Secondary traumatic stress and self-care inextricably linked

ABSTRACT

Increasingly trauma scholars are exploring the susceptibility of mental health providers to secondary trauma reactions. The current study explores the relationship between clinical social work practice with trauma-exposed clients and secondary traumatic stress among social workers. The intent of this study is to identify the role various factors play in the development of secondary trauma (also known as compassion fatigue). A simple random sample of National Association of Social Workers members were asked to participate. Participants completed an online survey that explored their exposure and responses to secondary traumatic stress. The online survey consisted of standardized measures including the Secondary Traumatic Stress Scale and The Coping Strategies Inventory which assesses secondary trauma and self-care strategies, respectively (Bober, Regehr, & Zhou, 2006; Bride, Robinson, Yegidis, & Figley, 2003). The magnitude of work (the extent and intensity of time working with trauma-exposed clients) is assessed by a non-standardized measure which consists of clinical caseloads composition questions. Job satisfaction is measured by items taken from the National Association of Social Workers’ workplace questionnaire (Whitaker & Arrington, 2008). 161 social workers completed the online survey. It required approximately 35 minutes to complete. This project empirically demonstrated that high-magnitude social work practice (providing therapeutic intervention to trauma survivors, i.e. military service members and veterans) is associated with higher levels of secondary trauma. There is also empirical evidence that self-care strategies can mitigate the impact of the secondary trauma. Educational and workforce implications for study findings are discussed.     

THE GLOBAL VORTEX: SOCIAL WELFARE IN A NETWORKED WORLD

This paper examines the impact of economic globalization on the organization and delivery of social welfare services. Sennett's analysis of the modern networked organization is linked to psychodynamic theory in relation to the loss of ‘containment’ resulting from the demise of the post‐war welfare bureaucracies. This changing environment has generated an anxiety‐ridden and risk‐obsessed society that features surveillance, control and the gradual diminution of civil liberties. The impact of these changes on the ethics of professional social welfare practice has been profound. It is argued that public moral debate in the context of pluralist ethics is required not only for upholding a relational based social welfare practice, but also for preserving an open and compassionate democratic society. The paper concludes with a set of questions that provides a framework whereby practitioners can assess the extent to which different practice organizations support relational practice. This typology can be a tool to enable practitioners to exercise moral agency when making career choices in today's fluid organizational world.     

A Strengths Perspective on Caregiving at the End-of-life

Abstract

The most recent version of the Australian Association of Social Workers Code of Ethics includes substantial reference to social workers’ professional responsibilities for environmental awareness and advocacy. This article reports on a qualitative study of 20 Australian environmentally-conscious social workers from a variety of fields of practice. The study found that while there was a high level of awareness of the relevance of environmental issues for social work practice, participants reported professional and organisational constraints, which prevented them from aligning their environmental concerns with their professional practice. The findings from this study suggest that proenvironmental views and actions may not yet be accepted as a legitimate aspect of social work practice, despite strong recognition of the links between social justice, human rights, social work, and the environment in the Australian Association of Social Workers Code of Ethics.     

Supervision of students in social care education: practice teachers’ views of their role

This paper presents findings from research about how practice teachers in social care education in Ireland view their role, in particular what elements they prioritise and what they see as relatively unimportant. The aim of the research was exploratory, seeking to discover commonalities and differences in how practice teachers saw their role in the supervision of social care students. Q methodology was used to compare the participants’ viewpoints. Twenty practice teachers, from varying practice backgrounds and levels of experience, sorted statements outlining aspects of the practice teacher’s role, during individual interviews. Analysis indicates participants had two ways of conceptualising the role. One focuses within the agency, prioritising students’ awareness of the clients using the social care service and policies as guiding practice. The second encapsulates a broader view of learning beyond the agency, focusing on the practice teacher assisting the student to integrate theory with practice and using reflection as a learning tool. Conclusions are drawn in relation to social care education.     

New social intervention technologies as a challenge in social work: IFSW Europe perspective

ABSTRACT

This study aims at analyzing the degree of training, use, and practice of the new technologies among the social work professionals in their work environment and at finding out their main reluctance or reservations to a more intensive use of ICTs in the performance of their tasks. For this purpose, a structured and closed questionnaire has been sent to the chairpeople of the professional organizations’ members of the International Federation of Social Workers Europe (IFSW Europe), which also includes Turkey and Israel. The reason for this choice lies in the fact that the representatives for the professional organizations have a privileged view on the situation of the profession from a global perspective and are the key informants on the current situation surrounding the social workers. This study allows us to know, among other results, that the success of ICTs among the professionals will depend on their ability to adapt to the specific professional nature of the social worker in the intervention domain. However, the uncertainty regarding the security of the personal data treatment, regarding the increase of the non included or paid work hours, and also, regarding the increase of professional stress are key factors explaining the reluctance of some professionals to a more intensive use of ICTs.     

The Impact of Electronic Communication and Social Media on Child Welfare Practice

One hundred and thirty-six child welfare workers completed an online survey examining their experiences regarding the impact that electronic communication and social media use has had on their practice with youth and families. Workers reported e-mail and text message use have made work with youth easier, yet distinct difficulties have emerged for practitioners in relation to electronic communication and social media use. New elements have also emerged including issues with harassment and the ethics related to monitoring clients' online activities. Comparisons with a previous study conducted by Finn indicate that the use of technology within social work practice has evolved over time. Implications for social work practice and future research are also 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.     

DECONSTRUCTING PROBATION: RISK AND DEVELOPMENTS IN PRACTICE

This article aims to explore the effects of the transition toward risk analysis in terms of the work of practitioners within the criminal justice system, particularly the probation service of England and Wales, and allied professions such as social work. The focus here will be on the impact this shift from traditional casework methods to risk assessment has had in terms of the image of the organisation, the image of the offender, and the impact on practice and interventions. It will be argued that the main effect is the deskilling of the practitioner. During this process practitioners have lost their therapeutic role oriented to the whole person and their biography. They have lost the ability to tolerate ambiguity or suspend judgment. This article will argue that they have become ‘Taylorised’ deskilled or re‐skilled in order to accommodate those competencies embodied within risk assessment applying rules and criteria laid down by centralising bureaucracy. However this new practitioner's role will be shown to be full of contradictions.     

Social Exclusion and Psychosis

SUMMARY

This article considers aspects of the possible impact of social exclusion upon psychosis and the implications of this for mental health social work practice. Against a background of calls for evidence based practice, and increasing recognition of the significance of theories and understandings as the foundations of practice, the article will first explore current and historical ways of viewing and intervening with the relationship between social adversity and mental health. Then, alternative understandings of this relationship, supported by recent research regarding the impact of trauma and extreme social adversity upon physiological and physical processes implicated in mental ill-health, will be discussed. These approaches have major implications for social work practice with psychosis, suggesting that experiences of trauma and disadvantage, and interventions seeking to alleviate the inner and outer effects of these experiences-tasks central to the social work remit-can make a significant difference to mental health outcomes. However, this is not to advocate a simple (albeit under-resourced) 'social solution'! On the contrary, the understandings underpinning these approaches recognise biological processes play a role in mental and physical ill-health: importantly, however, they can be shown to question the stigma traditionally attached to the concept of biological disorder in mental health, thus pointing to the value of a truly biopsychosocial approach with psychosis, involving fully holistic interventions that differ from those currently dominant, and which carry implications for more egalitarian worker-user relationships.     

Fashionably Late? Social Work and Television Production

SUMMARY

In the enthusiasm for faster and more efficient technology for practice and education, social workers should not deny the obvious. Television has been, and will continue to be, the most influential tool of communication in American society. This article examines the role of social workers in broadcast television and describes the mechanics of TV production for novice social worker/producers.     

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.     

SOCIAL WORK EDUCATION: THE AVAILABILITY OF ALCOHOL‐RELATED COURSE CURRICULUM AND SOCIAL WORKERS' ABILITY TO WORK WITH PROBLEM DRINKERS

An explanatory cross‐sectional investigation was employed to assess how well masters‐level social work (MSW) programs in the State of New York prepare students for practice with problem drinkers. The following areas were explored: (1) the incorporation of alcohol‐related coursework and field placement opportunities within MSW programs; (2) the relationship between students' completion of alcohol‐related courses and field placements and their subsequent ability to diagnose clients with alcohol problems, their willingness to work with problem drinkers, and their levels of alcohol‐related knowledge; and (3) subjects' levels of alcohol‐related knowledge in relation to their diagnostic ability and their willingness to work with problem drinkers. The sample consisted of 89 MSW‐level social work practitioners, who were active members of the New York State Chapter of the National Association of Social Workers (NASW) during the fall of 2005. Fewer than 3% of the sample reported the completion of an alcohol‐related course as a mandatory degree requirement and only 29.5% of the sample acknowledged the completion of an alcohol‐related field placement. These findings suggest that a possible gap exists in what social workers are being taught and what they need to know to successfully work with problem drinkers. The findings indicate that clients with alcohol problems are at risk of going untreated due to social workers' inability to correctly diagnose them as a result of insufficient training in the area of alcohol studies.     

Supporting Post-Adoption Contact for Children Adopted From Care: A Study of Social Workers' Attitudes

New legislation in England and Wales requires adoption agencies to specify the contact adopted children will have with their birth families and obliges agencies to offer all parties support to maintain such contact. This study, based on responses from 112 adoption social workers in England and Wales, used a case vignette methodology to explore workers' attitudes towards supporting post-adoption contact. The findings suggest that social workers think primarily about the child's needs and about providing services to or on behalf of the child. In contrast, adults' needs, especially the relationship between birth parents and adoptive parents, were less often considered. Workers were least orientated toward supporting birth parents. Workers from different agencies had very different attitudes towards the case vignette. This study suggests that supporting post-adoption contact is a complex professional task likely to be influenced by workers' own attitudes. Implications for training, support and supervision are discussed.     

The complexion connection: Ideal light skin as vehicle of adoption process discrimination vis-à-vis social work practitioners

As it pertains to the adoption process, social work practice is in fact not a color-blind profession. The incidence of skin color discrimination by practitioners who place children is a consequence of the somatic norm image rooted in the mulatto hypothesis. Subsequently, light-skinned children are idealized at the expense of their dark-skinned counterparts as both are objectified. Discrepancies relative to skin color in the adoption process are a formidable challenge to investigate, given the limited available social work literature. While skin color as a demographic category may exist in the peer-reviewed literature, it is conspicuously absent from the databases which archive such literature. What is more, skin color discrimination is a breach of the National Association of Social Workers code of ethics. The elimination of adoption process discrimination will require macrostrategies grounded in policy. Said strategies for ethical adoptions couched in macropolicy must be fashioned from an evidence-based practice model.     

The wide-meshed safety net. Decision-making on social assistance eligibility in Sweden

This article explores and analyses, with the help of both client and social worker data on 423 applications for social assistance in Sweden, (i) the extent to which social assistance benefits and labour market strengthening measures are granted and (ii) factors concerning clients as well as social workers that are associated with the granting of benefits. Considering (i), the results show that social assistance is granted in about 74% of cases while only 6% of applicants are granted additional labour market strengthening measures. With regard to (ii), the results indicate that the granting of benefits seems to depend on a broad spectrum of factors at both the client and the social worker levels. For example, more experienced social workers are less willing to grant social assistance while chances increase when an applicant is already registered at the local public employment service and/or social insurance office. Moreover, the granting of benefits also co-varies with more or less invariable factors at the client level: social workers are in general more generous towards women and people born outside Sweden, but rather less generous vis-à-vis single parents. The findings are discussed in terms of workfare and professionalization among social workers.     

Practising social work in a ‘stateless state’; an exploration of the views,experiences and practice of children and family social workers in the West Bank and East Jerusalem

In over 65?years of conflict that followed the creation of Israel and the subsequent occupation of Palestinian land, the official international organizations representing the profession of social work have been in a state of avoidance with regards to dealing with crucial questions about social work under occupation. Until, last year hardly any relevant statement could be traced in the archives of the International Federation of Social Workers and the International Association of Social Workers referring to this issue. This article attempts to provide an initial exploration of the views and every-day professional lives of children and family social workers in the West Bank and East Jerusalem. The authors investigate and reflect on the challenges and opportunities Palestinian social workers face while working in the context of military conflict. There is a particular focus on the impact of the occupation of Palestinian lands and the experiences of trauma affecting children who seek the support of social services.     

Russia's social upper class: from ostentation to culturedness

This article discusses examples of strategies employed by representatives of Russia's new social upper class to acquire social distinction. By the late 2000s many of the upper‐class Russians included in this study distanced themselves from the conspicuous ostentation ascribed to the brutish 1990s. Instead, they strove to gain legitimacy for their social position by no longer aggressively displaying their wealth, but instead elaborating more refined and individualized tastes and manners and reviving a more cultured image and self‐image. These changes found their expression in various modes of social distinction ranging from external signs, such as fashion and cars, to ostentation vicariously exercised through the people these upper‐class Russians surrounded themselves with. The article will trace these interviewees' strategies for distinction in the late 2000s by discussing tastes in lifestyle and consumption as well as adornment through sartorial signs and through vicarious ostentation, as exemplified by their choice of female company. Changing attitudes towards vehicles and modes of transport, with special regards to the Moscow Metro, will serve as a further illustration of modes of distinction. Crucial for this discussion is the role of the Russian/Soviet intelligentsia, both for vicarious status assertion and elite distinction anchored in the interviewees' social backgrounds.     

Promoting Creative Practice through Social Work Education

It has been suggested that the essence of professional work lies in the balance between the performance of technical tasks and the exercise of judgement and discretion—the ‘technicality/indeterminacy’ debate. A skilled social worker must be capable of applying a range of knowledge, skills and values in a variety of practice circumstances, the precise nature of which cannot always be predicted. This presents a challenge for social work education, previously governed by a reductive notion of ‘competence’ in its planning and delivery. This paper will explore the nature of judgement and creativity in practice, identifying why such concepts are essential in contemporary social work. Accepting that qualified social workers must be capable of acting independently and autonomously, it will then examine the task that this presents for social work education—the need to prepare students (at both qualifying and post‐qualifying levels) to exercise judgement and discretion in professional practice. The paper will argue that the development of innovative forms of social work will depend upon the existence of forms of education that can foster and enhance students' ability to work creatively, and present ways in which this can be managed within both academic and practice curricula.     

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 workers and social action: a case study of the Australian Association of Social Workers' Victorian branch

Professional social work associations have long espoused at least a rhetorical commitment to promoting more equitable social policy outcomes. Yet too often the actions have failed to live up to the rhetoric. This article explores the social action history of the Victorian state branch of the Australian Association of Social Workers. Attention is drawn both to the highlights and lowlights of the branch's social policy interventions. The problematic nature of social action is attributed to a number of factors including deficits in skills, resources, and education. Practical suggestions are made as to how the AASW might establish a more effective social policy network in the future.