“Family Matters”: A Systematic Review of the Evidence For Family Psychoeducation For Major Depressive Disorder

The first aim of this systematic review was to evaluate the evidence for family psychoeducation (FPE) interventions for major depressive disorder (MDD). A second aim was to compare the efficacy of different modes of delivering face‐to‐face FPE interventions. Ten studies (based on nine distinct samples) were identified comprising four single‐family studies, four multifamily studies, one single versus multifamily comparative study, and one peer‐led, mixed‐diagnosis study. Seven studies measured patient functioning and six reported positive outcomes. Six studies measured carer's well‐being and four reported positive outcomes. Results provide preliminary evidence that FPE leads to improved outcomes for patient functioning and family–carer's well‐being for persons with depression. The implications for future development and delivery of FPE interventions for MDD are discussed.     

Spreading the word ... hospice information systems

The rapid spread of Saunders' thinking across the world has been facilitated by the Hospice Information service and library at St Christopher's Hospice which she helped to create and further enhanced by Help the Hospices. We have set this article in the context of the Web and other information systems as they are developing today. "Connecting people" and "collecting people's experiences" were terms often used by Cicely Saunders when she described the work of Hospice Information, a service that has in some measure contributed to the rapid spread of her thinking across the world and which is currently in close contact with palliative care workers in over 120 countries. Connecting--or networking--putting people and organizations in touch with each other for mutual benefit and collecting and disseminating people's experiences are central to our work as a U.K. and international resource on hospice and palliative care for professionals and the public. Add to these the crucial role of information provision and advocacy for patients, carers, and health professionals alike and we hope that you may begin to appreciate how our respective organizations have contributed to the spread of Cicely Saunders' vision.     

Child Protection Social Workers' Engagement in Continuing Professional Development: An Exploratory Study

This paper reports the findings of an exploratory study into the nature of child protection social workers' engagement in, and understanding of, continuing professional development (CPD) in Ireland. Qualitative methods were used given the exploratory nature of the research. Semi-structured interviews were conducted with eight child protection social workers from a community-based child protection department in Ireland. Interviews were analysed using thematic analysis. A review of the literature is provided and key findings are outlined and discussed. These findings relate to the nature and frequency of participation in CPD, perceived motivators and barriers to participation in CPD, and social workers' views on the potential impact of statutory registration of Irish social workers (which was implemented in the months after this study was carried out) on CPD participation. Research limitations and suggestions for future research are considered, along with the implications of this study for social work practice.     

A conceptual analysis of request teaching procedures for individuals with severely limited verbal repertoires

The Analysis of Verbal Behavior - There have been many published reports of attempts to teach requests to individuals with severely limited verbal repertoires associated with developmental...     

Letter to the Editor: Respecting Multiple Epistemologies in Social Work

This article is an invited response to “Toward a Learning Environment That Supports Diversity and Difference: A Response to Dessel, Bolen, and Shep - ardson,” by David R. Hodge (Journal of Social Work Education, 47(2), pp. 235-251).     

Chinks in the Merged Attachment: Generational Bequests to Contemporary Teenage Girls

This essay reviews Picturing the Modern Amazon, an exhibit of the representations of hypermuscular women presented at the New Museum of Contemporary Art in New York City from March 30 to June 25, 2000. Taking a sociohistorical approach, the essay situates the museum exhibit in the context of the development of American bodybuilding. The images of the Modern Amazons are linked to the intensification of capitalism and the subsequent growth of the bodybuilding, health, and fitness industries. From this perspective, we see that the Modern Amazons face a cultural paradox, for they are both gender-bending figures of muscular excess and a mainstream form of mass production; thus, they simultaneously overturn and recuperate gender norms. This essay explores the ways in which the exhibit itself embodies contradictions. In its attempt to celebrate the subversive aspects of hyper muscular females, the show decontexualizes the Modern Amazons, removing them from their muscle-building spaces and processes and rendering them into visual commodities.     

Correlates of Human Immunodeficiency Virus/Sexually Transmitted Infection (HIV/STI) Testing and Disclosure Among HIV-Negative Collegiate Men Who Have Sex With Men

Abstract

Objective: To determine the extent to which personal, behavioral, and environmental factors are associated with human immunodeficiency virus/sexually transmitted infection (HIV/STI) testing and disclosure. Participants: Nine hundred thirty HIV-negative collegiate men who have sex with men (MSM) who completed an online survey about alcohol use and sexual behavior. Methods: Correlates of testing and disclosure significant in bivariate analyses (p < .05) were grouped into personal, behavioral, or environmental factors and entered into multivariable logistic regression models. Results: About half of participants tested for HIV (51.9%) and for STIs (45.8%) at least annually. Over half (57.8%) of participants always/almost always discussed HIV status with new sex partners; 61.1% with new unprotected sex partners. Personal and behavioral factors (age and outness) explained differences in testing, and the behavioral factor (routine testing) explained differences in disclosure. Conclusions: Collegiate MSM should be supported in coming out, encouraged to engage in routine testing, and counseled on discussing HIV/STI status with potential sex partners.     

Social work,poverty, and child welfare interventions

The relationship between children's material circumstances and child abuse and neglect raises a series of questions for policy, practice, and practitioners. Children and families in poverty are significantly more likely to be the subject of state intervention. This article, based on a unique mixed‐methods study of social work interventions and the influence of poverty, highlights a narrative from practitioners that argues that, as many poor families do not harm their children, it is stigmatizing to discuss a link between poverty and child abuse and neglect. The data reveal that poverty has become invisible in practice, in part justified by avoiding stigma but also because of a lack of up‐to‐date research knowledge and investment by some social workers in an “underclass” discourse. We argue, in light of the evidence that poverty is a contributory factor in the risk of harm, that it is vital that social work engages with the evidence and in critical reflection about intervening in the context of poverty. We identify the need for fresh approaches to the harms children and families face in order to support practices that engage confidently with the consequences of poverty and deprivation.     

How does family homelessness impact on children's development? A critical review of the literature

Family homelessness is a key social issue across many European countries and is associated with uncertainty, a lack of safety and increased risks for children which can trigger the involvement of child welfare services. Living in homeless accommodation during the early years of a child's life also has the potential to impact on a child in many ways, for example, academically, physically, emotionally and socially. In the current paper, the authors review existing literature regarding the impact of family homelessness on children's development in order to identify key messages for social work practitioners working with children and families experiencing homelessness, for example, in the field of child protection and welfare. Findings reveal that family homelessness impacts on various aspects of a child's world and ultimately on their development, as a result of reduced social networks, inappropriate space to facilitate play, increased school mobility and school-dropout rates and increased levels of behavioural challenges and mental health concerns. These findings are discussed with relevance to social work practice when working with children and families who experience homelessness and how social work professionals can address the developmental needs of children who experience homelessness. Implications regarding future research and the education and training of social workers are also explored.