Social Work Evaluation Research Articles

An Evaluation Of Social Work Facilitated Peer Support Groupwork With Older Adult Inpatients In Orthopaedic Rehabilitation

Abstract Background Social work psychosocial assessments highlighted an elevated prevalence of patients experiencing low mood, isolation, and the impact of their hospital admission. Groupwork is an effective evidenced based social work tool. As psychological factors can impact acute and longer-term recovery, peer support groupwork was piloted to address these issues. This research aims to determine the success of the inclusion of social work facilitated peer support groupwork within the orthopaedic geriatric rehabilitation setting. Methods One pilot and three peer support groupwork sessions were held with 4-6 participants per group. Patients were identified with support from multidisciplinary team colleagues. Patients were over 65 years of age, medically stable and were an inpatient on the orthopaedic rehabilitation ward without any contraindications to attendance. A patient led thematic approach informed each session. Structured feedback forms were given to all participants which provided both quantitative and qualitative data. Results 100% of patients found that peer support groupwork was a beneficial addition to orthopaedic rehabilitation. Patients recognised the benefit of sharing their experiences and emotions with one another. 95% of patients said that they would reattend and many recognised the motivating influence of this forum. 17 out of 19 patients found that the peer support groupwork directly improved their mood. An incidental finding determined a better understanding of the patient and assisted social workers in identifying patients who required more focused holistic support. Conclusion Social work facilitated peer support groupwork assists in motivating and improving the mood of older adults engaging with inpatient orthopaedic rehabilitation. It was a resource efficient method which improved the psychological factors experienced by older adults in this setting. The patient led approach and careful consideration and planning generated the groups’ success. This approach has numerous benefits to the overall patient experience and has scope to be utilised within other gerontological settings.

Active methodologies for learning about human rights through the Age-Friendly Cities project in the social work bachelor’s degree

ABSTRACT A teaching experience was conducted on linking academic content with activities of the Age-Friendly Cities project as applied to the city of Logroño (La Rioja, Spain). The aim was to improve students’ understanding of human rights and their application in social work practice. The article described the methodological process linked to two subjects in the third year of the Social Work degree course: Design and Evaluation of Social Programmes and Community Social Work. Cooperative learning techniques such as flipped classroom, jigsaw, discussions and community mapping were introduced. A semi-structured questionnaire was carried out to find out about the students’ perception of the project. The results showed the satisfaction of students were with the methodology used and the improvement of general and specific skills, as well as the need to reinforce the link between Human Rights and Social Work through local and community experiences that bring social problems closer to the classroom and thus promoted meaningful learning.

Qualitative-archival research on migration is not just preservation

Qualitative-archival research is needed to support effective policies and the work of practitioners working in the field of migration. This Open Letter helps readers to understand how this happens in different contexts, as more than 150 stakeholders among researchers, policymakers, practitioners, migrant associations, governments, civil society/non-governmental organisations and migrants in seven countries around the Mediterranean contributed to discuss this topic, during the H2020 project ITHACA - Interconnected Histories and Archives for Migrant Agency. Three main key findings emerge. Qualitative-archival research is not just “preservation”: it shows the potential of providing dynamic and interlinked information, including legal frameworks, policy documents, historical context, and original narratives, capable of supporting policies in the long term. Besides this, it is a potential tool to foster the agency of migrants. Qualitative-archival research can be a powerful tool for social innovation, as conducting qualitative research, based on individual and collective narratives, is a necessary basis to non-emergency policies and to social work planning and evaluation. Research helps to explain the reasons behind the migration phenomena and to contextualise them where it is most needed, whether in political, educational, labour, health or reception settings. Space, time and people are the three main enablers. for better qualitative and archival research-policy relations: qualitative archival research offers contextual and comparative tools to investigate in-depth local features and to possibly extend them to the national and international levels.

Directed Acyclic Graphs in Social Work Research and Evaluation: A Primer

Previous articleNext article No AccessDirected Acyclic Graphs in Social Work Research and Evaluation: A PrimerRoderick A. Rose, John A. Cosgrove, and Bethany R. LeeRoderick A. Rose Search for more articles by this author , John A. Cosgrove Search for more articles by this author , and Bethany R. Lee Search for more articles by this author PDFPDF PLUS Add to favoritesDownload CitationTrack CitationsPermissionsReprints Share onFacebookTwitterLinkedInRedditEmail SectionsMoreDetailsFiguresReferencesCited by Journal of the Society for Social Work and Research Just Accepted Published for the Society for Social Work and Research Article DOIhttps://doi.org/10.1086/723606 Views: 35Total views on this site HistoryAccepted October 16, 2022 PDF download Crossref reports no articles citing this article.

Implementing Inpatient Social Needs Screening in an Urban Tertiary Care Children's Hospital.

The American Academy of Pediatrics recommends screening for unmet social needs, and the literature on inpatient screening implementation is growing. Our aim was to use quality improvement methods to implement standardized social needs screening in hospitalized pediatric patients. We implemented inpatient social needs screening using the Model for Improvement. An interprofessional team trialed interventions in a cyclical manner using plan-do-study-act cycles. Interventions included a structured screening questionnaire, standardized screening and referrals workflows, electronic health record (EHR) modifications, and house staff education, deliberate practice, and feedback. The primary outcome measure was the percentage of discharged patients screened for social needs. Screening for social needs was defined as a completed EHR screening questionnaire or a full social work evaluation. Process and balancing measures were collected to capture data on screening questionnaire completion and social work consultations. Data were plotted on statistical process control charts and analyzed for special cause variation. The mean monthly percentage of patients screened for social needs improved from 20% at baseline to 51% during the intervention period. Special cause variation was observed for the percentage of patients with completed social needs screening, EHR-documented screening questionnaires, and social work consults. Social needs screening during pediatric hospitalization can be implemented by using quality improvement methods. The next steps should be focused on sustainability and the spread of screening. Interventions with greater involvement of interdisciplinary health care team members will foster process sustainability and allow for the spread of screening interventions to the wider hospitalized pediatric population.

(29) - Social Work Evaluation Domains Related to Caregiver Support and Mental Health are Strong Predictors of Risk of Readmission or Driveline Infection After HeartMate 3 (HM3)

(29) - Social Work Evaluation Domains Related to Caregiver Support and Mental Health are Strong Predictors of Risk of Readmission or Driveline Infection After HeartMate 3 (HM3)

Existential Social Work in Coping with Death and Grief

AbstractThis article delves into the use of existential social work in coping with death and grief. After defining death and grief, the article explores individuals' attitudes towards death and the theoretical perspectives related to death and grief. The article further examines the fundamental concept of existentialism within the context of coping with death and grief. The article then considers the theoretical basis of an existentialist approach to social work evaluation and intervention. It highlights the importance of an existentialist approach in the process of coping with death and grief, as it encourages individuals to confront the reality of death and find meaning in life. Ultimately, the article contributes to the field of social work by providing insights into the theoretical foundations of existential social work in the context of death and grief. In order to enhance understanding, this article includes a case example, contributing to a deeper understanding of the practical application of existential social work in dealing with death and grief.

Components of Outpatient Child and Youth Concurrent Disorders Programs: A Critical Interpretive Synthesis: Composantes des programmes de troubles concomitants des enfants et des jeunes ambulatoires : une synthèse interprétative critique.

Co-occurring mental health and substance use disorders (concurrent disorders) lead to significant morbidity in children and youth. Programs for integrated treatment of concurrent disorders have been developed; however, there exists little guidance outlining their structure and activities. Our objective was to synthesize available information on outpatient child and youth concurrent disorders programs and produce a comprehensive framework detailing the components of such programs. We used a four-stage critical interpretive synthesis design: (1) systematic review of published and grey literature, (2) data abstraction to identify program components and purposive sampling to fill identified gaps, (3) organization of components into a structured framework, (4) feedback from programs. We employed an iterative process by which programs reviewed data abstraction and framework development and provided feedback. Through systematic review (yielding 1,408 records total and 7 records eligible for inclusion) and outreach strategies (yielding an additional 7 eligible records), we identified 11 programs (4 American, 7 Canadian) and 2 theoretical models from which data could be abstracted. Program activities were categorized into 12 overarching constructs that make up the components of the framework: accessibility, engagement, family involvement, integrated assessment, psychotherapy for patients, psychotherapy for families, medication management, health promotion, case management, vocational support, recreation and social support, and transition services. Program components are informed by the philosophical orientation of the program and models of care. This framework considers health system factors, clinical service factors, program development, and community partnership that impact program structure and activities. Multidisciplinary teams provide care and include addiction medicine, psychiatry, psychology, nursing, social work, occupational therapy, recreation therapy, peer support, and program evaluation. We developed a comprehensive framework describing components of child and youth outpatient concurrent disorders programs. This framework may assist programs currently operating, and those in development, to reflect on their structure and activities.

Assessment of financial screening and navigation capabilities at National Cancer Institute community oncology clinics.

Cancer-related financial hardship is a side effect of cancer diagnosis and treatment, and affects both patients and caregivers. Although many oncology clinics have increased financial navigation services, few have resources to proactively provide financial counseling and assistance to families affected by cancer before financial hardship occurs. As part of an ongoing randomized study testing a proactive financial navigation intervention, S1912CD, among sites of the National Cancer Institute Community Oncology Research Program (NCORP), we conducted a baseline survey to learn more about existing financial resources available to patients and caregivers. The NCORP sites participating in the S1912CD study completed a required 10-question survey about their available financial resources and an optional 5-question survey that focused on financial screening and navigation workflow and challenges prior to starting recruitment. The proportion of NCORP sites offering financial navigation services was calculated and responses to the optional survey were reviewed to determine current screening and navigation practices and identify any challenges. Most sites (96%) reported offering financial navigation for cancer patients. Sites primarily identified patients needing financial assistance through social work evaluations (78%) or distress screening tools (76%). Sites revealed challenges in addressing financial needs at the outset and through diagnosis, including lack of proactive screening and referral to financial navigation services as well as staffing challenges. Although most participating NCORP sites offer some form of financial assistance, the survey data enabled identification of gaps and challenges in providing services. Utilizing community partners to deliver comprehensive financial navigation guidance to cancer patients and caregivers may help meet needs while reducing site burden.

Assessment of caregiver burden prior to implantation of left ventricular assist device: A national survey

Guidelines recommend incorporation of caregiver burden assessment and list significant caregiver burden as a relative contraindication when considering left-ventricular assist device (LVAD) implantation. To assess national practices regarding caregiver burden assessment, in 2019 we administered a 47-item survey to LVAD clinicians using 4 convenience samples. Responses were obtained from 191 registered nurses, 109 advance practice providers, 71 physicians, 59 social workers, and 40 others representing 132 LVAD programs; 125 of 173 total United States programs were included in the final analysis. While most programs (83.2%) assessed caregiver burden, assessment was most frequently conducted informally during social work evaluation (83.2%), with only 8.8% incorporating validated measures of caregiver burden. Larger programs were more likely to use a validated assessment measure (OR 6.68 [1.33-33.52]). Future research should focus on how programs can standardize caregiver burden assessment and how the level of burden may impact patient and caregiver outcomes.

16 Identifying the unmet social needs of gynecologic oncology patients in the safety net: comparing a self-administered screening tool to a cancer care navigation social work evaluation

16 Identifying the unmet social needs of gynecologic oncology patients in the safety net: comparing a self-administered screening tool to a cancer care navigation social work evaluation

Assessing Change in Participation in Clinical Evaluations of Deployed Veterans with Medically Unexplained Symptoms.

Many deployed veterans experience issues reintegrating into civilian life. Addressing this in a clinical setting can prove challenging; however, assessing participation, defined as involvement in a life situation by the World Health Organization's International Classification of Functioning, Disability and Health, may be helpful. The Community Reintegration of Injured Service Members-Computer Adaptive Test (CRIS-CAT) is a measure of participation developed and validated in veteran populations. The War Related and Illness and Injury Study Center, which provides comprehensive evaluations to veterans with medically unexplained deployment-related concerns, used the CRIS-CAT as part of their social work evaluations during these visits and follow-up telephone calls. This retrospective review of clinical data examines the link between participation as assessed by the CRIS-CAT and factors that are mutable (such as relationships with others) and immutable (personal characteristics) as assessed in the social work evaluation over 12 months. The findings indicate that these veteran patients did not experience change in their participation as measured by the CRIS-CAT. Multivariable regression models demonstrated relationships only between change in CRIS-CAT scales and baseline scores and race. Article concludes by discussing lessons learned from this evaluation of the utility of the CRIS-CAT in clinical care and in longitudinal evaluation.

Self-reported marijuana use and its effects on overall approval in potential living kidney donors.

Past and present substance use is an important part of the psychosocial evaluation of potential living kidney donors (LKDs). Increasing state legalizations and social acceptance of marijuana (MJ) use can create challenges for transplant centers. We investigated the frequency of reporting MJ use, and its effect on the LKD evaluation. A retrospective chart review was performed on all living donor candidates from December 2016 to December 2019 for reports of MJ use, both on an electronic intake form and during clinical evaluation with a licensed social worker (SW). Active MJ use was defined as current use or use within 1 year of evaluation. Baseline characteristics between MJ users and non-users were compared at each step of donor evaluation. We explored variables associated with MJ use including additional consults and testing during the donor evaluation. Overall approval and donation rates for living donors with active MJ use were compared to non-users. Additionally, 1-year donor follow-up was compared between the two groups. Results of 1818 living donor candidates who completed the intake form, 132 admitted to active MJ use. Compared to non-users, MJ users were more likely to be younger, male, single, renting a home, and with a lower level of education. Thirty three out of 338 candidates who completed a social work evaluation reported MJ use. Compared to non-users, MJ users were more frequently classified as moderate or high risk on SW evaluation, and often required a toxicology screen or psychiatry visit for clearance to donate. Altogether 24.2% of MJ users versus 9.5% of non-users discontinued their evaluation (p<.01). Altogether 42.4% of MJ users versus 56.1% of non-users donated their kidney (p=.13). For those who donated, MJ users were less likely than non-users to follow up at 1 year (57.1%vs. 83.0, p-value .02). MJ users were often asked to complete additional steps in their evaluation before an approval decision was made, which may have led to the higher rate of donor drop out observed in this group. Further research is needed to assess the effects of MJ use on living donor candidacy, as well as any effects of MJ use on long-term donor outcomes.

Research on Fuzzy Comprehensive Evaluation Index System of Mental Health Education for College Students.

With the economic development and social progress, psychological crisis has become a very serious social problem, and the university campus is also inevitably affected. College students' ability to resist pressure is poor, their psychology fluctuates greatly and changes constantly, and they are easily influenced by the outside world. Mental health assessment is a scientific means to quantitatively analyze and infer the characteristics of psychological changes in people's behaviors by measuring and observing people's representative behaviors in a strictly controlled environment. Analytic hierarchy process (AHP) is a method to determine the relative importance weight and relative order of advantages and disadvantages of various factors in the system, while fuzzy comprehensive evaluation is an effective method to evaluate fuzzy things comprehensively. This paper introduces the principle of the fuzzy comprehensive evaluation method, analyzes the feasibility and applicability of the fuzzy comprehensive evaluation method in social work evaluation of college students' mental health schools, and draws relevant research conclusions and suggestions.

Social Work Evaluations Among Pediatric Patients Transferred for Burn Care

Regionalization efforts aim to improve healthcare by designating specialty centers for a geographic area. Regionalization may play a role in determining patient treatment plans and outcomes. We hypothesize that these factors may be influenced by race, socioeconomics, insurance, and longitudinal follow-up. Retrospective review of 81 patients ages 0-18years evaluated at our Level 2 Trauma Center between February 2016-December 2020 who met criteria for transfer to a Regional Burn Center. 67% of patients were transferred to the Regional Burn Center. There was no difference in the percentage of transferred patients with respect to age, race, ethnicity, insurance type, or rurality of home address. Secondary analysis showed that 57.4% of children were transferred without evaluation by social work. Five patients' injuries were due to non-accidental trauma (NAT); two of these patients were transferred without social work evaluations. 28% of those transferred had documented involvement of Child Protective Services (CPS). Of the 31 transferred patients without social work evaluation, 67% had incomplete or missing notes from the burn center, including 100% of those subsequently confirmed to be due to NAT. Only 32% of patients received follow-up at our institution. We identified no differences in transfer percentages with respect to race, ethnicity, or insurance type. Secondary analysis demonstrated a significant gap in care regarding access to records and social work involvement. As NAT and social concerns are common amongst children with burns, we propose policies to ensure that these concerns are not overlooked during regionalization efforts.

Child Abuse Screening in the Emergency Department Before and After Implementation of a Formal Screening Tool

Background: &#x0D; Child abuse and neglect is a leading cause of mortality and morbidity in children. Victims of abuse often present to emergency departments due to these injuries. Early identification of suspected child abuse by emergency department staff allows the opportunity for intervention prior to a devastating injury. Signs of child abuse can be subtle and may not always be identified. Recent efforts have worked to improve suspected child abuse identification by implementation of validated screening protocols. Specifically, the IU Health Riley Emergency Department has recently implemented a new child abuse screening tool (effective on 15Apr2021). The Covid-19 pandemic has further exacerbated this issue, creating social isolation and additional socioeconomic stressors that contribute to child abuse. &#x0D; Method: &#x0D; A retrospective chart review was conducted to analyze patients identified for child abuse evaluation in the Riley emergency department. Patients prior to the implementation of the screening tool were identified by those undergoing a social work evaluation for child abuse. For patients presenting after implementation of the screening tool, all patients with a positive screen were reviewed. Charts were then reviewed for baseline demographics, diagnostic testing performed, and injuries identified. All data was recorded in an electronic Redcap database. &#x0D; Results: &#x0D; Implementation of a formal screening tool increased the number of patients identified for a child abuse evaluation (1.34% vs 3.17%) and those evaluated who had an injury also increased (1.15% vs 1.81%). More patients received a head CT scan after implementation of the screening tool (0.89% vs 1.07%), while the percentage of patients with an abnormal head CT decreased (62% vs 45%). &#x0D; Conclusions: &#x0D; Implementation of a formal screening tool for child abuse in the emergency department successfully improved identification of patients that should be further evaluated for child abuse. These results may be used to support implementation of the tool in additional emergency departments.

Evaluation of nonaccidental trauma in infants presenting with skull fractures: a retrospective review.

Nonaccidental trauma (NAT) is one of the leading causes of serious injury and death among young children in the United States, with a high proportion of head injury. Numerous studies have demonstrated the safety of discharge of infants with isolated skull fractures (ISFs); however, these same studies have noted that those infants with suspected abuse should not be immediately discharged. The authors aimed to create a standardized protocol for evaluation of infants presenting with skull fractures to our regional level I pediatric trauma center to best identify children at risk. A protocol for evaluation of NAT was developed by our pediatric trauma committee, which consists of evaluation by neurosurgery, pediatric surgery, and ophthalmology, as well as the pediatric child protection team. Social work evaluations and a skeletal survey were also utilized. Patients presenting over a 2-year period, inclusive of all infants younger than 12 months at the time of presentation, were assessed. Factors at presentation, protocol compliance, and the results of the workup were evaluated to determine how to optimize identification of children at risk. A total of 45 infants with a mean age at presentation of 5.05 months (SD 3.14 months) were included. The most common stated mechanism of injury was a fall (75.6%), followed by an unknown mechanism (22.2%). The most common presenting symptoms were swelling over the fracture site (25 patients, 55.6%), followed by vomiting (5 patients, 11.1%). For the entire population of patients with skull fractures, there was suspicion of NAT in 24 patients (53.3% of the cohort). Among the 30 patients with ISFs, there was suspicion of NAT in 13 patients (43.3% of the subgroup). Infants presenting with skull fractures with intracranial findings and ISFs had a substantial rate of concern for the possibility of nonaccidental skull fracture. Although prior studies have demonstrated the relative safety of discharging infants with ISFs, it is critical to establish an appropriate standardized protocol to evaluate for infants at risk of abusive head trauma.

Evaluating social work clinical practice in the real world

Roughly speaking there are at least 1.5 million and possibly over 2 million social workers in the world, many of whom work with individuals. This article focuses on one type of evaluation of social work practice, the evaluation of the outcome of help seeking for personal problems that is called clinical practice usually provided by social work case managers and therapists. The article primarily discusses Feedback Informed Treatment (FIT) developed in the early 2000s. It is a formal structured approach utilizing two validated very brief measures employed during every client session that can be graphed and is designed to evaluate the client’s wellbeing and the worker’s intervention throughout the course of treatment. The article argues that this is the best way for social workers to assess whether or not the client is benefitting from their work as well as evaluating the approach of the helping professional even though this well studied and effective approach is almost nonexistent in social work either in Europe or the United States. We also discuss single subject design that is the mainstay of social work evaluation of clinical practice courses taught for decades even though it is almost never used in actual practice.

Impact of Demographic and Socioeconomic Factors on Outcomes Following Allogeneic Hematopoietic Cell Transplantation

BACKGROUNDHousehold demographic and socioeconomic status (SES) variables have been demonstrated to influence treatment decisions and outcomes across a wide range of health disciplines. The relationships between factors such as race, marital status, work status, type of residence, income, insurance payer, and outcomes following allogeneic hematopoietic cell transplantation (alloHCT), however, have not been clearly elucidated. To maximize the likelihood of success, it is essential to determine the impact of these factors so that additional resources can be targeted to at-risk patients. Those who survive the initial alloHCT period remain at risk for long-term complications, thus the ability to align post-transplant support with specific patient needs may influence survival outcomes.METHODSThis retrospective single center study evaluated demographic and outcome data for all consecutive patients who received an alloHCT at the University of California, San Francisco (UCSF) between January 2012 and January 2016. SES data were obtained from social work evaluations conducted prior to and after alloHCT. ZIP codes of primary residence were linked to median household income using 2010 Census data. Using this income data, patients were divided into surrogate income quartiles, with the top quartile earning ≥$89,811 annually and the bottom quartile ≤$50,222 annually. Primary endpoints included relapse free survival (RFS), overall survival (OS), and non-relapse mortality (NRM).RESULTSDuring the period of study, 269 patients underwent alloHCT. Median followup was 2.1 years (yrs). Amongst transplant recipients, 175 (65.1%) were Caucasian, 48 (17.8%) were Hispanic, 37 (13.8%) were Asian or Hawaiian/Pacific Islander, and 9 (3.3%) were African American. Matched related donors were used for 103 (38.3%) patients, unrelated donors for 149 (55.4%), haploidentical donors for 11 (4.1%), and umbilical cord blood for 6 (2.2%). The median age at time of alloHCT was 54 years (range 20-76 yrs). Myeloablative conditioning was used in 143 (53%).In this cohort, RFS was not associated with race, marital status, work status prior to alloHCT, income, caregiver, type of residence after transplant, distance from medical center, or insurance payer. OS was not associated with race, type of residence, distance from medical center, or income. The insurance payer Medicare was associated with decreased OS in comparison with patients whose payer was Medicaid (state payer) or private insurance (p=0.034), but this finding is confounded by age (median age 67, 37, and 53 yrs, respectively). There was no significant survival difference between those with Medicaid or private insurance. Retirement status prior to alloHCT also correlated with decreased OS in comparison with those with full-time, part-time, or no employment (p=0.018). Being divorced was associated with decreased OS in comparison with those who were single or married (p=0.025). The primary designated caregiver was significantly associated with OS, with those having a spouse, parent, or sibling caregiver having prolonged survival in comparison with those whose caregiver was an adult child, other family member, friend, or hired aid (p=0.012). Based on estimated household income, the top income quartile had significantly lower risk of NRM (4.3%), compared to the upper middle (15%), lower middle (11.6%), and bottom (11.9%) quartiles (p= 0.048). NRM was not associated with the other variables assessed. Acute GVHD (overall and grade 2-4) and chronic GVHD incidence rates were not associated with the SES variables assessed.CONCLUSIONSWe found that SES variables do not influence relapse rates, suggesting relapse risk is primarily driven by factors intrinsic to the indication for transplant, as expected. Most of the social variables we assessed also were not associated with OS after alloHCT. Insurance payer and retired status prior to alloHCT were associated with decreased OS, but both of these variables are confounded by age. Importantly, divorced relationship status and caregivers who were adult children, friends, hired aids, or family members other than a spouse, parent, or sibling were significantly correlated with decreased OS. Our findings have the potential to influence recipient risk stratification, housing and caretaker requirements following transplant, and the provision of means-based assistance for at-risk individuals. [Display omitted] DisclosuresMannis:Curis: Honoraria; Juno: Research Funding; Amgen: Honoraria; Agios: Research Funding. Logan:Incyte: Consultancy; Jazz: Consultancy; Kite: Research Funding; Shire: Consultancy; Pharmacyclics: Research Funding; Astellas: Research Funding; Novartis: Consultancy, Research Funding; Amgen: Consultancy.

Up to No Good? Gender, Social Impact Work, and Employee Promotions

Firms increasingly offer employees the opportunity to participate in firm-sponsored social impact initiatives expected to benefit the firm and employees. We argue that participation in such initiatives hinders employees’ advancement in their firms by reducing others’ perceptions of their fit and commitment. Because social impact work is more congruent with female than male gender role stereotypes, promotion rates will be lower for participating men, and male evaluators will be less likely than female evaluators to recommend promotion for male participants. Using panel data on 1,379 employees of a consulting firm, we find significantly lower promotion rates for male participants relative to female participants, female non-participants, and male non-participants. A vignette experiment involving 893 managers shows that lower promotion rates are due to lower perceptions of fit, but not commitment, and greater bias against male participants by male evaluators. Taken together, the results of the two studies suggest that the negative effect of participation on promotion is conditional upon participant and evaluator gender, underscoring the role of gender in evaluation of social impact work. In settings in which decision makers are predominately male, gender beliefs may limit male employees’ latitude to contribute to the firm’s social impact agenda.