Training Counselors to Use Computer‐Assisted Career Guidance Systems More Effectively: A Model Curriculum

A model graduate training curriculum that emphasizes the counselor's role in assisting clients in the effective use of computer‐assisted career guidance (CACG) systems is described. This 4‐module graduate training program emphasizes client readiness and exploration using CACG systems, skill building and simulation exercises, and service learning with career clients. The study is evaluated from the perspectives of counselor educators, counselor trainees, and career clients. Findings from 4 institutions support the efficacy of a model curriculum for graduate training and the beneficial outcomes of using CACG systems under appropriate conditions.     

Bringing Technology to School: An Online Resource Guide for the School Social Worker

SUMMARY

The Internet can assist social workers and other human service professionals to obtain information that may potentially benefit both themselves and their clients. There is little doubt among those who are familiar with the Internet that this electronic medium has revolutionized the way we communicate and access knowledge. This article provides school social workers and other human service professionals with links to resources that can be incorporated into practice by offering specific Web pages related to school social work practice.     

Using Technology to Deliver Career Development Services: Supporting Today's Students in Higher Education

Career services professionals are increasingly involved in decisions regarding the use of technology. This article presents a number of considerations to be explored, including the characteristics and needs of today's students, available technologies, funding requirements, and confidentiality issues. The author recommends an approach that includes strategic planning, needs analyses, training, and ongoing support. Current asynchronous and synchronous technologies are described, and examples of the use of each in the context of career services are provided. The specific technologies presented are e‐mail, discussion boards, video, podcasts, websites, Internet‐based guidance and information systems, telephone, instant messages, and virtual rooms.     

A new nursing medium: computer networks for group intervention.

The PLWAs and the caregivers of persons with AD were similar in their adaptation to this new technology as a communication medium with nurses. Both groups availed themselves of the resources, both technological and personal, on the computer network. Although different in demographics, they also were similar in their ability to form and work in a traditional group structure. Nurses have historically intervened with groups, and this article demonstrates that nurses can intervene on a computer network with groups. Yalom's therapeutic factors exist in both non-face-to-face groups and traditional groups. The benefits of this technology to nurses are numerous: they can access clients in an efficient yet supportive manner; they can respond to multiple levels of need in multiple clients; and they can attend to emotional as well as more concrete needs of clients. The benefits to clients are also numerous: they can use the system at a time, frequency, and duration of their choice; they have the opportunity to be supported in self-care efforts versus being in a more dependent role; and they can engage in a normalization of their experiences. Computer networks can enhance nursing's ability to intervene with clients experiencing clinical problems.     

Comparing the Decision Structures of Public Relations Agencies and Clients

In this study, I use K. R. Hammond's version of social judgment theory (Hammond, Stewart, Brehmer, & Steinmann, 1975) to examine the conscious and covert judgment patterns of a group of public relations agency consultants and their clients. Respondents assessed 30 hypothetical public relations proposals that combined different mixtures of five decision factors: cost effectiveness, measurability, image support, marketing support, and feasibility. Analysis based on the lens model equation revealed that both groups emphasized bottom-line considerations over less quantifiable ones; that clients, more than agency professionals, understood how they valued the decision factors and acted on that knowledge; that the two groups' subjectively specified judgment weights showed closer agreement than their actual decisions about public relations plans; and that flawed self-understanding and inconsistent decision making, particularly among agency professionals, accounted for most disagreement in practice.     

Substitute-care information systems under public law 96-272

This paper reports on the results of a survey of state responses to the requirements of Public Law 96-272, including the use of permanency planning and periodic review techniques in substitutecare services, and, in particular, the nature and scope of information systems developed to monitor these services. Officials from 44 states and the District of Columbia completed the survey.All respondents reported having implemented statewide policies requiring permanency planning for and periodic review of all substitute-care cases. Those surveyed also indicated strongly favorable attitudes toward these policies among both administrators and direct-service personnel.A large majority (85%) of responding states had developed automated information systems for substitute care, most in the form of a central, statewide data base. Only four states reported depending solely on manual record keeping. The computer systems were most frequently used for administrative applications such as generating aggregate reports, monitoring case reviews, and coordinating caseloads. Applications least commonly reported included reducing narrative recording, determining placement availability, and linking clients to resources, activities more common to direct services. Finally, results of a set of attitudinal questions indicated support for the use of automated data management and the belief that it is a necessary technology, but many respondents also noted that automation has engendered complaints and opposition from staff members in field settings.     

Professionals' Accounts for Work‐related Deceptions

Using interview and observational data, this article analyzes how private detectives account for using work‐related deceptions, I place special emphasis on how practitioners' accounts draw on professional affiliations and organizational resources that are less available to individuals in their private lives. These affiliations and resources include economic and demographic characteristics of employers, practitioners, clients and investigative targets, state licensing, the profession's social repute, and asymmetries in specialized knowledge between practitioners and laypersons. The conclusion addresses how accounts for work‐related deceptions benefit professionals through advantaging them over targets, obscuring harmful consequences of work, and helping them and their clients to avoid negative labeling. If you call someone up and say, “Hi, would you mind telling me where your brother is, so that I can put his ass in jail for the next five years,” you won't last too long in the private detective business. —Anonymous private detective     

Managing electronic documents and work flows: Enterprise content management at work in nonprofit organizations

Web management and knowledge management systems have made significant technological advances, culminating in large information management systems such as enterprise content management (ECM). ECM is a Web‐based publishing system that manages large numbers of electronic documents and other Web assets intended for publication to Web portals and other complex Web sites. Work in nonprofit organizations can benefit from adopting new communication technologies that promote collaboration and enterprisewide knowledge management. The unique characteristics of ECM are enumerated and analyzed from a knowledge management perspective. We identify three stages of document life cycles in ECM implementations—content, reification, and commodification/process—as the content management model. We present the model as a mechanism for decision makers and scholars to use in evaluating the organizational impacts of systems such as ECM. We also argue that decision makers in nonprofit organizations should take care to avoid overly commodifying business processes in the final stage, where participation may be more beneficial than efficiency.     

Trust and recognition: a comparative study of client attitudes and workers' experiences in the welfare services

Since professional conduct is important in the lives of many people, trust and recognition between professionals and their clients are critical. Social professionals administer public resources on behalf of the welfare state, and their approaches and methods of intervention are mostly founded in current welfare policy. Despite this mandate, social professionals receive little acknowledgement and recognition. This article investigates the level of public trust in the Norwegian social services compared to the national insurance agencies, and to what extent the providers of these welfare services experience recognition and public approval. A central question is whether these aspects of external appreciation influence the professionals' motivation and feelings of accomplishment. Findings indicate that the social services receive less public support than the social insurance agencies, owing to the discretionary services provided and the stigma related to social assistance. The variation in institutional trust is reflected by the differences in workers' subjective experiences. That result notwithstanding, the service providers reveal a split view of themselves: while they experience themselves positively with respect to involvement and pride in their work, they also see themselves through the deprecating eyes of the public.     

Training for Connection: Students' Perceptions of the Effects of the Person‐of‐the‐Therapist Training on Their Therapeutic Relationships

The Person‐of‐the‐Therapist Training (POTT) is a program designed to facilitate clinicians' ability to consciously and purposefully use their selves to effectively connect, assess, and intervene with clients. This study explored CFT students' perceptions of the effects of POTT on their ability to create positive therapeutic relationships. Course papers and final reflections were collected from 70 CFT students. Directed content analysis looking for evidence‐supported elements of positive therapeutic relationships revealed 5 elements: empathy, management of countertransference, balancing multiple alliances, positive regard, and bond. Findings support the idea that a structured program focused on the training of the personal aspects of the therapists, like POTT, can promote the evidence‐supported elements that make a therapeutic relationship effective.     

How Effective are Interventions to Enhance Adherence to Psychiatric Medications? Practice Implications for Social Workers Working With Adults Diagnosed With Severe Mental Illness

This study integrates eight systematic reviews of adherence enhancement interventions to develop practice guidelines for social workers who work with adults who do not adhere to prescribed psychiatric medications. Findings indicate that existing investigations are disparate in their adherence definitions, methodologies employed, and sampling strategies, rendering it difficult to construct overall guidelines for social work practice. However, themes associated consistently with increased adherence are collaboration between clients and providers regarding medication decisions, consistent follow-up care, and a comprehensive network of professionals and caregivers who support clients in their use of medication to facilitate stabilization of mental health symptoms.     

The Application of Artificial Neural Networks for Outcome Prediction in a Cohort of Severely Mentally Ill Outpatients

SUMMARY

Social workers and other mental health workers lack clinical decision support tools to predict which clients are at greatest risk of psychiatric rehospitalization. Artificial neural networks (ANNs), are computer decision support tools that make prediction and classification decisions based on accumulated experience and information contained in successfully solved cases (correct decisions). This study evaluates the use of ANNs in predicting rehospitalization of severely mentally ill outpatients. Eight Bayesian ANN models achieved correct prediction rates ranging from 75% to 93% for two prediction conditions. These results support the utility of Bayesian ANN models in the development of clinical decision support tools.     

BOOK AND CD REVIEWS

SUMMARY

This paper presents the results of an exploratory study of one hundred sixty-six domestic violence organizations that use the World Wide Web. Domestic violence agencies primarily used the Web to promote agency visibility and provide community education, and to a lesser extent for advocacy, direct services, and securing resources. Agency satisfaction with their Website is generally high, although more than one-third of agencies reported problems. Related issues discussed include Web-based sources of client victimization, agency legal liability, agency vulnerability to online disruption, the need to create access for low-income clients, and evaluation of Web services.     

Web-Based Support for Fundraising and Grantsmanship

A variety of organizational computing applications, such as information systems, currently assist human service professionals in making decisions. This paper concerns a class of computing applications, called expert systems, which have evolved from the field of artificial intelligence. Expert systems are computer programs which use interface schemes to apply generalized human expertise to the facts of a specific case. Expert system concepts, potentials and implications are presented along with the issues involved in their development and use. A simple expert system, written in BASIC, is included to illustrate the concepts. Expert systems offer great potential for assisting human service professionals in making complex decisions.     

Computer Use in Psychometric Assessment

The expansion of computer technology has created many possibilities for computer applications in the area of psychological testing and assessment. Test taking, scoring, and report writing can all be done with the assistance of computer technology. Although applying new technology in psychometric assessment can reduce costs to agencies and clients, make better use of professional time, and assist in delivering better services to clients, there are also some potential problems that need to be considered. This article evaluates the ways that computers can be used in psychometric assessment, points out the benefits of such use, and considers problems tha may be encountered with these uses.     

From past trauma to post-traumatic growth: The role of self in participants with serious mental illnesses

Studies have shown that people with serious mental illness are more likely to have experienced trauma compared to the general population. This qualitative study employed a grounded theory approach to explore how trauma histories influenced the process of triggering, developing, and recovering from serious mental illness. Findings based on in-depth interviews with 15 participants illustrated the intersection of trauma, serious mental illness, and post-traumatic growth. Experiencing trauma compromised participants’ self-functioning, causing issues such as affect dysregulation, distorted self- and other- concepts and relationship difficulties, meaninglessness, and existential fears, all of which negatively impacted participants’ mental health and behavior. At the same time, participants with serious mental illness were able to achieve post-traumatic growth with the “transformed-self” via self-acceptance, self-exploration, self-worth, and self-fulfillment. Findings of this study have useful implications for trauma-informed care in mental health treatment. Mental health professionals should address clients’ trauma histories to prevent re-traumatization and design trauma-informed programs that use and build clients’ inner resources and strengths to promote post-traumatic growth.     

Recovered memories:ethical guidelines to support professionals

There is a need for guidelines on recovered memories to support the work of professionals and provide protection for clients. This paper highlights the value added by the Canadian Psychological Association's Guidelines for Psychologists Addressing Recovered Memories (Crozier and Pettifor, 1996) in assisting professionals to deal with ethical issues in this area. The Guidelines in combination with a rational and intuitive ethical decision-making process are applied to three vignettes involving sexual abuse and possible recovered memories. This paper offers professionals an opportunity to review their practice according to approved Guidelines for dealing with the difficult issue of recovered memories.     

Mental Health Professionals' Exposure to Clients with Problematic Internet Experiences

ABSTRACT

This paper examines clients' exposure to problematic Internet experiences among a national sample of 2,098 social workers, psychologists, marriage and family therapists, and other mental health professionals. This analysis finds that mental health professionals are working with clients experiencing a range of problems related to Internet use. However, these professionals have generally not been exposed to training or information in the professional literature on the topic of working with clients with problematic Internet experiences. We identify several areas in which additional training is needed and review practical implications for mental health professionals.     

Video conferencing applications in social work: Work locally,think globally

Abstract

Video conferencing is a technology that facilitates the provision of high quality education, health-care and consultation to clients and families served by rural area health professionals via visual and audio transmissions. It also plays an important role in the education, and training of rural health professionals and the development of a multidisciplinary team dialogue between rural and metropolitan partners. This paper describes our experience of a video conferencing program conducted at the Goulburn Valley Mental Health Service and St George's Older Persons Mental Health Service. We have found a number of benefits of this technology for clients, their families and for health professionals themselves. The development of expertise in the use of video conferencing technology has empowered social workers in their work places. Video conferencing has been extended to other aspects of social work practice. A pertinent example of this is the use of video conferencing in Guardianship and Administration hearings for patients who would otherwise be unable to attend because of health problems (physical, mental and mobility).     

Computer Attitudes of Psychology Students and a Mild Attempt to Influence Them

ABSTRACT

With the advent of the World Wide Web mental health practitioners who dislike computers or lack confidence in their skills are at a disadvantage. In exploring this problem, computer attitudes of psychology students, tomorrow's professionals, were assessed. A mild attempt by the instructor to influence them during the semester also was tested. At time 1 attitudes were quite positive. Females reported no more computer aversion than males, but slightly less confidence. Consistent relationships between Internet usage and positive attitudes occurred. Treatment and control group students did not differ significantly in their attitude change from time 1 to time 2.