Pulling together: building a community debriefing team.

1. Research shows that many emergency workers are affected physically and emotionally by critical incident stress. 2. Debriefings conducted by trained team members are an effective method to mitigate the impact of critical incident stress. A debriefing is a structured, time-limited group intervention. 3. Cooperation among community agencies is essential for the development and effective functioning of a critical incident stress debriefing team. 4. Several teams in Illinois have organized to form a Critical Incident Stress Debriefing Network. The Illinois network is part of an international organization composed of critical incident stress debriefing providers.     

The Role of Managers in Critical Incident Stress Management Programmes: A Qualitative Study of New Zealand Social Workers

This paper reports part of a larger exploratory research study of social workers' preferred models of critical incident stress management and experiences of critical incident stress debriefing. Social workers were invited to contribute to the research through an advertisement in the national association's newsletter for Aotearoa New Zealand Association of Social Workers. Using a qualitative methodology involving in-depth interviews with 13 social workers, participants were asked about their experiences of critical events encountered within their workplaces over the last five years. Interviews were recorded by audiotape with consent and analysed using thematic analysis. Four main themes emerged: the importance of preparation for critical incidents, the role of relationship between line managers and social workers, specifically the line manager's support immediately after the critical incident, and the availability of peer/colleague networks. An unexpected finding was that social workers interviewed noted that the pre-existing relationship with the line manager influenced their experience of the debriefing process itself. The more engaged and emotionally aware the manager was seen, the more the social worker claimed the debriefing process had been successful from their perspectives. The implications for social workers and their employing agencies are discussed.     

Effects of suicidal behavior on a psychiatric unit nursing team

1. Suicide of a psychiatric inpatient can have significant, although diverse, effects on the emotions and behavior of both individual nurses and team functioning. 2. The majority of participants in this study felt there was a need for formal debriefing or counseling for themselves and their colleagues after a critical incident, although there was less consensus about the timing and structure of such an intervention. 3. This research highlights the need for advanced training of critical incident stress management team members and for flexibility in the application of critical incident stress management techniques.     

Trauma Related Critical Incident Debriefing for Adolescents

Events like the tragedy at Columbine High School and the terrorists attacks on New York City in 2001 have highlighted the need for mental health practitioners to become familiar with interventions that are designed to assist young people who have survived extremely stressful events. Mental health professionals often see people who have experienced car accidents, severe abuse, rape, or other victimization, as well as survivors of natural and man-made disasters during the first critical stages of the recovery period. This article describes the process of critical incident de-briefing and provides a step-by-step primer for its application. The process is short-term (four sessions or less) and provides an intervention designed to reduce the frequency and severity of post-traumatic stress symptoms. Adolescents are particularly at risk because of issues surrounding identity formation, self- esteem, and developmental differences in coping mechanisms. Therefore, those who work with an adolescent cohort should be familiar with debriefing methods and how to apply them to the teenager.     

Part II. Work hardening for warriors: Training military Occupational Therapy professionals in the management of combat stress casualties

The purpose of this article is to describe the training of military occupational therapy personnel in a unique application of their professional skills. Ergonomic principles of training for stressful environments were implemented to ensure training effectiveness and transfer of skills to combat situations. Training schedules, casualty role-play scenarios, critical incident stress debriefing principles and scenarios, unit survey guidelines, and premises for training persons to function under stressful conditions are provided. Comparisons with civilian applications are drawn, and suggestions for future roles and training for Occupational Therapy professionals are given.     

The Dual-Career Commuter Family:

In the last 15 years, we have observed women entering the labor force in increasing numbers. This change has forced some families to adopt a commuting relationship where the spouses main- tain separate residences in different cities and reunite regularly. Although more families are attempting this alternative, relatively little research has examined this family pattern. This study assesses role strain, division of labor, and decision making for dual-career commuter couples. Thirty-nine couples were surveyed. The results suggest a fairly traditional division of household labor, moderate levels of stress, and an incomplete decision-making process for this nontraditional lifestyle.     

Survivors of Downsizing: Helpful and Hindering Experiences

Thirty‐one downsizing survivors from both the private and public sector were interviewed to determine incidents that either helped or hindered their transition through 1 or more organizational downsizings. A critical incident technique was used to analyze and organize the data around themes that emerged. Themes were represented by both positive and negative incidents and were grouped using transition phases. Results support and add new detail and insight into topics developed in previous studies. Implications are discussed for organizations' handling of downsizing or restructuring as well as reducing negative and enhancing positive influences and events. Counseling recommendations are offered for easing survivors through the transition.     

The Relationship Between Nontraditional Gender Roles and Sexual Coercion

Social scientists have proposed that traditional gender role socialization contributes to sexual coercion. Data from 398 students at an eastern state university were used to examine (1) the incidence of women enacting nontraditional gender roles in dating and sexual interactions, (2) the relationship between women's enactment of nontraditional roles and their experiences with physical and nonphysical sexual coercion and (3) the incidence of men reporting nonphysical coercive strategies used by women to engage in sexual intercourse. Results showed that a majority of women had asked a man out for a date and shared or paid the entire expenses for a date and over one third had initialed a first sexual involvement with a man. No support was found for the view that women's enactment of nontraditional roles puts them at lower risk of sexual coercion. Women who reported more sex partners experienced significantly more incidents of both physical and nonphysical coercion than women with fewer sex partners. Subslantial proportions of men also reported that women tried to have sex with them by nonphysical coercive strategies. Findings are discussed in terms of implications for high school and college sex education courses.     

Testing a Model of Men's Nontraditional Occupational Choices

Researchers have compiled an extensive body of literature on the factors that influence the “traditionality,” or the gender typical nature, of women's career choices. However, little has been written about the variables that might influence men to enter gender atypical occupations. This study tested L. H. Chusmir's (1990) model of men's nontraditional occupational choice, using a longitudinal sample of college‐age men in both gender traditional and nontraditional occupations. Liberal social attitudes, degree aspirations at Time 2, and socioeconomic status were directly predictive of nontraditional career choice, whereas the importance of a prestigious career at Time 1 and academic ability had an indirect influence on whether a traditional career choice was made.     

Sexual evaluation of women with feminist attitudes

A study was conducted to investigate whether subjects make inferences about a female's sexuality based on her attitudes toward feminist issues. Based on the idea that both attitudes toward feminist issues and toward sexual traits are components of prototypes about females, it was hypothesized that females who expressed nontraditional attitudes on various feminist issues would be rated higher on a number of sexual traits than females who expressed more traditional attitudes. Male and female subjects were given information about a 19‐year‐old, single, female's attitudes on a number of issues related to women's occupational and domestic roles. The target's answers were manipulated so that in one condition she expressed traditional attitudes, and in a second condition she expressed nontraditional or feminist attitudes. The respondents were then asked to rate the target on traits reflecting a sexual and an evaluative dimension. As predicted, it was found that the female expressing nontraditional attitudes was rated higher in the sexual traits and was evaluated more negatively. The results were discussed in terms of the perceived incongruity between feminist attitudes and the traditional female prototype.     

Using Simulations to Enhance Interprofessional Competencies for Social Work and Nursing Students

There is an increased emphasis on interprofessional education in the healthcare field, including social work. This paper discusses the design and implementation of an innovative idea in teaching that brings social work and nursing students together for skill development to do interprofessional work. Computer generated mannequin simulations have been used extensively in teaching medical, nursing, pharmacy, and other healthcare professions, but are a relatively new pedagogical tool in social work. Using the four interprofessional competencies put forward by the interprofessional collaborative, the authors describe the objectives, the cases utilized, the process of simulations, the technique of debriefing, and the themes that emerged from these reflective observations.     

Relatives as Child Care Givers: After Hours Support for Nontraditional Workers

This study uses a sample of 1,841 families from the National Child Care Survey (1990) and accompanying Low-Income Supplement (1990) to determine the amount and timing of child care services offered by relatives to working families with young children. Results indicate that relative care is primarily provided by grandparents. Compared to other parents, single parents and those working nontraditional hours are significantly more likely to use relatives for child care, and their children spend significantly longer periods of time in relative care, especially at nontraditional times of the day. The study conclusion is that relatives are facilitating parental employment by providing child care at times of the day when other market alternatives usually are not available.     

Social Work Intellectuals in the Twenty‐First Century: Critical Social Theory,Critical Social Work and Public Engagement

Frequently, observation of social work students in ‘live’ work is absent or haphazard. An overview of the key literature examines the need for observation of students during training, explores the strengths and challenges of live supervision and describes a planned process for conducting live supervision. This approach incorporates four phases: collaborative preparation for a session of direct practice; observation of the student's work by a field educator; debriefing and feedback; and the development of a plan for further learning steps. Brief vignettes are used to illustrate the process. The article is enriched by the inclusion of student comments from the evaluations undertaken after live supervision activities.     

College Women's Career Self-Efficacy and Educational Environments

This study examined the relationship between the composition by sex of women's high school and college environments as well as the sex of their selected influential teachers in each of these settings and their reported self-efficacy in careers judged traditional or nontraditional for women. Two hundred and seventy-four junior and senior female students from both single-sex and coeducational private liberal arts colleges served as participants. Results indicated no main effects for composition by sex of an institution, or the sex of influential teachers, nor were there any significant two-way interactions. Two significant (p > .05) three-way interactions did emerge, however. One indicated that nontraditional career self-efficacy was predicted by a single-sex high school and college environment with either no high school influential teacher or the choice of a male one. The second predicted three-way interaction indicated increased nontraditional career self-efficacy by students attending single-sex high schools and colleges and choosing a male college influential teacher.     

College Students and HIV/AIDS: A Comparison of Nontraditional and Traditional Student Perspectives

Objective and Participants The authors compared nontraditional college students' knowledge and perceptions of HIV/AIDS and sexual practices with previously reported results about traditional students. Methods Nontraditional students completed an online survey with questions based on national HIV/AIDS surveys. Traditional students completed the same survey with paper and pencil. Results Overall, the authors found more similarities than differences between the 2 groups. The findings support previous research that suggests that although college students are knowledgeable about HIV and its risks, they express little personal concern about becoming infected. The authors also discuss how apparent differences between nontraditional and traditional students regarding personal concern about becoming infected, relationship status, and information sources may influence the development of effective prevention strategies geared toward nontraditional college students. Conclusions Institutional leaders need to adapt to these differences, and researchers should undertake additional studies to clarify these differences so that college students may be more effectively educated about HIV/AIDS and encouraged to get tested.     

Nontraditional boys: a minority in need of reassessment

Practitioners are often faced with a confusing state of affairs when working with nontraditional boys and their families. How existing theory, terminology, and assessment techniques contribute to this confusion is examined. Theoretical approaches and practical suggestions are offered to assist practitioners in working with these boys and their families.     

Antecedents of curriculum choice: A comparison of black and white women in traditional and nontraditional college majors

A sample of black and white women from all land grant colleges and universities in the sourth was used to complement what is already known about women's career development. Derived from previous research into the determinants of career choice, three sets of variables pertaining to family background, significant other influence, and prior educational and work experience were related to the choice of a sex‐typical or sex‐atypical college major. Discriminant analysis was used to determine whether the factors and conditions that lead white women to select a traditional or nontraditional field of study operate in a similar fashion for black women. Results showed that for both black and white women, significant other influences and prior curriculum‐related experiences are related to curriculum choice, although in slightly different ways. Further, social background factors are associated with the choice of a college major for black women but not for white women.     

Assessing nontraditional couples: validity of the marital satisfaction inventory--revised with gay,lesbian, and cohabiting heterosexual couples

Thirty-one gay male couples and 28 lesbian couples were compared with 36 cohabiting heterosexual couples using the Marital Satisfaction Inventory-Revised (MSI-R), a multidimensional measure of relationship functioning intended for use with both traditional and nontraditional couples. Analyses of scales' internal consistency and factor structure supported the construct validity of this measure with nontraditional couples. Analyses of mean profiles on the MSI-R indicated that cohabiting opposite-gender and same-gender couples were more alike than different, and were more similar to nondistressed samples of married heterosexual couples from the general community than to couples in therapy. Implications of current findings for clinical assessment and intervention are considered, and directions for future research are proposed.     

The social “R & D” paradigm in child and youth services: Building knowledge convivially

Adaptation of agricultural and industrial research and development models offers new methods for bridging the worlds of research and practice in child and youth services. Social R & D methodologies provide effective means for generating new social technologies because they are product oriented and use a wide array of traditional and nontraditional data sources. This article discusses one social R & D paradigm—Developmental Research and Utilization. Permanency planning and community support systems research are used to illustrate the past and potential application of this methodology to the field of child and youth services.     

Case Studies of Federal Occupational Health's EAP Responses to Natural Disasters

Summary

Employee assistance professionals have increasingly been called upon to address the emotional and mental health needs of customer organizations and their employees in response to large-scale natural or man-made disasters. In doing so, employee assistance program (EAP) professionals must use a repertoire of responses that encompasses a broad range of interventions, generally anchored in an understanding of and focus on the organization and its culture, mission, management and labor concerns, and other critical characteristics. The EAP's fallback response to a crisis affecting the workplace is often a critical incident stress debriefing or close variant of it. However, EAPs can best serve their customers at all levels with interventions attuned to an understanding of the workplace culture gained through a consultative relationship with management, while factoring in the nature of the disaster, the length of time and characteristics of the disaster's aftermath, and the nuances of the employees' physical and emotional needs throughout the entire disaster response and recovery process.

This article highlights these issues through the presentation of two case studies, gained from the hurricane response activities of the Federal Occupational Health (FOH) EAP. FOH, a service unit within the U.S. Department of Health and Human Services' Program Support Center, has 60 years of experience working in partnership with its federal agency customers to deliver comprehensive occupational health services to improve the health, safety, and productivity of the federal workforce. FOH's EAP contracts with vendor organizations to provide direct employee assistance, work/life, and related services to more than 1.3 million federal employees. The first case study describes (from the first person perspective) an on-site, multi-focused EAP intervention at a federal facility. The second case study describes management consultation with the U.S. Postal Service in response to major hurricane activity.