首页 > 最新文献

Journal of Social Work最新文献

英文 中文
Beyond medicalized approaches to violence and trauma: Empowering social work practice 超越对暴力和创伤的医疗方法:赋予社会工作实践权力
IF 1.6 3区 社会学 Q1 Social Sciences Pub Date : 2023-01-09 DOI: 10.1177/14680173221144557
Nancy Ross, Catrina Brown, Marjorie Johnstone
Summary Social workers are positioned to respond to clients with a history of trauma by practicing bio-psycho-social, trauma, and violence-informed care but frequently encounter systemic barriers to providing holistic care. The research presented in this article was initiated by a College of Social Work in Canada in response to concerns raised by social work providers that their practice was constrained by ideological, structural, and system limitations within publicly funded mental health and addiction services. Ideologically trauma-based social work care is defined by five principles of safety, trust, collaboration, choice, and empowerment and recognizes that what has happened to individuals, including early adversity, can influence their bio-psycho-social functioning across the lifespan. Structurally, trauma-based care recognizes the corrosive impact of poverty, systemic discrimination, and exclusion. Findings Our research included a literature review, an online survey (n = 115 completed surveys), individual interviews (n = 50), and three focus groups (n = 15). The findings consistently highlighted a dissonance between dominant bio-medical approaches and reliance on the Diagnostic Statistical Manual of Disorders and social justice–based practice. Primary themes included a recognition by social workers of the pervasive presence of trauma and its effects, including mental health and addiction challenges; intergenerational impacts of trauma; the limitations of the medical model; and the need to reposition social work practice. Applications Repositioning the role of social work within mental health and addiction settings to center social justice responses to trauma presents transformative opportunities to better meet the needs of service users and increase workplace satisfaction.
社会工作者的定位是通过实践生物心理社会、创伤和暴力信息护理来应对有创伤史的客户,但在提供整体护理方面经常遇到系统障碍。本文中提出的研究是由加拿大社会工作学院发起的,以回应社会工作提供者提出的担忧,即他们的实践受到公共资助的精神健康和成瘾服务中意识形态、结构和系统限制的限制。基于意识形态创伤的社会工作护理由安全、信任、合作、选择和授权五项原则定义,并认识到发生在个人身上的事情,包括早期的逆境,会影响他们一生的生物、心理和社会功能。从结构上讲,创伤护理认识到贫困、系统性歧视和排斥的腐蚀性影响。我们的研究包括文献综述、在线调查(n = 115份已完成的调查)、个人访谈(n = 50)和三个焦点小组(n = 15)。调查结果一致强调了主流生物医学方法与依赖《疾病诊断统计手册》和基于社会正义的实践之间的不协调。主要主题包括社会工作者认识到创伤及其影响的普遍存在,包括心理健康和成瘾的挑战;创伤的代际影响;医学模式的局限性;以及重新定位社会工作实践的需要。将社会工作在心理健康和成瘾环境中的作用重新定位为对创伤的社会正义反应的中心,为更好地满足服务使用者的需求和提高工作场所满意度提供了变革性的机会。
{"title":"Beyond medicalized approaches to violence and trauma: Empowering social work practice","authors":"Nancy Ross, Catrina Brown, Marjorie Johnstone","doi":"10.1177/14680173221144557","DOIUrl":"https://doi.org/10.1177/14680173221144557","url":null,"abstract":"Summary Social workers are positioned to respond to clients with a history of trauma by practicing bio-psycho-social, trauma, and violence-informed care but frequently encounter systemic barriers to providing holistic care. The research presented in this article was initiated by a College of Social Work in Canada in response to concerns raised by social work providers that their practice was constrained by ideological, structural, and system limitations within publicly funded mental health and addiction services. Ideologically trauma-based social work care is defined by five principles of safety, trust, collaboration, choice, and empowerment and recognizes that what has happened to individuals, including early adversity, can influence their bio-psycho-social functioning across the lifespan. Structurally, trauma-based care recognizes the corrosive impact of poverty, systemic discrimination, and exclusion. Findings Our research included a literature review, an online survey (n = 115 completed surveys), individual interviews (n = 50), and three focus groups (n = 15). The findings consistently highlighted a dissonance between dominant bio-medical approaches and reliance on the Diagnostic Statistical Manual of Disorders and social justice–based practice. Primary themes included a recognition by social workers of the pervasive presence of trauma and its effects, including mental health and addiction challenges; intergenerational impacts of trauma; the limitations of the medical model; and the need to reposition social work practice. Applications Repositioning the role of social work within mental health and addiction settings to center social justice responses to trauma presents transformative opportunities to better meet the needs of service users and increase workplace satisfaction.","PeriodicalId":47142,"journal":{"name":"Journal of Social Work","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2023-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43926774","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Meeting the nutrition and physical activity needs of young people in residential out-of-home care 在寄宿家庭外护理中满足年轻人的营养和体育活动需求
IF 1.6 3区 社会学 Q1 Social Sciences Pub Date : 2023-01-04 DOI: 10.1177/14680173221143665
Rachael Green (nee Cox), Melissa Savaglio, Lauren Bruce, Ruby Tate, K. Hatzikiriakidis, Madelaine Smales, Anna Crawford-Parker, Sandra Marshall, Veronica Graham, H. Skouteris
Summary Health outcomes for young people living in residential out-of-home care are poor. There has been increased emphasis on the need to prioritize preventative support and upskill residential care workers to better meet young people's health needs. The aim of this study was to examine the food quality and physical activity environment in residential care houses in Victoria, Australia prior to staff undertaking Healthy Eating, Active Living Matters (HEAL) training; 102 residential care houses participated. House representatives completed an online survey exploring: (1) physical activity equipment and engagement and (2) weekly food budget and expenditure. Findings The average weekly food expenditure per household was $318.98 (SD = $106.51), with variation between different sized households. The majority (61%) of houses’ weekly food expenditure was spent on ultra-processed food products that are ready to eat with no/little preparation, in comparison to 36% spent on unprocessed foods (fresh fruit and vegetables). The majority of houses reported having two types of equipment. Young people were not often engaged in physical and/or recreational activities in their community. Application Residential care houses in Victoria require additional supports to ensure that young people are supported to eat well and be active at home and in the community. HEALing Matters aims to provide this, by offering professional development for residential carers to better facilitate engagement in physical activity and healthy eating among the young people in their care. If successful, HEALing Matters may provide an effective pathway to improved health and wellbeing outcomes for young people in residential care.
居住在家庭外护理院的年轻人的健康状况不佳。人们越来越强调需要优先考虑预防性支持和提高住院护理人员的技能,以更好地满足年轻人的健康需求。本研究的目的是在员工接受健康饮食、积极生活(HEAL)培训之前,检查澳大利亚维多利亚州养老院的食品质量和体育活动环境;102家养老院参加了活动。众议院代表完成了一项在线调查,探讨:(1)体育活动设备和参与度;(2)每周食品预算和支出。调查结果每户平均每周食物开支为318.98元(SD = $106.51),不同规模家庭之间存在差异。家庭每周食品支出的大部分(61%)花在了无需/少量准备即可食用的超加工食品上,相比之下,36%花在了未加工食品(新鲜水果和蔬菜)上。据报告,大多数房屋都有两种类型的设备。年轻人不经常在他们的社区从事体育和/或娱乐活动。申请维多利亚州的养老院需要额外的支持,以确保年轻人在家里和社区都能吃得好、活跃起来。HEALing Matters旨在通过为寄宿护理人员提供专业发展,更好地促进他们护理的年轻人参与体育活动和健康饮食,从而实现这一目标。如果成功,HEALing Matters可能会为住院护理中的年轻人提供一条改善健康和福祉的有效途径。
{"title":"Meeting the nutrition and physical activity needs of young people in residential out-of-home care","authors":"Rachael Green (nee Cox), Melissa Savaglio, Lauren Bruce, Ruby Tate, K. Hatzikiriakidis, Madelaine Smales, Anna Crawford-Parker, Sandra Marshall, Veronica Graham, H. Skouteris","doi":"10.1177/14680173221143665","DOIUrl":"https://doi.org/10.1177/14680173221143665","url":null,"abstract":"Summary Health outcomes for young people living in residential out-of-home care are poor. There has been increased emphasis on the need to prioritize preventative support and upskill residential care workers to better meet young people's health needs. The aim of this study was to examine the food quality and physical activity environment in residential care houses in Victoria, Australia prior to staff undertaking Healthy Eating, Active Living Matters (HEAL) training; 102 residential care houses participated. House representatives completed an online survey exploring: (1) physical activity equipment and engagement and (2) weekly food budget and expenditure. Findings The average weekly food expenditure per household was $318.98 (SD = $106.51), with variation between different sized households. The majority (61%) of houses’ weekly food expenditure was spent on ultra-processed food products that are ready to eat with no/little preparation, in comparison to 36% spent on unprocessed foods (fresh fruit and vegetables). The majority of houses reported having two types of equipment. Young people were not often engaged in physical and/or recreational activities in their community. Application Residential care houses in Victoria require additional supports to ensure that young people are supported to eat well and be active at home and in the community. HEALing Matters aims to provide this, by offering professional development for residential carers to better facilitate engagement in physical activity and healthy eating among the young people in their care. If successful, HEALing Matters may provide an effective pathway to improved health and wellbeing outcomes for young people in residential care.","PeriodicalId":47142,"journal":{"name":"Journal of Social Work","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2023-01-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43200230","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A qualitative interpretive meta-synthesis of social workers’ experience in end-of-life care 社会工作者临终关怀经验的定性解释元综合
IF 1.6 3区 社会学 Q1 Social Sciences Pub Date : 2023-01-04 DOI: 10.1177/14680173221144223
Simone Dewar, Jo Mensinga, M. Redman-Maclaren, Lise Johns
Summary Social workers are an integral part of end-of-life (EOL) care interdisciplinary services and provide comprehensive psychosocial support to dying people. However, despite the rewards, EOL care social work is wrought with challenges. There is currently limited research into the experience of EOL care social workers. Therefore, this qualitative interpretive meta-synthesis (QIMS) study examines the experience of EOL care social workers as revealed in existing literature. The QIMS methodology was used to synthesize and interpret findings from four original qualitative studies to elicit an in-depth response to the research question: What is the experience of social workers who work in EOL care? Findings The theme “EOL care social work is a privilege and a struggle” emerged, with six associated contributing factors: Privilege—(1) death is sacrosanct, (2) death is an opportunity for growth and healing, and (3) the religious/spiritual element of EOL care. Struggle—(1) ongoing pain and heightened emotions, (2) conflict of values, and (3) contextual challenges. This QIMS study serves as a preliminary phase to a subsequent, larger study. Applications This QIMS study provides a foundation for further narrative research into the experience of EOL care social workers. In addition, findings from this QIMS study highlights areas for further attention to foster the well-being of EOL care social workers. Finally, findings from this QIMS study could augment relevant EOL care content in undergraduate social work education.
社会工作者是临终关怀跨学科服务的组成部分,为垂死的人提供全面的心理社会支持。然而,尽管有回报,EOL护理社会工作也面临挑战。目前对EOL护理社会工作者的经验研究有限。因此,这项定性解释元综合(QIMS)研究考察了现有文献中揭示的EOL护理社会工作者的经验。QIMS方法用于综合和解释四项原始定性研究的结果,以引发对研究问题的深入回应:从事EOL护理的社会工作者的经历是什么?调查结果“EOL护理社会工作是一种特权和斗争”的主题出现了,有六个相关的促成因素:特权——(1)死亡是神圣不可侵犯的,(2)死亡是成长和治愈的机会,以及(3)EOL护理的宗教/精神因素。斗争——(1)持续的痛苦和情绪高涨,(2)价值观冲突,以及(3)背景挑战。该QIMS研究是后续更大规模研究的初步阶段。应用这项QIMS研究为进一步对EOL护理社会工作者的经历进行叙述性研究奠定了基础。此外,这项QIMS研究的结果突出了需要进一步关注的领域,以促进EOL护理社会工作者的福祉。最后,这项QIMS研究的结果可以增加本科生社会工作教育中的相关EOL护理内容。
{"title":"A qualitative interpretive meta-synthesis of social workers’ experience in end-of-life care","authors":"Simone Dewar, Jo Mensinga, M. Redman-Maclaren, Lise Johns","doi":"10.1177/14680173221144223","DOIUrl":"https://doi.org/10.1177/14680173221144223","url":null,"abstract":"Summary Social workers are an integral part of end-of-life (EOL) care interdisciplinary services and provide comprehensive psychosocial support to dying people. However, despite the rewards, EOL care social work is wrought with challenges. There is currently limited research into the experience of EOL care social workers. Therefore, this qualitative interpretive meta-synthesis (QIMS) study examines the experience of EOL care social workers as revealed in existing literature. The QIMS methodology was used to synthesize and interpret findings from four original qualitative studies to elicit an in-depth response to the research question: What is the experience of social workers who work in EOL care? Findings The theme “EOL care social work is a privilege and a struggle” emerged, with six associated contributing factors: Privilege—(1) death is sacrosanct, (2) death is an opportunity for growth and healing, and (3) the religious/spiritual element of EOL care. Struggle—(1) ongoing pain and heightened emotions, (2) conflict of values, and (3) contextual challenges. This QIMS study serves as a preliminary phase to a subsequent, larger study. Applications This QIMS study provides a foundation for further narrative research into the experience of EOL care social workers. In addition, findings from this QIMS study highlights areas for further attention to foster the well-being of EOL care social workers. Finally, findings from this QIMS study could augment relevant EOL care content in undergraduate social work education.","PeriodicalId":47142,"journal":{"name":"Journal of Social Work","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2023-01-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45096090","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Does mentoring improve the health of people in the community? A realist evaluation 辅导能改善社区中人们的健康吗?现实主义评价
IF 1.6 3区 社会学 Q1 Social Sciences Pub Date : 2023-01-03 DOI: 10.1177/14680173221144411
J. Suurmond, K. Kruithof, J. Harting
Summary Mentoring is an intervention aimed at strengthening social networks of individuals by providing one-to-one support to develop a social network. While there is a lack of insight into how the social network intervention “mentoring” affects health outcomes, we used a realist evaluation approach to find out for whom and under what circumstances mentoring affects health. The study was conducted in the Netherlands. In phase 1, an initial program theory of mentoring was developed based on a group interview with participants and professionals engaged in mentoring, complemented by documents (previous studies, descriptions of interventions). In phase 2, the program theory was tested using interviews with 23 participants before and 16 after mentoring. Findings Mentoring strengthened the social network when two conditions were met. Firstly, mentoring coaches needed to be trained. Secondly, participants needed to have a pre-existing—albeit small—network and need to have some social skills. If the social network was strengthened, mentoring increased self-esteem and self-confidence and decreased experiences of depression and loneliness of participants through three mechanisms: (1) participants were acknowledged and their individual needs were accepted; (2) individual coping resources were improved; (3) capabilities to initiate the search for a social network and to be involved in a social network were realized. Applications Mentoring is a useful intervention to increase self-esteem and self-confidence and decrease experiences of depression and loneliness of participants if the two conditions are met. Therefore, mentors should be carefully trained to acknowledge and respond to participants’ individual needs for social bonds.
导师制是一种干预,旨在通过提供一对一的支持来发展个人的社会网络,从而加强个人的社会网络。虽然缺乏对社会网络干预“指导”如何影响健康结果的洞察力,但我们使用现实主义评估方法来找出指导对谁以及在什么情况下影响健康。这项研究在荷兰进行。在第一阶段,基于对参与者和从事指导的专业人员的小组访谈,并辅以文献(先前的研究,干预措施的描述),形成了一个初步的指导计划理论。在第二阶段,程序理论在指导前和指导后分别对23名参与者和16名参与者进行了访谈。研究发现,当两个条件同时满足时,辅导强化了社会网络。首先,需要对指导教练进行培训。其次,参与者需要有一个预先存在的网络——尽管很小——并且需要有一些社交技巧。在社会网络强化的情况下,师徒关系通过三个机制提高了被试的自尊和自信,减少了被试的抑郁和孤独体验:(1)被试得到了承认,个体需求得到了接受;(2)个体应对资源得到改善;(3)实现了主动搜索社交网络和参与社交网络的能力。在满足这两个条件的情况下,师徒关系是一种有效的干预措施,可以增加参与者的自尊和自信,减少他们的抑郁和孤独体验。因此,导师应该经过仔细的培训,以承认和回应参与者对社会纽带的个人需求。
{"title":"Does mentoring improve the health of people in the community? A realist evaluation","authors":"J. Suurmond, K. Kruithof, J. Harting","doi":"10.1177/14680173221144411","DOIUrl":"https://doi.org/10.1177/14680173221144411","url":null,"abstract":"Summary Mentoring is an intervention aimed at strengthening social networks of individuals by providing one-to-one support to develop a social network. While there is a lack of insight into how the social network intervention “mentoring” affects health outcomes, we used a realist evaluation approach to find out for whom and under what circumstances mentoring affects health. The study was conducted in the Netherlands. In phase 1, an initial program theory of mentoring was developed based on a group interview with participants and professionals engaged in mentoring, complemented by documents (previous studies, descriptions of interventions). In phase 2, the program theory was tested using interviews with 23 participants before and 16 after mentoring. Findings Mentoring strengthened the social network when two conditions were met. Firstly, mentoring coaches needed to be trained. Secondly, participants needed to have a pre-existing—albeit small—network and need to have some social skills. If the social network was strengthened, mentoring increased self-esteem and self-confidence and decreased experiences of depression and loneliness of participants through three mechanisms: (1) participants were acknowledged and their individual needs were accepted; (2) individual coping resources were improved; (3) capabilities to initiate the search for a social network and to be involved in a social network were realized. Applications Mentoring is a useful intervention to increase self-esteem and self-confidence and decrease experiences of depression and loneliness of participants if the two conditions are met. Therefore, mentors should be carefully trained to acknowledge and respond to participants’ individual needs for social bonds.","PeriodicalId":47142,"journal":{"name":"Journal of Social Work","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2023-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47922353","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Young adults’ protest participation and mental health 青年人的抗议参与与心理健康
IF 1.6 3区 社会学 Q1 Social Sciences Pub Date : 2023-01-03 DOI: 10.1177/14680173221142771
C. Kwan
Summary This article explores how political fluctuations can negatively affect young adults’ psychosocial well-being, by using the case of Hong Kong's Anti-Extradition Law Amendment Bill Movement. The study included both individual and focus group interviews to collect the experiences and perspectives of 25 youths, 13 teachers, and 12 social workers within a qualitative paradigm. The data were coded independently by the author and research assistant. Findings Four major themes related to young adults’ psychosocial well-being: (a) mental health deterioration, (b) tension in family relations, (c) problems in peer relations, and (d) decreasing trust in teachers and social workers. The findings not only reveal the relevance of political issues to contemporary youths’ well-being, but also display a possible vicious circle among negative psychosocial environment, psychosocial strain, and poor environment. Applications There is a pressing need for social workers to be better prepared for dealing with young adults’ psychosocial issues that arise from political conflicts. This article contributes to the literature by considering the role of psychosocial factors in maintaining or reinforcing youth participation in protests. Unconventional strategies should be developed by social workers to reach youth activists and help relieve emotional and psychological pressures caused by political unrest. Suggestions for fostering post-conflict reconciliation in the community are also offered.
摘要本文以香港反引渡法修订法案运动为例,探讨政治波动如何对年轻人的心理健康产生负面影响。该研究包括个人和焦点小组访谈,以定性范式收集25名青年、13名教师和12名社会工作者的经验和观点。数据由作者和研究助理独立编码。研究结果四个主要主题与年轻人的心理健康状况有关:(a)心理健康恶化,(b)家庭关系紧张,(c)同伴关系问题,以及(d)对教师和社会工作者的信任度下降。研究结果不仅揭示了政治问题与当代青年幸福感的相关性,而且显示了消极的心理社会环境、心理压力和恶劣环境之间可能存在的恶性循环。社会工作者迫切需要为处理年轻人因政治冲突而产生的心理社会问题做好更好的准备。本文通过考虑社会心理因素在维持或加强青年参与抗议活动中的作用,对文献做出了贡献。社会工作者应制定非常规策略,接触青年活动家,帮助缓解政治动荡造成的情绪和心理压力。还提出了促进社区冲突后和解的建议。
{"title":"Young adults’ protest participation and mental health","authors":"C. Kwan","doi":"10.1177/14680173221142771","DOIUrl":"https://doi.org/10.1177/14680173221142771","url":null,"abstract":"Summary This article explores how political fluctuations can negatively affect young adults’ psychosocial well-being, by using the case of Hong Kong's Anti-Extradition Law Amendment Bill Movement. The study included both individual and focus group interviews to collect the experiences and perspectives of 25 youths, 13 teachers, and 12 social workers within a qualitative paradigm. The data were coded independently by the author and research assistant. Findings Four major themes related to young adults’ psychosocial well-being: (a) mental health deterioration, (b) tension in family relations, (c) problems in peer relations, and (d) decreasing trust in teachers and social workers. The findings not only reveal the relevance of political issues to contemporary youths’ well-being, but also display a possible vicious circle among negative psychosocial environment, psychosocial strain, and poor environment. Applications There is a pressing need for social workers to be better prepared for dealing with young adults’ psychosocial issues that arise from political conflicts. This article contributes to the literature by considering the role of psychosocial factors in maintaining or reinforcing youth participation in protests. Unconventional strategies should be developed by social workers to reach youth activists and help relieve emotional and psychological pressures caused by political unrest. Suggestions for fostering post-conflict reconciliation in the community are also offered.","PeriodicalId":47142,"journal":{"name":"Journal of Social Work","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2023-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46845682","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Eating disorder mental health literacy: A national survey of clinical social workers in the United States 饮食失调心理健康素养:美国临床社会工作者的一项全国性调查
IF 1.6 3区 社会学 Q1 Social Sciences Pub Date : 2023-01-03 DOI: 10.1177/14680173221144217
Chelsea R. MacCaughelty
Summary Social workers’ eating disorder mental health literacy (ED-MHL) is essential to the detection, assessment, and treatment of eating disorders (EDs) and disordered eating (DE) in clinical practice. This study explored social workers’ ED-MHL, particularly the assessment practices of EDs on intake forms, and within the first two therapy sessions. Participants in this national survey were N = 316 outpatient masters-level social workers in the United States. Participants completed an online survey measuring ED assessment practices in clinical practice. Findings Results showed that 42.4% (n = 133) of respondents did not routinely assess for EDs/DE on clinical intake forms, and 53.2% (n = 165) did not assess within the first two therapy sessions. However, those with recent training related to EDs were more likely to assess. Participants reported low to moderate perceived comfort levels with the assessment of EDs, and training and education were identified as needed resources. Social workers reported deficits in their own assessment practices of EDs. Barriers included: lack of training about EDs/DE; uncertainty about process questions to ask; and perceptions that EDs/DE are rarely the client's primary presenting problem. Applications Difficulties with detection and screening practices appeared contingent on gaps in existing education and training related to EDs/DE. These findings suggest that future research may serve to increase social workers’ ED-MHL, as underscored by the noteworthy finding that 86.1% (n = 229) of the sample reported that they would make proactive changes in their clinical practice, as a direct result of participating in this study.
社会工作者的饮食障碍心理健康素养(ED-MHL)对于临床实践中饮食障碍(ED)和饮食紊乱(DE)的检测、评估和治疗至关重要。本研究探讨了社会工作者的ED-MHL,特别是ED在摄入表上和前两次治疗中的评估实践。这项全国性调查的参与者是N = 美国316名门诊硕士级社会工作者。参与者完成了一项在线调查,测量临床实践中的ED评估实践。结果显示42.4%(n = 133)的受访者没有在临床摄入表上常规评估EDs/DE,53.2%(n = 165)没有在前两个治疗疗程内进行评估。然而,那些最近接受过ED相关培训的人更有可能进行评估。参与者报告了ED评估的低至中等感知舒适度,培训和教育被确定为所需资源。社会工作者报告说,他们自己的ED评估实践存在缺陷。障碍包括:缺乏ED/DE培训;要问的过程问题的不确定性;以及认为EDs/DE很少是客户的主要表现问题。应用检测和筛查实践的困难似乎取决于与EDs/DE相关的现有教育和培训的差距。这些发现表明,未来的研究可能有助于提高社会工作者的ED-MHL,值得注意的是,86.1%(n = 229)报告称,作为参与这项研究的直接结果,他们将在临床实践中做出积极的改变。
{"title":"Eating disorder mental health literacy: A national survey of clinical social workers in the United States","authors":"Chelsea R. MacCaughelty","doi":"10.1177/14680173221144217","DOIUrl":"https://doi.org/10.1177/14680173221144217","url":null,"abstract":"Summary Social workers’ eating disorder mental health literacy (ED-MHL) is essential to the detection, assessment, and treatment of eating disorders (EDs) and disordered eating (DE) in clinical practice. This study explored social workers’ ED-MHL, particularly the assessment practices of EDs on intake forms, and within the first two therapy sessions. Participants in this national survey were N = 316 outpatient masters-level social workers in the United States. Participants completed an online survey measuring ED assessment practices in clinical practice. Findings Results showed that 42.4% (n = 133) of respondents did not routinely assess for EDs/DE on clinical intake forms, and 53.2% (n = 165) did not assess within the first two therapy sessions. However, those with recent training related to EDs were more likely to assess. Participants reported low to moderate perceived comfort levels with the assessment of EDs, and training and education were identified as needed resources. Social workers reported deficits in their own assessment practices of EDs. Barriers included: lack of training about EDs/DE; uncertainty about process questions to ask; and perceptions that EDs/DE are rarely the client's primary presenting problem. Applications Difficulties with detection and screening practices appeared contingent on gaps in existing education and training related to EDs/DE. These findings suggest that future research may serve to increase social workers’ ED-MHL, as underscored by the noteworthy finding that 86.1% (n = 229) of the sample reported that they would make proactive changes in their clinical practice, as a direct result of participating in this study.","PeriodicalId":47142,"journal":{"name":"Journal of Social Work","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2023-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48592050","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Reconceptualizing protective factors in response to risk with vulnerable children 重新定义保护因素,以应对弱势儿童的风险
IF 1.6 3区 社会学 Q1 Social Sciences Pub Date : 2023-01-03 DOI: 10.1177/14680173221142761
G. Heron, C. Lightowler
The quality and robustness of childcare professionals’ thinking about protective factors is crucial to interventions with vulnerable children. Yet, protective factors in childcare are under-conceptualized in policy and practice and have been overshadowed by the concept of risk. This study uses discourse analysis to examine how childcare professionals discuss protective factors in response to risk and in a way that demonstrates critical thinking. Findings Data was collected from 30 consultation meetings, which involve a total of 109 professionals. The consultation meetings focus on the assessment of a child who presents a serious risk of harm to others and who are themselves at risk. The findings suggest that professionals do discuss protective factors in response to risk, however, it occurs on a ratio of approximately one to nine, which suggests a level of separation in the way these terms are conceptualized in practice. Application It is suggested that a professional construct of “protective factors versus risk,” which is applied with critical thinking, will offer a more robust way of conceptualizing the support provided to vulnerable children. While professionals have to analyze risk in terms of what is wrong, it is equally crucial to include protective factors in a strategy for it to work. A starting point is for professionals to re-construct protective factors and risk and apply it with critical thinking to core elements of social work practice, such as assessments, multi-disciplinary meetings and the verbal communications with service users.
儿童保育专业人员对保护因素的思考的质量和稳健性对弱势儿童的干预至关重要。然而,在政策和实践中,儿童保育中的保护因素概念化不足,并被风险概念所掩盖。本研究使用话语分析来研究儿童保育专业人员如何讨论保护因素以应对风险,并以一种展示批判性思维的方式。数据收集自30次咨询会议,涉及109名专业人员。协商会议的重点是评估对他人构成严重伤害风险的儿童和本身处于危险中的儿童。研究结果表明,专业人士确实讨论了应对风险的保护因素,然而,这一比例约为1:9,这表明在实践中,这些术语的概念化方式存在一定程度的分离。作者建议,运用批判性思维构建“保护因素与风险”的专业概念,将为向弱势儿童提供的支持提供更有力的概念化方法。虽然专业人士必须从错误的角度分析风险,但同样重要的是,要在策略中包括保护因素,以使其发挥作用。首先,专业人员要重新构建保护因素和风险,并以批判性思维将其应用于社会工作实践的核心要素,如评估、多学科会议和与服务使用者的口头交流。
{"title":"Reconceptualizing protective factors in response to risk with vulnerable children","authors":"G. Heron, C. Lightowler","doi":"10.1177/14680173221142761","DOIUrl":"https://doi.org/10.1177/14680173221142761","url":null,"abstract":"The quality and robustness of childcare professionals’ thinking about protective factors is crucial to interventions with vulnerable children. Yet, protective factors in childcare are under-conceptualized in policy and practice and have been overshadowed by the concept of risk. This study uses discourse analysis to examine how childcare professionals discuss protective factors in response to risk and in a way that demonstrates critical thinking. Findings Data was collected from 30 consultation meetings, which involve a total of 109 professionals. The consultation meetings focus on the assessment of a child who presents a serious risk of harm to others and who are themselves at risk. The findings suggest that professionals do discuss protective factors in response to risk, however, it occurs on a ratio of approximately one to nine, which suggests a level of separation in the way these terms are conceptualized in practice. Application It is suggested that a professional construct of “protective factors versus risk,” which is applied with critical thinking, will offer a more robust way of conceptualizing the support provided to vulnerable children. While professionals have to analyze risk in terms of what is wrong, it is equally crucial to include protective factors in a strategy for it to work. A starting point is for professionals to re-construct protective factors and risk and apply it with critical thinking to core elements of social work practice, such as assessments, multi-disciplinary meetings and the verbal communications with service users.","PeriodicalId":47142,"journal":{"name":"Journal of Social Work","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2023-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42938582","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Evidence informed fatherhood program: An evaluation 证据告知父亲计划:评估
IF 1.6 3区 社会学 Q1 Social Sciences Pub Date : 2023-01-03 DOI: 10.1177/14680173221141668
Charles C. Daniels
Summary Black fathers with histories of incarceration and trauma have multiple stressors that interfere with their ability to navigate life in the community, parent their children, and develop self-parenting skills that promote the healthy regulation of their emotions. The origins of these stressors are connected to racism, masculine stereotypes, and histories of trauma. Improving these skills has the potential to put fathers in control of their response to life distress instead of feeling controlled by it. This study sought to examine the Evidence Informed Fatherhood Program (EIFP) and its efficacy as defined by the rates of recidivism, parental engagement, life distress, emotional regulation, and basic needs attainment. The sample comprised 551 fathers (N = 551), most of whom were Black (n = 534), drawn from administrative data from Father's UpLift. The study examined the effectiveness of the program by studying the change in scores at three points in time, namely during the baseline entry into the program, and three and six months after entry. Findings The baseline findings showed that about 95% of all participants needed assistance with basic needs, including obtaining housing, employment, and bank accounts. The results showed a statistically significant and dramatic decrease in life distress scores and an equally dramatic increase in emotional regulation scores. Applications The findings show that EIFP is effective in helping Black fathers gain self-parenting skills, address the trauma they experience as Black men in a racialized society, and reduce recidivism among them.
摘要有监禁和创伤史的黑人父亲有多种压力源,这些压力源干扰了他们在社区生活中的导航能力、养育孩子的能力,以及发展自我养育技能以促进情绪的健康调节的能力。这些压力源的起源与种族主义、男性刻板印象和创伤史有关。提高这些技能有可能让父亲控制他们对生活困境的反应,而不是感觉被它控制。这项研究试图检验证据知情父亲计划(EIFP)及其由累犯率、父母参与度、生活困境、情绪调节和基本需求实现定义的疗效。样本包括551名父亲(N = 551),其中大多数是黑人(n = 534),其来源于来自Father’s UpLift的管理数据。该研究通过研究三个时间点的分数变化来检验该计划的有效性,即在基线进入该计划期间,以及进入该计划后的三个月和六个月。调查结果基线调查结果显示,约95%的参与者在基本需求方面需要帮助,包括获得住房、就业和银行账户。结果显示,生活痛苦评分在统计学上显著下降,情绪调节评分也同样显著上升。应用研究结果表明,EIFP在帮助黑人父亲获得自我养育技能、解决他们在种族化社会中作为黑人男性所经历的创伤以及减少他们的累犯方面是有效的。
{"title":"Evidence informed fatherhood program: An evaluation","authors":"Charles C. Daniels","doi":"10.1177/14680173221141668","DOIUrl":"https://doi.org/10.1177/14680173221141668","url":null,"abstract":"Summary Black fathers with histories of incarceration and trauma have multiple stressors that interfere with their ability to navigate life in the community, parent their children, and develop self-parenting skills that promote the healthy regulation of their emotions. The origins of these stressors are connected to racism, masculine stereotypes, and histories of trauma. Improving these skills has the potential to put fathers in control of their response to life distress instead of feeling controlled by it. This study sought to examine the Evidence Informed Fatherhood Program (EIFP) and its efficacy as defined by the rates of recidivism, parental engagement, life distress, emotional regulation, and basic needs attainment. The sample comprised 551 fathers (N = 551), most of whom were Black (n = 534), drawn from administrative data from Father's UpLift. The study examined the effectiveness of the program by studying the change in scores at three points in time, namely during the baseline entry into the program, and three and six months after entry. Findings The baseline findings showed that about 95% of all participants needed assistance with basic needs, including obtaining housing, employment, and bank accounts. The results showed a statistically significant and dramatic decrease in life distress scores and an equally dramatic increase in emotional regulation scores. Applications The findings show that EIFP is effective in helping Black fathers gain self-parenting skills, address the trauma they experience as Black men in a racialized society, and reduce recidivism among them.","PeriodicalId":47142,"journal":{"name":"Journal of Social Work","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2023-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47683375","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Book Review: Photography in social work and social change: Theory and applications for practice and research by Matthias J Naleppa, Kristina M Hash and Anissa T Rogers 书评:Matthias J Naleppa、Kristina M Hash和Anissa T Rogers的《社会工作和社会变革中的摄影:理论及其在实践和研究中的应用》
IF 1.6 3区 社会学 Q1 Social Sciences Pub Date : 2023-01-02 DOI: 10.1177/14680173221144418
Jill Chonody
emphasizes the importance of social work knowledge, skills, and values for people with dementia and paints, for the reader, a clear picture of the circumstances, and challenges, social workers routinely face. He foregrounds the role of effective communication and relationship building, assessment and risk management, and working with carers and families. This is an especially helpful emphasis in a local authority context that prioritizes process-related activities such as “arranging admission to a care home” or “organizing a day service.” Given the increase in the number of people living with dementia and the fact that more people will need the services of a social worker, there is an urgent need to invest in effective social work in this field. The author makes a strong case for this identifying the pivotal role that skilled, thoughtful, engaged social work can make to improving the care, quality of life, and well-being of people with dementia and their carers. That social work with adults, particularly older people, has been under threat since the 1990s (care management plus austerity) amplifies the importance of taking full account of Scourfield’s excellent book. If we do not maintain, nurture, and develop the social work skills and knowledge that he articulates, we are knowingly undermining the quality of dementia care. As with all books, there are one or two issues that would have been useful to include. That the population who rely on publicly funded social care and see a social worker—as opposed to paying for their own care—have particular features, is one such issue. This group tends to be poorer, have fewer resources, and have more serious health conditions, in this case advanced dementia. I also wondered if there was room to have two chapters on social work with people with dementia and their carers, including more discussion on evidence about the value of social work.
强调社会工作知识、技能和价值观对痴呆症患者的重要性,并为读者描绘出社会工作者日常面临的环境和挑战的清晰图景。他强调了有效沟通和建立关系、评估和风险管理以及与护理人员和家庭合作的作用。在优先处理流程相关活动(如“安排入住养老院”或“组织日间服务”)的地方权威环境中,这是一个特别有用的强调。鉴于痴呆症患者人数的增加,以及越来越多的人需要社会工作者的服务,迫切需要在这一领域投资有效的社会工作。作者提出了一个强有力的案例,证明了熟练、周到、敬业的社会工作在改善痴呆症患者及其护理人员的护理、生活质量和福祉方面所起的关键作用。自20世纪90年代以来,针对成年人,尤其是老年人的社会工作(护理管理加上紧缩)一直受到威胁,这凸显了充分考虑斯科菲尔德这本优秀著作的重要性。如果我们不保持、培养和发展他所阐述的社会工作技能和知识,我们就会故意破坏痴呆症护理的质量。和所有的书一样,有一两个问题是很有用的。那些依赖公共资助的社会福利并求助于社会工作者的人群——而不是为他们自己的护理买单——具有特殊的特征,就是这样一个问题。这一群体往往更穷,资源更少,健康状况更严重,在这种情况下是晚期痴呆症。我还想知道是否有空间用两章来讨论痴呆症患者及其护理人员的社会工作,包括更多关于社会工作价值证据的讨论。
{"title":"Book Review: Photography in social work and social change: Theory and applications for practice and research by Matthias J Naleppa, Kristina M Hash and Anissa T Rogers","authors":"Jill Chonody","doi":"10.1177/14680173221144418","DOIUrl":"https://doi.org/10.1177/14680173221144418","url":null,"abstract":"emphasizes the importance of social work knowledge, skills, and values for people with dementia and paints, for the reader, a clear picture of the circumstances, and challenges, social workers routinely face. He foregrounds the role of effective communication and relationship building, assessment and risk management, and working with carers and families. This is an especially helpful emphasis in a local authority context that prioritizes process-related activities such as “arranging admission to a care home” or “organizing a day service.” Given the increase in the number of people living with dementia and the fact that more people will need the services of a social worker, there is an urgent need to invest in effective social work in this field. The author makes a strong case for this identifying the pivotal role that skilled, thoughtful, engaged social work can make to improving the care, quality of life, and well-being of people with dementia and their carers. That social work with adults, particularly older people, has been under threat since the 1990s (care management plus austerity) amplifies the importance of taking full account of Scourfield’s excellent book. If we do not maintain, nurture, and develop the social work skills and knowledge that he articulates, we are knowingly undermining the quality of dementia care. As with all books, there are one or two issues that would have been useful to include. That the population who rely on publicly funded social care and see a social worker—as opposed to paying for their own care—have particular features, is one such issue. This group tends to be poorer, have fewer resources, and have more serious health conditions, in this case advanced dementia. I also wondered if there was room to have two chapters on social work with people with dementia and their carers, including more discussion on evidence about the value of social work.","PeriodicalId":47142,"journal":{"name":"Journal of Social Work","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2023-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45659573","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Book Review: Social work practice with people with dementia by Alisoun Milne Alisoun Milne的书评:痴呆症患者的社会工作实践
IF 1.6 3区 社会学 Q1 Social Sciences Pub Date : 2023-01-02 DOI: 10.1177/14680173221144416
A. Milne
{"title":"Book Review: Social work practice with people with dementia by Alisoun Milne","authors":"A. Milne","doi":"10.1177/14680173221144416","DOIUrl":"https://doi.org/10.1177/14680173221144416","url":null,"abstract":"","PeriodicalId":47142,"journal":{"name":"Journal of Social Work","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2023-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46631185","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
期刊
Journal of Social Work
全部 Acc. Chem. Res. ACS Applied Bio Materials ACS Appl. Electron. Mater. ACS Appl. Energy Mater. ACS Appl. Mater. Interfaces ACS Appl. Nano Mater. ACS Appl. Polym. Mater. ACS BIOMATER-SCI ENG ACS Catal. ACS Cent. Sci. ACS Chem. Biol. ACS Chemical Health & Safety ACS Chem. Neurosci. ACS Comb. Sci. ACS Earth Space Chem. ACS Energy Lett. ACS Infect. Dis. ACS Macro Lett. ACS Mater. Lett. ACS Med. Chem. Lett. ACS Nano ACS Omega ACS Photonics ACS Sens. ACS Sustainable Chem. Eng. ACS Synth. Biol. Anal. Chem. BIOCHEMISTRY-US Bioconjugate Chem. BIOMACROMOLECULES Chem. Res. Toxicol. Chem. Rev. Chem. Mater. CRYST GROWTH DES ENERG FUEL Environ. Sci. Technol. Environ. Sci. Technol. Lett. Eur. J. Inorg. Chem. IND ENG CHEM RES Inorg. Chem. J. Agric. Food. Chem. J. Chem. Eng. Data J. Chem. Educ. J. Chem. Inf. Model. J. Chem. Theory Comput. J. Med. Chem. J. Nat. Prod. J PROTEOME RES J. Am. Chem. Soc. LANGMUIR MACROMOLECULES Mol. Pharmaceutics Nano Lett. Org. Lett. ORG PROCESS RES DEV ORGANOMETALLICS J. Org. Chem. J. Phys. Chem. J. Phys. Chem. A J. Phys. Chem. B J. Phys. Chem. C J. Phys. Chem. Lett. Analyst Anal. Methods Biomater. Sci. Catal. Sci. Technol. Chem. Commun. Chem. Soc. Rev. CHEM EDUC RES PRACT CRYSTENGCOMM Dalton Trans. Energy Environ. Sci. ENVIRON SCI-NANO ENVIRON SCI-PROC IMP ENVIRON SCI-WAT RES Faraday Discuss. Food Funct. Green Chem. Inorg. Chem. Front. Integr. Biol. J. Anal. At. Spectrom. J. Mater. Chem. A J. Mater. Chem. B J. Mater. Chem. C Lab Chip Mater. Chem. Front. Mater. Horiz. MEDCHEMCOMM Metallomics Mol. Biosyst. Mol. Syst. Des. Eng. Nanoscale Nanoscale Horiz. Nat. Prod. Rep. New J. Chem. Org. Biomol. Chem. Org. Chem. Front. PHOTOCH PHOTOBIO SCI PCCP Polym. Chem.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1