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School of Social Service Administration
CHAS eNews: December 2015
Residents of Low-income Communities’ Preferences for Community Health Representation. 
In local health-decision making, as in other domains, great effort has been devoted to both theorizing and implementing community participation.  Jennifer Mosley (SSA) and colleagues argue in a CHAS-supported study, that despite these efforts, a key “first-order,” question remains:  who makes an effective and legitimate community representative?  Using open-ended interviews with residents of low-income neighborhoods on Chicago’s south side, Mosley and colleagues explore these questions from the perspective of community members themselves.  They find that community members have clear and consistent preferences regarding what constitutes effective community health representation.  They identify three primary criteria: (1) ability to deliver outcomes, (2) expertise, and (3) active and frequent communication.  They argue that these elements “underscore a deeper expression of community trust and commitment that respondents found fundamental to representation.”  By considering the views of community members themselves, Mosley and colleagues provide an important foundation for further research and policy development. For more, please see: Chung, P., Grogan, C.M., Mosley, J.E. (2012).  Residents’ perceptions of effective community representation in local health decision-making.  Social Science & Medicine, 74: 1652-1659.
Parental Racial-ethnic Socialization: Cultural Orientation and Mental Health Outcomes Among Korean American Youth.  
Family racial-ethnic socialization—a multidimensional construct encompassing parental ethnic identity and pride and cultural socialization—is increasingly understood as a key factor in minority youth development.  However, most studies to date have focused on African American or Latin American families.  Far fewer studies have considered these processes among Asian American families and youth.  Yoonsun Choi (SSA) and colleagues draw from a survey of 291 Korean American families to fill this gap. Choi and colleagues utilize a path analysis to evaluate the direct and indirect relationships among parental racial-ethnic socialization, adolescent cultural orientation, and youth depressive symptoms and antisocial behaviors.  They find that parental racial-ethnic socialization “is significantly associated with . . . cultural orientation among youth, which in turn influences depressive symptoms (but not antisocial behaviors)”.  The pathways are complex, highlighting “the varying impact of racial-ethnic socialization on the multidimensional cultural orientations of youth.”  They also find language proficiency (both Korean and English) is a key factor mediating depressive symptomatology. For more, please see:  Choi, Y., Tan, K. P. H., Yasui, M., & Pekelnicky, D. D. (2014). Race–Ethnicity and culture in the family and youth outcomes: Test of a path model with Korean American youth and parents. Race and social problems, 6(1), 69-84.
Medicare Part D Does Not Adversely Affect Drug Access for Dual Eligibles.   
Caleb Alexander and colleagues find, in a CHAS-supported study, that contrary to the concerns of many, the implementation of the Medicare Part D prescription drug benefit program did not adversely affect Medicare-Medicaid dual eligibles’ access to prescription drugs.  As Alexander and colleagues note, the implementation of Part D changed both the rules and protections of prescription drug coverage for dual eligibles, and there was widespread concern about the new program’s impact on this group.   Representing the first empirical effort of its kind, the study used  a random sample of pharmacy claims from a national retail pharmacy chain to compare the experience of a group of dual eligibles to a “control group” (near-elderly, Medicaid only) in the immediate pre-Part D period and the 18 months following implementation.  Their analysis finds no evidence that Part D had a negative effect on dual eligibles’ drug utilization, out-of-pocket costs, or total pharmaceutical costs.   Importantly, Alexander and colleagues suggest policy actions aimed at mitigating the effect of implementation on this group—such as temporary drug coverage programs—may have played a key role in their finding. For more, please see:  Basu, A., Yin, W., Alexander, G.C. (2010).  Impact of Medicare Part D on Medicare-Medicaid dual-eligible beneficiaries’ prescription utilization and expenditures.  Health Services Research, 45 (1): 133-151.  
Michael M. Davis lecturer spotlight: Jeff Jenson  
Jeff Jenson, University of Denver School of Social Work, provided a rich overview of the evolution of prevention science for child and adolescent behavioral health In his Fall 2015 Michael M. Davis Lecture.  From the well-intentioned, but largely ineffective efforts of the 1960s and 1970s, prevention has evolved into a scientific study of risk and protective factors, with a 30-year track record of research demonstrating the effectiveness and cost-effectiveness of prevention.  There are now more than 50 evidence-based interventions for improving child well-being and reducing problem behavior.  The challenge is to increase the implementation of those that work..  “Schools, for a variety of reasons,” Jenson remarked, “don’t select the ones we know work.”  Changing this is the focus of Unleashing the Power of Prevention , a grand challenge initiative for social work, issued by the Academy of Social Work and Social Welfare in January 2015.  A cross-disciplinary call to action, Unleashing the Power of Prevention is a 10-year plan for increasing the use of effective preventive interventions.  Jenson is a  member of the steering committee, and a principal author of the initiative.  For more information on Unleashing the Power of Prevention, please see either the NAM website or the Academy of Social Work and Social Welfare. To view Professor Jenson's full lecture slides, please see the CHAS Davis lectures archives page.

Harold Pollack Elected to Academy of Social Work and Social Welfare  

Harold Pollack
has been elected to the American Academy of Social Work and Social Welfare for his distinguished work in health policy and health economics. He joins other University of Chicago faculty elected to the Academy:  Mark Courtney (SSA), Curtis McMillan (SSA), Jeanne Marsh (SSA). The Academy promotes the examination of social policy and the application of research to test alternative policies, programs and practices for their impact on society.  Pollack will be inducted during ceremonies at the Society for Social Work Research on January 15, 2016 in Washington, DC.
2016-2017 CHAS Seed Awards selected 
After careful review and consideration, the CHAS Executive Committee selected the following proposals to fund for 2 years as pilot investigation projects:  

Gina Fedock, Ph. D.
School of Social Service Administration
"Suicidal Behaviors in Prisons: Exploring Racial and Gender Disparities, Prison Responses, and Outcomes"

Angela Garcia, Ph.D.
School of Social Service Administration
"Waiting for Reform: Uncertainty and Undocumented Mexicans' Mental Health"

Fabrice Smieliauskas, Ph.D.
Department of Public Health Sciences
"Racial Disparities in Predictive Biomarkers, Access to Precision Medicine, and Cancer Outcomes"

Congratulations to our awardees!  For more information on the CHAS Seed Awards or to see previously named awardees, please visit the CHAS Seed Grants webpage.
2016 CHAS Predoctoral Stipend Awards 
In October, the Center for Health Administration Studies (CHAS) announced an opportunity for the CHAS predoctoral stipend award for SSA doctoral students assisting a CHAS faculty member on a health policy or services research project. The CHAS Executive Committee has selected the following student proposals to fund in 2016:

Cliff Bersamira
"Substance Abuse Among Asian Pacific Islander Americans"

Bikki Smith
"The Impact and Implications of ACA Implementation on Individual State Medicaid Programs"

Yu-An Lin
"Assessing the Active Ingredients of Service Integration for Substance Involved Child Welfare Clients Based on Data from the Title IV-­E AODA Waiver: Parent Survey"

Tonie Sadler
"Identifying Factors that May Lead to Inpatient Psychiatric Hospitalization Among Adults with I/DD While Examining Prevalence of Caregiver Relinquishment of Care"

Keunhye Park
"Estimates of Current Heroin Epidemic Issues Associated with Regional Geography and Time Trends Throughout the Country"
Spring 2016 Michael M. Davis Lecture Schedule
Each academic quarter, CHAS hosts the Davis lectures to bring health policy and services research to SSA to address topics at the intersection of health policy and the broad needs of vulnerable and disadvantaged populations. All lectures are held on Tuesdays from 12:00 pm to 1:20 pm at the School of Social Service Administration, 969 E. 60th Street, in room W1a+b. The lectures are free and open to the public, but registration is required in order to have lunch provided and reserved.  Please see below to reserve early for this upcoming Spring's lecturers:

April 5, 2016:
Anup Malani, J.D., Ph.D., Lee and Brena Freeman Professor at The University of Chicago Law School and Professor at the Pritzker School of Medicine

April 19, 2016: Sarah E. Gollust, Ph.D., Assistant Professor in Health Policy and Management and McKnight Land-Grant Professor at University of Minnesota School of Public Health

April 26, 2016:
Ruth Thompson-Miller, Ph.D., Assistant Professor of Sociology at the University of Dayton

May 3, 2016:
Lawrence Palinkas, M.A., Ph.D., Frances L. and Albert G. Feldman Endowed Professor in Social Policy and Health at the University of Southern California

May 10, 2016:
Ronald Bayer, Ph.D., Professor of Sociomedical Sciences at Columbia University and Co-Director, Center for the History and Ethics of Public Health

May 17, 2016:
Erika Franklin Fowler, M.A., Ph.D., Assistant Professor of Government at Wesleyan University and Director of the Wesleyan Media Project

CHAS Seed Award Final Reports:
Due 01/31/2016 for those funded 01/01/2014. Questions? Email:
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