COMPENDIUM

ABSTRACT

A conceptual framework and methodology to design and implement clinical information systems to support direct practice is described. This article presents an analysis of the information needs of clinicians in human service organizations. Three main uses of information are identified: monitoring/tracking, communicating/ reporting and learning from experience. In order to meet these needs, practitioners have to gather informatioE_s store it and process it. The article demonstrates the methodology and conceptual framework with a series of examples of applications.     

Microcomputers and the Individual Practitioner

This paper presents the findings of a literature review conducted from December 1983 to January 1984, exploring the microcomputer uses and needs of individual practitioners in psychology and psychiatry. The review covers an overview and history of information technology requirements of the practitioner community and discusses hardware and software systems, as well as issues and barriers associated with utilization. The literature indicates that mental health practitioners are just beginning to awaken to the benefits of microcomputers to assist in their private practices, but generally do not recognize the degree to which they rely on information as a resource for conducting their clinical and administrative tasks.     

Perceived Continuing Education Needs of Licensed Clinical Social Workers

Abstract

Although recent studies have explored various aspects of licensed practice in social work, there is little information about the current continuing education activities and needs of professionals involved in such practice. This paper describes a 1992 survey of a random sample of 421 licensed clinical social workers in Virginia to assess their perceived educational needs. Overall, practice theories and practitioner roles were most often identified as areas in which training is needed. Private practitioners wished for training in object relations theory more often—and training in supervision and cognitive theory less often—than their agency-based colleagues. The implications of these findings for continuing social work education and for the profession are discussed.     

The Impact of Clinical Information Systems on Human Service Organizations

Summary

Human service organizations are beginning to utilize computerized information systems for a variety of purposes. This new information technology is expected to have a major impact on human service organizations. However, work to date has explored the impact of information systems designed for administrative and managerial tasks while clinical information systems focusing on direct practice have yet to be studied systematically. In this paper, is described the impact of a clinical information system on the work of line workers and the HSO as a whole. Five stages in the problem solving process are identified: Information collection, information processing, professional judgment, decision making, and action. They are viewed as stages in a feedback loop such that die action sequence of one cycle leads to an information collection stage in the subsequent cycle and so on. The possible impact of a CIS on practitioners at all levels from line worker to HSO clinical leadership is analyzed at each of these five stages. A case example of the CIS developed for the foster care service in Israel is utilized as an illustrative example.     

The State of Social Work Supervision in Victoria According to the Practitioners

Though supervision has been an integral part of social work practice since its inception there has been relatively little professional writing in this area since the 1950s and even less research. Two surveys were conducted in Victoria (with practitioners and administrators) to obtain information on the state of staff supervision. Data from the practitioners (N=102) indicate supervision is more available than it used to be; is considered to be necessary for effective practice; and most respondents believe it should continue indefinitely. While the quality of supervision has improved, one third of the respondents believe it needs up-grading. A majority think there should be more training programs in supervision, and that the Australian Association of Social Workers has a leadership role to play in this regard.     

A clinical information system for foster care in Israel

It is a source of great concern in Israel that children placed out of home may lose permanence and may drift in the child welfare system. One way to avoid this danger is to improve the monitoring of the children by using modern information technology as a practice aid. A clinical information system is being installed that responds to the information needs of practitioners on all levels of the foster care system. The viability of the system and its possible effects on practice and on clinical judgment are examined.     

The NOICC/SOICC Network: Policy,Programs, and Partners, 1976–2000

This historical and reflective account of the National Occupational Information Coordinating Committee's (NOICC) and the State Occupational Information Coordinating Committees’ (SOICCs) significant development of a national infrastructure that shaped career development policy, practice, and training from 1976 to 2000 offers key lessons for future development practice and potential in the United States and beyond. The establishment of the NOICC/SOICC network marked a turning point in the systematic development and delivery of standardized occupational information and supporting resources designed to meet the needs of career development, education and training program design, and employer information requirements. NOICC's core occupational information activities and national career development guidelines and programs are discussed. Public policy that supports career information and counseling services is suggested.     

Exploring training needs of educational program evaluators in the Asia-Pacific region

Training is critical for the growth of the evaluation profession as more qualified and competent individuals will be required to meet the increased demand for evaluation. This paper deals with the training needs of professionals and is based on a part of a study on the status and challenges of educational program evaluation in the Asia-Pacific region. A web-based Delphi was used with a needs assessment framework for examining the current nature of training, what should be done, and discrepancies (gaps) between the two. The results should be of value for academic training programs and those in non-academic settings.     

Value orientations of clinical social work practitioners

Six hundred and forty-two of 1,218 randomly sampled social workers in Texas certified as Advanced Clinical Practitioners responded to a pretested, mailed questionnaire as part of a study of personal value systems and personality traits. Agency practitioners, combination practitioners and those in private practice only are compared on their rank ordering of eight statements corresponding to four value orientations: (1) entrepreneurial, (2) social, welfare/change, (3) low risk, and (4) providing psychotherapy. Kruskal-Wallis and Mann Whitney tests yielded significant differences between the three groups. Nonprivate practitioners and those in private practice only were found to have almost symmetrically juxtaposed personal value systems. Combination practitioners were found to be a distinct group with a unique value system different in important respects from both nonprivate practitioners and from those in private practice only. Comparisons with other studies and implications for future research are discussed.     

Exploring training needs of educational program evaluators in the Asia-Pacific region

Training is critical for the growth of the evaluation profession as more qualified and competent individuals will be required to meet the increased demand for evaluation. This paper deals with the training needs of professionals and is based on a part of a study on the status and challenges of educational program evaluation in the Asia-Pacific region. A web-based Delphi was used with a needs assessment framework for examining the current nature of training, what should be done, and discrepancies (gaps) between the two. The results should be of value for academic training programs and those in non-academic settings.     

Single Session Social Work in Hospitals

This paper reports on three complementary research studies that set out to examine the incidence and nature of single sessions in hospital social work practice. The first study was a data‐mining exercise that used statistics recorded by practitioners in nine public hospitals over a 12‐month period to establish the extent of single session work, the clinical areas in which it occurred, and the types of issues it covered. This quantitative information was enhanced with the qualitative findings of the two subsequent studies: the first with hospital social workers; and the second with singlesession clients. We concluded that single session work has not been sufficiently acknowledged in social work education and literature, and that it needs to become a more legitimate part of social work practice and training. At best, it represents social work at its highest level of skill, requiring expertise in quickly building rapport, assessment, and knowledge about sources of practical aid and information.     

The Maturation of a Multiagency Computerization Effort for Alzheimer's Respite Services

Summary

This paper reports on a two-year project which developed a computerized multiagency database of respite service users. The project's primary aim was to make seven non-profit respite programs technologically self-sufficient in terms of clinical information. The outcomes of computerization for these agencies are discussed, as well as modifications during the post-project period.     

On Our Own

Abstract

While research has stressed the need for self-awareness on the part of social workers, few scholars have addressed the influence of organizational policies on spiritually-sensitive practice. Focus groups and interviews, conducted with 11 practitioners, suggested that agencies require information about clients' religious or spiritual background as part of an initial assessment; however, the parameters for using that information were ambiguous. Lacking clear guidelines, each social worker developed a personal policy for spiritually-sensitive practice, based on the practitioner's personal belief system and the NASW Code of Ethics. Recommendations are made to align spiritually-sensitive practice at the organizational and the practitioner level.     

Meeting the mental health needs of homeless students in schools: A Multi-Tiered System of Support framework

The number of homeless youth in the U.S. has reached an all-time high and this represents a growing social problem. Research indicates that homeless youth are significantly at-risk for experiencing a range of negative life-outcomes such as school dropout, the development of mental health problems, use/abuse of illicit substances, suicidality, and even early mortality. Thus, effective interventions and mental health supports are needed to help address their complex mental health needs. Fortunately, however, many homeless youth regularly attend school, especially younger youth (i.e., under 13 years old) and youth who are members of homeless families. Therefore, as important members of school communities, school-based mental health professionals can help support these students. With this aim in mind, this paper discusses the use of a Multi-Tiered System of Support (MTSS) framework to meet the mental health needs of homeless students in schools. More specifically, following a public health service delivery model, service delivery is discussed at universal, selective, and indicated levels. Lastly, to address the diverse needs of homeless students, integrated service-delivery across various systems of care is discussed.     

Evaluating physician competency: What difference does it make?

There are a number of skills that professional experts believe physicians in training should learn in order to be labeled competent practitioners. The beliefs of the experts should be subjected to the rigors of scientific investigation. This paper presents a system for evaluating clinical competency which is designed to test the beliefs of the experts as well as the skills of the practitioner. Four measures of clinical competency are included: data collection completeness, problem identification accuracy, interview skills, patient and physician assessment. Preliminary results suggest a more careful re-examination of beliefs about the skills considered necessary and sufficient in determining clinical competency.     

Analysis of Social Planning Problems: A New Design for a Component of the Community Organization Curriculum

This paper identifies and discusses specific strategies for incorporating information relevant to the effects of racism and ageism in our society into the curricula of social work programs. Content related to the existing policies, programs, and the special needs of the aged, including the minority aged, should be integrated into the class and field experiences of social work students and practitioners. The importance of positively altering existing perceptions of the strengths and needs of groups subject to the jeopardies of age and race is emphasized.     

Providing mental health care to veterans in rural areas: using telehealth in mobile clinics

The purpose of this article is to provide information to improve the quality of care of veterans living in geographically isolated areas who require treatment for mental health issues. Because interactive care solutions are currently hot topics in the health care community, they should be viewed as possible strategies to meet the needs of this specialty group of veterans. An intervention using a mobile clinic and clinical video telehealth reduces distance barriers by making it possible for mental health specialists to come to rural veterans instead of the veteran attempting to find a way to get to the practitioner, who may be located in a clinic or hospital many miles away. This article focuses on an alternate strategy-telehealth in mobile clinics-as a possible solution to the mental health crisis of veterans in rural areas.     

Substance Use and Disabilities: Experiences of Adults' Social Care Professionals and the Implications for Education and Training

This paper draws on data from a national survey of social workers and social care practitioners in England undertaken in 2010–2011. It focuses on practitioners working in services for adults with either learning or physical disabilities and, in particular, their experiences of responding to alcohol and other drug use among their service users. Based on secondary analysis of survey and focus group data from the earlier study, the paper outlines the extent to which workers in these areas of practice encounter alcohol and drug problems and discusses the key challenges this poses for them. The findings show that between 4% and 10% of adults' practitioners' service users have alcohol and drug problems depending on the nature of the disability. Regardless of the type of disability, practitioners reported difficulties in talking about substance use with their service users as well as identifying tensions around life-style choice and risk management. They also reported the need for education and training in a number of areas. Social work education and subsequent training in working with substance use problems needs to be available to adults' practitioners and it needs to address the specific issues and needs in different areas of social work practice.     

Revisiting the SMCC model: How Chinese public relations practitioners handle social-mediated crises

As social media are used widely by Chinese organizations, this study comprehensively examines how Chinese public relations practitioners cope with social mediated crisis and how culture interacts with social mediated crisis response. An in-depth interview was conducted to collect data from 23 Chinese public relations practitioners who had experience in dealing with crises and issues via social media. The results showed that Chinese public relations practitioners use diverse social media platforms to satisfy the publics’ needs and social media usage preferences. In addition, the results also showed the importance of matching information platform and information sources in response to social-mediated crises. Furthermore, we revealed how the uniqueness of Chinese culture moderated information platforms and information sources, such as face-saving strategies, collaborating with opinion leaders and influencers to shape the publics’ opinions, using no response, apologizing, and self-mockery, and emphasizing the importance of media relations.     

How early is early intervention and who should get it? Contested meanings in determining thresholds for intervention

The latest wave of reforms of the child protection system in Australia have been based on attempts to provide support to all families with vulnerable children, rather than increasing surveillance of ‘at risk’ families and forensic responses to incidents of maltreatment. This includes a drive to widen the remit of child protection from the statutory child protection agency and involve other government agencies such as health and education as well as the non-government sector in child protection. This paper reports on the effects of one such reform, the NSW initiative Keep Them Safe. It focuses on the classification of families as needing either early intervention or intensive support, using thematic analysis of qualitative interview data.MethodInterviews and focus groups were conducted with practitioners and managers from human service agencies (total n = 115), and discussed their perceptions of the initiative and the changes it had introduced to service delivery.FindingsPractitioners discussed family needs in ways which contested the policy meanings of ‘early intervention’: whether families are conceptualised in terms of their needs or risk; whether engagement with services should be voluntary or mandated; and whether the agencies to support them should be the statutory agency or an NGO. The implications for these tensions, in terms of policy and practice, are discussed.