%0 Journal Article %J Journal of Social Work Practice in the Addictions %D 2019 %T Promoting SBIRT training for social work students across field settings %A Tajima, Emiko %A McCowan, Kristin J. %A Lindhorst, Taryn %A Haggerty, Kevin P. %A Rivara, J B %A Schack, Steve %A Ramey, Anastasia %A Jackson, T. Ron %B Journal of Social Work Practice in the Addictions %V 19 %P 108-123 %G eng %0 Journal Article %J Youth Soc %D 2014 %T Negative and Positive Factors Associated With the Well-Being of Lesbian, Gay, Bisexual, Transgender, Queer, and Questioning (LGBTQ) Youth. %A Higa, Darrel %A Hoppe, Marilyn J %A Lindhorst, Taryn %A Mincer, Shawn %A Beadnell, Blair %A Morrison, Diane M %A Wells, Elizabeth A %A Todd, Avry %A Mountz, Sarah %X

Factors associated with the well-being of lesbian, gay, bisexual, transgender, queer, and questioning (LGBTQ) youth were qualitatively examined to better understand how these factors are experienced from the youths' perspectives. Largely recruited from LGBTQ youth groups, 68 youth participated in focus groups (n = 63) or individual interviews (n = 5). The sample included 50% male, 47% female, and 3% transgender participants. Researchers used a consensual methods approach to identify negative and positive factors across 8 domains. Negative factors were associated with families, schools, religious institutions, and community or neighborhood; positive factors were associated with the youth's own identity development, peer networks, and involvement in the LGBTQ community. These findings suggest a pervasiveness of negative experiences in multiple contexts, and the importance of fostering a positive LGBTQ identity and supportive peer/community networks. Efforts should work towards reducing and eliminating the prejudicial sentiments often present in the institutions and situations that LGBTQ youth encounter.

%B Youth Soc %V 46 %P 663-687 %8 2014 Sep %G eng %N 5 %R 10.1177/0044118X12449630 %0 Journal Article %J J Pain %D 2013 %T A blueprint of pain curriculum across prelicensure health sciences programs: one NIH Pain Consortium Center of Excellence in Pain Education (CoEPE) experience. %A Doorenbos, Ardith Z %A Gordon, Deborah B %A Tauben, David %A Palisoc, Jenny %A Drangsholt, Mark %A Lindhorst, Taryn %A Danielson, Jennifer %A Spector, June %A Ballweg, Ruth %A Vorvick, Linda %A Loeser, John D %K Curriculum %K Data Collection %K Humans %K National Institutes of Health (U.S.) %K Pain Clinics %K Pain Management %K Schools, Health Occupations %K United States %X

UNLABELLED: To improve U.S. pain education and promote interinstitutional and interprofessional collaborations, the National Institutes of Health Pain Consortium has funded 12 sites to develop Centers of Excellence in Pain Education (CoEPEs). Each site was given the tasks of development, evaluation, integration, and promotion of pain management curriculum resources, including case studies that will be shared nationally. Collaborations among schools of medicine, dentistry, nursing, pharmacy, and others were encouraged. The John D. Loeser CoEPE is unique in that it represents extensive regionalization of health science education, in this case in the region covering the states of Washington, Wyoming, Alaska, Montana, and Idaho. This paper describes a blueprint of pain content and teaching methods across the University of Washington's 6 health sciences schools and provides recommendations for improvement in pain education at the prelicensure level. The Schools of Dentistry and Physician Assistant provide the highest percentage of total required curriculum hours devoted to pain compared with the Schools of Medicine, Nursing, Pharmacy, and Social Work. The findings confirm the paucity of pain content in health sciences curricula, missing International Association for the Study of Pain curriculum topics, and limited use of innovative teaching methods such as problem-based and team-based learning.

PERSPECTIVE: Findings confirm the paucity of pain education across the health sciences curriculum in a CoEPE that serves a large region in the United States. The data provide a pain curriculum blueprint that can be used to recommend added pain content in health sciences programs across the country.

%B J Pain %V 14 %P 1533-8 %8 2013 Dec %G eng %N 12 %R 10.1016/j.jpain.2013.07.006 %0 Journal Article %J J Palliat Med %D 2013 %T Examining palliative care team involvement in automatic consultations for children on extracorporeal life support in the pediatric intensive care unit. %A Doorenbos, Ardith Z %A Starks, Helene %A Bourget, Erica %A McMullan, D Michael %A Lewis-Newby, Mithya %A Rue, Tessa C %A Lindhorst, Taryn %A Aisenberg, Eugene %A Oman, Natalie %A Curtis, J Randall %A Hays, Ross %A Clark, Jonna D %A Baden, Harris P %A Brogan, Thomas V %A Di Gennaro, Jane L %A Mazor, Robert %A Roberts, Joan S %A Turnbull, Jessica %A Wilfond, Benjamin S %K Child %K Child, Preschool %K Extracorporeal Membrane Oxygenation %K Female %K Humans %K Infant %K Infant, Newborn %K Intensive Care Units, Pediatric %K Male %K Palliative Care %K Patient Care Team %K Prognosis %K Retrospective Studies %X

BACKGROUND: Extracorporeal life support (ECLS) is an advanced form of life-sustaining therapy that creates stressful dilemmas for families. In May 2009, Seattle Children's Hospital (SCH) implemented a policy to involve the Pediatric Advanced Care Team (PACT) in all ECLS cases through automatic referral.

OBJECTIVE: Our aim was to describe PACT involvement in the context of automatic consultations for ECLS patients and their family members.

METHODS: We retrospectively examined chart notes for 59 consecutive cases and used content analysis to identify themes and patterns.

RESULTS: The degree of PACT involvement was related to three domains: prognostic uncertainty, medical complexity, and need for coordination of care with other services. Low PACT involvement was associated with cases with little prognostic uncertainty, little medical complexity, and minimal need for coordination of care. Medium PACT involvement was associated with two categories of cases: 1) those with a degree of medical complexity but little prognostic uncertainty; and 2) those that had a degree of prognostic uncertainty but little medical complexity. High PACT involvement had the greatest medical complexity and prognostic uncertainty, and also had those cases with a high need for coordination of care.

CONCLUSIONS: We describe a framework for understanding the potential involvement of palliative care among patients receiving ECLS that explains how PACT organizes its efforts toward patients and families with the highest degree of need. Future studies should examine whether this approach is associated with improved patient and family outcomes.

%B J Palliat Med %V 16 %P 492-5 %8 2013 May %G eng %N 5 %R 10.1089/jpm.2012.0536 %0 Journal Article %J J Soc Work End Life Palliat Care %D 2012 %T Palliative care in the pediatric ICU: challenges and opportunities for family-centered practice. %A Doorenbos, Ardith %A Lindhorst, Taryn %A Starks, Helene %A Aisenberg, Eugene %A Curtis, J Randall %A Hays, Ross %K Child %K Humans %K Intensive Care Units, Pediatric %K Palliative Care %K Patient Care Team %K Patient Transfer %K Patient-Centered Care %K Pediatrics %K Professional Role %K Professional-Family Relations %K Terminal Care %K United States %X

The culture of pediatric intensive care units (PICUs) is focused on curative or life-prolonging treatments for seriously ill children. We present empirically-based approaches to family-centered palliative care that can be applied in PICUs. Palliative care in these settings is framed by larger issues related to the context of care in PICUs, the stressors experienced by families, and challenges to palliative care philosophy within this environment. Innovations from research on family-centered communication practices in adult ICU settings provide a framework for development of palliative care in PICUs and suggest avenues for social work support of critically ill children and their families.

%B J Soc Work End Life Palliat Care %V 8 %P 297-315 %8 2012 %G eng %N 4 %R 10.1080/15524256.2012.732461 %0 Journal Article %J Violence Against Women %D 2011 %T The long arc of recovery: characterizing intimate partner violence and its psychosocial effects across 17 years. %A Lindhorst, Taryn %A Beadnell, Blair %K Adaptation, Psychological %K Adolescent %K Adult %K Alcohol Drinking %K Anxiety %K Battered Women %K Child %K Depression %K Female %K Follow-Up Studies %K Humans %K Interpersonal Relations %K Male %K Mental Health %K Poverty %K Pregnancy %K Sexual Partners %K Spouse Abuse %K Time %K Young Adult %X

Little is known about how intimate partner violence (IPV) affects women's long-term mental health. Using 17 years of data from adolescent mothers, this study (a) empirically identified three subgroups based on patterns of IPV exposure during 4 years of their adolescence; (b) found that subgroup membership was a predictor of psychosocial outcomes in the subsequent 13 years, and (c) showed that the long-term effects of IPV exposure persisted even while controlling for the role of early poverty. By their 30s, women had recovered from IPV such that there were no significant differences between groups at the final time point.

%B Violence Against Women %V 17 %P 480-99 %8 2011 Apr %G eng %N 4 %R 10.1177/1077801211404548 %0 Journal Article %J Women Health %D 2011 %T The prevalence and correlates of depressive symptoms among adolescent mothers: results from a 17-year longitudinal study. %A Gavin, Amelia R %A Lindhorst, Taryn %A Lohr, Mary Jane %K Adolescent %K Adult %K Cohort Studies %K Depression %K Female %K Humans %K Logistic Models %K Longitudinal Studies %K Male %K Marital Status %K Mothers %K Parity %K Pregnancy %K Pregnancy in Adolescence %K Prevalence %K Public Health %K Sexual Partners %K Smoking %K Social Welfare %K Spouse Abuse %K Young Adult %X

The objective of the authors in this study was to examine the prevalence and correlates of elevated depressive symptoms in a 17-year cohort study of 173 women who were unmarried, pregnant adolescents between June 1988 and January 1990. Multiple logistic regression was used to estimate the associations between correlates and elevated depressive symptoms during five distinct developmental periods of the life course. Depressive symptoms were measured by the Brief Symptom Inventory depression subscale. The prevalence of elevated depressive symptoms in adolescent mothers significantly increased over the 17 years of the study from 19.8% to 35.2%. In adjusted analyses, antenatal depressive symptoms were positively and significantly associated with elevated depressive symptoms at every developmental period. Intimate partner violence was positively and significantly associated with elevated depressive symptoms during all but one developmental period. Other significant correlates of elevated depressive symptoms included welfare receipt, smoking, and parity, all of which were significant at some, but not other, developmental periods. Antenatal depressive symptoms and intimate partner violence were positively and significantly associated with elevated depressive symptoms. Given the public health consequences associated with maternal depression, clinical and community-based interventions should be developed to identify and to treat adolescent mothers at-risk for antenatal depression and intimate partner violence.

%B Women Health %V 51 %P 525-45 %8 2011 Aug 31 %G eng %N 6 %R 10.1080/03630242.2011.606355 %0 Journal Article %J Soc Work %D 2010 %T Frontline worker responses to domestic violence disclosure in public welfare offices. %A Lindhorst, Taryn %A Casey, Erin %A Meyers, Marcia %K Domestic Violence %K Female %K Humans %K Interviews as Topic %K Poverty %K Social Welfare %K Social Work %X

Although substantial numbers of women seeking Temporary Assistance for Needy Families (TANF) report domestic violence, few receive mandated services through the Family Violence Option (FVO). This study used transcripts ofinterviews between welfare caseworkers and their clients to identify and classify the responses made by workers to client disclosures of abuse and to assess the match or mismatch of these responses with FVO policy requirements. Only 22 of 782 client interviews involved the disclosure of abuse to the welfare caseworker. A typology of worker responses was created, from least to most engaged. This typology shows that only half of those who disclosed abuse received assistance from the welfare worker, despite policy mandates that clients receive information on TANF waivers and community resources. This study suggests that problems with implementation of the FVO reflect a systemic reluctance to address issues of violence with women rather than problems of individual workers.

%B Soc Work %V 55 %P 235-43 %8 2010 Jul %G eng %N 3