Enhancing Psychosocial Competence Among Black Women: A Psycho-Educational Group Model Approach

ABSTRACT

The lack of social work intervention models targeted toward the specific mental health needs of Black women has been recognized as a major gap in our knowledge concerning effective treatment. More recently, group work has been recognized as a useful and effective method of treatment for this population. This paper discusses the utility of a culturally specific, group intervention with Black women aimed at enhancing psychosocial competence as an effective mechanism to assist Black women in coping with the tasks of life and contributes to their ability to master life events. The model incorporates the use of literary works, authored by Black women as an innovative tool for enhancing the group process. Case vignettes are offered.     

Group work over a digital platform: Understanding middle-class struggle in pandemic

ABSTRACT

This narrative is about how a WhatsApp friendship group was turned into a process reminiscent of social group work and how it became a promising practice for its group members during the coronavirus pandemic. The narrative portrays the struggles of middle-class families of Indian society in this crisis situation and how some of their issues were addressed using the digital platform in a group context.     

Impact of Support Groups on Well-Being of Older Women

ABSTRACT

The goal of this study was to determine whether differences in incidence of depression and level of well-being are manifested between older women, aged 60 and older, who attend either (a) a peer-run support group, (b) a staff-run support group, or (c) a comparison group (i.e., who do not attend a support group).

Thirty-six women participating in peer-run and staff-run support groups and 9 women receiving nongroup support were administered the Geriatric Depression Scale and the Philadelphia Geriatric Center Morale Scale. Separate analyses of variance were employed on each scale to determine the significance of differences in scores according to facilitator type (i.e., peer-run vs. staff-run vs. comparison group).

Analysis of scores on the Geriatric Depression Scale indicated significant differences between women in the peer-run groups and women in the comparison group, but no significant differences between women in the peer-run groups and women in the staff-run groups or between women in the staff-run groups and women in the comparison group. Analysis of scores on the Philadelphia Geriatric Center Morale Scale did not indicate any significant differences between women based on facilitator type.

Results of this study have implications for those who run face-to-face support groups for older adults, for those who train peer group facilitators, and for community agencies that desire to initiate a support group system for their clientele.     

“Working with COW”: Social Work Supporting Older Women Living in the Community

ABSTRACT

Australia, like all developed Western countries, is experiencing a demographic shift resulting in an increasing proportion of the population being over the age of 65 years. Contrary to stereotypes, the vast majority of older people live independently in communities. This article explores the potential of social work practice informed by community development principles to enable socially disadvantaged older women to live in vibrant and supportive communities, in which they feel safe and are able to access the support services they need. It argues that participation in social action not only builds older women’s well-being but also enables them to become (or continue to be) agents for social change in local communities. Adopting a community-based research methodology, this article draws on a decade of community development practice with the Concerned Older Women’s (COW) Group. This data suggests that community development practice based on participation, empowerment, and social action founded on respectful relationships may accrue significant benefits to individuals and the broader community. This social work practice creates the social conditions to facilitate older women’s capacity to work collectively to achieve social change, challenging ageist stereotypes.     

Enhancing the Efficacy and Empowerment of Older Adults Through Group Formation

ABSTRACT

Research suggests that efficacy and empowerment are necessary for social engagement and that a sense of efficacy and empowerment exerts positive influences on older adults. However, little is known about how individual efficacy and empowerment are affected by group efficacy and empowerment in later life. To assess the impact of group involvement on the individual, the authors conducted a follow-up study with members of an art guild for older adults. Qualitative data were collected in 1997 and 2001 to ascertain the members' perceptions of group goals and accomplishments, membership benefits, the effect on the community, societal views about older adults, and the impact of group activities on the individual. The results clearly indicated that collective efficacy and empowerment through social engagement were beneficial to members as individuals and as a group, and contributed to well-being through a general sense of accomplishment and pride.     

Characteristics of Women Seeking Services at a Transitional Housing Facility for Women Leaving Street-Based Sex Work: Implications for Social Service Providers

ABSTRACT

Women who decide to leave street-based sex work often struggle with addiction, trauma-related mental health consequences, and exclusion from employment and housing. To offer recommendations for social service providers, this article draws upon primary data from interviews and surveys with 87 residents at a transitional housing facility for women leave sex work to elucidate: 1) a demographic profile of the women, 2) life history patterns and circumstances that encourage women to leave street-based sex work and 3) recommendations for service providers. Results indicate the need for service providers to assist women with basic needs, strengthen referral networks, and extend trauma-informed services.     

An Exploratory Study of Social Work with Older Persons in Cuba

Abstract

Assuring a satisfactory quality of life for Cuba's large and fast growing older population is a national challenge. Social work plays an important part in addressing this challenge through its role in Cuba's National Program for the Care of Older Persons. This article explores the role of social work in Cuba's programs for the elderly and its implications for social work practice in the US. The information was obtained from 25 qualitative interviews with policy makers, social work practitioners, and community members in Havana, Cuba in 2003. The community oriented and interdisciplinary nature of Cuban social work with older persons distinguishes it from social work in the US and has implications for social work in this country. Despite the differences between Cuba and the US, the Cuban social work model provides important insights for social work in this country.     

Nondeliberative Practice from the Field: Illustrations from a Group Worker

ABSTRACT

This article reviews features of Lang’s nondeliberative practice and provides illustrations from the field of group work that demonstrate these concepts. Nondeliberative practice enables problem solving in ways other than verbal and cognitive: the experience of a group of women who went on their first Outward Bound trip into the wilderness; adolescents who, through acting as their favorite living creature, made connections in nonverbal ways. The “doing” of the activity—be it symbolic, pictorial, performance, game, or other actional mode— is experienced affectively and analogically, and is transferable to other aspects of life.     

Impact of the Village Model: Results of a National Survey

ABSTRACT

Villages are a relatively new, consumer-directed model that brings together older adults in a community who have a mutual interest in aging in place. These membership organizations provide social and civic engagement opportunities, volunteer provided support services, and referral to vetted community providers to achieve their primary goals of promoting independence and preventing undesired relocations. This cross sectional survey of 1,753 active Village members from 28 Villages across the US measured members’ perceived impacts in the areas of social connection, civic engagement, service access, health and well-being, and ability to age in place. Results showed that involvement in the Village was a key factor associated with greater perceived impacts. Over half of members perceive that the Village has improved their sense of connection to others and their feeling that they have someone to count on. Though younger members in better health were more likely to perceive impacts in social connections, results suggest older women, living alone with some disability may be the most likely to experience improved health, quality of life, and mobility. The implications for social work practice are discussed.     

Hearing the Voices of Abused Older Women

Summary

This paper focuses on a qualitative research process that gathered responses from 64 older women aged fifty and older on their experience of violence and abuse. What older women said about abuse in their lives supports the use of a feminist framework as well as the age based analysis of the elder abuse field. Some respondents spoke of abuse from childhood into their later years. Some spoke of partners witnessing or experiencing abuse as children. Some women express concern about possible abuse by their adult children of their own children.

Abused older women like younger women need a safe environment, emotional support, advocacy, information, and peer support. While it is important to consider the perspectives and knowledge of service providers when developing policy and practice on abuse of older women, it is critical to ask the women survivors of abuse or neglect what they believe would benefit them, and others in similar situations.     

A Study of Older Chinese in Hong Kong

Abstract

Objective: We extended the volunteer process model (Omoto & Snyder, 1995) to identify factors influencing the persistence of volunteer activities in older Chinese.

Method: We individually interviewed 318 older Chinese volunteers about their demographic information, history of volunteer activities, subjective health status, perceived social support, motivation for volunteering, integration into volunteer group, satisfaction from volunteer work, and intention to continue volunteering in the coming year.

Results: Bivariate correlation analyses generally supported the volunteer process model. In particular, intention to continue volunteering was related to antecedent factors of high educational attainment, mental well-being, social support, and fulfillment of altruistic and self-oriented motives as well as volunteer experiences of integration into the volunteer group and satisfaction with volunteer work. Results of a multiple regression analysis indicated that fulfillment of self-oriented motives was the most salient factor in predicting the persistence of volunteer activities when shared variances of various factors were also considered.

Discussion: Research and practical implications were discussed to facilitate the retention of older Chinese volunteers.     

Bringing the Community In

Summary

Aging enrichment of undergraduate social work curricula ensures that program graduates will be prepared to practice with older adults. This article reports the results of focus group research that was designed to engage social workers from community agencies serving older adults in preparing students to become ‘aging-savvy’ social workers. The workers highlighted the importance of wide-ranging exposure to older adults, the changing needs of older adults, and the importance of increasing students' comfort with self-determination. These findings informed the program's ongoing curricular transformation process through the incorporation of new assignments that enabled increased contact with older adults in a variety of settings.     

Developmental impact of combat exposure: Comparison of adolescent and adult Vietnam veterans∗

Abstract

This study was undertaken to find whether differences existed between two age groups of Vietnam veterans with PTSD, in terms of their social readjustment. A group of 57 men were divided by two age ranges to reflect two distinct periods of identity formation‐adolescence and early adulthood. The social readjustment measures which were examined included: (1) Substance abuse history; (2) history of legal infractions; (3) work history; (4) interpersonal relationships; and (5) peer relationships.

It was found that the younger soldiers have had a more difficult post‐Vietnam readjustment than their older cohorts. The results lend support to the idea that unsuccessful completion of Erikson's developmental phase of identity vs. role confusion may create problems with one's capacity for love, work and relationships. Specifically, when developmental tasks of late adolescence are not completed because of events such as war, one may suffer difficulties in handling adult responsibilities later in life.     

Adverse Childhood Experiences and Substance Use History among Vulnerable Older Adults Living in Public Housing

ABSTRACT

Previous research shows strong correlations between adverse childhood experiences (ACE) and later life health. The current study examines the relationship between ACEs and substance use among older adults living in public housing. Results show that about one-third of participants had four or more ACEs, and ACE score predicted likelihood of substance use history. Over half of older adults with four or more ACEs experienced substance abuse in their lifetime compared to one out of ten older adults with less than four ACEs. Findings shed light on a vulnerable group and point to next steps in research and practice.     

Being with a Person in Our Care: Person-Centered Social Work Practice that is Authentically Person-Centered

ABSTRACT

Person-centered care (PCC) has emerged over the last several decades as the benchmark for providing quality care for diverse populations, including older adults with multiple chronic conditions that affect daily life. This article critiques current conceptualizations of PCC, including the social work competencies recently developed by the Council on Social Work Education, finding that they do not fully incorporate certain key elements that would make them authentically person-centered. In addition to integrating traditional social work values and practice, social work’s PCC should be grounded in the principles of classical Rogerian person-centered counseling and an expanded conceptualization of personhood that incorporates Kitwood’s concepts for working with persons with dementia. Critically important in such a model of care is the relationship between the caring professional and the care recipient. This article recommends new social work competencies that incorporate both the relationship-building attitudes and skills needed to provide PCC that is authentically person-centered.     

Sexuality in the Nursing Home

Abstract

Despite a growing body of literature that contradicts previous stereotypes, negative myths about late life sexuality have persisted. These attitudes had been more entrenched in nursing homes where residents' sexuality have been perceived primarily as behavioral. At one nursing home, a policy and video training program on sexual expression was developed, with staff training, environmental modifications, and work with families, based on sexual expression as a right of consenting adults. This policy can serve nursing homes which face challenges presented by new cohorts of older adults and their families.     

The measurement and implication of the older people’s social function in the community: a Shanghai experience

Abstract

The study employed a quantitative approach to measure the social function of the older people. From a questionnaire survey in a Shanghai community, we found that participants’ party affiliation, education, age group, functional capacity (IADL) and occupational status were the major factors affecting older people’s social function. The older people participated more actively, tended to trust others more and enjoyed better social function in the community. These findings lead to implications for social work practices and policymaking procedures on active ageing.     

Medical and Psychosocial Treatment Issues in Breast Cancer in Older Women

ABSTRACT

The medical, psychological and social aspects of breast cancer in older women are discussed. Information is presented on relative risk, diagnostic procedures and treatment options available to breast cancer patients. The unique psychosocial issues confronted by older breast cancer patients are explored. Clinicians are encouraged to assess developmental stage, concurrent life stressors and the woman's personal interpretation of the meaning of the cancer diagnosis. Medical caregivers are urged to avoid age bias, including ageist attitudes held by the patient, in assessment and treatment planning.     

Arriving old: A qualitative study of elder refugee women’s self-perceptions of the first year of resettlement

ABSTRACT

This qualitative study examines eight elder women’s experiences of resettling with their family and the protective factors that enhanced their resiliency. The implications for social work include the need to assess elder refugees’ strengths, resilience, pre-resettlement functioning instead of services that might encourage integration into the dominant culture and community, and that the refugee experience is a lifelong experience that shapes and informs various stages of life.     

Adventure Therapy: Nondeliberative Group Work in Action

ABSTRACT

Nondeliberative group work allows group members to generate their own solutions and provides experiential opportunities to transfer learning to life outside of a therapeutic setting. Adventure therapy is explored as a tool for engaging groups in a nondeliberative manner. The theoretical underpinnings of adventure therapy are presented and contextualized within the larger framework of experiential education. Specific methods and models of adventure work are presented and considered in relationship to nondeliberative social work with groups. Two case examples are presented to illustrate the nondeliberative nature of adventure therapy.