Effective relationship-based practice: A theoretical exploration

This paper looks at the importance of a relationship-based approach within social work. It explores past writings on the social worker-client relationship, why the relationship was seen to be central to effectiveness and good practice, and why this perspective fell out of favour. It revisits the importance of a relationship-based approach, within a psychosocial perspective, in relation to eight areas of practice. These include the assessment task and process; relationship difficulties; people who are vulnerable or reliant on others for their well-being; situations that require practitioners to be able to hold and contain anxiety; the relationship as a foundation for capacity building, empowerment and developing people's potential; and in relation to disadvantaged and marginalised sectors of the population, how social workers can use the 'front-line' knowledge they have gained through the relationships they have created in political ways--to bear witness and report on 'social ills' as they impact on the lives of service users. A final section looks briefly at how the service user-social worker relationship is perceived and described in the Benchmarking Statement, National Occupational Standards and the General Social Care Council's Rules and Requirements and their implications in terms of the new social work degree.     

Research as part of everyday practice: A finishing student's experience

Abstract

While social work education has come a long way, some of the most valuable lessons are learnt not in the class but in the field. This article explores the relationship between the practice of research and social work practice through my struggles within my final social work placement. How does one come to terms with the relationship between everyday social work practice and the practice of research? How does one reconcile what many see as a gap between research and the practice of social work? Is it possible to incorporate research into everyday practice? In the end it must be argued that both have comparable underlying goals and follow almost identical processes. In many ways a researcher carries out similar investigations utilising similar skills as those of a social worker. Thus being skilled in research and being able to integrate research into everyday practice will produce a better social worker.     

Assessing Social Work's Contribution to Controlled Outcome Studies in the Alcohol Dependence Treatment Literature

ABSTRACT

Alcohol use disorders are among the most prevalent and disabling conditions encountered by social work practitioners. Although a substantial body of research findings has accrued evaluating the effectiveness of available alcohol dependence treatments, few efforts have been made to assess the contribution that social work has made to this database. Thus, this study examined the contribution of social work to the alcohol dependence treatment outcome research literature over the past half-century. Controlled investigations of alcohol dependence treatments published between 1950 and 2000 were analyzed by publication outlet type and primary author's professional affiliation. Computerized bibliographic searches of medical and social science databases were conducted and a manual search of 13 core social work journals to identify controlled studies of alcohol dependence interventions. Results indicate that researchers affiliated with schools or departments of social work as well as studies contained within core social work journals have contributed little to knowledge development, with respect to controlled studies, in the alcohol dependence treatment literature. Greater social work involvement in chemical dependency research would contribute much to current efforts to promote evidence-based practice and clinical guideline development in this important practice area.     

Social Exclusion and Psychosis

SUMMARY

This article considers aspects of the possible impact of social exclusion upon psychosis and the implications of this for mental health social work practice. Against a background of calls for evidence based practice, and increasing recognition of the significance of theories and understandings as the foundations of practice, the article will first explore current and historical ways of viewing and intervening with the relationship between social adversity and mental health. Then, alternative understandings of this relationship, supported by recent research regarding the impact of trauma and extreme social adversity upon physiological and physical processes implicated in mental ill-health, will be discussed. These approaches have major implications for social work practice with psychosis, suggesting that experiences of trauma and disadvantage, and interventions seeking to alleviate the inner and outer effects of these experiences-tasks central to the social work remit-can make a significant difference to mental health outcomes. However, this is not to advocate a simple (albeit under-resourced) 'social solution'! On the contrary, the understandings underpinning these approaches recognise biological processes play a role in mental and physical ill-health: importantly, however, they can be shown to question the stigma traditionally attached to the concept of biological disorder in mental health, thus pointing to the value of a truly biopsychosocial approach with psychosis, involving fully holistic interventions that differ from those currently dominant, and which carry implications for more egalitarian worker-user relationships.     

Spatial approaches to social work – theoretical foundations and implications for practice and research

ABSTRACT

Spatial approaches have inspired and grounded the social sciences and social geography already for a longer time. Beyond these models, the theory discourse on social work developed innovative concepts and models of socio-spatial approaches. They set a special focus on aspects of individual and social development, the concept of acquirement and emancipatory approaches to spatial design. For interventions, special methods for socio-spatial analyses were developed. This article reflects the main approaches of this theory discourse and asks for its key implications for social work practice and research.     

Research Articles in Australian Social Work from 1998–2007: A Content Analysis

Abstract

With the rise of evidence-based practice, there have been calls in social work for practice research that examines the efficacy of its interventions. For the present paper, the authors conducted a content analysis of all articles published in Australian Social Work in the period from 1998 to 2007 to examine the nature of published research and evaluation. Of the 313 articles, 138 (45%) reported on research findings. Of these, only six articles involved practice evaluation or testing of an instrument, but there were positive signs of a developing empirical research culture primarily utilising a qualitative approach or mixed methods studies. The authors suggest that there is a need for more research on social work interventions, a more conscious decision by the profession about its attitude to evidence-based practice (EBP), specific directions for research education, and greater rigour in reporting all types of research studies, but particularly qualitative studies.     

Key misconceptions when assessing digital technology for municipal youth social work

ABSTRACT

Municipal youth protection work has become infused with digital technology, and yet there is still limited research on how to assess the impact of digital technology on municipal youth social work. This article reviews a range of misconceptions regarding the assessment of digital technology for youth social work in municipal contexts. This review was generated in connection with the development of an app system for communication between young clients and their municipal social workers in Denmark. The misconceptions relate to: variations in technologies and contexts; the impact of digital technologies on the relationship; social justice; differentiating between the user and the digital technology; digitalization and standardization; stakeholder and functional models of municipal social work. The paper concludes that the relationship between municipal social work and digital technology is complex and that thus complex comprehensions of municipal social work practice are needed if the relationship between technologies and practice is to be grasped adequately. The paper argues that given the complexity of the field and the speed of technological and legal changes, external support with regard to assessing how to use, develop and incorporate digital technology needs to be made available to municipalities and social workers.     

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.

     

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.

     

The concept of confiding ties: Implicatons for social work research and practice

Abstract

Recent research into the effects of life event stress and other areas has begun to accumulate evidence of the apparently protective effect which an informal confiding relationship can have in everyday life. This paper first looks briefly at the results of this research and at ways in which measures which have been used so far could be developed and refined. Some determinants of confiding ties are then discussed as a guide to social work practice, and types of relevant assessment and intervention are considered.     

Practice experience and social work education

Abstract

This paper examines the arguments that are often put in favour of social work academics having direct practice experience in order to enhance their teaching effectiveness. The paper looks at the number of ways that social work academics can gain up to date knowledge of practice developments and explores what constitutes an effective teacher. It concludes that recent direct practice experience will be of limited use in assisting social work academics to become effective teachers and that there are other ways that academics can become aware of practice developments that are in line with the other professional requirements on academics such as research and knowledge generation.     

Bibliography

Summary

Advocates for the application of computer technology in the human services assume that it promotes practice and organizational effectiveness as well as efficiency. Opponents claim that it fragments practice and reinforces the worst, most punitive, and counter-productive aspects of bureaucracy. While each of these positions rests on conflicting theoretical assumptions about the nature of practice, organizational structures, professionalization and information technology, proponents and opponents alike have failed to provide evidence to support their positions or even to recognize that these issues can be framed and tested empirically.

This paper proposes the use of a comparative research design for studying the effect or computerization on program effectiveness and outlines a range of variables which need to be taken into account in addressing the differential impact of computerization on social work practice.     

Three-dimensional virtual reality: Applications to the 12 grand challenges of social work

Abstract

The American Academy of Social Work and Social Welfare (AASWSW) identified 12 Grand Challenges of Social Work to unify the profession with focused research, practice and policy applications for the most pressing social issues. Virtual Reality (VR), specifically three-dimensional immersive computer-generated environments, has a history of research and applications to address social and behavioral problems. VR is becoming more readily available, as the technology is becoming more common in mainstream platforms such as mobile technology. While social work interventions are often tailored for vulnerable populations that may not have access to VR computing, it appears that virtual reality is gaining accessibility with these advances. Within the framework of the 12 Grand Challenges of Social Work, researchers from three social work virtual reality laboratories in the United States, Texas State University, the University of Houston, and the University of Alabama, review applications previously tested and currently in development to focus future research and intervention in social work practice.     

The Two Embedded Research Functions of Heuristic Case Practice

Abstract

In social work's formative years, practice, education, training, research and theory building were an integrated whole within the field. However, when educational responsibilities moved to tertiary institutions, research and theory building was also claimed as a primary responsibility by these bodies. Since then, the function of research has been seen from the perspective of tertiary institutions as the post hoc evaluation of intervention effectiveness. The present paper proposes that two distinct types of research remain seamlessly embedded within everyday case practice, namely Interventive research and Modelling research. Interventive research is the information gathering and synthesising process creating a theory of one that guides each intervention. Modelling research is the reflective linking of interventions over a class of cases to build practice wisdom and guide future interventions in similar cases. Such research is not free from experimental control, as has been assumed in the past, but has a number of embedded bias controls that protect the integrity of practice interventions by giving greater reliability and validity than assumed previously.     

Responding to People Sleeping Rough: Dilemmas and Opportunities for Social Work

Abstract

Rough sleeping refers to the state of being literally without shelter or residing in shelter not fit for human habitation. People who sleep rough are thought to be a group who experience a range of complex problems in addition to their homelessness. Despite their small numbers relative to the broader homeless population, rough sleepers have been identified as a target group for policy and practice intervention. This article critically examines outreach responses directed toward people sleeping rough. Moving beyond traditional charity approaches or interventions that “move people on”, emerging models of “assertive outreach” have been implemented in Australia as part of broader strategies to reduce homelessness. Challenging the idea that assertive outreach is a shift from a social work approach, it is argued that interventions to actively end rough sleeping are consistent with social work principles. Indeed, this article takes it that social work must advocate for the provision of affordable housing as central to rough sleeping interventions. Housing not only enables people to achieve human dignity and worth, but the linking of housing with outreach responses to rough sleepers will facilitate a trusting and effective working relationship.     

Past,Present, and Future: Editorial on Virtual Reality Applications to Human Services

Abstract

“Virtual Reality” interventions in human services may include 360° video, augmented reality, mixed reality, and fully immersive 3-dimensional virtual reality simulations. A variety of applications have been evaluated in various fields of study, including medicine, social work, psychology, and human performance training. Currently, the state of research of VR interventions in human services has primarily focused on efficacy and effectiveness research, with few studies evaluating “scaling up” or implementation of VR interventions in larger populations. Unfortunately, the state of efficacy and effectiveness studies of VR interventions still remains weak with some applications due to smaller sample sizes, lack of randomized control trials, and a gap in reporting key intervention qualities, dosage, and outcomes. With new developments in combining artificial intelligence with VR, realism and the potential for human interaction with computer generated simulations may boost presence and immersion within these applications. This editorial provides an overview of the state of virtual reality applications in human service provision, potential gaps to be addressed by research in the future, and the development of AI based interactive sequences that may boost use presence.     

Evidence-Based Practice: Current Issues and Future Directions

Abstract

Evidence-based practice approaches continue to increase in popularity in health and human service contexts in Australia and internationally. As social workers face pressures to evidence practice and justify outcomes, the limitations in applying an evidence-based practice approach to social work are confronted. The present paper identifies the features of evidence-based practice and notes the potential benefits and limitations of this approach in social work. Debates surrounding the nature of social work interventions, effectiveness and evidence are reviewed. The current context and climate influencing the use of research and other evidence in social work are discussed. The paper also considers the position of qualitative, interpretive and critical reflective approaches in relation to evidence-based practice. Issues for the future of evidence-based practice in social work are identified, including the need for the profession to examine more closely the relationship between critical reflective and evidence-based approaches to practice.     

Computer-Supported Distance Art Therapy: A Focus on Traumatic Illness

SUMMARY

Recent research has documented the growing gap between those who have access to information technology and those who do not. Reviewing available literature regarding the lack of access to computers and technology by oppressed groups, this paper discusses problems inherent in ignoring this issue in social work education and practice. Finally, some of the promising interventions currently used to address problems of access are outlined and recommendations for social workers are highlighted.     

Narcissism and the Social Work Response

Abstract

This paper reflects on and discusses the relationship between social work knowledge and practice in the context of work with narcissistically-oriented clients. Two subtypes of narcissism postulated in the literature are discussed in relation to the pattern of narcissistic internal claims about self and associated relational expectations. Key messages for social workers are that greater knowledge of the dynamics of narcissism may lead to: accepting and adapting practice based on the idea that narcissistic dynamics have a certain intentionality; applying empowerment models more carefully with this group; better understanding of how to effectively engage clients without reinforcing strong narcissistic tendencies or “results”; and protection of social workers' wellbeing by being able to identify and understand how narcissistic dynamics impact in practice situations. Social workers are urged to critically reflect on and to develop deeper, social work-specific, understandings of personality psychology in the interests of greater practice effectiveness.