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Health Experiences of Immigrant Visible Minority Women: A Literature Review. 少数族裔女性移民健康经验:文献回顾。
Pub Date : 2016-11-01 Epub Date: 2016-04-15 DOI: 10.1080/23761407.2015.1089205
Bharati Sethi

This literature review on the health experiences of visible minority women is based on a critical review of the international English language peer-reviewed publications from 1980 to 2011. The overall goal was to gather understanding of immigrant women's employment and health experiences. The key findings from the review specific to health are: (a) There is variation in definition and meaning of health across cultures; (b) Immigrant visible minority women experience several barriers to accessing healthcare services including discrimination; (c) There is a paradigm clash between Western bio-medical principles and Eastern holistic approach to health. Social work practice implications are discussed.

这篇关于少数族裔女性健康经历的文献综述是基于对1980年至2011年国际英语同行评议出版物的批判性综述。总体目标是了解移民妇女的就业和健康经历。对健康的具体审查得出的主要结论是:(a)不同文化对健康的定义和含义有所不同;(b)少数族裔移民妇女在获得保健服务方面遇到一些障碍,包括歧视;(c)西方生物医学原则与东方整体保健方法之间存在范式冲突。讨论社会工作实践的影响。
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引用次数: 7
Where Words Fail, Music Speaks: A Mixed Method Study of an Evidence-Based Music Protocol. 当言语失败时,音乐说话:基于证据的音乐协议的混合方法研究。
Pub Date : 2016-11-01 Epub Date: 2016-04-15 DOI: 10.1080/23761407.2015.1111825
Ruby A Daniels, David Torres, Cathy Reeser

Despite numerous studies documenting the benefits of music, hospice social workers are often unfamiliar with evidence-based music practices that may improve end of life care. This mixed method study tested an intervention to teach hospice social workers and chaplains (N = 10) an evidence-based music protocol. Participants used the evidence-based practice (EBP) for 30 days, recording 226 journal entries that described observations of 84 patients and their families. There was a significant increase in EBP knowledge (35%). Prompting behavioral and emotional responses, music was described frequently as a catalyst that facilitated deeper dialogue between patients, families, social workers, and chaplains.

尽管有大量的研究证明了音乐的好处,但临终关怀社工往往不熟悉基于证据的音乐实践,这些实践可能会改善临终关怀。本混合方法研究测试了一项干预,以教临终关怀社工和牧师(N = 10)循证音乐协议。参与者使用循证实践(EBP) 30天,记录226篇日志条目,描述了84名患者及其家属的观察结果。EBP知识显著增加(35%)。音乐经常被描述为促进患者、家属、社会工作者和牧师之间更深层次对话的催化剂,能促进行为和情感反应。
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引用次数: 4
Evidence-Based Practice: Attitude and Knowledge of Social Workers across Geographic Regions. 循证实践:跨地域社会工作者的态度与知识。
Pub Date : 2016-11-01 Epub Date: 2016-04-15 DOI: 10.1080/23761407.2015.1111826
Tina Abrefa-Gyan

The objective of the author in this article was to examine possible differences in knowledge and attitudes toward evidence-based practice (EBP) among social workers across geographic regions. A random national sample of 180 NASW members was obtained from mail and Internet groups. MANOVA analysis was performed to determine possible differences in knowledge and attitudes toward EBP among these social workers. Findings suggest that knowledge and attitude toward EBP did not differ among these practitioners. Despite increasing efficacy and widespread knowledge of EBPs, there is little or no empirical evidence to support any differences in attitudes and knowledge of EBP among social workers across geographic regions.

本文作者的目的是研究不同地理区域的社会工作者对循证实践(EBP)的知识和态度可能存在的差异。该研究从邮件和网络小组中随机抽取了180名全美妇女协会成员。运用方差分析来确定这些社会工作者对EBP的知识和态度可能存在的差异。研究结果表明,这些从业者对EBP的知识和态度没有差异。尽管EBP的有效性越来越高,知识也越来越广泛,但很少或没有经验证据支持不同地理区域的社会工作者对EBP的态度和知识有任何差异。
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引用次数: 8
Effective Practices in the Treatment of Trauma in Children and Adolescents: From Guidelines to Organizational Practices. 儿童和青少年创伤治疗的有效实践:从指导方针到组织实践。
Pub Date : 2016-09-01 Epub Date: 2016-04-22 DOI: 10.1080/23761407.2016.1166839
Robert Lucio, Tiffany L Nelson

Exposure to traumatic events happens at an alarming rate for children and adolescents in the United States. If left unaddressed, these youth have a high risk of growing up with additional health and mental health problems. In this article the authors review three key aspects of helping youth heal from the symptoms of experiencing a traumatic event; (1) recommended guidelines, (2) specific treatments, and (3) the Trauma-Informed Care Framework. Eleven recommendations from the American Academy of Child and Adolescent Psychiatry are discussed as they relate to effective practices in the treatment of trauma in children and adolescents. Trauma-focused cognitive behavioral therapy and child-parent psychotherapy are also explored as the two specific interventions that have the most empirical support for treatment in children and adolescents. Finally, the tenets of a Trauma-Informed Care Framework are presented along with a review of how well these have been applied in youth serving organizations.

在美国,儿童和青少年遭受创伤性事件的比率惊人。如果不加以解决,这些年轻人长大后很有可能出现额外的健康和精神健康问题。在这篇文章中,作者回顾了帮助青少年从经历创伤事件的症状中康复的三个关键方面;(1)推荐指南,(2)具体治疗,(3)创伤知情护理框架。美国儿童和青少年精神病学学会的11条建议被讨论,因为它们与儿童和青少年创伤治疗的有效实践有关。以创伤为中心的认知行为治疗和亲子心理治疗也被探讨为两种具体的干预措施,这两种干预措施在儿童和青少年的治疗中具有最多的经验支持。最后,提出了创伤知情护理框架的原则,并回顾了这些原则在青年服务组织中的应用情况。
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引用次数: 21
Trauma-Informed Schools. Trauma-Informed学校。
Pub Date : 2016-09-01 Epub Date: 2016-05-21 DOI: 10.1080/23761407.2016.1166855
Courtney Wiest-Stevenson, Cindy Lee

Violence has impacted every aspect of daily life. These tragedies have shocked the world. This has resulted in school communities being fractured. Additionally, The National Survey of Children Exposed to Violence found that 60% of the children surveyed have been exposed to some form of trauma, either in or out of school. Traumatology research has shown most people respond to a wide range of traumatic events in similar ways. The common responses include traumatic responses, posttraumatic stress responses, and posttraumatic stress disorder (PTSD). In this article the authors outline the impact of trauma on children within school systems; discuss the mental health services schools are providing; present a trauma-informed school model; identifies tools which can be utilized in schools; and provide resources needed for a trauma-informed school, along with additional tools and resources. The authors discuss future recommendations for the community and schools as traumatic events continue to grow and impact a large number of children.

暴力影响着日常生活的方方面面。这些悲剧震惊了世界。这导致了学校社区的分裂。此外,全国遭受暴力儿童调查发现,60%的受访儿童在学校内外都遭受过某种形式的创伤。创伤学研究表明,大多数人对各种创伤性事件的反应都是相似的。常见的反应包括创伤反应、创伤后应激反应和创伤后应激障碍(PTSD)。在这篇文章中,作者概述了在学校系统中创伤对儿童的影响;讨论学校提供的心理健康服务;提出一个创伤知情的学校模式;确定可在学校使用的工具;并为创伤教育学校提供所需的资源,以及额外的工具和资源。作者讨论了对社区和学校未来的建议,因为创伤性事件继续增长并影响到大量儿童。
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引用次数: 72
Delinquent-Victim Youth-Adapting a Trauma-Informed Approach for the Juvenile Justice System. 青少年犯罪受害者:适应青少年司法系统的创伤知情方法。
Pub Date : 2016-09-01 Epub Date: 2016-04-25 DOI: 10.1080/23761407.2016.1166844
Lisa Rapp

The connection between victimization and later delinquency is well established and most youth involved with the juvenile justice system have at least one if not multiple victimizations in their history. Poly-victimized youth or those presenting with complex trauma require specialized assessment and services to prevent deleterious emotional, physical, and social life consequences. Empirical studies have provided information which can guide practitioners work with these youth and families, yet many of the policies and practices of the juvenile justice system are counter to this model. Many youth-serving organizations are beginning to review their operations to better match a trauma-informed approach and in this article the author will highlight how a trauma-informed care model could be utilized to adapt the juvenile justice system.

受害与后来的犯罪行为之间的联系已经得到了很好的证实,大多数参与少年司法系统的青少年在他们的历史中至少有一次(如果不是多次的话)受害。多次受害的青少年或那些表现出复杂创伤的青少年需要专门的评估和服务,以防止有害的情感、身体和社会生活后果。实证研究提供了可以指导从业人员与这些青少年和家庭一起工作的信息,然而,青少年司法系统的许多政策和做法与这种模式背道而驰。许多青少年服务组织开始审查他们的运作,以更好地匹配创伤知情的方法,在这篇文章中,作者将重点介绍如何利用创伤知情的护理模式来适应青少年司法系统。
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引用次数: 16
Trauma-Informed Approach to Survivors of Intimate Partner Violence. 对亲密伴侣暴力幸存者的创伤知情方法。
Pub Date : 2016-09-01 Epub Date: 2016-05-04 DOI: 10.1080/23761407.2016.1166824
Victoria A Anyikwa

Trauma leads to deleterious effects on individuals and families causing many to seek treatment from social work practitioners across systems of care. Trauma comes in all forms, from community violence to domestic violence, including physical and sexual abuse of children and violence among intimate partners that leaves its victims devastatingly impacted. Women make up the majority of survivors of intimate partner violence (IPV) with studies revealing significant associated mental health problems. Social workers are bound to work with survivors of IPV and must be prepared to deliver effective trauma-informed services. While trauma-specific services exist for specific populations, researchers are finding that negative events in childhood and in family functioning can impact individuals' lives in negative ways thus having implications for treatment across systems. For women survivors of IPV, the traumatic stress may be cumulative with varied emotional and mental health impacts that may force them to seek services across systems, not just domestic violence specific systems. As such it is imperative that social workers increase awareness of trauma, its impact on women, and the importance of the approach and environment in which they provide services. In this article the author aims to broaden social workers knowledge of the use of a TIC approach developed by the Substance Abuse and Mental Health Services Administration that's applicable across systems of care, particularly when working with women survivors of IPV.

创伤会对个人和家庭产生有害影响,导致许多人寻求跨护理系统的社会工作从业人员的治疗。创伤有各种形式,从社区暴力到家庭暴力,包括对儿童的身体和性虐待以及亲密伴侣之间的暴力,给受害者带来毁灭性的影响。妇女占亲密伴侣暴力(IPV)幸存者的大多数,研究揭示了与之相关的重大精神健康问题。社会工作者必须与IPV幸存者一起工作,必须准备好提供有效的创伤信息服务。虽然针对特定人群的创伤特定服务存在,但研究人员发现,童年和家庭功能中的负面事件会以负面方式影响个人的生活,从而对整个系统的治疗产生影响。对于IPV的女性幸存者来说,创伤压力可能是累积的,具有各种情绪和精神健康影响,可能迫使她们寻求跨系统的服务,而不仅仅是针对家庭暴力的系统。因此,社会工作者必须提高对创伤及其对妇女的影响的认识,以及他们提供服务的方法和环境的重要性。在这篇文章中,作者旨在拓宽社会工作者对药物滥用和精神健康服务管理局开发的TIC方法的使用知识,该方法适用于整个护理系统,特别是在与IPV的女性幸存者一起工作时。
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引用次数: 31
Identifying, Preventing, and Addressing Job Burnout and Vicarious Burnout for Social Work Professionals. 社会工作专业人员的工作倦怠和替代性倦怠的识别、预防和处理。
Pub Date : 2016-09-01 Epub Date: 2016-05-04 DOI: 10.1080/23761407.2016.1166856
Felicia Wilson

Genuineness, concern for others, and empathy are characteristics used to describe the professional social worker. To this end, the social worker tirelessly works on behalf of and in collaboration with the client to move them from stagnant life situations into positive life situations. While the fundamental principles of social work are wonderful, the result for some workers is job burnout and/or vicarious trauma. The concepts of job burnout, its antecedents, and manifestations are thoroughly discussed in this article to provide a holistic overview of this phenomenon. The six antecedents: workload, control, values, fairness, reward, and community are discussed and linked to the manifestations of job burnout. When working with individuals who have been exposed to the depravity of life, the professional can take on the client's vulnerabilities, victimizations, and stress. The common term for this phenomenon is vicarious trauma. Professionals who work with trauma victims can often have issues in their personal and professional life as evidenced by reduced professional efficacy, increased emotional concerns, and physical concerns. The purpose of the author in this article is to provide an overview of job burnout, vicarious trauma, and a discussion about self-care responsibilities.

真诚、关心他人和同理心是描述专业社会工作者的特征。为此,社会工作者不知疲倦地代表客户工作,并与客户合作,将他们从停滞的生活状况转变为积极的生活状况。虽然社会工作的基本原则是美好的,但对一些工作者来说,结果是工作倦怠和/或间接创伤。本文对工作倦怠的概念、其成因和表现形式进行了深入的讨论,对这一现象进行了全面的概述。讨论了工作倦怠的六个前因:工作量、控制、价值观、公平、奖励和社区。当与生活堕落的人一起工作时,专业人士可以承担客户的脆弱性,受害者和压力。这种现象的一般术语是替代性创伤。与创伤受害者打交道的专业人员通常会在个人和职业生活中遇到问题,这可以从职业效率降低、情感担忧增加和身体担忧中得到证明。作者在这篇文章中的目的是提供一个概述的工作倦怠,间接创伤,并讨论自我照顾的责任。
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引用次数: 45
Psychological Trauma and LGBT Caregivers: A Conceptual Framework to Guide Practice. 心理创伤和LGBT照顾者:指导实践的概念框架。
Pub Date : 2016-09-01 Epub Date: 2016-04-27 DOI: 10.1080/23761407.2016.1166825
Richard S Glaesser, Bina R Patel
LGBT adults face unique risk factors such as social isolation, discrimination, and victimization, and occasionally th ey engage in detrimental behaviors like high alcohol and drug use and risky sexual activity that negatively impacts psychological/physical health. These risks can affect their overall health and stress the relationship with an older caregiver/recipient-partner following exposure to acute medical event. The experience of an acute medical event among a LGBT caregiving partner can result in psychological trauma. In this article the authors present a conceptual framework involving stress process theory, life course theory, and family systems perspective to understand the effect of stressors on LGBT caregiving partners. Implications for social work practice include assessing, coordinating care, counseling and negotiating services at micro level, engaging family-centered approaches to support positive transition to caregiving role at mezzo level, and advocating for policy and cultural shifts to supports and diminish stigma of this group.
LGBT成年人面临着独特的风险因素,如社会孤立、歧视和受害,偶尔还会从事有害行为,如酗酒和吸毒,以及高风险的性活动,对心理/身体健康产生负面影响。这些风险可能会影响他们的整体健康,并在暴露于急性医疗事件后,对与老年护理者/接受者-伴侣的关系造成压力。在LGBT看护伴侣中,急性医疗事件的经历可能会导致心理创伤。在这篇文章中,作者提出了一个概念框架,包括压力过程理论、生命历程理论和家庭系统的观点来理解压力源对LGBT照顾伴侣的影响。对社会工作实践的启示包括在微观层面上评估、协调护理、咨询和谈判服务,采用以家庭为中心的方法来支持向中观层面的护理角色的积极转变,并倡导政策和文化转变,以支持和减少这一群体的耻辱。
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引用次数: 2
Animal Assisted Therapy and Trauma Survivors. 动物辅助治疗和创伤幸存者。
Pub Date : 2016-09-01 Epub Date: 2016-05-21 DOI: 10.1080/23761407.2016.1166841
Debra Mims, Rhondda Waddell

Animal therapy is making strides in the treatment of posttraumatic stress disorder (PTSD). For years, animals have been used with great benefit in the treatment of the aged and the terminally ill. Now animal assisted therapy is benefitting sufferers of PTSD. The results of animal assisted therapy in the treatment of PTSD patients have seen significant results. In one study of the effect of dogs with patients, psychologists noted an 82% reduction in symptoms. One particular case noted that interacting with the dog for as little as one week, enabled a patient to decrease the amount of anxiety and sleep medications by half.

动物疗法在治疗创伤后应激障碍(PTSD)方面取得了长足的进步。多年来,动物一直被用于治疗老年人和绝症患者。现在,动物辅助疗法使创伤后应激障碍患者受益。动物辅助疗法在治疗创伤后应激障碍患者方面取得了显著的成果。在一项关于狗对病人的影响的研究中,心理学家指出,症状减轻了82%。一个特别的案例指出,与狗狗互动仅仅一周,就能使病人减少一半的焦虑和睡眠药物。
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引用次数: 23
期刊
Journal of evidence-informed social work
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