Social work education in the West Indies

Social Work Education has been offered in the West Indies at a professional certificate level since 1961. Programmes exist within multi-disciplinary Departments of academic institutions in six countries. Given limited staff resources, they benefit from the availability of instruction in related subject areas but lack the autonomy to create fully integrated social work curricula. Graduates are prepared to function in a post-colonial (post slavery) West Indian society characterized by increasingly democratized patterns of social organization and indicators of modernization but with a serious catalogue of contextual, structural and human behavioural problems which impact the economic social and cultural lifestyles of the people. While there have been some positive developments, the major constraining factors for regional social work education are: limited resources which deny programme autonomy, limit staffing and subject offerings; an unsatisfactory dependence on metropolitan social work education models; and an insufficient sensitivity to the challenge to produce indigenous theory and culturally appropriate practice models. Challenges to be addressed are the need for authentic West Indian (Caribbean) social work models, the strengthening of field practice experience for students, more preparation for advocacy and policy development roles and the extension of professional education at the undergraduate level through the distance education mode, and at the post graduate level.     

Preparing Social Workers for Child Welfare Practice: An Innovative University–Agency Learning Collaborative

This paper describes the evolution of a university–community child welfare learning collaborative based on an adaptation of the teaching hospital concept. This partnership between an agency providing a range of child and family welfare services and two university units, the school of social work and outreach, was intended to accomplish multiple agency, university and community goals: implement best practices in the agency, enhance social work education, increase staff resources in child welfare, influence public policy, and improve the lives of children and families in the child welfare system. The major strategy was ‘Grand Rounds’ modeled after the system used to train medical students through multiple transactions with experts in a clinical setting. The first year was very successful, with students, agency staff and faculty giving the sessions high ratings in content, quality and utility. One key to the success of the initiative was that it was an agency‐driven process and was based on working relationships of mutual respect and trust. Building such relationships takes both time and effort. Future challenges will include garnering the resources, both human and financial, to sustain the collaboration over time.     

Child Soldiers in Sierra Leone and the Problems of Demobilisation,Rehabilitation and Reintegration into Society: Some Lessons for Social Workers in War‐torn Societies

Between March 1991 and February 2002 Sierra Leone was engulfed in a bloody and protracted civil war in which tens of thousands of people were killed, many more injured, over half of the population displaced and millions of pounds worth of property destroyed. Much of the violence unleashed, particularly on the civilian population, was the work of child soldiers. The phenomenon of child soldiers raises many issues of children's well‐being, although this phenomenon is not unique to Africa.

In this paper, I briefly analyse the reasons for and the nature of the conflict, in particular the social forces which impelled children to join social movements challenging for state hegemony. I focus on how peripheral capitalism has impacted on the Sierra Leonean family and how the ensuing political and economic crises have left Sierra Leonean children with little security, forcing them to turn to family surrogates (social movements) for protection. I examine the processes of demobilisation, rehabilitation and reintegration of former child combatants and some of the problems and challenges to social work and social workers working with traumatised children from war ravaged communities in African nations. I suggest that Tonnies' dichotomy between ‘Gemeinschaft’ and ‘Gesellschaft’ offers a useful framework for social work education in this context.     

Learning Style Preferences of Undergraduate Social Work Students

It has been identified that undergraduate social work students have distinctive learning needs. The purpose of this study was to investigate the learning style preferences of a group of undergraduate social work students enrolled at a large Australian university. The Kolb Learning Style Inventory, Index of Learning Styles and Success Types Learning Style Type Indicator was distributed to 606 students enrolled in an undergraduate social work degree at one metropolitan Australian university. A total of 116 questionnaires were returned, providing a response rate of 19.14%. The results indicated that converging and assimilating, intuitive and sensing, thinking, judging and perceiving learning styles were favoured by this group of social work students. It is recommended that educators understand and take into consideration the learning style preferences of undergraduate social work students when developing curricula and evaluating teaching approaches, especially when planning and implementing education initiatives. This will help create effective learning environments, appropriate learning opportunities and a contemporary curriculum for social work students.     

The Personhood in Dementia Questionnaire (PDQ): Establishing an association between beliefs about personhood and health providers' approaches to person-centred care

Purpose of the studyInterest in person-centred dementia care has flourished in the last two decades. Despite growing interest in the development and implementation of person-centred approaches to dementia care, important empirical questions remain. For instance, although Kitwood (1997) emphasized that personhood, a status extended by others, is at the heart of person-centred care, to our knowledge, no one has demonstrated empirically that beliefs about patient status influence how care is provided. The purpose of this series of three studies was to operationalize Kitwood's definition of personhood in order to test this hypothesis.Design and methodsTo operationalize Kitwood's definition of personhood, we generated items to create the Personhood in Dementia Questionnaire (PDQ; Study 1). We then completed preliminary tests of the PDQ's convergent and discriminant validity (Study 2). Finally, we examined the PDQ's relationships with other constructs such as burnout and job satisfaction, and we used linear regression to test the hypothesis that health providers' beliefs about personhood influence intended approaches to dementia care (Study 3).ResultsIn Study 1, we generated a pool of 64 potential questionnaire items. In Study 2, a 20-item version of the PDQ demonstrated good internal consistency, resistance to socially desirable responding, and evidence of convergent and discriminant validity. In Study 3, PDQ scores accounted for a significant proportion of variance in health providers' intended approaches to dementia care, including pain management. PDQ scores were not related to job satisfaction or to most aspects of burnout.ImplicationsThese results provide the first direct empirical evidence of Kitwood's (1997) theory that beliefs about patient personhood have the potential to influence health providers' care decisions, including decisions about pain management.     

Relationships between use of dietary supplements,caffeine and sensation seeking among college students

Abstract

Objective: Caffeine and dietary supplement (DS) use by college students is not well-documented. Given reported associations between energy drink consumption and sensation seeking, we used the Sensation Seeking Scale Form V (SSS-V) to assess relationships between sensation-seeking, caffeine, and DS use. Participants: Data from 1,248 college students from five US institutions were collected from 2009 to 2011. Methods: Linear regression was used to examine relationships between scores on the SSS-V and caffeine and DS use, demographic, and lifestyle characteristics. Results: Male sex, nonHispanic race-ethnicity, higher family income, tobacco use, consuming caffeinated beverages, more than 400?mg caffeine per day, and energy drinks with alcohol at least 50% of the time, were significantly associated with higher total SSS-V scores (P?<?0.001). Those using protein DSs had higher total, disinhibition, and boredom susceptibility SSS-V scores (Ps?<?0.001). Conclusions: Results demonstrate a positive correlation between sensation-seeking attitudes and habitual caffeine, energy drink, and DS consumption.     

Resolving Accountability Ambiguity in Nonprofit Organizations

Accountability is a much studied subject in the social sciences and is known for its complexity, context dependence, and ambiguity. By conducting a comprehensive literature review and analysis across nonprofit, public, and private sector literatures, this article identifies the causes of ambiguities present in many accountability frameworks and describes the trend toward understanding accountability as a constructed concept combining both instrumental and interpretive elements. The relationship between legitimacy and accountability is considered. The authors develop a holistic accountability framework that facilitates defining and implementing accountability in complex, multi-stakeholder environments, by providing a means to operationalize commonly encountered but ambiguous accountability goals through a social process of deliberative dialogue. The authors conclude by summarizing limitations of the approach and describing future research needed.     

Does the DSW Practice Doctorate Provide Opportunities for Closing Gaps in Gerontology?

The 2019 annual conference of the Group for the Advancement of Doctoral Education in Social Work (GADE) highlighted the increasing role that the Doctor of Social Work (DSW) degree is playing in social work education. Over the past 15 years, social work has followed suit with a number of other health and helping professions (PsyD, DNP, DPT, etc.) by expanding access to practice doctorate programs for professionals who are interested in doctoral-level training, but primarily have interest to remain working in the field as practitioners, rather than become researchers. As more DSW programs have emerged, questions and concerns persist about the DSW, with most questions pertaining to the meaning of the degree for the overall field and the value of having an additional advanced practice degree in social work beyond the MSW degree. However, I urge readers of the Journal of Gerontological Social Work to consider the opportunities that the DSW may present for advancing gerontological education, research, and practice.     

Causes,effects and mitigation of unreliable healthcare supplies

This study investigates the means by which hospitals can improve the reliability of their medical supply value streams. Field research involving pharmacy supplies in eight Australasian public sector hospitals utilised a rigorous, multi-method data collection procedure based around the uncertainty circle model. Value stream maturity, performance inhibitors and pathways to effective improvement are explored. The high levels of value stream uncertainty detected are commonly the result of process immaturity and poor inter-functional integration. Chief among the common root causes is failure by the executive to acknowledge the strategic value of medical supplies management, which ultimately leads to higher materials cost and increased risk of a medical mishap. The study demonstrates how managers can use systems thinking and a context-free performance benchmark to identify effective interventions and potentially transferable best practices.