Social Work Commons^™

Exploring The Association Of Victimization And Alcohol And Marijuana Use Among American Indian Youth Living On Or Near Reservations: A Mixed Methods Study, Lindsay Nicole Merritt

Dissertations and Theses

Adolescent substance use research has yet to consider victimization as a potential risk factor contributing to alcohol and marijuana use among American Indian youth living on or near reservations, despite the presence of traumatic experiences, childhood adverse events, racism, and discrimination. Contribution to this lack of attention may be due to little being known about American Indian youth victimization. Even less is known about its association with alcohol and marijuana use in general and for those youth living on or near reservations in particular.

This study utilizes mixed methods with a nationally representative sample of American Indian youth living on …

Is Therapy Going To The Dogs? Evaluating Animal Assisted Therapy For Early Identified At-Risk Children, Leah Faith Brookner

Dissertations and Theses

This study explores the historical context of human-animal relationships and examines the important ways that humans benefit from various types of interactions with domesticated animals. Therapeutic approaches that incorporate animals have been shown to have multiple benefits, including improved physical and mental health. Although this area of study is still largely overlooked in scientific fields of study, including social work, Animal Assisted Therapy (AAT) has become increasingly prevalent in various mental health settings. Despite its popularity and anecdotal support, research on the benefits of AAT with children is minimal; there are no studies examining the ways in which this approach …

The Integration Of Early Psychosis Services In A System Of Care Framework: Opportunities, Issues, Tamara G. Sale, Patrice Fetzer, Jennifer Humensky, Megan Baker, Kate Hardy, Douglas Noordsy, Steven Adelsheim

School of Social Work Faculty Publications and Presentations

Since the beginning of the Substance Abuse and Mental Health Services Administration’s Children’s Mental Health Initiative in 1993, the system of care (SOC) framework has provided the foundation for community- based service development in the United States and has focused on improving the lives of children, youth, and young adults who experience the most complex mental health needs and their families. In recent years, with greater understanding of early psychosis, the SOC framework has expanded to include young adults presenting with signs of early psychosis.

The SOC approach brings children, youth, and young adults with Serious Emotional Disturbance (SED)1 and …

Help-Seeking On Facebook Versus More Traditional Sources Of Help: Cross-Sectional Survey Of Military Veterans, Alan R. Teo, Heather E. Marsh, Samuel B.L. Liebow, Jason I. Chen, Christopher W. Forsberg, Christina Nicolaidis, Somnath Saha, Steven K. Dobscha

School of Social Work Faculty Publications and Presentations

Background: The media has devoted significant attention to anecdotes of individuals who post messages on Facebook prior to suicide. However, it is unclear to what extent social media is perceived as a source of help or how it compares to other sources of potential support for mental health problems.

Objective: This study aimed to evaluate the degree to which military veterans with depression use social media for help-seeking in comparison to other more traditional sources of help.

Methods: Cross-sectional self-report survey of 270 adult military veterans with probable major depression. Help-seeking intentions were measured with a modified General Help-Seeking Questionnaire. …

2018 Adult Foster Home: Resident And Community Characteristics Report On Adult Foster Homes, Paula C. Carder, Sheryl Dejoy Elliott, Ozcan Tunalilar

Institute on Aging Publications

Adult foster homes (AFH) are small, residential settings that are licensed to provide assistance to older persons or adults with disabilities. These settings may offer a home-like setting in which residents’ independence, personal choice, and decision-making are promoted. Homes may be licensed for one to five residents and must be staffed 24-hours daily to respond to residents’ scheduled and unscheduled needs or requests. Adult foster homes offer a variety of services, including daily meals, housekeeping and laundry, assistance with personal care needs, medication administration, monitoring of health conditions, communication with residents’ health care providers, and social and recreational activities.

This …

The Role Of Youth-Run Organizations In Improving Services And Systems For Youth And Young Adults: A Commentary On The State Of The Science, Brie Masselli, Johanna Bergan

School of Social Work Faculty Publications and Presentations

The authors of this commentary are part of the leadership team of Youth MOVE National (YMN), a youth-run, chapter-membership organization focused on improving services and systems for youth and young adults by uniting the voices of individuals who have lived experience within those systems. Their perspective on priorities for future research reflects their appreciation of formal research literature, and is complemented by what they have learned through their work with YMN's extensive chapter network, through partnering with service systems and agencies around the nation, and through connecting with young people around the country.

A Screeching Halt: Family Involvement When A Youth With Mental Health Needs Turns 18: Commentary On State Of The Science From A Family Perspective, Janet S. Walker, Malisa Pearson

School of Social Work Faculty Publications and Presentations

The authors of this commentary are part of the leadership team for FREDLA (Family-Run Executive Director Leadership Association). FREDLA serves as the national representative and advocate for family-run organizations and their executive directors, and supports effective stewardship of family-run organizations focused on the well-being of children and youth with mental health, emotional or behavioral challenges and their families. Their perspective on priorities for future research reflects not only their appreciation of formal research literature, but also what they have learned through their work with family-run organizations and through connecting with family members and other caregivers around the country.

Mitigating Early Loss Of Community Participation In Early Psychosis Services: State Of The Science, Tamara G. Sale, Dora M. Raymaker, Mariam Rija, Veronica Gould, Christina Wall, Ryan P. Melton

School of Social Work Faculty Publications and Presentations

In the early stages of treatment for psychosis, community engagement and social networks are threatened through a combination of symptomology and negative messages and reactions from the environment which may result in internalized stigma, disempowerment, and prolonged isolation. While treatment programs attempt to mitigate these factors, ambivalence toward treatment and the basic concept of psychosis, along with difficulty engaging in conversation, make initial engagement more difficult. Self-determination theory and growing recovery literature point to the importance of maintaining a sense of community relatedness and connection, and developing a sense of agency and competence as important to active recovery and retention …

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

School of Social Work Faculty Publications and Presentations

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

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

School of Social Work Faculty Publications and Presentations

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

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

School of Social Work Faculty Publications and Presentations

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

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

School of Social Work Faculty Publications and Presentations

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

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

School of Social Work Faculty Publications and Presentations

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

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

Editorial: Children And Youth In The Era Of Climate Change, Kiaras Gharabaghi, Ben Anderson-Nathe

School of Social Work Faculty Publications and Presentations

Editorial. An editorial is presented on the impact of global warming and climate change on human life, social relations, economic prospects, and ecological health. It expresses the view that young people is changing rapidly as climate change increasingly transitions from a scientific observation. An overview of the challenge of climate change to child and youth serving communities.

Editorial: In A World Of ‘Us’ And ‘Them’: The Case Against Intervention-Focused Research, Kiaras Gharabaghi, Ben Anderson-Nathe

School of Social Work Faculty Publications and Presentations

Editorial. The authors consider the manifestation of "us" and "them" narratives in research on children and youth and on intervention research in child and youth services. They say much of the research is damage-focused despite the best intentions. They mention damaged-centered research written by scholar Eve Tuck in 2009 in the "Harvard Educational Review." The authors add that intervention-based research is blind to the daily life of young people within their self-formed communities.

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

School of Social Work Faculty Publications and Presentations

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

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

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

School of Social Work Faculty Publications and Presentations

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

Editorial: Dismantling Children’S Rights In The Global North, Kiaras Gharabaghi, Ben Anderson-Nathe

School of Social Work Faculty Publications and Presentations

Editorial. The article discusses children's rights in the global North. Topics discussed include responsibility of all states and their governments to protect those rights, need to mitigate infringements on the rights of children and youth, and dependency of children and youth on their families and families are willing to take to provide them with opportunities for health, education and safety.

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

School of Social Work Faculty Publications and Presentations

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

Social Network Enhancement Strategies To Address Limited Support Networks In Young Adulthood: State Of The Science, Jennifer E. Blakeslee

School of Social Work Faculty Publications and Presentations

This review focuses on populations where systems involvement is presumed to impact the size, strength, and supportiveness of social networks, including young people who have experienced out-of-home placement in foster care, juvenile justice, or residential treatment.

2018 Community-Based Care: Resident And Community Characteristics Report On Assisted Living, Residential Care, Memory Care, Paula C. Carder, Ozcan Tunalilar, Sheryl Dejoy Elliott, Sarah Dys

Institute on Aging Publications

This report is the fourth in a series prepared by the Institute on Aging to describe Oregon’s assisted living, residential care and memory care service sectors which are referred to by Oregon Department of Human Services as community-based care (CBC) settings. These settings may also be referred to as Home and Community Based Services (HCBS).

Community-based care settings provide a variety of services, including daily meals, housekeeping and laundry, assistance with personal care needs, medication administration, evaluation, coordination, and monitoring of health conditions, communication with residents’ health care providers, and social and recreational activities. As the population of Oregonians aged …

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

School of Social Work Faculty Publications and Presentations

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

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

School of Social Work Faculty Publications and Presentations

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

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

School of Social Work Faculty Publications and Presentations

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

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

School of Social Work Faculty Publications and Presentations

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

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

School of Social Work Faculty Publications and Presentations

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

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

School of Social Work Faculty Publications and Presentations

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

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

School of Social Work Faculty Publications and Presentations

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

Focal Point, Volume 31, Portland State University. Regional Research Institute

Research and Training Center - Focal Point

Research demonstrates that the prevalence of mental health conditions among justice system involved youth is alarmingly high, coupled with a strong likelihood of multiple traumatic exposures. Unfortunately, while the need for appropriate and timely treatment is acute, the juvenile justice system seems challenged in meeting it. The authors of this issue of Focal Point identify and propose solutions to these challenges with new research findings.

An Analysis Of Oregon Youth Authority Populations: Who Receives Treatment And What Factors Influence Allocation Of Treatment Resources?, Rebecca Arredondo Yazzie

Dissertations and Theses

Service provision in both adult and juvenile correctional settings is an understudied phenomenon. Research has evaluated the use of evidence-based practices (EBP) in the treatment of mental health and substance abuse among adults and juveniles. Young, Farrell, Henderson and Taxman (2009) highlight the role of organizational factors including climate and culture, opportunities for staff training, resources, administrator attitudes and interagency collaboration in the application of EBP in correctional settings. The Oregon Youth Authority (OYA) aims to provide services to youth under the guise of EBP. Literature in the field of juvenile justice is limited in scope in areas of organizational …