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Training community advocates: evaluating the training of peer supporters in a peer support program among youths with or at risk of non-suicidal self-injury. 培训社区倡导者:评估同伴支持计划中对有或有非自杀自残风险的青少年同伴支持者的培训。
IF 2.2 4区 社会学 Q1 SOCIAL WORK Pub Date : 2026-03-24 DOI: 10.1080/00981389.2026.2648204
Lyon Koh Lin Lu,Gerard Chung,Amalia Ariffin,Sophie Cheng,Elizabeth Yee Min Chia
This study evaluated the effectiveness of training peer supporters in "Walk with Me," a peer support program for youths with or at risk of non-suicidal self-injury (NSSI) in Singapore. Using a pre-post design with 76 peer supporters aged 19-35, the study examined program outcomes and mechanisms of change. Results demonstrated significant improvements across all six outcomes for peer supporters: empathetic support awareness, self-efficacy, NSSI knowledge, attitudes toward NSSI, advocacy abilities, and empowerment to effect change. Key mechanisms were supported, showing that awareness improvements predicted self-efficacy gains and knowledge increases predicted more positive attitudes. Participants rated the program highly helpful with the two-day training component most valued. Findings illustrate how social workers can design peer support programs that create pipelines of trained community members equipped to challenge stigma and promote social inclusion.
本研究评估了在“与我同行”中培训同伴支持者的有效性,“与我同行”是新加坡一项针对有或有非自杀自伤风险的青少年的同伴支持计划。本研究采用76名年龄在19-35岁之间的同伴支持者的职前设计,考察了项目的结果和变化机制。结果显示同伴支持者的所有六项结果都有显著改善:共情支持意识、自我效能、自伤知识、对自伤的态度、倡导能力和影响改变的授权。关键的机制得到了支持,表明意识的提高预示着自我效能的提高,知识的增加预示着更积极的态度。参与者评价该项目非常有帮助,其中为期两天的培训部分最受重视。研究结果说明了社会工作者如何设计同伴支持项目,建立训练有素的社区成员管道,使他们有能力挑战耻辱,促进社会包容。
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引用次数: 0
Barriers and assets in diabetes prevention: A community-based assessment in a Latino population. 糖尿病预防的障碍和优势:拉丁裔人群的社区评估。
IF 2.2 4区 社会学 Q1 SOCIAL WORK Pub Date : 2026-03-23 DOI: 10.1080/00981389.2026.2648201
Maria Cruz,Lynn M Raine,Larry Ortiz,Qais Alemi
Latino communities in the U.S. experience disproportionately high rates of prediabetes and type 2 diabetes yet remain underrepresented in prevention programs. This qualitative study conducted a needs assessment with 70 Latino adults at risk for diabetes in Los Angeles, recruited via Instagram and local community events. Barriers to prevention included limited accessible information, low program availability, and cultural influences and stigma. Facilitators included program flexibility, incentives, Spanish-language services, and financial assistance. Findings highlight culturally responsive and equitable strategies for social workers to effectively engage Latino populations in diabetes prevention and management.
美国拉丁裔社区的前驱糖尿病和2型糖尿病发病率高得不成比例,但在预防项目中的代表性仍然不足。这项定性研究对洛杉矶70名有糖尿病风险的拉丁裔成年人进行了需求评估,这些成年人是通过Instagram和当地社区活动招募的。预防障碍包括可获得的信息有限、项目可用性低、文化影响和污名化。促进因素包括计划灵活性、奖励、西班牙语服务和财政援助。研究结果强调了社会工作者有效参与拉丁裔人群糖尿病预防和管理的文化响应和公平策略。
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引用次数: 0
The evidence of a family-based treatment for adults who use psychotropic drugs in community setting. 以家庭为基础的治疗在社区环境中使用精神药物的成年人的证据。
IF 2.2 4区 社会学 Q1 SOCIAL WORK Pub Date : 2026-03-23 DOI: 10.1080/00981389.2026.2641427
Tingyu Luo,Yik Wa Law
The prevalence of drug use has emerged as a pressing public health concern, particularly in Hong Kong, where hidden drug use negatively affects mental health and family relationships. This quasi-experimental study investigated the effectiveness of family-based treatment for adults using psychotropic drugs in community settings. Significant reductions in drug use frequency (Cohen's d = 0.459, p = .010,) and improvements in mental health (Cohen's d = 0.634, p = .000) were observed. The findings underscore the critical role of family involvement in addressing drug use issues, highlighting the need for social work interventions that not only focus on the individual but also engage family members as active participants in the recovery process.
吸毒现象普遍已成为一个紧迫的公共卫生问题,特别是在香港,隐性吸毒对精神健康和家庭关系产生负面影响。这项准实验研究调查了以家庭为基础的治疗在社区环境中使用精神药物的成年人的有效性。药物使用频率显著降低(Cohen’s d = 0.459, p =。010,)和心理健康的改善(Cohen’s d = 0.634, p =。000)。研究结果强调了家庭参与在解决吸毒问题中的关键作用,强调了社会工作干预的必要性,不仅关注个人,而且让家庭成员积极参与到康复过程中来。
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引用次数: 0
Invisible experts: An interpretative phenomenological study of social workers role in interprofessional psychiatric drug and substance care management. 看不见的专家:社会工作者在跨专业精神药物和物质护理管理中的作用的解释性现象学研究。
IF 2.2 4区 社会学 Q1 SOCIAL WORK Pub Date : 2026-03-20 DOI: 10.1080/00981389.2026.2648198
Taruvinga Muzingili
This study aimed to explore the role of social workers in the care and management of drug and substance abuse within an interprofessional psychiatric environment, focusing on their practice experiences, challenges, and professional positioning. Using Interpretative Phenomenological Analysis (IPA), the study engaged 10 purposively selected social workers from Harare Psychiatric Hospital, Zimbabwe's largest mental health institution. Data were collected through semi-structured interviews and analyzed in two phases: initial coding using MAXQDA software, followed by manual interpretation to identify superordinate themes. Findings revealed four key roles: (1) conducting psychosocial assessments that are often excluded from team decisions; (2) attempting to link patients with community-based rehabilitation services despite weak referral systems; (3) engaging families in recovery processes, often without institutional recognition; and (4) advocating for holistic, non-medical interventions that are frequently dismissed by clinical teams. The study concludes that social workers are essential yet undervalued actors in substance abuse care. Their marginalization undermines both patient outcomes and the effectiveness of interprofessional collaboration. Recommendations include integrating social work assessments into treatment planning, strengthening reintegration systems, institutionalizing interprofessional training, auditing policy implementation, and enhancing the resourcing of social work units to support sustainable recovery outcomes.
本研究旨在探讨社会工作者在跨专业精神病学环境中药物和物质滥用的护理和管理中的作用,重点关注他们的实践经验、挑战和专业定位。使用解释现象学分析(IPA),该研究从津巴布韦最大的精神卫生机构哈拉雷精神病医院有目的地选择了10名社会工作者。通过半结构化访谈收集数据,并分两个阶段进行分析:首先使用MAXQDA软件进行初始编码,然后进行人工解译以确定上级主题。研究结果揭示了四个关键角色:(1)进行经常被排除在团队决策之外的心理社会评估;(2)尽管转诊系统薄弱,但仍试图将患者与社区康复服务联系起来;(3)让家庭参与康复过程,但往往得不到机构的认可;(4)提倡全面的非医疗干预,这些干预经常被临床团队驳回。该研究得出结论,社会工作者在药物滥用护理中是必不可少的,但却被低估了。他们的边缘化破坏了患者的治疗结果和跨专业合作的有效性。建议包括将社会工作评估纳入治疗计划,加强重返社会系统,将跨专业培训制度化,审计政策实施,以及加强社会工作单位的资源配置,以支持可持续的康复成果。
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引用次数: 0
Beyond the ideal: Tensions and realities of social work in palliative care. 超越理想:缓和医疗中社会工作的紧张与现实。
IF 2.2 4区 社会学 Q1 SOCIAL WORK Pub Date : 2026-03-04 DOI: 10.1080/00981389.2026.2641428
Michael Bennett
Interdisciplinary collaboration is a foundational principle of palliative care, yet social workers within these teams often encounter professional marginalization, role ambiguity, and systemic barriers to full integration. This study explores the experiences of palliative care social workers in Ontario, Canada, focusing on the tensions they navigate within interdisciplinary teams. Using an interpretive qualitative approach, in-depth interviews were conducted with 13 social workers practicing in hospital and community-based palliative care settings. Thematic analysis identified three interrelated themes: social workers' understandings of their professional role within palliative care teams; their perceptions of how their role is viewed by other professionals; and the discordance between internal professional identity and external recognition. Across these themes, participants described experiences of role devaluation, constrained professional autonomy, and conflict between anti-oppressive social work approaches and dominant biomedical norms.
跨学科合作是姑息治疗的基本原则,然而这些团队中的社会工作者经常遇到专业边缘化、角色模糊和全面整合的系统性障碍。本研究探讨了加拿大安大略省姑息治疗社会工作者的经验,重点是他们在跨学科团队中导航的紧张关系。采用解释性质的方法,对13名在医院和社区姑息治疗机构执业的社会工作者进行了深入访谈。专题分析确定了三个相互关联的主题:社会工作者对其在姑息治疗团队中的专业角色的理解;他们对其他专业人士如何看待他们的角色的看法;以及内部职业认同与外部职业认同的不一致性。在这些主题中,参与者描述了角色贬值、专业自主权受限以及反压迫性社会工作方法与主流生物医学规范之间的冲突。
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引用次数: 0
The moderated mediation effect of caregiving network and digital competence on caregiving outcomes among carers of multiple chronic conditions. 照顾网络和数字能力对多重慢性病照顾者照顾结果的调节中介作用。
IF 2.2 4区 社会学 Q1 SOCIAL WORK Pub Date : 2026-01-31 DOI: 10.1080/00981389.2026.2625465
Ben Chi Pun Liu,Dion Sik Yee Leung
The study applies Strong Structuration Theory to explore how informal carers' external structures (the size and quality of their social support network [SN]) influences their internal structures (caregiving network [CN] and levels of digital competence [DC]), action (caregiving hours per week [CH]), and outcomes (health-related quality of life [QL], burden of care [BC], and loneliness [Lo]). Two hundred informal carers of patients with chronic health issues were recruited and assessed, with a mean age was 59.2 ± 12.3 years (range: 25-86). Most were female and married; slightly more than half were the care recipient's children, 19.1% were spouses, 8.1% were siblings, and 7% were sons-/daughters-in-law. Conditional process analysis indicated a positive association between SN and CN, along with a chain mediation from CN to CH, BC, and QL that reduced loneliness. Overall, carers' external structures shaped their internal structures and actions, yielding both positive and negative outcomes. Digital competence moderated the relationship between CH and BC, reducing BC and loneliness. Social workers and healthcare practitioners should implement technology-based interventions to strengthen carers' social connectedness and mitigate the negative effects of caregiving.
本研究运用强结构理论探讨非正式照护者的外部结构(社会支持网络的规模和质量[SN])如何影响其内部结构(照护网络[CN]和数字能力水平[DC])、行动(每周照护时间[CH])和结果(健康相关生活质量[QL]、照护负担[BC]和孤独感[Lo])。招募并评估了200名慢性健康问题患者的非正式护理人员,平均年龄为59.2±12.3岁(范围:25-86岁)。大多数是已婚女性;略多于一半的人是被照顾者的孩子,19.1%是配偶,8.1%是兄弟姐妹,7%是女婿/儿媳。条件过程分析表明,SN和CN之间存在正相关关系,CN到CH、BC和QL之间存在链式中介作用,从而降低孤独感。总的来说,照顾者的外部结构塑造了他们的内部结构和行动,产生了积极和消极的结果。数字能力调节了认知能力与孤独感的关系,降低了认知能力与孤独感的关系。社会工作者和保健从业人员应实施基于技术的干预措施,以加强照顾者的社会联系,减轻照顾的负面影响。
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引用次数: 0
How does widowhood and social participation impact on the health of older adults: Evidence from a national survey in China. 守寡和社会参与对老年人健康的影响:来自中国一项全国性调查的证据
IF 2.2 4区 社会学 Q1 SOCIAL WORK Pub Date : 2026-01-30 DOI: 10.1080/00981389.2026.2615314
He Zhu,Xinyi Li,Honglin Chen
Social participation significantly contributes to an individual's wellbeing, and it is particularly crucial for older adults who have lost their spouse. Using cross-sectional data of the China Health and Retirement Longitudinal Study (CHARLS 2018), this paper employs a logit model to examine the effects of widowhood, social participation, and their interaction on the health of the elderly. The findings indicate that social participation has a more pronounced positive effect on the health of widowed elderly individuals and can mitigate the health problems associated with widowhood. The findings indicate that social participation has a more pronounced positive effect on the health of widowed elderly individuals and can mitigate the health problems associated with widowhood.
社会参与对一个人的幸福有很大的贡献,对失去配偶的老年人来说尤其重要。本文利用中国健康与退休纵向研究(CHARLS 2018)的横截面数据,采用logit模型检验守寡、社会参与及其相互作用对老年人健康的影响。研究结果表明,社会参与对丧偶老年人的健康有更明显的积极影响,可以减轻与丧偶有关的健康问题。研究结果表明,社会参与对丧偶老年人的健康有更明显的积极影响,可以减轻与丧偶有关的健康问题。
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引用次数: 0
Social support profiles, mental health, and future orientation in military trainees: implications for clinical social work and health care practice. 军事受训人员的社会支持概况、心理健康和未来方向:对临床社会工作和卫生保健实践的影响
IF 2.2 4区 社会学 Q1 SOCIAL WORK Pub Date : 2026-01-10 DOI: 10.1080/00981389.2026.2615313
Pao-Lung Chiu
The psychosocial transition during military training poses a significant public health risk requiring preventive, health-integrated responses. This study applied latent class analysis to identify five social support profiles among 2325 military trainees in Taiwan and examined associations with depressive symptoms and future orientation. Family cohesion and extraversion predicted membership in higher-support profiles. Trainees in the low-support profile reported elevated depressive symptoms and weakened future orientation, indicating a clinically significant risk group. The identified profiles translate interpersonal dynamics into indicators for health and military social workers, supporting risk stratification, early screening, and targeted micro- and mezzo-level interventions within integrated healthcare systems.
军事训练期间的心理社会过渡构成重大的公共卫生风险,需要采取预防性和综合卫生对策。本研究以2325名台湾军事学员为研究对象,采用潜类分析方法,找出5种社会支持特征,并探讨其与抑郁症状和未来倾向的关系。家庭凝聚力和外向性预测了高支持概况的成员资格。低支持组的受训者报告抑郁症状升高,未来取向减弱,表明这是一个具有临床意义的风险群体。已确定的概况将人际动态转化为卫生和军事社会工作者的指标,支持综合医疗保健系统内的风险分层、早期筛查和有针对性的微观和中层干预。
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引用次数: 0
Is burnout included in this job?: Factors associated with burnout among forensic social workers - an interfactorial analysis model. 这份工作是否包含职业倦怠?法医社会工作者职业倦怠的相关因素——一个多因素分析模型。
IF 1.8 4区 社会学 Q1 SOCIAL WORK Pub Date : 2026-01-01 Epub Date: 2025-12-02 DOI: 10.1080/00981389.2025.2594209
Merve Karaman, Taner Artan, Ahmed Taha Arifoglu

There is limited research in the literature examining the factors that may be associated with social workers' burnout symptoms using an inter-factorial analysis model. This study aimed to investigate the relationships between empathy fatigue, case management skills, years in profession, perception of professional power and problem-focused coping factors on the burnout levels of forensic social workers working in the Republic of Türkiye Ministry of Justice. This study aims to provide solutions regarding social workers' burnout based on the data obtained. A quantitative method and convenience sampling were employed in this study. The population consisted of 463 social workers employed in forensic support and victim services directorates under the Ministry of Justice in Türkiye, while the sample consisted of 291 social workers selected from this population. A significance level of p < .01 and a confidence interval of 99% was deemed reliable for statistical analyses. The data were evaluated using the moderated mediation method. According to the data obtained, the inter-factorial analysis model explained 61% of the variance in factors related to social workers' burnout. At the end of the study, various professional and psychological suggestions were made to reduce social workers' burnout.

在文献中有有限的研究,检查可能与社会工作者的倦怠症状相关的因素使用跨因素分析模型。本研究旨在探讨共情疲劳、个案管理技能、从业年数、专业权力感知和问题导向应对因素对捷克共和国司法部司法社会工作者职业倦怠水平的影响。本研究旨在根据所获得的数据,为社会工作者的职业倦怠提供解决方案。本研究采用定量方法和方便抽样。人口包括受雇于基耶省司法部法医支助和受害者服务司的463名社会工作者,而样本包括从这一人口中选出的291名社会工作者。显著性水平为p
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引用次数: 0
Exploring social work practice patterns of advance care planning conversations across Ontario: a pilot study. 探索安大略省提前护理计划对话的社会工作实践模式:试点研究。
IF 1.8 4区 社会学 Q1 SOCIAL WORK Pub Date : 2026-01-01 Epub Date: 2026-02-10 DOI: 10.1080/00981389.2026.2625459
Julie Burnett, Bailey Hollister, Sara Morassaei, Brooke MacDonald, Megan McPolland, Lisa Jensen, Laura Scrafield, Carolyn Hutcheson, Lina Gagliardi, Lisa Di Prospero, Tracey DasGupta, Sarah Torabi, Samantha Timla

Advance care planning (ACP) is a communication process whereby capable individuals can express, discuss, and document their thoughts, values, and wishes as they relate to their future health care. ACP conversations are now widely recognized as a critical part of providing person centered, holistic care to patients at all points in their health-care journey. Social workers (SW) are uniquely situated to lead these important conversations. A cross-sectional online survey was made available to all registered wocial workers in Ontario, Canada, through the Ontario College of Social Workers and Social Service Workers (OCSWSSW) to explore practice characteristics as they relate to ACP conversations (n = 159). The research team sought to identify similarities and differences in ACP conversations with social workers practicing within Ontario and to answer what social workers' practice patterns are when engaging in ACP conversations in hospital and community settings. We aimed to examine contextual and respondent characteristics (practice setting, years of experience) and ACP training with view to apply results to make training, onboarding, and practice recommendations for ACP conversations for clinicians and trainees. Eligible social workers had access to the survey via the OCSWSSW website. Participants were also contacted via e-mail through professional associations, including the Ontario Association of Social Workers and invited to participate. The survey instrument, created by the research team, included three stages of design and testing. Results of the survey indicated that hospital social workers were significantly more likely to report participation in ACP conversations compared to those working in a non-hospital setting (56.5% versus 20.8%, respectively, p < 0.001, two-sided Fisher's exact test). There was also a significant association between having received ACP training and reporting participation in ACP conversations in practice setting (p < 0.001, two-sided Fisher's exact test). Specifically, 48.8% of those who received ACP training reported engaging in ACP conversations in comparison to 27.9% who did not receive any ACP training. Thematic analysis of responses also indicated the importance of patient and family readiness as a critical factor in practicing ACP. Future research should look to examine types of ACP training and its impact on ACP practice, the role of ACP for community social workers, and specific approaches for supporting patients and families at different stages of readiness for these important conversations.

预先护理计划(ACP)是一个沟通过程,有能力的个人可以表达、讨论和记录他们的想法、价值观和愿望,因为他们涉及到他们未来的医疗保健。ACP对话现在被广泛认为是在患者医疗保健旅程的各个阶段为其提供以人为本的整体护理的关键部分。社会工作者(SW)处于独特的位置来引导这些重要的对话。通过安大略省社会工作者和社会服务工作者学院(OCSWSSW),对加拿大安大略省的所有注册社会工作者进行了横断面在线调查,以探索与ACP对话相关的实践特征(n = 159)。研究小组试图找出与安大略省社会工作者在ACP对话中的异同,并回答社会工作者在医院和社区环境中参与ACP对话时的实践模式。我们的目的是研究情境和应答者特征(实践环境、经验年数)和ACP培训,以期应用结果为临床医生和受训者制定ACP培训、入职和实践建议。合资格的社工可透过社会福利及社会福利署网站参与调查。参与者也通过包括安大略省社会工作者协会在内的专业协会通过电子邮件联系,并被邀请参加。研究小组创造的测量仪器包括三个阶段的设计和测试。调查结果表明,与非医院工作的社会工作者相比,医院社会工作者更有可能报告参与ACP对话(分别为56.5%和20.8%)
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引用次数: 0
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Social Work in Health Care
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