Implications of the Memory Controversy for Clinical Practice: An Overview of Treatment Recommendations and Guidelines

SUMMARY

The controversy surrounding delayed and recovered memories of incest/child sexual abuse has had a profound impact on clinical practice. This article first provides an overview of the positions taken by both sides in the dispute, the “false memory proponents and the traumatic stress proponents”. It then presents the major findings of several of the professional task forces charged with reviewing the controversy and arriving at recommendations for research, clinical practice, and forensic practice regarding delayed recall of memories for sexual abuse. The current status of scientific and clinical knowledge is discussed, especially in terms of its implications for therapists and clinical practice. Nineteen recommendations and practice guidelines are presented for therapists working with individuals who report or suspect childhood sexual abuse on the basis of continuous and/or recovered memory.     

Examining the Development of Positive Space in Health and Social Service Organizations: A Canadian Exploratory Study

All health care sectors are currently examining factors that influence delivery of high-quality services for diverse groups with an understanding that minority populations experience barriers to service access that contribute to well-documented ill health and health inequities. With a goal of understanding dynamics that can improve access to care in the home care sector, this qualitative exploratory study examined processes to create inclusive, positive space for diverse lesbians, gay men, bisexuals, transgender, and queer (LGBTQ) people in community-based health and social service agencies. A purposeful sample of eight key informants from agencies in Toronto, Ontario, Canada, which offer programs and services to LGBTQ communities, completed in-depth interviews. Conventional content analysis and a critical lens were used. Themes offered insight into the histories, challenges, and turning points which shaped the development of LGBTQ-positive spaces in these organizations. Community engagement and leadership emerged as relevant, as did strategies to embed LGBTQ voices and visibility within everyday organizational functioning. Given the gap in literature addressing LGBTQ access to home care and the unique dynamics that shape care in the home, implications address the application of these study findings for creating positive space in the home care sector.     

Health and Aging-in-Place: Implications for Community Practice

ABSTRACT

There is increasing interest in helping elders to remain independent in their homes. As the nation experiences the unprecedented growth among its oldest residents, public and private efforts are emerging to facilitate aging-in-place. However older people, particularly the oldest old, experience a myriad of issues impacting their health and ability to remain at home. This article presents the findings from a needs assessment of a Naturally Occurring Retirement Community (NORC) (n?=?114) that revealed multiple health-related issues among older people residing in high-need neighborhoods. The study utilized a holistic perspective of health to measure physical, mental, and social well-being among the older residents. Implications for community-based health interventions to enhance aging-in-place are discussed.     

Rebuilding Community Organizing Education in Social Work

Although the campaign and election of Barack Obama as the nation's first President with a background in community organizing (CO) has boosted the visibility and popularity of the field, graduate social work programs have not taken full advantage of the opportunity. This article, therefore, presents a three-fold argument regarding the future of CO education. There is an increasing demand and need for trained organizers and community organizing education. This historical moment holds significant potential for CO education in social work. Graduate schools of social work with CO programs should broaden their outreach to attract potential students and activists to careers as social change agents.     

A Model for Change: Legislative Advocacy to Improving Access for the Uninsured and Underinsured in New York State 1

Advocates can successfully improve access to health care for people without health insurance. This article demonstrates the success of what began as a local advocacy effort to improve access to health care on Long Island, which later grew to become a major statewide advocacy movement. It explores the process taken by local coalition members to successfully fight for monumental public health legislation—first locally then statewide—to improve access to hospital care for the medically indigent. Using New York State as a model, it includes several approaches that could facilitate the enactment of legislation in other states. The experiences of New York advocates suggest that with focused collaborative efforts it is feasible to promote significant changes to public health laws to benefit the uninsured and underinsured.     

Sustainability Processes among Naturally Occurring Retirement Community Supportive Service Programs

ABSTRACT

Sustainability remains a concern for community models to better support older adults’ aging in place in their own homes and communities. Based on qualitative data from leaders of 53 Naturally Occurring Retirement Community (NORC) Supportive Service Programs, which is among the most prominent community practice models in aging, we aimed to develop an empirically-grounded framework on sustainability processes. Results indicated that programs use funding, staff members, interorganizational partnerships, and volunteers to offer services to attract older adults, and that older adults’ participation, in turn, is perceived as influencing the accrual of additional resources. Across themes, respondents discussed the importance of being responsive to the community and facilitating consumer participation.     

Attitudes Toward Advanced Licensing for Macro Social Work Practice

ABSTRACT

Trends in clinical licensing and a renewed energy to strengthen macro practice are raising questions about the appropriateness of licensure for macro social work practice. This article presents findings from an online survey of macro social work educators and macro social work practitioners exploring their attitudes toward an advanced-level macro social work license. Faculty and practitioner responders agreed that there is a role for advanced-licensing of macro social work practice; however, the lack of a collectively strong response reflects a current state of ambivalence toward advanced-level licensing for macro practice. Implications from these findings on contemporary social work are discussed.     

Community-Based Participatory Research as a Social Work Research and Intervention Approach

Social workers are now often expected to base their practice on solid empirical findings, but research can vary in terms of its usefulness and relevance to practice. Some social workers have criticized traditional research approaches, suggesting that they are not consistent with the profession's mission to serve vulnerable and disadvantaged populations (e.g., Finn, 1994 Finn, J. L. 1994. The promise of participatory research. Journal of Progressive Human Services, 5: 25–42. [Taylor & Francis Online] , [Google Scholar]). Community-based participatory action research may be an appropriate alternative that is participatory, empowering, and committed to social justice (Minkler & Wallerstein, 2008 Minkler, M. and Wallerstein, N. 2008. “Introduction to CBPR: New issues and emphases”. In Community-based participatory research for health, 2nd, Edited by: Minkler, M. and Wallerstein, N. 5–23. San Francisco, CA: Jossey-Bass.  [Google Scholar]). This article explores the connection between social work and CBPR, illustrating how CBPR can contribute significantly to achieving the field's goals.     

Social Workers’ Conflict of Loyalty in the Context of Social Activism: The Case of the 2011 Social Protests in Israel

ABSTRACT

This qualitative study examined the experiences of social workers who participated in the 2011 Israeli social protests. Data were collected through 1 focus group interview. The sample included 11 social workers employed in 11 social welfare departments throughout the country. Findings highlight the complexities and dilemmas experienced by social workers who protested against the system that employs them. Research findings contribute to the discourse regarding the conflict of loyalty experienced by public social workers engaged in social activism that targets the system that employs them.     

Introducing Asset-Based Models of Social Justice into Service Learning: A Social Work Approach

Increased attention is being given to university–community partnerships. Among such partnerships is service learning, a pedagogical model that integrates experiential community service activities and academic learning. Traditional service learning models often diverge from social work methods that embrace strengths, empowerment, antioppressive principles, and citizen-driven approaches. This article presents the integration of a progressive service learning model into a graduate-level social work macro practice course. The model gives explicit attention to respecting the dignity and worth of the individual by sharing power and developing collaborative relationships between students and community residents where both are serving and learning together.