Culturally Competent Practice with Bisexual Individuals

Working with lesbian, gay, and bisexual individuals requires clinical social workers to demonstrate cultural competency with these populations. Although there are many common issues across these identities, bisexual individuals experience unique challenges that differ from lesbian and gay individuals. Bisexuality is sometimes misunderstood by heterosexual as well as lesbian and gay individuals, leading to experiences of marginalization from multiple sources. Moreover, clinical social workers may incorrectly assume that the treatment needs of bisexual individuals are the same as lesbian and gay individuals. This paper utilizes qualitative interviews with 45 bisexual-identified people to illuminate five prominent issues in clinical practice with bisexual people. They are: (a) biphobia, (b) practitioner attitudes about bisexuality, (c) identity development, (d) social relationships, and (e) sexual health. Findings illuminate clinical practice strategies that will facilitate culturally competent social work practice with this population.     

Factors Affecting Attitudes Toward Juvenile Sex Offenders

ABSTRACT

This study investigated attitudes toward juvenile sex offenders and factors influencing those attitudes. Additionally, the influences of perpetrator characteristics such as age, gender, and ethnicity on societal attitudes towards intervention requirements were also investigated. Overall, attitudes toward juvenile sex offenders and their treatment amenability were negative. No differences in attitudes toward juvenile sex offenders were found between those who had been victims of sexual abuse and those that had not. Sex offenses committed by juvenile female sex offenders were viewed to be more serious and require more intervention than those committed by juvenile male sex offenders.     

Culturally Competent Substance Abuse Treatment with Latinos

Abstract

The Latino population in the United States is a complex and multifaceted population. Latinos are a very dynamic and mobile cultural group. The 2000 United States Census registered Latinos in practically every state. Clinicians involved in assessing and treating Latinos must consider a complex set of environmental and systemic cultural factors that have a direct impact on their problem and potential healing. Treatment must begin by systematically assessing the cultural fit between clinicians and clients.     

Substance Abuse Treatment with Adolescent African American Males

Abstract

The use of substances by adolescent African American males is of particular concern because of the damaging effect that drug abuse has not only on the individual and his family but also on the African American community. The literature is scant regarding treatment services and few therapeutic interventions have been specifically designed to holistically meet the needs of these youth. This article proposes the use of Afrocentricity and Reality Therapy as therapeutic bases for substance abuse treatment with this population.     

Parenting and Perceived Maternal Warmth in European American and African American Adolescents

Traditional conceptualizations of parenting style assume certain associations between parenting practices/philosophies and parental warmth. This study examines whether those links are similar for European American and African American adolescents. Two hundred and ninety‐eight early adolescents and their mothers reported on discipline and control practices, decision‐making practices, and parenting philosophy, which were used to predict adolescents’ reports of maternal warmth. The moderating role of ethnicity was examined after controlling for gender, age, and socioeconomic status. Although some practices predicted warmth similarly across groups, several practices predicted warmth in ways consistent with parenting style theory only or more strongly among European American adolescents. The findings suggest differences in the interpretation of or context surrounding discipline‐ and autonomy‐related practices in these groups.     

An Investigation of Successfully Treated Adolescent Sex Offenders

SUMMARY

Little is known about the characteristics of adolescent sex offenders who do not reoffend. Most studies emphasize reoffense rates, recidivism and those who reoffend. Moreover, these studies provide quantitative summaries without describing the individual, his behavior, and challenges after treatment. The present study seeks to provide novel information about the life experiences of adolescent sex offenders who have not reoffended after reentering society. Through a structured questionnaire and an in-depth qualitative interview, the adolescents (N = 7) provided information regarding their life experiences after treatment with an emphasis on the challenges they face in society.     

Defining Culturally Competent Practice with Sexual Minorities: Implications for Social Work Education and Practice

In recent years, social work has placed an increasing emphasis on culturally competent practice. Although use of that term has referred primarily to practice with ethnic and racial minorities, the concept has been broadened to include social work with other culturally diverse populations. This article examines the application of cultural competence principles to practice with gay, lesbian, bisexual, and transgendered clients. Attitude, knowledge, and skill components are addressed to delineate a culturally competent approach to social work with sexual minorities. Implications for practice, education, and the profession are also discussed.     

The Clinician's Cultural Countertransference: The Psychodynamics of Culturally Competent Practice

The purpose of this paper is to define the presence of the clinician's cultural countertransference in the cross-cultural therapeutic dyad, and describe its impact on the delivery of culturally competent services. The recognition of the contributing role of the therapist's own subjectivity in psychodynamically oriented practice cannot be more vital than in the treatment of patients whose culture, race, or class markedly differ from that of the therapist. The cultural countertransference is viewed as a matrix of intersecting cognitive and affect-laden beliefs/experiences that exist within the therapist at varying levels of consciousness. Within this matrix lie: the clinician's American life value system; theoretical beliefs and practice orientation; subjective biases about ethnic groups; and subjective biases about their own ethnicity. The author proposes that these countertransference attitudes are often: disavowed by the clinician; exert a powerful influence on the course of treatment; and though unspoken, are frequently perceived by the client.     

Multisystemic Treatment of Juvenile Sexual Offenders

Abstract

Multisystemic therapy (MST)is an ecologically-based treatment model that has proven effective with violent and chronic juvenile offenders and that holds promise with juvenile sexual offenders. This article describes the empirical underpinnings, theoretical foundation, and clinical features of MST and provides a brief review of MST outcome studies with juvenile sexual offenders. The theoretical foundation and clinical features of MST draw upon empirical findings regarding the multidetermined nature of serious antisocial behavior as well as upon social-ecological models of behavior in which the youth and family's school, work, peers, and neighborhood are viewed as interconnected systems with dynamic and reciprocal influences on the behavior of family members. In two randomized trials with juvenile sexual offenders, MST has had positive effects on key social-ecological factors (e.g., family affective relations, peer relations, school performance) associated with sexual offending and has demonstrated long-term reductions in criminal activity and incarceration. The success of MST can be attributed primarily to (a) the match between MST intervention foci and empirically identified correlates/causes of sexual offending in youths and (b) the flexible use of well-validated intervention strategies in the natural environment.     

Teaching Culturally Competent Social Work Practice through Black and White Pedagogical Partnerships

This paper focuses on partnerships between black and white academics in social work education with a focus on the accountability of white people for understanding the implications of the history and impact of the dominant culture upon colonised or dominated cultures. This focus has particular relevance for anti‐racist and anti‐oppressive approaches in social work as well as other fields of study and practice such as teaching, cultural studies or health services. The paper examines the relevant literature and the justification for the teaching method developed by the authors. Results from an exploratory study into the impact of this pedagogical model are then explored. This pedagogical approach is distinct in that it engages with students within a relationship model. Conclusions drawn from the study show that black–white partnership teaching is an effective pedagogy because it allows students to apply theoretical concepts within a framework of practice within their personal and professional identities. The approach offers the potential for further development in a variety of complex contexts. This model of teaching provides a context for students to safely engage with practice skills essential for working in sites of racial discrimination.     

Working with Parents to Reduce Juvenile Sex Offender Recidivism

SUMMARY

Although there is very little research in the area of including parents in juvenile sex offender treatment, one of the factors that might be worth exploring is how the parental relationship may aid in successful relapse prevention. Since the family environment is a potential risk factor for adolescent sex offenders, integration of relapse prevention into daily family life may be a significant part of these youths' success or failure in the community. This article focuses on the concept of including parents in juvenile sex offender treatment. Issues addressed include what treatment providers can do to involve parents in relapse prevention, treatment providers' misconceptions about the inclusion of parents in treatment, a rationale for including parents in treatment, and research regarding different parenting styles.     

Treating Suicidality in African American Adolescents with Cognitive-Behavioral Therapy

Methods for preventing adolescent suicide are surveyed, and cognitive-behavioral therapy (CBT) is explored as a method for serving suicidal African American adolescents. Strengths, limitations, and compatibility of CBT with social work values are examined. Although CBT shows much promise in helping suicidal African American adolescents, research on the efficacy and effectiveness of CBT with this population is lacking. Suicide risk and protective factors and social inequities are evaluated as they relate to African American adolescents generally. In addition to relieving suicidal symptoms, CBT potentially could facilitate social liberation for this population.     

Culturally Competent Social Work Practice with Veterans: An Overview of the U.S. Military

Despite social work's longstanding history of serving veterans, few resources support culturally competent practice with this population. If social workers are to serve veterans effectively and efficiently, a basic understanding of the U.S. military is essential. This article presents a basic overview of U.S. military including its structure and history, the propensity to enlist in the armed forces, culture, and training methods and objectives. With an understanding of these aspects of military service and continued effort to learn about their client's military experience, social workers will be prepared to provide culturally competent services consistent with the profession's values and ethics.     

Self-Reflection in Work with Sex Offenders

No abstract available for this article.     

A Safe Place for Predators: Online Treatment of Recovering Sex Offenders

ABSTRACT

This study examines the process and effectiveness of a voluntary online support group for recovering sex offenders. The study used unobtrusive observation of the group for a period of 10 months. The support group was facilitated by two nonprofessional, recovering sex offenders. The group was found to be a positive therapeutic environment, with members providing positive support and confrontation through the process of change. Among those who were active participants, there was significant improvement in several indicators of change.     

Standards of Care for the Treatment of Adult Sex Offenders

Summary

A proposed version of these standards was first produced and published in the Journal of Offender Rehabilitation through input from professional meetings (Coleman and Dwyer, 1990). Since that time, The Standards of Care were reviewed and revised by a group of professionals and unanimously endorsed by voice vote by the participants in the Third International Congress on the Treatment of Sex Offenders held in Minneapolis, Minnesota, September 20–22, 1994. These Standards were again published in the Journal of Offender Rehabilitation (Coleman, Dwyer, Abel, Berner, Breiling, Hindman, Honey-Knopp, Langevin, and Pfäfflin, 1996). Those Standards have been subsequently reviewed by the current authors at the Fifth International Conference on the Treatment of Sex Offenders held in Caracas, Venezuela, March 22–27, 1998 and minor modifications and changes were incorporated into this version. The authors invite feedback from readers. Further revisions are anticipated and will be reviewed by current committee members and at future International Conferences on the Treatment of Sexual Offenders.     

Understanding Leadership Development in African American Youth

Abstract

This exploratory study assesses factors related to leadership development for African American adolescents participating in a community service program designed to develop young African American leaders (N = 345). Psychometric characteristics of self-reported levels of leadership are explored to determine similarities and differences between gender groups. A multivariate analysis of socioeconomic factors, levels of self-esteem, school grades, and social activities as predictors of leadership development produced mixed findings. The results suggest that higher levels of global and academic self-esteem are related to leadership characteristics in female respondents, but not males. On the other hand, the impact of program participation on leadership was only significant in the area of personal relationship skills as a form of leadership for males. Findings from this investigation point out the need for research on leadership development dynamics among African American children and adolescents.     

Standards of Care for the Treatment of Adult Sex Offenders

Abstract

A proposed version of these standards was first produced and published in the Journal of Offender Rehabilitation through input from professional meetings (Coleman & Dwyer, 1990). Since that time, The Standards of Care were reviewed and revised by a group of professionals and unanimously endorsed by voice vote by the participants in the Third International Congress on the Treatment of Sex Offenders held in Minneapolis, MN, September 20–22, 1994. These Standards were again published in the Journal of Offender Rehabilitation (Coleman, Dwyer, Abel, Berner, Breiling, Hindman, Honey-Knopp, Langevin, & Pfäfflin, 1996). Those Standards have been subsequently reviewed by the current authors at the Fifth International Conference on the Treatment of Sex Offenders held in Caracas, Venezuela, March 22–27, 1998 and minor modifications and changes were incorporated into this version. The authors invite feedback from readers. Further revisions are anticipated and will be reviewed by current committee members and at future International Conferences on the Treatment of Sexual Offenders.     

Recidivism and Resilience in Juvenile Sexual Offenders: An Analysis of the Literature

SUMMARY

The majority of research that exists studying juvenile sex offenders (JSOs) is dominated by the predilection that identifying risk factors associated with recidivism will benefit both the JSOs and treatment providers. Further, the majority of existing treatments are guided by research that has identified what makes JSOs more likely to reoffend. Absent from the majority of the literature is an examination of the strengths and positive characteristics demonstrated by JSOs that may prove useful in both reducing recidivism and increasing the likelihood of achieving positive outcomes (i.e., demonstrating resilience). Research examining known risk factors for sexual and nonsexual recidivism is described. Next, literature on resilience is reviewed, followed by a discussion of this literature in the context of treatment for JSOs. Finally, future directions of research are presented.     

Current Practices in Residential Treatment for Adolescent Sex Offenders: A Survey

SUMMARY

A list of all treatment facilities for adolescent sex offenders that described themselves as inpatient or residential was requested from the Safer Society Foundation in Brandon, Vermont. A total of 203 such facilities were identified in this manner. Each was sent a questionnaire regarding their policies and practices. Of the 50 questionnaires that were returned, 49 were usable. Items on the questionnaire dealt with major phases of operating a residential program, including number of beds, average daily census, number of males and females in treatment, testing and assessment procedures, most frequent diagnoses, average IQ of patients, abuse history, therapeutic approaches used, number and types of individual/group treatment sessions per week, qualifications of therapists, average length of treatment, and follow-up research on treatment.