Spiritual Need and the Core Business of Social Work

This paper examines the development of social work practicein spiritual care and the attitudes towards spirituality andreligion demonstrated by social workers in the UK, through reflectionon key findings from two empirical studies conducted ten yearsapart. Fieldwork for the first study, conducted by the author,was undertaken from 1990 to 1992 and was the first of its kindto examine the treatment of spirituality in social work practicein the UK. The second study reported in 2004. Comparison ofthe findings from these two studies showed that the increasedsympathy towards ‘spiritual practice’ is not asgreat in social work as is demonstrated amongst other humanservices professions, and that there is continuing inhibitionand resistance in the UK in social work education in particular.The paper argues that much of the problem for practitioners,even where they identify spiritual need as an issue, lies inthe inadequate theorizing and lack of practice guidance developedin the context of UK social work. It concludes by discussingthe particular context of mainstream social work practice inthe UK and examines how assessment of spiritual need and spiritualinterventions might connect with social work’s core business.     

Spirituality in Social Work Groups: Practitioners Speak Out

ABSTRACT

The attitudes of experienced clinicians regarding the inclusion of spirituality in social group work practice and education are examined. Using a focus group format, practitioners concurred that wholistic treatment of clients must embody spiritual issues and that spiritual content should be covered in group work courses. Clinicians identified additional issues including: (a) need for spiritual assessment; (b) necessity of practitioner self-awareness; (c) usefulness of spiritual beliefs and communities as resources; (d) creation of a safe environment; (e) promotion of spiritual diversity in groups; and (f) collaboration with clergy and spiritual leaders. Implications for practice, research, and education are discussed.     

Exploring spirituality among youth in foster care: findings from the Casey Field Office Mental Health Study

This study examined spiritual coping mechanisms, beliefs about spirituality and participation in spiritual activities and in other positive activities among adolescents in foster care. A multidimensional measure of spirituality was developed for face-to-face interviews with 188 youth (ages 14–17) from diverse racial/ethnic backgrounds in the United States. Findings revealed 95% of youth believe in God, over 70% believe God is 'creator' and God is 'love', and 79% considered prayer a spiritual practice. Most youth said love and forgiveness help them heal. Two-thirds (67%) reported responding to 'bad or tragic things happening' by spending time alone, and over half responded by praying (59%) or sharing the problem with someone else (56%). Youth's top three spiritual goals were to follow God's plan for them, become a better person, and know their purpose in life. Based on the value youth ascribed to spiritual coping mechanisms, recommendations for policy and practice focus on the integration of spirituality into practice and caregiving for youth in foster care.     

Impact of an infusion model on social work students' aging knowledge, attitudes, and interests

This study sought to provide data regarding the use of infusion of gerontological materials throughout curriculums to enhance students' attitudes toward older adults, their knowledge of aging-related issues, and their perceptions of gerontological social work. A quasi-experimental design was used to compare outcomes for graduate social work students who were and those who were not exposed to gerontological infusion. Results indicated that exposed students experienced a greater improvement in their view of aging-related career opportunities and in their belief in the importance of gerontological social work. Treatment group students also showed greater gains in self-rated aging knowledge. Both treatment and control group students had significant gains in a test of aging-related knowledge. Pedagogical implications are discussed.     

Spirituality Among Alzheimer's Caregivers: Psychometric Reevaluation of the Intrinsic Spirituality Scale

ABSTRACT

The purpose of this study was to reevaluate psychometric properties of the Intrinsic Spirituality Scale (ISS) and to compare its results to the original psychometric report. Attendees of Alzheimer's caregiver support groups constituted the sample, relevant to this measure given their traditional, frequent use of spirituality as a coping resource. Data were randomly split for factor and reliability analyses (N ₁= 152) and validity analysis (N ₂= 152). Factor analysis on the ISS loaded all items on a single dimension of spirituality. Reliability was strong. Convergent validity was suggested via significant correlations with prayer measures. Enhanced with the original findings, these results lend credibility to the ISS as a viable spiritual assessment tool. The ISS offers social service professionals a valuable tool for assessing spirituality that is inclusive of individuals whose spirituality is nontheistic or for whom spirituality exists independently from, or outside of, organized religious structures. Future analyses with additional populations may broaden the ISS applicability among persons with diverse demographic and spiritual backgrounds.     

Impact of an Infusion Model on Social Work Students' Aging Knowledge,Attitudes, and Interests

Abstract

This study sought to provide data regarding the use of infusion of gerontological materials throughout curriculums to enhance students' attitudes toward older adults, their knowledge of aging-related issues, and their perceptions of gerontological social work. A quasi-experimental design was used to compare outcomes for graduate social work students who were and those who were not exposed to gerontological infusion. Results indicated that exposed students experienced a greater improvement in their view of aging-related career opportunities and in their belief in the importance of gerontological social work. Treatment group students also showed greater gains in self-rated aging knowledge. Both treatment and control group students had significant gains in a test of aging-related knowledge. Pedagogical implications are discussed.     

Lifelong Resiliency Learning: A Strength-Based Synergy for Gerontological Social Work

The significance of the synergy between promoting resiliency and the strengths-based perspective is well established in gerontological social work. This article reports on qualitative research that suggests another potentially productive synergy, one that can result from the interaction between the capacities for resiliency and lifelong learning. These findings emerged from a qualitative study involving 12 older women (ages 64–72) participating in the Osher Lifelong Learning Institute at the University of Southern Maine. Lifelong learning is defined as a cognitive process by which individuals continue to develop their knowledge, skills and attitudes over their lifetime. The implications of the data are considered from a multidisciplinary perspective that includes gerontological social work, educational gerontology, and adult learning. Specific social work research and practice initiatives that could confirm and operationalize this synergy are suggested.     

“I Learned That the Aging Population Isn't That Much Different From Me”: The Final Outcomes of a Gero-Ed BEL Project

This article describes a Council on Social Work Education (CSWE) Gero-Ed Center BEL Project's activities and reports its final outcomes. An oral history interview in paired human behavior and practice skills courses addressed gerontological social work competencies focused on assessing and addressing values and biases regarding aging, and the ability to relate concepts and theories of aging to practice. Significant increases in perceived proficiency in these competencies occurred, as did significant decreases in negative attitudes toward older people and working with older adults. Qualitative data supported these results. Findings suggest social work educators utilize a combination of classroom-based and experiential learning to maximize student development.     

Community Reentry and Older Adult Offenders: Redefining Social Work Roles

The number of older adults in US prisons continues to rise. In 2002, adults ages 50 and older made up 8% of the US prison population, up from 4% a decade prior. Many older offenders are released to communities that are poorly equipped to meet their special needs. and largely unprepared for the social and fiscal costs of their reentry. The focus of gerontological social work education on the returning older adult offender has been limited. This article examines social work roles in the community reentry/reintegration of older adult offenders. Best practices from the gerontological social work literature are presented and implications for social work practice are discussed.     

Experiences of Stigma and Spirituality of Older Black Men Living with HIV

Abstract

Previous research on HIV stigma and the use of spirituality by people living with HIV/AIDS is scarce. Moreover, the research with older Black men who have sex with men is scant. This study aimed to investigate experiences of HIV stigma and the use of spirituality among older HIV positive Black men who sleep with men. In-depth interviews were conducted with a sample of ten men. Data were analyzed utilizing to the modified van Kaam data analysis method. Three major themes were identified that explores the participants lived experiences with HIV stigma and use of spirituality: experiences of stigma reinforcing the use of spirituality; defining spirituality as a functional concept; and self-empowerment through the use of spirituality. The findings could guide social workers and other helping professionals in developing informed assessments and interventions regarding HIV stigma and the use of spirituality. Future qualitative and quantitative research is needed to achieve generalizable knowledge about the relationship between stigma on the use of spirituality.     

Clinical Case Management

Case management is a vital service in gerontological social work-perhaps the most essential service. Extreme variation in the definition and implementation has detracted from the core functions of case management. When these functions are placed in a clinical context, case management becomes the treatment of choice for many frail elderly and their families. There have been many forces operating against the development of professional case management, yet gerontological social work must take the lead in clinical case management practice. Social work educators must play a key role in preparing social workers for case management and promoting this treatment model as the hallmark of gerontological social work.     

The Role of Religion and Spirituality in Social Work Practice: Views and Experiences of Social Workers and Students

Findings from surveys of qualified social work practitionersand students indicate a need for social work education and practiceto focus attention both on the importance of religious and spiritualbeliefs in the lives of many service users and on the potentialusefulness of religious and spiritual interventions. In thisBritish study, undertaken in 2003 and 2004, students were lesslikely than their qualified colleagues to consider religiousor spiritually sensitive interventions as appropriate. Attitudesvaried little between those students who held religious beliefsand those who did not, but Muslim students and qualified socialworkers were more likely to view these types of interventionsas appropriate. The authors conclude that there is a clear needfor all social work practitioners and educators to give greaterpriority to exploring the potential significance of religiousand spiritual beliefs in their training, in their professionalpractice and in the lives and perspectives of service usersand colleagues. Social workers need to be able to respond appropriatelyto the needs of all service users, including those for whomreligious and spiritual beliefs are crucial. ‘Culturallycompetent’ practice depends, amongst other things, onan understanding and appreciation of the impact of faith andbelief.     

Spiritual assessment in aging: a framework for clinicians

Older adults may benefit from clinical conversations about the role of spirituality in their lives, but social workers and other helping professionals often do not have an understanding of where to proceed beyond initial questions of whether spirituality and/or religion are important and if so, what religious preference is held. Much has been written about definitions of spirituality and religion, but the literature has not yet provided a clear focus on ways to assess whether these are integrated positively or negatively in the lives of older adults. This article identifies eleven domains in spirituality that might be assessed. Within each domain an explanation is provided as well as a brief discussion of the rationale for including it in the classification. Sample interview questions and an illustrative vignette are included. Together these eleven domains build an important framework and resource for spiritual assessment with older adults.     

Social workers' use of spiritual practices in palliative care

Numerous studies have examined client use of spiritual and/or religious practices to cope with illness and adversity. This study explores social workers' use of spiritual practices as reflected in their work with palliative care clients. Survey results (n = 327) indicated significant relationships of spiritual practices such as yoga, prayer and meditation to working with palliative care clients. The total number of these approaches is predicted by factors such as theoretical orientation and the social workers' own struggles with palliative care and other issues. Our study supports the need for additional investigation of spiritual issues in practice.     

The impact of religiousness, spirituality, and social support on psychological well-being among older adults in rural areas

This paper presents the results of a study on the impact of spirituality, religiousness, and social support on the psychological well-being among rural elderly. With a rural community sample of 215 older adults, hierarchical regression analyses found significant associations between dimensions of spirituality/religiousness, social support, and psychological well-being, with spirituality/religiousness inversely related to depression and social support, positively related to life satisfaction. Findings of this study suggest that practitioners need to develop programs or services that are congruent with religious/spiritual beliefs and practices in order to better enhance the psychosocial well-being and improve the quality of life among older persons in rural areas.     

Strengthening aging content in the baccalaureate social work curricula: what students have to say

Encouraging student's interest and preparing them for social work practice with older adults is increasingly important in view of the demographic changes that are taking place. This article describes a study that engages BSW students in a discussion of best models for promoting gerontological social work curriculum infusion. Using two focus groups, the authors explore barriers to student interest and potential strategies to recruit students for gerontological social work. Fear of their own decline and mortality, lack of exposure to older adults and aging issues emerge as the primary reasons for aversion to working with older adults. Strategies to promote student interest, organize curricula, and create an inclusive learning context are discussed.     

Spiritual Assessment in Aging

Summary

Older adults may benefit from clinical conversations about the role of spirituality in their lives, but social workers and other helping professionals often do not have an understanding of where to proceed beyond initial questions of whether spirituality and/or religion are important and if so, what religious preference is held. Much has been written about definitions of spirituality and religion, but the literature has not yet provided a clear focus on ways to assess whether these are integrated positively or negatively in the lives of older adults. This article identifies eleven domains in spirituality that might be assessed. Within each domain an explanation is provided as well as a brief discussion of the rationale for including it in the classification. Sample interview questions and an illustrative vignette are included. Together these eleven domains build an important framework and resource for spiritual assessment with older adults.     

The Impact of Religiousness,Spirituality, and Social Support on Psychological Well-Being Among Older Adults in Rural Areas

Summary

This paper presents the results of a study on the impact of spirituality, religiousness, and social support on the psychological well-being among rural elderly. With a rural community sample of 215 older adults, hierarchical regression analyses found significant associations between dimensions of spirituality/religiousness, social support, and psychological well-being, with spirituality/religiousness inversely related to depression and social support, positively related to life satisfaction. Findings of this study suggest that practitioners need to develop programs or services that are congruent with religious/spiritual beliefs and practices in order to better enhance the psychosocial well-being and improve the quality of life among older persons in rural areas.     

Social Workers' Use of Spiritual Practices in Palliative Care

Abstract

Numerous studies have examined client use of spiritual and/or religious practices to cope with illness and adversity. This study explores social workers' use of spiritual practices as reflected in their work with palliative care clients. Survey results (n = 327) indicated significant relationships of spiritual practices such as yoga, prayer and meditation to working with palliative care clients. The total number of these approaches is predicted by factors such as theoretical orientation and the social workers' own struggles with palliative care and other issues. Our study supports the need for additional investigation of spiritual issues in practice.