Evidence-Based Practice: A Common Definition Matters

The Geriatric Social Work Practicum Partnership Program was funded to attract graduate students to the field of aging and to strengthen field education in geriatric social work. Rotation was selected to achieve the program's goals to provide students with exposure to the spectrum of care in geriatric social work services. This paper describes the program's experience with rotation, which is the planned and systematic movement of students between two or more field practicum sites and supervision from more than one field instructor. Implementing rotation required the establishment of a university–community partnership. Students' positive reaction to rotation indicates that it warrants further implementation and evaluation     

Agricultural Strategy Development in West Africa: The False Promise of Participation?

Participatory approaches are an increasingly prominent technique for designing agricultural strategies in sub‐Saharan Africa. However, they are frequently criticised for either not involving enough stakeholders or limiting the scope of their participation. This article concludes from a study of the situation in West Africa that a lack of broad‐based participation in these strategies is not a major problem; rather, the real challenge lies in transforming the outcomes of participatory processes into policies that can be feasibly implemented. It highlights why an emphasis on participation can sometimes result in disappointment amongst stakeholders and discusses a range of measures to help overcome this dilemma.     

A nursing-centered treatment team in inpatient medical psychiatry

1. Nurses have the most extensive direct contact with their patients, yet in the traditional physician-centered model, they are often excluded from decision making. We have developed a new model of patient care with the nurse as the primary therapist and contact person, as well as the individual who cares for each patient's physical needs. 2. Out team approach improves efficiency, integration of care, and staff unity, which can be especially helpful for patients with personality disorders. 3. Patients appreciate the approach and are better able to increase focus on treatment when the physicians are not present in the ward.     

Assessing MSW Students’ Integrated Behavioral Health Skills Using an Objective Structured Clinical Examination

Within the last decade, there has been a significant shift in the field of social work toward competency-based education. This article details the use of the Objective Structured Clinical Examination (OSCE) Adapted for Social Work Performance Rating Scale. We used the measure to evaluate specific practice competencies among students (n=33) participating in a professional workforce development program, funded by the Health Resources Services Administration Behavioral Health Workforce Education and Training for Professionals. We report on students’ performance and their views of the OSCE as an assessment measure and learning experience, and on the interrater reliability and consistency of the OSCE. Results can be used by other social work programs to inform the use of OSCEs to facilitate competency-based assessment.     

The Implicit Curriculum Survey: An Examination of the Psychometric Properties

This study examined the psychometric properties of the Implicit Curriculum Survey (ICS) using an exploratory factor analysis (EFA). Students enrolled in four different MSW programs (N=262) from different geographic locations completed the ICS, which is a Web-based survey. The domains of the ICS include field, academics, community, diversity, faculty advising, and support services. The ICS includes quantitative and qualitative responses. However, for this study only the quantitative results were used. The EFA revealed that for each of the subscales, Cronbach’s alphas ranged from .52 to .90 and validity of the ICS was demonstrated through the good model fits found during the factor analysis. Implications for social work education and future research are discussed.     

Identifying Associations Between State Medicaid Expansion Decisions and Spatial Disparities in County Insurance Rate Changes Under the Affordable Care Act

By the end of 2014, twenty-four states rejected Medicaid expansion, providing a unique opportunity to examine changes in insurance coverage rates after the implementation of the Affordable Care Act within and between states that did versus did not expand Medicaid. Using multilevel regression analyses of county-level non-elderly adult small area health insurance estimates (N = 3135) from the US Census Bureau, several important findings emerge. Compared to counties located in states that did not expand Medicaid, counties located in states that did expand experienced significantly larger increases in adult health insurance coverage rates between 2013 and 2014, net of the county baseline insurance coverage rate, socioeconomic and demographic composition, and labor market characteristics. In states that did not expand Medicaid, counties with larger shares of vulnerable residents (i.e., poor adults and low education) experienced lagging improvements in health insurance coverage. However, counties in states that expanded Medicaid were protected from several of these exacerbated disparities, and in some cases, experienced larger insurance coverage improvements than counties with less disadvantaged populations. These findings suggest that although insurance coverage increased in nearly all counties between 2013 and 2014, increases would have been larger and disparities would have been further alleviated if more states with highly concentrated vulnerable populations had expanded Medicaid.     

The representation of women and girls of color in United States crime news

There is a large body of literature examining the media portrayals of white females as both victims and offenders in crime news, but very little is known about how minority females—including Black, Latina, Middle Eastern, Native American, and Asian women and girls—are portrayed in these roles. In this literature review, I discuss general stereotypes surrounding women of color and their depictions within crime news stories as both victims and offenders. An examination of crime news media portrayals of minority females reveals that outdated and harmful stereotypes provide media personnel frames with which to write their stories. The negative portrayals of minority women and girls—as both victims and offenders—serve to reinforce racist beliefs and affect how consumers view political issues.     

The role of observation in the assessment of child neglect

This paper focuses on physical and emotional neglect from a social work perspective. Neglect is the highest category of registration on Child Protection Registers in England, and is therefore a significant preoccupation for social work. However, historically, social workers have found child neglect a difficult area of practice. In this paper, we suggest that neglect is best understood as an absence of care, that is, a breakdown in the relationship between the primary carer and child which results in difficulties in offering reliable and adequate care. One focus of assessment in cases of child neglect, therefore, needs to be on ascertaining the nature and degree of relationship failure. We set out a framework to inform such assessments which critically examines the relationship between primary carer and child/ren. We note that discussion of neglect often involves criticism of women/mothers, and seek to develop an approach to child neglect which challenges stereotypical ideas about gender and caring, ideas which can lead to inappropriate intervention and to mother‐blaming. Consideration is given to operationalizing this framework of ideas. Intentional, structured observation is identified as a particularly useful tool in accurately assessing the complexities of the mother – child relationship, and the discussion considers observation's contribution to the assessment of neglect at a number of different levels. Copyright © 2000 John Wiley & Sons, Ltd.     

Can increased educational attainment explain declining Indigenous fertility?

Prior research shows that Aboriginal and Torres Strait Islander women are more likely to have children and have more children, on average, than non-Indigenous women. However, like those of the total Australian population, fertility rates of Indigenous women have been declining since the 1970s. The decline has been more significant in recent years. Between 2006 and 2016, an increasing proportion of Indigenous women postponed childbirth from their teens into their 20s and 30s, leading women to have fewer children over their lifetimes. During the same period, there was a rapid increase in educational attainment among the Indigenous population. This paper examines educational gradients in fertility among Indigenous women and whether the observed fertility decline is linked with the increased educational attainment. Using data from the 2006, 2011 and 2016 Australian Census of Population and Housing and applying a shift-share decomposition analysis, we find that education has been a big driver of falling fertility rates in non-remote areas. In remote areas, education has had a much smaller effect (except for youngest women).     

Differential mortality risks from violent causes for foreign- and native-born residents of the USA

This paper examines the differences in adult violent causes (homicide, suicide, vehicle accidents, and otheraccidents) for mortality risks between the Americanforeign- and native-born adult populations, whileconsidering the length of time lived in the USA and the influences of other socio-demographic characteristics. Data came from the National Health InterviewSurvey-National Death Index linked file for the years1989--1995. Cox proportional hazards modelsestimate the association between nativity, length ofstay, and mortality risk for each violent cause. Theresults show that foreign-born persons differ in their risks of violent death vis-á-vis the native-bornpopulation by the amount of the time they have livedin the USA. In particular, recent immigrants (lessthan 15 years) display higher risks fromhomicide, lower risks from suicide, and lower risksfrom other accidents (not vehicle) than thenative-born individuals. This pattern is differentfor longer-term immigrants (15 or more years) whohave, for the most part, similar risks from othercauses of violent death compared to native-bornresidents. The findings suggest that there arecompositional differences between immigrants by length of stay and that the process of acculturation mayinclude the amplification or diminution of risks ofvarious causes of violent death.