Developing Family-Centered Models of Genetic Services

Abstract

This article reports the findings of an exploratory, multi-method study conducted for a state health authority to examine stakeholder perceptions of existing genetic services and service ideals using survey and focus group methodologies. A web-based survey of medical providers and allied health professionals (N = 567) examined the knowledge needed by service providers to deliver competent genetic care. A second web-based survey of programs (N = 15) viewed as potential partners in the delivery of genetic services was conducted to explore the potential for interagency coordination, the family-centered nature of these services, existing training, and general agency ideals and values. Focus groups were also conducted with 4 groups of families and 3 groups of service providers to explore their perceptions of current and ideal services. The strategies yielded important information around service needs, resource issues, barriers to service, psychological issues, and education and information needs related to the delivery of genetic services. Implications for professional education, especially social work education, are also covered.     

Naturally Occurring Retirement Community-Supportive Service Program

Summary

Devolution is defined as the transfer of power or authority from a central government to a local government. This article addresses federal policies on housing for the elderly and the devolution of funding for federal senior housing and describes two aspects of devolution of federal housing policy for the elderly. One, it points out the decreasing interest in senior housing by federal authorities as indicated by the decreased amount of funds allocated for this purpose. Two, it emphasizes the need for supportive, assistive services for residents of senior housing and how federal funds have not addressed this need adequately or sufficiently. As a consequence, there have emerged Naturally Occurring Retirement Communities (NORCs) in New York State, a housing arrangement that provides supportive and health services to all eligible residents. The article concludes with a discussion of policy implications and the need for additional research before replicating this model.     

PsyJourn

ABSTRACT

Health providers are challenged to find efficacious ways to provide health education to a population with diverse levels of health literacy. This project sought to test the effectiveness of a website (Diabetes and You) about Type II diabetes designed for non-diabetics with low health literacy. Research participants were observed as they viewed the Diabetes and You website, tested for diabetes knowledge before and after viewing the website, checked for functional health literacy, and interviewed to discover their perceptions of the website. Results indicate that users were engaged and interested in the website and particularly preferred the interactive risk assessment page. Users demonstrated an increase in knowledge about diabetes and its risks after viewing the website. Further research into the most effective ways of delivering health information online to this key target population is necessary to minimize the role of health literacy in limiting these individuals' acquisition and understanding of health information.     

The Requirements of Community: An Online Survey of the Social Work Access Network (SWAN)

SUMMARY

This study details the typical user profile of visitors to the Social Work Access Network (SWAN) website. The online survey methodology is discussed along with data that benchmarks expected response rates for this method. User preferences for additional content and interactive opportunities as well as user satisfaction with the current site are described. It is concluded that the social work professionals must seek new ways to define, organize and implement a portal on the World Wide Web by building partnerships among sites offering social work content. In support of this, SWAN must evolve to provide a platform for discussion among the social work community through online gatherings using chat and bulletin board technologies.     

Making ideas “app”-en: the creation and evolution of a digital mobile resource to teach social work interviewing skills

ABSTRACT

This paper describes the processes involved in the design, delivery, and evolution of a mobile app.’ The initial app’ was funded by an institutional Teaching Award to update the delivery of Egan interviewing skills to social work students. The article charts the progress of development, beginning with the initial rationale for the app’ and its subsequent evolution into a Motivational Interviewing resource for social workers within a designated local authority. Arguing for the increasing importance of digital resources, within social work training and practice, the article draws from theories of digital pedagogy, as well as highlighting the work of some prominent figures within this emerging field. The article is written as a collaboration between the lead author and the app’ developers, who have contributed technical detail and emphasized the need for collaboration. Whilst the article touches briefly on the mechanics involved with app creation, its chief aim is to act as a guide to the practical, financial and relational aspects of development – in order that other social work practitioners and educators are inspired to progress their own ideas into innovative digital resources. To facilitate this, the article concludes with a practical list of suggestions for successful digital development.     

Internet Bibliotherapy

Abstract

Many individuals who use the Internet seek social support for health conditions. Some common “spaces” where asynchronous communication takes place include listservs (Usenet newsgroups or electronic mailing lists). Synchronous social support messages may be conveyed in “spaces” such as Internet Relay Chat or Multi-user domains. This research describes Internet bibliotherapy, a new type of “space” where social support is offered. This investigation reviews the therapeutic benefits of traditional bibliotherapy and the communication of social support. A narrative analysis of messages on a website devoted to helping people with anal fissures describes how social support is communicated using Internet bibliotherapy and the unique interactive and non-interactive properties of this type of reading simulated self help group.     

Creating and Sustaining a Practice-Based Research Group in an Urban Adolescent Mental Health Program

Summary

This article describes the initiation, implementation, and accomplishments of a practice-based research group within a mental health program serving inner-city adolescents. Begun in 1995 and co-led by a program manager and a clinical social work practitioner, the group fosters and supports practitioner-driven research projects as part of a “reflective” organizational development strategy.     

Lay theories and criticisms of mental health news: elaborating the concept of biocommunicability

Abstract

This article examines how mental health service users/consumers, advocates, professionals and researchers interpret and theorise the impacts of mental health news. It focuses on the following themes: Creating fears about mental illness by focusing on criminal and violent acts; Reinforcing power imbalances by privileging biomedical issues and sources; and Sanitising mental health issues through the selective use of personal narratives. The study draws upon the concept of biocommunicability, which casts light on the performative power of health news in reinforcing ideas and expectations about the appropriate role for different actors to adopt in relation to health knowledge. Previous research on health news has identified biomedical authority, patient-consumer and public sphere as three predominant models of biocommunicability and this article examines how these are bound up with criticisms of mental health news. The findings are related to the ‘mediatisation of psychiatric culture’ as one of extremes and perspectives from Mad Studies.     

Body image,self-esteem,and behavioral risk for chronic disease among college students: Additional evidence for integrated prevention

Abstract

Objective: To examine associations between two body image constructs (body appreciation and body satisfaction) and five health behaviors (diet, physical activity, weight management, tobacco exposure, and alcohol intake) associated with risk for chronic disease, controlling for self-esteem. Participants: Three hundred and forty-four college students enrolled at a large, public university in the southeastern US. Methods: Students completed an online survey composed of measures of body appreciation, body satisfaction, self-esteem, and frequency of engagement in preventive health behaviors. Hierarchical linear regression models were used to assess relationships between constructs. Results: Body appreciation, but not body satisfaction or self-esteem, significantly and positively predicted engagement in diet-, physical activity-, and weight-related health behaviors. No associations were found for substance use outcomes. Conclusions: Results illuminate health risks among college students and provide additional evidence to support the development of holistic preventive interventions that simultaneously address aspects of mental and physical health among college students.     

Young and Sexual in Norway and Croatia: Revisiting the Scandinavian Versus Mediterranean Gendered Pattern of Sexual Initiation

ABSTRACT

This article describes and analyzes patterns of first sexual intercourse and contraception use from a bicultural perspective. Study results are based on a 2009–2010 large-scale national probability survey of young adults aged 18 to 24 years in Croatia (n = 1,005) and Norway (n = 871). The findings corroborated the persistence of the dual model of sexual initiation in Europe (Scandinavian vs. Mediterranean), in which Norwegian women and Croatian men reported coital debut at an earlier age than their gender counterparts. Age difference between partners and the prevalence of condom use at first coitus were similar in both countries, with differences in contraceptive choices emerging with time. Young Norwegian men and women switched from using condoms to hormonal contraception when having been coitally active for some time. Interestingly, “the pill” remains rather unpopular among young Croatian women. Controlling for selected variables, using a condom at most recent sexual intercourse was significantly associated with condom use at first intercourse in all groups except Norwegian men, as well as with years of coital activity (except among Croatian men). Additionally, the odds of a condom being used at most recent intercourse were significantly correlated with same-sex sexual experience (only among Norwegian men) and with reporting the most recent intercourse with a casual partner (only among Norwegian participants). Country-specific patterns of contraceptive use are discussed in the context of public health and prevention.     

Student Knowledge of and Attitudes toward Psychotropic Drugs

Abstract

Expanding social work roles in medication management and psychoeducation, especially in mental health, clearly require that students possess an enlarged knowledge base and a set of enlightened attitudes regarding psychotropic medications and their use. This article reports the results of a survey that investigated the knowledge of and attitudes toward psychotropic medications among a population of social work students. If the survey results were scored like a school exam, then the average student surveyed scored a “C !.” The article also suggests that both personal and professional experiences in the mental health field apparently influence knowledge of and attitudes toward psychotropic drugs. It is recommended that social work course content be expanded to include relevant information on psychotropic drugs.     

Promoting Youth Development and Community Involvement with Technology: The Long Beach YMCA CORAL Youth Institute

ABSTRACT

The Long Beach YMCA CORAL Youth Institute is an innovative program that uses technology as a mechanism for promoting positive youth development and technology skills while enhancing school and life success among low-income, culturally-diverse, urban high school students. This article describes the Youth Institute and explores program outcomes on participants from the 2003 Intensive Summer Program (N = 37). Results from the quantitative and qualitative research indicated significant positive changes in both technology and leadership skills as well as increased positive youth development and community involvement for participants involved in the program.     

Toward total student health: A qualitative pilot study

Objective: Colleges should aim to cultivate healthy behaviors among students by addressing alterations in wellness students view as important. The purpose of this study was to determine the self-perceived wellness-related concerns and behaviors of college students. Participants: Thirty-seven undergraduate students participated in this study between January and March 2017. Methods: Focus groups served as a data collection method. Groups were recorded and transcribed verbatim. Directed and conventional approaches to data analyses were employed. Results: Participants expressed concern regarding four campus wellness topics: nutrition, economics, mental health, and campus safety. Participants offered solutions for improving campus wellness, representing a fifth theme. Conclusions: Health concerns for college students and realistic solutions to address concerns were identified across focus groups. Overall, students cared about their own health, as well as the well-being of other students. Future directions include conducting a Web-based survey among students to assess prevalence and impact of select health and wellness topics.     

Ethical Dilemmas of Practicing Social Workers Around Psychiatric Medication

Abstract

It is acknowledged that social workers in mental health and other settings routinely experience client-related ethical dilemmas. Further, there is wide recognition of the potential impact of ethical dilemmas on social work practice with clients who use psychotropic medication. Little is know empirically, however, about the experiences of practitioners with these dilemmas. This article describes the results of a national survey of practicing social workers regarding the nature of ethical dilemmas they face related to their work with clients on medication issues. The results make it clear that social workers regularly confront a variety of ethical dilemmas in this type of practice. Many of these dilemmas are related to ambiguities around the knowledge base of practice, appropriate roles of providers, and basic personal and professional values. The authors present implications of these findings for social work practice and further research.     

The intersection of nonsuicidal self-injury and suicide-related behavior: Patterns of elevated risk and implications for college mental health

Objective: To analyze the overlap of nonsuicidal self-injury (NSSI) and suicide-related behaviors (SRB) among college students with regard to demographics, mental health, and coping styles. Participants: Respondents were 572 undergraduate students at a southwestern public university. Methods: Data were collected in 2015. Respondents completed a demographic survey and assessments of NSSI, SRB, internalizing symptoms (ie, anxiety, stress, and depression), aggression, and negative coping strategies. The survey was administered via a Web-based procedure. Results: Women reported more frequent cutting behaviors than men. Endorsement of NSSI was also associated with an increased likelihood of lifetime SRB. A subgroup of students endorsing both NSSI and SRB demonstrated poorer mental health, more negative coping, and self-reported female sex. Conclusions: College healthcare providers may benefit from competency-based training in techniques for the combination treatment of NSSI and SRB, as well as culturally based models of suicide.     

Screening and Brief Intervention for Tobacco Use by Student Health Providers on College Campuses

Abstract

Objective: This study assessed college students’ reports of tobacco screening and brief intervention by student health center providers. Participants: Participants were 3,800 students from 8 universities in North Carolina. Methods: Web-based survey of a stratified random sample of undergraduates. Results: Fifty-three percent reported ever visiting their student health center. Of those, 62% reported being screened for tobacco use. Logistic regression revealed screening was higher among females and smokers, compared to nonsmokers. Among students who were screened and who reported tobacco use, 50% reported being advised to quit or reduce use. Brief intervention was more likely among current daily smokers compared to current nondaily smokers, as well as at schools with higher smoking rates. Screening and brief intervention were more likely at schools with lower clinic caseloads. Conclusions: Results highlight the need to encourage college health providers to screen every patient at every visit and to provide brief intervention for tobacco users.     

Predictors of well-being among college students

ABSTRACT

Objectives: Identification of health-related risk behaviors associated with well-being in college students is essential to guide the development of health promotion strategies for this population. The purposes were to evaluate well-being among undergraduate students and to identify health-related risk behaviors that predict well-being in this population. Methods: A cross-sectional Web-based survey of undergraduate students was conducted at a metropolitan university in the Southeast United States. A total of 568 students responded (response rate 14.2%). Data were collected on health-related risk behaviors using the National College Health Assessment II. Results: Controlling demographic characteristics, the best predictive model included physical activity, current tobacco user, depression, ever received mental health services, and sleep quality, which was the strongest predictor (β = .45, p < .001). This model explained 35% of the variance in well-being. Conclusions: Interventions that promote sleep quality among college students may be most beneficial in improving well-being.     

The Interrelationship Between Program Development Capacity and Readiness for Change Among Small to Mid-Sized Nonprofits

ABSTRACT

Based on survey data from 396 small to mid-sized nonprofit organizations operating within Southeast lower Michigan, this article examines the relationship between program development capacity and readiness for change and the predictors of these two components of capacity building among small to mid-sized nonprofits. It uses a simultaneous equation approach as the basis for examining the relationship between program development capacity and readiness for change. The findings indicate that program development capacity and readiness for change are mutually enforcing processes and that the levels of program development capacity and readiness for change are predicted by two distinct sets of predictors.     

Health Information-Seeking in the Digital Age

Abstract

Objective: The authors examined the sources of health information among first-year university students and whether the predictors of information-seeking varied by information source. Participants: First-year students in a required course at a midwestern public university were eligible to participate, and 82% (n = 1,060) completed the study. Methods: Students completed a survey questionnaire regarding information-seeking behaviors and Internet uses in domains including health. The authors used regression analyses to examine predictors of source-specific health information-seeking. Results: Young women are much more likely than young men to seek health information. The characteristics associated with looking online for health information are different than those for using other information sources, and students who look online for health information also report greater use of other information sources. Conclusions: Although the Internet is an important source of health information for students, health professionals should be aware that not all students equally utilize this resource.     

The Changing Face of Computer Utilization in Social Work Settings

Abstract

This paper describes survey results from 103 human service agencies serving as MSW training sites. The survey concerned: (a) Their current and projected computer utilization for direct and indirect practice activities; and (b) perceived issues, benefits, and emerging training needs regarding responsible and effective use of the computer. These findings' implications for curriculum planning, for practicum development, and for reconceptualizing computer literacy are explored.