Who's calling the shots? Decision-makers and the adoption of effective school-based substance use prevention curricula

This study investigates the relative roles of school district and school-level decision-makers in the implementation of effective substance use prevention curricula. Drawing on a "Site-Based Management" approach to effective decision-making, we hypothesized that schools whose personnel played active decision-making roles would be more likely to implement effective curricula than those in which decision-making was the prerogative of school district personnel. Study data comprised 1369 questionnaires completed by a representative national sample of both district-level prevention coordinators and middle school-based lead prevention teachers. From the perspective of the lead prevention teachers, the school district-level prevention coordinator was more influential than school staff in selecting effective prevention curricula. However, we did find some support for our hypothesis from our district-level informants, who indicated that community groups and advisory committees also play a modest role in the selection of such curricula.     

Addiction Social Work Fellowship Program in Canada

Substance use disorders (SUD) disproportionally contribute to the global social and economic cost of disease; however, their treatment has been inadequate in large part due to an enduring research to practice gap in which competencies for treating and preventing SUDs are often lacking from social work education curricula. Training social workers in managing SUDs has been separated from nurse and physician training, partly due to the long-standing divide between the behavioral health and medical care system. Recently, a new interdisciplinary fellowship in addiction social work, nursing and medicine has been established in Vancouver, Canada. We describe the novel fellowship program and outline initial impact of the training on knowledge and skills in addiction social work from our qualitative evaluation of the fellowship. We conclude that training social workers, and other allied health professionals alongside physicians and nurses may extend the reach of this type of training program even further.     

Coordinating psychosocial nursing care across treatment settings

A criticism sometimes made of nurse practitioners is that they want to be or think they are doctors. Who has not heard a nurse administrator accused of having lost her nursing identity, or of a faculty person who no longer knows nursing? Before BSN degrees were common, there were stories of 4-year nurses who believed they were above providing direct care and identified only with the administrative roles on the unit. These criticisms have been made by nurses. It is only recently that nurses are recognizing that fragmentation of the profession along these and other lines disempowers us and may result in non-nurses delineating what our practice will be. Perhaps stimulated by the nursing shortage and an increased awareness of our collective power, nurses are more vocal and we are owning our identity as nurses. Psychosocial nurses, perhaps because of conflicts related to professional territory with psychiatry, psychology, and social work, or because of the ramifications of third party payments, are less likely to assume the generic title of "therapist" than in the past. More often, there seems to be a coming together of psychosocial nurses with each other and with the nursing community as a whole. This coming together enhances the potential for nurse-to-nurse communication and sets the stage to allow nursing to become the bridge needed by consumers of mental health services. I am hopeful that psychosocial nursing will meet this challenge.     

RECONCILING INDIGENOUS AND NON-INDIGENOUS KNOWLEDGES IN SOCIAL WORK EDUCATION: ACTION AND LEGITIMACY

This article describes an action research project undertaken in Australia to confront Eurocentrism in our social work curricula. Our aims, action, and reflections are discussed. Further, we explore the legitimacy of non-indigenous teachers taking action to reconcile indigenous knowledges in curricula. The findings have relevance for international social work education.     

The effects of Project SUCCESS on student academic performance: a quasi-experimental study

Project SUCCESS (PS) is a substance use prevention program that targets indicated high school students. We used archival data to explore the program's effects on students' academic achievement and disciplinary problems. It is essential to demonstrate such effects, if prevention curricula are to survive in schools that face multiple competing demands for class time. Using a quasi-experimental design that compared students exposed to the program to those not exposed in five schools, we examined the effects of PS on grades, absenteeism, and disciplinary problems. Using longitudinal analyses that linked individual students' program exposure data to their academic performance, we found that PS had a positive impact on both grades and absenteeism for two years following exposure. We note that these findings are particularly fortuitous, as PS was not designed to affect these outcomes. We recommend that future evaluations of school-based prevention curricula routinely include academic performance.     

The cultural tailoring of a substance use prevention curriculum for American Indian youth

In this article we discuss the importance of the cultural tailoring (CT) of classroom-based prevention curricula to ensure their relevance to, and increase their receptivity by, racial and ethnic minority adolescent populations. Following a review of the pertinent literature, we develop an integrated model of CT that conceptualizes such adaptations into "superficial/ peripheral," "deep structure/sociocultural," and "evidential," and subclassifies the first of these into "language" and "images." We then describe the results of the application of this model post hoc to the adaptation of a specific alcohol use prevention curriculum, "Protecting You/Protecting Me," to enhance its suitability for youth in three American Indian tribes in Nebraska. We conclude with a discussion of the adequacy of the model of CT we developed and the potential challenges and benefits of subjecting other curricula to this process.     

Refusing to Listen: Are We Failing the Needs of People with Alcohol and Drug Problems?

This paper argues that social work education in the UK has persistently failed to equip its social workers with the knowledge to work effectively with people with alcohol and drug problems. In spite of continuing criticism of the profession's unwillingness or inability to engage with substance use issues, social work education has failed to respond to the calls for better training on this subject, even when specific guidance has been issued about course content. This results in a failure to meet the needs of our service users as well as social work staff who remain frustrated at their inability to intervene. The paper explores the historical and current debate about social work training in relation to alcohol and drugs and identifies the barriers to its inclusion in qualifying and post‐qualifying (PQ) curricula. Finally it offers a strategy for improving social work training as well as an overview of programme content requirements.     

Educating for mental health practice: Results of a survey of mental health content in Bachelor of Social Work curricula in Australian schools of social work

Health problems are amongst the most pressing encountered by social workers in practice. Health policy, largely through deinstitutionalisation, has placed mental health problems in the mainstream of health practice. One in 25 Australians will require professional assistance with mental health problems. Moreover, other professions are increasingly claiming that mental health is their area of expertise. Social work needs to reclaim this area as their own and hence it is incumbent on social work education to prepare students to practise in this area. As the second of a two-part survey of health and mental health curricula in Australian schools of social work, the findings of the survey on mental health curricula conducted in 1997 are presented in this article. Based on responses from 95% of the schools, nine of the 20 respondent schools were found to offer a separate mental health unit. The remaining 11 schools' coverage ranged from no coverage at all through to considerable integration in other subjects. Overall it was concluded that the majority of students received a significant amount of input on mental health. A number of recommendations are made to improve mental health input including more skill development, greater local contextualisation, more attention to an anti-oppressive agenda, and more explicit links to field education.     

The prevalence of evidence-based substance use prevention curricula in the nation's elementary schools

Current guidelines for school-based substance use prevention suggest that prevention efforts should begin in elementary grades, before students begin using substances. Previous research suggests, however, that the use of evidence-based curricula in these grades may be low. Using a 2005 survey of public school districts in the United States that include elementary grades (n = 1563), we assessed the prevalence of elementary curricula use, particularly those designated as evidence-based. We found that although 72% of districts administer a substance use prevention curriculum to their elementary students, only about 35% are using one that is evidence-based and only about 14% are using an evidence-based curriculum more so than any other prevention curriculum. We present prevalence estimates for specific evidence-based curricula and conclude by discussing possible reasons for and implications of our findings.     

Educational Psychology in India: Its Present Status and Future Concerns

This study examined the status of educational psychology in the general curricula of psychology and education at various academic levels in India. It also focused on the published research in this area during the last 15 years. Analysis reveals that educational psychology in India is struggling for a respectable place in the psychology curricula. Despite the fact that it has been included as a foundation course in education curricula, the course of study is characterized by an arbitrary selection of topics and stereotypic, inappropriate, outdated contents. Fewer research studies are conducted in educational psychology than in some other branches of psychology in India. A lack of in-depth analysis of the research problems and of collaborative efforts, a failure to keep up with recent international research and theorizing, an excessive use of the questionnaire method with easily available respondents, and instrument-dependent research are some of the characteristics of educational psychology research in India. To make educational psychology more responsive to the changing social needs, suggestions are made regarding changing the orientation and emphasis in the teaching of the discipline, and altering research priorities within the framework of the country's historical and sociocultural contexts.     

Battling Body Image: Confessions of a Health Educator

As a college health educator, the author knows much about healthy behaviors. In spite of this, however, the author discusses finding herself struggling with the same problems of body image that her students express. With a variety of influences tied to negative body image, it is important that college health professionals create a plan of action for reducing the negative effects of such influences. The author proposes that health professionals take a more active role in combating body image problems by using 3 important strategies: incorporating body image into basic health curricula and classes, focusing research efforts on intervention, and exploring the use of advocacy to initiate change at the societal level.     

Understanding the dominant discourse of colonialism: A qualitative,single case study of an eighth-grade U.S. History classroom

The purpose of this qualitative, single case study is to investigate how teacher-created curricula addresses key Native American events in early U.S. history and to determine if such curricula provided students with accurate representations of Native American content. To do this, we used discourse analysis to consider the meanings of words and phrases, as well as the underlying assumptions and intentions of the teacher-created curricula and the experiences it claims to represent. Given the presence and use of dominant narratives to preserve power systems, curricula that deconstructs the colonizing narrative and historical representation of Native Americans can encourage the active destruction of such narratives. By analyzing four teacher-created narratives, we found is that even when a teacher creates content with the intent to be more historically accurate, the curricula still reflects a dominant narrative that privileges White settlers over Native Americans. We then provide suggestions for teachers who wish to design more culturally relevant and appropriate curricula on Native American content.     

Battling body image: confessions of a health educator

As a college health educator, the author knows much about healthy behaviors. In spite of this, however, the author discusses finding herself struggling with the same problems of body image that her students express. With a variety of influences tied to negative body image, it is important that college health professionals create a plan of action for reducing the negative effects of such influences. The author proposes that health professionals take a more active role in combating body image problems by using 3 important strategies: incorporating body image into basic health curricula and classes, focusing research efforts on intervention, and exploring the use of advocacy to initiate change at the societal level.     

Implementation fidelity in a teacher-led alcohol use prevention curriculum

There is now ample evidence that teachers tend to make substantial modifications to both the prescribed content and methods of the curricula they administer, and that such modifications are likely to attenuate curricula effects. We examine the fidelity with which teachers implement "Protecting You, Protecting Me," an underage alcohol use prevention curriculum. Findings suggest that while teachers attempted to implement most sections of a lesson, the lessons taught were consistently--and often extensively--adapted. We conclude that since teachers are likely to continue to modify lessons, curriculum developers and trainers should enhance their understanding of how prevention curricula are taught under real world conditions, help teachers to reinforce key curriculum concepts, and consider modifying those curricular sections that teachers are adapting with greatest frequency.     

A troubling triangle. An exploration of loneliness, helplessness, and boredom of residents of a veterans home

1. Lack of companionship, no opportunity to care for others, and little variety result in the problems of loneliness, helplessness, and boredom for many nursing home residents. 2. Loneliness, helplessness, and boredom may be even greater challenges than physical and functional problems for individuals in nursing homes. 3. Through clinical research and practice innovations, nursing has an opportunity to take a leading role in increasing information about emotional and functional issues that affect the quality of life for nursing home residents.     

Out lesbians in nursing: what would Florence say?

Research and education on lesbian health has increased substantially in quantity and quality in the past 40 years, but little of this work has been produced by nursing scholars. We began our academic nursing careers as out lesbian faculty at the same college of nursing in the late 1980s, where we collaborated on the earliest studies of attitudes about lesbians in the nursing profession. Our paths diverged in the early 1990s, but we shared similar experiences in nursing education that highlight the structural and attitudinal barriers within nursing that have inhibited lesbian health studies. The deeply imbedded lesbian phobia within nursing has historic roots that plague contemporary research, education, and practice. In this article, we discuss the inclusion of lesbian health in nursing, share some of our personal stories about the obstacles we encountered, and end with suggestions for changing this stifling climate for future generations of lesbian health scholars.     

Developing Public Information on Nursing Home Quality

The need for greater public information about nursing home quality is growing. While there are problems in using existing administrative data on nursing home quality from federal certification surveys, it is probably more feasible to use such data than to conduct direct surveys of residents and their family members and friends. Administrative records could be used to provide greater information on quality than is currently reported by the Health Care Financing Administration. These records could also be used to develop a rating system for nursing homes based upon key quality indicators and administrative sanctions. This challenge is one that should be undertaken to ensure greater access to information on quality of care in nursing homes and to stimulate efforts by nursing homes to improve quality.     

Developing public information on nursing home quality

The need for greater public information about nursing home quality is growing. While there are problems in using existing administrative data on nursing home quality from federal certification surveys, it is probably more feasible to use such data than to conduct direct surveys of residents and their family members and friends. Administrative records could be used to provide greater information on quality than is currently reported by the Health Care Financing Administration. These records could also be used to develop a rating system for nursing homes based upon key quality indicators and administrative sanctions. This challenge is one that should be undertaken to ensure greater access to information on quality of care in nursing homes and to stimulate efforts by nursing homes to improve quality.     

Reflections on the absence of formal reflection in public relations education and practice

This content analysis is a part of wider research into the value of reflective practice in public relations education and practice. Examination of this topic is important given that reflective practice is widely recognised as an essential element for claims of professionalism (Dewey, 1933; Schön, 1983, 1987), and professionalism remains an elusive goal for PR practitioners (L’Etang, 2009). This article examines the extent to which the terms and processes associated with reflective practice are formally included in the contents of a range of widely used and well regarded public relations textbooks. The aim is to provide insight into the significance (or lack of it) of reflective practice in contemporary public relations curricula. Given that textbooks are highly influential teaching media that both reflect and shape curricula, conclusions about the emphasis of reflective practice in public relations teaching can be drawn as a result of this analysis. The findings indicate that – based on the content of the textbooks analysed – reflective practice is not formally included in the public relations teaching curriculum. Further research is needed to determine whether this omission also reflects the situation in public relations practice. This research has relevance for public relations educators given that they play a significant role in influencing future generations of public relations professionals. It concludes with a call for a shift in public relations education that includes greater emphasis on reflective practice.     

Occupational Social Work Education in South Africa

This paper describes findings from a survey by the author, of twenty Schools of Social Work in South Africa and the neighboring so-called "Black Homelands." In addition, the study sought to establish the content, scope and objectives of curricula and opportunities for field placement in OSW.