Implications For Social Work Research Articles

Experiences of rural poverty in Stratford district, Aotearoa New Zealand: A qualitative study with implications for rural social work

INTRODUCTION: People experiencing poverty who live in rural communities may have complex needs as rurality exacerbates their issues. Isolation, stigma, transport difficulties and a lack of services contribute to the challenges experienced by people living in rural communities who experience poverty. For social workers, responses need to be creative and flexible to counter the lack of services or people being unable to access services due to distance and/or a lack of transport. METHODS: I conducted semi-structured, in-depth interviews with 28 participants. Participants self-identified as experiencing poverty and ranged in age from teenagers to over 65s. Transcripts were analysed using applied thematic analysis. FINDINGS: Four themes were identified: stigma, isolation, transportation and access to services. Issues in these areas exacerbated participants’ experience of poverty. CONCLUSION: The findings of the study suggest that there is a significant advocacy role for social workers in rural communities regarding access to services and service development, transportation and challenging stigma to improve the lives of people living in rural communities who experience poverty. Further investigation is suggested to explore specific groups experiencing poverty in rural communities, particularly Māori, and to consider other marginalised identity groups and different geographical areas.

Social workers' consideration of dental support for people living with dementia: Findings from interviews and care assessment documentation.

Social work assessments underpin support plans for many people living with dementia in their own homes in England, but it is unclear how they acknowledge that dementia places people at greater risk of mouth and dental problems affecting their wellbeing. We explored if and how dental needs are addressed during care assessments and social workers' perceptions of this aspect of personal care. This study analysed (a) semi-structured interviews with 14 social workers providing support to people living with dementia in their own homes, (b) data from 39 care assessments and support plans from two English local authorities. Interviews were recorded online, transcribed, and thematically analysed. Documents were analysed descriptively and presented visually. Participants acknowledged that oral care may be overlooked during assessments and reflected on various reasons, including assumptions of responsibility and role restrictions, limited training, and poor links with dental services. This was further evident in the analysis of assessment documentation. Participants identified potential strategies and practice changes to better integrate oral care in social work practice. These included increased awareness and more discussions around dental needs, skills training and streamlining of support. The findings have implications for social workers, educators, and commissioners or funders engaging with people affected by dementia in social work and beyond.

Thinking politically about social work in child protection and welfare: A radical Reappropriation of the works of Hannah Arendt

This article presents a theoretical exposition of Arendtian political philosophy for child protection and welfare social work. The aim is to better understand and inform social work in the field of child protection and welfare, whilst accounting for the political context of practice. Sustaining the exposition is the view that power-laden child protection systems are ultimately socio-political through their authority to intervene in private family life. This is partly owing to the instrumental power inherent in child protection systems to exert dominance and control over service users and social groups leading to raced, gendered and classed outcomes in child welfare. To unpack the political nature of social work in child protection and welfare, a tripartite conceptual frame of private, public and social domains is derived from Arendt’s philosophical work. This is critically applied to put forward seven propositions for how social work can develop in child protection and welfare, with respect to practice in a socio-political context. Practical implications for future social work include implementing evidence-informed advocacy efforts and conducting empirical research toward preserving balance in social work attention to public and private life.

Sexual violence, suicide, depression, self-esteem, and satisfaction with life among university students in Spain with a gender perspective: implications for social work

ABSTRACT Current research aims to relate both categories by investigating sexual violence as a risk factor for suicide among college students in Spain (N = 2004). Overall, 13.7% reported having suffered sexual violence in the last year and 3.3% completed sexual penetration. Having suffered sexual violence and lower perceived social support are associated with higher risk of suicidal behaviors. Incorporation of preventive measures against sexual violence in the university environment, as well as the promotion of supportive actions on university campuses in Spain, as well as in other countries. Policy and social work implications are discussed.

Addressing disaster fatigue: A SAFE framework for enhancing disaster resilience in social work

An increase in exposure to successive disaster events is causing widespread adverse impacts on social workers worldwide, resulting in escalated levels of stress and exhaustion. This article examines the concept of disaster fatigue and its impact on social workers engaging in disaster practice. A SAFE framework for addressing disaster fatigue is outlined involving: (S) sustaining self-care; (A) adopting a trauma-informed approach; (F) fostering professional capability; and (E) enhancing disaster preparedness. Implications for social work involve the need to move beyond individualised notions of burnout, compassion fatigue and secondary traumatic stress towards a collective and multidimensional approach to enhancing disaster resilience.

Exploring the Relationship between Food Insecurity, Chronic Health Conditions, and Serious Mental Illness in the United States: Implications for Social Work.

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.

Sexual Orientation Hiccups Surrounding Traditional Male Circumcision (Ulwaluko) in the South African Context: Implications for Social Work

Incontrovertibly, ulwaluko (traditional male circumcision) remains one of the essential rituals in developing an individual’s growth and construction of social identity, yet one of the ancient and patriarchal cultures. While some studies have been done on the experiences of homophobia by the LGBTQIA undergoing ulwaluko, there is a dearth of research on how social work professionals can intervene in curbing the homophobic and patriarchal undertones surrounding the traditions. Underpinned by Anti-Oppressive Practice as a theory, this paper argues that ulwaluko becomes problematic because it promotes heterosexualist practices which negate realities and experiences of self-identifying amaXhosa gay men. Through reviewing available literature, this paper argues that although human rights are universal, constructionists believe that social norms and values have an impact on how those rights are implemented, the paper further defined sexuality within the context of amaXhosa and also argues that social workers are not well trained with cultural competency.

Predictors of National Institute on Alcohol Abuse and Alcoholism (NIAAA) Alcohol Recovery among Individuals in Alcohol Treatment: Implications for Social Work.

The National Institute on Alcohol Abuse and Alcoholism's (NIAAA) definition of alcohol use disorder (AUD) recovery stipulates two criteria: remission from DSM-5 AUD and cessation of heavy drinking. Importantly, these criteria allow for consideration of nonabstinent alcohol treatment outcomes. However, researchers have yet to assess potential predictors of the NIAAA recovery outcome. The current study examined associations between mental health and coping predictors of NIAAA recovery status in an AUD treatment sample. At baseline (BL) and end-of-treatment (EOT) research interviews in a clinical trial, participants (N = 118) completed questionnaires assessing alcohol dependence, mental health, and confidence levels in reducing heavy drinking, as well as alcohol use and DSM-5 AUD symptom endorsement. Logistic regression models tested the associations between chosen predictors and the odds of achieving NIAAA recovery. Twenty-four percent of individuals (n = 28) met both criteria for NIAAA recovery at EOT. Higher levels of BL state anxiety and anxiety sensitivity predicted lower odds of achieving NIAAA recovery, while greater confidence to reduce heavy drinking predicted increased odds of NIAAA recovery. Social workers are encouraged to continue assessing and addressing mental health in AUD treatment to help individuals with alcohol problems achieve their AUD recovery goals.

Voices of Refugee Families from Ukraine Currently Living in the Czech Republic

Abstract The living situation of Ukrainian refugees in the Czech Republic can be explored from various perspectives. However, the currently available data are not able to provide a sufficient view of the refugee situation. These data are rather economic (related to financial situation, employment, wage disadvantage, use of state aid, etc) and do not provide, for example, information on daily needs. Our goal is therefore to give a voice to refugees from Ukraine to describe their current perception of their life situation and based on this establish implications for social work. The data were created through the perspective of participatory research using the photovoice method (individual and group) interviews (n = 13), online responsive questionnaire survey (n = 41) and a final photo exhibition. According to the available data, the context of life situation was created by economic well-being. But the key theme of life situation of Ukrainian refugees was loneliness. An interesting aspect is the gender dimension of activities coping with loneliness, which especially includes the ‘typically female role’ of childcare.

Afrocentric Norms and Substance Use Behaviors Among Black Young Adults

ABSTRACT Despite not displaying higher overall rates of substance use compared to White Americans, the social consequences of substance use disorders for Black Americans, particularly among Black American men, are more damaging. Furthermore, recent data suggest an uptick in substance use-related deaths among Black Americans, raising serious concerns about a growing health disparity that warrants the need for studies to identify factors associated with prevention. For decades, Black cultural theorists have argued that Afrocentric norms are important buffers against maladaptive behaviors in Black Americans, but the association in the context of substance use is still an emerging area. The present study investigated the associations between Afrocentric norms, Afrocentric self-regard, internalized negative stereotypes, and substance use attitudes and behaviors among Black young adults. Self-report questionnaires were administered to measure internalized negative stereotypes, Afrocentric norms, Afrocentric self-regard, substance use attitudes, and substance use from a sample of Black young adults (N = 619). Favorable attitudes toward substance use were found to be positively associated with internalized negative stereotypes but were inversely associated with Afrocentric norms and Afrocentric self-regard. Similarly, substance use reports within the past 30 days were inversely associated with Afrocentric norms, but the relationship to cannabis use was non-significant. Gender differences between Black men and women were also found. Implications for social work are discussed.

Disaster Preparedness in Social Work: Enhancing Policy in Australian Human Service Organisations

Abstract This article reports on a small study that aimed to enhance disaster preparedness policy in Australian human service organisations. Adopting a transformative ecosocial lens, the researchers collaborated with emergency services as part of action research (AR) to co-design a series of workshops. The objectives of the workshops were to progressively develop disaster preparedness policy relating to risk assessment, service continuity and recovery plans. Semi-structured interviews with eight participants from human service organisations were undertaken post-workshop to explore their experiences and the impacts of workshops on organisational policy. Qualitative data were examined using thematic analysis. Five key themes emerged from the data. The themes were knowledge acquisition, the interrelationship between policy and practice, inter- and intra-professional relationships, organisational challenges and marginalisation. Whilst results indicated that workshops provided participants with opportunities to enhance disaster preparedness policy, participants described ongoing challenges inhibiting their progress within an organisational context. Implications for social work highlight the interrelationship between policy and practice and underscore the value of the profession’s multidimensional approach to practice. The need to disrupt the influence of the neoliberal discourse within the organisational context is critical for enhancing disaster preparedness and for mitigating the inequitable impacts of disasters on marginalised groups.

Too hot to handle? Unthought anxiety and parallel process in social work supervision

ABSTRACT This paper explores isomorphic patterns in social work group supervision and social work practice through the lens of the psychoanalytical concept of parallel process and Bion’s theory of learning from experience. Empirical data from group supervision sessions are presented, and a link is theorised between sessions characterised by high levels of anxiety and the presence of parallel process, whereby ‘unthought’ anxiety provoking phenomena described in social workers’ practice appear to be repeated in supervision. Implications for supervision practice and social work more broadly are then discussed.

‘I can’t bear giving my baby away’: Negotiation of reproductive rights of migrant domestic workers and implications for social work

‘I can’t bear giving my baby away’: Negotiation of reproductive rights of migrant domestic workers and implications for social work

The Adversities of Secondary Parenting faced by the Older Persons in Alice, South Africa: Social Work implications

The Adversities of Secondary Parenting faced by the Older Persons in Alice, South Africa: Social Work implications

Experiencing COVID-19 on the spectrum: perceptions of healthcare access among autistic adults during a global pandemic and implications for social workers

ABSTRACT The novel coronavirus pandemic (COVID-19) required substantial changes in socialization to mitigate the spread of the virus. Stay-at-home and social distancing mandates required changes in work, school, and healthcare access for autistic adults. This qualitative online netnographic study utilized a public online forum to examine 1,102 posts detailing the experiences of COVID-19 by autistic adults from March 2020 to December 2020. We found two main themes related to seeking behavioral health services and seeking support related to service delays and barriers during the COVID-19 pandemic. Implications for social work practice and supporting autistic people in navigating healthcare access are discussed.

Family Stress Processes Underlying COVID‐19–Related Economic Insecurity for Mothers and Fathers and Children's Internalizing Behaviour Problems

ABSTRACTCOVID‐19 and its economic fallout have resulted in unprecedented financial insecurity and material hardship for many American families, with a disproportionately negative impact on children and families from socioeconomically disadvantaged contexts. The current study applied the family stress model to examine the family processes underlying pandemic‐related economic insecurity and children's internalizing behaviours. Online survey data from an economically diverse sample of mothers and fathers, who experienced at least one type of pandemic‐related economic insecurity in the United States (N = 259), were collected across two longitudinal time points in the early weeks of COVID‐19: (1) 14 April and (2) 30 April of 2020. Parental depressive symptoms, negative partner relationship quality and harsh parenting were tested as mediators. Results from the path model showed that pandemic‐related economic insecurity was associated with higher levels of parental depressive symptoms, which were then associated with higher levels of negative partner relationship quality. Negative partner relationship quality was subsequently associated with more harsh parenting, which was then associated with increased child internalizing behaviours. Indirect effects were found for all hypothesized mediators. The family stress model can be applied and extended to the early COVID‐19 period. Child and family social work implications include targeting parents' mental health, relationship quality and parenting behaviours, as well as directly addressing financial and material hardship, to mitigate the adverse effects of pandemic‐related economic insecurity on children's mental health.

Adverse Childhood Experiences, Women Who Are Sex Trafficked, and Social Service Utilization: Implications for Social Work.

The aim of this study was to examine the associations between adverse childhood experiences (ACEs) and the high levels of social service usage by women who are sex trafficked. Fifty (N = 50) women who were sex trafficked were surveyed using purposive and snowball sampling methods. The ACEs score for respondents ranged from 2 to 10 with an average score of 7.4 (SD = 2.3). Emotional and sexual abuse tied at 88 percent as the most frequently cited ACEs among the women in this sample. The prevalence of ACEs was significantly higher in this sample compared with known estimates in similar populations, ranging from 20 percent to 54 percent (p < .001). Considering the well-established link between ACEs and poor health outcomes, these findings point to the need for innovative and targeted social service provisions to women who were formerly sex trafficked that take into consideration the high level of ACEs of the women. Given the sociodemographic diversity of this sample, there is a need for services that are trauma-informed, innovative, and culturally sensitive in a variety of social service settings.

Digitisation of Sibling and Social Relationships of Vulnerable Children in the Czech Republic: Implications for Digital Social Work

ABSTRACTThe aim of the research was to determine the impacts of digital technology use on the sibling and other social relationships of vulnerable children from their perspective as well as from the perspective of their parents and social workers. The research employed a qualitative research strategy and thematic analysis. We carried out semi‐structured interviews with 10 children and their parents (7) and 10 social workers. The main topics related to the impact of digital technology use were identified as (1) children's addiction to digital technology, (2) digital technology and the online environment as an unlimited leisure and socialisation tool, (3) the shift of risky behaviours to the online environment and the threat of other online ‘risks’ and (4) digital technology as a modern tool for communication with children or their parents. Discussion provides recommendations on how digital technology can be used in social work practice with vulnerable children and their families.

Family, Parenting, and Motherhood: Myth and Reality in Media and Political Discourses and Implications for Social Work

The central focus of this article is how family, parenting, and motherhood are negotiated in media and political discourses. The premise is that these discourses influence social policy and social work practice. In this study 1574 newspaper articles and 251 parliamentary records are investigated by a discourse analysis. Results reveal controversial discourse strands: The »work–life balance issue« is significant in both politics and media, primarily discussed as an issue for mothers, rarely as a couple’s issue, and hardly as a topic concerning fathers. Mothers are expected to be integrated into the labor market due to economic interests but primarily remain mothers. At the same time idealised images of mother-hood persist, although the twofold stress of ideal motherhood alongside work is acknowledged. A stronger integration of fathers in family work is only minimally observed. Economically unattractive care work remains mostly unaddressed, and parenting is not socially situated within the structural con-text. Finally, media and politics strengthen the image of the bourgeois and private family. Parallels can be found in expert discourses on child protection.

Social sustainability: what implications for social work?

ABSTRACT This paper addresses the lack of clarity regarding social sustainability and the scarcity of guidance on how social workers may achieve it in their daily practice. The research delves into the concept from the viewpoint of 140 Italian social workers, presenting findings from exploratory research conducted between September 2022 and January 2023. The research aims to answer two questions: 1) How do social workers perceive the link between social sustainability and social work? 2) What conditions favour or hinder the social sustainability of social work in its daily practice? The study employed a structured online interview with closed and open-ended questions, investigating the social sustainability definition and its implications for social work. The results shed light on equity and social justice as the main elements of socially sustainable social work. They also highlight the importance of inter-sectoral collaborations and organisational interventions to contribute to social sustainability.