Evidence-Based Practice: Current Issues and Future Directions

Abstract

Evidence-based practice approaches continue to increase in popularity in health and human service contexts in Australia and internationally. As social workers face pressures to evidence practice and justify outcomes, the limitations in applying an evidence-based practice approach to social work are confronted. The present paper identifies the features of evidence-based practice and notes the potential benefits and limitations of this approach in social work. Debates surrounding the nature of social work interventions, effectiveness and evidence are reviewed. The current context and climate influencing the use of research and other evidence in social work are discussed. The paper also considers the position of qualitative, interpretive and critical reflective approaches in relation to evidence-based practice. Issues for the future of evidence-based practice in social work are identified, including the need for the profession to examine more closely the relationship between critical reflective and evidence-based approaches to practice.     

Social Work in the Emergency Department—Implementation of a Domestic and Family Violence Screening Program

Abstract

Women who have experienced domestic and family violence use health services more frequently than women who have not. Early identification and intervention by the health system may reduce health problems associated with domestic and family violence and lead to savings for the health sector. This study aimed to evaluate the impact of a new domestic and family violence screening program, which was based on an ecological model and introduced by a social work team in the Emergency Department of a major metropolitan hospital. The evaluation method included an audit of social work case files to assess the effect on referral rates and a survey of Emergency Department staff to obtain perceptions of the impact of the program on the staff and clients. In the 3-month period following the introduction of the program, the rate of referral to social work increased by 213%. Staff agreed that the Emergency Department is an appropriate place to ask about domestic and family violence, under certain conditions. Findings suggest that an ecological social work model provides an approach to screening for domestic and family violence that not only contributes to increased identification and supportive client interventions but may also contribute to more sustainable systemic change.     

International Policy Perspectives on Independence in Old Age

The promotion of independence in old age has become a common principle in aging policies internationally. The term independence, however, has a variety of meanings that are shaped by social/political/economic contexts and the values and attitudes toward older people. Interpretations of independence affect the ways in which policies are translated into strategies and services. The promotion of independence features prominently in the aging policies of the United Nations and the World Health Organization but does not fit well with the cultural values and social contexts of some countries. A comparison of aging policies in four countries—Australia, Denmark, India, and United Kingdom—found that the principle of promoting independence is not universally adopted. The author proposes that the profile and meaning of independence in policy is shaped by values surrounding individual, family, and social responsibilities. Consideration is given to the limitations and culturally bound nature of independence as a policy principle.     

Rights to research: utilising the Convention on the Rights of Persons with Disabilities as an inclusive participatory action research tool

For those labelled disabled, disability rights are synonymous with human rights, not merely a sub-category. In this paper we consider disability rights in terms of the right of people labelled with learning difficulties to be actively involved in research. Examples from an inclusive participatory action research project undertaken in partnership with people labelled with learning difficulties demonstrate how the Convention on the Rights of Persons with Disabilities was operationalised using photo-voice to facilitate accessible research, analyse findings and promote social change.     

Book Reviews

This article does not have an abstract     

Robust weighted likelihood estimators with an application to bivariate extreme value problems

The authors achieve robust estimation of parametric models through the use of weighted maximum likelihood techniques. A new estimator is proposed and its good properties illustrated through examples. Ease of implementation is an attractive property of the new estimator. The new estimator downweights with respect to the model and can be used for complicated likelihoods such as those involved in bivariate extreme value problems. New weight functions, tailored for these problems, are constructed. The increased insight provided by our robust fits to these bivariate extreme value models is exhibited through the analysis of sea levels at two East Coast sites in the United Kingdom.     

Living Together and Eating Together: Changes in Food Choice and Eating Habits during the Transition from Single to Married/Cohabiting

In 1995 we recruited twenty-two heterosexual couples from Edinburgh and Glasgow to examine the changes which took place in their eating habits and food related activities when they began to live together. Semi-structured interviews were carried out three months before and after moving-in dates and on each occasion both men and women were interviewed separately. Both felt that eating together had a symbolic importance when they set up home together and most couples made efforts to eat a main meal together most evenings, while shopping and eating patterns tended to become more regular and formalised than they were at the pre-marriage/cohabitation stage. In a small majority of cases the women were mainly responsible for buying and preparing food. A significant difference between these women and those of other, earlier studies is that they tended to be less deferential to their husbands' food choices. However, associations between women, food and nurturing were evident in the efforts women made to improve their husbands' diets. Where food purchase and preparation were shared, so was choice of food. The goal of enjoying food together was achieved by learning, influence and compromise but no significant gendering of power in food choice was identified.     

THE ASSOCIATION OF POVERTY WITH CHILD WELFARE SERVICE AND CHILD AND FAMILY CLINICAL OUTCOMES

The influences of poverty, family status and violence in the lives of children and families seen at a large urban children's aid society are investigated. Rates of social assistance dependency of child welfare families in 1995 and 2001 are compared. While the rate of poverty of child welfare families is stable across the two time periods, the ability of families to cope with poverty has dramatically changed, with the percentage of children from impoverished families being admitted into care nearly doubling across the six-year period. Violence as a mitigating factor in the relationship between poverty, the extent of child welfare service and child and family outcomes is also reported. Suggestions for enabling women who are caught in the complexity of choosing between physical safety and poverty are reported.

Les influences de la pauvreté, de la position sociale de la famille et de la violence sur la vie des enfants et des familles vues à une grande société urbaine d'aide à l'enfance sont examinées. Les taux de dépendance des familles vis-à-vis des programmes de protection de l'enfance en 1995 et 2001 sont comparés. Tandis que le taux de pauvreté des familles qui se servent du système de protection de l'enfance est stable à travers les deux périodes de temps, la capacité des familles de faire face à la pauvreté a radicalement changé, le pourcentage d'enfants de familles appauvries qui sont placés dans des familles d'accueil ayant presque doublé à travers la période de six ans. On fait aussi compte-rendu de la violence comme facteur atténuant dans le rapport entre la pauvreté, l’étendue du service de protection des enfants et les résultats pour les enfants et les familles. On résume aussi des suggestions favorisant l'habilitation des femmes qui se trouvent coincées dans la complexité de choisir entre la sûreté physique et la pauvreté.     

The Evolution (or Devolution) of Privacy

This paper explores changes in the meaning of privacy. Because individuals understandings and experiences of privacy vary by sociohistorical contexts, privacy is difficult to define and even more challenging to measure. Avoiding common obstacles to privacy research, I examine privacy from the standpoint of its invasion. I develop a typology of privacy invasions and use it to analyze discussions of invasions of privacy in U.S. newspapers. I show that the nature of invasions discussed in the news is increasingly covert and continuous and find empirical support for the often-made claim that the concept of privacy is evolving in meaningful ways.