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  Subjects -> SOCIAL SERVICES AND WELFARE (Total: 224 journals)
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Clinical Social Work Journal
Journal Prestige (SJR): 0.498
Citation Impact (citeScore): 1
Number of Followers: 27  
 
  Hybrid Journal Hybrid journal (It can contain Open Access articles)
ISSN (Print) 1573-3343 - ISSN (Online) 0091-1674
Published by Springer-Verlag Homepage  [2467 journals]
  • Knowledge and Skills for Social Workers on Mobile Crisis Intervention
           Teams

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      Abstract: Abstract Public outrage over police-involved deaths of people in mental health crisis has prompted governments to expand access to crisis services that partner police with social workers. Mobile Crisis Intervention Teams (MCIT) offer assessment and support for people in distress while averting escalation. Little attention has been given to the requisite competencies for social workers on MCITs. This narrative review, informed by crisis theory and the author’s experience as an MCIT social worker, provides a roadmap of knowledge and skills to familiarize practitioners, educators, and students with this growing intervention model. Social workers on MCITs should have the capacity to engage complex clients, de-escalate tension, assess for risk, plan for safety, provide brief addiction counselling, diffuse interpersonal conflict, link clients with community resources, advocate for change, challenge systemic racism, build constructive relationships, and document services with awareness of relevant legislation. The role of social workers on MCITs is multifaceted and requires attention to balancing client well-being, client safety, and community safety. The practice insights discussed in this article are relevant to preventing harm and loss of life while facilitating engagement between clients and mental health services.
      PubDate: 2022-12-01
       
  • How to be Yourself: Student Perspectives on Learning Use of Self

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      Abstract: Abstract Use of self is a core concept in the development of authentic social work and human services practice. For students with a history of adversity, learning how to integrate past adverse experiences into their use of self can be difficult. Adversity may have motivated many to enter the helping professions, but students may not always be sure how and when their adverse experiences can be integrated into their use of self. A qualitative survey of students from three different universities in South East Queensland, Australia, found that recognizing experiences of adversity and their impact could be an essential component in learning use of self. Further data was collected via interviews with 20 students at the primary researcher’s university. A grounded theory approach enabled qualitative data to be analyzed from 199 surveys and all interviews to explore how student experiences of adversity contributed to their understanding and development of use of self. By acknowledging past adversity, students described how they used a relational rather than a traditional dichotomous model of use of self in learning to be a practitioner. The outcomes of this study highlight the importance of formally acknowledging students’ own lived experiences of adversity and the importance of understanding use of self from a relational perspective for this cohort.
      PubDate: 2022-12-01
       
  • Revitalizing Alfred Adler: An Echo for Equality

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      Abstract: Abstract The work of Alfred Adler’s Individual Psychology arguably applies to contemporary social work practice and education. The tenets of Individual Psychology are reviewed in the context of a historical sketch of Adler's work as a medical doctor, psychoanalyst, and colleague of Freud. His eventual divergence from psychoanalysis to begin his own psychological and education movement which focused on social reform is emphasized. Individual Psychology is examined in detail including original case examples demonstrating his influence on and compatibility with contemporary social work theories. Empirical evidence is provided supporting present-day application of his theory. Adler serves as a much-needed example of a professional who successfully and simultaneously advanced both the micro and macro world of mental health. Adler's contribution deserves to be explicitly included in social work curricula.
      PubDate: 2022-12-01
       
  • Examining the Dose–Response Relationship: Applying the Disaster Exposure
           Matrix to Understand the Mental Health Impacts of Hurricane Sandy

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      Abstract: Abstract Disaster exposure is a strong predictor of survivor mental health following large-scale disasters. However, there is continued debate regarding how disaster exposure should be measured and quantified, as well as whether specific types of disaster exposure are more likely to influence certain mental health outcomes like psychological distress or post-traumatic stress disorder (PTSD). In this article, we propose the Disaster Exposure Matrix to explain how specific types and levels of disaster exposure are associated with particular mental health outcomes. We use data from the Sandy Child and Family Health study—an observational cohort study of 1000 randomly selected New Jersey residents who were living in the nine counties most-affected by Hurricane Sandy (2012)—to examine how direct and indirect disaster exposure at both the individual and community levels influence the likelihood of experiencing psychological distress and probable PTSD in the two years after Hurricane Sandy. Weighted logistic regression models demonstrate that particular measures of individual-level direct and indirect exposure uniquely influence probable PTSD and psychological distress, respectively. Community-level indirect exposure is significantly associated with psychological distress but not with probable PTSD. Findings highlight the importance of specificity when measuring the effects of disaster exposure on mental health, including separating exposures that occur at the individual and community level, as well as distinguishing those that are experienced directly from the event from those that are indirect and experienced after the meteorological or geophysical event has passed.
      PubDate: 2022-12-01
       
  • The Unexpected Comfort of Feeling It All: A Support Group for Mothers of
           Autistic Adolescents Using the Lens of Ambiguous Loss

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      Abstract: Abstract Many parents experience grief and loss in response to their child receiving an autism diagnosis in early childhood. However, there is a dearth of research that considers if grief and loss are experienced by parents throughout their child’s adolescence and young adulthood. Further, there is a small but growing body of evidence suggesting that parents of autistic children may be living with ambiguous loss in particular, that is, a loss for which there is no closure or resolution. This case study introduces a peer group intervention utilizing an ambiguous loss framework that school social workers and other clinicians can adopt to support mothers of autistic adolescents who are struggling with ambiguous loss. Through the group process, the mothers developed deeper understanding, self-compassion, and effective coping strategies, resulting in a more resilient approach to the transition process and an enhanced capacity to plan for a meaningful adult life with their autistic child.
      PubDate: 2022-12-01
       
  • Engagement with a Multi-Component, Preventative Program to Reduce Child
           Maltreatment: Program Satisfaction and Acceptability

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      Abstract: Abstract The development and implementation of interventions to prevent child maltreatment (CM) is particularly challenging in view of the numerous stressors experienced by families within the child welfare system (CWS). Difficulties engaging families, particularly those who are most vulnerable, can lead to lower program dose and poorer outcomes. This qualitative study, conducted as part of a larger process evaluation, explored participant perspectives of a newly developed, multi-component, community-based intervention designed to reduce the risk of CM in families with young children. The study involved one-to-one interviews with a sub-sample of mothers (n = 12) recruited through statutory and community-based social work services. Several brief program satisfaction questionnaires were also completed by parents. Mothers reported a stronger parent–child bond and greater use of positive parenting strategies (e.g. improved communication and discipline strategies) following the intervention. Facilitator and group support emerged as strong themes throughout the interviews and were important factors in facilitating engagement and reducing drop-out. High levels of program satisfaction were also reported. The study findings demonstrate how a multi-component program, which combines an evidence-based treatment (EBT) with community-based supports, may offer a promising approach for social work practitioners in reducing CM and in better meeting the more complex needs of families within the CWS. However, a more thorough understanding of the factors which promote program engagement and retention, is crucial to maximizing the benefits of interventions designed to support more vulnerable families.
      PubDate: 2022-12-01
       
  • Emerging Elderhood: Transitions from Midlife

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      Abstract: Abstract As the number of older adults grows exponentially, social work and psychology practice must embrace a more nuanced appreciation of the aging process. Family life is evolving in unprecedented ways, leaving adults with new challenges and choices for how best to live out their lives. Adults may face difficult decisions and increased anxieties regarding their own health, concern for loved ones, and uncertainties about the future. The noteworthy trends associated with the “new adulthood” holds clinical significance and raises important questions for contemporary practice. Our collective clinical and research experience with older adults suggests a re-envisioning of the threshold from midlife to older adulthood as well as an expansion of clinical sensitivity to issues raised by clients. We conceptualize this transition period as Emerging Elderhood (EE) and propose key tasks, developmental opportunities, and suggestions for clinicians to guide clients toward adaptation and change.
      PubDate: 2022-12-01
       
  • Eating Disorder Symptoms, Non-suicidal Self-injury, and Suicidal Behavior
           are Associated Among College Men

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      Abstract: Abstract Research on eating disorders among men has been lacking. In particular, little research has investigated the ways in which eating disorders are associated with non-suicidal self-injury (NSSI) and suicidal behavior among college men, despite preliminary support for their co-occurrence and high prevalence in this age group. Therefore, this study aimed to investigate the associations between eating disorder symptoms, NSSI, and suicidal behavior among a large sample of college men (n = 14,964) from the 2017–2018 Healthy Minds Study. Multivariable logistic regression analyses were conducted to obtain the associations between a positive eating disorder screen and NSSI, suicidal ideation, and a suicide attempt while adjusting for covariates and demographic variables. Among the sample, nearly 16% of participants screened positive for an eating disorder. Participants who reported any form of NSSI [adjusted odds ratio (AOR) 1.65, 95% confidence interval (CI) 1.45–1.88, p < 0.001] or suicidal ideation (AOR 1.36, 95% CI 1.16–1.58, p < 0.001) in the past 12 months had greater odds of screening positive for an eating disorder after adjusting for covariates and demographic variables. NSSI and suicidal ideation are accompanied by increased risk of eating disorder symptoms among college men. The interrelations of these harmful behaviors among college men should be taken into account to improve identification and intervention efforts.
      PubDate: 2022-12-01
       
  • Connecting Loose Ends: Integrating Science into Psychoanalytic Theory

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      Abstract: Abstract Freud wanted to be a scientist but fell short of this goal in several ways: first by attempting to make psychoanalysis consistent with Newtonian physics, second by not being rigorous with the scientific method, and finally, by responding to political and social needs. As a result, science did not welcome psychoanalysis into its fold. Fortunately, this is changing. In the years since Freud’s death, two science-based psychoanalytic theories have developed: attachment theory and affect theory. They are both measurable and supported by social psychology, neuroscience, and infant research. We will explore the central importance of affect as well as treatment implications. The work of Bowlby and Tomkins is complementary, and their integration leads to a more complete understanding of psychic phenomena. We will demonstrate how these theorists validate the work of Fairbairn and Winnicott, both of whom remained in the shadow of Freud. Our premise is that the theoretical differences are semantic, based in politics, and that we can bring these theories together should we acknowledge these differences. We will consider how Winnicott’s awareness and sensitivity to parental intrusion should be integrated with attachment theory. In doing so, we want to add to Bowlby’s idea of “secure attachment” and introduce the concepts of “secure enough detachment” and “secure enough attachment”. The former concept appreciates that not all psychic pain comes from abandonment and that privacy and space are profound emotional needs. The latter concept is an effort to move away from absolutistic taxonomy, a shortcoming of attachment theory.
      PubDate: 2022-12-01
       
  • Qualitatively Exploring Mental Health Attitude Changes among Emerging
           

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      Abstract: Abstract Emerging adult military members and veterans (MMV) are experiencing many transitions (e.g., adulthood, military). The sum of these changes can cause stress, anxiety, and mental health challenges. Stigma of mental health and treatment exists, and military populations are often not seeking or engaging in appropriate care. Recent research emphasizes the need to uncover mental health attitudes and self-stigma barriers regarding help seeking. We evaluated the impact of a single motivational-interviewing enhanced interview with 26 MMV, all who reported high risk substance use. In 75-minute interviews with the primary focus of discussing their experiences regarding mental health, substance use, and identity development, the interviewer incorporated motivational interviewing strategies (e.g., affirmations, complex reflections). Participants shared their developmental experiences, stressors transitioning, and barriers and stigma around mental health treatment. Participants completed a survey which included a variety of standardized measures and open-ended questions two weeks before and after the interview. Qualitative follow-up data via open ended questions shows the session was well received by participants as they could share their stories, think critically about their military experiences, and brainstorm solutions for mental health care. We conclude that using individual, confidential interviews to discuss sensitive topics for data collection with MMV is an area to continue developing. Conducting qualitative research with motivational interviewing strategies has the potential to be twofold: advance scholarship and inform practitioners, but also serve as a therapeutic platform for some participants.
      PubDate: 2022-12-01
       
  • Body Dissatisfaction, Sexual Minority Stress, and Relationship
           Satisfaction Among Sexual Minority Men in Taiwan

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      Abstract: Abstract Sexual minority men are at a higher risk for body dissatisfaction (BD). Previous studies have found that experience of sexual minority stress heightens BD. The protective effects of satisfying relationships with one’s romantic partners and parents are underexplored in this population. This study examined the individual effects of sexual minority stress, romantic relationships, and child-parent relationship and explored the moderating effect of relationship satisfaction. Data came from a sample (n = 405) of gay (86.8%) and bisexual (13.2%) men (mean age = 28.54, SD = 5.6) in Taiwan who responded to an Internet-based survey containing questions about BD, sexual minority stress, satisfaction with romantic partnership, and the quality of relationship with parents. Multiple regression analysis shows that those with a higher level of BD reported a greater level of sexual minority stress and poorer relationship satisfaction with a romantic partner and parents. Meanwhile, relationship satisfaction could not buffer the adverse effect of sexual minority stress on BD. This study suggests that sexual minority men’s BD is modestly associated with sexual minority stress while satisfying relationships with a romantic partner and parents protect against BD. These findings highlight that social workers need to address the interpersonal-level factors when working with sexual minority men to promote a healthy body image.
      PubDate: 2022-11-11
       
  • Correlates of Perceived School Safety Among Black Adolescents in Chicago:
           Are There Sexual Orientation Differences'

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      Abstract: Abstract The current study aims to explore whether the protective factors identified in the research literature for Black sexual minority adolescents in urban neighborhoods are similar to those of their heterosexual peers. Participants for the study consisted of 638 Black adolescents, aged 12 to 22 years, who resided in four neighborhoods in Chicago’s Southside. Findings indicated that for sexual minority adolescents, government assistance was negatively correlated with perceived school safety while having caring teachers was positively associated with perceived school safety. For heterosexual adolescents, caring parents, a lower level of peer victimization, caring teachers, and bonding to school were positively associated with perceived school safety. However, perceived connectedness to the neighborhood was negatively related to perceived school safety. Except for caring teachers, protective factors were not significantly associated with perceived school safety among sexual minority adolescents as they were for heterosexual adolescents. Overall, findings from the study demonstrate that although identifying protective factors is critical; for Black sexual minority youth, it is especially important to consider macrosystem-level factors that would impede feeling safe in school, such as the presence of racism and homophobia in the school environment.
      PubDate: 2022-10-25
       
  • EMDR with First-Generation College Students At-Risk of Facing a Forced
           Marriage

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      Abstract: Abstract In forced marriage cases, individuals and couples are coerced by emotional and physical violence into marriage and risk ostracization from their community. Often compounding these complexities are the challenges many forced marriage survivors additionally have as first-generation college students (FGCS), specifically when wanting to pursue an education that conflict with the marriage chosen for them by their families. However, there are limited studies and clinical interventions addressing the nature of forced marriage and its emotional and psychological impact on at-risk adult survivors and FGCS in the United States. Eye movement desensitization and reprocessing therapy (EMDR), a trauma intervention targeting post-traumatic stress disorder, depression, and anxiety symptoms including guilt and shame, may help at-risk forced marriage survivors and FGCS address these symptoms. I hypothesize that using EMDR as a clinical intervention may empower at-risk adult forced marriage survivors, including those who also identify as FGCS, to free themselves from taking responsibility for their families, prioritize their emotional needs, and work towards independence.
      PubDate: 2022-09-01
      DOI: 10.1007/s10615-021-00828-6
       
  • Social Workers’ Knowledge and Attitudes About Evidence-Based Practice:
           Differences Between Graduate Students, Educators, and Practitioners

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      Abstract: Abstract The implementation of evidence-based practice (EBP) is increasingly being stressed as a responsibility of social work practitioners and social work educators. Clinical social work practitioners have been encouraged to use EBP to guide practice decision making, relying not only on research, but also considering the client’s preferences and the professional expertise of the practitioner. Despite this momentum, not every social worker utilizes EBP as a part of their work, citing barriers including lack of understanding, limited access to resources, and concerns about specific EBPs interfering with the therapeutic process. This article adds to the literature by describing results from research which examined differences in familiarity and attitudes about the implementation of EBP among three classes of social workers: social work graduate students, social work educators, and practitioners. Results indicated a statistically significant difference between groups in familiarity with EBP; graduate students reported significantly less familiarity with implementing EBP when compared to educators and practitioners. Additionally, graduate students and educators reported significantly more positive attitudes about using EBP when compared to practitioners. The field of social work and social work education needs to support social work students as they transition from the classroom to the workforce by providing ongoing education, support, and supervision around the implementation of EBP, while also encouraging social workers to learn skills to address any barriers. Recommended strategies for supporting the use of EBP in the field are shared.
      PubDate: 2022-09-01
      DOI: 10.1007/s10615-022-00836-0
       
  • Effects of Video-Guided Group vs. Solitary Meditation on Mindfulness and
           Social Connectivity: A Pilot Study

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      Abstract: Abstract Interest in mindfulness meditation continues to grow as accumulating evidence suggests mindfulness training encourages more positive functioning. However, basic questions about the conditions best suited for realizing mindful states remain unanswered. Prominent among these is whether a group mindfulness practice setting is more effective for novice meditators than a solitary practice setting. Answering this question has assumed new urgency due to the imposition of physical distancing measures designed to stop the spread of COVID-19. In a time of limited social contact, is a simulated group practice setting better than practicing alone' This preliminary study investigated whether environmental setting impacted mindfulness practice experience by examining the effects of three simulated meditation practice environments (1. group practice, 2. nature practice, and 3. solitary practice) on state mindfulness and perceived social connectivity in a sample of novice meditators. Significant differences emerged across the three simulated practice settings. Findings suggest watching others meditate while meditating appears to most effectively induce a state of mindfulness and strengthen feelings of social connectivity. This study supports traditional beliefs about the benefits of group mindfulness practice. These findings also have implications for social workers struggling to stretch limited resources to address growing mental health demands, especially during times of heightened social isolation due to COVID-19. If a simulated group practice confers the same cognitive benefits as solitary practice while also conferring social benefits, simulated group instruction may be preferable for therapeutic and economic reasons.
      PubDate: 2022-09-01
      DOI: 10.1007/s10615-021-00812-0
       
  • Mechanisms of religious trauma amongst queer people in Australia’s
           evangelical churches

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      Abstract: Abstract Christian communities teaching traditional theology and ethics, which treat diverse sexualities and gender expansive identities as sinful, can be places where faithful LGBTQIA + people are subject to spiritual abuse. This paper explores the complex dynamics and multilayered mechanisms of this abuse in Australian Evangelical Christianity. It is based on a qualitative research project using 24 semi-structured interviews with LGBTQIA + people who have spent two or more years in Evangelical church settings. The project found that participants were subject to mischaracterization and viewed as a moral threat, and consequently experienced erasure, social distancing, and suffered psychological trauma. The paper uses minority stress and micro-aggression theory to conceptualize these experiences and inform social work practice. It also shows the rich resilience and spiritual growth of participants who navigated trauma and sometimes emerged with a more nuanced and deeper faith. These findings will help queer people coming out in Evangelical churches to understand their experiences, and provide clinicians and others supporting people that have experienced spiritual trauma with conceptual tools and practical examples to aid in therapy and informal recovery settings.
      PubDate: 2022-09-01
      DOI: 10.1007/s10615-022-00839-x
       
  • “There is Just a Different Energy”: Changes in the Therapeutic
           Relationship with the Telehealth Transition

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      Abstract: Abstract The therapeutic relationship (TR), including its therapeutic frame, is the foundation of the therapeutic endeavor. In response to the COVID-19 pandemic and the rapid transition to videoconferencing for therapeutic encounters, we employed a cross-sectional exploratory survey with 1490 respondents to understand how practitioners adapted to the changes. In this secondary analysis focused on the TR, we analyze the clinicians’ (N = 448) spontaneous narratives about facets of the TR. Temporally, we focused on how these adaptations occurred during the initial part of the pandemic before vaccination was available and while the TR was still adapting to teletherapy videoconferencing under the duress of pandemic crises. We find three broad themes: (1) It is a “much more remote relationship”; (2) The "connection…remains surprisingly strong"; and (3) It is “energetically taxing.” Each reflects clinicians’ views of the TR as altered, but surprisingly resilient. Although grateful for the safety of virtual therapeutic encounters, clinicians mourned the loss of an embodied encounter, experienced depletion of energy beyond Zoom fatigue, and nonetheless recognized their clients’ and their own abilities to adapt.
      PubDate: 2022-09-01
      DOI: 10.1007/s10615-022-00844-0
       
  • Bridges to Sobriety: Testing the Feasibility and Acceptability of a Mobile
           App Designed to Supplement an Adolescent Substance Use Disorder Treatment
           Program

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      Abstract: Abstract Adolescent substance use is a growing problem that causes a myriad of negative outcomes. Using substances during adolescence can lead to decreased executive functioning and is correlated with the top three causes of deaths for adolescents. Treatment options vary and the impact on outcomes are mixed, with engagement being of the most important indicators. Gaming is a popular activity among adolescents, and yet smartphone applications are relatively unexplored within substance use disorder treatment programs. This paper explores the feasibility and acceptability of implementing a mobile application as a supplement to existing adolescent substance use disorder treatment in a behavioral health agency in eastern Missouri. Feedback was received from staff and clients to assess feasibility and acceptability of implementation with barriers discussed. Results indicate there is promise with incorporation of smartphone-based applications into existing interventions and act as recommendations for other providers.
      PubDate: 2022-09-01
      DOI: 10.1007/s10615-020-00765-w
       
  • Demonstrating LGBTQ+ Affirmative Practice in Groups:: Developing
           Competence through Simulation-Based Learning

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      Abstract: Abstract Lesbian, gay, bisexual, transgender, queer, and other sexual and/or gender minority (LGBTQ+) populations experience significant mental and behavioral health disparities. Social workers are uniquely positioned to address these vulnerabilities. However, clinical graduate education has not effectively promoted or taught competent practice with LGBTQ+ populations. This qualitative study details the foundational competencies required for affirmative practice in group therapy with LGBTQ+ populations and describes a simulation-based learning activity designed to develop these competencies in graduate students. The following themes were identified as critical to affirmative practice, as identified through student reflections on their simulation-based learning experiences: deeply engaging in a strengths-based stance, keeping the group in group therapy, avoiding the expert trap, and managing identity assumptions. Implications for clinical social work education and practice are discussed.
      PubDate: 2022-08-16
      DOI: 10.1007/s10615-022-00850-2
       
  • Here We Go!

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      PubDate: 2022-08-11
      DOI: 10.1007/s10615-022-00853-z
       
 
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