Spirit of aging rising: cross-cutting thematic modules to enrich foundation graduate social work courses

To enrich an urban generalist MSW program serving a diverse aging community, an innovative approach was initiated. A team of students, faculty and a field instructor collaborated in creating and evaluating 3 sets of cross-cutting thematic modules. An overview of the thematic modules (addressing elder abuse, family caregiving, and mental health), integrated across multiple curriculum areas (Human Behavior and the Social Environment, Macro/Policy, Practice and Research), is presented along with results of a faculty focus group evaluating the process of coordinating module content for one full week of class per foundation area (one topic per quarter).     

Turning Doctoral Students into Faculty in Gerontological Social Work: The AGESW Experience

ABSTRACT

Developing faculty interested in aging may help social work meet the needs of our growing aging population. However, doctoral students need a variety of supports to complete PhDs and become gerontological social work faculty. This study explored one program’s role in supporting the development of social work doctoral students to faculty in gerontology. An e-mail invitation was sent to all former participants (2010–2016 cohorts) of the Association for Gerontology Education in Social Work (AGESW) Pre-Dissertation Fellows Program (PDFP). The 38-question online survey consisted of Likert-type scales, multiple answers, and one open-ended question per section about the program’s impacts on their academic career development in teaching, research, mentoring, and support. Forty-five respondents, representing all six cohorts, completed the survey. More than half reported that the PDFP contributed to their ability to publish their research (64.4%, n = 29), grow their professional network (86.7%, n = 39, and teach (55.5%, n = 25). Doctoral programs provided different experiences than the PDFP, including mentoring, methodological training, professional development, networking, and peer support. Results suggest the PDFP provides content recipients value that supplements instruction received in their institutions. The program’s ability to connect students to each other and to national leaders enhances their career development and socialization into academic roles.     

Using Collaboration to Maximize Outcomes for a John A. Hartford Foundation Geriatric Enrichment Project

Summary

Two institutions representing two BSW and one MSW program and a geriatric education center collaborated in a John A. Hartford geriatric enrichment project. Sharing the risks and benefits of a collaborative model, 75 percent of faculty participated in mini faculty fellowships, and bimonthly dinner meetings with colleagues from each of the three programs, and actively engaged in the curricula revisions. Faculty report pervasive geriatric enrichment in each program's foundation content areas, and increases in students placed in geriatric enriched field practicum settings, from pre-project levels of 8.1 percent to a high of 24 percent. The features of the collaborative project include: respecting each program's autonomy while actively sharing ideas, resources and partnering with community's aging experts; and strengthening mutually reciprocal relationships among faculty and the gérontologie practice community. This model of shared risks and benefits also provides opportunities for innovation, diverse thinking, and shared decision making.     

Metamorphosis of a Gerontological Social Work Scholar

ABSTRACT

My participation in the Pre-Dissertation Fellows Program (PDFP) was a defining moment in the development of my career. This commentary focuses on how my participation helped me transition from mentee to mentor and from PhD student to faculty member and scholar in gerontological social work and end-of-life care. While many students have limited mentorship from gerontological faculty in their own program, the PDFP offers a bridge to gerontological scholars and peer support across the US. Beyond that, opportunities are readily available for participation with the Association for Gerontology Education in Social Work (AGESW) and for collaboration across this network. Like myself, many awardees move into faculty positions and their accomplishments are varied and impressive. It is difficult to fully separate these from the connections, mentorship, and support received from the AGESW network and through participation in this program.     

Social Work as Management

Abstract

The purpose of this study was to explore the utilization of corporate management functions, such as planning, organizing, coordinating, motivating, advocating, and monitoring and evaluating, by social work care managers. Method: The sample included 122 care managers in 13 urban hospital settings. Each care manager chose two completed cases, one judged by them to be a good and one a poor case. They then completed an open-ended questionnaire about each case. Results: Content analyses indicated that themost frequently utilized goals and interventions were traditional corporate management functions. Logistic regression analyses indicated that the presence versus absence of 5 management outcome variables (planning, organizing, coordinating the interdisciplinary team, coordinating hospital and community resources, and advocacy), taken together as a scale, correctly predicted 89.1% pre-designated good cases, and 83.8% poor cases. Conclusion: Successful social work cases required the use of corporate management functions.     

Experiences of Caregivers in a Dementia Simulation Program

Abstract

Objectives: Simulation-based training has been used in health care to increase clinical knowledge and skills and understanding the experience of others. There is a lack of research in exploring experiences of caregivers of people with dementia in a dementia simulation program and its potential benefits on caregivers. The purpose of this qualitative study was to explore experiences of caregivers of people with dementia who participated in a dementia simulation program, called Dementia Live?.

Methods: Fourteen caregivers were interviewed after participation in DL, and thematic analysis using NVivo 11 software was used.

Results: Three themes emerged, including: (i) the Dementia Live? as an eye-opening experience; (ii) the perceived benefits of the Dementia Live? on themselves; and (iii) recommendation of the Dementia Live? to other caregivers.

Conclusions: Dementia simulation programs such as the Dementia Live? may help caregivers to have more empathy, understand better about the behaviors and feelings of people with dementia, and to use strategies that can help when working with people with dementia. Further experimental research is needed to examine effectiveness of the dementia simulation program on caregivers and people with dementia.     

The Process of Change in Complicated Grief Group Therapy for Bereaved Dementia Caregivers: An Evaluation Using the Meaning of Loss Codebook

ABSTRACT

Caring for a person with dementia has adverse health and mental health effects that, for 9–25% of caregivers, persist as complicated grief (CG). For bereaved dementia caregivers unable to satisfactorily grieve, specialized Complicated Grief Group Therapy (CGGT) can restore healthy grief. We investigated therapeutic change in CGGT participants, using an adapted version of the Gillies’ Meaning of Loss Codebook. Participants demonstrated positive gains in 16 thematic areas, notably in moving on with life, summoning pleasant memories, and ascribing bad memories to disease rather than decedent. Meaning transitioned from negative to positive interpretations of the death over the course of treatment.     

A perfect storm: Challenges encountered by family caregivers of persons with Alzheimer’s disease during natural disasters

ABSTRACT

Since Hurricane Katrina there has been a movement across the U.S. to examine best practice for disaster response within the aging population. However, little is known about the experience of natural disasters from the perspective of family caregivers of persons with Alzheimer’s disease and related dementia (ADRD). In this exploratory, qualitative study, family caregivers (n=27) were interviewed about their experience with the historic 2015 South Carolina flood. By using thematic analysis, themes were identified to better understand what unique challenges caregivers of person with ADRD experienced. While many caregivers stated they had experienced a natural disaster previously, none had ever done so in their current caregiving role. The caregiving role affected their ability to prepare for the storm and influenced their decision-making regarding evacuation and utilization of recovery resources. Thus, caregivers were confronted by a “perfect storm” of circumstances and uncertainty. Family caregivers need to have actionable emergency plans for disasters that are specific to their role as caregivers of persons with ADRD. Study implications also suggest the role social work professionals can have in educating, advocating, evaluating, and coordinating support to assist caregivers of persons with ADRD as a potentially vulnerable and at-risk population during all phases of disaster.     

Passing the Baton: Principles and Implications for Transferring the Leadership of a Group

ABSTRACT

Poor practice in the transferring of groups abounds. This paper examines the process of transferring a group from one worker to another. Five concepts are discussed: giving early notice of the transfer; having one-on-one discussions between the arriving and departing workers; effecting the actual transfer; evaluating the group and establishing a new purpose and goals; and working through members' feelings and reactions to the transfer.     

Restructuring Long-Term Care in Spain: The Impact of The Economic Crisis on Social Policies and Social Work Practice

ABSTRACT

Care needs of the aging population are increasing in Southern European countries. The purpose of this article is to explore the implications of meeting these needs while taking into account the recent economic crisis, which has deeply affected countries such as Spain. This study is part of a European project (ISCH COST Action IS1102) and is based mainly on qualitative information that focuses on in-depth interviews with social service workers (n = 19) who provide the service and program recipients or their caregivers (n = 14). In addition, two discussion groups were conducted with professionals (n = 9) and program volunteers (n = 5), as well as a workshop/discussion group (n = 28) with politicians, service providers, and participants. Six thematic premises were identified with differing views being highlighted relevant to the participants' roles in the program. Future research should explore social service strategies to deal with the increase in care needs as well as community-based responses.     

Confluence: The Nature of Technology and the Remaking of the Rhône

Jeremy Goldberg, Women, Work, and Life Cycle in a Medieval Economy. Women in Work and Yorkshire c. 1300–1520 (1992), xiii + 406 (Clarendon Press, Oxford, £45.00).

David Shaw, The Creation of a Community. The City of Wells in the Middle Ages (1993), xiii + 334 (Clarendon Press, Oxford, £40.00).

Joan Larsen Klein (ed.), Daughters, Wives and Widows. Writings by Men about Women and Marriage in England, 1500–1640 (1992), xviii + 329 (University of Illinois Press, Urbana and Chicago, $37.50, paperback $14.95).

Linda Pollock, With Faith and Physic. The Life of a Tudor Gentlewoman, Lady Grace Mildmay, 1552–1620 (1993), viii + 179 (Collins &; Brown, £25.00).

Lawrence Stone, Broken Lives: Separation and Divorce in England, 1660–1857 (1993), xviii + 355 (Oxford University Press, Oxford, £16.95).

G. J. Barker‐Benfield, The Culture of Sensibility: Sex and Society in Eighteenth‐Century Britain (1992), xxxiv + 520 (University of Chicago Press, Chicago and London, £39.95).

Lynn Hunt, The Family Romance of the French Revolution (1992), xvi + 213 (Routledge, £19.99).

Anne Hardy, The Epidemic Streets. Infectious Diseases and the Rise of Preventative Medicine, 1856–1900 (1993), xiii + 325 (Clarendon Press, Oxford, £40.00).

Robert Fox and Anna Guagnini (eds), Education, Technology and Industrial Performance in Europe, 1850–1939 (1993), xi + 302 (Cambridge University Press, Cambridge, £35.00).

Thomas Childers and Jane Caplan (eds), Re‐evaluating the Third Reich (1993), xvi + 270 (Holmes &; Meier, New York and London, £35.00, paperback £13.95).

J. Arch Getty and Roberta T. Manning (eds), Stalinist Terror: New Perspectives (1993), viii + 294 (Cambridge University Press, Cambridge, £35.00, paperback     

Mutual Aid During a Pandemic: A Group Work Class Example

ABSTRACT

The pandemic of 2020 had faculty pivoting quickly from face-to-face to remote teaching. Many of us had to manage this herculean task with little know-how and within a short time-frame. Best practices were unclear given the highly individualized circumstances in which students were now living. Group work within an educational framework is possible and can help students effectively manage the stresses resulting from sudden crisis situations. The key to group work as practiced by social workers is mutual aid and it was this process that emerged in an online class for undergraduate students. It was not planned yet evolved in large part due to students’ capacity for caring, empathy, and connection.     

Needs and Supports in Transitional Housing for People Living with HIV/AIDS in Ontario,Canada

ABSTRACT

There is a paucity of research on transitional housing for people living with HIV/AIDS (PHA) and even less so within the Canadian context. The present work addresses that gap and reports on the results from the Transitional Housing Study, a province wide community-based research collaboration involving PHA, service providers, and university researchers in Ontario Canada. This article answers the following research questions: What supports do residents in transitional housing for PHA access and what needs do these supports address? Developing from a thematic analysis of in-depth qualitative interviews with 25 residents in one of three transitional housing agencies in Ontario for PHA, the findings reveal that participants benefited from four key supports while in transitional housing: the provision of a safe environment, co-coordination and management of HIV (and other) drug therapies, assistance with appointments, and referrals to health and social services. Until more resources are available to increase availability of transitional housing for PHA, the nonprofit housing sector must fill the gap that exists by offering the types of supports identified in this study in order to address the needs of PHA. Future research may link these supports efficiently with concrete health improvements and permanent housing stability among PHA.     

A Model for Implementing an Evidence-Based Practice in Student Fieldwork Placements: Barriers and Facilitators to the Use of “SBIRT”

ABSTRACT

This article reports on focus group data analysis that was used to understand initial, largely positive outcomes from a university-based initiative to disseminate and implement an evidence-based practice (EBP)—Screening, Brief Intervention, and Referral to Treatment for Substance Use (SBIRT)—into student fieldwork placements, which are usual care social work settings. Focus groups were conducted with three groups of stakeholders involved in the ongoing project: social work department faculty (n = 10), bachelor- and master-level social work students (n = 8), and social work fieldwork instructors (n = 6). Dimensional analysis of the focus group data yielded results indicating that dissemination and implementation of SBIRT was influenced by agency- and school-level factors and perceived fit between the EBP and individual professional identity, intrapersonal characteristics, and timing. The resulting model, developed through the focus group analysis, is offered and shows how these factors interacted and affected training, supervision, and use of the EBP. The model provides social work educational programs and agencies a working tool for diagnosing and proactively addressing barriers and breakdowns in the EBP implementation process. Future research that tests the model as a diagnostic tool and generates knowledge about its influence in developing competent evidence-based practitioners is indicated. Future focus groups in relation to this initiative are needed to better understand these barriers and facilitators in the EBP implementation process and their critical roles in the process of translating SBIRT into standard social work practice.     

Evaluating a Scale to Measure Student Competencies in Macro Social Work Practice

ABSTRACT

This article outlines the development of an evaluation tool for measuring student competency in macrolevel social work practice. Researchers followed a multistage process that incorporated the wisdom of experienced field instructors in identifying key competencies for practice, ranking performance levels in each competency, and evaluating the reliability and validity of the scale. The resulting Macro Practice-Based Evaluation tool includes six skill domains (learning and growth; behavior and relationships; leadership; critical thinking, analysis, planning, and implementation; professional communication; and values and ethics), each of which has five levels of student competence ranging from unsuitable for practice to exemplary. Evaluation in an experimental setting, by comparing student evaluations on the new tool and previous tools, demonstrated promising reliability and validity. Implications for social work education and future research in actual practice environments are discussed.     

‘You Get More Respect,’ Reasons for Sex Among African American High School Youth: A Qualitative Study

ABSTRACT

African American adolescents continue to be disproportionately impacted by HIV, sexually transmitted infections (STIs), and unanticipated pregnancies. In-depth, face-to-face interviews among a convenience sample of 32 African American adolescents (16 male and 16 female) were used to explore the reasons why some adolescents decided to engage in sex while others chose to delay sexual debut. Data were analyzed using a thematic analysis. Among the overall sample, psychological motivations, external pressure, physical pleasure seeking, and relationship-related motivations were the major themes cited for engaging in sex by participants and their friends. External support, motivation to avoid negative consequences, not feeling ready or lacking interest in sex, and having negative views about sex were among the major reasons for delaying sex. Several of the emergent themes showed gender differences. Suggestions for future research include the need for sexual education, and STI/HIV prevention programs that are gender sensitive and flexible enough to accommodate multiple factors related to sexual debut.     

Demographics and Reality

Abstract

Social work education has neglected gerontology at the same time that the demand for aging-competent practitioners has increased. Surveys, focus groups, and other sources of data from the John A. Hartford Foundation SAGE-SW project at the Council on Social Work Education indicate a lack of current curriculum content, little encouragement for students, limited gerontological expertise among faculty, and more interest by students in gaining gerontological knowledge than expected. Suggested actions for practitioners and field agency supervisors are provided.