The Attitudes of Social Work Students and Practicing Psychiatric Social Workers Toward the Inclusion in the Community of People with Mental Illness

Abstract

This study measured and compared the attitudes of social work students and practicing psychiatric social workers to the inclusion in the community of people with mental illness. The Community Living Attitude Scale Mental Illness (comprising the four subscales of Empowerment, Exclusion, Sheltering, and Similarity) was administered to a random sample of 68 Israeli BA social work students (first year: n = 35; third year: n = 33) and 28 practicing psychiatric social workers. Overall, the participants endorsed Empowerment and perceived the Similarity of persons with mental illness to themselves more than they agreed with the Exclusion attitude of segregating those persons from community life. First-year students rated Empowerment and Similarity significantly lower than did the third-year students and rated Sheltering significantly higher than did psychiatric social workers. Psychiatric social workers did not differ from third-year students and did not have stronger attitudinal commitment to the inclusion paradigm. They differed from first-year students only in the sheltering attitude; they showed lower support for sheltering people with mental illness.     

The Psychiatric Medication History

Abstract

This article presents The Psychiatric Medication History: An Interview Schedule, a 30-step semi-structured protocol designed to help practitioners understand how clients manage their psychotropic medications and interpret their effects. The critical perspective leading to the design of this interview schedule, its purposes for clients and practitioners, its divergence from traditional treatment histories, and its uses and limitations are discussed. The author contends that, in a safe space, taking a psychiatric medication history according to these suggested guidelines offers clients an opportunity to construct an independent, evidence-tested personal narrative about their medication use. To practitioners, taking such a medication history offers a person-in-en-vironment point of entry into the psychopharmacology scene.     

The Role of Ethical Theories in Decision Making by Social Workers

This study analyses the arguments provided by a convenience sample of 62 Israeli social workers for their preferred ethical principles in terms of ethical theories. Content analysis of arguments given in four different contexts shows that the large majority of social workers in the study based their arguments on either deontological or utilitarian ethical concepts, less frequently using concepts from virtue theory, rights theory and care theory of ethics. However, the analysis reveals a discrepancy: when social workers were requested to justify their rank ordering of ethical principles without reference to a specific practice situation, they most frequently preferred concepts reflecting deontological theory of ethics, such as right intention, universalism, and duty. In contrast, when confronted with a specific practice situation, the social workers' most frequently chosen concepts were relating to results, consequences, and utility, concepts identified with the utilitarian theory of ethics. In view of the findings, the need for more thorough knowledge of a variety of ethical theories and their potential role in ethical decision making in social work practice and education are discussed.     

Voices From the Field: Social Workers Define and Apply Social Justice

Social justice is embraced as a central mission of social work, yet how the profession defines it lacks clear and common understanding. This qualitative study explored the concept of social justice as perceived and applied by social workers in diverse practice settings. Focus-group participants were asked five primary open-ended questions. Key phrases and terms were identified and grouped into four themes: variation in meaning of social justice, confronting injustices, practice reality, and professional responsibility. The findings suggest that social justice as understood and practiced in the field is compatible with theoretical conceptions in the literature, but a predominant understanding remains lacking.     

Recovery Lessons Learned from Individuals with Psychiatric Disabilities

ABSTRACT

Over a long career in the public mental health system, the author has seen the progress in the service delivery that has given consumers more independence and ownership of their recovery. Until another breakthrough in brain science improves the outlook for prevention and treatment of brain disorders, the push to improve expectations with supports to manage their recovery needs to continue. The author describes Harbor City Services, Inc, a market-based social enterprise that creates jobs offering security against losing a job because of reappearing symptoms, including some jobs with the potential for growth beyond entry level. The growth of this business over 25 years shows the highs and lows of moving from public funding and charity to a self-supporting business. The author encourages the use of business strategies to improve the vocational opportunities that help sustain recovery and offers tips on employment and business.     

Correlates of Homophobia and Use of Gay Affirmative Practice Among Social Workers

ABSTRACT

Research on social work practice with gay and lesbian clients has historically focused on examining social workers' attitudes towards gay and lesbian individuals, however, no studies have examined the relationship between attitudes and practice using validated measures to assess practice. The focus of this study was therefore to examine the relationship between attitudes and practice with gays and lesbians using the recently developed and validated Gay Affirmative Practice Scale (GAP). Significant relationships were found with the GAP and two measures of homophobia as well as with measures that assessed feelings about lesbians and gay men, contact with gays and lesbians, attendance at workshops that focused on gay and lesbian issues, relationship status, sexual orientation, political party, and primary area of practice. Relationships with measures of attitudes were also examined. Implications for social work practice, education, and research are discussed.     

The Role of Social Workers and Social Service Delivery During Crisis Intervention for Tsunami Survivors

Abstract

This paper seeks to understand the economic, social and psychological impacts on survivors in Thailand of the Asian Tsunami on 26 December 2004. The Tsunami disaster brought about great changes in the lives of survivors, the role of social workers and social service delivery. Problems were actively worked out between many parties resulting in greater collaborations between local, national and international organizations. Social workers worked in a collaborative manner with various professions in delivering crisis intervention. In the case of the Tsunami disaster, there is an emergence of the development of the professional role of social workers and other social service workers to respond to the urgent needs of the family and children survivors.     

Photovoice as a Tool for Social Justice Workers

Abstract

This article considers the use of Photovoice as a tool for social justice workers. Photovoice is a technique that affords diverse populations of oppressed individuals the opportunity to take social action by raising awareness in the community and with policy-makers through use of a photographic process. The theoretical underpinnings, goals, and uses of Photovoice are reviewed in relation to social work contexts and values. In addition, the inclusion of empowerment theory and group work literature is explored as a natural expansion of the current theoretical underpinnings. Photovoice is a prime example of participatory research, assessment, and social action. The relevance of Photovoice to social work theory and practice is considered and possibilities for use as an integrated practice tool are explained.     

The Relationship Between Social Work and Psychoanalysis: The Future Impact of Social Workers

Because social workers are likely to have a more expanded role within organized psychoanalysis than previously, it seems timely to consider the numerous challenges and opportunities ahead with respect to social workers’ impact on the practice of psychoanalysis. For those who become social work psychoanalysts, in particular, a pivotal issue is the degree to which they retain their core identity as clinical social workers. It is important for them to integrate and balance the diverse aspects of their dual identity, to participate in our social work organizations, to contribute to developing psychoanalysis, and to work to keep the teaching of contemporary psychoanalytic theories alive in social work education.

Collective Power to Create Political Change: Increasing the Political Efficacy and Engagement of Social Workers

Because social workers are called to challenge social injustices and create systemic change to support the well-being of individuals and communities, it is essential that social workers develop political efficacy: belief that the political system can work and they can influence the system. This study explored the impact of an intensive political social work curriculum on political efficacy and planned political engagement among social work students and practitioners. The findings suggest this model of delivering a political social work curriculum effectively increases internal, external, and overall political efficacy, and that increasing political efficacy has promise for increasing future political engagement.     

Social Workers and Social Justice During a Period of Intensive Neoliberalization: A Preliminary Investigation From the Republic of Ireland

Despite the championing of social justice within the discourse of social work, some express concern that there has been a dilution in the profession’s practical commitment to seeking a more just society. The article begins by defining social justice and then refers to a number of studies that have endeavored to identify whether or not social justice is being pursued by practitioners. It is argued that renewing efforts to achieve social justice is particularly relevant in times of intensive neoliberalization. In this context, we discuss the comments of a small number of Irish practitioners. This preliminary study indicates that social workers are struggling to achieve limited social justice gains in organizationally difficult and fraught situations. The findings suggest that some practitioners, located in stultifying working environments, are blunted in their capacities to pursue social justice demands for their clients and for themselves. However, a more wide-ranging research project, composed of a more substantial and diverse sample of respondents, would need to be formulated to further explore this theme.     

A Conceptual Framework for the Professional Socialization of Social Workers

With the Council on Social Work Education revised Educational Policy and Accreditation Standards, professional socialization has become a matter of policy. The social work literature is characterized by a dearth of conceptual models and systematic research regarding professional socialization. The conceptual framework for the professional socialization of social workers presented herein provides a discrete definition and clarifies what was formerly an ambiguous understanding of the elements of professional socialization. Potential applications of this framework include its use as a foundation for systematic research and a bridge between competencies and signature pedagogy and in informing field instructor training and the integration of theory and practice for students and practitioners.     

Recognising and Enabling Social Workers to Promote Child Wellbeing and Protection

The paper explores the relevance of social enterprise to social work practice and policy development. Social enterprise refers to a broad set of approaches that use business acumen to address social goals. A marginal activity in social work for a long time, recently social enterprise has been thrust into the spotlight in debates about the future of social policy and community services. It is important that social workers understand the meaning and implications of social enterprise if they are to apply it critically and reflectively in practice and participate in contemporary debates about its relevance in promoting individual and community empowerment. The paper provides an overview of the meaning of social enterprise, outlines the reasons for the renewed focus on social enterprise and related concepts in social policy debates, particularly community economic development, and examines its underlying values. It concludes with a discussion of questions and concerns surrounding the implementation of social enterprise in Australia.     

Evaluating the Political Participation of Licensed Social Workers in the New Millennium

Abstract

The social work literature is replete with studies evaluating direct practice or clinical interventions, but strikingly few have assessed how well social workers are faring in the political arena. The sample in this study consists of 396 randomly selected social workers licensed in 11 states who completed a 25-30 minute telephone survey. Social workers were surveyed to determine: (1) to what degree social workers participate politically; (2) whether they have the psychological engagement, or motivation, necessary to participate; and (3) whether social workers feel adequately prepared by their program to do policy work. Implications for social work education are discussed.     

Profession and Workplace Expectations of Social Workers: Implications for Social Worker Subjective Well-Being

The expectations people have of social workers, and those that social workers hold of themselves, can negatively affect social worker's perceived well-being, via work stress and strain and other negative workplace experiences. This qualitative research presents findings that help to better understand what aspects of these expectations have the greatest impact on the well-being of a sample (n = 19) of social workers with reported low levels of workplace and profession satisfaction. Our data support a conceptual framework of social worker's expectations that relate to outcomes of practice, social worker roles, the perceived functioning by other health-related professionals, conflict in direct practice with social worker identity and having to work in adverse situations, as all contributing to the well-being of social workers. Findings are discussed in relation to social work practice and the role and function of professional associations and educational programmes in addressing these issues that emerge in practice.     

Empowering Alliances in Pursuit of Social Justice: Social Workers Supporting Psychiatric-Survivor Movements

This article reviews historical and current examples of harmful and forced treatments as well as scientific discrimination that have been applied to people diagnosed with mental illness. It discusses anti-psychiatric social action in North America from 1970 to the present. A review of social work's foundations in social justice, empowerment, and person-in-the-environment perspectives highlights the congruencies and communal benefits for both the social work profession and psychiatric-survivor movements. Through this discussion, it is apparent that the professed values of the social work profession are actually more compatible with psychiatric-survivor movements than with any allegiances to the biomedical model of psychiatry.     

The Role of Social Workers in the Treatment of Addictions

Abstract

This article describes the history of social workers' involvement in the treatment of addictions in the United States. Beginning with Mary Richmond, the “mother of social casework,” social workers have played an increasingly important role in the treatment of individuals with alcohol and other drug problems and of their family members. Today, social workers are important players not only in program development, administration, and treatment of chemical addictions, but also in “process” addictions, such as eating disorders and gambling. Moreover, social workers are increasingly involved in addictions research and policy arenas.     

Agency Practices Affecting Social Workers Who Treat Substance-Abusing Clients

Abstract

This study interviewed 115 MSWs with substance abuse training working in general social service agencies to determine if they viewed their settings as facilitating or hindering their work with substance-abusing clients. This study builds on the work of Lightfoot and Orford (1986) who found that social workers were more hindered than helped by their agencies' practices regarding substance-abusing clients.

Results: A majority of workers viewed their agencies as facilitating substance abuse-related work through support from supervisors and administrators, availability of substance abuse training, workers' freedom to choose clients, and opportunities to supervise others on substance abuse-related issues. Supervisor data corroborated these findings. This is a hopeful sign for the profession contrasting with considerable social work literature documenting the profession's historic ambivalence toward substance-abusing clients.     

Conceptions of Immigrant Integration and Racism Among Social Workers in Sweden

Drawing on 22 qualitative interviews with social workers in Sweden, this article analyzes how social workers conceive immigrant integration and racism and tackle racism within their institutions and the wider Swedish society. The majority of the white social workers framed integration in relation to cultural differences and denied or minimized the role of racism in structuring their services and the ethnic relations in Sweden. In contrast, social workers with immigrant backgrounds were less compromising in discussing racism and assumed it as a problem both for themselves as institutional actors and as immigrants in everyday life and institutional settings. Social institutions in Sweden have been important actors in endorsing equality and accommodating differences. However, it is of paramount importance for social justice-minded social workers to identify and unsettle those structures and discourses that enable racist and discriminatory policies and practices against those groups who are not viewed as “core” members of the Swedish society. The absence of anti-racist social work within Swedish social work is primarily related to the idea of color-blind welfare universalism that is assumed to transcend the particularity of the needs, experiences, and perspectives of different groups in Sweden. While integration is envisioned and framed as a political project of inclusion of non-white immigrants, it tends to become a political device through which hierarchies of belonging are constructed. Following such conception of integration, cultural/religious differences and equality are framed as conflicting where cultural conformity underpinned by assimilationist discourses becomes a requirement for political, social, and economic equality.