Harnessing the reliability of outcome measures

A method is presented for engineering the necessary levels of measurement reliability for evaluating ongoing programs. Two studies of levels of client functioning at a community mental health center (CMHC), in which an outcome measure, the Global Assessment Scale (GAS), did not perform as expected, drew attention to the need for better control of outcome measure reliabilities. Drawing from generalizability theory, a study was conducted of three sources of GAS score variance — clients, raters, and training in the use of the scale. Several estimates of reliability (ERs) were developed, depending on the manner in which the GAS ratings were, or would be, obtained in the CMHC. The differences among these ERs clarified why the GAS had lower reliability when used in our setting. Finally, two hypothetical examples are described to illustrate the utility of applying generalizability theory to achieve higher reliabilities for outcome measures.     

Cognitive and behavioural assessment of people with traumatic brain injury in the work place: occupational therapists' perceptions

Cognitive and behavioural impairments, in the absence of severe physical disability, are commonly related to poor return to work outcomes for people with traumatic brain injury (TBI). Along with other health professionals, occupational therapists make judgements about cognitive and behavioural dimensions of work capacity of clients with TBI during the return to work process. Unlike many physical functional capacity evaluations, there is no standard method that therapists use to assess the ability of people with TBI to perform cognitive operations required for work. Little is known about what information occupational therapists use in their assessment of cognitive and behavioural aspects of client performance within the work place. This study employed qualitative research methods to determine what information is utilised by 20 therapists who assess the work capacity of people with TBI in the workplace. Results indicated that the process of making judgements about cognitive and behavioural competence within the work place is a multifaceted process. Therapists triangulate client information from multiple sources and types of data to produce an accurate view of client work capacity. Central to this process is the relationship between the client, the job and the work environment.     

Multidimensional Demand Strength of Recreational Activity Programming in Assisted Living: A Conceptual Model and Prototypical Rating Scale

ABSTRACT

This article describes a framework for measuring activity demands and the psychometric properties of a related measurement tool, the Multidimensional Activities Demand Strength for Assisted Living (MADS-AL). Nine experts—three in physical, cognitive, and social domains, respectively—rated demands of 37 common assisted-living activities. Interrater reliability and internal consistency for physical, intraclass correlation coefficient (ICC)(2, 3) = .96, Cronbach's α = .97, cognitive, ICC(2, 3) = .71, α = .93, and social, ICC(2, 3) = .80, α = .86, scales give preliminary support for reliability of the MADS-AL tool. Overall, this article moves the field toward considering task demands as a relevant variable to inform future activities research and practice.     

Using Adjuncts in Social Work Education: Challenges and Rewards

Adjunct faculty have become an essential addition to social work programs in the United States. Full-time social work faculty have not been able to meet the demands created by continued growth of BSW and MSW programs. The number of doctoral students in social work programs has not kept up with the growth of the programs. A survey of program directors available through the Association of Baccalaureate Social Work Program Director's (BPD) listserv in the United States found that respondents saw adjunct faculty as assets to social work programs. The survey results indicated that adjunct faculty provide a ‘value added’ component. Adjuncts need to receive an orientation and continual training to help prepare them for classroom management and become aware of university policies. Adjuncts can be retained if they receive training, have frequent contact with faculty, and have access to university resources.     

Human Sexuality Education in Marriage and Family Therapy Graduate Programs

Given the likelihood that marriage and family therapists will encounter clients with sexual concerns, it is important to know how graduate training programs are preparing future clinicians to work with this domain of life. Sixty‐nine marriage and family therapy (MFT) program directors completed an online survey to examine how sexual health education is integrated into graduate training programs. Findings indicate that while the majority of program directors value sexuality curriculum, and most programs require at least one course in this area, there are barriers to privileging sex topics in MFT graduate programs. Barriers include few MFT faculties with expertise in human sexuality and marginalized sexual health topics. Implications for training MFT graduate students and their work with future clients are discussed.     

Can work and training programs reform welfare?

Over the past thirty years the number of Americans on welfare has increased by 460 percent, generating concern about both the monetary and social costs involved. Long-term welfare dependence produces adverse outcomes for many families by distorting incentives for work and marriage. Government programs to reduce welfare have focused on work and training programs to raise the skills of welfare recipients, but these programs have not significantly reduced welfare participation. Policies to scale back welfare are essential for reducing welfare disincentives. New approaches to the delivery of education are viewed as an important preventive strategy.     

The behavioural relevance of ethnic attitude studies∗

The assumption implicit in many ethnic attitude studies that attitudes influence behaviour and that knowledge of ethnic attitudes permits socially and politically important behavioural predictions is critically evaluated. Four main arguments are elaborated on to question the validity of the claim of a simple causal link from attitudes to behaviour: (a) situational variance of attitude effects (b) the problematic of an isomorphism between cognitive and behavioural phenomena, (c) empirical evidence indicating an influence from behaviour to attitudes, and (d) the question of valid self‐perception in attitude measurement. It is argued that the question of an attitude behaviour link cannot be meaningfully answered when the social context within which attitudes are learned and behaviour is shaped is neglected in the analysis. The social context and a corresponding reinforcement pattern are seen to provide social meaning to both attitudes and behaviour and secondly to determine the particular relationship between these variables, i.e. consistency, inconsistency, or irrelevance.     

Are curriculum decisions based on the evidence? How social work faculty members make choices in curriculum decisions

An important step in translating evidence-based practice and empirically supported interventions into large-scale service improvements is to develop an understanding of practitioners' education and training in these practices. This understanding begins with discovering the factors that influence the decision-making process by social work faculty regarding curriculum content for master's level social work programs. This exploratory study uses quantitative and qualitative survey data to examine the decision-making process used by 42 master's level social work programs to select the models of direct practice taught in their master's level social work programs, and whether evidence-based practice and research evidence influences those decisions. We investigate faculty perceptions of curriculum effectiveness and discuss implications of our findings for social work educators making content and organization decisions regarding master's level social work curriculum.     

Cognition and asynchronous distribution between human and machine building accidents

The creation of meaning in communication is a trading activity, resulting from the construction that is born of the interaction between subjects. That is, the meaning is not inherent to the relationship between words, signs and symbols that arise from negotiating a necessary and unavoidable. As the concepts of sense as discrete and static representations imply a notion of classical computing and design of a cognitive system corresponding conceptions of meaning construction as located and shared among agents implies notions of different computing and cognition. Several efforts have been developed to meet these demands. Among them are the Connectionism (also known as neural networks. Records on aspects of mental health and stress of flight professionals are present in the official reports of the organs of investigation of aviation accidents worldwide since its inception. Problems related to health physical and mental health of pilots (fatigue, stress, physiological and psychosocial problems) account for 19% of causal factors in aircraft accidents. The training seems a paradox when we know that these professionals receive regular training, have high education and technical training of high level. However, problems arise related to the implementation of learning that can be influenced to reduce their cognitive capacity, making it in practice, relatively unable to exercise its functions effectively and safely.     

Online Peer Support Programs for Young People with a Parent Who has a Mental Illness: Service Providers’ Perspectives

Young people with a parent or parents who have mental illness are at a higher-than-average risk of experiencing emotional and behavioural difficulties. Notwithstanding the difficulties experienced by these young people, opportunities to interact with and obtain support from peers living in similar families can be beneficial. While young people face several barriers to participating in face-to-face peer support programs, online approaches potentially provide a different way of obtaining peer support. This paper aims to explore service providers’ perspectives on current Victorian peer support programs, as well as the strengths and weaknesses of online approaches to peer support. Semistructured interviews were conducted with 17 mental health professionals who work with families affected by parental mental illness. Participants recognised that many young people miss out on face-to-face peer support programs, and were highly supportive of the idea of online programs. This study suggests that online peer support programs for young people could occupy an important position in the evolving suite of services for Australian families affected by mental illness.     

Interkulturelles Training

With proceeding internationalization and globalization of society the demands of working life have changed in the last decades. To meet these demands executives and professionals cooperating with foreign partners abroad or in Germany need the central key qualification of intercultural competence. This important key qualification does not evolve automatically from intercultural experiences, but has to be acquired during an extensive learning process, which is mainly organized in intercultural trainings. This text first describes what intercultural competence is and how it is developed. Based on scientific findings on developmental stages of intercultural competence central aspects of intercultural trainings are covered in detail. Objectives and methods of various intercultural training formats are outlined to illustrate the conceptualization and outcomes of learning effective trainings. The text concludes with future developments of intercultural training in the light of expatriates facing increasing demands regarding the quality of their work. Trainee groups will become more culturally heterogeneous, more trainings will be needed that moderate acculturation processes while staying abroad, training contents and methods have to be adapted according to local customs, modern information technology will play a major role, and family members coming along have to be involved in the training process.     

Systematic Review of Empirically Evaluated School-Based Gambling Education Programs

Adolescent problem gambling prevalence rates are reportedly five times higher than in the adult population. Several school-based gambling education programs have been developed in an attempt to reduce problem gambling among adolescents; however few have been empirically evaluated. The aim of this review was to report the outcome of studies empirically evaluating gambling education programs across international jurisdictions. A systematic review following guidelines outlined in the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) Statement searching five academic databases: PubMed, Scopus, Medline, PsycINFO, and ERIC, was conducted. A total of 20 papers and 19 studies were included after screening and exclusion criteria were applied. All studies reported intervention effects on cognitive outcomes such as knowledge, perceptions, and beliefs. Only nine of the studies attempted to measure intervention effects on behavioural outcomes, and only five of those reported significant changes in gambling behaviour. Of these five, methodological inadequacies were commonly found including brief follow-up periods, lack of control comparison in post hoc analyses, and inconsistencies and misclassifications in the measurement of gambling behaviour, including problem gambling. Based on this review, recommendations are offered for the future development and evaluation of school-based gambling education programs relating to both methodological and content design and delivery considerations.     

The Role of Social Workers in Welfare to Work Programs

Summary

Welfare to work is an important arena for understanding the changing nature of social policy and practice in Australia, the UK, Hong Kong, and the United States. This article discusses some key policy and practice issues in respect to social work professional training and practice. Welfare to work programs focus on “active” measures and stress the importance of “responsibilities” for all people of working age to support themselves through employment. The programs are being implemented in different ways across these different countries but in all cases the focus is increasingly on groups of people who may require substantial levels of assistance to meet their needs and to help them find and sustain employment.     

Essential components of curricula for preparing therapists to work effectively with lesbian, gay, and bisexual clients: a Delphi study

The purpose of this study was to determine the knowledge, experiences, and values that therapists should possess to provide quality therapy services to lesbian, gay, and bisexual (LGB) persons and their families. Using the Delphi method, consensus from a panel of experts on LGB topics was obtained on the components that training curricula should ideally include to prepare therapists adequately to work with this population. Panelists provide suggestions for important therapist values and qualities, key theoretical orientations, common issues of LGB clients and their support persons, key components of assessment and interventions, ethical and legal issues, and recommended materials. The panelists stress self-of-the-therapist work and development of a systemic perspective as critical aspects of training. The role of sexuality was deemphasized. Recommendations to training programs based on these findings are provided.     

It's About Time! Examining Received Dosage and Program Duration as Predictors of Change Among Non‐Distressed and Distressed Married Couple and Relationship Education Participants

Although Couple and Relationship Education (CRE) programs were intended to be preventive in nature, an emerging reality is that relationally distressed couples are attending programs. This has raised questions about both its general usefulness and what is known regarding predictors of change in CRE for distressed couples particularly. Previous work has identified dosage and duration as important moderators of changes, and there are myriad program contexts offered, highlighting the need to examine these among distressed couples. This study utilized a sample of community CRE participants and examined received dosage and program duration as predictors of change. Comparing results for distressed and non‐distressed participants, we found several group differences. Findings suggest that it is important to consider distress level and time spent in programs when placing participants. In addition, research should continue to examine these groups separately (or comparatively) to find out what works for whom.     

Women and plant closings: Unemployment,re-employment,and job training enrollment following dislocation

Major changes in the U.S. economy are leaving blue collar women vulnerable to extended unemployment, permanent job loss, or re-employment at lower wage and benefit levels. Consequently, retraining for other jobs may be a virtual necessity. Information about factors associated with women's employment status after job loss may be useful to policy makers and program planners providing assistance or training to dislocated women. This study of women workers, who are dislocated from jobs in textile and apparel plants in Georgia, identifies the differences between women who are unemployed, re-employed, or enrolled in job training programs following job loss. Findings suggest that stage of the family life cycle and the demands of combining production work and family responsibilities contribute to women's experience of unemployment and their labor market participation.     

Effective assessment: a key knowledge and skill for a sustainable profession

Assessment is an essential element of social work practice. However, by trying to realize the so-called triple-mandate of social work, professionals and students on qualifying training sometimes struggle to consider simultaneously client and organizational aspects, and to embrace both outcome-orientation and process-orientation. Societal requirements focus on outcomes and standardized procedures whereas client’s needs require individualized and situationally appropriate consideration. The tensions are more acute with demands for rigorous professional decision making based on evidence, with increased attention to risks. Multiprofessional working has many benefits for clients, but places new demands on social work assessment. Current models are limited in embracing these tensions, and more integrated models are required. Established frameworks together with practice and teaching experience are applied in this paper to extend the traditional Taylor and Devine model to address these contemporary challenges. Elements of a new model (ALOHA) have been trialled on professionals as well as students on qualifying social work training. Such robust assessment models synthesized from theory, research, and best practice are essential to meet contemporary practice challenges, maintain public credibility, and sustain social work internationally.     

Training Police Social Workers: A Neglected Area of Social Work Education

This article begins with a discussion of the vital need for collaboration between social work and law enforcement professionals, with particular emphasis on the need for comprehensive training programs combining criminal justice and social work knowledge. It then documents several historical recommendations for training police social workers that are relevant today, and suggests that social work education programs of the future include provisions for transmitting social work knowledge to police officers. Similarly, social workers planning to practice in criminal justice settings need to have training in the administration of justice.     

Training Knowledge of Professionals on Specific Topics in Child Sexual Abuse

This exploratory study examined the training background and self-reported level of knowledge of a group of professionals on specific topics in child sexual abuse. The results show that while the vast majority of those working with adult victims, female victims, and incest victims have received training, many professionals working in the area of child sexual abuse treatment have not had training on topics directly related to their work. It was found that fewer than 40% of those working with female offenders, victims and offenders who are gay or lesbian, victims and offenders who have developmental disabilities, or in cases where cultural issues are relevant, have had training in working with these types of cases. Those professionals who had received training reported feeling more knowledgeable on these topics than did those without training. It is recommended that graduate degree programs and continuing education programs examine their offerings in the area of child sexual abuse.