How Creative Group Work Helps Adolescents Create Relations with Self and Peers

ABSTRACT

Practitioners often face questions about how to approach adolescents to join a group where they can develop healthy relationships with themselves and their peers. A growing number of practitioners and researchers value creative—nondeliberative—forms of working with such groups. This article discusses the artful, actional methods the authors use in their work with time-limited small groups of adolescents (age 14–17) who experienced behavioral challenges. These creative methods were used in settings such as secondary schools, counseling centers, and nongovernmental organizations in Lithuania during social skills training groups facilitated by the social workers.     

Primary prevention of adolescent pregnancy

Teenage pregnancy is associated with many health, emotional and socioeconomic problems including higher rates of anemia, labor complications, mortality, legal and social struggles and hhigher divorce rates. Professional social workers need strategies to help teenagers avoid early, unwanted pregnancy. This paper offers promising experential and research backing for a primary prevention group work strategy for all adolescents. Social and health programs overlook educational, cognitive anc interpersonal factors biasing youths' ability to comprehend and regulate contraception. Primary prevention to assist adolescents in thinking analytically about their sexual behavior must stress problem solving and decision-making as well as facts about human reproduction and birth control. To implement decisions, youths also need interpersonal communication skills. Small groups are ideal for delivering cognitive-behavioral primary prevention. This approach is based on the premise that youths become pregnant not because of a lack of relevant information, but because they lack cognitive and behavioral skills necessary to use information. Group work involving role-playing helps develop communication skills. Results from 2 field studies describe short-term and longitudinal benefits of the prevention strategy. Professionals can reach significant numbers of youth in this way. By treating sexual issues and the risk of pregnancy as normal in adolescence, social workers can introduce information and pertinent skills to all teenagers. No one is singled out as deviant and the group format enables young people to discuss taboo topics, discovering what the norms are and gradually learning how to deal with peers, family members, techers and others. Adolescents in primary prevention groups gained knowledge, cognitive skills and communication acumen. Improved attitudes toward family planning, increased regular contraception and less unsafe sex resulted from this cognitive-behavioral approach. Primary prevention should begin early to be most effective. Other personal and social issures such as a alcohol and drug abuse, delinquency, marital and family conflicts, parenting difficulties and money management may be dealt with effectively using a cognitive-behavioral approach.     

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.     

Social Work as an Aspect of Primary Health Care: The Social Workers' View

Summary This study is based on an analysis of social workers' viewsof their work with 168 clients referred over a six month periodin 1977 in a health centre setting. A wide range of referralswas made and there was close collaboration with other primaryhealth care professionals as well as outside agencies. Far morepsycho-social problems were encountered by the social workersin the course of their intervention than were apparent on referral,although most of the work was short term. Social work with theindividual predominated and a variety of traditional socialwork skills were employed, although the elderly received relativelylittle help with emotional problems and were offered mainlypractical help. Social workers' perceptions of their clientsare discussed in relation to their choice of methods of interventionand feelings of efficacy. The attachment scheme emerges as generallyfruitful both in terms of social workers' job satisfaction andclients benefitting from a multi-disciplinary approach; howeverthe need for closer inter-professional collaboration in meetingthe needs of the elderly is highlighted.     

运用综合治疗模式介入个案社会工作

传统个案社会工作往往在理论上运用个别治疗模式,社会工作实践中使用多个,未能充分发挥其作用。该个案综合分析案主问题,伊始确立多种治疗模式综合介入,协助案主分析自身问题,有次序有步骤地帮助案主克服困难,解决学习生活问题。通过心理疏导及学习实践,改善了原有精神面貌及学习生活状况,达到治疗效果。     

运用综合治疗模式介入个案社会工作

传统个案社会工作往往在理论上运用个别治疗模式,社会工作实践中使用多个,未能充分发挥其作用。该个案综合分析案主问题,伊始确立多种治疗模式综合介入,协助案主分析自身问题,有次序有步骤地帮助案主克服困难,解决学习生活问题。通过心理疏导及学习实践,改善了原有精神面貌及学习生活状况,达到治疗效果。     

The trajectory of life satisfaction and its associated factors among adolescents in South Korea

Korean adolescents are reportedly unhappy, dissatisfied with their lives, yet little is known about why. This study is set out to examine their life satisfaction and its change over time and the factors associated with its change. The analyses were conducted using the data from the Korean Youth Panel Survey (2004–2008) on a total of 3449 adolescents. The latent growth curve modelling result shows that Korean adolescents’ life satisfaction had a linear trajectory over a five-year period, and that while peer and teacher relationships were identified as important protective factors, academic stress and their internalised problems such as depression had long-lasting effect over time. Based on such findings, implications for social work practice with adolescents are discussed.     

Changes in flourishing from adolescence to young adulthood: An 8-year follow-up

Most research on mental health among adolescents and young adults concentrates on understanding mental illness. However, mental health is more than the absence of mental illness. Among adolescents and young adults, positive mental health—a combination of emotional, social and psychological well-being—is related to higher prosocial behaviour, school integration and self-concept. However, much of the research on positive mental health among young adults has been with college students. Limited research has examined the presence and correlates of positive mental health, or flourishing, among a nationally representative sample of US young adults. This study extended from another researcher's original examination of positive mental health among US adolescents to describe the prevalence of flourishing among these same individuals in young adulthood. Our sample included 1090 individuals from the 2011 Panel Study of Income Dynamics Transition into Adulthood Supplement. Univariate and bivariate tests were used to describe the prevalence of flourishing during young adulthood and changes from adolescence to young adulthood. We used multivariable logistic regression to examine the relationships among indicators of healthy development and flourishing. Results suggest that flourishing improved during the transition into young adulthood and that targeting factors like life skills and civic engagement may enhance flourishing.     

Matching Practice Skills with Client Problems

Abstract

Despite the increasing pressure to measure social work practice skills and relate those activities to client outcomes and treatment costs, relatively little social work research has been devoted to the development of social work process instruments. The recent development of the Practice Skills Inventory has provided practitioners with a useful tool for measuring the frequency with which practitioners employ specific categories of common social work intervention skills. However, it is important to demonstrate that social workers employ these practice skills differentially depending on clients' presenting problems. The current study of 281 experienced MSW practitioners demonstrates that they, indeed, emphasize supportive, therapeutic, case management and insight facilitation skills differentially depending on the problems experienced by their clients. Implications for practice and evaluation research are addressed.     

Mobilizing Community Services for Adolescents in Trouble

Considering the low self-image of many adoles- cents who are experiencing social, educational and emotional problems, it is suggested that we initiate helping efforts from a wellness perspective. Social agencies often create barriers to troubled adolescents through their administrative structure and emphasis on pathology. Through the collaboration of a family service agency and public recreation department, an outreach program is described that makes use of recreational activity as an entry point for a range of social, educational and mental health services. The use of-community agencies and involve- ment of the adolescents and their parents in setting goals are vital parts of this integrative approach.     

Work barriers perceived by welfare recipients of a community employment program in Beijing,China

This research adopted a qualitative research method to explore work barriers perceived by 36 welfare recipients of a community employment program in Beijing, China. The barriers identified included personal and family factors of low education, lack of working skills, poor physical health, mental health problems and family care burden, along with interpersonal factors of weak social networks and social factors of high competitiveness in the job market and age discrimination. The findings were discussed in Chinese social contexts. The practice and policy implications of the study were noted and further research was recommended.     

Interdisciplinary Geriatric Education

There is an absence of adequately trained social workers to meet the health and social service needs of a rapidly increasing aging population. Educators face the challenge of helping social workers in the field both to upgrade their gerontological knowledge and skills and to become functioning members of the emerging modality-the interdisciplinary care team. A historical review of gerontological social work education suggests that 'first generation' education programs based on a medical model of intervention gave way to the 'second generation' in which aging was viewed as a normative step in the life cycle. Currently gerontological social work education is entering the 'third generation' in which emphasis is on working with members of other disciplines to provide comprehensive care. This interdisciplinary geriatric health care is most readily taught as a continuing education, postgraduate experience. This 'third generation' of gerontological social work education is exemplified by the experience of the Hunter/Mount Sinai Geriatric Education Center. Interdisciplinary geriatric health care requires teaching by an interdisciplinary team and, to be effective, educators must themselves be equipped to function as member of the team. Barriers to interdisciplinary understanding and the factors necessary for interdisciplinary collaboration are detailed.     

以真诚的陪伴与支持平复哀伤——一个地震灾区心理援助的个案报告

心理健康重建是汶川地震灾区救助与社区重建工作的重要组成部分。本文通过对灾区心理救助中一个个案的分析,展示了心理咨询对减轻灾后不良心理应激反应的良好干预效果。由于灾后心理危机干预工作具有长期性,本文对于持续进行的灾区及其他类心理救助工作将提供较好的借鉴作用。     

Perceived social support among adolescents in Residential Youth Care

Social support may be of particular importance for vulnerable adolescents' development and health and can help them to cope with stressful life events. However, knowledge of perceived social support among adolescents in Residential Youth Care (RYC) is sparse. The present study therefore aimed to investigate perceived social support among adolescents in Norwegian RYC (N = 304, mean age 16.3 years, girls 57.2%), using a short form of the Social Support Questionnaire. The results were compared with adolescents in the general population. The findings revealed that adolescents in RYC reported a lower number of support persons compared with the general population. Both populations reported a decreasing number of support persons as they aged, except for girls in RYC. The adolescents in both populations were satisfied with the support perceived, especially those with the highest number of support persons. However, social support providers differed between the two populations; RYC adolescents reported their extended family, other sources of support, and the institutional staff more often and their parents less. The findings are important for adolescents living in RYC, as knowledge of their social support network could influence the current practices and ensure contact with important support persons, affecting their development and health.     

Adventure-Based Group Therapy to Promote Social Skills in Adolescents

This article presents adventure-based group therapy as one type of activity-based group treatment that can be used to promote social skills in adolescents. Adventure-based therapy groups are a blend of experiential education, outdoor education, and group therapy. Key components of adventure-based therapy groups include activities that provide immediate and concrete consequences of behaviors, reliance on problem solving, their use of novel and unfamiliar environments, and the use of physical trust. The article includes practice examples of how these factors can be used to promote social skills and discusses limitations and implications for social work group practice.     

Evaluating Group Work within a Summer Camp Intervention for Children and Adolescents with Asthma

Findings suggest that residential camps and group work within camps are highly valued by children and their parents. Children predominantly valued recreational and educational aspects of camp programming whereas parents emphasized appreciation for the safety that a condition-specific camp can offer a child with illness. Within the camp program, group work and peer support were integrally provided along with clinical monitoring and health teaching. A psychoeducational approach was implemented in which group participants engaged in sessions addressing self-care strategies and constructive ways to integrate childhood asthma in daily life. Participants identified the residential camp setting as a promising environment for group work among children and adolescents with asthma. Implications and recommendations are discussed.     

Life Skills Training with Mothers of Handicapped Children

This paper describes a life skills training intervention with 230 mothers of children with a variety of developmental disabilities. The study's design evaluated the effects of a skills-building method developed to improve coping and social support networks of mothers of handicapped children. In groups of 10-12, mothers of handicapped children participated in one of two intervention groups: a skills-building intervention or a comparison treatment intervention using traditional counseling methods. At posttest assessment participants in the skills-building sessions demonstrated improved coping and communication skills, greater satisfaction with social support networks, and a reduction in depression and stress levels.     

Responsibility Group Counseling

Counseling those experiencing interpersonal alienation can be fruitfully accomplished in groups in which members learn to assume responsibility for themselves and others. This article presents a "responsibility group counseling" methodology for social work practice with groups. The approach is presented in terms of its principles, structure, techniques, and outcomes. The emphasis is placed on using the groundrules of this group counseling model.     

Strategies for Group Work Field Instruction

This paper focuses on characteristics of the interaction between field instructor and social work student for developing skills in social work with groups. It identifies critical content for teaching in the field: worker roles, skills and techniques, self-awareness issues, and aspects of group assessment. Tools and strategies for the field instructor are suggested and explained. Assumptions underlying the suggested approach are set forth.     

Mindfulness,meditation, and breathing exercises: reduced anxiety for clients and self-care for social work interns

ABSTRACT

The purpose of this article is to identify and describe a teaching tool that supports social work student success in the classroom and in field placement. The project introduced mindfulness, meditation, and breathing techniques to 2nd-year master of social work (MSW) students in a group classroom setting and engaged students as they applied those techniques in their internship settings with clients. Students were introduced to mindfulness, meditation, and breathing techniques through lecture, experimental exercises, video clips, and case studies and used the group setting to learn to use those tools to add trauma-informed mindfulness interventions to the clinical techniques they concurrently practiced in field placement. Students learned methods to incorporate those interventions into their psychotherapy/counseling sessions with clients and discovered that mindfulness-specific interventions also helped regulate their own autonomic nervous systems, contributing to decreased anxiety. Thus, mindfulness skills taught in social work programs have significant multidimensional benefits; engaging a group classroom setting to learn to utilize mindfulness, meditation and breathing techniques can reduce stress and anxiety for clients and promote adaptive self-care skills for MSW students.