Depression in the Profession: Social Workers' Experiences and Perceptions

This study reports the findings of interviews with fifty socialworkers who volunteered to describe their personal experiencesof depression in the workplace. The findings confirm the literatureon the stresses of social work and provide an account of theways in which the social workers sought to reconcile their mentalhealth needs with their role as professionals. The study suggeststhe potential for those working at all levels in social workagencies to support social workers who are experiencing depression.At a time of shortages in the profession in the UK, and of effortsto enable those with mental health problems to remain in orreturn to work, the experiences of those social workers interviewedillustrate the managerial, training and human resource imperativesto provide more supportive workplaces.     

The Impact of Political Conflict on Social Work: Experiences from Northern Ireland, Israel and Palestine

This paper investigates the impact of violent political conflicton social workers and service users in three countries: NorthernIreland, Israel and Palestine. Despite its significance forsocial work (and other helping professions), there is a dearthof research on the subject. The authors construct a researchframework which encapsulates the complexity and ambiguity ofthe issues at stake and three parallel empirical studies, whichfollow this framework, are presented. The findings highlightthe burden of working and living in a violent political conflict,not just for service users but also for social workers. Emotionalstress, fear, competing national and religious identities, yetsome indication of resilience, are key findings from these studies.A number of moral and professional dilemmas emerged across allthree studies, often testing loyalty to universal social workvalues. Thus, some respondents at times found it difficult todeal with colleagues and service users who were perceived tobe ‘the enemy’. These studies highlight the needto raise the consciousness of social workers, agencies and policiesabout such issues in a world which is increasingly afflictedby violent political conflict. Support, education and trainingfor social workers which transcend national contexts and furtherinternational research in this important area are recommended.     

The Use of Lay Assessors

This paper reports on some findings from a research study conductedby the authors for the Commission for Social Care Inspection.It examines the reasons for the involvement of lay assessorsand perceptions of the effectiveness of lay assessors in specificregulatory functions.     

Depression Treatment and Cost Offset for Rural Community Residents with Depression

ABSTRACT

This study examined the relationship between costs of treating physical problems and costs of treating depression, for 322 rural residents with depression. Multiple regressions were used to control for sociodemographics, depression severity, and physical and mental health comorbidities at baseline. The results indicated a $1.42 (n = 322) reduction in the costs of treating physical problems for a $1.00 increase in the costs of treating depression. The reduction was $2.61 (p < 0.05) among those receiving depression treatment (n = 125). These findings suggest a net savings from depression treatment, in addition to other benefits such as improved symptoms and functioning and increased productivity.     

Perspedtives on Australian Social Service delivery and Social Work Practice in Gerontology

No abstract available for this article.     

员工抑郁的工作与生活影响因素及应对

随着商业竞争的升级和"996"加班文化的盛行,快节奏、 高强度的工作状态使得员工心理压力剧增,员工抑郁成为了中国社会重要的公共卫生问题.依据资源保存理论,从工作和生活两方面考察了中国员工的抑郁影响因素.基于CFPS2016的数据分析结果表明:工作因素(工作满意度)和生活因素(家人共处和休闲娱乐)均与员工抑郁显著负相关;生活因素会通过影响生活满意度间接地减弱工作因素与员工抑郁之间的关系;家人共处的上述间接调节效应对于男性和女性员工均成立,但休闲娱乐的上述间接调节效应只在男性员工样本中得到验证.因此,为了有效缓解员工抑郁,应该更加关注工作和生活中积极因素的共同作用.     

Learning Experiences of Older Volunteers in a Community-based Social Program for People with Dementia

Abstract

This qualitative study aimed to explore older adults’ perspectives on volunteering in an activity-based social program for community-dwelling people with dementia called Stepping Stones. Semi-structured interviews were individually conducted with eight older adults who had volunteered in Stepping Stones. Interpretative phenomenological analysis was used to analyze interview data. Four themes related to learning experiences of older volunteers in Stepping Stones emerged. These themes include (a) self-growth and confidence in working with people with dementia; (b) understanding dementia, people with dementia, and needed support for people with dementia and their families; (c) desire not to develop dementia, while recognizing that anything can happen in old age; and (d) exercising person-centered approaches and taking on advocacy roles. Findings suggest that older volunteers gain feelings of personal growth and confidence in working with people with dementia, better understanding, and enhanced attitudes toward people with dementia through volunteering in an activity-based social program for people with dementia. Older adults will be able to fill the needs of community programs for people with dementia, while experiencing benefits from volunteering and learning in later life. Further research is needed to examine to what extent having previous dementia experiences make their experiences and learning different.     

The Cost of Being Mother's Ideal Child: The Role of Internalization in the Development of Perfectionism and Depression

The study investigated how children's willingness to internalize mothers' values affected the associations between mothers' performance goals for their children and the development of children's perfectionism and depression. The participants were 59 Hong Kong fifth graders and their mothers. The results showed that internalization, as a child factor, moderated the association between mothers' performance goals for their children and children's self‐oriented perfectionism, but not socially prescribed perfectionism. Children's internalization also moderated the association between mothers' performance goals for their children and children's depression. Among the children who were more willing to internalize their mothers' values, their mothers' performance goals for them were correlated positively with their self‐oriented perfectionism, but negatively with their depression. Paradoxically, internalization appeared to be a risk and also a protective factor in the psychological well‐being of children.     

Social Work Practitioner Knowledge and Assessment of Late-Life Depression

Late-life depression has attracted considerable attention in the social work literature. This study examined levels of knowledge and self-efficacy (confidence) in evaluation of depression in late life among a random sample of social workers (N = 168) from the National Association of Social Workers. Relationships among knowledge on aging, job-related variables, and predictors of knowledge of geriatric depression were examined. Participants ranked depression as one of the most frequent clinical problems seen in practice, scored at the lower end on knowledge about aging, and experienced great difficulty on the items pertaining to suicide in the older adults.     

The Group Values of Educational Encounters: Working with Service Users and Students in a Participatory Classroom Environment

This article examines a participatory educational group approach to involving service users in a social work education programme. In particular it focuses on the skills and values that informed the lecturer's management of this group process and the relevance of the International Association for Social Work with Groups Standards for Social Work Practice with Groups to the purpose of the group as well as to how this group was facilitated.     

Ethnic Differences in the Effects of Parental Depression on Preschool Children's Socioemotional Functioning

The present study describes the depressive symptomatology of 393 parents of prekindergarten children and assesses ethnic differences in the depression scores of these parents and their differential consequences for children's social competence. Data are drawn from the National Center for Early Development and Learning (NCEDL) classroom study, a national, longitudinal study examining the quality and outcomes of prekindergarten programs operated in schools or under the direction of state and local educational agencies, and the supplemental NCEDL familial and social environments study. Analyses indicated that Latino parents were more likely than African‐American and White parents to be depressed. However, as reported by both parents and teachers, behavioral outcomes for African‐American children of parents with elevated depressive symptomatology were worse than children of their Latino and White counterparts. Interactions between ethnicity and depressive symptomatology emerged in the parent‐child relationship, with African‐American parents with elevated depressive symptoms reporting significantly greater levels of conflict in the parent–child relationship than their non‐depressed counterparts. African‐American parents with elevated depression scores were also less likely to be in marital relationships than their non‐depressed counterparts. Among African‐American families, parent–child conflict served as a mediator of the effects of parental depression on child outcomes. Implications for intervention are discussed.     

以人为本：服务型政府的价值基石

在现代民主社会,政府的权力来自于人民,政府的运行需要依靠纳税人缴纳的税收维持,因此政府理应坚持以人为本。服务型政府以公民为本位,以满足公共需求为基本取向,以向公民提供高效优质服务为宗旨,因此公共服务型政府是政府坚持以人为本的直接体现。随着改革的深入,市场经济体制逐步建立,在中国贯彻以人为本的理念,建构公共服务型政府已经成为当代中国政府转型的客观要求。     

Stagnation as a Distinct Clinical Syndrome: Comparing 'Yu' (Stagnation) in Traditional Chinese Medicine with Depression

Background: Depression was translated into Chinese as yiyu,with reference to the yu syndrome in traditional Chinese medicine.Literally meaning ‘not flowing, entangled or clogged’,yu, or ‘stagnation’ in English, is, however, a constructdistinct from depression. Objective: The study aimed to explorethe construct of stagnation through scale development. Method:A concept-driven approach was adopted to generate candidateitems for the Stagnation Scale. Other measures were a validitychecking item, a Beck Depression Inventory (BDI) and a twelve-itemGeneral Health Questionnaire (GHQ-12). Respondents were recruitedby convenience and snowball sampling, resulting in 602 questionnairesbeing completed by adults between the ages of eighteen and sixty-five.Results: Exploratory factor analysis provided a three-factor,sixteen-item solution. The three factors were named Overattachment,Body-Mind Obstruction and Affect-Posture Inhibition. Cronbach’salphas of the entire scale and subscales ranged from 0.82 to0.91. Correlations of the scale total with the validity checkingitem, BDI and GHQ-12 were 0.71, 0.53 and 0.48, respectively.Stagnation showed a pattern of associations with demographicvariables different from depression. Conclusion: The StagnationScale has good psychometric properties, and has meaningful factorstructures. The evidence supports the contention that stagnationis a clinical syndrome distinct from depression. The new concepthas important implications for social work practice.     

外籍人员管理中的政府角色

近年来,外籍人员大量进入我国,随之而来出现许多的问题,如外籍人员与本地文化的冲突、外籍人员的医疗问题、外籍人员的宗教信仰问题,"三非"外籍人员的问题等。通过分析,提出解决这些问题的措施,包括完善我国出入境管理法律法规、给予外籍人员平等社会待遇、完善基层管理组织等。     

The Impact of Acculturation on Depression Among Older Muslim Immigrants in the United States

Using a cross-sectional design, this study utilized a self-administered survey to examine the relationship between acculturation, physical and emotional health, health locus of control (LOC), life events and depression among a convenient sample of 70 immigrant Muslim elderly in United States of America. In addition to demographic variables, 5 standardized measures including the Vancouver Index of Acculturation, Center for Epidemiologic Studies Depression Scale (CESD), Iowa Self-Assessment Inventory, Multidimensional Health Locus of Control Scale, and the Geriatric Scale of Recent Life Events were utilized in this study. The results showed that about 50% of participants reported a score of 16 and above on the CESD scale, indicating a presence of depressive symptoms. In addition, most participants identified with their heritage culture compared to the American culture. The results of multiple regression analysis revealed 4 significant predictors of depression: cognitive status (β =??.34, p < .01), heritage culture (β = .35, p < .01), physical health (β =??.27, p < .05), and internal health locus of control (β =??.25, p < .05). These factors explain about 37% of the total variance in levels depression (R = .61).     

Depression in Older Adults: A Meta-Synthesis

Depression in older adults is often overlooked and dismissed as a part of aging. A body of knowledge—both quantitative and qualitative—has developed on the topic of depression in older adults. Meta-analyses and systematic reviews have been used to synthesize the quantitative findings of studies, and our research seeks to synthesize the qualitative studies that have been conducted on elders' experience with depression. Thirteen studies met inclusion criteria, and 4 major themes were extracted: experiences, causes, recovery, and barriers to treatment. These themes are detailed and their implications for practice are explored.     

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.     

Depression and Social Networks in Community Dwelling Elders: A Descriptive Study

Social isolation and inadequate social support have been identified as correlates of depression in older adults, although the relationship between depression and social isolation is not entirely understood (Dorfman et al., 1995). This study was conducted to describe the social networks of depressed older adults living in the community and to compare the social networks of depressed and nondepressed individuals, thus adding to the body of knowledge regarding social networks, older adults, and depression.

The sample consisted of 91 respondents aged 65 and older who were randomly selected using the voter registry. About 27% (25) respondents reported significant levels of depressive symptomology as measured by the Center for Epidemiological Studies-Depression Scale (CES-D). All respondents completed semistructured interviews that included questions about social contacts with family and others during the prior week. All participants reported social contact with family and friends during this period.

In this sample, depressed elders were not socially isolated. They were more likely to report contacts with friends than those who were not depressed, and equally likely to report involvement in volunteer activities. Their likelihood of seeking social support was also comparable. Results emphasize the importance of peer relationships and suggest that, in some groups of older adults, social isolation may not be a hallmark of depressive symptoms.     

Volunteers, families and children in need: an evaluation of Family Friends

This paper explores the findings from a small‐scale research project that analysed the impact of Family Friends – a voluntary agency that provides support to families under stress who have children aged between 5 and 11 years. The study, funded by Family Friends, evaluated service users’ perceptions of the support they received, specifically in relation to the significance and impact of the volunteer befrienders. The research identified that there are a proportion of families in need who fail to attract services from mainstream statutory agencies. It also identified that the Family Friends voluntary agency makes a particular contribution to service provision by offering a friendly, non‐stigmatizing, caring and responsive service.