Evidence in action: a Thompsonian perspective on evidence-based decision-making in social work

Evidence-based practice presupposes evidence-based decision-making. In the debate it is argued that a social work fashioned after evidence should be more rational, less authoritarian, and built on scientific knowledge, respect and ethics. Yet the empirical evidence that this idea works is weak. In fact, the difficulties met during efforts to implement evidence could be a sound reaction. Indeed, difficulties experienced could be a defensive organizational reaction to a new, disturbing technology. In this article, James D. Thompson's classical study Organizations in Action from 1967 is applied to evidence-based decision-making in social work. It shows, to date, that many problems have been given, at best, tenuous attention. It is argued that a focus on evidence will raise ambiguity and complexity levels within organizations, and that new professional specialists will emerge. Further, new constellations of power will appear, leading to a change of balance within the domains of social work.     

Evidence-based practice in social work: perceptions and attitudes among Norwegian social workers

Although the concept of evidence-based practice (EBP) eludes precise definition, it is used as a trademark label to ensure that practice is based on science and thereby effective and of high quality. Proponents of EBP have proposed that both education and practice in social work should be transformed according to the principle of EBP. They attribute critical opposition to EBP to a lack of knowledge of what EBP is. In this article, we endeavour to clarify the concept and present results from a survey among social workers (N?=?2060) from Norway. The survey results show that although many have heard of the concept, few have precise knowledge about it. However, the more educated social workers are (master’s level), the clearer their opinions, both critical and non-critical. The results are discussed in relation to neo-liberal governance and development of social work.     

An islamic perspective for strengths-based social work with muslim clients

This paper examines the Islamic concept of fi?ra or ‘original purity’ in relation to the strengths perspective in social work as a basis to guide religious and culturally appropriate services to Muslim clients. Both fi?ra and the strengths perspective presuppose a positive view of humankind; people are viewed as resilient and capable of growth and development, albeit in respective Islamic and secular systems, these outcomes are towards different ends. In Islam, growth and development links to the self but, ultimately, also to one's relationship with God. In secular social work systems, individual effort and the ability to overcome adversity and become whole are key and need not necessarily be linked to a God. This paper assesses the concept of fi?ra in relation to the strengths perspective to determine a religious and culturally appropriate equivalent for working with Muslim clients within the broader context of multicultural practice.     

Improving evidence-based social work practice with youths exhibiting conduct problems through structured assessment

A key task in evidence-based case management of youth is the assessment of research-based risk and protective factors. In the present study we compare assessments of social workers using a structured assessment instrument with assessments of social workers not using such an instrument. Assessments of the exact same case—a vignette about a 14-year-old boy—conducted by 30 social workers using a structured assessment instrument and 30 social workers not using such an instrument were compared. The 60 assessments were also rated by independent researchers and senior social services managers, blind to whether an instrument had been used in the assessments or not. As hypothesized, using a structured assessment instrument resulted in the identification of a greater number of research-based risk and protective factors, and the assessments were rated as better in terms of general adequacy, quality, accuracy and potential treatment effectiveness, than when an instrument was not used. The present study demonstrates that social workers’ assessments of youth become more evidence-based, adequate and potentially more treatment effective when a structured assessment instrument is used as compared to when it is not.     

Evidence-based practice: from medicine to social work

The last 10 years have witnessed an increasing interest in evidence-based practice in the field of medicine. The product of a time characterised by the explosion of information technology, a heightened sense of risk, and the enshrining of the principles of economy, effectiveness, transparency and consumerism, evidence-based practice has rapidly expanded from medicine to other fields, including social work. The new paradigm has generated not only great enthusiasm in many areas of the social work profession but also an intense debate about the transferability of the principles of evidence-based practice from medicine to a discipline that operates amidst particularly complex and multifaceted societal factors. Similarly, the concept of evidence upon which social work practice should be based has been the object of considerable discussion, though initial emphasis on results from randomised controlled trials seems to be gradually shifting towards broader approaches to defining evidence. Although organisational constraints and job pressures are likely to favour the use, among practitioners, of ‘preappraised’ resources, this should not prevent social workers from acquiring the skills and knowledge necessary to make independent and critical appraisal of evidence.     

Integrating a family-centered approach into social work practice with families of children and adolescents with disabilities

This article identifies a family-centered practice construct for working with children and adolescents with disabilities and their families. The experiences of these families have shifted considerably over the past 30 years. A legislative and historical context provides the basis for an understanding of present policies and practices that influence current approaches to service delivery. Though family-centered practice is emphasized in various practice settings, there is still a need to integrate this philosophy into social work practice with children and adolescents with disabilities and their families. In order to enhance the ability of the social worker to integrate this construct into practice, a framework for exploring the experiences of children, adolescents and families is provided. This framework provides an overview of factors related to the individual child, the family and siblings for the social worker to consider when working with these families. The social worker's role as collaborator, advocate, team member and family resource is highlighted.     

Kairos and practice wisdom in social work practice

Practice wisdom is a form of practical moral reasoning when social workers face the complexity and uncertainty encountered in practice. Following a literature review on practice wisdom in social work, its essential features are discussed, identifying a neglected element in the literature—the element of time. The element of time is found to be implicitly considered in models of social work practice but not in relation to practice wisdom. If the right action has to be taken in the right place, and at the right time, the concept of practice wisdom would be much impoverished if the element of time is not considered in its discussion. Hence, the concepts of kairos—qualitative time, and chronos—quantitative time, are discussed. The relevance and usefulness of kairos in social work practice are pointed out. Social workers need to work with ‘time within time’, be conscious of clients’ sense of time, know what to do as well as what not to do at the appropriate time. Finally, the inextricable link between time and space and the possible emergence of novelty and ingenuity are examined to bring out the creative dimension of practice wisdom.     

Evidence-based practice with families of chronically ill children: a critical literature review

A chronically ill child is financially, emotionally, and physically demanding on the family system. Although researchers have identified a plethora of risks, stressors, and needs of the families with a chronically ill child, there is a scarceness of evidence-based interventions in the existing literature. The purpose of the authors in this study was to critically analyze current treatment and identify the gaps in the available research. Findings revealed that there is a lack of support for empirically tested interventions that can help parents, siblings, and families of chronically ill children. The issues raised within this literature review bring attention to the need for shifts in research from exploratory to evidence based in order to successfully achieve more effective care.     

Building research capacity for social work practitioners: a regional perspective

This article explores the research experiences, interests and capacity of social work professionals working as frontline workers and managers in human service organizations in regional South Australia. It also draws attention to social work practice issues requiring further investigation as identified by these professionals. The research data for this paper were collected using quantitative and qualitative methods. Quantitative data provided evidence to show the extent of research interests among social work practitioners in the region. Qualitative data added depth to the findings by identifying social work practice issues as described by research participants. The study revealed that few participants had any research experience; however, the majority felt the need to undertake research, expressed interest in research training and a desire to be involved in research projects. These findings have implications for higher education providers in the social work discipline. They draw attention to the importance of better preparing students for research in practice, and also for schools of social work to actively engage in building research capacity and output in regional Australia.

Abbreviations: Frontline social work professionals (FLSWP); The Australian Association of Social Workers (AASW)     

Using a real case scenario in teaching social work with children and families in different practice settings

Transforming classroom knowledge into practice competency is particularly challenging in social work with children and families. It involves complex, competitive practice approaches and different service settings with procedures and norms influencing a child’s wellbeing. The paper presents the content, application, and evaluation of a module based on a case scenario which considers the limitations and achievements of social work with children and families in different settings. A mixed-method approach was applied to this review process. Students were given an evaluative questionnaire based on the theoretical framework of experiential learning whereupon they wrote reflective essays describing their learning experience. Case method contributes to the acquisition of reflective, integrative, and stimulating knowledge. The participation level contributes to the students’ satisfaction during such learning. Students have learned that families with multiple and complex needs require a holistic approach that separate systems and services cannot provide. This way of learning, with certain limitations, allows activation and an intensive learning experience for large groups of students relevant for a number of social work schools.     

Vedanta and social work practice

Spirituality holds an important place in the lives of social workers and their clients. It informs our understanding of the world, our morals and values, and our conduct. Spirituality is a powerful tool of guidance and healing. Recognizing its importance, efforts have been made to integrate spirituality into social work practice. A gap in these efforts is the inclusion of epistemological foundations of key Eastern religions and spiritual practice. Concepts such as yoga and meditation have been adapted as healing methods; however, the knowledge base that informs them has been neglected. This article addresses this gap with an exploration of Vedanta and how it can be integrated into social work practice. Vedanta is the body of knowledge that informs the traditions of yoga, Ayurveda, and Hinduism. This article explains key concepts of Vedanta including Advaita Vedanta, the five sheaths (ways of knowing), pathways to Vedanta (methods of obtaining knowledge), dharma, karma/reincarnation, the nature of reality, and the lineage of Gurus. The second part of the article focuses on the application of Vedanta to social work practice within existing literature and identifies areas for further research.     

Evidence-based practice: a critical reflection

This article employs the process of critical reflection to uncover and challenge the hegemonic assumptions of evidence-based practice (EBP). The critical reflection process results in a re-conceptualisation of best practices that, while still honouring empirical research, is less hierarchical and more inclusive of a broad spectrum of interests than traditional EBP. Multidimensional Evidence-Based Practice (MEBP) validates consumer wisdom, professional experience, and qualitative research as equal partners to quantitative research in determining current state-of-the art best practices. Furthermore, MEBP incorporates a value-critical analysis of those best practices that can lead to improvements and innovations, so that ‘best practices’ becomes a dynamic rather than a static construct.     

Critical social work and competency practice: a proposal to bridge theory and practice in the classroom

Social work education in North America is increasingly focused on competency criteria and micro skills training for future practitioners. Market forces are transforming the nature of social work practice in Canada, and social work regulators are concerned about the lack of evidence-based competencies in social work education. Since the Controlled Act of Psychotherapy was proclaimed in 2017, social work practitioners are in a position to offer psychotherapy services; as a result, universities are under greater pressure to shift to competency-based learning that meets the requirements of a regulated profession. This has raised concerns about the narrowing focus on critical social work theory in preparing students for practice. The divergence between anti-oppressive and direct practice schools is widening with the result that many students have difficulty bridging the gap between critical theory and competency-based practice. This paper attempts to integrate both traditions by offering students a course that directly links critical analysis of structural barriers and client centered interventions. The course is part of a developing critical competency curriculum that focuses on methods of facilitating empowerment and change in the helping process by articulating key relational components between service user and practitioner from a critical-competency perspective.     

Creativity in social work education and practice: reflections on a Survivor Arts Project

This article, written by survivor artists, practitioners and academics (each moving between these different identities and associated voices), will explore a creative arts approach to social work (SW) education within the context of service user and carer involvement. In addition to building upon a developing literature base, the writers will draw upon their own experience and the experience of other service user and carer contributors as well as student and practitioner feedback. In doing so, this article will seek to analyse some of the ways the creative arts can be harnessed as a tool for a more radical, creative and critical approach to professional education and how this in turn can help develop more empathic, critically self-reflective and creative (in the broadest sense of the word) practitioners. In critiquing the more traditional service user and carer involvement approach, this article will attempt to show how the more innovative approach of the Survivor Arts Project can move us beyond an arguably more limiting ‘expertise through experience’ model. In outlining an emancipatory model which recognises the relevance of lived experience and places this within the context of survivor movements, focusing also on the skills and insights survivors bring to SW education, this article will detail the ways we can work towards developing a more vibrant and dynamic learning environment which values our life stories and recognises our strengths as well as the many different and overlapping identities which place us along a continuum that connects our lives and informs our practice.     

The electronic eye: emerging surveillant practices in social work with children and families

Given the rise of a ‘surveillance society’ or ‘surveillance state’, this article examines the evolution of new surveillant practices which are targeted at children in general, but also particular groups of children who are frequently seen as ‘troublesome’, even threats to the social order. In England for example, there has been an emerging preoccupation with ‘identifying’, ‘profiling’, and ‘tracking’ the potentially criminal young. Furthermore, other major changes are likely to be introduced in the area of child welfare and child protection. Important here is the New Labour administration’s plan to introduce ‘information hubs’ which will electronically log details on children and families. It is argued that social work and the social professions, throughout Europe, need to critically analyse developments such as this and have their responses informed by international discourses founded on civil and human rights.     

Relationship based social work practice: the case for considering the centrality of humour in creating and maintaining relationships

Relationship based social work practice has received increasing attention in recent years. The use of humour has infrequently been considered in relation to social work, and humour use is a neglected aspect in examining relationships in social work. As humour conveys humanity, is grounded in our earliest attachments and in the management of emotions, the purpose of this paper is to consider how humour operates in social work relationships. Importantly humour can help facilitate relationships with service users, and become a tool to help service users, social workers and their colleagues establish relationships.     

Spatial approaches to social work – theoretical foundations and implications for practice and research

ABSTRACT

Spatial approaches have inspired and grounded the social sciences and social geography already for a longer time. Beyond these models, the theory discourse on social work developed innovative concepts and models of socio-spatial approaches. They set a special focus on aspects of individual and social development, the concept of acquirement and emancipatory approaches to spatial design. For interventions, special methods for socio-spatial analyses were developed. This article reflects the main approaches of this theory discourse and asks for its key implications for social work practice and research.     

Developing evidenced-based policy and practice in social interventions with children and families

This review article focuses on a series of reports commissioned by Barnardo's, the largest children's charity in the UK.¹ The series examines ‘what works?’ in different forms of social intervention with children and families. The publication of these reports is very timely. There is growing interest, indeed a demand, from many quarters for a strengthening of the evidence base that informs social policy. This, in turn, has opened a debate among researchers and users of research about what constitutes evidence. What sort of information enables us to make claims that a particular initiative works? This series considers the question of appropriate research methodologies and in so doing raises many further questions, which are the theme of this review.     

A Piagetian approach to social work practice with children and adolescents

While the field of social work is heavily committed to the treatment of children and adolescents with behavior problems, it has given little attention to the application of Piaget's egocentrism theory to these problems. This paper outlines the theory proposed by Piaget and reviews subsequent empirical validation and clinical applications of his theory. The role of social work in developing more sophisticated applications of Piaget's theory is discussed.     

Utilization of the interprofessional education,practice, and research model in HBCU social work education

ABSTRACT

Historically Black colleges and universities (HBCUs) are often overlooked as a resource to address the need for a diverse healthcare workforce even though they are an essential component of ensuring diversity. In order to meet the needs of the current patient population, HBCUs’ social work programs must move from silo education, practice, and research pedagogy to inter-professional education (IPE), practice (IPP), and research (IPR) modalities when developing partnerships that promote the elimination of health disparities. This article discusses the contributions of a HBCU’s School of Social Work to the growth of IPE, IPP, and IPR utilizing the Ujima principle of Nguzo Saba. The projects developed were an attempt to provide meaningful and relevant education to social work students while exposing them to a collaborative inter-professional education, practice, and research experience. The three social work projects included intra-university and social community collaborations and exposing students to experiential inter-professional education, practice, and experimental learning. This is an opportunity for social work students to become involved in the evolving best practices pedagogy for inter-professional education, practice, and research which social work must embrace in order to fulfill the National Association of Social Workers imperative of preparing students to work in collaborative health care teams. The expected outcomes of these inter-professional ventures reflect a HBCU’s commitment to increasing the competency in inter-professional modalities aimed at supporting, empowering, and preparing high caliber diverse graduates who will grow the future and lead the world as a diverse healthcare workforce.