“They tippy toe around the race issue”: The impact of a Title IV‐E program on culturally informed practice for child welfare students

This study examines changes in MSW students' perceived cultural competence across 11 child welfare practice skills before and after participation in a University's Title IV‐E program and explores students' perceptions of cultural competency and cultural humility. The findings indicate modest gains across all 11 practice skills; however, focus group interviews revealed that students do not necessarily feel prepared to conduct culturally competent practice with children and families. A culturally informed practice in public child welfare is discussed and includes training implications for Title IV‐E programs.     

Use of Students to Teach Interviewing Skills

This study evaluated the immediate and sustained impact that serving as trainers of entry level students had on advanced students' use of interpersonal helping skills with clients. The effect on the use of skills by entry level students who participated in a modified microtraining program in which advanced students served as trainers was also assessed. Interviews with students were audiotaped prior to, immediately after, and 14 weeks following training, and rated by trained independent judges in terms of behavioral criteria derived from Danish et al. (1974). Students also completed the Discrimination Index. The findings reveal that the training experience facilitated advanced students' use of attending skills while not interfering with their acquisition of influencing and self disclosure skills. The training program also significantly modified entry level students' use of interpersonal skills. The results suggest that advanced students can serve effectively as skill trainers and simultaneously enhance their own professional development.     

Rural African American Clergy: An Exploration of Their Attitudes and Knowledge of Alzheimer's Disease

Rural African American clergy's ability to recognize Alzheimer's Disease (AD) and their capacity to provide support to elders with this illness has been neglected in the literature. Using a mental health literacy framework, the purpose of this research was to explore rural African American clergy knowledge and beliefs of AD. In-depth interviews were conducted with 9 African American clergy who oversaw churches in central Kentucky. Although few had direct experience with providing pastoral care to elders with AD, all clergy were literate and aware of the need for additional training. This study seeks to further clarify the role of African American clergy and their understanding of AD to inform the future development of appropriate interventions and establish better collaborative community treatment relationships.     

Experiences of child welfare social workers in addressing substance use among maltreated young mothers to prevent child maltreatment

Substance use during the perinatal period and while parenting can pose a significant risk to children's safety and well-being. Mothers who have experienced child maltreatment are more likely to use substances than mothers without a history of maltreatment. This study explores how child welfare social workers experience supporting young, maltreated mothers struggling with substance use to prevent the intergenerational transmission of child maltreatment. Semi-structured in-depth interviews were conducted with four social workers working with young mothers with a history of maltreatment and substance use. Interpretative Phenomenological Analysis revealed two themes: (1) grappling with system challenges and (2) supporting strategies for disrupting intergenerational transmission of child maltreatment. The results highlight the need for systemic changes around support for social workers who work with young mothers who use substances and have a history of maltreatment, and substance use treatment and mental health programs themselves. Mothers need access to prenatal programs that are trauma-informed, non-judgemental and that support participants' basic needs and parenting skills.     

Assessing low‐income African‐American pre‐schoolers' behaviour problems in relationship to community violence,inter‐partner conflict,parenting, informal social support and social skills

This study examined the relations among community violence exposure, inter‐partner conflict and informal social support and the behaviour problems of pre‐schoolers, and explored how mothers' parenting skills and children's social skills may mediate the child outcomes associated with such exposure. Participants were 185 African‐American mothers and female caregivers of Head Start children who completed study measures in a structured interview. Path analyses revealed that greater inter‐partner conflict was associated with more internalizing and externalizing child behaviour problems. Positive parenting was associated with fewer internalizing and externalizing behaviours. Higher levels of child social skills were associated with fewer internalizing and externalizing behaviour problems. Child social skills fully mediated the relationship between community violence and externalizing behaviours as well as between informal support and externalizing behaviours. Social skills partially mediated the relationships between positive parenting and externalizing behaviours. No mediating effect was found on the relationships between inter‐partner conflict and child behaviour problems. Implications of the findings for intervention and future research are discussed.     

THE WISER WAY

A model of social skills training combining behavioral training with a problem-solving process, called the WISER Way, was developed and used with mixed-sex groups of incarcerated juveniles. Problematic interpersonal situations were developed from the institution's population and presented via videotape. Peer models, also videotaped, demonstrated the problem-solving process and an appropriate response. Empirical investigation and use in various settings is encouraged.     

A Leadership Training Group for at Risk Fifth & Seventh Graders: Results from A Brief Strength-Based Group Program

ABSTRACT

An increasing number of youth are exhibiting social, emotional, and behavioral problems that hinder their ability to function at grade level. Subsequently, school mental health services have not been able to address the need for services particularly among students who are minority and poor. A mixed methodology study was conducted to determine the treatment outcomes from a brief strength-based leadership training group for primarily students who are African American and poor. Pre–post scores on three scales and focus group data revealed significant positive changes in regard to internal areas of functioning and social skills, anger management skills, and school attitude. Gender and age significantly impacted outcomes.     

Risk Factors and Intervention Programs for Depression in Nursing Home Residents: Nursing Home Staff Interview Findings

The in-depth qualitative interviews with 25 nursing home staff members were done to examine (a) their perceptions and experiences of risk factors for residents' depression, (b) current depression intervention programs, and (c) specific needs for staff training. The interviewees identified the residents' sense of loss and grief and feelings of isolation and loneliness as the causes of their depression and in-house activities and contract mental health services as current services aimed at reducing depression. They also pointed out the following barriers to providing effective depression interventions: too much dependence on antidepressant medication, low Medicaid reimbursement rate, staff shortage, residents' attitudes, and nursing home culture. The types of training that the staff members desired were: skills to monitor nonverbal signs and changes and to systematically screen different types of depression; education about antidepressants and their effects, side effects, and interaction effects with other medication; and systematic training in different types of psychosocial and behavioral interventions for late-life depression in residents with various levels of physical disabilities and cognitive impairments.     

Exploring the Concept of Moral Distress with Community-Based Researchers: An Australian Study

ABSTRACT

Community-based research (CBR) refers to an applied research methodology that is conducted in community settings in partnership between academic and nonacademic participants in research. This article reports on a series of in-depth interviews conducted with 11 Australian CBR researchers between 2008 and 2009. The interviews were designed to explore whether university-employed CBR researchers experience the particular phenomenon of “moral distress,” or feelings of helplessness to act in accordance with one's moral values due to systemic or institutional constraints. Study results found that the CBR researchers experienced unavoidable moral distress at varying levels of intensity related to blurred boundaries between settings, participants, and stakeholders. Based on the outcomes of this study, further research and enhanced professional development and training practices are recommended.     

‘Making It’ Versus Satisfaction: How Women Raising Young Children in Poverty Assess How Well They Are Doing

ABSTRACT

Using in-depth interviews with 17 women raising young children in urban poverty, two separate standards were examined—“making it” and satisfaction. “Making it” referred to one's perceived ability to meet the basic physical needs of her children. In contrast, satisfaction referred to how closely one's current life circumstances align with her personal notions of success. Results indicated that self-expectations greatly influenced which standard individuals prioritized, such that those with higher expectations valued satisfaction while those with lower expectations prioritized “making it.” Self-expectations aligned largely with one's poverty status, and women with the fewest economic resources typically expected the least for their lives. Findings from this study suggest that efforts to support women raising young children in poverty must address both standards if they are to be relevant, effective, and sustainable. Similarly, if individuals are to succeed in such interventions, they must be supported in developing higher expectations for their lives, given the role that expectations play in catalyzing one's sense of a life beyond survival. Future research and implications for theory and practice are outlined.     

Cultivating Interest and Competency in Gerontological Social Work: Opportunities for Undergraduate Education

Undergraduate social work programs are well-positioned to recruit students to gerontology, but little is known about how well curricular activities help foster students' commitment to the field. This study considers whether a small group of undergraduate students' interactions with older adults positively impacts students' plans to work with older adults; perceptions of skills; and feelings of comfort and competency in working with older adults. Experiences from this study suggest that experiential learning can positively impact students' perceptions of work with older adults, but may not be enough to draw students to the field. Implications for undergraduate education are discussed.     

Retrospective Book Review: Teaching a Methods Course in Social Work with Groups

SUMMARY

Eight years after its publication, Teaching a Methods Course in Social Work with Groups serves as a reminder to social workers of group work's historic roots and its value as a method of practice with diverse populations. The author shares her experiences in utilizing the teaching text in her work with MSW students and students of the arts who facilitate activity-based groups in community settings. Citing examples of students' experiences in group work facilitation, the author touches on the constraints emerging group workers face in translating social work skills and values to practice. The author's retrospective review of the teaching text underscores its continued importance in the field of social group work instruction.     

The Third-Age African American Seniors: Benefits of Participating in Senior Multipurpose Facilities

This article examines the contexts and benefits of African American seniors' participation in multipurpose facilities. Using qualitative data from 15 in-depth participant interviews and 6-month on-site participant observations as well as a survey result, research revealed the physical, emotional, and social benefits that African American seniors reported as a result of their participation in various activities offered in a multipurpose senior center in Atlanta Georgia. The study presents a social context in which African American seniors constructed their new third age identities that is different from the wide-spread negative images depicted by the mainstream about this minority group. Findings from this study increase the knowledge about African American seniors' participation in multipurpose facilities and provide a better understanding for the diverse socio-economic backgrounds of African American seniors. Study results will have policy implications for a better development of senior centers for minority population in the United States for the promotion of productive and successful aging.     

Children's participation in child protection—How do practitioners understand children's participation in practice?

Children's participation is essential to achieve good outcomes for children involved in child protection systems. Despite this, research has consistently found children report low levels of participation, are poorly consulted and feel inadequately involved in decisions about their lives. To explore how practitioners understand children's participation, 18 in-depth interviews were conducted with statutory child protection practitioners in Australia. The interviews explored the ways child protection practitioners understand children's participation. Our findings show practitioners conceptualize children as rights holders and believe it is essential to hear directly from children about their needs and wishes to keep them safe. Practitioners identified the importance of transparent processes and decisions. Different understanding of participation emerged, with some participants talking about children as their central focus but not discussing meaningful participation of the child. It appeared that children's participation relied largely on the views and skills of individual workers, as well as their ability to incorporate meaningful participation in limited time and in complex practice environments where children's safety is a primary concern. Systemic changes to address time barriers, training practitioners to understand and implement participatory practice, and seeking children's input into service design, will support consistent and meaningful participation.     

Suicide Prevention Training Program for Gatekeepers Working in Community Hospice Settings

Gatekeepers in community hospice settings encounter patients and caregivers struggling with suicidal thoughts. Limited guidance is available for training staff on the prevention of suicide in hospice care. This study evaluated one promising, evidence-based, suicide prevention program with a behavioral rehearsal practice session. A pre- and post-, one group design, was utilized to measure the training impact and educational needs of staff working in community hospice settings (N =39). Training increased awareness of the risk factors for suicide, as reported by nearly 80% of participants. Self-efficacy scores showed a statistically significant Increase, t(df = 35), ?9.59, p= .00 (two-tailed), from pretraining (n=36, M=2.21, SD= .65) to posttraining (n=36, M=3.03, SD=.56). Satisfaction and the need for additional devoted time for suicide prevention training were highly rated. Suicide prevention training programs can enhance self-efficacy, knowledge, and skills for gatekeepers working in community hospice settings.     

Go to the Hospital or Stay at Home? A Qualitative Study of Expected Hospital Decision Making Among Older African Americans With Advanced Heart Failure

To address the need for more information concerning hospital decision making, we conducted in-depth interviews among African Americans with heart failure and their family caregivers (n?=?11 dyads). Using a case scenario, we asked participants about their anticipated hospitalization decisions. Most patients indicated that they would seek care to avoid further deterioration or death from their worsening condition. Many family caregivers anticipated having an active influence on hospitalization decisions. Findings suggest that social workers should encourage the development of adequate home-based services, recognize diverse communication styles, and use this information to facilitate medical decision making by these patients and their caregivers.     

Competency‐based Education: Evidence from Social Work Postgraduates from Five Universities in China

Social work education in China has undergone rapid development during last two decades. However, methods to define, measure, and evaluate social work students' competency remain largely unexplored. In this study, we evaluated competency in graduate social work students in China and examined factors that impacted competency, based on learning theory. Findings indicated that knowledge and skills learned in class, field placement, and social context all have effects on competency. How students think about individual development and the social work profession has the most significant effect. These findings carry implications for social work education in the Chinese context. The rapid development of social work education in China requires the effective measurement and evaluation of students' core competencies.     

Goals for Group Work with Women Transitioning from Welfare to Work

This article reports on focus group data from African American women after participating in year-long groups while attempting to make the transition from welfare to work. Qualitative data analysis is employed to examine the women's words about their experiences, within the context of Temporary Assistance for Needy Families (TANF) requirements and group work models for women who are multiply oppressed. Their words point to recommendations for group work knowledge and skills to best support the needs of these women in the era of TANF.     

Lessons Learned from Experiential Group Work Learning

This study evaluated the efficacy of student-led support groups designed to increase students' perceived knowledge of social group work. The student groups described here were based on theories of experiential learning described by Kolb and colleagues. The mixed-method evaluation used Clements' 17-item scale to measure readiness for group practice and narrative journal entries submitted by students about their experiences in the class. This was part of a larger study to determine whether student-led support groups decreased levels of stress among BSW students. Although limited in scope, this research suggests that student-led groups may improve BSW students' knowledge, skills, and readiness for group work practice.     

Facilitating Forgiveness and Peaceful Closure

Abstract

The importance of addressing psychosocial concerns with dying patients is pivotal to facilitating peaceful closure in end-of-life care. The social worker's role in recognizing and providing skilled, psychosocial intervention with patients and families in hospice programs is significant. In this article, the literature in this area is examined and a case example of a hospice patient's need for closure and the responsive social work intervention for the patient in his moment of death is provided. The case offers social work knowledge and skills and demonstrates the therapeutic benefit of addressing psychosocial needs in end-of-life care. The importance of targeted training and continued skill development for social workers in end-of-life treatment settings is emphasized.