Developing Spiritual Competence in Practice

Abstract

This article defines and operationalizes the concept of spiritual competence. Most social workers have received little training on spiritual competence, which is a concern for at least three reasons: (1) Most practitioners affirm the importance of addressing spirituality in practice settings; (2) The NASW Code of Ethics requires services that address spirituality to be characterized by cultural competence; and (3) major accrediting agencies, such as the Joint Commission on Accreditation of Healthcare Organizations (JCAHO), now require practitioners to explore client spirituality. To help practitioners understand and implement spiritual competence in their work with clients, a three-dimensional definition of spiritual competence is delineated, discussed, and illustrated with a three-part case example.     

Complexities of cultural difference in social care work in England

The ageing of the ethnic minority population in Britain has led to a more ethnically diverse older client group for social care services than has ever been the case. This article focuses on the issue of how social care staff in England experience working across differences of culture, ethnicity, religion, and language. First, the article critically discusses the concept of cultural competence. Then, it reports on the perspectives of social care staff on their attempts to work in a culturally competent way. Individual in-depth qualitative interviews were carried out with 39 social care practitioners, and thematically analysed. Themes related to professional competence, appropriate behaviour, and training needs. Some practitioners felt unable to perform to their accustomed skill level when working across diversity, which has implications for the quality of care provided and job satisfaction. Other practitioners were confident in working across diversity. The key difference between these practitioners was a degree of cultural reflexivity. Recommendations for training are provided.     

Building spiritual sensitivity through an online spirituality course

ABSTRACT

The National Association of Social Workers and Council on Social Work Education define cultural competence and acknowledge the role of spirituality within cultural experiences. Both describe cultural competence as a linear experience that begins with awareness and sensitivity, leading to competence. Understanding the role of spiritual sensitivity in building spiritual competence is essential in social work practice where spirituality informs both assessment and intervention. This qualitative study examines the experiences of 37 undergraduate students in an online spirituality course. Results reveal the emergence of spiritual sensitivity indicated by an awareness of spiritual diversity and need for spiritual competence.     

Social work and pastoral counseling: Empowering each other

ABSTRACT

This article addresses the divergent outcomes which can result from counseling services offered pastorally versus clinically. As faith leaders often have greater direct access than social workers to supporting religious populations, it is important to explore the intersection between religious pastoral support and clinical social work. Presenting six scenarios from the author’s own experiences as both a rabbi and social worker, this article processes each scenario first through the pastoral lens of an Orthodox rabbi, followed by the clinical lens of a social worker or other mental health professional. The client outcomes which are produced from each modality are radically different. This contrast demonstrates the distinction between the goals, values, and training of each profession, and highlights importance for future work to be done in linking religious and pastoral training to mental health services, as well as broadening the scope of cultural competence for social workers and therapists who may engage with tight-knit religious populations.     

Integrating Spirituality into MFT Training: A Reflexive Curriculum and Qualitative Evaluation

When clients enter the therapy room they bring unique spiritual beliefs and values in with them; however, marital and family therapists (MFTs) often lack training to assist in this important area of diversity. Current training recommendations encourage therapists to explore their own spirituality to identify personal limitations that may occlude positive client outcomes; however very little information exists on the implementation and usefulness of this type of training. This article will describe a curriculum and report results from a qualitative study of students who participated in a reflexive spirituality practicum course offered in a COAMFTE accredited doctoral program at a private, religious institution. Through this, we hope to provide a training model to further spiritual integration activities in MFT.     

Religion,spirituality & chronic illness: A scoping review and implications for health care practitioners

ABSTRACT

While the influence of institutional religion has decreased over the last 40–50 years, research suggests that a substantial proportion of those not attending religious services continue to engage in religious and spiritual practices on their own and refer to religion as a very important aspect in their lives, and as linked to more positive health outcomes, particularly for those living with chronic conditions. This article provides a scoping review to not only highlight the research that views religion and spirituality as valuable tools for coping with chronic illness conditions, but also to highlight research that explores those who may experience some religious/spiritual doubts or a gradual loss of religiosity or spirituality with the diagnosis of chronic conditions. Regardless of a clinician’s beliefs, the authors argue that some awareness training of the value of religion and spirituality for some patients, can be beneficial. In a society facing an increasing plurality of faiths, this is deemed to be an invaluable discussion. In the end, clinical implications will be discussed.     

Practitioners’ Personal and Professional Attitudes and Behaviors Toward Religion and Spirituality

This article presents findings from a study that examined the attitudes and behaviors toward religion and spirituality held by 328 randomly selected Virginia licensed clinical social workers, psychologists, and professional counselors. Significant differences were found among the three groups, with social workers generally holding a middle position in comparison with psychologists and professional counselors. As a whole, respondents were found to value the religious or spiritual dimension in their own lives, to respect the function it serves for people in general, and to address, to some extent, religious and spiritual issues in practice. Limited professional training in this area was reported, however, with 79% (n = 259) of the respondents stating that religious or spiritual issues were rarely or never addressed during the course of their graduate education and training. Implications for social work education and practice are discussed.     

Integrating a Multicultural Perspective Into Training for Career Counseling: Programmatic and Individual Interventions

Preparing students to provide competent career counseling to multicuturally diverse clients requires a systematic and integrated effort by training programs. This article discusses the essential components in a comprehensive, programmatic commitment to multiculturalism, and offers suggestions for enhancing multicultural sensitivity and competence in individual trainees. The definition of multicultural diversity used in this article includes issues in addition to race and ethnicity (e.g., gender, sexual orientation, age, socioeconomic status, and physical disability) and recognizes the diversity of counseling trainees.     

Access Barriers to Mental Health Services for Older Adults from Diverse Populations: Perspectives of Leaders in Mental Health and Aging

This project is based on the results of telephone surveys with 52 local, state, and national informed respondents including policymakers, county leaders, planners, and advocates in mental health and aging with a particular focus on the states of California and Florida. This article addresses challenges to access to mental health services for diverse older adults including barriers related to race and ethnicity, socioeconomic status, location, age, gender, immigrant status, language, sexual orientation, and diagnosis. The article also highlights broad themes that emerged including (1) the importance of outreach and transportation tailored to diverse elders, and (2) recruitment of diverse staff and training related to diversity. The article concludes with policy and practice recommendations to reduce these disparities in access to mental health services for diverse populations of older adults.     

Access barriers to mental health services for older adults from diverse populations: perspectives of leaders in mental health and aging

This project is based on the results of telephone surveys with 52 local, state, and national informed respondents including policymakers, county leaders, planners, and advocates in mental health and aging with a particular focus on the states of California and Florida. This article addresses challenges to access to mental health services for diverse older adults including barriers related to race and ethnicity, socioeconomic status, location, age, gender, immigrant status, language, sexual orientation, and diagnosis. The article also highlights broad themes that emerged including (1) the importance of outreach and transportation tailored to diverse elders, and (2) recruitment of diverse staff and training related to diversity. The article concludes with policy and practice recommendations to reduce these disparities in access to mental health services for diverse populations of older adults.     

Gender,Religiosity, Spirituality,and Attitudes toward Homosexuality

This article investigates the relationship between religiosity, spirituality, gender, and attitudes toward homosexuality. The article augments the existing literature by examining the effects of religious affiliation, religiosity, and spirituality on attitudes toward homosexuality separately for men and women using the 2008 and 2010 General Social Surveys. Results indicate significant gender differences in attitudes toward homosexuality for two variables. Southern residence decreases tolerance among men, but not women. Also, men who self-identify as spiritual, but not religious, are more likely to report that homosexuality is not morally wrong than their more religious counterparts; however, a similar finding was not evident among the women who self-identified as spiritual.     

The spiritual genogram in family therapy

Spiritual and religious issues often surface during marital and family therapy. In this article, I describe a spiritual genogram that is a multigenerational map of family members' religious and spiritual affiliations, events, and conflicts. Used as a tool in family therapy, the spiritual genogram enables clients to make sense of their families' religious/spiritual heritage and to explore the ways in which their experiences impact present couple or family issues.     

Toward a Cultural Competence Measure for Social Work with Specific Populations

Abstract

The notion that cultural competence is crucial to sound social work practice is widely accepted in the profession. However, there exists a gap between the achievement of the goal of developing culturally competent practitioners through social work education and the ability to measure such competence. A second gap exists between education and the providing of culturally appropriate services in everyday practice. These gaps are likely due to (1) the broad terms used to define cultural competence, (2) the slow evolution of instrumentation to measure cultural competence, and (3) the lack of culture-specific training and measurement techniques. This paper assesses the need for further refinement of the concept and suggests a new approach for the development of instruments to measure it. The authors provide an overview of the construct of cultural competence, analyze the conceptual and empirical foundations of four well-known measures, and provide a rationale forthe development of culture-Specific instruments.     

Mismatch of school desks and chairs by ethnicity and grade level in middle school

The purpose of this article is to introduce the cross-disciplinary competency standards for work-related assessments, why they are needed and how they have been developed in New South Wales (NSW). Cross-disciplinary competency standards communicate the benchmarks for effective performance of work-related assessments. They outline what is expected of rehabilitation professionals, including the ability to apply and transfer competence across different conditions and workplace contexts. Outcomes in occupational rehabilitation are affected by the efficacy of the work-related assessments performed, which is dependent upon competent, clinical decision-making by rehabilitation professionals. However, in Australia, work-related assessment practice is not governed by universally accepted competency standards or by any competency-based training/education and assessment system. To enhance professional practice, WorkCover NSW has developed cross-disciplinary competency standards for work-related a ssessments. The competencies provide (i) quality standards for professional workplace training and development, (ii) benchmarks for assessing the competence of rehabilitation professionals, (iii) a framework for evidence-based practice, (iv) benchmarks for measuring service quality and (v) "real world" learning outcomes and assessment criteria for professional education programs.     

Psychological Testing in Child Custody Evaluations With Ethnically Diverse Families: Ethical Concerns and Practice Recommendations

Given increasing ethnic diversity of divorcing families, it is more important than ever for family court evaluators to understand the ethical concerns and principles underlying the use of psychological testing with ethnic family members. Major professional organizations have promulgated the guidelines of child custody evaluation with an imperative to consider cultural factors in the evaluation. However, there is a paucity of literature that addresses ethnicity and psychological testing in child custody evaluations. This article addresses three major ethical domains: (a) competence, (b) test fairness, and (c) test interpretation when psychological tests are used. Practice recommendations provide guidelines to ensure ethical standards and competence in using psychological testing with ethnically diverse families in child custody and other family court evaluations.     

Student bodies, past and present

This article examines how the field of college health has evolved over time to address the needs of an increasingly diverse student population. The central argument is that college and university health programs developed in conjunction with shifting standards of medical care and public health practices in the United States. The author reviews the role of college health programs as public health agencies for campus communities, and describes contemporary public health challenges facing college campuses. She shows how the history of college health is intertwined with the history of diversity in higher education. In particular, the author outlines how the growth of health services made higher education accessible to women, racial minorities, veterans, and persons with disabilities.     

A skillset and a stance: Program planning for cultural competence and cultural humility in home visitation

Cultural competence has long been valued in home visitation, with a special focus on adapting home visiting programs to maximize their effects on specific cultures and populations. Critics advocate that traditional cultural competence training focusing on individual, professional skills-building should be replaced by cultural humility approaches that focus on humble engagement of participants. Little is known about how home visiting programs serving broadly diverse populations experience cultural competence and/or cultural humility efforts and initiatives on the ground. Interviews approximately 90−120 min in length were conducted with 34 home visiting program administrators in a large Midwestern state. Interviews were audio-recorded, transcribed, coded thematically, and subjected to content analysis. Two themes were identified from interviews. Respondents emphasized that: 1) cultural competency training was required by home visiting program models, so cultural competency questions were always addressed in home visitation, especially in training for new home visitors; and 2) cultural competence also included many aspects of cultural humility, commitment to continuous self-evaluation and self-reflection on cultural encounters that identified cultural knowledge gaps and sought more information. Respondents did not see cultural competency and cultural humility as oppositional and saw both concepts as important for engaging participants in home visitation.     

The self-defined experience of secular foster-care services for ultra-religious women in Israel: Using phenomenology to create cultural sensitive services

This paper qualitatively explores how foster parents from a religious minority group – more specifically foster parents from the Jewish ultra-orthodox sector in Israel experience the act of fostering through secular welfare services. Central themes that the women raised include religious spiritual beliefs as enhancing positive meaning of the act of foster care: Ambivalence of other women in the community because of fostering through external state services: The husband and religious leader as a central support due to the spiritual meanings of foster care. The central themes in terms of the secular services were their role as a protective financial base for creating a clear contract concerning the foster care as compared to informal fostering within the community and a culturally sanctioned exposure to psychological concepts and secular childcare practices. Lack of understanding of the secular welfare services of the importance of each group within their community was also stated as a challenge. Overall, the findings reveal the complex ways that these ultra-religious women from a very closed community negotiate and integrate resources from within their community and from the secular foster services outside of their community. Implications for creating culturally adapted secular foster services for Ultra-orthodox Jewish women are discussed, as are the methodological implications of exploring phenomenological experience of minority groups of foster care services as a base for culturally sensitive understanding, is discussed.     

日语专业学生跨文化交际能力培养策略研究

跨文化交际能力是日语专业学生能力培养的主要目标之一。当前,不少日语专业学生在词汇、文法、阅读等方面具有较为扎实的基础,然而在跨文化交际能力方面存在较大的不足。通过分析日语专业学生跨文化交际能力缺失的原因,探讨行之有效的培养策略。     

Spiritual development: a missing priority in youth development

Addressing the spiritual development of young people has the potential to strengthen youth work and its outcomes. Spiritual development matters because it is an intrinsic part of being human and because young people themselves view it as important. This article reviews the research that points to positive impacts of spiritual development for youth and notes that in an increasingly pluralistic society, everyone needs to build skills for negotiating religious and spiritual diversity. The authors propose that spiritual development involves, in part, the dynamic interplay of three dimensions: belonging and connecting, awareness and awakening, and a way of living. Three initial challenges and opportunities are emerging: empowering youth to explore core developmental issues, motivation and focus, and multisector engagement.