Janis is a residential drug treatment program for drug abusers between the ages of twelve and eighteen deigned to rehabilitate the participants. Five homes, each staffed by two trained residential coordinators and one student accommodate a total of thirty patients at a time. The treatment program consists of daily house meetings led by the residential coordinators, one group therapy session per week led by a psychiatric social worker, and individual therapy sessions with a psychiatrist as needed, as well as regular consultation with a psychologist and psychiatrist. The adolescents enrolled in the program are referred from a variety of agencies, including the Multnomah County Juvenile Court and Home, the Psychiatric Crisis Unit operated by the University of Oregon Health Sciences Center, and other out-patient treatment centers in Portland. Only those adolescents who are motivated to change their behavior are accepted into the Janis program.

The geographical focus of this study is on that section of Southeast Portland which has been designated by the Office of Econom1c Opportunity as a poverty pocket because of an incidence of low-income families exceeding ~. (See Figure 2, Appendix A.) As such, the area is under the jurisdiction of the Portland Metropolitan Steering Committee, the OEO community action agency for Portland. Under the auspices of this agency, the four neighborhoods in the area (Brooklyn, Buckman, Richmond and Sunnyside) in 1966 formed a separate non-profit delegate agency which was named Portland Action Committees Together, Incorporated (PACT). PACT originally was responsible for administering War on Poverty programs through three neighborhood centers in the area. Its functions have changed but it still remains very much involved, even providing the terms by which the area is known: the PACT target area. The particular focus of the study has to do with the mental health of elementary School age children in the PACT target area. The original, and still primary, purpose of this study was to provide a statistical data base for a grant proposal to fund a children's mental health service agency in the PACT target area of Southeast Portland. Since the original conception by Jack Tovey of the Child Psychiatry Department, University of Oregon Medical School, and PACT staff, the plan has been subsumed under the planning auspices of the Comprehensive Mental Health Planning Committee, a group whose aim is to work toward expanding and consolidating mental health services in all dimensions for the Southeast Portland area.

No description available.

published_or_final_version / Social Work / Master / Master of Social Work

published_or_final_version / Social Work / Master / Master of Social Work

published_or_final_version / Social Work / Master / Master of Social Work

published_or_final_version / Social Work / Master / Master of Social Work

Lymphangioleiomyomatosis (LAM) is a rare lung disease recognized by abnormal growth of smooth muscle cells proliferating in lungs parenchyma, developing benign tumors, migrating to the other organs, and ultimately leading to respiratory failure and death. Despite existing literature mainly on clinical aspects of LAM, there is a gap of literature in regards to the knowledge, attitude, and lifestyle practices (KAPs) of LAM patients and their effects on their quality of life. The purpose of this quantitative study was to investigate the KAPs of the sporadic LAM patients as measured by the Bristol Chronic Obstructive Pulmonary Disease Knowledge Questionnaire, Beliefs and Behavior Questionnaire, Determinants of Lifestyle Behavior Questionnaire; these KAPs were then analyzed for their relationship to quality of life reports as measured by the St George’s Quality of Life Questionnaire. Transtheoretical model (TTM) was used to describe the relationship among the variables. The data were collected through online survey questionnaires from 143 sporadic LAM patients registered at the LAM Foundation. Pearson’s correlations and linear regression were used to analyze the data. The results of the analysis showed that there was a significant positive relationship between attitude, lifestyle practices, and quality of life and a negative relationship between knowledge and quality of life. The outcome achieved by this study and its implication on social change identifies the need to initiate more study-specific KAPs within LAM populations, including individuals with tuberous sclerosis complex LAM. The results could also encourage the LAM community as well as other stakeholders to implement programs, workshops, and interventions that could promote and enhance quality of life.

This study was undertaken in February and March of 1975 in order to provide in depth analysis of those seeking hospital admission. It is a descriptive study of requests for voluntary admission to Oregon State Hospital. Special care was taken to incorporate the study in such a way that the current admitting procedures would not be rearranged or changed in any way. Essentially the study asks the questions: Who makes self-requests for hospitalization? Where do they come from? When? How do they get there? Why do they come? What is the history of their contact with other community agencies for service or previous hospitalizat ion? How does the hospital respond to the requests? In order to better understand the dynamics of the requesting population, attention was focused on: The possible differences between those individuals admitted and those denied admission. The comparisons of requests for first admission and readmission. The relationship of age and sex differences to the other findings in the study

Since the war on drugs in the 1980s, the United States has seen an exponential rise in the number of imprisoned individuals. This increase has been particularly dramatic for women. Nationwide, the population of women in prison has grown by 834% over the past 40 years, more than double the growth rate of men. Compared with incarcerated men, women in prison have higher rates of substance abuse, histories of physical and sexual abuse, mental illness, infectious disease and chronic illness. Most women in prison are defined by a challenging intersection of lower socioeconomic status and largely racial, ethnic, and minority gender status. This combination of identity factors both contributes to their health disparities and influences their experiences with health care. Given that the majority of women in prison are of reproductive age, gynecological care is a central aspect of women’s overall health care. However, women in prison are a small minority of the overall incarcerated population, and because of this, their gender-specific health needs are frequently unacknowledged. Using a feminist epistemology, this qualitative multiple case study provides an examination of the experiences of women before prison and in prison with gynecological care and prison staff’s experiences providing this care. The Gelberg Andersen Behavioral Model for Vulnerable Populations is adapted here for the study of women in prison. The model explains factors enabling and impeding women’s utilization of health care services, including previous health care experiences, prison infrastructure, and personal autonomy. Women in contact with the criminal justice system face difficulties accessing health care both outside and inside prison. Barriers on the outside included lack of health insurance, being addicted to drugs, and prioritizing children’s needs first. On the inside women cited a lack of confidentiality, the absence of trust in providers, and the inability to participate in treatment decision-making. In the case of women in prison, multiple external oppressions result in internalized negative beliefs. Such feelings of powerlessness, lack of control, curtailed agency, and threatened self-worth ultimately influence how women experience gynecological care in prison. Policy, practice and research implications are provided to meet the gender specific health needs of women in prison.