The Contribution of Practice Skills in a Care Management Process for Family Caregivers

Practice skills are believed to improve practice, yet, little is known about the extent to which skills affect outcomes. This exploratory study examined the extent to which 3 practice skills specific to a care management context for family caregivers, including communication skills, supportive skills, and linking skills, were associated with fidelity of a care management process. Twenty-one care managers who used a single process to serve 113 family caregivers were included in the study. Bivariate correlation analysis revealed the 3 practice skills are positively associated with process fidelity. Implications for social work practice, education, and research are discussed.     

Living Close to a Person With Cancer: A Review of the International Literature and Implications for Social Work Practice

To help family caregivers (FCs), social workers need to understand the complexity of FC’s experiences and challenges. For this systematic review, several relevant, multidisciplinary electronic databases were searched. Of 1,643 titles identified, 108 articles met the inclusion criteria and are included in this review. Various experiences, symptoms, and burden related to caregiving responsibilities are described and discussed. The understanding evolving from this study about the FC’s own health risk, caregiver burden, and experiences over time can enhance a social worker’s awareness of an FC’s challenging situation and the potential impact this has on the FC’s ability to provide care to the patient.     

Meeting the Needs of Male Caregivers by Increasing Access to Accountable Care Organizations

As the population of male caregivers continues to grow over time, they have become more visible to the service system. However, as the vast majority of supports serve female caregivers, it is important to bring men “inside” of the service system. Following a review of the male caregiver experience, this commentary discusses how Accountable Care Organizations (ACOs), a provision of the Patient Protection and Affordable Care Act of 2010, is one way that men can be brought into and access the service system. Although male caregivers are the focus of this paper, the recommendations suggested are useful for professionals working with all caregivers regardless of gender. Discussion includes a rationale as to why ACOs are a unique service that are currently being developed that provides a window of opportunity for health professionals to meet caregiver needs in new ways. This would include the evaluation of and addressing male caregiver psychosocial and support needs at the time of addressing care receivers’ medical needs.     

Importance of Research in Social Work Practice: A Pilot Study From Turkey

Abstract

It is highly important that social work practice be guided by scientific research and the resultant practices introduced to the literature. Social work research in Turkey is carried out by social work academics and practitioners. This dual position they occupy has not been thoroughly investigated in recent years; therefore, the aim of this research was to scrutinize the relationship social workers take when completing research in Turkey. Within the scope of this research, data were collected by conducting an online survey of 365 social workers. Results of the study show that 45.8% of the social workers have conducted research before. Nonetheless, 93.7% of the social work practitioners do feel the need to carry out scientific research in order to shape their professional practices. Considering these results, future research should concentrate on social work practitioners’ problems taking into account their dual position as both the producer and consumer of the research.     

Elder Mediation in Theory and Practice: Study Results From a National Caregiver Mediation Demonstration Project

Mediation is a process through which a third party facilitates discussion among disputing parties to help them identify interests and ideally reach an amicable solution. Elder mediation is a growing subspecialty to address conflicts involving older adults, primarily involving caregiving or finances. Mediation is theorized to empower participants but critics argue that it can exacerbate power imbalances among parties and coerce consensus. These contested claims are examined through study of a national caregiver mediation demonstration project. Study implications underscore the importance of gerontological social work expertise to ensure the empowerment of vulnerable older adults in mediation sessions.     

Eleven Tips to Lighten the Load: Optimizing the Blessing of Family Caregiving

This informal piece offers tips to family caregivers, based on my personal experience as a social work educator who temporarily moved in with my mother, who lives with dementia. Lessons learned are distilled into 11 tips that are respectfully offered to other social work educators who have the blessing and the challenge of caring for their older loved ones.     

Self-reflection in Reflective Practice: A Note of Caution

In reflective practice, social work students are encouragedto undergo self-reflection. It is a process of self-analysis,self-evaluation, self-dialogue and self-observation. Under appropriateconditions, social workers’ self-reflection can be veryconstructive, resulting in self-enhancement. However, underinappropriate conditions, social workers’ self-reflectionin reflective practice can be destructive and create problemsfor their professional and self-development.     

A Definition of Social Work for Practice

Australian and international discussions of the broad mission of social work, of its underlying premise that the personal is political, that it is responsive and able to take a leadership role from a clear value base, are sophisticated debates that demonstrate the vitality, dynamism, and enthusiasm of a profession cognizant of changes and challenges occurring outside it. However such developments and considerations are possibly most meaningful for those social workers who are either very clear about what social work is or who are not daily confronted with challenges to explain or account for their profession in performance-driven agency contexts. This article proposes a simple definition of social work which, while cognizant of the theoretical developments occurring both in and outside the profession, presents the profession in a way that clearly articulates what it is that social workers do.     

The Self-Forgiveness Process of Caregivers After the Death of Care-Receivers Diagnosed With Alzheimer's Disease

ABSTRACT

This study explores the relationship of self-forgiveness and adaptive coping, religious/spiritual practices, social support, decreased grief, and mental well-being. 133 caregivers were surveyed. Bivariate analysis and stepwise regression models revealed that decreased grief, adaptive coping, and social support were significant in explaining the variation in self-forgiveness. This is one of the first studies to address self-forgiveness as part of the grieving process of Alzheimer's caregivers. Future directions are explored supporting inclusion of self-forgiveness as an aspect of grief and adaptive coping; which is further enhanced by the level of social support experienced by the caregiver.     

Observing Women Caregivers’ Everyday Experiences: New Ways of Understanding and Intervening

This article discusses the practice implications of videographic research examining the everyday lived experiences of 5 women family caregivers of older adults with chronic illness. The women’s nonverbal expressions and gestures revealed how caregiving is accomplished and lived on a daily basis, in particular through emotion and body management, abnegation, and performance. The findings from this microethnographic study suggest that observing women caregivers’ everyday experiences can open new avenues for holistic intervention with this population. Observing nonverbal cues can offer a way for practitioners to better understand women caregivers’ realities, to question their practice, and to adapt their interventions accordingly.     

Gerontological Competencies among MSW Students: Evaluation of a Gerontology Specialization Program

ABSTRACT

The purpose of this study was to conduct a preliminary evaluation of a gerontology specialization program (GSP) within a Council on Social Work Education (CSWE)–accredited master of social work (MSW) program. This study utilized a pretest/posttest design with a three-group comparison: group 1—GSP students; group 2—students from the group 1 program but not in GSP; and group 3—students at two external MSW programs with no GSPs. The overall sample comprised 220 advanced year students. A CSWE Gero-Ed Center/Hartford Partnership empirical measure was used to assess overall, gero social work practice competency. Within-group analyses revealed a significant increase in gero competency scores from pretest to posttest among all groups, with GSP students showing the largest increase. Between-group analysis at pretest revealed that the GSP group showed lower gero competency scores than both non-GSP groups. At posttest, these results overturned: GSP students scored significantly higher gero competency scores than both non-GSP groups. These preliminary findings suggest that the GSP offers an impactful, positive role in development of practice skills for the next generation of gero social work practitioners and scholars. A follow-up study with additional years of data will increase longitudinal rigor and confidence in the long-range efficacy of this GSP.     

Nondeliberative Practice from the Field: Illustrations from a Group Worker

ABSTRACT

This article reviews features of Lang’s nondeliberative practice and provides illustrations from the field of group work that demonstrate these concepts. Nondeliberative practice enables problem solving in ways other than verbal and cognitive: the experience of a group of women who went on their first Outward Bound trip into the wilderness; adolescents who, through acting as their favorite living creature, made connections in nonverbal ways. The “doing” of the activity—be it symbolic, pictorial, performance, game, or other actional mode— is experienced affectively and analogically, and is transferable to other aspects of life.     

Social Work Practice for Social Development in Bangladesh: Issues and Challenges

Social work addresses social issues that constrain the betterment of a community. However, social work practice is struggling to deal effectively with the development challenges of Bangladesh. Based on a literature review and the experiences of the authors, this paper explores the emerging issues where social work practice is anticipated as a promising alternative for bringing sustainable social development in Bangladesh. Simultaneously, the paper discovers the limitation of social work practice in Bangladesh addressing these challenges.     

社会工作理论与实务课程设计建议——以某大学社会工作系大四学生的研究为例

本文主要通过定量研究的问卷法和结构式访谈法分析某大学社会工作专业4年级学生关于如何将社会工作理论与社会工作实务联系起来的调查,在其中寻找到存在的一些问题,同时也试图运用整合教学模式为该系的课程设计提出一些自己的见解。     

Inuit Elderly: A Systematic Review of Peer Reviewed Journal Articles

Over the last century, Inuit have experienced rapid social changes that have greatly impacted their way of life, health, and intergenerational traditions. Although there is a growing body of research concerning Inuit youth, relatively little is known about elderly Inuit. In an effort to bridge this knowledge gap, a systematic review of peer-reviewed journal articles was conducted. This review identified a dearth of research on older Inuit, and highlighted limitations in service provision to this primarily rural and isolated population. Implications for policy and practice and recommendations for future research are also discussed.     

A Conceptual Framework for Differential Use of Mediation and Family Therapy Interventions With Older Adults and Their Families

The purpose of this article is to present a family-centered approach to working with older adults. This framework utilizes a differential use of family therapy and therapeutic mediation theoretical concepts and skills. This provides an effective approach to conceptualizing and intervening with these often complex situations regarding the decision-making processes related to care of older members. Family-centered mediators/clinicians must be skilled in both models to understand and intervene in the challenging issues presented by families. A case example is included in the article to illustrate the framework.     

In Search of a Professional Supervisory Practice: External Social Work Supervision in China

This article examines the importance of supportive and educative functions in the practice of social work supervision and identifies the common features of external social work supervision. Using a qualitative study design, the author explores social workers’ need for professional supervision and support, and the functions and roles commonly played by external supervisors. A mixed model of internal and external supervision is used in some countries; however, such a method is not commonly used or discussed in the literature in Asian regions. The findings of this study suggest that the practice of external supervision should be considered by social work agencies in China. Arranging appropriate external supervisors and establishing a supportive supervisory environment at an agency level are recommended to facilitate the professional growth of social work practitioners.     

Social Workers' Experiences of Virtual Psychotherapeutic Caregivers Groups for Alzheimer's,Parkinson's,Stroke, Frontotemporal Dementia,and Traumatic Brain Injury

ABSTRACT

The objective of this study was to examine the challenges for social workers who transition from facilitating face-to-face psychotherapeutic groups to online web-based video groups with family caregivers of persons with chronic disease. Study data consisted of survey responses of a group of therapists who had facilitated a series of web-based video-conferencing caregiver groups over a period of 4 years. All therapists were trained using an intervention training manual and weekly supervision. They received minimal training with regard to using technology (computers, Internet, web cams, and headsets). Despite reported challenges in how the technology affected the group process, therapists described overall positive experiences transitioning from face-to-face to working online. All therapists reported that group interactions and client outcomes in the Internet environment were overall comparable to those that occur in face-to-face groups.     

Religion and Spirituality in Social Work Education and Direct Practice at the Millennium: A Survey of UK Social Workers

Correspondence to Dr Leola Furman, 1201 Yale Place, Minneapolis, Minnesota, 55403, USA. E-mail: furmanlfurman{at}aol.com Summary In recent years, an expanding body of social work publicationsand professional conference presentations has materialized inthe United States due to a resurgence of interest in spiritualityand religion. In order to explore the level of interest in theUnited Kingdom, a random sample of 5,500 practising social workersfrom the British Association of Social Workers (BASW) membershipwere mailed a questionnaire that examined religious and spiritualbeliefs, practices and affiliations. A total of 789 BASW membersin direct practice from England, Scotland Wales, and NorthernIreland returned questionnaires, a response rate of 20 per cent.The majority of respondents believed that spirituality was afundamental aspect of being human. More than three-quartersof the sample reported little or no content on religion andspirituality in their training programme. Respondents stronglyapproved of raising the topic of religion and spirituality withclients who are experiencing terminal illness or bereavement.This also held true in matters of adoption and foster parenting.Approximately 47 per cent of all respondents believed that includingreligion and spirituality in direct practice was compatiblewith social work’s mission. This sample may representthose social workers with a stronger interest in religion andspirituality than a random sample of the general populationof UK social workers. These findings, nevertheless, raise concernabout the availability of practice models and training curriculafor social work practitioners and students.