A Survey of Online Practitioners: Implications for Education and Practice

In the last decade the helping professions have seen a growing interest in the provision of online counseling and therapeutic services for individuals. Like most fields of work, social work also has experienced a growth in the creative use of technology in various areas of professional work. Based on this growing interest and the need for such services and research on its efficacy, a study was conducted to learn from e-therapists across the United States on their experiences with this mode of service delivery. This paper elicits results from the online survey and provides recommendations to better serve our clients in the tech savvy world and future research endeavors. The main findings of this preliminary study include: (a) Many theoretical perspectives and models are being used to ground online practice, (b) e-therapists are beginning to use videoconferencing for online practice supplementing their face-to-face sessions, and (c) e-therapists believe that online interventions benefit their clients.     

Families and Mental Illness: Contested Perspectives and Implications for Practice and Policy

Abstract

Mental health research, policy, and service provision over the last 50 years have constructed families and their connections with mental illness in various and contradictory ways. Three distinct but intersecting perspectives derive from the clinical mental illness literature, the family advocacy movement, and mental health policy. Within the clinical literature, the perspective of families is largely one of blame and pathology. By contrast, the family advocacy movement has generated the perspective of the burdened family, whereas mental health policy has created the perspective of the obligated caregiver. The result is an ambiguous understanding of the role of the family in both contributing and responding to mental illness. Implications for policy and practice include the need for a commitment to the principles of partnership with families, a recognition of diversity within families, recognising the difference between carer and family positions, and a need for policy to reflect the position of family as both intimately concerned, but not necessarily responsible, for patient care.     

Working Across the Disciplines/Shifting Perspectives: Student Experiences with an Online Course Focused on Interdisciplinary Practice with Children and Families

SUMMARY

As more universities and other places of higher learning respond to the changing needs of the community-bound learner, new technologies are being harnessed to shift the delivery of historically “classroom-bound” programs to alternate and more universally accessible formats. This article describes how an online course uses interactive exercises to engage students in mutual exploration of cross and/or interdisciplinary work. The course serves students from various professional schools, including social work, child and youth care, nursing, and education. Through the use of online discussion and case-study role-plays, it facilitates an experiential learning environment that is reflective of the student's own practice in a learning setting.     

The Perspectives of Older Greek-Australians Toward Changes in the Nature of Family Support: Implications for Family Care Policies

Internationally, public policies encourage “aging in place,” and the majority of older Australians requiring care in the community receive informal care, supplemented by publicly subsidized formal services. The effect of contemporary social changes on informal care in aging migrant communities is poorly understood. This articles explores the perceptions of older Greek-Australians toward changes in the nature of family support. Bicultural and bilingual researchers carried out in-depth interviews (n?=?27) and five focus groups (n?=?63 total participants) with older Greek-Australians in modern Greek. While “cultures of care” remain among Greek-Australian families, the means for a family to assist have shifted, and these compromises are met with considerable powerlessness among older Greek-Australians. Implications for policy include the need to better involve older migrants and their families in decisions about their care needs, potentially involving consumer-directed care models. Service providers may also need to adopt the use of new technologies to communicate with increasingly time-pressured family members.     

The Social Construction of Deviant Behavior in Homeless and Runaway Youth: Implications for Practice

This study examined the social construction of deviance in a sample of homeless and/or runaway youth in metropolitan Phoenix. In depth semi-structured interviews with 14 youth were conducted, and the data were transcribed and analyzed using a qualitative research computer program. The findings from the study point to an emerging theory, which suggests that ambiguous local policies relevant to homeless youth (e.g., trespassing, loitering) resulted in their selective enforcement by local security and police. Respondents described the ways that they adapted their behaviors to the environmental stressors resulting from these policies. Implications for practice are discussed.

An Analysis of Verbal Stimulus Control in Intraverbal Behavior: Implications for Practice and Applied Research

A common characteristic of the language deficits experienced by children with autism (and other developmental disorders) is their failure to acquire a complex intraverbal repertoire. The difficulties with learning intraverbal behaviors may, in part, be related to the fact that the stimulus control for such behaviors usually involves highly complex verbal stimuli. The antecedent verbal control of intraverbal behavior may involve discriminative stimuli (i.e., discriminated operants), conditional stimulus control, and/or control by compound stimuli. Distinctions among these different types of antecedent control are presented, along with recommendations for intervention procedures that may facilitate the acquisition of intraverbal behavior.     

Orienting Social Workers to the Disability Movement in Egypt: Implications for Practice

As the literature on the disability movement in Africa is quite limited, this paper sheds some light on its current status in one particular African country: Egypt. Due to its history and location within North Africa, Egypt's culture is a mixture of Middle Eastern/Arab and indigenous African elements and influences. The following literature-based overview is designed to highlight such issues as societal attitudes, disability laws, and governmental control and management in the context of a service delivery system designed for disabled people. In conclusion, implications for social work practice are mentioned, and some recommendations to close the existing service gaps are suggested.     

Health-Care Professionals' Participation in an Online Discussion Forum: The Impact on Structure,Content and Interaction

ABSTRACT

The study investigates the impact by health-care professionals on a Norwegian Internet discussion forum. A comparison of the same forum in time-periods with either high or low level of professional involvement was performed. The hypothesis was that professional involvement would have marked effects on the interaction in discussion forums; among other things encourage short and factual/practical interaction patterns at the expense of social climate. A range of different methods were utilized, quantitative analysis, (qualitative) content analysis, and visual mapping. The results show differences between high and low professional involvement in the forum in terms of activity level, distribution over week-days, social presence density, and structure. Some methodological reflections are offered, as well as recommendations for future research.     

Detecting and Deterring Plagiarism in Social Work Students: Implications for Learning for Practice

This paper draws on literature and on a recent workshop run for social work educators to outline important considerations in detecting and deterring plagiarism. Plagiarism, greatly facilitated by the use of the Internet, is increasing among students in higher education and there is evidence to suggest that students on social work courses are no less likely to plagiarise than other students. This paper addresses the importance of detecting plagiarism in students who will go on to work in professional practice but, importantly, highlights the importance of deterring plagiarism in order to maximise students' learning, thus enabling their fitness for practice. Conclusions are drawn for learning, teaching and assessment strategies.     

The Influence of Minority Stress,Gender, and Legalization of Civil Unions on Parenting Desire and Intention in Lesbian Women and Gay Men: Implications for Social Policy and Clinical Practice

Although the rate of lesbian and gay (LG) parents is increasing, lesbian and gay adults are less likely than heterosexual adults to be parents, as desire and intention to become a parent tend to be lower. This study aims at assessing 290 childless LG individuals (120 lesbian women and 170 gay men) to explore the influence of minority stress, gender differences, and legalization of civil unions in Italy on parenting desire and intention. The results indicated that the minority stressors associated with parenting dimensions included prejudice events, outness, and internalized homophobia for lesbian women, but only felt stigma among gay men. Support from family or significant others buffered the effects of minority stressors on parenting dimensions. Thus, the minority stress processes partly explain the intention and desire to become parents in LG childless individuals. Furthermore, lesbian women showed higher levels of parenting desire and intention than gay men and the levels of these parenting dimensions increased after the law on civil unions was enacted. The findings have important implications for both social policies and clinical practice.     

Single Parenting in the African American Community: Implications for Public Policy and Practice

The percentage of female-headed African American families has increased significantly since the 1960s. It is now estimated that over half of all African American children will grow up in a female-headed household. This article examines factors related to the formation of these households as well as the challenges associated with these households. Policies and programs that have been implemented to treat these families are examined.     

Individual and systemic/structural bias in child welfare decision making: Implications for children and families of color

The factors contributing to observed racial disproportionality and disparity in the child welfare system have been the subject of national discourse for decades. This qualitative study used focus groups to engage child welfare and collaborating system decision makers, community partners, and families in a subjective interpretive analysis of racial disproportionality and disparity that had been demonstrated by a previous quantitative analysis of Oregon's child welfare system. Thematic analysis yielded eleven themes from the participant focus groups, four of which clustered around individual and structural/systemic bias and are examined in this paper: visibility bias; cultural bias and insensitivity; personal influences on determination of minimally adequate care; and foster and adoptive parent recruitment and licensing practices. Participants offered recommendations to improve outcomes for children and families of color in light of these observations: increase awareness of bias, create checks and balances in decision-making, contract with and hire culturally and racially diverse professionals, and increase funding for training.     

Characteristics and Outcomes of College-Age Adults Enrolled in Private Residential Treatment: Implications for Practice

Substance use among college-age adults is of interest due to high levels of use and low levels of treatment access and engagement relative to other adults. Data collected from 1,972 clients in residential services were analyzed to investigate differences in use patterns, treatment outcomes, and other life area problems. Participants completed an Addiction Severity Index (ASI) and the University of Rhode Island Change Assessment (URICA) at baseline, and an ASI and Treatment Services Review at 1-month and 6-month postdischarge interviews. Almost a quarter (24.1%) of participants were college age (18–25 years old). They were more likely to be White and male, and less likely to complete treatment although they had a longer average length of stay. College-age adults improved on all outcome measures, and posttreatment service use shows significant difference between college-age and older participants. Implications for practice are discussed.     

An Examination of the Persistence of the Residual Child Welfare System in the United States: Addressing Charges of Radical Theoretical Myopia with Implications for Social Work Practice

The United States follows what has been termed a “residual” approach to its public child welfare system. This article describes the residual model and contrasts it with the policies of other industrialized nations. It also explores the causes and persistence of the residual model in the United States through the lens of structural-functionalist theory. By doing so, this article attempts to respond to critics of structural social work who maintain that it is overly reliant on conflict theory and has nothing to offer in terms of distinct practice methods. Suggestions for a structurally informed social work practice are made.     

Implications for Practice: Exploring the Impacts of Government Contracts on Refugee Settlement Services in Rural and Urban Australia

This article presents the findings from a small qualitative study of Refugee Settlement Service (RSS) workers under Australia’s Humanitarian Settlement Services and Settlement Grants Program. Managers and front-line workers from five Refugee Settlement Services in rural and urban New South Wales were interviewed to examine the impact of new Government funding structures and contracts on the delivery of services and supports to newly arrived refugees. The comparative findings show that the Government’s contractual arrangements impact Refugee Settlement Services in different ways; ultimately prioritising market-like structures and undermining their core service roles. We argue that improving the relationship between Government and Refugee Settlement Services is critical to successful refugee settlement.

IMPLICATIONS

• Successful refugee settlement requires greater flexibility and responsiveness in rural and urban Refugee Settlement Service (RSSs).

• RSSs require increased autonomy and control over funding to enable locally responsive service provision for newly arrived refugees.

     

A Preliminary Study of Body Image and HIV Sexual Risk Behavior in Black Gay and Bisexual Men: Implications for HIV Prevention

Nearly three decades since the onset of the AIDS epidemic, Black gay and bisexual men (BGBM) experience increasingly disproportionate rates of HIV and AIDS in the United States. The aim of this exploratory research investigation was to examine the relationship between body image and HIV sexual risk behavior in a community-based sample of 481 BGBM in the New York metropolitan area. Multivariable analyses demonstrated that men with a negative body image were less likely to use condoms during anal intercourse with a male sexual partner as compared to those respondents with a positive body image. These findings pose considerable implications for the influence of body image on HIV sexual risk behavior in BGBM.     

The Role of Attachment Behaviors in the Link between Relationship Satisfaction and Depression in Clinical Couples: Implications for Clinical Practice

Using dyadic, clinical data from 104 couples in committed relationships, the purpose of this study was to determine whether relationship satisfaction was associated with depression through perceived partner attachment behaviors—accessibility, responsiveness, and engagement—for both men and women. We found that one's satisfaction in the relationship was the lens through which they viewed their partner's attachment behaviors and—women's relationship satisfaction was the lens through which her male partner viewed her attachment behaviors. Finally, women's relationship satisfaction is associated with both individuals' depression through her perceived partner's accessibility, responsiveness, and engagement. The findings from this study are important because they provide clinically relevant and mutable constructs in which clinicians can intervene at an attachment level in distressed marriages with depressed partners.     

Family Policy and Complex Contemporary Families: A Decade in Review and Implications for the Next Decade of Research and Policy Practice

Prior Journal of Marriage and Family decade-in-review articles have grappled with the definition and role of family policy for research and policy practice while emphasizing its value to both. In this article, we begin with a broad conceptualization of family policy that encompasses actions intended to achieve explicitly stated goals for families (explicit policies) and those that affect families without an explicitly stated goal for doing so (implicit policies), which we believe provides a solid framework for guiding and understanding both research and practice in the field. Second, we review major U.S. policy initiatives in the past decade and their documented and potential effects on families. Third, we describe several key aspects by which contemporary families have become more diverse and complex. Fourth, we discuss the implications of ongoing family complexity for public policies. We conclude with a discussion about future research and policy development in the context of contemporary family complexity.