799 resultados para 160701 Clinical Social Work Practice


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This article describes the development, organization, and operation of the Campbell Collaboration, an international network of academics and practitioners who prepare, maintain, and make accessible authoritative systematic reviews of the effectiveness of interventions in the fields of social welfare, education, and criminal justice. The Campbell Collaboration is modeled after the successful Cochrane Collaboration, established in 1993 to produce reviews of the evidence relating to the effectiveness of services in the field of health care. The aim of such reviews is to provide practitioners with a summary of the best available empirical evidence on which to base practice decisions.

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Although the impact of multiple adverse events in childhood is well known, it is equally accepted that the variation in individual trajectories and outcomes is significant. Resilience focuses on positive adaption in the face of adversity, offering a counterbalance to deficit-based research and risk averse, procedurally driven practice. Positive relationships and secure attachments are widely considered to be the cornerstone of resilience, yet, within social work practice, there is a tendency to consider attachment only in relation to children and adults. Three biographical narratives are used to explore resilience and attachment through a narrative identity framework, exploring parents' experiences of multiple adversities over their lifespan, their close relationships, and their experiences of child welfare interventions. It argues for the importance of narrative in social work assessment, particularly in relation to families with complex needs, illustrating how this enables a richer, more nuanced understanding of mothers and fathers as individuals in their own right, and provides insight into how alternative narratives might be better supported and developed.

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This presentation aims to raise issues related to teenage relationship abuse (TRA-dating violence) and help seeking behaviour from an intersectional approach. Even though teenage relationship abuse has been raised as an issue since the 80’s there is still an absence of an intersectional theoretical conceptualization of TRA. Existing conceptualizations are based on incorrect assumptions of sameness of teenagers experiences of TRA which ignore the unique developmental stages of teenagers as well as youth’s diverse lived experiences due to their sexual orientation, ethnicity, class, disability as well as other structural divisions. TRA exists in a social context of inequalities. For the individual survivor, this social context is created not only through romantic relationships, but also through relationships with families, peers, friends, classmates and others. Their experiences are constructed through these relationships which form part of the social context into which TRA needs to be analysed. The analytical framework of intersectionality can provide a framework of understanding how these lived experiences are enacted and negotiated contextually. Emphasis will be given to the help seeking behaviour of diverse youths. This presentation will explore the diverse lived experiences contextually. Methods and Findings: This presentation is based on a research project in Northern Ireland currently underway, thus, it will offer a preliminary conceptualisation of TRA from an intersectional approach. The findings will be contextualized taking into account the high rate of homophobia that exists in Northern Ireland amongst other things. Conclusion/Recommendation: Intersectionality needs to be the analytical framework through which teenagers’ relationship’s experience are analysed since the lived experiences of LGTB, BME and disabled youth cannot be analysed apart from the structural divisions, social location and the context they are experienced. This presentation argues that the intersectional approach of theorizing is congruent and contributes to anti-oppressive social work practice.

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Les travailleurs sociaux immigrants vivent plusieurs défis après l’obtention de la reconnaissance de leurs acquis au Québec par l’Ordre des travailleurs sociaux et des thérapeutes conjugaux et familiaux du Québec (OTSTCFQ. À partir de données extraites d’entretiens menés dans le cadre d’une recherche de plus grande envergure dirigée par Pullen-Sansfaçon, Brown et Graham (Recherche qualitative sur l'expérience des migrants et leur adaptation professionnelle dans la pratique du travail social au Canada, 2012-2015), nous explorons le sentiment d’identité professionnelle vécu par 9 travailleuses sociales immigrantes à Montréal. Ce sentiment apparaît comme l’actualisation de leurs valeurs et de leurs acquis professionnels dans leurs nouveaux rôles et leurs pratiques professionnelles. L’analyse des données permet de dégager divers thèmes en lien avec l’identité professionnelle de ces travailleuses sociales immigrantes. Nous avons pu relever de leurs propos que, depuis leur immigration, divers changements ont effectivement eu lieu au niveau de leurs pratiques professionnelles, voire de leur vision de la profession. Elles ont dû faire face à plusieurs défis liés à l’identité professionnelle, notamment en ce qui concerne la reconnaissance professionnelle et la langue. Trois éléments ont en effet formé la pierre angulaire des changements que ces travailleuses sociales ont vécus dans leur identité professionnelle depuis leur immigration : les valeurs, la question de la langue et la reconnaissance de leurs qualifications.

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This paper addresses the issue of adolescent pregnancy in Mexico, Central America and South Carolina and implications for social work practice with immigrant communities. The paper is based on current literature and on cross-national, on-line survey of local and international pregnancy prevention programs. The paper analyzes and discusses various psychosocial causes of pregnancy in adolescents, including: limited opportunities for formal education, infrequent open discussions about sexual health, rising costs of adequate birth control, and difficulty in obtaining contraceptives in remote locations. This research paper analyzes current statistics on the effectiveness of existing projects and programs and compares and contrasts research about the validity and efficacy of these programs in both South Carolina and abroad. Finally, the paper addresses implications for social work practice with adolescents in immigrant communities.

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Habitusbildung im Studium der Sozialpädagogik. Eine explorative Studie zur Strukturtypik studentischer Professionalisierungsprozesse Die qualitativ-empirische Studie untersucht die als studentischen und pädagogischen Habitus bezeichnete pädagogische Professionalisierung im Studium. Das zugrunde gelegte strukturtheoretische Modell einer professionalisierten sozialpädagogischen Praxis ist eine widersprüchliche Einheit von Theorie- und Fallverstehen. Schütze (1996) analysiert das im Kern paradoxale Verhältnis zwischen Professionellen und Klientel, die widersprüchliche Handlungslogik der Profession und die Konsequenzen ihrer herrschaftlicher Kontexte. In Oevermanns Skizze einer revidierten Theorie professionalisierten Handelns (1996) werden wissenschaftliches Verstehen und hermeneutisches Fallverstehen zur Grundlage des professionalisierten Handelns. Von besonderer Bedeutung ist Oevermanns Konzeption der stellvertretenden Deutung, der Deutung des latenten Sinns einer Interaktion, einer Handlung, einer latenten Sinnstrukur. Aus objektiv-hermeneutischer Sicht sind die Handlungsspielräume einer je konkreten Lebenspraxis durch Regeln gesetzt, bereits die Welt sozialer Regeln bestimmt Möglichkeiten und Folgen einer Handlung, nicht erst die Lebenspraxis. Die Kontrastierung von vier Fallrekonstruktionen mündet in der Formulierung zweier Strukturtypen. Beim Strukturtyp 1, „Scheitern der Habitusformation durch Verweigerung von Emergenz“, wird eine auf ein, maximal zwei sozialpädagogische Handlungsfelder gerichtete Berufskonzeption ausgeformt. Neue Inhalte, die sich nicht widerspruchsfrei in dieses minimalistische Konzept sozialer Praxis integrieren lassen, werden abgewehrt. Das Strukturpotential, das in dieser krisenhaften Übergangssituation angesprochen wird mit dem Anspruch, neue perzeptions- und handlungsleitende Sinnstrukturen zu bilden, stagniert in biografisch bewährten Bearbeitungsstrategien. Für die Fallstrukturgesetzlichkeit des Strukturtyps 2, „Krisenbearbeitung und Transformation biografietypischer Strukturen“, ist ein hohes Potential, in einem Prozess der Emergenz Krisen durch neue Handlungs- und Sinnstrukturen zu lösen, signifikant. Die gelingende Habitusformation vollzieht sich dort, wo diese emergenten Strukturen in die Vermitteltheit einer professionalisierten Routine überführt werden. Die Rückbindung der Strukturtypen an die Studienmodelle des „wissenschaftlich gebildeten Praktikers“ und des fallrekonstruktiven Modells fundiert die These, dass der durch die Einsozialisation in ein hermeneutisches Fallverstehen eröffnete Bildungsprozess vertiefte Kenntnisse um Lebensgesetzlichkeiten, Regelkenntnisse und eine entmystifizierte Haltung zur Theorie als einer „verwissenschaftlichten Rationalität“ vermittelt.

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Starting with the premise that extended family members often have great influence on family functioning, this article describes social work practice techniques for helping families utilize resources available in the extended family network. Two key concepts are presented: "parenting pioneers," who, while attempting newly learned parenting skills, may struggle with resistance from extended family members; and "parenting teams," in which the focal family is giving to or receiving from extended family members substantial family support. The article presents these practice techniques in the context of family support services, which are characterized as voluntary, preventive, developmental, and based in the concept of empowerment and the ecological perspective.

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Review of: Social Work Practice with Children Nancy Boyd Webb. New York: The Guilford Press. Reviewed by Lois Wright

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Thesis (Ph.D.)--University of Washington, 2016-06

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Policy and social work practice currently lack a theoretical framework that adequately explains the emergence, diffusion, and continuance of the intercountry adoption (ICA) phenomenon. Using South Korea as a case study and the application of actor network theory to the ICA phenomenon, this paper introduces a theoretical approach that allows an examination of the complex interrelationships between the global and local influences of a country's engagement in ICA. This theoretical approach provides a different way of understanding the phenomenon, which, in turn, can better inform policies and practice that affect children and families across the globe.

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This thesis covers two major aspects of pharmacy education; undergraduate education and pre-registration training. A cohort of pharmacy graduates were surveyed over a period of four years, on issues related to undergraduate education, pre-registration training and continuing education. These graduates were the first-ever to sit the pre-registration examination. In addition, the opinions of pre-registration tutors were obtained on pre-registration training, during the year that competence-based assessment was introduced. It was concluded that although the undergraduate course provided a broad base of knowledge suitable for graduates in all branches of pharmacy, several issues were identified which would require attention in future developments of the course. These were: 1. the strong support for the expansion of clinical, social and practice-based teaching. 2. the strong support to retain the scientific content to the same extent as in the three-year course. 3. a greater use of problem-based learning methods. The graduates supported the provision of a pre-registration continuing education course to help prepare for the examination and in areas inadequately covered in the undergraduate course. There was also support for the introduction of some form of split branch training. There was no strong evidence to suggest that the training had been an application of undergraduate education. In general, competence-based training was well regarded by tutors as an appropriate and effective method of skill assessment. However, community tutors felt it was difficult to carry out effectively due to day-to-day time constraints. The assistant tutors in hospital pharmacy were found to have a very important role in provision of training, and should be adequately trained and supported. The study recommends the introduction of uniform training and a quality assurance mechanism for all tutors and assistants undertaking this role.

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Given the seriousness of substance abuse as a child welfare problem, the purpose of this study was to examine the relative effectiveness of an inservice training curriculum for child welfare workers. The training was designed to improve worker knowledge and attitudes in working with substance abusing families. Seventy (70) child welfare workers from public and private agencies in two south Florida counties participated in a pretest/posttest control group design that also trained and retested the control group. The literature review supports that the general preparedness of child welfare workers for the issues presented by substance abusing families is in question. Confounding this problem is a lack of understanding of substance abuse dynamics, worker biases, and predispositions. The two research hypotheses focused on whether inservice training could increase worker knowledge and improve worker attitudes in working with this population. Training delivery was in the form of a five-day inservice focusing on an array of substance abuse knowledge and attitudinal topics. Separate knowledge and attitude instruments were developed for the research and were administered, before and after training, to a purposive sample of participants that were randomly assigned to the experimental and control groups. The data analysis supported the research hypotheses but raised a question. Specifically, the experimental group demonstrated significant improvement in posttest scores on both instruments after receiving the training; whereas the control group, with training withheld, also demonstrated a significant improvement at posttest, but only on the knowledge instrument. Although the question was unanswered, when examined at a more critical significance level, only the experimental group remained significant. The hypotheses were reconfirmed when, after training and retesting, the control group also displayed significant improvement on both instruments. The findings support the conclusion that this substance abuse inservice was effective in improving worker knowledge and attitudes regarding working with substance abusing families. As an implication for social work practice, it suggests that similar inservice training can be a viable training resource when formal substance abuse training is unavailable. Additional research is suggested regarding to what degree increased substance abuse knowledge and improved worker attitudes correlate with improved practice.

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This study explored the strategies that community-based, consumer-focused advocacy, alternative service organizations (ASOs), implemented to adapt to the changes in the nonprofit funding environment (Oliver & McShane, 1979; Perlmutter, 1988a, 1994). It is not clear as to the extent to which current funding trends have influenced ASOs as little empirical research has been conducted in this area (Magnus, 2001; Marquez, 2003; Powell, 1986). ^ This study used a qualitative research design to investigate strategies implemented by these organizations to adapt to changes such as decreasing government, foundation, and corporate funding and an increasing number of nonprofit organizations. More than 20 community informants helped to identify, locate, and provide information about ASOs. Semi-structured interviews were conducted with a sample of 30 ASO executive directors from diverse organizations in Miami-bade and Broward Counties, in South Florida. ^ Data analysis was facilitated by the use of ATLAS.ti, version 5, a qualitative data analysis computer software program designed for grounded theory research. This process generated five major themes: Funding Environment; Internal Structure; Strategies for Survival; Sustainability; and Committing to the Cause, Mission, and Vision. ^ The results indicate that ASOs are struggling to survive financially by cutting programs, decreasing staff, and limiting service to consumers. They are also exploring ways to develop fundraising strategies; for example, increasing the number of proposals written for grants, focusing on fund development, and establishing for-profit ventures. Even organizations that state that they are currently financially stable are concerned about their financial vulnerability. There is little flexibility or cushioning to adjust to "funding jolts." The fear of losing current funding levels and being placed in a tenuous financial situation is a constant concern for these ASOs. ^ Further data collected from the self-administered Funding Checklist and demographic forms were coded and analyzed using Statistical Package for the Social Sciences (SPSS). Descriptive information and frequencies generated findings regarding the revenue, staff compliment, use of volunteers and fundraising consultants, and fundraising practices. The study proposes a model of funding relationships and presents implications for social work practice, and policy, along with recommendations for future research. ^

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Increased treatment retention among substance abusing individuals has been associated with reduced drug use, fewer arrests, and decreased unemployment, as well as a reduction in health risk behaviors. This longitudinal study examined the predictors of client retention for alternative to prison substance abuse treatment programs through assessing the roles of motivational factors and the client-worker relationship. The sample was comprised of 141 male felony offenders who were legally mandated to community based long-term residential drug treatment programs. The primary measures used in the study were the consecutive days a participant remained in treatment, Stages of Change Readiness Model and Treatment Eagerness Scale (SOCRATES), the Working Alliance Inventory (WAI), and The Readiness Ruler. Hierarchical multiple regression analysis was conducted for four hypotheses (a) participants who are more motivated to change at the time of entry will remain in treatment longer, (b) participants who have a strong therapeutic alliance will remain in treatment a greater number of consecutive days than participants who have weaker therapeutic alliance, (c) motivation to change, as measured at treatment entry, will be positively related to therapeutic alliance, (d) during the course of treatment variation in motivation to change will be predicted by the therapeutic alliance. Results support the following conclusions: Among clients in alternative-to prison programs the number of days in treatment is positively related to their motivation to change. The therapeutic alliance is not a predictor of the number of days in treatment. Motivation to change, particularly recognition of a drug problem, is positively related to the therapeutic alliance. Changes in motivation to change in response to treatment are positively related to the therapeutic alliance among clients in an alternative to prison substance abuse treatment programs. These results carry forward prior research and have implications for social work practice, research, and social welfare policy.