Social Work Roles in Drug Treatment with Youth

ABSTRACT

Social workers working with youth, who are prescribed psychotropic medication, are routinely faced with tasks pertaining to psychopharmacologic treatment. Little is known, however, about how these workers contribute to the medication treatment process or the impact of their contributions. The purpose of this national survey of social workers practicing with youth was to explore three areas: (1) the frequency of medication-related functions with adolescent clients; (2) the worker, client, and contextual factors associated with greater involvement; and (3) social workers' perceptions of the effects of greater involvement on treatment processes and outcomes. Our findings suggested that in relation to medication treatment, social workers more frequently interfaced with clients than physicians, and that various treatment context and individual factors are associated with greater involvement. Social workers also perceived their involvement as associated with some desirable treatment processes/outcomes, especially the inclusion of adolescents in decision-making.     

What Do Social Workers Need to Know About Mental Health Courts?

Abstract

Mental health courts are an emerging strategy to engage mentally ill offenders in treatment and to avoid unnecessary incarceration. These courts began in 1997 based upon the drug court model; there are currently over 70 courts nationwide. These courts are heterogeneous in structure, work with interdisciplinary teams, and seek to engage the consumer in treatment rather than use judicial sanctions. Social workers are integral members of these teams; yet, no research has been published in social work journals on mental health courts. This article explains the background and context of the courts, describes their features, discusses what social workers need to know about mental health courts, and concludes with ideas for how social workers may work effectively with mental health courts.     

Assessing Tradition in Chinese Elders Living in a Changing Social Environment

SUMMARY

Social workers are increasingly challenged to provide culturally sensitive services to older immigrants from diverse backgrounds. Assessment tools developed in the elder's own cultural context can maximize appropriate assessment and planning. This article describes the development of a tool for measuring adherence to tradition in Chinese elders. In Chinese tradition, an elder's purpose, meaning, and self-worth are derived, in large part, from their contribution to family, relatives, and the community. Existing measures of filial piety and acculturation do not capture this dimension. Filial piety involves being on the receiving end of care, honor, and obedience from younger generations. Acculturation is the opposite of adherence to tradition. One thousand five-hundred and two Chinese elders in China were asked questions on mutual aid and intergenerational exchange. Factor analysis extracted nine items loading into two factors reflective of traditional exchange. This measure could prove useful in understanding the effect of traditional beliefs upon various psychosocial outcomes.     

Spinal Cord Injury

ABSTRACT

This article provides an overview of spinal cord injury (SCI) that is useful and informative for social workers and other health care professionals who work with this population. Social workers new to the specialty of spinal cord injury must expand their knowledge base of this chronic injury. Social workers contribute to the rehabilitation process through assessment, education, and discharge planning. This article also may be used to inform persons with spinal cord injury and their families and to encourage them to engage in dialogue about SCI in the earliest stages of treatment and rehabilitation.     

Restorative Environments in Later Life

Abstract

This study proposes an analysis of restorative experiences of 192 elderly persons living in Rome. Perceived restorativeness of natural and built environments was examined, considering the influence of the social context of restoration and the activities performed in the environment. Restorativeness emerges as a consequence of complex person-environment transactions, in which place-specific processes occur. Moreover, a different influence of social interaction in natural and built environments was clearly identified; conversely, activities performed in the environment did not show a significant effect on perceived restorativeness. Theoretical and practical implications are discussed.     

A Postmodern Perspective on Black Suicides in the United States

Abstract

This paper offers an alternative explanation to the rationalist perspective of black suicides in the United States. It assumes a deconstructionist approach, offering the proposition that the social construction of reality in the black community is such that suicide among blacks occurs at a far greater number than their quantitative measures reveal.

The postmodern turn is far more interpretive in placing the reality of black suicide in context than the modernist language of Durkheim and others. The postmodern turn suggests that there is more to black suicides in the United States than meets the eye-more, in that the word, suicide, carries “traces” of other words and texts. Social workers, as enablers and facilitators, must grasp the significance of this social reconstruction if they are to have an impact upon the intertextual nature of black suicides.     

Social Work with Homeless Mothers: A Strength-Based Solution-Focused Model

ABSTRACT

Social workers are increasingly called upon to provide services to homeless families, the vast majority of which are mother-headed. Drawing on empirical findings from the literature on homeless families and the practice literature on solution-focused and strength-based practice, this article describes and illustrates how principles and techniques of these two approaches to practice can be used to empower homeless mothers to resolve their housing crisis and restabilize their families after an episode of homelessness. Examples are given for how social workers can use these principles and techniques in various stages of the helping process.     

Social work and technology: Challenges for social workers in practice: A case study

Abstract

Social Work is just beginning to consider the full impact of technology on practice. In this paper the experience of social workers working in Centrelink, the Australian Government's service delivery organisation, is explored in the context of Centrelink's increased reliance on technology to deliver its services to six million Australians. The results of a survey that indicated nearly one half of Centrelink's social workers have received no formal training in how to use the technologies they rely so heavily on in their work are considered, as is the role of the social workers who are working as a part of Centrelink's call centre network. It is argued that social workers need to be careful not to confuse means and ends when it comes to utilising technology as a part of their practice.     

Evaluating the Social Environment Component of Social Work Courses on Human Behavior and the Social Environment

SUMMARY

This analysis of 117 foundation of Human Behavior and Social Environment (HB&SE) course outlines gathered from 60 graduate schools of social work is based on the HB&SE standards of the Council on Social Work Education (2001). It draws upon an analytic framework for integrating content related to the social environment. Specific criteria for assessment included how well the course outline reflected the reciprocal nature of human behavior and the social environment, presented a strengths perspective, incorporated diversity content, and covered material related to families, groups, organizations, communities, and political economy. Four types of HB&SE course outlines were identified (lifespan-oriented, systems-oriented, theory-oriented, and combination), and results are presented by course outline type. The findings suggest that increased attention to content related to the macro social environment, human diversity, well-being, and theory for practice is needed to strengthen HB&SE foundation courses.     

Adolescent sexual behavior—family characteristics,parental involvement,and associated mental disorders

Abstract

Manifold factors connect with adolescent sexual behavior, but studies on their reciprocal associations are scarce. This study seeks to find the ways in which parental involvement, family characteristics, depression, and delinquency are connected to adolescent early/risky sexual behavior, and to what extent they modify each other. A population-based self-report survey of nearly 187,000 adolescents (50.4% girls) was used. The most important of the family variables was living in a two-parent family, which showed the clearest inverse association with early/risky sexual behavior throughout adolescence. Depression and delinquency persisted associated with sexual behavior in the presence of the family variables.     

Transformation Management and Cultural Diversity Training Through Employee Assistance Programs

ABSTRACT

This article explores motivation of black managers in two different settings. A study was conducted to explore the hypothesis that perception of organizational environment will influence both motivation and locus of control. Tt was further hypothesized that black managers working in a white management dominated organization will have a less positive perception of the organizational environment in comparison with their counterparts working in a black management dominated organization. It was hoped that such a study will help influence the focus of black advancement programs from an individual perspective to a more dynamic person-environment transactions focus. The results confirmed the hypothesis to a significant extent. This article suggests an intervention that utilizes EAP expertise in helping organizations to create and manage diversity for competitive advantage.     

The Social Policy Context of the Norma Parker Addresses

Abstract

Little is currently known about the social policy history and activism of the Australian Association of Social Workers. This paper addresses that gap in knowledge by examining the social policy context and Australian Association of Social Workers policy activism identified in 20 Norma Parker Addresses from 1969 to 2012. A number of key themes are identified including a concern that social workers take a structural or social justice approach to policy debates, a belief that social workers should be more prominent in policy activism, challenges or barriers to social work activism, and a growing engagement with Indigenous issues. Further research on the detail and history of Australian Association of Social Workers policy activism beyond this exploratory study is recommended.     

A Strengths Perspective on Caregiving at the End-of-life

Abstract

The most recent version of the Australian Association of Social Workers Code of Ethics includes substantial reference to social workers’ professional responsibilities for environmental awareness and advocacy. This article reports on a qualitative study of 20 Australian environmentally-conscious social workers from a variety of fields of practice. The study found that while there was a high level of awareness of the relevance of environmental issues for social work practice, participants reported professional and organisational constraints, which prevented them from aligning their environmental concerns with their professional practice. The findings from this study suggest that proenvironmental views and actions may not yet be accepted as a legitimate aspect of social work practice, despite strong recognition of the links between social justice, human rights, social work, and the environment in the Australian Association of Social Workers Code of Ethics.     

Variations in Provider Capacity to Offer Accessible Health Care for People with Disabilities

Abstract

Since social workers are likely to practice in a range of health care settings, their training focusing on human behavior in the social environment could help providers develop strategies to improve access to care for people with disabilities. In this article, results from a comprehensive survey of providers about access to health care for people with a broad range of disabilities are reported. Results suggest that a minority of providers report difficulty serving people with disabilities. However, dentists and mental health/substance abuse providers are significantly less likely than other providers to report that they provide accessible services to individuals with disabilities. These providers are less likely to report having had training related to mobility impairments, providing mirrors at their facility, having an accessible door, or providing assistance with personal care needs, and are more likely to report that their building poses a barrier for people with disabilities. Social workers are well positioned to take a leadership role in working with providers and patients to improve access to health care for people with disabilities. A social work framework of understanding the individual in a social environment may be the most appropriate perspective for creating innovative strategies for addressing the complex, multidimensional needs of people with disabilities who experience limited access to care.     

E-technology and Community Participation: Exploring the Ethical Implications for Community-based Social Workers

ABSTRACT

To date, much of the work on social work, ethics and technology has been focused on clinical social work and micromorality—the ethical practices of the worker and their clients in one-on-one or therapeutic group interactions. In contrast, this article foregrounds social workers engaged in community work and the ethical implications at a macromoral level. Central to community-based social work, also known as social development work, is the principle of participation. In observing the ways e-technology is affecting community participation, the focus is upon communicative and social technologies, rather than assistive technologies, or technology enabled assessment. The article explores the intersection of these three themes of community participation, technology, and ethics to examine the implications for social workers located in the complex context of community work.     

Doing It Well

SUMMARY

Social workers are being challenged internationally to be accountable by defining competency standards at beginning and advanced levels. The study that is the subject of this article will develop the work of one of the authors, which involved a 5-year longitudinal study of beginning social workers and another of experienced social workers. These studies resulted in a book on professional expertise (Fook, Ryan, & Hawkins, 2000). The present study furthered that work and subjected this theory of professional expertise to further testing by examining the work of a sample of expert (rather than experienced) social workers in the mental health field in Melbourne, Australia. Data was collected from a selected sample of mental health social workers by the use of focus group interview. This article reports on the study's findings and discusses their significance and application.     

Protecting Clients From Harm: The Role of Continuing Professional Education

Abstract

In the absence of professional regulation and in the context of a changing and competitive environment, the Australian Association of Social Workers (AASW) encourages member commitment to self-regulation and continuing professional education (CPE). Continuing professional education is promoted as the platform upon which the credibility of the entire profession of social work and the maintenance of high-quality standards of practice rest. High practice standards are integral to the protection of vulnerable people from potential unethical, inappropriate and harmful practice. The present article asserts that Australia's changing and competitive environment, driven by prevailing ideologies and policies, has an impact on social work practice and is harmful to vulnerable clients. In order to protect vulnerable clients from harm and to maintain high standards of practice, the AASW's CPE programme arguably needs to include topics that enhance professional knowledge of current ideologies and policies and their impact on social work practice and clients.     

Innovative Use of Computers for Planning in Human Service Organizations

Summary

This paper deals with the question of why some human service organizations are more innovative in their use of computers than others, particularly in the area of strategic planning. Rather than focus upon the technology, per se, it explores the propensity for and context within which human service managers apply computers to matters of strategic importance. It begins with a summary of the two dominant theoretical traditions within which organizational behavior has been viewed. These contrasting perspectives are then applied to the extensive body of empirical findings related to organizational innovation. The result is a discernment of key variables or variable clusters, which provide the basis for alternative accounts of innovative behavior. The emergent use of computers for strategic planning serves as the focus of the study.     

Independent Mental Health Advocacy: A Model of Social Work Advocacy?

ABSTRACT

Advocacy has received less attention in social work research than other aspects of social work practice. This paper draws attention to two tensions in social work advocacy; between worker-led advocacy and person-led advocacy, and between individual advocacy and system level advocacy. We argue that human-rights-based social workers must choose a person-led approach over a worker-led approach while advocating with both systems and individuals. This argument is made by drawing on findings of an evaluation of Independent Mental Health Advocacy (IMHA) in Victoria, Australia. It is shown that social work training had not prepared social workers for rights-based, person-led advocacy and that social workers in public mental health services were struggling to maintain the rights of people in their services even with assistance from IMHA.

IMPLICATIONS

• Independent Mental Health Advocacy (IMHA) is a model of advocacy influenced by social work theory and delivered in part by social-work-trained advocates.

• Social work training is not preparing social workers for person-led, human-rights-based advocacy.

• Public mental health social workers are struggling to maintain the rights of people in mental health services even with the support of external advocacy services.