Social Work Commons^™

Youth & Young Adult Peer Support: What Research Tells Us About Its Effectiveness In Mental Health Services, Sharice Jackson, Janet S. Walker, Celeste Seibel

School of Social Work Faculty Publications and Presentations

Increasing the availability of peer support for youth and young adults with serious mental health conditions has been advocated by service users, researchers, and government commissions. Efforts to provide peer support for young people are becoming more and more common. This FAQ describes the research evidence for peer support, as well as some of the challenges that can be expected when peer support is implemented.

Community Assessment Of African Maternal Health In The Portland Region: Drivers For Community, Health Services And Institutional Change, Marie-Elena Reyes, Ann Curry-Stevens

Center to Advance Racial Equity Publications and Reports

This community needs assessment surfaces a range of health priorities faced by the African community. While the scope of the study is limited by time and resources, and strategically focused on maternal health, there are a wider set of upstream and downstream health challenges that impede the community’s wellbeing. We encourage policy makers to remember these whenever health policies, and in fact all manner of policies and programs tied to the social determinants of health, are being considered.

The main body of this report contains the insights of the 56 African women who participated in six focus groups. Their voices …

Strengths In Action: Implementing A Learning Organization Model In A Human Service Setting, Barbara Ann Whitbeck

Dissertations and Theses

Although learning organization theory evolved in corporate settings, literature suggests that the theory has much to offer human service organizations. This dissertation examines the implementation of a modified learning organization model in three small field offices of a publicly-funded vocational rehabilitation organization in the Pacific Northwest, at a time when the organization was negotiating financial cutbacks and organizational changes. The model - known as Strengths in Action - was based on Senge's five learning organization disciplines, and informed by organizational culture theory. In each participating office, all staff worked together to set a goal, make a plan, and achieve the …

Understanding Sexual Assault Survivors' Willingness To Participate In The Judicial System, Mildred Ann Davis

Dissertations and Theses

This dissertation examined the relationship between support services for adult survivors of sexual assault and judicial outcomes. Specifically, this study explored survivors' willingness to participate in the judicial process. Although "victim unwilling to participate" is the primary reason given by the police for cases not progressing to prosecution, we know little about most aspects of survivors' willingness to participate in the judicial process, especially beyond initial reporting of the assault. The steps to prosecution are dependent on one another yet a survivor's willingness to participate in these steps is a fluid process. The primary research question explored was Are there …

Evaluation Of The Start Making A Reader Today (Smart), Beth L. Green, Amanda Cross-Hemmer, Lorelei Mitchell

Early Childhood

The goal of the Start Making a Reader Today (SMART) program is to support young children to develop early reading and literacy skills, as well as to increase their interest, confidence, and enthusiasm about reading. SMART pairs trained adult volunteers with PreK-3 rd grade children, primarily in schools serving significant proportions of low-income families. Thus, SMART augments the one-on-one reading support available in typical elementary schools. Volunteers read to children for 30 minutes, either once or twice a week, and provide books that children can take home and keep for themselves. Prior evaluation research (Baker, Gersten, & Keating, 2000) found …

Conceptualization Of Autism In The Latino Community And Its Relationship With Early Diagnosis, Katharine E. Zuckerman, Brianna Sinche, Martiza Cobian, Marlene Cervantes, Angie Mejia, Thomas Becker, Christina Nicolaidis

School of Social Work Faculty Publications and Presentations

Objective—Early identification of autism spectrum disorders (ASD) has been linked to improved long-term developmental outcomes. However, Latino children are diagnosed later than white non- Latino children. We aimed to qualitatively assess the understanding and conceptualization of ASD in the Latino community in order to understand potential community barriers to early diagnosis.

Method—We conducted 5 focus groups and 4 qualitative interviews with 30 parents of typicallydeveloping Latino children in Oregon. Participants were asked structured questions concerning video vignettes that follow a Latina mother from the time she begins to worry about her 3-year-old son's behaviors to the time he receives an …

Structural Factors That Increase Hiv/Sti Vulnerability Among Indigenous People In The Peruvian Amazon, E. Roberto Orellana, Isaac E. Alva, Cesar P. Cárcamo, Patricia J. García

School of Social Work Faculty Publications and Presentations

We examined structural factors—social, political, economic, and environmental—that increase vulnerability to HIV among indigenous people in the Peruvian Amazon. Indigenous adults belonging to 12 different ethnic groups were purposively recruited in four Amazonian river ports and 16 indigenous villages. Qualitative data revealed a complex set of structural factors that give rise to environments of risk where health is constantly challenged. Ferryboats that cross Amazonian rivers are settings where unprotected sex—including transactional sex between passengers and boat crew and commercial sex work—often take place. Population mobility and mixing also occurs in settings like the river docks, mining sites, and other resource …

Housing With Services: Year 1 Evaluation, October 2014, Paula C. Carder

Institute on Aging Publications

This report describes the initial findings of an on-going evaluation of the Housing with Services project based in Portland, OR. Housing with Services was supported, in part, with funding from Oregon’s State Innovation Model (SIM) project grant from the Center for Medicare and Medicaid Innovations to Cedar Sinai Park.

Housing with Services, LLC is a collaborative model of supportive services delivered or made available to low-income residents of affordable housing. The SIM grant helped to establish the project and funded the evaluation of the program implementation and resident- and system-level outcomes.

The collaborative model includes partnerships between health plans, coordinated …

The Relationship Between Mindfulness And Burnout Among Master Of Social Work Students, Jolanta Maria Piatkowska

Dissertations and Theses

Social work students frequently endure elevated levels of prolonged stress and psychological affliction that might result in serious consequences, such as development of burnout. Some experts suggest that burnout originates in the exposure to chronic interpersonal stressors in the work environment. Yet, there is emerging evidence suggesting that mindfulness practice might be beneficial in alleviating stress. Thus, the purpose of this exploratory study was to examine the relationship between mindfulness and burnout among Master of Social Work students. Burnout, mindfulness, religiosity, spirituality and their potential relationship were discussed and related to previous scholarly literature. Specifically, this study focused on testing …

Senior Mental Health Specialist Investment, Diana L. White, Linda Dreyer, Julie Reynolds, Alice Updike Scannell, Serena Worthington

Institute on Aging Publications

Participants: Thirty-five informants were interviewed or completed a survey for this report. They represented the Budget Note Workgroup and others identified by workgroup members. Informants represented aging services, mental health, advocacy, and other sectors such as long-term care, quality improvement, and health/medical care. Both those with a statewide focus and those with a local agency or community focus participated, including people from rural areas of the state.

The Problem: According to informants, mental health needs of older adults are not being met because:

• Systems are fragmented. The organizations that could address these needs work in silos with different funding priorities, …

Strengthening A Social Justice Lens For Addictions Practice: Exploration, Reflections, Possibilities And A Challenge To Our Shared Work To Promote Recovery Among The Most Vulnerable, Laura Burney Nissen

School of Social Work Faculty Publications and Presentations

Addiction is commonly conceptualized as a personal problem, a family problem, a neighborhood problem, a community problem, and even a social problem. But how might addiction be understood as a social justice problem?

Substance abuse problems, addictions, and addiction treatment and the related preparation of professionals to fill its treatment ranks exist within an ideological and political infrastructure. Issues of social justice are often conspicuously absent as a primary consideration of the experience of people seeking treatment (acknowledging the treatment gap that impacts some people more than others), for communities ravaged by addiction (acknowledging that some communities are affected more …

Focal Point, Volume 28, Portland State University. Regional Research Institute

Research and Training Center - Focal Point

Between one–third and one–half of young adults with mental health challenges have co-occurring substance use issues. This issue of Focal Point examines treatments and supports for this population.

Getting Performance Metrics Right: A Qualitative Study Of Staff Experiences Implementing And Measuring Practice Transformation, Devan Kansagara, Anaïs Tuepker, Sandy Joos, Christina Nicolaidis, Eleni Skaperdas, David H. Hickam

School of Social Work Faculty Publications and Presentations

BACKGROUND: Quality improvement is a central goal of the patient-centered medical home (PCMH) model, and requires the use of relevant performance measures that can effectively guide comprehensive care improvements. Existing literature suggests performance measurement can lead to improvements in care quality, but may also promote practices that are detrimental to patient care. Staff perceptions of performance metric implementation have not been well-researched in medical home settings.

OBJECTIVE: To describe primary care staff (clinicians and other staff) experiences with the use of performance metrics during the implementation of the Veterans Health Administration’s (VHA) Patient Aligned Care Team (PACT) model of care. …

Treating Young People With Co-Occurring Disorders: What Works?, Molly Oberweiser Kennedy, L. Kris Gowen

School of Social Work Faculty Publications and Presentations

Youth with substance use disorders often also face mental health challenges. Two recent studies analyzed two different treatment approaches for co-occurring substance use and mental health disorders: (1) a standardized therapy approach and (2) 12-step support groups, as modalities for effectively treating and continuing positive outcomes for young people with co-occurring mental health and substance use issues. The findings from these studies are summarized below.

Examining Racial Disparities In Beaverton, Alexis D. R. Ball

Center to Advance Racial Equity Publications and Reports

Examining Racial Disparities in Beaverton aims to assist the City of Beaverton’s Diversity Advisory Board in understanding the current state of Beaverton’s communities of color as they work to create a “Diversity, Equity & Inclusion Plan.” It synthesizes and analyzes available data to describe racial disparities in Beaverton, Oregon through the use of raw data and secondary analysis, reports and communications from the City of Beaverton, and expert interviews. The presentation of data emphasizes a comparison of outcomes for communities of color and the white community with the purpose of highlighting common experiences across communities of color and demonstrating urgency …

A Habitable Madness: Inclusion Of Feminist Thought In The Development Of Mad Theory, Casadi "Khaki" Marino

Student Research Symposium

Objectives: Mad theory is in the early stages of development. This paper draws on disability studies and feminist thought in theorizing models of madness.

Methods: This paper explores the available literature in order to explore the contribution of feminism to mad theory.

Results: Disability studies have challenged hegemonic concepts of normality and the definition of disability as individual deficit. Disability becomes framed as a social construction involving power relations. Feminist perspectives on disability honor lived experience and human variation. In feminist thought, different ways of being are valued and people are recognized as equal in terms of …

Motivational Interviewing At The Intersections Of Depression And Intimate Partner Violence Among African American Women, Stéphanie Wahab, Jammie Trimble, Angie Mejia, S. Renee Mitchell, Mary Jo Thomas, Vanessa Timmons, A. Star Waters, Dora Raymaker, Christina Nicolaidis

School of Social Work Faculty Publications and Presentations

This article focuses on design, training, and delivery of a culturally-tailored, multi-faceted intervention which used motivational interviewing (MI) and case management to reduce depression severity among African American survivors of intimate partner violence (IPV). We present the details of the intervention and discuss its implementation as a means of creating and providing culturally appropriate depression and violence services to African American women. We used a CBPR approach to develop and evaluate the multi-faceted intervention. As part of the evaluation, we collected process measures about the use of MI, assessed MI fidelity, and interviewed participants about their experiences with the program.

The Effect Of Early Head Start On Child Welfare System Involvement: A First Look At Longitudinal Child Maltreatment Outcomes, Beth L. Green, Catherine Ayoub, Jessica Dym Bartlett, Adam Von Ende, Carrie Jeanne Furrer, Rachel Chazen-Cohen, Claire Vallotton, Joanne Klevens

Center for Improvement of Child and Family Services Publications

The high societal and personal costs of child maltreatment make identification of effective early prevention programs a high research priority. Early Head Start (EHS), a dual generational program serving low-income families with children prenatally through age three years, is one of the largest federally funded programs for infants and toddlers in the United States. A national randomized trial found EHS to be effective in improving parent and child outcomes, but its effectiveness in reducing child maltreatment was not assessed. The current study used administrative data from state child welfare agencies to examine the impact of EHS on documented abuse and …

Alcohol And Drug Prevention, Intervention, And Treatment Literature: A Bibliography For Best Practices, Laura Burney Nissen

School of Social Work Faculty Publications and Presentations

Addictions remain a persistent challenge to mental health practice. There is a need for mental health educators, students, and practitioners to be aware of, critique, contribute to, and, where relevant, utilize emerging scholarly literature to inform their intervention strategies. This comprehensive addictions bibliography draws from a wide variety of sources, perspectives, and ideologies to hasten the rate at which academics and practitioners can more meaningfully participate in this rapidly developing field of practice.

Under What Conditions Does Caseworker-Caregiver Racial/Ethnic Similarity Matter For Housing Service Provision? An Application Of Representative Bureaucracy Theory, Jennifer E. Blakeslee, Emmeline Chuang, Alicia Bunger, Bowen Mcbeath

School of Social Work Faculty Publications and Presentations

In this article, we examine child welfare caseworkers’ housing-related service strategies when they serve culturally similar versus culturally dissimilar clients. Testing hypotheses drawn from representative bureaucracy theory and using data from the second cohort of the National Survey of Child and AdolescentWell-Being, we find that when non-Caucasian caseworkers share the same racial/ethnic background as caregivers, caseworkers use more active strategies to connect caregivers to needed housing services. The relationship between racial/ethnic matching and frontline workers’ repertoire of service strategies is most pronounced when the need for housing has been registered formally via referrals and case plans and thus legitimated institutionally. …

A Case Example Of The Acyf’S Well-Being Framework: The Kansas Intensive Permanency Project, Becci A. Akin, Stephanie A. Bryson, Thomas P. Mcdonald, Charles Wilson

School of Social Work Faculty Publications and Presentations

This series of papers, Integrating Safety, Permanency and Well-Being in Child Welfare, describes how a more fully integrated and developmentally specific approach in child welfare could improve both child and system level outcomes. The papers were developed to further the national dialogue on how to more effectively integrate an emphasis on well-being into the goal of achieving safety, permanency and well-being for every child.

The third paper, A Case Example of the Administration on Children, Youth and Families’ Well-Being Framework: KIPP (Akin, Bryson, McDonald, and Wilson), presents a case study of the Kansas Intensive Permanency Project and describes how it …

How Disparities Research Can Influence Public Policy, Ann Curry-Stevens

School of Social Work Faculty Publications and Presentations

Presentation providing a overview of the partnered research between the Coalition of Communities of Color and Portland State University.

Protocol For Culturally Responsive Organizations, Ann Curry-Stevens, Marie-Elena Reyes, Coalition Of Communities Of Color

Center to Advance Racial Equity Publications and Reports

Communities of color have long been marginalized in mainstream service delivery – invisible in terms of their access to resources and services, the adequacy of such services, and in the types of interventions available to members of the community. When available, organizations have been ripe with inequitable outcomes. Today, greater attention to racial equity exists, with local leaders of color having been able to leverage influence to ensure that stronger accountability exists among mainstream organizations in terms of how well communities of color are served, with heightened emphasis on the cultural responsiveness of the entire organization. At the request of …

Protocol For Culturally Responsive Organizations: Literature Review And Standards For Performance, Marie-Elena Reyes, Ann Curry-Stevens

Center to Advance Racial Equity Publications and Reports

At the request of the Coalition of Communities of Color, the Center to Advance Racial Equity (CARE) was asked to assist in the development of a Protocol for Culturally Responsive Organizations (also called the Protocol) that it would use to improve the quality of services available to communities of color in mainstream health and human services. To achieve this, we have researched the literature available that provides evidence of the effectiveness of various interventions. Priority has been given to the literatures on culturally-responsive service delivery (which has been thin) and culturally-competent services (which while abundantly written about, relatively little exists …

Resident And Community Characteristics Report 2014: Assisted Living, Residential Care, Memory Care, Paula C. Carder, Jacklyn Nicole Kohon, Aubrey Limburg, Maximilian West, Amanuel Zimam, Kenneth Gordon Neal

Institute on Aging Publications

This report provides an overview of community-based care settings in Oregon. The results presented here are derived from surveys completed by 243 facilities serving 9,485 residents. Key changes between the 2008 OOHPR survey and 2014 include:

• Compared to 2008, the number of facilities increased by 13%, with the largest growth in MCCs (41%).
• The proportion of for-profit facilities and facilities managed by a third party increased from 2008 by 8%.
• The acuity level of residents increased on most measures compared to 2008.
• Compared to 2008, residents across all three community types required more assistance with ADLs and used more health …

Expanding The Circle: People Who Care About Ending Racism. We Need Your Help, Ann Curry-Stevens

School of Social Work Faculty Publications and Presentations

This 24-page booklet is a collection of tools and resources that are designed to assist white learners understand our racist history and the details of 21st century racism in Canada.

Drawing often from tools of educators in Canada and in the USA, the booklet is designed to take learners through a journey of self-discovery, gently asking probing questions and helping white learners come to understand the ways in which they both gain and lose through racism.

It concludes with several sections on taking action – learning ways in which white people can stand in solidarity with people of colour and …

The Slavic Community In Multnomah County: An Unsettling Profile, Ann Curry-Stevens, Coalition Of Communities Of Color

School of Social Work Faculty Publications and Presentations

This report details the experiences of the Slavic community in Multnomah County. The Slavic community is defined as those from the former Soviet Union. It is the largest refugee-based community in Oregon, with most arriving in the decade from 1990 to 2000. Conventional definitions of the Slavic community are to define them as White. In the vast majority of datasets, it is not possible to extract the Slavic community as ancestry or language data have not been collected. To address the shortage of data on the community, we included a qualitative research study to extend our understanding of the community’s …

The African American Community In Multnomah County: An Unsettling Profile, Lisa K. Bates, Ann Curry-Stevens, Coalition Of Communities Of Color

School of Social Work Faculty Publications and Presentations

This report covers topics of importance for the African-American community, highlighting critical areas of disparity and disproportionate representation. The areas of analysis include: economic opportunity, housing and neighborhoods, education, health, child welfare, the criminal justice system, and civic engagement. In each area, we provide history and context, followed by data analysis that demonstrates the extent of racial disparity.

Taken together, the data on inequities show a community facing real and persistent challenges. These data point to a need for fundamental change and help to focus attention on some key drivers of that change. The depth and breadth of disparities profiled …

Primary Care For Adults On The Autism Spectrum, Christina Nicolaidis, Clarissa Kripke, Dora Raymaker

School of Social Work Faculty Publications and Presentations

The autistic population is very heterogeneous; individuals’ skills or challenges fall along spectra on multiple axes (spoken language, written communication, ability to perform activities of daily living, need for consistency, sensory sensitivity, emotional regulation, and so forth) and can change depending on environmental stimuli, supports, and stressors. Autistic adults have increased rates of chronic medical illnesses, including epilepsy, gastrointestinal disorders, feeding and nutritional problems, metabolic syndrome, anxiety, depression, and sleep disturbances, and greater exposure to violence and abuse. Clinicians may improve quality of life by recommending accommodations, assistive technologies, therapies to improve adaptive function or communication, and caregiver training, and …

Latino Parents' Perspectives On Barriers To Autism Diagnosis, Katharine Zuckerman, Brianna Sinche, Angie Pamela Mejia, Martiza Cobian, Thomas Becker, Christina Nicolaidis

School of Social Work Faculty Publications and Presentations

Recent estimates suggest that Autism Spectrum Disorders (ASDs) affect more than 1% of U.S. children over age 3, and rates ASD diagnosis may be increasing.1 ASDs can be reliably diagnosed,2 and early diagnosis is associated with improved long-term developmental and family outcomes.3 However, many children meeting ASD diagnostic criteria are never diagnosed4 or are diagnosed years after onset of symptoms.4,5 Delayed diagnosis is a particular problem among Latino children:6,7 Latino children receive a diagnosis of an ASD 2.5 years later than white non-Latino children.8 Latino children are also less likely to carry an ASD diagnosis; however, when diagnosed, they are …