The Smith College Program in Psychiatric Social Work: A Pioneering Contribution to Veteran Mental Health

ABSTRACT

On 7 July 1918, 68 women arrived on the Smith College campus in Northampton, Massachusetts, to learn how to assist in the treatment of shell-shocked soldiers and veterans of the Great War. The Training School of Psychiatric Social Work was the first academic program organized to teach mental health professionals about what today is called posttraumatic stress disorder (PTSD) and to equip them to treat those suffering from it. This essay addresses three questions about this program: How and why did the Smith College Training School of Psychiatric Social Work come into being? What was the experience of those who taught and learned there? What effect did the Training School have on the treatment of PTSD in the postwar years?     

Effects of a Solution-Focused Program on the Reduction of Aggressiveness and the Improvement of Social Readjustment for Korean Youth Probationers

ABSTRACT

The purpose of this investigation was to explore appropriate intervention methods for helping Korean youth probationers reduce their aggressiveness and increase their social adjustment. This study examined the effectiveness of solution-focused group treatment with Korean youth probationers using a pre- and post-test control group design. The researcher randomly assigned the consented 40 participants either to an experimental group that received the solution-focused session or to a control group that took individual supportive sessions on a needed basis. The pre- and post-test scores of each group were compared using the Aggressiveness and Social Readjustment Questionnaire to confirm the levels of statistical significance between the two groups. Results indicate that solution-focused group treatment was followed by positive changes with the participants' aggressiveness and social adjustment problems. This study also suggests that a solution-focused program is an appropriate short-term intervention for Korean probation youth.     

Gerontological Competencies among MSW Students: Evaluation of a Gerontology Specialization Program

ABSTRACT

The purpose of this study was to conduct a preliminary evaluation of a gerontology specialization program (GSP) within a Council on Social Work Education (CSWE)–accredited master of social work (MSW) program. This study utilized a pretest/posttest design with a three-group comparison: group 1—GSP students; group 2—students from the group 1 program but not in GSP; and group 3—students at two external MSW programs with no GSPs. The overall sample comprised 220 advanced year students. A CSWE Gero-Ed Center/Hartford Partnership empirical measure was used to assess overall, gero social work practice competency. Within-group analyses revealed a significant increase in gero competency scores from pretest to posttest among all groups, with GSP students showing the largest increase. Between-group analysis at pretest revealed that the GSP group showed lower gero competency scores than both non-GSP groups. At posttest, these results overturned: GSP students scored significantly higher gero competency scores than both non-GSP groups. These preliminary findings suggest that the GSP offers an impactful, positive role in development of practice skills for the next generation of gero social work practitioners and scholars. A follow-up study with additional years of data will increase longitudinal rigor and confidence in the long-range efficacy of this GSP.     

Evaluation through collaboration: a model program of agency-based training in geriatric social work

The Institute for Geriatric Social Work (IGSW), located at Boston University School of Social Work (BUSSW), formed a collaborative partnership with Elder Services of the Merrimack Valley (ESMV), a large urban Area Agency on Aging (AAA) near Boston to design, implement, and evaluate an innovative model program of agency-based training for practicing social workers. The collaboration facilitated and strengthened the development of a program that benefited the university-based program and the community-based agency. The training program comprises a "blended" model of core and elective online courses combined with face-to-face training. Evaluation of the model program is integral to its design, and includes a randomized control trial to test the effectiveness of the training program in increasing practice competencies.     

高校学校社会工作人才的培养要求

学校社会工作是社会工作的重要分支之一。高校学校社会工作人才的培养要求主要包括高度的专业认同、扎实的专业知识、优秀的道德素质、良好的心理素质、出色的协调能力等。     

Challenges to Treating the Elderly Latino Substance Abuser

Summary

The Friendly Companion Program was initiated in May of 1999 to enhance social support for VAMC Northport Nursing Home residents who have infrequent or no visitation by family, friends, or significant others. Friendly Companions are adult and youth volunteers who make a commitment to visit residents on a regular basis. The resulting relationship appears to stimulate increased social interaction and maximize quality of life for nursing home residents. The program is considered part of the overall patient clinical care with multi-disciplinary involvement for volunteer training, patient referral, and evaluation by staff and patients. Social Work Performance Improvement measures and outcomes are discussed.     

Task force on Medicaid in Missouri: a community collaboration in gerontological social work education

Master's level social work gerontology students formed a Task Force on Missouri Medicaid as the primary course project of the Social Policy and Aging class at George Warren Brown School of Social Work, Washington University in St. Louis. Led by students, the Task Force collaborated with community leaders to address issues with the escalating enrollment and cost of Missouri's Medicaid program, resulting in a widely disseminated policy brief. Students identified multiple professional skills gained through this assignment and community leaders determined the issue brief to be a significant contribution to Missouri's Medicaid policy debate.     

Taking Social Work Seriously: The Contribution of the Functional School

Correspondence to: Professor Noel Timms, 157 Kingsway, Pens Wood, Kent BR5 1PP Summary This article explores a largely ignored account of the practicecalled social work, that was developed by what is known in theUSA as the Functional School of Social Work. Their views werehewn out of a fierce controversy within social work. This articleargues that a reconsideration of the Functional School is due:it presented an explicit psychology, though not sociology, ofhelping and centred the nub of practice in the social welfareagency, served by disciplined professionals. Reflection on thetheorizing and practice of the Functionalists illuminates presentconcerns over the knowledge and the value base of social workand leads to a reconsideration of the place of coherence ineach.     

Clinical social work education in palliative and end-of-life care: relational approaches for advanced practitioners

This paper describes the first post-Master's program in the US in end-of-life care for social workers. Developed at the Smith College School for Social Work, this program used innovative relational methods in student recruitment, curricular design, supervision, and leadership development, based upon input from the faculty, students, and field supervisors. Collaborations emerged with funders, agencies, and programs nationally. The program was based on a pedagogical stance that clinical work with dying people requires the capacity to be fully present- in individual, group, and family work; in interdisciplinary meetings; and in advocating for quality and equity of care-while attending to diverse and at-risk populations. Students deepened their clinical skills and took leadership in the field of end-of-life care.     

Openness and Contact in Adoption: A Child-centred Perspective

Correspondence to Beverley Hughes, Senior Lecturer in Social Work, School of Social Work, Department of Social Policy and Social Work, University of Manchester, Oxford Road, Manchester M13 9PL. Summary This paper reports the findings of a study on the views of birthparents on openness and contact and, in the light of the findings,examines the current trend towards a presumption in favour ofdirect contact between birth parents, child and/or adopters.It argues for a child-centred approach which must discriminatemore clearly between the implications for the child of differentpost-adoption arrangements. The assumptions underlying a presumptionin favour of direct contact are critically reviewed.     

Use of Single-System Research to Evaluate the Effectiveness of Cognitive-Behavioural Treatment of Schizophrenia

Correspondence to William Bradshaw, Ph.D., LICSW School of Social Work, University of Minnesota, 105 Peters Hall, 1404 Gortner Ave. St. Paul, Minnesota 55108, USA. E-mail: Bbradsha{at}che.umn.edu Summary Practitioner research that utilizes single-system designs andreplication studies has been promoted as a means to developpsychosocial interventions of demonstrated effectiveness. Atthe same time, there has been relatively little practitionerpublication of single-system studies. The purpose of this studywas to evaluate the effectiveness of cognitive-behavioural interventionsin the treatment of schizophrenia. The study used a single-systemmultiple baseline design across seven subjects to evaluate changein clinical outcomes. The AB design included a (A) baselinephase and (B) cognitive-behavioural intervention phase. Standardizedmeasures of psychosocial functioning, severity of symptoms andattainment of treatment goals were used to assess change overthe course of three years treatment. A pre-test/post-test designwas used to measure achievement of treatment goals. All sevenclients made statistically significant improvement in psychosocialfunctioning when the baseline mean was compared to the interventionmean. The average effect size for the seven cases was 2.96.All seven clients made a statistically significant reductionin severity of psychiatric symptoms when the baseline mean wascompared to the intervention mean. The average effect size forthe seven cases was -2.19. All seven clients exceeded the expectedlevel of attainment of treatment goals. The pre-test averagegoal attainment score for the seven cases was 20.65 (sd = .55).The average post-test score was 71 (sd = 8). Directions forfuture research and the applicability of single-system designsfor the practitioner researcher evaluation of mental healthpractice are discussed.     

Warriors and Healers: Preparing for Returning Veterans

Despite its ideological differences, social work has had a long history of affiliation with the military. In 1918, the Smith College School for Social Work was established to respond to the mental health needs of “shell‐shocked veterans.” In 2008, the School renewed this commitment by sponsoring a three‐day conference aimed at preparing social workers to respond to the new and complex needs of veterans returning from the Iraq and Afghanistan wars. A joint planning process effectively developed a program that helped military and civilian social workers gain insight into the impact of multiple deployments, traumatic brain disorder, post‐traumatic stress disorder and other factors present in today’s new military culture.     

The Creation of an Inter-occupational Relationship: the introduction of a counsellor into an NHS General Practice

Correspondence to Neil Small, Lecturer in Social Work, School of Applied Social Studies, Univer of Bradford, Great Horton Road, Bradford, West Yorkshire BD71DP Summary The article presents an account of the introduction of a counsellingservice into a National Health Service general practice. Itexamines the experiences of the counsellor and locates thesewithin a theoretical context that draws upon the insights offeminism to examine the work done and the context within whichit was done and the literature of the therapeutic communityto offer a guide to practice. Further, it examines the impactupon the organization of the practice and the problems in oreatingan inter-occupational relationship. These problems emanate bothfrom the assumptions general practice operates within and fromthe external system of accountability to which it conforms.     

The Response of Schools of Social Work to the Return of Uniformed Service Members and Their Families

The following article is designed to provide an historical overview of the role that the Smith College School for Social Work has played in serving U.S. service members and their families throughout the past 91 years. Particular attention is paid to the building momentum of interest and activity at the School since 2005.     

Monitoring Interventions with Young Israeli Families

Correspondence to Dr Rami Benbenishty, School of Social Work, Hebrew University, Jerusalem, Israel 91905. Summary This paper describes a study monitoring interventions with familiestreated by a welfare agency in Jerusalem, Israel. The treatmentapproach is eclectic and is based mainly on a view of the familyas a system and on task-centred and problem solving orientationsto family treatment. Sixty families were studied. The clients'median age was about 30 years old and the median number of childrenwas two per family. The clients approached the welfare agencyfor four main reasons: financial difficulties (especially heavydebts), severe health problems and disabilities, marital difficulties,and problems in raising children. The practitioners identifiedin two thirds of the families dangerous situations that neededimmediate attention. A repeated measures design utilizing several outcome measureswas used. According to the workers' assessments, based on theCRS (Epstein et al., 1982), functioning improved and progresstoward goal attainment was observed in most families. The magnitudeof changes in functioning, however, was small. The workers'and clients' assessments of change and of goal attainment weremore positive. There were indications of deterioration at followup. The treatment outcomes are discussed in light of the clientand treatment characteristics. Changes in client selection,length of treatment, and an active follow up strategy are suggested.     

浅析社会工作专业实习督导的角色定位与技巧

实习是社会工作专业教学的重要环节,在社会工作的实习过程中,透过督导老师与同学在教与学的互动和连结,让学生对社会工作的价值观、相关理论和技能技巧都有机会作检视、评估及整理,并能适切地实践于助人的历程中。因此,准确把握社会工作专业督导的角色及技巧对于实习的完成至关重要。在本文中,笔者试图将近几年来担任社会工作专业实习督导的一些感受整理出来与大家分享,期望对本土处境下的中国社会工作专业化发展有所帮助。     

Curriculum Designs for Social Work Education: Some Problems and Possibilities

Correspondence to Ms V. Coulshed, Head of School, School of Social Work, Tasmanian Institute of Technology, Tasmania 7250, Australia Summary Internationally, social work programmes continue to seek curriculumdesigns which are coherent, integrated and encourage the transferof learning from one knowledge area to another. In the UK, theCentral Council for Education and Training in Social Work (CCETSW),has proposed a new form of training: by lengthening the periodof training, collaborating more closely with agencies and ensuringspecial competence in at least one sphere, the CCETSW plansto provide the l99( with a highly competent work-force. Thispaper explores the feasibility of so doing within a three-yearfoundation course. It examines some of the existing problemsin course content and structure which the new programmes, farfrom remedying, may actually worsen. Some beginning thoughtson models of curriculum design, which offer possibilities forcoherence, integration and knowledge transfer are suggested.     

Assessing Adoptions in Difficulty

Correspondence to Dr David Howe, Lecturer in Social Work, University of East Anglia, School of Economic and Social Studies, Norwich NR4 7TJ. Summary Although most adoptions are judged a success, a small numberof families and their adopted children run into behaviouraland relationship difficulties. The Post-adoption Centre, London,is a specialist agency which works with a number of client groups,including adopters and their families. The assessments madeby the Centre's counsellors of adoptive families were analysed.Two dimensions defined the counsellors' assessments. One recognizeda strong developmental perspective and owed much to the recentwork of David Brodzinsky. The other emphasized the complex emotionalinteractions that can take place between parents and child.Because of its originality and ability to refine the qualityof assessments, the analysis concentrates on the second dimension.When the developmental and interactional perspectives are combined,five assessment themes emerge. These are described and illustratedwith case examples.     

Promoting Self-Efficacy and Self-Esteem for Multiethnic Sexual Minority Youth: An Evidence-Informed Intervention

ABSTRACT

Sexual minority youth face multiple challenges, yet research regarding evidence-informed practice strategies for this population is limited. This study describes the pilot efforts of Strengths First, the first strengths-based intervention created specifically to promote self-esteem and self-efficacy among multiethnic sexual minority youth. A pretest–posttest design was used to gather preliminary data from program participants (n = 162) about the potential effectiveness of the program during a 2-year period that ranged from the inception of the program in June 2008 to September 2010. Significant increases in self-esteem and self-efficacy were found. Implications for social service research and practice are discussed.