Changing Group Interaction Patterns

The frequency of member-member and member-leader interactions was observed in a child management group workshop sponsored by a county welfare agency. A randomization procedure was used to test for the significance of an intervention to increase member-member interactions. The intervention consisted of the use of prompts and reinforcements by the group leader. Although the results suggest that member-member interactions were increased by the intervention, several other factors appear to influence the rate of member-member interactions. Member-leader interactions were not affected by the intervention.     

Risk and resilience factors for substance use among street adolescents: Assessment and development of an integrative model

In this study, risk and protective factors for substance use were explored to develop an intervention program and test its efficacy among male street‐based adolescents. Twenty expert interviews and key informant interviews were conducted. In addition, 30 street adolescents (15 substance‐users and 15 non‐users) participated in four focus group discussions for needs assessment, wherein risk and protective factors were discussed. Based on the identified needs, an intervention package was developed and validated by experts. The package was implemented in a natural environment of 50 street adolescents. After the intervention, about 60% of the respondents quit or cut down on their substance use substantially, and approximately 40% of the respondents agreed to reunite with their respective families, while 20% did not change their substance use habits. The results showed that if several protective factors were present, there was a lower risk of substance use. Many factors contribute to substance use and protective factors need to be strengthened in order to make interventions effective.     

Fostering supportive interactions in the neighbourhood: Using visualized narratives

The use of art (e.g. visualized narratives) in social work may stimulate dialogue between community members about family support in their neighbourhood. The Visualized Narratives on Parenting Interactions in the Neighbourhood (VN-PIN) were developed in order to foster this dialogue. The aim of this study was to evaluate the implementation of the VN-PIN in social work practice and to gain insight in mechanisms that stimulate dialogues supported by visualizations. A qualitative process evaluation was conducted to explore the use of the VN-PIN in various urban settings. We observed meetings (N = 14) where the VN-PIN was applied and interviewed professionals and community members (N = 81). The results of this study show that the VN-PIN intervention gives parents a voice and allows them to recognize and reflect on their own parenting behaviour, thereby contributing to mutual exchanges in a supportive community. The conclusion of this study is that the VN-PIN is a useful intervention that social work professionals can use to foster dialogues about parenting within diverse contexts in super-diverse neighbourhoods. The intervention fosters a supportive structure to share experiences of various community members. Future research is needed to further evaluate the experiences and satisfaction of community members with the intervention.     

Applying Evidence-Based Practice in Group Work at an Alternative High School

Social workers often are reluctant to use evidence-based practice in group work. Part of this reluctance is because of the perceived rigidity of the process and its emphasis on research. However, social workers can rely on the four cornerstones of evidence-based practice—research, clinical experience, personal views, and client’s perspective—to provide an evidence-based group intervention. In this article, the authors illustrate how social workers used the four cornerstones at one alternative high school to provide an evidence-based group intervention. These cornerstones were used from the beginning of the process, which started with choosing the type of intervention, through the end of the process, which concluded with assessing the intervention. In this article, the authors show that it is possible for social workers to provide an evidence-based group intervention, while remaining flexible, thereby contributing to social workers’ knowledge of how to use evidence-based practice with groups.     

The Journey of Hope: A Group Work Intervention for Children Who Have Experienced a Collective Trauma

This article presents the Journey of Hope, a school-based group work intervention for children and early adolescents who have experienced a collective trauma such as a natural disaster. This broad-based intervention takes an ecological approach to prevention and treatment and focuses on normalizing emotions and building coping skills after a disaster. Through the use of group work interventions such as use of rituals, group problem solving, and experiential and reflective learning, children and early adolescents work toward enhancing protective factors to help them in their recovery. Considering the short- and long-term emotional strains children may experience after a disaster, such group programs should be more widely accessible in schools.     

Contact person as a court-ordered solution in child visitation disputes in Sweden

Separated parents have the joint responsibility to give their children access to the other parent. If they fail to reach a visitation agreement, the District Court will decide on one for them. In Sweden one demand can be supervision by a contact person. This paper is about court‐ordered visitations including supervision by a contact person. Different public systems, with different interpretations of the best interest of the child, have to interact in these cases: the District Court makes the decision on supervised visitation and the Social Services appoint a contact person and follow the intervention up. There is a shortage of research on this use of a contact person, and an exploratory research project is carried through: Three small‐scale studies, based on group‐interviews with family law social workers, social files and individual interviews with contact persons, supplement each other and form together a Social Services perspective on the intervention. The results are presented according to five themes: Social Services and the court; the families and children concerned; contact arrangements; termination of the intervention; Social Services' perceptions of the intervention. The conclusion is that contact person is perceived as a positive solution for children in visitation disputes involving risk. However, the intervention brings up some contradictory interests important to be conscious of.     

Patterns of program development in family planning

The author urges the contribution of the field of social work to the development of family planning services. She believes that the new legislation will make it clear that Congress wants family planning services to be developed and wants Federal funds used to help with this development. Social services to pregnant women may well be the best source of highlighting the potential significance of family planning services as a vehicle for social work intervention. This intervention must involve participation in the planning of programs from the earliest possible stage to include the total design of the service. Constant attention to the social problems which interfere with effective use of family planning services, and the indications for social service intervention is needed. Ideally, family planning services should be a part of the maternal and child health programs.     

Effects of a Therapeutic Community on Korean Substance Abusers in Prison

ABSTRACT. This study tested the effectiveness of a therapeutic community (TC) intervention on imprisoned Korean substance abusers. Volunteer participants from 2 Korean prisons were randomly assigned to either the experimental group (n = 24) with the TC intervention or a control group (n = 24) with optional supportive sessions. Pretest and posttest data were collected on measures of abstinence self-efficacy and problem-solving skills. Participants in the TC intervention showed significant increases in abstinence self-efficacy and problem-solving skills, whereas those in the control group did not. The differences in abstinence self-efficacy for the TC were found for 2 of 3 subscales: Problem-Solving Confidence and Approach-Avoidance Style but not Self-Control. Further study is needed to replicate these findings with larger Korean prison populations and to establish the relationship between these skill dimensions and subsequent drug use and criminal recidivism for this population. Nevertheless, the findings suggest potential benefits of using a TC intervention with imprisoned Korean substance abusers.     

A group-based,acceptance & commitment therapy intervention for chronic pain

ABSTRACT

As the effects of the opioid epidemic continue, the availability of interventions that address the emotional and psychological needs of people who suffer from chronic pain are increasingly necessary. Acceptance and commitment therapy (ACT) is one of the more actively researched psychological approaches amongst the third wave of developing psychotherapies. In fact, ACT has been shown to improve chronic pain in several different populations. In order to widen access to treatment, the use of group-based, ACT interventions with individuals who suffer from chronic, non-cancer pain should be made available in more traditional, mental health settings. The purpose of the current article is to describe a group-based, ACT intervention for people who suffer from chronic, non-cancer pain. A 10-session group intervention is outlined, and recommendations intended to increase the intervention’s efficacy are provided.     

Increasing the use of alcohol screening and brief intervention in New Zealand

New Zealand has high rates of acute alcohol-related harm relative to chronic harm, and when compared with other countries. Acute harm is typically caused by binge drinking. New Zealand alcohol use surveys consistently find that about 20–25% of adult drinkers binge drink. There is substantial overseas evidence that alcohol screening and brief intervention (SBI) in primary health care is effective and cost-effective for reducing alcohol harm among binge drinkers. However, while there is also growing evidence that alcohol SBI can successfully be implemented in New Zealand, the approach has been significantly under-utilised. This article provides a brief overview of New Zealand research that supports a case for increasing the use of alcohol SBI in primary health care. It also highlights that when looking to successfully implement alcohol SBI in other settings, it is important to ensure that the intervention is simple and purpose-built for both the setting and recipient.     

Enhancing Psychosocial Competence Among Black Women: A Psycho-Educational Group Model Approach

ABSTRACT

The lack of social work intervention models targeted toward the specific mental health needs of Black women has been recognized as a major gap in our knowledge concerning effective treatment. More recently, group work has been recognized as a useful and effective method of treatment for this population. This paper discusses the utility of a culturally specific, group intervention with Black women aimed at enhancing psychosocial competence as an effective mechanism to assist Black women in coping with the tasks of life and contributes to their ability to master life events. The model incorporates the use of literary works, authored by Black women as an innovative tool for enhancing the group process. Case vignettes are offered.     

Sociocultural Perceptions and Patterns of Cigarette and Alcohol Use among College Students in Vietnam

This empirical study was conducted in the Socialist Republic of Vietnam to investigate cross‐sectionally the influences of sociocultural contexts on the patterns of addictive substance use cigarette, alcohol, and illicit drugs. A sample of 202 monolingual adults who were enrolled in college courses at the University of Hanoi in Vietnam responded to a self‐reported questionnaire in their native language on the frequency, quantity, and occasions of addictive behavior. The project staff were fluent in English and Vietnamese. The questionnaire was critically reviewed for its face validity and cultural appropriateness before being translated into Vietnamese. In addition to patterns of use, this research explored the central role of drinking alcohol and smoking cigarettes in peer socialization among college adults. Vietnam, like other Asian cultures, emphasizes initiation and conformity to social traditions and norms. The empirical findings provide invaluable knowledge of the complex roles of cigarette and alcohol in the social processes and relationship‐building among college adults in Vietnam. Further knowledge will assist in identifying intervention approaches and health prevention that is more focused and congruent with cultural and social beliefs about this behavior and these substances. Its implications for research into culturally appropriate intervention and prevention are also discussed.     

Intervening in youth problem behavior in Sweden: a pragmatic cost analysis of MST from a randomized trial with conduct disordered youth

Olsson TM. Intervening in youth problem behavior in Sweden: a pragmatic cost analysis of MST from a randomized trial with conduct disordered youth Int J Soc Welfare 2010: 19: 194–205 © 2009 The Author(s), Journal compilation © 2009 Blackwell Publishing Ltd and the International Journal of Social Welfare. Within the context of a randomized trial, this study assessed the costs of treating conduct disorder with multisystemic therapy (MST) or treatment as usual (TAU) for 156 youth in Sweden. From the perspective of the municipal Social Welfare Administration, all intervention costs were collected for the 6‐month period starting at randomization. MST was found to cost, on average, US$8,847 per youth. A course of intervention including MST was found to cost significantly more (US$5,038 per youth) than TAU. Although MST was found to reduce the use of and costs associated with non‐placement interventions, MST was not found to reduce the use of or costs associated with placement interventions. This is contrary to findings reported from studies undertaken in the USA. Intent‐to‐treat (ITT) and treatment‐of‐treated (TOT) analyses are presented.     

Support Groups

The use of support groups as a clinical intervention for families of the mentally impaired elderly is suggested. Included is a discussion of senile dementia, and how this condition impacts on the family caretakers. A special emphasis is placed on the role of the family member as the main source of support for the older adult. Finally, the role of Social Workers is examined in the implementation of family support groups.     

A theoretical model of religiosity and drug use with reciprocal relationships: A test using structural equation modeling

Abstract

This study of 1093 adolescents from 6 public high schools was designed to test a hypothesized model formulated by theoretical elaboration of control theory with elements from social learning theory using structural equation modeling procedures. The primary purpose was to establish that religion is relevant to illicit drug use when its direct, indirect and reciprocal effects are tested within a more complete system of relationships than found in existing studies. Most aspects of the model were supported by data and religion had direct inverse effects on illegal drug use for all adolescents studied. However, the feedback effects of drug use on religion were significant only among younger adolescents and females. Other age and gender differences were observed when the hypothesized model was tested with structural equation modeling procedures. The implications of these findings were discussed in regard to future conceptual work and intervention.     

ASSERTIVENESS IN RECOVERY

This paper is a presentation of the theory and use of Assertiveness in Recovery groups as a model of intervention with alcoholics and significant others during the recovery phase of alcoholism. It focuses upon a rationale that many alcohol-affected individuals need specialized help in changing characteristically dysfunctional drinking behavior and suggests that assertiveness training techniques within a social groupwork format can be adapted adequately to this need.     

Applying the Theory of Reasoned Action to condom use among sex workers

This study assessed the relationship between constructs from the Theory of Reasoned Action (TRA) on condom use in a sample of 1394 Filipino female sex workers. Path analysis for observed variables was used to examine the relationship between attitudes, norms and behavioral intentions on behaviors within the context of condom use during vaginal sex. Results indicate that the direct paths between attitudes toward the behavior and subjective norms were small in comparison to the direct paths between these two constructs and behavioral intentions. This supports the findings of the TRA, which states that behaviors are influenced by attitudes toward the behavior and subjective norms as mediated through intentions to perform the behavior. In addition, it was illustrated that the participation of the managers in the intervention will more than likely influence the success of the intervention. These findings exemplify the need to develop HIV preventative interventions that are sample specific. In conclusion, condom attitudes and policies of managers who employ commercial sex workers are very important for reducing risky sexual practice among their workers.     

Issues Related to the Use of Short-Term Groups for Adjustment to Divorce

Programs for divorce adjustment which utilize short-term groups provide a viable treatment intervention for meeting the needs of divorced clients. Through a comparison of such programs, this article identifies and discusses some of the issues and gaps in our present knowledge about the use of short-term groups for adjustment to divorce. Guidelines are provided for practitioners and agencies interested in developing divorce adjustment group programs or modifying existing ones.     

Medical Social Work Management of Urinary Incontinence in the Elderly:

The effect of stimulus cues and social reinforcement on urinary incontinence of three wheel-chair bound, nursing home residents was investigated using a multiple-baseline across subjects. The residents included three seriously impaired elderly women who were offered the opportunity to use the toilet hourly and taken to the toilet on a 2-hour schedule. Praise and cookies were provided as a consequence for appropriate urination in the toilet. Following the intervention opportunities for toileting increased, and there was a decrease in urinary incontinence, and an increase in appropriate urinary toileting.