An Inclusive Approach to Knowledge for Mental Health Social Work Practice and Policy

As the integration of health and social care services progressesin the mental health sector, there is concern that mental healthsocial workers are disadvantaged, relative to health professionals,because they cannot identify the knowledge base for their practice.This paper argues that this concern is partly the product ofassuming that the knowledge base has to be premised upon randomizedcontrolled trials. Instead, it proposes a non-hierarchical frameworkbased on that developed in health research in Canada by Upshurand colleagues that generates a typology of knowledge whichis congruent with the main forms of inquiry that are relevantto mental health social work practice. The framework recognizesthe contribution of randomized controlled trials to the knowledgebase but also validates knowledge drawn from qualitative, epidemiological,practitioner and user knowledge. It is argued that the frameworkprofiles a wider knowledge base than that promoted by conventionalevidence-based practice, and also could be a basis for futuredevelopment of the research agenda in mental health social work.     

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.     

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.     

The Understanding and Use of Reflection in Family Support Social Work

ABSTRACT

Previous research emphasizes the need for reflection in complex, dynamic practices, like social work. However, increased governance of the public sector and welfare state has caused a reform, which in turn has affected the layout and conditions of work. Private sector control ideals and ideas from the auditing system have led to a new focus. It is argued that we should subordinate practice approaches – characterized by reflection, proven experience, and tacit knowledge – to manual-based treatment, evaluations, and assessments. This study aims at understanding the role of reflection in social work by investigating its use and valuation by family support social workers. Opportunities and resources for reflection are another focus. Focus group interviews (n = 40) were used to produce data. The need for reflection to conduct highly qualitative social work became evident. The question is not whether to reflect or not, rather how this best can be done, given current time constraints. Reflection was considered a coping mechanism, offering a sense of professional legitimacy. Organizational changes seem to impact on time for reflection. However, when enabling process, learning, and development, it can be argued that reflection is beneficial for several parties. Therefore, reflection requires continued emphasis, highlighting its potential benefits.     

Professional Social Work Education in End-of-Life Care

Abstract

Social work education in both BSW and MSW level courses is missing vital content about end-of-life care, palliative care, and bereavement. End-of-life care training opportunities through continuing education programs have also been limited. This deficit is significant because a vast number of social workers are already confronted with end-of-life issues on a daily basis in a variety of practice settings. Through the Project on Death in America, Social Work Leadership Development Awards initiative, many programs and models for professional social work education and training in end-of-life care have been developed and are presented in this article. These include: end-of-life care courses, symposia, training manuals, certificate programs and fellowships. Although the curricula continue to be refined, many of these programs are available to practitioners to advance their knowledge and skills and their curricular models are available to social work educators for possible replication.     

Grading Gems: Appraising the Quality of Research for Social Work and Social Care

The impetus towards basing practice and policy decisions moreexplicitly on sound research requires tools to facilitate thesystematic appraisal of the quality of research encompassinga diverse range of methods and designs. Five exemplar toolswere developed and assessed in terms of their usefulness inselecting studies for inclusion in a systematic review. Thewidely used ‘hierarchy of evidence’ was adaptedand used to appraise internal validity. Four tools were thendeveloped to appraise the external validity dimensions of generalizability(two scales) and methods of data collection (two scales). Methodsof combining the scores generated by each tool were explored.Qualitative and quantitative studies were appraised, not separatedinto two spheres but by using complementary tools developedto appraise different aspects of rigour. There was a high levelof agreement between researchers in applying the tools to twenty-twostudies on decision making by professionals about the long-termcare of older people. The scales for internal validity and generalizabilitydiscriminated between the qualities of studies appropriately.The two tools to appraise data collection gave diverse results.Excluding studies that scored in the lowest category on anyscale appeared to be the scoring system that was most justifiable.This approach is presented to stimulate debate about the practicalapplication of the evidence-based initiative to social workand social care. This study may assist in developing clearerdefinitions and common language about appraising rigour thatshould further the process of selecting robust research forsynthesis to inform practice and policy decisions.     

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.     

Professional Ideology, Middle Range Theories and Knowledge Building for Social Work Practice

Please address requests for reprints to Professor F. M. Loewenberg, School of Social Work, Bar-Ilan University, 52100 Ramat Gan, Israel. Summary More effective social work practice will require increased effortstoward knowledge building and theory development. Until a unifiedsocial work theory is available social workers will choose eclecticallyrelevant theoretical formulations from the large number of middlerange theories available to them from other professional disciplines.New middle range theories and innovative theoretical formulationsappear continually, resulting in a smorgasbord of theories,from which social work practitioners can choose. This articleexamines the effectiveness of an aclectic theory base for apractice profession. In the discussion of the findings noteis taken of the need for explicating social work's professionalideology as a next step in knowledge building.     

Knowledge and Reasoning in Social Work: Educating for Humane Judgement

Much has been made of the uncertainties and contingencies ofpractice, and of the need for social workers to make more explicituse of formal knowledge in order to reduce this uncertainty.However, we argue that this focus on making certainty out ofuncertainty glosses over the ways in which both knowledge andpractice often propel practitioners towards early and certainjudgements when a position of ‘respectful uncertainty’might be more appropriate. Facilitating learning that will helpsocial workers to deal with uncertainty raises challenges forsocial work educators. If they are to equip social workers withthe skills to exercise ‘wise judgement under conditionsof uncertainty’, they will need to recognize the waysin which both theory and popular knowledge are invoked to makeunequivocal knowledge in case formulation. In this paper, wesuggest ways in which students can be helped to remain in uncertaintyand interrogate their knowledge and case reasoning.     

Mutual Aid: A Contribution to Best-Practice Social Work

This keynote speech, delivered in French and translated to English with minor adjustments for publication, presents some of the author's ideas about mutual-aid practice as best-practice social work. The author discusses the etiology and centrality of mutual aid in social work with groups, presents five characteristics of mutual-aid practice that reflect best-practice social work and identifies four key characteristics—joy in sharing, faith, courage, and curiosity—of mutual-aid practitioners. Similarities between mutual-aid practice and evidence-based group work, practice evaluation and participatory-action research are discussed as well. The author presents group work as inherently evidence based and challenges the idea that subjective measures alone may not be valid in reaching this determination.     

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。     

The Influence of Professional Identity and the Private Practice Environment: Attitudes of Clinical Social Workers Toward Addressing the Social Support Needs of Clients

This study uses focus groups and follow-up interviews to explore how clinical social workers in private practice settings address the social support needs of their clients. Findings indicate that the social workers understand the importance of addressing these needs; however, because of concerns about status, identity and reimbursement, they tend to avoid case-management-like tasks despite their intrinsic understanding of the social support value of these services. Recommendations for practice follow the discussion of these findings.     

Social Workers and Policy- Practice: The Role of Social and Professional Values

ABSTRACT

Although policy practice is regarded as an essential component of social work, the actual involvement of social workers in policy practice is apparently very limited. This article presents the findings of a study that seeks to explore the role of social and professional values in support by social workers in Israel for engagement in policy practice and their actual involvement in this type of practice. The findings indicate that socioeconomic orientations and professional values have an impact on social worker's perception of policy practice and the degree to which they are actually involved in the social welfare policy process. In particular, it was found that attitudes toward social justice played a major role in the social worker's perceptions of, and involvement in, policy practice.     

Practice Frameworks: Conceptual Maps to Guide Interventions in Child Welfare

This paper discusses the development of a practice frameworkfor child welfare in New Zealand. A practice framework is definedas a conceptual map that brings together, in an accessible design,an agency’s approach to social work practice with childrenand families. Designed as a tool for practitioners, the NewZealand practice framework integrates three perspectives: child-centred;family-led and culturally responsive; and strengths and evidence-based.The practice framework establishes a vision for New Zealandchild welfare work that is grounded in the realities of practice,supported by research and embedded in a set of principles andvalues that are essential to the work. As a concept, it providesa clear understanding of what underpins the work, and how thisinforms our interventions with children and families. As a toolfor practitioners, it provides a theoretically informed interventionlogic and a set of triggers to support best practice.     

优势视角:残疾人工作的新视角

在残疾人工作方面,存在着两种不同的工作视角,一种是问题视角也称之为缺陷视角,它是以问题为核心,强调将关注点聚焦在残疾人所面临的问题和困难上;另一种则是关注于挖掘残疾人优势的优势视角。优势视角及其工作模式,是当前推进残疾人工作的更为合理的视角和模式。     

Perspectives on Social Care Practice in Romania: Supporting the Development of Professional Learning and Practice

This paper examines the authors’ experiences of developingand delivering training for workers in social care servicesin Romania, through a European Union PHARE¹ funded project.The authors use their experiences to draw on the past and currentpractices of those social workers who were participants in thetraining and to explore their understanding of the emergingissues and themes for social work in Romania. There is alsoan exploration of the potential opportunities for the furtherdevelopment of professional social work learning and practicewithin Romania. The case is made that learning and developmentof social workers could be supported through the encouragementof participatory networks and ‘communities of practice’.     

Social Work Practitioner Knowledge and Assessment of Late-Life Depression

Late-life depression has attracted considerable attention in the social work literature. This study examined levels of knowledge and self-efficacy (confidence) in evaluation of depression in late life among a random sample of social workers (N = 168) from the National Association of Social Workers. Relationships among knowledge on aging, job-related variables, and predictors of knowledge of geriatric depression were examined. Participants ranked depression as one of the most frequent clinical problems seen in practice, scored at the lower end on knowledge about aging, and experienced great difficulty on the items pertaining to suicide in the older adults.     

When and How Does Ethnicity Matter? A Cross-National Study of Social Work Responses to Ethnicity in Child Protection Cases

It is an established part of the conventional wisdom of socialwork theory and practice that attention to ethnic differenceis at the core of best practice. This principle is endorsedin welfare legislation or in the training and education of socialworkers in most European countries. Little empirical evidenceexists, however, to demonstrate that this principle guides practitionerdecision making, or to verify the claim that it benefits ethnicminority clients. At a cross-national level, no robust evidenceexists to illustrate similarities or differences in social workresponse to ethnicity. This article reports on aspects of astudy that examines these concerns within the context of childprotection. It demonstrates, perhaps surprisingly given nationalvariations in legislation and professional practice, that overall,country by country, the child’s ethnic affiliation evokeslittle significant response by social workers, confirming alargely universalist approach. However, through a detailed focuson the qualitative data, this paper considers the nature ofthe references to ethnicity that are made by social workersin terms of how they confirm or refute the dominant approachto multiculturalism within social work.     

The Knowledge Spectrum: A Framework for Teaching Knowledge and its Use in Social Work Practice

For students, educators play a pivotal role in identifying andexplaining the knowledge that can guide social work practice.Yet there is an absence of educational tools that can assistthe educator with this objective. The knowledge spectrum frameworkis an innovative tool that was developed to explain the possibilitiesof what can inform social work practice. As a tool, it can beutilized to show that knowledge use in practice is a dynamicprocess, illustrating that knowledge can be created, modifiedand discarded by practitioners. The framework can also be utilizedto capture the complexity of knowledge used by recognizing boththe tacit (unconscious) and explicit (conscious) domains, therebyidentifying different knowledge use possibilities. Strengtheningstudents’ and/or practitioners’ ability to recognizeand identify the basis of their professional behaviour is criticalfor clear, knowledge-guided practice.     

It Takes a Village: Community Practice,Social Work,and Aging-in-Place

The US population of older adults will increase significantly in the coming decades. Most of these individuals prefer to age in their homes/communities. However, most communities are not prepared to handle the long-term care needs of an aging population. This article examines one model that communities are using to help older adults age-in-place, the Village. A conceptual lens based in community practice and empowerment theory is offered to explicate this model and critically evaluate social work's role in it. It also presents challenges to social work roles in facilitation and evaluation of the model.