Understanding Intergenerational Relationships in India

ABSTRACT

This paper makes an attempt to describe the status and role of elderly within the family and community institutions as a source of wisdom and knowledge, particularly to have an understanding of the intergenerational relationships in the Indian context. As the countries and areas of Asia develop economically and become more heavily urban, the familial support of the elderly has eroded. There are a number of reasons to think that traditional systems of familial care for the elderly in Asia have started to reflect this changing scenario in terms of increasing problems for the elderly. The Indian subcontinent too has experienced these transitional changes. But despite the changes in the structures and functions of Indian societies, families do preserve the norms of social hierarchy (of which the elderly are an important part), cultural styles and mode of living. At the same time elderly who are regarded as the sources of wisdom and knowledge are given due respect and place in the society within the ambit of the family and community contexts.     

Evidence-Based Practice in Social Work: Challenges and Opportunities for Clinicians and Organizations

Evidence-based practice (EBP) is increasingly emphasized in social work, yet effective approaches for translating research evidence into social work practice remain elusive. Despite a growing body of evidence describing effective interventions with a variety of populations, social workers continue to encounter substantial challenges with incorporating knowledge gained from these intervention studies into their routine practice with clients. This paper presents the current research outlining the known barriers and promoters to using EBP in social work clinical practice. Because social workers practice within the context of organizations, we consider the barriers that exist at both the individual and organizational levels that affect clinical social work practice. In addition to addressing the various challenges to incorporating research evidence into practice, we will also discuss a variety of emergent opportunities accompanying the move toward EBP that can be leveraged by clinicians in their social work practice with clients.     

Testimony About Elder Abuse and Guardianship

The expert witness testifying about the abuse of elderly persons or their competence may be faced with an aggressive cross-examination. Four areas of knowledge are discussed: the nature of bruises, the challenge to data, mental competency, and guardianship knowledge. Sample responses are presented. The conclusion is drawn that mastery of courtroom skills is important in this increasingly sensitive area of social concern.     

Towards Body–Mind–Spirit Integration: East Meets West in Clinical Social Work Practice

Contemporary trends in clinical practice are moving more toward an integrative approach that views the mind, the body and the spirit as inter-connected entities. There is an increasing interest in approaches that utilize physical, cognitive, emotional and spiritual components in assessment and treatment. This paper presents an integrative body–mind–spirit approach in clinical social work practice which is informed by the Eastern philosophical traditions of Daoism, Buddhism, and Traditional Chinese Medicine. Our work with a bereaved elderly woman is presented to illustrate how the three key intervention principles: (1) promoting a dynamic balance within the individual through multi-modal intervention; (2) fostering strengths; and (3) facilitating meaning-making can be effective in helping people in a clinical setting.     

Role of physical activity in the prevention of falls and their consequences in the elderly

This work aims to provide an inventory of the risk factors and consequences of falling in the elderly, namely fractures, and to identify strategies to prevent falls and minimise their effects. Falls in elderly people are a major cause of injuries, leading to a general fear of falling, poorer quality of life and even death. The increase in life expectancy brought by developments in the medical and health sciences has not always brought enhanced quality of life. More elderly people live with reduced functional capacities resulting in a higher prevalence of falls and associated problems for themselves and for society. Risk factors for falling, commonly resulting from normal aging processes, have already been identified through multiple studies. Exercise may play an important role in fall prevention and their consequences. Although, effective strategies are usually multi-disciplinary and focus simultaneously on several risk factors. However, only large-scale prevention programmes can have significant effective social impact. To minimise occurrence and consequences of falls, policies to systematically implement prevention programmes should be established.     

Acknowledging the Impact of Social Forces on Sexual Minority Clients: Introduction to the Special Issue on Clinical Practice with LGBTQ Populations

Over the last two to three decades, advances in clinical practice with lesbian, gay, bisexual, transgender, and queer (LGBTQ) individuals have been extensive. Many clinical social workers now incorporate LGBTQ-affirmative approaches into their practice, and a number of social workers have contributed to the literature on clinical practice with sexual minority clients. Despite these advances, we still require specialized knowledge to understand a number of LGBTQ-related mental health issues. The Clinical Social Work Journal’s first special issue on clinical practice with LGBTQ populations emphasizes psychotherapy techniques that acknowledge and also address social forces (e.g., transphobia, homophobia, and heterosexism) that affect the psychosocial functioning of LGBTQ clients. The special issue focuses on LGBTQ populations, such as transgender and bisexual individuals, sexual minority youth, and older adults, and psychotherapy modalities informed by a number of clinical and theoretical approaches. These in-depth articles offer guidance to clinical social workers who need to expand their knowledge of LGBTQ-related mental health issues and also provide those with existing knowledge an opportunity to refine their clinical skills and sharpen their thinking.     

Practice theory for clinical social work

It is suggested that practice theory for clinical social work practice is in a state of disarray. Six new books on clinical social work practice are reviewed, with an identification of their contributions to the development of clinical practice theory. The expanded societal functions of clinical social work have resulted in major changes in method and in practice activities, without commensurate development of appropriate theory, as about environmental-situational interventions. Good theoretical advances have been made, as about a basic ecological systems model, though with need for a greater openness to new theories and to an eclectic approach. Advances have also been made in clinical research and knowledge building, handicapped though this may be by current critical inadequacies in the professional schools, particularly in the continued resistance to the development of clinical doctorate programs.     

Exploring How an Elementary Teacher Plans and Implements Social Studies Inquiry

Social studies continues to be marginalized in elementary grades, yet the C3 Framework and its Inquiry Arc offer possibilities for high-quality elementary social studies instruction. However, the C3 Framework requires that teachers possess an adequate understanding of how to implement inquiry within the various social studies disciplines, which we argue is an aspect of the pedagogical content knowledge necessary for effective elementary social studies instruction. This single-case study follows an elementary teacher through her use of the C3 Framework, Inquiry Arc, and a related curriculum approach called the Inquiry Design Model as she conceptualized, planned, and implemented inquiries in her fifth-grade classroom. By incorporating this new knowledge into her existing understanding of social studies pedagogy, as well as her knowledge of her students and specific educational context, the teacher was able to successfully navigate some of the challenges associated with implementing social studies inquiry in elementary classrooms.     

50?Years and the Future of Agency-Based Clinical Social Work Practice: Introduction to the Special Issue

This special issue is a celebration of the Silver School of Social Work??s 50th Anniversary in 2010?C2011. The articles in this issue celebrate the School??s distinct reputation for excellence in clinical social work. They also celebrate the school??s current mission, which includes knowledge development for social work practice, with an emphasis on urban problems, poverty and social justice, and agency-based practice. The majority of the submissions focus on contemporary and future social work practice. This paper concludes with a discussion of several issues that confront the future of clinical social work practice including workforce trends, technology, and the scientific basis for practice, wealth disparity and race as contemporary American issues that affect clinical social work, the globalization of social work and mental health services, and education for tomorrow??s clinical practice.     

Expanding the focus of health insurance education for Medicare beneficiaries

Health insurance education plays an important role in helping consumers make informed decisions about their need for supplemental coverage. This article reviews findings on the knowledge of Medicare beneficiaries about their health insurance coverage. Then, current health insurance education programs are examined with regard to their ability to meet the needs of a competition-based public policy. Barriers outside the control of individuals that impede the growth of the long-term care insurance market are identified and the need for an alternative, broader form of health insurance education is suggested. Changes in the scope and content of health insurance education are proposed that would educate the elderly to their own needs as well as the larger policy issues. An expanded model of education based on the concept of the Swedish study circle is discussed to illustrate the possibility of combining individual knowledge and public debate about complex social issues.     

TOWARD A THEORY OF FRAMES AND REFRAMING: THE SOCIAL NATURE OF FRAMES*

The therapeutic use of reframing is fundamental to strategic therapy, yet we lack an adequate conceptual scheme for understanding the critical elements of effective reframings. Some background for the concepts of frame and reframing are provided, along with clinical examples. Much of the existing literature links reframing to what has been termed “radical constructivisim,” a theory that knowledge is a personal construction, a creation, rather than a discovery. Both the contribution and the limitations of radical constructivism are noted. It is criticized for minimizing the extent to which individuals' construction of their predicaments are social in nature and an adaptation to influences that are independent of individual cognitive activity. Clinical imlications of this perspective are explored.     

Practice experience and social work education

Abstract

This paper examines the arguments that are often put in favour of social work academics having direct practice experience in order to enhance their teaching effectiveness. The paper looks at the number of ways that social work academics can gain up to date knowledge of practice developments and explores what constitutes an effective teacher. It concludes that recent direct practice experience will be of limited use in assisting social work academics to become effective teachers and that there are other ways that academics can become aware of practice developments that are in line with the other professional requirements on academics such as research and knowledge generation.     

Expanding the Focus of Health Insurance Education for Medicare Beneficiaries

Health insurance education plays an important role in helping consumers make informed decisions about their need for supplemental coverage. This article reviews findings on the knowledge of Medicare beneficiaries about their health insurance coverage. Then, current health insurance education programs are examined with regard to their ability to meet the needs of a competition-based public policy. Barriers outside the control of individuals that impede the growth of the long-term care insurance market are identified and the need for an alternative, broader form of health insurance education is suggested. Changes in the scope and content of health insurance education are proposed that would educate the elderly to their own needs as well as the larger policy issues. An expanded model of education based on the concept of the Swedish study circle is discussed to illustrate the possibility of combining individual knowledge and public debate about complex social issues.     

'I know I signed something': older people,families and social workers' understanding of the legal aspects of entry to residential care

This purpose of this paper is to report findings that older people are legally vulnerable when entering an aged care facility, that social workers lack knowledge of the legal aspects of this move and do not necessarily view this information as core to their practice. The structure of social work services mirror the disjuncture older people and their families experience at this time and this may, in part, explain social work's lack of attention to these issues. Although many social workers are in contact with older people, the profession in Australia has been slow to develop a knowledge base to support effective practice with this group.     

A Screening,Brief Intervention,and Referral to Treatment Collaborative: Impact for Social Work Students

Screening brief intervention, and referral to treatment (SBIRT) is a clinical intervention empirically linked to reductions in substance usage. However, less is known on how to effectively train social work students on SBIRT. This study examines the impact of a SBIRT training administered to BSW and MSW students (N=228) at the University of Oklahoma. Based on exposure to the training, our evaluation measured changes on students’ objective knowledge of how to perform SBIRT and in attitudes toward practicing with substance users. Results indicated exposure to the training was associated with robust gains across variables and across classes. Such results suggest that the proffered SBIRT training is an effective means to educate social work students on substance abuse practice.     

Game-based cognitive-behavioral therapy (GB-CBT) group program for children who have experienced sexual abuse: a preliminary investigation

This preliminary investigation examined the efficacy of a game-based cognitive-behavioral therapy group program for elementary school-aged children who have experienced sexual abuse. Treatment aimed to improve: (a) internalizing symptoms, (b) externalizing behaviors, (c) sexually inappropriate behaviors, (d) social skills deficits, (e) self-esteem problems, and (f) knowledge of healthy sexuality and self-protection skills. Results indicate that game-based cognitive-behavioral therapy was effective for improving internalizing and externalizing symptoms, reducing sexually inappropriate behaviors, and improving children's knowledge of abuse and self-protection skills. Although results pointed in a positive direction for social skills and self-perception, these findings were not statistically significant. Clinical significance was also evaluated to assess the clinical utility of treatment effects. Treatment implications of the findings and future research directions are discussed.     

Social Constructivist Practice with Youth

Social constructivism is an important and creative perspective for helping social workers in their work with adolescents. This paper demonstrates how theoretical orientations and clinical techniques that adhere to a social constructivist perspective can be integrated with the developmental realities of adolescence to provide effective social work interventions. Fundamental assumptions are discussed and are related to problems of practice. Case studies are utilized to demonstrate social constructivist principles in clinical work with adolescents.     

Attending to Social Justice in Clinical Social Work: Supervision as a Pedagogical Space

Although social justice is a central professional value of social work articulated in ethics codes, clinical social workers have been long criticized for not clearly incorporating this professed commitment into practice. Supervision is an optimal space within which clinicians can develop knowledge and skills to attend to the issues related to social justice in their practice. A growing body of literature emphasizes social justice in the delivery of clinical services, yet there is a death of literature on how clinical supervision can promote social justice seeking clinical work. In this paper, we draw from existing literature to identify key elements involved in social justice seeking clinical supervision. Using Goodyear’s (Clin Superv 33:82–99, 2014) learning mechanisms of clinical supervision, which consists of modeling, feedback, direct instruction, and self-directed learning, we discuss a case composite to illustrate ways in which clinical supervision can serve as a pedagogical space to advance clinical social workers’ commitment to social justice.     

Looking for elderly people´s needs: teaching critical reflection in Swedish social work education

ABSTRACT

This paper focuses on how to use critical reflection in social work education in order to encourage students to critically reflect on their standards regarding assessment, opinions and values about aging. Material, both oral and written, from needs assessments of older persons conducted by 106 social work students was analyzed. The result shows that the students initially interpreted needs based on prejudice and assumptions about aging. However, when using Schön´s three steps of reflection in the exercise, together with knowledge of critical social work theories, students became more concerned and reflected more critically on their assessments. This study shows the possibilities of working with pedagogical exercises in order to increase the awareness and critical knowledge of social work students in order to attempt to reduce discrimination. Educating students in critical social work enables them to learn how to comment on and transform the profession of social work and our unjust society, while questioning their own as well as society’s prejudice regarding the needs of elderly persons.     

Quality of Life of the Elderly Receiving Old Age Pension in Lesotho

The southern African country of Lesotho introduced an old age pension scheme in 2004 with the aim of enhancing the quality of life (QoL) of the nation’s elderly population. This study is the first to assess the physical, psychological, social, and environmental aspects of the health-related QoL of the elderly in Lesotho since the pension scheme was adopted. Data for this study were gathered using the World Health Organization QoL-BREF questionnaire. Mean QoL scores were compared across demographic, socioeconomic, and clinical variables using analysis of variance, t test, and regression analysis. Findings indicate that respondents were least satisfied with the environmental and physical domains of QoL. They also indicate that the overall QoL of the elderly in Lesotho was mainly affected by marital status, level of education, type of housing, source of income, and level of satisfaction with income. These factors should thus be taken into account when developing interventions aimed at improving the QoL of the elderly in Lesotho.