Social Work with Clients Contemplating Suicide: Complexity and Ambiguity in the Clinical, Ethical, and Legal Considerations

Social workers in agency and private practice settings often work with clients grappling with suicide, either as an acute or chronic situation. Probably more than any other clinical condition, suicide forces the practitioner to confront complex ethical, legal, and psychological questions while managing an urgent circumstance. This article attempts to illuminate the ethical and legal considerations that may arise when a client contemplates suicide. Rather than advancing one answer, we stress that in training and the workplace social workers must fully consider the complexities and ambiguities of a client's experiences as well as their own clinical, ethical, and legal obligations.     

Voices From the Field: Social Workers Define and Apply Social Justice

Social justice is embraced as a central mission of social work, yet how the profession defines it lacks clear and common understanding. This qualitative study explored the concept of social justice as perceived and applied by social workers in diverse practice settings. Focus-group participants were asked five primary open-ended questions. Key phrases and terms were identified and grouped into four themes: variation in meaning of social justice, confronting injustices, practice reality, and professional responsibility. The findings suggest that social justice as understood and practiced in the field is compatible with theoretical conceptions in the literature, but a predominant understanding remains lacking.     

Sexual Risk,Behavior, and HIV Testing and Status Among Male and Transgender Women Sex Workers and Their Clients in Lima,Peru

Objectives: To determine the socio-demographics, sexual practices, and HIV prevalence of male sex workers (MSWs), transwomen sex workers (TSWs), and their male clients in Lima, Peru. Methods: Following ethnographic mapping of sex work venues, the authors revisited randomly selected venues to survey MSWs, TSWs and their clients. Results: MSWs and TSW clients are more educated than MSW clients and TSWs. Only 50% of TSW clients have received HIV testing. Self-reported HIV positivity is highest among MSW clients and TSWs. Conclusion: Notable differences exist between MSWs and TSWs and their clients that can affect the health of these groups and warrant intervention.     

The Therapeutic Use of Humor With Clients Who Have Schizophrenia

A positive worker/client relationship contributes greatly to a mental health client’s achievement of intervention goals. Practitioners who work with clients who have schizophrenia sometimes face challenges in developing positive relationships with them when the cognitive impairments characteristic of that disorder make verbal communication difficult. The purpose of this article is to review the indications for using humor with clients in general and then consider the potential for practitioners to use humor as one means of developing constructive working relationships with clients who have schizophrenia. This article does not address the use of specific humor techniques, but considers whether practitioners with a natural sense of humor can use it to their advantage in working with members of this population. Seven principles for the use of humor, and seven client examples, are included.     

Photovoice as a Tool for Social Justice Workers

Abstract

This article considers the use of Photovoice as a tool for social justice workers. Photovoice is a technique that affords diverse populations of oppressed individuals the opportunity to take social action by raising awareness in the community and with policy-makers through use of a photographic process. The theoretical underpinnings, goals, and uses of Photovoice are reviewed in relation to social work contexts and values. In addition, the inclusion of empowerment theory and group work literature is explored as a natural expansion of the current theoretical underpinnings. Photovoice is a prime example of participatory research, assessment, and social action. The relevance of Photovoice to social work theory and practice is considered and possibilities for use as an integrated practice tool are explained.     

The Role of Social Workers and Social Service Delivery During Crisis Intervention for Tsunami Survivors

Abstract

This paper seeks to understand the economic, social and psychological impacts on survivors in Thailand of the Asian Tsunami on 26 December 2004. The Tsunami disaster brought about great changes in the lives of survivors, the role of social workers and social service delivery. Problems were actively worked out between many parties resulting in greater collaborations between local, national and international organizations. Social workers worked in a collaborative manner with various professions in delivering crisis intervention. In the case of the Tsunami disaster, there is an emergence of the development of the professional role of social workers and other social service workers to respond to the urgent needs of the family and children survivors.     

Correlates of Homophobia and Use of Gay Affirmative Practice Among Social Workers

ABSTRACT

Research on social work practice with gay and lesbian clients has historically focused on examining social workers' attitudes towards gay and lesbian individuals, however, no studies have examined the relationship between attitudes and practice using validated measures to assess practice. The focus of this study was therefore to examine the relationship between attitudes and practice with gays and lesbians using the recently developed and validated Gay Affirmative Practice Scale (GAP). Significant relationships were found with the GAP and two measures of homophobia as well as with measures that assessed feelings about lesbians and gay men, contact with gays and lesbians, attendance at workshops that focused on gay and lesbian issues, relationship status, sexual orientation, political party, and primary area of practice. Relationships with measures of attitudes were also examined. Implications for social work practice, education, and research are discussed.     

Collective Power to Create Political Change: Increasing the Political Efficacy and Engagement of Social Workers

Because social workers are called to challenge social injustices and create systemic change to support the well-being of individuals and communities, it is essential that social workers develop political efficacy: belief that the political system can work and they can influence the system. This study explored the impact of an intensive political social work curriculum on political efficacy and planned political engagement among social work students and practitioners. The findings suggest this model of delivering a political social work curriculum effectively increases internal, external, and overall political efficacy, and that increasing political efficacy has promise for increasing future political engagement.     

The Relationship Between Social Work and Psychoanalysis: The Future Impact of Social Workers

Because social workers are likely to have a more expanded role within organized psychoanalysis than previously, it seems timely to consider the numerous challenges and opportunities ahead with respect to social workers’ impact on the practice of psychoanalysis. For those who become social work psychoanalysts, in particular, a pivotal issue is the degree to which they retain their core identity as clinical social workers. It is important for them to integrate and balance the diverse aspects of their dual identity, to participate in our social work organizations, to contribute to developing psychoanalysis, and to work to keep the teaching of contemporary psychoanalytic theories alive in social work education.

Recognising and Enabling Social Workers to Promote Child Wellbeing and Protection

The paper explores the relevance of social enterprise to social work practice and policy development. Social enterprise refers to a broad set of approaches that use business acumen to address social goals. A marginal activity in social work for a long time, recently social enterprise has been thrust into the spotlight in debates about the future of social policy and community services. It is important that social workers understand the meaning and implications of social enterprise if they are to apply it critically and reflectively in practice and participate in contemporary debates about its relevance in promoting individual and community empowerment. The paper provides an overview of the meaning of social enterprise, outlines the reasons for the renewed focus on social enterprise and related concepts in social policy debates, particularly community economic development, and examines its underlying values. It concludes with a discussion of questions and concerns surrounding the implementation of social enterprise in Australia.     

A Conceptual Framework for the Professional Socialization of Social Workers

With the Council on Social Work Education revised Educational Policy and Accreditation Standards, professional socialization has become a matter of policy. The social work literature is characterized by a dearth of conceptual models and systematic research regarding professional socialization. The conceptual framework for the professional socialization of social workers presented herein provides a discrete definition and clarifies what was formerly an ambiguous understanding of the elements of professional socialization. Potential applications of this framework include its use as a foundation for systematic research and a bridge between competencies and signature pedagogy and in informing field instructor training and the integration of theory and practice for students and practitioners.     

Ethical Dilemmas of Practicing Social Workers Around Psychiatric Medication

Abstract

It is acknowledged that social workers in mental health and other settings routinely experience client-related ethical dilemmas. Further, there is wide recognition of the potential impact of ethical dilemmas on social work practice with clients who use psychotropic medication. Little is know empirically, however, about the experiences of practitioners with these dilemmas. This article describes the results of a national survey of practicing social workers regarding the nature of ethical dilemmas they face related to their work with clients on medication issues. The results make it clear that social workers regularly confront a variety of ethical dilemmas in this type of practice. Many of these dilemmas are related to ambiguities around the knowledge base of practice, appropriate roles of providers, and basic personal and professional values. The authors present implications of these findings for social work practice and further research.     

Attitudes and Opinions Regarding the Use of the Internet for Continuing Education Among Social Workers

SUMMARY

Development of continuing education opportunities for social work license renewal requires participant access to the Internet, knowledge of the Internet's use and willingness to enroll in such programs. A survey of a random sample of licensed social workers in New Mexico revealed that 71% of participants (N = 403) have used the Internet while 61% reported no formal training in the use of the Internet and its features. Findings are reported that reveal substantial interest among subjects in the Internet as a medium for continuing education programs for license renewal.     

Empowering Alliances in Pursuit of Social Justice: Social Workers Supporting Psychiatric-Survivor Movements

This article reviews historical and current examples of harmful and forced treatments as well as scientific discrimination that have been applied to people diagnosed with mental illness. It discusses anti-psychiatric social action in North America from 1970 to the present. A review of social work's foundations in social justice, empowerment, and person-in-the-environment perspectives highlights the congruencies and communal benefits for both the social work profession and psychiatric-survivor movements. Through this discussion, it is apparent that the professed values of the social work profession are actually more compatible with psychiatric-survivor movements than with any allegiances to the biomedical model of psychiatry.     

Substance Use and Abuse and the Role of Social Workers in Germany

SUMMARY

The paper outlines major trends in consumption patterns of alcohol and other drugs in Germany with special focus on the use of cannabis among young people. It discusses primary prevention efforts and describes the current treatment system with its two branches: one for people with alcohol problems and the other for those with drug problems. It highlights the developing role of social work and identifies the research topics that are influenced by social workers and that will influence the debate regarding the future role of the profession.     

Triage and Ethics: Social Workers on the Front Line

ABSTRACT

This article highlights the results of an international qualitative study examining the impact of terrorism and other disasters—both human-made and natural—on social work agencies and their labor force. The study was conducted with focus groups of social workers in health care and social service settings. The major research question concerned the impact of disaster—both natural and human-made—on agencies and social work practitioners. Focus was placed on the ethical dissonance experienced by social workers under pressure to prioritize how services and resources are distributed to those in need.     

DSM-IV and Social Work Professionals

Abstract

This six-hour group training was designed to gather information in regard to the role of social workers using the Diagnostic and Statistical Manual for Mental Health Disorders (DSM-IV). The intention of the group training was to explore social workers' knowledge and comfort in using the DSM-IV as well as assessing the continuing education experience provided. In total, 132 surveys were circulated during two training groups. All participants were asked to give general information and perceptions of use of the DSM, and were pre and posttested for current levels of understanding and comfort regarding diagnostic usage. Significant relationships were noted between several study variables as well as between pretest and posttest scores. Overall, pre and posttest results yielded a significant positive correlation between comfort levels in utilization of the DSM-IV and formulating a diagnostic impression as a means of identifying certain mental health conditions. Furthermore, the results of this study support that attending this group training increased the comfort and knowledge level of social workers in regard to DSM-IV and 98% of the participants felt that training in this area should be man datory for all social work professionals. Suggestions for future research and education are presented.     

Conceptions of Immigrant Integration and Racism Among Social Workers in Sweden

Drawing on 22 qualitative interviews with social workers in Sweden, this article analyzes how social workers conceive immigrant integration and racism and tackle racism within their institutions and the wider Swedish society. The majority of the white social workers framed integration in relation to cultural differences and denied or minimized the role of racism in structuring their services and the ethnic relations in Sweden. In contrast, social workers with immigrant backgrounds were less compromising in discussing racism and assumed it as a problem both for themselves as institutional actors and as immigrants in everyday life and institutional settings. Social institutions in Sweden have been important actors in endorsing equality and accommodating differences. However, it is of paramount importance for social justice-minded social workers to identify and unsettle those structures and discourses that enable racist and discriminatory policies and practices against those groups who are not viewed as “core” members of the Swedish society. The absence of anti-racist social work within Swedish social work is primarily related to the idea of color-blind welfare universalism that is assumed to transcend the particularity of the needs, experiences, and perspectives of different groups in Sweden. While integration is envisioned and framed as a political project of inclusion of non-white immigrants, it tends to become a political device through which hierarchies of belonging are constructed. Following such conception of integration, cultural/religious differences and equality are framed as conflicting where cultural conformity underpinned by assimilationist discourses becomes a requirement for political, social, and economic equality.     

Dutch Drug Policy and the Role of Social Workers

SUMMARY

Dutch drug policy has been renowned because of its pragmatic and liberal approach, and its positive effects on the health status and mortality rate of hard drug addicts. This policy, however, has had some negative consequences, especially with respect to crime and safety in big cities. As a result, the government took measures to redress these problems. This article presents an overview of recent measures in health care and criminal justice in the Netherlands and discusses the role of social work in drug addiction.     

Catholic Social Thought and the Caring Professions

Abstract

Catholic social teaching provides a developed and consistent body of principles, based on solidarity with the full potential of every person. Love, the personal aspect of solidarity, is an indispensable relational quality. These principles, an external framework for action, are close to core social work values as well as to the values of many clients. They acknowledge both the context of the helping relationship and the consciences of the helper and the person helped. This could contribute to a thickening and deepening of our understanding of social work practice and the consequent “formation of the heart.” doi:10.1300/J377v26n03_05