Improving Social Work Students' Understanding of Health and Social Justice Knowledge through the Implementation of Service Learning at a Free Community Health Clinic

Service learning is a teaching strategy that involves engaging in a mutually beneficial partnership between a community and students in the classroom. Social work education and service learning share core values of service and social justice and, when unified, can offer students unique opportunities to engage in meaningful application of knowledge and skills in a real-world setting. This article provides an exemplar describing the unique student learning outcomes that resulted from a service learning partnership between graduate-level social work students in a diversity course and a community health clinic serving Latino immigrants and Burmese refugees.     

The Distribution of the Kolmogorov–Smirnov,Cramer–von Mises,and Anderson–Darling Test Statistics for Exponential Populations with Estimated Parameters

This article presents a derivation of the distribution of the Kolmogorov–Smirnov, Cramer–von Mises, and Anderson–Darling test statistics in the case of exponential sampling when the parameters are unknown and estimated from sample data for small sample sizes via maximum likelihood.     

Birth outcomes for Arabic-named women in California before and after September 11

Persons who were perceived to be Arabs experienced a period of increased harassment, violence, and workplace discrimination in the United States in the weeks immediately following September 11, 2001. Drawing on prior studies that have hypothesized that experiences of discrimination increase the risk of preterm birth and low birth weight, this study explores whether there was an effect on birth outcomes for pregnant women of Arab descent. California birth certificate data are used to determine the relative risk of poor birth outcomes by race, ethnicity, and nativity for women who gave birth in the six months following September 2001, compared with the same six calendar months one year earlier. The relative risk of poor birth outcomes was significantly elevated for Arabic-named women and not for any of the other groups.     

Is There a Woodwork Effect? Addressing a 200-Year Debate on the Impacts of Expanding Community-Based Services

In U.S. social welfare history, many have suggested that if benefits were too attractive, consumers would come out of the woodwork to take advantage of the opportunity. Clinical trials have provided evidence of the woodwork effect’s existence, suggesting caution when expanding home- and community-based services (HCBS). However, it is unclear whether these studies are best suited to assess whether a system-level effect occurs. Using state and federal data tracking Ohio’s long-term services and support (LTSS) system from 1995 to 2015, this paper examines changes in the utilization rates and expenditures of Medicaid LTSS to explore whether a woodwork effect occurred as Ohio moved to improve its LTSS system balance (80% Nursing Home [NH], 20% HCBS) to (49% Nursing Home [NH], 51% HCBS). After accounting for population growth of individuals older than 60 and those with two or more impairments in activities of daily living, there was no change in utilization rates of older people with severe disability (1995: 491 per 1000 population, 2015: 495 per 1000 population) or overall LTSS expenditures (1997: $2.7 million [in 2013 dollars], 2013: $2.9 million). Our results suggest that states can make significant strides in HCBS expansion without increasing the overall long-term services utilization rate.     

The Role of Pride,Shame, Guilt,and Humiliation in Social Service Organizations: A Conceptual Framework from a Qualitative Case Study

Emotions have become increasingly recognized as constitutive elements of organizations and organizational processes. While the emotions of pride, shame, guilt, and humiliation have long been considered to play a significant role in what people do and how they do it, they have received little theoretical and empirical attention within the literature on social service organizations. This paper responds to this research gap by outlining a conceptual framework for the role these emotions play, developed from an ethnographic case study of one English local authority child protection service. The framework outlines how these emotions influenced the wider institutional processes to construct an ideal form of practice, which was then used to evaluate the social workers’ actions and praise, shame, or humiliate the social workers accordingly. The threat of shame, and promise of praise, influenced most social workers to enact or conform to the standard, thereby regulating their identities. Some social workers, however, felt ashamed or guilty of what they were doing and sought to resist these attempts at control through acts of compromising, concealing, and influencing. This paper considers how this understanding contributes to our understanding of these emotions and how they are experienced in a modern social service context.     

The Role of Pre‐ and Postconception Relationships for First‐Time Parents

Using data from the National Longitudinal Survey of Youth 1997, a nationally representative cohort of young adults, the authors analyzed relationship type at the time of a first birth (N = 4,044). More than 10% of births were to a postconception cohabiting household (cohabitations that were initiated between conception and birth), a higher proportion of births than those born to postconception married households. Individuals in postconception and preconception cohabiting relationships (cohabitations that existed prior to conception) were demographically similar; both groups were associated with lower levels of socioeconomic advantage relative to those in preconception and postconception marriage. Postconception and preconception cohabiting relationships were associated with similar levels of dissolution, as 40% dissolved within 3 years of a child's birth. Having a marital union, rather than whether relationship was established pre‐ or postconception, was more strongly associated with who selected into the relationship and how long the relationship lasted.     

Opening Up: Therapist Self-Disclosure in Theory, Research, and Practice

While most therapists report that they do disclose some information about themselves to their clients, therapist self-disclosure continues to be both controversial and nebulous in clinical theory, research, and practice. This article considers what makes therapist self-disclosure so challenging to define and study and provides an overview of the empirical and theoretical literature. It then concludes with a consideration of therapist self-disclosure in contemporary legal, ethical, and technological contexts of clinical work.