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Care Coordination Services: A Description of an Alternative Service Model for At-Risk Families. 护理协调服务:对高危家庭的替代服务模式的描述。
Pub Date : 2017-07-01 Epub Date: 2017-07-06 DOI: 10.1080/23761407.2017.1306731
Lauren Anderson, Jay L Ringle, Stephanie D Ingram, Jordan R Ross, Ronald W Thompson

Objective: The objective of this article is to describe a care coordination model that includes promising practices which are supported by both practice-based and research-based evidence. This model was developed to address the gaps of other models, namely an emphasis on skill teaching with parents, the flexibility to adapt to the needs of youth with a wide variety of presenting problems, and model fidelity assessment tools to help scale up the program across multiple locations with fidelity.

Method: We discuss preliminary administrative and outcome data from 898 youth served across eight locations.

Results: Data suggest positive outcomes at departure from service, as well as 6 months and 12 months post case closure.

Conclusion: Preliminary data indicate that youth with educational and behavioral health challenges can benefit from coordination of services that are both youth guided and family driven. As this program has been scaled up and has an established vehicle of dissemination, it is in a unique position to be tested via more highly controlled and rigorous efficacy trials.

目的:本文的目的是描述一个护理协调模型,其中包括有前途的实践,并得到实践和研究证据的支持。该模型的开发是为了解决其他模型的不足,即强调与家长一起进行技能教学,灵活适应各种呈现问题的青年需求,以及模型保真度评估工具,以帮助在多个地点扩大项目的保真度。方法:我们讨论了来自8个地点的898名青少年的初步管理和结果数据。结果:数据显示在离职时,以及病例结束后6个月和12个月的积极结果。结论:初步数据表明,有教育和行为健康挑战的青少年可以从青少年引导和家庭驱动的协调服务中受益。由于该规划已扩大规模,并有了既定的传播工具,因此它处于一个独特的位置,可以通过更严格的控制和更严格的疗效试验进行检验。
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引用次数: 4
State Definitions of Social Work Practice: Implications for our Professional Identity. 社会工作实践的国家定义:对我们职业认同的启示。
Pub Date : 2017-07-01 Epub Date: 2017-07-14 DOI: 10.1080/23761407.2017.1319775
Katharine Hill, Sondra Fogel, Linda Plitt Donaldson, Christina Erickson

Purpose: For over a century, the social work profession has been concerned with describing the unique and specific characteristics that define its core functions in society; however, the profession has yet to agree to a single definition of social work. In the absence of a unifying definition, 51 different statutory definitions of social work have been created by each state and the District of Columbia.

Methods: Using qualitative methods, each statutory definition of social work was analyzed to gain an understanding of how social work is defined and understood across the United States.

Results: Findings indicate that 57% of the statutory language blend the full range of micro to macro social work practice skills into their definition. However, even within these and those remaining, there are vast differences in definitions.

Discussion: Implications for state licensing laws, are considered, along with how this impacts education, the work force, and professional identity.

目的:一个多世纪以来,社会工作专业一直关注描述定义其在社会中的核心功能的独特和具体特征;然而,该行业尚未就社会工作的单一定义达成一致。在缺乏统一定义的情况下,每个州和哥伦比亚特区制定了51个不同的社会工作法定定义。方法:采用定性方法,分析社会工作的每个法定定义,以了解如何在美国定义和理解社会工作。结果:调查结果表明,57%的法定语言将微观到宏观的社会工作实践技能融入其定义中。然而,即使在这些和那些剩下的,在定义上也有巨大的差异。讨论:考虑了对州执照法的影响,以及这对教育、劳动力和职业身份的影响。
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引用次数: 10
Towards an Evidence-Informed Adventure Therapy: Implementing Feedback-Informed Treatment in the Field. 迈向循证冒险疗法:在实地实施反馈知情治疗。
Pub Date : 2017-05-01 Epub Date: 2017-04-07 DOI: 10.1080/23761407.2017.1304310
Will Dobud

As an intervention for adolescents, adventure therapy has evolved considerably over the last three decades with support from multiple meta-analyses and research input from both residential and outpatient services. Tainted by a history of unethical practice and issues of accountability, this article explores the question of how adventure therapy can meet a standard of evidence preferred by policymakers and funding bodies on the international stage. In this case, feedback-informed treatment (FIT) is presented as a means for routine outcome management, creating a framework for adventure therapy which aims to improve the quality of participant engagement while maintaining and operationalizing today's definitions for evidence-based practice. A case vignette illustrates the use of FIT with an adolescent participant engaged on a 14-day adventure therapy program.

作为一种针对青少年的干预手段,冒险疗法在过去三十年中得到了多项荟萃分析和来自住院和门诊服务的研究投入的支持,已经有了很大的发展。由于不道德行为的历史和责任问题,本文探讨了冒险疗法如何满足国际舞台上决策者和资助机构首选的证据标准的问题。在这种情况下,反馈信息治疗(FIT)作为常规结果管理的一种手段,为冒险治疗创建了一个框架,旨在提高参与者参与的质量,同时保持和实施当今基于证据的实践定义。一个案例说明了一个青少年参与者在14天的冒险治疗项目中使用FIT。
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引用次数: 4
Compassion Fatigue and Mindfulness: Comparing Mental Health Professionals and MSW Student Interns. 同情疲劳和正念:比较心理健康专业人员和城市生活垃圾实习生。
Pub Date : 2017-05-01 Epub Date: 2017-04-07 DOI: 10.1080/23761407.2017.1302859
Jodi L Constantine Brown, Jacqueline Ong, Jessica M Mathers, James T Decker

The relationship between compassion fatigue and mindfulness in mental health professionals compared to Master of Social Work (MSW) students is explored. A convenience sample of mental health professionals (n = 40) and MSW students (n = 111) completed the Five Facet Mindfulness Questionnaire and Professional Quality of Life Scale. Results indicate a medium, negative correlation between compassion fatigue and mindfulness, with high levels of compassion fatigue associated with lower levels of mindfulness. There was no statistically significant difference between mental health workers and MSW students on the combined dependent variables. Results suggest that mindfulness protects against compassion fatigue regardless of professional or student status.

研究了心理健康专业人员与社会工作硕士(MSW)学生的同情疲劳和正念之间的关系。便利样本为心理健康专业人员(n = 40)和城市生活垃圾学生(n = 111),分别完成了五方面正念问卷和职业生活质量量表。结果表明,同情疲劳与正念之间呈中等负相关,高水平的同情疲劳与低水平的正念相关。心理健康工作者与城市生活垃圾学生在综合因变量上差异无统计学意义。研究结果表明,无论是专业人士还是学生,正念都能防止同情疲劳。
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引用次数: 24
African American Faculty in Social Work Schools: The Impact of Their Scholarship. 社会工作学校的非裔美国教师:他们奖学金的影响。
Pub Date : 2017-05-01 Epub Date: 2017-04-07 DOI: 10.1080/23761407.2017.1302861
Kimberly Y Huggins-Hoyt, Michael J Holosko, Harold E Briggs, John R Barner

Purpose: This study assessed the citation impact of scholarship of African American faculty in the top 25 ranked schools of social work cited in the 2012 U.S. News and World Report.

Method: The citation impact scores (Hirsch h-index) of these scholars were examined.

Results: The overall mean h-index score for the top 25 ranked schools of social work and African American scholars was 6.62 and 12.14, respectively. The individual h-index for almost 80% of these scholars exceeded their respective school mean h-index scores.

Discussion: While the literature revealed long-standing systemic and structural barriers to research productivity for African American scholars overall, these faculty somehow found ways to circumvent these challenges. Future research calls for a more comprehensive exploration into the character and impact of scholarship produced by African American faculty to further expand the knowledge base about elements of research cultures in social work.

目的:本研究评估2012年《美国新闻与世界报道》(U.S. News and World Report)中排名前25位的社会工作学院的非裔美国教师的奖学金被引影响。方法:对这些学者的引文影响评分(Hirsch h-index)进行分析。结果:排名前25位的社会工作学院和非裔美国学者学院的总体平均h指数得分分别为6.62和12.14。这些学者中几乎80%的个人h指数超过了各自学校的h指数平均分。讨论:虽然文献揭示了非洲裔美国学者研究生产力的长期系统性和结构性障碍,但这些教师以某种方式找到了规避这些挑战的方法。未来的研究需要更全面地探索非裔美国教师所产生的奖学金的特点和影响,以进一步扩大社会工作研究文化要素的知识基础。
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引用次数: 3
Gestalt Intervention Groups for Anxious Parents in Hong Kong: A Quasi-Experimental Design. 香港焦虑父母的完形干预小组:准实验设计。
Pub Date : 2017-05-01 Epub Date: 2017-04-25 DOI: 10.1080/23761407.2017.1311814
Grace Suk Man Leung, Su Hean Khor

This study examined the impact of gestalt intervention groups for anxious Chinese parents in Hong Kong. A non-randomized control group pre-test/post-test design was adopted. A total of 156 parents participated in the project. After 4 weeks of treatment, the intervention group participants had lower anxiety levels, less avoidance of inner experiences, and more kindness towards oneself and mindfulness when compared to control group participants. However, the dimension of self-judgment remained unchanged. The adaptation of gestalt intervention to suit the Chinese culture was discussed.

本研究探讨完形干预小组对香港焦虑华裔父母的影响。采用非随机对照组前测/后测设计。共有156名家长参与了该项目。经过4周的治疗,与对照组相比,干预组参与者的焦虑水平较低,对内心体验的回避较少,对自己更友善,更专注。然而,自我判断的维度保持不变。讨论了格式塔干预对中国文化的适应性。
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引用次数: 5
Supporting Intrapersonal Development in Substance Use Disorder Programs: A Conceptual Framework for Client Assessment. 支持物质使用障碍项目中的个人发展:客户评估的概念框架。
Pub Date : 2017-05-01 Epub Date: 2017-04-07 DOI: 10.1080/23761407.2017.1302860
Aaron Turpin, Micheal L Shier

Purpose: Improvements to intrapersonal development of clients involved with substance use disorder treatment programs has widely been recognized as contributing to the intended goal of reducing substance misuse behaviors. This study sought to identify a broad framework of primary outcomes related to the intrapersonal development of clients in treatment for substance misuse.

Method: Using qualitative research methods, individual interviews were conducted with program participants (n = 41) at three treatment programs to identify the ways in which respondents experienced intrapersonal development through participation in treatment.

Results: The findings support the development of a conceptual model that captures the importance and manifestation of achieving improvements in the following outcomes: self-awareness, coping ability, self-worth, outlook, and self-determination.

Discussion: The findings provide a conceptual framework for client assessment that captures a broad range of the important intrapersonal development factors utilized as indicators for client development and recovery that should be measured in tandem during assessment.

目的:改善参与药物使用障碍治疗方案的客户的内在发展已被广泛认为有助于减少药物滥用行为的预期目标。本研究旨在确定与药物滥用治疗中客户的人际发展相关的主要结果的广泛框架。方法:采用定性研究方法,在三个治疗方案中对项目参与者(n = 41)进行个人访谈,以确定受访者通过参与治疗体验个人发展的方式。结果:研究结果支持了一个概念模型的发展,该模型捕捉了在以下结果中实现改进的重要性和表现:自我意识、应对能力、自我价值、前景和自决。讨论:研究结果为客户评估提供了一个概念性框架,该框架捕获了广泛的重要的个人发展因素,这些因素被用作客户发展和恢复的指标,应在评估期间同时测量。
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引用次数: 4
Peers and Co-Occurring Research-Supported Interventions. 同伴和共同发生的研究支持干预。
Pub Date : 2017-05-01 DOI: 10.1080/23761407.2017.1316220
Jennifer Harrison, Linwood Cousins, Jessaca Spybrook, Amy Curtis

Objective: Adults with co-occurring mental illness and substance use disorders have poor outcomes in important quality of life areas, including hospitalization, incarceration, employment, and community housing. Integrated dual disorder treatment (IDDT) is a research-supported intervention for individuals with co-occurring disorders associated with improvements in outcome measures when implemented with high fidelity. Research-supported intervention IDDT was not designed with peer services, provided by people with lived experience with mental illness, but the practice has been altered to include peers.

Methods: IDDT fidelity data were evaluated from 20 teams that also reported on peer services on their team in one state over a 7 year period, and paired with their fidelity data for the most recent review to analyze the relationship between peers and IDDT fidelity. Analysis of variance was utilized to determine a dose effect peers on fidelity.

Results: Of these IDDT teams, 85% of teams incorporated a peer and 40% of teams had a full-time peer. Having a full-time peer (M = 4.22, SD = .41) was associated with significantly higher fidelity compared to teams with a part-time (M = 3.68, SD = .56) or no peer (M = 3.21, SD = .18, F(2, 17) = 5.88, p = .01).

Conclusions: Peers on IDDT teams are associated with higher fidelity, leading to important possibilities about the incorporation of those with lived experience into research-supported interventions. Implications for team composition, implementation measurement, policy, and funding are discussed.

目的:患有精神疾病和物质使用障碍的成年人在重要的生活质量领域(包括住院、监禁、就业和社区住房)的预后较差。综合双重障碍治疗(IDDT)是一种研究支持的干预措施,用于同时发生的疾病患者,当实施高保真度时,结果测量会得到改善。研究支持的干预IDDT并没有设计同伴服务,由有精神疾病生活经历的人提供,但实践已经改变,包括同伴。方法:对来自20个团队的IDDT保真度数据进行评估,这些团队也报告了他们在一个州的团队在7年期间的同伴服务,并将他们的保真度数据配对进行最近的回顾,以分析同伴与IDDT保真度之间的关系。方差分析用于确定剂量效应对保真度的影响。结果:在这些IDDT团队中,85%的团队有一个同伴,40%的团队有一个全职同伴。有全职同伴(M = 4.22, SD = .41)与有兼职同伴(M = 3.68, SD = .56)或没有同伴(M = 3.21, SD = .18, F(2,17) = 5.88, p = .01)的团队相比,具有更高的保真度。结论:IDDT团队中的同伴具有更高的保真度,这使得将有生活经验的人纳入研究支持的干预措施具有重要的可能性。讨论了团队组成、实现度量、政策和资金的含义。
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引用次数: 4
The Character of Published Scholarship by Top Ranked African American Faculty in U.S. Social Work Programs. 美国社会工作项目中排名靠前的非裔美国教师发表的奖学金的特点。
Pub Date : 2017-05-01 Epub Date: 2017-04-07 DOI: 10.1080/23761407.2017.1303415
Junior Lloyd Allen

Purpose: This article examines the publication productivity of the (N = 14) top-ranked U.S. Black/African American scholars in the U.S. News and World Report Schools of Social Work, as identified by Huggins-Hoyt, Holosko, Briggs, and Barner (2015).

Method: Publication information for each participant were taken from the Publish or Perish software site with an "author impact" search criteria that examined their lifetime publication history.

Results: Results suggested that these authors: (a) published collaboratively, (b) published highly on issues pertaining to Black/African American inequality, and (c) published in journals with both high-impact scores and high-impact readership.

Findings: Despite the low numbers of Black/African American scholars serving as full professors in U.S. colleges and universities, the techniques they used to circumvent systematic and structural academic barriers provide helpful tips that younger Black/African American scholars could employ when writing and publishing their research findings. However, additional research is needed to further unearth differences, and/or expectations, based on numerous variables, which includes but not limited to: (a) academic rank, (b) funded research,

目的:本文考察了Huggins-Hoyt、Holosko、Briggs和Barner(2015)认定的美国新闻与世界报道学院(U.S. News and World Report Schools of Social Work)中排名最高的(N = 14)美国黑人/非裔美国学者的出版效率。方法:每个参与者的出版信息都是从“出版或灭亡”软件网站上获取的,通过“作者影响”搜索标准检查了他们一生的出版历史。结果:结果表明,这些作者:(a)合作发表,(b)在与黑人/非裔美国人不平等有关的问题上发表了大量文章,(c)在高影响分数和高影响读者的期刊上发表文章。研究结果:尽管在美国高校担任正教授的黑人/非裔美国学者数量很少,但他们用来规避系统性和结构性学术障碍的技术为年轻的黑人/非裔美国学者在撰写和发表研究成果时提供了有用的建议。然而,需要进一步的研究来进一步挖掘差异,和/或期望,基于众多变量,包括但不限于:(a)学术排名,(b)资助的研究,
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引用次数: 5
Self-Efficacy as a Mediator in Bottom-Up Dissemination of a Research-Supported Intervention for Young, Traumatized Children and Their Families. 自我效能感在青少年创伤儿童及其家庭研究支持干预的自下而上传播中的中介作用。
Pub Date : 2017-03-01 Epub Date: 2017-03-23 DOI: 10.1080/23761407.2017.1298072
Paula David, Miriam Schiff

Implementation literature has under-reported bottom-up dissemination attempts of research-supported interventions (RSI). This study examined factors associated with individual clinicians' implementation of Child-Parent Psychotherapy (CPP), including CPP social network (SN), supervision, and self-efficacy. Seventy-seven (90%) CPP graduates completed a cross-sectional survey, including measures regarding social network, receiving supervision, and CPP self-efficacy. Self-efficacy was significantly associated with CPP implementation; CPP SN and supervision were not. Mediation models showed that self-efficacy significantly mediated between CPP SN and supervision, and the implementation variables. Findings illuminate the importance of supporting clinicians using a new RSI, particularly in bottom-up dissemination, in order to foster RSI self-efficacy.

实施文献对研究支持干预(RSI)的自下而上传播尝试报道不足。本研究考察了临床医生个体实施亲子心理治疗(CPP)的相关因素,包括CPP社会网络(SN)、监督和自我效能。77名(90%)CPP毕业生完成了一项横断面调查,包括关于社会网络、接受监督和CPP自我效能的措施。自我效能感与CPP实施显著相关;CPP SN和监管没有。中介模型显示,自我效能感在CPP SN与监督、实施变量之间具有显著中介作用。研究结果阐明了支持临床医生使用新的RSI的重要性,特别是在自下而上的传播中,以促进RSI自我效能。
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引用次数: 10
期刊
Journal of evidence-informed social work
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