Pub Date : 2020-03-14DOI: 10.1080/10522158.2019.1694343
D. Marlowe, E. Cannata, Rosalyn M. Bertram, Soo-Whan Choi, S. Kerns
ABSTRACT The increasing emphasis on research supported treatments in behavioral health requires clinicians to develop knowledge and skills for evidence-based practice. Graduate professional degree programs must address this in preparation for the emerging workforce. In this paper, we synthesize results from two related studies that examined the extent to which master’s level professional degree programs prepare future practitioners to deliver a process of evidence-based practice or specific evidence-based treatments. We compare these results with a previous study of North American administrators and supervisors who hire graduates from Master's level professional degree programs. The first study explored the Masters in Social Work curricula, and the second study examined Marriage and Family Therapy programs. Professionals with these graduate degrees are primary providers of behavioral health treatment. Results demonstrate how both disciplines are changing and offer both rationale and concerns voiced by program deans and directors. Compared with a study of provider perspectives, the collective results indicate institutions of higher education are providing at least modest levels of training in evidence-based treatments. We conclude with suggestions for university partnership with behavioral health and social service programs.
{"title":"Teaching evidence-based practice: A comparison of two disciplines","authors":"D. Marlowe, E. Cannata, Rosalyn M. Bertram, Soo-Whan Choi, S. Kerns","doi":"10.1080/10522158.2019.1694343","DOIUrl":"https://doi.org/10.1080/10522158.2019.1694343","url":null,"abstract":"ABSTRACT The increasing emphasis on research supported treatments in behavioral health requires clinicians to develop knowledge and skills for evidence-based practice. Graduate professional degree programs must address this in preparation for the emerging workforce. In this paper, we synthesize results from two related studies that examined the extent to which master’s level professional degree programs prepare future practitioners to deliver a process of evidence-based practice or specific evidence-based treatments. We compare these results with a previous study of North American administrators and supervisors who hire graduates from Master's level professional degree programs. The first study explored the Masters in Social Work curricula, and the second study examined Marriage and Family Therapy programs. Professionals with these graduate degrees are primary providers of behavioral health treatment. Results demonstrate how both disciplines are changing and offer both rationale and concerns voiced by program deans and directors. Compared with a study of provider perspectives, the collective results indicate institutions of higher education are providing at least modest levels of training in evidence-based treatments. We conclude with suggestions for university partnership with behavioral health and social service programs.","PeriodicalId":46016,"journal":{"name":"Journal of Family Social Work","volume":"23 1","pages":"133 - 150"},"PeriodicalIF":0.9,"publicationDate":"2020-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/10522158.2019.1694343","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45627786","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-03-14DOI: 10.1080/10522158.2019.1694342
Jennifer A. Rolls Reutz, S. Kerns, Jennifer A. Sedivy, Cricket Mitchell
ABSTRACT There is an implementation gap in which more is known about what works to support implementation than what is done in practice. This paper uses information from programs rated on the California Evidence-Based Clearinghouse (CEBC), a web-based repository of information on the evidence base for programs that serve children and families, to examine the extent of this gap as it relates to the availability of fidelity measurement implementation supports. Fidelity measures and materials supplied during the CEBC data collection process by representatives of programs rated on the CEBC Scientific Rating Scale as having well-supported, supported, or promising research evidence were examined. Over 30% of these programs did not have a fidelity assessment approach. For the rest, using the available data, the program’s fidelity characteristics, including source, type, and frequency of use, were coded. The extent to which fidelity supports are incorporated into these programs remains variable. No relationship was found between the level of scientific rating and the existence of fidelity measures. Overall, a range of fidelity strategies were used, including those considered gold standard (e.g., live or video observation). However, rarely are these strategies required. Results underscore the substantial implementation gap as it applies to fidelity measurement.
{"title":"Documenting the implementation gap, part 1: Use of fidelity supports in programs indexed in the California evidence-based clearinghouse","authors":"Jennifer A. Rolls Reutz, S. Kerns, Jennifer A. Sedivy, Cricket Mitchell","doi":"10.1080/10522158.2019.1694342","DOIUrl":"https://doi.org/10.1080/10522158.2019.1694342","url":null,"abstract":"ABSTRACT There is an implementation gap in which more is known about what works to support implementation than what is done in practice. This paper uses information from programs rated on the California Evidence-Based Clearinghouse (CEBC), a web-based repository of information on the evidence base for programs that serve children and families, to examine the extent of this gap as it relates to the availability of fidelity measurement implementation supports. Fidelity measures and materials supplied during the CEBC data collection process by representatives of programs rated on the CEBC Scientific Rating Scale as having well-supported, supported, or promising research evidence were examined. Over 30% of these programs did not have a fidelity assessment approach. For the rest, using the available data, the program’s fidelity characteristics, including source, type, and frequency of use, were coded. The extent to which fidelity supports are incorporated into these programs remains variable. No relationship was found between the level of scientific rating and the existence of fidelity measures. Overall, a range of fidelity strategies were used, including those considered gold standard (e.g., live or video observation). However, rarely are these strategies required. Results underscore the substantial implementation gap as it applies to fidelity measurement.","PeriodicalId":46016,"journal":{"name":"Journal of Family Social Work","volume":"23 1","pages":"114 - 132"},"PeriodicalIF":0.9,"publicationDate":"2020-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/10522158.2019.1694342","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42930263","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-03-14DOI: 10.1080/10522158.2020.1724642
Rosalyn M. Bertram, Jacquie Brown
Each year, the Child and Family Evidence-Based Practice Consortium organizes a track of presentations for the Research and Policy Conference for Child, Adolescent, and Young Adult Behavioral Health. Sponsored by the University of South Florida’s Department of Child and Family Studies and the Children’s Mental Health Network. In March 2020, this conference convenes for its 33rd year in Tampa. For this Journal of Family Social Work special issue, the Consortium invited contributors from its track of presentations at the 32nd annual conference to submit manuscripts. Since 2002, the Consortium has engaged practitioners, administrators, researchers, and faculty interested in providing evidence-based and promising practices for children, youth, and families. Consortium efforts focus upon the selection and effective implementation of these practices as well as relevant workforce preparation and development. Consortium participants include leaders from Australia, Canada, Europe, and the United States, some of whom also consult and provide technical assistance in Africa, Asia, and Latin America. Consortium participation is voluntary, and projects are not reliant upon any single funding source. Hence, efforts evolve through interdisciplinary selfgoverning and creative discourse as multiple fields address the promise and challenge of implementing evidence-based and promising practices for children, youth, and families. Members explore differing perspectives, emerging questions, challenges, and successful strategies in systems-change and research efforts. They are active in related organizations and groups such as Abt Associates with the Title IV-E Prevention Services Clearinghouse, the California Evidence-Based Clearinghouse for Child Welfare (CEBC), Evidence-Based Associates, the Families Foundation, Judge Baker Children’s Center, the National Child Trauma Stress Network (NCTSN), the National Training and Technical Assistance Center for Child, Youth and Family Mental Health (NTTAC), Triple P International, andWheeler Clinics of Connecticut. Participants are also engaged in the Global Implementation Society and in its development of a new journal,
{"title":"The Child and Family Evidence-Based Practice Consortium special issue: Effective implementation of evidence-supported treatment","authors":"Rosalyn M. Bertram, Jacquie Brown","doi":"10.1080/10522158.2020.1724642","DOIUrl":"https://doi.org/10.1080/10522158.2020.1724642","url":null,"abstract":"Each year, the Child and Family Evidence-Based Practice Consortium organizes a track of presentations for the Research and Policy Conference for Child, Adolescent, and Young Adult Behavioral Health. Sponsored by the University of South Florida’s Department of Child and Family Studies and the Children’s Mental Health Network. In March 2020, this conference convenes for its 33rd year in Tampa. For this Journal of Family Social Work special issue, the Consortium invited contributors from its track of presentations at the 32nd annual conference to submit manuscripts. Since 2002, the Consortium has engaged practitioners, administrators, researchers, and faculty interested in providing evidence-based and promising practices for children, youth, and families. Consortium efforts focus upon the selection and effective implementation of these practices as well as relevant workforce preparation and development. Consortium participants include leaders from Australia, Canada, Europe, and the United States, some of whom also consult and provide technical assistance in Africa, Asia, and Latin America. Consortium participation is voluntary, and projects are not reliant upon any single funding source. Hence, efforts evolve through interdisciplinary selfgoverning and creative discourse as multiple fields address the promise and challenge of implementing evidence-based and promising practices for children, youth, and families. Members explore differing perspectives, emerging questions, challenges, and successful strategies in systems-change and research efforts. They are active in related organizations and groups such as Abt Associates with the Title IV-E Prevention Services Clearinghouse, the California Evidence-Based Clearinghouse for Child Welfare (CEBC), Evidence-Based Associates, the Families Foundation, Judge Baker Children’s Center, the National Child Trauma Stress Network (NCTSN), the National Training and Technical Assistance Center for Child, Youth and Family Mental Health (NTTAC), Triple P International, andWheeler Clinics of Connecticut. Participants are also engaged in the Global Implementation Society and in its development of a new journal,","PeriodicalId":46016,"journal":{"name":"Journal of Family Social Work","volume":"23 1","pages":"87 - 90"},"PeriodicalIF":0.9,"publicationDate":"2020-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/10522158.2020.1724642","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41496600","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-03-14DOI: 10.1080/10522158.2019.1694344
Rosalyn M. Bertram, Christy Collins, M. Elsen
ABSTRACT In this article, we present a university partnership with public and private child welfare organizations that simultaneously transformed MSW field curricula and informed installation and implementation of new child welfare practice models. Anchored in implementation science and frameworks, the partnership’s plan-do-study-act feedback loops identify challenges and opportunities, integrate lessons for students, instructors, and participating organizations, and prepare future workforce and leaders to deliver evidence-informed practice. Its focus, processes, structures, and tools offer academic professional degree programs an example of how workforce preparation and the implementation of service programs can be mutually reinforcing and beneficial.
{"title":"University partnership in child welfare workforce preparation and program implementation","authors":"Rosalyn M. Bertram, Christy Collins, M. Elsen","doi":"10.1080/10522158.2019.1694344","DOIUrl":"https://doi.org/10.1080/10522158.2019.1694344","url":null,"abstract":"ABSTRACT In this article, we present a university partnership with public and private child welfare organizations that simultaneously transformed MSW field curricula and informed installation and implementation of new child welfare practice models. Anchored in implementation science and frameworks, the partnership’s plan-do-study-act feedback loops identify challenges and opportunities, integrate lessons for students, instructors, and participating organizations, and prepare future workforce and leaders to deliver evidence-informed practice. Its focus, processes, structures, and tools offer academic professional degree programs an example of how workforce preparation and the implementation of service programs can be mutually reinforcing and beneficial.","PeriodicalId":46016,"journal":{"name":"Journal of Family Social Work","volume":"23 1","pages":"151 - 163"},"PeriodicalIF":0.9,"publicationDate":"2020-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/10522158.2019.1694344","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48320378","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-03-14DOI: 10.1080/10522158.2019.1694345
Fatima Zahra Kadik, Jaimie Shaff, J. Okeke, S. Berger
ABSTRACT This paper describes a dynamic process of workforce development, implementation, and evaluation of evidence-based practices (EBPs) within an early childhood mental health (ECMH) network serving children birth to five and their families. The key feature of an effective structure and multi-year process to train clinical service providers in evidence-based practices is the capacity building cycle: Assess, Select, Train, Evaluate. The New York City (NYC) ECMH network assessed the capacity and competencies of early childhood clinical practitioners and selected evidence-based practices and models that are: 1) appropriate for the birth to five population, 2) dyadic or family based, and 3) trauma-informed and/or strengths-based. We describe the evaluation, needs assessments, and best practices that support the effective use of evidence-based practices. It is important to flexibly respond to the needs of the community when selecting evidence-based practices, paying particular attention to equity issues. Considerations to note are that the few EBPs available for this birth to five population are costly, have a limited number of trainers, may not have a train-the-trainer model, and rarely have these EBPs been evaluated in multi-lingual or diverse U.S. communities. The success of implementing a multi-year cycle in NYC lies in having a funded training center closely linked to the workforce.
{"title":"Integrating evidence-based practices into early childhood mental health clinics: A dynamic approach to strengthening the resilience of children birth to five and families","authors":"Fatima Zahra Kadik, Jaimie Shaff, J. Okeke, S. Berger","doi":"10.1080/10522158.2019.1694345","DOIUrl":"https://doi.org/10.1080/10522158.2019.1694345","url":null,"abstract":"ABSTRACT This paper describes a dynamic process of workforce development, implementation, and evaluation of evidence-based practices (EBPs) within an early childhood mental health (ECMH) network serving children birth to five and their families. The key feature of an effective structure and multi-year process to train clinical service providers in evidence-based practices is the capacity building cycle: Assess, Select, Train, Evaluate. The New York City (NYC) ECMH network assessed the capacity and competencies of early childhood clinical practitioners and selected evidence-based practices and models that are: 1) appropriate for the birth to five population, 2) dyadic or family based, and 3) trauma-informed and/or strengths-based. We describe the evaluation, needs assessments, and best practices that support the effective use of evidence-based practices. It is important to flexibly respond to the needs of the community when selecting evidence-based practices, paying particular attention to equity issues. Considerations to note are that the few EBPs available for this birth to five population are costly, have a limited number of trainers, may not have a train-the-trainer model, and rarely have these EBPs been evaluated in multi-lingual or diverse U.S. communities. The success of implementing a multi-year cycle in NYC lies in having a funded training center closely linked to the workforce.","PeriodicalId":46016,"journal":{"name":"Journal of Family Social Work","volume":"23 1","pages":"164 - 176"},"PeriodicalIF":0.9,"publicationDate":"2020-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/10522158.2019.1694345","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45092261","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-03-14DOI: 10.1080/10522158.2020.1724581
Jessica Eslinger, G. Sprang, Sarah Ascienzo, Miriam Silman
ABSTRACT In order to improve access to and utilization of high-quality children’s mental health services, there have been considerable efforts to disseminate evidence-based treatments (EBTs) into community-based settings. However, these efforts have not always led to successful use of interventions overtime, and further understanding of how organizational and individual factors may serve as barriers to the implementation process is needed. To help measure implementation and sustainability success in a sample of 118 community-based mental health providers, a 70-item electronic survey was developed to query participant’s experiences with EBT implementation post-training. Results of hierarchical regression analysis suggest that more positive attitudes toward evidence-based practices, the provision of agency incentives, and more intensive training of the intervention increase the likelihood of EBT sustainability, while more positive attitudes toward evidence-based practice and more intensive training increase the likelihood that strategies to help promote protocol fidelity are used. Results contribute to the growing implementation literature in mental health. Post-training consultation may help increase a provider’s ability to manage organizational barriers inherent to providing EBTs within community-based settings. Provision of agency incentives, such as praise and financial compensation, as well as helping promote trainee’s positive attitudes toward EBTs, may also help increase likelihood of implementation success.
{"title":"Fidelity and sustainability in evidence-based treatments for children: An investigation of implementation determinants","authors":"Jessica Eslinger, G. Sprang, Sarah Ascienzo, Miriam Silman","doi":"10.1080/10522158.2020.1724581","DOIUrl":"https://doi.org/10.1080/10522158.2020.1724581","url":null,"abstract":"ABSTRACT In order to improve access to and utilization of high-quality children’s mental health services, there have been considerable efforts to disseminate evidence-based treatments (EBTs) into community-based settings. However, these efforts have not always led to successful use of interventions overtime, and further understanding of how organizational and individual factors may serve as barriers to the implementation process is needed. To help measure implementation and sustainability success in a sample of 118 community-based mental health providers, a 70-item electronic survey was developed to query participant’s experiences with EBT implementation post-training. Results of hierarchical regression analysis suggest that more positive attitudes toward evidence-based practices, the provision of agency incentives, and more intensive training of the intervention increase the likelihood of EBT sustainability, while more positive attitudes toward evidence-based practice and more intensive training increase the likelihood that strategies to help promote protocol fidelity are used. Results contribute to the growing implementation literature in mental health. Post-training consultation may help increase a provider’s ability to manage organizational barriers inherent to providing EBTs within community-based settings. Provision of agency incentives, such as praise and financial compensation, as well as helping promote trainee’s positive attitudes toward EBTs, may also help increase likelihood of implementation success.","PeriodicalId":46016,"journal":{"name":"Journal of Family Social Work","volume":"23 1","pages":"177 - 196"},"PeriodicalIF":0.9,"publicationDate":"2020-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/10522158.2020.1724581","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48494716","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-03-14DOI: 10.1080/10522158.2019.1694341
C. Higa-McMillan, Brad J. Nakamura, E. Daleiden, G. Edwall, Patricia Nygaard, B. Chorpita
ABSTRACT Successful innovations inevitably evolve over time. Such change presents challenges for implementation, especially given that the contexts interacting with the innovation are evolving too. We discuss the implementation of the Managing and Adapting Practice (MAP) system in Minnesota over a 15-year period. We present an approach to customizing training when the innovation has changed over time resulting in various levels of experience and expertise with the innovation. Findings suggest this approach may help bring early-adopters of an evolving service model up to current standards in an acceptable and feasible manner. We conclude with lessons learned that future customized trainings should consider.
{"title":"Fifteen years of MAP implementation in Minnesota: Tailoring training to evolving provider experience and expertise","authors":"C. Higa-McMillan, Brad J. Nakamura, E. Daleiden, G. Edwall, Patricia Nygaard, B. Chorpita","doi":"10.1080/10522158.2019.1694341","DOIUrl":"https://doi.org/10.1080/10522158.2019.1694341","url":null,"abstract":"ABSTRACT Successful innovations inevitably evolve over time. Such change presents challenges for implementation, especially given that the contexts interacting with the innovation are evolving too. We discuss the implementation of the Managing and Adapting Practice (MAP) system in Minnesota over a 15-year period. We present an approach to customizing training when the innovation has changed over time resulting in various levels of experience and expertise with the innovation. Findings suggest this approach may help bring early-adopters of an evolving service model up to current standards in an acceptable and feasible manner. We conclude with lessons learned that future customized trainings should consider.","PeriodicalId":46016,"journal":{"name":"Journal of Family Social Work","volume":"23 1","pages":"113 - 91"},"PeriodicalIF":0.9,"publicationDate":"2020-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/10522158.2019.1694341","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42667473","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-02-13DOI: 10.1080/10522158.2020.1724580
R. Owen, Caitlin Crabb, Kaitlin Stober, T. Heller
ABSTRACT This paper explores the impact of family-informed care on Medicaid enrollees with disabilities’ unmet needs for medical services and long-term services and supports (LTSS) and family members’ appraisal of the services received by those enrollees within a Medicaid managed care program in one Midwestern state. Families play an important role in the lives of people with disabilities. However, little is understood about the relationship between unmet needs of people with disabilities and the degree to which their family informs the care they receive. Regression analyses were performed on 700 surveys that were partially completed by a Medicaid enrollee with a disability and partially by a family member. After controlling for enrollee and family demographics/factors and family involvement in day-to-day activities, family members who reported higher levels of the family-informed care had higher appraisals of the services received by enrollees and those enrollees reported fewer unmet medical and LTSS needs. Findings highlight the importance of including family members in healthcare decision-making within social policies and programs, such as Medicaid managed care. Additional research is needed to promote best practices in family-informed care when desired by adults with disabilities.
{"title":"Impacts of family-informed care for people with disabilities enrolled in Medicaid managed care","authors":"R. Owen, Caitlin Crabb, Kaitlin Stober, T. Heller","doi":"10.1080/10522158.2020.1724580","DOIUrl":"https://doi.org/10.1080/10522158.2020.1724580","url":null,"abstract":"ABSTRACT This paper explores the impact of family-informed care on Medicaid enrollees with disabilities’ unmet needs for medical services and long-term services and supports (LTSS) and family members’ appraisal of the services received by those enrollees within a Medicaid managed care program in one Midwestern state. Families play an important role in the lives of people with disabilities. However, little is understood about the relationship between unmet needs of people with disabilities and the degree to which their family informs the care they receive. Regression analyses were performed on 700 surveys that were partially completed by a Medicaid enrollee with a disability and partially by a family member. After controlling for enrollee and family demographics/factors and family involvement in day-to-day activities, family members who reported higher levels of the family-informed care had higher appraisals of the services received by enrollees and those enrollees reported fewer unmet medical and LTSS needs. Findings highlight the importance of including family members in healthcare decision-making within social policies and programs, such as Medicaid managed care. Additional research is needed to promote best practices in family-informed care when desired by adults with disabilities.","PeriodicalId":46016,"journal":{"name":"Journal of Family Social Work","volume":"23 1","pages":"431 - 448"},"PeriodicalIF":0.9,"publicationDate":"2020-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/10522158.2020.1724580","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"60147158","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-02-06DOI: 10.1080/10522158.2020.1725794
Jennifer A. Shadik
ABSTRACT Fathers can have a significant impact on their children, yet important gaps in the fathering literature exist. Increasing knowledge of fathers in the child welfare system is important in order to intervene effectively. This study presents findings regarding the ways that fluidity impacts fathers’ parenting. The study sample included 15 fathers in the Mid-Atlantic region who were participating in or had completed a parenting group for child maltreatment. This study was a secondary analysis of qualitative data from a grounded theory study with fathers in the child welfare system in order to examine the impact of fluidity on fathers and fathering. Findings revealed change in multiple areas including: living arrangements, marital status and parenting partners, incarceration, and involvement with children. A better understanding of fluidity in the lives of fathers in the child welfare system is important in efforts to build effective intervention approaches and improve the quality of fathering. Findings suggest the importance of understanding the needs and challenges of these fathers and how fluidity impacts fathers and their children. Implications and recommendations for assessment and intervention are discussed.
{"title":"Fathering and child maltreatment: understanding the impact of fluidity in fathers’ lives","authors":"Jennifer A. Shadik","doi":"10.1080/10522158.2020.1725794","DOIUrl":"https://doi.org/10.1080/10522158.2020.1725794","url":null,"abstract":"ABSTRACT Fathers can have a significant impact on their children, yet important gaps in the fathering literature exist. Increasing knowledge of fathers in the child welfare system is important in order to intervene effectively. This study presents findings regarding the ways that fluidity impacts fathers’ parenting. The study sample included 15 fathers in the Mid-Atlantic region who were participating in or had completed a parenting group for child maltreatment. This study was a secondary analysis of qualitative data from a grounded theory study with fathers in the child welfare system in order to examine the impact of fluidity on fathers and fathering. Findings revealed change in multiple areas including: living arrangements, marital status and parenting partners, incarceration, and involvement with children. A better understanding of fluidity in the lives of fathers in the child welfare system is important in efforts to build effective intervention approaches and improve the quality of fathering. Findings suggest the importance of understanding the needs and challenges of these fathers and how fluidity impacts fathers and their children. Implications and recommendations for assessment and intervention are discussed.","PeriodicalId":46016,"journal":{"name":"Journal of Family Social Work","volume":"23 1","pages":"257 - 276"},"PeriodicalIF":0.9,"publicationDate":"2020-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/10522158.2020.1725794","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49170397","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-02-06DOI: 10.1080/10522158.2020.1724579
Dennis R. Myers, Robin K Rogers, H. H. Lecrone, Katherine A. Kelley, Hannah Seela Eaton
ABSTRACT Nursing facility social workers play a prominent role in promoting behavioral health among family members with compromised responses to their loved one’s residing in a skilled care nursing facility. Familial behaviors in nursing home settings and social workers’ responses to them have not been systematically investigated. This study addresses the issue through quantitative and qualitative analyzes of face to face, in-depth interviews with 20 BSW/MSW licensed nursing facility social workers averaging 8.8 years of experience. The analysis conducted by a five-member research team yielded six recurring categories of compromised family behaviors: verbally aggressive, controlling/demanding, denial/unrealistic expectations, abuse/exploitation, manipulation, and disengaged/resistant. Respondents reported five categories of responses to these family behaviors: relating (tuning in, active listening, trust-building), mediating, limit-setting, educating, and advocating. Narratives of family behaviors and social worker responses revealed creative ways social workers engaged family member role ambiguity and worked to improve transactions among struggling family members, residents, and facility staff and policy. The findings provide previously unavailable evidence on the social worker’s role in promoting family behavioral health and document an empirical basis for future study. Five recommendations are offered for enriching social work practice and education with families in the context of skilled nursing facility care.
{"title":"Nursing facility social work with family behavioral health challenges","authors":"Dennis R. Myers, Robin K Rogers, H. H. Lecrone, Katherine A. Kelley, Hannah Seela Eaton","doi":"10.1080/10522158.2020.1724579","DOIUrl":"https://doi.org/10.1080/10522158.2020.1724579","url":null,"abstract":"ABSTRACT Nursing facility social workers play a prominent role in promoting behavioral health among family members with compromised responses to their loved one’s residing in a skilled care nursing facility. Familial behaviors in nursing home settings and social workers’ responses to them have not been systematically investigated. This study addresses the issue through quantitative and qualitative analyzes of face to face, in-depth interviews with 20 BSW/MSW licensed nursing facility social workers averaging 8.8 years of experience. The analysis conducted by a five-member research team yielded six recurring categories of compromised family behaviors: verbally aggressive, controlling/demanding, denial/unrealistic expectations, abuse/exploitation, manipulation, and disengaged/resistant. Respondents reported five categories of responses to these family behaviors: relating (tuning in, active listening, trust-building), mediating, limit-setting, educating, and advocating. Narratives of family behaviors and social worker responses revealed creative ways social workers engaged family member role ambiguity and worked to improve transactions among struggling family members, residents, and facility staff and policy. The findings provide previously unavailable evidence on the social worker’s role in promoting family behavioral health and document an empirical basis for future study. Five recommendations are offered for enriching social work practice and education with families in the context of skilled nursing facility care.","PeriodicalId":46016,"journal":{"name":"Journal of Family Social Work","volume":"24 1","pages":"136 - 156"},"PeriodicalIF":0.9,"publicationDate":"2020-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/10522158.2020.1724579","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43953500","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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