Care Services Research Articles

Community-Based Mental Health Improvement Initiatives: A Narrative Review and Indiana Case Study.

There is a global mental health crisis: mental illness is underrecognized, underdiagnosed, and undertreated with adverse effects on mental, physical, and social health. In the United States, there is an insufficient number of traditional psychiatric and psychological resources to provide the mental health care needed to solve this crisis. Community-based interventions could be an important adjunct to traditional mental health care. An evaluation of peer-reviewed articles was performed describing community-based interventions and identified 3 approaches with some evidence of effectiveness: (1) interventions that enhance community mental health literacy to improve recognition of early signs of mental illness for early engagement and provide community, family, and peer support; (2) community clinics providing social, medical, and mental health care and support to transition-age youth (15-25 years); and (3) social networking activities to enhance interactions among elders suffering from social isolation and loneliness. Multisector, multidisciplinary, and multicomponent interventions involving health care providers and community-based organizations had the best evidence of effectiveness and should target transition-age youth and elders.

Experiences of Volunteer Social Workers During COVID-19 Pandemic: A Case Study of a Project by National Association of Social Workers-Zimbabwe

Experiences of Volunteer Social Workers During COVID-19 Pandemic: A Case Study of a Project by National Association of Social Workers-Zimbabwe

HIV Screening in a Sample of US Emergency Departments, 2022-2023.

Despite serving populations emphasized in the Ending the HIV Epidemic Initiative, emergency departments (EDs) infrequently offer routine HIV screening. The objective of this study was to characterize US EDs by whether they screen for HIV and to explore factors associated with screening. We surveyed a random sample of US ED directors to obtain data on ED-level and patient-level characteristics, as well as information on directors' perceived barriers to implementing preventive health services. Using descriptive statistics and regression modeling, we found that EDs that routinely screen for HIV, compared with those that do not, had higher median visit volumes (21 000 vs 12 600), were more often a teaching hospital (12.7% vs 4.3%), and had more availability of social workers (23.6% vs 9.4% had 24 hour/day coverage); their directors also less often expressed strong worry about costs (5.9% vs 28.2%), all significant at P < .05; in the regression analysis, only worry about costs was significant (relative risk = 0.13; 95% CI, 0.03-0.51). Our findings may reflect a need for additional funding and resources allocated to EDs to promote HIV screening.

A journey towards resurgence: Reflections from a graduate of the master of social work based in Indigenous knowledges program

A journey towards resurgence: Reflections from a graduate of the master of social work based in Indigenous knowledges program

Advancing scholarship on rural social work in China: published researchers’ perspectives

ABSTRACT A search of literature spanning 2000–2019 located 45 articles on rural social work in China in peer-reviewed international and Chinese journals, showing that this was an emerging area of research and scholarship. To explore the nature of, and enrich the knowledge base on, rural social work in China, this paper reports on an exploratory study that involved interviews with Chinese researchers (n = 11), who had published on the topic. Thematic analysis revealed several findings: emerging place-based models, responding to complex rural dynamics and challenges, a focus on rural community development, professional practice issues, the need for political support and skilled professionals.

Situated knowledge-making in dynamic collaboration: A reflexive case study of social work practice research in mainland China

Situated knowledge-making in dynamic collaboration: A reflexive case study of social work practice research in mainland China

Art and design workshops at a residential care facility – social care professionals’ experiences of co-creation and participation in designing the physical environment

BackgroundCo-creation and participation among different user groups have been highlighted as pivotal for improving residential care facilities for older persons. However, more knowledge is needed on methods aiming to overcome challenges in constructing inclusive co-creation and participation processes. In particular, there is a need for knowledge concerning how art and design workshops could contribute to co-creation and participation of social care professionals designing the physical environment in residential care facilities. Therefore, this study aimed to examine how art and design workshops can contribute to co-creation and participation in designing the physical environment with residential care facility professionals.MethodsA qualitative method was used to investigate social care professionals’ experiences. Data were collected through semi-structured group interviews and analysed with inspiration from Corbin and Strauss’s analysis method.ResultsThis study concludes that art and design workshops could serve as deliberating and developing practices. First, the art and design workshop as a deliberating practice involves conditions that create a communication arena and space supporting professionals in sharing experiences and voicing different perspectives. Second, the art and design workshop, as a developing practice, supports shared agency through dialogue focusing on designing the physical environment in residential care facilities, using photographs, materials, and fabrics.ConclusionsThis research contributes to the understanding of the relevance of art and design workshops and co-creation between artists and social care professionals in designing the physical environment in residential care facilities. The study can be valuable in identifying important mechanisms that facilitate co-creation and participation among social care professionals, as well as the development of art and design as a tool for improving environments in residential care facilities. The research focuses on how art and design workshops could influence co-creation and participation through art and design from the perspective of social care professionals.

Contexts and complexities: a realist evaluation of integrated care system leadership.

This paper presents a realist evaluation of leadership within an integrated care system (ICS) in England. This paper aims to examine which aspects of leadership are effective, for whom, how and under what circumstances. Realist evaluation methodology was used, adopting prior realist review findings as the theoretical framework to refine explanations of how and why leadership within an ICS is effective. Between January and November 2023, 23 interviews with ICS leaders took place, alongside 7 meeting observations and documentary analysis. The Realist And Metanarrative Evidence Syntheses: Evolving Standards (RAMESES) guidance informed the study design, conduct and reporting. The findings highlight two overarching infrastructural contexts influencing leadership in ICSs: the impact of the post-COVID-19 pandemic legacy and the differences between health and social care regulatory and financial environments. Findings demonstrate that ICS leaders identified a strong sense of purpose as crucial for guiding decisions and creating a psychologically safe environment for open, honest discussions, fostering calculated risk-taking. Whilst a shared vision directed priority setting, financial pressures led to siloed thinking. Leadership visibility was linked to workforce morale, with supportive leadership boosting morale amidst evolving ICS landscapes and confidence in data-driven decisions supported prevention activities. However, financial constraints hindered responsiveness and innovation in addressing health inequalities. By examining ICS leadership post-COVID-19 pandemic and amidst varying regulatory and financial environments, this study contributes to the emerging literature on systems leadership and offers practical guidance for leaders navigating the complexities of integrated care.

Human rights engagement, stigma and attitudes towards mental health among Colombian social work and medical students.

Human rights training in mental health professions is essential to reduce stigma and facilitate recovery processes. The aim of this study was to understand the relationship between engagement to human rights and stigma towards people with mental disorders, as well as attitudes towards mental illness in medical and social work students of a Latin American context. An analytical, cross-sectional study was carried out with a sample of 243 students in the last two years of study. Community Attitudes Towards the Mentally Ill (CAMI), Mental Illness Clinicians' Attitude Scale (MICA), Human Rights Exposure in Social Work (HRXSW) and Human Rights Engagement in Social Work (HRESW) were used as instruments. To determine how the explanatory variables are related to the engagement to human rights (dependent variable) a binary logistic regression model was used. Correlations were found between the scales and their components. Economic condition, intersectional approach, authoritarianism, benevolence and mental health ideology explained 55.11% of the variance for commitment to the engagement of human rights. Some factors related to the stigma of mental disorders and the focus on human rights in future mental health professionals are highlighted that should be more visible in the training practices of these professions.

‘And then the helping relationship became different’: professional identity development through learning in a helping relationship course

ABSTRACT Professional identity is a dynamic process in which individuals come to view themselves as social workers. This process is enabled through utilizing transformative learning: involving the internalization of professional values, knowledge, approaches, skills, and interventions. This study examined the pedagogies that enhance the development of professional identity formation as occurred in a helping relationship course at an Israeli college. A qualitative methodology was used, in the collaborative autoethnography approach, based on systematic reflection on the participants’ experiences as social work educators. Each of the three educator-researchers documented all 12 weekly lessons, for a total of 36 journal entries. The findings point to four professional development phases during the course: self-awareness, confronting difficulties, acceptance, and integration of knowledge into practice. These findings are discussed in relation to transformative learning theory and Bion’s term of the unknown. Recommendations for social work educators are provided.

Interprofessional Education in Neurology Intensive Care Unit: Learning Activity for Students Completing Clerkships and Field Experiences.

Teaching learners the benefits and challenges of interprofessional collaborative practice (IPCP) in acute care is best done in the context of authentic patient care rather than classroom settings. Yet differing clinical schedules of students and faculty as well as structured, controlled environments of intensive care units are not conducive to bringing multiple interprofessional learners to the bedside. We developed a 2.5-hour interprofessional education (IPE) activity based around neurology intensive care unit patients that was implemented using team-based learning (TBL) methodologies, including individual/team readiness assessments (iRAT/tRAT) and application activities comprising interprofessional student-led care conferences in which authentic patients and their unique, deidentified clinical parameters were discussed. Students represented medicine, nursing, chaplain, physician assistant, social work, respiratory therapy, pharmacy, physical therapy, and law programs. Two hundred ninety-three students participated online during the first year. Mean tRAT scores were 14.9 points higher than iRAT scores (39.5 vs. 24.6 of 44 possible). There was strong agreement from students that the session met educational objectives (all >4.0 on a 5-point Likert scale). Individualized feedback was provided to learners using a rubric; 276 students shared personal reflections of knowledge learned through interactions with other health professional students/faculty. IPE activities that use authentic patient chart data as the basis for student application exercises are useful learning tools since students must teach and learn from each other, interpret data, and propose care plans based upon their collaborations. This enables students to experience acute care IPCP in a low-stakes environment.

‘People-in-environments’ taking the classroom to the community: evaluation of a collaborative problem-based community learning model for social work students

ABSTRACT This paper reports on an innovative community-based ‘People-in-Environments’ learning model designed to support social work students in their development of ‘Readiness for Practice’ in an English urban metropolis. This experiential model challenges students to think differently about the meaning of communities, community resources, and their own assumptions, whilst enhancing critical thinking, self-awareness, reflexivity, and the integration of anti-oppressive values. A central element involves engaging students in embodied, problem-based, confluent learning by critically responding to scenarios using real-life circumstances and visiting diverse community locations. Drawing on qualitative questionnaires, focus groups, and anecdotal data from selected student cohorts 2018–2023, six learning themes are presented: Enhanced Knowledge, Deeper Learning; Examining the Familiar Unfamiliar; What Does Community Mean; Person-In-Environment, Self-In-Environment; A Different Kind of Empathy, and Group Work Challenges. Students’ narratives emphasize the significance of embodied, emplaced learning in unfamiliar settings. Reflexively analyzing thoughts, emotions, and materiality enhanced understanding and skill development. This model facilitates nuanced appreciation of what community means, both the intersections of geographical locales with identities and attachments, and the importance of understanding community attributes, strengths, risks, and resources. The paper concludes with suggestions for creative expansion through community mapping in placements and integrative learning in social work curricula.

Pre and post diagnostic dementia care in four Scottish prisons

Background and purposeThe number of older people in prisons is increasing across the globe. Many have poor physical and mental health, higher prevalence of head injury, cognitive impairment and dementia than found in community populations. Meeting the complex needs of this vulnerable group has become an increasing concern for prison and prison healthcare services. The aim of this multi method qualitative study was to investigate how men with diagnosed or suspected dementia were identified, assessed, and cared for in Scottish prisons. It also explored the lived experience of individuals being assessed for or diagnosed with dementia within four prisons. The data from twenty nine interviews was thematically analysed and used to collaboratively propose principles for dementia care in prison and present the resultant co-designed care pathway.ResultsAt the time of data collection almost all the men known to have a dementia diagnosis or suspected dementia had complex health and social care needs, and some were living with advanced dementia. Prison healthcare staff reported taking a ‘case by case’ approach to their pre- and post-diagnostic care. Meeting these prisoner’s needs was complicated by the absence of organisational leads for care of older adults or people with dementia and there was no pathway or model in place to guide staff. Prison healthcare teams often had difficulty accessing specialist community services to support diagnosis. There was a lack of dementia education and knowledge about how to provide pre and post diagnostic dementia care in this setting amongst staff. The findings arising from this research have informed the co-production of two important evidence informed innovations namely a Model of Care and a pre- and post-diagnostic Care Pathway.ConclusionThis research adds insights critical to understanding the adequacy of current approaches to meeting dementia related needs within the prison setting. To our knowledge this paper offers the first co-produced evidence informed pre- and post- diagnostic dementia care pathway and model of care for use in prisons. These could serve as tools for change that could enable prison healthcare staff to deliver the right care, at the right time, by the right people, and provide an opportunity to assess risk and plan care for the future.

”Kieli oli tässä kohtaa vain väline” – kulttuuritulkkien, opettajien ja kuraattoreiden näkemyksiä kielestä ja kulttuuritulkkien roolista

Alongside public service interpreting consisting of language interpretation, many institutions, including institutions of learning, increasingly use intercultural mediators to communicate with migrants. Drawing on the research tradition of sociology of translation, we analyze our data from two perspectives, mobilizing the sociological concepts of role, agency, and (affective) facework, as well as the linguistic anthropological concept of language ideology. The data consist of semi-structured thematic interviews with intercultural mediators and teachers and school social workers who work with them. The analysis shows that intercultural mediators’ affective labor, based on their broad agency, is fundamental in building trust between migrant families and the school. Intercultural mediation is different from public service interpreting, where monolithic, referential language ideologies are often felt to prevent the achievement of mutual understanding between the participants.

Current challenges and threats to the implementation of social policy under the conditions of marital state

The problems of the implementation of social policy are currently determined by the accumulated problem of the unreformed sector of the social sphere and the extremely negative impact of the martial law, which leads to an increase in the critical mass of people who need social assistance and effective solutions that can contribute to the implementation of social policy in accordance with current challenges and threats. This article focuses on identifying and structuring current challenges and threats to the implementation of social policy under martial law. It is established that, given the longterm nature of martial law, social policy is currently under the critical influence of pre2022 problems, which are exacerbated by a large-scale invasion, and the structuring of current challenges and threats that are characteristic of the current state of social policy implementation, given martial law, is an important and relevant topic for research. After all, today the issue of clearly fixing and structuring the current challenges and threats to the implementation of social policy in the conditions of martial law is acute. The purpose of the article is to define and structure the current challenges and threats to the implementation of the social sphere in the conditions of martial law. In the process of research, it was established that in today’s conditions, the implementation of social policy has significant limitations and barriers. Four groups of institutional restrictions are identified, which include the inconsistency of the legal framework; bureaucratic obstacles; insufficient coordination between various state authorities; low level of professional training of social workers. Three groups of obstacles to the effective implementation of social policy are also highlighted, namely: economic, political, and corruption. The main types of threats are identified, including: financial, social, technical and security, each of which creates a whole range of challenges. The following challenges have a high priority to be taken into account in the implementation of social policy: the problem of the state budget deficit, dependence on international donors, the increase in the number of people who need social protection, the decrease in the standard of living and the provision of housing, the further course of military operations and their intensity, internal instability. It was established that further research should be focused on finding effective tools that will allow, taking into account the existing risks and threats, to develop appropriate mechanisms for minimizing the identified threats and challenges for the effective implementation of social policy as quickly as possible.

A Representative Profile of MSW Graduates in the United States.

As the United States faces burgeoning behavioral health needs and a growing recognition of the inextricable link between social conditions and health outcomes and quality-of-life indicators, a current representative profile of the MSW workforce with respect to sociodemographic and employment characteristics can provide a reference point for ongoing assessments of that workforce. The profile also can establish a baseline by which efforts to bolster the diversity and strength of the MSW workforce can be grounded. The core aim of the current study was to generate a nationally representative, descriptive profile of MSW graduates in the United States using a sample of 1,028 MSW graduates (representing a subpopulation of 691,061 individuals) from the 2021 National Survey of College Graduates. Weighted univariate and bivariate analyses were conducted to generate a descriptive profile of MSW graduates with respect to sociodemographic, education, and employment characteristics. Study findings can help employers, health services researchers, policymakers, and practitioners understand the context of the MSW workforce as it relates to diversity, labor workforce projection data, and student loan and salary considerations. This information can guide future policy and training goals to support the future vitality of the social work profession.

Collaborative and interdisciplinary teaching in sport and exercise: Lessons from the development and delivery of an equity, diversity, and inclusion workshop

Training in sport and exercise that is collaborative and interdisciplinary allows for the delivery of key knowledge and skills that help shape trainees’ practice. Such training also demonstrates how collaborations can take shape and how individuals can work together in the future. We present an example of collaborative and interdisciplinary training used within an equity, diversity, and inclusion workshop that was provided to trainees enrolled on the Sport and Exercise Psychology Accreditation Route (SEPAR) training program offered through the British Association of Sport and Exercise Sciences. The SEPAR program was designed to allow trainees to gain knowledge, skills, and experience to apply and register as Practitioner Psychologists with the Health and Care Professions Council in the United Kingdom. The workshop was a collaboration between individuals trained in sport and exercise psychology and clinical social work. Overall, the workshop helped trainees gain an understanding of key terms and definitions concerning equity, equality, diversity, inclusion, and social justice as well as legal responsibilities. The workshop also demonstrated a variety of perspectives from sport and exercise psychology and clinical social work as to how inclusive and socially just approaches can be used to create safe environments that can foster strong therapeutic relationships with clients.

The Ecological Map of Adolescent Athletes: Examining Integrative Care Approaches

This qualitative study explores the importance of an integrated care approach for adolescent athletes living with physical illness. The researcher used a phenomenological approach to provide this population with a platform to share their stories and to make meaning of their lived experiences. Using snowball sampling, the researcher gathered nine participants, ages 18-35, who resided within the United States. The researcher interviewed the participants via an online platform and analyzed their scripts using an interpretive phenomenological analysis approach. Through their exploration and sharing of consciousness, several important implications and contributions were unveiled to the social work profession. Their stories highlight the impact illness has on their psychological, psychosocial, physical, and overall functioning. Through the lens of the ecological systems theory, the study emphasizes the need for integrated and collaborative care between those who are directly or indirectly involved in the adolescent’s treatment. Ultimately, this preliminary study serves as a framework for clinical social workers as well as those who are involved in research, policy, and community-based work like schools and medical facilities. Through these stories, social workers and other helping professionals learn the power of connection and the importance of safeguarding the dignity and worth of the adolescent athlete.

Neuroscientific Approaches to Understanding Adolescent Susceptibility to Substance Abuse

Adolescence is a pivotal developmental stage characterised by significant neurobiological changes that heighten susceptibility to substance abuse. This period is marked by the maturation of the brain regions responsible for decision-making and impulse control, alongside an increased sensitivity to rewards driven by dopaminergic pathways. This review aimed to understand adolescent susceptibility to substance abuse using a neuroscientific approach. In line with best practices, data were collected from a variety reliable source to ensure a comprehensive view of the topic. Research studies on adolescent neurodevelopment have contributed to a broader understanding of the physiological and psychological factors at play during adolescence, while grey literature, including expert interviews and focused group discussions, has offered practical insights from frontline professionals, such as psychologists, social workers, and healthcare providers, who deal directly with adolescent substance use. These results demonstrate that the relationship between genetic factors and environmental conditions, such as stress and trauma, intensifies this vulnerability, thereby heightening the likelihood of individuals participating in risky behaviours. This review examines the neuroscientific foundations of substance use during adolescence, highlighting the critical role of timely interventions that utilize neuroplasticity to enhance resilience and reduce risk. By integrating cognitive training and behavioural therapies into public health initiatives, adolescents' cognitive control mechanisms and their propensity for substance abuse can be reduced.

Examining the Empathy Profiles and Work Outcomes of Trauma Workers

Trauma work involves intervening with others enduring acute pain and suffering, often with heavy psychological and physical health impacts. An important question is whether dispositional empathy helps or hurts trauma workers in their occupational functioning. The current study addresses this gap in the research literature by using a person-centered approach to examine the empathy profiles and professional outcomes of a broad sample of trauma workers ( n = 315). We measured their trait empathy and organizational outcomes (occupational burnout, person-job fit, turnover intentions, job performance), and found three distinct empathy profiles which differed significantly in their occupational functioning. A ‘self-focused’ empathy profile (dominated by high personal distress responding) reported the worst functioning; an ‘other-oriented’ profile (high on perspective taking and empathic concern) had more positive functioning, and an unexpected ‘low reactivity’ profile (a full SD below the general population on empathy facets) showed the lowest exhaustion. Exploratory analyses revealed that first responders (e.g., police, firefighters, EMTs, paramedics) were overrepresented in the ‘low reactivity’ profile, while psychology-related professions (e.g., psychologists, counsellors, social workers) were underrepresented in that profile. The significance of these results, as well as their implications for empathy research and vocational counselling in the field of trauma work, are discussed.