Social Vulnerability to Toxic Risk

SUMMARY

A model of social vulnerability to toxic risk from fugitive chemical releases is tested in 8 southeastern U.S. states. Using structural equation modeling techniques, population density emerged as the critical factor driving exposure to toxic risk. Results indicate that: social vulnerability varies across types and sources of toxic risk; social factors, such as race, that increase risk in some circumstances may buffer risk in others; and that toxic risk has both social justice and social welfare components. Practice and research implications include the importance of community planning and economic models that enhance environmental quality and health along with economic security.     

Community Responses to Chronic Technological Disaster

SUMMARY

A case study method was used to examine factors that contribute to community response to chronic technological disaster and to consider the dynamics that evolve within these communities. The Social Process Model (Edelstein, 1988) provided a theoretical framework for the study. Findings provided evidence of multiplicity of impacts regarding the pollution of water resources. Factors influencing community response include history, environmental awareness, economics, and community participation. Considering the longevity of disaster, communities may be forced to try different strategies to minimize its impacts. Community activism represents the most significant strategy in responding to the disaster.     

Do we care? Adult mental health professionals' attitudes towards supporting service users' children

The impact of parental mental health is well known, but children's very existence may fail to be recognized by adult mental‐health services. This study aimed to explore attitudes of mental‐health professionals in one outer London borough regarding support needs of mental‐health service users' children to highlight potential barriers to identifying or meeting their support needs. All statutory mental‐health teams in the borough participated in a cross‐sectional survey. The response rate was 62.8% (n = 94) out of 150. The sample consisted of a diverse range of professionals from both inpatient and community settings. The main finding was that practitioners were overwhelmingly in favour of supporting children. However, attitudes and practices were significantly associated with profession, setting and whether the respondent was a care coordinator. Demographic characteristics or experience was not associated with attitudes. Perceived barriers to supporting children are highlighted. In particular, the mental‐health professionals in our sample considered supporting children important but did not necessarily consider it their role to do so. Training is required to raise awareness about this issue.     

Methodology for Discovering and Teaching Countertransference Toward Elderly Clients

Abstract

This article will describe a method that has been effective in helping students, paraprofessional counselors as well as mental health professionals identify countertransference reactions in themselves. It offers instructors and clinical supervisors a way to teach about countertransference toward elderly clients. This technique can be utilized in a variety of work settings such as classrooms, mental health clinics, multi-purpose centers for older adults and private practice.     

Self-reported mental health problems and post-traumatic growth among children in Pakistan care homes

ABSTRACT

Children in care experience multiple risk factors, particularly in low-income countries such as Pakistan. The aim was to establish rates of mental health problems and their relationship with posttraumatic growth, as reported by 132 children aged 9–19 years, living in three care homes in Pakistan. Children reported high rates of posttraumatic stress (70.45%) and common mental health symptoms (43.94%) within the clinical range, but also high levels of posttraumatic growth. These findings highlight the high levels of mental health needs among children in residential care, as well as the importance of understanding factors that promote their posttraumatic growth and resilience.     

Coping and Post-traumatic Stress after Hurricanes Katrina and Rita: Racial Disparities in Social Work Student-Practitioners

ABSTRACT

Recent hurricanes have focused on lives and properties lost, however, additional mental health concerns may emerge in these post-disaster settings. Post-traumatic stress symptoms (PTSS) are particularly problematic for minorities due to pre-disaster disparities. Scholars must thus examine the antecedents of PTSS to support these and other vulnerable individuals and communities. This study examined racial disparities regarding active and avoidant coping, prayer, and subsequent relative contribution of each to PTSS following Hurricanes Katrina and Rita among social work student-practitioners. Using secondary data, results revealed that minority students (n = 233) used coping via prayer more often than their non-minority peers (n = 124; t = 7.18, p < .000; d = 0.76). Moderate, positive relationships emerged between avoidant coping and PTSS for both groups (r = .58–.63, p<.01), though prayer did not emerge as inversely related to PTSS as anticipated. Avoidant coping accounted for the largest variation in PTSS for both groups (β = .35–.51, p<.001). Sampling, survey methods, and PTSS measures limit generalizability and temper findings. Directions for future research include use of PTSS measures that account for severity and cultural context and examination of coping measure psychometrics. Practice implications include enhanced publicity regarding social services available to student-practitioners on college campuses and within the community.     

Validating a Behavioral Health Instrument for Adults: Exploratory Factor Analysis

ABSTRACT

Increasingly, social workers and behavioral health practitioners use assessment instruments to support service planning and to monitor progress. Following statewide implementation of the Adult Needs and Strengths Assessment (ANSA) to identify behavioral health symptoms, related functional challenges, risks, and strengths, this validation study explored the underlying structure of the instrument. An exploratory factor analysis used routinely collected information for Midwestern adults with diagnosed behavioral health disorders who participated in community-based services (N = 46,013). Five factors with adequate to good internal consistency (α = 0.733?0.880) emerged: personal recovery, trauma and stress related problems, substance use risks, self-sufficiency, and cultural-linguistic considerations. Validation of the ANSA supports use of the instrument to engage individuals and families, to plan services, to monitor progress, and to conduct research. Implications for social work education, supervision, and practice include the importance of understanding culture, holistic assessment, and services supporting personal recovery for individuals living with mental illness or substance use disorders. Confirmation of findings requires additional research.     

Measuring Family Caregiver Perceptions of Support in Caring for Children and Youth With Mental Health Concerns

ABSTRACT

This correlational study assessed how families of children with mental illness perceived the levels of support they received from informal and formal resource providers and the associations between perceived support and child outcomes. Adult caregivers (N = 904) of youth receiving public mental health care services were administered the Family Caregiver Perceptions of Support Scale developed by the authors to assess family caregiver perceptions of support prior to and at termination of services. Factor analysis identified three types of caregiver anticipated supports: informal support resources, support for treatment plan influence, and health care resources. The domains were significantly and positively associated with one another but did not uniformly correlate with youth mental health outcomes. The study provides preliminary evidence that treatment gains in youth mental health outcomes are observed when caregivers perceive support in treatment processes. Suggestions for future research are made, stressing the importance of caregivers and providers working together and describing needs related to future scale improvements.     

Effects of the war on marriage relationships 1

Abstract

This article discusses the major themes that emerged from a Smith College School for Social Work student's Master's thesis, “Communication Styles in Wind River Native American Clients and the Therapeutic Responses of their Clinicians”. The project explores differences in communication styles between Wind River native people and Anglo‐Americans. Secondly, it seeks to discover therapeutic approaches and styles that are effective with Wind River native people.

Semi‐structured, exploratory interviews were conducted with ten clinicians who worked with Native American clients on the Wind River Reservation in Wyoming. The participants included mental health care professionals and paraprofessionals from the following professions: psychology, social work, counseling, nursing, and community action.

The findings of the research revealed the importance of understanding cultural differences in human interaction and meaning making as conveyed in communication style. As clinicians, these complex and often subtle differences play a crucial role in our ability to establish a therapeutic alliance and conduct sensitive, effective therapy. Many theoretical models, such as psychodynamic, cognitive and behavioral, family systems, ecological, constructionist, and narrative theories support the successful approaches discussed in the article.     

First-Aid Activities and Well-Being: The Experience of Professional and Volunteer Rescuers

ABSTRACT

While several studies have highlighted the negative consequences of trauma exposure on rescuers’ health, the psychological factors promoting rescuers’ well-being have rarely been investigated. The present study aimed at analyzing the quality of rescuing experience among professionals and volunteers of the Italian Red Cross. The experiences of 14 professional and 11 volunteer ambulance rescuers were examined through the repeated assessment of their subjective evaluations of daily activities and contexts in real time. Their experience fluctuation pattern was analyzed based on the levels of environmental challenges and personal skills perceived during daily activities. Both professionals and volunteers reported frequent exposure to highly challenging situations while rescuing and associated this activity with high concentration, involvement, and control. Perceptions of anxiety were significantly more frequent among volunteers. For both groups, first-aid activities were reported to provide optimal experience, a complex and rewarding condition characterized by the perception of high challenges matched with adequate skills. Results suggested that working as rescuers can promote well-being through optimal experiences. The potential for skill refinement and individual development embedded in rescuing activities, together with individual characteristics, should be taken into account in designing training programs for professionals and volunteers.     

Examining Protective Factors for Dysthymia Among Individuals Attending Substance Abuse Treatment

ABSTRACT

Dysthymia affects millions of people and has been associated with impaired psychosocial and occupational functioning and poor clinical treatment outcomes. Yet few studies have examined protective factors that can be utilized to help individuals with dysthymia in clinical settings, particularly among individuals with comorbid substance use disorders. The purpose of this study was to examine the potential protective quality of adult attachment dimensions, spirituality, and meaning in life among clients with and without dysthymia in treatment for addiction. Data were obtained from 305 self-report questionnaires administered to clients attending a residential substance abuse treatment center. Approximately 25% of the sample met criteria for dysthymia. Results from logistic regression analyses indicated that purpose and meaning in life and attachment anxiety were the most important protective factors against having dysthymia. These results suggest that mental health professionals may need to integrate these protective factors into the treatment of individuals with dysthymia and substance use disorders, which may enhance treatment outcomes and maximize treatment effectiveness. Future studies should continue to explore protective factors that can assist individuals who experience these comorbid conditions and consider replicating this study using an ethnically diverse sample and other clinical settings to determine the generalizability of the findings.     

Paternal Risk Factors for Child Maltreatment and Father's Participation in a Primary Prevention Program in Germany

ABSTRACT

Across the globe, the research into the influence of paternal risk and protective factors on the family, as well as on the involvement of fathers in family-related interventions, is lacking. This study utilized 506 families and examined the characteristics of fathers in psychosocially stressed families and associations between paternal risk factors (PRFs: mental health disorder, physical health disorder, young paternity, unemployment, absence of father) and family risk factors (FRFs: problematic financial situation, problematic housing situation, social isolation) for child maltreatment. The identification of PRFs and FRFs was carried out using information from consultations with social education workers and from a risk inventory completed by the mothers. The data analysis revealed an increased incidence of economic problems found in families with fathers having mental health issues, fathers under the age of 22, and unemployed fathers or single mothers. Other factors such as social isolation occurred more often in families with a single mother. The present study underlines the importance of a father's involvement for young families. Future research and program recommendations should always systematically include the father's role in family-related interventions.     

Coping Strategies Among Mothers of Chronically Ill Children: A Case Study in Malaysia

ABSTRACT

 The purpose of this study is to identify the stresses and coping strategies of five mothers in caring for their chronically ill and disabled children. These mothers were receiving services from a nonprofit hospital in Malaysia. Through an in-depth case study design, the findings indicated that emotional stress caused high levels of depression, which decreased life satisfaction that led to poorer physical health. Issues explored included employment, noncooperation of family members, as well as factors related to the mother's individual abilities and how these factors might affect maternal caregiving. Recommendations for future research include identifying probable psychosocial stresses and other associated factors while emphasizing the importance of community-based programs that minimize these stresses.     

Illuminating the Phenomenological Challenges of Cross-Cultural Supervision

ABSTRACT

The authors discuss transference enactments that occur during cross-cultural supervision. Previous research has shown that few mental health professionals willingly talk about race during supervision and that White supervisees experience significant difficulty when directly engaged in discussions about race. They introduce a new phenomenon, “stereotypical” transference enactments, as a means for understanding the countertransference Black female clinical supervisors experience during clinical supervision of White supervisees. The findings indicated that effective cross-cultural supervision should address the intersectionality of race and gender to enhance the development of multicultural clinical skills. The clinical and educational challenges are discussed by using two case vignettes.     

Mindfulness Training for Social Service Providers in Hawaii: Context and Considerations

Abstract

Few studies exploring outcomes for mindfulness training have specifically focused on social service providers such as case managers, juvenile justice (probation/parole) officers, family court liaisons, substance abuse and mental health counselors, and school behavioral health specialists, among others. This study examined whether social service professionals across various agencies in the state of Hawai‘i would be accepting of mindfulness-based training and practices, and explored their personal practice experiences. Participants (N?=?97) received mindfulness skills training including mindful breathing, mindful walking, and the body scan. Through post-evaluation surveys, practice logs of homework practices, and reflections, they were then asked to reflect on their experiences with the practice and identify potential changes that they would attribute to mindfulness. Interpretative phenomenological and content analyses revealed that participants generally reported a high level of acceptance of the mindfulness training and practices but progress, continuity, and sustainability were slow. Findings provided some indications of mindfulness resulting in salutary effects for social service professionals, but the training structure was problematic. Future research needs to examine how institutional, cultural milieu facilitate or hinder opportunities for social service professionals to embody and embed mindfulness in daily life; this would require multimodal and qualitative methodologies that seek to highlight and understand the live experiences of social service providers.     

Friendship Across the Life Cycle

Abstract

Using a group work model, this article discusses a short term group for older women developed to explore the importance of friendship in late life. In collaboration with group leaders, group members determined weekly topics that explored the significance of friendship through the life cycle. Social work group practice that focuses on the meaning and development of friendship for and with older women is presented as an effective therapeutic intervention for practitioners in settings such as community mental health clinics, senior centers, elderly housing, home care agencies and nursing homes.     

Positive Connections: a programme for children who have a parent with a mental illness

Mental health professionals working with parents who suffer from a mental illness often overlook the children within the family. Children whose parents are mentally ill face numerous obstacles to their own emotional development and these children are at higher risk for developing mental illnesses than other children. These risks can be decreased if protective or positive interventions are available for the children. This article will describe the development and implementation of Positive Connections, an effective intervention programme specifically designed for children whose parents have been diagnosed with a mental disorder. The effectiveness of this programme has been evaluated using both qualitative and quantitative research strategies, and the results are presented.     

Cost and Stakeholder Views: A combined approach to evaluating services

Correspondence to Jackie Powell, Department of Social Work Studies, University of Southampton, Highfield, Southampton SO9 5NH Summary This paper focuses on the decision-making process at a strategiclevel in the context of implementing a ‘community care’policy for older people with mental health problems. It is basedon the findings of an evaluative study of the implementationof one district health authority's strategy for the decentralizationof its mental health services for older people. The study wasan attempt to develop an evaluative approach which acknowledgedthe importance of cost, but also the need to include the viewsof the several ‘interested parties’, not least thosewho used the service. The reconciliation of what might be seenas the conflicting interests of the wider public for a carefulutilization of resources with the individual's needs for anaccessible and responsive service represents a major challengefor planners, managers and practitioners within the public sector.This paper argues the need for dialogue as the basis for partnershipbetween those with a primarily financial focus to their workand those more intimately concerned with individual needs.     

The disaster relief and social work after the Wenchuan earthquake in Mainland China

ABSTRACT

This paper mainly focuses on the development of disaster social work in Mainland China and the intervention of social work in disaster relief. Before the Wenchuan earthquake and in the initial stage of post-earthquake, disaster social work was mainly based on individual psychotherapy; from the earthquake to the year of 2012 in which post-earthquake recovery and reconstruction was completed, the disaster relief began to emphasise community building and integration, while the basic framework for disaster social work was also established. Social workers begin to explore the new mode of developmental and localised disaster social work. By combining with the practical experiences from disaster social work, this paper tries to highlight the dilemmas confronting disaster relief in Mainland China and put forward some corresponding countermeasures and suggestions, which could improve the future disaster relief system in Mainland China.