Washington State's adoption of a child welfare practice model: An illustration of the Getting To Outcomes implementation framework

Despite a great need for evidence-informed practices in child welfare, very few child welfare systems have implemented evidence-based case management models state-wide. While the literature on implementation from the perspective of model developers and researchers is steadily increasing, there has been little attention to the process of implementation originating from the reverse direction, by community organizations themselves, or with regard to going-to-scale implementation in child welfare. The Getting to Outcomes (GTO) model, which was originally created to help organizations choose and implement prevention programs, is a promising guide for child welfare systems seeking to initiate system-wide implementation of evidence-based practices. The GTO framework provides a step-by-step guide for surveying a system, building motivation, training, and evaluation. This article will illustrate the state-wide implementation of Solution-Based Casework (SBC), an evidence-based model of case management, by Washington State's Children's Administration, following the GTO framework. Despite some barriers and obstacles, the GTO model proved to be feasible and to aide in the implementation of SBC. Implications for the GTO model as a framework for empowering community organizations to choose and implement relevant evidence-based practices will be discussed.     

Statewide dissemination of trauma-focused cognitive-behavioral therapy (TF-CBT)

Despite evidence linking childhood trauma to subsequent social, emotional, psychological, and cognitive problems, many children who have experienced trauma do not receive mental health treatment that has been proven to be effective. Large-scale dissemination of evidence-based practices (EBPs) is one possible solution to enhance the current negative state of mental health treatment for these children. This article describes a dissemination effort of an EBP (i.e., Trauma-Focused Cognitive-Behavioral Therapy [TF-CBT]) for childhood symptoms of post-traumatic stress disorder throughout Arkansas. The effort targeted mental health professionals within child advocacy centers and community mental health centers across the state. The article describes the process of dissemination and implementation. Lessons learned and recommendations for future dissemination efforts are highlighted.     

The Apparent Conflict between Commitment to the Development of the Profession and the Imperatives of the Academy

It has been argued in a number of publications in the social work field that the current preoccupation with evidence-based practice is problematic, in that it offers a restricted and sometimes inappropriate understanding of the fundamentals of research in the social sciences. As a result social work and social care are at risk of deprivation of appropriate knowledge to inform practice. This article takes up this critique, in particular pointing out that the tendency for the debate to be reduced to one of competing (qualitative and quantitative) research methods is unhelpful. The issue is an epistemological one about the nature of knowledge and the authority of 'knowers'. The article gives examples of participatory approaches to research that start from a valuing of a range of kinds of knowledge. This opens the way for both quantitative and qualitative methods to have a place in social work research and social work education.     

Lay and professional knowledge in social work: reflections from ethnographic research on child protection

This paper is concerned with the discursive interaction of lay and professional knowledge in the practice of social workers. The contention is that identifying discrete sources of knowledge—such as evidence-informed materials—may be less important for explaining how social workers guide their practice than recognising the effect of the discursive interaction of lay and professional knowledge within organisational culture. The example used for this discussion is child protection work, with a particular emphasis on how practice can be seen to be gendered. In the course of making this overall argument, the paper draws on academic debates about the nature of knowledge in professional work and discusses lay and professional knowledge as revealed through ethnographic research carried out in a social work team in the UK.     

Getting with the (evidence-based) program: An evaluation of the Incredible Years Parenting Training Program in child welfare

This study evaluates four group sessions of the Incredible Years (IY) Parenting Training Program used for the first-time in two child welfare agencies in New York State. Few studies have examined process and evaluation outcomes of evidence-based parenting programs in child welfare. Qualitative staff interviews and surveys on parenting behaviors were used to examine program processes, improvements in parenting behaviors, and participant satisfaction. Program participation was associated with less parental distress, defensive responding, dysfunctional parent-child interactions, child difficulty, total stress, and greater empathy and social support. The effectiveness of this evidence-based, parent education program in the context of a child welfare population, as well as implementation challenges and recommendations, are discussed.     

A multi-site evaluation of Parents Raising Safe Kids Violence Prevention Program

The Parents Raising Safe Kids Program (PRSK) is a research-based manualized violence prevention curriculum designed to decrease coercive parenting behavior, encourage positive discipline, increase media violence literacy, and increase child development knowledge. This study is a multi-site pre-post comparison evaluation of PRSK's effectiveness with diverse parents, including those who are incarcerated, in drug treatment and both English and Spanish speaking. Results indicate that PRSK was successful at improving media violence literacy, positive parenting behavior, child development knowledge, anger management, and prosocial problem solving. Additionally, PRSK was especially efficacious for Spanish speaking participants, who improved more than English speakers. Due to the need for appropriate and cost-effective programs for underrepresented groups, these results add to the growing evidence base supporting the use of PRSK with diverse parents. PRSK is effective in educating caregivers about nonviolent parenting behavior and child development. It is flexible, focuses on parents of very young children, and is cost effective. The program costs a fraction of other evidence-based practices yet statistical effect sizes for change over time are comparable.     

Reconceptualising professional knowledge: the changing role of knowledge and evidence in social work practice

New socio-economic conditions have necessitated different approaches to professional learning and decision-making and alternative perspectives are required to properly understand and engage with the complexity of the world of work, learning and doing. This paper considers the international literature in relation to professional learning in the context of evidence-based practice and knowledge exchange, and considers how we might overcome existing barriers to implement a more knowledge-based approach to social work practice. By adopting actor network theory and socio-material theories, this paper begins to consider alternative perspectives on professional learning and knowledge exchange as implementation in social work. The paper argues that the production of knowledge itself is not enough to guarantee that even the best knowledge will have any utility in practice and that we now need to search for more effective ways of generating and implementing new knowledge. Furthermore, more attention needs to be given to how current approaches to research design, dissemination and implantation could become more meaningful for practice.     

Exploring MSW students’ and social workers’ orientation toward the evidence-based practice process

The aim of this exploratory study was to assess whether practicing social workers currently enrolled in Master Social Work (MSW) programs (hereafter referred to as MSW students) were more oriented to the evidence-based practice (EBP) process and more engaged in it than practicing social workers who are not currently enrolled in MSW programs (hereafter referred to as social workers) in the Netherlands. Data were collected from MSW students (n = 32) and from social workers (n = 341) using the EBP Process Assessment Scale. MSW students reported a stronger orientation toward the EBP process, more positive attitudes toward EBP, more familiarity with EBP and more intentions to engage in EBP than social workers did, however, they were less positive about the feasibility of implementing EBP in practice. These preliminary results suggest that there are grounds for optimism about MSW students’ acceptance of and engagement in the EBP process. Implications for social work education are discussed.     

How do social work novices and experts solve professional problems? A micro-analysis of epistemic activities and the use of evidence

Evidence-based practice in social work is an intensely debated topic, with many differing perspectives on how it should be done. However, we know surprisingly little about how social workers actually engage in professional problem-solving and about the knowledge base of those processes. To shed light on this topic of social work expertise, we present a novel model of scientific reasoning and argumentation and investigate how experts and novices differ in the reasoning processes they engage in as they are confronted with social work problems. Vignettes were used to capture reasoning processes, and the corresponding verbal data were then analysed. In this study, 26 probation officers and 22 social work students participated. The findings show that experts differ from novices with respect to both their knowledge bases and the epistemic activities in which they engage. Furthermore, a cluster analysis revealed three common problem-solving strategies: evidence-based solution seeking (15 experts and 15 novices), shared problem-solving (8 experts) and explanation seeking (1 expert and 7 novices). The results indicate the need to improve the practical problem-solving skills of students through situated teaching methods.