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The effectiveness of consultation for clinicians learning to deliver motivational interviewing with fidelity. 临床医生学习提供忠诚的动机性访谈的咨询效果。
Pub Date : 2018-09-01 Epub Date: 2018-06-08 DOI: 10.1080/23761407.2018.1480988
Raluca Barac, Melissa Kimber, Sabine Johnson, Melanie Barwick

Despite the emerging literature documenting gains in clinician competence following consultation, little empirical work has examined consultation as an implementation strategy. To this end, the present study examined consultation in the context of implementing motivational interviewing in four community child and youth mental health organizations. We used qualitative methods with a dual goal: to describe the consultation process and to explore trainees' perspectives on consultation. Participants included 22 clinicians and 9 supervisors who received monthly, group, phone-based consultation for seven months following training in motivational interviewing. Analyses showed that consultation was perceived as effective because it helped to "keep motivational interviewing alive," fulfilled a profound learning function through collaboration and connection with others, and served as protected time for reflection on practice change. Our findings contribute to a body of knowledge about consultation elements that appear to be effective when implementing research-supported interventions in child and youth mental health.

尽管越来越多的文献记录了咨询后临床医生能力的提高,但很少有实证研究将咨询作为一种实施策略。为此目的,本研究在四个社区儿童和青少年心理健康组织实施动机性访谈的背景下审查咨询。我们使用定性方法有两个目标:描述咨询过程和探索学员对咨询的看法。参与者包括22名临床医生和9名主管,他们在接受动机性访谈培训后,每月接受一次小组电话咨询,为期7个月。分析表明,咨询被认为是有效的,因为它有助于“保持动机性访谈的活力”,通过与他人的合作和联系实现了深刻的学习功能,并作为反思实践变化的保护时间。我们的研究结果有助于形成关于咨询要素的知识体系,这些要素在实施研究支持的儿童和青少年心理健康干预措施时似乎是有效的。
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引用次数: 11
Understanding the social and community support networks of American Indian women cancer survivors. 了解美国印第安妇女癌症幸存者的社会和社区支持网络。
Pub Date : 2018-09-01 Epub Date: 2018-07-06 DOI: 10.1080/23761407.2018.1455162
Yeon-Shim Lee, Catherine E Burnette, Jessica Liddell, Soonhee Roh

Cancer is the leading cause of death among American Indian and Alaska Native (AI/AN) women. Although cancer disparities among AI women are alarming, there is littlle research focused on the topic of social support and cancer treatment and outcomes. A community advisory board was used to develop and administer the project, and a qualitative descriptive study methodology was used. This research was conducted in partnership with two community-based hospitals in the Northern Plains. The sample included 43 AI female cancer survivors who were interviewed with a semi-structured interview guide. The data were analyzed using content analysis. Emergent themes revealed that AI cancer survivors' non-familial support systems included friends (n = 12), support groups (n = 6), churches (n = 10), co-workers (n = 5), communities (n = 4), support from health practitioners (n = 3), and additional forms of support. Results indicate that survivors' networks are diverse and support broad prevention programs that reach out to churches, community groups, and online forums. These sources of supports can be enhanced through sustainable community-based infrastructures.

癌症是美国印第安人和阿拉斯加原住民(AI/AN)妇女的主要死因。尽管美国印第安人和阿拉斯加原住民妇女患癌的差距令人担忧,但有关社会支持和癌症治疗及结果的研究却很少。该项目由一个社区咨询委员会负责开发和管理,并采用了定性描述研究方法。这项研究是与北部平原的两家社区医院合作进行的。样本包括 43 名人工智能女性癌症幸存者,她们在半结构化访谈指南的指导下接受了访谈。采用内容分析法对数据进行了分析。新出现的主题显示,人工智能癌症幸存者的非家庭支持系统包括朋友(12 人)、支持团体(6 人)、教会(10 人)、同事(5 人)、社区(4 人)、医疗从业人员的支持(3 人)以及其他形式的支持。研究结果表明,幸存者的网络是多样化的,并且支持广泛的预防计划,这些计划可以深入到教会、社区团体和在线论坛。这些支持来源可以通过可持续的社区基础设施得到加强。
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引用次数: 0
Boys and men in African American families. 非洲裔美国人家庭中的男孩和男人。
Pub Date : 2018-09-01 Epub Date: 2018-06-05 DOI: 10.1080/23761407.2018.1480989
Peter A Kindle
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引用次数: 2
The moderating effect of parental support: internalizing symptoms of emerging adults exposed to community violence. 父母支持的调节作用:暴露于社区暴力的新生成人的内化症状。
Pub Date : 2018-09-01 Epub Date: 2018-07-11 DOI: 10.1080/23761407.2018.1495139
Robert Donnelly, Katherine Holzer

Evidence suggests parental support mitigates the association between community violence exposure and internalizing symptoms in adolescents. This study investigates this moderation of parental support for emerging adults and compares it with that for adolescents. Data were drawn from the Pathways to Desistence Study using community violence, parental support, and their interaction to predict internalizing symptoms in a series of regression models for adolescents and emerging adults. Results suggest that exposure to community violence during adolescence and emerging adulthood had a significant association with internalizing symptoms. Mother support during adolescence moderated this relationship. Emerging adulthood was marked by an increase in parental support; however, this support did not moderate the relationship between community violence and internalizing symptoms. Interventions, programs, and policies that leverage the parental support of emerging adults may be a useful strategy to mitigate the negative impacts of community violence.

有证据表明,父母的支持减轻了社区暴力暴露与青少年内化症状之间的联系。本研究探讨了初出期成人父母支持的适度性,并将其与青少年父母支持的适度性进行了比较。数据来自“坚持之路”研究,使用社区暴力、父母支持及其相互作用来预测青少年和初成成人的一系列回归模型中的内化症状。结果表明,在青春期和成年初期接触社区暴力与内化症状有显著关联。青春期母亲的支持调节了这种关系。刚进入成年期的孩子得到的父母支持增加了;然而,这种支持并没有缓和社区暴力与内化症状之间的关系。利用父母对新生成人的支持的干预措施、项目和政策可能是减轻社区暴力负面影响的有效策略。
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引用次数: 7
Impact of individualized education plans on academic success of youth with early onset schizophrenia. 个体化教育计划对早发性精神分裂症青少年学业成功的影响。
Pub Date : 2018-09-01 Epub Date: 2018-06-28 DOI: 10.1080/23761407.2018.1487356
Annahita Ball, Barbara Rittner, Ya-Ling Chen, Eugene Maguin

Purpose: Youth with early onset schizophrenia (EOS) are eligible for an individualized education plan (IEP) in school settings, yet often have declining academic performance over time. This study examines the impact of IEP and comorbid conditions on educational outcomes for youth with EOS.

Method: We used mixed models and logistic regression to answer the research questions using data from 129 youth with EOS who participated in a longitudinal study from 1998 to 2006.

Results: Not all children had an IEP in all waves. Of those that did, findings demonstrated that having an IEP did not improve absenteeism or academic performance. In addition, regardless of whether they had an IEP, rates of dropping out were equal.

Conclusions: Social workers should consider more individualized approaches to IEPs for youth with EOS to target the specific complexities of the disorder as well as its implications for school success.

目的:患有早发性精神分裂症(EOS)的青少年有资格在学校环境中接受个性化教育计划(IEP),但随着时间的推移,他们的学习成绩往往会下降。本研究探讨了IEP和共病条件对青少年EOS教育成果的影响。方法:采用混合模型和logistic回归对1998 - 2006年129名青年EOS患者的数据进行分析。结果:并非所有患儿均有IEP。在那些做过的学生中,研究结果表明,IEP并没有改善缺勤或学习成绩。此外,不管他们是否有IEP,他们的退学率是相等的。结论:社会工作者应该考虑更个性化的方法来为青少年的情感障碍患者提供iep,以针对这种障碍的特定复杂性及其对学业成功的影响。
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引用次数: 2
Transnational Social Work: Opportunities and Challenges of a Global Profession. 跨国社会工作:全球职业的机遇与挑战。
Pub Date : 2018-09-01 Epub Date: 2018-07-12 DOI: 10.1080/23761407.2018.1494656
Peter A Kindle
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引用次数: 13
Investigating the usefulness of trauma-focused cognitive behavioral therapy in adolescent residential care. 调查以创伤为中心的认知行为治疗在青少年住宿护理中的有效性。
Pub Date : 2018-07-01 Epub Date: 2018-05-16 DOI: 10.1080/23761407.2018.1474155
Valerie C Joiner, Frederick P Buttell

Objective: This study investigated the usefulness of the trauma intervention, trauma-focused cognitive behavioral therapy (TF-CBT), for adolescents in residential treatment.

Method: The study employed a secondary analysis of 132 adolescent trauma cases collected from youth while in a residential treatment facility in Mississippi.

Results: Analysis indicated that clients showed significant decreases in posttraumatic stress disorder (PTSD) severity scores after receiving TF-CBT in residential care. PTSD severity scores were significantly higher for the residential care sample as compared to the National Child Traumatic Stress Network's average baseline score. Females reported significantly higher PTSD and substance use scores than males. PTSD baseline scores, substance use scores, and gender contributed significantly to the prediction of PTSD outcomes post intervention.

Conclusion: Implications, based on study findings, to enhance services for traumatized youth in residential care were explored and discussed.

目的:本研究探讨创伤干预,以创伤为中心的认知行为治疗(TF-CBT)在青少年住院治疗中的有效性。方法:该研究采用了一个二次分析,从青少年收集的132例青少年创伤,而在密西西比州的住宅治疗设施。结果:分析表明,在住院治疗中接受TF-CBT治疗后,患者的创伤后应激障碍(PTSD)严重程度评分显著降低。与全国儿童创伤压力网络的平均基线得分相比,住院护理样本的创伤后应激障碍严重程度得分明显更高。女性报告的创伤后应激障碍和物质使用得分明显高于男性。PTSD基线评分、物质使用评分和性别对干预后PTSD结局的预测有显著影响。结论:基于研究结果,本研究探讨了加强创伤青少年寄宿服务的意义。
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引用次数: 15
The status of research ethics in social work. 研究伦理在社会工作中的地位。
Pub Date : 2018-07-01 Epub Date: 2018-05-29 DOI: 10.1080/23761407.2018.1478756
Aidan Ferguson, James J Clark

Research ethics provide important and necessary standards related to the conduct and dissemination of research. To better understand the current state of research ethics discourse in social work, a systematic literature search was undertaken and numbers of publications per year were compared between STEM, social science, and social work disciplines. While many professions have embraced the need for discipline-specific research ethics subfield development, social work has remained absent. Low publication numbers, compared to other disciplines, were noted for the years (2006-2016) included in the study. Social work published 16 (1%) of the 1409 articles included in the study, contributing 3 (>1%) for each of the disciplines highest producing years (2011 and 2013). Comparatively, psychology produced 75 (5%) articles, psychiatry produced 64 (5%) articles, and nursing added 50 (4%) articles. The STEM disciplines contributed 956 (68%) articles between 2006 and 2016, while social science produced 453 (32%) articles. Examination of the results is provided in an extended discussion of several misconceptions about research ethics that may be found in the social work profession. Implications and future directions are provided, focusing on the need for increased engagement, education, research, and support for a new subfield of social work research ethics.

研究伦理为研究的开展和传播提供了重要和必要的标准。为了更好地了解社会工作中研究伦理话语的现状,我们进行了系统的文献检索,并比较了STEM、社会科学和社会工作学科之间每年的出版物数量。虽然许多专业已经接受了特定学科的研究伦理子领域发展的需要,但社会工作仍然缺席。与其他学科相比,该研究所包括的年份(2006-2016年)的出版数量较低。在纳入研究的1409篇文章中,社会工作发表了16篇(1%),在产出最高的年份(2011年和2013年),每个学科贡献了3篇(>1%)。相比之下,心理学有75篇(5%),精神病学有64篇(5%),护理学有50篇(4%)。在2006年至2016年期间,STEM学科贡献了956篇(68%)文章,而社会科学贡献了453篇(32%)文章。在对社会工作专业中可能发现的关于研究伦理的几个误解的扩展讨论中,提供了对结果的检查。提供了影响和未来的方向,重点是需要增加参与,教育,研究和支持社会工作研究伦理的一个新的子领域。
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引用次数: 1
GenerateHope: a comprehensive treatment model for sex-trafficked women. GenerateHope:性交易妇女综合治疗模式。
Pub Date : 2018-07-01 Epub Date: 2018-05-15 DOI: 10.1080/23761407.2018.1467809
Susan Munsey, Heather E Miller, Terence Rugg

GenerateHope (GH) is a San Diego-based 501c3 nonprofit organization providing fully integrated, comprehensive rehabilitation services to adult female survivors of sex trafficking. While best practices for working with survivors of sex trafficking are slowly emerging, to date, there have been few publications on this subject and little data on either short- or long-term outcomes from the many and varied programs nationwide. This paper examines the GH residential program and provides early outcome results for residents living at the GH program between six and 12 months. GH has integrated the types of assistance requested by sex-trafficking victims with clinical insights into trauma therapy, in turn establishing a live-in residence with a 30-hour per week schedule that includes academics, psychotherapy, and adjunct therapies. In this study, GH used three assessments to measure improvements in residents' overall well-being: Hamilton Depression Rating Scale (HAM-D), Post-Traumatic Stress Disorder (PTSD) Checklist - Civilian Version (PCL-C), and Rosenberg Self-Esteem Scale (RSES). Analysis of the three assessments showed dramatic improvements in the overall participant well-being: Symptoms of depression and post-traumatic stress disorder (PTSD) decreased significantly, and self-esteem improved significantly. Findings suggest a program that is replicable, scalable, and transferable to other settings and geographies. This paper also describes ongoing challenges in program implementation and highlights areas where further research is needed.

GenerateHope (GH)是一家位于圣地亚哥的非营利组织,为性交易的成年女性幸存者提供全面综合的康复服务。虽然与性交易幸存者打交道的最佳做法正在慢慢出现,但迄今为止,关于这一主题的出版物很少,关于全国范围内许多不同项目的短期或长期结果的数据也很少。本文考察了GH住院项目,并提供了在GH项目中生活6至12个月的住院患者的早期结果。GH将性交易受害者所要求的援助类型与创伤治疗的临床见解结合起来,建立了一个住家,每周30小时的安排,包括学术、心理治疗和辅助治疗。在本研究中,GH采用汉密尔顿抑郁评定量表(HAM-D)、创伤后应激障碍(PTSD)检查表-平民版(PCL-C)和罗森博格自尊量表(RSES)三种评估方法来衡量居民整体幸福感的改善。对三种评估的分析显示,参与者的整体幸福感有了显著改善:抑郁和创伤后应激障碍(PTSD)的症状显著减少,自尊显著改善。研究结果表明,该计划是可复制的,可扩展的,可转移到其他环境和地区。本文还描述了在项目实施中正在面临的挑战,并强调了需要进一步研究的领域。
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引用次数: 12
The Center for Social Innovation at Boston College. 波士顿学院社会创新中心。
Pub Date : 2018-07-01 Epub Date: 2018-03-26 DOI: 10.1080/23761407.2018.1455615
Stephanie Cosner Berzin, Tiziana Dearing, Olivia Mathews, Yeon Jin Choi, Marcie Pitt-Catsouphes

Established in 2011, the Center for Social Innovation at Boston College has focused on fostering "effective, sustainable social innovations that enhance social justice." the Center is committed to building research evidence that is used for changing practice and works to disseminate findings through a three-channel approach: traditional research publications, convening of practitioners, and through use of media outlets.

波士顿学院社会创新中心成立于2011年,致力于促进“有效、可持续的社会创新,促进社会公正”。该中心致力于建立研究证据,用于改变实践,并通过三种渠道传播研究成果:传统研究出版物、从业者召集和媒体使用。
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引用次数: 3
期刊
Journal of evidence-informed social work
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