"Get'cha After School"

This paper points up an important aspect of latency which is much neglected in the literature of child development. The author notes the baleful effects of such neglect on the education of social workers and other professionals and on their practice with children's groups. He emphasizes the need for group workers to attend to the problems posed.     

Unmet needs at the end of life: perceptions of hospice social workers

Among persons at the end of life, it is important to understand whether the needs of patients are being adequately addressed. In particular, in hospice settings where the emphasis is on comfort care and quality of life, we know little about the presence of unmet needs. The purpose of this study was to examine the experiences of hospice social workers in working with hospice patients who had unmet needs at the end of life. Surveys were mailed to hospice social workers (N = 212) in two Southeastern states with a response rate of 36%. Results revealed that hospice social workers perceived patients to experience a wide variety of unmet needs-more commonly at the time of admission than during subsequent patient interactions. The most common unmet need reported at both times was a decreased ability to participate in activities that make life enjoyable. In situations where unmet needs exist, social workers reported that the most common perceived reasons were patient- related psychosocial issues and family conflict/issues. Additionally, a variety of interventions were used to address unmet needs, but a large number of barriers appear to impact outcomes in the cases. Results suggest that hospice patients experience a number of unmet needs, many of which are potentially treatable problems and concerns. Hospice professionals must continue to seek ways to assess and intervene effectively with patients who have unmet needs.     

Unmet Needs at the End of Life

Abstract

Among persons at the end of life, it is important to understand whether the needs of patients are being adequately addressed. In particular, in hospice settings where the emphasis is on comfort care and quality of life, we know little about the presence of unmet needs. The purpose of this study was to examine the experiences of hospice social workers in working with hospice patients who had unmet needs at the end of life. Surveys were mailed to hospice social workers (N = 212) in two Southeastern states with a response rate of 36%. Results revealed that hospice social workers perceived patients to experience a wide variety of unmet needs-more commonly at the time of admission than during subsequent patient interactions. The most common unmet need reported at both times was a decreased ability to participate in activities that make life enjoyable. In situations where unmet needs exist, social workers reported that the most common perceived reasons were patient-related psychosocial issues and family conflict/issues. Additionally, a variety of interventions were used to address unmet needs, but a large number of barriers appear to impact outcomes in the cases. Results suggest that hospice patients experience a number of unmet needs, many of which are potentially treatable problems and concerns. Hospice professionals must continue to seek ways to assess and intervene effectively with patients who have unmet needs.     

Depression in the Profession: Social Workers' Experiences and Perceptions

This study reports the findings of interviews with fifty socialworkers who volunteered to describe their personal experiencesof depression in the workplace. The findings confirm the literatureon the stresses of social work and provide an account of theways in which the social workers sought to reconcile their mentalhealth needs with their role as professionals. The study suggeststhe potential for those working at all levels in social workagencies to support social workers who are experiencing depression.At a time of shortages in the profession in the UK, and of effortsto enable those with mental health problems to remain in orreturn to work, the experiences of those social workers interviewedillustrate the managerial, training and human resource imperativesto provide more supportive workplaces.     

Youth and Provider Perspectives on Social Service Providers' Roles in Mental Health Services

ABSTRACT

In 1994 and 1996, the Youth Services Project interviewed 792 youths from St. Louis City. Although the youths showed a high need for mental health services (20% met diagnostic criteria), less than half of the youths with problems received services. Past contact with a social service provider, but not a teacher, physician, etc., significantly predicted care for mental health problems (odds ratio = 1.5). Social service professionals (largely social workers) served more youths than did any other profession. Of youths with persistent problems, 25% received services from social service professionals, 3% from MD/PhD level psychiatrists or psychologists, 7% from primary care medical doctors, 12% from teachers/coaches, 15% from other helpers, and 37% received no services at all.     

浅谈社会主义新农村建设中的社会工作介入

近几年来,党中央国务院颁布一系列的政策法规和文件来推进社会主义新农村建设。新农村建设在取得了重大成就的同时,也隐藏着一些社会问题。社会工作者作为高素质专业人员,对于发现和解决新农村建设中出现的社会问题有着不可替代的作用。因此从多维度分析社会工作者如何介入新农村建设并发挥积极作用已成为当前的一大课题。     

A Psychometric Study of the Theoretical Orientations of Clinical Social Workers

Previous studies of clinical social workers have neither described a representative range of their theoretical orientations, nor have they established a firm relationship between professed theoretical orientation and either hypothetical or actual in-session behavior. A related question which has not been thoroughly examined is whether client problems constrain clinical social workers from adhering to specific theoretical orientations or "schools" of practice. This study therefore has two purposes: (1) to assess the psychometric properties of a range of theoretical orientation measures on a sample of clinical social workers, and (2) to determine how much of the variation in these measures is explained by: (a) professed theoretical orientation and (b) the problems for which specific in-session behaviors are used. These issues were investigated with analogues of clinical interviews and attitude scales which discriminate among helping professionals in terms of their theoretical orientations. The sample consists of 199 currently practicing M.S.W. and doctoral clinical social workers. Findings supported the validity and reliability of the scales and revealed that professed theoretical orientation explains approximately 5 to 20 percent of the variance in beliefs about the helping process. However, approximately 40 to 60 percent of the variance in hypothetical in-session behavior is explained by the problems for which those behaviors are intended. These findings suggest that while clinical social workers' beliefs about the helping process are weakly related to their professed theoretical orientations, their choices of specific in-session behaviors in hypothetical interviews are strongly influenced by the problems for which those behaviors are intended.     

Identifying and assessing cases of child neglect: learning from the Irish experience

Although child neglect is arguably the most prevalent form of maltreatment in the western world, studies of social work practice in cases of child neglect are limited. This paper seeks to add to the body of knowledge by describing a small‐scale study completed in the Republic of Ireland of social work assessments in cases of child neglect. The findings are based primarily on an analysis of case files, but reference is also made to practitioners’ and managers’ responses to a postal questionnaire and focus groups. The study findings highlight that social workers interpret the assessment task and process in different ways. Variations in the interpretation of the task appear to be influenced by workload pressures, resources and local systems, with teams focusing either on immediate safeguarding issues or on both safeguarding and the longer‐term welfare of the child. Individual variations amongst workers irrespective of team were more apparent in the way practitioners approached the assessment task. For example, practice varied regarding which professionals and family members were contacted as part of the assessment, the type of communication workers had with children and carers, and the use the social workers made of information on case files. The paper concludes with a discussion of the role of the team in determining the focus of assessments and the subjective factors which impact on the way the individual social worker works with children, families and other professionals.     

Commitment of Private and Public Agency Workers to Child Welfare: How Long Do They Plan to Stay?

ABSTRACT

Method: Child welfare professionals completing training to work in foster care were asked about reasons for taking their child welfare position, commitment to their agencies, and commitment to child welfare. Analyses compared responses from new public agency foster care workers (N = 100), public agency workers making lateral transfers to foster care (N = 64), and new private foster care workers (N = 105).

Results: Private agency foster care workers were less committed to their agencies and to child welfare and more likely to have taken the position because it was the only one available.

Conclusions: The practice by public child welfare of outsourcing foster care services to private agencies needs to be evaluated. This practice may not benefit children in care and may create organizational problems for agencies.     

Health and distress in social workers: Results of a national survey

Abstract

This study investigated the physical and emotional health status of professional social workers as well as their levels of distress. The results of this national survey of 668 randomly selected NASW‐member social workers indicated that while most were healthy and satisfied with work and relationships, 17% experienced distress, defined as substance abuse, emotional problems, and/or physical illness. The distressed social workers were more likely to experience difficulties in many areas of their lives, including dissatisfaction with work and low self‐esteem. Some of the social workers reported seeking help for personal/ emotional problems, but very few sought help for alcohol/other drug problems.     

An Exploratory Analysis of Seven Child Welfare Workers who Confused SIDS with Child Maltreatment Fatalities: A Brief Research Report

Abstract

Previous research shows that child welfare workers (CWWs) have low levels of knowledge of risk factors for child maltreatment fatalities. Further, these gaps in knowledge leave CWWs with misconceptions about causes of deaths and the characteristics of the perpetrators. This brief research report focuses on CWWs’ gaps in knowledge with regard to CMFs and sudden infant death syndrome (SIDS) and explores the socio-demographic characteristics of seven workers who confused fatal child maltreatment and SIDS. These workers were experienced professionals—who were in their middle-age, mid-career, and well-educated—and had been trained in how to recognize risk factors for CMFs. Implications for training and collaboration with other professionals are discussed, as well as the need for research to evaluate training efficacy.     

USE OF GROUPS WITH RELATIVES OF DEPENDENT OLDER ADULTS

This paper reviews and analyzes work with several small groups of relatives of older adults who have increased dependency problems due to physical frailty, diagnosed brain diseases, disorganization, memory loss, reduced mobility, depression and other physical and mental changes. Content includes: 1) Usefulness of group approaches with peers led by professionals (social workers, social gerontologists, psychologists) for stresses experienced by the care giving relatives: 2) group objectives including; support giving, understanding the older relatives' problems and behaviors, anticipatory planning for inevitable changes, coping, improved interpersonal functioning, and gaining insight to feelings of both the older person and the care giving relative; 3) group processes deliberately used by workers in the creation, convening, maintenance and termination of these groups; 4) repetitive themes of concern expressed by the care givers and their dependent relatives.     

Interprofessional collaboration between social workers and school counsellors in tackling youth at-risk behaviour

In Singapore, although youths are engaged in school, at-risk behaviours still prevail. This study discovers the experiences of collaboration between social workers and school counsellors when working together to tackle the multi-dimensional problems that youths face. It is posited that the collaborative processes have strengthened as seen in the role clarity, flexibility and tight communicative processes amongst professionals. There are also issues of concerns raised, such as confidentiality and clashes in agenda. These are discussed in light of the processes and orientations that influenced professionals in their practise. Last, relevant recommendations are given to develop collaborative work.     

Assessing Transfer-of-Learning Potential With Human Services Professionals

ABSTRACT

Transfer of learning (TOL) from training to the job was examined in two different populations of human services workers using the Transfer Potential Questionnaire (TPQ). A cross-validation study was conducted to explore commonalities and differences between public welfare (PW) professionals in California (n = 459) and Child Protective Services (CPS) social workers in Ohio (n = 598). The TPQ significantly correlated with perceived TOL for both training populations and added to the amount of TOL variance explained after controlling for participant satisfaction and perceived learning. Important TOL factors identified for both groups included perceived learning and application planning. Findings suggest TPQ is a valid predictor of TOL for both PW professionals and CPS social workers, supporting a shared construct relative to TOL across human services practice areas. Future research should explore additional TOL assessment methods and seek to further validate the TPQ with other populations of human services professionals.     

“Power together”: Professionals and parents of children with disabilities creating productive partnerships

Disparity of power and authority in the relationship between parents and professionals has been shown to be a major challenge in creating a successful partnership in caring for children with disability. The goal of this article was to evaluate workshops attended by professionals and parents of children with disability by raising awareness to barriers related to incompatible expectations and role definitions. The research explored the experiences of the participants in order to identify factors that facilitated or impeded their collaborations. Data were collected from three workshops attended by 22 mothers of children with disability and 24 professionals (most of them are social workers). This qualitative research used interpretative phenomenological analysis to investigate the participants' experiences. Findings showed that parents and professionals joined forces to create a productive working relationship by taking advantage of power over and power together relationships. This mutual process required participants to be aware, empathic, and respectful of one another's needs and limitations; acknowledge the contribution of experiential and professional knowledge; and co‐operate in overcoming the effects of ineffective bureaucratic service systems. Interventions geared to contain emotional burden, acknowledge differential knowledge and experience, and structure the use of power are suggested.     

When standardization becomes the lens of professional practice in child welfare services

This paper examines the relationship between professional work and standardization. There has been an increase in the use of standardized programmes in child welfare services (CWS) in Western society. Some researchers have criticized standardized programmes suggesting that they undermine professionals expertise and threaten their position, whereas others argue that such programmes strengthen professional practice. In this paper, we examine how standardized tools, in this case, a standardized parenting programme and a standardized Norwegian assessment tool, influence professional roles as experienced by child welfare workers (CWS professionals) in Norway. Semistructured individual and group interviews were conducted with 31 frontline workers in two CWS agencies. Our findings suggest that standardized tools increase the social workers experienced professional competence but challenge their professional knowledge base, reflective practice, and professional accountability. Professional and practical implications for CWS work are discussed in the light of these findings.     

Attitudes of Israeli Arab Social Workers Concerning Woman Battering

Abstract

The purpose of this study was to assess the relationship between attitudes towards intimate violence, knowledge about causality and preferred societal reaction to the phenomena among Israeli Arab social workers. One hundred thirty (130) Arab Israeli social workers were drawn randomly from the National Social Work registry and completed the “Attitudes of professionals towards intimate violence” questionnaire. SSA (Smallest Space Analysis) was performed. Findings show that most Arab Israeli social workers viewed the men as responsible for woman battering. The correlational structure of both attributed causality and perceived societal response to woman battering displays a continuum: at one end, causes of violence are attributed to men, while at the other end we find, in smaller proportion, items which tend to blame the woman. Those who blame men tend to favor a punitive response and those who blame the women or both spouses tend to see intimate violence as a private matter, which requires no intervention. Double axial partition of the SSA map confirmed our hypothesis. Implications for social work with minority groups are suggested.     

Professionals' attitudes to children's participation in decision-making: dichotomous accounts and doctrinal contests

The attitude of professionals to the involvement of children in decision-making is unclear. This paper discusses a recent research study that utilized qualitative and quantitative methods to explore the views of professionals working in family support and child protection about two different aspects of children's participation in decision-making: the age at which children should make decisions and whether or not they should be involved in child protection conferences. The results showed that social workers tended to favour one of two diametrically opposed viewpoints about the age at which young people should make decisions and then in discussions with colleagues they sought to persuade others to change their perspective. Social workers who believed that young people should not make decisions until much older nevertheless thought that they should be involved in conferences whereas non-social workers did not make this distinction: for them, children who were not old enough to make decisions for themselves should not be involved in conferences. The results are discussed in the light of some of the implications for practice. The paper concludes by outlining how the results informed the design of a training pack commissioned by the Department of Health concerning the involvement of young people.     

Advancing Hospice and Palliative Care Social Work Leadership in Interprofessional Education and Practice

The importance of interprofessional collaboration in achieving high quality outcomes, improving patient quality of life, and decreasing costs has been growing significantly in health care. Palliative care has been viewed as an exemplary model of interprofessional care delivery, yet best practices in both interprofessional education (IPE) and interprofessional practice (IPP) in the field are still developing. So, too, is the leadership of hospice and palliative care social workers within IPE and IPP. Generating evidence regarding best practices that can prepare social work professionals for collaborative practice is essential. Lessons learned from practice experiences of social workers working in hospice and palliative care can inform educational efforts of all professionals. The emergence of interprofessional education and competencies is a development that is relevant to social work practice in this field. Opportunities for hospice and palliative social workers to demonstrate leadership in IPE and IPP are presented in this article.