Practitioners' views on elder mistreatment research priorities: recommendations from a Research-to-Practice Consensus conference

This article presents recommendations from expert practitioners and researchers regarding future directions for research on elder abuse prevention. Using the Research-to-Practice Consensus Workshop model, participants critiqued academic research on the prevention of elder mistreatment and identified practice-based suggestions for a research agenda on this topic. The practitioners' critique resulted in 10 key recommendations for future research that include the following priority areas: defining elder abuse, providing researchers with access to victims and abusers, determining the best approaches in treating abusers, exploiting existing data sets, identifying risk factors, understanding the impact of cultural factors, improving program evaluation, establishing how cognitive impairment affects legal investigations, promoting studies of financial and medical forensics, and improving professional reporting and training. It is hoped that these recommendations will help guide future research in such a way as to make it more applicable to community practice.     

Health of Carers of Young People with Early Psychosis: A Biopsychosocial Approach

Despite widespread recognition of the usefulness of a biopsychosocial approach in social work, there are limited studies exploring how social workers can use this approach to support the health and wellbeing of carers of young people with first episode psychosis (FEP). Validated questionnaires and anthropometric measures were used to assess the physical health and wellbeing of 42 carers of young people with FEP. Carers had moderate levels of negative caregiving consequences, quality of life, and health status. More than half (52.4%) of carers were experiencing social isolation. Many carers were overweight (78.6%), had a high risk for type 2 diabetes (39.0%), and had hypertension (33.3%). Practical implications of a biopsychosocial approach to social work that supports both clients and their carers are discussed.     

The Single Assessment Process in Primary Care: Older People's Accounts of the Process

Recent government policies have been active in addressing socialinclusion and active participation of older people in many aspectsof societal life. Independence and well-being animate thesedevelopments and are evident in the emphasis on person-centredservices within the single assessment process for older people(Department of Health, 2002b). Drawing on a feasibility study of the Single Assessment Processas a ‘case-finding’ approach, this paper presentsfindings drawn from older people’s accounts of this experience.These accounts indicate the potential of the process for identifying‘low-level’ need, whilst raising issues of accessto formal services and resource constraint; also they underlinethe importance of understanding how older people seek ways ofmanaging their own health and well-being, whilst continuingto contribute to the social cohesion of society by providingsupport to their peers and to younger generations. Interdependence, it is suggested, rather than dependence shouldunderlie any approach to assessing older people’s needs,if we are to appreciate and build upon the complexity of olderpeople’s strategies for actively managing their lives.     

Adult penile circumcision: Erotosexual and cosmetic sequelae

Five men underwent circumcision in adulthood for reasons of infection, inflammation, or phimosis. Several years later, they reported on the erotosexual sequelae. All reported a prolongation of the period prior to ejaculation, though none had been genuine premature ejaculators. Other variable sequelae were diminished penile sensitivity, less penile gratification, more penile pain, and cosmetic deformity. Orgasm frequency was the same or less, and there was no postsurgical impotence. Loss of stretch receptors and reflexes might explain the major erotosexual changes. In most instances, a dorsal cut and/or antibiotic treatment achieves the same effect as circumcision, and is less risky in terms of possible pathological sequelae.     

‘Value talk’ in social work research: reflection,rhetoric and reality

This paper begins with an exploration of values in relation to current approaches within social work research thereby revealing tensions between what might broadly be conceived as scientific rigour and relevance to practice. It goes on to examine the purpose of social work research emphasising the notion of the researcher as engaged in a critically reflective dialogic process. Four core values conceived as guiding principles in undertaking research are identified as the basis for further ‘value talk’ in the context of developing culturally sensitive approaches without relinquishing a common sense of purpose in developing knowledge of and for social work practice.     

Integrating research and teaching in social work: building a strong partnership1

In recent years in social work we have increasingly come to address the issue of how to integrate research into practice. Implicit in the research and practice discourse is an assumption that there is an active and reciprocal relationship between research and teaching. In this paper, we question this assumption and after setting the political context, we review research into the relationship between discipline-based research and teaching. We then explore a proposal to redefine knowledge, research and teaching and examine the concept of scholarship. We go on to review some strategies we will be promoting in the UK Higher Education Funding Council's Learning and Teaching Network Support (ltsn) Social Policy and Social Work Subject Centre (SWAP) to support the development of positive linkages between teaching and discipline-based research, specifically on-line possibilities for supporting research mindedness among academics (and students and practitioners). Finally, we end by briefly discussing the equally important integration of pedagogic research into the practice of teaching.     

Substance Use Decision-Making – Are Clinicians Using the Evidence?

Clinical assessment and treatment decision-making is a complex, everyday task for the substance use workforce. This Canadian study conducted with community substance use providers in the Interior region of British Columbia examines the factors clinicians pay attention to in their decision-making. A randomized factorial survey approach, using three unique vignettes embedded with factors of interest, was used to test the effect of case and respondent factors on assessment and treatment decisions. Responses were received from 106 participants, representing approximately a 35% response rate, yielding a sample size (n) of 308 vignettes. Multiple regression tested the independent effects of the vignette and clinician factors on assessment and treatment decisions. Factors within the vignette associated with withdrawal, physical illness and mental health issues emerged as the most predictive elements. The social complexity of people’s lives, client’s stated treatment preferences and readiness for change, and respondent characteristics were obscured in decision-making. This study indicates a lack of fidelity in the use of core assessment and treatment-matching tools, suggesting that clinician decision-making may, in everyday practice, be more heuristic and evidence-informed than evidence-based. Further research on normative decision-making practices in the substance-field is warranted.     

Respite and family support services: Responding to the need

Increased focus on the needs of parents and guardians for structured opportunities for temporary relief from care of disabled persons has stimulated policy and implementation initiatives at the state government level on behalf of these families. This article presents qualitative and quantitative data on the need for respite services not only in terms of relief, but as a positive, supportive force in the prevention of permanent placement outside the home. Current services are outlined and issues important to clinicians and managers working with such families are discussed.Planning and Development     

The sample size debate: response to Norman Blaikie

In his detailed response to our paper on sample size in qualitative research, Norman Blaikie raises important issues concerning conceptual definitions and taxonomy. In particular, he points out the problems associated with a loose, generic application of adjectives such as ‘qualitative’ or ‘inductive’. We endorse this concern, though we suggest that in some specific contexts a broad categorization may be more appropriate than a more nuanced distinction – provided that it is clear in which sense the terms are employed. However, other concepts, such as saturation, do not lend themselves to generic use, and require a more detailed conceptualization. Blaikie’s analysis also makes it clear that meaningful discussion of sample size in qualitative research cannot occur with reference to an undifferentiated conception of the nature of qualitative research; clear distinctions need to be made within this approach in terms of methodology, ontological and epistemological assumptions and broader research paradigms.