Rotational Field Placements: Integrative Review and Application to Gerontological Social Work

Despite the long held social work tradition of year-long field placements, there is a growing trend among social work programs in the United States to include a rotational field placement (RFP) track, particularly for gerontology students. Through the RFP program, students rotate systematically between multiple placement sites within the academic school year. Inclusion of RFP models represents a decisive break from traditional field practicum models, raising fundamental questions with regards to educational outcomes and student experience. This article provides a comprehensive review of available empirical data on social work RFP programs, summarizing the benefits, risks and problem areas associated with such models as well as model design options and added structural supports social work programs have used to bolster the success of their RFP programs.     

The Impact of New Medical Technologies in Human Reproduction on Childrens Personal Safety and Well-Being in the Family

By nature and law, parents are expected to be the guardians and protectors of their children. Yet, evidence is available that the majority of children at risk are victimized by those who should protect them: their closest family. Parenthood is a desired and valued task by individuals and soci- ety, and the new medical technologies in human reproduction assist individuals and couples to realize their wish for parenthood. Regret- fully, they also create new and unprecedented forms of risk to chil- drens personal safety and well-being in their family. The purpose of this paper is to show how childrens personal safety and well-being in the family are affected by the circumstances under which their conception has occurred, and that use of modern technologies in the process of human reproduction may lead to child maltreatment, abuse, neglect or abandonment. Thus, societal intervention may be necessary in order to obviate the scope of these social phenomena.     

Geriatric Enrichment in Social Work Education: Lessons Learned from the GeroRich Projects

The Geriatric Enrichment in Social Work Education (GeroRich) initiative was a critical step in addressing the national shortage of social workers interested in gerontological practice. Sixty-seven social work programs participated in the 3-year GeroRich project designed to infuse gerontological content into the BSW and MSW curriculum. This study analyzed the lessons learned by participating institutions about the curriculum enrichment effort. Five themes emerged from the qualitative analysis of GeroRich final reports: (a) obtaining faculty buy-in and faculty development, (b) increasing student interest and engagement, (c) developing community partners, (d) developing interdisciplinary linkages, and (e) facilitating institutional commitment and sustainability. The findings from this study provide valuable information on the implementation of curricular enrichment efforts in gerontology that can benefit social work and other health care disciplines.     

“We don't want to talk about that”: Overcoming barriers to rural aging research and interventions on sensitive topics

Geographical, economic, social and cultural barriers to accessing services in rural areas are widely reported. Less widely discussed are dilemmas posed by individual and community reluctance to address sensitive health issues. This article, focusing on the highly sensitive area of mental health, and employing a participatory action approach, describes the natural history of a project, the Mental Health and Aging Initiative (MHAI) to enhance awareness of mental health issues in rural Kentucky-Appalachian communities and overcome the reluctance of individuals in these communities to seek assistance. Funded by the United States Department of Agriculture (USDA), MHAI involved an educational intervention to improve knowledge about mental health and aging in rural Appalachian counties. The need to overcome significant community reluctance to engage in discussion of mental health resulted in significant modification of the protocol. The intervention was grounded in recognition of four key aspects of the local situation: (1) the need to understand the sensitivity of mental health as an element of rural culture; (2) the critical role of local community leaders as points of entry, acceptance, and action; (3) the need to overcome social stigma and reframe the topic of mental health in a more positive light; and (4) the need for methodological innovation in developing an empowering educational action plan oriented toward community-wide long-term impact. The intervention model that emerged from these considerations was based on engaging community leaders, providing educational and technical resources, and nurturing the acceptance by individual rural residents of responsibility for monitoring community mental health. This motif became a central theme in a strategy designed to facilitate culture change and acceptance of mental health as a community concern. It involved active engagement of community representatives in defining and implementing an intervention consistent with participatory action research as a means of empowering rural residents in monitoring and addressing sensitive health care issues. Given that many issues in rural health are difficult to address because of such sensitivity, the approach described is considered to have application in other contexts.     

An Evaluation of the Counseling on Access to Lethal Means (CALM) Training with an Area Agency on Aging

Firearms are a significant risk factor in suicide and older adults are disproportionately impacted in suicide by this means. This study investigated the impact of Counseling on Access to Lethal Means (CALM) training with geriatric case managers at an Area Agency on Aging. A concurrent mixed methods approach was used to explore 1) geriatric case managers’ attitudes, beliefs, and behavioral intentions about counseling on access to lethal means following CALM training, and 2) perceived barriers to assessing for suicidality and counseling clients on access to firearms. The CALM evaluation data was collected immediately posttest at CALM training, at three-month follow up. Results indicated that 38% of respondents reported they had, since CALM training, discussed reducing access to lethal means with clients and/or families. At three-month follow up, data showed that most beliefs, attitudes, and behavioral intentions about counseling clients and families on this topic increased. Focus group findings indicated that training had a positive effect on participants’ attitudes, beliefs, and behavioral intentions about counseling on access to lethal means.The findings of the present study offer additional evidence and implication for trainings of this type.     

Prestige versus socioeconomic status in the attainment processes of American men and women

This paper demonstrates the consequences to the researcher of choosing to analyze social mobility data with a prestige scale rather than with a socioeconomic index. First, the low intergenerational correlations reported for the International Prestige Scale are rejected when they are shown to be compatible with inadequate models of the processes of status inheritance. Second, the Duncan socioeconomic index is shown to be the preferred measure of status transmission in that it suffers from less random error than does the International Prestige Scale, particularly among men. Third, the occupational attainment processes of American men and women are described with socioeconomic scoring, and these findings are contrasted with those which obtain with prestige coding.     

Implementing a Gero-Infused Curriculum in Advanced-Level MSW Courses in Health,Mental Health and Substance Abuse: An Evaluation

This article presents evaluation results from a curricular innovation aimed at increasing the capacity of social work graduates to serve older adults in health, mental health, and substance abuse settings. Working as a team, faculty developed, incorporated, and evaluated gerontology-infused syllabi and teaching modules in multiple sections of the 3 courses, with 2 sections serving as a comparison group. Results indicated that students exposed to the gero-infused curriculum increased their age-related knowledge and self-competence from pre- to posttest, and achieved a greater increase in knowledge than did the comparison group. Implications of the findings to social work education are discussed.