications and Presentations

Legislators and health systems have recently begun to explore the use of peer mentors as part of hospital-based addiction teams. Integrating peers into hospitals is a complex undertaking still in its infancy. Peers’ lived experience of addiction and its consequences, combined with their distance from medical culture and hierarchy, is at the core of their power – and creates inherent challenges in integrating peers into hospital settings. Successful integration of peers in hospitals has unique challenges for individual providers, health systems, and the peers themselves. We have included peers as part of a hospital-based addiction medicine team at our hospital …

Factors Influencing Attrition In 35 Alzheimer’S Disease Centers Across The Usa: A Longitudinal Examination Of The National Alzheimer’S Coordinating Center’S Uniform Data Set, Shanna L. Burke, Tianyan Hu, Mitra Naseh, Nicole Fava, Janice O’Driscoll, Daniel Alvarez, Linda Cottler, Ranjan Duara

School of Social Work Faculty Publications and Presentations

Objective: A lack of understanding of the causes of attrition in longitudinal studies of older adults may lead to higher attrition rates and bias longitudinal study results. In longitudinal epidemiological studies of Alzheimer’s disease and related dementias, high rates of attrition may cause a systematic underestimation of dementia prevalence and skew the characterization of the disease. This can compromise the generalizability of the study results and any inferences based on the surviving sample may grossly misrepresent the importance of the risk factors for dementia. The National Institute on Aging outlined a National Strategy for Recruitment and Participation in Alzheimer’s Disease …

Upstream Predictors Of The Need For Developmental Education Among First-Year Community College Students, Mathew C. Uretsky, Stacey L. Shipe, Angela K. Henneberger

School of Social Work Faculty Publications and Presentations

Objective/Research Question. How do student- and school-level factors measured in the final year of high school contribute to the odds of a student being assessed to need remediation in Math during the students’ first community college enrollment? Methods. The present study draws on five years of linked secondary and post-secondary administrative records and includes the academic records for 18,814 students attending 228 high schools across 24 jurisdictions in Maryland. We used a series of multilevel models (MLM) to address the research question. Results. Using MLM, we identified both student and school-level factors, drawn from the final year of high school, …

Amp’S Top Ten Tips For Engaging With Young People, Research And Training Center For Pathways To Positive Futures, Portland State University

School of Social Work Faculty Publications and Presentations

This tip sheet advises service providers and others how to engage successfully with youth, using specific examples to illustrate effective (and ineffective) communication.

Interrogating The Construction And Representations Of Criminalized Women In The Academic Social Work Literature: A Critical Discourse Analysis, Sandra Marie Leotti

Dissertations and Theses

In the United States today, there are 2.3 million people behind bars in jails and prisons. Mass incarceration has swept up the United States to such a degree that we are known globally for holding more people in correctional facilities than any other country in the world. Although women have always, and still do, reflect a smaller proportion of the correctional population, over the last 40 years, their rates of criminalization and imprisonment have far outpaced that of men's. Drastic increases in the criminalization of women are intimately connected to the entrenchment of social disadvantage enabled under neoliberal globalization. Neoliberal …

Fuse: People With Frequent Utilization Of Public Services In Clackamas County, Oregon: Potential Service Enhancements, Karen Cellarius, Marisa Zapata, Eric Einspruch, Cameron Mulder, Thuan Duong, Aliza Tuttle

Homelessness Research & Action Collaborative Publications and Presentations

The goal of this study was to answer five very specific questions about individuals with high service utilization and the systems that serve them. The data for this study comes from administrative system data, informational conversations and meetings with community partners, formal interviews with service providers, and interviews with consumers with frequent service utilization.

Limitations: The rates of mental illness, addiction and homelessness are likely to be higher than they appear in this report due to the way these characteristics were gathered or recorded in system databases. Historically marginalized populations are increasingly underrepresented in datasets.

Training Needs Of Peer And Non-Peer Transition Service Providers: Results Of A National Survey, Pauline Jivanjee, Leigh Grover, Kristin Thorp, Brie Masselli, Johanna Bergan, Eileen Brennan

School of Social Work Faculty Publications and Presentations

Participatory action research processes guided a national online survey of service providers working with transition age youth with mental health challenges. The survey investigated transition service providers’ ratings of the importance of competencies and skills, self-assessed need for training in these competencies and skills, their preferred training modalities, and obstacles to engaging in training. The 254 participants identified trauma-informed care, understanding youth culture, promoting natural supports, and using culturally responsive practices as most important training needs. Age, years in current job, years in transition work, and race/ethnicity predicted training needs regarding some competencies and skills. Peer providers expressed preferences for …

Rethinking Services With Communities Of Color: Why Culturally Specific Organizations Are The Preferred Service Delivery Model, Ann Curry-Stevens, Gerald Deloney, Matt Morton

School of Social Work Faculty Publications and Presentations

Racial disparities in social, education and health services continue unabated despite efforts to address them. At the margins of the service delivery system are lesser-known and minimally researched programs known as “culturally specific organizations” that have been developed by and with communities of color. These are organizations that have been developed by a specific community of color and continue to serve that same community of color. This article shares the insights of three leaders in racial equity, who have been immersed in Portland-based organizations for many years: two as organizational leaders and one as an academic research partner. The paper …

Confronting Gentrification: Can Creative Interventions Help People Keep More Than Just Their Homes?, Amie Thurber, Janine Christiano

School of Social Work Faculty Publications and Presentations

Gentrification is changing the landscape of many American cities. As land values rise, people may lose their homes, neighbors, and sites of significance, along with their sense of place, community, and history. There is a critical need to build and preserve affordable housing, yet housing alone will not address the more than material losses. What role can the arts play in sustaining place attachments, restoring relationships, and building place knowledge in gentrifying neighborhoods? This paper explores this question through a systematic review of current research. We identify four prominent alternative interventions in gentrifying neighborhoods—creative placemaking, public pedagogy, community organizing, and …

Dementia-Related Neuropsychological Testing Considerations In Non-Hispanic White And Latino/Hispanic Populations, Shanna L. Burke, Mitra Naseh, Miriam Rodriguez, Aaron Burgess, David Loewenstein

School of Social Work Faculty Publications and Presentations

Hispanic individuals are at greater risk for health disparities, less than optimal health care, and are diagnosed at later stages of cognitive impairment than white non-Hispanics. Acculturation and different attitudes toward test-taking may result in decrements in performance, especially on unfamiliar measures that emphasize speed and accuracy. Non-Hispanic individuals often outperform Hispanic individuals on cognitive and neuropsychological measures in community and clinical populations. Current neuropsychological testing may not provide accurate data related to monolingual and bilingual individuals of Hispanic descent. Testing instruments were identified by searching academic databases using combinations of relevant search terms. Neuropsychological instruments were included if they …

Uprooting: How Can I Ethically Sell My Home In A Gentrifying Neighborhood?, Amie Thurber

School of Social Work Faculty Publications and Presentations

In areas that are rapidly gentrifying, the decisions sellers make—to whom to sell, and for how much to sell—are of particular consequence to their neighborhood. As someone who studies the myriad harms of gentrification, these decisions were particularly acute when I was facing them myself. Interweaving Nashville history, gentrification scholarship, and personal reflection, this article traces the ways my family navigated the question of how ethically to sell our home in a gentrifying market in order to be accountable to the neighborhoods we left behind.

Using “Remote” Training And Coaching To Increase Providers’ Skills For Working Effectively With Older Youth And Young Adults With Serious Mental Health Conditions, Janet S. Walker, Caitlin Baird

School of Social Work Faculty Publications and Presentations

Since about the turn of the century, a growing awareness of the poor outcomes resulting from “as usual” community mental health care has led to increasing efforts to implement programs and interventions with empirical evidence of effectiveness. However, these efforts have encountered numerous barriers, in particular the high cost of implementation, which has severely limited uptake and sustainment of empiricallysupported programs and interventions. Typically, the largest contributor to cost is the training and coaching required to ensure provider competence and fidelity to the intervention or program model. This paper describes a social innovation that aims to provide high-quality training and …

The Aaspire Practice-Based Guidelines For The Inclusion Of Autistic Adults In Research As Co-Researchers And Study Participants, Christina Nicolaidis, Dora M. Raymaker, Steven K. Kapp, Amelia E.V. Baggs, Elesia Ashkenazy, Katherine E. Mcdonald, Michael Weiner, Joelle Maslak, Morrigan Hunter, Andrea Joyce

School of Social Work Faculty Publications and Presentations

As interest in autism in adulthood grows, so does the need for methods to promote the inclusion of autistic adults in research. Our objective was to create practice-based guidelines for the inclusion of autistic adults, both as research team members and as study participants. We conducted an institutional ethnography of three closely related research partnerships that used participatory methods with autistic adults over the years 2006–2018. We used an iterative approach which combined discussions with community and academic partners and artifact review. Guidelines to promote the inclusion of autistic adults as co-researchers focus on being transparent about partnership goals, clearly …

What Works In Education In Emergencies: Co-Researching And Co-Authoring, Staci B. Martin, Vestine L. Umubyeyi

School of Social Work Faculty Publications and Presentations

The purpose of our paper is to explore how innovative community-based action approaches such as co-researching, co-authoring, and co-presenting with participants-as-researchers, can deepen our understanding of ‘what works’ in education in emergencies (EiE). Our paper will offer insight into how co-researching supports participants in their self-determination, agency and creates space for them to speak for themselves, something that is often missing in research.

Data Needs For Children With Special Needs In Refugee Populations, Serra Acar, Ozden Pinar-Irmak, Staci B. Martin

School of Social Work Faculty Publications and Presentations

This article examines the challenges that affect the identification and assessment of refugee children with special needs in Turkey and provides recommendations related to data collection and assessment of these learners that is broadly relevant in refugee settings.

Important Information For Parents And Friends Of Young People Experiencing Psychosis: Lessons Learned From Young Adult Graduates Of Easa, Dora Raymaker, Mariam Rija, Tamara G. Sale, Christina Wall, Natalie Cohrs, Veronica Gould

School of Social Work Faculty Publications and Presentations

This tip sheet, created with input of young adult graduates of the EASA program, offers tips for supporting a young person experiencing psychosis. Topics covered include improving communication, promoting recovery, and family self-care.

Physical And Emotional Sibling Violence And Child Welfare: A Critical Realist Exploratory Study, Katherine Elizabeth Winters

Dissertations and Theses

Sibling violence is a pervasive, yet poorly understood and substantially underreported phenomenon. Currently recognized as the most common form of intra-familial abuse, various estimates suggest that 30 percent or more of children in the general population experience severe acts of violence inflicted by a sibling each year.

Given that many young people in the child welfare system experience the family conditions associated with abusive sibling violence, recent publications have implored child welfare to embrace the notion that it is a form of child maltreatment. Practitioners and policymakers have yet to reach agreement on what constitutes physical or emotional abuse between …