Dealing with Resistance: Working with Involuntary Clients in Community-Based Drug Treatment Programs in China

ABSTRACT

This study explores strategies for dealing with client resistance that are commonly used by a group of selected counsellors who work closely with illicit drug users in the community-based compulsory treatment programs in China. Through semistructured in-depth interviews with 16 counsellors, this study finds that different forms of client resistance were experienced in their day-to-day practice, encompassing passive and active behaviours. Five typical strategies are used by Chinese counsellors in this study to deal with client resistance: showing respect and caring and expressing empathy; attending to the needs of the clients; making effective use of peer influence; altering clients’ unwillingness to change; and strategically enhancing clients’ self-determination. Considering these strategies can also be seen as general principles for dealing with involuntary clients in other fields of social work services, the findings of this study may have broader impact.

IMPLICATIONS

• Effective ways that can be used by counsellors for reducing illicit drug users’ resistance during treatment include: showing respect and caring, and expressing empathy; attending to the needs of the clients; making effective use of peer influence; altering clients’ unwillingness to change; and strategically enhancing clients’ self-determination.

• Professional social work training is urgently needed among community-based drug treatment social work practitioners in China, to achieve efficient practices and better outcomes.

     

Transforming Into Men Who Matter: Increasing Empathy in Domestic Abuse Treatment

ABSTRACT

Men referred to domestic abuse treatment are typically involuntary clients, ranging from being legally mandated to being under significant pressure from others to attend. Such treatment programs have mixed results in achieving change in abusive behaviours. Most programs emphasise taking responsibility for abusive behaviour by examining the precursor thinking beliefs and values, with less attention paid to learning new interpersonal skills that replace antisocial behaviours with prosocial alternatives. Empathy provides a measurable moderator of moving beyond simply acknowledging responsibility for past abuse into learning and applying prosocial relationship enhancement skills with their treatment cohort, families, and significant others. This paper describes a program that builds empathy skills through a series of program and mentalisation tasks that include routine client feedback using the Partners for Change Outcome Management System (PCOMS). Evidence of increased retention and statistically significant changes in empathy using the Social Empathy Index are provided from a previous study examining the same program. The practice and research implications for domestic abuse clients and other involuntary populations are discussed.

IMPLICATIONS

• Involuntary clients continue to have high dropout rates across a range of client populations and are a challenge to engage in the change process. With the application of the client feedback tools and relationship enhancement skills described in this paper professionals can more effectively engage other types of involuntary clients in their change efforts.

• The focus on empathy and relationship enhancement skills can lead to reduced treatment dropout across involuntary client populations referred for substance use, domestic violence, or other offender behaviours.

     

Supervising Social Workers in Involuntary Contexts: Some Considerations

ABSTRACT

This article outlines areas for reflection for those providing supervision to social workers working in involuntary and semivoluntary contexts. This includes clinical implications, impacts on social work identity, and potential impacts on the supervisory relationship itself. It suggests that there are some areas that could be considered for discussion and exploration that may be different in focus to other types of supervisory practice, encouraging supervisors to consider their own approach in response to the issues raised.

IMPLICATIONS

• Working in involuntary contexts raises specific challenges in relation to power and authority in practice, as well as a range of ethical dilemmas.

• Supervisors might wish to consider the issues raised with a view to exploring with their supervisees how working with involuntary clients changes their framework or approach.

     

Technology as a Weapon in Domestic Violence: Responding to Digital Coercive Control

ABSTRACT

Technology-facilitated domestic violence is an emerging issue for social workers and other service providers. The concept of Digital Coercive Control (DCC) is introduced to highlight the particular nature and impacts of technology-facilitated abuse in the context of domestic violence. While practitioners have become more adept at working with women experiencing DCC, there is still little known about its dynamics and whether this violence requires a change in current service responses. This article explores findings from survey research conducted with 546 Australian domestic violence practitioners about the ways perpetrators use technology as part of their abuse tactics. The findings demonstrate that DV practitioners believe perpetrator use of technology is extensive and has significant impacts on the safety of clients. A major dilemma faced by practitioners is how to promote and facilitate client safety from DCC while still enabling safe use of technology so clients can remain connected to family, friends, and community.

IMPLICATIONS

• The use of digital technology in domestic violence creates a significant practice issue for Australian domestic violence practitioners.

• The development of a practice framework for responding to digital coercive control may assist practitioners to highlight the risks posed by this abuse, while still enabling women and children the freedom to participate in the digital realm.

     

Online Education in Social Work,Effectiveness, Benefits,and Challenges: A Scoping Review

ABSTRACT

Online education has long been a controversial issue within the Australian social work community. Although technological advances have improved the quality of teaching substantially, scepticism and disbelief continue to exist. Despite the growing evidence base as to the effectiveness of online teaching, this tends to be overlooked. A scoping review of the literature was conducted to synthesise research conducted on online social work education to identify its effectiveness, potential, and challenges and to show whether online social work education will effectively prepare qualified social workers. This revealed that online education enhanced diversity and equity among social work students and students’ performances and satisfaction were similar for both online and on-campus students. Nevertheless, communication and engagement continue to be a challenge.

IMPLICATIONS

• Decisions on online education should be based on evidence of effectiveness rather than on the assumption that face-to-face teaching is superior.

• Further research is needed to explore effectiveness of online education for different groups of students.

• Employers’ experiences with social work graduates from online courses need further research.

• Academics require support to tailor courses interactively and suitably for online education.

     

Why Extended Time on Newstart is Unsuitable for Aboriginal and Torres Strait Islander Australians Living with a Disability

ABSTRACT

Many Australians living with a disability find themselves recipients of Newstart Allowance when applying for the Disability Support Pension (DSP). Newstart Allowance is designed as a short-term payment for people looking for work, with a lower fortnightly payment and limited medical and transport subsidies compared to the DSP. This paper describes the financial challenges of living with a disability while on Newstart Allowance. With a focus on the experiences of Aboriginal and Torres Strait Islander (Indigenous) Australians from two regional towns, qualitative semistructured interviews and focus groups documented experiences of 39 community members and 21 medical and nonmedical service providers supporting clients living with a disability on Newstart Allowance. Four themes were identified: (i) living with severe financial hardship, (ii) challenges complying with the DSP application, (iii) being financially penalised for not complying with Newstart Allowance conditions, and (iv) supporting community members to manage severe financial stress. Although people living with a disability on Newstart were experiencing severe hardship and poverty, there was limited participation of Centrelink-employed social workers within their described experiences with Centrelink. We argue that social workers can work to humanise human service settings and potentially help to mitigate these financial challenges.

IMPLICATIONS

• Indigenous Australians living with a disability experience severe disadvantage and poverty while living on Newstart Allowance.

• Social workers must be easily accessible at Centrelink customer service centres and to Newstart Allowance recipients to help coordinate service engagement.

• Newstart Allowance should be increased to ensure recipients can respond to cost of living pressures.

     

Gender Dynamics in Social Work Practice and Education: A Critical Literature Review

This paper offers a critical analysis of existing literature on historical and contemporary gender dynamics in Australian social work education and practice. Analyses of gender dynamics and inequalities have the potential to illuminate pathways for inclusive social work education and practice, for both practitioners and people who access social work services. This critical review of the literature demonstrates that Australian social work education and practice have been shaped by gendered discourses, structures, and power dynamics since its inception. In a contemporary sense, women constitute the majority of social work educators and practitioners, while men disproportionately dominate positions of power and prestige, although rigorous Australian data on the roles and representation of men and women are not readily available. Our findings point to the need for further engagement with gender as a unit of analysis in Australian social work research, including further engagement with inclusive and intersectional feminisms.

IMPLICATIONS

• Enhanced knowledge of Australian social work history, particularly in relation to gender, allows for a greater understanding of current gendered power relations in social work education and practice.

• Gender dynamics are underresearched in contemporary Australian social work education and practice.

• Up-to-date data on the status and representation of men, women, and nonbinary people in social work are needed as the foundation for transformative and inclusive social work education and practice.

     

Developing Culturally Responsive Supervision Through Yarn Up Time and the CASE Supervision Model

ABSTRACT

This article explores a culturally focused supervision training program supporting Aboriginal and non-Aboriginal supervisors to provide cross-cultural supervision for Aboriginal staff within mainstream and Aboriginal community and human service organisations. The key features of the training program, Yarn Up Time and the CASE supervision model are a culturally respectful approach to cross-cultural professional supervision practice with the purpose of contributing to the development of culturally responsive supervision with Aboriginal staff and their clients. The article concludes with feedback from participants who attended the training and supports the future advancement of cross-cultural supervision practice and models in Australia.

IMPLICATIONS

• There continues to be a need for more culturally responsive supervision for Aboriginal staff and for non-Aboriginal social work practice with Aboriginal people.

• Yarn Up Time and the CASE model is a culturally appropriate approach for supervising Aboriginal staff and non-Aboriginal social workers’ supervision of social workers’ practice with Aboriginal communities.

• Social work supervisors need to be able to use an effective cultural supervision model to support Aboriginal staff in Yarn Up Time.

     

Students in Research Placements as Part of Professional Degrees: A Systematic Review

ABSTRACT

The current emphasis of government is on research that shows engagement and impact. At the same time, there is a focus on Work Integrated Learning [WIL] in tertiary education, however, in an increasingly neoliberal climate of resource constraints, it can be difficult to provide sufficient quality placement opportunities. Student research placements are an opportunity to support the engagement and impact agenda and fill the scarcity of placements. In order to explore the viability of, challenges of, and insights about research placements a systematic literature review covering the years 2008–2017 was undertaken. Findings highlight beneficial learning outcomes for students but reporting in the identified studies scarcely considers the outcomes for organisations, supervisors and academics, or the impact of the research. The discussion highlights the need to establish student research placements systematically and to report on the outcomes.

IMPLICATIONS

• Research placements provide beneficial learning opportunities to students.

• Research placements require established relationships and collaboration and need to be organised systematically.

• Very few studies reported on the outcomes of the research and more detailed reporting of the research impact is needed.

     

Changing Contexts of Practice: Challenges for Social Work and Community Development

ABSTRACT

In a rapidly changing global environment, there have been renewed calls to position community development more centrally in social work, particularly in the face of contemporary practice challenges. This paper analyses the broad policy contexts of neoliberalism, globalisation, and governance change and discusses how these forces interact with social work and community development, drawing on examples from Australia and Ireland. The paper argues that sociopolitical forces both restrict and present opportunities for social work and community development practice and we seek to reactivate debate about the position of community development within changing and challenging contexts.

IMPLICATIONS

• Contextualises community development practice, policy, and research within contemporary environments of neoliberalism, globalisation, and governance change.

• Critically evaluates implications and new opportunities for social work and community development, drawing on examples from Australia and Ireland.

• Reactivates debate and analysis on the position of community development in contemporary social work as we move forward into the new decade, and the next global agenda for social work and social development.

     

Creating Cultural Safety as an Aboriginal Teacher in a Class of Non-Aboriginal University Students

ABSTRACT

Creating a culturally safe learning environment is critical for Aboriginal teachers in universities. This paper explores my experience as a new lecturer convening an Aboriginal and Torres Strait Islander social work course at an Australian university. As an Aboriginal woman teaching to a large class of non-Aboriginal students, establishing cultural safety became a priority early on. Through reflecting on my journey from feeling vulnerable at the beginning of the course, to developing a safe and collaborative learning and teaching experience, this paper presents the rare perspective of an Aboriginal academic in the teaching space, and offers practical ways to develop cultural safety in university classrooms.

IMPLICATIONS

• Aboriginal social work teaching academics need to feel culturally safe in the classroom setting to sustain them in their role.

• Engaging non-Aboriginal students to feel safe through collaborative learning enhances the learning and teaching experience for everyone and contributes to cultural safety for Aboriginal academics.

• Aboriginal academics teaching Aboriginal-specific content risk being traumatised through intensive and consistent exposure to traumatic content that may be personal to them.

• Universities need to provide practical support to new teaching academics to best equip and prepare them for the role.

     

Strengthening the Domestic and Family Violence Workforce: Key Questions

ABSTRACT

The significant impact of domestic and family violence in Australia calls for a workforce that is both highly skilled and capable of meeting the demands of complex and challenging jobs. Yet despite the increasingly national visibility of domestic violence, the workers—and work itself—have largely remained invisible. We argue for a shift in conversation, highlighting the need for a workforce approach that is not only strategic but that also applies a theorised lens to domestic and family violence work inclusive of both gender and Indigeneity.

IMPLICATIONS

• The domestic and family violence workforce and workers should be made more visible to better support development in this sector.

• A workforce development strategy is needed to build knowledge about who is doing this work, the nature of the work, workplace structures and cultures, and work environments and conditions.

• The significance of gendered power relations, Indigeneity, high risk, trauma environments, and emotional labour in domestic and family violence work cannot be ignored in development strategies.

     

Making Continuing Professional Development Relevant and Accessible in Regional Social Work

ABSTRACT

Continuing professional development (CPD) is an integral component of quality social work practice (Australian Association of Social Workers, 2013). Despite this, there is a lack of knowledge around the perceived needs and challenges of accessing CPD for rural and regional social work practitioners. This research explored professional development education needs and challenges for rural social work practitioners. The findings revealed an increase in complex cases in practice leading to the need for more training in mental health, legal aspects, and therapeutic interventions. Strong demand for CPD was evident, with a preference for face-to-face training instead of online modules. In the face of persistent challenges some innovative solutions were possible from a partnership between service providers, higher education providers, and the professional body to better meet the needs of the rural social work practitioners.

IMPLICATIONS

• Increasing complexity in rural, regional, and remote social work practice has placed extra demands on the knowledge resources of social workers.

• Continuing professional development (CPD) must be relevant and readily accessible to meet the needs of those who practice in these areas.

• Partnerships between agencies, higher education providers, and professional bodies, along with the use of technology can increase accessibility for rural, regional, and remote social workers.

     

Medicare Funded Mental Health Social Work: Better Access to What?

ABSTRACT

Better Access to Psychiatrists, Psychologists and General Practitioners through the Medicare Benefits Scheme initiative (Better Access), is an Australian Federal Government scheme aiming to improve access to mental health services. Accredited mental health social workers have been involved in the delivery of services under Better Access for more than a decade. In this time, there have been significant changes in the field of mental health services, with consequent increases in size and costs for Better Access. Better Access now represents public spending of more than one billion dollars per annum, yet there is no ongoing account of its impact. In this paper we consider the policy chronology and evaluation of the program, using current available data to question the impact of Better Access on both the service system and the nature of mental health social work practice. This case highlights the importance of a clear articulation of the scope of mental health social work, and ongoing monitoring of the impact of policy in a policy environment increasingly characterised by individualised funding and service delivery structured according to the principles of New Public Management.

IMPLICATIONS

• Social workers' increasing involvement with Better Access has reshaped the scope of mental health social work practice.

• The impact of Better Access on outcomes for service users and mental health social work is not currently a focus of research attention.

• Better Access is a case study illustrating the potential of the policy context to directly shape social work practice, therefore critical engagement with the impact of Better Access is an essential professional imperative.

     

Independent Mental Health Advocacy: A Model of Social Work Advocacy?

ABSTRACT

Advocacy has received less attention in social work research than other aspects of social work practice. This paper draws attention to two tensions in social work advocacy; between worker-led advocacy and person-led advocacy, and between individual advocacy and system level advocacy. We argue that human-rights-based social workers must choose a person-led approach over a worker-led approach while advocating with both systems and individuals. This argument is made by drawing on findings of an evaluation of Independent Mental Health Advocacy (IMHA) in Victoria, Australia. It is shown that social work training had not prepared social workers for rights-based, person-led advocacy and that social workers in public mental health services were struggling to maintain the rights of people in their services even with assistance from IMHA.

IMPLICATIONS

• Independent Mental Health Advocacy (IMHA) is a model of advocacy influenced by social work theory and delivered in part by social-work-trained advocates.

• Social work training is not preparing social workers for person-led, human-rights-based advocacy.

• Public mental health social workers are struggling to maintain the rights of people in mental health services even with the support of external advocacy services.

     

Social Work Doctoral Education in Australia: The Case for Further Development

ABSTRACT

Social work education in Australia has been based in universities since the 1940s. There are now 32 higher education providers offering social work programs across Australia. The significant growth in master’s level qualifying programs in Australia, along with recent higher education policy changes, has increased the need for social work academic faculty members with doctoral qualifications. This paper presents the findings of a scoping review of literature on social work doctoral education. Despite a growing literature on social work doctoral education in international contexts, the review found that there is a lack of Australian research and evidence on social work doctoral pedagogy, the number and diversity of doctoral students, the doctoral student experience, and doctoral graduate employment intentions and outcomes. Addressing the lack of Australian research in this area would be an important step to enabling Australian social work to address future research training and capacity needs and directions.

IMPLICATIONS

• There is a lack of research on Australian social work doctoral education and this is a neglected aspect of social work scholarship of teaching and learning (SOTL) research.

• Research into social work doctoral education would provide baseline information on the number and diversity of students, doctoral student experiences, graduate outcomes, and employment intentions.

• Development of social work SOTL about doctoral education would support future research capacity and enable the advancement of social work research knowledge and skills.

     

Analysis of Australian Research Council Grants Awarded for Social Work Projects 2008–2017

ABSTRACT

The quantity and quality of social work research is central to creating knowledge for the profession and maintaining social work’s presence and status in universities. This study examines Australian Research Council grants awarded for social work projects for the 10-year period 2008–2107. It investigates the quantum of grants and the topics addressed, and compares social work to related social sciences. The field of social work was awarded 84 research grants over the 10-year period, a total of $23 million and an average of 8.4 grants per year. However, this did not match the grant successes of the two comparator fields of criminology and social policy and administration. Having a clear picture of research achievements, including grants, is necessary to enable the discipline to plot a strategic way forward, addressing gaps and deficits, and building on strengths.

IMPLICATIONS

• Increasing research grant success is vital to the ongoing development of the social work knowledge base, and bolsters the standing of social work in universities.

• Maximising the use of social work Field of Research codes will increase the visibility of social work research, especially in multidisciplinary projects.

• Social work researchers should publicise competitive grant successes

     

Student Participation in Study Abroad Programs: Social Justice Implications for Tertiary Education

ABSTRACT

Short-term study abroad programs are increasingly embraced by Australian schools of social work. These programs improve access to international experiences and have a demonstrable impact on academic outcomes. However, little is known about the factors that influence students who decide to participate in such programs. Using a qualitative semistructured design, eight Australian social work students were interviewed about their perspectives on the pre-application phase of a short-term study abroad program to Ireland that was advertised in early 2018. The findings reveal a number of multilevel structural, institutional, and personal enablers and barriers that impacted their decision to participate. Implications for future research, the tertiary education sector, and social work educators are identified, especially in terms of broader economic and political issues that contradict social justice and render the future of these programs precarious.

IMPLICATIONS

• Short-term study abroad programs offer important learning opportunities for students, but there is a need to understand the dimensions that can impact the decisions of students to participate in these programs.

• The qualitative findings indicate that various factors impact on the participation of students, especially financial and caring responsibilities.

• Further research that is underpinned by a social justice lens is needed to address inequities in student participation.

     

Collaborative Family Work in Youth Justice

ABSTRACT

A number of studies have found that working with family groups can be successful in improving outcomes for young people and their families. This article reports on a study in New South Wales in which juvenile justice staff offered collaborative family work interventions to young people as part of the routine offerings of a juvenile justice service. The primary objective of this study was to examine the extent to which young people who completed the family work had lower recidivism rates compared to three control groups. The methods included a comparison of recidivism rates between young people who completed the intervention, those who failed to complete, those who declined, and a matched sample of young people who were not offered the intervention. The results of the study indicated that many young people and their families were agreeable to be involved in the intervention and the completion rates were high, particularly if the work was undertaken in the family home. The young people who completed the intervention also had lower recidivism rates than young people in each of the control groups.

IMPLICATIONS

• Collaborative family work can be offered successfully by juvenile justice services to young offenders and their families.

• Collaborative family work can reduce recidivism rates for those who complete the intervention.

• It is preferable to conduct the work in the family home where completion rates are likely to be higher.

     

Collective Impact: A Review of the Peer-reviewed Research

ABSTRACT

Collective Impact (CI) is a framework for collaborative social change that has gained considerable attention over the past seven years. In this article we review the peer-reviewed academic research on the CI framework to understand what is known about its use. Nineteen articles were located. We identified four themes in the research: A need to adapt CI to the specific context, its technical nature, the importance of relationships, and concerns about power and equity. The literature on the CI framework is in its infancy and as such tends to focus on capacity building or model development. Whilst CI promotes important discussion about collaboration and social change, issues of power, equity and grass-roots engagement require further attention.

IMPLICATIONS

• Peer reviewed academic research on the application of CI is at an early stage and further research is needed.

• Social workers should carefully consider critiques of CI before adopting this framework for social change.