Hybrid journal (It can contain Open Access articles) ISSN (Print) 0360-7283 - ISSN (Online) 1545-6854 Published by Oxford University Press[425 journals]
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Pages: 141 - 142 Abstract: Approaching this editorial so close to the 2024 presidential election is daunting given the wide range of issues consequential to health and social work that hang in the balance. Areas of concern that readily come to mind are reproductive rights; gerrymandering arising from census redistricting; voter rights and barriers to voter registration and participation; post-COVID-19 Supplemental Nutrition Assistance Program benefit cuts; Obamacare repeal; weaponization of diversity, equity, and inclusion as “woke politics”; climate change; and immigration. Although these topics may appear disconnected, they are bound together as social justice priorities that have a profound bearing on the health and well-being of the population. Across practice settings, those with whom we work are likely to be disproportionately and acutely impacted by these areas of public policy. Furthermore, these are all spheres that face the threat of significant regressive backsliding that extends across a wide range of critical social, economic, and environmental justice issues at the center of social work values and interests. PubDate: Mon, 03 Jun 2024 00:00:00 GMT DOI: 10.1093/hsw/hlae023 Issue No:Vol. 49, No. 3 (2024)
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Pages: 143 - 145 Abstract: Over the past several years, this column has been highlighting the importance of integrating social care and behavioral health into medical care. In this issue, I provide a brief review of the recent columns; introduce how guidance issued by the Centers for Medicare and Medicaid Services (CMS) is helping to move the field—and funds—in this direction; and most important, present specific recent rule changes that should help social workers engage with patients in and outside of hospitals. PubDate: Thu, 20 Jun 2024 00:00:00 GMT DOI: 10.1093/hsw/hlae024 Issue No:Vol. 49, No. 3 (2024)
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Pages: 147 - 156 Abstract: Food insecurity (FI) is a modifiable social determinant of health that impacts approximately 10 percent of the U.S. population. FI has been linked to poorer health outcomes and higher healthcare costs. Given the prevalence of chronic health conditions in the United States, including serious mental illness (SMI), the current study aims to better understand the relationship between FI and chronic conditions, including SMI, in a nationally representative sample. Authors analyzed data from the 2016 Medical Expenditure Panel Survey household component and food security supplement. Findings indicate the prevalence of FI among those with diabetes, lung disease, stroke, and SMI is higher than among the general population, with the prevalence for those with SMI being particularly high (43 percent of the sample). Logistic regression models indicate strong, statistically significant relationships between FI and chronic conditions, including SMI, as well as FI and two or more chronic illnesses, even when controlling for sociodemographic and health factors. There are likely bidirectional relationships between FI and chronic conditions. Findings have implications for social workers, in relation to prevention and treatment of SMI and FI through direct care, advocacy, and integrated services in health, mental health, and social services. PubDate: Fri, 31 May 2024 00:00:00 GMT DOI: 10.1093/hsw/hlae012 Issue No:Vol. 49, No. 3 (2024)
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Pages: 157 - 165 Abstract: AbstractBased on stress sensitization theory and stress proliferation theory, this study was designed to identify adverse childhood experience (ACE) classes and their relationships with perceived stress and self-care behaviors. Hypotheses were that (a) there would be diverse ACE classes among African American social work students; (b) the identified classes embedded in high/multiple ACEs would have greater levels of perceived stress than those in low ACEs; and (c) the identified classes embedded in high/multiple ACEs would have lower levels of self-care behaviors than those in low ACEs. Recruited from one of the South’s historically Black colleges and universities, 186 African American social work students completed an online survey. Latent class analysis found three classes fit the data best: low ACEs, high divorce/abuse/neglect, and high/multiple ACEs. Students in the high divorce/abuse/neglect class had the greatest levels of perceived stress and significantly greater perceived stress levels than the low ACEs class. The low ACEs class had greater self-care behaviors than students in the other two ACEs classes. The study revealed diverse ACE classes and the effect of more ACEs on greater perceived stress and lower self-care behaviors, supporting the importance of using a range of approaches to support African American social work students with different ACEs. PubDate: Fri, 31 May 2024 00:00:00 GMT DOI: 10.1093/hsw/hlae013 Issue No:Vol. 49, No. 3 (2024)
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Pages: 166 - 174 Abstract: AbstractOut of all the racial groups in the United States, people who identify as American Indian and Alaska Native (AI/AN) have disproportionately worse health as a result of living in poverty. The preponderance of research connects poor health with a socioeconomic perspective, which might create prejudice against AI/AN. As already known, AI/AN’s high rates of obesity, diabetes, and stroke in comparison with that of other ethnic groups are mainly derived from their impoverished economic conditions that have forced them to consume the food distributed by the U.S. government. When minority health is discussed generally, the ethnic density perspective explains a minority population’s positive health despite low socioeconomic status. This perspective helps researchers and practitioners understand the connections of psychological and social factors with physical health and demonstrates positive health effects on minority groups. Despite the high correlation between ethnic density and health having been validated, little to no research has explored AI/AN’s health from this perspective. Using 13,064 electronic health records, this research tests the relationship between AI/AN density and health outcomes. This article introduces an innovative analytical strategy (i.e., a data mining technique), which is ideal for discovering frequently appearing health outcomes in a group. The finding reveals positive relationships between health outcomes and AI/AN density. PubDate: Wed, 12 Jun 2024 00:00:00 GMT DOI: 10.1093/hsw/hlae014 Issue No:Vol. 49, No. 3 (2024)
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Pages: 175 - 184 Abstract: AbstractEarly in the COVID-19 pandemic, studies documented a marked decline in mental health and well-being when compared with prepandemic levels. This study examined how different coping styles were associated with anxiety, depression, and sleep problems among U.S. adults March–April 2020 during the COVID-19 pandemic. Data from 535 U.S. adults across three time points were analyzed using longitudinal multilevel logistic and linear regression modeling. Avoidant-emotional coping was associated with greater odds of experiencing anxiety (OR = 1.65, p < .001). Both avoidant- and active-emotional coping were associated with greater odds of experiencing depression (OR = 1.67, p < .001, and OR = 1.09, p = .022, respectively) and sleep problems (b = 0.05, p < .001, and b = 0.01, p = .005, respectively). Alternatively, problem-focused coping was associated with lower odds of depression (OR = 0.86, p < .001). Results converge with previous evidence suggesting the perniciousness of avoidant-emotional coping during the pandemic, but also underscore that problem-focused coping strategies may represent one important source of resilience for adults to adapt despite such challenges. PubDate: Fri, 14 Jun 2024 00:00:00 GMT DOI: 10.1093/hsw/hlae018 Issue No:Vol. 49, No. 3 (2024)
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Pages: 185 - 191 Abstract: AbstractThe opioid epidemic has claimed more than 1 million lives in the United States over the past two decades. The persistent increase in deaths indicates that current strategies intended to decrease the negative consequences of opioid use are inadequate. Harm reduction strategies are designed to promote safer substance usage and reduce overdose mortality rates, yet the implementation of harm reduction programs is inhibited by community- and provider-level stigma against people who use opioids, coupled with limited understanding and insufficient education about harm reduction approaches. Despite ongoing research, engagement in opioid treatment programs remains a challenge, and the opioid crisis continues to disproportionately harm marginalized populations. This article describes how social workers are prepared to play a larger role in opioid use treatment because they are trained with the skill set and values necessary to facilitate access to harm reduction programs, promote engagement in substance use treatment, and create and advocate for interventions to address problematic substance use, especially in high-need communities. PubDate: Fri, 14 Jun 2024 00:00:00 GMT DOI: 10.1093/hsw/hlae019 Issue No:Vol. 49, No. 3 (2024)
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Pages: 193 - 196 Abstract: The “biophilia effect” refers to humanity’s attraction to nature, which sociobiologists believe is embedded in our genes (Simaika & Samways, 2010). Exposure to nature not only improves our mental health and well-being but studies have shown positive influences on organs, cells, and immune functioning (Arvay, 2018; Li, 2018). Practices such as ecotherapy, forest bathing, grounding, and other nature-based treatments can be utilized by social work professionals to address mental health and stress-related conditions in conjunction with traditional therapeutic approaches. PubDate: Fri, 14 Jun 2024 00:00:00 GMT DOI: 10.1093/hsw/hlae020 Issue No:Vol. 49, No. 3 (2024)
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Pages: 200 - 203 Abstract: In both higher education and healthcare organizations, there is a recent and heightened emphasis on interdisciplinary efforts. However, the healthcare environment, much like most organizations and professional disciplines, has its historical silos. Physical and behavioral health are examples that often beg for neglected integration. Yet so often this lack of awareness or attention to the psychosocial aspects of a patient’s history marginalizes the physician from maximizing potential patient prognosis and future health. PubDate: Wed, 26 Jun 2024 00:00:00 GMT DOI: 10.1093/hsw/hlae021 Issue No:Vol. 49, No. 3 (2024)
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Pages: 204 - 206 Abstract: Homelessness and sickle cell disease (SCD) disproportionately affect minoritized communities (Funk et al., 2022; Lee et al., 2019). According to the U.S. Department of Human Services point-in-time report, there were about 8,944 individuals in the metropolitan Washington, DC, region who were homeless in May 2023 (Chapman et al., 2023). Additionally, a large percentage of patients living with SCD are African Americans (Centers for Disease Control and Prevention, 2023). African Americans have experienced racial inequality in matters related to criminal justice, economic mobility, housing, behavioral health, and stability of the family (Chapman et al., 2023). People with SCD have a more challenging patient journey and a worse prognosis than people with stable housing (Henwood et al., 2015). In general, adults with prolonged homelessness have a mortality rate of three to four times that of the general population (Henwood et al., 2015). In these communities, social workers serve as advocates, case managers, clinicians, and therapists. In these multiple roles, social workers provide medical and mental health services that address change-oriented needs; services include counseling, case management, and life skills and job training (Johnson & Cnaan, 1995). Homelessness is a growing problem amongst SCD patients that needs to be addressed by multiple stakeholders. PubDate: Tue, 04 Jun 2024 00:00:00 GMT DOI: 10.1093/hsw/hlae017 Issue No:Vol. 49, No. 3 (2024)
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Pages: 207 - 207 Abstract: Stress, Cognition and Health: Real World Examples and Practical Applications(2nd ed.). CassidyTony. Routledge, 2022, 148 pages. ISBN 9780367564186. $48.99 paperback. PubDate: Fri, 14 Jun 2024 00:00:00 GMT DOI: 10.1093/hsw/hlae022 Issue No:Vol. 49, No. 3 (2024)
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Pages: 209 - 210 Abstract: The field’s approach to reducing social work burnout is failing and needs correcting. Prepandemic rates of burnout were typically around 39 percent, and at the height of the pandemic, exceeded 60 percent (Prasad et al., 2021). We assume the rate postpandemic remains high because of the excessive turnover and not due to lack of effort, as leadership, researchers, and practitioners are working hard to overcome the emotional overload from the pandemic. But with the expected social work workforce deficit to continue until 2030 (Lin et al., 2015), we need to make dramatic changes now to address feelings of burnout. It is the purpose of this Letter to propose that reducing burnout should focus more on implementing strategies to address burnout in the present instead of prolonging efforts and being concerned about sustainability. Ultimately, there is no next year if we do not take care of today! PubDate: Fri, 31 May 2024 00:00:00 GMT DOI: 10.1093/hsw/hlae016 Issue No:Vol. 49, No. 3 (2024)
Hybrid journal (It can contain Open Access articles)
