Letter to the Editor

ABSTRACT

The Council on Social Work Education has designated field education as social work’s signature pedagogy, putting field supervisors in a key role of preparing students as competent social workers. This study examined field supervisors’ Evidence Based Practice (EBP) behaviors using a modified version of the Evidence-Based Practice Process Assessment Scale-Short Version. Supervisors (N = 129), from two undergraduate and one graduate program were invited to complete an electronic survey, resulting in a final 34% response rate (N = 44). Results indicated participants were somewhat familiar with EBP techniques, but did not think it feasible to carry out EBP in their settings, nor did they frequently demonstrate EBP behaviors in practice. Recommendations for overcoming barriers to implementing EBP behaviors in agency settings are discussed.     

What Are the Ideal Characteristics of Empirically Supported Treatment Adopters?

There has been a clear and consistent shift in social work practice from offering treatment as usual to implementing empirically supported treatments (ESTs). As social work researchers and practitioners continue to evaluate the effectiveness of ESTs, their impact on clinical outcomes, and the various obstacles to their adoption, a developing literature could offer some guidance on characteristics of EST adopters. This article provides a beginning discussion of the ideal characteristics of EST adopters both at the organizational and individual levels. While this is a developing area of study, there are some important findings that could better serve community-based organizations, their work force, and the communities they serve.     

Beyond the Classroom: The Impact of a University-Based Civic Hackathon Addressing Homelessness

ABSTRACT

Stigma and prejudice are barriers to developing policies addressing homelessness. Awareness development, using civic hackathons, may be beneficial in reducing stigma and promoting policy while offering unique training to social work students. The current study explores the feasibility of hosting a university-based homelessness hackathon; associated changes in self-perceived knowledge, attitudes, beliefs, and investment in addressing homelessness; and development of innovative solutions. Participants (N=32) attended a 7-hour event, involving expert panels, rapid iteration, and solution pitches. Pre- and postevent surveys demonstrate changes in knowledge and attitudes related to homelessness as well as civic responsibility. The event was less successful in generating deployable solutions. Findings suggest the benefit of university-based hackathons to train social work students and offer considerations for implementing hackathons in educational settings.     

Tapping your way to success: using Emotional Freedom Techniques (EFT) to reduce anxiety and improve communication skills in social work students

By the nature of their professional training and practice placements, social work students are prone to situations provoking the onset of anxiety. A programme of academic and placement support, termed the ‘Skills Lab’, provides help and support for students to develop their communication skills and prepare for their practice placements and transition into professional social work practice. Skills Lab evaluations indicated a high level of appreciation, linked with a strong sense of apprehension and anxiety, which some students report has negatively affected their performance. To address student anxiety, a pilot study using Emotional Freedom Techniques (EFT) was developed. EFT is an intervention, which may potentially be effective in reducing academic anxiety and enhancing public speaking. This mixed-methods pilot study measured participants’ (n = 45) subjective distress and anxiety before and after using EFT. Subjective distress/anxiety was invoked through a 15-min assignment lecture. Twelve of the 45 students also participated in one-one interviews to elaborate on their experiences of EFT. Quantitative findings indicated participants reported significantly less subjective distress and anxiety after using EFT. Qualitative findings indicated three themes whereby participants found EFT calming, relaxing and helpful; considered the transferability of EFT in other settings; and proposed some of the mechanisms of EFT’s action.     

Internet-Based Instruction as an Innovative Approach to Managing Prerequisite Curriculum Content in a Graduate Social Work Program

SUMMARY

Students admitted to graduate social work programs possess varying levels of understanding of prerequisite curriculum content. Compounding this situation is that social work educators teaching at the foundation level are now required to provide an expanded array of curriculum content in their courses. This article conceptualizes an Internet-Based orientation course as a unique tool for preparing students with prerequisite curriculum content necessary for successful integration and mastery of a graduate curriculum. Several steps are presented in the design and development of the course: obtaining support and approval, identifying and collecting data, designing and developing course components, and implementing and evaluating the course. Although course development occurs within a social work education setting, findings from this Internet-Based orientation course are applicable to other educational and human service settings.     

Investigating consumption anxiety thesis: aesthetic choice, narrativisation and social performance

Warde's (1994 ) theoretical analysis of possible anxieties provoked in the act of consumption synthesises a large body of contemporary literature on uncertainty, social change and consumption. In doing so, it offers a predominantly structural model of the anxiety provoking tensions and forces individual consumers may be exposed to. Drawing on the work of contemporary figurehead theorists of social change, and proposing his own application of Durkheim's model of suicide to the problem of consumption anxiety, Warde presents a model of how anxieties and their mitigation are embedded within configurations of contemporary consumer culture. Though Warde's analysis illustrates the structural, theoretical context of potential consumption anxieties for particular social groups, it is unable to specify how such anxieties are manifested and managed – or performed – by individuals within specific social and consumption settings. This paper takes an interpretive approach, conceptualising consumption anxiety as a discursive, narrative phenomenon likely to surface within particular social settings that are conducive to generating expressions of anxiety. The paper also considers the relation between narrativisation and objects, arguing that the cultural capacity of objects must be understood within local settings where objects are afforded a capacity to act through various discourses. The argument is drawn using selections of face-to-face interview data collected from a sample of middle-class householders on the practice of home decoration.     

Toward Transgender Affirmative Social Work Education

Social work has professional and academic standards consistent with transgender affirmative education and practice. Nevertheless, a growing body of research suggests that transgender issues are largely absent from social work education, resulting in practitioners who are uninformed or biased against transgender issues. The present study expands the literature through a mixed methods study exploring perceptions of transgender issues in social work education from the perspectives of transgender social work students (n = 97). Quantitative and qualitative analyses reveal barriers to transgender affirmative social work education including (1) transphobic microaggressions within classroom and field settings, (2) the absence of transgender specific education and expertise, and (3) the general lack of visibility of transgender issues. Recommendations for transgender affirmative social work education are provided.     

Barriers to substance use disorder treatment in a sub-acute setting

ABSTRACT

With the changing times, it is essential integrate behavioral health within the primary care of patients. The need is based on the research that links a number of health issues being directly to substance use and mental health diagnosis. With the current opioid epidemic there is a need to address substance use disorders when treating patients in different health care settings. Despite the necessity of integrated care, there are barriers to addressing addiction in sub-acute care settings. With the lack of buy-in from the patients and health care providers and the stigma surrounding addiction it is time to address the barriers that prevents integration of care where it is most needed.     

The effect of social anxiety,generalized anxiety,depression and substance abuse on child support payment compliance among non-custodial parents

Millions of children live with custodial parents (CPs) who have child support court orders for the non-custodial parent (NCP) to provide payments to the CP for care of the children. Unfortunately, less than half of CPs receives full child support. A key issue influencing the failure to pay child support is NCP unemployment. Despite a clear association between unemployment and several mental disorders, the nature and prevalence of mental disorders has not been investigated in the NCP population. The purpose of this study was to explore the association between mental health and substance use problems among non-custodial parents and their payment of child support. The study also investigated whether unemployment mediated the relationship between these variables.Surveys that included validated screening instruments to assess for generalized anxiety, social anxiety, depression, and substance use disorders were administered to a convenience sample of 633 NCPs. Survey respondents were matched with state support payment information.The results indicated that depression, generalized anxiety, social anxiety and substance use problems were present at a much higher rate than 12-month rates of these conditions found in the general population. This study also confirmed the strong association between child support payments and employment. Employment mediated the relationship between mental health problems and child support payments. The findings suggest that non-compliant NCPs, particularly those who are also unemployed, may experience clinically significant mental health conditions that contribute to unemployment and potentially, payment non-compliance. Future studies could explore if providing mental health assessment and employment-focused treatment for mental health-related barriers to employment may increase employment and child support compliance for NCPs, thereby improving children's economic stability and well-being.     

Social work educators’ perceived barriers to teaching with technology: the impact on preparing students to work with younger clients

ABSTRACT

The educational needs of current social work students have transitioned in time from fully face-to-face to hybrid and for some, to fully online instruction. This helps to address students’ need to save time and money, as well as it assists the higher education institutions to provide easier and more efficient access to education. The use of technology in educational instruction has a positive impact on the future social workers who have to address the needs of technologically savvy younger clients. This is due to parallels related to the access and the use of technology, communication preferences, and the wide use of social media platforms. A quantitative non-experimental research design was employed in this research study. Non-parametric statistics were employed. A Mann-Whitney U test was used to compare the perceptions of barriers/challenges to eLearning among US and Spanish social work educators. The Kruskal-Wallis test was used to find the differences in the perceptions of barriers/challenges to eLearning across different group characteristics such as age, academic position, and experience teaching online and hybrid courses. There are six main barriers/challenges identified in this article. When not addressed, these barriers could have a negative impact on social work students’ readiness to use technology in their future social work practice.     

Experiences of student veterans with social anxiety and avoidance: A qualitative study

Eight-to-ten percent of returning combat veterans report symptoms of Posttraumatic Stress Disorder (PTSD), of which 7–13% also report symptoms of Social Anxiety Disorder. Both disorders are characterized by maladaptive patterns of social functioning, which can have significant effects on the lives of returning combat veterans and increase suicidal risk. The objective of the present study was to identify elements of the lived experience of college student veterans experiencing social anxiety and avoidance. Twelve student veterans with post-9/11 active duty service were interviewed about their lived experiences with social anxiety/avoidance within the framework of phenomenological theory. Data was analyzed using multilevel coding and theme analysis. Analysis of interview themes (n = 12) clarified university campus environments that induce social anxiety/avoidance and the impact on personal and professional relationships, learning, and navigation of physical space. Implications of this study include addressing student veterans’ needs through clinical intervention and further representative research on prevalence rates of these risk factors in various university and community college settings.     

Application of E-Therapy Programs to the Social Work Practice

The many applications of the use of e-therapy in social work practice are reviewed. Salient issues regarding technological interventions, including ethical dilemmas, are elucidated. Applications discussed include the use of this evidence-based technology in treatment of substance abuse, anxiety disorders, depression, and other mental health diagnoses. Most significantly, e-therapy provides means of reaching 85% of clients who need services yet do not receive them.     

Family Caregivers for Seniors in Rural Areas

In this article, the demographic characteristics of family caregivers for seniors in rural communities are assessed to examine whether their circumstances could facilitate or impede their well-being. Services available in rural communities for family members providing ongoing care to frail seniors is examined, particularly those that provide health and social services. How families access these services and whether there are specific barriers in service provision are analyzed based on current social work practice and the research literature. Trends for future services are identified as well as whether these trends support new roles for social workers in rural settings.     

Problem gambling,anxiety and poverty: an examination of the relationship between poor mental health and gambling problems across socio-economic status

Socio-economic status has been shown to be significantly related to both problem gambling and mental health problems. Additionally, forms of psychopathology such as mood and anxiety disorders have been shown to correlate with problem gambling across a variety of settings. However, relatively little research has been conducted examining whether the connection between mood and anxiety disorders and problem gambling is consistent across different levels of socio-economic status. This study examines gambling-related problems among a representative sample of Canadian adults using the 2008 Canadian Community Health Survey (N = 28,271). Generalized linear modelling is used to analyze the data. A moderation effect is found that shows the relationship between anxiety disorders and problem gambling severity varies significantly across socio-economic status. This study shows that social setting has an important influence on the assumed relationship between psychopathology and gambling problems that is downplayed in current problem gambling research. A discussion of the need for greater inclusion of socio-economic context when making assumptions about the connections between problem gambling and psychiatric disorders is made in light of the responsibilities of gambling providers and regulators.     

Behavior Management Principles: Incorporating a Biopsychosocial Perspective

This article identifies ten principles for developing, establishing, and maintaining behavioral interventions in work with children. Employing a biopsychosocial perspective, it offers a framework for utilizing such interventions in ways that are consistent with social work's historical contribution to the mental health disciplines. With a primary focus on school settings, it describes both theoretical considerations and practical applications. A relational, feedback-oriented approach to implementing behavioral interventions is advanced.     

Cognitive Risk Factors to the Development of Anxiety and Depressive Disorders in Adolescents

This exploratory study examines cognitive risk factors, anxiety sensitivity, and positive and negative affect, as related to the development of anxiety and depression. In a mailed survey, adolescents completed the Child Anxiety Sensitivity Index and the Positive and Negative Affectivity Scale. Previous research utilized the broad and unified variable of anxiety sensitivity as a predictor of anxiety. In this study, we separate and examine the four specific factors of anxiety sensitivity: mental incapacitation concerns, social concerns, disease concerns, and unsteady concerns, and relate it to specific anxiety disorders and depression. Results indicate good convergent validity and improved divergent validity when utilizing the four factors of anxiety sensitivity as compared to using it as one construct. Results also suggest: (1) OCD and GAD share numerous similarities and (2) the importance of the role of negative affectivity in anxiety and depression. Being aware of the components of anxiety sensitivity and how they relate to specific anxiety disorders can help a social worker when rendering a diagnosis. Part of the data presented in this article was from David A. Dia’s doctoral dissertation.     

Barriers in Access to the Treatment for People with Gambling Disorders. Are They Different from Those Experienced by People with Alcohol and/or Drug Dependence?

A prevalence of gambling disorders is diversified depending on the region of the world. Almost three quarters of pathological gamblers had never sought a professional treatment as well as an assistance in self-help groups. Reasons why they do not initiate a treatment are complex. The aim of the article is to compare barriers to the treatment for people with gambling disorders found in presented study and barriers to alcohol and drug treatment identified in the available literature. The semi structured interviews were applied and conducted with people with gambling disorders, social workers, therapists employed in the addiction treatment facilities, General Practitioners and psychiatrists. Selection of the respondents was based on purposive sampling. In total, 90 interviews were completed. Respondents identified individual barriers as well as structural ones. Individual barriers include internal resistance and a fear of the treatment. In turn structural barriers apply to the organization of the therapy, infrastructure, personnel, and the therapeutic program. A comparison of barriers experienced by people with gambling disorders and substance use disorders showed that they are largely similar, but people with gambling disorders also experience specific barriers. Empirical studies focused specifically on treatment needs of people experiencing gambling disorders may improve an offer of help for them. More adequate treatment options could contribute to the increasing in the number of people who start the treatment. It can result in improving their quality of life and may have positive impact on public health.     

The challenge of interdisciplinary collaboration in addressing the social determinants

The importance of professional disciplines working together to address the critical social and health issues facing society today cannot be overstated. Policy makers, service providers and researchers have long been calling for greater interdisciplinary collaboration. Despite this there has been little systemic analysis of the constraints involved in such collaboration. Far too often disciplines continue to work in silos. This paper aims to analyse the barriers to interdisciplinary collaboration through a case study of the relationship between social work and public health. These two disciplines have a lot more in common than might first appear. There is real potential for social work and public health to work together and enhance each other's efforts to address their common goal of greater social equality. However, this will require a genuine commitment from both disciplines to develop a shared political analysis, common language and a framework for action, which utilises their respective strengths.     

Negotiating narratives surrounding children's mental health diagnoses: Children and their contribution to the discourse

Despite increasing numbers of children diagnosed with mental health disorders, there is limited research on how children come to understand these diagnoses in childhood. This study examines the retrospective accounts of emerging adults who were diagnosed with mental health disorders in childhood to better understand how they made sense of their diagnoses over time. In-depth, semi-structured interviews were conducted with 42 emerging adults (ages 18 to 22) who were diagnosed with attention deficit hyperactivity disorder (ADHD), depression, generalized anxiety disorder (GAD), and/or bipolar disorder in childhood. Interviews elicited participants' experiences learning about their diagnoses and suggestions for how diagnoses should best be explained to children. Findings demonstrate that participants actively sought and obtained information about their diagnoses over time. They negotiated narratives from several sources, including parents, teachers, mental health professionals, peers, siblings, the media, reading materials, and the Internet. Many of those who embraced medical accounts of their diagnoses did so as they obtained in-depth medical information over time. Meanwhile, those whose parents were open and communicative without using medical narratives suggest it is possible to share information with children without utilizing the terminology of “disorder.” Participants emphasize the importance of being open with children and providing them assurances, explaining that their problems are legitimate, common, and “not their fault.” Implications for social work practice are discussed.     

‘My work is exciting’ – social workers in Estonia compared to Norway

The article discusses the relationship between social policy and social work, focussing on how municipal social workers in Estonia and Norway describe their work situation as implementers of social policy. It is based on a series of individual and group interviews. Estonia is the main case, and Norway is included for comparative reasons. The relationship between aims and reality, external conditions and development of the profession are important subjects. Social workers represent a link between users and the various social policy institutions. Estonian and Norwegian social workers experience a gap between needs and resources. Representatives from both countries referred to the growing workload and complained about low status. At the same time they describe a positive development. A common feeling of having limited resources when confronted with the needs of the users is combined with a feeling that social work is challenging and exciting. In both countries networks and cooperation across professional borders are important. The authors conclude that social workers are important actors in implementing changes at the local level, but they seem to be more concerned about the daily encounter with the individual user than with the policy framework.