Exploring the ethics of treatments for depression: The ethics of care perspective

This article explores the ethics of current treatments for depression through the lenses of social work values and ethics. As a vehicle for analysis, the approach associated with ethics of care will be utilized. Particular attention is paid to ethical dilemmas in the treatment of depression under the auspices of managed care companies. A case example is presented to help social workers understand these dilemmas in the context of practice. Adopting an ethics of care perspective would mandate that social workers become more politically active, and work toward integrating direct and indirect practice approaches in treating people who suffer from depression and similar problems.     

A Caring Profession? The Ethics of Care and Social Work with Older People

The feminist ethics of care present a challenge to social workersto re-assess not only the place of care within professionalsocial work practice but also the way in which concepts of justice,autonomy and rights are conceptualized and ageing is understood.In this article, the arguments for an ethics of care are consideredin relation to social work practice with older people. It isargued that the feminist ethics of care offer useful insightsthat are relevant to the practice of social work, particularlywithin contemporary demographic, economic, political and organizationalcontexts, all of which have made the task more complex and confusing.     

Attitudes Toward Gays and Lesbians: A Latent Class Analysis of University Students

ABSTRACT

The profession of social work advocates for civil rights for gay men, lesbians, and bisexual persons. However, a number of social work students and practitioners harbor antigay bias that in prior variable-centered research has been determined to be related to race, relationship status, and age. The purpose of this research was to use latent class analysis (LCA), a person-centered statistical technique, to cluster 394 university student survey responses to the Attitudes Toward Lesbian and Gays short-form instrument. The analyses indicated three groups that can be profiled as unbiased, moderately biased, and highly biased. Analysis of variance and multinomial regression verified LCA findings that are consistent with prior research. The importance of selecting appropriate educational approaches to address antigay bias among social work students and practicing social workers is discussed, and recommendations for continued research, including a national random survey of social work students and licensed social workers, are made.     

浅论社会工作中的尊重原则

"尊重"一直是被社会工作伦理高度强调的专业价值。但是,关于什么是"尊重"、如何在实务中体现"尊重",人们的理解并不相同,实践中有许多困惑。文中将对相关文献进行梳理,厘清"尊重"的内涵,明确其在社会工作伦理中的价值地位,同时就"尊重"在实务开展过程中的伦理诉求以及实践困境做一些探讨,指出日常生活中的"尊重"与专业伦理中的"尊重"的区别、在操作中产生困境的原因,进而试着提出解决的措施,以期对实务工作者的服务开展有所帮助。     

The Productive Aging Concept and Social Work Students’ Perceptions Toward an Older Population

Social work curriculum that offers an optimistic perspective on aging has the potential to help social work students go on to practice in a nondiscriminatory way with older adults. This study introduces social work students to the productive aging concept, an optimistic view to social potential in later life, in lecture format and assesses postlecture changes in their perceptions of older adults. Seventy-two students (16 BSW; 56 MSW) were recruited from a large university in the southeast United States to participate in a lecture on productive aging. A one-group pretest–posttest design was used, and a paired samples t test (n = 72) was used to analyze changes in social work students’ perceptions toward older adults. Negative attitudes toward older adults decreased and positive attitudes toward older adults increased among students following their participation in the lecture on productive aging. This finding suggests the productive aging concept may favorably influence student perceptions of older adults. Future research should aim to investigate ways in which these changes in perception at the college level can translate and self-sustain in social work practice for social work students postgraduation.     

A cross-cultural analysis of perception on ageist attitudes between Korean and American social work students

This study examined whether there are differences in ageist attitudes toward a person who is struggling from terminal illness between Korean and American social work major students at the undergraduate level. A total of 137 college students participated in this study: 66 Korean students in South Korea and 71 American students in the United States. The students were given surveys with an identical case but the subject was either a 38-year-old or an 80-year-old woman, and they answered 16 questions regarding their perception of age and death, end-of-life options, assessment and intervention, and values and ethics to care. The finding showed that there were generally negative ageist attitudes among social work students regardless of their cultural background, though there were some differences in their basic ageist attitudes. The findings suggest that social work students at the undergraduate level need more education to resolve their negative ageist attitudes in order to provide effective service for the older population.     

An exploratory study of substance abuse among Latino older adults

Substance abuse among older adults is on the rise. Of particular concern is the increase in alcohol and drug use predicted among Latino elders, expected to result from an upsurge in the Latino population and concurrent growth in the number of older adults. Providing effective treatment for this group will require age-specific, culturally competent interventions. However, few studies have focused on geriatric substance abuse among Latinos. This study aims to lay the groundwork for further research by examining perceptions of the problem among treatment providers and researchers in aging and substance abuse. Implications for social work research and practice are addressed.     

Promoting Compassionate Concern in Social Work: Reflections on Ethics, Biology and Love

This paper challenges proceduralized, rule-bound approachesto ethics and considers how social workers and teams can developan attitude of compassionate concern and become more effectivein dealing with ethical problems in their day-to-day practice.It introduces the work of Humberto Maturana, a widely respectedtheorist, whose work has received little attention in socialwork. The paper argues that Maturana’s biology of cognitionprovides an approach to ethics that takes into account the spontaneousnature of everyday work in which social workers undertake theirethical actions. It stresses the importance of emotions, particularlylove, and considers the way in which ethical action is shapedby culture. It emphasizes the importance of engaging in reflectionon professional practices and team, professional and organizationalculture in order for social workers to improve their awarenessof ethical dilemmas and promote ethical practice. For thoseteaching ethics, this paper suggests an alternative to the rationalconsideration of moral dilemmas and proposes approaches to trainingthat can help social workers become more attuned and responsiveto ethical conflicts.     

A Comparison of Rural and Urban Older Adults in Iowa on Specific Markers of Successful Aging

This study examines the differences between rural and urban older adults on level of life satisfaction and depressive symptoms, focusing on the effect of social support. Data were collected through structured interviews at senior centers and senior meal sites in eastern and southeastern Iowa. The Duke Social Support Index (DSSI), the Life Satisfaction Index-Z (LSI-Z), and the Geriatric Depression Scale 15 (GDS15) were used. Correlations (Pearson's r), independent sample t-tests, and multiple regression were computed. Findings indicated that urban residents reported more depressive symptoms, as compared to rural residents. Subjective level of social support was a stronger predictor of life satisfaction and was more negatively related to depressive symptoms among rural than among urban older adults. Results suggest that social workers who work with aging people need to be aware of rural–urban differences in mental health. Furthermore, social workers need to have knowledge of older adults' social networks and work to ensure greater opportunity for social interaction.     

Clinical Social Workers Knowledge About Aging:

This study explores clinical social workers' knowledge about old age using Palmore's (1977) "Facts on Aging" quiz to measure knowledge about persons 65 years of age and older. Data are based on a mailed questionnaire completed by 200 MSW social workers from the state of Ohio who were listed in the NASW 1976 Register of Clinical Social Workers. Key findings are as follows: (1) the average number of corret responses on the facts quiz is 17 (68% correct); (2) examination of the items which 60% or less of the respondents answered correctly reveals five items that indicate a negative bias toward the elderly, three items a positive bias, and two which are neutral; and (3) rank order of the content areas in which items are most often missed indicates sociology of aging and demography of aging are the two areas where knowledge is most lacking. Implications for graduate education and in-service training for clinical social workers are discussed.     

Correlates of Attitudes Toward Personal Aging in Older Assisted Living Residents

This study explored factors contributing to older adults’ self-perceptions about their own aging in assisted living (AL) communities. Data analysis was completed based on interviews with 150 older residents from 17 AL communities. Multiple regression analyses found that functional disability and hearing impairment negatively affected attitudes toward personal aging among AL residents, and satisfaction with social support positively influenced attitudes. Health perception mediated attitudes toward personal aging. Findings suggest the importance of social workers helping older AL residents recognize social support as a means of promoting their positive self-regard.     

Care Management and Professional Autonomy: The Impact of Community Care Legislation on Social Work with Older People

Correspondene to Mark Lymbery, Centre for Social Work, School of Sociology and Social Policy, University of Nottingham, University Park, Nottingham NG7 2RD, UK. e-mail: Mark_Lymbery{at}nottingham.ac.uk Summary The 1990 National Health Service and Community Care Act appearedto herald a new dawn for social work with older people, whichhad previously been a relatively neglected and undervalued areaof social work practice. The legislation proposed a new rolefor social workers as ‘case managers’, with considerableautonomy and flexibility about the way in which the ‘casemanager’ responded to need. By the time community carepolicy was implemented, the role of ‘case manager’had been transformed into that of ‘care manager’,with a focus which emphasized procedural and managerial requirementsrather than a more flexible professional practice. This paper explores the extent to which this shift has substantivelyaltered the nature of social work practice with older people.It outlines key theories of professions and their applicabilityto social work, and critically analyses the impact of the ‘newmanagerialism’ within social services departments. Thepaper also examines the nature of social workers' practice witholder people following the impact of community care legislation,and concludes that the impact on the social work professionhas been to locate an increasing control of practice with socialwork managers, with potentially serious consequences for thecontinuation of a distinctive social work role in relation toservices for older people.     

An Exploratory Study of Substance Abuse Among Latino Older Adults

ABSTRACT

Substance abuse among older adults is on the rise. Of particular concern is the increase in alcohol and drug use predicted among Latino elders, expected to result from an upsurge in the Latino population and concurrent growth in the number of older adults. Providing effective treatment for this group will require age-specific, culturally competent interventions. However, few studies have focused on geriatric substance abuse among Latinos. This study aims to lay the groundwork for further research by examining perceptions of the problem among treatment providers and researchers in aging and substance abuse. Implications for social work research and practice are addressed.     

Drawing on Kinship Care Support for Older People during a Pandemic (COVID-19): Practice Considerations for Social Workers in Ghana

ABSTRACT

Undoubtedly, the ongoing COVID-19 pandemic has brought both systemic, practice changes and limitations to social workers’ commitment to the welfare of vulnerable populations such as older people. A golden preventive rule of the COVID-19 pandemic; maintaining physical and social distancing, has limited social workers’ direct practice support for older people who are considered as an at-risk population. Within jurisdictions such as Ghana where kinship care practices are culturally engrained, social workers should promote kinship care support as substitute mechanisms and pathways to safeguard or meet the welfare needs of older people.     

“Build a friendship with them”: The discourse of “at‐risk” as a barrier to relationship building between young people who trade sex and social workers

Young people in statutory care and protection interact with social workers, who hold potential to provide a supportive adult role in their lives. Many however, run away at an early age and end up on the street trading sex for money or other favours. There is potential to improve outcomes for young people in care if the relationship between young people and their social workers is better addressed. This paper uses data from a qualitative study of 14 young people who traded sex and who had experienced interactions with social workers. A thematic analysis identified three themes: the rigidity of social work practice; contesting the family situation; and resisting the at‐risk label. We argue that to have any impact on outcomes for young people in care, social workers need to prioritise relationship‐building above the need to conform to organizational protocols and guidelines. Such guidelines assist the social worker in assessing whether family situations pose high risk for a young person, but the “at‐risk” label is contested by young people, which results in a lack of trust and a barrier to relationship building.     

Rethinking social work ethics: what is the real question? Responding to Stephen Webb's ‘Against difference and diversity in social work’

Jose J. Rethinking social work ethics: what is the real question? Responding to Stephen Webb's ‘Against difference and diversity in social work’ Int J Soc Welfare 2010: 19: 246–252 © 2009 The Author(s), Journal compilation © 2009 Blackwell Publishing Ltd and the International Journal of Social Welfare. In his recent article, Stephen Webb argued that the real question for social work ethics concerns ‘recognising the Same and of restoring the principles of equality and social justice’. This argument also included raising questions about what should be considered an appropriate philosophical basis for progressive social work ethics. In his view, social work's emancipatory potential has been blunted by overstated and philosophically ill‐informed human rights claims about difference and diversity. He suggested that French philosopher Alain Badiou offers social workers a ‘set of conceptual devices for rethinking social work ethics’. I argue that pressing his points into Badiou's philosophical mould is unlikely to lead to a progressive social work practice, let alone solve the issues identified by Webb. Badiou's philosophical pronouncements about ethics are of questionable value and offer little or no assistance to social workers seeking to establish an ethical grounding for their professional practice.     

“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.     

Older Women Doing Home Care: Exploitation or Ideal Job?

The increased need for both personal assistance workers and meaningful employment opportunities for older workers results in growing numbers of older home care aides. This study examined lifetime financial security and perceived advantages of older age in this field through interviews with 31 older home care aides. Study participants experienced high levels of financial insecurity and perceived older workers as particularly well suited to the home care job. The consequences of this low-wage, low-status work are explored along with implications for social workers to advocate for improved conditions for these workers providing essential care to frail elders.     

Bringing the community in: partnerships for aging enrichment

Aging enrichment of undergraduate social work curricula ensures that program graduates will be prepared to practice with older adults. This article reports the results of focus group research that was designed to engage social workers from community agencies serving older adults in preparing students to become "aging-savvy" social workers. The workers highlighted the importance of wide-ranging exposure to older adults, the changing needs of older adults, and the importance of increasing students' comfort with self-determination. These findings informed the program's ongoing curricular transformation process through the incorporation of new assignments that enabled increased contact with older adults in a variety of settings.