Social work in mental health services: A survey of the field

Abstract

A survey of social workers employed in mental health services was conducted in Victoria in mid-1997. Approximately 300 social workers were identified as working in the sector. About half were employed in adult clinical services, 23% in psychiatric disability services, 12.4% in Child and Adolescent Mental Health Services, and the rest in a range of other services. More than 90% worked in a community based service or team. The number of entry-level (SW I) positions in clinical services was found to have declined over the last ten years from 61 to 14, resulting in a lack of opportunities for social workers to gain experience in base grade positions, and difficulty in recruiting to SW II positions. Major issues of concern reported by social workers included: the lack of accommodation and other community resources for consumers; diminished opportunities for professional development, supervision, and discipline-specific training; lack of professional recognition; increasing workloads; and organisational emphasis on throughput rather than quality.     

Temporal Relationships Among Depressive Symptoms,Risky Behavior Engagement,Perceived Control,and Gender in a Sample of Adolescents

The goals of the study were to examine whether (a) risky behaviors precede depressive symptoms or, conversely, depressive symptoms predict risky behavior engagement; (b) gender moderates the relationship between risky behavior engagement and depressive symptoms; and (c) perceived control strengthens the association between risky behavior engagement and depressive symptoms. At Time 1, 118 adolescents completed self‐report measures assessing perceived control, risky behavior engagement, and depressive symptoms. Follow‐up assessments occurred every 6 weeks (Times 2–5), and participants completed measures assessing risky behavior engagement and depressive symptoms. Results indicated that neither risky behavior engagement nor depressive symptoms emerged as main effects for the sample as a whole. When examining the relationship between depressive symptoms and risky behavior engagement as a function of gender, boys', but not girls', risky behavior engagement predicted higher levels of depressive symptoms. Irrespective of whether we examined boys or girls, depressive symptoms did not predict risky behavior engagement. With regards to the role of cognitive vulnerability, adolescents with lower levels of perceived control reported higher levels of depressive symptoms following risky behavior engagement. These findings suggest that both gender and cognitive vulnerability factors may potentiate the relationship between risky behavior engagement and subsequent depressive symptoms.     

On concurrence of several linear regressions and applications to problems of enzyme kinetics

In comparing several regressions E(y_ij) =α_i + β_ix_ij i = 1, 2, ..., k, j = 1,2, ..., n_i, researchers are generally interested in the following five problems: whether they have (1) equal slope, (2) equal intercept, (3) coincidence, (4) common intersection on X-axis, and (5) common intersection on (X,Y) - plane. Problems (1) - (3) can be put into the framework of the general linear hypothesis and the F-test can be used. However, problems (4) and (5) cannot be put into the general linear hypothesis because they are ratios of parameters. Hence, in this paper we consider the generalized likelihood ratio test for hypothesis testing. An application to an enzyme kinetics problem in Aniline Metabolism is demonstrated     

A characterization of the uniform rule with several commodities and agents

We consider a problem of allocating infinitely divisible commodities among a group of agents. More specifically, there are several commodities to be allocated and agents have continuous, strictly convex, and separable preferences. We establish that a rule satisfies strategy-proofness, unanimity, weak symmetry, and nonbossiness if and only if it is the uniform rule. This result extends to the class of continuous, strictly convex, and multidimensional single-peaked preferences.     

Reliability and Validity of the World Health Organization Quality of Life: Brief Version (WHOQOL-BREF) in a Homeless Substance Dependent Veteran Population

With the high number of homeless, there is a critical need for rapid and accurate assessment of quality of life to assess program outcomes. The World Health Organization’s WHOQOL-100 has demonstrated promise in accurately assessing quality-of-life in this population. However, its length may make large scale use impractical for working with a homeless population. The World Health Organization Quality of Life—Brief version (WHOQOL-BREF), though providing a shorter instrument and being, theoretically, more manageable has not been evaluated for use with homeless individuals. This study evaluated the psychometric properties of the WHOQOL-BREF in 389 homeless veterans. Adequate internal consistency for all domains was found and validity for each domain was supported using the Personality Assessment Inventory. The WHOQOL-BREF provides a reliable, valid, and brief assessment of quality-of-life. Due to the length of the instrument and the domains covered, it could have great utility in the assessment of homeless populations with multiple problem domains.     

Comment

Bonferroni inequalities often provide tight upper and lower bounds for the probability of a union of events. The bounds are especially useful when this probability is difficult to compute exactly. There are situations, however, in which the Bonferroni approach gives very poor results. An example is given in which the upper and lower Bonferroni bounds are far from the probability they seek to approximate and successive bounds do not converge. Even an improved first upper Bonferroni bound may not be close to the probability of the union of events.     

SHORT REVIEWS

Books reviewed in this article: Gay Becker, The Elusive Embryo: How Women and Men Approach New Reproductive Technologies Theodore Caplow, Louis Hicks, and Ben J. Wattenberg, The First Measured Century: An Illustrated Guide to Trends in America, 1900–2000 Stephen Moore and Julian L. Simon, It's Getting Better All the Time: 100 Greatest Trends of the Last 100 Years Elisabeth Croll, Endangered Daughters: Discrimination and Development in Asia Barbara Entwisle and Gail E. Henderson (Eds.), Re‐Drawing Boundaries: Work, Households, and Gender in China David T. Graham and Nana K. Poku (Eds.), Migration, Globalisation and Human Security Paul Harrison and Fred Pearce, AAAS Atlas of Population and Environment Russell King, Paolo De Mas, and Jan Mansvelt Beck (Eds.), Geography, Environment and Development in the Mediterranean Michael T. Klare, Resource Wars: The New Landscape of Global Conflict Korea Institute for Health and Social Affairs and United Nations Population Fund, Low Fertility and Policy Responses to Issues of Ageing and Welfare National Assessment Synthesis Team, Climate Change Impacts on the United States: The Potential Consequences of Climate Variability and Change. Report for the US Global Change Research Program Jacques Vaixin and Thérèse Locoh (Eds.), Population et développement en Tunisie: La métamorphose     

"Bridging the Gap": New Relationships between Primary Care Groups and Local Authorities

Current policy places great emphasis on the development of "partnerships", particularly between NHS and local authority services, with the aims of increasing service coordination and delivery and improving health. To this end, primary care groups (PCGs), at the forefront of NHS organizational developments, are required to include a social services representative on their governing boards; similarly, primary care trusts (PCTs) have a social services representative on their executive committees. Drawing on a representative longitudinal national survey of English PCGs, the paper evaluates the contribution of these new governance arrangements to the development of inter-agency partnerships. Despite poor histories of collaboration and some major organizational barriers, there are some signs of progress, with social services representatives playing an active part in PCG affairs and having clear lines of communication about PCG matters with their employing authorities. Equally significantly, PCGs have also quickly established a wide range of contacts directly with other local authority services and departments. However, these early gains risk being limited by traditional professional inequalities between social work and medicine and, in particular, by the prospect of further organizational upheaval as PCGs merge with each other and/or acquire trust status.