Autism spectrum disorder and the science of social work: A grand challenge for social work research

The social work profession has not yet taken a leadership role in addressing the myriad of challenges that individuals on the autism spectrum encounter across the lifespan. In this essay, we argue that social workers are well equipped to engage in research and practice aimed at promoting full and meaningful inclusion in society, as well as social and economic justice, for individuals on the autism spectrum. We highlight short- and long-term goals that provide the social work profession with a framework to engage in research, practice, education, and advocacy aimed at supporting individuals on the autism spectrum and their families.     

Social Workers’ Roles in Supporting the Sexual and Relational Health of Children with Disabilities

The purpose of this study was to understand social workers’ roles in meeting the sexual and relational health needs of children (aged 3–11) with disabilities. We conducted semi-structured interviews with 12 social workers from a range of practice settings. A phenomenological lens privileged the perspectives of social workers in their definitions of disability and sought to convey the meaning they assigned to their experiences of working with children in practice concerning matters related to sexual and relational health. Social workers enacted a broad definition of disability and often came to work with youth in contexts labeled as sexually problematic. In the provision of sexual health services, social workers embodied commonly adhered to roles including as practitioners, enablers, advocates, brokers, and managers. Services are needed that promote positive sexuality and relational health among children with disabilities. It is important that social workers be proactive advocates for the full inclusion of people with disabilities as equal sexual citizens.     

Essential Conditions for Research with Children with Autism: Issues Raised by Two Case Studies

This article discusses conditions for research into the social experiences of children with autism in real‐life contexts using material from case studies of two boys with autism and their friends in mainstream school settings. It is argued that essential conditions for research with children with autism in ordinary social contexts should include a participatory approach, take a wide perspective of group processes, and account for multiple influences on social behaviour. Socially focused, participatory research design allows the social competencies that children with autism do have to be seen and produces multiple perspectives on children's social activity. Children and adults thinking together and sharing their ideas about the nature of experience for a child with autism and their friends allows for shared interpretations and reduces the very real possibility of one researcher alone making wrong assumptions about the nature of the investigation.     

An exploratory investigation of social workers’ knowledge and attitudes about autism

ABSTRACT

Although researchers continue to generate knowledge concerning autism, few have investigated social workers’ understanding about this condition. In this exploratory study, we surveyed licensed social workers (n = 793) to examine social workers’ understanding and attitudes about autism. Overall, we found social workers have accurate knowledge and hold strengths-based attitudes about autism and persons on the autism spectrum. Factors significantly associated with accurate autism knowledge were having special training in autism, having present clinical involvement with autism, and knowing someone on the autism spectrum. Implications for social work practice, education and training, and future research, are discussed.     

Desired Outcomes for Children and Adolescents with Autistic Spectrum Disorders

Within children's services, frameworks for assessing outcomes have been developed in the absence of consultation with children with autistic spectrum disorders and their parents. The research reported here worked with parents, other key adults and children with autistic spectrum disorders to identify desired outcomes. It found similarities with non‐autistic children in terms of the broad types of outcomes desired. However, the presence of autism meant either new or different sorts of outcomes were reported. Implications in terms of the ways outcomes for autistic children are defined and measured, and the role of services in achieving outcomes is discussed. © 2006 The Author(s).     

Equity for government school students: Reclaiming social work services in New South Wales

In Australia, school education is largely a state government responsibility, hence there are varying responses across Australia to the welfare needs of school students. The present study explores the basis for the provision of social work services within schools, particularly the special needs of rural schools, and suggests that NSW school students are disadvantaged by not having access to social work services that might help them overcome some of the educational barriers that they face. The nature of educational barriers is examined and literature on the role of school social workers is reviewed. The authors find that the social justice rhetoric of State and Commonwealth educational agencies is incongruent with NSW school practice.     

‘If I was a different ethnicity,would she treat me the same?’: Latino parents’ experiences obtaining autism services

This article reports on an ethnographic study with 12 Latino families of children on the autism spectrum related to obtaining autism services in Los Angeles County. Using critical discourse analysis of interviews, observations, and records, we consider the experiences of the Latino families in relation to: a discursively constructed ‘autism parent’ subject position that mandates ‘fighting’ service systems to ‘win’ autism services for children, originating from White middle-class parents’ socioeconomic resources and social capital; a neoliberal social services climate that assumes scarcity of available resources and prioritizes austerity in their authorization; and a media and institutional ‘cultural deficit’ discourse that attributes disparities in autism services for Latino children to their parents’ presumed culturally-based ‘passivity.’ We argue that parental discourse about fighting, or not fighting, for autism services is engendered by a tension between a parental logic of care, and the logic of competition of the economic market.     

The Use of Adventure Therapy Techniques by Clinical Social Workers: Implications for Practice and Training

Adventure therapy, an experiential intervention that combines outdoor, adventure based activities and group process, is used in direct practice by clinical social workers; however, it is unclear to what extent clinical social workers are actually utilizing these techniques. This research project surveyed a random sample of clinical social workers and examined in greater depth how they are utilizing adventure therapy programming with different clients in various treatment settings, as well as what type of education and training they received for engaging in these practices. A random sample of 646 clinical social workers in NASW responded to the survey, and more than 1/3 of this sample (35.1 %) reported the use of adventure based activities for therapeutic purposes in their social work practice. However, few of the social workers reported formal education or training in the use of adventure therapy, highlighting the need for more attention in both educational and clinical settings to proper instruction around this growing intervention.     

Child Abuse Investigation and Treatment for Deaf and Hard of Hearing Children

Abstract

Deaf children are more susceptible than other children to abuse in home and institutional settings. Many helping professionals are unaware of the unique vulnerabilities and needs of the deaf; this lack of awareness limits the effectiveness of their services to that population. Laws and ethical standards mandate that social workers and others use communication methods that deaf clients can understand; however, many human service agencies rely on less than adequate means of communication in child abuse investigations and other procedures. Such ineffective intervention practices fail to protect a vulnerable population of children who literally cannot speak for themselves.     

Reconceptualizing Autism: An Alternative Paradigm for Social Work Practice

Autism is a complex, often misunderstood condition. More than a neurological disorder, autism can also be viewed as a different cognitive style or an alternative way of perceiving and reacting to the world. As more individuals on the autism spectrum are making themselves known, social workers must be open to using new paradigms to meet the needs of this unique population. This article explores how horizontal diversity and neurodiversity can be used to expand the ways social workers conceptualize autism and, consequently, how they work with persons on the autism spectrum and their families.     

“From cause to cure”: A qualitative study on contemporary forms of mother blaming experienced by mothers of young children with autism spectrum disorder

ABSTRACT

In the past, the behaviours and personalities of mothers have been identified as potential causes of autism. More recently, other etiological hypotheses have been used to explain autism spectrum disorder, suggesting that this specific type of mother-blaming is now uncommon. However, some authors have pointed out that mothers are still being held responsible for their children’s condition and behaviours, as they are now expected to extensively promote their children’s development. The present article explores contemporary forms of mother-blaming experienced by thirteen mothers of children with autism spectrum disorder. The results are discussed in relation to the consequences of mother-blaming, such as social isolation and health related problems. It is hoped that this article will encourage social workers and professionals to understand the mothers’ perspectives and to recognize the importance of supporting them without generating or increasing mother-blaming.     

Professional Identity for Clinical Social Workers: Impact of Changes in Health Care Delivery Systems

The recent rapid changes in funding and delivery of mental health services have impacted professional identity for social workers. A study of 127 clinical social workers in 3 different practice settings explored the sense of fit between personal and professional values: How much are they in concert and how much are they in conflict? Social workers described values in their own words. The sense of strain between values varied according to workplace setting. Implications for theory, research, practice, and training are discussed.     

Economy,Society and Welfare: A Study in Social Economics. Joseph S. Berliner. New York,Praeger Publishers, 1972. 216 Pages, $13.50. Hardbound

This paper calls on schools of social work to provide more workers for practice in rural settings. It reviews the basic character of rural areas and the need for systematic intervention and program development to alter the disproportionate amount of social and economic problems existing there. The use of rural settings for student practice is reviewed, including concepts such as the community of communities, models for designing practice experiences, the role of the educator, and positive features and barriers found in providing social services.     

‘Baptism of Fire’: The First Year in the Life of a Newly Qualified Social Worker

This paper describes research commissioned by Skills for Care South West to identify and track the learning and development needs of newly qualified social workers through their first year of employment. The perceptions of 22 newly qualified social workers based in statutory settings are reported concerning the effectiveness of the social work degree (England), their induction and probationary periods and their progress towards post-qualifying social work education as part of their continuing professional development. The perspectives of line managers, people who use services and carers are also discussed. Findings from the research suggest that the social work degree has been well received by most newly qualified social workers and highlights the perceived importance of a statutory placement for social work degree students. Key social work practice skills that require further development are identified and a rationale is presented for greater investment in the induction and probationary periods of newly qualified social workers.     

Responses to Homelessness in Australian Cities: Social Worker Perspectives

Abstract

Responses to homelessness in Australia are provided by a range of government and nongovernment services. The present study examined the experiences of social workers within these diverse services. The article discusses how social workers make meaning of their professional identity and responses to homelessness in contemporary practice and policy settings. The findings of a qualitative study of 39 social workers employed in Adelaide, Melbourne, and Sydney are analysed from a social constructionist perspective. The practice dilemmas for social workers interviewed related to the dominating influence of the contemporary political and economic climate, the managerial requirement of organisations, and the personal and professional tensions these political and organisational contexts created.     

The Place and Relevancy of Practice with Couples in Graduate Social Work Education

Social workers often provide services and therapy for couples; however, little literature has been published that suggests models for teaching—from a social work perspective—marriage counseling or social work with couples. This article reports the results of a survey that examined how faculty in graduate schools of social work are teaching practice content in marriage counseling and their perceptions of its relevancy to social work practice. Findings indicated that some content on social work practice with couples is evident in most master of social work programs. Moreover, faculty perceived social work practice with couples as moderately relevant to all practice settings listed in the survey.     

Strengthening Social Work Approaches Through Advancing Knowledge of Early Childhood Intervention

Early childhood professionals—social workers, educators, speech therapists, occupational therapists, physical therapists, pediatricians, and others—create the foundation for a life-long duration of experiences that families, who have children with disabilities, will have with various professional groups. The nature of the early childhood interventionists' interaction, treatment, services or supports of the child and the attitudes conveyed to families during these critical early years may be a significant factor in the willingness of families and young adults to continue to pursue therapeutic and supportive services. With insights into early intervention best practices, social workers are likely to find themselves in a preferred position to plan appropriate family-focused intervention strategies that may encourage success and prevent complications or a worsening of specific initial conditions among children with disabilities.     

Family Therapy for Child and Youth Mental Health: A Scoping Literature Review

Early intervention in childhood years is an important part of successful therapies for children and adolescents living with or at risk of mental illness. Family therapy acknowledges the role of family relationships, interactions, and family systems in child and youth mental health. To explore the effectiveness and delivery of family therapy in order to inform current family therapy practice in Australian public mental health services, a scoping literature review mapped key concepts of the past 11 years of family therapy research. Current gaps were noted within the following key concepts: family therapy settings and definitions, the influence of family factors on outcomes, transparency of intervention methods, and the training of family therapists. Further research could be undertaken to address current gaps in the literature, specifically: assessment and intervention processes; typical length of time for a series of family sessions; frequency of sessions; and theoretical foundations linked with most effective outcomes, as identified by clinicians, children, and their families. This research would provide a better understanding of best practice and evidence‐based family therapy practices that work for children and their families to inform family therapy practice in Australia and beyond. This scoping literature review identified that there is a noteworthy variation in the way brief family therapy is provided, both in terms of the duration and frequency of sessions, as well as the theoretical underpinnings employed. Further research is warranted to explore different service contexts and brief versions of family therapy delivery and the outcomes for the children and their families.