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2023

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Full-Text Articles in Social Work

“Walk The Walk”: A Narrative Inquiry Of Social Work Educators’ Participation In Social Movements For Racial Justice, Jessica R. Williams Aug 2023

“Walk The Walk”: A Narrative Inquiry Of Social Work Educators’ Participation In Social Movements For Racial Justice, Jessica R. Williams

Social Work Dissertations - Archive

The profession of social work has a long-standing history of social movement contribution, including in recent times. The May 2020 murder of George Floyd was an international flashpoint for global protests demanding racial justice, including within the US criminal justice system. Using Narrative Inquiry, the present study explored the stories of social work educators’ participation in current social movements for racial justice. Results from this study indicate that contemporary social work educators value a variety of social movement contributions, including protesting, community organizing, and incorporation of anti-racism in social work education. The participants of this study highlighted the importance of …


The Impacts Of Tf-Cbt For Child And Adolescent Survivors Of Sexual Abuse: A Systematic Review, Melissa Leap Aug 2023

The Impacts Of Tf-Cbt For Child And Adolescent Survivors Of Sexual Abuse: A Systematic Review, Melissa Leap

Social Work Theses - Archive

The purpose of this systematic review is to expand on previous literature by examining the treatment impacts of TF-CBT on the specific population of child and adolescent survivors of sexual abuse. The review analyzed peer-reviewed journal articles from the years of 1991-2023. Using the software tool Covidence, 551 studies were initially imported, following thorough review by the first author, the final sample consisted of 16 studies. The results of the review are presented in three categories: studies without comparison groups, studies with comparison groups, and studies analyzing treatment components. All three categories reported significant improvements for outcome measures such as …


Reentry Services In Non-Urban Counties In Texas: A Directed Content Analysis Of Reentry Provider Websites, Monica Canizares Aug 2023

Reentry Services In Non-Urban Counties In Texas: A Directed Content Analysis Of Reentry Provider Websites, Monica Canizares

Social Work Theses - Archive

Health, social, and justice outcomes for returning residents after incarceration are concerning, with implications for service providers, especially in non-urban areas. Texas has made efforts to reduce its incarcerated population, but more attention is necessary to improve outcomes for returning residents. The state is only able to offer services to a small number of returning residents, and non-profit organizations are filling the gap of reentry service provision. This study aimed to understand what services are being offered by non-governmental reentry providers in non-urban areas of Texas through a mixed-methods, directed content analysis of reentry providers' websites. The results summarize features …


Towards A Social Justice Model Of Inclusion For University-Community Engagement, Dalon Taylor Aug 2023

Towards A Social Justice Model Of Inclusion For University-Community Engagement, Dalon Taylor

Lyle S. Hallman Social Work Faculty Publications

University-community engagement often professes to center the shifting needs and issues that communities face but these are often pushed to the periphery in knowledge creation. The methods of engagement, research agenda, outcomes, as well as the measures of success are typically grounded in the academe and universities can almost always pinpoint immediate benefits for the co-creation of this knowledge. Universities are usually able to secure funding and gain prestige to undertake these engagements and projects are put forth as testaments of universities commitments to social change. Communities often struggle to do the same and many are often not equipped with …


The Hidden Curriculum In Social Work Graduate Programs: Implications For Professional Socialization And Practice, Mette Christiansen Aug 2023

The Hidden Curriculum In Social Work Graduate Programs: Implications For Professional Socialization And Practice, Mette Christiansen

Legacy Theses & Dissertations (2009 - 2024)

The professional socialization of master level social work students is an area of evolving research, and studies have found inconsistent results. Lack of empirical knowledge leaves the social work profession vulnerable to assumptions about the preparation of its practitioners and to unintentional socialization that might contradict the mission of social work. Using the framework of the hidden curriculum, i.e., unstated norms and values transmitted to students, sheds light on how faculty, staff, peers, and the implicit practices in MSW education influence students’ socialization. Twenty-second year MSW students from three different MSW programs participated in focus groups during their second year …


Converging And Diverging Outcomes Of Posttraumatic Growth (Ptg) And Posttraumatic Depreciation (Ptd) In Combat Veterans: A Case Study, Dayton Williams Aug 2023

Converging And Diverging Outcomes Of Posttraumatic Growth (Ptg) And Posttraumatic Depreciation (Ptd) In Combat Veterans: A Case Study, Dayton Williams

Social Work Theses - Archive

Upon examining combat veterans’ psychological responses to combat-related trauma, two emerged for consideration: posttraumatic growth (PTG) through making meaning out of a traumatic experience and a positive outcome or change, and posttraumatic depreciation (PTD) an inability to make meaning of a traumatic experience and a negative outcome or change. Understanding how PTG and PTD converge, diverge, and impact an individual is crucial in supporting a veteran’s journey to health and well-being. A comparative study of the cases of two Marine combat veterans who served during OEF/OIF offers numerous similarities: both are in the millennial cohort; both are part of a …


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 Aug 2023

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 …


Elucidating College Students’ Stressors: Photovoice As A Pedagogical Tool And Qualitative Methodology, Deanne Priddis, Heather L. Hundley Aug 2023

Elucidating College Students’ Stressors: Photovoice As A Pedagogical Tool And Qualitative Methodology, Deanne Priddis, Heather L. Hundley

Journal of Communication Pedagogy

Traditional research examining student stress relies on surveys using pre-determined categories. This study diverts from that approach by adopting a Communication in Conflict class assignment over seven classes (N = 115) using photovoice to determine if results fluctuate by using a different methodology. Additionally, we sought to understand if the sources of stress vary by gender and semester. The data revealed seven categories as the main stressors of student conflict: 1) time management, 2) mental health, 3) finding oneself, 4) future uncertainty, 5) other, 6) financial, and 7) past mistakes. Regardless of participants’ sex/gender or semester in which the data …


Experiences With Environmental Gentrification: Evidence From Chicago, Tania Schusler, Amy Krings, Richard T. Melstrom Aug 2023

Experiences With Environmental Gentrification: Evidence From Chicago, Tania Schusler, Amy Krings, Richard T. Melstrom

School of Environmental Sustainability: Faculty Publications and Other Works

Environmental contamination and limited access to green spaces disproportionately burden communities of color with negative impacts on residents’ health. Yet, cleaning up contamination and creating green spaces has in some cases been associated with displacing long-term residents as the neighborhood becomes desirable to more affluent, often Whiter, populations through environmental gentrification. We used mixed methods to investigate environmental gentrification in the city of Chicago, IL, USA. We examined quantitatively the relationship between green areas, brownfield cleanups, and indicators of gentrification, including race and ethnicity, income, households without children, and home ownership. We explored through qualitative interviews how key informants perceive …


Care Transition Assessment Redesign In The Acute Care Setting, Darla M. Johnston Aug 2023

Care Transition Assessment Redesign In The Acute Care Setting, Darla M. Johnston

Electronic Theses and Dissertations

There is a gap in case management professional practice with a lack of consistent, research-based transition evaluation (TE) tools available and used in practice. An evidence-based case management TE is necessary to develop a holistic and comprehensive discharge plan for hospitalized patients. Updating and implementing an evidence-based case management TE would positively impact the transition of care and promote improved health outcomes including a reduction in readmissions. This quality improvement project used a quantitative nonexperimental, interventional pretest-posttest design. Kirkpatrick’s multidimensional knowledge attitudes assessment (KAP) education evaluation model was used to assess (1) the influence an educational offering on evidence-based assessment …


Self-Care For Counselors During The Covid-19 Pandemic, Penney Siddiqui Jul 2023

Self-Care For Counselors During The Covid-19 Pandemic, Penney Siddiqui

Doctoral Dissertations and Projects

COVID-19 took the world by surprise early in 2020, and rapidly became a global threat. While not the first global pandemic declared by the World Health Organization, COVID-19 was different from past pandemics both in the speed of transmission and in the psychosocial impact. Not only did COVID-19 impact the physical health of those who contracted the virus, it also impacted the mental health of the general population. Mental health counselors held a dual role in this pandemic, facing the psychosocial impact themselves while simultaneously providing care for others. Recent studies explored the psychosocial impact on health care professionals and …


Community Empowerment In Sajang Village Through Coffee Soap Making And Entrepreneurship Training, Agustino Zulys, Muhammad Iqbal Syauqi, Elva Dissa Adriana, Muhsinatul Istiqomah, Bambang Heru Susanto, Banu Muhammad Haidir Jul 2023

Community Empowerment In Sajang Village Through Coffee Soap Making And Entrepreneurship Training, Agustino Zulys, Muhammad Iqbal Syauqi, Elva Dissa Adriana, Muhsinatul Istiqomah, Bambang Heru Susanto, Banu Muhammad Haidir

ASEAN Journal of Community Engagement

Rural entrepreneurship is believed to be one of the most strategic ways to advance community empowerment that can directly lead to national economic development, by optimizing local resources, technology, and digitalization. This article elaborates on the program conducted to support the community’s economy and increase business and digital marketing literacy in Sajang Village, Sembalun, East Lombok. The program consists of bar soap products making workshop that optimizes coffee and copra as the local potential, targeted for people of productive age who are interested in establishing a home-based business. The soap manufacturing process is informed by laboratory research formulas that have …


Associations Between Parenting Strategies And Bmi Percentile Among Latino Children And Youth With Intellectual And Developmental Disabilities, Sandy Magaña, Vanessa L. Errisuriz, Amy Pei-Lung Yu, Nazanin M. Heydarian, Weiwen Zeng, Mansha Mirza, Sandra Vanegas, Stephany Brown, Deborah Parra-Medina, Yolanda Suarez-Balcazar Jul 2023

Associations Between Parenting Strategies And Bmi Percentile Among Latino Children And Youth With Intellectual And Developmental Disabilities, Sandy Magaña, Vanessa L. Errisuriz, Amy Pei-Lung Yu, Nazanin M. Heydarian, Weiwen Zeng, Mansha Mirza, Sandra Vanegas, Stephany Brown, Deborah Parra-Medina, Yolanda Suarez-Balcazar

School of Social Work Faculty Publications

Introduction: Maintaining healthy weight is a challenge for all children, and particularly for children with IDD compared to nondisabled children and for Latino children compared to non-Latino White children. Parenting practices related to food intake and physical activity have been found to be important in maintaining children's weight. In this study, we describe the prevalence of overweight and obesity status among Latino children with IDD and their maternal caregivers and determine the relationship between food and physical activity parenting practices and childhood obesity among Latino children with IDD.

Methods: We interviewed 94 Latino parent/child dyads and collected information about parenting …


The Covid Whirlwind On The Veterinary World: End-Of-Life Care And Euthanasia During The Covid-19 Pandemic, Elizabeth Chalmers, Paula Gerstenblatt, River Hodgdon Jul 2023

The Covid Whirlwind On The Veterinary World: End-Of-Life Care And Euthanasia During The Covid-19 Pandemic, Elizabeth Chalmers, Paula Gerstenblatt, River Hodgdon

People and Animals: The International Journal of Research and Practice

Veterinary providers experience job-specific psychological stress from their dual role in both providing medical care to pets and supporting pet-owner clients through end-of-life care and the euthanasia process, contributing to compassion fatigue and burnout in the field. COVID-19 has impacted the provision of veterinary care and affected communication between providers and pet owners. This qualitative study explores the experiences of veterinary providers who provided end-of- life care and performed euthanasia during the COVID-19 pandemic. Participants for this qualitative study were recruited and interviewed using criterion sampling from four veterinary practices in the northeastern United States. Inductive thematic analysis was used …


Living Apart After Adoption Or Guardianship: Perspectives Of Adoptive Parents And Guardians, Nancy Rolock, Amy E. Korsch-Williams, Chelsea Flanigan Jul 2023

Living Apart After Adoption Or Guardianship: Perspectives Of Adoptive Parents And Guardians, Nancy Rolock, Amy E. Korsch-Williams, Chelsea Flanigan

Faculty Scholarship

Background: For children who are not reunified with their biological family members, the child welfare system promotes legal permanence through adoption or guardianship. The intent of adoption and guardianship is a safe home where children develop familial relationships that last a lifetime. However, issues may arise that result in children or youth living apart (LA) from their families after adoption or guardianship. In this study, LA is defined as a youth living outside the home after adoption or guardianship for two weeks or longer because the youth was receiving treatment in a residential or hospital setting, in a juvenile justice …


Social Work 603 Library Handout, Ashley Rosener Jul 2023

Social Work 603 Library Handout, Ashley Rosener

Handouts

A handout designed for SW 603 students who need to learn how to find articles and policies on a chosen topic.


Bullying Victimization And Perpetration: Some Answers And More Questions, Dexter R. Voisin, David B. Miller Jul 2023

Bullying Victimization And Perpetration: Some Answers And More Questions, Dexter R. Voisin, David B. Miller

Faculty Scholarship

The U.S. government has defined bullying victimization as “any unwanted aggressive behavior(s) by another youth or group of youths who are not siblings or current dating partners that involves an observed or perceived power imbalance and is repeated multiple times or is highly likely to be repeated”.1 Conceptualizations of bullying and the use of the term vary by audience and context. For instance, for some, bullying behaviors might include acts of aggression or violence, whereas for others bullying might center on name-calling, exclusionary social practices or even spreading rumors and vicious lies.2


Feasibility Of A Stress Reduction Program Among Foster Youth In College, Alexis Melinda Ferioli Morin, Jennifer E. Lape Jul 2023

Feasibility Of A Stress Reduction Program Among Foster Youth In College, Alexis Melinda Ferioli Morin, Jennifer E. Lape

The Open Journal of Occupational Therapy

Background: Foster youth endure traumatic adversities, which can lead to obstacles when transitioning to young adulthood and pursuing postsecondary education. This vulnerable population is required to navigate independent living while also managing stress that commonly arises from postsecondary education.

Method: A pre test, post test pilot design was employed to determine the potential impact and feasibility of an evidenced-based multi-factorial stress management program in reducing foster youth’s perceived stress during postsecondary education. Participants (n = 3) received one, 90-min individual occupational therapy session weekly over 6 weeks. Author-generated stress management surveys along with the Perceived Stress Scale …


Differences Among Family And Professional Guardians: A Statewide Survey Of Characteristics, Training, And Practices Related To Decision-Making, Kristin Hamre, Derek Nord Jul 2023

Differences Among Family And Professional Guardians: A Statewide Survey Of Characteristics, Training, And Practices Related To Decision-Making, Kristin Hamre, Derek Nord

Developmental Disabilities Network Journal

This cross-sectional study sought to examine the differences between family and professional guardians across personal and role characteristics, training received, and their inclusion of people they serve in decision making. A total of 237 subjects serving as guardian to adults in the state of Indiana completed an online survey. Results showed group differences across race, education, as well as diagnosis and age of those served. Overall, training was limited across both groups, and family guardians received significantly less training across several topics. Finally, family and professional guardians were found to significantly differ in their willingness to allow people they serve …


Parents’ Perceptions Of The Philly Goat Project’S All Abilities Ramble: A Qualitative Study Of Animal-Assisted Intervention For Intellectual And Developmental Disorders, Patricia Flaherty-Fischette, Jenée Lee, Yvonne D'Uva-Howard, Elizabeth P. Cramer, Karen Krivit, Sarah Meehan Jul 2023

Parents’ Perceptions Of The Philly Goat Project’S All Abilities Ramble: A Qualitative Study Of Animal-Assisted Intervention For Intellectual And Developmental Disorders, Patricia Flaherty-Fischette, Jenée Lee, Yvonne D'Uva-Howard, Elizabeth P. Cramer, Karen Krivit, Sarah Meehan

Developmental Disabilities Network Journal

Individuals with intellectual and developmental disabilities (IDD) are a growing population. Considering the wide diversity in IDD and the financial burden of traditional treatment modalities, Animal-Assisted Interventions (AAI) has emerged as an innovative and non-traditional treatment for individuals with a range of disabilities, including individuals with IDD. To the authors’ knowledge, the present study was one of the first to explore a goat-assisted therapy experience for children with IDD. This study explored the experiences of 23 children with the All Abilities RAMble – a goat-assisted therapeutic activity offered by the Philly Goat Project (PGP). Key themes in our study included …


Caregiver Health: Having A Child With Asd And The Impact Of Child Health Insurance Status, Kristin Hamre, Derek Nord, John Andresen Jul 2023

Caregiver Health: Having A Child With Asd And The Impact Of Child Health Insurance Status, Kristin Hamre, Derek Nord, John Andresen

Developmental Disabilities Network Journal

This study aims to understand the health outcomes of parents with children with autism spectrum disorder (ASD) and the interactive effect of child health insurance status. The study utilized 2014-2018 pooled National Health Interview Survey data to construct weighted national estimates and construct main and interaction effect logistic regression models. Findings show parents of children with ASD experienced significantly poorer health compared to parents of children without autism. Insurance status was found to significantly interact with child ASD status. Compared to parents of children without ASD that used private insurance, parents with a child with ASD who used private insurance, …


Migration Integration Policies As Social Determinants Of Health For Highly Educated Immigrants In The United States, Mitra Naseh, Yingying Zeng, Abha Rai, Ian Sutherland, Hyunwoo Yoon Jul 2023

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

Social Work: School of Social Work Faculty Publications and Other Works

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 …


Improving The High School And College Classroom Experience For Learners With Refugee Status: Theory, Practice, And Change., Kayte Thomas, Sara-Jean Lipmen Jul 2023

Improving The High School And College Classroom Experience For Learners With Refugee Status: Theory, Practice, And Change., Kayte Thomas, Sara-Jean Lipmen

Journal of Applied Disciplines

Refugee populations are increasing globally, and children make up more than fifty percent of those displaced. Unique experiences that come with forced migration including fragmented education, trauma, family separation, grief, and adverse other effects can impact learning in the classroom for refugee students. Existing data indicates that schools lack sufficient protocols to meet the needs of students with refugee status who consistently face risks associated with ill-prepared learning environments, and therefore must rethink possibilities to address this. By adopting strategic decolonized approaches, educational leaders can create supportive environments which improve instructional methods and learning outcomes for these students as they …


Guiding The Way To Clinical Licensure: Creating A Practical Framework For The Provision Of Clinical Social Work Supervision, Susan Reay Jul 2023

Guiding The Way To Clinical Licensure: Creating A Practical Framework For The Provision Of Clinical Social Work Supervision, Susan Reay

Social Work Faculty Publications

This article aims to guide recent MSW graduates through the clinical supervision process. Frequently asked questions about supervision are addressed, including how to find a supervisor, the pros and cons of supervision inside or outside your organization, what the supervision will entail, and how supervision supports the supervisee in their work and professional development. This article also provides a best practices supervision framework with access to a Clinical Supervision Guidebook to demonstrate ways of implementing successful supervision that works for both the supervisee and supervisor. Located in the Appendix, the Guidebook outlines the relevant clinical supervisor and supervisee regulatory expectations …


Factors Associated With Resilience Among Msw Students In The Face Of The Covid-19 Pandemic, Jose Carbajal, Donna Schuman, Warren Ponder, Christine Bishop, Amber Hall, Kristin Bolton Jul 2023

Factors Associated With Resilience Among Msw Students In The Face Of The Covid-19 Pandemic, Jose Carbajal, Donna Schuman, Warren Ponder, Christine Bishop, Amber Hall, Kristin Bolton

Faculty Publications

COVID-19 continues to affect the general population, and its impact on MSW students is unknown. Therefore, this study aims to examine resilience, attachment, and other mental health constructs among MSW students during COVID-19. U.S. MSW program directors were emailed the electronic surveys to distribute to their MSW students. Authors evaluated the bivariate relationship between the variables and conducted a multiple hierarchical regression predicting resilience. The findings suggest that individuals with higher levels of resilience have lower levels of depression and PTSD. Finally, attachment avoidance, attachment anxiety, and self-efficacy were statistically significant predictors of resilience in the hierarchical regression. This study …


Competency-Based Personnel Selection Oklahoma - Key Findings, Quality Improvement Center For Workforce Development Jul 2023

Competency-Based Personnel Selection Oklahoma - Key Findings, Quality Improvement Center For Workforce Development

Other QIC-WD Products

Background

The QIC-WD began working with Oklahoma Human Services (OKDHS) in 2017. At that time OKDHS had an average turnover rate of 25% among Child Welfare Specialist (CWS) I and IIs. Agency leaders expressed a desire to better understand turnover rates with an eye toward increasing the retention of more competent performers. A thorough needs assessment led to the decision to design and implement a competency-based personnel selection intervention to address inconsistencies in hiring and better identify candidates with the desired competencies to be hired as a CWS. The evaluation was designed to include an implementation evaluation; a validation …


Addressing Work-Related Traumatic Stress Nebraska - Key Findings, Quality Improvement Center For Workforce Development Jul 2023

Addressing Work-Related Traumatic Stress Nebraska - Key Findings, Quality Improvement Center For Workforce Development

Other QIC-WD Products

Background

Nebraska’s Department of Child and Family Services (DCFS) started working with the QIC-WD in 2017 to better understand its turnover problem and found that, among workers who left the agency in 2017, it typically happened within the first two years and the turnover rate in 2017 was about 30%. The team examined many contributing factors through a needs assessment and designed CFS Strong to improve employee retention by addressing work-related traumatic stress among the child welfare workforce.

According to the Secondary Traumatic Stress (STS) scale administered in December 2017, the overall presence of STS symptoms in DCFS staff was …


Frontline Job Redesign Louisiana - Key Findings, Quality Improvement Center For Workforce Development Jul 2023

Frontline Job Redesign Louisiana - Key Findings, Quality Improvement Center For Workforce Development

Other QIC-WD Products

Background

In 2017, the QIC-WD began working with the Louisiana Department of Children and Family Services (DCFS). At that time DCFS had an average turnover rate of 24% across the state with one region having a rate of 51% and another with a low of 8%. A thorough needs assessment identified that high caseloads and a large number of administrative tasks were barriers to caseworkers’ ability to effectively engage in the clinical aspects of their work and led to the decision to redesign the frontline caseworker job.

The intervention created a new job, the Child Welfare Team Specialist (CWTS), …


Exploring Self-Perception And Sociocultural Adjustment Among International Students, David Martinez Jul 2023

Exploring Self-Perception And Sociocultural Adjustment Among International Students, David Martinez

McNair Scholars Research

With the rising numbers of international college students, institutions must assess their experiences. International students undergo major adjustments while studying abroad, which may impact their well-being. Specifically, it can affect their psychological health. The purpose of this mixed-methods study is to explore the self-perception and sociocultural adjustment of international students. It attempts this by identifying significant differences in self-efficacy and self-esteem between international and American students. The participants included a convenience sample of 75 college students, 32 international and 43 American students, from a small, private Christian university. The researcher assessed self-esteem using the Rosenberg Self-Esteem Scale (RSES) and self-efficacy …


At The Heart Of Our Communities: Parent/Caregiver & Youth Leadership, Deschutes County System Of Care, Callie H. Lambarth Jul 2023

At The Heart Of Our Communities: Parent/Caregiver & Youth Leadership, Deschutes County System Of Care, Callie H. Lambarth

Center for Improvement of Child and Family Services Publications

In lieu of an abstract, here are the vision and goals of the Deschutes County System of Care:

Vision
The vision of System of Care is to create an array of services and supports for children, youth and young adults in Deschutes County that are youth- and family-driven, community-based, and culturally and linguistically responsive.

Goals

  1. Collaboration between services, families, and youth to improve the system of supports that serve children, youth and young adults with complex and significant mental health needs.
  2. Leadership that includes youth and parents/caregivers impacted by the System of Care to advise on service processes, identify system …