Time-Limited Cognitive-Behavioral Group Interventions with Suicidal Adolescents

ABSTRACT

Suicide is the third leading cause of death in adolescents in the United States-following accidents and homicide. This paper reports on group based activities using a cognitive-behavioral therapy (CBT) framework targeted at variables most highly correlated with suicidal ideation and behaviors, including problems associated with self-esteem, cognitive rigidity, social skills deficits, and substance use. Instead of focusing exclusively on treatment of depressive symptoms, this paper presents a series of structured group activities applicable to time-limited groups and designed to increase self-esteem, reduce negative thinking, enhance coping abilities, delimit substance use, and reintroduce the ability to seek and enjoy pleasurable activities with peers. The activities are derived from experiences with adolescents in treatment and are devised to foster rapid group stage development for use in time-limited groups.     

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.     

Time-Limited Treatment Groups for Children

Children with psychosocial problems relating to school, health, and mental health difficulties have been treated in time-limited groups. The present article explicates the process of small group treatment with children using the time-limited approach. The objectives, establishment, planning, and composition of groups as well as the leadership, activities, termination, and evaluation of these groups is presented.     

Rituals and termination procedures

Abstract

The author discusses the therapeutic value and use of transition procedures in the ending phase of practice. These procedures can provide a vehicle for reaching the often contradictory and difftcult feelings that accompany termination. Knowledge about rituals is used to suggest a framework for understanding termination procedures. The author gives examples of procedures useful during termination and discusses potential pitfalls.     

Forced termination: Reconsidering theory and technique

Abstract

Forced terminations typically are described in the therapy literature as grim mourning processes fraught with peril and little benefit. Such endings, although not optimal, are potential opportunities for mastery, growth, and maturation. Overemphasizing the grim aspects of forced termination may impair the departing therapist's ability to sustain a belief in the client's ability to survive loss, use the process productively and, when indicated, transfer to another therapist. Case histories are used to illustrate other constructions and differential interventions during forced terminations.     

A Worker's Personal Grief and Its Impact on Processing a Group's Termination

SUMMARY

This article deals with a worker struggling with a personal loss while simultaneously helping her group with the termination of a valued long term member. The focus is on the parallel grieving process and the resistance to mourning.     

Family Trajectories and Terminations in Conditional Cash Transfer Programs: The Case of Chile's Ethical Family Wage Program

ABSTRACT

On an international scale, conditional cash transfer (CCT) programs have rapidly expanded. Since their boom in the 1990s newer modalities have emerged, incorporating some innovative components. The following study sought to examine one particular CCT program heralded as innovative due to its psychosocial and socio employment accompaniment components: Chile's Ethical Family Wage program. Utilizing administrative data from the Ministry of Social Development this exploratory study sought to examine family trajectories in the program with a particular focus on those families who were terminated from the program due to not meeting conditionalities. Findings from the study indicate that the program deviates sharply from its theoretical implementation. Furthermore, the probabilities of program termination increased in those families headed by younger adults, female and single-headed households, households with higher levels of education as well as larger families. However, a greater number of children decreased the probabilities of program termination as was homeownership. Implications of the findings for policy and practice are discussed.     

Patients with Keloids

ABSTRACT

A great deal has been written about the possible patho-genesis and treatment of keloids. However, the psychological effects these often disfiguring lesions have on affected individuals remains largely unexplored. During face-to-face and telephone interviews, patients were asked how keloids and keloid therapy may have affected their personal and social lives. This preliminary inquiry suggests that careful counseling may prove worthwhile for such patients.     

Using the End of Groups as an Intervention at End-of-Life

SUMMARY

Support groups are an effective therapy at end-of-life. Patients with life-threatening illness and caregivers of the terminally ill have benefited from the mutual aid process provided by groups. Mutual aid is fostered by talking about feelings and developing group cohesion. Difficulty discussing the multiple issues of loss faced at end-of-life, including death and dying, can stifle sharing and impede this process. Group endings offer a unique opportunity to symbolically introduce these topics. This article explores the utilization of the group developmental stage of termination when facilitating groups for this population.     

Social Empathy: A Model Built on Empathy,Contextual Understanding,and Social Responsibility That Promotes Social Justice

ABSTRACT

A model of social empathy is described where social empathy is defined as the ability to more deeply understand people by perceiving or experiencing their life situations and as a result gain insight into structural inequalities and disparities. The three components of the model—individual empathy, contextual understanding, and social responsibility—are explored and explained. Social empathy provides a framework for more effective social policies that address disparities and support social and economic justice for all people. Social workers are well positioned to enhance social empathy, and application and suggestions for further enhancement and research are provided.     

A supportive healthful housing environment for ageing: Singapore experiences and potentials for improvements

Abstract

A supportive healthful housing environment for ageing requires further adjustments of the Singapore Housing Development Board model of social housing. Suggestions for improvements follow the critical examination of typical examples according to common criteria for healthfulness. Deficiencies of the current linear model directly connecting needs to design solutions are addressed in the proposed network model in which aspirations are realised through environmental choices and opportunities. A transdisciplinary approach to environmental support unveils the need to consider design and spaces as social care tools. In conclusion, design of supportive healthful environments requires empowering the user-experts and embracing the holistic approach to design, upgrade and reuse of the ample HDB stock.     

A Behavioral Approach to Time-Limited Groups

A time-limited model for behavior modification with groups is presented. The basic features and relevant techniques of the model are applied to assessment, planning, intervention and evaluation. Issues in group functioning are examined in relation to optimal performance of the group in addressing the concerns of its members. Research findings using this model in several settings are discussed. Various applications of the model are presented, including implications for future development.     

Home-Based Practice with Older Adults

Abstract

Social work with older adults frequently occurs in the client's home. Although practitioners and the professional literature acknowledge the existence of differences between agency-based and home-based practice, little attention has been given to the way the home environment impacts on the intervention process. This exploratory study examined practitioner-identified events that impact on the intervention process in home-based practice. The events elicited two general categories, the context and the process of interventions. Factors subsumed under intervention context are situational and geographic factors, such as practitioner and client comfort, and differences in urban and rural environments. Examples of intervention process categories include setting up home visits, assessment, boundaries, common distractions, and termination in home-based practice.     

Clinical Practice with African American Men: What to Consider and What to Do

Abstract

The special needs of growing numbers of international students and other sojourners in the US. can be addressed preventively. Confusion about American academics, customs, and interpersonal relationships may lead to loneliness and stress. Students often present to a medical provider with physical symptoms, but few accept referral to a counselor or clinician. Close teamwork among all staff serving international students is needed to lessen adjustment problems and prevent crises. Special issues of technique in counseling international students are discussed. A model for learning key aspects of an unfamiliar culture, using the student as teacher, is presented.     

Measuring Family Caregiver Perceptions of Support in Caring for Children and Youth With Mental Health Concerns

ABSTRACT

This correlational study assessed how families of children with mental illness perceived the levels of support they received from informal and formal resource providers and the associations between perceived support and child outcomes. Adult caregivers (N = 904) of youth receiving public mental health care services were administered the Family Caregiver Perceptions of Support Scale developed by the authors to assess family caregiver perceptions of support prior to and at termination of services. Factor analysis identified three types of caregiver anticipated supports: informal support resources, support for treatment plan influence, and health care resources. The domains were significantly and positively associated with one another but did not uniformly correlate with youth mental health outcomes. The study provides preliminary evidence that treatment gains in youth mental health outcomes are observed when caregivers perceive support in treatment processes. Suggestions for future research are made, stressing the importance of caregivers and providers working together and describing needs related to future scale improvements.     

Research as Social Action in the Aftermath of Hurricane Andrew

SUMMARY

A study conducted 14 months after Hurricane Andrew examined the long term impact of this natural disaster on the homeless in the hardest hit areas of South Florida. The effects of a natural disaster on the homeless has not been studied in the past. In addition, this study is presented to illustrate a model of social action research. The foundations for the principles of this model are rooted in the best scientific and social justice traditions. The principles are introduced and described using research methodologies that were utilized in this disaster study. How the findings contributed to changes in policy, procedure, and practice are highlighted.     

Factors Associated with Employee Stress in Psychiatric Rehabilitation: Identifying Vulnerability and Resilience

ABSTRACT

Use of sick days related to mental stress and burnout is a growing problem in Germany. Since stress is related to work demands, there is a substantial need for suitable workplace health promotion programs. This study identifies several organizational and personal stress predictors and presents a predictive model for workers in the field of psychiatric rehabilitation. A cross-sectional design was utilized to collect the self-ratings of employees (n = 243) who typically work with patients. Univariate analyses show, overall, above average stress scores, below average scores in occupational self-efficacy, and a much higher proportion of a gratification crisis (that is, insufficient reward for work performance) compared to other people employed in health care. A multivariate model for predicting the heightened stress indicates the supposed pathogenetic and salutogenetic main effects for organizational variables, such as gratification crisis, and personal variables, such as occupational self-efficacy as well as an interaction of both types of variables. High occupational self-efficacy can attenuate the effect of an existing gratification crisis. Workplace health promotion programs in this field should address organizational and personal variables, in particular occupational self-efficacy and gratification crisis. Future research should focus on interaction effects based on a person-environment-interaction model.     

The Cleo Eulau Center Resiliency Consultation Program

Abstract

The Cleo Eulau Center (CEC), founded to help children overcome adversity, established the CEC Resiliency Consultation Program. The Program utilizes a strengths-based relationship model for challenged schools. The model is informed by clinical experience and resiliency research. Through a parallel process, consultants support and enhance the resiliency of teachers so that, in turn, teachers can do the same for their students. The relationship of the consultant to the teacher mirrors the relationship that the consultants work to develop between teachers and students. The development and implementation of the model are addressed, as are challenges and efficacy.     

Predictors of Child Welfare Worker Retention and Performance

Abstract

Using administrative records, this paper tracks for up to four years using Cox survival methods the retention of 839 public child welfare workers who began child welfare work in 1999. It also examines, using ordinal logistic regression, supervisory performance evaluations of 382 of these workers. Participation in a IV-E-funded social work educational program predicted better retention. In particular, risk of termination decreased by 52% during the mandated contractual employment period in which the educational stipend was “worked off”. Other predictors of longer retention included prior non-child welfare employment at the public agency and working in the state office setting. Temporary job classification predicted higher risk of termination. With temporary classifications excluded, female gender predicted better retention. In exploratory Cox frailty regressions, neither county of employment nor supervisor explained significant variance in retention. Involvement with the IV-E funded social work program was not associated significantly with supervisory ratings. Regression analyses revealed an association between an ethnic group's representation in the population of child welfare workers and supervisory evaluation; the greater that representation, the higher the overall evaluation for the group.     

Nondeliberative Forms of Practice in Social Work: Artful,Actional, Analogic

ABSTRACT

The purpose of this article is to explicate the features of a model of practice (and its theoretical supports) that characteristically employs processes other than those that are deliberatively thought out and processed verbally. The model, identified as a nondeliberative form of practice, has the capability of extending significantly the range of social work practice options. This article articulates the central features of nondeliberative forms of practice and provides a conceptual way of thinking about this modality for use throughout the profession, and in particular in social work with groups.