Health Maintenance Organizations: Legislative and Training Implications

The Health Maintenance Organization Act of 1973 provides Americans with the opportunity to join prepaid group health plans. HMOs are not a panacea for the ills that beset our health delivery system but their emphasis on health maintenance and preventive interventions will provide new social work practice and student training opportunities. This article reviews and analyzes the major features of the HMO Act. Expanded roles for social work practitioners are discussed and suggestions are made for strengthening social work training programs in order to prepare social work professionals for practice in HMOs and in the health care field.     

The Impact of Experiential Exercises on Communication and Relational Skills in a Suicide Prevention Gatekeeper-Training Program for College Resident Advisors

Abstract

Objective: In an effort to identify students at risk for suicide, many colleges are implementing suicide prevention training for campus gatekeepers. This study evaluated the efficacy of a 3-hour, experiential-based gatekeeper training that included an emphasis on enhancing communication skills and relational connection in addition to the didactic foci of standard gatekeeper training. Participants: Sixty-five college student resident advisors (RAs) were trained with Campus Connect. Methods: The training was dismantled to examine the specific contribution of experiential exercises on training outcomes. Results: Compared to didactic training alone, following participation in experiential exercises RAs’ training outcome scores exhibited additional improvement on the Suicide Intervention Response Inventory–2 and a 14-item self-report measure of self-efficacy for specific suicide- and crisis-related knowledge and skills. Conclusions: In gatekeeper training, experiential exercises emphasizing awareness and empathic responding and practice of these skills contribute to an improvement in crisis response skills above and beyond that of didactic training alone.     

Improving Field Instruction: An Evaluation of a Seminar for New Field Instructors

Abstract

The field work component of social work education plays an important role in fusing the knowledge, skills, and values of the profession. Moreover, field instructors must be competent to ensure the success of the educational process. Thus, the training of new field instructors is critical to this success. This article reports the findings of a study evaluating the impact of a training seminar for new field instructors on student perceptions of the field experience. A 10-session seminar in field instruction was offered to new direct practice field instructors as a requirement for continued supervision of students. Students' responses to a questionnaire about their field instruction indicated that seminar attendance was related to the degree of emphasis on teaching students from process recordings and also on discussion of student learning needs. Students with trained field instructors were more satisfied with the faculty field liaison. Overall, trained instructors demonstrated expected supervisory behavior more often than untrained instructors for 75% of the 83 supervisory activities studied, although only a limited number of comparisons reached statistical significance.     

Student Unit: The Advantages and Disadvantages of Group Placement

Social work supervision has been traditionally seen as central to social work training. Its focus was the emphasis on the one-to-one relationship between student and supervisor. The master-apprentice model prevailed. It is probably because of this that group supervision is a relatively late and still quite rare development, in spite of the fact that field placement resources are strained in practically every School.     

Book Review

The prevalence of suicide suggests social workers will encounter clients at risk for suicide, but research shows social workers receive little to no training on suicide and suicide prevention and feel unprepared to work effectively with clients at risk. Baseline results from a randomized intervention study of the Question, Persuade, and Refer suicide prevention gatekeeper training with 73 advanced master’s of social work student interns show suicide knowledge was average, attitudes about suicide prevention were generally neutral, and use of suicide prevention practice skills was low. These results indicate an opportunity for enhancing student outcomes through training and inform social work education regarding necessary preparation for student interns and new graduates to identify and respond effectively to client suicide risk.     

Support Systems for Educationally Disadvantaged Students and Assuring Practitioner Competence

This paper addresses itself to an assessment of a number of student support systems developed and utilized in a three-year training effort with more than 104 Native American social work students at the School of Social Work, University of Utah. While a number of social support systems utilized in the program are mentioned, special consideration is given to those in recruitment, communication, modeling, counseling, follow-up, student involvement, and discriminating education. The article could have relevance for the social work training of any disadvantaged student.     

Social Work with Groups,Helen Northen. New York: Columbia University Press, 1969. 270 Pages. $7.50 Hardbound

In 1970 Gallaudet College initiated undergraduate social work education. The purpose was to increase professional opportunities for deaf students and to provide deaf people with the social services they do not ordinarily receive. The needs of both student and client groups are discussed, with emphasis on teaching techniques and skills required to serve the deaf population. Hearing students can acquire the necessary skills with provision made for adequate communication, and with the introduction of courses on deafness in social work programs.     

Training fieldwork supervisors of social work students at a South European University: evaluation of the effectiveness of a relational psychodynamic model

This case-study adopts a mixed research methodology in order to evaluate the process and the effectiveness of a psychodynamically informed training seminar for field supervisors of undergraduate social work students, at a South European University. At the beginning of the seminar, an anonymous questionnaire gathered information on the supervisors’ demographics, preferred supervision style and expectations from the training. The training consisted of four sessions involving analysis of (1) student process-recorded interviews with clients, (2) the relationships formed between the student, the supervisor and the field practice manager, (3) brief virtual scenarios (vignettes) of field practice problems and (4) a videotaped supervision session. At the end of the training process, a follow-up questionnaire researched the satisfaction of supervisors with the training, their confidence to conduct supervision, and their satisfaction with the instructor's teaching. Overall, the training has been satisfactory for the trainees and increased their competence to supervise.     

Engaging Students in Social Work Research Education

This article discusses existing issues in social work research education. It includes challenges to delivering research education at the MSW level such as student anxiety and disinterest, and incorporates an exploration of post graduation interest in research. The authors recommend that professors increase the emphasis on practical applications of research and encourage students to disseminate research results via publication. The article concludes with the implications of encouraging student research within the social work profession.     

Twenty-first century learning in school systems: the case of the Metropolitan School District of Lawrence Township, Indianapolis, Indiana

To empower students with skills such as information and technological literacy, global awareness and cultural competence, self-direction, and sound reasoning, teachers must master these skills themselves. This chapter examines how the Digital Age Literacy Initiative of the Metropolitan School District of Lawrence Township in Indianapolis, Indiana, which is funded by the Lilly Endowment, incorporated twenty-first century learning through a systemic approach involving teacher training and the use of data. The authors explain the district's content, process, and context goals toward accomplishing its mission of empowering students with the necessary twenty-first century skills to succeed in the digital age. The district places a strong emphasis on professional development for teachers. To support the necessary teacher learning and therefore sustain the work of the initiative, the district has adopted action research, self-assessment, and an online professional development network. To support teachers in implementing new strategies, master teachers serve as digital age literacy coaches. The chapter discusses the initiative's focus on evidence of progress. Through a partnership with the Metiri Group of California, the district has built a range of assessments including online inventories and twenty-first century skill rubrics. For example, the Mankato Survey collected teacher and student data around access, ability, and use of technology in the classroom in 2001 and then in 2004. This research showed significant gains in some technologies across all grade levels and consistent gains in nearly all technologies for middle and high school students. As it moves into the next phase of implementing the Digital Age Literacy Initiative, the district embraces the systemic shifts in school culture necessary to institutionalize twenty-first century learning.     

高职院校二级管理体制下学生管理工作机制的创新

人才培养工作是高等学校的主要任务,学生管理是人才培养工作的重要环节之一。针对当前高校学生管理工作实际,在二级管理体制下创新管理理念、运行机制和考核评价机制,并对提升学生管理水平进行了实践探索。     

Reform,Rupture or Re-Imagination: Understanding the Purpose of an Occupation

Despite a resurgence in the use of occupations as a political tactic in the UK, there is little agreement on how they contribute to the realisation of a movement's goals. Drawing on the author's experience of occupations at University College London (UCL), this profile argues for an understanding of occupation according to a threefold model of transformational social change: symbiotic, ruptural and interstitial. As the occupations progressed, UCL activists' understanding of the collective action they had undertaken was expanded and transformed, with increasing emphasis placed on the ruptural and interstitial visions. These both reflected and reinforced a broader process of politicisation and radicalisation amongst the student body. The profile concludes by suggesting that no conception of the purpose of an occupation should be regarded as universally valid since an accommodation between competing strategic visions is both required and necessary.     

Cross-Currents in Practice,Undergraduate, and Graduate Education in Social Work

Rokeach's Dogmatism Scale was administered to master's level social work students at the beginning, midpoint, and end of their two-year educational program to determine the impact of social work education on the vital personality ingredient, open-mindedness. Scores were also used to compare levels of performance in the practicum at the conclusion of training. Students were found to be significantly more open-minded at the conclusion of training, indicating greater student permeability than indicated by previous studies. The mean performance level of open-minded students was not significantly different from that of the closed-minded group.     

Enrichment Role-Playing as a Step in the Training of Family Therapists

In recent years increasing attention has been devoted to the training of family therapists. This paper focuses on the difficulties inherent in such training, and the benefits provided by an alternative model based on enrichment role-playing. This technique provides a much needed step in the systemization of family therapy training. Specific benefits include: (a) an optimal environment for teaching basic relationship skills, (b) security for the student and clarity of perceptions for the supervisor, and (c) an opportunity for the trainee to learn family diagnostics. A brief review of family therapy training, marital and family enrichment, and role-playing precedes discussion of the enrichment role-playing technique. Case material is presented to illustrate the trainee's experience.     

Facilitating Shared Online Group Learning between Carers,Service Users and Social Work Students

We report on our progress in developing a pilot online group teaching innovation with 14 participants, including five service users and carers, and nine social work students. Enhancing student learning by providing shared educational opportunities between students, service users, and carers can be a challenge to organise but the project demonstrates some success in doing so. The evaluation suggests that even the smallest level of service user and carer involvement can enhance student learning and personal development during social work education and training.     

College Student Financial Stress: Are the Kids Alright?

An analysis of College students’ subjective well-being (SWB) and persistence behavior was conducted with an emphasis on financial stress and individuals’ perceptions of financial situation, controlling for a number of health, financial, and demographic factors. Data were taken from a sample of 324 undergraduate students from a major Midwestern university. Results indicated that students experiencing higher reported financial stress scored lower on a measure of SWB, and were also significantly more likely to report difficulty maintaining enrollment or number of academic hours enrolled. Individuals’ financial self-efficacy was positively associated with SWB and negatively associated with reductions in enrolled hours, though was not significant as a predictor of student persistence attitudes. Implications for student well-being and healthy campus initiatives are discussed.     

New directions in assessment for students with disabilities

Three influences in American education during the past decade -- increased parental involvement, an emphasis on accountability and student outcomes, and the refinement of assessment technologies -- are reflected in the 1997 Amendments to the Individuals with Disabilities Education Act [31]. Relevant assessment provisions contained in IDEA 97 are reviewed, including requirements for (a) parental participation in the review and planning of student evaluations and eligibility decisions; (b) the participation of students with disabilities in statewide assessments; (c) the use of assessments that have treatment utility; and (d) data-based evaluation of student progress. Assessment characteristics and methods that are consistent with IDEA 97 requirements are described. Examples include problem-solving assessment; functional behavioral assessment; and direct assessment approaches such as naturalistic observation, analogue assessment, and self-monitoring.     

Intercultural knowledge,awareness and skills observed in a foreign language classroom

This article reports on findings from a research study conducted in a university-level Japanese course, which utilised intercultural learning approaches, methodologies and techniques. The purpose of the investigation was to assess student intercultural development as conceptualised in Deardorff's Process Model of Intercultural Competence.) The findings suggest that when an appropriate learning environment is provided, component elements of intercultural competence will develop. Emergent conclusions also highlight the importance of external engagement, reflection, scaffolding and training in foreign language classrooms.     

Teaching social work students

The evolution of the training methods described in this paper was based on a search for relevant material, in the eyes of the student as well as the lecturer. The cornerstone of our method was to create simulations of applied situations taken from student placement experiences, and tease out both the communication elements and the central issues relating to a number of particular social work concepts. In creating explicit linkage with placement experience, the principle of student choice, in terms of identifying situations and themes appropriate for simulation, was of importance. At the same time, we would emphasize the importance of the earlier social skills and social work inputs in the course, in laying a necessary foundation for the development in the student of an ability to benefit from the broader strategy adopted in the thematic approach.