Social Work Commons^™

Patient And Provider Perceptions Of A Community-Based Accompaniment Intervention For Adolescents Transitioning To Adult Hiv Care In Urban Peru: A Qualitative Analysis, Jerome T. Galea, Milagros Wong, Brennan Ninesling, Alicia Ramos, Liz Senador, Hugo Sanchez, Lenka Kolevic, Eduardo Matos, Eduardo Sanchez, Renato A. Errea, Andrew Lindeborg, Carlos Benites, Leonid Lecca, Sonya Shin, Molly F. Franke

Social Work Faculty Publications

Introduction: Adolescents living with HIV (ALWH) experience higher mortality rates compared to other age groups, exacerbated by the suboptimal transition from paediatric to adult HIV care, during which decreased adherence to antiretroviral therapy (ART) and unsuppressed viremia are frequent. Care transition—a process lasting months or years—ideally prepares ALWH for adult care and can be improved by interventions that are youth-friendly and address psychosocial issues affecting ART adherence; however, such interventions are infrequently operationalized. Community-based accompaniment (CBA), in which laypeople provide individualized support and health system navigation, can improve health outcomes among adults with HIV. Here, we describe patient and provider …

Considerations For Partnering With Ryan White Case Managers To Create Equitable Opportunities For People With Hiv To Participate In Research, Elizabeth Lockhart, Deanne Turner, Jerome T. Galea, Stephanie L. Marhefka

Social Work Faculty Publications

Many research studies focus on recruitment from one or few HIV clinics or internet-engaged populations, but this may result in inequitable representation of people with HIV (PWH), across the rural/urban/suburban continuum. Ryan White Case Managers (RWCM) meet regularly with PWH, potentially positioning them as partners in gathering research-related data from diverse groups of low-income, marginalized, PWH. Yet, data collection in partnership with RWCM, particularly over large geographic areas, has been under-explored. We partnered with RWCM and their organizations throughout Florida to administer a 10-item technology use and willingness survey to clients living with HIV; RWCMs provided process-oriented feedback. Among 382 …

Geographic Accessibility To Health Facilities Predicts Uptake Of Community-Based Tuberculosis Screening In An Urban Setting, Helen E. Jenkins, Sally Ayuk, Daniela Puma, Meredith B. Brooks, Ana Karina Millones, Judith Jimenez, Leonid Lecca, Jerome T. Galea, Mercedes Becerra, Salmaan Keshavjee, Courtney M. Yuen

Social Work Faculty Publications

Objectives: Annually, more than 30% of individuals with tuberculosis (TB) remain undiagnosed. We aimed to assess whether geographic accessibility measures can identify neighborhoods that would benefit from TB screening services targeted toward closing the diagnosis gap.

Methods: We used data from a community-based mobile TB screening program in Carabayllo district, Lima, Peru. We constructed four accessibility measures from the geographic center of neighborhoods to health facilities. We used logistic regression to assess the association between these measures and screening uptake in one's residential neighborhood versus elsewhere, with quasi-information criterion values to assess the association.

Results: We analyzed the screening locations …

Understanding Linkage To Biopsy And Treatment For Breast Cancer After A High-Risk Telemammography Result In Peru: A Mixed-Methods Study, Renato A. Errea, Patricia J. Garcia, Lydia E. Pace, Jerome T. Galea, Molly F. Franke

Social Work Faculty Publications

Objectives: This mixed-method study aimed to understand the effectiveness of linkage to biopsy and treatment in women with a high-risk mammography result (Breast Imaging Reporting and Data System, BI-RADS 4 and 5) in the national telemammography programme and to explore women’s experiences during this process.

Setting: Quantitative component: we collected and linked health data from the telemammography reading centre, the national public health insurance, the national centre for disease control and the national referral cancer centre. Qualitative component: we interviewed participants from different regions of the country representing diverse social and geographical backgrounds.

Participants: Quantitative: women who underwent telemammography between …

Attitudes Toward Payment For Research Participation: Results From A U.S. Survey Of People Living With Hiv, Andrea N. Polonijo, Karine Dubé, Jerome T. Galea, Karah Yeona Greene, Jeff Taylor, Christopher Christensen, Brandon Brown

Social Work Faculty Publications

Little is known about how payment affects individuals' decisions to participate in HIV research. Using data from a U.S. survey of people living with HIV (N = 292), we examined potential research participants’ attitudes toward payment, perceived study risk based on payment amount, and preferred payment forms, and how these factors vary by sociodemographic characteristics. Most respondents agreed people should be paid for HIV research participation (96%) and said payment would shape their research participation decisions (80%). Men, less formally educated individuals, and members of some minoritized racial-ethnic groups were less likely to be willing to participate in research …

Feasibility Of A School-Based Mental Health Program Implementation To Improve The Status Of Depression And Quality Of Life Of Mothers Of Children With Autism Spectrum Disorders In Urban Bangladesh: Menthol Study, Aliya Naheed, Saimul Islam, Meredith B. Brooks, Mary C. Smith Fawzi, Mir Nabila Ashraf, Helal Uddin Ahmed, M. M. Jalal Uddin, Kamrun Nahar Koly, Jerome T. Galea, Shaheen Akhter, Charles Nelson, Saima Wazed Hossain, Kerim M. Munir

Social Work Faculty Publications

Background: We assessed the feasibility of implementing psychological counseling services (PCS) for mothers of children with autism spectrum disorders (ASD) integrated within special education settings in urban Bangladesh. Method: In two special education schools for ASD in Dhaka City, trained female psychologists screened mothers using the Patient Health Questionnaire (PHQ-9). PCS was administered to all the mothers irrespective of a diagnosis of depression. Mothers with a PHQ-9 score >4 who met criteria for a major depressive episode (MDE) based on the DSM-IV Structured Interview Axis I Disorders (SCID-I) were also administered skill-building training through monthly home visits to support ASD …

Higher Native Peruvian Genetic Ancestry Proportion Is Associated With Tuberculosis Progression Risk, Samira Asgari, Yang Luo, Chuan-Chin Huang, Zibiao Zhang, Roger Calderon, Carmen Contreras, Jerome T. Galea, Leonid Lecca, David Jones, D. Branch Moody, Megan B. Murray, Soumya Raychaudhuri

Social Work Faculty Publications

No abstract provided.

Tools For Addressing Intimate Partner Violence And Suicide Risk: Lessons Learned From Oha’S Covid-19 Emergency Response For Suicide Prevention Grant, Karen Cellarius, Aliza Tuttle, Lea Sevey

Regional Research Institute for Human Services

In August 2020, the Oregon Coalition Against Domestic and Sexual Violence (OCADSV), the Oregon Health Authority (OHA), and Portland State University’s Regional Research Institute for Human Services (PSU RRI) began an 18-month collaboration to strengthen support for domestic violence and mental health agencies during COVID-19. As part of this grant, six domestic violence advocacy organizations around Oregon were able to place co-located advocates with their mental health partner agencies for services and cross-training. The content of this booklet is another product of this collaboration.

Cultivating Culturally Responsive, Equity-Centered, And Trauma-Informed Attitudes Among Educators, Jasmine Haynes

Electronic Theses and Dissertations, 2020-2023

This qualitative study explored the influence of implementing a culturally responsive and equity-centered trauma-informed professional development series with educators. Seven middle school educators from various regions of the U.S. participated in a culturally responsive and equity-centered trauma-informed professional development series in the 2021-2022 academic year. Educators participating in the series received three live virtual two-hour trauma-informed modules highlighting racial trauma, race-related trauma triggers, and deficit versus asset-based perspectives of racially diverse students, along with case studies and critical discourse. Data collection included pre-and post-interviews (n = 14), participant journal reflections (n = 14), and intervention module case study reflection transcripts …

Meeting The Psychosocial Needs Of Online Learners In Social Work Programs And Four-Year Universities: What Is Being Addressed And The Many Areas For Improvement, Kathryn Gould

DSW Capstone Projects

Almost half of social work students enter their program with a history of mental health diagnosis and exposure to multiple childhood traumas. Over half of students at four-year institutions are enrolled in one or more courses online, yet retention in online coursework is much lower than in in-person courses. As online programs continue to grow in the field of social work it becomes a vital requirement to address the psychosocial needs of online learners. The call of this capstone is to examine how universities and colleges of social work can meet the increasing need to improve course work and service …

Perinatal Substance Use Disorders And Co-Occurring Posttraumatic Stress Disorder, Kaitlyn Dickens

DSW Capstone Projects

Pregnant and postpartum or perinatal women who experience Substance Use Disorder and Posttraumatic Stress Disorder (SUD/PTSD) co-occurring are an underserved population and a gap can be observed in the research in terms of clinical presentation and treatment of SUD/PTSD among this population. Social work practitioners are at an increased probability of working with individuals who would identify as such. There are many psychosocial and health factors associated with untreated SUD/PTSD among perinatal women for both mother and baby.

Research suggests that the use of client centered approaches and narrative therapy is beneficial in working with those who experience PTSD. The …

Opioid Addiction In Rural America: The Transportation Need For Treatment Adherence, Jennifer Smith

DSW Capstone Projects

The opioid epidemic has continued to soar throughout the United States for over 20 years. While this epidemic knows no boundaries and affects all of America, rural communities have been drastically impacted by the number of persons suffering from this addiction, and the resulting staggering mortality rates. Rural populations face greater treatment barriers preventing patients from obtaining needed services as compared to other geographical locations. Patients face obstacles related to accessibility, availability, and stigmatization, placing them at higher risk for opioid misuse, abuse, and/or death. Even though this targeted population faces multiple complications in seeking treatment, transportation barriers are among …

Teaching Anti-Racism Practices To White Social Work Students And Community Members, Dennis Cornell

DSW Capstone Projects

Racism continues to plague the United States and White people hold a key element to ending racism by adopting anti-racism practices in their professional and personal lives. This capstone on the findings of a comprehensive systematic literature review, examines empirically-based anti-racism interventions and practices that social work teachers and community educators can utilize in anti-racism courses and workshops for White students and community members. The final results yielded 29 peer-reviewed, qualitative/quantitative research studies within the years of 2003-2021 that can be broken down into six anti-racism intervention categories: class/educational groups, teaching methods, Implicit Association Test (IAT) usage, pro-Black stories/perspectives, interracial …

Clinical Interventions For Developmental Trauma Disorder: How Evidence-Based Practice And Attachment Theory Can Inform Therapeutic Approach, Victoria Deveau

DSW Capstone Projects

Approximately two-thirds of U.S. children and adolescents report having experienced a traumatic event. A posttraumatic stress disorder (PTSD) diagnosis requires that the youth has directly experienced a traumatic event, witnessed a traumatic event occur to others, or learned that a traumatic event has occurred to someone close. The clinician is in a diagnostic quandary, however, when the youth presents with the PTSD hallmarks of hyperarousal, avoidance, and emotional dysregulation, in absence of such life experiences. The answer to this quandary lies in an understanding of developmental trauma disorder (DTD). Clinical interventions for DTD are the focus of this capstone.

Product …

Medicare Reimagined: Past, Present And Future Envisioned For Aging In Place, Nancy Patterson

DSW Capstone Projects

The older population is persons aged 65 and older. Many older adults live healthy and active lives while others have one or more illnesses or comorbidities that make it difficult for them to live alone. Older adults aged sixty-five and older who have one or more comorbidities often require assistance to remain in their homes for as long as possible. Older adults who do not have this needed assistance often have frequent falls, make frequent trips to the emergency room, have frequent hospital admissions, or end up in a nursing home.

Product one of the Capstone Presentation is the systematic …

Transforming Social Work Practice And Research: Examining Lived Experiences Of Black Male Veteran Students And Mental Health, Tay Robinson

DSW Capstone Projects

Mental health disparities amongst the African American/Black community are well documented in literature. Throughout history the African American/ Black community have dealt with unethical operating procedures and research studies. This capstone project looks at historical facts, the lack of Black male veteran specific research as it relates to mental health, lived experiences of Black male veteran students with mental health/treatment, and developing culturally appropriate approaches to increasing research and effective practices to better serve this community.

The second chapter and first product of this capstone project is a systematic literature review. This literature review focused on finding literature on African …

Transforming Hurt Boys Into Restored Men: The Lack Of Mental Health Treatment For Black Male Trauma Survivors, Shericka Danielle Smith

DSW Capstone Projects

Trauma affects individuals differently, but the prevalence of trauma and its impact on Black males is detrimental. Black males are at higher risk for posttraumatic stress disorder (PTSD), depression, substance abuse, and violent crimes when trauma is left untreated by a mental health professional. As the number of traumatic events experienced by Black males continues to rise, the number of these males who seek mental health treatment remains stagnant and painfully low. Many factors play into these behaviors, yet very little data exists on what is being done to change them.

Product one is a systematic literature review in which …

Fetishization Of Asian American Women: A Discourse Analysis On The Media Portrayal Of The Victims Of The 2021 Atlanta Spa Shootings, Caitlyn Pham

Honors Undergraduate Theses

Asian American women have an intersectional identity that creates unique experiences, including discrimination and violence with a history of fetishization. In 2021, eight people were shot and killed in three spas in Atlanta, Georgia. Seven of the eight victims were women, six of whom were of Asian descent. While the shooter stated his actions were the results of sex addiction, and not racially motivated, the shootings occurred during a rise in attacks against Asian Americans amid the Coronavirus Disease 2019 (COVID-19) Pandemic. The Atlanta Spa Shootings provide a unique case where we can apply an intersectional lens to determine how …

Who Is A Social Worker?, Patrick Meehan, Jason Ostrander, Shannon R. Lane

School of Social Work Faculty Publications

Defining social workers for the purposes of research is not as straightforward as it sounds. To date, researchers who have examined social workers as a group have used a variety of sampling methods. Multiple methods speak to the variety of options for defining social workers. Understanding membership within the profession is a precondition to understanding research about the behavior of those within the profession. This research note explores these sampling methods in detail. Each has its advantages, but none are without their own disadvantages, some of which bias their view of the profession. As researchers who have considered the political …

A Pathway For Inclusive Innovation In Pediatric Mental Health: Prevention And Intervention Using Technology, Kate Corinne Bennett

DSW Capstone Projects

It is no secret that access to quality healthcare is difficult for citizens to achieve in the United States. Racism, discrimination, and oppression further exist at the root of compounding social problems, including limits in minority access to mental health services. The COVID-19 pandemic has also exacerbated mental health problems for young children, especially those who are already underserved and at risk. For these reasons, it is imperative that the social work profession emphasizes innovative approaches to equitable treatment access, including a focus on early intervention and the use of technology. Product one of this capstone engages a systematic review …