Attitudes of Social Work Students About Substance Abuse: Can a Brief Educational Program Make a Difference?

ABSTRACT

This study examined whether a brief educational program could modify attitudes of master's level social work students about substance abuse. Study methodology involved a two-group pre-test and post-test quasi-experimental design. The Substance Abuse Attitude Survey, a standardized assessment instrument, was used to measure attitudes based on five distinct factors. No significant changes in student attitudes were found after participating in the educational session. Recommendations are offered for how social work schools may enhance their efforts to prepare students to effectively work with substance abusing clients and their families.     

Braving Human Suffering: Death Education and its Relationship to Empathy and Mindfulness

Social workers are likely to encounter clients dealing with traumatic grief and death in their practice. Though death education has gained in popularity and acceptance, few social work students receive coursework in this area and many are unprepared to deal with their clients' and their own emotions regarding death and grief. Though death-related content may evoke provider avoidance, mindfulness and empathy may help regulate provider emotions and responses. This United States-based study evaluates the effectiveness of experiential death education on mindfulness and empathy. Measures in three separate cohorts were given at the beginning and end of the course. Results show statistically significant increases on the Five Facet Mindfulness Questionnaire and the Questionnaire of Cognitive and Affective Empathy, indicating that such a course may be effective in increasing both mindfulness and empathy in social work students and those in related fields.     

Aces and Bombers: The Post-Exam Impression Management Strategies of Students

In this study we attempted to develop a classification of the strategies students employ to manage self-impressions after grades have been awarded and examination papers returned. These encounters between students are of three types: first, when students who have scored a top grade in this exam (Aces) encounter other students who received a low or even failing grade (Bombers); second, when Aces encounter other Aces; and, third, when Bombers encounter other Bombers. The impression management strategies employed in these encounters are constrained by well-known rules of modesty in regard to one's own achievements and considerateness for lesser achieving peers, dictated by the particular encounter type described above. These rules are spelled out and an attempt made to generalize the findings to a wider universe of interactions.     

Child welfare clients and school satisfaction

Despite long-standing knowledge about child welfare clients' poor educational outcomes, we know less about these vulnerable young people's situation in school. This article addresses school satisfaction among upper secondary students who have been in contact with the child welfare services. These child welfare clients' school satisfaction is compared with their peers' satisfaction. The results from a survey indicated that the majority of child welfare clients were satisfied with school but that they were less satisfied with school than were their peers. The results showed that the association between school satisfaction and positive school experiences explains a large part of this difference. Among students who reported they were doing well in school, had supportive teachers and friends at school, the difference in school satisfaction between child welfare clients and others was small. Among students who did not report similar positive experiences in school, difference in school satisfaction between child welfare clients and their peers was more substantial. These results show that school can be a good place for child welfare clients, but that facilitating support from teachers, increasing opportunities for making friends at school, and working to develop the child welfare clients' academic performances are important as efforts to improve school satisfaction.     

Use of standardized client simulations in an interprofessional teaching concept for social work and medical students: first results of a pilot study

ABSTRACT

Teaching concepts with standardized clients/patients (SC) had been successfully implemented in the education of health professionals. Benefits were also demonstrated for social work education. Based on former experiences with simulated clients in medical education, we developed an innovative teaching concept for social work and medical students. We focused on the training of consultations with clients suffering from a serious illness like cancer—with different learning goals for medical students (e.g. breaking bad news) and social work students (e.g. psychosocial exploration and counseling). Both groups should gain knowledge about the other professions tasks and learn to handle clients’ emotional reactions. In addition to role-plays with simulated clients in small groups, the concept includes an interprofessional lecture by physicians, psychologists, social workers, and lawyers as well as a visit on the palliative care ward (for social work students only) and a research colloquium. A formative evaluation shows high satisfaction with the teaching concept. The students underline the realistic setting, interprofessional contact, authentic talks and direct feedback. The SC method and its interprofessional application proved to be a practicable and motivating way to enhance conversational skills.     

Using Standardized Clients to Train Social Workers in Intimate Partner Violence Assessment

Evidence-based assessment in intimate partner violence (IPV) is critical to the accurate understanding of risk and to the development of interventions that increase safety. In this study standardized clients (actors) were used to train Army civilian social workers in evidence-based assessment of IPV and in the evaluation of the curriculum's effectiveness. Participation in this training curriculum increased the following: the participants' knowledge about the empirical basis for content areas explored in IPV assessment, their exploration of content critical to an IPV assessment interview, and their interviewing process skills. The results support the effectiveness of using standardized clients in IPV assessment training and evaluation.     

The Views of Social Work Students Toward Gay and Lesbian Persons

Abstract

Since it is estimated that 2.5 to 9% of men and 1.5 to 4% of women in the U.S. population are gay or lesbian, it is very likely that social workers will encounter gay or lesbian people as clients, co-workers, and/or supervisors. The Council on Social Work Education stresses nonjudgmentalism and acceptance as important social work values and requires that undergraduate social work students be exposed to content concerning gay and lesbian persons. This study was designed to examine the differences between the views of students choosing a social work major and students choosing other majors. Generally, social work students exhibited more positive attitudes than did students in other majors, even after controlling for personal attributes such as religiosity, gender, age, race, and political affiliation.     

Goffman's Interaction Order at the Margins: Stigma,Role, and Normalization in the Outreach Encounter

This article considers Goffman's conceptualization of interaction order at the margins of society in encounters between urban welfare workers and their clients. Observations from these encounters demonstrate practices relating to the situated management of stigma and identity, and the accomplishment of role within these service encounters. A reading of Goffman's theoretical contribution lies in revealing how social actors and social structures are realized in situ within the constraints of the interaction order sui generis. The article discusses three aspects of the outreach encounter, namely, (1) the accomplishment of role and motive, (2) the sequential phases of the outreach encounter, and (3) “the normalization ritual,” and introduces the concept of willful disattention.     

Human Sexuality Education in Marriage and Family Therapy Graduate Programs

Given the likelihood that marriage and family therapists will encounter clients with sexual concerns, it is important to know how graduate training programs are preparing future clinicians to work with this domain of life. Sixty‐nine marriage and family therapy (MFT) program directors completed an online survey to examine how sexual health education is integrated into graduate training programs. Findings indicate that while the majority of program directors value sexuality curriculum, and most programs require at least one course in this area, there are barriers to privileging sex topics in MFT graduate programs. Barriers include few MFT faculties with expertise in human sexuality and marginalized sexual health topics. Implications for training MFT graduate students and their work with future clients are discussed.     

Roots of Futility,by Norman A. Polansky,Robert D. Borgman,and Christine De Saix. Jossey-Bass,San Francisco, 1972. $9.50 Hardbound. 288 Pages

Abstract

This paper describes a study of first year graduate social work students' work in practica and assesses their transfer of practice evaluation knowledge and skills from the classroom to the field. The data are drawn from case material recorded by the students using a structured recording format. The paper addresses three central questions. What were the salient features of the students' practices? Did students apply practice evaluation knowledge to their work with clients? And, what variables influenced the ways that the students practiced? Recommendations for enhancing class and field integration and for increasing knowledge and skill transfer given the significant influence of the practicum instructor's orientation are discussed.     

Teaching social work is teaching to ask questions: an inter-subjective approach to social work practice

Abstract

This paper sets out to provide examples of how quotations from literature can come to and work on a therapist's mind when engaged with clients. A consideration of Sylvia Plath's poetry and writings provide a number of examples of how some knowledge and understanding of her material has contributed to and enhanced work with distressed and disturbed clients. Work with a woman who had made allegations of Satanist abuse is then discussed with particular reference to the relevance of Hamlet to the work. Examples from a therapeutic group are provided which illustrate how literature can function as a communicator of feeling at an unconscious level. Consideration is then given to the wider social and political relevance of subjective feeling with reference to the work of Franz Kafka. There is also acknowledgement of how recourse to literature could be used as a defence against painful material rather than contributing to an understanding of it. The paper concludes with an attempt to understand why it is that claims are made for the healing value of literature and the arts and how these healing processes can operate in the therapeutic encounter.     

Learning to Care

Practice simulation exercises involve interaction with people who portray standardized clients in typical social work practice contexts. They are followed by feedback from these “clients” and from peers and instructors. This article delineates the conceptual background and previous use of this educational methodology and illustrates its application within a graduate health social work practice class. A preliminary evaluation found enthusiastic endorsement of this approach among students, with very strong agreement that all three components of the project-interaction with simulated clients, receipt of feedback, and participation as observers-prove useful. Practice simulations can allow transformative learning for participants and provide a useful classroom method for incorporating conceptual foundations into practice behaviors.     

Educational background,high school stress,and academic success

This research considers whether students without college-educated parents encounter more stressful life events, and if this exposure influences high school academic success, college matriculation and college degree attainment. Analyses were performed on 7989 students between 1988 and 2000 from NELS:88/2000. Findings suggest that students without college-educated parents encounter more stressful life events. This difference did not account for group differences in outcomes. However, exposure to certain stressors affects high school success over the entire sample. These stressors tend to be beyond student control. In addition, total life events in high school relates to students' ability to finish a college degree over the entire sample. This research extends current knowledge by considering stress' impact on student growth, academic trajectory and retention.     

Incorporating Substance Use Content Into Social Work Curricula: Opioid Overdose as a Micro,Mezzo, and Macro Problem

Problematic substance use has tremendous implications for the health and wellbeing of communities around the world. Social workers at the frontlines are likely to encounter clients with substance use disorders in the wide array of settings where they are employed. However, few undergraduate and graduate social work programs internationally require students to take coursework in substance use or have substance use specializations. In the short-term, incorporating substance use-related content into existing courses and institutional structures may be more viable for social work programs to educate students about substance-related issues rather than developing entire courses or concentrations. The rates of opioid overdose death are increasing internationally and it is a multifaceted public health problem which would provide students with an opportunity to explore a wide variety of micro, mezzo, and macro practice and policy issues related to substance use. This paper specifically suggests a number of strategies which could be used in practice and policy courses throughout the curriculum. Incorporating overdose-related content into existing courses could be a promising means to still provide students with some knowledge and skills to work with substance-using populations.     

Making It Real: Enhancing Curriculum Delivery Through the Use of Student-Generated Training Videos

ABSTRACT

This article describes and critiques the creation of a student-centered, reality-based training video undertaken by students and faculty from the departments of social work and visual arts at a northeastern university. There are several key and innovative aspects to this video. It is a collaboration between faculty and students of the schools of social work and the arts: social work students play themselves and students and affiliates of the school of the arts play clients and were responsible for all technical aspects of the video. The interactions portrayed are based on real social work student process recordings, and client-worker interactions are followed by a supervisory session, underscoring the importance of feedback for learning. The relevant literature on a variety of teaching techniques on which we based our work, including the use of role plays, simulated clients, and video technology, is reviewed. Social work educators are encouraged to develop their own videos depicting their students' unique experiences, using the interdisciplinary, collaborative, problem-based process presented. The technological capacity to deliver video on the web further enhances the accessibility and flexibility of this teaching strategy.     

Commercial sex between men: A prospective diary‐based study

This paper describes the results of a self‐reporting dairy completed by 186 male sex workers (MSWs) over a 2‐week period in Brisbane, Sydney, and Melbourne, Australia. The diary was completed following each commercial sex encounter by the MSW. The results reveal that MSWs reported 2088 commercial sex encounters during the study period, with an average of 11.2 encounters per MSW. The majority of sex encounters took place in either the client's or the MSW's residence, with significant variations by city. The average sexual encounter lasted 70 minutes, and comprised two sexual acts, masturbation and oral sex. Condom use was reported in 67.4% of all the encounters. Using the AIDS Council safe‐sex classification system, the majority of the commercial sex encounters fell in the “safer sex” category; however, there were significant differences by source of clients and place of the encounter. Use of drugs and alcohol reveal interesting patterns: Clients were more likely to use alcohol, while MSWs had significant differences of usage of the different drugs. This study demonstrates that the majority of MSWs are offering and practicing safe sex behaviours, however, MSWs working in the street setting are still likely to be practising unsafe sex. Male sex work is becoming an organised business and this provides opportunities to implement further public health interventions.     

Paul U. Kellogg and the Survey: Voices for Social Welfare and Social Justice,by Clarke A. Chambers. Minneapolis,University of Minnesota Press, 1971. 296 Pages, $10.00. Hardbound

Abstract

Previous research showing that roughly half of social work students report a history of familial alcohol abuse—and proposing that such abuse might affect these students' current mental health and professional performance—relied on self-reports without standardized screening measures. This 1991 study, based on a convenience sample of 136 MSW students at the University of Texas at Austin, determined students' status as Adult Children of Alcoholics (ACAs) by self-reports and scores on the Children of Alcoholics' Screening Test, and evaluated related mental health functioning with four standardized measures. The results suggest that well under half of social work students are ACAs, and that not all (nor only) ACAs were vulnerable to mental health problems.     

Keeping safe: teaching undergraduate social work students about interpersonal violence

While most social work graduates will not practice in organizations specializing in the threat or aftermath of violence, they will encounter clients affected by interpersonal violence and trauma in almost all fields of practice. Therefore, the social work curriculum should provide students with the knowledge and skills necessary to work with these clients. In developing a suitable curriculum it is important to be mindful of the adverse reactions students might experience when exposed to traumatic material, especially those who have experienced prior trauma. This article discusses a third-year social work course that examined social work interventions in response to interpersonal violence, with a focus on sexual assault and domestic violence. It describes four “safety strategies” implemented in 2010; (a) ongoing recognition of, and education about, self-care and vicarious trauma, (b) development of a supportive culture in the classroom, (c) accessible avenues of personalized support and debriefing, and (d), providing transparent and diverse curriculum. Finally, it draws from relevant research and student feedback to discuss the strengths and limitations of each “strategy.”