‘What you need to do is …’: social work students’ reflections on an advice giving audit exercise

This paper reports on qualitative research investigating the advice giving behaviours of social work students. Second-year students, who were enrolled in an interpersonal communication skills course, were required to undertake an ‘advice-giving audit’ exercise across 6 days, with the aim of strengthening their awareness of the interactive nature of advice giving. Students then wrote a diary entry about the frequency of their everyday advice giving behaviour, its intent and reception. Nineteen students provided these reflections for analysis. Findings included three themes pertaining to advice-giving: (i) Giving advice as a natural, comfortable and unconscious way of communicating; (ii) Power and position influences advice dissemination, and (iii) Withholding advice opens, deepens and confuses norms of communication. A fourth theme pertained to the insights that students reported from engaging with the exercise. These findings illustrate the complex interactional process associated with professional advice giving. The research also suggests that experiential activities, which are conducted outside of the classroom, have significant potential to promote the critical examination of embedded communicative practices.     

Delaying factors for maternal health service utilization in eastern Ethiopia: A qualitative exploratory study

BackgroundIn Ethiopia, maternal health service utilization is still unacceptably low. The societal and cultural factors that constrain women from attending these services have not yet been sufficiently explored. Using qualitative methods, we aimed to explore the factors that delay maternal health service utilization in eastern Ethiopia.MethodA total of 13 audio-recorded focus group discussions were conducted comprising 88 participants. We conducted separate group discussions with reproductive aged women, mothers-in-law, traditional birth attendants, husbands, and Health Extension Workers to capture their knowledge, practices, feelings, thoughts and attitudes towards maternal health service utilization. The recorded sessions were transcribed into the local language and then translated into English for analysis.ResultThe study identified a number of factors that may delay maternal health service utilization. Factors were grouped using the Three Delays model as a framework. Low level of awareness regarding need, poor involvement of husband, perceived absence of health problems, social power, community misperceptions and cultural restrictions, negative attitudes towards male midwives, acceptance of traditional birth attendants and poor social networking were Delay One factors. Lack of physical accessibility and high transportation costs were categorised as Delay Two factors for skilled birth care attendance. Perceived or experienced poor quality of care were categorised as Delay Three factors for both skilled birth and postnatal care utilization.ConclusionDespite the ongoing government measures to improve maternal health service utilization in Ethiopia, numerous factors continue to contribute to delays in service use, which in turn contribute to high maternal mortality.     

基于心理咨询开展的在校大学生心理问题质化研究

在校大学生心理健康问题一直受到学界广泛的关注,但以往的研究大多采用的是量化研究,只从数据分析的角度,对大学生的心理健康指数进行实证分析,一般难于针对个体提出具体的实践层面的措施。质化研究为解决这一问题提出了新的研究思路。通过心理咨询资料收集,对在校大学生的心理问题进行分析,发现在校大学生心理问题主要集中在人际交往、自我意识、耐挫能力及学业压力上。开展心理健康教育应侧重对上述四个方面的关注,以提高在校大学生的心理健康指数。     

The Conversational Model and Child and Family Counselling: Treating Chronic Complex Trauma in a Systemic Framework

Child and Family Counselling Teams in NSW Community Health Services are expected to provide therapeutic services to children who have experienced complex trauma. However, parental trauma is often overlooked or referred elsewhere. A systemic perspective informed by attachment theory and trauma theory provides the basis for addressing parental trauma in Child and Family Counselling Teams, thereby improving parenting. The Conversational Model is an evidence‐based intervention for chronic complex trauma. The foundations of the Conversational Model and its brief component, Short Term Intensive Psychodynamic Psychotherapy, are outlined and a case study is given to illustrate the usefulness of the intervention in Child and Family Counselling. Highlighted is the importance of addressing systemic trauma through parenting to improve attachment quality, family relationships, and children's function.     

Providers’ perspectives of barriers experienced in maternal health care among Marshallese women

Problem

Pacific Islanders are disproportionately burdened by poorer maternal health outcomes with higher rates of pre-term births, low birth weight babies, infant mortality, and inadequate or no prenatal care.

Best practices for online Canadian prenatal health promotion: A public health approach

Background

Prenatal health promotion provides information regarding pregnancy risks, protective behaviours and clinical and community resources. Typically, women obtain prenatal health information from health care providers, prenatal classes, peers/family, media and increasingly, Internet sites and mobile apps. Barriers to prenatal health promotion and related services include language, rural/remote location, citizenship and disability. Online public health platforms represent the capacity to reach underserved women and can be customised to address the needs of a heterogeneous population of pregnant women.

Embedded counselling in advisory work with clients in debt

This article addresses the potential for embedded counselling in social work with clients in debt. It is based on experiences from Sweden where budget and debt advisors employed by the municipalities give assistance to clients in financial difficulties. A distinction is made between advice and guidance on the one hand and counselling on the other. As the financial problems often have been long lasting, it is not enough with one-time advice that the client hopefully then follows. The purpose of the article, thus, is to explore the possibilities of incorporating counselling in the role of the advisor.     

The STAFF Project

Abstract

The Support and Training for Adoptive Families (STAFF) project was developed as a response to concerns about large numbers of infants with prenatal substance exposure being placed in foster care or for adoption with families who were not prepared for their special needs. This article describes the ongoing STAFF project and how it was designed to meet the identified needs of infants with prenatal substance exposure, their families, and their workers.     

Stress and coping in US organizations: The role of the Employee Assistance Programme

Abstract

The organizational role of the Employee Assistance Programme (EAP) is evaluated with particular respect to managerial and human resources policies and practices. Attention is given to models of the EAP, and an ideal-typical model is discussed. A synoptic view is taken covering the scope of the EAP, the sectors of application, the selection criteria for the EAP, as well as patterns of introduction-all within a contingency framework. A critical analysis is made of the roles of participants within the EAP process, as well as of problematic ethical and professional dimensions which the EAP introduces into organizational functioning. A final section treats the future forms of development which the EAP may follow to satisy both organizational and professional imperatives.