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Introduction: In response to the overdose epidemic, novel strategies including Overdose Response Hotlines and Applications (ORHAs) have been introduced to help mitigate the crisis. These technologies enable individuals with a phone to access harm reduction support via smartphones and applications. Such supports include overdose monitoring, access to social services, mental health referrals, and more. This study analyzed data from the Canadian National Questionnaire on Overdose Monitoring (CNQOM), a large bilingual national survey, to evaluate the perspectives of people who use unregulated substances currently (PWUS-C), people who used unregulated substances previously (PWUS-P), and addiction service provider (ASP) on the importance of specific ORHA features.

Methods: One component of the CNQOM pertained to the importance of specific ORHA service elements. Examined categories included accessibility and technological features, overdose response functionality, data privacy and philosophies of care, additional support services, and substance usage. Each group responded to 33 questions on a 5-point Likert scale, and the data was analyzed using descriptive statistics involving percentages and ordinal logistical regression analysis.

Results: The study involved 971 participants: 840 PWUS-C, 298 PWUS-P, and 169 ASP. The majority of respondents from the key groups considered all ORHA elements important. Generally, the groups ranked the elements in a similar order of importance, with only minor variations. The highest-ranked elements in each element category with regards to importance were: 24/7 availability (84% of PWUS-C, 88% of PWUS-P, and 90% of ASP), the ability of EMS to resuscitate individuals during an overdose (81% of PWUS-C, 83% of PWUS-P, 85% ASP), non-judgmental support (87% of PWUS-C, 87% of PWUS-P, and 91% of ASP), access to mental health support (82% of PWUS-C, 84% of PWUS-P, and 90% of ASP), and feeling safer when using substances (80% of PWUS-C, 81% of PWUS-P, and 88% of ASP).

Conclusion: This paper highlights the importance multiple groups place on various elements of ORHAs, reflecting critical elements that should be considered when standardizing these virtual harm reduction technologies. The results of this study provide insight into opportunities to enhance virtual platforms, making them more responsive, accessible, and trusted as harm reduction resources.

Social work supervisors have the power to shape the next generation of social workers. Thus, it is imperative that social work supervision take an antiracist/antioppressive approach to effect transformational change for the individuals and families with whom we work rather than supporting and maintaining systems and practices that cause harm. This article proposes applying the SHARP (structural oppression, historical context, analysis of role, reciprocity and mutuality, and power) framework to reflective supervision (RS) for this purpose. RS emphasizes important factors for social work supervision such as collaborative meaning making and emotional learning. However, alone, RS does not explicitly address the pervasive issues of racism and oppression that inevitably show up in social work practice. Therefore, authors apply the SHARP framework to RS to promote critical consciousness, mutual accountability, and transformational social work practice. This article introduces the SHARP framework and RS, outlines how each component of SHARP enhances RS, and suggests practical applications.

This study explores the relationships between ICT uses for various purposes and mental health and the moderating effect of technology learning among Chinese and Korean older Americans. The survey data were collected from 513 Chinese and Korean older Americans in New York City. Negative binomial regression was used to examine the relationships between ICT uses for social, instrumental, and health purposes, and depressive symptoms. Interaction terms between ICT use variables and technology learning styles were created for the moderation test. We found that ICT uses for social contact and health purposes were significantly associated with lower depressive symptoms among the Chinese and Korean older Americans, and the benefits were more pronounced for those who learned ICT independently. This study highlighted the importance of supporting ICT uses for social contact and health purposes and technology learning process to improve mental health of older Asian Americans.

The United States presently has both the highest rates of gun violence and the highest per capita rate of gun ownership in the developed world. The widespread availability and the accessibility of guns-and their uniquely lethal risks-make gun violence a devastating national problem. Given that social workers deliver services in many settings where clients face high risk of gun violence victimization and perpetration, social work professional values, commitments, and perspectives afford a special responsibility and opportunity to work to reduce gun violence in the United States. In this article, authors overview the problem of gun violence in the United States and its legal backdrop, and then highlight some of the emerging knowledge regarding how social workers can assess and intervene to prevent gun violence to save lives, promote physical and mental well-being, advance social equity, and strengthen communities.